The actual town of Medina made a decision about 30-40 years ago to build their city streets with concrete with a centerline expansion joint and expansion joints across the road about every 12-15 feet. Because each of these slabs are essentially independent, there are pretty significant lips where one slab has raised/lowered relative to its neighbor. The photo was taken on an open road outside of town. Not a bad beauty shot however.
The lesson that WABA taught the DC area governments about drainage grates (slots perpendicular to cyclists = good) also appears to have been a lesson lost.
All in all, a pleasant time. Next time I bring the hybrid with fatter tires. The city streets punish bikes (and riders) with 23s.