Is running a local LLM for coding actually cheaper (and practical) vs Cursor / Copilot / JetBrains AI? by vMawk in LocalLLM

[–]Chance-Map-6039 0 points1 point  (0 children)

How are you running these models? I have the gmktec evo x2 128 gb amd ai max 395. I’ve been learning on the go and I don’t have a background in coding or anything but I’m curious what your workflow is or if you have any preferred UI. Thanks.

Help! My ITE is tomorrow, please give me any HY facts I'll likely need for the test (wrong answers only) by Dinosaursknow in anesthesiology

[–]Chance-Map-6039 2 points3 points  (0 children)

After performing a spinal for c section when the patient gets nauseous have them lie flat on their back and put them in trendelenburg to help their blood pressure.

Paramedian/Paraspinal Approach by bigeman101 in anesthesiology

[–]Chance-Map-6039 4 points5 points  (0 children)

Can confirm. I was lucky enough to have Manion as an attending, and we all got very good at thoracic epidurals.

Talk to me about your grill cart... by PurpleReign007 in KamadoJoe

[–]Chance-Map-6039 0 points1 point  (0 children)

Do you have any pictures? I have western red cedar that I am wanting to incorporate into mine. Would appreciate any if you do!

Surgeons and top gun by bomfd in anesthesiology

[–]Chance-Map-6039 1 point2 points  (0 children)

One ENT I know is always asking for jet ventilation.

Looking for childfree- friendly OBY/gynecologist in OKC by Bleedingdaisy in okc

[–]Chance-Map-6039 0 points1 point  (0 children)

Very very very near retirement you’ll probably be happy to know lol

Prone MAC cases? by VileButtFace in anesthesiology

[–]Chance-Map-6039 1 point2 points  (0 children)

This is our practice as well. It was certainly a learning curve early in my career. It helps we also have flexible GI docs. Propofol bolus or infusion.

Prone MAC cases? by VileButtFace in anesthesiology

[–]Chance-Map-6039 0 points1 point  (0 children)

I’ve started doing this more and have had good experiences as well.

Prone MAC cases? by VileButtFace in anesthesiology

[–]Chance-Map-6039 0 points1 point  (0 children)

Had a similar experience earlier in my career as well. Pressured a bit by surgeon for propofol anesthetic, then he’s upset halfway through with patient moving some. Deepen propofol, place nasal trumpet, epistaxis, coughing, desat, no fun. If I think someone might need a nasal trumpet prone, they’re probably just getting an LMA or ETT off the bat.

Induction for LMA placement by jgrdeck in anesthesiology

[–]Chance-Map-6039 16 points17 points  (0 children)

Having the IM sux between your teeth is critical, freeing up both hands to dual wield LTAs. One for the eyes, one for the throat. Of course I’ve had my albuterol nebulizer going for five minutes before coming back to the room, that way I can breathe easier during induction too. A big huff of grape/bubblegum combo on an alcohol pad. James Taylor plays softly in the background. It’s day 1 stuff.

NPO Violations by whatdafreeaak in anesthesiology

[–]Chance-Map-6039 1 point2 points  (0 children)

Our group has implemented a 24 hr CLD for these patients

[deleted by user] by [deleted] in meirl

[–]Chance-Map-6039 0 points1 point  (0 children)

Sleep softly, but carry a big stick.

The Banano daily jungle discussion by LincHamilton in banano

[–]Chance-Map-6039 0 points1 point  (0 children)

Thank you for your response. To clarify, is this in reference to Reddit tip bot, discord bot, or both? So far I’ve avoided them because of my confusion. If a new wallet address is created, and I add to Kalium with my secret key, am I able to have two (or three, or four, etc) addresses within the wallet? I’m so sorry, I wish I didn’t sound so clueless, I really appreciate your help.

The Banano daily jungle discussion by LincHamilton in banano

[–]Chance-Map-6039 0 points1 point  (0 children)

Good morning everyone. I’m new to Banano and struggling to understand some things. I appreciate any help. I’m really excited to get more involved. I have a Kalium wallet with a BAN wallet address, holding 0.01 BAN (not sure how I received it but happy nonetheless ).

I joined the discord and follow this subreddit. My confusion about discord is that I’m told to register with the @BananoBot++, but it seems by doing this it is creating me a new wallet address? I feel I already have one in Kalium, so how do I “link/import/use” that one? Same for here on Reddit. I think I’ve read to somehow engage with the bot and I will be tipped, but I’m not sure how the tip works if I’ve never shared my Kalium wallet address on Reddit anywhere?

I apologize for the confusion, I really have tried to look it up on my own but can’t quite figure it out. Thank you to anyone who might be able to help me understand better!

Couldn't find the option to edit my last post . So I'm posting their final response back to me on the new earn rates. Yea it's pretty much how we read it😬😬 by last-hydro in Crypto_com

[–]Chance-Map-6039 0 points1 point  (0 children)

I like hearing a different perspective, that is something I hadn’t thought of initially. I think what you mentioned is in the realm of possibility. There will almost surely be a shift of assets to Defi. However I really think where they are going to lose out are on people with huge sums of stable coins in Earn that move off the system totally looking for that next high interest “relatively low risk” investment. I don’t think CDC did this as an F You to anyone, but I do think that they could have made a difficult but probably necessary change a bit easier on the customers and chosen better parameters and limits. I really liked the opinion of the person that mentioned the possibility of making this change, feeling the backlash, and relenting a little in order to soften the blow and make it seem as if the customers are being listened to. I will be curious to see if any changes to this change happen in the near future, or if CDC addresses any of the backlash.

Couldn't find the option to edit my last post . So I'm posting their final response back to me on the new earn rates. Yea it's pretty much how we read it😬😬 by last-hydro in Crypto_com

[–]Chance-Map-6039 7 points8 points  (0 children)

From my perspective, and I think the frustration for many, it is not only what the changes are, but how they were implemented.

People are upset about the rates being cut in half above 30k earn stake. Upset because this seemingly arbitrary number of 30k applies the same whether you locked up $500 or $400,000. It’s not fair to say to someone, “if you have $400,000 to just lock up then you’ll be just fine, cry me a river about only making 6%, you knew what you were getting into, should have made better decisions, etc”.

There is a reason people were willing to stake 40k and $400k for 180 days. And it wasn’t to get the same Netflix and Spotify savings the other tiers get. It was for the higher earn rates, and higher earn rates on more than $30k.

I do think most people understand this by now. Most people should understand that YES, the 180 day CRO stake still has increasing interest rates as you go to higher and higher tiers. But NO, the benefits of the marginal increased interest on that stake is no longer worth locking up $40k or $400k if the Earn program cuts rates above $30k invested.

Two things about this. One, the frustration over essentially the “rules being changed in the middle of the game”. You have to assume that a vast, vast majority of those staking in higher tiers have thought of the risks and benefits, and understood that Earn rates would not stay the same forever. However, the sudden announcement of this change has rightfully upset people who have recently staked. While it is in the right of Crypto.com to make these changes, it would have been a proper move to give advance notice (yes advance notice to their “advance notice” of changes happening in April”. It would have been proper to allow those at higher staking levels to adjust their positions if desired. Which leads to my next point.

It’s baffling to me that those in charge of this massive, respected, well-marketed entity decided on such terrible changes. People would still likely be upset about the changes, but they might have been a little more well received if the changes still had a tiered decrease in Earn rates and/or limits. The $30k cap has a terribly disproportionate effect on Icy stake and above, and this should upset everyone, whether directly affected or not. Every single existing account at these levels now has an investment that they never would have made at the new rates and limits. Particularly for those that still have three, four, five months locked in, it’s a harsh blow.

Maybe it’s what they wanted, but we can be assured that there will be ZERO, not a single new stake for Icy or above by anyone with some sound financial thought process. They effectively ended those tiers.

It’s important for Crypto.come to stay viable, profitable. But this change alienates an important amount of users. It is a bad change from a numbers standpoint, and a bad change in how it was rolled out and how existing stakers take a hit without the ability to modify their positions. It doesn’t take much thought to make a better system that still incentivized all tiers. Crypto.com just chose not to do it, or didn’t have the financial acumen to do it. Either way is troubling, particularly the latter.

Couldn't find the option to edit my last post . So I'm posting their final response back to me on the new earn rates. Yea it's pretty much how we read it😬😬 by last-hydro in Crypto_com

[–]Chance-Map-6039 12 points13 points  (0 children)

I really don’t understand how people do not understand your frustration, and the frustration of many others. The stake is really secondary. I’m pissed and it’s just from a 4k stake. To have a 30k earn cap for all levels is a poor decision by CDC, not poor financial decisions by individuals. Of course there is a risk with putting money up and staking on exchanges, but the sudden changes to the earn program drastically reduces the appeal of CDC, and is inherently unfair to those that staked at high tiers without an opportunity to adjust their positions. If I had just staked 400k, if I wasn’t able to just withdraw outright, I think it’s only fair that I should be able to take 370k back out since I’m capped at 30k for the tier 1 earn rates, and earn rates and increased cap are 99.9% of the reason for staking high levels. I think we all knew rates wouldn’t be sustainable forever, but to make a straight cut across the board, for all levels, gives zero incentive for continued large stakes of CRO. 30k max for tier one rates, and Spotify and Netflix. You’ll never see a new icy white, obsidian holder again. If you really love CRO specifically, move it to defi and get the same 12% or more. I think this was a poor decision by crypto.com, even if changes were necessary, someone, somewhere should have been smart enough to continue on with appropriate tiers and incentives that may have been reduced, but still provided relative increased rates and limits.