Toshi Clark Profile picture
Diagnostic radiologist. Occasional polymath.
Jun 20, 2023 47 tweets 16 min read
this shall be a thread in which I detail the process of my medial meniscus repair

11:45 am check in time at the outpatient surgery center down by Ikea tomorrow. NPO at 11 pm tonight. wife is going to be my designated ride home from there as I'll at least leave there on crutches. then I'm going to advance myself to full weight bearing and ROM as tolerated, since I've got a flight to Reno to catch the next morning!

i shall keep you all apprised of how it goes.
Feb 16, 2023 4 tweets 2 min read
1099-B and -DIV auto-import day for Betterment and likely others. TurboTax time, thusly.

Will this finally be the year I'm audited, for claiming an EV tax credit under the Transition Rule of the IRA?! Anyone done their taxes with claiming the EV tax credit under the transition rule of the IRA? Purchase date == contract date, I'm guessing?

What do you do for the VIN for still not yet built vehicles? What's the in service date in this odd setting of a not yet delivered car?
Feb 15, 2023 8 tweets 3 min read
Eldest kid is in her school’s spelling bee. She got an easy one to start. First kid.

Spindrift is my wife’s, for the record. Baby Aya just brought it over for herself. Round 2 passed by my kid. Only one kid eliminated in the first round. This may go on for a while
Feb 9, 2023 19 tweets 7 min read
On-bike VO2max/lactate/skin fold test day

Warming up several hours before 2 pm with 30’ very easy. Not bothering to test lactate after this easy block.

Then will finish my morning work, grab my pedals, shoes, and HRM strap, and drive on south Image The meat of the data to come after my tester cleans up typos and emails it to me. But for now a few photos at least.

Cliffs Notes of the data: lower VO2 than I’d hoped, skin fold ~ Bod Pod, LT1 @ 180W, LT2 @ 220W, good fat oxidation through LT1, tapped out at 260W and 172 bpm. ImageImageImage
Nov 22, 2020 17 tweets 3 min read
On today's edition of Story Time with Ojichan Toshi-kun: How I missed out on $50k of tax-exempt income.

To set the stage, I have student loans. I'm also an academic physician. I'm therefore the poster child in theory for Public Service Loan Forgiveness, PSLF. One of the steps one undertakes in applying for PSLF is periodically sending in a form that verifies that one's employment (in residency, fellowship, and as an attending alike) at a PSLF-eligible institution. That'd be governmental or 501(c)(3), more or less.
Sep 15, 2020 9 tweets 4 min read
The #toshi2024 platform. (An updated #toshi2020 platform now that it's clear I won't be on the ballot. :-D)

Sections:

Economy
Education
Environment
Health
Justice and equality
National security Economy:

- Flat tax
- New Civilian Conservation Corps-type entity
- Abolish welfare, establish UBI per @AndrewYang
- Free trade iff other parties have similar worker and environmental protections
Dec 31, 2019 14 tweets 4 min read
The linked article is actually quite reasonable, assessing various trials on their merits. (Many of them are so muddled as to not be testing one claim--see Lyon.)

Of them one old trial is of particular interest:

ahajournals.org/doi/10.1161/01… They kept total fat nearly constant while reduced cholesterol and increased linoleic acid in their experimental diet.

Moderate n (422-424). Adherence of about 50% fwiw.
Dec 28, 2019 21 tweets 9 min read
An attempt to rationally define a glucose target for non-diabetic CGM users:

Per these linked works (both digs from second but good background in first) glycemic excursion is strongly associated with oxidative stress.

care.diabetesjournals.org/content/31/Sup…

jamanetwork.com/journals/jama/… ImageImage The table shows that in ostensibly healthy controls excretion of this oxidative byproduct is of a level that corresponds (in the DM2 group) to a mean amplitude of glycemic excursions of 40 mg/dL.