GetMeOuttaThisMess

You should have addressed this before now? I understand that the world doesn't think that Boomers don't have anything to offer but I'd like to think that we at least thought about pro's/con's of our decisions? YES, you need tail coverage.

I wouldn’t mind dabbing my toes into some minimal part-time work but since I retired everything (license/certification) it may not work.

It was my understanding as I skimmed it that the LDL's were still felt to be bad. What I haven't gotten my head around are the Ca+ Index scores. You do the scan to look for calcified plaques. The problem is that this week still the understanding is that those are the STABLE plaques. It's the soft, gooey, non-calcified plaques which are the risk. I'm starting to come around to the idea that the majority of sx. CAD cases are micro versus macrovascular (as seen in European studies) and that coronary artery spasm cases are greater in number than we suspect.

If not interested in medical studies don’t waste your time with this post. https://www.cnn.com/2022/11/21/health/hdl-cholesterol-study/index.html https://www.diabetes.co.uk/news/news/2022/nov/age-related-macular-degeneration-strongly-associated-with-serious-forms-of-cardiovascular-disease.html. Leave it to me to fall into this small subset where there appears to be a benefit to ocular vitamins, which I do take at the recommendation of my optometrist.

https://newsroom.heart.org/news/modified-pig-to-human-heart-transplant-had-unexpected-changes-in-heart-s-conduction-system I would go back to the front porch with cooler and firearm but it’s cold out and the St. Augustine is calling it quits for the year.

That sir is a misplaced welcome from West Texas. Usually accompanied by sand and red skies (and eyes).

Back in the early/mid-80’s I was the one who managed the fluoroscope while my surgeon did all the facet blocks/injections and ESIs. We’d typically do six early Wed. afternoons and I’d have each setup stacked on top of one another in order on a mayo stand. We’d knock them out over one hour. I listen to my B-i-L complain about how painful his ESIs have been but I honestly don’t recall EVER having a patient c/o pain the way we did it (prone, with lower pelvis over a foam semicircular pad opening the L4/5 space. Looking back, it was a thing of beauty.

I guess that the medical science part of the story wasn’t of interest…sorry that I brought it up. Back to my porch, cooler, and firearm.

I’m surprised that no one has brought up the study on the genetically altered pig heart that was transplanted into the late stage, non-compliant, heart failure patient. Study results showed alteration of the normal pig conduction into a more human-like conduction pattern. The way that I read it, it was taken that they had concerns about prolonging of the PR, QRS (as I recall), and specifically the QT intervals. I saw it as an adaptation to more human conduction parameters (pigs have shorter PR, QRS, and QT intervals apparently). I took it as a positive, aside from the QT prolongation (up around .5 sec. as I recall).

You have to have a HDHP to qualify for an HSA, which I do through my wife’s COBRA. Interestingly, I can still fund my prior HSA account due to my being on HER HDHP and we fund the “joint” HSA for her.

My patented answer is to read the state legislative guidelines (as opposed to trusting random responses on a forum). I’ll save you some time and say that Texas removed the “you may not do…” decades ago, also known as the “Three Commandments” (pre-licensure days). It is essentially left to your SP/institution. I wouldn’t hold my breath waiting unless you’re assisting on a C-section or REALLY out in the sticks such as Marfa/Webster Co..

For example…

In case one is not aware, Home Depot will from time to time place their rental trailers on sale, and according to some posts, they sometimes are in really good shape. you can see the selection at the website through their equipment rental link.

I’m sitting here laughing, since I can relate, to your phrase “The last time…”. Been there, done that. Darnedest thing was that none of my trifecta appearances had to do with anything that I had done wrong, or missed. The most harried had to do with a lawsuit made against a former employer, not myself, for an impairment rating examination performed by myself. Thank goodness for digital inclinometers and their precise readings.

Statute of limitations may be only two years in a particular area, with ONE MAJOR caveate. A pediatric case. Ignoring the letter is like sticking your head in the sand. It won’t make the problem go away, and they will find other ways to get your attention if necessary such as serving you at work, etc. Welcome to the world of medicine and litigation (potentially). I personally found the reality to be worse than the anticipation (there is NO incentive for the legal parties to speed things up since they get paid differently). Might I add that it isn’t much fun when the letter addresses another situation in which you aren’t the party in question but you still have the pleasure of offering up your time in providing a deposition for someone else's headache.