Addiction 2023.1
01-23-23, 08:16 AM
#2751
Mostly Harmless
Join Date: Jul 2008
Location: Chittenango, NY
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01-23-23, 09:16 AM
#2752
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,052
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
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01-23-23, 09:17 AM
#2753
VFL For Life
Join Date: Feb 2005
Location: Knoxville, TN
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01-23-23, 09:42 AM
#2754
Senior Member
Join Date: Sep 2017
Location: Greenville SC
Posts: 4,127
Bikes: 1975 Motobecane Grand Jubile, 2020 Holdsworth Competition, 2022 Giant Trance 29 3
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Haven't had much of any desire lately to do any workouts after work, and have been wondering why especially when we had some fairly warm weather last week. While I prefer riding mid-morning, I don't hate going out and coming back in the dark.
I had a realization that although I'm not riding much as far as time or distance is concerned, last week and the week before I rode in to work and then back home for lunch almost every day. That's 4 rides/day x 8 days, plus a MTB ride the Sunday before last, and then another one over the weekend. So that makes for 34 bike rides over 14 days. I guess the itch is getting scratched appropriately.
No Strava for any of it except the MTB rides though, although I might start recording this week for the sake of curiosity and just keep things private so I'm not flooding my feed with <1 mile rides.
I would like to see how much I used my bike, though.
I had a realization that although I'm not riding much as far as time or distance is concerned, last week and the week before I rode in to work and then back home for lunch almost every day. That's 4 rides/day x 8 days, plus a MTB ride the Sunday before last, and then another one over the weekend. So that makes for 34 bike rides over 14 days. I guess the itch is getting scratched appropriately.
No Strava for any of it except the MTB rides though, although I might start recording this week for the sake of curiosity and just keep things private so I'm not flooding my feed with <1 mile rides.
I would like to see how much I used my bike, though.
01-23-23, 10:40 AM
#2755
Senior Member
Join Date: May 2016
Location: Yucatán. México
Posts: 6,233
Bikes: 79 Trek 930 is back on the road, 80 Trek 414, 84 Schwinn Letour Luxe,87 Schwinn Prelude, 92 Schwinn Paramount PDG 5
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Another first this morning. Put a new tube in the rear of my town bike--87 Prelude with upright bars. Pop the wheel back in easily. Head out to my dr. appt and the chain is off in the front. Put it on the small ring and take off, only to lock up immediately. Rather than be late, I took my wife's mtb. I checked mine just now, to find the chain wrapped once around the bb shell. Never seen that before, and am scratching my head.
Btw, the doc was seen using carbon paper when writing up the order, and she stamped both copies with two or three rubber stamps. Latin America would come to a screeching halt if rubber stamps were to disappear from the face of the earth.
Btw, the doc was seen using carbon paper when writing up the order, and she stamped both copies with two or three rubber stamps. Latin America would come to a screeching halt if rubber stamps were to disappear from the face of the earth.
01-23-23, 11:09 AM
#2756
Silver Comet Fred
Join Date: Jan 2017
Location: NW Metro Atl.
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This only makes a difference if you are unable to respond to the responders.
In my Fire/Medical days we always looked for a bracelet. If you have dog tags and are unresponsive we will find them too when we cut your clothes off. We didn't carry any blood products, so blood type didn't matter. The ER will do a type check when you arrive. Contact information is the most important thing you can have.
Our standard care for unresponsive patients was:
0) arrive on scene, make sure the scene is safe, protective gear in place as needed. Make a general assessment of the scene. Check for wrist bracelet. Are there any counterindications for any specific treatment? Maybe an LVAD? Fentanyl allergy? Anything else that could impact our care.
Now, we can go to work. Assuming an unresponsive patient are we looking at medical or trauma?
For trauma:
1)Airway : air can go in and out... tube if there is trouble.
2)Breathing : air IS going in and out. bag valve mask if assistance is needed. Everyone gets oxygen.
3)Circulation: pulse? BP? IV fluids if indicated. Oxygen level? No pulse triggers the need to switch to cardiac arrest protocol. If we get a pulse we will come back here. If we switch to cardiac we will find your dog tags at that point in time.
4)Disabilities: absent reflexes. Stroke scale if conscious but unresponsive. Pupillary response. Glasgow Comma scale. Not all unconscious people are equally unconscious. Brain swelling or brain bleeding changes things. Protect the patient with a backboard if indicated: Always for trauma. Splint as needed. Place a cervical collar if trauma. Once you are packaged nicely on a board we can move you to the back of the bus.
5)Expose: cut off as much clothing as respecting patient privacy will allow. Check for head injuries. Look for other hidden injuries. Recent surgical scars?
Once we have done the primary care, we will plug visible leaks, check for signs of internal bleeding, low BP and rapid pulse. Also, people who are bleeding internally have a pulse that we called thready. Doesn't feel quite right. And we don't have an ultrasound to see what is going on inside. No matter what, an unresponsive patient will have an IV line placed. If I couldn't get a conventional line I would place an inter-osseous line. Now take a quick blood glucose reading, Run a 4 lead Electrocardiogram. If you have dog tags we will have them by this point in time.
It is amazing chaos. A decent crew can package a critical patient in a few minutes. So we find that bracelet early in the game, like as soon as we roll up. The dog tags maybe 2 minutes later when we put you on a backboard and cut your clothes off. Don't worry about that. We are not likely to have pushed anything before we have you exposed.
Known diabetic? I will be taking a Blood Glucose reading on any unresponsive patient. If your 4 lead ECG is abnormal maybe go to a cardiac care protocol and run a 12 lead ECG.
Taking blood thinner? If you are leaking it is fairly obvious. May be the difference between ground transport and a helicopter, but obvious and depends on how big the leak is, if you respond to advanced external clotting agents, and how long is the ride to the hospital. If we suspect major internal bleeding, the ground/air decision for us was based on could we save 15 minutes for a critical patient.
My recent ride to the hospital when I broke my femur they didn't trust my existing blood type card, and I was alert and oriented to person, place, time, and event. I have my regular BP readings on my phone. Not wanted in the field or at the hospital.. The hospital put me in the cardiac care unit because my pulse was in the 40's. Fortunately no atropine for a sinus bradycardia who was A&OX4. They wanted my contact information so they could get my primary care provider and access my records.
In my Fire/Medical days we always looked for a bracelet. If you have dog tags and are unresponsive we will find them too when we cut your clothes off. We didn't carry any blood products, so blood type didn't matter. The ER will do a type check when you arrive. Contact information is the most important thing you can have.
Our standard care for unresponsive patients was:
0) arrive on scene, make sure the scene is safe, protective gear in place as needed. Make a general assessment of the scene. Check for wrist bracelet. Are there any counterindications for any specific treatment? Maybe an LVAD? Fentanyl allergy? Anything else that could impact our care.
Now, we can go to work. Assuming an unresponsive patient are we looking at medical or trauma?
For trauma:
1)Airway : air can go in and out... tube if there is trouble.
2)Breathing : air IS going in and out. bag valve mask if assistance is needed. Everyone gets oxygen.
3)Circulation: pulse? BP? IV fluids if indicated. Oxygen level? No pulse triggers the need to switch to cardiac arrest protocol. If we get a pulse we will come back here. If we switch to cardiac we will find your dog tags at that point in time.
4)Disabilities: absent reflexes. Stroke scale if conscious but unresponsive. Pupillary response. Glasgow Comma scale. Not all unconscious people are equally unconscious. Brain swelling or brain bleeding changes things. Protect the patient with a backboard if indicated: Always for trauma. Splint as needed. Place a cervical collar if trauma. Once you are packaged nicely on a board we can move you to the back of the bus.
5)Expose: cut off as much clothing as respecting patient privacy will allow. Check for head injuries. Look for other hidden injuries. Recent surgical scars?
Once we have done the primary care, we will plug visible leaks, check for signs of internal bleeding, low BP and rapid pulse. Also, people who are bleeding internally have a pulse that we called thready. Doesn't feel quite right. And we don't have an ultrasound to see what is going on inside. No matter what, an unresponsive patient will have an IV line placed. If I couldn't get a conventional line I would place an inter-osseous line. Now take a quick blood glucose reading, Run a 4 lead Electrocardiogram. If you have dog tags we will have them by this point in time.
It is amazing chaos. A decent crew can package a critical patient in a few minutes. So we find that bracelet early in the game, like as soon as we roll up. The dog tags maybe 2 minutes later when we put you on a backboard and cut your clothes off. Don't worry about that. We are not likely to have pushed anything before we have you exposed.
Known diabetic? I will be taking a Blood Glucose reading on any unresponsive patient. If your 4 lead ECG is abnormal maybe go to a cardiac care protocol and run a 12 lead ECG.
Taking blood thinner? If you are leaking it is fairly obvious. May be the difference between ground transport and a helicopter, but obvious and depends on how big the leak is, if you respond to advanced external clotting agents, and how long is the ride to the hospital. If we suspect major internal bleeding, the ground/air decision for us was based on could we save 15 minutes for a critical patient.
My recent ride to the hospital when I broke my femur they didn't trust my existing blood type card, and I was alert and oriented to person, place, time, and event. I have my regular BP readings on my phone. Not wanted in the field or at the hospital.. The hospital put me in the cardiac care unit because my pulse was in the 40's. Fortunately no atropine for a sinus bradycardia who was A&OX4. They wanted my contact information so they could get my primary care provider and access my records.
01-23-23, 11:20 AM
#2757
Administrator
Thread Starter
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Location: Hudson Valley, NY
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I was pretty agitated for 3 quarters but by the 4th quarter I calmed down and accepted my inevitable fate. That's progress, because I used to stay agitated all the way to the very end. But now, with maturity, I have come to accept our sorryass fate. 
How could a guy so masterfully always find the open receiver one week, and then struggle like a run-of-the-mill QB the following week? Dak has to go. He has never really been the same since that nasty leg injury.
Yes, you can say ass.
How could a guy so masterfully always find the open receiver one week, and then struggle like a run-of-the-mill QB the following week? Dak has to go. He has never really been the same since that nasty leg injury.
Yes, you can say ass.
__________________
See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
01-23-23, 11:22 AM
#2758
Administrator
Thread Starter
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Location: Hudson Valley, NY
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This only makes a difference if you are unable to respond to the responders.
In my Fire/Medical days we always looked for a bracelet. If you have dog tags and are unresponsive we will find them too when we cut your clothes off. We didn't carry any blood products, so blood type didn't matter. The ER will do a type check when you arrive. Contact information is the most important thing you can have.
Our standard care for unresponsive patients was:
0) arrive on scene, make sure the scene is safe, protective gear in place as needed. Make a general assessment of the scene. Check for wrist bracelet. Are there any counterindications for any specific treatment? Maybe an LVAD? Fentanyl allergy? Anything else that could impact our care.
Now, we can go to work. Assuming an unresponsive patient are we looking at medical or trauma?
For trauma:
1)Airway : air can go in and out... tube if there is trouble.
2)Breathing : air IS going in and out. bag valve mask if assistance is needed. Everyone gets oxygen.
3)Circulation: pulse? BP? IV fluids if indicated. Oxygen level? No pulse triggers the need to switch to cardiac arrest protocol. If we get a pulse we will come back here. If we switch to cardiac we will find your dog tags at that point in time.
4)Disabilities: absent reflexes. Stroke scale if conscious but unresponsive. Pupillary response. Glasgow Comma scale. Not all unconscious people are equally unconscious. Brain swelling or brain bleeding changes things. Protect the patient with a backboard if indicated: Always for trauma. Splint as needed. Place a cervical collar if trauma. Once you are packaged nicely on a board we can move you to the back of the bus.
5)Expose: cut off as much clothing as respecting patient privacy will allow. Check for head injuries. Look for other hidden injuries. Recent surgical scars?
Once we have done the primary care, we will plug visible leaks, check for signs of internal bleeding, low BP and rapid pulse. Also, people who are bleeding internally have a pulse that we called thready. Doesn't feel quite right. And we don't have an ultrasound to see what is going on inside. No matter what, an unresponsive patient will have an IV line placed. If I couldn't get a conventional line I would place an inter-osseous line. Now take a quick blood glucose reading, Run a 4 lead Electrocardiogram. If you have dog tags we will have them by this point in time.
It is amazing chaos. A decent crew can package a critical patient in a few minutes. So we find that bracelet early in the game, like as soon as we roll up. The dog tags maybe 2 minutes later when we put you on a backboard and cut your clothes off. Don't worry about that. We are not likely to have pushed anything before we have you exposed.
Known diabetic? I will be taking a Blood Glucose reading on any unresponsive patient. If your 4 lead ECG is abnormal maybe go to a cardiac care protocol and run a 12 lead ECG.
Taking blood thinner? If you are leaking it is fairly obvious. May be the difference between ground transport and a helicopter, but obvious and depends on how big the leak is, if you respond to advanced external clotting agents, and how long is the ride to the hospital. If we suspect major internal bleeding, the ground/air decision for us was based on could we save 15 minutes for a critical patient.
My recent ride to the hospital when I broke my femur they didn't trust my existing blood type card, and I was alert and oriented to person, place, time, and event. I have my regular BP readings on my phone. Not wanted in the field or at the hospital.. The hospital put me in the cardiac care unit because my pulse was in the 40's. Fortunately no atropine for a sinus bradycardia who was A&OX4. They wanted my contact information so they could get my primary care provider and access my records.
In my Fire/Medical days we always looked for a bracelet. If you have dog tags and are unresponsive we will find them too when we cut your clothes off. We didn't carry any blood products, so blood type didn't matter. The ER will do a type check when you arrive. Contact information is the most important thing you can have.
Our standard care for unresponsive patients was:
0) arrive on scene, make sure the scene is safe, protective gear in place as needed. Make a general assessment of the scene. Check for wrist bracelet. Are there any counterindications for any specific treatment? Maybe an LVAD? Fentanyl allergy? Anything else that could impact our care.
Now, we can go to work. Assuming an unresponsive patient are we looking at medical or trauma?
For trauma:
1)Airway : air can go in and out... tube if there is trouble.
2)Breathing : air IS going in and out. bag valve mask if assistance is needed. Everyone gets oxygen.
3)Circulation: pulse? BP? IV fluids if indicated. Oxygen level? No pulse triggers the need to switch to cardiac arrest protocol. If we get a pulse we will come back here. If we switch to cardiac we will find your dog tags at that point in time.
4)Disabilities: absent reflexes. Stroke scale if conscious but unresponsive. Pupillary response. Glasgow Comma scale. Not all unconscious people are equally unconscious. Brain swelling or brain bleeding changes things. Protect the patient with a backboard if indicated: Always for trauma. Splint as needed. Place a cervical collar if trauma. Once you are packaged nicely on a board we can move you to the back of the bus.
5)Expose: cut off as much clothing as respecting patient privacy will allow. Check for head injuries. Look for other hidden injuries. Recent surgical scars?
Once we have done the primary care, we will plug visible leaks, check for signs of internal bleeding, low BP and rapid pulse. Also, people who are bleeding internally have a pulse that we called thready. Doesn't feel quite right. And we don't have an ultrasound to see what is going on inside. No matter what, an unresponsive patient will have an IV line placed. If I couldn't get a conventional line I would place an inter-osseous line. Now take a quick blood glucose reading, Run a 4 lead Electrocardiogram. If you have dog tags we will have them by this point in time.
It is amazing chaos. A decent crew can package a critical patient in a few minutes. So we find that bracelet early in the game, like as soon as we roll up. The dog tags maybe 2 minutes later when we put you on a backboard and cut your clothes off. Don't worry about that. We are not likely to have pushed anything before we have you exposed.
Known diabetic? I will be taking a Blood Glucose reading on any unresponsive patient. If your 4 lead ECG is abnormal maybe go to a cardiac care protocol and run a 12 lead ECG.
Taking blood thinner? If you are leaking it is fairly obvious. May be the difference between ground transport and a helicopter, but obvious and depends on how big the leak is, if you respond to advanced external clotting agents, and how long is the ride to the hospital. If we suspect major internal bleeding, the ground/air decision for us was based on could we save 15 minutes for a critical patient.
My recent ride to the hospital when I broke my femur they didn't trust my existing blood type card, and I was alert and oriented to person, place, time, and event. I have my regular BP readings on my phone. Not wanted in the field or at the hospital.. The hospital put me in the cardiac care unit because my pulse was in the 40's. Fortunately no atropine for a sinus bradycardia who was A&OX4. They wanted my contact information so they could get my primary care provider and access my records.
__________________
See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
01-23-23, 11:36 AM
#2759
Administrator
Thread Starter
Join Date: Apr 2005
Location: Hudson Valley, NY
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I think I played my last softball last year, two sub-par years in a row and I can hear the little birdies telling me to hang it up before I embarrass myself further. I'm going to try to get back into riding my bike instead if this aching, stiff body will allow me some enjoyment doing it. RChung's post is good for encouragement.
__________________
See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
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01-23-23, 11:44 AM
#2760
-------
Join Date: Jul 2020
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I was pretty agitated for 3 quarters but by the 4th quarter I calmed down and accepted my inevitable fate. That's progress, because I used to stay agitated all the way to the very end. But now, with maturity, I have come to accept our sorryass fate.
How could a guy so masterfully always find the open receiver one week, and then struggle like a run-of-the-mill QB the following week? Dak has to go. He has never really been the same since that nasty leg injury.
Yes, you can say ass.
How could a guy so masterfully always find the open receiver one week, and then struggle like a run-of-the-mill QB the following week? Dak has to go. He has never really been the same since that nasty leg injury.
Yes, you can say ass.
Likes For Mojo31:
01-23-23, 11:47 AM
#2761
VFL For Life
Join Date: Feb 2005
Location: Knoxville, TN
Posts: 51,221
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01-23-23, 11:54 AM
#2762
VFL For Life
Join Date: Feb 2005
Location: Knoxville, TN
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01-23-23, 11:55 AM
#2763
Super Modest
Join Date: Jun 2002
Location: Central Illinois
Posts: 23,466
Bikes: Trek Emonda, Giant Propel, Colnago V3, Co-Motion Supremo, ICE VTX WC
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01-23-23, 11:57 AM
#2764
Silver Comet Fred
Join Date: Jan 2017
Location: NW Metro Atl.
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01-23-23, 12:06 PM
#2765
VFL For Life
Join Date: Feb 2005
Location: Knoxville, TN
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01-23-23, 12:08 PM
#2766
cowboy, steel horse, etc
Join Date: Sep 2008
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Sherman Pass Vista bathroom snow report:
01-23-23, 12:15 PM
#2767
VFL For Life
Join Date: Feb 2005
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01-23-23, 12:19 PM
#2768
VFL For Life
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01-23-23, 12:22 PM
#2769
Administrator
Thread Starter
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Location: Hudson Valley, NY
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It is, really. Thankfully my son took some video of me in the batting cage last year and I was able to see for myself that my bad back didn't allow me to follow through on my swings, which in turn robs me of some power. Plus the back robs me of some speed, something else I discovered last year. I foolishly thought I was still fast.
60+ years of playing this game . . . enough is enough.
60+ years of playing this game . . . enough is enough.
__________________
See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
01-23-23, 12:24 PM
#2770
Administrator
Thread Starter
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__________________
See, this is why we can't have nice things. - - smarkinson
Where else but the internet can a bunch of cyclists go and be the tough guy? - - jdon
01-23-23, 12:26 PM
#2771
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
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01-23-23, 12:29 PM
#2772
he said member
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01-23-23, 12:32 PM
#2773
cowboy, steel horse, etc
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It is, really. Thankfully my son took some video of me in the batting cage last year and I was able to see for myself that my bad back didn't allow me to follow through on my swings, which in turn robs me of some power. Plus the back robs me of some speed, something else I discovered last year. I foolishly thought I was still fast.
60+ years of playing this game . . . enough is enough.
60+ years of playing this game . . . enough is enough.
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01-23-23, 12:35 PM
#2774
VFL For Life
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It's getting a lot of hype, but from a cost/benefit standpoint it seems like bariatric surgery is more efficient.
01-23-23, 12:36 PM
#2775
Should Be More Popular
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Yes but bariatric surgery is kinda like the "nuclear option" it has good results but has some risks and should not be entered into lightly (no pun intended).