DC's New Year, New Life 2019

jswain34

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I just explained to you why he would have given him antibiotic. I understand the mechanism of antibiotic resistance, and the need for responsible prescribing. I definitely dont need you to try to educate me on it, thanks.

As i said, the skin flora (eg staph and strep) are what will commonly cause a superimposed skin infection after a potential insect bite. They are both gram positive. All of the antibiotics i listed above cover both. Keflex has good coverage as well, essentially everything youd want to cover for except MRSA.

You dont culture every single little wound that comes into the ER. We get all caught up in "the appropriate diagnosis" (ie. putting a fancy name to something) when it is still treated the same regardless of what the fancy bacteria name comes back as. Its an absolute waste if money when 90+% of skin infections are caused by the same couple of pathogens that are all treated with the same few antibiotics. As i said above, you engage in shared decision making with the patient. Lay out the positives of starting the abx and the negatives of them, then come to a decision together based on what the patient feels is best when they understand both sides. State the fact you're not 100% sure its actually a bacterial infection but it does seem to be showing signs its going that way. If you think the patient is responsible enough this might be a good time for a "wait and see" prescription.

We weren't in the room with DC and the ER doc. You're just up in arms over something that you really only have about 1/3 of the story on, the part that he has this wound and you disagree with someone who looks at skin infections several times a day for their job. You want to treat people like DC? Move to the US, go back to school, get a degree and change the world man.
 
hairygrandpa

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I just explained to you why he would have given him antibiotic. I understand the mechanism of antibiotic resistance, and the need for responsible prescribing. I definitely dont need you to try to educate me on it, thanks.

As i said, the skin flora (eg staph and strep) are what will commonly cause a superimposed skin infection after a potential insect bite. They are both gram positive. All of the antibiotics i listed above cover both. Keflex has good coverage as well, essentially everything youd want to cover for except MRSA.

You dont culture every single little wound that comes into the ER. We get all caught up in "the appropriate diagnosis" (ie. putting a fancy name to something) when it is still treated the same regardless of what the fancy bacteria name comes back as. Its an absolute waste if money when 90+% of skin infections are caused by the same couple of pathogens that are all treated with the same few antibiotics. As i said above, you engage in shared decision making with the patient. Lay out the positives of starting the abx and the negatives of them, then come to a decision together based on what the patient feels is best when they understand both sides. State the fact you're not 100% sure its actually a bacterial infection but it does seem to be showing signs its going that way. If you think the patient is responsible enough this might be a good time for a "wait and see" prescription.

We weren't in the room with DC and the ER doc. You're just up in arms over something that you really only have about 1/3 of the story on, the part that he has this wound and you disagree with someone who looks at skin infections several times a day for their job. You want to treat people like DC? Move to the US, go back to school, get a degree and change the world man.
The diagnose should be : Possible bacterial infection. Cause unknown -and not "spider bite" in absence of a spider.

Sorry to have hit your clitoris, apparently you are a bit pissed: "I definitely dont need you to try to educate me on it, thanks."
I stated my opinion. If it in fact were MRSA with multiple resistance to AB's (what can not be ruled out!) DC's case could have gotten complicated without a proper diagnose. Its fact and common sense. Now, I understand that may not be needed in most cases, if the bacteria is resistant to the first AB, Cowboy will show up again, with a bigger hole in his armpit and we just prescribe another one. Expensive to cultivate a bacteria and to see how it reacts to an AB?
The money the current health system charges for even easy procedures is an assault on people. Its an international phenomenon with few exceptions.

Just for info:
Can spiders be carriers of human pathogens? Can they provoke infection through a break in the skin? A team of scientists has data-mined the history of publications on spider envenomations to conclude that the evidence for spider-vectored infection is scanty. Although spider bite may be an attractive and tenable causative agent of a bacterial infection, the data show this is highly improbable, says the study's lead author.

https://www.sciencedaily.com/releases/2015/01/150106121453.htm

 
DemntedCowboy

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The diagnose should be : Possible bacterial infection. Cause unknown -and not "spider bite" in absence of a spider.

Sorry to have hit your clitoris, apparently you are a bit pissed: "I definitely dont need you to try to educate me on it, thanks."
I stated my opinion. If it in fact were MRSA with multiple resistance to AB's (what can not be ruled out!) DC's case could have gotten complicated without a proper diagnose. Its fact and common sense. Now, I understand that may not be needed in most cases, if the bacteria is resistant to the first AB, Cowboy will show up again, with a bigger hole in his armpit and we just prescribe another one. Expensive to cultivate a bacteria and to see how it reacts to an AB?
The money the current health system charges for even easy procedures is an assault on people. Its an international phenomenon with few exceptions.

Just for info:
Can spiders be carriers of human pathogens? Can they provoke infection through a break in the skin? A team of scientists has data-mined the history of publications on spider envenomations to conclude that the evidence for spider-vectored infection is scanty. Although spider bite may be an attractive and tenable causative agent of a bacterial infection, the data show this is highly improbable, says the study's lead author.

https://www.sciencedaily.com/releases/2015/01/150106121453.htm

HGP, it was the VA Hospital where I also work. Knowing that I work there too, they did what they call Fast Tracking. She looked at, went with the most quickest diagnoses and said that it did look most like Necrotizing Fasciitis from a spider bite. So they prescribed an antibiotic and an Anti-inflammatory. It has since cleared up, but just hasnt healed fully yet. But since I just took the last pill it is looking good.
 
DemntedCowboy

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This is from this morning. In the first one you can just see its almost gone. The second one is a close up.
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hairygrandpa

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HGP, it was the VA Hospital where I also work. Knowing that I work there too, they did what they call Fast Tracking. She looked at, went with the most quickest diagnoses and said that it did look most like Necrotizing Fasciitis from a spider bite. So they prescribed an antibiotic and an Anti-inflammatory. It has since cleared up, but just hasnt healed fully yet. But since I just took the last pill it is looking good.
This is the most important thing!

And as always: "Many roads lead to Rome."
 
hairygrandpa

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If it really was Necrotizing fasciitis (rare!) /and or a spider bite, we will never know. You are almost healed and it doesn't matter.
 
hairygrandpa

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Ah, I agree with @Wobmarvel, flex the biceps when posing to show your guns. I know, posing may not be your strength (mine neither), I bet @BEAST73 can help you with that.
 
DemntedCowboy

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Weird comment this but I'm not convinced your flexing your biceps in these pics, your hand appears open. Same with other double biceps pics. Clench your fist and they will look bigger. Some people simply can't flex that well (Paul dillette anyone). I get that in the grand scheme of things who gives a f*CK but if your posting progress pics you want to make them as impressive as possible.
Thanks @Wobmarvel. I do need to get better at taking pics
 
Wobmarvel

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No probs, was worried you would think I was trying to start sh1t but I see a lot of this. I'm clearly no expert but if you do that exercise where you use a cable crossover settup but hold a handle on each hand and do standing bicep curls as if your doing the pose, the cables will pull your hands away and you will have to flex. I bet it makes a world of difference to how your arms appear, that or get your wife to try and pull your hand away from your body as you flex so that you get a feel for the flex.
 
DemntedCowboy

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No probs, was worried you would think I was trying to start sh1t but I see a lot of this. I'm clearly no expert but if you do that exercise where you use a cable crossover settup but hold a handle on each hand and do standing bicep curls as if your doing the pose, the cables will pull your hands away and you will have to flex. I bet it makes a world of difference to how your arms appear, that or get your wife to try and pull your hand away from your body as you flex so that you get a feel for the flex.
Good ideas. Thanks. I will try those out.
 
Rocket3015

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I will agree Aliens !!
 
DemntedCowboy

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Will try to get some pics up this weekend when the wife and I have the time
 
DemntedCowboy

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This was a good movie - looking forward to the sequel for real.

DC, glad you’re healing up and weight is trending in the direction you wanna go!
Thanks brother, hoping to get some pics in a few days.
 
Rocket3015

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Likes for Pic's
 
DemntedCowboy

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BP up today, and Glucose up 2nd Day in a Row has to be the shitty sleep I got the last 2 nights.

Wake-Up(0345)
Shower & Supplements

Breakfast(0440): 2 cups Coffee, 1tsp of Creamer each Cup, (0628) 12oz Tropicana No Pulp OJ, Jack Links Sizzling Jalapeno Cheese & Beef Stick, Fruity Cereal B.A.R.

Lunch(1120): Roasted Pork Loin, Roasted French Onion Potatoes, Brussel Sprouts

Dinner(1708): Jalapeno Popper Chicken, Roasted Fench Onion Potatoes, Roasted Broccoli

PWO(1812)

Intra-Workout: Clusterbomb + MOAB

Warm-Up(Bike): 10 mins x 3.64 miles

All Sets 45" Rest:

Rotating Arm DB Military Press: 30x18,18 35x12,12,12,12,12

DB Shrugs: 60x15,15,15,15,15

Side Cable Raise(B/L): 15x15,15,15,15

Internal Rotation(B/L): 10x10,10

Exrernal Rotation(B/L): 10x10,10

Reverse Pec Deck: 70x15,15,15,15

Post Workout: 2 scoop Protein Shake
Screenshot_20190514-035936_SleepIQ.jpeg
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DemntedCowboy

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Updated pics took lastnight
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DemntedCowboy

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Definitely getting leaner. Your traps are by far your most developed muscles. Did you carry heavy weight long distance with straight arms when on the military by any chance? They look like "farmers walk" traps.
I carried a rucksack, and heavy machine guns
 
Studhorse

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Lookin good! Trapz are getting thick.
Need to work on that milk tity. That can be a pain in the arse to get rid of.
I know it's the last thing for me to get rid of when I lose fat.
 
Hyde

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Lookin good! Trapz are getting thick.
Need to work on that milk tity. That can be a pain in the arse to get rid of.
I know it's the last thing for me to get rid of when I lose fat.
Traps definitely beefing up nice. Gyno isn’t going away without surgery - it’s just what it is. Surgery ain’t that bad if he ever springs for it, ‘specially not for a tough SOB like DC. Just takes a while to heal & pretty achey for a bit. Although me having hematomas probably didn’t speed that up any
 
DemntedCowboy

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Traps definitely beefing up nice. Gyno isn’t going away without surgery - it’s just what it is. Surgery ain’t that bad if he ever springs for it, ‘specially not for a tough SOB like DC. Just takes a while to heal & pretty achey for a bit. Although me having hematomas probably didn’t speed that up any
Maybe one day. I will get rid of them. Was gonna order some Ralox on my next payday, and see if I cant bring them down some
 
Studhorse

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Well bros... Being natty I don't even know what Gyno is! LOL
 
Hyde

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Well bros... Being natty I don't even know what Gyno is! LOL
I seen it first when I was really fat
I’ve had gyno since puberty; I was 200lbs when I was 10 and started getting hair on my nuts - that’s a LOT of aromatase enzyme stored in all that bodyfat when all that test came blasting through!

Hormone use just made it worse, but looking at old pics I was always screwed. Oh well, my dad is 69 with hair and I don’t shed on any compounds, so I got that going for me at least.

Ralox will at a minimum make it shrink while on it, and may permanently reduce it.
 
DemntedCowboy

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I’ve had gyno since puberty; I was 200lbs when I was 10 and started getting hair on my nuts - that’s a LOT of aromatase enzyme stored in all that bodyfat when all that test came blasting through!

Hormone use just made it worse, but looking at old pics I was always screwed. Oh well, my dad is 69 with hair and I don’t shed on any compounds, so I got that going for me at least.

Ralox will at a minimum make it shrink while on it, and may permanently reduce it.
I hope it reduces it some atleast. And when I got the cash I will speak to the doc that did the wife's tummy tuck he is one of the best surgeons in the state of Michigan. People from all over the world come to him.
 
Hyde

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I hope it reduces it some atleast. And when I got the cash I will speak to the doc that did the wife's tummy tuck he is one of the best surgeons in the state of Michigan. People from all over the world come to him.
Honestly my surgeon wasn’t very good, and it was still the best 6 grand I ever spent. Things will never be perfect, but it made a great difference.
 
DemntedCowboy

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Honestly my surgeon wasn’t very good, and it was still the best 6 grand I ever spent. Things will never be perfect, but it made a great difference.
Yeah, I love this guys work. He does done great on a ton of people
 
DemntedCowboy

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Guess my body wanted me to catch up on sleep. Over slept this morning

Wake-Up(0527)
Shower & Supplements

Breakfast(0540): 2 Cups Coffee, 1tsp Creamer each Cup, (0620) 12oz OJ, Jacks Link Sizzling Jalapeno cheese and beef stick

Lunch(1148): Jalapeno Popper Chicken and Broccoli

Dinner(1720): Subway 6" Chicken & Bacon on wheat with pepperjack cheese, onions, blackolives, and spinach

PWO(1740)

Doing Legs today, but will be going super lightweight since it's been a while after I hurt my back

Warm-Up(Bike): 10 mins x 3.68 miles

All Sets 60" Rest:

Squats(Beltless): 110x18, 160x18, 180x18, 200x18,18, 180x18

Lying Leg Press: 210x50,50

Leg Extension: 70x20,20,20,20,20

Seated Leg Curl: 55x25,25,25,25

Single Leg Seated Leg Press(B/L): 100x20,20,20
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Segansational

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How are those Redcon cereal B.A.R.s? Just saw an ad and they looked pretty tasty.
 
DemntedCowboy

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How are those Redcon cereal B.A.R.s? Just saw an ad and they looked pretty tasty.
I have had the Cinnamon, and Fruity Cereal Bar. And I like them. They are suppost to come out with a few more soon. If you going to order some, and want 20% off let me know. I will give you my code. I just ran out so I have to order more on payday friday.
 
DemntedCowboy

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Crazy day at the hospital. My assistant was out today so things where just nuts. But, I did get a workout today after work and my haircut

Warm-Up(Bike): 10 mins x 3.83 Miles

All Sets 45" Rest except Warm-Up:

Incline Bench: W/U 110x18,18 200x8,8,8,8,8

Flat Bench: 200x8,8,8,8,8

Machine Press: 130x15,15,15,15,15

Cable Fly(High): 25x15,15,15,15

Pec Dec Fly: 130x12,12,12,12
 
DemntedCowboy

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Next bulk will look like but it will be 16 weeks most likely run in October
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DemntedCowboy

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Did a little cardio, and Ab's today

Warm-Up(Bike): 10 mins x 3.72 miles

Abdominal Crunch(Machine): 80x25,25,15 50x35

Torso Rotation(B/L)(Machine): 85x25,25,25,25

Swill Ball Plank: 2 x 1 min
 
DemntedCowboy

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Ordered 2 bottles of Ralox 50mg/ml from PRE. Anyone got any advice, on how to run it?
 
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