#and just for a diagnosis it was 200 bucks
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carronpatrick · 2 years ago
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DUDE. It took me 3 hours to complete an ADHD assessment that "usually takes no longer than 60 minutes". I feel so very stupid and nervous. Especially cause now I have to just... Wait for a doctor to review my assessment and decide if I'm actually stupid or have ADHD and it's making things difficult.
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firelord-frowny · 3 days ago
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tbh the single most illuminating thing that has come from ~going to therapy~ is the clinical diagnosis of ptsd.
like. i know and understand every single thing that's ever been wrong with me, and I've known and understood the causes of all of those things, but I did NOT have any clue whatsoever that all of those things together are in alignment with the criteria for ptsd.
it's validating in the most heartbreaking way.
somehow it was easier to stomach certain parts of my past when I believed that it only hurt me so bad because i was too sensitive, too much of a wimp, blah blah. and coming to understand that the shit ive been subject to is kinda just Objectively Awful just makes me super sad. :( the saddest bit being that i have to look certain people who are supposed to care about me in the eyes and know that they've been straight up psychologically abusive to me for almost 3 decades. anyway, he's there dumb thought i was thinking that caused me to make this post.
i have aaaaaaaaalllllllllllways been somebody who balks at the idea of ~engagement rings.~ I have always felt that i would be so annoyed if some dude dropped a fuckton of money on a Special Ring for me when he could have instead used to for something more fun.
but now i can't even imagine being important enough to anyone for them to want to shell out money on something pretty for me Just Because. i can't imagine someone feeling like it's worth it for them to save up their paychecks for months on end just to give me a gift.
you know what happened a few weeks ago? i'll tell you what happened a few weeks ago. it's very much Not A Big Deal. certainly not in isolation. it's a non-issue. it's not even a blip on the radar of cruel things a person can do to another person.
my dad went grocery shopping. spent like 200 bucks total on the usual shit. he got everything that everyone in the household put on the list.
except for the juice i like.*
because it was ~too expensive.~ 🙃
four dollars and twenty something cents.
too expensive.
he is not poor.
*ok to be totally fair, he often does get the juice i like. but when stacked up next to all the other "you're not important" signals my family has heaped on me over the years, it fucking stings in the worst way.
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colorsoundoblivion · 6 months ago
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Trying to raise some funds to cover domain/hosting costs for the 2024/2025 year (my renewal comes up this October). Goal is $200 USD. Anything helps.
Every LGBTQIA+ spot I found myself in was the same… I mean, if Diva Worship and fashion is your thing, that’s perfectly fine… I was looking for the queers who made noise tapes, liked weird shit, appreciated Joel-Peter Witkin for the art and not the shock. All the Industrial/Noise communities I found were littered with edgelords (with some “cool” people sprinkled in if you’re lucky)… I was hoping to find people who were exorcising their demons through their music, not people trying to abuse others with it.
I started FANE because I couldn’t find it elsewhere. We’re just starting, only 2 issues out with a 3rd in production, but I genuinely feel we’ve got something special here and I desperately need help to make it grow. I’ll save you the long winded version of the story: Anxiety, Depression, SI for decades lead to breakdown, job loss, and lack of income. Waiting lists, doctor visits, Adult ADHD diagnosis with possible Autism, getting the right medications, making slow improvements. Haven’t had income or been able to hold a “real” job now for 5 years. I don’t qualify for any kind of financial assistance or disability. I don’t know why I have the energy and drive for FANE when sometimes I can’t muster enough drive to answer a phone call, or return a text message. Well, it’s called mental illness for a reason I suppose.
I’m not begging you to give me a cozy life, pay all my bills, hook me up with the latest recording gear and tech, etc. I know we’re all struggling and the cost of everything has skyrocketed. If you’ve got a couple bucks to spare to make sure that a $200 yearly bill doesn’t kill FANE, it would be greatly appreciated. I will always provide FREE PDF versions of every FANE issue, special report, or any other such FANE related publication. Again, literally anything helps.
I truly appreciate all of you, and sorry for the virtual solicitation.
-Rob
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regrettablemeasure · 8 months ago
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Hi! I'm so happy for you about your diagnosis and the meds working for you and I was wondering if you'd be okay sharing what they gave you? I totally understand if you don't want to share medical info like that though. So please just ignore this if you want. It just sounds so much like what I've been dealing with, unable to do really anything for so long, and I am trying to get diagnosed and would love to know what meds might be helpful to ask about if I do
thank you! i don't mind answering at all! (CW for medical talk including neurodivergence and ED mention)
I've only been on medication for two days but, for me, it's already made a huge difference. I've known I'm on the spectrum for several years, but with how my autism presented I've never really considered it to be a disability/I'm able to mask pretty well IRL. ADHD however felt like getting hit by a semi-truck explaining EVERYTHING from my mood swings, to my chronic fatigue, my seeming inability to DO anything on time, forgetfulness and depression - and even my eating disorder (binge eating is a symptom of ADHD and I've struggled with it my whole life). I know it's not a cure-all but I've already felt more at ease and capable for the past two days than I have the past five years. I'm not "stuck", physically and mentally.
I'm currently on Concerta, and I'm having no trouble so far! A good friend of mine is on it too and seems to like what it does for her. My wife (who's been diagnosed for a few years and is the one that told ME to get tested lol) recently switched to Vyvanse and they're REALLY enjoying it. Both are are 'extended release' adhd meds so they're supposed to last more or less a full work day. I take mine at like 7:30 AM and it doesn't fully wear off until like 6 PM or longer. Warning, though, if you have disordered eating where you eat too little, both medications drastically reduce your appetite. You may also be limited if you have heart issues.
If you're in the USA and don't have reliable health insurance and you DO get medicated, I highly recommend GoodRX! Generic Concerta where I am is like $200+ uninsured, but through GoodRX coupons it's like 30 bucks at my local pharmacy. Super worth it.
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donaldtrumpsrightear · 1 year ago
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Lmao fuck transportation companies the CDTA rep at our meeting was talking about half rates for veterans and disabled people and how they require proof of ssdi or a dishonorable discharge and the veteran guy spoke up and was like “you know just because someone doesn’t have an honorable discharge doesn’t mean they’re a bad person” and the rep was like “well we can absolutely talk about using alternatives for other veterans”
And so I spoke up and said “what about people with disabilities who aren’t deemed ‘disabled enough’ to get ssdi but are still unable to operate or work enough to afford a vehicle? Would you allow proof of OPWDD registry? Proof of diagnosis?” And he was just like “they would have to use paratransit (a service where you get picked up near the bus route)” and I asked what the fee was and he told me
And I was like “so if a person is too disabled to drive or work to afford a car, and their ssdi process gets denied (which it almost always does without an appeal) then a person would have to go through a special application process just for the privelage of paying over twice as much for your services” and he looked me dead in the eye and said “we’re already losing money on this service. It’s costs us $30-$50 per paratransit ride” and then turned his whole body away from me
Just to be clear CDTA is a public benefit corporation, which means it receives federal and state support. In fact it received a little less than 75 million in said assistance in 2022, they have a steady multi year (read shady) “miscellaneous” expense of nearly 3/4 of a million, and their CEO makes 239,000 annually. But 30-50 bucks for people who are paying the taxes that fund them is a drain say that to me again with a straight face.
ALSO they won’t even put benches ($200 plus a day of labor for what, 3 people?) in a stop unless it’s profitable enough so physically disabled people can’t use the normal transit with the normal fare if they can’t afford paratransit literally go fuck yourself
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mochipon-vt · 8 months ago
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so here's the deal...
i really really really hate coming on anywhere and fussing, ranting or lamenting about things but… i'm extremely stressed, frustrated and upset.
my main pc is fucked, apparently. for the past 3 months, i've been working off of my old, dinosaur aged pc (it's 10+ years old, barely works, has trouble booting etc) ever since my newer pc started having serious issues. over this past weekend, i was finally able to take it the shop and get it looked at. they informed me a day later that one of the ram sticks was bad (as my partner had already suspected) and i was charged 100 bucks for this discovery, that i had to borrow from my parents.
they voicemail that i had received informing me of the issues found, that if i wanted repairs, it would cost 40 bucks alone for install + whatever price i chose to spend for new ram stick(s), however, once i visited the store to actually SPEAK to someone (their phone system is trash and no one would answer/return my call), i was told any parts install would cost SIXTY bucks instead and offered new parts costing from 100-120 in range, which would ultimately make the total cost + the 100 for diagnosis, close to 200 bucks.
my partner says that's a ridiculous price to pay for something that can be popped in and out to replace but unfortunately, i'm not very knowledgeable about hardware and hardware installation so i don't feel confident in going in there myself and replacing it/them even if i got my hands on new parts and we are also long distance so he's not able to do the install for me.
what i thought should be 'thankfully', the shop took out the 'bad' stick and i was told i should be able to bring my pc home and use it RELATIVELY normally without replacing it at this time, it just would not be able to run at the same capacity as it could have if it had both sticks of ram installed. at this time, it's worked for a total of.. a day and a half normally and without issue before having the same major issues again; web browser/tabs crashing, apps fully crashing or not operating (discord is currently a blank/grey window for me right now and i have to use the browser app to even use it), inability to install anything and finally, a full blue screened pc crash; so now i'm assuming BOTH sticks were bad and the brand installed is trash. (i do not know the brand of any parts installed in my pc as my ex purchased them all months before our relationship ended)
so what's the point i'm trying to get to?
i'm in desperate need of some money. i'm a disabled, unemployed person who my parents basically resent for needing their support for survival and i've been trying VERY hard to work towards making ANY kind of income from my creative skills in order to start saving up to attempt to move out of my parents' home and across several states to live my partner as, after being kicked out and left by my ex, has landed me in yet another home that doesn't respect or treat me fairly and takes a toll on my mental health/stress and motivation/focus on a daily basis. the added daily stress of not knowing if my (EXPENSIVE) devices are reliable and functioning has made it extra difficult to stay focused and motivated to keep moving towards my goals.
i currently have no financial nor food security as my parents often (intentionally) leave me out of meals, don't allow me any cash to go shop for myself and tell me to get a job, on the rare occasions i do happen to ask for 5-10 bucks for some dinner, same as they did when i asked for them to help me repair a device that COULD be a job for me if i could just get it back to working condition.
i am VERY new to doing commissions and i understand it does take some time to establish a good work flow + trustworthy reputation as a commission artist but i am determined to work hard and as efficiently as possible to provide clients with the best possible work i can produce. i am NOT, however, new to the art market world as i've had many mutuals and friends who have had commission shops or have gone on to produce their own physical merchandise so i've had many years of observing the processes and progressions.
at this current time, i'm considering setting aside my plans for vtuber development i had for this year which would have included working on small, 'mini' debuts leading up to a larger, legit debut as i progressed to learn to make my own environment overlays and assets + relearning live2d skills to rig my own model, to solely focus on constantly making art to showcase my skills for hire. i am also considering, after polishing up my commissions page more, including smaller, bonus arts with larger piece purchases as a small thank u for people helping me gain work and funds for my needs.
i'm just.. really drained and tired of prolonged issues taking a toll on me, both general life things i've experienced most my life and now these frustrating tech problems that i hope would have been non-existent with a newer pc as i had been experiencing many troubles with my old pc for years (this new pc is only a year old). i'm ready to be able to have peace in my life and to focus on things that are fulfilling to me and bettering skills that bring me joy.
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valehirvas · 4 years ago
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Yep, there it is. Officially diagnosed as BPD. I’d be laughing if I wasn’t having one of those periods in my life where all I want to do is just sleep and not turn on the lights.
Where’s that post talking about how BPD is basically just diagnosing someone with woman like modern hysteria? I’ve been diagnosed with woman, everybody, and it’s right above my transsexuality diagnosis, too:
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It’s funny that I went in to get my placeholder diagnosis of psychosis cleared out, but instead of that I had my life-long diagnosis of depression removed and my psychosis still remains “otherwise unspecified”.
I don’t really know what I should be saying or where I should be saying it. Funnily enough this blog seems like the best place to be talking about it. I’m trying to act normal elsewhere. The truth is, I’m not normal, and I am very acutely aware of it as of late.
So, in other great news, I’m losing my clinic contact again. I swap them every year and therefore I never receive any treatment. Trust-based relationship how when I can’t even remember the person’s name I’m supposed to be trusting, they leave me that fucking often. My doctor helpfully offered that it’s because of this particular diagnosis; I guess I’ve been living the whole hell of “nobody wants to treat a bpd patient” for the past 20 years of my life, just secretly, because I didn’t have the fucking diagnosis until yesterday. He also suggested I get therapy and then shrugged it off like “guess you can’t though since it’s 200 bucks a month”. Like, yeah. What do you want me to do, lmfao, roll over and die? Apparently I’m off to another clinic that deals with whatever the alternative to rehabilitating patients is. It sounds like they’re downright giving up on me, but on the other hand the doctor said he was “confident” they can fix me right up at the other place. I don’t... think so? But sure, go ahead and try.
It was funny watching him play darts with pinning symptoms on me, though. I was in a nice mood yesterday (nice as in entirely cooperative and non-argumentative, observant, not to be confused with “happy, cheerful”) and played along, but I could tell he was disappointed that I wasn’t having tumultuous, passionate and doomed relationships left and right. He also really wanted to find out what drugs I’m using, but that’s an old one, I’m used to it. They never quite seem satisfied with the answer of “none”. When I say none, they remind me that weed is a drug too, at which point I offer them caffeine. I do use caffeine, a lot. Daily, even. It’s a measure of how much I like the particular professional I’m dealing with - the good ones laugh. This one just quietly checked off the drugs, I guess, because he didn’t make a note of my recreational use of caffeine.
He was also disappointed in my apparent lack of wide and thick self-harm scars. Too bad it’s 2020, because I’m white as a sheet and you can’t actually see that the entire underside of my arm is scar tissue. The whole thing. There’s no skin, there’s just scar on top of scar. It feels like the skin of a really old person. I hate permanent marks, I have a nose piercing because if I one day decide to take it off, you won’t be able to tell there was a hole in there, so I concentrate all the scars in this already marked place. I hate the little crosses and all the messages I left on my thighs as a teen. I’m not going back there to satisfy a diagnostic checkmark. You’ll have to do with my “scratchmarks”. It’s really as deep as that floppy, shitty safety razor goes. I dug it out of one of those fucking things you shave your legs with. Never used them for anything but this.
What was new, though, was that he really tried to pin my transsexuality on BPD. And you know what? Sure. Let’s go with that. Why not. Let’s explain it somehow. I’m woman so I have dysphoria. I’m bisexual so whatever that one guy said about becoming what you’re attracted to. What’s his face? That man’s theories drive me up the wall with the way they’re detached from my lived reality. Blanchard. That’s the one.
(I could be writing my NaNoWriMo instead of this, but I’m done with burdening my friends and like I said, it’s not like I have a psychology professional I can talk to, so this it is.)
He also noted the tower of flags on my bag. I like that tower, it’s three LGBT flag iron-on patches on the side of the flap. He asked me what they were - he could recognise the rainbow flag, obviously, but the bi and ace ones were a mystery. I told him it’s for the people who know. He asked if I want to tell them I’m trans. No, dunce, if I wanted to tell them I’m trans I’d just have the trans flag on my bag. I don’t, because it’s literally the least important factor of my personality ten years in. If “I don’t fuck people” makes it on my bag but the trans flag doesn’t, I think it’s safe to say I’m trying to signal something else.
I wasn’t expecting anyone to ask, though. I did have an answer, because it’s true; I want people who know to know, and to see that they’re not alone in the room. I’m sometimes a little scared going out with my bag. The flags are very bright and very visible for something so small. But if I can tell one person they’re not alone, that’s worth the risk of getting the sneers.
I was asked if I want people to come up and talk to me. No, I really don’t. It’s honestly just about reminding others like me that the world isn’t that big and scary. That we’re not alien in this society.
But I guess if you’re straight and white you don’t really get that, do you.
Finally, the doctor wanted me to be very unreliable, and went to great lengths to dig at my abuse history to find proof that I don’t reliably attend my appointments. Funnily enough the nurse I’ve been meeting with for the past year (and now won’t be) was very adamantly on my side about how cooperative and reliable I’ve been.
I couldn’t just not think about the diagnosis of woman then. But the truth is, as much as everyone hates self-diagnosers, I diagnosed myself with BPD when Kelsey was still eating me alive from the inside out. The way I love people is not healthy. The way I lose myself in others and become anything but the shell I don’t recognise is not healthy. The way I shift from name to name and can never stand being called one after a while is not healthy. The way I recreate myself like an ouroboric cycle of caterpillar-to-cocoon-to-butterfly-to-cocoon-to-caterpillar-again is not healthy. I don’t have a self. I never have.
Most recently, I spoke on my channel about how I hate the way I show love; it’s like a six years old trying to express an emotion. Look, I drew a picture of you because I love you and think you’re beautiful. I wear my nail polish like you, I even let it wear out like yours had when I saw this colour on you. I found an earring like yours and put it on like you have it. I’m learning the way you speak so I can hear you in my conversations. I want to compliment you every day, even if you don’t ever hear me. And then I get hurt when I’m reasonably enough seen as a fucking creep. I’m 30 years old. My dad kicked me around the house and wanted to kill me. I’m scared of being close to anybody. I only love from a distance because I wouldn’t know how to do it from a closer proximity, and people like me look like stalkers. I don’t stalk, though, I know where I’m unwanted. But I’ll still take the words you’ll write and trace the penmarks on the paper to feel something you once held. It’s the closest to you I’ll ever get. It’s alright, really. I didn’t expect things to change.
And we’re back with Kelsey, aren’t we? Because all of this was fine until he fucked me up. I thought I was okay until he showed me all the ways I’m not. It hurt to love but at least I was loving so strongly - I’ve been told before, nobody does it quite like me. But, but. There it was. That’s how it ended, with me spitting blood on the pavement, metaphorically; physically it ended with me in an MRI machine when they tried to find the blood clots or some damage to my heart and lungs that made me unable to breathe. It was just the weight of everything.
Now you know. It’s good to get all that off my chest. Anyway, I’m cluster b now. Bought my tickets here a long time ago.
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laundryandtaxes · 7 years ago
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you've made me change my opinions on gun control but the parkland students have me question that again. what's your take on their activism?
I mean my views aren’t based on current events, they’re based on what seems to be effective and what doesn’t seem effective to me. “Ban assault weapons” sounds cool to lots of people but 1) we did try banning “assault weapons” (used in the Clinton ban to mean semi auto rifles that looked scary) from 1994 to 2004 when they were actually hard to get- if our goal was to limit availability this was the PERFECT TIME, when they cost a grand and there weren’t many of them in the country- and EVEN though the number of them actually ROSE during the ban as manufacturers designed around the ban 2) there’s no conclusive evidence that it managed to reduce spree shootings, as shooters just switched over to other kinds of semi auto rifles and handguns. So it’s a bandaid solution that doesn’t even seem to work well under the best conditions- when they are already hard to get and there aren’t that many of them in the country. There’s an estimated 3 million AR-15s in the country now ALREADY, I would guess that number is -at least- 5x, and maybe even 10x, lower than the actual number, there are kits being sold to build lower receivers in your garage with a $200 press and some time, and on top of that you can build a decent (not premium, not shit) rifle yourself for $500, you can buy one off the rack for $400. There is no future for this country where, imo, knowing what I know about availability of parts, an AR is all that hard to get. The people I’m personally worried about anyway (violent neonazis) are watching the news and will have 5 or 6 more before midterms elections. Nobody is gonna turn in their rifles when asked or even when compensated- I’d be surprised if you got 1 million back under a buyback. Like if we had seen a massive decrease in spree shooting during the AWB of ‘94, I would support bans. But not only did we not see that, not see any impact on violent crime, but we saw a modest decrease in the use of banned weapons specifically in spree shootings (which, no, does not mean less lethality when the round an AR shoots is also in plenty of other rifles that look less scary and like hunting rifles) and all rifles from hunting rifles to the AR account for less than 5% of all gun homicides in the country. Even when considering that rifle rounds seem generally to kill at a higher rate, .223 in particular is so underpowered a round the military is likely to switch away from it soon and it’s not uncommon for people to survive 3 or 4 shots with it, so this idea that the AR is outrageously lethal doesn’t hold up. Your odds of making it after getting shot with it aren’t great but they’re better than if you’re shot with grandad’s bolt .308 or.303 rifle.
“Ban so-called large capacity magazines” also sounds cool to lots of people but it takes an amateur less than 3 seconds to reload and a well trained shooter hardly over a second, and cops have a habit of showing up to spree shootings and waiting for shooting to stop completely rather than directly getting in there- this fantasy that anybody, let alone cops, will wait for a reload to try to get a shot is a fantasy. Cops are not legally obligated, as of the most recent court cases, to come into a dangerous situation and do shit to “protect” you. They’re gonna wait outside and fret while people die. So those idea that 10 rounds is a magical number where your shooter won’t just switch magazines when cops are not going to intervene anyway is silly. What I WILL say is your odds of surviving a handgun shot in this country are great (if I’m ever shot with a pistol I have 80% odds of making it out alive) and rifle rounds tell to have a higher lethality rate because of what we have good trauma care for. I would be less upset to see them go than ARs because, again, you can just reload quickly. A 10 round magazine doesn’t mean 10 people get shot when you can just buy more magazines.
I don’t ideologically oppose licenses for firearms purchases, and we have them in my state- minor annoyance to get but 10 bucks and not difficult, and even though mine required no test or class (unlike my concealed carry license) I don’t think requiring a sort of written and shooting exam to ensure basic proficiency is that unreasonable. I also think it does nothing to prevent violence. Someome capable of handling a gun well enough to kill people should be able to pass a basic course, and someone who plans their massacre for months is going to laugh at a waiting period. Most of these men have plans and there’s no reason to think they couldn’t just plan to take a course too. So I don’t actively support licensing measures- again because I have no reason to think they’d be effective. When building policy the goal is to do things that work. Not just to do a thing for its own sake.
So the three most common ideas to stop this stuff are both likely to just not be effective and I don’t support them for that reason even BEFORE you consider my ideological oppositions to disarming regular people and leaving cops with tanks. I do think this kind of violence might be better prevented with something like my state has where if you’re under a restraining order (as many men who eventually commit domestic violence are before committing that violence) then a friend or the state is required to hold your guns while you fight it in court. Judicial oversight is critical though- I don’t trust judges but I definitely don’t think anyone should be deprived of a constitutionally guaranteed right with no chance to appeal. It goes a bit further than barring domestic abusers from owning guns- which is ALREADY FEDERAL LAW, the ATF just doesn’t actually enforce that law by searching whether someone just convicted of domestic violence has already bought guns. If you’re just barred from buying more but have 10 in the house, that’s obviously stupid. Oregon has a new law where neighbors and friends can suggest to a judge that you be disarmed, but it doesn’t require the “accused” to even be in court as it’s figured out, which is bullshit. It is a good idea that a judge has to actually look at evidence and make that decision, and that it can be appealed. With any kind of rights revokation I think judicial oversight is a good thing. I also think it's an issue that 12 states don't report well to NICS because the background check system only reads what records it has- and I think we need a law REQUIRING military and law enforcement agencies to report internally investigated affairs that bar someone from owning firearms. The Air Force just quietly slipped 4000 more personnel names to the FBI that it hasn't submitted to it. That has to stop. Cops being domestic abusers (when they abuse at almost 50% higher rates than the general population) should not happen and should not be preventable by internal investigations. Committing a crime that prevents you from owning and using firearms should actually...prevent that. I do not think that law enforcement and military agencies should be able to investigate themselves at all in any capacity anyway in addition to...all the other things I also think about these groups. The Sutherland Springs shooter having been not reported to the FBI, many cops having DV investigations handled internally and still carrying a gun every day, these are ACTUAL loopholes around current law.
I think a lot of people see this stuff and go “Oh my goodness gun violence” and think this is what drives national gun murder numbers. It isn’t. Remember than murders using “assault rifles” account for less than 5% of all gun murders, not even counting other kinds of homicides like stabbing. There is one approach for spree violence- these men all seem to have histories of violence against women as the greatest single common thread between them and I still think addressing that (like with the restraining order law we have here) is the single greatest measure you’ve got, although that requires not just women reporting but women being BELIEVED by judges. If you wanted to actually talk about gun violence in general, you would be talking about handgun murders since they’re the majority of those in the country. But “gun violence” and “spree shootings” are not at all the same phenomenon and don’t really have a single set of solutions between both.
I have no interest in bullshit about mentally ill people being violent- not only are mentally ill people more likely to receive violence than cause it, but someone who plans a massacre and puts peices together, and carries it out, and even escapes after, is not IMPAIRED BEYOND ABILITY TO CARE FOR THEMSELF as is currently the legal threshold for disarmament; somebody who’s depressed (which, it can be depressing world- lots of people are depressed) should also not be stripped of firearms rights without judicial review spurred by someone seeming to be a threat to themself or others; no diagnosis should allow someone to be stripped of a rigjt automatically and anyway I domt want the FBI looking at people’s health records without good cause when there is no diagnosis thst means you’ll murder someone. Plenty of mentally ill people manage not to kill someone every day. Sometimes people are just bad and the goal here is to limit the damage they can do. I don’t have answers but I also don’t pretend to. What I can say is that this kind of behavior displayed by the Parkland shooter (including, my newest CNN alert says, holding people at gunpoint) should be grounds for at least temporary disarmament. I also have no interest in talking about it in terms of “needs,” considering there are all kinds of dangerous things (harder to get than guns but available) that I also don’t need, like an excessively heavy truck or a car that goes over 80 miles an hour or a sword of literallt any kind.
So no, my opinions haven’t changed because I don’t have new information about the efficacy of the measures most people are still calling for. We tried an “assault weapons” ban and it didn’t work when they were 10 times harder to get and twice as expensive and much less commonly owned than they are now. We have no evidence it worked. Whatever we try, it needs to be something other than an ineffective policy that didn’t work under the best conditions for it. Typed this on mobile and may add links later when I can/this probably has some good ole phone typing typos.
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carronpatrick · 2 years ago
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ADHD update - After 10 days of no response (except people online saying it's a scam and they take your 200 bucks and run despite being advertised with GoodRX), I canceled the ADHDOnline "assessment" and now am calling my local doctors offices tmr to try to find someone, anyone, who can diagnose. It should not be this fucking hard to get an ADHD diagnosis. I know I have it and I have my entire life.
Just help me.
Geez. It's paralyzing and I had to work up my courage for literally like 3 years just to ask a doctor for help. First one just wanted to steal clients for his new office across Nashville, second doesn't "do" diagnosing for ADHD, third was a scam. Bruh. I'm so sick of this shit, I just need a break please.
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perfectirishgifts · 4 years ago
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How Your Smartphone Can Fix America’s Healthcare Crisis
New Post has been published on https://perfectirishgifts.com/how-your-smartphone-can-fix-americas-healthcare-crisis-2/
How Your Smartphone Can Fix America’s Healthcare Crisis
At 30,000 feet in the air, a passenger was suddenly crippled by severe chest pains. The flight attendant called over the loudspeaker, “Is there a doctor on board?” A tall man rose from seat 6C. And the first thing Dr. Eric Topol reached for was his iPhone.
He plugged a credit card-sized heart monitor into the phone and placed it on the woman’s chest. The doctor didn’t need fancy machines to diagnose the problem. An iPhone app showed she was on the verge of a major heart attack.
Topol recommended the pilot make an emergency landing. The passenger was rushed to the hospital and survived.
Eric Topol isn’t some quack with a phone. He’s one of America’s leading cardiologists. And a couple of years ago, he made a shocking prediction: The smartphone will upend every aspect of healthcare.
Longtime RiskHedge readers know healthcare is America’s most broken industry. In fact, the surest way to go broke in America today is to get sick. Healthcare accounts for one in five dollars spent in America, topping $3.8 trillion in 2019. This blew me away: over half a million folks filed for bankruptcy last year due to medical bills. It’s now the #1 cause of personal bankruptcy.
This is a big reason medical care costs have jumped 200% since 2000. For example, US hospitals spent $600 billion on admin and billing alone last year.
What If I Told You Smartphones Can Fix America’s Healthcare Crisis?
If you’ve ever had an ultrasound scan, you know it involves big, expensive machines. New high-end scanners, like the ones in maternity hospitals, can cost $350,000 apiece. And doctors charge a couple hundred bucks to perform an ultrasound.
Little-known disruptor Butterfly Networks is turning this $8 billion market on its head. The firm invented a “beard shaver” shaped instrument that transforms any smartphone into a handheld ultrasound machine:
You simply plug it into a lightning port for iPhone or a USB-C for Android, open Butterfly’s app, and you’re ready to perform an ultrasound. And get this: the FDA-approved portable scanner costs just $1,999, plus membership.
Doctors perform 125 million ultrasounds each year in the US. Research shows handheld devices, like the Butterfly IQ, could handle 80% of these scans. In other words, we’re replacing a $350,000 clunky machine with an iPhone attachment! These clinical-grade scanners can be used anywhere, so Walmart Health could offer ultrasounds for, say, $49.
This Is Happening In Every Corner Of Healthcare
Think of the billions (and eventually trillions) of dollars it will save. The iPhone attachment Eric Topol used to save a fellow passenger’s life costs $99. Topol stopped using traditional ECG machines in his practice when this system got FDA approval. And he told MIT in an interview: “We save $100 for every one of these we do.”
Skin cancer is the most common form of cancer in the US. Roughly 9,500 Americans are diagnosed with the disease each day. And it takes several trips to the doctor’s office to diagnose a spot on your skin as dangerous.
Imagine you could snap a picture of a mole and get an instant diagnosis? SkinVision has an app for that. You take a picture of your skin using the app. Within 30 seconds, SkinVision’s robo-dermatologist tells you if you have anything to worry about.
The latest research shows SkinVision’s app is 95% accurate, beating even leading dermatologists. And get this: you can carry this expert doctor around in your pocket for just $50/year.
Did you know ear infections are the most common reason parents bring kids to the hospital? Cupris Health developed an iPhone attachment that lets you perform an ear exam without leaving your home. The clinical-grade otoscope plugs into your headphone jack and captures high resolution images inside the ear. Cupris’s app then diagnoses the problem.
Imagine how many midnight trips to the ER this app could save parents? Silicon-Valley based disruptor Eko invented a $349 attachment that turns your smartphone into a clinical-grade stethoscope. It can monitor vital signs for early detection of heart and lung problems. Eko’s devices have proven to be significantly more accurate at detecting heart problems than human doctors.
Smartphones Are Disrupting How And Where We Access Healthcare
Remember when you had to call up a travel agent to book a flight? Now, you can do it yourself with an app. A similar transformation is happening in medicine. You’re carrying around an expert doctor in your pocket—one that can perform lab-grade tests, allowing you to skip the hospital bills.
Remember, healthcare is a $3.8-trillion industry in the US alone. This is, hands down, one of the most lucrative opportunities of our lifetimes.
Get my report “The Great Disruptors: 3 Breakthrough Stocks Set to Double Your Money”. These stocks will hand you 100% gains as they disrupt whole industries. Get your free copy here.
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allenmendezsr · 4 years ago
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The Acid Reflux Strategy
New Post has been published on https://autotraffixpro.app/allenmendezsr/the-acid-reflux-strategy/
The Acid Reflux Strategy
 Buy Now    
“So, you thought your acid reflux was just innocent annoyance?” my doctor asked.
Then, looking me straight in the eyes, he added…
“You were DEAD wrong!”
I wasn’t sure if the pun was intended.
My wife’s shivering hands squeezed mine as tears ran down her chin.
“Don’t worry. We’ll get through this,” she sobbed…maybe more to convince herself than me.
Frozen with fear, I couldn’t speak.
Only one thought circled through my mind: “I’m too young to die!”
You don’t anticipate this kind of shock when seeking medical advice for acid reflux, do you?
Yes, heartburn makes your life miserable. It robs you of sleep, ruins your meals, and embarrasses you with burp and gas outbursts in the worst places.
At worst, you fear ulcer, which is, of course, horrible.
But death — you don’t expect that!
If you frequently suffer heartburn, you should, however, prepare for the worst.
I tell you why…
Not being able to sleep that night, I googled the health risks of acid reflux.
What I found was terrifying.:
Recent studies prove that acid reflux is the number one cause of not just one or two, but SIX types of fatal cancers (4).
And we’re talking strong connection.
Heartburn increases your risk of…
cancer in the larynx by 286%;
cancer in the hypopharynx by 254%;
cancer in the oropharynx by 247%;
cancer in the tonsils by 214%;
cancer in the nasopharynx by 204%;
cancer in the sinuses by 140%.
Sum it all up, and you’re 1345% more likely to get one of these six cancers than does a person who doesn’t suffer heartburn.
One thousand, three hundred, and forty five percent.
That’s a lot!
“Acid reflux is more dangerous than smoking,”
…the researchers concluded.
Millions of people die every year because they don’t take their heartburn seriously enough.
And there I was, ready to be another name on a grave.
It wasn’t my fault, really!
I’ll explain in a second how I finally got rid of my acid reflux using a simple home remedy that takes only four or five minutes to make.
You most likely have all the ingredients sitting in your kitchen. So, if you want, you should be able to take the first sip within 10 minutes from NOW.
Had I known about this remedy before, I would not have received the dire news that day.
But with what I knew then, I couldn’t have done much differently!
Like most people suffering heartburn, I was loading up on proton pump inhibitors (PPI), medications thinking they were safe.
Well, they are not.
According to a study from Washington University in St. Louis, PPI drugs increase your risk of dying within a year by a terrifying 50% (1).
Another study published in the Journal of the American Heart Association (2) proved that PPI pills drastically increase your risk of stroke.
And, in a new study from the University of Hong Kong and University College London published in the peer-reviewed journal Gut (6), these same drugs were found to double your risk of stomach cancer.
Maybe worst of all: They also double your risk of kidney disease.
Hey, I can live with stomach ulcers, but I can’t live without my kidneys or stomach.
Other heartburn medications, such as antacids and H2 blockers (such as Tums and Zantac), may or may not be a little bit safer. However, numerous studies have also found a row of life-threatening side effects from these drugs.
Putting it bluntly:
It’s a matter of life and death that you naturally address your acid reflux immediately today.
Don’t put it off another day!
Plus, these drugs cost a fortune…
When my insurance company stopped copaying for my medication a few years back, I had to shuffle out over $5000 a year for heartburn prescriptions.
Even after I turned to cheaper over-the-counter PPIs, I was still paying close to $2000 a year for drugs that were actually murdering me.
Okay, finally, some good news:
Additional testing luckily revealed that my cancer diagnosis was a false alarm — “false positive,” they called it.
At that point, however, I was informed enough to realize I had gotten a second chance at life…
…but it wouldn’t last long unless I cured my acid reflux as soon as possible.
PPI and other heartburn medications only temporarily mask the symptoms. They do not cure your acid reflux or GERD.
Therefore, they do nothing to protect you from dying from cancer and other causes.
In fact, they drastically increase your risk of dying.
So, I knew I had to handle my acid reflux naturally…
…which is easier said than done.
The Internet is full of well-meaning tips for acid reflux.
I’m sure you’ve tried everything from baking soda to just carrying around Tums everywhere you go.
When other common wisdom, such as sleeping sitting up, not eating spicy food, and avoiding sugar, chocolates, and tomato sauce, is to no avail, you are running out of options, aren’t you?
So, you get what I was facing.
Finally, my luck changed when a friend referred me to a man named Scott Davis.
Scott is somewhat of a legend in the natural health research field.
He has come up with solutions for numerous health issues the traditional medical system has no answer for.
Among those are acid reflux and GERD disease.
At the age of 84, he dedicated most of his time to research and was not seeing many people in person.
In fact, he seemed quite irritated having to deal with such a mundane issue as my acid reflux.
You see, for someone like you and me, who have endured the pain of acid reflux for so long, curing it deserves the Nobel Prize and its million-dollar award, right?
Scott, however, had helped so many people with heartburn, it had become an old hat.
It wasn’t a challenge for him anymore.
He only helped me because my friend was Scott’s nephew, and really expressed how desperate I was.
Well, he did charge me $200 for a 30-minute session, which I, at that time, thought was kind of a rip-off.
That is until I realized how effective his method is.
In fact, this is the best investment I have made…
…not just because of my health but also because I’m saving almost $2000 every year in medications.
I don’t mind effortlessly banking extra 2000 bucks a year… Would you?
That’s one 1000% return on investment every year — beat that, Wall Street.
But obviously, saving my health and life was my only motivation that day.
Scott told me that the three-step system he had developed works for pretty much anyone, and if I followed it in detail, it would help me too.
“Let’s see,” I thought to myself, quite skeptical.
As Scott gently shuffled me out the door, he gave me a printout of 43 pages listing the three steps he wanted me to take.
Part one was his “quick fix,” – including his simple acid reflux remedy.
I could make the remedy right away, as it included only three ingredients I already had in my kitchen.
I was amazed to feel the pain melt away!
That night, I slept through without any bloating, burbling, or throat burning for the first time in decades.
Imagine the joy of waking up the next day feeling great. No gasping for air and spitting up acid before breakfast.
I made the formula again in the morning, and the whole day passed without any reflux.
This was great!
Several days and nights passed without any heartburn issues. I drank a glass of the formula two to three times a day.
And it was keeping my stomach in great shape.
Sometimes, I would add one or two of the extra herbs Scott recommended to boost the effectiveness of his remedy even further.
Herbs number six and nine on his list were especially effective, and I could get them from any supermarket along with the other ingredients.
The best part was being able to eat and drink anything I wanted (even fattening and heavy comfort food, which can really cause heartburn).
I could have coffee in the morning, a glass of red wine in the evening, and even a bit of spicy food for lunch (I didn’t dare try spicy for dinner.).
Heck, I had even forgotten that a sip of Bourbon wasn’t supposed to be painful.
All I did was make sure that I had a shot of Scott’s remedy when I knew I was going to eat or drink something that I shouldn’t.
Every day, I felt powerful and full of energy and focus.
This was amazing because I had tried literally hundreds of home remedy recipes before I met Scott.
The Internet is full of those recipes.
I’m sure Scott’s remedy has been ripped off somewhere (although I haven’t seen it anywhere else). But you’d have to literally go through thousands of failures before finding it (if you ever do).
Some of those online remedies I tried helped a little for a few days, but they always stopped working.
Others made my pain worse.
Scott’s remedy has never failed me.
That’s except when I failed Scott!
What do I mean by “failing Scott?”
You know what happens when we get a good thing going. We too quickly forget the hard times.
And, little by little, I began to forget taking the remedy.
I would run out of the ingredients or forget to take it with me when traveling.
Or, most idiotic of it all: Sometimes, I thought I didn’t have five minutes to spare to make it.
Imagine having a remedy that you know would eliminate your acid reflux every time, and you just decide in your mind that it’s not worth five minutes to make it.
Well, my brain is obviously not the brightest.
And that was okay for a few days…
…until one night, when the reflux assaulted me with full force again.
As luck would have it — it was exactly a night spent in a hotel, where I had none of the ingredients needed.
Worst night of my life!
Most of it was spent with my head in the toilet.
That’s when I got it:
Just like prescription medications, the remedy was dealing only with the symptoms.
It is, of course, natural and not causing any side effects.
But no matter how effective it was, it wasn’t curing my acid reflux.
I had promised Scott not to get stuck with the remedy and also take the two other steps in his system.
Well, this night reminded me of that promise.
And the hours that passed before I could get to a supermarket and buy the ingredients for the formula nailed that memory in deeply.
When I got home, I immediately began working Scott’s program for real.
The next step was to give my stomach a break.
It wasn’t enough to use the mixture that soothed my stomach.
I actually had to cut out the foods that were triggering it.
Scott had given me a list of foods to look out for, followed by a long list of delicious foods that are good and soothing for the stomach.
I got it all wrong before.
Okay, I knew about sugar, spicy foods, tomatoes, and many of the other obvious trigger foods.
But I had no idea about most of the things on Scott’s lists.
And here is the thing nobody tells you about acid reflux diets:
It is NOT about avoiding certain TYPES of foods.
It’s the food combinations in your meals that are much more important.
Scott taught me six simple fundamentals for food combination for acid reflux.
Using these fundamentals, I’m actually able to eat lots of foods that previously would have caused terrible bloating attacks.
I just avoid combining these “bad foods” with other foods that promote heartburn.
And finally, the third step…
The huge misunderstanding about stress and acid reflux:
You know the saying: “having a knot in the stomach” when someone is stressed or in dread.
It’s no wonder because when you are stressed or anxious, you feel it in your guts, right?
It’s like your intestines are twisted and turned?
Now, when acid reflux bloats your stomach, it tricks your body into thinking you’re under major stress — even when there is nothing to stress about (other than the pain, of course).
This triggers your brain to release a ton of stress hormones. This causes you to feel even more stressed, which again gives you that knot-in-the-stomach feeling and triggers acid reflux.
It’s a vicious circle of heartburn and stress.
That’s why traditional stress management doesn’t ease acid reflux.
Scott, meanwhile, taught me four powerful techniques, each of which taking only two to three minutes and focuses on the mind/stomach relationship.
I began using these techniques anytime I sensed a small tension in my stomach.
And the results were remarkable:
Over and over again, tensions that would have transformed into full-blown reflux before would melt away as I did the stress release exercises.
All I was left with were this great energy flow and light joy in my guts.
Scott is phenomenal!
Combining Scott’s simple mixture, his food plan, and his easy stress relief techniques when needed gave my guts a much-needed rest.
Over the coming weeks, I began experiencing a flow of energy in my guts that I hadn’t felt before.
The heaviness and pressure I would usually have after eating were gone.
Instead, I felt uplifted and energized.
At some point, choosing the right food and food combination became second nature. I don’t even think about it anymore.
Plus, it doesn’t matter if I cheat a little once in a while. It doesn’t send me into full-blown heartburn.
When going out to eat and I know I’m going to consume something I shouldn’t, I take four or five minutes to brew up Scott’s remedy and experience no heartburn problems.
Best of all: I feel like a normal person again.
It’s such a relief not dreading going out with friends because you are that weird guy who can’t eat or drink the same as others.
I can order normally without having to interrogate the waiter about the ingredients in the food.
And I can have a drink or two without fretting the night.
Now, it’s your turn…
Recently, Scott began working with natural health publishing company Blue Heron Health News to spread his knowledge.
They published the same three-step strategy Scott gave me:
Take the simple home remedy (plus the 11 herbs that supercharge it) to stop acid reflux in its tracks.
Identify the foods and the food combinations that trigger acid reflux.
Address the “knot in the stomach” using simple stress relief techniques.
In addition, he included a chapter specifically focused on pregnant women and acid reflux.
Another chapter focuses on infants and children experiencing heartburn.
I highly recommend Scott’s strategy for anyone suffering from acid reflux, GERD, or heartburn.
So, how much does Scott’s Acid Reflux Strategy cost?
The icing on the cake:
Unless you completely eliminate your acid reflux, heartburn, GERD, or whatever else you call it, you end up paying NOTHING…
..unlike dangerous prescriptions or medications that suck $3000, $5000, or even $8000 every year (and attempt to murder you in the process),
…cheaper, over-the-counter versions digging you into a $1000–$2000-hole year after year—and actually make you sick,
…or even natural remedies that may not cause side effects but most often don’t help either (and rob you of several hundreds or thousands in the process).
Not even the $200 Scott charges for a 30-minute session (if you are lucky enough to get one).
Nope.
As much as Scott knows how effective his system is, he doesn’t want to sell it to anyone unless he’s 100% sure it will help them.
After all, you are not wasting his personal time like I was.
Even though he that knows you…
might be spending your life savings on dangerous, ineffective herbs and medications
 are at tremendous risk of dying from cancer and liver damage due to your acid reflux.
are suffering every day and night…
… he still knows that you might hesitate to try his system if you are required to shell out a huge amount of money.
And let’s be honest…
I’m sure Scott could provide you with hundreds of testimonials from people who had similar results as I did, but how do you know whether they’re true?
He could also bore you with thousands of pages of scientific studies proving different aspects of his acid reflux strategy, but you might still doubt it will work for you.
The only way you can find out for sure whether Scott’s three-step strategy will work for your acid reflux is if you try it out for yourself.
So…
Here is how you can try the Acid Reflux Strategy for free:
After you click the button below, you’ll be charged a small, one-time, fully refundable deposit.
I think that’s fair, as that is your commitment to giving Scott’s strategy your best shot. Without it, this would just be another one of those free online information nobody gives any weight to.
It also guarantees that Scott gets a little gratitude from those who benefit from his strategy. And he does deserve some gratitude if he helps you heal your acid reflux, doesn’t he?
Okay…
Immediately after you submit your deposit, you’ll be redirected to a page where you get full access to Scott’s strategy.
Start by making the simple home remedy.
You most likely have all the ingredients in your kitchen already.
So, within 10 minutes from NOW, you can have your first sip.
Imagine the relief if your acid reflux was gone TODAY!
If you would sleep through the night without gasping for air, stomach cramps, or throat burning and wake up without upset stomach burping (or even throwing up)…
Wouldn’t that be wonderful?
Whether you experience complete relief tonight or not, I recommend you drink Scott’s remedy every day for a few days.
Then, you can move on to steps two and three in his strategy.
Now, if you don’t experience the same amazing results as I did, or if you’re, for whatever reason, not completely thrilled with the strategy (Maybe you don’t like the font type.), then I’m truly sorry.
In that case, just send the team at Blue Heron Health News a quick email, and they’ll immediately refund your deposit. No questions asked.
You can use the contact link at the bottom of this page or reply to the confirmation email you will receive with your order.
Scott Davis and Blue Heron Health News put their +40 years of great reputation in the natural health biz on the line, guaranteeing you will be thrilled with either your order or refund.
You have 60 days to ask for your deposit back, which means you can thoroughly test out the 3-Step Acid Reflux Strategy.
If you ask for a refund (I don’t think anyone has ever asked. At the least, it’s very rare.), you come out even. Lose nothing.
But if you manage to cure your acid reflux… just imagine the money you’ll save on medications every year.
We are talking pocketing extra $1000, $4000, or even $8000 every single year — tax-free.
That’s the greatest return on investment I can think of — with zero risk (because if it doesn’t work, you lose nothing).
But it has to happen today!
Why?
It’s bad enough to go through another agonizing day with acid reflux when you know there is something that could help you, isn’t it?
Not being able to eat anything you like
Being kept up half the night with a burning throat and a bloated stomach
Having an almost guaranteed ulcer down the road (if not already)
These are bad enough on their own.
But add to this the knowledge that your heartburn is putting you at over one thousand three hundred percent increased risk of six types of fatal cancers.
1300%
That makes it pretty likely that you will get one of those cancers if you don’t tackle your heartburn today.
Plus, knowing that the common medications available for acid reflux cause kidney failure, stroke, dementia and stomach cancer.
Worst of all: This can happen any day!
One minute, you’re fine. The next, you’re coughing blood and rushing to a hospital with stage five throat cancer.
And you know that as you’re lying in the ambulance, you will be thinking you should have done something about your acid reflux sooner.
You know you will!
You still have time today, unlike at that point, it will be too late.
The time to act is NOW!
It’s an ugly truth, but it has to be said.
So, why don’t you click the order button below now and begin addressing your acid reflux within minutes?
You risk nothing and have your life and health to gain.
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stilinskiimagines · 7 years ago
Text
Grey's Anatomy//Teen Wolf AU - Part 2
Characters: Scott McCall, Stiles Stilinski, Lydia Martin, Kira Yukimura, Isaac Lahey, Alan Deaton, Vernon Boyd, Braeden, Reader.
Stiles was about to go into surgery. It was a routine surgery, a simple appendectomy, but all that mattered was that he was the first intern to go into surgery. You were all gathered in the gallery to watch.
You heard people whispering, making fun of him. “Ten bucks says he messes up the McBird.”
“Twenty says he cries.“ Kira nods.
“I’ll put twenty on a total meltdown.” Someone in the back says.
“Fifty says he pulls the whole thing off.” You say. Everyone looks at you, silent. “That’s one of us down there. The first one of us. Where’s your loyalty?” Everyone stays quiet a bit longer.
“Seventy-five says he can’t even ID the appendix.” Kira blurts out. You sigh.
“I’ll take that action.” Lydia nods and everyone mutters in agreement.
You watch as he grabs the scalpel from the scrub nurse, the scrub cap on his head is a bit too big, it makes him look like a little boy. Everyone cheers and Boyd motions from the OR for everyone to shut up.
“That Boyd…he’s trouble.” Kira grins and everyone laughs.
You glance at the camera, listening to Stiles and Boyd. “Damn, he got the peritoneum and he opened him up.” Someone says.
“I told you he’d pull it off.” You mutter.
“Scalpel.” Stiles sticks his hand out.
“Scalpel.” The nurse repeats and hands it to him.
“Appendix is out.” Stiles takes it out and sits it on the tray, inciting cheers.
“Now all you have to do is invert the stump into the secum and simultaneously pull up on the purse-strings but be careful not to..” There’s a ripping sound. “break them.” Boyd groans. “He ripped the secum. Got a bleeder. You’re filling with stool, what do you do now?”
“Uh…” Stiles looks panicked. “Uh…”
“Think. You start the suction, you start digging for those purse-strings before she bleeds to death. Get him a clamp.”
“BP’s dropping.” A nurse states.
Kira sits forward in her seat, “He’s choking.”
“Come on, Stiles.” You stare intently at the screen.
“Today. Pull your balls out of your back pocket, let’s go. What are you waiting for? Suction.” Boyd is becoming impatient.
The monitor begins to beep. “Getting too low, folks.” A nurse says.
“Get out of the way.” Boyd pushes Stiles back. “Pansy-ass idiot. Get him out of here. Suction. Clamp.”
“007.” An intern behind you mutters. You turn to look at him, he has curls falling in his face and he’s sitting in his chair like he’s at his mom’s house.
“007. Yep. He’s a total 007.” Another intern says.
“What’s 007?” Lydia asks.
“Licensed to kill.” You mumble.
You’re sitting in the spare beds in the hallway. “007. They’re calling me 007, aren’t they?” Stiles sighs.
“No one’s calling you 007.” You and Lydia say in unison.
“I was on the elevator and Murphy whispered 007.” Stiles pouts.
“Oh, how many times do we have to go through this, Stiles? Five? Ten? Give me a number or else I’m going to hit you.” Kira groans.
“He wasn’t talking about you.” Lydia nods.
“You sure?” Stiles looks over at her.
“Would we lie to you?” You raise an eyebrow.
Stiles is quiet for a moment, “Yes.”
“007 is a state of mind.” Kira shrugs.
“Says the girl who finished top of her class at Stanford.” Stiles shakes his head. “Maybe I should’ve gone into geriatrics. No one minds when you kill an old person.” He lets his head fall onto the wall.
“Surgery is hot, it’s the Marines, it’s the macho, it’s hostile, it’s hardcore. Geriatrics is for freaks who live with their mothers and never have sex.” Kira shrugs.
“I’ve got to get my own place.” Stiles sighs.
“4B’s got post-op pneumonia. Let’s start antibiotics.” You hear the intern that started 007 say.
“Are you sure that’s the right diagnosis?” The nurse asks.
“Well I don’t know, I’m only an intern. Here’s an idea, why don’t you go spend four years in med school and let me know if it’s the right diagnosis. She’s short of breath, she’s got fever, she’s post-op. Start the antibiotics.” He walks over to you. “God I hate nurses. I’m Isaac. I’m with Jeremy, you’re with the Nazi, right?”
You glance up at him, “She may not have pneumonia, you know. She could be splinting, or have a PE.”
He scoffs, “Like I said, I hate nurses.”
“What did you just say? Did you just call me a nurse?” You cross your arms.
He shrugs, “If the white cap fits…”
Your pager goes off and you begin to walk away.
“She seeing anybody?” Isaac leans over to Stiles.
“I don’t know.” Stiles shrugs.
Isaac whistles, “She’s hot.”
“I’m friends with her. I mean, kinda friends, I mean…not, you know, actually friends. Not exactly, but we’re tight. We hang out. I mean really only today-”
“Dude.” Isaac interrupts.
“But-” Stiles starts again.
“Dude. Stop talking.” Isaac shakes his head.
You walk into the room, your patient was on the bed, seizing. “What took you so long?” A nurse asks.
“She’s having multiple grand mal seizures, now how do you want to proceed? Dr. Y/L/N? Are you listening to me? She’s got Diazepam, 2 milligrams of Diazepam, I just gave her a second ago, Dr. Y/L/N, you need to tell us what you want to do. Dr. Y/L/N!” Another nurse shouts.
You’re panicked, you don’t know what to do. “Okay, she’s full on Prazepam?” You pick up her chart.
“She’s had 4 milligrams.” A nurse answers.
“Did you page Dr. Bailey and Dr. McCall?”
“The Prazepam’s not working.” A nurse says.
“Phenobarbital. Load her with Phenobarbital.” You nod.
“Pheno’s in.”
“No change.” A third nurse says.
“You paged Dr. McCall?” You ask.
“I just told you.”
“Well, page him again! Stat!”
“What do you want to do? Dr. Y/L/N, you need to tell us what you want to do!” A nurse looks at you. The monitor beeps. “Heart’s stopped!”
“Code blue, code blue! Code blue, code blue!” They pull out the defibrillators.
You take them, suddenly feeling in control. “Charge pulse of 200.” You yell.
“Charged. 200.”
You defib.
“Still defib. Nothing.” A nurse tells you. “Charging. 19 seconds.”
“Charge to 300.” You order.
“300. Anything? 27 seconds.”
“Charge to 360.” You defib again. Nothing. “Come on, Katie.” You mutter.
“49 seconds..” A nurse alerts you. “At 60 seconds you’re supposed to admit her…”
“Charge again!” You defib and her blood pressure registers.
“I see sinus rhythm. BP’s coming up.”
Scott runs in, “What the hell happened?”
“She had a seizure and-” You start.
“A seizure?” He repeats.
“Her heart stopped.”
“You were supposed to be monitoring her.” Scott sighs.
“I checked on her and she-”
“I got it. Just…just..go. Someone give me her chart, please.” He waves you out of the room and you leave.
You approach Bailey, “You get a 911, you page me immediately, not in the five minutes it takes you to get to the emergency…immediately, you are on my team and if somebody dies it’s my ass.” You walk past her. “You hear me, Y/L/N?”
“Y/N?” Kira raises an eyebrow.
You walk past her and she follows you out the front hospital doors, it’s pouring rain. You throw up in the grass. You stand up and sigh before walking back in. “If you tell anyone about this, ever…” You threaten her.
You find her later in the skills lab. “What are you doing?”
“I’m suturing a banana, in the vain hope it keeps my brain awake.”
Stiles laughs.
“What are you laughing at, 007?” She glares at him.
Stiles returns the glare, “You know what? I don’t care. I comforted a family today and I get to hang out in the OR. All is well.”
All of the interns are packed in a small room. Scott walks in and looks at everyone. “Well good morning. I’m going to do something pretty rare for a surgeon, I’m going to ask interns for help. I’ve got this kid, Katie Bryce. Right now, she’s a mystery. She doesn’t respond to her meds. Labs are clean, scans are pure, but she’s having seizures. Grand mal seizures with no visible cause. She’s a ticking clock. She’s going to die, if I don’t make a diagnosis. Which is where you come in. I can’t do it alone. I need your extra minds, extra eyes, I need you to play detective, I need you to find out why Katie is having seizures. I know you’re tired, you’re busy, you’ve got more work than you could possibly handle. I understand. So, I’m going to give you an incentive. Whoever finds the answer rides with me. Katie needs surgery. You get to do what no interns get to do. Scrub in to assist on an advanced procedure. Dr. Bailey’s going to hand you Katie’s chart. The clock is ticking fast, people. If we’re going to save Katie’s life, we have to do it soon.”
Everyone grabs a copy of the chart and runs out the door.
“Look, give the antibiotics time to work.” Isaac crosses his arms.
“The antibiotics should’ve worked by now.” The nurse argues.
Isaac sighs, “She’s old. She’s freaking ancient. She’s lucky she’s still breathing. Now, I’ve got a shot to scrub in downstairs with a patient who wasn’t alive during the civil war. Don’t page me again.” He walks away and Kira approaches you.
“Hey, I want in on McCall’s surgery. You’ve been the intern on Katie since the start. You want to work together? We find the answer we have a fifty-fifty shot of scrubbing in.”
“I’ll work with you, but I don’t want in on the surgery. You can have it.” You nod.
Kira looks taken aback, “Are you kidding me? It’s the biggest opportunity any intern will ever get.”
“I don’t want to spend any more time with McCall than I have to.” You shake your head.
She raises an eyebrow, “What do you have against McCall?”
“If we find the answer, the surgery’s yours. Do you want to work together or not?” You avoid her question. She grins and nods her head.
“Well, she doesn’t have anoxia, chronic renal failure, or acidosis. It’s not a tumor because her CT’s clean. Are you seriously not going to tell me why you won’t work with McCall?” Kira’s sitting in the library with you.
“No. what about infection?” You glance at a book.
“No. There’s no white count. She has no ceteal lesions, no fevers, nothing in her spinal tap…” She sighs. “Just tell me.”
You close the book and look up at her, “You can’t make a face, comment, or react in anyway. We had sex.”
Kira opens her mouth and closes it, “…what about an aneurysm?”
You shake your head, “No blood on the CT, and no headaches.”
“Okay..there’s no drug use, uh..no pregnancy, no trauma…was he good? I mean, he looks like he would be…was it any good?”
You don’t answer her question, “What are the answers? What if no one comes up with anything?” You groan.
“You mean if she dies?”
You nod, “Yeah.”
“This is going to sound really bad, but I really wanted that surgery.” Kira sighs.
“She’s just never going to get the chance to turn into a person. The sum total of her existence will be almost winning Miss Teen whatever. You know what her pageant talent is?” You ask Kira.
“They have talent?” She raises an eyebrow.
“Rhythmic gymnastics.” You deadpan and you both laugh.
“Oh, come on.” Kira shakes her head.
“What is rhythmic gymnastics? I don’t know…I can’t even say it, I don’t know what it is.” You laugh.
“Isn’t it like something with a ball, and a-” You go still and Kira stops talking. “…what? Y/N, what?”
“Get up! Come on!” You jump up. The both run out of the library. You walk by the elevator while Kira’s talking to you. She spots Scott and holds the door.
“-the only thing she could possibly need is a-..Oh, oh, Dr. McCall! Just one moment, um, uh, Katie competes in beauty pageants-”
“I know that, but we have to save her life anyway.” Scott shrugs
“Okay, she has no headaches, no neck pain, her CT’s clean, there’s no medical proof of an aneurysm…” Kira explains.
“Right.” Scott nods.
“But what if she has an aneurysm anyway?” She suggests.
“There are no indicators.” Scott looks at her.
“Ah, but she twisted her ankle, a few weeks ago when she was practicing for the pageant-”
“Look, I appreciate that you’re trying to help, but-”
“This is not helping!” Another doctor in the elevator shouts.
“She fell. When she twisted her ankle, she fell.” You explain to him.
“It was no big deal, not even a bump on the head, you know she got right back up, iced her ankle and everything was fine, it was a fall so minor her doctor didn’t even think to mention it when I was taking her history, but she did fall.” Kira nods.
“Well, you know the chances that a minor fall could burst an aneurysm, one in a million! Literally.” Scott shakes his head.
The both of you step back and sigh, letting the doors close. You hear a ding and look up, Scott walking out of the elevator.
“Let’s go.” He nods.
“Where?” Kira asks.
“To find out if Katie Bryce is one in a million.”
Yore in the scan room, looking at Katie’s recent scan. “I’ll be damned.” Scott shakes his head. “It’s minor, but it’s there. It’s a cerebachnoid haemorrhage. She’s bleeding into her brain.”
The three of you are walking down the hallway.
“She could’ve gone her entire life without it ever being a problem. One tap in the right spot-” Scott explains.
“And explode.” Kira nods.
“Exactly. Now I have to fix it. You two did great work. Love to stay and kiss your asses, but I gotta tell Katie’s parents she’s having surgery. Katie Bryce’s chart, please.” He says to reception.
“Oh, and Dr. McCall, you said that you’d pick someone to scrub in if we helped.” Kira calls out. “Oh, yes, right. Um, I’m sorry I can’t take you both, it’s going to be a full house. Y/N, I’ll see you in OR.”
You and Kira stay planted to your seats, shocked as Scott leaves.
Kira is clearly upset. “Kira..” She walks away, glaring at you over her shoulder.
You approach her and Lydia in the hallway. “I’ll tell him I changed my mind, you can-”
“No, no, don’t do me any favors. It’s fine.” Kira shakes her head.
“Kira…” You start.
“You know what, you did a cutthroat thing, deal with it. Don’t come to me for absolution, you want to be a shark, be a shark.” Kira waves her hands.
“I’m not-” You try to explain yourself.
“Oh, yes you are. Only it makes you feel all bad in your warm gooey places. No, screw you. I don’t get picked for surgeries because I slept with my boss, and I didn’t get into med school because I have a famous mother. You know, some of us have to earn what we get.” Kira rants. You didn’t know she knew about your mother.
You’re in the OR with Scott, he’s shaving Katie’s head. “I promised I’d make her look cool. Apparently being a bald beauty queen is the worst thing that happened in the history of the world.”
Did you choose me for the surgery because I slept with you?“ You raise an eyebrow.
"Yes.” Scott deadpans. “I’m kidding.”
“I’m not going to scrub in for surgery. You should ask Kira. She really wants it.” You shake your head “You’re Katie’s doctor. And on your first day, with very little training, you helped save her life. You earned the right to follow her case to the finish. You…you shouldn’t let the fact that we had sex get in the way of you taking your shot.” Scott looks at you.
You sit outside with Stiles. “I wish I wanted to be a chef. Or a ski instructor. Or a kindergarten teacher.” You sigh.
“You know, I would’ve been a really good postal worker. I’m dependable. You know, my dad tells everyone he meets that his son’s a surgeon. As if it’s a big accomplishment. A superhero or something. If he could see me now…” Stiles shakes his head.
“When I told my mother I wanted to go to medical school, she tried to talk me out of it. Said I didn’t have what it takes to be a surgeon. That I’d never make it. So, the way I see it, superhero sounds pretty damn good.” You shrug.
Stiles looks at you, “We’re going to survive this, right?”
Later you’re inside with Deaton and Isaac. Deaton was the chief of surgery.
“She’s still short of breath. Did you get an ABG or a chest film?” Deaton asks.
“Oh, yes sir, I did.” Isaac nods. “And what did you see?”
“Oh, well, I had a lot of patients last-”
“Name the common causes of post-op fever.” Deaton interrupts.
“Uh…yes, sir.” He pulls a notebook from his pocket.
“From your head. Not from a book. Don’t look it up, learn it, it should be in your head. Name the common causes of post-op fever.” Deaton crosses his arms.
“Uh…the common causes of post-op…” Isaac starts. “Can anybody name the common causes of post-op fever?” Deaton shouts.
“Wind, water, wound, walking, wonder drugs. The five W’s. Most of the time it’s wind, splinting, or pneumonia. Pneumonia’s easy to assume, especially if you’re too busy to do the tests.” You speak up.
Deaton gives Isaac a look before turning to you. “What do you think’s wrong with 4B?”
“The fourth W, walking. I think she’s a prime candidate for a pulmonary ambulus.” You nod. “How would you diagnose?”
“Spinal CT, VQ scan, provide O2, dose with Heparin, and consult for an IVC filter.” “Do exactly as she says, then tell your resident that I want you off this case.” Deaton says to Isaac. “I’d know you anywhere, you’re the spitting image of your mother. Welcome to the gang.” He smiles at you.
You’ve scrubbed in on Katie’s surgery, you’re in the OR with Scott.“
"All right everybody, it’s a beautiful night to save lives, let’s have some fun.” Scott says as the scrub nurse gloves him.
You spot Kira in the gallery.
After the surgery, Kira comes to find you, “It was a good surgery.”
“Yeah.” You nod.
Kira sits and sighs,“ We don’t have to do that thing where I say something, and then you say something, and then somebody cries, and there’s like a moment…”
“Yuck.” You laugh.
“Good. You should get some sleep. You look like crap.”
You scoff, “I look better than you.”
“It’s not possible.” Kira gets up and leaves.
Scott comes in, glancing at paperwork.
“That was amazing.” You sigh.
“Mmmm.” Scott continues looking at the paperwork.
“You practice on cadavers, you observe, and you think you know what you’re going to feel like standing over that table, but…that was such a high.” Scott looks at you and nods. “I don’t know why anybody does drugs.” You smile.
“Yeah.” Scott nods.
“Yeah.” You repeat.
Scott smiles, “I should go do this.”
“You should.” You nod.
Scott leaves, I’ll see you around.“
"See you around. See ya.”
After work you go to visit your mother. You walk inside the building, stopping a reception. You spot your mother in the corner of the room and you walk over to her.
“Are you the doctor?”
“No. I’m not your doctor. But I am a doctor.” You say.
“What’s your name?”
“It’s me, mom. Y/L/N.”
“All right.” She plays with her watch, “I used to be a doctor, I think.”
You take her hand, “You were a doctor, mom. You were a surgeon.”
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The Beginner’s Guide to Body Types: Ectomorph, Mesomorph, and Endomorph
We are all unique.  
Yes, even you. Your mom was right!
And you’re here because questions about your body type and genetics:
What body type am I?
How does it affect my training and diet?
I have bad genetics, how screwed am I?
I am a [body type]. Does that mean I shouldn’t do [activity]?
We all have different bodies, genetics,reactions from certain foods, strengths, and weaknesses, and thus we each have different activities and behaviors that we’re predisposed to be good at (or struggle with!).
The standard way of thinking tells us that we have three main “body types”:
Endomorph
Ectomorph
Mesomorph
(Don’t worry we’ll get into each of those below too.)
HOWEVER, when it comes to your genetic benefits and shortfalls, there is way more to it than just which category your body fits in.
As you’ll soon learn, just because you’re predisposed to be good at one thing or terrible at another doesn’t mean you should be pigeonholed or limited with what you can do.
With a bit of help from our favorite Role Playing Games, we’re going to dig into body types, character classes, and ways to buck the genetic lottery.
Whether or not you know your body type, or you have never heard those terms above before, I got you covered!
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I identify as a:
Woman
Man
The three main body types
Back in the 1940’s, an American psychologist named William Herbert Sheldon tried to classify us non-superheroes into three neat categories called “soma types”:
Endomorphs
Ectomorphs
Mesomorphs
Over the years, these three body types have become widely accepted as three solid classifications for how our bodies will generally react and grow based on our training and diet.
We’re going to ignore the parts about Sheldon trying to equate people’s body types to wildly generalized psychological traits, or the fact that he obtained the photos for his study under shady circumstances.
The 3 body types that Sheldon created managed to endure and have found a place in fitness, so that’s what we’re going to talk about today.
Sure, there is this complicated math formula that you can use to calculate your “soma type,” but we’re going to skip the formula and go right into the stuff you actually need to know. [1] .
These are the three types and how they’re characterized. I bet you’ll find you fit into one of them:
Ectomorph (thin)
Ectomorphs are characterized as having long, slim, and thin muscles/limbs and low fat storage. Ectomorphs are not predisposed to store fat nor build muscle.
These are the “hardgainers” that can’t gain weight even when they “eat so much.”
I am an ectomorph, and fought my genetics for 10 years – I also used this “diagnosis” as a crutch before finally overcoming it – I’ll talk more about this at the end of the article.
Mesomorph (muscular)
Mesomorphs are the “lucky ones.” They have medium bones, solid torso, low fat levels, wide shoulders with a narrow waist.
Mesomorphs are predisposed to build muscle but not store fat. Aka “lucky AF.”
You might know somebody that can just look at a weight and seem to get bigger and stronger: that person is a mesomorph.
Endomorph (curvy)
Endomorphs play the game of Weight Loss on extreme difficulty. These are people with wider waists, large bone structures, and are predisposed to storing fat instead of building muscle.
If you struggle to lose weight, or you put on fat easily, you MIGHT be an endomorph.
Again, I’ll explain why the diagnosis isn’t as important as how you respond to it!
IMPORTANT NOTE: These body types are not to be confused with the fourth classification: Animorphs, who possess the ability to change into any animal they touch.
Animorphs are necessary for the defense of Earth against the secret alien invasion.
Which BODY TYPE am I?
Although the three categories give us a decent foundation on which to build, there are a litany of other factors that are at play here.
For starters, instead of us fitting neatly into three categories, it’s more like a massive 1-1000 scale.
Imagine there is a triangle with each point representing one of the three body types.
We humans can exist at any point inside that triangle, from storing fat easily to not gaining weight easily to building muscle well. The reality is that we all have some parts of each of those.
What it really comes down to:
Some bodies are efficient at burning energy for fuel.
Some bodies are less efficient and tend to store more energy as fat.
Some bodies are really efficient at building muscle.
Some bodies are inefficient at building muscle.
Despite our genetics, our lifestyle choices, the foods we eat, and how we train will ultimately determine our body shape!
Where the problem with “soma types” begin: It’s very easy to use one’s classification as a crutch for being unhealthy or weak. 
Let’s use a different example: have you ever taken a personality profile for work (“I’m an INFP! You’re an ENTJ!”), and then used that as an excuse: “Sorry, the test said I’m an introvert, it’s not that I’m an ass. Deal with it!”
Just like with personality tests, our Soma Type should be a starting point for us to put a plan in place.
We are not going to use our genetics as a crutch anymore. I did it for a decade until I finally allowed myself to create a different identity!
“I’m an endomorph, so I’m screwed and that’s why I’m overweight.”
“How lucky is he? He can eat whatever he wants and not gain weight!”
“That dude just looks at weights and gets bigger. Must be nice.”
Here’s the truth: We have all rolled a random character in this Game of Life. We don’t get to pick our parents, we just have to play the hand we’re dealt to the best of our ability:
Some people hit the genetic lottery and get to play Life on Easy difficulty.
Some people have really crappy genetics and have to play on Legendary difficulty.
Your genetic makeup isn’t your fault, but it is your responsibility.
And this whole concept of dramatically different metabolisms due to soma types is overblown, which is GREAT NEWS:
Studies have shown that most people tend to fall within 200-300 calories of each other on the “metabolism speed scale.” [2] .
Your genetics can only help or hinder you so much – it’s the decisions you make after your character has been rolled that determines how quickly you progress through the game.
What this means: 
If you are really overweight, you don’t have as slow of a metabolism as you think. In fact, your metabolism is FASTER than somebody who is thinner than you (your body burns more calories to fuel your extra mass). What it really means is that you probably eat too much compared to how many calories you burn.
If you are really underweight (as I was), you don’t have as fast a metabolism as you think. Although you think you eat “so much,” I bet if we tracked it, it’s significantly less than you are estimating.
I’ll address each body type below with specific instructions on how to react!
This is great news, but it means you’re going to need to work for it!
Now, in addition to body types, we also get a lot of questions about muscle fibers and how they affect your physical fitness…
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The 15 mistakes you don’t want to make.
Full guide to the most effective diet and why it works.
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I identify as a:
Woman
Man
Twitch Muscle Fibers: Fast and Slow
To further emphasize that we are all unique snowflakes, our muscles have different types of qualities as well.
Based on your genetic makeup of what percentage of each type of muscle fiber you have, you might have a higher athletic ceiling when it comes to certain activities.
Again, this is just a starting point; I’ll get to how we can change our fate later.
Our muscle fibers can generally be classified as fast-twitch or slow-twitch:
Slow twitch fibers (Type I): These muscle fibers can carry more oxygen and sustain longer periods of aerobic activity (activities that require your muscles to use oxygen) than other types of fibers, using fats or carbs as fuel.  They can contract for long periods of time, but are weak.  Think: long distance running or hours of cardio.
Fast twitch fibers (Type IIb): These muscle fibers can carry less oxygen and only work with short periods of anaerobic activity (activities that require your muscles to burn glycogen) before becoming exhausted.  They have the greatest potential for strength and for gaining size. Think: sprinting, power lifting, strength training.
Fast twitch fibers (Type IIa): These are a mix of Type I and Type IIb fibers, and thus can be used for either aerobic or anaerobic activities.
So, if you are somebody that genetically has more slow twitch fibers than fast twitch, you’re genetically predisposed to be a better distance runner.
If you have more fast twitch fibers than slow twitch, you’re genetically predisposed to be a better powerlifter or sprinter.
Either way, we have some of each: as we age, our Type I fibers remain generally unchanged, while our amounts and sizes of our Type II fibers will decrease.  [3] .  
So, are we born with muscle fibers that have cemented our fate, and we can either be marathon runners or sprinters?
Hell no!
We can actually change our muscle fibers based on our training!
A study performed on males who were tasked with “sprinting” all out on a bicycle with a specific training regimen for 4-6 weeks resulted in decreasing their slow twitch fibers from 57% to 48% while increasing their Type IIa fibers from 32% to 38%.[4] .  
In another study performed on females who went through a rigorous endurance training schedule, Type I fibers did not increase, Type IIb fibers decreased, and the Type IIa fibers increased significantly.  Type IIa fibers are the “switch hitters” that can be used for increased power or endurance.[5] .  
Although more studies should (and will) be done on muscle fibers and how they’re affected by training, and how it differs between men and women this is the conclusion I’ve drawn:
Genetics be damned.
It might be an uphill battle, but we can change our fate. Body type, metabolism, muscle fibers, they are merely a starting point for discussion.
We can change our size and the percentage of our muscle fibers with the right training, just like we can change our body composition with the right diet.
Yes, at the upper echelon of elite world class athletes, those with a higher genetic ceiling might have a physical advantage over those who have less of the beneficial muscle fibers.
But for regular muggles like you and me, there’s no reason why we can’t be who we want to be, and look how we want to look.
To hammer this point home, we’re gonna dive deep into online role playing games.
Even if you’re not a gamer, I guarantee this analogy will make you go “I get it, and damn Steve you are both clever and smart and really good looking and also modest.”
Thank you!
Role Playing Games and Body Types
I remember playing Everquest (the game that paved the road for World of Warcraft) back in 2001.
I spent hours reading the official strategy guide in order race for my character, Morphos Novastorm, who was to be the most kickass wizard in all of Norrath.
Why wizards? Because they always start scrawny and weak and end up really freaking powerful. Duh.
According to the guide, my best choice was to select the Erudites: they possessed the highest amount of intelligence to start (INT), and thus would give me an advantage over against non-Erudite wizards.
I agonized over this decision and spent hours before even starting the game because I assumed this decision that would forever haunt me if it was the wrong one!
And then I started playing.
As I watched Ogre Wizards, Gnome Wizards, Elf Wizards, Halfling Wizards kick serious ass in the later levels, it made me realize that although my character’s skill potential was slightly affected by my race….it had NO impact on how good I was at the game!
There were so many other factors that were more important:
My style of play.
The equipment my character is wearing
Who is in my group.
Was I having fun and challenging myself in a certain way?
Do you see the point I’m trying to make here?
YOUR BODY TYPE IS NO DIFFERENT.
Genetically, you might fit into one of the soma types above: ectomorph, mesomorph, or endomorph (animorph? call me).
Ultimately, think of your body type as your character’s “race” in a role-playing game:
How you choose to PLAY that character in this game of life makes all the difference in the world.
OKAY!
SO we’ve established the 3 soma types. We’ve discussed muscle fibers and genetics. And then we learned that the difference between the body types is minimal and that you can change your muscle fiber composition with training.
I have a few final points to make, but you might be looking for some recommendations:
I am an Ectomorph, Endomorph, or mesomorph. What do I Do?
Okay okay okay, you’ve read all this way, and now you’re wondering what you should actually do.
Let’s say you firmly believe you are an Ectomorph, Endomorph, or Mesomorph, and you want to know the best steps forward. This assumes that you REALLY are the soma type listed below.
Just know that I bet a LOT of people who think they gain fat easily are actually not an endomorph, they just have a sedentary lifestyle and poor eating habits! I’ll cover that below though:
I AM AN ECTOMORPH: Congrats, you are somebody that can’t put on any weight or muscle! I am too, and assumed for a decade that I was doomed to be thin as a rail. The reality was I just wasn’t eating enough. I had to break my own identity to go from Steve Rogers to Captain America.
If you are trying to get bigger, you should minimize cardio, maximize strength training, and whenever in doubt eat more calories!
I’d also recommend reading the following articles:
The Beginner’s Guide to Muscle and Strength
9 Mistakes Skinny Nerds Make trying to get Bigger
Strength Training 101
I AM A MESOMORPH: Congrats, you get to play life on easy difficulty! You’re more likely to build muscle and not store fat, but that doesn’t mean you get to rest on your laurels!
You’ll want to strength train, and depending on how old you are, you’ll have to become more disciplined with your diet. You can get away with it when you’re younger, but building healthy habits at a younger age and keeping your nutrition on track means you’ll keep a good physique as you get older!
I would recommend reading the following to help determine HOW you want to train: How to build the physique you want.
I AM AN ENDOMORPH: Congrats, you are playing life on a higher difficulty level. For starters, I want you to remove the stigma from your mind that you are a lost cause.
For starters, your metabolism isn’t slow, I PROMISE. The truth is that you most likely eat more than you realize, and you don’t do enough strength training to combat it.
You might also eat unhealthy foods (and/or consume a lot of sugar) that lead to physiological responses in your blood that promote fat storage!
What this means: you can’t use your genetics as a crutch or an excuse. It just “is what it is.” This means you’ll need to address both the quantity, and the quality of your food. I would focus on eating protein and healthy fats and try to minimize carb consumption.
As you start to strength train and make better food choices, you can affect HOW your body processes the calories you consume and start to change your body’s make-up. You can change it from “store fat” to “build muscle,” but you need to be disciplined about it!
May I recommend:
The beginner’s guide to eating healthy
What healthy nerds do that unhealthy nerds don’t.
Regardless of what you THINK your body type is, and what your ACTUAL genetic make-up is, it is a tiny tiny tiny piece of the puzzle.
The rest comes to how you want to play the game!
What happens if I don’t like my category?
You might have a few final questions, and I bet they fit into these categories:
Steve I’m kind of an overweight guy but I hate strength training, can I still run?
I’m skinny and I hate running, and I want to strength train, is that cool?
Here’s what to do if you don’t line up with what your genetics say you’ll be good at: acknowledge them, and then move on.
Write your own destiny.
Become the hero you want to be, not who you’re “supposed” to be.
The Truth: Your body will store fat and burn energy in a certain way.  Depending on your genetics, sex, hormone balance, age, and medical conditions, you might need to be more careful with your consumption of sugar and processed foods than other people, as you might be genetically more likely to store those foods as fat rather than burning them as fuel.
I’ve come to learn there is so much more to being healthy than just “eating less” and “moving more.”  It’s a complex topic involving dozens of variables that we still don’t fully understand yet.  Your genetics are the opening act, and your diet is the main actor in this story.
It sucks, but that’s the truth.
Your diet will be responsible for 80-90% of your success or failure when it comes to weight regulation.  So the BEST way for you to change your fate is to focus on eating the right kinds of foods.
How you chose to exercise makes up the other 10-20%. Ultimately it comes down to one big rule with exercise:
Enjoy it.
We’ve already covered the different “professions” and how you can be whatever you want in real life, be it Warrior, Druid, Assassin, Monk, Scout, Ranger, or any combination.
Hell, we even built a free character creation system here at NF so you can ACTUALLY treat life like a role playing game!
I can’t think of a better example of somebody deciding to Write their own path than Staci on Team NF.
She recently got her genetic testing done as well, and discovered that she’s supposed to be terrible at powerlifting based on her genetic makeup. Luckily, she didn’t listen to this, and now consistently deadlifts 400+ pounds:
A post shared by Staci Ardison (@staciardison) on Oct 11, 2017 at 5:01pm PDT
I’m definitely an “ectomorph.”  I have thin wrists, skinny legs, skinny ankles, and have struggled to put on any weight, be it muscle or fat, for most of my life. I’m genetically predisposed to be a good distance runner, and I’m not built for strength training.
On top of that, I have a genetic spinal condition that will severely limit my potential when it comes to getting big and strong.
I don’t care! 
I love strength training, so I strength train.
I don’t like distance running, so I don’t run. I train the way I want to because that’s WAY more fun for me – I don’t care what my peak genetic alignment says – I want to do the stuff that makes me feel alive. And that’s gymnastics!
A post shared by Steve Kamb (@stevekamb) on Oct 21, 2017 at 12:00pm PDT
You might be an overweight guy or gal and want to become a Parkour Assassin or Martial Arts Monk or Elite Scout.
That is amazing! Freaking go for it.  Yes, you might have an uphill battle on your hands, but there’s no reason you can’t get to a great level of proficiency with your desired profession and HAVE FUN WITH IT.
We have a community full of characters of all races who are playing the game of life on different levels of difficulty….and having a damn good time doing so.
I want to leave you with one final public service announcement.
While we’re at it, comparisons are silly.
I once wrote about why comparing ourselves to our celebrity heroes in movies is silly: their lives are so different, their motivations are different, and their situation is different. 
It’s not a fair fight.
The same is true on comparing yourself to others in the gym or those you see in magazines.
You might walk into the gym and see a level 50 guy or girl, absolutely jacked/ripped/toned/thin/whatever in the weights section and think, “Wow! If I only had their genetics! Must be nice…”
“Must be nice” is one of the most dangerous phrases in the english language. Followed closely by “Hold my beer, watch this,” and “trust me, they don’t bite.”
The truth of the matter is, the people you wish you were like, no matter how good their genetics are, achieved their high level of fitness through consistent dedication to regular workouts and a healthy diet.
No matter watch edge you might possess genetically, you won’t see results without hard work.
Don’t let the fact that everybody is at different points in their quest be an excuse to blame genetics! You have NO idea what somebody’s genetics are like – it’s just easier to say “it must be their genes” rather than “they work WAY harder and are way more disciplined than me.”
We have different genetic makeups: different amounts of fast twitch or slow twitch muscle fibers, different bone densities, different levels of efficiency when it comes to fat storage and fuel consumption.
For these reasons, don’t compare your “reality” with somebody’s highlight reel:
If you are a Night Elf, comparing yourself to an Orc when it comes to being a tank/warrior isn’t going to be a fair fight.
Conversely, comparing yourself as an Orc to Night Elves on the topic of quickness is a losing proposition.
Just because somebody is muscular or skinny doesn’t mean they’re healthy. Just because somebody might be overweight compared to others doesn’t meant they aren’t in great physical condition.
So, the only comparison you should be making is to who you were yesterday.
Get your Nerd Fitness Starter Kit
The 15 mistakes you don’t want to make.
Full guide to the most effective diet and why it works.
Complete and track your first workout today, no gym required.
I identify as a:
Woman
Man
Go. Level up.
And that concludes today’s World of Warcraft lesson on Genetics.
Remember, there is only one thing we say to our genetics: Not today!
youtube
To recap:
Like in any role playing game, your character has strengths and weaknesses in the game of life, but it shouldn’t determine how you play the game. 
So regardless of your soma type (ectomorph, endomorph, or mesomorph), or your muscle-fiber composition, you can do whatever the hell you want. Training and the correct nutrition can fix nearly any genetic shortcoming, it just might require a very strict regimen and discipline and assistance.
If you want to be an elf warrior, or an ogre wizard, go for it.
I’d love to hear from you:
And what “soma type” are you, and have you changed your fate or decided to do so?
Leave a comment and let me know!
-Steve
PS: While we’re talking about the Game of Life, I wrote an entire book on this subject that is available in bookstores nationwide: Level Up Your Life.
It’s currently a Kindle book of the Month on Amazon, which means it’s on sale for only $2.99!
###
Photo Sources: Wizard, World of Warcraft Minis, apple and orange, punch, mushroom, pipe, butterfly, Oky – Space Ranger Inside Out minifigs
Footnotes    ( returns to text)
The formula involves your weight, height, upper arm circumference, maximal calf circumference, femur breadth, skinfolds, the whole nine yards.You can learn the formula and calculate it in this PDF
 From Examine.Com
PubMed: Type II fibers will decrease with age
PubMed: Increasing Muscle Type Fibers in Men
PubMed: Increasing Muscle Type Fibers in Females
from North Shore Outlet - Health and Fitness http://ift.tt/2AIxFoC via IFTTT
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paumeranian · 6 years ago
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Interview #5
14/3/19
Tell me about a time where you started feeling symptoms. What did you do? How did you feel in that moment? (How important is it to you to get these symptoms checked out? How long you do you typically wait before doing so? Why?)
I started feeling symptoms not long after I had an iron injection so I thought my injury was correlated to that
I went to the doctors to confirm it, and it took us a long time to figure out that it actually wasn’t that - so  I was in a little pain for a very very long time
How long did you wait after you felt the pain before consulting the doctor again?
It was pretty soon, I had the iron injection and then within a couple of days I started to feel really really intense pain and thinking it was from that, it was within a week, I was able to go back and say hey something’s wrong
How did you feel in that moment?
Kinda scared, I hadn’t had that sort of pain before so I was worried and wanted to get some clarification that I hopefully wouldn’t have anything to worry about or it would ease out
How long do you usually wait before getting things checkout though? Why?
I wait till things get really really bad before I see the doctor with anything. One of the reasons being money, doctors are pretty expensive and I’ve got that kiwi attitude “She’ll be alright”
Tell me about your healthcare provider. Is your doctor/GP available via booking an appointment or is it a walk-in clinic?
By appointment but I also can do walk-ins, I never really have to wait that long which is quite good
But if I do walk-in I can’t guarantee that I see my preferred doctor so I always prefer to book in ahead of time if I can
Is it important to you that you see one doctor consistently for all check-ups? Why or why not.
Pretty important, I understand continuity of care is pretty important since they have a good understanding of your health history
Talk me through your usual process of allocating a day and time to see your doctor/GP? How easy or difficult is it to schedule an appointment at a time that suits you? (if it’s a walk-in clinic, how long do you have to wait to see your doctor/GP?)
It’s pretty easy
My hours at work, I finish quite early so I still have a couple of hours at the end of the day to get an appointment if it’s really urgent, otherwise I wait till the weekend to book and usually I’m able to get an appointment when I need it which is cool
When I made an appointment, this doctor’s pretty good I don’t have to wait longer than 10 minutes or so
With walk ins it’s pretty good as well I’ve never waited longer than 15 minutes
Talk me through your most recent visit to the doctor or GP. What were you thinking and how were you feeling from waiting in reception through to going home?
Worried cause I’m always anxious *laughs*
Every time I’m going to the doctor they say my BP elevates which is normal because I’m always anxious about going to the doctor anyway
Can you tell me roughly how long you were seen by the doctor for?
I wouldn’t say they’re like super speedy but not prolonged either
About 20 minutes -  Sometimes it’s pretty straightforward and it’s a good amount of time. Other times it could be a bit longer and they get to be more thorough with tests.
Do you have to pay for blood tests?
Some of them are free but some of them do cost
They didn’t warn me about the cost until I got there
It’s frustrating especially since doctors are costly as is - I do think that people need more warning about what they’re going to pay rather than getting it and say “Oh you owe us this”
Talk me through how you were feeling during the actual check-up.
This is when I start to calm down, it’s always the lead up that is more nerve-wracking than being in there
When I start talking about what I’m there for, hearing myself speak sort of calms me down
Trust: 8 times out of 10 I’d say I’m pretty confident in talking to the doctor, some stuff I still keep to myself. Maybe because of fear of judgment. Even though they’re doctors they’ve seen it all but I still can’t shake that anxiety.
How long have you been going to your doctor for?
A year and a half, nearly 2 years
How I made the decision to go to this doctor instead: Cheaper and closer. I thought it was going to be a lot cheaper but it was only slightly cheaper. So I’m considering changing again mostly for the cost. It’s convenient to get to and I never have to wait that long for an appointment but it’s just the price is hefty.
Are there any other factors you take into consideration when choosing a doctor?
I like to get recommendations from people that have been there before so I know that they’re good
Tell me about how your provider explained potential diagnoses and solutions. Were you able to understand clearly the benefits or side effects if any of medication you’re given?
The first provider that helped me get diagnosis for my back injury - he was really good, thorough, would tell me everything and force me to ask any questions in regards to medication he would give me, if I was keen on taking high doses of pain killers which was really cool
The healthcare provider I’m with now, they’re not so informative. I feel like I have to do some research and then ask all the questions rather than them providing me with all the information I should have
I’m really cautious about taking medication. Would go without. I’m not one to pop pills if I’ve got a headache or anything I just let it go
Tell me about a significant clinical experience you can recall (either positive or negative). Why was it significant? How did you feel in that moment? Why did you feel that way? Do most check-ups with your provider turn out like this?
With the iron injection that I thought I had, I thought I had damaged a nerve that’s why I was getting a lot of pain in my leg
After a few trips to the doctor to work out what it was, they finally referred me to a specialist because I couldn’t get an MRI through other means
After a few months I was able to get an MRI so I had that and nothing was showing up but still felt incredible pain, couldn’t walk, couldn’t stand, couldn’t sit
It was really really horrible and nothing was making sense
Finally on the third MRI, it showed I had a prolapse disk that was pushing into my nerve - even with something as common as that it took a really long time to diagnose it
Took about 6 months to fully diagnose, they had talked me through surgery that I was going to have but then ACC weasled in and said they weren’t gonna cover that
Had to heal naturally which prolonged my entire *laughing* healing time from start to finish to about nearly 2 years - couldn’t work, sleep, sit, or do anything
Dosed up on pain killers galore the whole time
Surgery
I was really really nervous especially cause I’ve never had surgery before so I didn’t know what to expect with that
But kind of relieved that I would get relief - nervous excitement
Can you comment on the quality of care you typically receive in relation to the cost of a check-up? Rate the cost from:
_ Very affordable     _ Affordable           _ Expensive             _ Very expensive
I’d say this particular doctor is kind of unfair, the GP that I’ve been seeing in regards to a heart issue has been difficult in the sense that I have to constantly chase him up about what’s happening
He’s sending off referrals to cardiologists and I’m not hearing anything back
I feel like I’ve just been completely ignored in the system
Overall, can you tell me how satisfied or dissatisfied you are with your healthcare provider?
In the middle, on the fence
One of my previous GP’s (regular one) was fantastic but the one I’ve been seeing for this particular issue hasn’t been that great
What’s the perfect GP like for you?
Thorough, lets you know about side effects, gives you all info, doesn’t leave you with questions, prepares you for what’s to come
If you’re taking medication or has a procedure that they’re planning they should give you an explanation of what you expect
Reflect on interview
NZ healthcare system is sh*ttier than what I thought
Thoughts of NZ healthcare system
It could be better
Pricewise it could be better
Doctors are very quick to write you a prescription for stuff you may not necessarily need
Need to be more thorough with patients, give them more information
At this point, Nathan who was sitting in the same room contributed to the conversation:
Nathan
“There’s all these other issues I could ask them about” at the time
If you’re paying to see them about one specific thing - then you go
I don’t see it as like you pay for an appointment then you present them a list of everything you need checked out, I feel like you’re gonna end up with a whole lot of treatments you’re gonna have to pay for that you didn’t know about at the time
Then they give you the info and you have to pay like $200 bucks or something
Lauren
That’s what bugs me as well, a lot of times when I do need to go to the doctor it’s cause a whole lot of stuff has built up because I’ve put it all on the back burner
“I’ll be fine, I’ll be fine” and then all of a sudden I’ve got like 10 things to be seen about
But then I feel bad like I’m a burden saying “Oh btw there’s this other issue, and then there’s this.” I don’t want to think I’m a hypochondriac
At the same time don’t wanna come back for another issue
Nathan
You feel like rushed because doctors’ time is really valuable
But at the same time you pay $90 just to see them and half the time you barely get your money’s worth
Knowing they’re doctors that puts you off wanting to take more of their time
Lauren
That’s what I did like about my doctor in Kumeu but it was so annoying to get to because I don’t drive and it’s quite a distance away
$50 for an appointment, even when you make an appointment I would have to wait sometimes an hour
But he’s so thorough, and so good and never wanna like push all these pills on me.
He’d always have different alternatives. If I didn’t want to do one thing he would have an alternative that might work for me
Understandably why he see people so late because he’s always thorough with everyone
The doctor I see now I do feel rushed. My lady doctor (other one) I never felt rushed with her.
My brother’s is only $17 per appointment
Their brother Anthony
Not enrolled it would be $70 but once you’re enrolled the first visit is $35 and any other visit from there is $17
Unless all you’re doing is seeing the nurse it’s $13
Lauren
Doctor kept on sending requests to get me in for an MRI but they keep saying there’s no evidence that I need one
Like I can’t walk. What more evidence do you need *laughs*
I’m glad that I wasn’t able to get surgery. In the long run it would’ve given me more problems
Personal reflection: This was an interesting interview as I got to ask some new questions and go off script like “Describe what an ideal doctor would be” to gain insight into my users’ desires and needs. While it’s recommended to pinpoint needs through how they describe their current experiences now, I tried experimenting and collecting “I wish” responses which I believe is another way of understanding what and where the gaps are.
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nothing like a fathers day breakdown amirite
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mobilemechanicvegas-blog · 5 years ago
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 How Much Do Truck Tires Cost?
The cost of new tires can vary greatly depending on several variables.
Whether you’re replacing one tire or all four the first question that may come to mind is how much money you’re going to have to shell out.
The answer: it depends. The cost of tires are all over the map and can vary significantly depending on their size, quality and make.
 How much do new Truck tires cost?
The average cost of a new tire is around $100 for an average car, $175 for an SUV and $200 for a pickup truck. A low-to-high range for an average car is about $70 to $150, he says.
A set of four tires can cost as low as $400 and as high as $1,800 or more. The cost to replace just one tire is $100 to $300, he says, with people paying around $125 for a tire on a standard car and $200 or more on tires for pickup trucks and SUVs.
According to recent reviews, Angie’s List members report paying an average cost of $637 to replace four tires, with a range of $525 to $725.
According to Cost Helper, a standard, all-season tire costs between $50 and $200 each with an average price of $80 to $150.
For a pickup truck or SUV, drivers may pay $50 to $350, with an average cost of about $100 to $250.
 What determines the cost of tires?
Several variables determine the cost of new tires, including the tire’s brand and size.
Haynes says a typical passenger car has 16-to-18 inch tires, while a truck may have tires up to 20 inches.
Consumers should be aware that size really drives the price, if a consumer has a 15-inch tire, they can probably get a really good tire for $125 each. If they have a 20-inch tire, it will probably be double or even more for a high-quality tire. Costs of tires have gone up, and the more specialized the vehicle, typically the more expensive tires.
The more they spend on research and development, the more you pay for the tire, he says. But usually it’s a better tire.
Vehicles really are built around the tires have chosen to use on them, and the more high-end the vehicle, the more expensive the tire, he adds.
Haynes says higher quality tires cost more than bargain brands, but there are many advantages to buying better-quality tires.
Low cost tires ... come with low-quality rubber, Haynes says. They’re not maximizing fuel economy and handling. You’re really get more bang for your buck if you're buying more quality tires [because they’ll last longer.
Specialty tires can also cause the price to go up.
According to Cost Helper, snow tires can cost between $60 and $550, while summer tires used on luxury vehicles or sports cars can range in price from $100 to $1,400.
 FREQUENTLY ASKED QUESTIONS
 Q. Why are there speed ratings on some medium and heavy-duty truck tires and not on others?
 A. Tires that may be used in Europe will generally have a speed rating or symbol. In the United States, with a few exceptions, the only truck tire with maximum speed ratings posted on the casing will be local use tires, such as tires for dump trucks, concrete mixers, etc.
 Q. Once the tread design is worn off the radial truck tire casing with a maximum 55 mph rating, is it legal to operate it at a higher speed after it has been retreaded with light, high speed tread designs?
 A. I do not know of any law that addresses this, but it is not a good idea. The heavy-duty casing would likely become overheated and fail, if driven at high speeds.
 Q. Is there a federal law regulating the minimum allowable tread depth for truck tires?
 A. Yes, the federal law on minimum tread depth for truck tires is 4/32 inch on front axles and 2/32 inch on other wheel positions.
 Q. Is there any situation where plugging a hole in a tire and not using a patch would be an acceptable industry practice?
 A. Not according to tire manufacturers. Using a plug without a patch is a common practice for repairing tires that are not used on public roads because repairing a tire on a lawnmower, slow moving farm tractor, and similar types of equipment appears to present little risk. With that in mind, I would still recommend that the tire be removed from the rim and inspected before repairing for the safety of the tire technicians.
 Q. When would it be acceptable to inflate a tire to the maximum pressure?
 A. With truck tires this is a common practice because of the heavy loads they carry and the fact that most heavy-duty trucks do not have a placard in the vehicle that recommends a specific inflation pressure. The tire manufacturers and the tire and rim associations have a chart that recommends the correct inflation pressure for the weight that the tire is carrying. The inflation pressure for passenger tires is designated on a placard or owner’s manual in each vehicle.
 Q. Is there a federal regulation requiring trucks to use new tires when hauling toxic waste?
 A. No. There are no federal regulations that require new tires to be used on any truck.
 Q. We are new to the retread business in our country and we wish to know how old a tire can be and still be retreaded or repaired.
 A. There is no simple answer to your question, as in most cases a tire is rejected for retreading or repairing not because of its age, but because of its condition. Many tires may be unacceptable for retreading when they are only a year old, while others may be perfectly acceptable for retreading when they are close to ten years old. It all depends on how well the tire is maintained and how and where the tire is used. Some environmental and operating conditions can destroy even the best new tires very quickly.
 Q. How will 20 percent over inflation in a steel radial truck tire affect the tire’s performance?
 A. It depends on how the tire is used and the surface it is used on. If the tire runs on a smooth surface, it will likely develop some irregular wear. If it runs on gravel or travels over rough surfaces, the tire will likely experience severe cutting, chipping and other impact damage. Wet gravel makes the cutting and chipping worse. We recommend using only the inflated pressure required for the speed and load.
 Q. I understand that the maximum allowable injury for a nail whole repair in a large radial truck tire is 3/8″ (10mm), but I don’t understand why a 3/8″ (10mm) injury in the sidewall requires a more costly section repair. Please explain.
 A. The tread area of a medium radial truck tire features four to five layers of steel cord-three to four belt plies and one body ply-while the sidewall has only one steel body ply. Given those features, the tread area is heavily reinforced so that the repair unit for a 3/8″ (10mm) puncture really only has to seal the injury. The sidewall offers much less reinforcement and flexes more than the tread, so it calls for the extra support of the larger unit required of a section repair.
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