| Favorite team: | LSU  |
| Location: | Baton Rouge, LA |
| Biography: | |
| Interests: | |
| Occupation: | Bones, bones, bones |
| Number of Posts: | 575 |
| Registered on: | 3/28/2007 |
| Online Status: | Not Online |
Recent Posts
Message
re: Post Workout Arm Pain. Possible Thoracic Outlet Syndrome?
Posted by NOMT on 12/30/21 at 10:21 pm
Gwin is one of the two I use there frequently. If he ruled it out (vascular) you can count on it.
Does anything specific bring on these symptoms? Anything during the workout or any specific motion etc that reproduces it? Did you increase your workload at the gym or is the same activity level as before symptoms were present?
Does anything specific bring on these symptoms? Anything during the workout or any specific motion etc that reproduces it? Did you increase your workload at the gym or is the same activity level as before symptoms were present?
1
re: Post Workout Arm Pain. Possible Thoracic Outlet Syndrome?
Posted by NOMT on 12/30/21 at 6:48 pm
Intermittent symptoms are very unlikely to result in positive nerve conduction tests, and in my experience essentially never positive in thoracic outlet patients.
I would recommend at least having a vascular clinic that treats TOS do an ultrasound evaluation of your thoracic outlet.
It's a dynamic study and can potentially diagnose any structural sources of compression. In addition, can evaluate for vascular thoracic outlet syndrome which is far more serious.
If you live in Baton Rouge I highly recommend Vascular Clinic.
I would recommend at least having a vascular clinic that treats TOS do an ultrasound evaluation of your thoracic outlet.
It's a dynamic study and can potentially diagnose any structural sources of compression. In addition, can evaluate for vascular thoracic outlet syndrome which is far more serious.
If you live in Baton Rouge I highly recommend Vascular Clinic.
re: Generac generator crapping out
Posted by NOMT on 9/4/21 at 10:55 pm
17kW air cooled Generac here. Change oil regularly and have twice this week. Shut it down 4 hours a day.
This afternoon it crapped out with an “underspeed” alarm. Not sure what to make of it. May be a low May gas pressure issue? My neighborhood is still completely out of power and everyone has a generator. I’m at the very back of the neighborhood at the end of the line so I wonder if that could be the issue. I hope it is and not an engine valve issue. Ugh
This afternoon it crapped out with an “underspeed” alarm. Not sure what to make of it. May be a low May gas pressure issue? My neighborhood is still completely out of power and everyone has a generator. I’m at the very back of the neighborhood at the end of the line so I wonder if that could be the issue. I hope it is and not an engine valve issue. Ugh
re: Best online trading platform? Not Vanguard
Posted by NOMT on 12/24/20 at 7:57 am
I have used Ally since they bought TradeKing. Not a active day trader or anything, usually make 5-10 trades a month only.
The interface is nice, mobile app works great, and no complaints. Probably not as much built in research, etc as some of the bigger brokerages.
I've thought at times about trying out TDA or one of the other big brokers, but honestly I can't find a reason to switch.
The interface is nice, mobile app works great, and no complaints. Probably not as much built in research, etc as some of the bigger brokerages.
I've thought at times about trying out TDA or one of the other big brokers, but honestly I can't find a reason to switch.
re: Real Estate Property Tax Lien Info
Posted by NOMT on 6/21/20 at 2:28 pm
Excellent. Thank you.
re: Real Estate Property Tax Lien Info
Posted by NOMT on 6/21/20 at 12:50 pm
Touché. Maybe I should have added "without directly asking".
That approach was already attempted and did not work.
That approach was already attempted and did not work.
Real Estate Property Tax Lien Info
Posted by NOMT on 6/21/20 at 12:31 pm
I would appreciate some info from the real estate guys in here that may have dealt with a similar situation.
Quick summary, my wife and I found a property/home near our current one that we love, and contacted the owners to see if they had any interest in selling. They were interested, and we negotiated a price, closing date for this spring, etc. This was late last year to allow them time to get things in order since they didn't have it on the market.
We were told in early January for the first time that there was a tax lien on the property - it was an inheritance property and related to the prior owners (his relatives) business.
We are now months past the proposed closing date. Nothing official from a legal document standpoint has ever been signed, so we can back out with literally zero consequence. However, we want the property.
They are apparently negotiating/fighting the lien with the IRS and do not have a definitive timeline, especially in this current environment.
Long background story to ask a simple quesiton. Is there any way for us to find out the amount of this lien? If so, what info would we need?
I'm willing to give this a little more time depending...but if I find out he's holding out for some relatively small amount he should just pay off and move on, I'm more likely to eject from this deal. Much more likely.
Quick summary, my wife and I found a property/home near our current one that we love, and contacted the owners to see if they had any interest in selling. They were interested, and we negotiated a price, closing date for this spring, etc. This was late last year to allow them time to get things in order since they didn't have it on the market.
We were told in early January for the first time that there was a tax lien on the property - it was an inheritance property and related to the prior owners (his relatives) business.
We are now months past the proposed closing date. Nothing official from a legal document standpoint has ever been signed, so we can back out with literally zero consequence. However, we want the property.
They are apparently negotiating/fighting the lien with the IRS and do not have a definitive timeline, especially in this current environment.
Long background story to ask a simple quesiton. Is there any way for us to find out the amount of this lien? If so, what info would we need?
I'm willing to give this a little more time depending...but if I find out he's holding out for some relatively small amount he should just pay off and move on, I'm more likely to eject from this deal. Much more likely.
re: What is a high ankle sprain and what is recovery time?
Posted by NOMT on 10/20/19 at 11:55 am
quote:
As I posted yesterday, "high ankle sprain" has become a colloquialized term basically meaning a "bad sprain". Technically though it involves injury to not just the ankle ligaments, but also syndesmotic ligaments connecting the two lower leg bones above the ankle. Hence "high ankle" sprain.
Yes. ‘High’ ankle sprain refers to injuries to the tibiofibular ligaments connecting the two bones together at the ankle.
quote:
High ankle" sprains normally result from an inward twist of the ankle or inversion injury.
It’s actually the exact opposite. Eversion and more importantly external rotation
In football, it typically happens when a player’s foot gets caught as he’s going down and gets rotated out as somebody lands on it.
The key with these injuries is the ability to bear weight and go up on the toes. He seemed to be ambulating without too much difficulty last night. This typically means that while the ligament is sprained it is not unstable at the ankle joint.
Usually these are quicker recovery but with a typical injury he will still be somewhat limited against LSU in three weeks.
re: Anyone ever fracture their humerus?
Posted by NOMT on 8/14/19 at 10:44 pm
quote:
She’s 38, young enough to take the hit, old enough to heal slowly
Ha. I hear ya. 38 is still young for recovery purposes though.
My female patients around her age tend to get the stiffest after an injury like this. But just keep her going if that happens. She will gain motion and function up to 12-18 months.
Good luck to her.
re: Anyone ever fracture their humerus?
Posted by NOMT on 8/14/19 at 10:37 pm
quote:
I wish I had the pre-op images but I don’t.
No worries.
How old is your girlfriend? You had asked what to expect. Younger patients generally will do better faster. Older patients lose more motion but still cope well typically.
I’m an ortho shoulder surgeon. Most patients are in therapy for 3-4 months and possibly longer depending on how stiff she gets. Varies by patient. The first few weeks are the worst. Try to keep her spirits up. It will get better!
Sorry to be brief but on my phone. Happy to help answer anything I can for you.
re: Anyone ever fracture their humerus?
Posted by NOMT on 8/14/19 at 9:51 pm
quote:
Need pre-op images to determine but I think you are wrong.
What about the pre-op images would change your mind?
The surgeon treated that fracture pattern appropriately. It appears there is lateral comminution along with a small medial calcar piece remaining with the head. Impacting the shaft into the head a bit is an absolutely accepted and preferred method of stabilizing the fracture.
You are welcome to your opinion, but your advice and concerns to the OP are misguided. That is a nice fracture reduction and fixation.
No competent orthopedic surgeon would recommend a revision based on that single image.
re: Pain in Front of shoulder during press
Posted by NOMT on 8/14/19 at 7:54 pm
quote:
Started feeling a sharp pain in front of shoulder while doing presses and to a lesser extent bench. Having to drop weight on both just to finish sets. Any advice besides see a doctor. Not that I wouldn't just going to be a few weeks before I get in to Drs office and don't want to pause my workout.
This is most commonly 'impingement' or rotator cuff / long-head bicep tendinitis, and should be easily treatable with therapy and adjusting your workouts.
Most people have overall poor posture which results in shoulder blades in poor position during press exercises (protracted).
I would strongly recommend lots of scapular based rehab exercises - you can simply go to a good shoulder therapist to get them down and then do on your own. Adjust your workouts until you can do the presses that were bothering you pain-free.
Don't know where you live, but if in south Louisiana, I can give you some specific PT recs.
Good luck. I had this same pain for well over a year before I could no longer ignore it. Be diligent about your exercises and warm up your shoulders before working out as a long-term habit. You'll be fine.
re: Anyone ever fracture their humerus?
Posted by NOMT on 8/14/19 at 7:48 pm
quote:
It means the articulation is off. My honest opinion is the surgeon did a poor job. I’m not sure if this is going to heal and she will be severely limited when it comes to range of motion.Think of it as the ice cream is still off the ice cream cone and it is not lined up correctly. Ice cream equals the humeral head and ice cream cone is the shaft of the humerus
The alignment and reduction is excellent, though this is just a single view.
The surgeon impacted the shaft into the humeral head to stabilize the fracture prior to plate and screw fixation, which significantly lowers the risk of fixation failure. Attempting to pull it out to length would leave a significant bony void at risk of varus displacement.
To the OP, the surgeon did a fine job by that single X-ray. I treat hundreds of these a year. It's a long recovery potentially, but most people regain excellent overall function though probably a bit limited from before injury.
re: Engineers, what was your Senior Project?
Posted by NOMT on 5/3/19 at 11:22 pm
quote:
We were the first class to do it since your team. We robbed parts from your car because we had little funding. We went to the silver dome to compete.
There was a 1998 FSAE team as well. I was on it with 5 other guys.
The robbing parts from previous cars is a common theme. Ha.
re: Sirens All Afternoon - Bluebonnet / Perkins area
Posted by NOMT on 12/9/18 at 4:28 pm
St George Fire Dept going around doing a toy/food drive.
They do it every year. Santa is on the firetruck. They throw candy to the kids. Good times.
They do it every year. Santa is on the firetruck. They throw candy to the kids. Good times.
re: Is it worth the loans to become a doctor? Would it be wise to consider the military?
Posted by NOMT on 5/26/18 at 11:37 am
quote:
No.
It almost certainly is not.
Is that simple enough?
It may be "worth it" for folks who'd eventually benefit from your care
For you, it may be "worth it" if you choose to pursue a career in medicine with the same attitude you would in pursuing a career in the Peace Corps.
Otherwise, "no" it is probably not worth it.
The ONLY basis for pursuing a career in medicine in the current environment is the good you'll do for others. That's it. Period.
There is no reasonable financial argument for the choice.
There is only the good of your potential contributions to others' well-being, albeit at great personal sacrifice.
Do NOT make the choice for money.
If making money is anywhere on your decision screen, choose another field.
If money is a goal, you'll almost inevitably regret the choice.
Money may come, but almost assuredly not to the extent it would if you set your goals on a Wall Street, Corporate, or Consulting position.
I could not agree more with this. Take NC_Tigahs advice.
If you become a doctor for the right reasons, money is not the issue. Money should not be the primary motivation for or deterrent from going to med school - as NC_Tigah correctly pointed out you will be continually frustrated by others below your academic level making (sometimes substantially) more.
To answer your questions of whether it's 'worth it', I suggest you do some introspection and really be honest with yourself about why you want to become an MD.
The loans look daunting, but what is more daunting is the prospect of years of grueling study and work to reach your goal. If you are doing it with the goal in mind of making a lot of money, 7-10 years post-graduate schooling/residency is a long miserable time.
Personally, I love what I do, and could not imagine myself doing anything different. The loans were paid back in my first 2 years of practice by continuing to live like a resident, as several others have mentioned.
Good luck to you!
re: Where to get a good deal on used SUV
Posted by NOMT on 10/22/16 at 3:04 pm
quote:
If you really want a nice gently used SUV, drive to florida, and go to one of the three off lease facilities in the state. That is the second cheapest way to get a car. The first is to have a spot in the auction or a direct connect with the manufacturers.
mmonro3...curious if you've personally bought from there or know someone that has.
Pretty good selection of vehicles, and prices are almost hard to believe on some...which always makes me skeptical. Ha.
Thanks for the link...had never heard of them. :cheers:
re: Update on an Issue You All Helped With
Posted by NOMT on 8/15/16 at 6:51 pm
quote:
StringedInstruments
Hold your head high, bud. It took serious courage to listen to your gut.
Life is an adventure. No matter what you end up doing, this experience will make you better for it.
Good luck to you. :cheers:
re: Which debt to tackle first?
Posted by NOMT on 7/31/16 at 9:26 pm
quote:
My situation. 25 married. Wife's a teacher income is around 43000. She's just starting so I don't know her exact monthly take home, but safe to say around 2500-2700. My take home varies greatly with overtime each month. My minimum take home per month is around 3800, but I can get to around 6000 a month. Safe average is around 4500.
Our debts
My student loans- 31,000 avg %= 5.8
Her student loans- 60,000 avg%= 6.1
My truck- 41,000 2.89%
Her car- 18,000 3%
Trailer home- 43,000 10%
My reason for starting this thread is the trailer home. I live on family land and plan on building a house next to the trailer in 5-8 years. So, I'm trying to make sure I'm correct in directing all of my extra money towards the trailer even though I'll be out of it in 5-8 years...
I would echo Hidden Flask recommendations to a T.
Just wanted to add something...you are correct that with your combined incomes you can fairly easily afford to service that debt. However, don't automatically dismiss all the posters here telling you to be careful with your debt load.
It's very easy to get in a habit of assuming life is static, and when curves come your way debt does nothing but add to the stress level. I know because I've been there. I was in my mid-20s with 2 cars, boat, and house added to 100k student loans. I could easily "afford" the payments, but when life happened it made some difficult decisions even more difficult as "how do I pay my monthly bills" had to enter the equation.
If you love the truck, keep it. Just factor in that it adds to the time/effort it will take you to reach your goal of the house in 5-8 years. You clearly have have a willingness to work overtime - use that opportunity to your advantage.
Good luck to you. :cheers:
re: You're all sleeping but I've made a huge mistake - please help
Posted by NOMT on 7/31/16 at 1:09 pm
quote:
I appreciate all of the responses.
I think I'm just ready to take over my own finances and provide for my family with a steady career with a decent, livable income. I hate that it took traveling all the damn way here for it all to boil over, but my gut is really pushing me to go home.
I know earning Potential is higher after grad school, but I'm not sure that is a high enough probability for me to not take advantage of a stable $50k/year job with great benefits and plenty of time to earn side income. My wife is also going to go back to work full time (teacher) once our kids are in school, so with her master's degree, we'd make $100k for the last twenty years of our careers. Certainly not impoverished.
Thanks again.
Going with your gut is rarely a bad thing as long as you've adequately analyzed the decision.
I've known exactly that panic, and could feel it in your post.
Good luck to you, bud.
Popular
29
