u https://dl.dropbox.com/u/9627011/photos/am0n.gif breh??
― 乒乓, Monday, 11 March 2013 15:08 (eleven years ago) link
post-call, feeling sanguine, but that might be the 3hrs of sleep talking
― well if it isn't old 11 cameras simon (gbx), Monday, 11 March 2013 15:16 (eleven years ago) link
:) good luck dude!! in these situations the waiting is the worst worst worst part by far ime
― 乒乓, Monday, 11 March 2013 15:17 (eleven years ago) link
t-minus 30min
― well if it isn't old 11 cameras simon (gbx), Monday, 11 March 2013 15:27 (eleven years ago) link
this is always how I feel http://youtu.be/A90TYC0BiwE (spoilers if u havent watched the wire)
― 乒乓, Monday, 11 March 2013 15:39 (eleven years ago) link
http://img.photobucket.com/albums/v617/WidowOfDestiny/Jiggle_Panda.gif
― well if it isn't old 11 cameras simon (gbx), Monday, 11 March 2013 16:00 (eleven years ago) link
http://www.netanimations.net/Dancing_skull.gif
― well if it isn't old 11 cameras simon (gbx), Monday, 11 March 2013 16:44 (eleven years ago) link
WAHT DOES THIS MEAN
― quincie, Monday, 11 March 2013 23:09 (eleven years ago) link
congratulations I bet
― Plasmon, Monday, 11 March 2013 23:25 (eleven years ago) link
sorry, napping
MATCHED
― well if it isn't old 11 cameras simon (gbx), Monday, 11 March 2013 23:53 (eleven years ago) link
http://novelnovice.files.wordpress.com/2010/11/matched_futures-rewritten_the-society.jpg
― Nilmar Honorato da Silva, Monday, 11 March 2013 23:54 (eleven years ago) link
http://i.imgur.com/ZeO6hyk.jpg
― 乒乓, Monday, 11 March 2013 23:57 (eleven years ago) link
BUT WHERE????
― quincie, Tuesday, 12 March 2013 00:02 (eleven years ago) link
Awes gbx
― latest worst poster (darraghmac), Tuesday, 12 March 2013 00:02 (eleven years ago) link
Congratulations!
I am super disappointed I am working long on Friday, I would like very much to go and see where my 2013 dudes end up.
― Dr. (C-L), Tuesday, 12 March 2013 03:15 (eleven years ago) link
congrats man!!!
― k3vin k., Tuesday, 12 March 2013 03:37 (eleven years ago) link
Yay!
But do you know where you matched yet?
― Sara R-C, Tuesday, 12 March 2013 04:51 (eleven years ago) link
congratulations!
― estela, Tuesday, 12 March 2013 04:59 (eleven years ago) link
Go, gbx!!
― lets just remember to blame the patriarchy for (in orbit), Tuesday, 12 March 2013 05:08 (eleven years ago) link
he'll know Friday
― k3vin k., Tuesday, 12 March 2013 15:33 (eleven years ago) link
yup
― well if it isn't old 11 cameras simon (gbx), Tuesday, 12 March 2013 15:49 (eleven years ago) link
https://dl.dropbox.com/u/9627011/photos/am0n.gif
― 乒乓, Tuesday, 12 March 2013 16:05 (eleven years ago) link
http://m.youtube.com/#/watch?v=ajcGDaLy4Zw&desktop_uri=%2Fwatch%3Fv%3DajcGDaLy4Zw
― well if it isn't old 11 cameras simon (gbx), Tuesday, 12 March 2013 16:41 (eleven years ago) link
LIVE FREE OR DIE
― well if it isn't old 11 cameras simon (gbx), Friday, 15 March 2013 18:58 (eleven years ago) link
congratulations....
― Nilmar Honorato da Silva, Friday, 15 March 2013 19:10 (eleven years ago) link
one giant leap for gbx
― Aimless, Friday, 15 March 2013 19:12 (eleven years ago) link
Congrats! Sooooo NH?
― quincie, Friday, 15 March 2013 20:14 (eleven years ago) link
I'm not too good with the state mottos.
― quincie, Friday, 15 March 2013 20:15 (eleven years ago) link
either that or he has started a crime spree
― iatee, Friday, 15 March 2013 20:18 (eleven years ago) link
Yay! New England! Things were crazy here earlier with people talking about all this. Congrats, E.
― go to party leather (ENBB), Friday, 15 March 2013 20:22 (eleven years ago) link
http://i.imgur.com/O4fupWI.jpg
― 乒乓, Friday, 15 March 2013 20:24 (eleven years ago) link
that's awesome, congratulations.
― Plasmon, Friday, 15 March 2013 20:50 (eleven years ago) link
That sounds AMAZING!!! Congratulations!
― Sara R-C, Saturday, 16 March 2013 21:12 (eleven years ago) link
Wait, if my jaymc.xls is correct, didn't you go there as an undergrad?
Because I am also going to where I went as an undergrad. Basically we need one more ilxor to go to med school and do this and then we'll have a trend piece!
Congratulations, now begins the weirdly bittersweet period of realizing everyone you'vegone through the past few years with is about to go away. 4th year 4-eva
― Dr. (C-L), Saturday, 16 March 2013 22:42 (eleven years ago) link
haha I just remembered what school is in New Hampshire
epic gratz gbx
― my god i only have 2 useless beyblade (silby), Saturday, 16 March 2013 23:27 (eleven years ago) link
I've heard great things about the university of south new hampshire's medical school
― iatee, Saturday, 16 March 2013 23:55 (eleven years ago) link
Wait, if my jaymc.xls is correct, didn't you go there as an undergrad?Because I am also going to where I went as an undergrad. Basically we need one more ilxor to go to med school and do this and then we'll have a trend piece!Congratulations, now begins the weirdly bittersweet period of realizing everyone you'vegone through the past few years with is about to go away. 4th year 4-eva
that is my alma mater, it's true. kinda shocked it worked out, but thanks sorting hat!
― well if it isn't old 11 cameras simon (gbx), Sunday, 17 March 2013 00:10 (eleven years ago) link
it's all because i tried to jinx you, you're welcome
― k3vin k., Sunday, 17 March 2013 00:14 (eleven years ago) link
well thanks to you too!
― well if it isn't old 11 cameras simon (gbx), Sunday, 17 March 2013 02:25 (eleven years ago) link
hey, nice. congratulations!
― goole, Monday, 18 March 2013 15:56 (eleven years ago) link
OK I know the disclaimer about IANAD and all (though some of you ARE), but a hypothetical case here: total cholesterol 265; TG 228; HDL 55; calculated LDL 164; non-HDL cholesterol 210. Male, 40, nonsmoker, 20 miles per week runner, no family history of heart disease.
OK or "get thee on a statin immediately"?
― quincie, Monday, 18 March 2013 17:08 (eleven years ago) link
grats to gbx
― ò_ó, ó_ò, õ_o (Lamp), Monday, 18 March 2013 17:09 (eleven years ago) link
I don't know the US units, I guess that's not too high?
There's evidence that statins are effective for primary prevention of cardiovascular disease, but the number needed to treat is high (less than 2% would benefit after 5 years of treatment). http://summaries.cochrane.org/CD004816/statins-for-the-primary-prevention-of-cardiovascular-disease
Given that you're otherwise quite healthy, presumably the indication to treat would be even less in your case than in the evidence reviewed by Cochrane.
You should ask your doctor but I'd imagine it'd be reasonable to hold off on medications for now, try to change your diet and watch the numbers for a year.
― Plasmon, Monday, 18 March 2013 20:28 (eleven years ago) link
plasmon, i always thought you were based in the US? where do you practice?
those labs are a little on the high side (assuming they're fasting numbers) but, assuming he's normotensive and non-diabetic, this guy's 10-year risk is something like 5%. if you look at the ATP III guidelines, iirc they say for a guy like this statin therapy should be considered if the LDL is above 190 (though word on the street is that ATP 4, if they ever are published, are gonna bump everyone's goals down by 30 mg/dl). IANAD but as plasmon says this might be a "refer to dietitian and see me in a few months" situation. with the caveat that i know only what you've posted, it's not a "holy shit start intensive therapy now" deal
― k3vin k., Monday, 18 March 2013 22:54 (eleven years ago) link
Yeah I checked the ATP III guidelines and it looked like a statin wasn't a must at this point, but I'm going to be nag for him to get his numbers done again next year (he tends not to go to the doc for years at a time; only went this time due to spousal nagging). He had tried changing up his diet a few years ago, but it didn't really make an impact on either LDL or HDL. His blood pressure is consistently excellent and he is not overweight.
What about the high TG? I should have paid more attention to the prevention stuff when I was the managing editor for a cardiovascular medicine web site, but the docs I worked with there mostly interventionalists, so I know more about PCI than anything else!
― quincie, Monday, 18 March 2013 23:20 (eleven years ago) link
what does the PCP say? he or she deals with patients like your dude daily and will have more experience dealing with his situation than a couple of neurologists, a med student, and a pharmacy student. i can say that my understanding of the data in this area is that the link between mildly elevated TG (in the absence of a high LDL) and CV disease is pretty tenous and i'm not aware of any any data that proves that lowering TG lowers your risk of CV disease, particularly in someone as healthy as him (others can correct me if i'm wrong)
― k3vin k., Monday, 18 March 2013 23:49 (eleven years ago) link
We would definitely ask the PCP if he had one! I made him go to a doc-in-the box for a basic physical and labwork (which was e-mailed to us. For follow up he'd have to go back in, and we've already left town).
We have joined the millions of Americans who have basically no preventive medical coverage--when we quit our jobs, we said bye-bye to our affordable-ish coverage. We are now covered under a high-deductible plan that will, like, airlift us out of Mexico if needed, but on a tight budget we are doing what folks in our situation do--rationing our own health care and self-diagnosing/treating via the internets. Meanwhile, my Medicare mother's doctors order every available imaging test for her stiff knee. Unbelievable.
(sorry for rant)(and thanks for the info, confirms what we figured!)
― quincie, Tuesday, 19 March 2013 00:03 (eleven years ago) link
i'm sorry if i sounded rude! i'm sorry you find yourselves in that situation, obviously everyone should have access to basic preventative care. will the ACA help next year?
you're a couple of the lucky ones, of course - i've seen plenty of people in their 30s who haven't seen a doctor since they were kids - and have no idea they have diabetes - come into the hospital with full-blown HHS and an A1C in the teens.
― k3vin k., Tuesday, 19 March 2013 00:17 (eleven years ago) link
Oh you were not rude at all! We have been ridiculously lucky to have had pretty damn good insurance for many, many years, and also lucky to be in good health (I take a couple of Rx meds, but was able to get them all filled for a 6-mo time period while I was still covered under my employment insurance). Having that sort of insurance was something I took for granted, so it is really good for me to now see how lucky I/he was.
I will likely be doing social work in a medical setting when I finish my MSW, so I'll be learning more about the many downsides of our system in intimate detail, I'm afraid :(
― quincie, Tuesday, 19 March 2013 00:37 (eleven years ago) link
120 pack-year history = 876,000 cigarettes
― k3vin k., Wednesday, 20 March 2013 18:02 (eleven years ago) link