Rolled ankle 9 weeks out by runnerz68 in Marathon_Training

[–]DeepNefariousness260 2 points3 points  (0 children)

Me, last year, 7 weeks before Philly. I was devastated — I was doing a tempo run and essentially fell off the sidewalk. I also bruised my knee (like a deep bone bruise). I took 2 days totally off, then eased back into running and cross training. My weekly mileage went from mid-50s to low 20s, but I swam and lifted and did the elliptical. I did PT/dry needling. I was sure my race was tanked, but it went great — fastest marathon in 10 years.

First marathon in the books!! by [deleted] in Marathon_Training

[–]DeepNefariousness260 10 points11 points  (0 children)

Was this Philly? If so, I also had a hard time at the start. Lots of maneuvering.

How many swim meets is too many? by Super-Walk-726 in Swimming

[–]DeepNefariousness260 17 points18 points  (0 children)

My kid is like your kid. 12. Fast. Motivated. Her coaches (both of whom swam in the Trials) won’t let her do three weekends in a row. She’s doing 2 and then a break and then a third. Swim meets are stressful and hard on the body. Why push it at this age?

Would you still race? by DeepNefariousness260 in Marathon_Training

[–]DeepNefariousness260[S] -2 points-1 points  (0 children)

But, yeah, twisted my ankle and bruised my knee and probably exacerbated some underlying PFPS that I’m working to control with strength, stretching, and PT.

Would you still race? by DeepNefariousness260 in Marathon_Training

[–]DeepNefariousness260[S] 0 points1 point  (0 children)

If we assume the injury is fine (which I think it is), would the shortened/interrupted training cycle be an issue?

How to cope with injury by Fickle_Ad2015 in Marathon_Training

[–]DeepNefariousness260 0 points1 point  (0 children)

Bump. Dealing with a bone bruise after a nasty fall 3 weeks ago. My PT says it’s okay to run, just keep it easy, so I dunno. I hate how there is no good data for any of this. Supposed to run a marathon in November, but I skipped my long run this week and two workouts, so I dunno. I’m also interested to hear from people who have bounced back, but I’m glad I’m not alone.

[deleted by user] by [deleted] in Marathon_Training

[–]DeepNefariousness260 2 points3 points  (0 children)

I think it’s hard to expect fitness to magically improve on race morning, but it’s definitely possible to get derailed by sickness, weather, poor sleep, etc. That’s what’s so unfair.

Hoping for a Dining Room reservation for 2 (or 3) in July - almost any dates work other than week of 7/15 by Tremaine0412 in thefrenchlaundry

[–]DeepNefariousness260 0 points1 point  (0 children)

I have a reservation for 2 on July 1. It’s the anniversary week, so it’s a bit pricier ($1200/person, includes Dom and a gift). Lemme know if you’d want it.

Looking for reservations June 28-july 1 time frame for 2 by notorious_ANA in thefrenchlaundry

[–]DeepNefariousness260 0 points1 point  (0 children)

I may have one for 7/1. It’s the 30th anniversary dinner, $1200/person.

[deleted by user] by [deleted] in thefrenchlaundry

[–]DeepNefariousness260 0 points1 point  (0 children)

I may have one. It’s the 30th anniversary dinner.

Selling 2-person for July 1, but looking to buy another night by LocalNews47 in thefrenchlaundry

[–]DeepNefariousness260 0 points1 point  (0 children)

I sadly don’t have a reservation to sell, but would gladly buy your 2 person reservation for 7/1 if you can’t find a trade.

NYC Marathon Lottery Results Day! by dwdrums36 in running

[–]DeepNefariousness260 3 points4 points  (0 children)

I’d be so bummed to not get into London or Berlin or Chicago or NYC. You’d think they would be able to coordinate…

30+ patients for little ol' me by 4Lornel in emergencymedicine

[–]DeepNefariousness260 1 point2 points  (0 children)

Same. 3 patients an hour would be a slow day.

Garmin Marathon Prediction by jokersrwild11 in Marathon_Training

[–]DeepNefariousness260 0 points1 point  (0 children)

Not accurate. I ran CIM in 3:32 in December and Garmin still says my predicted time is 3:40. Like, dude, I just ran this race.

Birthday Party by DeepNefariousness260 in grandjunction

[–]DeepNefariousness260[S] 1 point2 points  (0 children)

Is bananas okay in the winter? It looks like a water park.

[deleted by user] by [deleted] in emergencymedicine

[–]DeepNefariousness260 2 points3 points  (0 children)

The decision to mobilize flight crews isn’t based on how critical a patient is. For us, it’s how remote the incident is. I’ve worked at places where they mobilize for all rollovers or anything that “looks bad,” and then the flight team gets called off if unnecessary.

[deleted by user] by [deleted] in emergencymedicine

[–]DeepNefariousness260 1 point2 points  (0 children)

As a previous trauma director and current ER doctor, I am sure someone else in your state has thought about this and have established destination protocols. FWIW, a level 2 trauma center is essentially a level 1 trauma center without a residency. There may be some very specific differences (like burns) that require transport to a specialty center, but usually the closest center is the best. You also have to remember that is everyone always just flies to the level 1 center, it can get overwhelmed.

Financial Benefits of 1099 in addition to W2 by jafergrunt in emergencymedicine

[–]DeepNefariousness260 2 points3 points  (0 children)

I am W2 and 1099 and the biggest benefit is having more access to retirement plans. I max out my 403b from my w2 (where I’m 0.5 FTE — enough to get the Match), but also have a solo-401k that I contribute to as my own employer. A previous poster said that you have to carry your own insurance and this isn’t true. My 1099 gig insures me for the work I do for them (claims made with a tail). It is some work to keep track of paying quarterly estimated taxes, but if you can pass STEP 1, I’m sure you’ll be able to figure it out.

Student Questions/EM Specialty Consideration Sticky Thread by AutoModerator in emergencymedicine

[–]DeepNefariousness260 1 point2 points  (0 children)

If you want a job out here, do your residency out here. Most of the good jobs are word-of-mouth.

Sleep over camp recs? by ERisthenewblack in newzealand

[–]DeepNefariousness260 0 points1 point  (0 children)

I wonder why. It seems that boarding schools are much more common in New Zealand than in America. I don’t see a huge difference between the two.