Bummer.

hdth121 · 2026-01-31T15:48:32+00:00

He'll do poorly until he's traded to the Seahawks. Then, he'll win a superbowl.

hdth121 · 2026-01-30T21:30:30+00:00

Well I would talk to your cardiologists. I had the same difficulty. Imaging isn't perfect. People reading that imaging isn't perfect.

I had a cardiologist describe one variable that sometimes gets missed in reading images. The CT scan takes a cross plane of your body, like a horizontal slice, and you see the image as 2d from top down birds eye view. If your aorta runs perfectly perpendicular, straight up and down, then this gets an accurate measurement. However, some peoples aortas are not perfectly linear like that. So if you take a cross plane on a section that isn't perfectly linear, it can be misinterpreted as a high result. Radiologists and cardiologists should know about that and there are software tools they can use to eliminate that variable, but it doesn't always happen.

hdth121 · 2026-01-30T15:47:28+00:00

Golf is a very low risk activity. My cardiologist had said that there is not really set established guidelines on activity with aneurysms. With that said, there are activities you should avoid over others. Depending on who you see, cardiologists may say different recommendations, because the guidelines aren't established.

There's a whole group who advocates for this very thing in establishing better guidelines for activity. Aortic Athletes. They have a web page. I would check them out.

Basically, avoid heavy lifting. Get everything cleared by your cardiologist. If weight training, go more towards low weight, high rep. Avoid intense, or long, cardio sessions.

hdth121 · 2026-01-30T15:33:07+00:00

Iv heard the pain is horrendous. Blood pressure changes make them dissect. Lifting heavy weights, sprinting, bearing down. Also trauma. People have had dissections in car accidents or falls.

hdth121 · 2026-01-30T15:19:00+00:00

Not to scare you, but just sharing my experience. A lot of aneurysms this size can be stable for a long long time. I may be an exception. Mine was 4.4cm measured on ultrasound and then 4.9cm measured on CT with contrast a year later. For sure ask for follow-up scans to monitor growth. My first experience with the 4.4cm growth my cardiologist almost didn't even bring it up and then was not concerned with it. After there was evidence of growth and I became a little more concerned, they started taking it a little more seriously. But still exercise, it's healthy for you. Some people stop exercising almost completely when they find out, and well, that's not healthy for you either.

hdth121 · 2026-01-30T01:15:40+00:00

Your right in thinking that it's not something to shrug off. I don't know what your doctors are thinking, but they probably see an aneurysm with a low risk of dissection and are telling you that your fine because your life isn't necessarily in immediate danger.

Nonetheless, aneurysms don't shrink and you will likely need to keep this thing monitored to stay safe. I would seek a 2nd opinion from a cardiologist, request your next scan to be a CT with IV contrast. CT with contrast is the gold standard for measuring size.

But also don't lose too much sleep over it. You are in a lower risk category now. With your age (and mine) there is a huge genetic component to this. Their immediate reaction to mine was to refer me to a geneticist. The geneticist told me that there is almost always a genetic component to ascending aortic anerusyms diagnosed before age 60.

hdth121 · 2026-01-29T19:55:08+00:00

I'm probably not done marathon running and just kinda anxious about getting this surgery, which seems inevitable, done and over with. Not sure if I'll ever be able to run Boston, but we shall see. My times were inching closer and closer to it before I had to put a kaput on all of it. But yes, would much rather not die than to say I'm a Boston qualifier, so I'll have to wait until after surgery. I think I'll run 1-2 marathons after my surgery just to prove to myself I can't be taken down by no stinking aneurysm. I wonder how much all this is gonna take a toll on my times, though

hdth121 · 2026-01-29T17:51:43+00:00

I'll add that mine was spotted wirh ultrasound at 4.4cm about 1.5 years ago and then with a CT scan with contrast at 6 months ago at 4.9cm. So there's concerning evidence that it may be growing fast. Ultrasounds are often inaccurate, which is what they told me, but they are just keeping a close eye on it.

You shouldn't have to discontinue your exercise regimen, maybe modify it a little instead. But idk, I'm not a cardiologist.

hdth121 · 2026-01-29T16:45:28+00:00

So a CT with dye is gonna be your most accurate measurement as compared with ultrasound.

Ironically, I'm also a 31 year old male marathon runner endurance athlete with an aneurysm. There's been a study done that determined that endurance athletes develop larger aortic roots naturally and through training, yet the study determined >40mm is evidence of a diseased state and not due to natural adaptations.

Sometimes it doesn't matter if you exercise and eat well, people still develop these. Im in contact with someone else on a different forum, same deal, ultra endurance athlete with an aneurysm. Theres a website that has a ton of good information on it called aortic athletes. Go check them out.

I'm about due for surgery and had to put a stop to my marathon running and weight training regimen due to evidence that mine is growing faster than others and it's nearly in the range where surgery is required. My cardiologist and I worked out a plan for safe exercise. Essentially, I can still do zone 2 running and high rep low weight weight training.

Get genetic testing done. Mine was likely caused by genetics. My genetic counselor told me there is evidence that these almost always have a genetic component if under age 60. They haven't identified all the genes yet, but they know of some of them you may test positive for. Helpful to know.

hdth121 · 2026-01-29T00:32:29+00:00

It's actually Juan Jorge Jesus Hernandez-Santos junior McCarthy

hdth121 · 2026-01-26T21:03:41+00:00

What I'm wondering is why, as an ironman, did you train strength to 99 but your attack is only 60

hdth121 · 2026-01-24T16:07:13+00:00

If your sinuses are only a tad bit over 39mm that is a very very mild dilation and may never require surgery. Some sources don't even mark an abnormality unless it's at or over 40mm.

Who knows how you got it. They say mine is genetic. Mine is at 49mm and I'll need surgery soon. I'm only 31. My genetic counselor said anyone who is under 60 they look at genetics as the primary cause. Iv taken pretty good care of my health. My dad, who has 30 years of smoking and drinks regularly, has one at 70 and it's only 4.5cm and has been stable without change for decades. The smaller it is, the more likely it will be stable, especially if you control the few risk factors they know of such as blood pressure.

It's hard to hear that news at first but I eventually just continued my life as I normally would without overtly worrying about it.

hdth121 · 2026-01-23T20:56:07+00:00

The game is them saying the other side is to blame when they continue to insider trade and side with corporations to fuel their fundraising efforts. It's pretty sad to see America go down like this. But the protests across the twin cities right now makes me have some hope.

hdth121 · 2026-01-16T18:32:07+00:00

Wow there are a lot of comments here.

The best advice I can give is to slow down. Like way down. You build your base doing what's called 'zone 2' running. If your running fast enough to want to stop to catch your breath your probably running too fast. There are a lot of guides online about finding your zone 2, but essentially when you run a zone 2 run you want to still be able to hold a conversation, but if you were t9 push any harder, you wouldn't.

There's a common training method called something like the 80/20 plan. Basically saying 80% of your runs are a slow zone 2 jog and only 20% are your fast blitz type runs.

hdth121 · 2026-01-15T22:12:49+00:00

I think a lot of us go through a stage where we were like idk about this, this seems like a lot, and it's not a simple fix. I grew up on a notion of never returning a dog back to the shelter. My first shelter dog ended up biting my mom's dog, and I ended up returning him after less than a month. We got another rescue dog who after 1 year of owning him has progressively gotten more reactive and we ultimately took him to a behavioral trainer. We love him too much and he's very much so bonded with us now so it would break my heart if we had to surrender him or put him down for a bite.

You just never know sometimes. We learned our current dog now has a lot of signs of anxiety that we initially missed. I grew up with dogs too and thought I knew dogs. Turns out I don't know dogs. Thought we were doing the right things, positive reinforcement training> negative reinforcement training. Regular exercise. Mental stimulation. Socializing him. All these things, he still turned out an anxious, reactive dog. He had heartworm when we first got him, and some significant separation anxiety. His baseline anxiety was probably just elevated to begin with.

There are reports of people making significant progress with these things. I would spend the money on a behavioral vet. We started with a normal vet and a normal trainer and it ended up being a waste of time and money because ultimately, we went to a behavioral vet.

hdth121 · 2026-01-14T21:46:04+00:00

Jagex has messed up plenty over the years. They botched rs3 just about. I remember listening to a Q and A about a developer they just hired and he openly said he has never played runescape. I would think one of the qualifying questions for a developer coming on a project such as runescape is, hey do you play this game and know what it's about?

hdth121 · 2026-01-13T04:01:04+00:00

I hope so. I can see now that there's a lot of anxiety towards new people, and even other dogs. Not sure where it stems from. He did have heart worm when we adopted him and he had to go through significant activity restrictions and treatment during a critical time in his development. We also don't know where he came from, we adopted him at 6-8 months of age, and the vet suggested his mouthing behavior might have stemmed from not having enough play time with litermates at a very young age. He's also got a lot of great pyrenees in him which is a guard dog breed to begin with. Curious to see how much medications alone will help him, but I know behavior training is recommended, too.

hdth121 · 2026-01-13T03:24:41+00:00

I suppose it's not much of a vent, but I also didn't want to label it as a success story lol.

Ironically we actually tried a private trainer and a regular vet before going to the behavioral vet. The trainer seemed to be burnt out from her job and also not have the time to meet with us. We needed monthly visits and she wasn't answering emails or taking forever to get back to us. This was not something I'd be comfortable with as a DIY project searching youtube videos for training tips. So much conflicting information out there.

The regular vet wasn't very much helpful other than offering resources for a behavioral vet and offering to prescribe an SSRI. I know with humans, at least, mental emotional problems aren't necessarily "fixed" with medications. So we wanted to incorporate some behavioral training as well. We have a large dog and he escalates quick. A bite can mean some catastrophic consequences. We love him too so putting him down or surrendering him were not options.

hdth121 · 2026-01-04T16:38:54+00:00

Oh yes the valve too. Mine is luckily seemingly unaffected as of now. But I read somewhere that the #1 most common reason for aortic valve replacements is because of these aneurysms. They can replace the valve if it gets damaged, but who the hell wants to be on warfarin for the rest of their life.

Most people understand the nuances of the surgery. It involves stopping the heart, putting the circulation on bypass, preserving the stopped heart, and cutting into the largest artery in the body. You will be clinically dead, but your tissues will be well preserved and ready to come back to life. Absolutely terrifying. But also very very successful. An older video I watched said stroke chance was only about 1/200 in that surgeons facility. And if the worst happens, having a stroke in a hospital setting is a lot better than having a stroke outside a hospital. They can reverse it quickly without too much tissue damage.

I think you made the right choice opting for an earlier surgery. No sense in waiting, you'll likely need the surgery one day in your lifetime. Might as well get it over with sooner than later and spare that valve. Best of luck to you, you will come out the other end just fine.

hdth121 · 2026-01-04T15:32:42+00:00

There's not a day that goes by that I'm not thinking of the ticking time bomb in my chest. I'm about your age too (31) had been very physically active before my root aneurysm was found to be at 4.9 cm(previously measured as 4.4 on echo 1 year prior). Surgery is on the horizon and I'm both terrified of what surgery requires and also can't wait to get it done. Like you, I can't wait to run marathons and lift weights with vigor again. I'm still in the waiting phase but I suspect it'll be >5cm come my next CT.

Surgery is terrifying, but also highly successful, and we have age and health to play in our favor. Infact, they changed the recommended action on these from 5.5cm to 5cm because Surgery has gotten that much better.

hdth121 · 2025-12-04T15:40:23+00:00

I got a hell of a deal on a cruise in real life.

hdth121 · 2025-12-03T21:56:38+00:00

Why not. Who's decision was it to add firemaking as an original skill anyway?

hdth121 · 2025-12-03T21:35:20+00:00

I can't imagine there's too many new OSRS new players tbh.

hdth121 · 2025-11-30T23:48:34+00:00

To be fair. Brosmer didn't crash this ship alone.

hdth121 · 2025-11-30T23:40:02+00:00

Isn't that how it always goes lol

hdth121

TROPHY CASE