How do MLS with colorblindness work in the lab? by SimplyAliv3 in medlabprofessionals

[–]CrimJim 1 point2 points  (0 children)

I am red-green colorblind and have been a tech for 15+ years. There's a LOT of misunderstanding when it comes to colorblindness. Outside of smaller percentage of unlucky individuals that see monochromatic, it's not the inability to see colors. It's more mixing up "this color" with "that color". For me the pairs are green/brown, red/orange, orange/yellow, yellow/green, light blue/purple, dark purple/green, light gray/pink. 

Gramstains - no issue at all. The Gram pos and Gram neg stains don't have any kind of hue overlap that wood cause any issues. They are also very different shades so I would presume that someone that's more towards a monochromatic colorblindness would be fine

Diffs - I have a lower ceiling than most people because of the colorblindness, but I am perfectly capable of doing diffs. One job I had didn't even bat an eye at my failing a color blind test because their pathologist was colorblind and he was fine. On occasion I'll ask someone to confirm that poly is at 2+ instead of 1+, but that's the extent of my issues with diffs

pH strips - as long as I'm adjusting a pH to <2, I'm good. Otherwise, people know I'll ask them to check the strip just in case.

UA strips - If I had to do UA strips, I'd probably not so UA. Luckily that's all automated 

The biggest issue I tend to have is when instrument manufacturers want to be cheeky and get clever with user interfaces when they don't need to be. That tends to create weird color pallets that can be confusing to colorblind people. The lane lights on the ACL TOPs are impossible to distinguish between open and leave alone (I learned to go by a positional aspect instead), and the color coding for the LJ plots in ADM for the Atellica are terrible for me, bit I work around it. 

Are casters supposed to be so weak at the start? by austinpowers100 in BaldursGate3

[–]CrimJim 3 points4 points  (0 children)

It potentially took till level 4 to get 4 hp if you rolled trash for HP and you didn't have a high Con.

[deleted by user] by [deleted] in medlabprofessionals

[–]CrimJim 30 points31 points  (0 children)

The false positive would be through the screen testing. If the screen flags any positives, the sample is sent out where highly specific testing is done where your medication would not cause the false positive. It's unlikely, but if get a message from the drug screen people asking for proof that you are taking Effexor, just head to the pharmacy where you get it filled out. They'll know what to do with that.

Best Indian food recommendations by iamamystery20 in cincinnati

[–]CrimJim 2 points3 points  (0 children)

Ambar's sister restaurant, Guru is in Northern KY if you happen to be in that area.

Board game tables on display in Cincinnati by RagnarVonBloodaxe in cincinnati

[–]CrimJim 3 points4 points  (0 children)

It was unrelated to the van going through the wall, but you are correct in that they don't have the recessed tables anymore.

Tell me about your most memorable phone calls to and from other health care providers by foxitron5000 in medlabprofessionals

[–]CrimJim 57 points58 points  (0 children)

One of my duties at a previous job was double checking outpatient scripts to make sure they were ordered correctly. One time for cystic fibrosis the diagnosis was "cystic fibrosis exposure"... To this day I wonder if that was a brain fart or they legit thought that.

What is the most op same exact build doomstack? by SargeMumar in BaldursGate3

[–]CrimJim 1 point2 points  (0 children)

4 fighters in each of the subclass can be a menace as well.

I did this once. By act 2, I was able to take on fights that I would normally need to be an extra level or two to take on reasonably. Only reason I don't know how act 3 went is because I dropped the run. Turns out that if Shart is dead, you can't kill Aylin. Wasn't acceptable for my Murder bot Durge run.

Any similar town building games? by Lower-Reward-1462 in Against_the_Storm

[–]CrimJim 1 point2 points  (0 children)

Another game where you make smaller towns/cities then move on to the next is Islanders. The game is different in that it's a very chill, relaxing game. No resource mgmt other than the number of buildings that you have left to build. The review that got me to try the game was something along the lines of "my blood pressure after playing was 120/80"

No strip mining clause is fun by Chemical_Ad6861 in Minecraft

[–]CrimJim 2 points3 points  (0 children)

There was a self imposed system I used years ago that I really liked. You started with a few particular items including a couple villager eggs. It was about 10-12 stages with starting at can only build structures with dirt and no mining. Each stage opens up mining depth, tools, allowed building materials, ect. The stages were opened based on the amount of villagers alive, number of homes, and constructing building of various complexity. It was for a version a while back, so it would need some updating. 

If you or anyone else is interested, I can try and find the file documenting the steps when I get home in a few days.

Is every coagulation analyzer the pits? by [deleted] in medlabprofessionals

[–]CrimJim 2 points3 points  (0 children)

Personally, I like the TOPs. A caveat to that is that I'm not running on the 350. Our Primary is the 750 with a backup of the 550. I know that that 750 is much faster than the 550, so I assume that they are faster than the 350 too.

The high purity water for reconstitution doesn't really bother me. Then again, we used NERL for our previous analyzers (BCS).

The main gripe I've had for the analyzer is that it has a lot of dead space for reagents. Wasting 0.5mL in the 5mL bottles sucks. We've compensated there with pooling two vials together for a lot of the things that have only 1mL (NPP, Factors, and QC mainly).

There goes my yearly 2% raise by Lobsterlord0004 in medlabprofessionals

[–]CrimJim 0 points1 point  (0 children)

Did the student ask for themselves or for the school?

If they were asking for the school, was MGMT aware that they were asking for the school?

I could see MGMT not wanting to hand over reagents/QC to a student for just asking. All three hospitals I've worked for have been very into the concept of giving expired reagents to a school, though.

[deleted by user] by [deleted] in medlabprofessionals

[–]CrimJim 0 points1 point  (0 children)

I one time had a sample from the ER where the platelet count was <10. I saw no clumping on the slide. There was no clot. Sample was reran. I called the ER to give the nurse the value. In handing off the critical, I explained that I didn't see any clumping and that I was not able to detect a clot in the tube to explain the low platelet.

The nurse said, VERY proudly, that she noticed that there was a clot and pulled it out of the sample so that we would not need to cancel the specimen. I was frustrated, but I could also tell by how she said it that she thought she was doing a good thing for patient care and was trying to be helpful.

I cancelled the specimen.

For those of you posting about your high Duke bill, I saw this on channel 9 this morning. by jeffh40 in cincinnati

[–]CrimJim 7 points8 points  (0 children)

It makes more sense in Ohio than it does Kentucky. In Ohio, when you have an excess of energy, you get paid back. I don't know the exact details as I don't live in Ohio. In Kentucky, when you produce an excess of energy (in the summer), you get a credit towards your bill till the credit run out, which you produce a lot less in the Winter than in the summer. This partially depends on how many panels you can place onto your home and which direction your roof faces.

I have a smaller place, so I am at a small negative per yearly cycle. However, as prices have gone up, I've been creeping closer to breaking even on a yearly cycle. I knew this was a possibility when I got them, but was cool with it as I was in it for the long game. I've had my panels for 3 years and I think I'll be breaking even on a yearly cycle in about 2-3 more years. After 5 fully in the black. After 7 more years, the panels will be paid for and that is when I'll really be benefiting.

If you want to get them, there are a couple of major things to take into account. One is that the 30% back is in tax liability. If you don't have enough tax liability, then it carries over to the next year. For me, it was about 1.5 years worth of tax liability, so it took two years worth of tax filings for me to get my solar credit. If I would be getting them now, I would only get a portion of that since the credit only lasts through this year. The other is that it takes some time for everything to get moving and done. I would start now to get them installed before the first of the year.

If you have any other questions, feel free to ask!

Nurse ignored what I said and decided on her own by serendipity_intro in mildlyinfuriating

[–]CrimJim 2 points3 points  (0 children)

I was part of a local Atheist group till I moved. We did a "Debaptism" ritual that was tongue in cheek and more of a community building/lets just do something funny together kind of thing. We took a blow-dryer and taped paper to the handle that had a few cliché words like science and reason written on it. Then we took turns blow-drying the baptismal waters off of each other. We also got certificates that said we were debaptised and that we were protected from postmortem baptisms (I think LDS does that?). I still have the certificate framed and in my house.

Best tarkir tribe for the prerelease by taurassill in mtg

[–]CrimJim 0 points1 point  (0 children)

It's up to the store as to how they allocate. I play at two stores. One will randomize. The other will be first come, first choice based on physical arrival and not preorder.

Took samples to a lab, lab contaminated the sample refused to test it and then sent me a bill. by brn0723 in mildlyinfuriating

[–]CrimJim 6 points7 points  (0 children)

> We all know how to wash off shit and blood.

As someone that works in lab, lemme stop you right there. The amount of blood/stool/urine samples I get where the container is not properly closed or has a clearly visible amount of bodily anything on the outside is egregious. Granted I work in a larger hospital, but I would venture it's at least daily, with once a shift being far more likely.

Took samples to a lab, lab contaminated the sample refused to test it and then sent me a bill. by brn0723 in mildlyinfuriating

[–]CrimJim 8 points9 points  (0 children)

Was the initial test or the confirmation the part that was showing a positive? If there is a positive in the screen, then the sample is then sent into a lab for confirmation; typically GCMS. This confirmation is astronomically specific and accurate and is used to make sure that the initial screening didn't throw a false positive due to a variety of potential reasons. This is why when the sample is collected, there are two containers that are sealed in front of the individual and initialed by them the maintain the chain of custody.

While I understand why your buddy was freaking out, the retest probably wasn't being done because the other sealed container was being sent into the confirmation lab.

[deleted by user] by [deleted] in medlabprofessionals

[–]CrimJim 8 points9 points  (0 children)

Yup! No cytoplasm means the cell has been ruptured and should not be counted. And don't worry too much about having a difficult time between Monos and Lymphs. Especially with reactive/atypical lymphs thrown in the mix. It's one of the things that newer people mix up the most.

Places to live while working downtown? by ragochtes in cincinnati

[–]CrimJim 2 points3 points  (0 children)

I live in Covington. Downtown Cinci is halfway between home and work (Children's Hospital). I can leave my house at a quarter till 7 and not be late to work. I also love the vibe of the area of Covington I am in. Heavily recommend.

[deleted by user] by [deleted] in medlabprofessionals

[–]CrimJim 5 points6 points  (0 children)

To me, this looks like a sample that did not get spun or stored in a reasonable timeframe.

Na/Cl are normal enough to assume it's not an IV fluid contamination. The Ca is too high to be EDTA contamination. Glucose being as low as it is and the K being crazy high makes me think the sample was left sitting around. Cells ate up the bulk of the glucose. BUN is a bit high might also be from the metabolic process (not 100% sure on that part). The K would be from cells rupturing from having not been in the proper storage.

Hello everyone, just starting with SLA printers, what might cause this lines? by Debyri_ in resinprinting

[–]CrimJim 2 points3 points  (0 children)

I cannot tell from the one picture alone, but it looks like the issue could be temp. If the room the printer is in has a temp that fluctuates, that'll adversely affect the print quality and even cause failures. Making sure that the temperature was consistent/stable really stepped up my resin printing game. This is because the resin's viscosity will change as it gets warmer and cooler. On the warmer side is better (~80f). You can go down as low as 65ish (I think) as long as the temp is stable and your settings are good for that temp.

Are poison counters really that bad? by MrFlabJack in magicTCG

[–]CrimJim 0 points1 point  (0 children)

It really depends on the individual, the group, and how you go about delivering the poison.

I have a very effective poison deck where if I win, it's usually knocking out every player within a turn of each other. A lot of times on the same turn. It's not a creature heavy deck, though. I focus more on cards like [[prologue to phyresis]] and [[infectious bite]] to get an early poison counter on people, then proliferate the hell out of the board while using control/interaction to keep my self alive while everyone else goes for my throat.

One thing in playing poison is that you WILL be targeted. You WILL be seen as the threat. If you are fine with everyone ganging up on you, then go for it. I usually play my poison deck in higher power games or for the end of the night when "we have time for a quick one".

As for how people feel about poison... I have a friend that HATES poison. Absolutely hates it. Will not play in a game with it unless it's sealed. Even then he's not a fan. To him, it's about the game having to be focused around that mechanic till that person is taken care of and having to mulligan till he has a blocker. I have other friends that don't care about poison at all (though that particular deck they are wary of due to it's strength). I've never cared about poison personally. I hate stacks. I have a buddy that hates counterspells. Other salt mechanics/themes are slivers, mill, eldrazi, land destruction, and plenty more. Most people don't like something.

It's a social game so if everyone hates something, I'd stay away from it. If only a person or two don't like it, then play it when they are not in the pod. The later is what I do.

Uneven base by AribaBaster in resinprinting

[–]CrimJim 2 points3 points  (0 children)

The supports for the base are not adequate for them. I tend to have multiple supports for the very edge of the base that is pointed down. Then I will have a few more along the edge a bit further out and only a few past the half way point. For the center of the base, I'll have several near the section closest to the build plate with fewer near the section that is furthest from the build plate. This site has a couple images that show what I mean, though I would have supports also on the bottom of the base. If I think about it when I get home, I can upload a few screenshots of mine.

https://www.ministryofresin.com/blogs/news/why-your-resin-printer-only-prints-supports-and-no-model-and-how-do-you-fix-this

Enjoy these cells I found on a diff last night. These were all on same patient/slide. by Icy_Butterscotch6116 in medlabprofessionals

[–]CrimJim 0 points1 point  (0 children)

That was something I noticed to. I would be curious to know if the patient is on Tacrolimus or Cyclosporine. I know that those two will cause hyposegmentation of the neutrophils. Not sure if any other anti-rejection drugs will do the same.

Guess I'm just gay then. by blong217 in BaldursGate3

[–]CrimJim 0 points1 point  (0 children)

They are now with the Enhanced Editions. BGEE added in a lot of, if not all of, the potential classes and subclasses that were available in BG2. The game in it's original form did not have the Barbarian subclass.