kirks5oh

sounds like a long run, for a short slide 190hp to 250hp?? and maybe 110lb/ft torque? nah. i didn't know they made v8's with that little hp. i don't think you'll notice a big enough difference. i'd sell the motor you have and look into an lsx based motor. i know that's the generic answer, but those motors get swapped into everything for a good reason

Part of being a physician is listening to patients and having compassion. It's also important not to have people prey on that compassion. That doesn't mean ignoring pain. Limb correction surgery is not an exact science, and yes, there is some improvisation during the surgery. There are very few situations in elective orthopedic surgery where this is the case. Orthopedic oncology is one such situation where there is always improvising. I've never seen a plantar fasciotomy. Crazy, that someone would do that. When I'm scheduling surgeries, if it needs to be done ASAP, and the patient wants it, we schedule it. Most of the time my scheduler gives the patient all the available options, and the patient calls back to schedule. It eliminates any pressure. People will always go to the doctor. And with all the bs coming down the pipeline, physicians will be at a shortage. Supply/demand. And with the American public being more and more unhealthy........ I simply don't agree with a physician telling a patient "I'll take care of it when I get in there". For a non-straight forward case---a revision, I will tell the patient each of the five scenarios, and the most likely one. This is the 90% plan. If I'm not 90% certain what I will find during surgery, I haven't run enough tests to know what is wrong. Patients don't like surprises when they wake up from surgery. And docs over-order tests to cover their asses---you have it backwards. That drives up the cost of healthcare. I can tell you what the MRI will say in most cases before I order it. But most insurance companies won't approve certain surgeries without an MRI.

I don't think you can learn enough in podiatry school and with the scope of their practice, to have a mastery of complex foot and ankle procedures. Say you get ankle surgery and it becomes infected, necessitating emergency admission to the hospital and emergency washout surgery on the ankle---the podiatrist doesn't admit you to the hospital because they don't take call. Nor do they do emergency surgery. So they don't see enough of what can go wrong. For bunions? Maybe. Some podiatrists do ankle replacements and complex fusion procedures which is nuts, if you ask me.

Jonathan feibel and Robert gorseline Lee and berlet do a good job too, but are very aggressive with surgery. I wouldn't go to a podiatrist for anything but a corn or ingrown toenail or plantar fasciitis.

That is a nasty fx. Looks like they did a great job fixing it. Unfortunately, it could be a year until you're running again. Hopefully much less. But I've seen people still limping at 6 months. Sounds like you're ahead of schedule on your recovery. I'm assuming a serious fall caused that. Snowboarding or skiing, fall off a ladder, or car accident. That is one of the toughest fractures to fix in a young patient.

Kevin, I'm sorry your wife is in pain. Unfortunately, most people don't truly understand what the role of the surgeon is these days. It is illegal and dangerous for a surgeon to treat chronic pain with pain medication. Plain and simple. I never prescribe fentanyl. I could lose my license. The job of the surgeon is to physically correct deformities (be it chronic or acute), treat degenerative and acute issues with modification to one's anatomy, and surgically fix injuries. Be it a broken femur, cancer, knee arthritis, a hernia, or stabbing victim. I don't treat high blood pressure, depression, and chronic pain with medication. It just doesn't make sense to do so. Perhaps you missed the part of my response where I indicated if someone has a difficult problem (like your ankle),I will almost always recommend another opinion---even if the patient insists they want me to do their surgery right away. When someone sees me in the office they are usually referred by a close family friend who I have fixed, or their family physician. My work speaks for itself in my small town, where word of mouth is everything. If I offer them surgery for a simple problem and they want another opinion, that's fine. What is annoying is if they schedule surgery, and cancel at the last second because they want another opinion. Sounds harsh, but when surgical time is billed by the minute, it is what it is. I'm not in sales--am not selling anything, and don't need to convince people to go under the knife. With insurance companies being so strict about covering surgery, by the time my patients are cleared for surgery, they are dying to get it done. Not being arrogant, it's just how it is, and it's concerning. With regards to your ankle, I can't remember the last time i told a patient "we will just have to see when we get in there". That's what we call a john Wayne procedure and they are almost always unsuccessful. You know John wayne used to ride into town, not knowing what the problem is, but take care of business once you're there??? Doesn't work that way. Let me know if you want the name of the best foot/ankle surgeon in town. Sounds like you've gotten 7 opinions that are less than acceptable.

Some people have an extremely high pain tolerance. Sometimes it's a younger guy. 90% of the time, in my experience, it's an older lady. I've done knee replacements on them, and seen them take nothing more than Tylenol. Blows my mind.

I don't see appendicitis being treated with antibiotics successfully, due to the fact most people don't realize they have it until it's about to rupture. And that is the most common general surgical procedure done. 7% of the population gets their appendix removed at some point in their life. Most surgeons have elective practices and take call for emergency purposes---they don't need the revenue from call to earn a living--that is my practice. I do 500 elective surgeries a year, and maybe 25-30 emergency ones. I don't mind call, but some people hate it. It doesn't pay the bills, and potentially keeps you up all night and ruins the next day's elective office or surgeries. But it's part of the job and a valued responsibility. some of these 25-30 patients don't have insurance, and no means to pay for services rendered. Doesn't bother me one bit---they get the Mercedes Benz, 110% effort every time. What does bother me is when some of these patients can be the most demanding, and least thankful. Quickest to get irritated when they have to wait in the office, etc.

Depends on what you're having done. Are you getting a simple hernia repair, or do you have pancreatic cancer and need to find the best surgeon in the world to remove it?? When someone asks me if I'm comfortable doing their surgery, I have no problem telling them I do 500 knees and hips a year, and that's all I do. Second opinion for a very simple problem?? Yeah, a little annoying, but it is what it is. If I have a difficult case I will usually encourage the patient to get a second opinion. If I can't do their surgery--which doesn't happen that often, but does happen--I will send them elsewhere. When you go to the dentist for a cavity, you don't ask them for a second opinion. Nor do you barge into the cockpit during a flight and grill the pilot about his cruising altitude or flight plan--yet your life is completely in their hands. I know it's not the same thing, but you must trust the surgeon. Just don't tell your surgeon you have a high pain tolerance. We hate hearing that, and when someone says that, it is a SURE sign that the opposite is true. Every time bro.

I'm jealous of the wealth of events available in Columbus. Last year, I was able to make it to the tail end of a cars and coffee event on the way to a Buckeyes game. I was impressed. Hopefully I can make it to an event next fall. I agree with keeping the core idea simple---the location, the time, the concept, free of charge, etc. some add-ons will draw more attention to the event----sponsoring coffee and then a cruise to that shop for an open house is a great idea. Charity events involving a cruise after the core event is also a good one. I simply can't stand pretentious pricks who stand around and stroke each other's egos. I'm sure I wouldn't be able to fight back the urge to vomit all over the priceless works of art at the other cc+c.

I'd rock one for sure. Too bad they don't have a twin clutch option. Would be nasty with boltons and that auto.

I'll be getting one of these.

Most entertaining game so far. Tcu

Just what this world needs Another lawyer. My ex brother in law is a lawyer. He's also a caddy. Haha

Football is a game of inches brah. The right call was made. Sucks. Bosa should be better.

Iowa looking good so far

Bosa has a history of several hits like this. I knew it was him as soon as I saw a flag. I just assumed it was a personal foul only. Rules are rules. We can bitch all we want but the call is impossible to dispute Wish this team played like this all year. Would have likely faced bama in the nc game.

+1 I will supply the firecracker. These are sold 5 miles from my house for $5 a piece. It's described as a spark fountain. It is NOT a spark fountain.

yeah, I have two of those. its a corded 1/2" impact, and I use it to take lugs off. plug it in, and go. only knock on battery powered impact drivers is the battery will eventually shit out if you don't use it often enough. not the case with the corded one. I've had one for over 15 years--only had to change the brushes once. I even bought a spare just to have one in my other garage. and they are normally $49.95, but go on sale for $39.95

You're welcome

Dem brakes

I agree on the electric tools. Air tools just doesn't make sense unless you're in a shop doing professional work all day. I have a sweet ass detached garage with 220 power all around, a 120 gallon compressor, air plumbed all around the garage, and........ I only use it to fill tires, and my lift. Battery powered impact drivers are just too damn good, portable, easy to start up, clean, quiet, and versatile.

+1 Unique, fast, fun, reliable, and affordable describe very few cars.

c5z with a turbo rotary swap?? haha honestly, they can be had cheap, will be as light as anything out there. you can wrench on them as much as you want, the motor takes abuse, with tons and tons of aftermarket support and parts available. great motor, great brakes, light, power-to-weight, still look good. shitty interior--who cares.

Start with a reliable car that is very lightly used, and comes with a turbo from the factory. Enjoy it stock for a year, minimum. Tune it, light bolt ons, and enjoy it for another year, minimum. All the while learning about turbo cars. Then add a larger turbo and start talking "builds". Not to be judgmental (which means I'm being judgmental), but if you're asking about low compression being good for a turbo motor, you're in over your head, talking about a "ground-up" build, and dual power adder neons. It's crazy talk.