Addiction LXXVIII
04-13-20, 06:42 PM
#2051
serious cyclist
Join Date: Apr 2009
Location: Austin
Posts: 21,147
Bikes: S1, R2, P2
Mentioned: 115 Post(s)
Tagged: 1 Thread(s)
Quoted: 9334 Post(s)
Liked 3,679 Times
in
2,026 Posts
Oh duh - S'mores is the other great flavor. Strawberry Cheesecake gets an honorable mention.
Man I remember when I could spend a summer just working my way through all the flavors.
Man I remember when I could spend a summer just working my way through all the flavors.
04-13-20, 06:47 PM
#2052
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,030
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
Mentioned: 560 Post(s)
Tagged: 2 Thread(s)
Quoted: 22575 Post(s)
Liked 8,919 Times
in
4,153 Posts
04-13-20, 06:53 PM
#2053
VFL For Life
Join Date: Feb 2005
Location: Knoxville, TN
Posts: 51,184
Bikes: Velo Volmobile
Mentioned: 780 Post(s)
Tagged: 2 Thread(s)
Quoted: 28577 Post(s)
Liked 1,849 Times
in
1,313 Posts
SMH
04-13-20, 06:54 PM
#2054
serious cyclist
Join Date: Apr 2009
Location: Austin
Posts: 21,147
Bikes: S1, R2, P2
Mentioned: 115 Post(s)
Tagged: 1 Thread(s)
Quoted: 9334 Post(s)
Liked 3,679 Times
in
2,026 Posts
I do remember seeing those. They were sold in line 4- or 6-packs, right? But yeah, no idea if they still make them. I like the ice cream, just with a lot of inclusions.
04-13-20, 06:58 PM
#2055
Administrator
Thread Starter
Join Date: Apr 2005
Location: Hudson Valley, NY
Posts: 32,982
Bikes: Merlin Cyrene '04; Bridgestone RB-1 '92
Mentioned: 325 Post(s)
Tagged: 2 Thread(s)
Quoted: 11954 Post(s)
Liked 6,610 Times
in
3,469 Posts
That’s how you tell you have a good dentist.
__________________
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
Likes For BillyD:
04-13-20, 07:12 PM
#2056
Senior Member
Join Date: Sep 2005
Location: In the foothills of Los Angeles County
Posts: 25,253
Mentioned: 8 Post(s)
Tagged: 0 Thread(s)
Quoted: 8261 Post(s)
Liked 8,998 Times
in
4,456 Posts
04-13-20, 07:54 PM
#2058
• —
Join Date: Jun 2015
Location: Land of Pleasant Living
Posts: 12,218
Bikes: Shmikes
Mentioned: 59 Post(s)
Tagged: 0 Thread(s)
Quoted: 10151 Post(s)
Liked 5,843 Times
in
3,147 Posts
Hey datlas and MoAlpha
Updates on my fungal dog:
1. I got a multitude of texts about the fact that the dog's head was swelling while out on my ride last Friday. Annoying because I cannot diagnose the severity of any problem like that, nor can I help, from astride my bicycle in the rain. "Do you want us to schedule a CT?" WTF no. I want someone to decide if the problem is severe enough to been seen through the ER and if it is, I want a doctor to examine the dog before we schedule any tests. And if its not severe enough to be seen through the ER, then put it on my schedule for Monday (today) and I will decide what tests might be indicated after examining the dog and listening to the medical history. PS I also got 4 texts about where to put my dog food order which had just arrived at the clinic. Uh, its frozen dog food. So... in the freezer maybe?
2. The fungal titers and galactomannan titer all are negative. So... we either have a false negative, or more likely, an opportunistic fungal infection
3. I saw said dog today and she is doing much better. Her facial (not "head") swelling is almost completely resolved. I assume that was due to fungal die-off from the 2.5 days of voriconazole she had received at that point. Her non-weight-bearing right thoracic limb lameness is now a weight-bearing lameness. But...
4. Her original subtle hind limb ataxia is back now that she's off cyclosporin and pred. I am decreasing her gabapentin just in case. Its pretty mild so maybe I am overreacting. But... I'm not sure what's going to happen to our original problem in the absence of the immunosuppressants.
5. I want to MRI her brain/head and do an excisional biopsy of the lymph node/granuloma and submit the mass for histopath and fungal culture and sensitivity. I called up to the vet school at UC Davis and they all over it, would love the samples if I can get em. Of course if we can even get something to grow in culture it may take so long as to be clinically not terribly relevant.
6. Owner is thinking about my suggestions. Wants to give it a week since she's doing better. I am actually totally ok with this, it will make my post-cyclopsorin CSF results less likely to be equivocal. The longer I can have her off pred and cyclosporin before I collect spinal fluid, the less likely I am to get a false negative result.
So right now I am happy. I feel like I have a better shot at clearing up an opportunistic fungal infection vs a pathologic fungal infection like Aspergillus.
However the big picture is way more concerning. If she relapses with her original immune mediated disease any time soon, I am going to be screwed. Maybe I could do some kind of weenie half-assed immunosuppression and get away with that without the fungal thing raging out of control. But I'd be really lucky if I could.
#reallifedogstory
Updates on my fungal dog:
1. I got a multitude of texts about the fact that the dog's head was swelling while out on my ride last Friday. Annoying because I cannot diagnose the severity of any problem like that, nor can I help, from astride my bicycle in the rain. "Do you want us to schedule a CT?" WTF no. I want someone to decide if the problem is severe enough to been seen through the ER and if it is, I want a doctor to examine the dog before we schedule any tests. And if its not severe enough to be seen through the ER, then put it on my schedule for Monday (today) and I will decide what tests might be indicated after examining the dog and listening to the medical history. PS I also got 4 texts about where to put my dog food order which had just arrived at the clinic. Uh, its frozen dog food. So... in the freezer maybe?
2. The fungal titers and galactomannan titer all are negative. So... we either have a false negative, or more likely, an opportunistic fungal infection
3. I saw said dog today and she is doing much better. Her facial (not "head") swelling is almost completely resolved. I assume that was due to fungal die-off from the 2.5 days of voriconazole she had received at that point. Her non-weight-bearing right thoracic limb lameness is now a weight-bearing lameness. But...
4. Her original subtle hind limb ataxia is back now that she's off cyclosporin and pred. I am decreasing her gabapentin just in case. Its pretty mild so maybe I am overreacting. But... I'm not sure what's going to happen to our original problem in the absence of the immunosuppressants.
5. I want to MRI her brain/head and do an excisional biopsy of the lymph node/granuloma and submit the mass for histopath and fungal culture and sensitivity. I called up to the vet school at UC Davis and they all over it, would love the samples if I can get em. Of course if we can even get something to grow in culture it may take so long as to be clinically not terribly relevant.
6. Owner is thinking about my suggestions. Wants to give it a week since she's doing better. I am actually totally ok with this, it will make my post-cyclopsorin CSF results less likely to be equivocal. The longer I can have her off pred and cyclosporin before I collect spinal fluid, the less likely I am to get a false negative result.
So right now I am happy. I feel like I have a better shot at clearing up an opportunistic fungal infection vs a pathologic fungal infection like Aspergillus.
However the big picture is way more concerning. If she relapses with her original immune mediated disease any time soon, I am going to be screwed. Maybe I could do some kind of weenie half-assed immunosuppression and get away with that without the fungal thing raging out of control. But I'd be really lucky if I could.
#reallifedogstory
Aspergillus wouldn't be considered opportunistic in an immunosuppressed dog?
Gabapentin for the hyperalgesia?
Rock, hard place.
04-13-20, 08:30 PM
#2059
Has a magic bike
Join Date: Aug 2013
Location: Los Angeles
Posts: 12,590
Bikes: 2018 Scott Spark, 2015 Fuji Norcom Straight, 2014 BMC GF01, 2013 Trek Madone
Mentioned: 699 Post(s)
Tagged: 1 Thread(s)
Quoted: 4456 Post(s)
Liked 425 Times
in
157 Posts
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022203/
Yes the gabapentin is for pain. I did not actually prescribe it and probably personally would have used tramadol (for bone pain) but I think at some point there was the thought that the lameness was nerve root in origin, on account of the negative carpal rads and joint taps.
04-13-20, 09:05 PM
#2060
Mostly Harmless
Join Date: Jul 2008
Location: Chittenango, NY
Posts: 56,564
Bikes: Have two wheels
Mentioned: 169 Post(s)
Tagged: 2 Thread(s)
Quoted: 13694 Post(s)
Liked 4,520 Times
in
2,499 Posts
wut
04-13-20, 09:06 PM
#2061
he said member
Join Date: Sep 2008
Location: is everything
Posts: 13,801
Bikes: yes please
Mentioned: 4 Post(s)
Tagged: 0 Thread(s)
Quoted: 2789 Post(s)
Liked 1,950 Times
in
1,206 Posts
04-13-20, 09:12 PM
#2062
VFL For Life
Join Date: Feb 2005
Location: Knoxville, TN
Posts: 51,184
Bikes: Velo Volmobile
Mentioned: 780 Post(s)
Tagged: 2 Thread(s)
Quoted: 28577 Post(s)
Liked 1,849 Times
in
1,313 Posts
04-13-20, 09:22 PM
#2065
Mostly Harmless
Join Date: Jul 2008
Location: Chittenango, NY
Posts: 56,564
Bikes: Have two wheels
Mentioned: 169 Post(s)
Tagged: 2 Thread(s)
Quoted: 13694 Post(s)
Liked 4,520 Times
in
2,499 Posts
04-13-20, 09:26 PM
#2066
Mostly Harmless
Join Date: Jul 2008
Location: Chittenango, NY
Posts: 56,564
Bikes: Have two wheels
Mentioned: 169 Post(s)
Tagged: 2 Thread(s)
Quoted: 13694 Post(s)
Liked 4,520 Times
in
2,499 Posts
How did this work?
You tied a clove hitch around both the trash can and pole using method one?
https://www.youtube.com/watch?v=Gs9WyrzNjJs
You tied a clove hitch around both the trash can and pole using method one?
https://www.youtube.com/watch?v=Gs9WyrzNjJs
04-13-20, 11:02 PM
#2067
smelling the roses
Join Date: Nov 2010
Location: Tixkokob, Yucatán, México
Posts: 15,320
Bikes: 79 Trek 930, 80 Trek 414, 84 Schwinn Letour Luxe (coupled), 92 Schwinn Paramount PDG 5
Mentioned: 104 Post(s)
Tagged: 1 Thread(s)
Quoted: 7081 Post(s)
Liked 901 Times
in
612 Posts
A poor night's sleep, a moment of inattention and a tablesaw. What could possibly go wrong?
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter
04-13-20, 11:44 PM
#2068
Senior Member
Join Date: Jul 2015
Posts: 1,499
Bikes: '88 Bianchi, '94ish Trek
Mentioned: 43 Post(s)
Tagged: 2 Thread(s)
Quoted: 1085 Post(s)
Liked 128 Times
in
58 Posts
A poor night's sleep, a moment of inattention and a tablesaw. What could possibly go wrong?
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter
Dude.Get well soon.
__________________
"The mystery of life isn't a problem to solve, but a reality to experience."
"The mystery of life isn't a problem to solve, but a reality to experience."
04-14-20, 02:52 AM
#2069
VFL For Life
Join Date: Feb 2005
Location: Knoxville, TN
Posts: 51,184
Bikes: Velo Volmobile
Mentioned: 780 Post(s)
Tagged: 2 Thread(s)
Quoted: 28577 Post(s)
Liked 1,849 Times
in
1,313 Posts
A poor night's sleep, a moment of inattention and a tablesaw. What could possibly go wrong?
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
How do antibiotics compromise the immune system, in the short term?
04-14-20, 03:44 AM
#2070
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,030
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
Mentioned: 560 Post(s)
Tagged: 2 Thread(s)
Quoted: 22575 Post(s)
Liked 8,919 Times
in
4,153 Posts
A poor night's sleep, a moment of inattention and a tablesaw. What could possibly go wrong?
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter
04-14-20, 04:08 AM
#2071
Senior Member
Join Date: Jan 2010
Posts: 39,217
Mentioned: 211 Post(s)
Tagged: 1 Thread(s)
Quoted: 18398 Post(s)
Liked 15,494 Times
in
7,317 Posts
04-14-20, 04:21 AM
#2072
Coffin Dodger
Join Date: Mar 2013
Location: New Hampshire
Posts: 2,138
Bikes: Motobecane Vent Noir, Lynskey R345, Serotta Nova Special X
Mentioned: 11 Post(s)
Tagged: 1 Thread(s)
Quoted: 794 Post(s)
Liked 292 Times
in
143 Posts
A poor night's sleep, a moment of inattention and a tablesaw. What could possibly go wrong?
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter
You have a long way to go to be anywhere near Trainsnorter level, there are safer goals to aspire to.
04-14-20, 04:27 AM
#2074
Coffin Dodger
Join Date: Mar 2013
Location: New Hampshire
Posts: 2,138
Bikes: Motobecane Vent Noir, Lynskey R345, Serotta Nova Special X
Mentioned: 11 Post(s)
Tagged: 1 Thread(s)
Quoted: 794 Post(s)
Liked 292 Times
in
143 Posts
Nutrition question for you doctors, is carrot cake an acceptable breakfast 
04-14-20, 04:49 AM
#2075
serious cyclist
Join Date: Apr 2009
Location: Austin
Posts: 21,147
Bikes: S1, R2, P2
Mentioned: 115 Post(s)
Tagged: 1 Thread(s)
Quoted: 9334 Post(s)
Liked 3,679 Times
in
2,026 Posts
A poor night's sleep, a moment of inattention and a tablesaw. What could possibly go wrong?
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter
It looks like we're gonna save the finger minus the tendon that allows it to flex above the second knuckle. They tell me I'll be released from the hospital on Wed. Thence begins 4-6 weekly dr. visits in covid land with an immune system compromised by antibiotics. Is there anything I can do for the immune system under that regime?
#channelingtrainsnorter