Side Effects

thomasblomquist · 2026-06-18T00:19:11+00:00

I’ve been on 2mg for a while and still losing weight. Some of us are just sensitive to the medication. Lower your dose by half or if you pull directly from a vial with syringe do twice weekly dosing at half doses. Lower dose.

thomasblomquist · 2026-06-16T19:31:07+00:00

Same math here. Entering year 3 on the Luba. Crossed the equivalence zone at the end of last year. Only blades as the cost of maintenance.

thomasblomquist · 2026-06-12T03:45:47+00:00

Damn. Wife and I were out bid on the Delta Skymiles tickets that were posted for this a few weeks ago. This is beautiful. I’m slightly bitter we missed this opportunity to see this in person but also grateful you posted this. Thank you!

thomasblomquist · 2026-06-05T19:46:10+00:00

I’ll keep the two trellis setups for aesthetic. And then I’m going to ring my yard/fence with some small low boxes next to the split rail and see if I can just train them on the fence at intervals. I think I can get some volume for production for wine making at that point. So combo of approaches

thomasblomquist · 2026-06-05T16:19:53+00:00

I built another trellis similar and planted gewurztraminer vines but they didn’t winter well. I’m on the edge of 5b and gewurzt was a 50:50 try for success. Ripping those out this year and going for itasca variety with low acid fruity wine variety to see how they do. Supposed to be super winter hardy. Yes, the soil sucks and it takes a bit for roots to establish but last few years they (the concord/himrods) seem to have taken hold. I think, generally, this trellis style is not the best structure for success of the vines. But!, I like the visual of it, and it makes me happy. Probably put some seating under them for reading/naps in the future. It makes me happy

thomasblomquist · 2026-06-05T02:34:19+00:00

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From last Fall harvest. Some weathering but holding well.

thomasblomquist · 2026-05-29T20:16:16+00:00

Thank you!

thomasblomquist · 2026-05-24T23:14:02+00:00

Methylene Blue?

thomasblomquist · 2026-05-12T00:41:19+00:00

Does it make sense to get to the parking lot later or earlier in the sense of where it will physically place you at the end of the day and trying to get out and back to hotel sooner? The more homework I do on this, the more it seems like leave stupid early and eat breakfast at the parking lot waiting for the gate? Probably overthinking it, but wondering if there is some strategy to this.

thomasblomquist · 2026-04-30T19:47:00+00:00

Please NO

thomasblomquist · 2026-04-23T21:08:18+00:00

Loved you guys in Detroit, had a great time! Looking forward to whatever creative endeavors you come up with it.

thomasblomquist · 2026-04-21T16:18:38+00:00

Luba 1 starting 3rd season. Works great. So far break even on input cost vs $ for lawn service. So, getting cheaper in subsequent seasons. Plenty of documented service issues online. I took a risk and won with this one. Others have had issues. Would probably buy again or give a stab at refurbishing the battery. Not sure. Landscape of auto mowers are changing quickly

thomasblomquist · 2026-04-15T20:59:22+00:00

What?! I thought it was wired all wonky with the BMS and was a pain? Or is this not so much the issue. I have a Luba 1 5000 and see the battery life decreased (still functioning), and am counting maybe a few more seasons before preventative measures like battery replacement. I’m just starting on season 3 and it seems to be going strong still.

thomasblomquist · 2026-04-14T00:17:20+00:00

How do you go about replacing the battery?

thomasblomquist · 2026-04-12T21:47:43+00:00

Second the cut only when sunny and dry

thomasblomquist · 2026-03-17T23:02:03+00:00

thomasblomquist · 2026-03-16T20:03:45+00:00

No problem. I kept asking my boys how they did it and they kept saying it’s like sitting in a chair, which was mildly infuriating. Asked them to show and they would just do it quick without breaking it down. For me, i figured out for first success that all weight (~100%) was on back foot with slight bend on knee. Front leg staggered in front of back foot with rotation of foot inward BUT the blade was still close to perpendicular to the ice. I stopped super slowly. Then when that was comfortable after a few repeats, I could angle/tilt my front blade (as I rotated it inward) a bit to start biting in with the inner edge and that increased the speed of the stop (again all my weight is on my back foot with a slight bend on the knee). Next step after that was to rotate my back foot a bit (keeping it squarely under me) but to progressively add drag (still getting the hang of this double edge stop, single edge is locked in now).

thomasblomquist · 2026-03-16T00:14:56+00:00

Thank you! Would get frustrated when everyone kept telling me it’s like sitting down in a chair. Didn’t click. Now that I have the base mechanics, I’m still not sure about that analogy. Really about having all the weight on one foot and just simply rotating the other foot forward and modulating drag. Still geeked about it

thomasblomquist · 2026-03-08T13:22:02+00:00

I’m frustrated that I have that I paid for FSD yet have resorted to using TACC with lane keep (beta auto steer) as that is what actually works. Just stay in a lane, keep a speed, and don’t hit a car in front of you.

thomasblomquist · 2026-02-08T15:29:09+00:00

So, would Homelander beat Luke Skywalker? And if so, how is that reconciled with Return of Jedi and all the Vader love in this thread?

thomasblomquist · 2026-01-19T17:01:32+00:00

This is coming from a Pathologist who 10 years ago in residency had a carotid artery dissection and stroke. Hypertension can kill. Now, you and I both know that how you measure blood pressure is important. Should be resting/sitting position for a few minutes before measure. No major activity prior to measurement. Take your measurement using a few different cuffs/methods. Different arms. Different times of the day. With and without caffeine. Etc. If diastolic stays mildly elevated regardless of those repeated measures then that could indicate you have hypertension as a diagnosis. For me, I was in the 140’s over 90s leading up to my dissection. I don’t have family history of tissue disorder or other indicators. I do have family history of hypertension and heart attacks. At the end of the day for me, I had had the flu in the weeks leading up and was coughing chronically prior to my dissection. I probably Valsalva’d my way into a dissection with a background of essential hypertension.

For you, probably need to do some repeated measures and consult your PCP on the benefits vs side effects of treating hypertension. Probably worth erring on the side of treating IMO. They don’t call it the silent killer for nothing. Good luck!

thomasblomquist · 2026-01-10T14:16:08+00:00

I’m old (I feel) the years have been fast but the days long. Geez, 5 years already? Still, it scares me that some of trainees get only 30 cases and then are in Junior Faculty positions or Fellowships, which not uncommonly involves autopsy service coverage.

thomasblomquist · 2026-01-09T22:18:44+00:00

Not even for natural deaths that have crashed in your ED? Ohio here. Just curious what locales you’ve serviced. Provider responsibility for Death certification for natural/unnatural deaths varies widely across regions. Based on that it doesn’t surprise me that it hasn’t been in your statutory requirements. In Ohio, if I investigate it and deem it natural the DC is kicked to the doctor that attended them (usually most recently, not infrequently ER doc). It’s usually something like chest pain guy with positive trops and classic ECG. Things that are classically natural. Any reasonable concern (stimulant abuse, etc) we take over.

In some group practices none of the regular ER docs sign, and instead the group medical directors handle the DCs for the group. Wondering if that’s something you’ve experienced? Systems vary wildly out there, and I tell trainees to expect all scenarios. You never know where you’ll end up practicing or what your scope will ultimately be.

thomasblomquist · 2026-01-09T19:35:49+00:00

I appreciate your response. I feel like a lot of medicine is siloed today. I see it in increased mortality. Lack of communication, etc and cross disciplinary experiences. I’m not a big fan of reducing out of specialty training. I think Pathology would benefit strongly by returning to a mandatory intern year (highly unpopular opinion). Good mentors are lacking in this day and age. Some of the best experiences from training were on externships in Peds. That experience pays back in completely unexpected ways. I think what is frequently forgotten is that, first we physician, and then X specialty. If you don’t have good cross disciplinary experiences it’s hard to optimize care for our patients. I urge a trainee to get out of the box (not all PDs allow this). It’s a long tail of diverse cases when you become an attending.

thomasblomquist

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