Lurker > BlameAnesthesia

Yeah I had a honda civic si and now I have a subaru WRX. It's fun.

I usually just take my coffee with milk (no sugar) and lately I've made the switch to oat milk. Gives it a rich earthiness, has minimal sugar because I'm not using creamer, just the oat milk.

You can also drink something like chai tea with or without a little milk.

If you go to the actual HFW board, or outside of this dying website, there is a decent amount of hype. Plus I'm getting a lot of targeted ads for it which means they are trying to promote the game.

I suspect it'll do well, but February is a crowded month. It'll likely get overshadowed by Elden Ring but nevertheless will be well regarded like the first, except for that oddly salty minority that got really triggered at the first game because Aloy wasn't hot enough for them to jerk it too or something silly like that.

g980 posted...

I don't support wealth taxes, but I am open to raising income taxes in most scenarios.

The problem with income tax is that most of the very wealthy are going to be "immune" to such hikes and you're really only hurting the upper middle class. The reason being is someone with multimillion dollar net worth likely has their net worth in a combination of assets, equity, stocks, etc such that it's not exactly tangible how much they "make per year." Especially with clever ways of accounting for that money. To that extent, the ultra wealthy often pay lower in income taxes than most low income earners specifically because they don't tend have high incomes. They're asset-rich. Not liquid-rich.

But your higher income taxes will absolutely hurt those six figure income earners in tech, medicine, law, and finance that aren't entrepreneurs but are earning incomes (albeit high ones). But even someone earning 250k a year investing 20% over a 30 year career might end up in the ballpark of a 5 million dollar retirement portfolio when all is said and done. Someone who makes a start up and sells for 20 million and then diversifies their wealth in a variety of areas that continue to grow that wealth at a certain %, but otherwise aren't "wage workers" will have low income tax. They'll pay less than the person making the 250k and will end up with far greater net worth in the end. Because until they exercise or realize those gains, they won't get hit with those taxes.

MushroomMuncher posted...

Wasn't there a thing about an exploit in From Soft's net code in the PC version that could brick PCs?

New World all over again?

To answer TC's initial question, it's because bad faith arguments are required to be able to write off some of the unintentional side effects of a "mature" capitalistic system. They fixate on the more "pure" applications of it that clearly don't exist in practice. They argue that corporations ought to do the right thing by paying fair wages, by not putting profit above the harm of others, the environment, etc. This has repeatedly been shown to not be the way it is practiced because the exercise of capitalism kind of takes a life of its own. Much like biological systems compete with one another for resources so too do actors in a capitalistic system. There is an eventual "winner" of capitalism at which being it ceases to be capitalism at that point anymore.

To that extent it's my opinion we're not a purely capitalistic society. Even the US is currently some degree of socialism, albeit an ineffectual and weak one. We do have systems in place to take care of the less fortunate. It's not entirely a "fend for yourself." Look at social security, medicare, public school, fire departments, police forces, and a whole host of regulatory agencies.

The arguments therefore then end up being that people "against capitalism" are advocating for a more aggressive social safety net still under the base of capitalism. And proponents for capitalism advocate for a lessening of these systems under the belief that the bigger actors in said system (namely larger corporations) will do the irrational thing of "doing the right thing."

The thing is--an early society does benefit from a more open capitalistic society as that drives innovation, allows mobility in socioeconomic class, and rapidly advances said society. That's because even "bad faith actors" with their tactics aren't necessarily preventing others from taking their own maximum amount of the pie they can hold. Because there is still so much unclaimed pie left.

Once a capitalistic system begins to mature, however, there is less and less of the pie available and the "leaders" of said system then turn to reducing the proportion of the pie to those holding less of it to begin with. That's the more exploitative form of it that on a long enough time line will collapse itself. So the observation that most western societies employing capitalism have some "degree of socialism" is really meant as a compensatory mechanism to slow down the exploitation of large sums of wealth and to "even out the footing." That being said, like biological systems, the "leaders" will work to undermine said efforts. Competition becomes less about the "pure application" of capitalism that proponents like about it (the thing which drives innovation, lower prices, etc) but instead becomes a mechanism for the greatest holder of wealth to continue to siphon other sources of wealth without having to lower said costs or drive innovation. It's parasitic.

Of course I don't have an economics background, but this is how I view it having more of a biological background. I think capitalism is a flawed, but arguably the "best" system we've had thus far. I don't think socialism is inherently different, it's simply a different flavor of capitalism that nevertheless slows down the exploitation of a "mature" capitalistic system. While proponents of "capitalism" argue for it's merits in isolation of observed reality (and those merits are real in theory), it's more of a spectrum that needs constant adjustment to maintain said merits. Otherwise we're in for a world of hurt.

Giant_Aspirin posted...

PC always. if you really wanna play on the TV, you can just move your PC.

I guess I was wondering how much they planned on incorporating the haptic feedback on the PS5 controller. If not much, or not much more than the demon souls remake, playing it on the PC with the TV + controller is best of both worlds.

R1masher posted...

Cant you hook your ps up to the pc bby?

You mean the PC to the TV? Yes, but it's a lot of effort to lug it into the living room for one game.

I can't decide. The PC would be playing on a 3840x1600 ultrawide monitor. The PS5 would be on an OLED TV. Thoughts?

Turtlebread posted...

and $1 000 000 compounded annually at 8% for 18 years is like $4 000 000

why are people voting for the $150

Came into this topic to say this lol.

Honestly no one will really know.

Some will say it's the NATO-allied border thing. Historically, US rivals have always wanted a "buffer" state between a nation with US bases and themselves (e.g. north korea and china "relationship"). It's kind of an old geopolitical strategy in my opinion in the era of mostly air and naval superiority with global first strike capabilities of super powers. But I digress.

Others say it's a resource thing for access to the black sea.

Who knows?

nexigrams posted...

It's so horrendously bad that you have to do the entire msq, and all the quest lines from all of the patches they have ever released if you wanna do current raiding content.

I too, as a former CE raider from retail wow, can see the vast potential this game has to totally consume my life, but at some point they gotta ease up on this do the entire storyline thing to get caught up.

I get that they are proud of their game (they should be). I get that ffxiv players take pride in the story actually being good. It's just way too high of a barrier of entry at this point. They should really do something like maybe only require ARR (not all the patches either, just 2.0), and then Endwalker and you're done. If you want to do all the expacs, you get a special mount or something for doing it. That way, people who are already invested would still do it, and you wouldn't be making people wait a year to join your game.

I started the slog in March of last year and I'm like halfway there. It's totally too much. Not everyone is a wow degenerate like I have been for a decade. I have to imagine most new players quit from fetch quest boredom.

You know they offer store options to skip the content. Yeah, it costs money, but not that much tbh

Smackems posted...

Doesn't matter how good it gets however many hours in; that classic MMO style of gameplay is for the birds

Glad y'all like it though

I think for me it was a nostalgia thing. I played FFXI way back in the day, then got into WoW right before BC released and played through WotLK.

Pretty much stayed away from MMOs for over a decade at that point. I liked FF, but was hesitant to playing FFXIV since I did try it out briefly when ARR first launched (very briefly).

And I kind of enjoyed the "mindless" gameplay and it really is true that the story does increasingly grip you. Once I got to Heavensward content I was thoroughly gripped and I'm basically committed to playing through the story.

Overall, despite being an MMO. It feels like a pseudo-multiplayer FF first and MMO second. It really has super casual mechanics and a lot of quality of life things that make being able to progress through the story with minimal social interaction, but still getting that cooperative gameplay itch scratched. Overall really impressed with the game. TC you're in for a treat once you get to HW content.

TheGoldenEel posted...

We are working on this; he goes through periods where he absolutely will not sleep and we dont have any good tricks to get him to.

White noise machine, black out curtains.

And it's a personal decision because I know the recommendation is room sharing, but personally everyone involved got better sleep when he was in his own room next door and we just used the baby monitor. We'd still wake up if he cried, but the "noisy sleeping" didnt wake us and he went longer stretches as a result.

Is your wife breastfeeding or formula feeding? If breast, maybe have her cut out dairy or other food types that potentially are the culprit. Also cut down on caffeine.

I can't say it definitely helped with our newborn vs him just getting a bit older but something to try.

Also not sure as to your leave/time off situation but my wife had 3 months and I had one month. During our shared time initially, we would take "shifts" at night to give ourselves more than a two hour stretch. She would pump and I would bottle feed him between 8pm and 4am and she would take over at 4 (or whenever he woke up again) and I would sleep until noon. It helped with the sleep deprivation

Some more key pointers: be mindful of wake windows. Newborns especially don't need/ought not to stay awake longer than 2 hours at a time. If they become "overtired" its an absolute difficulty trying to get them to sleep. This is because they get "stressed" at the feeling of fatigue/tiredness but don't know what to do about it. Once we got really good at swaddling (and I mean really good so he didn't just ninja his way out after 30 mins) he slept more soundly for full two hour stretches, especially when we didn't let him stay up too long or over stimulate him.

By 3 months, he was sleeping from 7p to 2a pretty consistently and so now it's a lot easier to just help with a middle of the night diaper while my wife got ready to breastfeed, and when we put him back down he'd sleep the rest of the night.

Ours still spits up, but it's not nearly as often as that first month, and he's a "happy spitter." (gains weight, isn't bothered when he does it).

Cheers.

Then a reanimated Muldoon appears out of nowhere from above and spears the lead raptor just as peace seemed apparent. He utters "clever girl" as the delicate truce is broken and the fighting resumes. Now you have an arc for the next two sequels. You're welcome Disney.

DespondentDeity posted...

Athena is deflect, Artemis is crit

Oh you're right, my bad.

Jetblackmoon posted...

I really want to do my first clear with the sword but I can't clear the third area. Any not-so-obvious advice for a new-ish player?

There are different versions of each weapon. The sword has a version that returns casts with your special move. So if you start a run with the item that guarantees the first god/goddess you run into is artemis, you can get the cast mod that deflects enemy projectiles. If you later get the artemis dash that deflects projectiles you can just cast dodge cast dodge your way to victory.

Always prioritize the hammer door upgrades because they modify your weapon really well. The sword has a lifesteal option that lowers base health, but if you prioritize max health upgrades you can still give yourself enough health to survive burst damage but just spam auto attack to heal if you ever get lucky enough to get the lifesteal mod.

edit: athena, not artemis

At least I have a PS5

SSRIs do work for people with anxiety and with depression that's more in-line with how psychiatry diagnoses depression (the anhedonia, disruptions in sleep and appetite, the sluggishness).

This goes beyond medicine and more to my personal opinion that there is a subset of people who either feel miserable, or have existential crisis, or otherwise have certain expectations about "happiness" that are unrealistic that are more akin to negative thought patterns that are probably better treated with CBT than medication because they've primed their cognition to have a "negative" bias on their stimuli and environments. You see this a lot with how they comment about what their expectations of treating their depression is supposed to look like. "I still don't feel happy, just flat." Happy is a really tricky thing. I think in our modern times, a lot of people conceptualize happiness like that feeling when you're a kid and you open up a present you are really excited about. Or the first time you ride on a rollercoaster. Those are not sustainable sensations to have that kind of mood 24/7 and the pursuit of such a life is not unlike a drug addict that is quite literally just chasing the biochemical equivalent of that kind of life. And much like drug addicts who experience a higher "ceiling" of "happiness", the behavioral patterns that inevitably lead to creating such "happiness" automatically means the routine of every day life will simply feel "flat" or even worse, it's something to be avoided. Hence, they continually chase that high at any cost.

Happiness is really a philosophical concept that as cliche as it sounds is found within and can be more sustained with reflective thought and an acceptance of your station in life or what you are doing with your life and finding contentment. And so it's no wonder medication alone doesn't fix their problems, it's more cognitively based that is better addressed with CBT.

Sometimes you need both because the lack of motivation and anhedonia would preclude one from being able to even tackle the challenge of resetting those negative thought patterns. But for those people with those automatic thought patterns that just gives that "negative bias" on reality, taking medication alone might not result in the desired effect because like COVxy mentioned these problems are more rooted in established behavioral routines and habits. But for people with really bad anxiety or for people who truly suffer from a lot of the "SIG E CAPS" symptoms of depression do see relief with medication. The only unfortunate part being that it takes several weeks to see an effect and a lot of the times people need to try different medications and doses trialed over a long period of time before finding the sweet spot. At least that's what I gathered from my psychiatry rotations back in med school.

Vin: but family

Nah it's always been a sci-fi alien conspiracy evil government time travel drama with homage to the 80s.

I have an LG C9. It is definitely worth it. I went from a 1080p samsung plasma TV I had for like 9 years then upgraded to a budget 4k samsung that honestly felt more like a sidegrade. Like the resolution was clearly better, but everything else about the washed out blacks/greys, lack of contrast, panel quality was just lower.

Then I got the C9 and had the pants knocked off of me. It is so ridiculously vivid. I've had it for over a year and I still do a keanu "woah" every once in a while. The Expanse is particularly amazing on it with the true blacks for the space scenes. I say it's worth it. Closest to a movie theater experience and if you have a new console like the PS5 it'll also be a treat with it.

I'm not worried about burn in because I don't leave the TV on channels with static tickers. The UI on certain video games can be troubling, but only if you play for like 8+ hours a day and the same game. But even for extended sessions like when I was playing Returnal, I didn't have any issues with burn in all this time. Plus if you afk from a game or pause a show it'll shortly go into a screen saver to prevent burn in automatically.

modena posted...

My last surgery for a broken bone I opted out of my Hydrocodone 10s because I knew I would just abuse them.

Smart. If you can get good enough relief with tylenol and ibuprofen, it's the way to go.

modena posted...

So your to blame?

Jokes aside, the brief use of opioids for surgery don't increase risk of getting hooked on opioids. It's more so the post-op pain plan where a surgeon or a primary care might continue something like oxycodone for far longer than should be expected for typical post-op pain. Since the nature of opioids is that tolerance builds rapidly, it's not uncommon for a one week prescription turn into another week refill, then another week, and the dose keeps going up. Soon, they start getting withdrawal symptoms if they try to wean and without proper care it kind of just gets out of hand.

Anesthesia doesn't prescribe post-op meds, that's all the surgeon.

And it's not to say these drugs shouldn't be used at all. Studies also show people who get inappropriate pain control post-op also are at risk of seeking elsewhere for relief. They serve an important, but temporary purpose and it's just as problematic to under treat pain. That being said, healthcare is also fucked in regards to the fact that patients can sometimes be aggressively demanding because their expectations are of zero pain 24/7, which is not at all reasonable. It's gonna hurt, and setting expectations does wonders. But demanding patients and hospital administrators who are more concerned with patient satisfaction scores above all else put docs in unfortunate positions because a person left to their own devices often would make bad health choices for themselves.

Alteres posted...

Far worse, some powder on your finger could kill you getting something out of your teeth.

But that's the thing, unconstituted fentanyl (powder form) is never going to be in the hands of a layperson legitimately. Even cancer patients being prescribed it will get a formulation like a skin patch or something that's very specific dosing. And most hospital uses already have it diluted for IV use at appropriate dosages.

Only black market drugs and dipshit drug dealers are where this comes into play. So like someone earlier mentioned, there is cross contamination and the highly concentrated powder form gets mixed in with other things either intentionally for better profit margins (since fentanyl is cheap) or unintentionally (they are unaware how concentrated even residual amounts of it can be with cross contamination).

So for a question like this:

ColdOne666 posted...

How much would you actually need to overdose and die. Is this drug super duper powerful, it it worse then Meth?

It's hard to answer. First off, meth is a stimulant, not an opioid. The danger with fentanyl is when an unknown amount is in your illegal drugs and you're opioid-naive meaning you'll likely stop breathing even with smaller doses. But someone who is on chronic pain medications can be on absolutely insane doses and still be breathing. For people on bad pain regimens and chronic pain, I've had to give insane amounts of opioid in surgery to get someone's pain under control, but that's because they take a boatload to begin with at home regularly. An older opioid naive patient might go apneic from 50-100 mcg of fentanyl, whereas these chronic pain patients on irresponsible amounts of narcotics at home can tolerate 250 mcg or above and still be breathing and screaming in pain.

The other danger comes when drug addicts wean off for a while, lose the tolerance, and jump straight back to their old habits (and doses) and die that way.

But like...in the right hands like a medical professional, fentanyl is like not dangerous at all and has a lot of good properties as part of a balanced anesthetic or for procedural sedation.

20 is not really an adult. Sure, legally speaking. But someone who is 20 is still cognitively developing and probably doesn't finish developing until 25ish. As such, I find it a bit creepy because at 20 you don't have enough "adult" life experience to not be overly influenced by someone who is 35.

Likewise, if you're 35, if a 20 year old doesn't annoy you in some regard, you're probably cognitively stunted yourself. Like talk about not growing as a person for 10 years in order to fully relate with that individual.

And let's not forget the classic [(age/2) + 7]

TheGoldenEel posted...

Reminder that fentanyl is medicinally legal but marijuana isnt

The problem with fentanyl is because manufacturers overseas are less regulated, so cartels in Mexico and elsewhere are able to get it wholesale and they cut their street drugs with it.

In a clinical setting, I administer fentanyl on a daily basis for a lot of anesthesia cases. It's a great drug when used appropriately.

Making blanket statements of the evils of fentanyl are just misguided. No one doubts the street problem, but it's a tool and in inpatient medicine, it's a very good one at that.

Depends on the balance of good story content vs filler side objectives. Generally enjoyed HZD and Ghosts of Tsushima. Witcher 3 is of course amazing. I'm a bit burned out by the AC series.

Overall I think open world is a little overdone at this point, especially considering how they tend to feel empty a lot of the times.

obsolete posted...

This country

If profiting off of the hard labor and rigorous studies of rising doctors in this country isn't the American dream, I don't know what is.

Kloe_Rinz posted...

Assuming that none of it gets forgiven by the government, wouldnt it be better to whittle down the debt now while theres no interest? Then once the debt is unfrozen theres less of it and less interest

While this is true, one could arguably invest the savings of the monthly loan payment and over the two years maybe get 5-10% of growth that can then be dumped on it right before loans actually do resume for real. That way if they do toy with the idea of some degree of loan forgiveness in the near future, you aren't paying it off before you could benefit from something like that.

How so? I thought integrade was just the Yuffie DLC so I never looked into it after beating the base game.

But I recently heard if you own the PS4 disc and have a PS5, you get the integrade version for free. Is that not the case?

megamanfreakXD posted...

Med school alone is 60K/year, 4 years = 240K, doesn't include boarding, food and other necessities for living while not having a job during school.

Yup. So usually people take out 20k-ish per year for living expenses. Give or take just how frugal of a student you want to live like and cost of living in one's city.

Then add each semester the loan servicers take a couple percent as a service fee (this adds up to several thousands). And we take so many freaking board exams that usually cost about 1k to even take the exam that we pay out of pocket.

Let alone applying for residency programs with all the travel ended up being like 10k in flights and hotels.

Unsugarized_Foo posted...

For a doctor, that sounds dumb

My base salary as an attending in 1.5 years will probably be 400k/yr with room to earn more picking up more call. After taxes, the net is a bit more modest. Also if you consider I'll be almost 33 at that time, I've lost about 10 years of working on retirement accounts and opportunity cost compared to someone going into the work force after undergrad.

Doctors aren't as well off as they used to be, but I won't have any trouble paying down these loans.

Cokewave posted...

Can you screenshot your loans? It's not that I dont believe you - I just want to personally see how 470k in loans is divided up

Irony posted...

I don't believe you

https://i.imgur.com/ppaLvTN.jpg

I have 470k in medical school debt at 6.8% interest. This 0% interest for the past two years has been great. Everyone's talking about "student loan forgiveness. 10k, 50k, will they, won't they?" and I'm sitting here having probably saved close to 50k in capitalized interest.

If I can ride this wave till I'm done with residency then I can just yeet my entire attending paycheck at my loans for a few years and be done with it.

CharlesBronson posted...

i would rather die than get one, thanks

Considering it's a very quick and well tolerated outpatient procedure that you get sedation from anesthesia with that not only screens for colon cancers, but also can remove polyps, essentially treating "pre cancer", or in other words, preventing the polyps from ever turning into cancer, I'd say it's a rather silly hill to die on.

Chicken posted...

Look at examples of surgeons that do breast reductions, not following a women's specifications and keeping them larger than requested "so the husband is happy"

That's assault. I'm sorry, but the few exception cases that happen doesn't mean that it's standard practice to be cavalier like this. I actually work with surgeons for a living. Every surgeon I've worked with is too afraid to even touch an unrelated skin tag if it's not mentioned on the consent, let alone blatantly going against their wishes for a breast reduction.

The U.S. is faaaaar too sue-happy for docs to be cavalier like this. I honestly feel like you guys are just bringing up old wives' tales. (again, noting that this has probably happened at some point in history, but in comparison to the tens of thousands of surgeries a year, this is beyond an exception of a fraction.

Also watching an OBGYN operate is like watching a raccoon rummage through a trash can.

lilORANG posted...

And OBGYN is one of the more competitive specialities.

Lol no it's not. Middle of the road. Competitive is like derm, ortho, neurosurg, ENT, ophthalmology.

OB is like maybe anesthesia, gen surg, radiology tier. You're right that you can't just walk into that field, but there are many more competitive specialties.

And TC, OBGYN is predominantly women these days. Back in the day when medicine was still an overwhelmingly male-dominated field, you'll see male OBs, like the ones close to retirement age. And a handful still go into it these days, but a lot of guys these days will have underwhelming OBGYN rotations in med school because women understandably don't want male medical students observing, so there is limited exposure to the field and a lot of people don't go into it anymore.

Gobstoppers12 posted...

It depends heavily on the location itself, as the error is almost always the result of an employee doing something wrong somewhere in the pipeline. Either taking the order down wrong, or putting the order together in a way other than what's on the ticket, somebody's fucking up their job.

That means inadequate training, or maybe just lack of work ethic on the part of specific employees. Either way, you can always tell a good location apart from a bad one after a few visits to both.

Agreed. These usually are systems problems, but you can tell which managers actually care about fixing the pipeline vs just letting the employees roam free. I'm sure a lot aren't even aware they're making the mistakes. But it's still frustrating for the consumer because across franchises you get wildly different results.

wiiking96 posted...

Fast food workers dont get paid enough to always get everything right.

Do they get paid to at least get it right half the time?

SSJPurple posted...

Im sure your overcomplicated specific special order for an entire family is impossible to mess up especially when youre taking orders on a head set simultaneously while on a timer

I've literally just asked for a deluxe grilled chicken from chick-fil-a and they gave me a spicy breaded non-deluxe. When asked for dipping sauce I just said ranch and honey mustard. I only got the mustard.

It's not that fucking hard and stop defending them. I make a mistake at work and someone dies. I really hate the online white knighting about anyone who has the slightest work-related inconvenience. Oh the turmoils of fast food workers. They're such delicate little flowers that anyone asking literally anything outside of "I'll have the number 9" is a karen-move. Get out with that.

edit: For what it's worth I agree going inside as opposed to drive-thru for more than a two-item order is wiser given that having to check the bag and correct mistakes just holds up the rest of the line. But I'd say over the past few years the reliability of drive-thru at most places has gone waaaaay down. Even for single person regular orders.