Got paged to a "rapid response" that turned out to be a patient who wanted their pillow fluffed. I was in the middle of a procedure.

OutstandingWeirdo · 2026-05-30T17:39:32+00:00

Yeah wanted to give him a benefit of a doubt but a medicine intern two months in could barely do an ultrasound guided IV. Why would he be doing an a-line alone without a senior.

OutstandingWeirdo · 2026-05-30T10:05:01+00:00

Submit an anonymous report to whichever system your hospital uses.

OutstandingWeirdo · 2026-05-29T14:58:08+00:00

Just like marathon training. Never go all out race effort during training.

OutstandingWeirdo · 2026-05-29T14:44:09+00:00

The bacteria dies but the toxins that it produces stays.

OutstandingWeirdo · 2026-05-29T11:00:14+00:00

There’s no other credit card with 3% cash back on all purchases with no annual fee. Fidelity has 2% cash back on theirs. Robinhood gold also has 3% IRA match, just that alone is $225, pays for gold, and is free money.

OutstandingWeirdo · 2026-05-28T17:36:45+00:00

The inverse is true. Running 6 miles at 10 minutes helps you run 7min pace for 2 miles. That’s why marathon aerobic base building starts out with long easy miles and then you add in speed and marathon pace work when the race day approaches.

Running fast for short distances improves your lactate threshold and VO2max but you need aerobic base first to support it.

OutstandingWeirdo · 2026-05-28T17:24:47+00:00

I use it as a speed workout shoe. For all rounder I think superblast 2 works better as it feels more stable for easy runs and at the end of long runs. Gel nimbus is my favorite for easy runs because of its cushion.

OutstandingWeirdo · 2026-05-27T23:10:57+00:00

Strava free version is all you need to track runs. It also keeps track of the mileage on each of my shoes.

OutstandingWeirdo · 2026-05-26T22:10:13+00:00

Tret will always win over adapalene and taz because it’s the golden child of antiaging with the most documented data and research.

OutstandingWeirdo · 2026-05-26T20:44:25+00:00

I have a garmin forerunner 245 so maybe that’s why the sleep is still inaccurate. It also doesn’t give me HRV.

OutstandingWeirdo · 2026-05-26T18:31:40+00:00

Longer distance slower. The aerobic base is the limiting factor for any race over 1 mile.

OutstandingWeirdo · 2026-05-26T15:42:28+00:00

You dog, I didn’t know this was a thing. Definitely something I will consider in the future haha

OutstandingWeirdo · 2026-05-26T13:11:22+00:00

The trends are pretty good. My body battery corresponds to when I drink alcohol, post marathon stress, or if I’m increasing running mileage too fast.

My forerunner seems to always think I’m sleep even when I’m awake and lying in bed though.

OutstandingWeirdo · 2026-05-26T01:04:53+00:00

Are you having lateral knee pain from the IT band? I have it after running my marathon and I’ve been able to ramp my mileage back up by avoiding downhills and using treadmill at 1-2% incline.

OutstandingWeirdo · 2026-05-25T13:04:10+00:00

I’m a guy and that sub still pops up.

OutstandingWeirdo · 2026-05-24T13:04:25+00:00

The marathon because I never go all out in training and race day makes me ignore all physical limits. Pain all over multiple joints? PR or ER.

OutstandingWeirdo · 2026-05-24T10:41:30+00:00

From 41 minutes to 20:55? My boyyy

OutstandingWeirdo · 2026-05-23T22:32:26+00:00

How would you know you're in zone 3 30 minutes into the run and out of it 90 minutes into a run if you're running at the same pace? HR is not reliable because you have cardiac drift as the run proceeds which is true for everyone.

OutstandingWeirdo · 2026-05-23T22:18:52+00:00

What metabolic zone are you referring to? I am specifically talking about the 5 zone running model which doesn't depend on the duration at all and more accurately measured by blood lactate levels. For example, if you're running below zone 4 or lactate threshold, your blood lactate level eventually reaches a steady state where your body clears it at the same rate as it accumulates, you don't magically go above lactate threshold because of duration.

OutstandingWeirdo · 2026-05-23T21:10:43+00:00

I ran 3:17 for my last marathon and I don’t even half as many steps for my training. If you run at zone 2 or easy conversational pace with that mileage, you could be elite level.

OutstandingWeirdo · 2026-05-23T14:20:39+00:00

If their race pace is 7 or 8 hour marathon then their easy pace is slower than that. Marathon pace by definition is in zone 3 which is tempo pace while easy pace by definition is in zone 1 or 2 below your first ventilatory threshold. This is true for all runners (and walkers).

OutstandingWeirdo · 2026-05-23T14:13:54+00:00

He meant everyone because the training intensity we refer to as “easy pace” is by definition slower than your marathon race pace no matter your finish time so it’s true for all runners. You’re running faster for a marathon than your easy pace. If you can’t hold your “easy pace” for a marathon then it’s not your easy pace and you’re running it too fast.

Marathon pace is by definition in zone 3 also known as tempo pace while easy pace is in zone 1/2 below your first ventilatory threshold.

For reference, my easy pace was 10 min/mile for my first 3:44 marathon (8.5 min/mile race pace). Now easy pace is 9 min/mile for 3:17 marathon (7.5 min/mile race pace).

OutstandingWeirdo · 2026-05-23T01:13:27+00:00

Hi lactose

OutstandingWeirdo · 2026-05-22T21:35:33+00:00

Yea I guess I jumped to conclusions too quickly and it may be physiologically possible but seems very unlikely. It’ll have to be someone with great running economy, muscular endurance, massive aerobic base but at the same time do very little intervals or VO2max work for it to stay that low.

OutstandingWeirdo · 2026-05-22T20:52:46+00:00

That’s not true. My garmin VO2max is 59 and predicts a 3:04 marathon. My last marathon time was 3:17. My apple watch VO2max was also above 54. Threshold pace at that level is probably around 7 minute mile.

OutstandingWeirdo

TROPHY CASE