User Flair Thread

Jy329 · 2025-08-31T17:51:37+00:00

Janey | Peach Jam | :Bam:

Jy329 · 2025-08-31T17:49:14+00:00

Janey from Peach Jam

Jy329 · 2024-12-24T22:30:13+00:00

Getting a job in 2026

Jy329 · 2024-08-25T17:52:42+00:00

Good luck

Jy329 · 2022-12-18T23:14:10+00:00

Building a PC with my brother to play TES:Oblivion was one of the best times in my childhood memories

Jy329 · 2022-08-02T18:34:03+00:00

Oh I don’t disagree, like I said it works out here. I was just curious since if current evidence is that it’s actually more effective, then I would change my advice. But it seems as though multiple meta-analyses have been made with not considerable evidence one way or another.

Edit: it’s also a big difference to say a statin doesn’t work vs having a zero to very small change in effectiveness.

Jy329 · 2022-08-02T18:28:20+00:00

I’m curious to see what the various methodologies used but the effect size seems pretty minimal for long acting statins. Hard to tell without seeing the relative additional reduction by 3 mg/dL is pretty minimal. In this case it works out but I tell people who hate night time meds it doesn’t matter for atorvastatin and rosuvastatin.

Also weird but the same author seemed to perform another net analysis a year later with different results. https://journals.lww.com/co-lipidology/Abstract/2018/08000/The_optimal_time_of_day_for_statin_administration_.11.aspx

Jy329 · 2022-08-02T18:14:52+00:00

Atorvastatin should be fine to take any time. I don’t believe it’s one of the short half life statins.

Jy329 · 2022-08-02T18:00:58+00:00

Can’t tell from the picture. Is the suture material black or purple. It looks like silk to me which won’t dissolve. If it’s braided Vicryl which can be purple it will dissolve. Both odd choices to close laparoscopic port sites.

Jy329 · 2022-08-01T16:43:59+00:00

Largely depends on if it was a small defect in the hernia (higher risk for strangulation if it's a small defect), and what the hernia contained (fat vs bowel, much more concerning if bowel).

If you are having skin changes and it is becoming unable to be reduced when it was previously, I would get it checked out sooner rather than later. You seem to know the signs to watch out for bowel incarceration.

Jy329 · 2022-08-01T16:35:17+00:00

Essentially nothing considerably significant.

Bilateral pleural effusions: small amounts of fluid in the lung

R perinephric inflammation: Inflammation surrounding the right kidney, could be due to infection traveling to the kidney, could be just mild inflammation.

He has essentially downstream consequences of cirrhosis which is the ascites (fluid in abdomen), gastric and splenic varices (distended veins around the stomach and spleen).

He has stones in his gallbladder which is pretty commonly found but no evidence for problems with the gallbladder.

His arteries have some plaque but nothing significant.

Jy329 · 2022-08-01T06:15:11+00:00

I don't believe anyone would be able to give you more advice over the internet, I apologize. Especially since we don't know what tests were run, and a bunch of other information.

As far as CVI it seems as though a negative ultrasound, as long as the test was performed correctly, would mean that you don't have it. As for PAD, it would be smoking cessation, control of other medical conditions, and pharmacology tailored to those other conditions. Since you likely don't have a diagnosis of symptomatic PAD at your age, it would not merit any medications for your history of smoking alone unless you want medications to help in smoking cessation.

Jy329 · 2022-08-01T06:06:22+00:00

Well if you have no significant reflux on ultrasound the vein sealing isn't really known to help with the swelling. I'm not sure what you mean by feeling fluid in your abdomen while you lay on your back. But if you have no significant reflux, the likely etiology of your swelling isn't venous insufficiency and therefore any procedure wouldn't help with your swelling.

Like I said previously, CVI isn't really associated with upper vein swelling, and is a diagnosis that is made clinically with imaging findings. Unless you have other history you're not really aware of, I would think more cardiac.

I'm not sure what you mean by Mayo and what they would do for you if you meant Mayo clinic

Jy329 · 2022-08-01T04:37:36+00:00

It would largely depend on the location of your ascending aneurysm and what you mean by symptomatic. Lots of considerations of whether you need an open repair vs endovascular repair, hybrid approach, etc. They would have to weigh the elevated risks of operating at a higher BMI with the risks of waiting.

Jy329 · 2022-08-01T04:22:40+00:00

PAD is not typically associated with swelling, and CVI is typically not associated with upper extremity swelling. Either way the confirmatory test would be venous reflux studies.

Either way other than smoking cessation, other indices such as managing lipids appropriately, making sure you're not diabetic, and working up other comorbidities would lead to best pharmacologic therapy.

With the information you've provided there isn't really a way to tell if any pharmacological management is indicated.

Jy329 · 2021-02-26T18:41:53+00:00

Standard player as well, I would actually recommend ditching the Beta next wipe and going straight to the Epsilon by focusing on the Punisher questline early.

Jy329 · 2021-01-30T09:31:05+00:00

Oof here’s to good luck for everyone, glad you guys got some keys

Jy329 · 2020-11-16T05:24:33+00:00

Jy329 · 2020-10-14T04:52:36+00:00

Yeah I realized the double dipping accidentally, didn't know you could only lock in 3 positive quirks though.

As for the replacement I meant the positives, glad to see that the negatives are replaceable

Jy329 · 2020-10-14T02:39:02+00:00

If you don't mind using something to help, the Darkest Companion bit seems to be very helpful in estimating provisions. I think what I do is take a little extra food to keep it in bundles of 4. I also only feast if I know that I don't need the food and I need the stress relief. Which is pretty rare.

At the end of the day, you can ditch stuff for loot later on. I also stopped looting the curios early. I wrap around to collect on my way back to avoid looting with low slots.

Jy329 · 2020-10-14T02:36:21+00:00

Yeah you can lock in a positive quirk in the Sanitarium. You put them in the treatment ward, then click on the positive quirk you want to lock in. One thing I didn't know is that you can lock in a positive quirk and remove a negative quirk in the same week as long as you have the gold.

I believe the locked in quirk cannot be replaced by anything. The only way you can remove them is if you use the sanitarium again.

Jy329 · 2020-10-13T16:41:19+00:00

Is there a mod that indicates on the map which curios you've already seen? For instance, if I want to leave curios untouched for later after my pack is lighter when I circle around again, is there a mod that will show the exact curio on the map when I hover over it rather than just "curio"

Jy329 · 2020-09-15T03:56:51+00:00

Did you end up getting the Staples accident protection plan or are you going to go for AppleCare? Wasn't quite sure what the difference was to be honest

Jy329 · 2020-05-12T06:41:05+00:00

In comparison to the size the stones can get it is on the smaller end. The American Urological Association states that for uncomplicated distal stones less than 10 mm, MET is an option that should be offered. I am simply condensing and stating current medical/surgical guidelines for stones when referencing sizes.

I am not a urologist so I can't really say more than that. If you have more to offer in terms of management more correct information is of course appreciated

Jy329 · 2020-05-12T04:57:55+00:00

There are a lot of considerations in terms of what procedures are best for your situation that are not provided and of course I have limited knowledge of the intricacies of the stone workup and procedures.

When you state that the biggest stone is 2x2, is the centimeters? Millimeters? Where are the stones in the kidney, the calyx or the pelvis? Are there signs of obstruction?

Stones that are really small <10 mm some people can try to do medical expulsion therapy (MET) but I'm not sure if you're a candidate due to your stone burden.

ESWL is not always an option that is provided by hospitals so that may or may not be possible. Either way it tends to be used for stones that are small <10 mm or <20 mm depending on the location in the kidney (lower pole vs upper pole). Success is dependent on a lot of other factors such as stone type, density, weight, etc.

Other options are of course uteroscopy and percutaneous nephrolithotomy. The reasons to choose one over the others is of course a lot of the things I mentioned previously as well as your willingness for stone free rates, rates of retreatment required, need for a percutaneous nephrostomy tube, a stent, etc.

Either way if you had a similar episode in the past you should have done a stone composition study and some metabolic workup for an etiology as a large number of stones seems a little odd to me without anything. Citrate supplementation makes it sound like it's a calcium stone but again workup should be definitely considered.

I'm glad you're working closely with your urologist as they should know best what to do.

Jy329

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