LeGOAT

Fake news. Ever been to Pierre Part?

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$450 per night is clearing $100k per year

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Most RNs in the hospital work 3x12 hr shifts each week (36 is considered full time). That’s $70K/yr, assuming you take no vacation and you work nights + weekends (usually an extra $10/hr). If you work 3x12 dayshift you make about $60K.

You’d need to work 48+ hrs/wk all year to clear $100K.

Ah that makes sense. Yes night and day indeed

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then we get a agency RT

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I’m referencing 2 well funded magnet hospitals. Take from that what you will. This is largely the pt population everywhere I’ve been in larger metropolitan areas, especially teaching facilities.

On call agency RTs are not baseline for most facilities.

Hospitals in LA don’t care about unions. Ask UMC how that’s going for them

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If he was out sick another RT would be called in or a agency RT would be called in. The same patient safety ratios would be maintained. Totally different when he leaves during the middle of his shift

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This is false. They offer extra $$ for someone to pick up but there’s no guarantee another RT comes in. If nobody picks up, the pt still gets cared for. Happens all the time. During COVID they were short RTs and we had some managing 24 vents by themself. They can’t just “call someone in”

Also, who covers for the RT during their 30 min lunch break and two 15 minute breaks?

You acting like hospitals give a shite about nurse patient ratios (or safety) is comical. I’ve tripled in the ICU many many times and that is largely why there was a huge exodus of ICU RNs during and post COVID. Ironic given they are charging $14K a night for an ICU bed per night. MONEY IS TIGHT. They (hospital admins) are more than willing to triple your work for the same pay…. (Google wage/productivity chart to better understand how this works).

RTs have almost nothing to do with patient safety. Especially in high acuity ICUs where the RNs essentially double as RTs and have a more thorough understanding of heart/lung interactions and the effects of mechanical ventilation on various hemodynamic parameters

OP you should talk about real healthcare issues, like the filling of our ICUs with crackheads, overdoses and prisoners and charging the American taxpayer $14K+ a night to take care of them. That’s the real fraud

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so you bro it out...thats cool.

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The only “bro” in this conversation is the bro that needs TRT to attain his health/fitness/wellness goals yet still believes he is a remotely credible source and/or arbiter of information regarding health/fitness/wellness. See how those two things might not align?

For context, I have 22 years under the bar, >25% of that under the tutelage of a D-1(SEC) strength and conditioning coach. Personally trained mostly athletes, some gen pop in my 20s

Obviously the methods of effective training regimens are too many to count, and I agree the training & results of said training should align with the goals of the individual and take into consideration capability + time commitment.

I’m not sure why you keep suggesting that 20 sets per muscle group is “driving yourself into the ground.” Maybe for you? In the past I have run caloric deficits for over a year getting 25-30 sets per muscle group/wk and honestly have never felt better. And I’m just an average Joe. I’m curious as to what quantifiable evidence you have suggesting that 20 sets “drives one into the ground”.

20 total sets 4 exercises should take no more than 1 hour 15 min with 2 min in between sets. Cardio isn’t required to be lean, albeit necessary for optimal mitochondrial function.

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cool he recommends sun exposure...yet In the United States, the incidence of skin cancer grew from 7.9 per 100,000 in 1975 to 25.3 per 100,000 in 2018. So is more sun exposure really what we need? or are you one of those people that think sun screen is the issue?

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Pretty sure the incidence of most cancers has increased since 1975. Maybe it’s the microplastics??! But seriously I think we both know 10 min of sun in the am won’t cause skin cancer

Attacking Huberman so that others don’t listen to his podcast(s) with Galpin is short sighted, but you do you

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we must take into account recovery

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24 hours betwixt exercise bouts, and 7 days betwixt hitting that group again is ample recovery time

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but he should bring it down to about 5 exercises per session and prolly 3 sessions per week of lifting and focus on getting steps in

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Is OP a 65 year old or 35? After all that intense research this is what you’ve come up with….?

I think the generic advice of “lifting heavy” and “extremely high protein intake” and “focus on getting steps” is/was subpar and inadequate in the world of natural strength and hypertrophy training, even moreso when it’s in response to the specific problem OP is dealing with. Gen pop or not, OP will look up 5 years from now and look exactly like he does today if he takes your advice.

As Nick Saban would say, “It takes what it takes.” There are no shortcuts. A mediocre process yields mediocre results. Suggesting otherwise is disingenuous, bro

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Dude is in a caloric deficit and you want him to go to failure every set like a bodybuilder? Sounds like a good way to wreck yourself quickly

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That is how one would minimize muscle loss whilst in a caloric deficit. It’s the same formula to maximize muscle growth/hypertrophy in a caloric surplus (ironic I know). It appears the gentleman has lost significant muscle mass due to inadequate resistance training/muscle stimuli throughout his caloric deficit. Same thing you see with ozympians. Muscle preservation is the opposite of wrecking yourself imo

And I said “try”. If OP is burnt after 12 sets that’s OK. Work up to 20. Be consistent, have a goal, progressively increase your workload. Every 6-8 weeks drop the weight and sets by 25%, let your body recover for a week.

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id look at your calories burned number. what do you do for a living? that seems awfully high and most people have a tendency to over calculate what they burn. how are you determining this?

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Yea are you consuming 2800-3000 calories for a week straight and still maintaining your weight? Or is a watch telling you that’s how much you’re burning? Only way to really know with some accuracy is consume said calories, see if you gain, lose, or maintain weight on 2800 cals over a week or two. That will tell you how much you’re actually burning.

I’m 5’11 175 lbs and my maintenance cals are 2750-2850 so I could see it if you were hitting the gym hard. Mine could be a result of those Zyn pouches though, I hear the nicotine can increase the BMR by about 15%.

Huberman Galpin Podcast

I would listen to this podcast with Huberman and Andy Galpin. Galpin trains actual professional athletes, and uses evidence-based protocols. He’s a professor at Cal State Fullerton. Episode is from Jan 25th, 2023. He’s a much better source than this forum

Drop down to 40-45 grams of fat, increase your carbs, keep calories the same. Personally I’m leaner on 40-45 g fat with higher carbs (250-300 grams). Shoot for 40 grams of fiber.

Go as low as you want but be careful when you reach your goal and reverse diet. You’re most prone to storing a lot of fat quickly after an extended caloric deficit (think survival mechanism during starvation)

Layne Norton is a good source on this topic