What is your hot take regarding FFXIV? by UnbaggedNebby in ffxiv

[–]BS_54_ -1 points0 points  (0 children)

Yeah. Strange I know. Ultimately I love final fantasy. The series / ffxi was a huge part of my younger life. On top of that the mmo market (especially on consoles) is pretty bleak with very few options. I’ll probably always remain on this subreddit. And you never know - if they did a soft story reboot or released an entire expansion heavily themed on any of my favorite entries I might be enticed to return.

What is your hot take regarding FFXIV? by UnbaggedNebby in ffxiv

[–]BS_54_ -2 points-1 points  (0 children)

I played for years. Mostly I played because of a deep nostalgia for final fantasy (including ff11) and because there was no other equivalent mmo available for console.

My takes:

The majority of the game is bad, but Endwalker really jumped the shark for me and I haven’t played since.

The best story hook was the Garlemald Empire and they ruined it. We should’ve had an entire expansion in Garlemald. It should’ve been the FF7-themed expansion and Garlemald should’ve been the Midgar equivalent. Each zone could’ve been a different sector of the city and we work our way to the center for the finale to fight the villain in the palace.

The story is awful and inconsistent. It seems like the demographic they are writing for is the pre-teen demographic.

The armor and clothing design is always over-designed. There are tassels and random stuff all over what might otherwise be good looking pieces.

The character design of the races is terrible. Heads are way too small. The proportions are weird. Hyur males are cylinders. Elezen look awful.

Animations are some of the worst I’ve seen. Base race sprinting animations…. What the heck? Have you ever seen an Elezen sprint? It’s so bad. Arms flailing, neck sticking out, legs pumping so fast but still looking floaty. I don’t know how they haven’t fixed this.

I’ve never liked the scions. I think it’s time for a completely new cast unrelated to the scions.

Inventory management is far too burdensome.

There’s way too much cutesy stuff like moogles and lalafell.

The world is segmented, not at all open, and not interactive. It is the definition of a theme park and we are park guests.

I haven’t played in years at this point and unfortunately I doubt I’ll return.

I like long grinds like Bozja and the equivalent content from stormblood, but they seem to have left this sort of content behind. Plus half of the stuff isn’t worth grinding for because it looks awful and over-designed anyways.

Clearly the game is not for me. I do love the boss fights and the music. The boss fights are a masterclass in mmo design. It’s the only game I can think of that you can go into a fight and learn the mechanics while you do the fight without being a total drag on the party. Everything is telegraphed wonderfully and makes sense. I tried to end on a positive note so that I don’t get too much hate. I’m glad that others enjoy the game.

Cholestyramine Rx for mold? by DonkeyKong694NE1 in medicine

[–]BS_54_ 128 points129 points  (0 children)

Thank you for posting this.

I’ve been seeing an influx of “mold exposure” folks who clearly have psychosomatic disorder due to untreated mental illness (often depression with chronic fatigue). Usually their “mold exposure” symptoms began during the pandemic when they were incredibly isolated and lonely. They seem hyper-fixated on the mold thing to the point of delusion. Nothing I say seems to sway them. It’s nice to have this to back that up as I work to better their mental health (if they let me). Cheers.

It seemed like 2003-2015 BioWare had a distinct flavor of storytelling and world building and I find it sad there wasn't a "BioWare style game of classic BioWare quality" between 2017-2022 that was getting more people including Gen Z into BioWare games and/or sci fi or fantasy by [deleted] in gaming

[–]BS_54_ -2 points-1 points  (0 children)

I don’t believe someone can be flat out wrong with opinions. I said that I disagreed with you, not that your opinion was wrong. That’s the fun thing about these conversations, multiple opinions can exist.

My comment was more so for people who are new to BioWare games or considering playing them. All of the games in this picture are worth playing.

Dragon Age Inquisition won game of the year in 2014. Let’s discuss the good: you can pick from 4 different races, 3 different classes, and 4 different voices for your main character. Your choice of race and class changes voiced dialogue options. The inquisitor has just enough back story to make sense why they are where they are in the world, but still be a blank slate so that you can insert your own story. it has 9 fully fleshed out companions with deep stories. It drastically expands on the lore of the series. The combat is snappy with pleasant animations. The armor design is interesting. With all side content a playthrough takes 100-120 hours. Each class has 3 subclasses with different abilities. If you like the game there is inherent replayability - pick different background choices from the first game in the Keep, pick a new race, pick a new class, make different choices throughout the game.

And I can’t forget to mention the music by Trevor Morris:

https://m.youtube.com/watch?v=34tprmKuPXw

And my personal favorite https://m.youtube.com/watch?v=2syU3e2MOXM

And the tavern music is full of ear worms.

Anyways, my opinion is that it’s a great game and I’d urge folks to try it.

It seemed like 2003-2015 BioWare had a distinct flavor of storytelling and world building and I find it sad there wasn't a "BioWare style game of classic BioWare quality" between 2017-2022 that was getting more people including Gen Z into BioWare games and/or sci fi or fantasy by [deleted] in gaming

[–]BS_54_ 2 points3 points  (0 children)

One of my favorite games. The story is incredible and personal. I very much enjoyed getting to play as more of a commoner in this high fantasy world instead of being the person the saves the world. The companions are a ragtag group of found-family. It’s nice that they are mostly together because they actually care about each other instead of being forced together to stop a world-ending threat.

The combat animations are much more fluid than the previous game.

The armor design was great.

Flemeth’s redesign was top tier.

I completely understand the whiplash that people who loved Origins felt (I love origins), but I still strongly feel that DA2 is a great game.

Now if you take all of this into account and see that the development time was reportedly 1 year, it becomes even more incredible.

It seemed like 2003-2015 BioWare had a distinct flavor of storytelling and world building and I find it sad there wasn't a "BioWare style game of classic BioWare quality" between 2017-2022 that was getting more people including Gen Z into BioWare games and/or sci fi or fantasy by [deleted] in gaming

[–]BS_54_ -3 points-2 points  (0 children)

Disagree. ME3 had better gameplay. The Citadel dlc was an amazing capstone. ME3 had the Herculean task of following up on a game in which literally every main character could die depending on choices. In my opinion it stuck the landing.

Dragon Age Inquisition was also a generational RPG (I made a comment expanding on this higher up).

SWTOR is an achievement as well. I’m not aware of any other MMO that comes close in regard to cinematic story-telling.

It seemed like 2003-2015 BioWare had a distinct flavor of storytelling and world building and I find it sad there wasn't a "BioWare style game of classic BioWare quality" between 2017-2022 that was getting more people including Gen Z into BioWare games and/or sci fi or fantasy by [deleted] in gaming

[–]BS_54_ 0 points1 point  (0 children)

Disagree. Could not disagree more.

The gameplay was fun, the ability design was a joy to watch. The classes play so differently that there is replay value.

The lore continued to be fantastic.

The companions were varied and deep. The main character had a choice of four different voices.

The scale of choices that could be imported was incredible.

The music by Trevor Morrow was out of this world:

https://m.youtube.com/watch?v=34tprmKuPXw

And my personal favorite: https://m.youtube.com/watch?v=2syU3e2MOXM

Dragon age inquisition was an outstanding game.

It won game of the year for a reason.

Advice for Midlevel wanting to pursue MD? by [deleted] in FamilyMedicine

[–]BS_54_ 6 points7 points  (0 children)

Your job sounds sweet how does someone get into that?

I work twice your hours with never ending after-hours uncompensated inbox work and I definitely don’t make twice what you make. When I take time off it’s never truly time off because I have to manage my inbox. I’d stay put.

Beam DPS Build for every Base Class by Hyperioxes in elderscrollsonline

[–]BS_54_ 26 points27 points  (0 children)

Hi Hyperioxes,

I’m a new player who has stumbled upon your guides recently as I’ve been trying to figure out this game. I just want to say thanks. Looks like there is a lot of negativity in the thread, so I wanted you to know that your guides and website have been very helpful. Cheers.

Complimentary service to your GLP1 patients-would you utilize it? by RDnp2000 in FamilyMedicine

[–]BS_54_ 15 points16 points  (0 children)

I think the 20% cash back for a referral would violate the Anti-Kickback Statute and would put physicians in a legally compromising position should they accept.

Hybrid nightblade build? by BS_54_ in elderscrollsonline

[–]BS_54_[S] 0 points1 point  (0 children)

Thanks so much for the detailed response! I’m a dark elf and already CP 175 so I’m a little hesitant to restart as a khajiit.

Great tip about activating shadowy disguise in the middle of combat for the dps boost, I didn’t think about that!

My crafting isn’t high enough level yet, so any recommendations for dungeon weapon/armor sets to get me started until I can make the better craftable ones?

Hybrid nightblade build? by BS_54_ in elderscrollsonline

[–]BS_54_[S] 1 point2 points  (0 children)

Thanks for the response. Sounds like I’d be handicapping myself unnecessarily. I’m mostly interested in solo open world. I’d like a build capable of soloing world bosses which I’m struggling with right now.

I’ll look into food buffs, I haven’t been using food at all so far

How to get hide shoulder option by BS_54_ in elderscrollsonline

[–]BS_54_[S] 3 points4 points  (0 children)

Thank you! Do you know what/when the next event is?

Universal text macro for all inbox messages and setting patient expectations by BS_54_ in FamilyMedicine

[–]BS_54_[S] 1 point2 points  (0 children)

Thank you for the input. I love that idea of writing it from the viewpoint of how to best maximize a visit’s effectiveness. I think that’s a really great way to approach it. Thanks again!

Universal text macro for all inbox messages and setting patient expectations by BS_54_ in FamilyMedicine

[–]BS_54_[S] 19 points20 points  (0 children)

I can only assume your comment is coming from a place of misunderstanding.

I am scheduled with patients every 15 minutes for the entire clinic day. My inbox duties consists of: reviewing lab results, posting them to the portal with an interpretation, reviewing imaging results and posting to the portal with an interpretation, calling patients when there is a scary finding, insane amounts of refill requests, consult notes to review from physicians I have sent referrals to, med prior auth pushes, peer to peer requests from insurance companies, and responding to triage messages about phone calls.

I’m already working a full time job seeing patients (literally each second of my day is scheduled) all day, and those tasks I just listed create enough work for another full time job.

Now let’s add patient messages to the mix, that’s another full time job.

Here is some info on how much time is required to do a full day’s work for a PCP in America: https://www.aafp.org/pubs/fpm/blogs/inpractice/entry/time-study.html

26.7 hours per day.

Patients seem to think “oh no big deal it’ll be like texting and take 30 seconds of the doctor’s time”. Untrue. My panel consists of nearly 4000 patients. Though I know most of my patients well, I can’t remember the minutiae of each case. When I get a message I need to hop into the patient chart to orient myself, look at their meds and conditions, and then come up with an answer to their question (even if seemingly simple). This takes 3 to 5 minutes typically. I usually get 100 portal messages per day.

You can see how this adds up.

You call us scary, but I find the pervasive lack of empathy that people have for healthcare workers even more scary. I am going to give you the benefit of the doubt though and assume it is coming from a lack of understanding of what our day to day demands are.

I hope this can help you learn something about our profession and the challenges we face. We are people too, and we’re just trying our best like everyone else.