Aight. You do you.
I for for a fact I can work anyone breathing to the point they are maxing their heart rate and can’t stand for a half hour after we are done.
If you are not hitting that at home it’s on you.
I did 10 miles today on a stationary bike at a 3 minute mile pace. Then I set target heart rate of 145 and never dropped below it for 1 and a half hours as I did my circuit and strength plan.
Get creative with it. You can use nothing but a foam roll and get a completely wrecking aerobic workout.
You can input any bulk food and its stats into the tool. I cook most everything I eat. Lots of veggies and chicken.
All my workouts can be done at home with a few inexpensive items.
I have chronic pain. I was instructed by the pain clinic I went to, under no uncertain terms, to exercise 5 times a week. No taking a day because I feel sore or tired or because the overwhelming blinding pain is screaming at me not to. I just have to do it.
That was a year ago.
I am still going.
I went from sedentary for a decade to a healthy BMI and muscle mass because of 1 rule.
Don’t let how I feel guide how I act.
Fuck me it was hard. It is hard. It was hard today. It was hard every single day.
I have currently a torn labrum, a torn rotator cuff, 3 torn things in my knee, 4 bulging disks in my back, a herniated disk, arthritis in 5 joints, and a titanium cage holding part of my spine together.
If you can commit to tracking every single thing you eat in the app MyNetDiary ( it scans barcodes and is free), and exercising 5 times a week; I guarantee two things will happen.
1.) I will do the same and have an accountability buddy to keep me going.
2.) You WILL be successful in the weight loss and gaining a healthy life.
Your call if you want to transform your life.
I have PT exercises and low impact options for days. I have whole fitness plans and diet plans from distinctions, and hundreds of hours with PTs. I have so much to share with someone whose life I can help gain so so much…
You just have to commit to joining me.
A year from now you could be vastly different than you are now. So could I. IF we keep our promises to ourselves and one another.
It’s been a crunch my Republican talking point for a while.
Some counties have voted to remove it based on inconclusive data from some studies on fluoride exposure.
Problematically the results to childhood issues require doses far in excess of the FDA minimum. More problematic is the example we have of a similar country with similar demographics removing it, and seeing a massive uptick in oral cavities. So we know what happens as a massive test already unintentionally from Canada.
The will do nothing but cause harm to long term oral health.
There was the girl with cancer getting treatment in the US who was deported a couple weeks ago. She is a US citizen.
Her parents declared they were not, but were taking her over the border through a checkpoint to see her oncologist. As they have done 4 times prior without issue.
They were arrested and deported all.
Talk about jumping 4 steps down the road.
They are uniformed. No global convention or agreement mandates those elements be on a uniform. The nametag, unit patch, and other items on the uniform are just ways that force happens to enhance identification within the unit.
They are identified as uniformed members of a military force. This satisfies the convention.
None of this matters or applies at all given that there is no combat occurring that would fall under the Geneva convention. So they could be plain clothes officers and it wouldn’t apply.
Trump is a sack of dog turds, and what he is doing is largely stupid speed run overreach, but this hyperbolic shit just harms credibility of the already massive list of shit he is violating.
It may seem like that is the case for a bit, and often does to many patients. Myself included.
Keep in mind the target population is patients who are centralized sensitization patients. There are alpha channels of nerves that through real physical injury have created a feedback loop in the nervous system with the brain.
In these patients, who do have very real injuries, the pain levels are outside expectations for the things we can test, scan, see on imaging etc.
The mechanism is complex but essentially you can think of it as the nerve bundles of specific types are far more sensitive to stimuli and the brain becomes far more sensitive to signals received.
Breaking this feedback loop, which is often fed by avoidance of things, is important.
As for data, they have published papers in many journals with more than 20,000 patients who have been through the clinic showing progress improvement. Reductions in standard assessments for depression, improved mobility and exercise function, as well as removed reliance on medications / the polypharmacy causing underlying greater symptoms is proven in their large data set.
A lot of the mental model that has real impacts to physical symptoms revolves around breaking previously unrealized classic and operant conditioning that patients with this chronic pain sensitization often have present.
To correct and see the clear picture without clouding it, medications must be removed from the picture as polypharmacy issues can create a mess of problems that seem like they are bodily in origin but are in fact from the medication interactions.
It is a program vetted by the chronic pain treatment community for over 20 years, and the data is well reviewed, with every hour of the time a patient spends there carefully considered and measured for efficacy.
The program gets referral from many physicians in various other disciplines within and outside their hospital system for patients that meet their criteria.
To be clear, this is not a fly by night theory. It’s one of the best hospitals in the world with a program of pharmacists, doctors, PTs, nurses and supporting specialists who all meet daily per patient and make individual care plans. You seem them daily for hours a day. They monitor blood work and vitals as well as metabolic data as they taper medications. It’s deeply unpleasant but designed very intentionally to help. It does help.
Anecdotally, a patient story:
They came into the program malnourished, on a feeding tube, intense abdominal pain, GI bleeding, and on significant opiates to tackle pain levels from the GI issues.
On discharge, the patient had no expressed pain, was back to eating normally without the feeding tube, and was regaining weight . GI bleeding stopped.
6 months later they went back on pain medication from a pain physician and were right back in the ER with the same symptoms. Following the program’s instructions the same reversal took place again!
The power of the operant conditioning from taking medications when feeling symptoms is a powerful one that impacts the baseline arousal states of the parasympathetic and sympathetic nervous system. These impact all sorts of bodily processes which seem counter intuitive to apply to physical real problems, but the results speak volumes.
Everyone arrives a skeptic. I left seeing benefit in my life as a patient who these things apply to. I am not uneducated, I have created software to run clinical cancer trials for years. Yet even with that formal intellectual background I was missing things that had impact to my health condition. The average patient has less exposure to these things, and I spent 10 years seeking help for the pain before this from many physicians. Many things were tried. So all of that experience and exposure to alternative therapies and modalities to this one was brought in with skeptical critical analysis of their methods.
There is an element of trust required, and it is HARD, but the easy path of medicate or cut it out is often not the solution with patients like us. Since pain is very much a central nervous system process, treating as such makes sense.
Many chronic pain patients suffer from something called central sensitization.
I do, though didn’t really know about it in detail before finding a clinic that treats those patients.
I did 3 weeks at Mayo hospital’s pain rehabilitation clinic to run their program for patients that are all specifically central sensitization. You go in a bit blind not knowing what the program is, intentionally on their part.
It is run by several world class cognitive behavioral therapy doctors, and a team of nurses and physical therapists that work with you daily. It is… aggressive. You have no option to not do physical therapy or cardio, of which there is 2 hours and over 20 exercises to do every day. No matter how you hurt or feel. People who were there were all objectively seriously injured at one point and had like me real issues and real disabilities. The most empathetic thing that could do for you is to not acknowledge your symptoms and just make you do it.
They also took all and I mean ALL medications. Couldn’t have miralax. No advil. No gas medicine from the gas station. Nothing taken for symptoms. You could take things prescribed for conditions like aside reflux disease or insulin for diabetes, but nothing for how you felt.
So imagine having to do 2 hours of intense exercise, giving up all medications in about 3 days time, and doing things cold turkey for 3 weeks without any room to tap out. On top of that it is 35 hours a week of lectures on various topics related to the condition of centralized sensitization, chronic pain stress management, biofeedback, depression, anxiety, and skills to better enable you to live life.
They even held 1 hour sessions a week with family to summarize key lectures and give Q&A for them to help the patients be better supported in this weird chronic pain thing most families don’t understand.
It’s intense and not for everyone, but I went from being unable to do any physical activity, even walking the dog while I was taking pain medications and muscle relaxants etc. I went from that to biking 10 miles a day, at a 3:45 minute mile pace. I started their reconditioning program at 1 lb dumbbells doing curls for ten reps. I am now, 8 months after the program, curling 30 lb dumbbells and doing my own 2 hour workouts every week day.
I am still in incredible amounts of pain. They could not and will not fix the underlying causes physically or biologically.
However, they change patient lives with the CBT focus on how to live a more function filled life with chronic pain. They make us more active and better able to live a life worth living, within the constraints of moderate, sustainable, and adaptable.
Anyway, it changed me life and I would recommend it to anyone if they are in the long term battle with chronic pain. I saw specialists and got dozens of medications and scans for things. Surgical procedures, injections, blocks… you name it.
Only this worked to give me part of my life back.
Good luck to you
Had exact same fusion performed.
4 screws, 2 rods to connect them, and a 3-d sintered titanium cage between the vertebrae.
I can attest to the chronic pain and wanting to armor a bulldozer
Phenotype vs biological normative.
Deaf people will decry “fixing” a person hearing impaired in the womb. Yet, it’s a correction to biological normative.
Adjusting a gender to a different one in the womb would not be.
Adjusting physical traits for looks wouldn’t be.
Adjusting a physical trait like spinal deformity would be.
Adjusting for general height would not be.
If there is something diagnosable in the ICD-10 codes we have, and it’s preventable in a population, it would not be eugenetics. Remove gene editing as the tool, but just say “magic” a cure. Cures apply to diseases, not traits.
You don’t cure being black. You CAN cure sickle cell.
I think the line is pretty clear.
You simply use existing diagnostic criteria of deviation from biological normative function.