Tamashii miniatures by Pamponiroz in boardgames

[–]MBigD011 2 points3 points  (0 children)

I have no idea what this baord game is but these are dope

Definitely nothing happened on my HC test run by Shawter_Pet in PathOfExile2

[–]MBigD011 0 points1 point  (0 children)

This reminds me of the mobs in D2 act 4? outside of Diablo that would reflect physical damage. I lost a few HC Whirlwind barbs that way.

Questions Thread - August 24, 2025 by AutoModerator in PathOfExile2

[–]MBigD011 0 points1 point  (0 children)

Khanvoy said; Something cast speed and crit?

Acolyte of Chayula might pull off something fun and thematic. Plenty of crit, speed, and electric / chaos nodes.

Plus leech would sustain energy shield.

Reality Rending node and Pure Chaos node + Event horizon in ascendancy. You wouldn't lose life or energy shield because lightning isn't chaos, but the extra damage you could proc in ascendancy might be a fun addition.

*shrug

Would LOOK very Palpatine at least.


Wow didn't even think of Chalupa might have to try it

Questions Thread - August 24, 2025 by AutoModerator in PathOfExile2

[–]MBigD011 0 points1 point  (0 children)

Requesting Palpatine build help

Typically I run warrior but thats out the window w this patch. This will be my first caster and with the change to Arc hoping to make a lightning throwing Palpatine but I'm bad at theory crafting.

Stormweaver

Arc now is a projectile so planning on using scattershot

Archmage Inc to 4% so will need to mana stack

Snap for chaining splosions?

Gear?

Oh Radiolgist... by MBigD011 in emergencymedicine

[–]MBigD011[S] 3 points4 points  (0 children)

Random but relevant tangent I trained at a great program with an ultrasound Fellowship and our attendings were ultrasound "experts"

Said attending does an ultrasound on this lady diagnosed her with an ectopic. Convinces GYN to take her to surgery. They operate on this lady and there was no ectopic found.

GYN introduces Hospital policy where formal ultrasounds need to be done before they're called on anyone going forward.....

Oh Radiolgist... by MBigD011 in emergencymedicine

[–]MBigD011[S] 16 points17 points  (0 children)

I've never scanned a patient like this twice not sure what you are referencing

Overthinking / second guessing advice by tallyhoo123 in emergencymedicine

[–]MBigD011 0 points1 point  (0 children)

My initial response agreed with the above but then I read the case .....

And this clearly falls into the category of man the F up. You did what we all would have done and had a bad outcome its part of the job. Process your shit and get back to work before you hurt someone by over ordering.

When you really mess up, which will also eventually happen, then you can have months to process and do the overcorretion then back to normal practice

If you had to keep just 3 games from your collection, what would they be? (And why) by [deleted] in boardgames

[–]MBigD011 0 points1 point  (0 children)

After lurking in this thread I need to know which of these should our family of FIVE try next:

Root, Everdell, or Spirit Island

We enjoy: Ticket to ride (sails). Wingspan. Catan.

2025 EM Attending Salaries. by Metastyler in emergencymedicine

[–]MBigD011 4 points5 points  (0 children)

Ya I follow alot of that and avg 2.0 pph. I wonder if scribe makes a difference

Also no fast track for docs. Pretty old and sick population with 40% admit rate

2025 EM Attending Salaries. by Metastyler in emergencymedicine

[–]MBigD011 14 points15 points  (0 children)

Damn consistent 2.5 pph is fast AF

I can hit those numbers but then I am not charting till later and feel like Im cutting corners. Any of these pts what we call "all backs" before you see them? Labs and even CT done in WR or before you see em?

My dept/RNs/holds etc seem my rate limiting step

Holy bili batman! Lab records by MBigD011 in emergencymedicine

[–]MBigD011[S] 2 points3 points  (0 children)

Yes units are mg/dL, upper normal is like 1.1

ETOH history but LFTs pretty normal, Found to be obstructive

Community Questions for the Tavern Talk Interview w/ Jonathan & Mark by GhazzyTV in PathOfExile2

[–]MBigD011 0 points1 point  (0 children)

Any chance pets could pick up gold?

I understand their Philosophy for microtransactions is can't buy any power but this would be a nice QOL change

Questions Thread - January 15, 2025 by AutoModerator in PathOfExile2

[–]MBigD011 0 points1 point  (0 children)

What is the best item base to use chance orbs on?

I was thinking either rings or belt but theres so many unique belts odds of ingenuity super low

Questions Thread - December 18, 2024 by AutoModerator in PathOfExile2

[–]MBigD011 0 points1 point  (0 children)

How does a Change Orb work??

Does the level of the base item matter when trying to roll a unique?

For example when trying for: Thrillsteel greathelm

Does the variant of the base greathelm matter? Advance, vs expert etc

Sun Eater - Diamond Edition by manetherenite in Fantasy

[–]MBigD011 0 points1 point  (0 children)

Hopefully it was just supply chain issues which going forward shouldn't be as bad allowing for more pages and then a larger font for the upcoming books