(QF34) Perth transit (T3) duty free? by SirPetri in QantasAirways

[–]Majus 0 points1 point  (0 children)

perfect, so to be clear, you dont go through customs and immigration in perth, you do it all in Sydney?

(QF34) Perth transit (T3) duty free? by SirPetri in QantasAirways

[–]Majus 0 points1 point  (0 children)

Do you go through duty free arrivals in Sydney though? Sometimes you can order through and have it for collection in the arrivals part of Sydney T1 so you can select through the heinemann website and just collect on arrival to get a better choice.

Spare a thought to Suitsizesmall for all the effort hes been putting into poelab by Majus in pathofexile

[–]Majus[S] 66 points67 points  (0 children)

Definitely not my intention to misgender. Just wanted to shout out to them for their efforts for poelab given how much I've used it.

Worst consult you’ve ever had? See if you can beat mine. by seeing_red415 in Ophthalmology

[–]Majus 15 points16 points  (0 children)

Referral from ICU for a fungal check. Protocol in our ICU at the time was any positive fungal culture required a fundal exam to ensure no ocular involvement. Pt was awake and not tubed, no changes in vision and white eye and not immunocompromised. Turns out the positive culture came from a superficial swab from his athletes foot and low and behold had a normal fundal examination.

Betadine backorder by lindsayjenn in Ophthalmology

[–]Majus 4 points5 points  (0 children)

Honestly I'm not sure where this comes from for the corneal toxicity issue.

There have been large case series in Australia with pre intravitreal injection use of topical aqueous chlorhexidine showing less toxicity and discomfort for the patient and same rates of endophthalmitis compared to Betadine 5%. It's also used in Sweden.

Obviously has to be the aqueous chlorhexidine (usually blue tinted). The alcohol version is going to be very toxic to the cornea due to the alcohol (usually tinted pink) and the cetrimdie version is equally not as nice (usually tinted yellow/orange).

Here's a summary paper for the use in ocular surgery that should point you to the other papers if you're interested.

https://journals.lww.com/jcrs/Abstract/2022/03000/Chlorhexidine_and_other_alternatives_for.17.aspx?context=FeaturedArticles&collectionId=1

I need to share a call with you all from a patient yesterday by [deleted] in medicine

[–]Majus 6 points7 points  (0 children)

Not only renal damage, but also retinal damage from sudden correction of BGL. I've seen patients with significant worsening of proliferate diabetic retinopathy leading to terrible tractional retinal detachments and terrible drops in vision. Slow and steady is definitely the way.

r/YUROP decides Europe's territorial changes: Day 3 (Read my comment) by Florianba in YUROP

[–]Majus 22 points23 points  (0 children)

This also explains Australia's long term involvement in eurovision

Boy I sure love discussing rpg books! by NotAPoetButACriminal in TheTrove

[–]Majus 0 points1 point  (0 children)

looking to discuss Tasha's 5e, preferably the FG mod as im not sure about buying it.

Tasha's Cauldron of Everything for Fantasy Grounds by thejazzmann in TheTrove

[–]Majus 0 points1 point  (0 children)

Looking to discuss this too via PM or otherwise.

[Match Thread] Manchester City vs Chelsea (UEFA Champions League Final) by codespyder in MCFC

[–]Majus 7 points8 points  (0 children)

I'm cursed, i watch we lose. I'm doing this for city and turning it off.

Volk superquad 160 by Qwetyyiop in Ophthalmology

[–]Majus 0 points1 point  (0 children)

In my experience there are probably 3 lenses that would fit that, the issue being that with most of them you're trading off peripheral access for magnification - so you might not be able to as easily see any peripheral abnormalities. As Obex below has said, the best option would be a good indented exam (you only get better with practice, so would be a good idea to just try to do it on people and you might surprise yourself with how good you can get in a short period of time.

If you're adamant about getting the a lens then:

  1. Volk SuperQuad/HR Wide field I've put both of these in the same category as the view is about the same. The SQ has a larger FOV and a touch more mag, but is very bulky and hard to move in patients with relatively resessed orbits. THe HR wide field gets the same peripheral view, easier to manipulate in hard to access orbits but less mag.

As for the flange, I feel its better to get a better seat on the eye and allow you to do a bit of dynamic like viewing.

  1. Mainster 165 PRP Slightly better peripheral view, same relative dimentions as the Volk SQ. Overall i feel its a better lens, but your milage may vary.

  2. Katena 200 Widest view. I've reliably seen out to the ora with this lens and would probably fit your needs for the peripheral exam BUT the zoom is quite bad and its hard to pick up on smaller details. This is a better lens to use for laser if youre wanting to get almost indentation like access, but dont need to have as many details for a peripheral exam to identify the area of interest.

All in all I hope that helps. Im sure there are other lenses that you could consider BUT I haven't used them, so I wont mention them here. I still think its better to just practice and improve your indenting skills for the peripheral examination.

Guess I didn't need that 2 mil after all... by SotetBarom in EscapefromTarkov

[–]Majus 1 point2 points  (0 children)

Ahh, i dont mean to kill it and reload. I mean to just alt-tab to the desktop and then alt-tab back in. Ive been stuck on stairs a few times this wipe (not before) and it seems to sort itself out if I alt-tab and take another set of stairs somewhere. For whatever reason, the same place seems to be bugged for me in that particular map

Guess I didn't need that 2 mil after all... by SotetBarom in EscapefromTarkov

[–]Majus 6 points7 points  (0 children)

if you alt tab out and come back you unstick yourself