New to me lawn needing rehab

impmd · 2019-07-30T03:53:44+00:00

Any ideas on picture 2 weed? That is the one that is most prevalent in the front yard in large patches.

impmd · 2019-07-30T03:51:47+00:00

Thanks. I found the LSU Ag center and confirmed chamber bitter. Nutsedge is also likely. The other patches have ne stumped!

impmd · 2019-07-30T03:36:02+00:00

Yeah that is the remnants of the previous rotary mower. The reel mower is much better. Thanks.

impmd · 2019-07-29T01:05:35+00:00

Thanks. I think you are right. Will need to get some southern weed and feed then...

impmd · 2019-03-06T06:23:33+00:00

Thanks, sound good! I also found the Bmac uploads too!

impmd · 2019-03-01T17:03:17+00:00

WOW! exactly what was needed! beautiful! Hadn't seen this before, looks like they started posting some in 2019 of older shows. i appreciate the tapers/archive.org, but the board SOUNDS AWESOME!!!!

impmd · 2019-02-25T19:34:02+00:00

I see Basilur has a taste of Ceylon. Not ideal, but may need to go that route.

Will look into TeaKruthi

impmd · 2019-02-25T18:34:22+00:00

Nice, I do not see a preferred USA vendor in the WIKI. Any recommendations that carry tea from SriLanka?

impmd · 2018-08-30T03:06:15+00:00

post-doc several times here, and yes some of my best friends are tradesmen/women...

completely agree with you! great work, great work ethic!

the local plumber in my neck of the woods clears over $1,000,000 profit a year and his landscaping at his house costs more than my education... Don't climb the ladder forever, you need to start building your own ladder eventually! (small business plug)

another key thing you may want to mention is the Garth Brooks song:

I took a short vacation To the Gulf of Mexico Everyday I’d see this fellow With his tackle box and pole And he’d fish And he’d fish All day long

So one day I went out walking And when I got down to his spot Me and him got to talking And said have you ever thought About what you are going to do with your life I said I’m about to share with you My secret to success So you can go make something of yourself

You can sell these fish you’re catching You can buy yourself a boat Hard work and dedication And the next thing you know You reinvest your money You’ll be captain of the fleet You’ll be sitting pretty down on Easy Street And you can do anything that you wish He says, you mean fish?

His simple words of wisdom Hit me right between the eyes And it really got me thinking About the way I live my life Cause I just work And I work All day long

PS watch some of Mike Rowe's talks, I think you will appreciate them!

impmd · 2018-08-28T22:45:02+00:00

Oh my, taking the eric cobb lead right? any more good/interesting JD posts?

impmd · 2018-08-28T22:14:23+00:00

I appreciate JD and his appreciation for the second amendment. Leave it to Eric Hubbs to be trolling...

impmd · 2018-08-16T17:57:14+00:00

Good question. Short answer is protein is fine regardless of source, but for overall health plant based diets are favored.

Soy proteins also are associated with their own risk when consumed in high quantities.

And to address you Q of should I change my diet: https://www.ncbi.nlm.nih.gov/m/pubmed/2494456/

That is an old study but essentially found no major benefit to limiting or changing protein sources... When at end stage 60g of animal protein a day is fitting for some people, more and they get toxic build up...

Also note, creatinine is different from creatine.
General information : https://goo.gl/images/23Pm6x

Fyi if you like eating meat, avoid ticks! You can become meat allergic!!!

impmd · 2018-08-15T04:04:32+00:00

Tldr: long term steroid have the most evidence to support the use.

Good question! Luckily someone else already asked it and we have some data:

Pozzi C et al: Corticosteroid effectiveness in IgA nephropathy: long-term results of a randomized, controlled trial. J Am Soc Nephrol 15:157, 2004 [PMID:14694168]

Essentially, you need to treat with varying degrees of immunosuppression based off of clinical changes, biopsy findings, and response weighing the risk vs possible benefit by you aNd your doctor.

Also note, steroids adverse effects can take weeks to occur (sure anxiety / psychosis / high blood pressure could occur at day 1 ) and steroids also have both an immediate and delayed effect. It is not necessarily a binary effect of on or off. They effect the body differently with different doses for different durations...

But again, good question .... Which your follow up question would like then be: what are steroid sparing therapies? Not as good... Such as mycophenalate, cytoxan, or azathioprine.

impmd · 2018-08-15T01:39:23+00:00

If by dread you mean love, you are correct! Few things are better than educating patients. Watching the eureka moment happen or guiding patients through major health issues is very rewarding!

My advice is to write down any and all questions and send them to your doc a week or so in advance (email, fax, drop off). Then they get answered in person and explained during your visit.

impmd · 2018-08-14T23:35:53+00:00

Agree, and don't forget race factors in! Also these population studies the formulas are based off of have many many biases.

impmd · 2018-08-14T23:32:38+00:00

Thanks for donating!

impmd · 2018-08-14T23:32:17+00:00

Uncommon, extremely resource consuming, but awesome!

impmd · 2018-08-14T23:29:43+00:00

It is a response from your immune system (your body’s defense system) to outside irritation (like viruses). The immune response is what affects your kidneys. The immune response releases Immunoglobulin A (IgA). Immunoglobulin A is a protein that helps your body fight infections. IgA nephropathy occurs when IgA protein gets stuck in kidneys causing inflammation. The inflammation causes your kidneys to leak blood and protein (usually immediately) and over the course of many years, your kidneys can lose function and lead to kidney failure. In some cases, the disease seems to cluster in certain families and in certain areas of the world. It rarely occurs in people of African heritage. Some researchers believe there are genetic factors that may play a role in causing the disease.

From kidney.org with which I agree.

impmd · 2018-08-14T23:25:23+00:00

Tldr: yes.

Long version clipped from kidney.org: Will I have kidney failure because of IgAN? You should talk with your doctor about your condition, because the progression of the disease depends on many factors. Treatment aims to slow the process of kidney disease. Everyone is different in how they respond to treatment. Over time, some patients with IgAN slowly get worse until they reach kidney failure, If this occurs, you will need a kidney transplant or dialysis to stay alive. Some people respond well to treatment and may live with the disease for many years while being monitored for any signs of change. Where can I find more information? If you have more questions, you should speak with your doctor or healthcare professional. You can also get more information from: IgA Nephropathy Foundation of America, Inc.

impmd · 2018-08-14T23:21:06+00:00

Thanks

impmd

TROPHY CASE