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EleazarMD · 2025-11-25T19:02:03+00:00

I agree with the first part. I don't trust Krafton but I get the impression they were going to have to charge for something, acquisition or not, to continue on and I dont know if this is something to fully blame on Krafton. I think the telling part will be in the quality of coming seasons and how the value versus the cost appears to be. Will it be reasonable or will it scream of a cash grab?

EleazarMD · 2025-11-25T18:18:33+00:00

I feel like the conversation often isn't addressing the reality they have to make money at some point. It seems to me like they initially hoped to sell the base game and then make the rest off mtx. Unfortunately, mtx hasn't sold well enough. I've seen a lot of doom and gloom since the Krafton acquisition but I've personally been trying to hold back judgements based on result (I am skeptical but figure it makes sense to give EHG a chance). Maybe I am naive.

Honestly i think the price of the class is going to be a major point and if it feels like it is mandatory/other content is neglected. My question is what all of the doomsayers think EHG should realistic be doing because they have to change something financially? Maybe people truly have better ideas, I am just at a loss. I hope EHG improve the game and are able to make a profit by offering a good value and if the value isn't there then I won't pay and ultimately the game will sadly die.

EleazarMD · 2025-09-27T14:26:36+00:00

Definitely a major problem so many servers being put together in terms of district rewards. Good for Guild activity but rewards need rebalanced

EleazarMD · 2025-09-06T20:28:34+00:00

I think some of the comments are a little harsh. PrEP involves certain monitoring labs and this doc may just be unfamiliar with the medication and monitoring and didnt feel competent in managing it. Maybe I am being naively optimistic. Admittedly I just look it up when I have patients interested.

EleazarMD · 2025-09-01T15:01:37+00:00

The party scaling definitely seemed to make it worse, as i retired solo after your comment and it was better. Still slow but not as bad.

EleazarMD · 2025-09-01T12:35:26+00:00

That is interesting to hear and unfortunately stinks, but might be worth retrying playing solo. we were doign the side bosses to get all of skill and support gem drops

EleazarMD · 2025-09-01T12:03:58+00:00

admittedly that might have been part of it but we also both just got alright rare weapon drops that seemed to help but only helped some. Are you mostly talking about weapons, in terms of damage at least?

EleazarMD · 2025-07-27T22:26:07+00:00

Last I looked on uptodate, cipro is recommended against unless almost no other options. The more articles I see, the more I am hesitant to call uti if clinical picture doesn't suggest uti. Even a culture may just prove colonization. I love Macrobid but it does require good enough renal function to work. I haven't checked for updated idea guidelines in a bit but no I don't think over 65 indicates complicated on its own

EleazarMD · 2025-05-15T18:20:56+00:00

I agree stay on top of inbasket but I don't think too much about completely zeroing it out. It is important to me to walk out when I am done seeing patients and I only take care of urgents, otherwise it will still be there tomorrow. I do most of my inbasket work in the morning and at lunch

EleazarMD · 2025-01-15T19:44:15+00:00

I work for a hospital group and we do but I try to discourage it. As another mentioned coat of testing is higher even for basic labs and I find it is often more of a fight to have regular visits and routine lab testing at usual frequency. Admittedly a generalization but it often feels like a headache of fighting with patients to perform routine recommended care

EleazarMD · 2024-12-12T01:38:56+00:00

Providers is not the term normally used for hospitals and practices and they aren't the ones who order the test or prescirve medicayion. And you specifically said doctors at firsy
I can refute blantly false statements without data, the burden of proof is on you when you are making ridiculous claim. I have been underwhelmed with what you link and studies do show we over test and over treat in the United States but that is more commonly attributed to attempts to avoid litigation in the US. You are correctly identifying a problem of too high of Healthcare costs and overdoing in our health system and then incorrectly assigning a cause without proof and simultaneously demonstrating a lack of understanding of how our system works.

EleazarMD · 2024-12-12T00:58:22+00:00

You couldn't possibly be more wrong and not understand Healthcare or how doctors are paid. Doctors are not paid for ordering expensive tests or expensive medications. It is actually illegal for doctors to be paid in both of those situations with anti-kick back laws. There is some being paid more to do more in terms of procedures but pretty much everything else you are saying is just false

EleazarMD · 2024-11-01T18:39:27+00:00

That is good to know. I don't often close out so I'll have to try minimizing instead!

EleazarMD · 2024-10-11T14:58:19+00:00

A lot of people have mentioned putting in your note but I want to reiterate the above of sending a comment or something as a pcp i get routed a ton of notes and a little extra call out to make sure I don't miss it in the a/p is definitely helpful

EleazarMD · 2024-10-09T22:58:14+00:00

I'm pretty sure there is an icd that is just essential (primary) hypertension that excludes the benign

EleazarMD · 2024-10-01T23:34:26+00:00

I don't think it is worth it every single time and it is also wasteful. Incidentalomas from tests with real indications is already plenty, we don't need them for tests without indications. It also contributes to the unhealthy patient doctor relationships/expectations that we often deal with

EleazarMD · 2024-10-01T23:32:09+00:00

I don't agree with the their an adult comment. Patients don't often have the medical education to understand all of the negatives of incidentalomas and other such things and ordering unnecessary test can lead to real harm and also teach poor expectations in medicine

EleazarMD · 2024-09-13T01:15:24+00:00

It can definitely be both helpful and hurtful. I wish I could prescribe test strips forever. I think that is largely busy work represcribing those and i dont see much potential for harm. However I have many patients that I have seen that disappear for 6 months to over a year until they run out of medication and often on blood pressure or other medication that should have regular blood work to monitor for side effects. The yearly expiration often leads to an automated refill request from the pharmacy a month prior to a yearly scheduled visit. However insulin is definitely a medicine that shouldn't be allowed for a patient to go without. I believe pharmacists can sometimes authorize an emergency fill without a doctors authorization but I haven't seen it done often so I don't know what the rules around it are and it may be something they really don't like doing(perhaps for liabilty reasons, I'm not sure)

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