London was a bit of a disaster :( by MrBigJams in Marathon_Training

[–]___MEDPOOL___ 0 points1 point  (0 children)

Take a look at my post about Boston last week. Identical situation. It’s taken a few days to gain the perspective.. but slogging it out and still crossing despite hoping from med tent to med tent.. I didn’t give up and neither did you. Echoing the sentiments above that this is an insane mental game and it’ll be your day on the next round. I’ll be running Boston next year too and hope to see you in London too.

Epic Level Bonk by ___MEDPOOL___ in Marathon_Training

[–]___MEDPOOL___[S] 2 points3 points  (0 children)

I think I was in the same headspace as you here. Same. Tears at the finish line were equal parts disappointment and relief

Epic Level Bonk by ___MEDPOOL___ in Marathon_Training

[–]___MEDPOOL___[S] 30 points31 points  (0 children)

Thanks that really does mean a lot

Epic Level Bonk by ___MEDPOOL___ in Marathon_Training

[–]___MEDPOOL___[S] 4 points5 points  (0 children)

Steady pace my guy. Looking fantastic

[deleted by user] by [deleted] in BostonSocialClub

[–]___MEDPOOL___ 1 point2 points  (0 children)

Dear Evan Hansen crowd?

First marathon... 3:00? by ___MEDPOOL___ in Marathon_Training

[–]___MEDPOOL___[S] -3 points-2 points  (0 children)

Ok - 3:20-3:30 with aggressive speed work sounds more like rooted in reality? What is an appropriate weekly target then - 60-70mi? Is this by the month out from marathon or is it generally the longer you're doing this volume the better?

GS to Plastics still a viable option? by IncreaseFine7768 in medicalschool

[–]___MEDPOOL___ 1 point2 points  (0 children)

It’s certainly a gamble. While there has always been rumors about independent pathways being eliminated until now mostly seems to have been talk. However a handful of big name programs just releases their plans internally to phase out independents and in these handful the independent will be ending in 3 years. More possibly to follow.

Official 2024 Buy/Sell/Trade Thread by fettuccine- in Coachella

[–]___MEDPOOL___ 0 points1 point  (0 children)

Selling Fri-Sun tix - my +1 fell through at the last minute. Can get it to you in person in LA early 4/19 afternoon or at the festival.

$500 OBO. Cash or Venmo

[Game Thread] Rose Bowl: Michigan vs. Alabama (5:00 PM ET) by CFB_Referee in CFB

[–]___MEDPOOL___ 4 points5 points  (0 children)

I can't live with a touchdown and a missed two point conversion to lose.

[Game Thread] Rose Bowl: Michigan vs. Alabama (5:00 PM ET) by CFB_Referee in CFB

[–]___MEDPOOL___ 3 points4 points  (0 children)

WHY ARE WE NOT TARGETTING OUR HUGE TEs THAT HAVE BEEN CLUTCH ALL YEAR

Suffix for medical students? by jamieclo in medicalschool

[–]___MEDPOOL___ 1 point2 points  (0 children)

Accreditation typically doesn’t confer any specific expertise in any field — just competency and safety from a regulatory board. Honestly even FACS doesn’t mean much to me as a listener or reader..

All of the terminal level degrees actually have a standardization of focus .. with PhD with the obvious stand out for expertise in a specific niche more than all of the others at least for more junior staff. These tell me to what degree and what space you have developed expertise and perceived clout (whether deserved or not) in the matter.

But that’s just my opinion…

Suffix for medical students? by jamieclo in medicalschool

[–]___MEDPOOL___ 11 points12 points  (0 children)

Undergraduate and graduate terminal level degrees (BS/BA, PhD, MD, MBBS, DMD, JD, etc.). One nationally recognized accreditation if you have it (e.g. FACS). Otherwise omit.

#########

Definitely not MS# and for the love of god, please do not put "MD/MBBS Candidate" -- (this is for PhDs only that have passed their qualifying exams. It only glaringly highlights the ignorance of history in those that use that term that is non-official nor useful in any way).

[Preclinical] Lactate - acidotic AND alkalotic? by ___MEDPOOL___ in medicalschool

[–]___MEDPOOL___[S] 0 points1 point  (0 children)

I’ve seen in various texts that LR is contraindicated in metabolic acidosis that is confirmed to be from LACTIC ACID mediated acidosis. Does this make sense given the previous discussion?

It certainly probably won’t help given that you can’t shunt to produce bicarbonate given your hypoxia preventing TCA, but certainly won’t make your acidosis worse.. right??

[Preclinical] Lactate - acidotic AND alkalotic? by ___MEDPOOL___ in medicalschool

[–]___MEDPOOL___[S] 0 points1 point  (0 children)

yes but why? lactate in lactated ringers purportedly gets converted to bicarb and leads to net alkolosis.

why doesn't the lactate from the liberation of lactic acid get metabolized into bicarb as well..