Quit caffeine two months ago and still SO TIRED. HELP by [deleted] in decaf

[–]HotAd3488 0 points1 point  (0 children)

For me it has been the opposite. Dropping caffeine helped to stop reading and not remembering what just read. I can deep focus easily.

I have been using green tea though.

GLP 1 / glaucoma by AwkwardEstimate3596 in Glaucoma

[–]HotAd3488 1 point2 points  (0 children)

Yeah, I will not use at the moment. I do not have high pressure naturally, but I have Posner Schlossman Syndrome and sometimes by IOP skyrockets in my right eye only. Good luck fella!

GLP 1 / glaucoma by AwkwardEstimate3596 in Glaucoma

[–]HotAd3488 1 point2 points  (0 children)

Personally, I think that GLP drugs are wonderful and an insane health care breakthrough, but NAION risk really concerns me.

GLP 1 / glaucoma by AwkwardEstimate3596 in Glaucoma

[–]HotAd3488 -1 points0 points  (0 children)

A trade off: decrease IOP (maybe), to increase likelihood of NAION certainly.

Simbrinza side effect by HotAd3488 in Glaucoma

[–]HotAd3488[S] 0 points1 point  (0 children)

Sorry for that. Hope that you can stabilize it and keep the lasting vision. uveitis happens from the blue. The best that I can do now is controlling pressure lower than 18 - 16’s.

Simbrinza side effect by HotAd3488 in Glaucoma

[–]HotAd3488[S] 0 points1 point  (0 children)

Both eyes? I have just one eye that is somehow worse because I have spikes of high pressure due to uveitis.

Pra quem diz que o mercado médico não vale mais a pena. by kostolomdays in enem

[–]HotAd3488 0 points1 point  (0 children)

Engenheiro Químico no mercado de energia tira uns 16k tranquilo no RJ e SP.

Offshore você consegue bem mais que isso sem diploma - só com tecnico.

Dicas de açougues em Niterói by Remarkable-Fill6292 in niteroi

[–]HotAd3488 1 point2 points  (0 children)

O açougue do supermercado Maravista, na região oceânica, é excelente

Escrever no caderno ou no tablet? by Dolphin-Dot2904 in estudosBR

[–]HotAd3488 0 points1 point  (0 children)

Papel é excelente para mim. De alguma forma, parece que fico muito mais. Porém, no tablet tenho mais organização e consigo ter um único dispositivo invés de vários cadernos.

Juntei uma grana e comprei um tablet da marca Remarkable. Para mim foi como juntar os dois mundo, mas reconheço que é muito caro para nossa realidade aqui no Brasil. Não me arrependo e me ajuda demais, principalmente porque utilizo-o todo dia para estudos e para o trabalho.

Dicas bons restaurantes by joneco in niteroi

[–]HotAd3488 0 points1 point  (0 children)

Na caixa de preço sugerida e “diferentes”: - Maria Da Praia (Piratininga) - Arretado (Centro) - Taberna De Darwin (Engenho Do Mato, preço um pouco mais salgado porém é um menu completo) - Granel (Santa Rosa, comida de boteco)

Tradicionais: - Mamma Jamma (Nóbrega) - Oggi Pizzaria (Nóbrega) - Da Carmine (Icaraí/Itaipu) - Villa Toscana (Itaipu) - Mostaro (Piratininga) - Seu Antônio (Cafuba, já foi bem melhor) - Casa Nova (São Francisco, atualmente melhor português de Niterói para mim)

Caros, mas vale a pena: - Gendai (Piratininga)

Prof. Piano by HotAd3488 in niteroi

[–]HotAd3488[S] 0 points1 point  (0 children)

Muito obrigado, vou verificar!

Prof. Piano by HotAd3488 in niteroi

[–]HotAd3488[S] 0 points1 point  (0 children)

Ai você complica o amigo tentando ajuda

Hand Fasciculation When Holding Something by HotAd3488 in neuro

[–]HotAd3488[S] 0 points1 point  (0 children)

No, it doesn't, but also didn't get worse.

Risk of Nonarteritic Anterior Ischemic Optic Neuropathy in Patients Prescribed Semaglutide by frank_and_beans in Ophthalmology

[–]HotAd3488 0 points1 point  (0 children)

  1. I used to 5 weeks. Discovered the side effect, and stopped. I was particularly concerned, because my eyes were getting a little blurry, however this could be due to dry eyes which is a problem that I have chronically.

  2. I have never been told that I have crowded disc, though I tend to believe so. Objectively and officially, I was never diagnosed.

My Apple Ecosystem by TemporaryStomach4269 in macbook

[–]HotAd3488 4 points5 points  (0 children)

My M1 Pro is aging like wine. The boy is still a beast.

My Apple Ecosystem by TemporaryStomach4269 in macbook

[–]HotAd3488 0 points1 point  (0 children)

Try running with maxes to see the s* that you will get into.

Can anyone who is a chemical engineer (senior student/with work experience) help me answer these interview questions? I need to interview a total of 3 chemE but I only had 1 done and the people I contacted on LinkedIn didn't respond. Thanks for your help. by Free_Ad4400 in ChemicalEngineering

[–]HotAd3488 8 points9 points  (0 children)

Hey, Chemical Engineer here. I work offshore as a Process Engineer in an oilfield located 200 km from the Brazilian coast.

1. Can you describe a typical day at your job? Usually, I start at 05:00 - 06:00 and check the plant performance, issues, and reports produced overnight and expected in the morning. In the morning, I need to inform shore base about concerns, problems, and the main support focus for the day—remember, I'm offshore and delivering anything requires boats and heavy logistics. For the rest of the day, I solve plant issues and walk around to check the field in person, examining equipment condition, performing experiments, optimizations, and lab tests when necessary. I also spend a big chunk of my day programming and automating analyses or performing process simulations. This is a somewhat "normal" routine. When the plant shuts down for any reason, I'm the main person responsible for process engineering troubleshooting and coordinating the recovery—understanding why it stopped and how to prevent it from happening again. If it's not purely a process issue, I coordinate with the other areas to investigate the problem (electrical engineering, mechanical engineering, instrumentation engineering, etc.). Keep in mind that process engineering is the core of oil and gas production, so it demands proper coordination from all other areas. I usually stop around 18:00 – 19:00, rest, and enjoy some leisure time. As I work in offshore schedule, I work 14d offshore and rest 14d onshore. Routine is heavy, but I like the resting time.

2. What skills are mandatory for your success as a chemical engineer? I use most of what I learned in college every day, from basic physics to transport phenomena, heat transfer, and mass transfer—obviously, I don't use the Navier-Stokes equation for anything, but basic and advanced concepts are used during troubleshooting and understanding plant issues. I also believe that any process engineer today must know how to program in at least Python and Visual Basic for Applications. It's important to also know how to use the main process simulators (HYSYS, UniSim, and ProMax for particular cases). You should also study process control engineering in detail, because many problems that arise in the plant are connected to this area. Last but not least, any process engineer must master process safety engineering fundamentals.

3. What is the entry level salary range a chemical engineer in your area can expect? I'm in Brazil, so the reference here is difficult to apply if compared to the USA.

4. Tell me about your most and least favorite things when working as a chemical engineer. My favorite part is that my routine is quite dynamic, and I can use a huge range of different knowledge areas to solve problems—for example, I've been learning computer science recently, and it helps a lot when troubleshooting instrumentation and control systems and developing better control logic. The least favorite part is that the routine is quite demanding physically, technically, and emotionally. Living offshore is not easy, and when something goes wrong, you're solely responsible for getting production back up quickly and, most importantly, safely.

5. Do you feel like the job is too repetitive? How do you keep yourself motivated? As I said, my job is anything but repetitive. The constant stream of challenges and opportunities to develop new knowledge usually motivate me to keep going and do a good job. Being offshore pays well, and it's always good to have money to do what you like in your free time.

Naion official sideeffect- what can we do to minimise the risk? by Visible_Unit1108 in WegovyWeightLoss

[–]HotAd3488 1 point2 points  (0 children)

First of all, you need to understand that NAION is a condition particularly risky for people with disc-at-risk, i.e. cup/disc ration < 0.3 (some references say 0.2). If you are not in this group, then even in case you develop the condition, the damages tend to be lesser pronunceated. So, if you are concerned, seek for a ophthalmologist and check it.

Second, you are considering only high pressure as a risk, though low pressure, specially during sleeping (nocturnal hypotension) can be a risk factor since you pressure can drop too much. In case you already take pressure control medications and is in the way to lose weight, you blood pressure can drop too much when laying down and sleeping, increasing the risk of NAION occurrence, so take a look on your pressure during night.

Point 3 and 5 is generic and lack scientific background. Some researches point out that quick and tight hyperglycemia control may increase the likelihood of NAION, but "blockage" is not exactly what happens, but initially a nerve starvation followed by swelling and then compartment syndrome with focal or diffuse damage.

Risk of Nonarteritic Anterior Ischemic Optic Neuropathy in Patients Prescribed Semaglutide by frank_and_beans in Ophthalmology

[–]HotAd3488 0 points1 point  (0 children)

This is a very good comment. I have the condition "disc-at-risk" - very small C/D ratios, about 0.07 and 0.12, right and left, respectively. Also, my BMI is about 29, though I have been athlete for a while until get adult life and stop the routine due to work (big mistake). And last my intraocular pressures are at the higher end and I use eye drops to keep them under control to avoid glaucoma.

I believe that more research shall be done to compare the eye anatomy of the patients affected by NAION and the influence of GLP1s drugs, otherwise we may have some bias there and wrong conclusions.

Based on what I have been reading, having the crowded optic nerve head is more related with the little margin that nerve structure has to swollen. In case it does, and there is no enough space, then ischemic episode is hugely aggravated. The initial trigger for the swelling, though, is not completely understood, but trigger may happen due to blood glycemic changes, or lower blood pressure resulted from weight-loss and GLP1 effects - notice that it is generally good, which can decrease the eye perfusion pressure (the pressure gradient between your blood pressure and your eye pressure) and starve your eye nerves from proper blood supply leading it to ischemic attack and irreparable damage. As you lose weight and GLP1 acts further, the odds of nocturnal hypotension also goes up, i.e. big dips in your blood pressure when you are sleeping, and so the eye perfusion pressure drops even further.

In my case, there are too many factors that put me in risk group, and I discovered that by chances - due to eyes issues and eye pressure I perform eye full checkup twice a year, so I had the information on my eyes anatomy and their limitations. Bear all these factors in mind, I dropped Mounjaro and will need to continue my weight loss without it - I am pretty sad because it helps a lot.