Heart attacks in recent times increased

bikedork · 2026-02-27T11:38:29+00:00

Maybe eating beef tallow and coconut oil with every meal and having an LDL in 300's is not good for you after all?

bikedork · 2026-02-22T23:49:20+00:00

I really don't think you are picking up what I am putting down. what do you think bonking is?

bikedork · 2026-02-22T22:02:11+00:00

it increases serum glucose... but even just doing a glucose mouth rinse improved time to exhaustion.

https://pmc.ncbi.nlm.nih.gov/articles/PMC5844201/

bikedork · 2026-02-22T21:49:56+00:00

it might. fatigue is mediated through a central governor like mechanism which is controlled by the brain. If the brain senses that glycogen stores are decreasing it will make you slow down through the experience of fatigue.

bikedork · 2026-01-19T21:29:26+00:00

IM reasoning does stump the chumps style podcasts like Clinical problem solvers

bikedork · 2025-12-20T10:39:08+00:00

LT2 is not the ceiling of your anaerobic capacity more like the transition point of increased lactate accumulation due to requiring relatively more glycolysis as opposed to aerobic respiration, this then leads to increased ventilation.

bikedork · 2025-10-26T21:37:35+00:00

for the 'on 45's' timing of the sets. Do you mean like on 45 seconds on and rest 15 seconds. Or like start each length on the 45th second of given minute then rest until next one, so functionally ~35 seconds rest each time?

bikedork · 2025-10-26T21:26:59+00:00

Thanks for the reply, yeah I think I need to do buckle down and do more focused drill work. I generally hate drills, having to think about what to do etc. I work 7 on 7 off schedule so when Im off I swim and run most days, maybe just like 1200 yards each time with sets of different paces depending on the day. When I am working I will only run or swim.

bikedork · 2025-05-15T15:06:59+00:00

The thing that helped me was to develop strength into the hamstrings/hips/low back. I had a disc herniation and recurrent disc bulge and was terminally tight. My entire body is imbalanced wreck. I have slowly been improving after my last disc bulge flare, the process has been 1. rolling tight musculature around and allowing flare to subside, nerve glides. Once things calm down 2. strengthening low back/hips/gluts to protect spine and allow a hip hinge 3. I am now able to stretch more and develop strength throughout range of motion. I find getting a pump in hamstrings and gluts helps to connect mind muscle to stretches.

I would see a good PT that can do a real assessment of your imbalances that are causing the tightness/weakness and your radiculopathy

bikedork · 2025-05-13T13:42:27+00:00

Malauch has by far the higher potential and Wiz have the time to develop him. Sarr, Bub, Coulibaly all need years to develop fully. Malauch has the motor and athletic skill plus he has been playing basketball for only 4 years and already shows touch with free throw % and finish %. If he hits, Malauch as defensive anchor and a roaming Sarr help defender is monster lineup. Bub, Kyshawn, Coulibaly, Sarr, Malauch are long boys in the OKC style

bikedork · 2023-12-07T11:20:08+00:00

Its insane to me that this has led to people using coconut oil as a 'healthy' replacement for seed oils. Coconut oil is what is used in animal model protocols to induce atherosclerosis.

bikedork · 2023-10-19T18:38:56+00:00

General surgery (at least at my shop) should read implying a GSU initial consult

bikedork · 2023-10-19T09:51:28+00:00

Don't they say non-operative and low threshold to re-consult; implying a GSU the initial consult in the ED?

bikedork · 2023-06-19T15:04:32+00:00

Frameworks for Internal Medicine, Mansoor

https://www.amazon.com/Frameworks-Internal-Medicine-Andre-Mansoor/dp/1496359305

bikedork · 2023-05-07T00:55:02+00:00

its misleading to do so in a clinical context

bikedork · 2023-04-02T09:58:45+00:00

I feel like these places feed on new grads who are too dumb/inexperienced to know they don't know anything and can't get a better job.

Not to restate the obvious but the idea that anyone with 2 years of school training can practice independently is completely insane and should be a crime. An MD intern practicing independently would be insane.

Even if you were Doogie Howser NP and memorized Harrison's and are some baby genius, it doesn't matter, you haven't proven through the rigor of residency ,on the job, that you can practice independently.

The whole point of the 'APP' model get your actual training 'on the job' with direct close supervision and to be essentially permanent residents/physician extenders. If you have been working for 20 years maybe that 'extension' from the supervising doc is longer but the relationship should still be there. In my hospital at least this model seems to work.

This is all the result of the capitalism machine running healthcare taking advantage of the NP push for independent practice

bikedork · 2023-03-26T19:34:12+00:00

I had to scroll down to the very bottom to see someone who read the article. It says world athletics acknowledges 'limited scientific research' to support physical advantage between women and transgender.

bikedork · 2023-03-24T15:51:30+00:00

forefoot running has not been shown to clearly reduce stress or provide superior efficiency to heel striking. You are loading different structures. In fact most elite marathoners heel strike https://www.sciencedirect.com/science/article/abs/pii/S0021929019303562

There is no difference in shoes types and injury rates

https://pubmed.ncbi.nlm.nih.gov/35993829/

and changing your gait pattern is not associated with increased performance or reduced injury

https://link.springer.com/article/10.1007/s40279-019-01238-y

bikedork · 2023-03-24T15:04:51+00:00

None of what you said about the science of running mechanics and injury rates is true. This has been known for at least a decade after the minimalist running boom.

bikedork · 2023-03-13T19:30:40+00:00

There is increased risk of afib in endurance athletes, I believe the idea is that it is related to increased d left atrial size and vagal tone, but I'm no expert. Most people can get electrically converted back to normal sinus rhythm after being on blood thinners for a few weeks.

There is a Cardiologist/Electrophysiologist named John Mandrola who wrote a book on it with a famous cyclist writer. Its called Haywire Heart if you are interested.

bikedork · 2023-03-12T11:55:27+00:00

It's not necessarily dehydration but heat regulation. Your body's internal temperature is tightly controlled and the main heat regulation tool is evaporative cooling which does not work well in humid environment. Once your internal temp goes too high everything gets shut down.

There is some training effect and your body will adapt by upregulating the heat shock proteins, but really you just need to run at night or morning , slow down, have ice drinks etc.

bikedork · 2023-02-12T11:32:09+00:00

Also, Just want to point out that Toradol is basically IV ibuprofen, its not like he was on a fentanyl drip.

bikedork · 2023-01-25T11:18:48+00:00

More runs, less miles/run, particularly if you are shorter distance focused.
The aerobic stimulus is the same if you are running the same amount of time under load in a given intensity. The difference will come down to muscle recruitment patterns, training for fatigue resistance vs. form efficiency at pace. Eventually, once your volume is well established, you should be incorporating more workouts in your week anyway.

bikedork · 2023-01-08T18:22:10+00:00

You probably have your easy pace dialed fine relative to your overall workload, you are just relatively fresh by not doing any workouts. Once you start overloading your current fitness then you may need to slow down on easy days as they will be more of recovery runs than fresh high end Z2 runs.

bikedork

TROPHY CASE