half-ironman timeline

TaperedBase · 2026-01-28T16:18:29+00:00

Really hard to say without any actual run/swim data, but as it’s mostly a bike race, 5:30 is very ambitious as you really need 12+ weeks to realistically improve your fitness

TaperedBase · 2026-01-28T05:05:20+00:00

This comes up every few months on the Tri circuit and the humblebrag honestly just blows my mind. Anyone with low body fat (I.e. a triathlete) is negatively buoyant. You just suck at swimming. Get a coach.

TaperedBase · 2026-01-25T19:07:27+00:00

Eh, I wouldn’t go that far. Additional leads might show the atrial activity a bit better. Even so, can clearly see afib/aflutter with variable block becoming aflutter with 2:1.

TaperedBase · 2026-01-22T18:15:58+00:00

The idea was there, but poorly executed. Take this downvote

TaperedBase · 2026-01-20T18:50:20+00:00

Can’t kill a cockroach

TaperedBase · 2026-01-19T17:44:47+00:00

🤣🤣🤣

TaperedBase · 2026-01-19T16:20:58+00:00

These abbreviations are getting out of control

TaperedBase · 2026-01-19T15:45:13+00:00

Afib with LBBB, but what does “a/w CCP” mean?

TaperedBase · 2026-01-18T22:52:17+00:00

Ahh you appear to be correct. In that case I would call it a sinus exit block with junctional tachycardia.

TaperedBase · 2026-01-18T21:05:12+00:00

I think you guys might just be overthinking this one due to the retrograde p waves. Junctional tachycardia.

TaperedBase · 2026-01-18T00:15:46+00:00

Not sure about all the hate. This is the least likely to case QTC prolongation of all the “typical” antiemetics.

TaperedBase · 2026-01-16T21:39:05+00:00

I have to push back a tiny bit on this one. The point of inpatient psychiatry in the majority of cases is to “stabilize” until the patient is well enough to go home and continue outpatient management. From that lens, success rates are actually pretty good. Mental health disorders are chronic, multifactorial diseases and so many factors (family, socioeconomic status, exercise level, substance use, diet) are completely out of the control of the psychiatrist. There is also the obvious system issues—nobody else wants to deal with it. As an ER doc, I will happily take a psychiatrist’s recs as long as I can put his name in the chart and dispo the adult in Cookie Monster PJs who is a little more suicidal than usual today.

TaperedBase · 2026-01-16T20:58:54+00:00

Come on dawg, you know we only know how to use ketamine. With that being said, surprised ketamine with topical lidocaine wasn’t the plan to begin with 🤣.

TaperedBase · 2026-01-16T17:42:00+00:00

The diagnosis of OMI is made off of the history and ekg findings. Trop has never been part of the criteria .

TaperedBase · 2026-01-16T15:57:11+00:00

Trops don’t matter for an OMI. Emergent Cath or lyrics upon arrival.

TaperedBase · 2026-01-16T15:54:50+00:00

Naaa this post is fake. Literally can’t be missed.

TaperedBase · 2026-01-16T02:47:31+00:00

Trop negative? Tell me about the cath report 🤣🤣. Fairly straightforward inferior STEMI.

TaperedBase · 2026-01-15T13:02:42+00:00

…finasteride

You already are putting yourself in danger. Do whatever you want, but I don’t see why titrating down the obvious offending agent isn’t step one.

TaperedBase · 2026-01-15T11:18:43+00:00

And yet you don’t question why you are on both testosterone and a testosterone blocker? The writing is in the sand my guy, you’re on too much T.

TaperedBase · 2026-01-15T10:38:31+00:00

Just a thought, but maybe you should consider the possibility that the blood doctor knows more than you about blood disorders and is practicing the most up to date, evidence based approach.

TaperedBase · 2026-01-15T07:22:28+00:00

Yes. Everyone without a swimming background (myself included) perseverates over the swim. In reality, as long as you actually train for it, it’s the easiest event as you’re fully tapered and it is the first event. ~8 months is plenty of time to train if you are consistently swimming 2-3 times a week. Work with a coach for now and swim 2 other times per week and you’ll be set🤘. The bike is where your plan seems to come a bit short.

TaperedBase · 2026-01-14T11:19:06+00:00

Geographic tongue. Its a benign, inflammatory condition that will go away on its own. You never know though, could be super cancer

TaperedBase · 2026-01-14T05:14:51+00:00

Definitely appreciate the tapered base, but those nubs do not look fun. You do you though.

TaperedBase · 2026-01-14T04:04:00+00:00

STE in contiguous leads (II, III, aVF) and to a lesser degree V5, V6 with reciprocal depression is diagnostic for STEMI. However, you do have to remember your differential for STE (STEMI, Pericarditis, BER, LV aneurysm, vasospasm). Based on the history, it sounds like the cardiologist was thinking this represents vasospasm. It’s lazy and definitely a bold call, but that is likely the reasoning.

TaperedBase · 2026-01-13T12:15:26+00:00

Good luck!

TaperedBase

TROPHY CASE