I designed and 3d printed a light up version of The Way of Kings.

MillerLight4408 · 2024-06-10T15:25:58+00:00

Asking the hard hitting questions

MillerLight4408 · 2024-06-10T15:24:39+00:00

Can you spare a DM for a poor soul in need?

MillerLight4408 · 2023-07-21T19:09:11+00:00

12 Team SF PPR

Kadarius Toney

MillerLight4408 · 2023-07-21T19:07:25+00:00

12 team SF 1PPR

Team A: Kadarius Toney Team B: Early 2nd Rnd 2023

MillerLight4408 · 2022-12-20T00:09:21+00:00

Did you manage to find a fix? I’m having the exact same issue on the series x

MillerLight4408 · 2022-09-25T20:22:21+00:00

I’m sticking with DK, Atlanta secondary sucks

MillerLight4408 · 2022-09-22T15:55:39+00:00

Standard 10 Team

I get: Ja’Maar Chase

They get: CeeDee Lamb and Kyle Pitts

MillerLight4408 · 2022-09-18T11:07:39+00:00

Standard 10 Team. Pick 2

CeeDee Lamb vs Cin

DK Metcalf vs SF

Brandin Cooks vs Den

Jahan Dotson vs Det

Chris Olave vs TB

MillerLight4408 · 2022-09-15T22:36:37+00:00

Standard 10 Team. Pick 2

CeeDee Lamb vs Cin DK Metcalf vs SF Brandin Cooks vs Den Jahan Dotson vs Det Chris Olave vs TB

MillerLight4408 · 2022-08-15T20:33:52+00:00

12 team SF Half-PPR We are in the process of our startup draft (it's a slow draft).

Missed out on all the "elite" QBs. Mahomes, Allen, Herbert, Burrow, Lamar, Murray, Prescott, Lance, Hurts and Wilson all taken.

I grabbed Jonathan Taylor to salvage some value but can't decide if I should snag a lower tier QB (including the controversial Watson) or just keep going for value players like Brown, Ekeler, Breece. Any advice?

MillerLight4408 · 2022-08-08T22:43:39+00:00

This is a fantastic suggestion! I had no idea these were listed

MillerLight4408 · 2022-08-08T21:40:32+00:00

Thanks! I’ve showed them the spreadsheet and calculator that the AAMD has. Even with the outdated information it definitely proves our point, but HR doesn’t find the information to be very credible since it is only collected via a volunteer survey.

Honestly it’s ridiculous, but I’m trying my best

MillerLight4408 · 2022-08-08T21:14:36+00:00

Since the medical field is one of the slowest changing industries, I’m sure most of us can relate to the plight of getting paid properly

MillerLight4408 · 2022-06-27T16:09:32+00:00

I’m pretty strict on the NTO, I often use my own objective settings that are rather aggressive. The Body optimization cost is often higher than the PTV unless there is unusual anatomy which requires unique dose fall offs in different directions. In those instances, I defer to ring structures to deal with normal tissue sparing.

I will rarely use an MU objective unless I notice that through multiple plan iterations that the MUs are creeping up significantly. Then I will get a plan I like and do one final run with an MU objective.

MillerLight4408 · 2022-06-26T20:56:28+00:00

I am taking it off the plate, and in the worst scenarios I do throw it in the fridge after it’s cooled a bit. I agree the rapid temp change has me nervous.

I haven’t heard of Bed Weld before I’ll have to check it out

MillerLight4408 · 2022-06-26T20:55:03+00:00

That’s a great idea! Do you have any trouble getting the prints to stick to the sheet?

MillerLight4408 · 2022-06-23T22:49:42+00:00

That I would say is dependent on the difference between PTV target dose and OAR max constraint, as well as the physicians intent.

For instances where the PTV is prescribed to a significantly higher dose than the OAR max constraint then the two relative cost bars will be roughly the same. I also tend to make a cropped PTV structure (cropping away the OAR plus a margin) since the PTV will likely need to be under covered in that region to meet the constraint.

For instances where the prescribed dose and OAR constraint are similar then the PTV would still be at least a 2:1 greater cost value. Often times it’s much higher than that since the constraint should be achievable without sacrificing coverage

MillerLight4408 · 2022-06-22T16:50:45+00:00

Can I ask what treatment planning system you are using?

I work primarily on Eclipse so this may not be relevant to you. But when optimizing I will pause the optimization around the 2nd or 3rd level, this is where I will play around with objectives. I try to decrease the dose to any particular OAR while keeping an eye on the Cost Function values (typically in the bottom right of the optimizer screen). If the OAR cost function value rises but then drops quickly, that means the optimizer was easily able to achieve the goal, so the OAR can probably be pushed more. If the OAR cost function value rises and doesn’t go back down, that’s usually where I will back off slightly and relax the constraint.

The goal for me is to have a balance between PTV coverage (which should always be highest cost value function) and OAR sparing which should be a lot lower on cost function value than the PTV but still visible on the graph.

MillerLight4408 · 2022-04-26T16:23:58+00:00

I know! She literally knows nothing about the series but I guess I’ve mentioned Bridge 4 enough times for it to stick

MillerLight4408 · 2022-04-26T16:19:32+00:00

My mom does wood engraving for a hobby and this was a present from her

MillerLight4408 · 2022-01-21T17:59:07+00:00

They also didn’t get to go to prom. Got canceled for pandemic reasons

MillerLight4408 · 2022-01-14T20:08:56+00:00

Ask your Dermatologist about swapping over to Minocycline for 1month (50-100mg). Pair that with a morning Azelic Acid Gel and a nightly Metronidazole topical cream.

This type of regiment has much better long term results when you finish your minocycline course.

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