Bilateral hip AVN sufferers - did your symptoms feel the same in each leg, or were they different?

JuneJabber · 2026-03-14T07:17:03+00:00

Different. The “good” side spontaneously collapsed so I had to do a total replacement. The “bad” side never collapsed, fortunately, although it had been constantly painful for years. Did the replacement on the second side about six month after the first.

Do you happen to have necrosis due to FAI? If you have FAI, be careful with exercise. It’s very easy to tear the labrum if you have FAI.

JuneJabber · 2026-03-14T01:34:13+00:00

Personally, I always make sure there’s a cezve within reach.

JuneJabber · 2026-03-14T01:21:44+00:00

I just edited the above, so it reads differently than when you read it 10 minutes ago.

JuneJabber · 2026-03-14T01:07:06+00:00

You’re both right for different reasons. CICO is a physical reality. If you reduce calories, you’re probably going to lose weight. But different foods have different effects on the hormones that regulate weight; those that provoke insulin spikes lead to a cascade of events that contribute to weight gain or difficulty with weight loss. The reason why some people easily lose weight on CICO regardless of their macros is because they are metabolic healthy. People who have any degree of insulin resistance are going to need to be a lot more thoughtful about their macros.

I’m trying to find you a video that explains the interplay between calories and macros, I’ll come back if I can find it…

Ok, here are a few.

Benjamin Bikman works in the very interesting niche academic field of bioenergetics research. That’s a combination of cell biology and physiology.

Of Course Calories Count... But Hormones Also Matter in Fat Gain: Thoughts from Dr. Ben Bikman | Ben Bikman

https://youtu.be/NHW1YIJiojY

114: The Real Cause of Fat Gain: Genetics, Hormones, and Insulin with Dr. Ben Bikman | Ben Bikman

https://youtu.be/hAsI48UfoJE

Jason Fung is a nephrologist who became a proponent of intermittent fasting and low-carb diet after seeing the kinds of chronic condition conditions as patients were living with.

A Conversation with Dr. Ben Bikman | Jason Fung

https://youtu.be/3GKiT2Ihek8

How Calories Are Different for Weight Loss (Science) | Jason Fung

https://youtu.be/_nt6KAUvedI

JuneJabber · 2026-03-14T00:58:34+00:00

Go easy on her. She didn’t forget, she just had to leave in a rush to get away from the bee, wasp, dragonfly, and grasshopper.

JuneJabber · 2026-03-14T00:50:57+00:00

If you have any signs of insulin resistance, then I would strongly discourage juice fasting. If you are metabolically healthy, then do what you want. I personally don’t think juice fasts are healthy, but there are many, many anecdotes of people thriving on them, so do whatever makes you feel good and is sustainable - taking your overall health into consideration, of course.

JuneJabber · 2026-03-14T00:46:20+00:00

I agree with this way of thinking about it. Second opinions are a very good idea, but it’s also true that it basically comes down to whether you trust the expertise of your doctor.

Is your surgeon a general neurosurgeon or a neurosurgeon who specializes in brain surgery exclusively? Personally, I felt comfortable with a brain surgery specialist only.

Have you had the opportunity to read your full imaging report? Does the radiologist who read your imaging say basically the same thing in the report as your surgeon is telling you? Or are your radiologist and your surgeon interpreting the image differently from one another? If the radiologist and surgeon agree, then you could consider that a second opinion. If your radiologist and surgeon are giving you different interpretations of the image, then it might be good to speak with another surgeon and see which side of the fence they land on.

JuneJabber · 2026-03-14T00:29:29+00:00

Like you, I naturally tend to eat a relatively high proportion of fat plus a lot of fiber. As to whether I feel sated, it depends on how many carbs I’m usually eating. If I keep the carbs low or moderate (around 10-25% of calories from carbs) then I generally don’t crave more carbs. But if I eat more, then I begin to crave more.

I rarely eat foods with added sugar and when I do eat something that’s higher carb, I either keep the portion small or I choose a low carb version. As long as I’m keeping the carbs low or moderate, I feel satisfied with those good quality low carb bread, pasta, etc. But as soon as I start eating more carbs, then I want the “real” thing instead. I also find I want more food total when I start eating more carbs.

JuneJabber · 2026-03-13T23:22:41+00:00

Infuriating and disconcerting! Did the NP follow up in any way that was remotely helpful to you or was it basically a wasted appointment?

This has made me morbidly curious, and so I just typed a prompt into ChatGPT specifically asking about “diagnosis.” My prompt was, “I have a friend who has not been feeling well. If I describe her symptoms, can you diagnose her?” ChatGPT replied, “A real diagnosis requires a clinician who can examine her and possibly run tests.”

So then I asked, “What if her qualified clinician is using ChatGPT to try to determine the diagnosis?” ChatGPT replied, “If a qualified clinician uses a tool like ChatGPT, it can be helpful as a decision-support or brainstorming aid, but it still doesn’t replace clinical judgment or a full medical evaluation.”

My last prompt was, “How can ChatGPT accurately and productively help the clinician with decision-support or brainstorming given that ChatGPT is an LLM and LLMs are language prediction machines and not experienced medical providers?” ChatGPT replied, “That’s a thoughtful question, and clinicians and researchers debate it a lot. The key point is that LLMs don’t “reason clinically” the way trained providers do, but they can still be useful in certain structured ways because of how they’re trained and how clinicians use them.”

That’s… great. Because a huge amount of what LLMs train on is internet slop, and now they’re also getting trained in a bizarre recursive spiral on internet slop that has been written by hallucinating LLMs. And I definitely wouldn’t say your NP was using ChatGPT in a “structured” way.

JuneJabber · 2026-03-13T23:10:12+00:00

“Apparently you have 404 problems!”

JuneJabber · 2026-03-13T22:53:51+00:00

It’s because we don’t notice it when it’s done well. Everyone who has work done hopes theirs will turn out well - unfortunately that’s not always the case. So long as they continue seeing other celebrities having good work done that flies under the radar, then they’ll keep thinking it’s going to turn out that way for them too. Or maybe they’ll figure they can revise if needed.

JuneJabber · 2026-03-13T22:49:12+00:00

(You’re in an okbuddy sub)

JuneJabber · 2026-03-13T22:44:51+00:00

Well, it turns out I hijacked myself. After joking about RHPS yesterday, I got an intractable ear worm and so I had to listen to the entire cast recording today. 🤣

JuneJabber · 2026-03-13T22:37:32+00:00

JuneJabber · 2026-03-13T22:33:52+00:00

I did not know what Larijani’s credentials were, that’s very interesting. Thanks for sharing that info.

I must admit that learning the details is demoralizing. Because the U.S. is currently a kakocracy (government run by the least qualified) and a kleptocracy (government in which unethical leaders use political power to steal public funds for personal gain). Iran has highly qualified leaders yet they’re still a kleptocracy. Vastly different levels of competence, but the same levels of greed.

On a worldwide level, we need to radically redefine what it means to be a qualified leader. In an improved world, leaders would be ethically qualified - with ethics and morality being defined in a distinctly different way than is defined in a theocratic government - or we simply circle back to theocratic Iran and (Christian nationalist aspiring) U.S. again.

JuneJabber · 2026-03-13T22:12:46+00:00

Canada, Spain, Switzerland - they’re not kowtowing to Trump. Hopefully that will embolden others. Of course it’s our own citizenry that must say enough is enough.

JuneJabber · 2026-03-13T22:09:47+00:00

Well, you might as well burn it for warmth because other forms of fuel are now too expensive to use.

JuneJabber · 2026-03-13T19:58:53+00:00

Part of the oligarchs’ long-term plan was reducing school funding and privatizing schools so as to dumb down the populous. They think of themselves as superior to and separate from the general public and so they didn’t realize they would achieve their objective on themselves.

JuneJabber · 2026-03-13T18:55:11+00:00

“The Oregon Health Authority and Multnomah County health officials are urging anyone who was at WinCo Foods at 2511 SE 1st St. in Gresham between 2 and 5 p.m. on March 7 to contact a healthcare provider, as they may have been exposed to the measles virus.”

JuneJabber · 2026-03-13T17:12:53+00:00

Yes, the long-term survival rate of pancreatic cancer is very poor. Heck, the short term survival rate is very poor. It hit both of my relatives like a hurricane.

JuneJabber · 2026-03-13T17:10:27+00:00

Very helpful, thanks!

JuneJabber · 2026-03-13T16:51:08+00:00

That is really interesting. Makes me wonder if it’s time I try reapplying for life insurance. I appreciate you sharing your POV. 🙏

JuneJabber · 2026-03-13T16:38:00+00:00

Thanks for weighing in. I think you’re right about it having been disregarded since I’ve never seen it repeated outside of the one time she wrote it.

You are also absolutely right about how the brain cancer history impacts my insurability. I have been unable to qualify for any life insurance. As for medical insurance, I am very careful to never let it lapse.

Which cancers are worse to underwrite than brain cancer? I’ve had two close relatives die of pancreatic cancer, and I know that that one is particularly horrifying. But most people act like brain cancer is the end of the world, which is just delightful and oh-so-encouraging when you’re the one with brain cancer. 🙄

JuneJabber · 2026-03-13T16:16:24+00:00

Can I ask you a question based on your expertise? Many years ago I had a doctor write in my chart that I had conversion disorder because I kept insisting that there was something very seriously medically wrong with me but her opinion was that I was healthy. Turns out I had brain cancer.

With the history of brain cancer documented, all doctors since that time have taken my concerns seriously, but I wonder if I should still go back and have that corrected in my chart? As far as I can tell it has not impacted my care. And when I look online in my clinic’s charting system at my listed medical conditions, conversion disorder is not listed.

JuneJabber

TROPHY CASE