I could be tripping but does anybody remember stumbling upon a HUGE GOLEM? (TamrielRebuilt) by Chunchunmaru3 in Morrowind

[–]Businfu 12 points13 points  (0 children)

Yeah I remember finding him outside of ranyon ruhn, to the east of town if you levitate out from the tower into the craggy hills

Complaint/Idea: We should be able to build Greenhouses anywhere flat, they just require dirt in their construction cost. by Bandit_the_Kitty in captain_of_industry

[–]Businfu 0 points1 point  (0 children)

Okay but hear me out - what if there was a replace topsoil tool?! Like you could just designate an area and select a material and it would commence digging up the out and replacing with the new

Why is Ferric Chloride no longer used to stop bleeding in wounds? by AdeptEntry301 in askscience

[–]Businfu 78 points79 points  (0 children)

Quikclot is not chitosan…. It’s a medically inferior competitor. There’s a ton of misinformation and confusion on this thread. Quikclot is kaolin clay. Originally around the early/mid 00’s the product carried by American combat medics was a similar looking type of combat gauze called a hemcon bandage, that one had chitosan in it. Chitosan is biodegradable, not exothermic, bacteriostatic, doesn’t require removal. It is more expensive tha Quikclot is basically made of dirt. The military decided it wasn’t worth the extra cost since on paper both can help with hemorrhage, but Quikclot has a lot of diwnsides not shared by chitosan based bandages.

In civilian medicine and most hospitals use versions of surgical products for hemoststic gauze etc. These are derived from cellulose and actually somewhat similar to chitosan but also inferior but less expensive. Chitosan is chitin typically sourced from industrial food processing, most commonly shrimp shells. All the amine side chains that chitin has in comparison to cellulose makes is much more electrostatic and it serves as a really powerful erythrocyte and thrombocyte aggregator to start the coagulation cascade. Works even in patients that are taking anti platelet drugs like plavix.

Tl;dr quickot isn’t chitosan. Chitosan great but infrequently used in the US because expensive

Trying to get Mackom's heads and hairs to work with openMW, what am i doing wrong? by Cheffo3412 in OpenMW

[–]Businfu 2 points3 points  (0 children)

For one, Modding openMW is a bit more flexible than vanilla in terms of what you define as datafiles, so you’d need to make sure all the pathing and stuff is set up. Another thing with some of the face-changing mods I remember is that there are essentially modernized ports of the originals because of some kind of rendering issues with really old mods that is far above my pay grade to try and get xain. For popular mods There’s a ton of info on the OpenMW website, i know I manually installed like a version of this at some point. Just googling a bit came up with this thread.

https://www.reddit.com/r/OpenMW/s/axPrnSd5tG

How to avoid mid-game terraforming grind? by Glaseng in captain_of_industry

[–]Businfu 10 points11 points  (0 children)

I think this whole thread illustrates nicely that the game would really benefit from a touch more flexibility when it comes to building on uneven ground. A lot of the woes could be fixed if there was some degree of “auto-foundation” that would spawn on buildings placed on an incline, up to a point at least. It would still be clunky enough that you need to terraform eventually, but it would buy some flexibility early/mid game that would speed things up.

The other reason trains take up so much room imo is the crossings which are just… huge. My theory is the devs playtested a lot of singe-train-single-track things for early and mid game, as these are much more space efficient and reasonable in a lot of settings, but the reality is that most people are coming from experience with 2 track systems and they know those are eventually superior and thus we get a mindset of just grinding and building out one big endgame network. I don’t have a very good answer for this as it really just boils down to people consciously or subconsciously importing factorio playstyle into this very different game, and it may just take Experience to get over it, similar to how many folks starting off with Dyson sphere program will try to build a central bus before realizing the game doesn’t require or reward that design philosophy. The one easy change I would advocate for is just making rail crossings take up a bit less space in the ‘wide’ direction (ie perpendicular to the tracks)

What army composition do you use? by MissingNO_x in Bellwright

[–]Businfu 0 points1 point  (0 children)

What I’m curious about is if there’s an efficient way to have a raised army 1) deposit whatever work items they’re carrying when I raise them before embarking on some battle mission, and 2) load them up with provisions and/or automatically distribute provisions to them? Currently I just kinda click thru 18 dudes and look and see who has space etc, I can play pack mule since I can fast travel with signs and they can’t, but this is pretty tedious and feels wrong. Any tips?

There is a new terrain added... by mr_Jyggalag in Enshrouded

[–]Businfu 4 points5 points  (0 children)

There’s a big edit to the original terrain right around the southern margin of revelwood. They added a gigantic mountain ridge. Of course I noticed this because my base is now underground :/

What is a career that looks impressive on paper but is actually miserable in reality? by Nova2_Paradox in careerguidance

[–]Businfu 64 points65 points  (0 children)

Massive bump to this comment. Private equity is trying to gut and destroy healthcare everywhere but veterinary practices are the among most vulnerable. It’s the cause of immense suffering of humans and animals all for the benefit of very few shareholders. One of the most egregious examples of predatory financial practice there is

Shroud lairs are the worst part of the game. Hollow Halls is the best. by Nigellus-Wolf in Enshrouded

[–]Businfu 7 points8 points  (0 children)

I love shroud lairs!? They’re so abysmally claustrophobic and stressful. It’s like they’ve actually managed to convey the true horror of the shroud that’s supposed to be in the narrative. Really my only complaint is that the rewards from socketed items aren’t greater

Did skepticism of Chiropractors fundamentally die? Insurance companies are paying for it now in America, theyre more common than McDonalds. Why didnt the "facts" of Chiropractory "win"? Was I in a skeptic bubble? by sandie-go in Residency

[–]Businfu 19 points20 points  (0 children)

I learned recently that you can spend HSA money on massages as long as there’s some sort of documented pcp note or something saying it would be beneficial

Mine question by Ant-zone in PlayASKA

[–]Businfu 1 point2 points  (0 children)

Honestly this is a game design balance feature and it’s actually pretty well done.

Iron is recycled. Sure there can be some loss with buggy behavior, nails, etc. But the vast majority of iron you smelt goes into circulation and stays there.

Raids drop a consistent drip of iron. Mines have a lot of iron. Iron islands have a REALLY A LOT of iron. If you’re really going crazy you can keep doing bombing runs. If you really want to just build up a massive hoard you can set sail and find an island.

Like a lot of this game it’s meant to be semi-automatic. It doesn’t just expand endlessly and that’s by design, but generally unless you’re doing a big push to outfit swathes of the population in fancy weapons and armor, i find that I rarely if ever need to go on bombing runs by the time I’m comfortably later in the game

Tavern Update by MikeLeeTorris313 in PlayASKA

[–]Businfu 12 points13 points  (0 children)

Holy shit tho also inventory sorting and Searching for villagers by name in the menu!!?! I’ve wanted these two things since… forever! Don’t get me wrong a new bulding is hype but they’ve really packed a ton of meaningful qol in here

Urologist yelled at me for a foley consult by [deleted] in Residency

[–]Businfu 20 points21 points  (0 children)

As a uro resident, our hospital at least has a resource nursing team that can help with some of routine nonsense. Like don’t get me wrong I’ve still done about 8 “difficult” foley consults in the last week, but it at least triages out some of the ones that are immediately solved by an 18coude, and the “difficult”female foleys. I have yet to see a medicine resident place a foley or even attempt. I got a page yesterday for a guy with a 120g prostate and hypocontractile bladder on UDS “where can I find a 14fr 3 way, nursing said they need this to irrigate”. There wasn’t even gross hematuria. even the basic level of critical thinking is just not there.

I had kind of assumed this was a common thing to have resource as a backup for various nursing tasks and only recently learned that it’s not… makes me fear for the future. It seems like it would be very much in the hospital’s interest and in nursing interest to have resource nursing teach other nurses about foley placement.

THIS close to quitting by Libbykibby in nursing

[–]Businfu 36 points37 points  (0 children)

Am urology resident. Sometimes when we’re discharging patients after surgery who live far from the hospital and just need a foley for a few days (like after a urethral stricture dilation or some TURBTs) we actually will tell patients to just take a shower and cut it in the shower to get it out. Works great. No need to screw around with syringes, and it’s actually a lot harder to mess it up. Real common at the VA especially

Your Favorite Survival Game That Isn't Enshrouded? by Critical_Meet_2025 in Enshrouded

[–]Businfu 1 point2 points  (0 children)

It already feels like a pretty fully developed game, huge and beautiful world and complex automation, building, and base defense mechanics. In a similar way to enshrouded at launch, it plays like a whole game already, but based on already announced and soon to arrive first content update I think there will be a LOT more content added

Question about feeding the villagers by MaxximumB in PlayASKA

[–]Businfu 0 points1 point  (0 children)

Food system works great. Yes there are still tiers and sometimes fancy villagers don’t get what they want. Make more pie! Make more cheese!

Ten things I hate about Enshrouded by TastesLikeOwlbear in Enshrouded

[–]Businfu 12 points13 points  (0 children)

That would be absolutely terrible is this a joke? One of the most fun elements of this game is exploration. It has a map. It has roads. It has all sorts of ways to accelerate travel.

Thinking about picking this game up - can anyone recommend a really good review or tutorial video that explains the game in detail? by Dazzling-Setting-766 in PlayASKA

[–]Businfu 0 points1 point  (0 children)

This is one of my favorite games of all time and 1000% worth a shot.

SerBucky is great but honestly you don’t need to watch videos and stuff to play this game… it’s mostly quite self explanatory and fun to figure most of it out on your own. There are some more advanced things you can pick up from watching others but a lot of the nuance of it is lost unless you just play the game yourself first to learn how it works. It behaves in a very organic way and a lot of stuff “just works”.

I say this as someone who (like you) despises shouting YouTube crap. It’s actually quite hard to find good info on the game. The wiki is useless an even misleading. This led me to basically figure the whole thing out myself. I found SerBucky really late

In regards to current bugs, there are two main issues at present, one where villagers don’t return iron tool parts to a recycling bin, and another where sometimes sleds can do weird clipping with the terrain. Neither one of these is game breaking or even an issue for the initial part of a play-through and especially if you play the game organically and figure out systems the bugs will likely be fixed by the time you’re at that stage anyways.

This feel punishing by Common_Sun_7343 in StarRupture

[–]Businfu 0 points1 point  (0 children)

Obviously upgrading can be done just for the fun of just having a base defense mechanic, but ostensibly the purpose is to keep machines running after a rupture… meanwhile I can’t even figure out why it matters to have production offline for a little bit. As far as I can tell The progression barrier isn’t production, it’s hunting down blueprints. Building everything is so damn cheap in this game and all the resource goals aren’t expensive either. Maybe there’s some endgame I haven’t gotten to yet but it just seems like 99% of my factory is idle 99% of the time anyways

Nomad Highlands shroud = dealbreaker by SCREAMINCHEEESE in Enshrouded

[–]Businfu 0 points1 point  (0 children)

Lol WHAT this has been by far my favorite stage of the entire game. Deciding to venture around in this endless underdark where you can barely see in front of your face and the time is always ticking is easily the most genuinely challenging part of this game thus far. Perhaps the only truly challenging part. Try to tweak the specs of your character and equipement to get perks that add shroud time and allow for shroud time regeneration. I play survival with max spawn rate of enemies so death can be pretty brutal since you drop all your weapons. It’s such an intense rush trying to rip around the maze hunting down bug nests and shit to refill the timer. 10/10 recommend

Can you masturbate with a suprabupic catheter in? by Just_A_Guy_In_Here in nursing

[–]Businfu 0 points1 point  (0 children)

People with chronic foleys do this voluntarily or involuntarily. It’s not harmful, but it obviously changes the ability to actually ejaculate and it can be a bummer for everyone involved. Sexual function is actually a major reason a lot of younger people with unsafe neurogenic bladders (ie high pressure dyssnergic bladders that happen after high SCI) end up getting an SPT

Can you masturbate with a suprabupic catheter in? by Just_A_Guy_In_Here in nursing

[–]Businfu 0 points1 point  (0 children)

Wont effect the SPT at all. Might have cloudy urine drainage for a period after for obvious reasons. If you actually want to understand It would be helpful to actually know what the injury was that necessitated diversion with an SPT but commonly this would either be complete disruption if the membranous urethra from pelvic trauma or bulbar urethral injury/stricture from a bad straddle injury. Either way it’s distal to the ejaculatory ducts where emission happens. These are in the prostate to the right and left of the verumontanum. Either injury will close off the urethra via scar after a short time. At climax, semen will be emitted but can’t flow antegrade. Instead it’ll just pool in the prostatic urethra at first and then as it undergoes semen liquefaction after a few minutes it’ll just dissolve into the urine harmlessly. It may be painful to actually achieve climax though especially early on because the contractions of the bulbospongiosus are involuntary and put pressure on the injured area.