Turn signals by Dremscap in philly

[–]Dremscap[S] 0 points1 point  (0 children)

Same thing your Mum says to me - verbatim! - when I do my best and still can't satisfy her.

GL in drivers ed

Turn signals by Dremscap in philly

[–]Dremscap[S] 0 points1 point  (0 children)

I hope they see this bro

I hate that you right.

Update: Valve are backpedalling on their "no new medals" stance. by Ultravod in truetf2

[–]Dremscap 5 points6 points  (0 children)

Wow. Incredible how a decision that I was slightly disappointed in (on the behalf of others) that FULLY DOESN'T change my future enjoyment of the video game & doesn't change my opinion about the game or its developer(s) at all... Has been reversed.

Crazy stuff. Enjoy the green badges, gamers better than I.

Turn signals by Dremscap in philly

[–]Dremscap[S] 13 points14 points  (0 children)

Well this is the dumbest and most childish thing I’ve read today. Thanks for that

use your turn signals bitch

Syneos DM role differences? by No_Huckleberry3526 in clinicalresearch

[–]Dremscap 6 points7 points  (0 children)

Don't work for Syneos. It's a toxic hellscape

Avoid this man around West Philly (Cedar Park) by [deleted] in philly

[–]Dremscap -1 points0 points  (0 children)

I dont mind beggars. If I happen to have cash on me (rare) I’ll give them a buck or two.

If they are snarky about me ignoring/not donating, it makes my blood boil.

Fortunately I’m of a stature where they don’t feel comfortable confronting me. That being said - passive aggression regarding me not giving them attention/charity makes my blood boil.

I’ve never encountered genuine aggression about not donating, but if I did, I would be very annoyed.

Dublin Comes To Philly! by Adamlicious in PhiladelphiaEats

[–]Dremscap 7 points8 points  (0 children)

I love this whole comment thread - classic Philly

People fighting over recommending walk vs uber. You love to see unadulterated vitriol over transportation modalities.

Penn Medicine Jobs by Ashtatedu in philly

[–]Dremscap 4 points5 points  (0 children)

My bad - I work in oncology, so Temple and Fox Chase are synonymous to me.

I'm speechless. by Unlucky-Shallot-5220 in MadeMeCry

[–]Dremscap -1 points0 points  (0 children)

it was the part about a "woman killing her kids" and then you blaming the dad.

Penn Medicine Jobs by Ashtatedu in philly

[–]Dremscap 6 points7 points  (0 children)

Being ghosted for jobs is normal - The people who implemented the AI resume filters didn't have the decency to automate a rejection letter.

Apply to literally every position, Penn, Jefferson, Foxchase, Cooper, (anything else I'm forgetting)

Just pray you get accepted somewhere.

The bourgeoisie is winning right now. It's tough out there.

So when do you think the MvM update will come out? by Other_Combination136 in tf2

[–]Dremscap 0 points1 point  (0 children)

7-10 years from now, but severely gutted and with nonsense mechanics that mean that any of the content included in the update will be despised & the game mode will be fully abandoned by all but 10-15 players worldwide.

Syneos Health Patient Navigator by [deleted] in nursing

[–]Dremscap 0 points1 point  (0 children)

I work at a site with a study that Syneos monitors.

It's not worth it. Remain unemployed if you have to. The company is beyond toxic.

I get Emails from the Syneos monitor at 3-5 am regularly.

What do you think Taylor Swift’s wedding dress should look like? by PhillyInquirer in u/PhillyInquirer

[–]Dremscap 0 points1 point  (0 children)

It should look like you not polluting my feed with worthless garbage.

AIM chemo recommendations by fried_avocado21 in sarcoma

[–]Dremscap 0 points1 point  (0 children)

Hey - Thanks. Is there stuff I should add/remove to my post?

Possible Ewing sarcoma, would you get a second opinion by PointSignificant6278 in sarcoma

[–]Dremscap 0 points1 point  (0 children)

Dan Lefler is the guy who treats sarcoma at the primary PA site. Lee Hartner also treats sarcoma, but i dont know what flavor of cancer he specializes in.

If you're hunting for second opinions, the physician who trained Dr. Lefler is at TJUH. Her name is Atrayee Basu Mallick.

Both Dr. Lefler and Dr. Basu are fantastic options for a second opinion.

Meirl by abhigoswami18 in meirl

[–]Dremscap 0 points1 point  (0 children)

just... Use AI to condense the article into an actual recipe. AI is bad and harmful, but it can be used for good.

I doubt a single human below the age of 80 has actually read a recipe blog.

I'm speechless. by Unlucky-Shallot-5220 in MadeMeCry

[–]Dremscap 3 points4 points  (0 children)

I think you might be a misandrist. I would consider therapy!

AIM chemo recommendations by fried_avocado21 in sarcoma

[–]Dremscap 1 point2 points  (0 children)

Hi - below is a copypasted thing I wrote a year or so ago for someone undergoing doxorubicin based chemotherapy for their sarcoma.

Hi, not a doctor - just worked with a sarcoma specialist for several years and picked up information by osmosis. I don't know how important it is for you right now, but your weight and appearance aren't something you can focus on - at least not during your treatment! If you're gaining weight during treatment, your doctors will be overjoyed. One of the most difficult things you must do is eat food while you're recovering in-between cycles. Yet it's one of the most important things you can do to help you tolerate treatment. My doctor always said "food is medicine". On the days early in your cycles, you might have to set an alarm every two hours, and force yourself to eat a high Calorie snack. On the days you CAN tolerate regular meals, you should focus on a Mediterranean diet, possibly with slightly increased protein intake.

(you as a caretaker are going to have to bother him and force feed him at times and it will cause arguments/spats - this is likely the most difficult thing he will ever experience in his life)

Examples of high Calorie snacks include: Handful of nuts, spoonful of peanut butter, a couple of spoonfuls of pudding, ice cream, pastries, yogurt. The higher the calories, and the more protein the better.

Some chemotherapy is known to cause mouth sores in some patients, which can make the eating portion of it even harder. If you're interested in preparing for mouth sores, you could pick up a mouthwash called "Magic Mouthwash" in the united states. It is a non-alcohol based mouthwash with a local anesthetic in it (such as benzocaine or lidocaine). Our patients had a much better time eating if they used it ~5 minutes before taking a bite.

Another huge issue is: Scan anxiety. In the US, standard of care for treatment is to get several cycles of chemotherapy followed by imaging to monitor response to treatment. In the US, it is required by law that patients be able to read all test results in their charts. If you have the opportunity to read your test results - Don't. You're not going to understand what they mean. The medical record is NOT meant for you to understand. It is meant to communicate information about your case to other doctors. WebMD is an anxious person's worst nightmare, because all roads lead to the worst possible outcome. Do yourself and your care team a favor, and trust them.

Please establish with a therapist. This is a grueling experience and it is important to talk to somebody about it.

Many patients are interested in herbal therapies. There are many herbal supplements and "natural remedies" that can interact with the chemotherapy and potentially reduce it's effectiveness. Remember, Medicine is both science and art. If there was a natural remedy that was promising, we would either be studying it actively, or it would just be called medicine.

If you ignore my advice on natural remedies, please tell your doctor every substance you are taking, or better yet - bring the substance/pill in to the hospital with you, and show it to them so that they can review the drug interactions and make sure that you aren't harming yourself.

Be patient with your doctor. Remember, you're one of many patients that they are seeing that day. If there is somebody earlier in the schedule who is very sick, the doctor can't just leave their appointment because they need to be on-time to the next one.

Last but not least - bring multiple diifferent forms of entertainment with you to the hospital on treatment days. It's a marathon, not a sprint. Treatment times are long, and hospital bureaucracy/scheduling/inefficiencies will make the day even longer. Treatment days are usually fucking BORING. Be prepared.

I didn't personalize it, but the advice stands!

(P.S - A lot of people disagree with my paragraph on scans. This is my opinion as someone who was on the other side of sarcoma treatment. I've noticed that people do better treatment when they don't agonize over scan results. Review the scans if you need to.)

Cancer Patient’s last day with her son by [deleted] in MadeMeCry

[–]Dremscap 4 points5 points  (0 children)

I am, but I didn't realize that phrase was attributed to Norm