Rob Douglas

Having watched someone I know narrow their life, I’ve chosen to battle the narrowing the doctor describes below.

“Even monuments fade, shift, and get repurposed over time. As Marcus reminds us in Meditations, what matters isn’t being remembered forever—it’s being a good person now.” —Ryan Holiday

Saturday’s are Zepbound injection day. That means Friday night my digestion is at its fastest. Tonight I ate a 10 oz ribeye. First steak of any kind I’ve had since last September. It was bloody rare and delicious. Stormy was the beneficiary of all the fat I trimmed off. Tomorrow it’s back to chicken and rice.

@CoffeeBlackMD I was a talk radio show host for a number of years. Whenever I made a grammatical error the phone lines would light up. 🎙️

I know it’s misspelled knaves.

I’m going to get to all the DMs today. I’m not excited. YOUR excited!

@simpleorganix The sound of snow falling when you're deep in a forest high up in the Rockies.

The most simple things in life should bring you the most joy… It’s in those things you find God is the loudest. A sunset A walk in Nature Holding someone you loves hand A child’s giggle Eye contact & a smile The way you feel after a dip in the ocean A sip of coffee & good book The soft crackle a fire makes The way the Sun feels on your skin A bird singing for you A small midnight drive A bee buzz tickling your ear An I miss you text The sound of the Rain Laughing so hard you cry Life fills you with these things… Everything else is just karmic bonus.

Uh oh. Marty’s throwing a temper tantrum. Poor Marty.

Dear @USPSHelp: According to your tracking system, over the last five days, a package of mine has gone back and forth between Grand Junction, CO, and Craig, CO twice. I am in Craig, and the package is now back in Grand Junction. No attempts have been made to actually deliver the package to my home. The Craig Post Office has just sent it back to Grand Junction each time. Can you help?

I just got @RobDouglas from the X Handle Marketplace! Get your own at handles.x.com

@DigitalFringed1 Jersey Mikes for the win.

What the hell is wrong with everyone? Subway? Really? Could be the worst place to get a sub in the United States.

I was always RobDouglas3 on X/Twitter because someone else had RobDouglas. X now allows you to take a handle away from a dormant account. The guy who had RobDouglas hadn’t used his account in 6 years. X just gave it to me.

@DigitalFringed1 @ScienceSupps Got the same flavor a while back. I like it. And, it mixes well without clumping. I use it a few times a week. Good stuff.

New Product Review!! @ScienceSupps Qwench Clear Protein Whey

Discovered my car battery was dead last evening after the auto parts stores had closed. I had a 9 a.m. appointment this morning. My neighbor and I were at NAPA by 8, back to my place, swapped the battery like a NASCAR pit crew, and still made my appointment with time to spare. It’s good to have good neighbors.

@CoffeeBlackMD Do you have changing shifts in the ICU, or a steady schedule?

Another short dispatch from the biohack … Some insomnia last night. I think the 1mg/day of MOTS-c caught up to me. What *is* interesting to me is that the sleep I DID get was DEEP heavy, relatively speaking. Even with less total sleep, I’m making sure I get that deep. Hm.

@RodneyRemix You keep me inspired and motivated.

68

@BowTiedHRT This has been a very educational thread. Nice to see two experts exchanging opinions civilly. The rest of us benefit from the knowledge and wisdom.

Lot of “myths” dispelled in this group of tweets about how men can maintain their fertility on TRT. This physician says he trains other MDs in TRT fertility protocols but still hasn’t figured it out despite his regular drafting and publishing of papers on the very topic. Le sigh… HCG MWF or 3x per week is, and has been, the gold standard for the better part of three decades, and you have urologists and physicians jumping into the TRT space who can’t help themselves from making it obscure and more complicated than it is. I don’t disagree with the recommended larger doses of HCG, but a once-a-week administration protocol is, and always has been, absolutely ridiculously ineffective, and twice-a-week administration is subpar compared to three times a week. If I ever need a penis implant, I’m going to call this guy up and get a consult, but if I want to maintain my fertility on TRT, I’m going to spend five minutes on Bro/Anabolic Twitter, cut through the chaff, and get the correct answer.

“It isn’t events themselves that disturb people, but only their judgments about them.” —Epictetus, Enchiridion, 5

Boo. I certainly don’t want to act my age or have any of my health markers match my age.

@CoffeeBlackMD I hope you never lose that optimism and the feeling of loss. That’s the difference between a caring professional and someone who should probably find another profession.

The docs working the ICU tend to cluster to *relative* extremes of cynicism and optimism on patient chance of “making it.” This doesn’t change management of course. But it’s a personal sense of how well things will go. I’m an optimist. Unless it’s stupidly obvious, I always think we can get you better!! I always believe that. I’ll have something you offer. A way to help. Will get you out of the ICU and eventually home. This may be why I always take it so hard when the case goes from bad to worse clinically. It’s going to happen in a reasonable percentage of cases. I get that. That understanding is logical and rational. But man if I don’t take it personal when a patient dies despite best efforts.

@ryanripkenshow I like them. Far better than last year!

How we feeling about the City Connects?

@BowTiedHRT Not to mention pouches where you first have to dig the scoop out, and the opening of the pouch is too small for man-size hands.

I’d pay a premium if my protein powder came in nice little reusable boxes. The whole jug fits perfectly in that Tupperware. Can you imagine how much nicer it would look on the store shelves than in those big clumsy jugs?