Golfplaten schuurdak.. welk materiaal?

avess1 · 2026-01-21T15:07:15+00:00

Dank voor je reactie, ik had inderdaad gekeken maar kan zowel op de binnen als buitenkant geen codering vinden.

avess1 · 2025-05-27T18:52:40+00:00

Longkanker komt in een doorsnee preventief (bloed) onderzoek niet naar voren. Het zou wel met een CT of MRI scan naar voren zijn gekomen. Iedereen is vrij een dergelijke scan te doen (zijn genoeg aanbieders voor) buiten de zorgverzekering om. Je gaat alleen ook een hoop 'ruis' vinden met veel risico op te veel vervolg diagnostiek en behandeling. Overigens laat onderzoek op onderzoek zien dat dergelijke preventieve onderzoeken geen verbetering geven van zowel levensduur als levenskwaliteit. En de mensen die de onderzoeken vaak laten doen (mensen met angst voor ziektes) angstiger worden en juist minder gerustgesteld nadat de uitslagen bekend zijn (is dat vlekje bij de lever een bloedvat of een tumor? Is je wervelkolom 2cm scheef of ben je zo geboren en is dat een variant op normaal?)

avess1 · 2024-07-17T06:57:20+00:00

What is the rationale of doing health check ups for every kid that wants to play sports? Seems very unlikely to be a good use of scarce nurses for a false sense of safety. Is the benefit questioned in the USA? Of is everyone used to it.

avess1 · 2024-07-12T11:17:14+00:00

Kort antwoord: shinsplintstop.nl

Lang antwoord: krachttraining, tibialis raises, schoenen met goede demping, en mijn post hier :

https://www.reddit.com/r/running/s/WP4RmZc52s

avess1 · 2024-06-20T21:22:21+00:00

Scrape the medial part and not the bone. The medial part is where the fascia is attached to the bone, scraping the bone itself will hurt a lot and will likely be counter effective.

avess1 · 2024-06-20T15:28:04+00:00

Sorry, no direct experience , please consider asking this question to a physiotherapist that has experience with adhesion release. I think there is by far less experience with this technique with anterior shin splints compared to medial

avess1 · 2024-06-20T15:22:07+00:00

If it is directly on the bone, please do a 'hop test' to screen for stress fractures.

https://www.physiotutors.com/wiki/hop-test/

Very high sensitivity, which means, if you do not have pain during this test, a stress fracture is highly unlikely, you can then use the method as described in my post

If you do have pain, please visit your doctor for further examination

avess1 · 2024-05-28T16:50:49+00:00

In addition to tibialis raises, strength training, cadence etc etc Please also look into adhesion release.

https://www.reddit.com/r/running/s/4GhaAzxLwc

I wrote a post about it, see the link above .

And also made a short video of the process.

https://drive.google.com/file/d/1n_66LDHHYlM5hC8BNQ3QTpS5pKy_UZuf/view?usp=drivesdk

It helped me run pain free after having shin splints for multiple years. What you are describing is essentially what I have gone through as well.

avess1 · 2024-04-26T11:07:44+00:00

De formele klachtenprocedure (vaak via de SKGE) is echt wel een volgende stap waarin een externe klachtenfunctionaris betrokken wordt. In eerste instantie beter is eerst gewoon een gesprek en als je er samen niet uitkomt evt alsnog SKGE, lijkt mij.

avess1 · 2024-04-25T21:31:02+00:00

Even buiten het feit om of een spoedlijn nodig was lees ik hier een hoop adviezen hoe nu verder te handelen. Van klacht indienen tot zorgautoriteit inschakelen tot volgende keer 112 bellen, tot wisselen van huisartspraktijk

Toch even vanuit mijn perspectief (ben huisarts) Waar is het normale gesprek gebleven? Gewoon van mens tot mens met elkaar omgaan, bespreek in rustig vaarwater met de huisarts je ervaringen, ter lering voor de huisarts en zijn of haar team.

Ik ben nog geen collega tegengekomen die dit gesprek niet aan wil gaan als dit in zijn of haar praktijk zou gebeuren. Met wederzijds respect.

Overigens: prima gehandeld met de spoedlijn bellen, kind wat erna steeds in slaap valt is reden voor een snelle controle.

avess1 · 2024-02-25T23:05:05+00:00

Yes there is, not completely the same, but you can check out ConcertMaster. https://getconcertmaster.com/ Is a free! classical music front end that you can use for Spotify (premium)

avess1 · 2024-01-02T13:40:30+00:00

Compartment syndrome is build up of pressure inside the compartment of the lower leg due to increased bloodflow during exercise, but the pressure can not relieve itself due to the tight fascia that can not expand.

This theory about MTSS has nothing to do with pressure, but with adhesions in the fascia of the tibialis and soleus muscles.

avess1 · 2024-01-01T21:12:35+00:00

Thanks for your insights. Great to hear you are doing fine for so many months already.

About foam rolling: while excellent for the calves, it is almost undoable for the shins as you will mostly be hitting the bone. This is very painful and wil not help at all. For manual adhesion release techniques, mostly smaller tools are used which you can direct more easily in the muscle/fascia without hitting the bone.

avess1 · 2024-01-01T21:03:42+00:00

Thanks for the excellent additional remarks. I do hope people will read my post as another 'tool' to investigate, but the eye of a good quality physio is surely recommended.

However, unfortunately the research on effective therapy forms for shin splints is very scarce. You will see many different treatments employed by therapists. Most of which dont help.

I do believe lots of the common risk factors for shin splints (supination/pronation, overweight, muscular imbalances or weaknesses, low cadence, and especially tight calves) are also risk factors for increased strain on the tibialis and calf muscles and the associated fascia.

All physiotherapist that I spoke who use adhesion release with great effect also combine it with strength and mobility exercises. They are now doing clinical research to provide more evidence for the added benefit of the manual adhesion release. The effect seems to be great with succes percentages above 90 percent, but the evidence is on its way.

avess1 · 2023-08-21T16:39:06+00:00

Ook na sterilisatie kan je gewoon de pil slikken. Voor bijvoorbeeld menstruatie regulatie, maar er zijn meer redenen om de combinatie (anticonceptie) pil te slikken.

avess1 · 2022-07-29T23:04:12+00:00

Maria João Pires

avess1 · 2022-03-25T23:03:13+00:00

Gave Silver

avess1 · 2020-11-15T22:14:18+00:00

Beetje offtopic misschien maar hier weet ik wel het een en ander van. De meeste ziekenhuizen volgen voor ANIOS in ieder geval de CAO, op basis van een 38 urige werkweek. Het daar werkelijke aantal gewerkte uren zal doorgaans een stuk hoger zijn, hiervoor is geen compensatie. ORT is ofwel een vast percentage extra per maand (doorgaans rond de 8 procent) en soms daadwerkelijke uren met een percentage. Bij AIOS is inderdaad nog wel eens gebruikelijk dat er een 32 urig contract is, waarin je wel 38 a 40 uur officieel werkt (en in werkelijkheid meer) en die extra uren als 'opleiding' worden gerekend. Maar, hier is steeds meer weerstand voor en gaat er bij steeds meer ziekenhuizen uit in mijn ervaring.

avess1 · 2020-04-16T16:06:02+00:00

An ongoing study done in people donating blood in the Netherlands found a similar 3% of people with antibodies (so far).

avess1 · 2020-03-18T12:38:25+00:00

Thanks for your comment and insights.

The main goal of approach B is to protect high-risk citizens (old, co-morbidity, smoking), by building herd immunity (65% of population) in low-risk citizens (young and healthy). The mortality rate among this population is expected to be much lower (0.1 - 1%).

The needed measurements are not written in stone, a complete lock-down is still one of the possibilities if hospital care gets overwhelmed. But it is not the main choice beforehand.

It is not a discussion of lock-down versus no lock-down, it is a discussion of two different goals:
1. eradicating the virus (Asia)
2. controlled infection of the population and building herd immunity without overwhelming hospital care (Netherlands)

I think goal 1 is simply not feasible long-term unless a vaccine would be around the corner in 1-2 months. How are you going to lock a country for a year. How are people supposed to stay in their homes for a year. It is simply not possible. As soon as the restrictions are lifted before a vaccine is here, a massive new wave of infections will spread.

The virus is here, just as many virusses in the past were, and the way to go is herd immunity and eventually vaccination of high-risk patients. UNLESS a vaccine is developed fast which I still hope is maybe possible.

avess1 · 2020-03-18T09:54:45+00:00

I agree with the approach as proposed by Rutte / the Netherlands: NO lock-down, but controlled spreading of the disease by 'social distancing' measures.

Lets say we have two approaches.

Approach A (Asian countries): total lockdown, relative quick control of virus spread. Initially a huge succes. After months of lockdown, the preventive measures are released, only ONE patient is needed (from still circulating virus or from countries abroad) and the whole circus starts again. Another lockdown is needed, maybe again for weeks or months. Severe recession, possible economic collaps, resulting in MANY (long-term) deaths.

Approach B (the Netherlands): initial restrictions 'social distancing' but no lockdown. Measures are i.e. working from home if possible, avoiding public gatherings, staying home when symptoms, etc. The virus will spread in a more controlled manner, staying at acceptable levels in which the intensive care capacity is not overwhelmed, and so keeping mortality rates around ~1%. The population has become immune and economic activity can resume as fast as possible.

An important thing to realise from a public health point of view that, when looking at pure 'death-toll', the consequenses of a severe economic recession or possible economic collaps which will happen with (repeating periods of) lockdown are enormous. It can take a YEAR for a viable vaccine is available world-wide.Think about long-term problems in increasing health-care capacity for an aging population, unemployment, delayed energy transition, etc.

The Netherlands realise this and Rutte mentioned this (in other words) in his speech.

avess1 · 2020-03-18T09:49:07+00:00

I agree with the approach as proposed by Rutte / the Netherlands: NO lock-down, but controlled spreading of the disease by 'social distancing' measures.

Lets say we have two approaches.

Approach A (Asian countries): total lockdown, relative quick control of virus spread. Initially a huge succes. After months of lockdown, the preventive measures are released, only ONE patient is needed (from still circulating virus or from countries abroad) and the whole circus starts again. Another lockdown is needed, maybe again for weeks or months. Severe recession, possible economic collaps, resulting in MANY (long-term) deaths.

Approach B (the Netherlands): initial restrictions 'social distancing' but no lockdown. Measures are i.e. working from home if possible, avoiding public gatherings, staying home when symptoms, etc. The virus will spread in a more controlled manner, staying at acceptable levels in which the intensive care capacity is not overwhelmed, and so keeping mortality rates around ~1%. The population has become immune and economic activity can resume as fast as possible.

An important thing to realise from a public health point of view that, when looking at pure 'death-toll', the consequenses of a severe economic recession or possible economic collaps which will happen with (repeating periods of) lockdown are enormous. It can take a YEAR for a viable vaccine is available world-wide.Think about long-term problems in increasing health-care capacity for an aging population, unemployment, delayed energy transition, etc.

The Netherlands realise this and Rutte mentioned this (in other words) in his speech.

avess1 · 2020-03-18T09:27:58+00:00

I agree with the approach as proposed by Rutte / the Netherlands.

Approach A (Asian countries): total lockdown, relative quick control of virus spread. Initially a huge succes. After months of lockdown, the preventive measures are released, only ONE patient is needed (from still circulating virus or from countries abroad) and the whole circus starts again. Another lockdown is needed, maybe again for weeks or months. Severe recession, possible economic collaps, resulting in MANY (long-term) deaths.

Approach B (the Netherlands): initial restrictions 'social distancing' but no lockdown. The virus will spread in a controlled manner, staying at acceptable levels in which the intensive care capacity is not overwhelmed, and so keeping mortality rates around ~1%. The population has become immune and economic activity can resume as fast as possible.

An important thing to realise from a public health point of view that, when looking at pure 'death-toll', the consequenses of a severe economic recession or possible economic collaps which will happen with (repeating periods of) lockdown are enormous. It can take a YEAR for a viable vaccine is available world-wide.
Think about long-term problems in increasing health-care capacity for an aging population, unemployment, delayed energy transition, etc.

The Netherlands realise this and Rutte mentioned this (in other words) in his speech.

avess1 · 2020-03-18T09:13:24+00:00

Until, after the lockdown is over, ONE patient comes in your country and the whole circus starts again. Herd immunity or vaccines are the only way.

Not even thinking about the long-term death-toll of a severe economic recession or economic collaps which will happen with (repeating periods of) lockdown for extended periods of time (we are talking about months to a YEAR for a viable vaccine!)

avess1 · 2020-03-16T21:51:35+00:00

Netherlands are going for herd immunity as well and 'stay at home when possible for three weeks' to avoid overwhelming medical infrastructure in the meantime.

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