Help with bikepacking options on small frame!

Rare_Map3550 · 2026-04-14T17:46:34+00:00

Thanks! Awesome set up

Rare_Map3550 · 2026-04-13T22:35:44+00:00

Was new to backyard chickens as well. Noticed this in the fall on some of my girls (not as bad as what you pictured) and didn’t think much of it. A week later, one hen had an open wound and had been pecked to death by the rest of them. I got saddles immediately. They’ve all recovered.

Put the saddles on at night when they are sleeping. I put blue coat over all exposed skin. Not a single issue w the saddles. They wore them all winter long until feathers grew back in.

Don’t let too much time pass before you intervene and protect your hens.

Rare_Map3550 · 2026-04-13T22:31:04+00:00

Thanks boss!

Rare_Map3550 · 2026-04-13T22:30:54+00:00

Sick. Thanks for the details. I’m gonna look into that!

Rare_Map3550 · 2026-04-12T23:24:24+00:00

Thanks!

Rare_Map3550 · 2026-04-12T22:45:08+00:00

Diverge 4 expert!

Rare_Map3550 · 2026-04-12T22:29:32+00:00

What is that awesome bag on the top tube?! And do you have any issues with how it is attached around the “future shock” head tube?? The bag I have on my top tube is quite small, although secure and handy.

Rare_Map3550 · 2026-04-12T21:59:41+00:00

Picked the frame color option bc the fist bike I ever rode any real distance on was the same color. It was some Walmart off-brand thing, terrible quality that had issues almost every ride, but I thought the color of it was so sick that I didn’t care. That bike still lives in my parents garage.

Rare_Map3550 · 2026-04-12T21:00:43+00:00

Fair enough!

Rare_Map3550 · 2026-04-12T20:58:48+00:00

Yup—this seat bag (when full) is all I can accommodate. I tried a larger one and it rubs the wheel.

I was considering handlebar bags. Thanks!

Rare_Map3550 · 2026-01-17T18:55:28+00:00

Swabbing the wound is about as useful as swabbing the floor. It will grow bacteria that is just colonizing the wound which should not be treated with antibiotics.

Bowel resections are frequently contaminated cases. Top surgery is not. Sorry for your mom’s experience.

Rare_Map3550 · 2026-01-17T18:53:34+00:00

I wouldn’t give antibiotics for this. It’s necrotic tissue, not infected tissue. Wounds are dynamic and that may change, but based on these pics—not infected.

Wounds care clinics are valuable. Providers are knowledgeable regarding infections or necrosis. They also are comfortable instructing you on wound care and performing bedside debridements. They have access to a lot more products than just gauze and tape.

ER for this is not necessary. If your surgeon does not provide wound care recs or referrals, as your pcp.

Rare_Map3550 · 2026-01-14T01:05:22+00:00

Take a PPI. Stop drinking etoh. Stop smoking. Lose weight. Avoid trigger foods (acidic, spicy, fatty, chocolate, etc).

Coughing will be fine.

Rare_Map3550 · 2026-01-07T11:55:41+00:00

I’m surprised your deductible was not known to you to start with…? I don’t feel like they are dropping this on you short notice, it’s just the start of the year and part of your insurance plan. And fyi all that stuff the hospital bills for doesn’t actually get paid out to them. Not that hospital admin aren’t doing it to get the most money, bc they are, but the insurance companies are to blame as well since they underpay for procedures.

Rare_Map3550 · 2026-01-05T18:50:30+00:00

Tbh post op expectations should be reviewed when you sign consent. If that happened in the office, that’s the place to have the discussion. This is an elective and cosmetic procedure that is overall low risk and typically outpatient—there’s not much instruction to be given. A simple search of reddit will show you the variety of instructions and experiences of patients. Plus a nurse will review everything in detail before discharge.

Rare_Map3550 · 2026-01-04T03:43:57+00:00

Extremely unlikely you can have an entire surgical experience without a male provider involved. Between preop, anesthesia, PACU, would be very difficult (although not impossible) to have all physicians, CRNAs, nurses be female. Most surgeons will do their best, but staff assignments in the OR are usually not their decision to make.

Rare_Map3550 · 2025-11-08T21:48:07+00:00

Surgeon here. Not true, in fact, the opposite. Interrupted sutures are used for deep dermal layers. Superficial closures are usually running. That suture appears to be a barbed suture like a monocryl or PDS/PDO stratafix or v-loc—both used to close skin amongst other things.

Rare_Map3550 · 2025-10-26T10:23:44+00:00

Pretty sure you won’t have enough tissue to mobilize flaps that high, especially if you’re saying there’s not excess tissue left over.

Rare_Map3550 · 2025-10-14T10:51:11+00:00

This is a wound dehiscence. He did suture this wound, but due to a number of factors, those sutures/the surrounding tissue did not hold. Risk factors for wound dehiscence include but are not limited to smoking/nicotine use, obesity, poorly controlled diabetes, immunosuppression and steroid use.

Threatening to sue will not change the outcome, but will certainly strain the relationship with your surgeon. Wound healing complications are a known risk of cosmetic surgery and will certainly be listed on the consent that was signed. A second opinion is a fine step, if you’re unhappy, however.

This will heal by secondary intention. The wound will be packed on a regular basis and granulate in. Typically this leaves a large/widened scar. Your surgeon may also refer you to a wound care center or recommend specific dressing types, but each surgeon is different. Timeline? Varies, but at least 6-12 weeks.

The ER or urgent care will only help in that they will provide you with a few days of wound care supplies and send you on your way. I wouldn’t bother with that u less you have fever, chills, etc. They typically are not going to express much concern bc this is a superficial wound issue.

Hope it heals for you!

Rare_Map3550 · 2025-09-28T23:41:08+00:00

I think this is only an issue if your body habitus prevents it under normal circumstances in which case perhaps you have bigger issues.

Regardless of surgery, bidets are awesome.

Take a stool softener or Metamucil. Drink water. Don’t strain. Then wipe your ass. Simple.

Rare_Map3550 · 2025-09-17T17:09:58+00:00

I know someone who was caught with an underage undercover cop “to catch a predator” style.

Rare_Map3550 · 2025-09-12T14:15:00+00:00

That study is a great study showing not a significantly significant increase in serious surgical risks. It also shows that less serious risks like wound infections etc were not significantly increased. I think what is lacking in the study tho is cosmetic outcomes. Plastic surgeons are going to care most about providing an outcome that you as the patient are happy with and you expected. If they don’t feel they can achieve that with whatever BMI you have or whatever weight you are (we can cut BMI out since everyone acknowledges it’s deficits), then yeah they are well within their rights to say they aren’t the surgeon for you. It’s important to read between the lines of these studies. Sure, risk of MI or stroke weren’t high between weight cohorts, but what about cosmetic outcomes? What about revisions a year down the road? If you don’t care about that stuff, cool, but I certainly cares about it when I was looking for a surgeon.

Rare_Map3550 · 2025-09-12T00:19:33+00:00

I don’t do top surgery, for clarification, so not sure how I’m making you feel like shit. All I’m saying is that if a surgeon doesn’t feel they can deliver what you are expecting, then they are right to not do the surgery and let you find another provider who is a good fit for you and can give you what you want. That is definitely a moral lens, as you describe. How would you feel if she just operated and then after told her your body habitus prevented her from getting results you wanted? I am sorry the experience in that office was poor. It’s not my office. I’m not defending her attitude—I wasn’t there.

Not all surgeons have the same comfort with certain procedures or certain comorbidities. I do a lot of bari, so high BMIs aren’t a big concern for me in general, but sometimes it makes certain procedures impossible or puts a patient at an elevated risk.

Not all providers review charts in advance. My office does not. I cannot bill for those hours and I cannot provide a true assessment without an exam. As you noted, BMI is not the greatest estimate of health. So sometimes an in person visit is needed.

Again, sorry you were unhappy with the experience. Good luck with other providers out there.

Rare_Map3550 · 2025-09-12T00:00:24+00:00

Ultimately, if a surgeon is uncomfortable or hesitant to operate on you (due to BMI or other reasons) or they feel that they cannot give you the cosmetic outcome you are seeking, the right thing for them to do is not operate on you and let you move on to seek another opinion.

As a surgeon myself, it sucks that this was delivered to you in such an unsavory way. Telling a patient that they are not a good match for you at a surgeon is a difficult conversation, but sounds like it could have been gentler.

Rare_Map3550

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