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Inspiring confidence through movement
Doctor of Physical Therapy
Clinic Director | Hamilton @mynextlevelpt
Force wielder
Saiyan warrior
Donnie ๐Ÿฅท๐Ÿผ๐Ÿข
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โ€‹Pretty sure my answer to "coolest thing Iโ€™ve ever done" just got updated.

โ€‹Blew my chance to see manta rays two years ago, so when whale sharks were on the table, it was an immediate yes. Full circle moment: the mantas showed up anyway.

โ€‹Being in open water with animals that massive completely recalibrates your perspective. It's hard to describe the calm of gliding next to them, but what stuck with me most was their total indifference to us.

โ€‹Zero curiosity, zero concernโ€”just cruising through the deep like we didn't exist. Had a whale shark bank straight toward me more than once with the clear attitude of "whatever you are, youโ€™ll move." (I did.)

โ€‹Less than 24 hours from hearing about the trip to setting sail. Grateful for a crew that jumps on spontaneity without hesitation.

@amandagiladi 
@elizabethhartyy 
@highspeed_lowlevel taken in Cancun, Mexico by @leorgiladi
10
a month ago
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โ€‹A quick update on how itโ€™s been going...

โ€‹Since finishing treatment 6 weeks ago, rebuilding has been the full-time job.

โ€‹It hasnโ€™t gone as smoothly as planned. Had to dodge, duck, dip, and dive a bit to stay on track. Fortunately, no wrenches were involved ๐Ÿ˜ฎโ€๐Ÿ’จ

โ€‹The physical markers are trending in the right direction every single week. More capacity, harder efforts, shorter rest periods. I feel stronger, more mobile, and less beat down. 

Hell, I even feel a little taller!

โ€‹Milestone: 2 straight weeks without a daytime nap. First time in months. Still need to pace myself, but the engine is coming back online.

โ€‹Cognitive recovery is moving slower. I had to triage and pull back on some mental projects to give training everything I had. But to Amanda's absolute delight, Iโ€™ve channeled that brain rehab into house-husband modeโ€”planning, shopping, and cooking exclusively new recipes.

โ€‹Next up is the return to work. Thatโ€™s around the corner, and the roadmap is being built. I'm anxious about all kinds of things, but feeling ready to face everything head-on.

โ€‹Rhythm is good. Progress is steady. One step at a time. by @leorgiladi
14
a month ago
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๐ˆ ๐œ๐จ๐ง๐ช๐ฎ๐ž๐ซ๐ž๐ ๐œ๐š๐ง๐œ๐ž๐ซ ๐ญ๐ก๐ข๐ฌ ๐ฒ๐ž๐š๐ซ. But letโ€™s be real โ€” it took its toll.โฃโฃโฃโฃโฃโฃโฃ
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I've processed a LOT in the past few months. Weeks of quiet reflection have left my mind clear, strong, flexible, and happy. My body, on the other hand, got absolutely wrecked.โฃโฃโฃโฃโฃโฃโฃ
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โฌ› The visual reality: one week before the bleeding started vs the day I finished chemoโฃโฃโฃโฃโฃโฃโฃ
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Ten months brought a massive loss of stamina, stiff joints, and a 30 lb weight gain. Whatโ€™s wild is that 70% of that physical regression happened in just the last three months. Chemo truly kicked my ass.โฃโฃโฃโฃโฃโฃโฃ
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As the nausea fades and my resting energy ticks up, I know itโ€™ll get easier. But right now, moving is rough. Everything is heavy. Iโ€™ve lost about 60% of my strength and conditioning, and quite frankly, feeling that deficit every single day is demoralizing.โฃโฃโฃโฃโฃโฃโฃ
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But I show up. Walk, pilates, ride, lift โ€” whatever the day allows, I do something.โฃโฃโฃโฃโฃโฃโฃ
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Fortunately (unfortunately), rebuilding is a protocol I know by heart:โฃโฃโฃโฃโฃโฃโฃ
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โ–ถ๏ธ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ‘โ€“๐Ÿ๐ŸŽ๐Ÿ๐Ÿ’: Right shoulder reconstruction + meh rehabโฃโฃโฃโฃโฃ
โ–ถ๏ธ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“โ€“๐Ÿ๐ŸŽ๐Ÿ๐Ÿ•: Grad school and wrecked routines. Up 50#โฃโฃโฃโฃโฃ
โ–ถ๏ธ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ—โ€“๐Ÿ๐ŸŽ๐Ÿ๐Ÿ: Clawed back and lost 35 of those 50#. Shoulder finally pain freeโฃโฃโฃโฃโฃ
โ–ถ๏ธ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿโ€“๐Ÿ๐ŸŽ๐Ÿ๐Ÿ’: Long COVID. Body fell apart; painful, stiff, and weak. Gained all the weight backโฃโฃโฃโฃโฃ
โ–ถ๏ธ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ’โ€“๐Ÿ๐ŸŽ๐Ÿ๐Ÿ”: Put head down, lost 55#, got back in peak shapeโฃโฃโฃโฃโฃ
โ–ถ๏ธ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ”: Cancerโฃโฃโฃโฃโฃ
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My health has been a brutal pendulum over the last decade; constantly adapting to shifting priorities, illness, and lifestyle demands. I finally felt like I was fully "back" last fall...only to get handed this.โฃโฃโฃโฃโฃโฃโฃ
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๐’๐จ ๐ฒ๐ž๐š๐ก, ๐ˆโ€™๐ฆ ๐ฉ๐ข๐ฌ๐ฌ๐ž๐. Iโ€™m tired of having to rebuild a foundation I just finished cementing.โฃโฃโฃโฃโฃโฃโฃ
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๐๐ฎ๐ญ ๐Ÿ๐ซ๐ฎ๐ฌ๐ญ๐ซ๐š๐ญ๐ข๐จ๐ง ๐๐จ๐ž๐ฌ๐ง'๐ญ ๐ž๐ช๐ฎ๐š๐ฅ ๐๐ž๐Ÿ๐ž๐š๐ญ. My confidence is unshaken, and I have an incredible support system.โฃโฃโฃโฃโฃโฃโฃ
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I know exactly how to do this. I will overcome, I will succeed โ€” ๐˜ข๐˜ฏ๐˜ฅ ๐˜'๐˜ญ๐˜ญ ๐˜ฑ๐˜ณ๐˜ฐ๐˜ฃ๐˜ข๐˜ฃ๐˜ญ๐˜บ ๐˜ค๐˜ฐ๐˜ฎ๐˜ฑ๐˜ญ๐˜ข๐˜ช๐˜ฏ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ธ๐˜ฉ๐˜ฐ๐˜ญ๐˜ฆ ๐˜ต๐˜ช๐˜ฎ๐˜ฆ ๐Ÿคฃ by @leorgiladi
25
3 months ago
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Officially wrapped around her little paw ๐Ÿพ by @leorgiladi
0
4 months ago
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I can't believe this was 12 years agoโฃ (5/25/14)
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...and what a ride it's been!โฃ
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Honestly, the wedding itself didn't change much for Amanda and me. We were already a 2-piece puzzle that fit perfectly together. What changed things for us was the rapid-fire challenges that came our way through the first 5 years.โฃ
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They tested us, strained us, and in some ways broke us. We were young, carried many of our own unhealed issues, and expected too much from each other. This led to pain on both sidesโ€”pain we never intended to cause, but pain nonetheless. There were plenty of moments where we weren't sure we'd make it.โฃ
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Then 2019 rolled around and we decided we wanted a house. After some very deep, intense conversation, we agreed to clean-slate all of our issues and start over in our new home.โฃ
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The next 5 years were all about healing. Both healing ourselves AND our connection to each other. The last 2 have been nothing but fun and supporting each other as we do battle with this crazy world.โฃ
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We often joke that marriage is just a way of saying "you are the person I want to annoy forever," and we both take that job very seriously.โฃ

What's crazy to me though is that all these years later, we still look at each other the exact same way as we did that day.โฃ
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๐…๐จ๐ซ ๐ญ๐ก๐จ๐ฌ๐ž ๐ž๐š๐ซ๐ฅ๐ข๐ž๐ซ ๐ข๐ง ๐ญ๐ก๐ž๐ข๐ซ ๐ฃ๐จ๐ฎ๐ซ๐ง๐ž๐ฒ: the trick isn't having all the answers. It's being willing to sit in the shit together, have hard conversations, and choose each other repeatedly. This isn't right for every relationship, but when you choose to figure it out, you'll be amazed by what solutions become available.โฃ
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I love you, my einstein supermodel. More than words ๐Ÿ’•โฃ
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๐˜ˆ๐˜ฏ๐˜ฅ ๐˜'๐˜ฎ ๐˜ญ๐˜ฐ๐˜ฐ๐˜ฌ๐˜ช๐˜ฏ๐˜จ ๐˜ง๐˜ฐ๐˜ณ๐˜ธ๐˜ข๐˜ณ๐˜ฅ ๐˜ต๐˜ฐ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ฏ๐˜ฆ๐˜น๐˜ต ๐Ÿท๐Ÿธ ๐Ÿฅณ taken in Stone House at Stirling Ridge - Wedding & Events Venue by @leorgiladi
13
4 months ago
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Sometimes, you just need to break stuff

Being an uncle rocks. 10/10, would recommend ๐Ÿค˜๐Ÿผ๐Ÿ˜Ž๐Ÿค˜๐Ÿผ taken in Anger Management Rage Room by @leorgiladi
2
4 months ago
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I caught it! ๐Ÿฆ 

After quite a battle of wits, circa Jan 2026 taken in San Diego Zoo by @leorgiladi
2
5 months ago
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I'm still terrible at golf, but at least Iโ€™m hitting the target here ๐ŸŽฏ ๐Ÿ˜‚ (thanks for the tips Jacob)

I have mixed feelings about firearms in general, but love the mental 'lock in' that comes with target practice. Plus, skill building is just plain fun! taken in Cecil Web National Park and Gun Range by @leorgiladi
9
5 months ago
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It's been almost 10 years since Jaimee and I met at Michigan. We may have fallen off for a bit, but after getting together it was obvious that we didn't miss a beat.โฃโฃ
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It was a great day, even if Tom Felton skipped over us for pics and was kind of a dick when we asked a second time ๐Ÿ™„ โฃโฃ
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I get that you're busy but we were ready! Phone out and everything. Le sigh by @leorgiladi
0
5 months ago
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Clearing out the drafts! Starting with this high-energy core memory from last August ๐Ÿค˜โฃ
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๐˜’๐˜ฐ๐˜ณ๐˜ฏ + ๐˜š๐˜–๐˜ˆ๐˜‹ @ ๐˜”๐˜ฆ๐˜ต๐˜“๐˜ช๐˜ง๐˜ฆ ๐˜ธ๐˜ช๐˜ต๐˜ฉ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ด๐˜ฒ๐˜ถ๐˜ข๐˜ฅ taken in MetLife Stadium by @leorgiladi
2
5 months ago
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๐ˆ ๐ฌ๐ญ๐š๐ซ๐ญ๐ž๐ ๐œ๐ก๐ž๐ฆ๐จ ๐Ÿ ๐ฐ๐ž๐ž๐ค๐ฌ ๐š๐ ๐จ...โฃ
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and it feels as weird to type it now as it did on day 1.โฃ
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While Iโ€™m currently ๐˜ต๐˜ถ๐˜ฎ๐˜ฐ๐˜ณ-๐˜ง๐˜ณ๐˜ฆ๐˜ฆ, thereโ€™s no guarantee Iโ€™m ๐œ๐š๐ง๐œ๐ž๐ซ-๐Ÿ๐ซ๐ž๐ž. With colon cancer, you donโ€™t get the full story until pathology cuts things up post-op.โฃ
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๐“๐ก๐ž ๐๐š๐œ๐ค๐ ๐ซ๐จ๐ฎ๐ง๐:โฃ
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Stage 1: Localizedโฃ
Stage 2: Through the colon wall, no lymph nodesโฃ
Stage 3: Spread to lymph nodesโฃ
Stage 4: Metastasisโฃ
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๐Œ๐ฒ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ข๐ฌ ๐ข๐ฌ ๐’๐ญ๐š๐ ๐ž ๐Ÿ๐€: the tumor made it through the wall and broke into major veins. Because it was ulcerated and bleeding, thereโ€™s a high likelihood microscopic particles escaped. Like every zombie flick ever, a๐˜ญ๐˜ญ ๐˜ช๐˜ต ๐˜ต๐˜ข๐˜ฌ๐˜ฆ๐˜ด ๐˜ช๐˜ด ๐˜ข ๐˜ด๐˜ช๐˜ฏ๐˜จ๐˜ญ๐˜ฆ ๐˜ค๐˜ฆ๐˜ญ๐˜ญ ๐˜ต๐˜ฐ ๐˜ด๐˜ต๐˜ข๐˜ณ๐˜ต ๐˜ต๐˜ฉ๐˜ฆ ๐˜ค๐˜ญ๐˜ฐ๐˜ค๐˜ฌ ๐˜ฐ๐˜ท๐˜ฆ๐˜ณ.โฃ
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I had two choices: monitor and wait for it to maybe come back, or do chemo now to clean up the neighborhood. I opted to burn it all the fuck out. ๐˜ž๐˜ฆโ€™๐˜ณ๐˜ฆ ๐˜ฅ๐˜ฐ๐˜ช๐˜ฏ๐˜จ ๐˜ต๐˜ฉ๐˜ช๐˜ด ๐˜ณ๐˜ช๐˜จ๐˜ฉ๐˜ต ๐˜ฎ๐˜ฆ๐˜ฐ๐˜ธ ๐Ÿˆโ€โฌ›๐Ÿ”ฅโฃ
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๐“๐ก๐ž ๐“๐š๐ค๐ž๐š๐ฐ๐š๐ฒ๐ฌ:โฃ
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1๏ธโƒฃ ๐…๐š๐œ๐ž ๐ญ๐ก๐ž ๐Ÿ๐ž๐š๐ซ: In life it is 100% okay to be nervous, or afraid. It is NOT okay to let fear stop you from doing what is right. Educate yourself, face it, and do the hard thing.โฃ
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2๏ธโƒฃ ๐’๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ ๐ฐ๐ข๐ญ๐ก๐จ๐ฎ๐ญ ๐ญ๐ก๐ž ๐›๐ฎ๐ซ๐๐ž๐ง: Asking "How can I help?" actually adds a "mental load" task for me or Amanda. ๐˜๐˜ง ๐˜บ๐˜ฐ๐˜ถ ๐˜ธ๐˜ข๐˜ฏ๐˜ต ๐˜ต๐˜ฐ ๐˜ฃ๐˜ฆ ๐˜ฉ๐˜ฆ๐˜ญ๐˜ฑ๐˜ง๐˜ถ๐˜ญ, ๐˜ณ๐˜ฆ๐˜ฎ๐˜ฐ๐˜ท๐˜ฆ ๐˜ข ๐˜ณ๐˜ฆ๐˜ด๐˜ฑ๐˜ฐ๐˜ฏ๐˜ด๐˜ช๐˜ฃ๐˜ช๐˜ญ๐˜ช๐˜ต๐˜บ. DoorDash/Starbucks cards, house help, or just sending memes.โฃ
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๐‹๐จ๐ฐ ๐Ÿ๐ซ๐ข๐œ๐ญ๐ข๐จ๐ง = ๐ก๐ข๐ ๐ก ๐ข๐ฆ๐ฉ๐š๐œ๐ญโฃ
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3๏ธโƒฃ ๐Ž๐ฐ๐ง ๐ญ๐ก๐ž ๐ƒ๐ž๐œ๐ข๐ฌ๐ข๐จ๐ง: Chemo is a beast. For almost a week after infusion I had the absolute worst hangover of my life, by a substantial margin, but Iโ€™m not in distress. Choosing this path voluntarily centers the locus of control. ๐˜–๐˜ธ๐˜ฏ๐˜ช๐˜ฏ๐˜จ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ฅ๐˜ฆ๐˜ค๐˜ช๐˜ด๐˜ช๐˜ฐ๐˜ฏ ๐˜ฎ๐˜ข๐˜ฌ๐˜ฆ๐˜ด ๐˜ต๐˜ฉ๐˜ฆ "๐˜ด๐˜ถ๐˜ค๐˜ฌ" ๐˜ฎ๐˜ถ๐˜ค๐˜ฉ ๐˜ฆ๐˜ข๐˜ด๐˜ช๐˜ฆ๐˜ณ ๐˜ต๐˜ฐ ๐˜ต๐˜ฐ๐˜ญ๐˜ฆ๐˜ณ๐˜ข๐˜ต๐˜ฆ.โฃ
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And the suck has been massive. For scale I went to Rutgers. There have been some wicked hangovers in my life haha.โฃ
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I have 3 months of this; with all that said Iโ€™m finding ways to manage it, and I'm grateful my arm looks so damn cool in the process.

Now let's get back to it ๐Ÿค˜๐Ÿผ taken in Memorial Sloan Kettering, 160 E 53rd Street, Nyc by @leorgiladi
11
5 months ago
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๐“๐ฎ๐ฆ๐จ๐ซ ๐’๐ญ๐š๐ญ๐ฎ๐ฌ: ๐‘๐ž๐ฆ๐จ๐ฏ๐ž๐. ๐—ช๐ก๐ข๐ฅ๐ž ๐ญ๐ก๐ž ๐œ๐š๐ง๐œ๐ž๐ซ ๐ข๐ฌ ๐จ๐ฎ๐ญ, ๐ฐ๐žโ€™๐ฏ๐ž ๐จ๐ง๐ฅ๐ฒ ๐ฃ๐ฎ๐ฌ๐ญ ๐›๐ž๐ ๐ฎ๐งโœŒ๏ธโฃโฃโฃ
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(๐˜š๐˜ธ๐˜ช๐˜ฑ๐˜ฆ: ๐˜›๐˜ฉ๐˜ฆ ๐˜ˆ๐˜ณ๐˜ณ๐˜ช๐˜ท๐˜ข๐˜ญ โ†’ ๐˜›๐˜ฉ๐˜ฆ ๐˜š๐˜ถ๐˜ฑ๐˜ฑ๐˜ฐ๐˜ณ๐˜ต โ†’ ๐˜›๐˜ฉ๐˜ฆ ๐˜™๐˜ฆ๐˜ค๐˜ฐ๐˜ท๐˜ฆ๐˜ณ๐˜บ)โฃโฃโฃ
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For months, I ran protocols to manage complex GI symptoms. I cleared 90% of the issuesโ€ฆbut two "red flags" remained: a change in bathroom habits and persistent bleeding. When the data speaks, you don't ignore it. You run a differential. That led to a colonoscopy and a shock: a large tumor in my sigmoid colon.โฃโฃโฃ
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๐“๐ก๐ž ๐•๐ข๐œ๐ญ๐จ๐ซ๐ฒ:โฃโฃโฃ
Yesterday I underwent a robotic sigmoidectomy (so cool!) at MSK. They removed 12 inches of my colon and a packet of lymph nodes. Surgery went exactly as plannedโ€”the tumor was contained and is officially OUT. Pending post-surgical pathology, I am cancer-free.โฃโฃโฃ
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๐Ž๐ง ๐…๐จ๐ซ๐ญ๐ข๐ญ๐ฎ๐๐ž:โฃโฃโฃ
I spent the last month in "overdrive," locking in every block of my professional and personal life. I fought through the stress to ensure everyone was taken care of. My nervous system paid a price, but because of that work, I can now spend the next 10โ€“12 weeks focusing 100% on my recovery without stress. Iโ€™m proud of that discipline.โฃโฃโฃ
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๐Œ๐ฒ ๐Œ๐ž๐ฌ๐ฌ๐š๐ ๐ž:โฃโฃโฃ
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๐€๐๐ฏ๐จ๐œ๐š๐ญ๐ž ๐Ÿ๐จ๐ซ ๐ฒ๐จ๐ฎ๐ซ๐ฌ๐ž๐ฅ๐Ÿ: My post-op afternoon was intense. Pain management stalled and things got bad. I had to advocate hard for the support I needed. You are the primary stakeholder in your care. Speak up, or recruit a support system that will do it for you.โฃโฃโฃ
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๐†๐ž๐ญ ๐œ๐ก๐ž๐œ๐ค๐ž๐: Iโ€™m a healthy, athletic 39-year-old. I don't drink, I eat for performance (mostly...also love snacks), and I prioritize sleep. This shouldn't be "my" story according to the stats, but statistics aren't everything. If I had waited for the "standard" screening age of 45, the outcome would have been very different.โฃโฃโฃ
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๐˜๐˜ง ๐˜ด๐˜ฐ๐˜ฎ๐˜ฆ๐˜ต๐˜ฉ๐˜ช๐˜ฏ๐˜จ ๐˜ฅ๐˜ฐ๐˜ฆ๐˜ด๐˜ฏ'๐˜ต ๐˜ด๐˜ฆ๐˜ฆ๐˜ฎ ๐˜ณ๐˜ช๐˜จ๐˜ฉ๐˜ต, ๐˜จ๐˜ฆ๐˜ต ๐˜ช๐˜ต ๐˜ค๐˜ฉ๐˜ฆ๐˜ค๐˜ฌ๐˜ฆ๐˜ฅ. ๐˜๐˜ตโ€™๐˜ด ๐˜ข ๐˜ค๐˜ฐ๐˜ฑ๐˜ข๐˜บ ๐˜ข๐˜ฏ๐˜ฅ ๐˜ด๐˜ฐ๐˜ฎ๐˜ฆ ๐˜ต๐˜ช๐˜ฎ๐˜ฆโ€”๐˜ฃ๐˜ถ๐˜ต ๐˜ช๐˜ต ๐˜ค๐˜ฐ๐˜ถ๐˜ญ๐˜ฅ ๐˜ด๐˜ข๐˜ท๐˜ฆ ๐˜บ๐˜ฐ๐˜ถ๐˜ณ ๐˜ญ๐˜ช๐˜ง๐˜ฆ.โฃโฃโฃ
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The prep work is done. Now, the real training begins.โฃโฃโฃ
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๐€๐ง๐ ๐ˆโ€™๐ฆ ๐œ๐จ๐ฆ๐ข๐ง๐  ๐›๐š๐œ๐ค ๐ฌ๐ญ๐ซ๐จ๐ง๐ ๐ž๐ซ ๐ญ๐ก๐š๐ง ๐ˆ ๐ฐ๐š๐ฌ ๐›๐ž๐Ÿ๐จ๐ซ๐ž taken in Memorial Sloan Kettering Cancer Center by @leorgiladi
90
6 months ago
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