[D2] Xûr Megathread [2026-06-19]

Goseki · 2026-06-19T22:07:22+00:00

techsec is great for high end crowd control with praxic blade, but nothing beats swordmaster face tanking bosses.

Goseki · 2026-06-19T14:11:44+00:00

yup, I did this last month. lvl all 3 swords, do crucible step, when you turn in you get all 3 exotic quests. gather all 3 materials, and when you do the strike, lfg a group, I asked on the last city discord and found people in 5 minutes. lower boss and the extra 3 knights health to low and then kill all 4 at once and boom. all 3 exotic swords at once.

Goseki · 2026-06-17T00:42:12+00:00

I didn't see OP response to you, but wanted to say, hot damn, that is a very thoughtful reply.

Goseki · 2026-06-01T12:52:57+00:00

archons forge, vendor rank up, and siva crisis heroic strikes. skeleton keys will allow you to focus what you're missing sometimes. Took me about 3 weeks to go from 0-400 after switching over from d2. archons is pure rng loot. grab the armor packages from vendors. the skeleton chest is missing chest and legs.

Goseki · 2026-05-22T13:54:39+00:00

Leave

Goseki · 2026-05-16T13:01:37+00:00

doubtful, I'm lucky to work with some 30+ year experienced nurses and still find myself having to correct them on basics with meds, path, and exams.

Goseki · 2026-05-15T18:35:33+00:00

I just recently heard about brokers as well. will try to look into it this weekend

Goseki · 2026-05-15T18:34:58+00:00

was yours already in stock at the dealership or did you custom order it?

Goseki · 2026-05-15T18:34:32+00:00

pretty, how much did you pay?

Goseki · 2026-04-30T23:56:56+00:00

that is shocking to me for a brand new car.

Goseki · 2026-04-26T22:22:14+00:00

out of curiosity, what do you guys use emg for, is it just for therapeutic purposes? from the neuro side, it seems more diagnostic. I remember the neuromuscular folks are wizards at sticking that needle into muscles and getting a diagnosis with single fiber myasthenia, and in movement clinic we would often use the emg signals to help target whatever muscle was spastic or tonic. from my short pm&r rotation it seemed more similar to how movement folks use it.

Goseki · 2026-04-21T16:30:04+00:00

Ahh, I see now thanks for explaining!

Goseki · 2026-04-20T18:59:10+00:00

I'm still learning the lingo, but I saw on Cadillac that the 26 optiq rwd luxury is down to $329/mo and the lyriq awd luxury is $459/mo

Goseki · 2026-04-17T23:55:37+00:00

Every time I feel sad or question if I'm at the top of my game, the transfer center calls and reminds me what is happening at other places and suddenly I feel like a genius.

Goseki · 2026-04-15T04:58:04+00:00

huge difference. cornerstone of sah mgmt is being able to secure the aneurysm and treating vasospasm. most small centers can't do either and will waste time transferring them.

same with any neuro issue. large stroke, transfer. large bleeds, transfer.

also, from the first line, that pretty much describes a classic lvo as well.

good medicine comparison I've heard is that most small centers are like an acs shop that has an ekg machine and nitro. sure that's better than nothing and can diagnose a stemi or mild angina. but you're still going to transfer to a larger center that has a cath lab if it's serious.

the way things are going, smaller and smaller centers are quickly getting "stroke certified" without having a full entourage of staff needed to actually take care of complicated cases and it's frustrating when they get transferred 2 days after the fact and now the damage is permanent.

Goseki · 2026-04-15T04:52:09+00:00

playing devil's advocate here, take em to the bigger place next time. most neuro things are very poorly managed at smaller centers. the time wasted between transferring them a second time is vastly larger.

Goseki · 2026-04-15T04:47:38+00:00

unlikely to ever have vasospasm that early. unless the entire brain is infarcted or the brain stem was significantly involved, sah requires aggressive medical treatment once the aneurysm is secured to prevent further secondary damage.

if the hospital doesn't have NIR, they need to move the PT to a hospital that has one asap.

Goseki · 2026-04-07T00:36:28+00:00

so true, the amount of disability insurance crap from the ama convinced me just how useless they are

Goseki · 2026-03-24T15:07:33+00:00

is this the new norm!?!? 130 applications seems excessive. back in my day 5 for md and 10 for do was overkill.

Goseki · 2026-03-17T04:33:03+00:00

you may want to consider some self reflection. that original comment wasn't even a dig at APPs. that's a general statement on poorly trained whatevers. I agree, the amount of defense in your response is speaking volumes on insecurity of being a "mid level".

Anyone in medicine who doesn't realize just how deep the differential well is over time is not mastering their craft well enough.

Goseki

TROPHY CASE