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About SigmundChurchill

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  • Birthday March 7

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    Cuban Cigars, Classic Rock/Heavy Metal Music, Golf, Skiing, Beach Life

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  1. SigmundChurchill

    What's your latest CC purchase?

    What is strange to me about yours is that the shorter ones are all the same size as each other. It’s almost like they are a different vitola. Or at the very least, taken from a different box than the longer ones.
  2. SigmundChurchill

    What's your latest CC purchase?

    I didnt notice much difference in lengths in mine. The caps are not all flush with the wood, so it may give that appearance in the picture. I’m working tonight, but I will double check tomorrow.
  3. Regular. IMHO, most of the ELs are not that good. A couple are phenomenal, but that is a small minority.
  4. SigmundChurchill

    What's your latest CC purchase?

    Just in. 2013 Siglo Vs from our host, Esplendidos, and Monte 1935 Maltes.
  5. SigmundChurchill

    FOH'ers Daily Smoke

    The last of my ‘04 Siglo IVs
  6. That’s called an arterial line, or an “A-line” for short. Some surgeries call for placing them, some patients call for placing them. They are used for tight blood pressure control. If your blood pressure goes from 130/70 to 129/69, I know it instantaneously. With a blood pressure cuff going off every 3 minutes, I may not know until it is down to 80/30. In healthy patients having a routine elective surgery, the cuff is good enough. I don't typically put A-lines in for bariatric surgeries unless the patient has some heart issues, but I could never fault someone for being “too cautious”.
  7. Actually, it is not likely due to hypothyroidism. The vast majority of people with an insatiable appetite is due to something other than the thyroid. And when it is due to the thyroid, it is more likely due to HYPERthyroid. These people have metabolisms that are so fast that they cannot eat enough to keep up with it. And in spite of eating so much, they are skinny. Less occasionally, increased appetite can be due to hypothyroidism, but most people with hypothyroidism are fat, regardless of how little they eat. The reason most people with hypothyroidism are fat, is not because of increased appetite, but because of decreased metabolism from decreased adrenal gland activity as well as insulin resistance, causing more insulin to be necessary to mobilize glucose.
  8. I am smoking out of an 08 box currently that are nothing short of amazing.
  9. SigmundChurchill

    FOH'ers Daily Smoke

    A BBF To brighten up this rainy day.
  10. I give anesthesia for many bariatric surgeries, and I can tell you first hand that the failure rate for the bands is very high, even when it is perfectly placed, We rarely ever do lap bands anymore. It’s all sleeves and “band to sleeves”, like you had done. Once the patients leave the hospital, I dont see them again, but the surgeons tell me that the patients have a much higher success rate since we started doing sleeves instead of bands. On a personal note, my own weight has always bounced around a lot my whole life. I agree with JohnS that genetics play a large role in metabolism. I find that I have to eat considerably less (under 1200 calories a day), than many thin people in order to just be of average weight. Maybe a little more on days that I do a lot of exercise. What I find works best for me long term, is eating a high protein, low carb, low fat diet. It is boring eating only meats, fish, and vegetables all the time, so one day a week, I allow myself to eat carbs and fat. I’ll tell you though, that one day, as much as I love eating it, my body feels much worse than it does the other 6 days of the week.
  11. SigmundChurchill

    Whats up for the weekend?

    I drove out to the beach house today to be with the wife and kids. I worked last weekend so it has been 2 weeks since seeing them. I plan on watching them surf, and taking them to their golf lessons tomorrow, as well as trying to figure out how to slow down time so that Sunday night doesnt get here as quickly as it usually does.
  12. SigmundChurchill

    FOH'ers Daily Smoke

    Tonight’s 24:24 put me in the mood for one of these...

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