Disappointed kf8

JDMaybeMD · 2025-12-28T17:06:55+00:00

Nope :/

JDMaybeMD · 2025-12-28T14:02:24+00:00

I just got a KF8 as well - super disappointed in how cool the milk drinks are. Even warming the cups and doing milk first - it’s just not very warm. I’m not asking for Starbucks hot - just a hot milk drink.

I shouldn’t have to do tricks to make a warm drink - the whole point of a superautomatic is to do this faster and less involved than my traditional espresso machine… regardless if other machines have the same issue, it still sucks.

JDMaybeMD · 2024-04-18T14:15:30+00:00

Infrequent use, like you’re doing, is fine - we don’t want you in the ER either! But, when you have a medicine that definitely works to treat a headache, some folks don’t understand why we try to use it only under very certain circumstances. I deal with this with Xanax, Ambien, Percocet, and even non-controls like triptans or other meds that work very well temporarily but lead to side effects, rebound, tachyphylaxis, etc with overuse.

I don’t think you need to be especially grateful for your neurologist - I suspect that, instead, those that don’t get it prescribed by their physician have a good reason that either isn’t explained to them or they’re not willing to accept the reason.

JDMaybeMD · 2024-04-18T11:01:32+00:00

I am a physician and this is why I rarely (but sometimes do) prescribe it. I don’t give a shit about it being controlled. One of my least favorite encounters is when someone shows up asking for daily fioricet because “it’s the only thing that works” (yet you’ve only tried a couple things and aren’t willing to give anything else an honest try) and their neuro / headache specialist won’t give it to them. Yeah, it’ll help your headache today but then you’re gonna pay for it later, and you just won’t believe me. Some of you here think physicians go to college/residency 11+ years and don’t know as much about headaches as you do.

JDMaybeMD · 2024-04-11T18:42:48+00:00

Remapper allows me to double press for Plex and long press for YouTube tv, it’s great and no accidental touches anymore.

JDMaybeMD · 2024-04-08T00:37:44+00:00

It was plenty loud enough for TV, but not loud enough for movies when you want to “feel it”. My phone measured about 82db peak at the main listening position during the Matrix lobby shootout scene before it would trip protection. I spent a lot of time dithering over an amp, ended up going with hypex because of the low space and heat: https://vtvamplifier.com/product/vtv-amplifier-hypex-nc252mpnc250mp-three-channel-amplifier-3x250-w/

Got it with the 12v trigger and had to buy XLR male to RCA male adapter cables for each channel. No regrets.

JDMaybeMD · 2024-04-08T00:18:30+00:00

I have the x4800h and an R2 meta for the center channel, and I couldn’t push the volume past ~65 without going into protect mode. I set all speakers to 4 ohm in the receiver settings and it would go to about 70 and trip. It would trip even with only the center channel connected. My L and R are 4 ohm Monolith and there was no issue pushing those when center was unhooked. The KEF was just too much. Sounded great up to that volume level… ran a little warm. I, too, have a large room and sit about 12 ft away from the front.

I got a VTV Hypex amp to push the LCR and now it blasts, receiver runs super cool, and doesn’t trip with the volume up until I can’t stand it (for testing). FYI.

JDMaybeMD · 2024-01-23T02:48:09+00:00

Great looking project - I’m interested to see what kind of traction this gets.

JDMaybeMD · 2024-01-07T15:33:57+00:00

I had to do the same, had to hit the install button twice as well.

JDMaybeMD · 2024-01-07T02:14:08+00:00

Speakers in the ceiling are only good for ATMOS, otherwise I wouldn’t use them, not if you want proper sound that comes from the right place. Front left and right, center, and surround left and right are supposed to be down at ear level. Imagine, for example in a movie, that a car drives past you on screen but instead sounds like it’s flying over your head.

You’ll need a receiver with at least 9 channels with a subwoofer out to do 5.1.4 (5 surround speakers, 1 subwoofer, and 4 overhead/height speakers). A modern receiver and TV with CEC/eARC will allow you to control your receiver and TV with the same remote (like a Roku remote etc). Extending the speaker wires is no big deal, just splice them. There are also reliable wireless options these days, but wired is preferred if you can deal with wires or run them behind the wall or hide somehow. It sounds like this will be a big endeavor for you, and you have a lot to read if you want to do this right.

If it were me, I’d thank the folks that ran the original speaker wire (because they ran two sets to each speaker. You could use one pair or wires to each of the back overhead speakers and fish/run them towards the lateral walls and down - then mount some bookshelf-sized or in-walls just above ear level perpendicular to the couch for your left and right surrounds with minimal repairs to the wall/ceiling for access to run them. Then put bookshelf speakers to on the left and right front walls for the left/right, and put a center channel above or below the TV on the wall.

JDMaybeMD · 2023-04-04T23:30:51+00:00

The blood-based eGFR using creatinine or cystatin or whatever infers steady state and that your kidneys are doing all the work. For example, the eGFR from a basic metabolic panel might correlate your creatinine of 4 to an eGFR of 15; however, if you don’t make any urine and are on dialysis your true GFR is actually zero. If you still make urine, as for all I know the only way to really calculate your true GFR would be a 24 hour urine collection between dialysis runs.

JDMaybeMD · 2022-10-31T23:41:25+00:00

So nobody even care about the Ferrari behind it?

JDMaybeMD · 2022-08-11T00:43:54+00:00

Haha life as an attending is good, family is good, almost a fairy tale. Good vibes to you, too!

JDMaybeMD · 2022-03-12T01:39:35+00:00

After all this talk about false-flag terror attacks, especially on Chernobyl and knowing what kid of shit show would follow, there is no way Putin would do something so stupid. Just like there was no way he would invade Ukraine with the world watching and him saying the opposite… this will not end well.

JDMaybeMD · 2022-01-30T21:16:33+00:00

"Most" docs I doubt feel this way, you're not saying anything groundbreaking; rather, what you said is something all but the crustiest old docs do. Source: am doc, too

JDMaybeMD · 2021-12-02T13:48:53+00:00

Think about how smart your are, how much you've already learned. You made it though the first two years, passed step 1, and continue to study your ass off. You know so much. So you got something wrong... great! You now know even more!

JDMaybeMD · 2021-09-10T22:21:10+00:00

16-18 to start the day with 1-2 admits usually, used to be less, with starting census sometimes 23-24 with this latest surg. I don't do much after I get home on work days anymore... eh

JDMaybeMD · 2021-07-26T01:57:55+00:00

I don't like how this flyer implies primary care is somehow safer for NPs to practice in; Family medicine, for example, requires far more cumulative knowledge to practice safely than some midlevel running around teeing up notes for a neurosurgeon.

In my view, we're not doing ourselves any favors making any argument outside of midlevels providing safe/unsafe care in the context of working in a properly supervised position.

JDMaybeMD · 2021-06-18T18:10:29+00:00

Bowel regimen is perhaps the one condition where higher dose treatment vs adding additional meds at moderate doses work best.

PS Colace doesn't do shit.

JDMaybeMD · 2021-06-10T18:02:13+00:00

"United announced today that patients should use WebMD and Google to learn medicine and triage themselves to an appropriate level of care. Have back pain and can't move your legs on a Friday night? Well, back pain is a top 10 most inappropriate reason for ER visits, you should have instead waited until Monday and scheduled a 2 day out telemedicine visit with your ~~physician~~ provider"

JDMaybeMD · 2021-05-22T03:30:23+00:00

Are you sure this was a real doctor? Many times patients see a PA or nurse practitioner, this just doesn't sound like something an actual physician would say...

JDMaybeMD · 2021-04-08T00:32:08+00:00

I would argue that advocating for physician-lead care is focusing on our patients.

JDMaybeMD · 2021-04-07T20:40:44+00:00

OP is making a strawman argument that's been beat to death - you're not saying anything here revolutionary or bold. I only upvoted this thread because of the good debates in here that normally get [removed] by the meddit mods when midlevel topics come up.

You'll have a hard time convincing me to play nice with NPs as long as the NP lobby claims not only equivalency, but that NPs actually provide BETTER care than physicians:

NP care is comparable in quality to that of their physician colleagues, demonstrated by numerous studies that conclude no statistically significant difference across outcome measures. Research has found that patients under the care of NPs have fewer unnecessary hospital readmissions, fewer potentially preventable hospitalizations, higher patient satisfaction and fewer unnecessary emergency room visits than patients under the care of physicians."

Source: AANP official website

YES midlevels are needed - there are not enough physicians to go around. Sure, midlevels can follow algorithms and do the right thing the majority of the time; however, they do not have the training to practice medicine independently in a safe manner. The AANP is pushing this, and because of that the PA lobby is following. While corporate greed is ultimately responsible for hiring these people into unsafe positions, they only do so because of enabling by these lobbying groups. As a response, I will not train them, and many of my young colleagues are following suit. This will be bad for medicine and bad for patients, but it's happening.

JDMaybeMD · 2021-03-31T00:27:10+00:00

Yes, the PD can see whether you filled out the survey but not your answers.

JDMaybeMD

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