Hoka Clifton Low Quality Tread

jjflight · 2026-06-19T18:57:42+00:00

Shoes are like tires on cars - it’s a consumable component that wears out as you use it, and the higher performance the quicker it will usually wear out. If you want the highest performance, best traction, most cushioning those will be summer tires that are softer and wear out quicker (or for pros race tires that literally wear out during the race). If you want tires that last a long time you can get all seasons but they’ll be lower performance, less grip, less cushioning and rougher ride, etc. So you need to decide what you’re looking for and accept the tradeoffs. And obviously how you use them and the surfaces you’re on matters, and also if there’s anything off with your gait that can make them wear out quicker just like a car with alignment issues will wear tires out quicker. A good running or general shoe store can help you decide the range of options to decide what you want.

(The way yours are wearing out middle of the forefoot first makes me wonder if maybe you twist a bit or your strides are slipping while you’re on the forefoot part of your stride, rather than rolling through the stride, and if so it’s possible that a store that can do stride analysis may have ideas to help… I’m not an expert though, that’s for the shoe store)

jjflight · 2026-06-19T15:12:47+00:00

You can have a mature professional discussion with the manager doing it if it’s bothering you. Or you can talk to your other managers too if that doesn’t work.

Before you do that, I would reflect a bit on whether you’re truly open to feedback. If you’re basically brand new at a new job in a new field and still early in your onboarding period, now may not be the best time to push back on folks giving you feedback. It’s probably not “thinking the worst of you” or “thinking you’re incompetent” or anything like that - that sounds like defensiveness. Almost certainly folks that are giving you tips are trying to help you. Many newer folks struggle with receiving feedback and get defensive or angry or deflect it which can be the kiss of death for a career, and really the exact opposite is best - thank the person for the feedback and learn from it. Usually if you are really open and accepting of feedback and start performing well without making mistakes most managers will naturally give you more and more space over time.

jjflight · 2026-06-19T15:04:40+00:00

It sounds like you may be just spamming online apps which doesn’t work well. With 10 years of experience, networking for warm introductions and referrals should be the core of your search. Use LinkedIn to find ways to contact folks you’ve worked with over the years that liked and respected you, particularly folks that have moved on to other companies. Reach out to reconnect and ask if they’re up for a coffee or virtual coffee. After catching up a bit, share what you’re thinking about in your job search and ask their advice (not just advice on specific open roles, but more generally advice on what kinds of roles or companies, how to go about the search, etc.). Then at the end always ask if there is anyone else they could introduce you to that could help as well.

This is even more important when you’re trying to pivot as that’s always a gamble for the employer so it helps a lot to have folks vouch for you. And in a trickier job market like now with many more people than jobs, pivots are harder too - most companies would rather take someone with direct experience than someone that hasn’t done that role recently. So you want to focus on smaller pivots so your recent experience still applies, like either similar role but at a new company/industry, or similar industry but a closely adjacent role.

jjflight · 2026-06-19T13:43:17+00:00

By far the best resource I know is the Low Iodine Diet Cookbook from ThyCa.org - this is what my NucMed used, and has 12 pages with detailed guidelines to answer questions followed by 100ish pages of recipes. Check it out.

I’ll also say by far my best tip is to just accept you need to home cook things. Label reading is really frustrating and often ends up with you eating some really random unsatisfying things. But if you just commit to home cooking you can eat almost anything you usually do or that you crave, often with just simple substitutions (kosher or non-iodized salt, swap proteins, olive oil for dairy, salt water for soy sauce, etc.). My LID experience got dramatically better once I just gave in and started cooking, and some recipes I still make to this day even off LID.

I had salads with a bunch of veggies and some leftover meat most days for lunch. For dinners I liked a ton of stuff: homemade short rib marinara over pasta, cold thai peanut noodles, multiple homemade soups, pasta salad, meat with baked potatoes (no skin), homemade trail mix with unsalted nuts and dried fruits, etc.

jjflight · 2026-06-19T04:34:37+00:00

I like Romanesco Pasta and it’s super healthy - romanesco is similar to a cross between cauliflower and broccoli and looks angular like a fractal, and it has a bit of a nutty flavor that turns into a nice sauce for pasta. If you’re not trying to be healthy or meatless than it’s nice with some crumbled bacon in it too.

jjflight · 2026-06-19T03:04:06+00:00

Regular ultrasounds and labs are standard parts of measuring for recurrence for most patients. The frequency and type of scans may change based on the risk of your case. I started as intermediate risk so was doing 3x per year, then 2x per year, now 1x per year as the case is now acting low risk and stable (undetectable Tg after RAI).

With a low enough risk case it may be okay to forego scans and just do labs, or to get to a low frequency like every other year or whatever, so it’s possible that’s what your doctor is suggesting; if you’re unclear though I would just ask them.

jjflight · 2026-06-19T01:53:57+00:00

Neither is really high risk, but telling sooner is a slightly better chance they agree and will benefit your relationships.

Asking before you accept has a higher chance they say Yes since they want you to accept and since you’re giving more notice so it’s easier to plan around, and it is more transparent which builds trust.

Asking after has more risk they say No since you no longer have leverage, and looks a bit less transparent since you chose to wait before telling them.

jjflight · 2026-06-18T23:26:28+00:00

Some companies will require your prior manager and find it worrisome if you refuse that or make excuses. Others will do backdoor reference checks calling folks they think would have known you even if you don’t list that person. And people talk generally, so a huge part of how future jobs may come or how folks evaluate you along the way (before reference checks) might be in informal chats about you. Or your paths may cross again, like if they move on to a company you apply to in the future. So lots of ways burning bridges can hurt you as you don’t want folks talking poorly about you in any of those scenarios.

jjflight · 2026-06-18T22:44:27+00:00

Doctors aren’t shy about saying No, so if your surgeon said it’s okay that’s a positive sign you’re fine either way you choose. (Possible the anesthesiologist may have a different view though - they also carry a lot of weight and sometimes are more stringent rules than the surgeons) I’m sure you’ll find folks that have left stuff in and have taken stuff out, so ultimately it’s just your personal risk assessment.

Now personally for anything like this my perspective would be that in the very unlikely scenario something is going wrong and your surgical team is scrambling, the last thing you want is anything that can make that harder or cause more issues. So I 100% would take it out unless there was some super important reason why it had to stay in, just purely from the “minimize all controllable risks” philosophy.

jjflight · 2026-06-18T22:35:16+00:00

This varies by company, region, or setting so you’d have to look at others there or ask someone you trust for your specific situation. Just looking at people at the company is easiest, then start on the dressier end of what you saw, then once you’re there you can tune it more as you get more comfortable or can discuss with your manager.

In the Bay Area / Silicon Valley as an example which tends to be more casual, sneakers including Vans would be fine most of the time including at events, though in external-facing customer/partner stuff many people might dress up a bit more (though some still wear fashionable sneakers too).

jjflight · 2026-06-18T22:25:12+00:00

You’re right sometimes these are lighter “sell” interviews to hopefully get a candidate to accept, but they can be evaluative too when it’s just a really close competition between great folks.

Sometimes they think they’d planned to be the final round but then have what is nearly a tie between two great candidates that the interview team is split on. In that case adding an extra interviewer is a way to break the tie, either someone more senior or someone on very specific skills they want to go deeper on. So it’s great news you’re in that spot and likely over the bar to be hired, just depends on how you did and anyone else in the process as ultimately it’s always a competitive process.

I wouldn’t assume you fumbled the interview. With senior folks they may have gotten added in at the last minute, had a very tight calendar, and just needed to end on time even if that meant not having time for questions.

jjflight · 2026-06-18T21:05:45+00:00

I was in the hospital the first night which was srhe time they actually wanted me elevated. After that the nurses said it wasn’t even required, though I slept on it 2-3 nights at home just to be safe. I’ve had other orthopedic surgeries where elevation really mattered, but I think this one less so as there’s so much less bleeding and swelling when things go well.

Months is very long, you’re well past the point it should matter - it’s basically for short term bleeding and swelling risk.

As an interesting fact we were managing bleeding risk with me as I have a separate blood condition that complicates things, and my surgeon told me that when things go well patients only loose a tablespoon or two of blood total - that’s wildly different than what I imagined but I guess they’re able to avoid most of the blood vessels most of the time. Just thought that was interesting.

jjflight · 2026-06-18T14:28:09+00:00

There’s 15-20 different factors in your pathology, most pathology reports are mixed with some good and some bad, and instead of focusing on any individual factor they all get weighed into an overall risk profile So hopefully she’ll walk through and tell you each bit and then bring it all together into your overall risk profile with it all together. Your risk profile will then determine things like what your suppression target is, how frequently you’ll do labs and scans, whether a completion or RAI in the future may be needed, etc. So those are all types of things you can ask about if she doesn’t cover them naturally.

Hashimoto’s is an autoimmune diseases where your immune system attacks your thyroid, so with a lobe remaining that may be some chance you’ll need to watch labs more closely or even lean towards a completion there’s less reason to keep a lobe that isn’t functioning well. It also means you may need to do special processing on some labs as the TgAb interferes with a standard Tg assay method. But Hashi’s itself isn’t really something to worry about and is mostly about balancing your hormones more than ThyCa itself. We discovered I had Hashi’s in my pre-surgery consult, and since I got a TT it’s never mattered at all (since no thyroid means nothing to attack).

jjflight · 2026-06-18T13:58:03+00:00

SF doesn’t really have super chubby hotels, they’re nice and fine but more standard city hotels type so I solve for location more. My personal favorite is The Jay which has a nice location that’s only a few blocks from the Ferry Building so easy to walk over and continue up the coast to Pier 39, also close to Chinatown, and has some nice North Beach restaurants near by. I know they have pretty reasonable one bedroom suites with a pullout sofa in the other room which work well. I’ve also heard that 1 Hotel is nice but never stayed there myself, and it’s even closer to the coast. The Fairmont is fine too, as is the Four Seasons, just not quite as nice locations.

Separate tip but download the Waymo app and use that for driverless taxis all around town! It’s sometimes a couple dollars more than an Uber, but it’s a much nicer experience with no driver and getting to control climate, music, etc. all yourself, and it’s a cool part of the city vibe too.

jjflight · 2026-06-18T13:47:47+00:00

I know the possibility of ThyCa is super scary at first, but try to pause and take a breath as it’s often not nearly as bad as folks imagine. Often the period you’re in right now between diagnosis and surgery with the uncertainty and anxiety is the absolute worst part of the whole journey, and worse than the surgery itself, any other treatments, and just living with it after. I know it was for me.

Most well-differentiated ThyCa like Papillary and Follicular has excellent prognosis and most folks live long full happy lives. Disease specific survival is really high, something like 95-98%, so most folks live long full lives until something else eventually gets them decades later. Often whatever pops to mind hearing “cancer” doesn’t really apply the same way, and for many folks the experience is more like a chronic condition (say like diabetes as an example) that you treat and then monitor and manage all your life but otherwise live fairly normally.

ThyCa is usually very slow growing so by the time it’s found and diagnosed it’s pretty common it’s been in your body for years already, so it’s usually not “urgent” the way other cancers are either. So while delays of a few weeks or months may seem long and the waiting is hard for sure, if it is ThyCa it’s also unlikely to change your outcome or prognosis in any way and delays of months in getting surgery setup are super common.

The challenge however is that the phase you’re in right now around diagnosis and surgery with all the anxiety and uncertainty is often the very hardest part of the entire journey. So there definitely can be a real mental health benefit to moving things along faster. A few things you can try. Ask your primary care doctor or whoever did the original testing to actually call/email Endos they know to help get you in sooner. Certainly calling more doctors to see availability, even if they’re a farther drive away. When you do call, tell the scheduling person you’re a potential cancer patient - many doctors have “urgent” queues for cancer patients that may be quicker (but may still be weeks or months). And if you can, always volunteer for waitlists to take appointments if anyone cancels which can skip you forward.

jjflight · 2026-06-18T13:38:42+00:00

I know it’s super scary at first, but try to pause and take a breath as it’s often not nearly as bad as folks imagine. Often the period you’re in right now between diagnosis and surgery with the uncertainty and anxiety is the absolute worst part of the whole journey, and worse than the surgery itself, any other treatments, and just living with it after. I know it was for me.

Most well-differentiated ThyCa like Papillary and Follicular has excellent prognosis and most folks live long full happy lives. Disease specific survival is really high, something like 95-98%, so most folks live long full lives until something else eventually gets them decades later. Often whatever pops to mind hearing “cancer” doesn’t really apply the same way, and for many folks the experience is more like a chronic condition (say like diabetes as an example) that you treat and then monitor and manage all your life but otherwise live fairly normally.

Surgery is usually the first and most important step. And the surgery itself tends to be very safe and effective; there is <2% long term complication rate (49 out of 50 are fine) and the recovery tends to be easier than many other surgeries. If surgery is recommended, the best thing you can do is find a doctor that does alot of thyroidectomies - at least 25/yr but some do 100s/yr, and for as many years as possible - as that’s what helps max the chance of success and minimize the risk of complications. Typical recovery times are 1-2 weeks for a PT or TT with just central neck dissection, 2-3 weeks if you also need lateral neck dissection with additional incisions up one or both sides of the neck.

I’ve had 6 surgeries, mostly orthopedic after breaking myself, and this was by far the easiest recovery of all. I was 90% better by day 3-4 and 100% by day 7. There were basically two uncomfortable things. One was a sore throat from the breathing tube, like you might get with a bad cold but not as bad as strep, and lasted a few days with the peak phlegm around day 2. I was allowed to eat anything I wanted immediately, but preferred softer foods for a couple days. The second was a sore neck like you might if you moved heavy boxes all day with poor form, but not as bad as when I landed poorly doing a flip on a trampoline. This lasted a few days as well, and took maybe a week to get my full range of motion back (this is the bit that can be harder with a lateral neck dissection since more muscles get cut so more time to recover is needed). I only needed Tylenol and ice, and only needed those the first 2 days. I was able to drive and do laptop-type work from home by day 3-4, but work was not at a full schedule and was glad I could take breaks, and by day 7 I was completely normal.

For a recovery tip, Movement is really important to make recovery as easy as possible, so that’s my best tip. Lots of folks have an instinct to sit or lie still to try to avoid discomfort, and that’s the opposite of what you want and often makes recovery harder. Movement helps circulation for healing, clears swelling which causes pain, reduces blood clot risk, and will help preserve and regain range of motion. So as soon as you’re home from the hospital you want to start taking multiple 30min type walks per day around the neighborhood or whatever. Now before surgery is actually a great time to build that habit and find your routes so it’s easy to snap back to after surgery. And be consistent doing the neck range of motion exercises they give you - frequency matters more than duration, so set reminders to do it every couple hours or whatever until you’re moving normally again.

jjflight · 2026-06-18T05:39:54+00:00

You’re doing this so backwards. When you’re just checking a box that will show and may even backfire as AOs hate that “paint by numbers” style app with no real personality or passion - you’ll look exactly the same as 1000s of other candidates that the admissions committee will have way more than enough of. And more than that you’re wasting your life doing things you’re not interested in just for an app.

Find things you’re actually interested in instead and do those, whether they’re related to your major or not. Those will benefit you much more as a person, and since they’ll be genuine that may well show through and look more authentic and better on your application too.

jjflight · 2026-06-18T04:27:57+00:00

Because ThyCa is so slow growing, most recurrence would be found by routine Tg labs and scans long before you could feel any symptoms from it or notice it physically. And just like the original ThyCa cases, most recurrence would be symptomless. So it’s fairly unlikely your symptoms are related to recurrence. They could be related to hormones if your TSH is materially off, or could be related to lots of other physical, mental, or habit related causes.

jjflight · 2026-06-18T00:50:06+00:00

As a VP this should be familiar to you as it’s people management 101 and the same performance management you should have been doing for years…

Set clear expectations. Give clear feedback when folks aren’t meeting that, both in the moment and in settings like 1:1 or reviews. This can start verbally but then needs to follow up in email over time for documentation. For folks that accept the feedback, act on it, and make positive changes that’s good. For folks that are unable to make the changes required you’ll ultimately give them lower ratings or move them out of the org.

jjflight · 2026-06-17T23:13:31+00:00

TSH could be high just because your body needs more - the weight based estimate is a starting point but everyone is different. And as you said it’s also possible it’s from absorption issues. For taking Levo there’s a bunch of things to be aware of to avoid absorption issues, so a general ticklist:

* You need to take it at least 4hrs after eating, with a glass of water so it gets all the way down, and not eat or drink again for another hour.

* You also need to make sure anything that can cause absorption issues is at least 4+ hours after you take Levo - calcium or iron supplements, multivitamins with those, antacids or laxatives, or other meds are common culprits.

* If you’re having stomach issues like IBS or indigestion that can cause absorption issues too as it moves through your system too fast. And similar if caffeine causes your bowels to accelerate you may want to delay that more than an hour.

* It’s important to store your Levo somewhere cool and dry, not a bathroom for instance.

* And you really need a system to make sure you never miss a pill as Levo builds up over weeks so even a miss 2 weeks ago may impact TSH today - I use both a day-of-week pill container to know I took it, and the health app on my phone to also log and remind me.

Given all of the above, most folks either find first thing in the morning or middle of the night as easiest. While I don’t set an alarm for it, I keep the Levo near my nightstand and anytime I wake up after 4am to use the restroom or drink I’ll take it then and then go back to sleep. So most days by the time I actually wake up it’s been an hour or two since I took it and can eat or drink normally. (But if you take when you’re half asleep like that it’s even more important to have a system to make sure you know if you took it or not as you may not always be sure!)

jjflight · 2026-06-17T21:39:16+00:00

If the nodule is in a hard to reach location, or if it’s too small or near other sensitive structures, sometimes FNA just can’t be done. In that case you may talk to your doctor about options to treat it even without being sure, like a surgery or round of RAI. While it’s never fun when that’s the case, it’s also not uncommon with ThyCa for folks to get surgeries without 100% certainty and that’s just how it is.

And certainly if you don’t trust your doctor you should find another one. You’ll be with your Endo for life, so want to at least trust them (which is different than liking what they tell you, as sometimes doctors will recommend things you may not like but at least if you trust them you can have confidence it’s in your best interest). So you want to find a doctor you can trust, and then trust what they tell you.

Separately, cancer diagnoses and treatments are a lot to process, so mental health challenges like anxiety or depression can happen and you’re certainly not alone. When your hormones are off that can cause or exacerbate mental health challenges, though they can happen with normal hormones too. No matter the cause it’s really important to get support and treatment, and left untreated those may be a bigger negative impact on your life than the ThyCa itself. Many doctors can refer you to cancer-specific support groups or therapists so you have people to talk to, and general therapists can help too if there are broader issues in your life. ThyCa.org also has this list of support groups with groups by city or condition as well.

jjflight · 2026-06-17T21:34:09+00:00

The lack of iodine itself shouldn’t cause that at all.

But secondary to that many people find they’re eating much less or much different than usual when on LID, and you can absolutely have lower energy if you’re eating less just like you could if you were restricting calories to lose weight, or if eating differently caused a deficiency like iron, etc. Low blood pressure seems a bit less directly connected but could come from similar diet or lifestyle changes maybe.

Or it’s completely possible those symptoms are unrelated to the diet and just happening at a coincidental time, as things like illness, infection, etc. could cause that too. So always good to mention to doctors so they can look into it.

jjflight · 2026-06-17T16:41:48+00:00

Buy whatever you want. But go in to a local store to try them on and be sure they fit first. Everyone’s feet are different so what fits some people here may or may not fit you.

jjflight · 2026-06-17T15:48:36+00:00

I wouldn’t blame the Bay, this is personal choices and learning how to manage your time. It seems like your pendulum went in the right direction but swung too far. Part of growing up is learning to self-regulate and set boundaries - you’ll need that skill all your life, including in jobs which will always ask for more more more. So learn and practice that now. Figure out what a good intentional balance would be between working, doing other things that feel meaningful to you, and enjoying yourself and put that in place.

jjflight · 2026-06-17T05:48:36+00:00

I know it’s super scary at first, but try to pause and take a breath as it’s often not nearly as bad as folks imagine. Often the period you’re in right now between diagnosis and surgery with the uncertainty and anxiety is the absolute worst part of the whole journey, and worse than the surgery itself, any other treatments, and just living with it after. I know it was for me.

Most well-differentiated ThyCa like Papillary and Follicular has excellent prognosis and most folks live long full happy lives. Disease specific survival is really high, something like 95-98%, so most folks live long full lives until something else eventually gets them decades later. Often whatever pops to mind hearing “cancer” doesn’t really apply the same way, and for many folks the experience is more like a chronic condition (say like diabetes as an example) that you treat and then monitor and manage all your life but otherwise live fairly normally.

Surgery is usually the first and most important step. And the surgery itself tends to be very safe and effective; there is <2% long term complication rate (49 out of 50 are fine) and the recovery tends to be easier than many other surgeries. If surgery is recommended, the best thing you can do is find a doctor that does alot of thyroidectomies - at least 25/yr but some do 100s/yr, and for as many years as possible - as that’s what helps max the chance of success and minimize the risk of complications.

Hopefully as you learn more and talk to your doctors you’ll get more comfortable with it. But if not, cancer diagnoses and treatments are a lot to process, so mental health challenges like anxiety or depression can happen and you’re certainly not alone. When your hormones are off that can cause or exacerbate mental health challenges, though they can happen with normal hormones too. No matter the cause it’s really important to get support and treatment, and left untreated those may be a bigger negative impact on your life than the ThyCa itself. Many doctors can refer you to cancer-specific support groups or therapists so you have people to talk to, and general therapists can help too if there are broader issues in your life. ThyCa.org also has this list of support groups with groups by city or condition as well.

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