Best posts made by Dr GO

Or write one. By the way, that C in bar 6 is actually played up the octave (by Miles):

Just want to make sure Vulgano Brother is UNDERSTANDING THIS:

It goes on the WRIST (Read first word for priority!)

An informed patient is a happy patient

By the way, the REAL NICE thing about the aluminum-silver electro-chem plating is the tarnish (Silver Sulfide) undergoes reduction to silver metal and the aluminum is converted to Aluminum Sulfide, such that the silver is reclaimed by the horn so there is no worry about gradual loss of plating by that method.

Did you hear about the peanuts walking in Central Park....

One was a-salted.

This is an ESSENTIAL read to truly appreciate the mechanism behind jazz improvisation. It incorporates jazz improve for business leaders to better connect with clients, but it also has important history and structural requirements to be successful at improvisation. This article was a game changer for me:

https://pdfs.semanticscholar.org/6494/64c46bab1840d40402f8a2eac476df1505c9.pdf

@moshe said in Dr. GO? My back's been bothering me...:

If a herniated disk is crushing the spinal cord, the patient might not notice any pain.

The patient might slowly lose sensation and lose fine motor skills without realizing it.
moshe

If we did this, 80% of patients with anatomical abnormalities would have unnecessary surgery of which the majority of these causing lower extremity symptoms are in the Lumbar distribution. Moshe, were you having neck pain?

Typically FIRST physical therapy may be attempted then the nerve conduction can be re-tested to see if rehab alone is taking the pressure of a nerve.

My question to you, is did you have rehab first? If you did and this failed, then I can see surgery as being the next step. I must admit, the C5 region would have been more difficult to manage conservatively. And now I have a better appreciation for your special situation. There was so much missing from your personal presentation prior to your above post that I want to re-assure our other readers that "One Size Does not Fit All".

@Dr-GO said in Caring for Silver Plate Horns:

@GeorgeB said in Caring for Silver Plate Horns:

@Dr-GO
The tech that used to look after my horn back when things were normal, and he advised me to not use a silver polish cloth as they remove some silver every time you use them...

I tried using this effect on me, wiping down my arms and legs... but damn, the same old skin persists!

Mark Twain was so moved by the eloquent sermon that he was ready to give the $400 he had in his pocket, as soon as the collection plate came around. But the plate was delayed as the preacher droned on interminably. After 20 minutes into the sermon he thought of giving only $40. Another 20 minutes went by. Thoughts of giving dropped to $4. Final, after the another half hour of lengthy delay, the bask was finally pasted at which time Twain took a $5 bill from the plate.

EVERYONE READ THE ARTICLE, PAGES 143-149.
This discussion is going toward proficiency. I need to do that. You need to do this. This will get you to proficient. My attempt is to get people reading this thread to go BEYOND proficient. The reading talks about proficiency, yes. But it goes much beyond. It gives insight as to how to WORK WITH THE ENSEMBLE. That is the POWER of improvisation. Improvisation is ALL ABOUT communication. The communication is with the ensemble , and with the audience. That is the next level. This article gives you how to structure technical and SOCIAL skills on how to channel rapidly incoming sounds and progressions and how to use the talent of the ensemble and audience to turn the sounds into a performance that is appreciated by all. That is the goal of jazz improvisation. Making it real for the performer is only have the goal. Read pages 143-149, they are vital to truly understanding the art of improvisation.

@moshe said in Dr. GO? My back's been bothering me...:

If a person has a knife sticking out of his back, it should be removed immediately, even if it is not causing any symptoms at the moment.

moshe

Moshe, for the important reason of staying in context, a knife sticking out of the back is a different clinical situation and a separate guideline. In medicine, we treat the specific etiology behind a problem. Nerve root etiology to pain is a very difficult and risky etiology to treat. IF the knife is the cause, (even true if not symptomatic) the knife should not be removed immediately in this situation!* In fact, if a knife wound is the etiology to nerve root pain (a very deep penetration), if the patient is found at the scene with the knife still in, EMS will stabilize the knife until the patient can have it removed at a trauma center where surgeons are available if other structures (major blood vessels) may be compromised.

We take an oath in medicine to first do no harm. The evidence I presented above weighs heavily for physical therapy first, which minimizes the risk for potential harm of unnecessary surgery.

I kindly recommend for the sake of the readers reviewing this discussion that we understand to keep the situation in context.

*https://www.jems.com/articles/print/volume-36/issue-6/patient-care/use-caution-impalement-injuries.html

It's UltraPure... Before every gig":

MuseScore is another nice product that is free on line for music notations and can be found at: https://musescore.org/en

@oldpete said in Triple by-pass reocvery:

...I came home last week [post CABG] and have already been told twice I was pushing it too hard. Slow for me, henceforth! I only play for self-satisfaction nowadays..

So there are many studies reported in the literature as to the best timing of Stage 1 Cardiac rehabilitation. The range is from 11 days to 4 weeks. What I found on reviewing the literature was an interesting Evidence-based randomized study that demonstrated that beginning a respiratory enhanced program to a routine Cardiac rehabilitation actually ENHANCES rehab and outcomes in participants:

So my interpretation of this (even though trumpet playing was not the respiratory intervention chosen) is that any activity that will improve respiratory muscle function, will improve oxygen flow to a newly re-vascularized heart, which in this study was found to increase the exercise capacity by an additional 35% in the respiratory enhanced intervention group compared to the standardized cardiac rehab group.

I would think that these studies would support trumpet playing as soon as 2 weeks post surgery and that trumpet playing may in fact enhance the 12 week post CABG rehab programs that are typically recommended. My only caution is to avoid any valsalva maneuver (grunting down to hit high notes) which may trigger a reflex cardiac arrhythmia. If any palpitations (racing or funny heart beats) or fatigue that is noted while playing, I would then recommend contacting the cardiologist to report these sensations to get direct feedback as to when playing can resume.

It is so hard to see the detail from that picture. Looking fairly nice from that distance could be risky. If you can get more detail from this individual as to model number, do give us an update.

@Vulgano-Brother said in A little humour:

@barliman2001 said in A little humour:

In Bavaria, unwary tourists can fall prey to the Wolperdinger, a vicious flesh-eating hare with a roebuck's horns.

Truly makes my hair stand on end! AND not just any bunny can do that!

@GeorgeB said in A Closer Walk With Thee:

@Dr-GO

...What kind of mute were you using. It sounded somewhat metallic.

It was on old 1960's vintage Harmon mute on my 1967 Olds Recording with a torn felt on the second valve (you can hear the clicks in the recording). Its fixed and refurbished now!

You know, I am a general internist and pediatrician, and practice what I preach to my own patients into my own personal health care. When I turned 40, I started taking aspirin, 325 mg once daily even though at that time there was no evidence that taking it as a preventative was indicated. But when you get the disease, it is just about the most powerful oral medical for coronary artery disease that we have. So why not prevention. Years later we are learning now of the preventative advantages to aspirin. Glad I didn't wait 20 years to find this out!

Then after I had a near death experience about 5 years ago (from a lung attack) I realized I was overweight and heading into my 60's with those odds against me. I began practicing what I preached and started a regimented routine EVERY MORNING that includes an hour of weight lifting that focuses on chest and abdominal muscles, and 40 minutes of an elliptical work out (to Latin Jazz no less), and have lost 30 lb, managed to keep it off for 5 years now, AND am doing well into my 60's. What is even more amazing is the abdominal and chest work out routine I designed has REALLY improved my trumpet playing dynamics as well!

So YES. Exercise has been very very good to me.

As with GeorgeB, I have my local brass technician do chemical cleans on my horns... and I'm a chemist!

I just checked into the Hokey-Pokey clinic to turn myself around!