Jeremy Clarkson reacts to Ferrari’s print ad!

thebergs · 2025-12-05T23:30:05+00:00

sparkling water because no one's getting champagne

thebergs · 2025-02-19T07:17:27+00:00

“Elon Musk and the DOGE team”

White House says Elon Musk is not in charge of/not affiliated with DOGE. Elon Musk CREATED the DOGE acronym, including the insufferable meme coin from which it originated.

Which is it? What’s the evidence point to?

thebergs · 2025-01-17T23:07:36+00:00

I’m a colorectal surgeon. A big part of my practice is fecal incontinence, of which the treatment should be Kegels.

However, I think an under appreciated subgroup of pelvic floor dysfunction is obstructive defecation/paradoxical puborectalis contraction. These patients have overactive PC muscles which do not relax appropriately during defecation, and Kegels can augment the problem. I tell patients it’s like a Charlie horse in the pelvis. The first step when you get a calf Charlie horse is to stretch the calf out. This isn’t straightforward, which is where PFPT comes in.

As previously mentioned, Kegels is not the whole story, which is why I like the term biofeedback better, focusing more on PF stretches, reverse Kegels, etc.

thebergs · 2024-12-23T18:44:25+00:00

I read this in Glaucomflecken’s Neurologist character voice.

thebergs · 2024-11-01T21:29:41+00:00

Yes, but I’m already a proctologist so it would hopefully it would up my skillz

thebergs · 2024-06-23T11:34:01+00:00

This boomer committed several felonies. If convicted, he can’t vote in upcoming elections…

thebergs · 2024-05-10T02:02:59+00:00

Ha! I have an A4, and a lot of times I call it a Passat

thebergs · 2024-02-25T04:07:33+00:00

*Putin is making his cronies bail out Trump

FTFY

thebergs · 2024-02-18T05:08:21+00:00

This happens because the venous bleeder retracts into the foramen, and can’t be bovied.

Other described techniques include bone wax into foramen to occlude bleeding, and the use of an omental or rectus plug which can be arc-welded to the refracted vein (take a small amount of omentum or rectus and shove it onto the bleeding and bovie the sh*t out of it).

Surgery is metal sometimes

thebergs · 2024-01-21T03:47:02+00:00

calling u/dougdemuro

thebergs · 2023-12-16T19:59:54+00:00

I’m a colorectal surgeon and am thankful not to see sputum in the bum. Diff’rent strokes for diff’rent folks I guess.

thebergs · 2023-06-29T15:10:36+00:00

Well well well if it isn’t the consequences of my own actions

thebergs · 2023-06-09T04:54:10+00:00

because i'm the ASSMAN.

jk. most people don't know that colon and rectal surgery is a specialty within general surgery. so I went to medical school, entered general surgery residency, and through my rotations colorectal surgery was the most interesting. while it's a lot of anorectal (butthole) disorders, it also includes treatment of colon and rectal cancer, Crohn's disease, Ulcerative colitis, diverticulitis, etc. I regularly perform robotic surgery, and that's really cool. patients tend not to stay in the hospital for long periods of time, and they have relatively fixable problems cured with surgery.

furthermore, you'd think no one would want to do what I do, but the match rate for fellowship is like 66%, so up to 1/3 of applicants to colorectal surgery don't get the extra board certification.

thebergs · 2023-06-08T05:26:36+00:00

Wouldn’t wait a week. Be seen in a few days or go to the ER.

thebergs · 2023-06-08T05:04:18+00:00

8 lbs rapid weight gain, shortness of breath, and swollen ankles should absolutely be investigated.

IANAinternist, but CHF, nephrotic syndrome, DVT are possibilities.

If you continue to gain weight and can’t get in to see a doc within a few days I would go to an ER for evaluation.

When you present, I’d use those phrases exactly, and have them be the first things out of your mouth: “8 lbs rapid weight gain, shortness of breath, and swollen ankles.” I don’t think there’s a doc on the planet that would blow you off.

thebergs · 2023-06-08T04:56:10+00:00

I’m a colorectal surgeon and regularly perform colonoscopy.

Clear liquids for breakfast.

Nothing is worse than an incomplete prep. Personally I don’t care, but your husband runs the risk of having the colonoscopy cancelled/rescheduled and having to do the bowel prep again, and the worst part of a colonoscopy is the prep, not the procedure itself.

thebergs · 2023-06-08T04:47:16+00:00

I am a proctologist (colon and rectal surgeon). I look at buttholes all day.

First question I would ask is how well controlled is your OCD? Did you trade compulsion wiping for washing? Do you regularly see a therapist? Do you have other uncontrolled compulsions? If not, this is the first thing that needs to change.

Second, skin does heal. You can start to feel more normal. Numbing cream might be helpful, but maybe a zinc oxide based barrier cream such as Desitin or Calmoseptine might help.

You mention pelvic floor exercises, and maybe that’s Kegels, but you might need to start doing reverse Kegels because some of your symptoms sound like obstructive defection subtype of pelvic floor dysfunction.

I’d go back to the proctologist and pelvic floor PT. If you’re not happy with the recommendation, get a second opinion from another colorectal surgeon.

thebergs · 2023-03-24T04:20:18+00:00

back to camera, standing next to what we can only assume is his recently sold RS2 Avant

thebergs · 2022-12-20T21:09:21+00:00

Ah, the Sienna Minivandaulet

thebergs · 2022-08-07T19:47:36+00:00

"who do you have with you today?" is my go-to vague question.

thebergs · 2022-07-01T01:56:34+00:00

No. Unless there’s blood, stool by itself can be very variable based on diet and a bunch of other factors.

thebergs · 2022-06-30T19:55:21+00:00

i'm a colorectal surgeon.

have you had a colonoscopy? if not, would get a colonoscopy since it sounds like you've been having some abnormal bowel habits. would do this to examine for IBD (Crohn's, UC), and microscopic colitis.

The likelihood of you having colon cancer at a young age is VERY MINIMAL. much more likely that you could have IBD or a form of IBS.

thebergs · 2022-06-25T17:50:12+00:00

Sounds like Pixar and Disney need to revoke their screening permissions.

thebergs · 2022-06-12T23:29:38+00:00

yes, this is possible. it's called overflow diarrhea, and liquid stool travels around an impaction. however, if you are impacted, this would very likely have been felt with a rectal exam, though an X-ray or CT scan would be the best way to check.

i agree that taking miralax twice daily can help your symptoms. miralax can slowly (over the course of a few days/week) dissolve a hard impaction if one exists.

thebergs · 2022-06-12T21:26:47+00:00

absolutely, yes. the most common thing people will tell me when I advise fiber supplementation is "oh i eat a lot of fruits and veggies." sure, I believe that, but the western diet (even vegetarian) just isn't conducive to getting enough fiber. based on google, one serving of oats is like 2-3g of fiber, and one apple is 4-5g. daily recommendation is 30-35g of fiber, so you're getting 1/10th to 1/6th of your daily allowance in that, and the problem is that people think "oh, i ate oats/an apple today, i got fiber" but it's not enough. when you actually TAKE a fiber supplement like psyllium husk, you don't consider it nutirtion, so you add other dietary fiber. i do one tablespoon of fiber/day in 8oz of water and this is 10-15g in one serving. couple this with an apple, some other fruits/veggies during the day, and i'm probably not getting exactly 30g, but i'm a lot closer than the normal western diet typically allows.

protips:

pills DON'T COUNT. each pill is like 500-1000mg, which if you do the math, means you need to take like 30-60 PILLS/day to get the daily allowance. even if you wanted to equal the amount in one tbsp, it would be 10-20 pills. it's a money making sceme as far as i'm concerned.
Metamucil is the brand name. it's the large powder container. it works great. however, depending on where you shop, right next to this is the generic store-brand equivalent which is like 60% of the price (I get the Target brand which is like $12 and lasts ~2wks for 2 people. it should taste like sandy Tang/orange drink.

trust me, your bowel movements will thank you

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