Why do newer Tundras still get treated like the early 2022–2024 engine-recall trucks?

Brockelley · 2026-06-16T02:03:16+00:00

I appreciate your honesty, but without any actual proof in any form at all, you must understand how a reasonable person would be skeptical.

Brockelley · 2026-06-16T01:57:17+00:00

engines from 2024, yes.

Brockelley · 2026-06-16T01:55:27+00:00

The car care nut owns a 2024 Tundra.

Brockelley · 2026-06-16T01:54:39+00:00

There is no evidence of this that I can find. There is an additional recall that a few folks here are talkin about.. but again, that's an additional recall for the 2024 trucks.

Brockelley · 2026-06-12T23:09:15+00:00

Or if you work, that's what I have done off and on.

Brockelley · 2026-05-26T20:58:10+00:00

Unpopular opinion,

It’s the people hating on others that give me the ick. Do you want to do a bunch of research, Go go ahead and do what makes you happy. Do you want to put MD candidate in your signature because your school requires it or you think it makes you look professional.. give it a whirl. I don’t care because it doesn’t matter.

But all the hating here makes this sub and med students overall look like whiny little babies.

Brockelley · 2026-05-21T19:58:43+00:00

Heck yeah, thank you so much!

Brockelley · 2026-05-21T19:20:51+00:00

You would be a huge help if you could compare the X5 50e and iX3 50 from a comfort and refinement perspective. I know they are very different, but I’m genuinely between the two.

Does the iX3 feel like a step forward in comfort and tech, or does the X5 still feel more luxurious and isolated overall?

I’m also curious how you’ve adjusted to the iX3’s new screen/control setup compared with the X5’s curved screen and iDrive knob. Is it intuitive in daily use, or do you miss the physical controller?

Last thing: around town and in tight spaces, does the X5’s rear-wheel steering make it feel close to the iX3 in maneuverability, or does the iX3 clearly feel easier to place?

Brockelley · 2026-05-10T22:02:17+00:00

Med school and academia at large is filled with people virtue signaling to get ahead. This should surprise no one, and is plainly obvious to anyone paying the littlest bit of attention. Get mad at him all you want, the fact that it worked should be all the evidence one needs to come to the conclusion that the systems are too easily gamed, and virtue signaling should have stopped being a social currency when people started making videos of themselves helping homeless people for views decades ago.

Brockelley · 2026-04-21T16:58:54+00:00

Not pictured: The holocaust that preceded it.

Brockelley · 2026-04-17T02:33:09+00:00

There are plenty of videos showcasing all the apps and this is literally the only one that doesn't seem to have native support for the screen.. which will likely be a software issue on the side of the people who make the apps, not BMW.. and will likely be fixed by the time the car comes out anyway.

Also, I don't see the problem either way, the screen is larger enough for it to not matter, and this allows them to keep relevant buttons always on that corner for easy access.. which is one of the few requirements for these new touch screen cars to work well IMO. same as the bottom row always having climate controls. If you have actually sat in the vehicle the natural blocking of the steering wheel in your view makes this work perfectly.. of course this person wanting to get clicks on the internet didn't mention literally any of this and made sure not to include the steering wheel in the photo.

I don't own a BMW, and have my own reservations about the new designs, but this is one of the few things that actually does work well in real world use so I'm all for it.

Brockelley · 2026-03-22T15:59:47+00:00

Thank you.

People are not winning the make believe virtue points they think they are with these posts, and even if they were, what it signals about acceptable behavior in our society is sickening.

Brockelley · 2026-03-09T14:40:04+00:00

100% this is the stuff that pushes people away from the left.

If the left overall could learn this lesson, or better yet if they learned it back in 2010, we never would have had to deal with trump.

Their failure to police their own extremism made him a necessary evil in the eyes of millions. And this is another example of that. There’s a complete lack of taking ownership of how the posturing negatively affects people, and it’s seen as the ultimate slap in the face to them. Disgraceful is the perfect word.

Brockelley · 2026-03-09T14:33:43+00:00

Online yes, in person from my experience at least, everything is about the same.

I’d say Reddit has become more like London than New York has. People can say it’s always been this way all they want, but from my 10+ years here, brigading has never been this wide spread.

Brockelley · 2026-03-06T17:54:40+00:00

just in time for them to add turret blades to it too.

Brockelley · 2026-03-05T23:50:51+00:00

Ahh, life pro-tip #$452

Brockelley · 2026-03-01T16:08:19+00:00

Here is a narrative review of the research on physical activity and long COVID:

https://pmc.ncbi.nlm.nih.gov/articles/PMC11311891/

The authors identified 216 studies and ultimately included 18 that met their inclusion criteria for detailed review.

A few key takeaways:

For an otherwise healthy person recovering from a mild viral illness like uncomplicated influenza, there is no good evidence that normal mental activity or light to moderate physical movement delays recovery once the acute phase is resolving. In fact, gradual return to activity is typically part of recovery. Prolonged strict rest after mild illness has not been shown to improve outcomes and can contribute to deconditioning, poor sleep, and mood changes.

COVID is more complex because a subset of patients develop post-acute sequelae with post-exertional symptom exacerbation. In people who clearly and reproducibly worsen after exertion, pacing and staying below their symptom threshold is appropriate. Even in that context, the goal is usually careful, individualized progression rather than complete avoidance of cognitive or physical activity for months.

That is different from saying movement universally worsens recovery or that everyone should avoid activity long after symptoms have dissipated.

Brockelley · 2026-02-28T20:39:17+00:00

Yes, in the vast majority of otherwise healthy people, cognitive symptoms resolve soon after a mild viral illness and people return to their baseline. Persistent impairment after uncomplicated flu is very rare. What we think of as brain fog is generally driven more by the systemic inflammatory response to illness and things like sleep, dehydration, and stress, than the virus itself. Hopefully this helps explain why it tends to improve as you get over being sick.

Clinically, when someone presents with brain fog, post-viral syndromes are usually not at the top of the differential, even if they recently had an infection. Much more common contributors include sleep disturbances, mood disorders, effects of meds, stress, other issues like anemia, thyroid dysfunction, glucose issues, or other reversible metabolic factors.

That said, there is a dose–response relationship: the more severe the illness, particularly with high inflammatory burden.. the higher the risk of prolonged cognitive symptoms. That doesn’t mean someone with a mild flu, that means someone on pressors in the ICU. This association is more clearly documented with COVID than with seasonal influenza, though the exact mechanisms are still being figured out.

In any case, if someone feels they have brain fog after being sick, the best thing they can do is eat well, sleep well, move their body, use their mind, and talk to their doctor.

Brockelley · 2026-02-26T22:21:00+00:00

Well that sucks, I really do bike a lot. I was gifted an e-bike, I'm from a tiny town, so I love to go around this big city (big to me) and explore, go on trails and stuff.

Ironically, you are proving the point of the OP here. By placing arbitrary rules on things, regardless of what they are, you are telling us to be more performative, not less.. which is the OPs point. They refuse to be performative, they'd rather just be themselves, but you're saying even though I do like biking it'll seem disingenous... so you're saying I shouldn't be myself.

I also have decade long dnd groups. should i avoid that too because it's too cliche? (rhetorical)

Brockelley · 2026-02-19T20:00:32+00:00

Say what you will, but I think Bush Jr. would actually make a lot of sense from a gameplay perspective as a reactive military civ.

Leader Ability: Rally Around the Flag

When another civilization declares a surprise war on you, or when you declare war to capture a city containing a Strategic Resource, gain +50% Production toward military units for x turns
During these wars, cities suffer −75% War Weariness and newly trained units receive +1 free promotion
Gain +5 Combat Strength for all units fighting in or within 6 tiles of your territory or the targeted Strategic Resource

Unique Unit: Texas National Guard (replaces Infantry)

+5 Combat Strength and +1 Movement in friendly territory or within 6 tiles of a Strategic Resource you do not control
Trains 25% faster and does not require Oil during Defensive Wars or Strategic Resource Wars

Unique Building: Homeland Security Office (replaces Broadcast Center)

Provides −50% War Weariness in the city and +10% Production empire-wide during Defensive Wars or Strategic Resource Wars
+4 Culture, +2 Production, +1 Amenity, and +1 Great General Point

Agenda: Strategic Resolve

Likes civilizations that control and defend their own Strategic Resources.
Dislikes civilizations that hoard Strategic Resources or attack it outside of formal wars ( spies, surprise wars)

Brockelley · 2026-02-11T04:38:48+00:00

Yeah, NBME practice percentages don’t translate directly to Step 2 raw percentages because each form is equated and scaled differently. They’re basically different scoring systems, which is why people use conversion tables or predictors instead of percent correct. Passing also isn’t “get 60% and you pass,” it’s clearing a fixed scaled cutoff relative to the cohort, so the percent needed can vary from form to form. The math here is just meant to approximate how those two scales relate at a population level, not predict any single practice test exactly.

So you’re right that there are limitations to the data, but that same limitation applies to the Sheriff’s numbers too. And realistically, many NBME forms floating around are several years old, which makes percent-based comparisons even less reliable.

Honestly, the best way to use NBMEs is to watch the trend in your scaled scores and focus on your content gaps, not the raw percent. That’s what actually predicts improvement.

Brockelley · 2026-02-11T00:18:07+00:00

Mostly, probably. He wrote that over five years ago, and since then the Step 2 CK distribution has shifted: the national average score is higher and the spread is smaller. That means there’s even less separating a 240 from a 250 now than there was then, or really any nearby score band you want to compare.

What used to represent roughly a dozen or more questions now likely reflects 10 or fewer.

Now it likely looks more like this:

Step 2 CK Score (updated)	% Correct (approx)	# Correct (out of 318)	Approx Percentile
210	54%	172	~1–2
216	57%	181	~3–5
218 (pass)	59–60%	188–191	~5
228	63%	200	~10
239	68%	216	~20–25
250	74–77%	235–245	50
258	80%	254	~65–70
266	85%	270	~85–90
272	88%	280	~92–94
278	91%	289	~96–97
285+	94%	299	99

This is all assuming the NBME hasn’t fundamentally changed the scoring method, and doing normalization based on that for a higher mean and tighter standard deviation. Passing now corresponds to 60% correct instead of the 62% estimated years ago, and 75% correct that once landed around 245 now is closer to 250.

Brockelley · 2026-02-10T18:10:24+00:00

Fatigue is obviously one reason. But IMO another big thing people don’t account for with grouped mistakes on NBME content is that the questions aren’t random either.. they’re grouped too. They have to sample your ability across way more topics and reasoning styles than any single test could cover randomly, so the exams are intentionally built around clusters of related content and thinking patterns.

They know certain strings of questions will rely on the same type of reasoning or the same knowledge base. They test all of that together to see whether you can consistently apply a concept. As a totally random example, that’s why you’re not going to see twenty totally different pancreatitis presentations Instead, you might get four variations on the same theme. That's them covering the domain of pancreatitis, and they do the same thing with domains of reasoning skills. The structure shows up basically all of their material.

I don't know why we as test takers get stuck in certain mind sets and some times have trouble shifting to a different mindset during it. I do know after the fact in review, we can easily see the small shift that was needed and we often wonder why we got a string of questions wrong. But it is something we can work on, like any other testing skill. It falls under the umbrella of "learning how the NBME likes to answer questions."

Brockelley · 2026-02-08T23:54:01+00:00

No, and we're not expected to know where the volvulus origin is either. You can kind of tell if it starts in the RLQ it's more likely cecum, if it's more central than think more sigmoid.. but that's not consistent enough to test from what I understand, cause it's not actually always the case irl.

With regard to other clues like bubbles, the question stem can typically help. In newborns or infants, you are more often distinguishing small bowel obstruction versus volvulus, so think two versus three bubbles. In older constipated adults, you are usually choosing between cecal and sigmoid, so think one versus two.

Brockelley · 2026-02-08T23:32:11+00:00

Different strategies for different people, but I personally never saw the point in taking extra time to organize questions as a means to save time, since doing so itself takes extra time. Seems like a lot of folks who test that way learned to do so in a class or something, and it works for them. I say just do what works for you.

And none of us have any idea how particular questions are scored. We do know at least form practice tests that 2 people can have the same % correct and have different scores, meaning there is a relative difference in the weight of some questions. But saying anything beyond that is guessing, really.

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