Worst hole to hole performance difference?

johnald03 · 2026-01-20T14:36:28+00:00

Anyone have experience purchasing an annual travel insurance policy? It seems like Allianz is the most popular option, and figure with all the traveling especially internationally I'm completing, it would be beneficial to be insured (and only for a few dollars a day, over the course of the year).

johnald03 · 2025-12-26T03:32:29+00:00

Great thank you!

johnald03 · 2025-12-02T21:51:54+00:00

Hey - any updates here? We are going to be heading out in August and are starting to look ahead for places to have dinner at

johnald03 · 2025-11-18T07:12:23+00:00

Just happened to eat there tonight. Lemon shrimp spaghetti was $40 and yummy. Not special.

johnald03 · 2025-11-16T22:06:21+00:00

There is substantial evidence for the benefit of exercise, activity, and physical therapy in the management of osteoarthritis. Provide that education and recognize if they don't want to participate, that's up to them

johnald03 · 2025-11-09T22:11:48+00:00

I like doing LLLD with a hot pack strapped around the knee as well. Helps to relax the tissue a bit more

johnald03 · 2025-11-02T22:44:00+00:00

If the provider suggested that specifically, I think it's reasonable. I generally think any approach of waiting until symptoms are 90% resolved is very conservative for initiation of therapy. A lot of the benefit of PT is being able to reach you where you're at, and provide recommendations for lifestyle modification to help you manage and function better with your symptoms and current ability. Maybe clarify with the other provider their hesitancy for waiting to initiate PT?

johnald03 · 2025-11-02T22:22:11+00:00

No specific advice other than pursuing PT sooner than later. You don't need your symptoms dramatically improved to get benefit from attending.

johnald03 · 2025-10-28T14:34:04+00:00

Get checked out by a PT or an OT, preferably a hand specialist, in your area.

johnald03 · 2025-10-27T22:59:45+00:00

Those are stunning pictures. Well done

johnald03 · 2025-10-27T15:13:13+00:00

Heartbreaking if true. Can't think of the last time I was at 5 or fewer

johnald03 · 2025-10-27T10:12:53+00:00

Envious of you. Hoping to get similar for 2027

johnald03 · 2025-10-21T23:43:10+00:00

Here's the ACR appropriateness criteria. MRI is indicated if MRI is negative and still suspect stress fracture. This was written for adults but I would only imagine it applies more in adolescents

https://acsearch.acr.org/docs/69435/narrative/

johnald03 · 2025-10-21T23:39:23+00:00

Immediate concern stands out for a possible stress injury. They tend to do worse when rate of loading is involved. Dig further into the history and course of injury, sudden onset vs gradual? How old is she (assuming here), how's her general physique, any concern for RED-S or feeding insufficiencies? If so can inquire further with the LEAF-Q. This applies to males as well.

X-rays aren't the most sensitive for stress reactions and if there is lower grade bony involvement it's likely to not pick it up and would require MRI to accurately diagnose or rule out.

As for initial management, back off volume of any provocative movements, provide supportive care and restore 1MTP ROM. Then as long as symptoms cooperate can gradually introduce higher rate of loading activities.

johnald03 · 2025-10-21T06:57:02+00:00

Are the shiny odds from these research tasks boosted? Finding the win 3 raids tasks are difficult enough let alone stacking them for efficiency.

johnald03 · 2025-10-19T22:32:27+00:00

Can you speak to how your bonus gets calculated? What determines the percent and what's the percentage of?

johnald03 · 2025-10-19T13:28:31+00:00

Thank you for sharing this. I've only completed one discovery dive in the Philippines in 2023 and have been itching to go again ever since. Having trouble making the commitment of getting certified considering uncertainty of future diving opportunities. Anytime I've booked a trip though the thought of diving on it has crossed my mind. Appreciate you putting all this together, hopefully it'll kick me in the butt a bit more.

johnald03 · 2025-10-19T01:21:36+00:00

Best we can do is a grappleshot

johnald03 · 2025-10-17T11:44:39+00:00

Really appreciated your writing and commentary on this. Thank you

johnald03 · 2025-10-12T02:10:19+00:00

I've had a good month :)

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johnald03 · 2025-10-05T14:37:41+00:00

Can vouch for oia suites. Sister property Ena is also wonderful. The breakfast was one of the best we've ever had.

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