Craft breweries, adaptive reuse, and neighborhood revitalization in: Urban Development Issues Volume 57 Issue 1 (2018)

Source: Craft breweries, adaptive reuse, and neighborhood revitalization in: Urban Development Issues Volume 57 Issue 1 (2018)

The month isn’t over yet the events of the past few weeks already make this a memorable year. My contract with a large insurance company that shall not be named ended. I was with the client for nearly ten years. When I tell people I’ve contracted with a single client for ten years mouths drop open. In the gig economy this is about as rare as rare gets. Who contracts with a single client for ten years? Friday January 10th was my last day. Two days later I was in Lynchburg Virginia. Sometimes life moves quickly. When you get to the same stage and age in life as me you’ll come to appreciate the memories more and more with each passing year. But this trip was special and I want to capture and share these memories before they fade away. For me every day is another opportunity to learn something. Here’s what I learned from five days in Lynchburg.

“Don’t go around saying the world owes you a living. The world owes you nothing. It was here first.” Mark Twain

It’s Nice to Get Out of the House

I’ve been working from home since 2006. Seriously, I don’t get out much and when I do I try to practice my social skills. Working alone at home, or being face down in your smartphone (which makes you dumb), or severe anxiety where you need your benzos, all can erode what little you have left of social interaction skills. The Boss knows this all too well. The last business trip was over 2.5 years ago and placing me in a situation where I have to interact with others can be dicey.

“Be nice.”

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“Be professional. Don’t be yourself.”

“The hardest challenge is to be yourself in a world where everyone is trying to make you be somebody else.”

ee cummings

The Boss knows at the minimum I’ll try to behave. Hopefully I passed the audition.

Staying in a Nice Hotel and Eating Out is Pretty Awesome

I had an excellent stay at the Virginian. The hotel was a block away from my new client’s office and the room was stocked with bottled water from local springs and a Keurig coffee maker. I did what I always do when I arrive in a hotel room with a coffee maker. I check the coffee supply for correctness. As I suspected the K-cup selection was all wrong. I had four servings of DECAF. I immediately went down to the front desk with the K-cups in hand.

“Mr. Lee, is there a problem?”

I handed the coffee to the front desk employee and stated in a low firm voice,

“This is so wrong.”

The very nice young woman at the front desk agreed and allowed me to exchange my four K-cups of DECAF to the real caffeinated kind. I also left a note next to the brewer for housekeeping to restock with only real coffee NO DECAF. The rest of my stay went quite well. The room was comfortable, quiet, and I had plenty of coffee.

Eating Restaurant Food Causes Obesity

I arrived in Lynchburg late on a Sunday evening and the only food available at the hotel was at the rooftop bar. There was local craft beer on tap. I ate there three times during my stay. When you work from home you eat a lot of leftovers. Some days you eat leftover leftovers. By the time Saturday rolls around you simply have to go out to eat. Taking all of my meals outside of the house this week was awesome despite needing to loosen my belt a notch by Wednesday. The team treated me to dinner at The Depot Grille, a renovated old train stop that had nice local craft beer on tap. Before I left town I was introduced to The Water Dog which was more of a Millennial type establishment that had even more nice local beers on tap. After seeing the (beer) menus I thought to myself I could live here.

Despite the proximity of some fine eateries I took most of my meals at the company cafeteria. This company amenity should never be taken for granted. I had plenty of good food, freshly prepared at reasonable prices. When you’re on business expense this is kind of important to avoid any potential criticism of your spending habits when someone else is paying. So the accountants will be happy I found Benny’s.

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I had forgotten how easy it is for me to put the weight back on. Over the years I’ve moved away from the standard American diet (SAD) because it was my diet that was the proximate cause for ballooning up to 370 pounds. It might have been more but I stopped weighing myself at 370 (for obvious reasons). For this trip I relaxed my dietary preferences and ate whatever I wanted to. I haven’t weighed myself since the trip ended but my belt fits again at its usual belt hole. I’m easing back into my usual dietary routine. And I have no regrets about passing on the fried tofu sandwich at The Depot Grille. I didn’t want anyone to think I was a vegan.

“Look for the human connection as you make your journey. Connect us to the people who connected with you.” William Zinsser

There are Really Nice People in Lynchburg

During my week in Lynchburg I met some very nice people. The people you work with are just as important to your happiness as the work itself. I ate lunch at the underwriter table in the company cafeteria all week. I figured I needed as many contacts as possible once I started work in the system and needed guidance. I may work by myself from home but no one ever works alone.

It’s just a job. Grass grows, birds fly, waves pound the sand. I beat people up.

Muhammad Ali

The Boss has told me change is good and my new adventure will be good.  I know she’s right.  And I am thrilled with the opportunity.

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OSA? Put Your Tongue on a Diet

“Most clinicians, and even experts in the sleep apnea world, have not typically focused on fat in the tongue for treating sleep apnea,” said Richard Schwab, MD, chief of Sleep Medicine. “Now that we know tongue fat is a risk factor and that sleep apnea improves when tongue fat is reduced, we have established a unique therapeutic target that we’ve never had before.”

https://www.sciencedaily.com/releases/2020/01/200110101035.htm

From the research article abstract:

Conclusions:

Weight loss reduced volumes of several UA soft tissues in persons with obesity and OSA. Improved AHI with weight loss was mediated by reductions in tongue fat. New treatments that reduce tongue fat should be considered for patients with OSA.

Journal Reference:

  1. Stephen H. Wang, Brendan T Keenan, Andrew Wiemken, Yinyin Zang, Bethany Staley, David B. Sarwer, Drew A. Torigian, Noel Williams, Allan I Pack, Richard J Schwab. Effect of Weight Loss on Upper Airway Anatomy and the Apnea Hypopnea Index: The Importance of Tongue Fat. American Journal of Respiratory and Critical Care Medicine, 2020; DOI: 10.1164/rccm.201903-0692OC

Wait for it.  A plethora of diet and weight loss books for your tongue.

Pass (on) the Chips

Eating Ultraprocessed Foods Tied to Diabetes Risk

Higher intake of ultraprocessed foods (for example, packaged snack foods) is associated with increased risk for type 2 diabetes, according to a prospective study in JAMA Internal Medicine.

Over 100,000 French adults completed a series of 24-hour dietary recall questionnaires over a 2-year period. During a median follow-up of 6 years, roughly 820 participants were diagnosed with type 2 diabetes.

After adjustment for body-mass index, physical activity, and other confounders, participants who ate more ultraprocessed foods were at higher risk for diabetes. In particular, the risk increased by 13% with each 10% increase in the proportion of diet comprising ultraprocessed foods.

The authors note that in previous studies, ultraprocessed foods have been linked to increased risks for cancer, cardiovascular disease, and mortality.

JAMA Internal Medicine article (Free abstract)

Background: Physician’s First Watch coverage of ultraprocessed foods & mortality (Free)

NEJM Journal Watch is produced by NEJM Group, a division of the Massachusetts Medical Society. Copyright © 2019 Massachusetts Medical Society. All rights reserved.

Junk food = bad.

Fake Burgers = also bad.

Got DM1? Don’t do Pot

Abstract

OBJECTIVE We examined the frequency of diabetic ketoacidosis (DKA) in cannabis users compared with nonusers in the T1D Exchange clinic registry (T1DX).

RESEARCH DESIGN AND METHODS The association between cannabis use by total substance score for cannabis (TSC) and DKA in the past 12 months was examined using a logistic regression model adjusted for potential confounders among adults in the T1DX.

RESULTS Of 932 adults with type 1 diabetes, 61 had a TSC >4, which classified them as moderate cannabis users. Adjusting for sex, age at study visit, and HbA1c, cannabis use was associated with a twofold increase in risk for DKA among adults with type 1 diabetes (odds ratio 2.5 [95% CI 1.0–5.9]).

CONCLUSIONS Cannabis use was associated with an increased risk for DKA among adults in the T1DX. Providers should inform their patients of the potential risk of DKA with cannabis use.

© 2019 by the American Diabetes Association.

Cannabis Use Is Associated With Increased Risk for Diabetic Ketoacidosis in Adults With Type 1 Diabetes: Findings From the T1D Exchange Clinic Registry

E-bikes Show Distinct Pattern of Severe Injuries

E-bikes Show Distinct Pattern of Severe Injuries

Of more than 245 million injuries reported in the study period, 130,797 involved powered-scooter accidents, accounting for 5.3 per 10,000 U.S. emergency department injuries. There were 3,075 e-bike injuries, or 0.13 per 10,000. In addition, about 9.4 million pedal bicycle injuries accounted for 385.4 per 10,000 of all emergency department injuries.

I live a short distance from one of the three major universities in Oklahoma.  I’ve learned to drive defensively especially when classes are over and the streets are teeming with students.  The other day in a residential 25 MPH area adjacent to campus the car in front of me suddenly hit her brakes.

Student on an e-bike ran a stop sign.  She was not wearing a helmet nor did she look in either direction prior to placing herself directly in the path of a moving car.

Seriously?