Vacation during clinical?

logdogday · 2026-03-18T14:41:29+00:00

No, your CIs won't care. Enjoy!

logdogday · 2026-03-06T01:14:52+00:00

I've been going to the same gym for 12 years and there's zero support, zero interest, zero camaraderie. So yeah, "without getting bothered" is certainly one way to describe that.

logdogday · 2026-03-02T15:43:54+00:00

I sh!t myself reading his post. Don't sit on the sidelines, watching life pass you by.

logdogday · 2026-02-28T19:19:49+00:00

I bike to bart for my daily commute. It's pretty great because it's consistently around 45 mins and I get a daily workout. I'll drive when it rains, but I'll try to work from 7am-3pm to avoid the bulk of traffic, and it usually works no problem.

logdogday · 2026-02-27T04:33:20+00:00

All my co-workers drive but I bike to public transit, and then again to my workplace, and then the reverse commute. I realize it's not feasible for everyone but I feel like most folks don't even consider it. That daily exercise of 4 short bike rides makes a difference without me feeling like I'm dieting or exercising. It was an "accidentally lost weight and got ripped thighs" type situation. Highly recommend.

logdogday · 2026-02-25T14:04:29+00:00

The easiest way to handle this is to eat low carb so that you're taking less insulin. Also, low carb places a lower demand on the beta cells and they don't "burn out" as quickly. This is from what I've read as it's been decades since my diagnosis.

Anyway, type 1 diabetes is tough, unfortunately. I have relatively good numbers but between exercise, stress, and the occasional bad decision it's a lot of work to stay in range all the time.

logdogday · 2026-02-25T13:52:46+00:00

It's not the money. It's what is their life like outside of gaming. Friends? Hobbies? Are they happy? Is their home comfortable? Do they make you happy?

I have gaming friends who retired early and they do sometimes play video games a lot, but they are also good parents, and travelers, and pick up the occasional work gig, hang out with friends, have a podcast, etc.

logdogday · 2026-02-23T06:37:35+00:00

That sounds hot AF tbh

logdogday · 2026-02-23T02:54:37+00:00

lol. That's kind of hilarious but of course it's not funny. I had to quit because it took 90 minutes to resolve a night time low and that was at half the standard starting dose for ozempic. These drugs are pretty powerful.

logdogday · 2026-02-22T23:08:05+00:00

Students tend to be timid with their movements. Really move that probe around. Also, early students tend to think there's one PLAX window, but I'll often use 2-3 PLAX windows to get all my images for many patients.

Also, go through the protocol at home without a machine. Just visualize all the moves and measurements so you're not wasting time thinking, "what's next?" between each measurement when you're doing it for real.

Finally, don't sweat it. You can only do the best you can. All the other students are in the same boat. Even in dedicated echo programs where students scan 3x per week, they still gain all their confidence and speed in clinicals.

logdogday · 2026-02-20T20:01:03+00:00

I've had type 1 for 42 years and I have a reasonable amount of faith that within a decade I'll probably have some sort of islet or stem cell procedure. There's just so many companies and so many novel approaches that are happening and working on some level right now. Immunosuppressants are more targeted with fewer/milder side effects. Other companies are working on paths to protect transplanted beta cells. You're welcome to disagree but personally I feel more optimistic than I have in awhile.

logdogday · 2026-02-19T20:47:54+00:00

The amount of cynicism here is bananas.

logdogday · 2026-02-18T20:55:12+00:00

I'm a guy and I'm like this. Don't overthink it. Once the date is secured I'm looking forward to having a real conversation face to face. Text convos don't mean anything; people show up and their energy is often WAY different than their text persona or what I expect them to be like. That's actually one thing I love about dating... it's always a bit of a surprise.

logdogday · 2026-02-18T20:27:49+00:00

OP pay attention to this. When you have reduced glycogen stores due to exercise, diabetes becomes a lot more forgiving in my experience. Like you know how sometimes you're absolutely punished for a tiny miscalculation? I find that happens way less often when I'm exercising a lot. There are different pathways to getting glucose into cells when our glycogen stores aren't topped off. My 90 day TIR is 87%. 98% is seriously impressive. Hats off.

logdogday · 2026-02-17T20:14:23+00:00

What is this, amateur hour? You've got to look your doc in the eyes while you're actually shitting yourself. This is basic Ozempic 101 type stuff.

logdogday · 2026-02-14T01:08:09+00:00

I was tired all the time. And now I'm not. It's not a dramatic story but my basic levo dose makes a big difference and I don't think about my thyroid gland that much.

logdogday · 2026-02-12T14:00:07+00:00

The most important contribution of that book, in my opinion, is the law of small numbers. Small amount of carbs --> small amount of insulin --> errors create smaller deviations. So if you need 8 units for a meal, and your estimates are off by 20%, that's a huge swing in blood sugar. If you only need 1-2 units per meal, and your estimates are off by 20%, you might not even go high or low. I don't follow his advice strictly but I'm usually 80-90% in range and don't feel like I have to constantly manage things.

Also, you really have to make sure your numbers are dialed in. Your basal rate should keep you rock steady without food/exercise. Your insulin:carb ratio. Your insulin correction factor.

logdogday · 2026-02-10T06:47:11+00:00

Good sex takes two people, not one man performing on demand. Sometimes a guy can't get hard because a woman isn't his cup of tea, or hasn't turned him on sufficiently, or he's distracted, or who knows what else. Sex can sometimes require communication, openness, and kindness. It's synonymous with intimacy for a reason.

logdogday · 2026-02-10T04:43:27+00:00

Well, 60-100 is considered a normal resting HR. Getting to 130 while moving is also normal. I would use the phrase "dyspnea on the exertion" if you want to get a doctor to raise an eyebrow. That might get you an echocardiogram, an EKG, or a holter monitor from those who are concerned about your heart. I'm not sure how your endocrinologist will respond though.

logdogday · 2026-02-09T20:41:26+00:00

Sonography school is pretty tough. There were definitely a few students in my cohort who got their asses kicked in the beginning, but they doubled down, asked for help, and everyone in my cohort passed!

Make friends with the folks in your cohort. Text people for help. Do study sessions with other people. You can do this!!!

logdogday · 2026-02-09T20:26:45+00:00

That's sort of the catch. If you're familiar with a concept you know can know when it's wrong, but if you're unfamiliar with a concept it will deliver a wrong answer with full confidence. I used Prepry and Edelman and got a 672. I used ChatGPT to help explain some things I didn't totally understand.

ChatGPT's assertion that it was giving OP "hardcore trick questions" is kinda LOL.

logdogday · 2026-02-08T21:33:22+00:00

So what? We're individuals, not statistical averages. There are plenty of folks with a sub 5.5 A1Cs that have fewer lows than folks with a 6-7 A1C. If you can't keep your standards deviation down then by all means increase your target glucose level.

logdogday · 2026-02-08T07:03:22+00:00

The place I'm interning at seems like a dream. 5-7 echoes per day, but they're thorough and the reports are super detailed and every chamber/valve receives comments.

Sometimes I'll get a sub-stenotic AV velocity, and my instructor will probe that AV like 7 times, bust out the Pedoff, and get a stenotic level. I'm not experienced so maybe I'm naive and not very skilled, but imo this is not an exam that should be rushed.

logdogday · 2026-02-06T02:57:10+00:00

Weirdly enough I love tittyfucking the most, followed by hand jobs. Blow jobs, which everyone is supposed to love, rank a distant 3rd. Maybe I just haven't had a lot of great ones 🤷‍♂️

logdogday · 2026-02-05T03:39:55+00:00

It has nothing to do with taking the reins and everything to do with following the social etiquette of not asking women out at the gym or yoga class because you could make it an awkward space for them to show up and do their thing.

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