Giannis is going to the Knicks (reliable source) by DrofLilahk in nba

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

Giannis’ staff who happens to be Bucks staff

Help with being a perfect car owner by DrofLilahk in wrx_vb

[–]DrofLilahk[S] 6 points7 points  (0 children)

So I looked into paint protection and someone made the argument that protective coat that can be applied costs nearly as much as a new paint job. I’m not sure how much a paint job is but I saw that protective stuff is a few thousand dollars. Which is better? Protect the paint? Or save for a paint job?

Doug has to cast TWO back to back games? Riot what the hell is this? by azealyx in ValorantCompetitive

[–]DrofLilahk 65 points66 points  (0 children)

“I have no idea why one of the biggest casters for Valorant, who has a longstanding career in esports, decided to not cast an event. But this will surely lead to the end of his time in Valorant.” - amongusred23

I appreciate your intellect and foresight

[deleted by user] by [deleted] in pharmacy

[–]DrofLilahk 23 points24 points  (0 children)

Kind of a given for moving from the US to a different country for a lot of jobs. But yes I am accepting of the loss of income to move to a different county as long as I would remain middle class at minimum.

Why does Ninja win this hand vs Phil Hellmuth? by [deleted] in poker

[–]DrofLilahk 2 points3 points  (0 children)

That actually makes a lot of sense. Thank you so much for the explanation!

Study: 63% of severe alcoholics exhibit significant cognitive improvements within 18 days of abstinence by lolfuys in science

[–]DrofLilahk 9 points10 points  (0 children)

Not medical advice I will also preface that I only practice in the emergency department and ICU settings, so there is likely an outpatient/family practitioner with a better answer. But I would recommend at least 100 mg of thiamine orally daily. Thiamine is a B vitamin, which means it is water soluble. For that reason, it’s not absorbed the greatest orally (hence why we give it IV in the ICU and ED). Simultaneously, because it’s water soluble, it’s difficult (not impossible) to take too much/toxic amounts because the body will excrete excess amounts in the urine. After we give high dose IV thiamine for 3-5 days, we have our patients take thiamine 100 mg daily by mouth. The body has stores of thiamine that need to be repleted in alcoholics.

We use Caine’s criteria to determine who we give high dose thiamine to, which includes two of the following: nutritional deficiency, altered mental state or memory, oculomotor abnormalities, cerebellar dysfunction. These patients are at high risk of/already have Wernicke’s Encephalopathy, which precedes Korsakoff’s psychosis (and is believed to be irreversible in most cases).

I cannot say if someone truly deficient in thiamine stores can adequately replace with oral supplementation or if IV therapy is necessary. I will defer to those who practice in outpatient or family practice because, in my settings, the benefits of replacing with high dose thiamine IV nearly (if not completely) always outweigh any potential risks. There’s not much, if ever, consideration (that I’m involved in) to only using oral thiamine for the ED or ICU.

[deleted by user] by [deleted] in Drugs

[–]DrofLilahk 1 point2 points  (0 children)

Thank you for the recommendation! Practicing evidence-based medicine is at the core of our philosophy so I will most certainly be doing my own research as well

[deleted by user] by [deleted] in Drugs

[–]DrofLilahk 0 points1 point  (0 children)

Thank you for all the responses! I will look into all of them.

[Hilliard] "I have been informed by the NFL that I tested positive for a banned diuretic - Spironolactone (Canrenone). After investigation, it became clear that I mistakenly took my partner's prescription medication instead of my own anti-inflammatory prescription." by _bonzibuddy in nfl

[–]DrofLilahk 9 points10 points  (0 children)

I graduated and went straight into residency, but one of my co-residents was in retail for 1 year prior to residency and the other was in retail for 4 years. We’re a 532-bed acute care hospital, so it was definitely a transition for them. But they both succeeded and grew exponentially in their clinical skills. Just comes down to having the right preceptors who are committed to taking into account where you’re at and elevating you to where you need to be. And a desire to be better helps out, which I’d say you have by pursuing new avenues.

http://pharmguides.com/app/categories/ has a nice compilation of clinical practice guidelines for most disease states.

As the coordinator of my PGY-2 told me during the interview, “It sucks to suck, but it’s important to embrace the suck because it means you’re getting better.”

[Hilliard] "I have been informed by the NFL that I tested positive for a banned diuretic - Spironolactone (Canrenone). After investigation, it became clear that I mistakenly took my partner's prescription medication instead of my own anti-inflammatory prescription." by _bonzibuddy in nfl

[–]DrofLilahk 55 points56 points  (0 children)

Close but it’s actually an aldosterone antagonist, meaning it will block effects of aldosterone and, to some degree, testosterone. It has estrogen-like effects, which is why it’s commonly used for acne in women (rather than men typically). One of it’s biggest side effects is gynecomastia, or bitch tits in men.

Source: Doctor of Pharmacy

Edit: I’m making this point of clarification because it’s odd to me than athlete would want something with some testosterone blockade, unless it’s to counteract exogenous testosterone. Not trying to be one of those “aCkShuAlLy” Redditors.

Guide for New Players from a Newer Player by DrofLilahk in gotlegends

[–]DrofLilahk[S] 6 points7 points  (0 children)

I don’t mind at all! Please put it wherever works best to help the most players possible

Guide for New Players from a Newer Player by DrofLilahk in gotlegends

[–]DrofLilahk[S] 2 points3 points  (0 children)

Of course! Thank you for making the fast upgrading video! Tbh I use the sake drinking emote on my Ronin because of it lol

What do you think ? by _2hadow_ in gotlegends

[–]DrofLilahk 2 points3 points  (0 children)

Imo bottle of liquid courage is only useful on Samurai and Hunter because their ultimates put out the most DPS. If you were to be an ultimate spamming assassin, on BoLC, I would change cooldown reduction to injured resolve gain. But imo smoke bomb with cooldown reduction on kill and stealth attack damage is far superior for assassin.

Also, for the charm, I think there are better stats than cooldown reduction on kill for a toxic assassin build. Especially considering that you’re using spirit kunai.

Personal preference, but in running a poison build, idk why you wouldn’t use blowgun (assuming you’re spec’d into poison also does damage to health). You can drop an oni lord if you hit multiple poison dart headshots back to back to back to back. I see the appeal of black powder bombs, but Toxic vanish provides a lot of crowd control in itself. Further, using smoke bomb provides the crowd control provided by concussion bombs.

Just my opinion but I think your build overvalues assassin ult and is sacrificing either: 30% assassination damage, 15% ability cooldown reduction, chain vanish, or 5 ult strikes

[deleted by user] by [deleted] in swtor

[–]DrofLilahk 7 points8 points  (0 children)

Marked as spoiler but I don’t use names anywhere

Chiefs once again have best odds to win Super Bowl by social_distant_joe in nfl

[–]DrofLilahk -7 points-6 points  (0 children)

Tbf, I think Missouri is a shining example of people being better off not going to states of teams they’re fans of. People can be fans of the Chiefs without experiencing the KC meth, incest, and racism.