The "FHWA Separated Bike Lane Planning and Design Guide" includes a version of this layout and the intended directions for bicycles

It seems the intended action is to not turn left/west at all, you're probably expected to cross to the NE corner then sit in the lane waiting for that green light. Unlike accessing the shared-use path from every other direction where a left-turn isn't prohibited by design.

If you want to take this to your local council to add those refuges you can bring the FHWA-SA-18-077 and make a pretty solid case. It's pretty damn simple to paint a green box in the westbound lane so that everyone is on the same page about how bikes can safely go west. Check if your local DOT has an ArcGIS or similar website that tracks things like bike Average Daily Traffic and ped/bike accident reports for that area.

A book/movie/object collection shelf app that has barcode scan, ISBN search, and custom database entries like money spent. They were really popular in the early 2010s but mostly subscription based and Mac only. I could probably repurpose something like Calibre to do similar things but that's a bit overkill and a lot of non-book entries would take too long to setup.

I've had success with playing scary games while they watch and when it gets too much I have the characters react in silly ways. Courage the Cowardly Dog, Are you Afraid of the Dark, Goosebumps, etc. You could also try meta horror like Cabin in the Woods, Tucker and Dale. Or something with laugh breaks to defuse the tension like Army of Darkness or Monster Squad.

That's great news, I think that's going to be my next step. It'll be interesting to see if that's the root of the pain. But at the very least it might make the strengthening exercises easier, thank you.

Sorry if this is a lot, it's late and the wild temperature changes over the past two weeks have been difficult so this has been on my mind. I talk about the type of pains I have and an ER visit. I also have a difficult relationship with commas, so if that's your thing I'm sorry for that too.

C4, T4, L4, and major joints here. Degenerative since probably my early 20s, my knees make actual creaking sounds. Over the years I've developed a lot of referred pain in my shoulders, chest, and right leg. I've had to do a lot of my own research because I pass all the physical tests and therapies. I've got it pretty well figured out now thanks to a few relatively recent research papers coining the medical terminology for future research (giving a name to what I'm experiencing). I started doing home traction (with a foam head block). That's the only thing that will relieve the pain for more than a few minutes. Other than that meds that reduce nerve impulses keep me functional.

A particularly bad event felt like radiating pain down my left arm, acid reflux, shortness of breath, stabbing pain trying to breath, etc. Went to urgent care then the ER and all the monitoring came up fine, if slightly elevated. Eventually gave me a nitro as a "kitchen sink" last resort and when I bottomed out they stopped trying to figure it out because it wasn't my heart. They gave me morphine which barely scratched the surface. I just laid there for a couple hours until the pain went away on its own (nearly 10 hours), then they released me.

A couple interesting things. I wasn't diagnosed with anything for almost a decade, but I had near-constant hot flashes where I felt feverish and couldn't tolerate anything over 24°C, but my actual temperature never changed. At this stage I'm fairly confident that that was related to inflammation from environmental things. Also COVID (and the vaccine) causes intense pain in my joints for up to 2 weeks. The first time it happened I couldn't will myself to move for a couple hours. Like a non-rheumatoid flare-up, which isn't even a thing as far as I can find.

After a couple physical therapists and a chiro confirmed my hip and knee were fine an osteopath found it in the IT Band "Iliotibial Band Syndrome". Likely the result of my dominant leg overcompensating for the weakness on the other side. I would only feel relief if I did a deep tissue push between L4 and my kidney on that side.

The treatment plan was stretching the psoas muscle, favoring the other leg for a while, and working on core strength. It can still happen but I can take care of it in a few days now rather than months.