Insulin Does Not Increase Muscle Protein Synthesis Rate

[Dr JIM]

Tongue and cheek no way K, and that's why I said what I said. Oddly enough ZIPPO became offended when I repeated what he already said "I'm an elitist prick", no kidding that was obvious after FOUR POSTS!

Oh yea I've met doctors just like him and trained all sorts in residency from FMGs to DO's to elitist pricks and let me tell you some of the very worst doctors are elitist pricks like this bozo.

Some honestly believe their shit
don't stink and really shouldn't be required to complete a residency bc they know it all already.

But what most don't get, the practical training makes a world of difference between some book smart jerk off who couldn't intubate that mannequin during their ACLS course, and saving a patients life bc of cardiopulmonary arrest.

Oh yea I've trained more than my fair share of DO's and the overwhelming majority are VERY competent physicians primarily bc of their ZEAL to learn and their reticence to judge others based on prejudice.

 

[kawilt]

Tongue and cheek no way K, and that's why I said what I said. Oddly enough ZIPPO became offended when I repeated what he already said "I'm an elitist prick", no kidding that was obvious after FOUR POSTS!

Oh yea I've met doctors just like him and trained all sorts in residency from FMGs to DO's to elitist pricks and let me tell you some of the very worst doctors are elitist pricks like this bozo.

Some honestly believe their shit
don't stink and really shouldn't be required to complete a residency bc they know it all already.

But what most don't get, the practical training makes a world of difference between some book smart jerk off who couldn't intubate that mannequin during their ACLS course, and saving a patients life bc of cardiopulmonary arrest.

Oh yea I've trained more than my fair share of DO's and the overwhelming majority are VERY competent physicians primarily bc of their ZEAL to learn and their reticence to judge others based on prejudice.

Yea Jim, met a lot over the years. My only response about people like that is "when they fall, they fall hard".

 

[Voltrader]

this study isn't worthless IMHO.

Lol when I read this I was like WTF I know Huck's MO

I meant to say this study is worthless.

Thank you now things are right in the world[emoji1]

 

[Dr JIM]

Yea Jim, met a lot over the years. My only response about people like that is "when they fall, they fall hard".

Are you on spot there. To date, I personally know of 4 whom were literally besides themselves absolutely speechless for days after receiving a malpractice claim.

I mean how could "they" even THINK about suing me! Don't they know "where I went to MS and my rank". Mr attorney, there must be some sort of a mistake, I mean don't they know I'm not a DO or some FMG? LMAO

Two of four suffered a divorce and two committed suicide! And to think their only problem was being "elitist pricks".

Hey ZIPPO do you consider any of your patients your "friends" so much so that your "on call" even though your "not on call"?

Not even!

Oh how premature of me. Why you don't have any real time practical experience, bc your a MEDICAL STUDENT, or so you claim

Oh that's right your some "book smart"MS still wet behind the ears, who has reviewed the literature on the applicability of MRI for the diagnosis of otitis media rather than using archaic methods such as otoscopy!

Way to go big boy you have discovered another needless imaging modality that limits how much time you waste "examining the patient". I mean God forbid if you ever had to "touch" a patient, right.

Hey now I'm curious do you also "look down", from that imaginary ivory tower of yours, on people with certain skin colors, bc of their socioeconomic status, occupations, religious preference or skin color.

Oh yea when you fall AND you will, it's going to be very very painful. So do enjoy this omnipotent fantasy of yours before it reaches it's forlorn conclusion.

Finally did you even read the "study" you uncovered as a reference from Dr Scally's original post?

Obviously not, or you prefer to use studies out of context to "prove your right".

So let's see Book Boy
1) what was the study populations mean AGE?

2) what is the mean AGE of "typical" body builders?

3) how was the insulin prescribed and at what dose

4) how was the insulin dosage monitored

5) what benchmark was used to evaluate anabolism?

6) is there a difference in the baseline anabolic rate in young health patients compared to this study population

7) FINALLY and most importantly according to the authors, what mechanism was believed responsible for "enhanced" PS in the supraphysiologic insulin study group.

 

[zoot494]

It's not the first time "dr" jim has done this. The masses without a background in science blindly trust jimmy, but when he is confronted with someone who can actually read through scientific studies and do some research, and provide counter-arguments...suddenly he starts attacking you and not your arguments.

jim, you had my respect when i first came here because of your reputation and you are well-versed in some aspects of science, but your habit of reverting to shouting and name calling only weakens all your arguments.

Honestly, I'm glad I'm not the only one who noticed this. He literally just rambles about how long he has been around the field how smart he is and how great of a doctor he is, but he has provided zero evidence of his claims and provided zero evidence of his "massive amounts of studies".

Just browsing through the forums and I happened on this. A question please. Is this a tongue in cheek response? or do you really have this opinion of yourself?

Unfortunately, I am a bit elitist. But I have worked my ass off to get to where I am at. I am at one of the best private universities in the nation and I worked fucking HARD to get here, so yes, I do tend to look down upon others especially when all they do is scream at the top of their lungs that they are a smart doctor without any sort of scientific studies to back up their claims. I know I am among the best and the brightest, why am I not allowed to be proud of that fact?

 

[Dr JIM]

Lol when I read this I was like WTF I know Huck's MO

Thank you now things are right in the world[emoji1]

Wait are you suggesting while Huck read and understood the abstract he takes issue with the authors methodology and therefore conclusion?

 

[zoot494]

You really doubt my claims "Dr" Jim? Here's a pic of my student ID and my hospital badge.
I'd appreciate it if someone could quote this since the arrogant asshole has me on ignore.

Obviously my name and all relevant information are cut out of the picture. Time to nut up or shut up Jim. Let's see some credentials.

Also, learn to fucking read. If you bothered to read my posts you'd already know all the answers to your 7 questions. I already flat out stated that the study was not a perfect example. There are very few perfect examples unless you are the one doing the study to find out the answer to your specific question.

p.s. No I don't look down on people for socioeconomic or racial factors you fucking twat. I look down upon people who provide no fucking proof yet act all high and mighty. You think there isn't a difference between someone who goes to a shitty no name university and is a doctor in the backwaters of Mississippi and someone who works at the new york hospital for specialty surgery? You really fucking think that all doctors are created equal? I'm not elitist because I think I am better than everyone else. I am elitist because I put in more work than 99% of the population is willing to. Go fuck yourself you arrogant little prick. How dare you accuse me of being a racist or anything else of the sort just because your ego is hurt.

 

[alphastrength50]

dang yo this thread blew up!

 

[zoot494]

I'm done with this thread and that arrogant "doctor". He thinks I'm elitist yet he's the one acting all high and mighty like his shit doesn't smell cuz his post count is higher. Get the fuck out of here you hypocritical little shit, Jim. I look down upon those who provide no scientific evidence and rely on post counts for credibility. I look down upon lazy doctors who aren't willing to dedicate their lives to their patients, yes I am elitist in that sense, but at least I don't look down upon people based on idiotic things like a post count like you Jimmy boy.

You think I'm elitist yet you sit on a false throne supported by post count. You call me racist out of nowhere, you provide no scientific proof, and you can't even come up with one single damn study to prove your point. You literally just sit there and stroke your ego and rely on that to prove yourself right.

God forbid I touch a patient? I got into this business because I dedicated my entire life to helping people. I gave up the typical college experience to study my ass off and become the best at what I do. I do this so I can heal people and bring something good into this world unlike you who became a doctor simply to say he is a doctor, smarter than everyone else, and suck himself off. Well, that's assuming you aren't lying out your ass on an anonymous forum about being a doctor. I'm here to help people, not stroke my fucking cock like you Jim. It's easy to attack people. it's much harder to actually know the science you preach, which may explain why you haven't provided a single shred of evidence to your argument. Well, that may also be because you have no argument. You simply attack people because you thought you were smart enough to put "Dr" in your forum name.

You're the biggest hypocrite on this entire forum. You sit there and force words down my throat saying I think my shit doesn't smell, yet you're the one who thinks he is a god on this forum. You think that anyone who disagrees with you, interprets a study differently than you, or proves you wrong (which I have many times in this thread alone) is a moron. You're a kettle calling the pot black my friend.

I'm done. Peace out. Enjoy your idiocy alone.

p.s. thank you on the compliment of elite private universities only accepting the best and the brightest. I appreciate the kind words.

 

[Dr JIM]

dang yo this thread blew up!

Yea WTF did you run off to, leaving me to defend the flock from crazed wolves dressed as innocent sheep

You want to shadow me still?

Ok an 8 hour ED shift followed by a 2 hour visit to our analytical lab.

Finally I visited a friends house who's wife has very brittle DM. She complained of painless monocular visual loss (she went from 20/40 to 20/400 over night of the OS, left eye)

She often refuses to go to the hospital esp if "Jim" will see me at home (to me that's as a wonderful compliment) bc she suffers from very severe Diabetic peripheral Neuropathy that has rendered her wheel chair bound.

Any ideas on the diagnosis which was made AT THE BEDSIDE?

You can PM me if preferred!

 

[alphastrength50]

Jim are you on the East coast?

 

[zoot494]

I'm now 99% sure Dr Jim is not a real doctor.

 

[alphastrength50]

Vanderbilt, solid chouce zoot! im not for your arrogance but at least you admitted in. im in no room to judge others.

 

[zoot494]

Vanderbilt, solid chouce zoot! im not for your arrogance but at least you admitted in. im in no room to judge others.

Thanks

Also, I'm not actually arrogant lol. When I say I look down upon others I mean in terms of quality, not as a human being. I do not think less of DO's, and as I said they are real doctors. I respect all doctors (not JIm, because I still dont think he is a real doctor). They can diagnose and do anything a real doctor can do, but that doesn't mean all doctors are created equal.

It can be said about anything in life. Take a powerlifter. If one powerlifter can bench 800 lbs and another 700lbs, does that mean that the 700lb lifter isnt a real powerlifter? No, but it does mean that there are BETTER powerlifters than him. Does it mean he is a better human being? Not at all, but it does make him a better powerlifter. Maybe he was gifted genetically, maybe he put in hard work, maybe he took more drugs. Who knows. In the end it doesn't entirely matter, the results speak for themselves.

That doctor who went to a shitty no name university and works in the backwoods of mississippi is still a doctor, but as I asked earlier, do you really think he is as smart or as high quality as a doctor who works at the hospital for specialty surgery? Odds are, probably not.

Those who are the best and the brightest in the field tend to surround themselves by people of their own level.

When I say that I look down upon others that does not mean I do not have respect for them or what they do, but I do think that I am most likely better than them at what I do. If I wasn't then I wouldn't be where I'm at today. That's the way I view it.

I admit that in that sense I am slightly elitist since I do not view many people to be equal to me, but that does not mean that I view them as any less of a doctor or any less of a human being. It simply means that I view myself at a different level than them in regards to this field. The same way that 800lb bench press powerlifter looks down upon the 700lb powerlifter. No, he doesn't think that 700lb lifter isn't a real poewrlifter and he doesn't look down upon him with disgust or disrespect, simply at a different level of powerlifting. I view DO's as an 800lb bencher looks at 700lb benchers. It may be a little elitist, and I'm the first to admit that, but I just don't see how people can say that all doctors are of equal quality.

I'm not the dictionary definition of elitist in the sense that I believe I am better than everyone else and therefore I should rule society or rule over all doctors/medical students. I wasn't speaking literally.

 

[Dr JIM]

Jim are you on the East coast?

It's included in my Meso profile.

 

[CensoredBoardsSuck]

Unfortunately, I am a bit elitist. But I have worked my ass off to get to where I am at. I am at one of the best private universities in the nation and I worked fucking HARD to get here, so yes, I do tend to look down upon others especially when all they do is scream at the top of their lungs that they are a smart doctor without any sort of scientific studies to back up their claims.

You think there isn't a difference between someone who goes to a shitty no name university and is a doctor in the backwaters of Mississippi and someone who works at the new york hospital for specialty surgery? You really fucking think that all doctors are created equal? I'm not elitist because I think I am better than everyone else. I am elitist because I put in more work than 99% of the population is willing to.

Congratulations. Credit should be given where credit is due. But before you start believing you belong to some elite group because you "worked your ass off" to get into one of the "best private universities in the nation," take a good look at your classmates. There will probably be at least one who has accomplished everything you have - only he DIDN'T have to work for it. And he still doesn't have to work for it. It comes all too easy.

You'll find an exceedingly small minority of people who don't have to try in all academic disciplines. School is just a formality these people are forced to endure until they get the letters after their name. IOW, they're just putting in time while everyone else is busting their ass. These people are elite just like Jordan and Gretzky are elite - they're born with it. And you might be surprised at some of the backwater places you'll find them working. Regardless, once you become aware that such people exist, perceiving yourself as elite becomes an exercise in self-denial.

 

[zoot494]

^ @CensoredBoardsSuck please see my latest post as I think you were typing out your response while I posted it.

I also believe that med school is something that you have to work hard in no matter what. I have a photographic memory when it comes to reading, so I can study very easily, but that doesn't mean that I don't have to read. The same goes for everyone here. We all have to read and learn the same material, and that requires work. It may take people more effort or time and some may be faster readers than others, but we all have to put in work.

Also, at the MJ reference, if someone works 10x harder than MJ but receives the same results are they not equals? MJ may have been more gifted than that person, but the end results are what matter. If I work maybe 1.5 times harder than the kid next to me but 0.5 times as hard as the kid behind me and we all have the same end result then are we not all equal in terms of being student?

I believe it was Phil heath who said "hard work trumps talent, but when talent works hard there is nothing that can stop it". (obviously he wasn't the first person to say this, it's just an example)

Just because someone is talented that does not mean they don't have to work hard.

Also, look at MJ and gretzky. Were they in backwater places? No. They were in the elite level of their respective sport, because elites don't go to backwater places. They are the best of the best and they tend to work with the best of the best in the most elite of places.

Now, that's not to say that there are not extremely gifted people who choose to back out of that lifestyle but that takes them out of the elite category. That person may be "elite" and gifted, but they chose to not be elite. They chose not to be the best and the brightest and lead the field. They are content with mediocrity. Sure, they are super smart and gifted, but if you aren't putting that to use then it doesn't matter.

Like when MJ played golf. He chose not to be an elite basketball player. What if he chose to NEVER be a basketball player and went straight to golf. Would he still be recognized as the greatest basketball player? No, because he chose to not follow that path and become elite.

 

[Dr JIM]

Keep on posting Zippo you will expose yourself for what you are and what you ARE NOT!

The truth always wins in the end, thank God!

 

[zoot494]

And the truth is that you still have provided 0 evidence and 0 credentials. Until then, the "Dr" in your forum name is 100% bullshit. I've proven what I am. I am among the best and the brightest medical students in the nation. What are you?

I'd also just like to continue that MJ reference. Just like we wouldn't recognize MJ as the greatest, we also wouldn't recognize that gifted doctor who worked in his/her backwater office instead of leading the field.

You can't call yourself among the best of the best if you aren't actively proving it, and actively proving it requires work regardless of your talent. That goes for athletes, doctors, students, businessmen, and everyone else.

 

[CensoredBoardsSuck]

Any ideas on the diagnosis which was made AT THE BEDSIDE?

I know nothing about this but I'll take a guess: Non-ischemic central retinal vein occlusion.