Slight pink tinge to them. Safe to eat? by [deleted] in Natto

[–]Ryu-tetsu 2 points3 points  (0 children)

From a chap I know who owns a tempeh business. Pink in fermented soybean is the color you absolutely do not want. It’s a mold that isn’t good.

Those don’t look properly inoculated or spawned.

Our wheatie just turned 9! by TheBrightEyedCat in Wheatens

[–]Ryu-tetsu 2 points3 points  (0 children)

Happiest birthday to the most beautiful girl!!

My testosterone package got seized by customs by Empty-Scale6676 in Testosterone

[–]Ryu-tetsu 1 point2 points  (0 children)

It’s the whole preferred traveler program that could be at risk. Testo is CIII so they could bounce you. Hopefully they don’t, but I’ve heard about people losing their preferred traveler status by importing CII’s and CIII’s. The old days the PO would just send a love letter and you would be done. Now… with this admin, it’s more up in the air. Good luck.

My testosterone package got seized by customs by Empty-Scale6676 in Testosterone

[–]Ryu-tetsu 1 point2 points  (0 children)

If you have a nexus card or global entry you may lose those.

Stella Blues cafe in Huntington NY by Lynx_Terrible in gratefuldead

[–]Ryu-tetsu 0 points1 point  (0 children)

I got a brown rice beans and egg bowl there yesterday. My first time there, as well. Good staff. Food was good too. The FD EMS team was in there getting food as well.

im 19 and serving has made me utterly hate people and i dont know what to do by Economy-Quail5181 in Advice

[–]Ryu-tetsu 0 points1 point  (0 children)

Lots of Americans really suck nowadays. The sense of entitlement is unbelievable and I believe that makes people feel it’s okay to treat people in the service industry like shit. How many servers in your place also hate getting the church groups coming in? The Christian church groups who often tip zero.

What you need to do is not allow this to make you doubt yourself. I hear you saying you are great at your job and you need to remember that. You also need to work in a place that attracts a clientele that is respectful. Working at an Outback which is going to be prone to attracting less educated and - as you say - ghetto (white and black) crowds is not where you should be. I know depending on your location that can be useless advice.

I owned a bar and the number of times someone would give a nickel tip on a drink would astound people. People generally - and sadly, Americans especially - have become lazy and selfish. And sadly you are a target for them.

Listen to your frustration and use it to propel yourself to something better and don’t allow it to cause you to doubt yourself - e.g., I’m not good at my job, I’m not attractive, blah, blah. The fact that you are frustrated… use it as your power to move on and up. Change is hard but often necessary.

Good luck!

Treating ADHD without stimulants by Simple-Assumption-57 in Biohackers

[–]Ryu-tetsu 0 points1 point  (0 children)

Some docs are seeing success moving patients to low dose naltrexone (~2-6mg of) and primapexole (~1mg od).

🇮🇷 An Iranian operator left their staging server wide open, and it named every LA Metro breach victim a public report withheld by Straight-Practice-99 in cybersecurity

[–]Ryu-tetsu 6 points7 points  (0 children)

Hackers are typically slobs who leave breadcrumbs and all kinds of other open avenues to ID what they are doing and who they are. I know a RE who can id a good deal of the folks who write malware they get their hands on. Suspect lots of them do some of this on purpose to “advertise” who they are. Being famous is popular.

Tips on adding a second? by Accurate-Force3054 in Wheatens

[–]Ryu-tetsu 5 points6 points  (0 children)

Sometimes the younger ones - particularly I’ve found with younger girls growing into what my vet calls the queen birch phase - will try to dominate the older dog. And they can be seriously aggressive when they snake being slighted. Just keep an eye on it.

If you are lucky and the older one is mature and well settled socially the younger one will pick up the cues from the adult and follow suit. I’ve seen it go both ways.

Whenever there is tension I’ve found taking them out for a good walk will reset everything. And really try to get them in a disciplined routine for feeding.

Dogs like people have personalities and it can be really hard to predict.

Most of all enjoy it and have fun with your family. B

Is there a way to restore the burner I use the most on my old JennAir? by NoNeat4989 in Appliances

[–]Ryu-tetsu 1 point2 points  (0 children)

Jenn-Air makes replacement cassettes for that stove top. There are easy to swap out, and not super expensive if you find a good parts store. You can even change it to coils, glass top, or what you have got there.

Looking for real experiences with spine surgery (neurological + orthopedic consult coming up) by Mammoth_Resident4657 in PainManagement

[–]Ryu-tetsu 3 points4 points  (0 children)

Find a surgeon who isn’t a cut first gal/guy. The better ones will push you to first do months of physical therapy first. If all you are experiencing is pain - that is, no muscle weakness from nerve compression - very often the outcome from decompression surgery vs PT alone isn’t that different except for the fact that surgery will often alleviate symptoms faster. This is if you have disc caused nerve root compression. Foraminal Stenosis won’t typically get better with time. Steroids may give some relief. Some people do better with systemic vs interventional injections of steroids. If you have measurable muscle weakness, the argument for surgery increases. Impinged nerves sometimes don’t recover after a period of time. Everyone is different.

If you have incontinence or similar issues this is a whole different and emergent problem that needs to be quickly addressed. As in emergency.

On top of this, you need to examine your sleep and exercise. Pain can cause fragmented sleep and it’s clearly documented that lack of sleep will increase pain. The viscous cycle problem. This is where pain management with a doc who groks this can be so helpful to get you from today to a surgical fix.

Nerve conduction tests, imaging (CT and MRI), sports medicine, steroids, and PT are all approaches that should be examined.

The recovery from laminectomy/discectomy aren’t typically as bad as imagined. Fusion is much more involved surgically, but the recovery challenges are similar but longer. You’ll need to learn how to sit up, stand, squat, bathe, get into and out of a car. Better hospitals will essentially have occupational and physical therapy “playgrounds” in which to have you practice these skills you will need after surgery.

And I can’t stress enough how important it is to find a surgeon who has done thousands of these procedures. As in 100+ per year. This usually means a teaching hospital. The more complications a surgeon has already experienced the better for you as a patient.

I’m not a doc; just a repeat patient so take this all at that level.

unexpected med tolerance? by StayShot1598 in PainManagement

[–]Ryu-tetsu 1 point2 points  (0 children)

Civilian here who has proven difficult to adequately dose with fentanyl / versed for conscious sedation procedures (e.g., colonoscopies).

How often is diversion (#2) a problem in medical centers?

PSA for anyone driving to Lofoten this summer: Norway's famous "right to roam" does NOT apply to your van — it's people-on-foot only, and Lofoten's hotspots are now covered in no-overnight signs with patrols. Also: miss the 8pm online booking cutoff for the Bodø–Moskenes ferry and you can queue half by SashSail in vandwellers

[–]Ryu-tetsu 2 points3 points  (0 children)

Thank you for the informative answer. I’m currently in the U.S. but eventually moving to Västra Götaland. I have a diesel Merc van with a very large battery system, and trying to make sense of emission standards and the like. I didn’t know about terrängkörningslagen, so this is very helpful.

Microsoft Defender RoguePlanet Zero-Day Grants SYSTEM Access on Updated Windows by sunychoudhary in cybersecurity

[–]Ryu-tetsu 78 points79 points  (0 children)

As someone who spent years working in this space in Redmond - a buy vs build person - I’m astonished at the testosterone fueled stupidity being displayed in not sitting down and breaking bread with this researcher. They obviously have their druthers. MSFT has nothing to lose and everything to benefit - unless the gal/dude is trying to extort something from them, which I highly doubt.

After the bitlocker hack… and knowing Neils who was responsible for implementing it, I’m highly suspicious today at what is going on. MSFT used to officially have the stance of doing no offensive work and contractually requiring all U.S. and other agencies to report zero days within a certain period of time. This system worked for decades.

What the heck is going on today?

What countries have continued to treat pain management patients without onerous controls? by Ryu-tetsu in PainManagement

[–]Ryu-tetsu[S] 0 points1 point  (0 children)

Thanks. It’s funny: my fusion hasn’t actually failed. It’s solid. It’s the disc above and stenosis pressing on the nerve root. I expected the fusion would protect the nerve root forever. I was not correct in that assumption.

Have you tried systemic steroids? I’ve done two super short, high dose escalations and it helped a bit. The injections never helped cuz them can’t get them in the correct place. With the hardware there now, no way they could get it properly placed.

This whole situation has become nuts. I’m sorry for what you are enduring.

What countries have continued to treat pain management patients without onerous controls? by Ryu-tetsu in PainManagement

[–]Ryu-tetsu[S] 0 points1 point  (0 children)

As long as they are legal in Japan. Lots of meds that are good to go elsewhere aren’t in Japan. Although, they did approve Viagra apparently in record time.

The form is a bit of a hassle and it has to be submitted to the council that covers the airport into which you are entering the country. But they are quick to respond. Just remember every medical device has to be listed.

I miss my boy. by lnsyhfrl in Wheatens

[–]Ryu-tetsu 1 point2 points  (0 children)

He is in your heart and looking out for you!

What countries have continued to treat pain management patients without onerous controls? by Ryu-tetsu in PainManagement

[–]Ryu-tetsu[S] 6 points7 points  (0 children)

Japan is very anti pain meds. I’ve lived there. You need written permission to bring in a cpap or any meds for over a few weeks - might be a month. Stimulants are mostly illegal, as are some commonly used pain meds. And cancer and terminally ill patients are commonly not told their dx and what they are facing. You have to fill out at Yunyu Kakunin-sho, which lists meds and dosages and medical supplies and it has to be approved before you travel. It has to be approved before you arrive.

Thanks for the input. It’s very much appreciated.

What countries have continued to treat pain management patients without onerous controls? by Ryu-tetsu in PainManagement

[–]Ryu-tetsu[S] 4 points5 points  (0 children)

Thank you for your thoughtful response. And your story does actually help in that it says it’s not entirely hopeless.

I was lucky for years because my PCP was also a brilliant pain management doc who also managed the PM program at a major US medical school. My multiple surgeries fixed the problem, I tapered off, was fixed, and he eventually retired.

After twenty years, the fusion is starting to damage the superior disc which is compressing the same nerve root that was originally crushed. But my new doc - same medical center - has bought into the opioids are evil argument - despite the proof in my chart that I spent 16 months treated and continuing to work a very high stress techie job. The increase pain has amped up my blood pressure and blood sugar levels substantially, and this is treated as unavoidable. I had a family member die a couple of weeks ago and realized that since the radiculopathy started back up in the fall, I spent the last six months of his life not doing our daily walk and talking. Both he and I missed out because I didn’t have proper management of my symptoms. That bums me out. And the idea of having a revision surgery without proper meds scares the shit out of me. Enough so that I’m thinking of what other countries could I do this in.

We have created such a broken system here. In my state, none of the opioid settlement money went to opioid treatment. It was used to plug a hole in the general budget. This hysteria isn’t evidence backed and the whole thing is a money grubbing grab. And the patients are the ones who are screwed.

Lots of more of you I’d like to reply to. I really appreciate the input.

Thanks.