You're using muscles that you're not used to using; a lot of cyclists have hamstrings that are underdeveloped relative to their quads. Just keep at it, but address any soreness and tightness with your post-ride routine.

trimetazidine

Discuss.

Solidly underachieving again.

Wordle 237 4/6

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So you agree. Antarctica was omitted from your "map".

Not a continent.

No, I don't agree. It has residents who produce services.

Is it performance-enhancing? I figure we have some PED experts here.

Can increase blood flow efficiency and endurance. Is that performance enhancing?

If I find myself agitated and my wife tells me to "chill", then I light a fattie to relax, is that performance enhancing?

Speaking of peds, the locals in the VI have renamed the Epstein island "Pedophile Island."

That may be old, but was new to me and I found it funny.

Hey MoAlpha falling while running guy just showed up. 77YOM loves to run. 6 months progressive sense of falling when running, also occurs while walking DOWNHILL. Can still RUN uphill. Falling sense has NO laterality. Has 2 siblings no similar history or history with family. Denies paresthesias or weakness and other than baseline constipation and poor hearing is feeling usual self. Exam shows NORMAL sensation to light touch and NORMAL proprioception at big toe. EOMI. DTR's LE are 1+. Muscles with normal strength/tone/bulk. Normal heel/shin slide both sides. Rapid alternating movement seems subtly off.

My guess is that he has a very mild/early form of PD that has declared itself early to him because he is a runner. If he were not a runner like a normal 77 year old guy, he would be asymptomatic.

I did suggest he see a local neurologist to get plugged in, which will take 2-3 months. I could send him to a movement specialist but that takes longer and I will defer to my local neuro colleagues.

Comments?

I may have to have one of these.

I don't know. I have no need for such drugs. Maybe DougRNS knows.

That is extremely lame.

This is how you do a parody:

Unfortunately, I think you're on the right diagnostic track. :(

And, therefore, should be on your "map" of GDP by continent. Case closed.

Back in the fives.
Wordle 237 5/6

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This is possibly my favorite SNL parody. It's a little old now but still funny IMO.

Make up your mind.
It's better than you can do.

I figured. My hope is that whatever he has is so indolent that it won't become a significant issue for many years.

I thought about telling him that running is stupid, but I do my best not to editorialize with patients.

Porsche of the day. Acquisition edition: Porsche acquires minority interest in Fazua e-bike drive system brand | Bicycle Retailer and Industry News

https://cimg5.ibsrv.net/gimg/bikefor...684dbf6865.png

Bottom line: your "map" is not a map.

Runners can be more obsessive than cyclists.

Last night was the second workout of Systm's Full Monty Prep Week plan. Cadence drills. Spin an annoyingly low (for me) cadence of 90 at varying powers, all below threshold, for minutes at a time. Then, over about 30 seconds, ramp up from that to maximum cadence. I learned that I can actually spin at >140 for >10 seconds without flying out of the saddle. I wasn't really all that clear on the instructions, since the cadence target on the screen was 130, but they kept talking about "your maximum cadence", so I just did the latter. But after you've been at max for about 20 seconds, the cadence target number went away and the warning that the target power was just about to drop from 213 to 125 appeared. I didn't know what to do - do I start backing off cadence first, because then the trainer (in erg mode) is chasing me to keep me at 213W. I eventually decided to just keep spinning at >130 till the power dropped and chase IT down.

I also discovered that, even if the power requested is very low - 125W - you DO NOT hit the Start button while not pedalling. Having to stand on the pedals to get them turning AT ALL, when the power you're supposed to be putting out is 125 was just ludicrous.

The other thing? They tell you in the blurb that this workout comes with no music or video, so I queue'd up some nice indie rock for the workout. Started the workout, and a damn FANFARE plays! So I paused the music till it was done, then had to find my cursor to move it back to the other screen to restart the music. Then when you finish the last cadence segment and hit the cool down, a video starts playing.

Oh, and when I tried to size the Systm window to the TV screen, the whole thing would jump back to the laptop screen. So I'd laboriously drag it back to the TV - while still trying to pedal at the required cadence! - and try again. Fifth time's a charm, it turns out. :rolleyes: