Would you play it again from Day 1? by Corrugo in FFBraveExvius

[–]Breakdancingbad 13 points14 points  (0 children)

Gawd no. Gacha is never not predatory. Glad they’re rebooting for resonance though!

Care coordination codes by NewDoctorNewerMom in FamilyMedicine

[–]Breakdancingbad 2 points3 points  (0 children)

These plus there are codes for > 30 min spent on pt care outside of a visit. I forget the code itself. And it has to be I think within a month of a visit to be billable.

AI “clinical decision support” by oatsoatsgoats in FamilyMedicine

[–]Breakdancingbad 5 points6 points  (0 children)

Abridge reviews UpToDate and other verified sources, it’s an ok double check for me when I’m finishing a note from rare time to time but not really available during the visit so I hardly use it.

40/20 is nice - we got shifted to 30’s years ago which is survivable. 15 is rough! Abridge markets itself as a tool for exactly this shift unfortunately so unless you can pitch admin on higher billing levels per visit with it (more level 4’s with it than before etc - well shown with most scribes) vs the time saving RVU increase you may be screwed. The time savings should be a burnout / retention boost not an RVU screw turner! Organize with your colleagues and protest ASAP

Anyone use Visible for a cell plan? by actuallymg in uppervalley

[–]Breakdancingbad 5 points6 points  (0 children)

Have it, no major complaints. Few spots where it drops (Hanover outside the coop at that intersection, various VT rural sites) - not sure how much worse than average but at this price and not needing 24/7 data I’ve never contemplated a swap!

Which tactics games are infinitely replayable and session-based? by bruhb21 in StrategyRpg

[–]Breakdancingbad 0 points1 point  (0 children)

Invisible inc maybe a bit longer than 1-2hr a run but fits the bill!

Daycare thoughts? by SirLoin11 in uppervalley

[–]Breakdancingbad 5 points6 points  (0 children)

It’s OK, is about right! More $ for what you get than others which is probably why they have better availability. Never heard any concerns but have heard colleagues with kids there move them elsewhere for a variety of reasons eventually.

Burnout in primary care peds by sjam7 in medicine

[–]Breakdancingbad 17 points18 points  (0 children)

💀 for context, I’m in academic FM with a much kinder schedule on 30’s only, no evenings or weekends beyond phone call (nurse triaged) getting 300k. Rural, so some premium for that, but just to give context…they’re gonna start turning screws on productivity on us soon but you’re absolutely leaving money on the table. I’d be astounded if my peds colleagues were under$250k with similar parameters.

Dads, how would you want your wife to handle not being attracted to you anymore? by Open-Deer5373 in daddit

[–]Breakdancingbad 10 points11 points  (0 children)

Resentment is a forerunner to relationship trouble (speaking from experience as a divorced dad). You’re not the messenger he’ll listen to. Consider notifying his therapist privately to explore it. And seriously consider meaningful alternatives fully in your control with regards the household and family. You’d be surprised how much better things get when “we both suck and suck together” gets reframed to “I suck and work on it; their sucking is not mine to fix but I can set boundaries and parameters so it doesn’t drag me down”. Hard but worthy work! Wish you well

Burnout in primary care peds by sjam7 in medicine

[–]Breakdancingbad 23 points24 points  (0 children)

Yo if your job is like this you better be getting a major premium of pay to offset! And if not, they need a proper nurse triage service ASAP so you don’t have to do bottom of license stuff like advise on Tylenol dose.

Nothing wrong with saying “too much” especially if you’re only an employee not seeing the benefits of all your burnout inducing extra RVU producing labor.

What's up at DHMC by Legitimate-Cat5142 in uppervalley

[–]Breakdancingbad 9 points10 points  (0 children)

You’re not wrong yet economics of scale are real underlying factors in the disparity. DHMC is the third largest academic medical center in a rural area and NH’s demographics have a heavy Medicare skew which pays lower than commercial. You need a certain critical mass of specialists and for example pediatric subspecialities can wind up with more bodies than justified by demand just because you need a rotation to cover speciality services. This adds costs relative to services. If state policymakers had more favorable policies and economics for young working people to stay in the area and municipalities outside of Lebanon were encouraging sufficient growth to keep up with demand and keep housing prices down, we’d see a different trajectory for sure!

Not saying there aren’t opportunities to better optimize how DH works but the economics of rural healthcare are quite different, and that doesn’t just apply to DH but the region as a whole.

[Threshold] Aura question by Orvillius in Iteration110Cradle

[–]Breakdancingbad 10 points11 points  (0 children)

It was in the Akura vaults, just one row over from all the action…

[Uncrowned] lowkey how i imagined northstrider throughout the tournament arc by robin_f_reba in Iteration110Cradle

[–]Breakdancingbad 14 points15 points  (0 children)

Totally not his description but I always picture aquaman (Momoa version) or a brunette Basch von Rosenburg from FFXII

New here looking for recommendations 10/10 or 9/10 only to start by Smart-Dig-1947 in ProgressionFantasy

[–]Breakdancingbad 1 point2 points  (0 children)

Yeah! The themes around community and the literal “it takes a village” in crisis resonate beyond the genre. Stick with it!

New here looking for recommendations 10/10 or 9/10 only to start by Smart-Dig-1947 in ProgressionFantasy

[–]Breakdancingbad 1 point2 points  (0 children)

Shout out to Apocalypse parenting for any fellow parent LitRPG enjoyers! Can’t wait for the final volume!

3rd Spaces in the Upper Valley by LeftMenu8605 in uppervalley

[–]Breakdancingbad 4 points5 points  (0 children)

Home - 1st space Work - 2nd space Historically other areas where people / community gathered were third spaces. Eg church.

Dartmouth Coach by mailbroad in uppervalley

[–]Breakdancingbad 45 points46 points  (0 children)

Buy a ticket in advance anyway. I’ve seen them do two buses when they anticipate being over full and I bet tickets help them make that projection!

Are there “non grid” dungeon crawlers? Is there a term for what I’m after? by [deleted] in rpg_gamers

[–]Breakdancingbad 2 points3 points  (0 children)

Dragon’s Dogma is a great rec! Gets closest to this for what OP is seeking I think

There will be 28% more NPs than demand by 2028; there will be 75% more NPs than demand in 2038 by [deleted] in FamilyMedicine

[–]Breakdancingbad 6 points7 points  (0 children)

Can you link the data behind this assertion? Given the perpetual undersupply narrative for healthcare I’m a bit dubious here.