sudoshakes

I have chronic pain. I was instructed by the pain clinic I went to, under no uncertain terms, to exercise 5 times a week. No taking a day because I feel sore or tired or because the overwhelming blinding pain is screaming at me not to. I just have to do it.

That was a year ago.

I am still going.

I went from sedentary for a decade to a healthy BMI and muscle mass because of 1 rule.

Don’t let how I feel guide how I act.

Fuck me it was hard. It is hard. It was hard today. It was hard every single day.

I have currently a torn labrum, a torn rotator cuff, 3 torn things in my knee, 4 bulging disks in my back, a herniated disk, arthritis in 5 joints, and a titanium cage holding part of my spine together.

If you can commit to tracking every single thing you eat in the app MyNetDiary ( it scans barcodes and is free), and exercising 5 times a week; I guarantee two things will happen.

1.) I will do the same and have an accountability buddy to keep me going.

2.) You WILL be successful in the weight loss and gaining a healthy life.

Your call if you want to transform your life.

I have PT exercises and low impact options for days. I have whole fitness plans and diet plans from distinctions, and hundreds of hours with PTs. I have so much to share with someone whose life I can help gain so so much…

You just have to commit to joining me.

A year from now you could be vastly different than you are now. So could I. IF we keep our promises to ourselves and one another.

It’s been a crunch my Republican talking point for a while.

Some counties have voted to remove it based on inconclusive data from some studies on fluoride exposure.

Problematically the results to childhood issues require doses far in excess of the FDA minimum. More problematic is the example we have of a similar country with similar demographics removing it, and seeing a massive uptick in oral cavities. So we know what happens as a massive test already unintentionally from Canada.

The will do nothing but cause harm to long term oral health.

The fantasy land you exist in must be fascinating

Talk about jumping 4 steps down the road.

They are uniformed. No global convention or agreement mandates those elements be on a uniform. The nametag, unit patch, and other items on the uniform are just ways that force happens to enhance identification within the unit.

They are identified as uniformed members of a military force. This satisfies the convention.

None of this matters or applies at all given that there is no combat occurring that would fall under the Geneva convention. So they could be plain clothes officers and it wouldn’t apply.

Trump is a sack of dog turds, and what he is doing is largely stupid speed run overreach, but this hyperbolic shit just harms credibility of the already massive list of shit he is violating.

The prior sentence was “city folk” as your focus, and “they” buy firearms exclusively to kill. So yeah, I’m going to point that you, since you allowed for no room for alternatives to exist with that last sentence if I exist on a city.

If you have been to an Olympic village match or sat down to enjoy the sun at the preside t’s 100, then your words used before, “they buy a gun to threaten people exclusively”, we’re a known misrepresentation. Exclusively is an absolute word. An absolute with no possible other options.

You would have seen the other reasons for yourself and still chose to lump every single person who competes in marksmanship into a camp of this opinion.

Couple things.

First, firearms are used for sporting and competition of marksmanship by millions of Americans, and Europeans.

IPSC / USPSA are massively popular and all you ever do is put holes in paper or hit steel targets. The gear is purpose designed explicitly for this. So is the ammunition. Even down to the holsters and mag pouches. It’s ALL for the game of the sport.

The civilian marksmanship program is again, millions of Americans across many cities nation wide. A rifle designed to shoot a Palma match, or an F-class match, or benchrest rifles are specific to those disciplines. Nothing about a 37 lb sled riding benchrest rifle is designed to harm a person. It’s a purpose built tool for competition where mostly old people drive them with dials on a sled and put small groups on paper far away. They often don’t even get shouldered.

Sporting clays, variations of this are Olympic sports. There is no possible way to say an over under shotgun has been designed from the ground up for harming people. It’s a tool built around the rules of the sport. 2 shotgun shells. That’s all it can hold and is long as hell with a massive choke on it to control spread of small pellets precisely, pellets that are very bad at killing. Birdshot is almost never lethal past extremely short ranges and they are engaging clays at 40-80 yards.

PRS competitions are bolt action rifles with physical exercise and difficult physical stages under time pressure to shoot steel. Most have transitioned away from high energy calibers, like military chosen caliber that are for imparting energy into a target, and to small bullets you can watch trace in the scope for… you guess it, the specifics of the sport.

.22 long rifle is extremely popular in sports speaking of small cartridges. It’s what we use in Olympic competitions and bi-athalons that ski and shoot bolt action rifles. We use it in small bore pistol and rifle matches the world over. It’s terrible at killing a person, but is great for target use at 10 meters. Which is what the Olympics world over do.

I could go on and on with more examples. Firearms are just not used for killing things. They have in many countries beyond the US, a strong and friendly competition community for sport that only sees paper hole punching. The UK had a thriving and popular rifle community. France, Sweden, Finland, and Italy have thriving sporting gun competition cultures as well.

I live in a city of 2.5 million people in it and he surrounding area. I shoot every weekend for sport, as I have done since I was on a shooting team in high school, run by my high school. I won a junior olympic medal in that team. I love the engineering and competition elements of the sports and would highly encourage you to try one to see if your view might be expanded to see how kind and friendly the sports are to anyone new coming to try them.

Correction: Chlorine doesn’t have a smell in the pool. “Pool smell” is the reaction produced when chlorine reacts with urea.

Yeah, you are smelling that smell because of pee.

To test it out for yourself, output an ass ton of chlorine in a bucket of water, fully dissolve it, and the smell it. No smell at all.

Now add a bit of pee.

Pool smell instantly.

I don’t think he would be advocating per warfare, but maybe he is kinky like that.

The house will vote on immigration bills that they know are going to pass with democrats to ensure their voting record can’t be attacked for being weak on immigration for reps in tightly contested districts.

I need to know where you got this Lego set

I went for surgery that was to repair a urethral stricture, with the expressly stated reason for doing it as being able to be catheterized in a future spinal fusion procedure. I told every single member of my care team this information, and all knew about the spine instability. A Spondylolisthesis diagnosed by their same hospital system.

I woke up in agony screaming before I could see. They put me in a position that allowed my back instability to shift. I was screaming to drop the bed. The nurse told me to calm down.

When I was finally laid flat, I noted I could not feel my genitals and I could not feel about half of my legs or any of my feet. Totally numb.

I was discharged from the hospital 3 days later with a walker because I couldn’t feel my feet and needed assistance to walk for a proc sure that never should have required it.

They billed me $250 for the walker, and never followed my requests to ascertain why I was paying for a walker that was the resulting need of malpractice. This was sent to collections.

I get phone calls weekly about a walker I should never have needed, and should not have been billed for as “outside of network” because it was not pre-approved for an urology procedure.

Who in the fuck assumed a loss of leg function from an urology surgery? Who gets that pre-approved?

Fucking cunts.

It may seem like that is the case for a bit, and often does to many patients. Myself included.

Keep in mind the target population is patients who are centralized sensitization patients. There are alpha channels of nerves that through real physical injury have created a feedback loop in the nervous system with the brain.

In these patients, who do have very real injuries, the pain levels are outside expectations for the things we can test, scan, see on imaging etc.

The mechanism is complex but essentially you can think of it as the nerve bundles of specific types are far more sensitive to stimuli and the brain becomes far more sensitive to signals received.

Breaking this feedback loop, which is often fed by avoidance of things, is important.

As for data, they have published papers in many journals with more than 20,000 patients who have been through the clinic showing progress improvement. Reductions in standard assessments for depression, improved mobility and exercise function, as well as removed reliance on medications / the polypharmacy causing underlying greater symptoms is proven in their large data set.

A lot of the mental model that has real impacts to physical symptoms revolves around breaking previously unrealized classic and operant conditioning that patients with this chronic pain sensitization often have present.

To correct and see the clear picture without clouding it, medications must be removed from the picture as polypharmacy issues can create a mess of problems that seem like they are bodily in origin but are in fact from the medication interactions.

It is a program vetted by the chronic pain treatment community for over 20 years, and the data is well reviewed, with every hour of the time a patient spends there carefully considered and measured for efficacy.

The program gets referral from many physicians in various other disciplines within and outside their hospital system for patients that meet their criteria.

To be clear, this is not a fly by night theory. It’s one of the best hospitals in the world with a program of pharmacists, doctors, PTs, nurses and supporting specialists who all meet daily per patient and make individual care plans. You seem them daily for hours a day. They monitor blood work and vitals as well as metabolic data as they taper medications. It’s deeply unpleasant but designed very intentionally to help. It does help.

Anecdotally, a patient story:

They came into the program malnourished, on a feeding tube, intense abdominal pain, GI bleeding, and on significant opiates to tackle pain levels from the GI issues.

On discharge, the patient had no expressed pain, was back to eating normally without the feeding tube, and was regaining weight . GI bleeding stopped.

6 months later they went back on pain medication from a pain physician and were right back in the ER with the same symptoms. Following the program’s instructions the same reversal took place again!

The power of the operant conditioning from taking medications when feeling symptoms is a powerful one that impacts the baseline arousal states of the parasympathetic and sympathetic nervous system. These impact all sorts of bodily processes which seem counter intuitive to apply to physical real problems, but the results speak volumes.

Everyone arrives a skeptic. I left seeing benefit in my life as a patient who these things apply to. I am not uneducated, I have created software to run clinical cancer trials for years. Yet even with that formal intellectual background I was missing things that had impact to my health condition. The average patient has less exposure to these things, and I spent 10 years seeking help for the pain before this from many physicians. Many things were tried. So all of that experience and exposure to alternative therapies and modalities to this one was brought in with skeptical critical analysis of their methods.

There is an element of trust required, and it is HARD, but the easy path of medicate or cut it out is often not the solution with patients like us. Since pain is very much a central nervous system process, treating as such makes sense.