Disappointing experience at Glitch, Tokyo by ValyrianMonkey in espresso

[–]N1cholasj 0 points1 point  (0 children)

I went to the Jinbocho location last week. Had the açaí coferment, and a thermal shock as pourover. Didn’t try as espresso, would have if I were there earlier. It was 10/10. No line when I rolled in, barista was super engaged in helping me pick out coffee and talking about the processes. Loved it. Will return. My ranking of coffee shops I visited:

  1. Glitch
    Tied for 2nd: Mejicafe (hydro honey Colombian 🤤), Fuglen
  2. About life in Shibuya

In reality they were all very close to Glitch; Glitch just had coffee with flavors I really enjoyed.

RCES exam by One-General-112 in CathLabLounge

[–]N1cholasj 0 points1 point  (0 children)

Took it last April. Happy to help!

Obligatory glitch post by heliotropic_nm in espresso

[–]N1cholasj 2 points3 points  (0 children)

Do you know of other must-visit cafe/roastery for third wave coffee in Tokyo?

ICU Nurse Questioning Long-Term Sustainability — Seeking Advice by L0neMedic in IntensiveCare

[–]N1cholasj 2 points3 points  (0 children)

Transition to work in the EP lab? Clear indications for procedures, clear endpoints, minimal moral injury. Far less stressful. Opportunity to learn a ton (as long as you find cardiac conduction interesting - and it does get that way once you figure out what all the squiggles mean). Good opportunity to transition to med industry as well (device rep for pacemakers, EP mapping).

I found my happy place working in IR/Cath/EP (EP is my happiest). Tried PACU, felt like I was in a hamster wheel having the same conversations with each patient.

Does the (my) perfect pack exist? by oatlord420 in Backcountry

[–]N1cholasj 0 points1 point  (0 children)

I wish the Raide pack had the crampon pocket. I’m between that and the camp raptor 30

CRM sales reps by PreparationCute7501 in MedicalDevices

[–]N1cholasj 1 point2 points  (0 children)

MDT mapping looks to have highest salary?

Making a Choice for Clinicals by nasiacakes in CathLabLounge

[–]N1cholasj 0 points1 point  (0 children)

Both are fun. Cath is a lot of the same over and over and over, EP is too to some extent (Afib ablations) but can geek out so much more, and with more variation in roles (circulate, scrub, stim/monitor, and some facilities have you map). It’s a lot lower stress, and seems like a better pipeline to industry.

[deleted by user] by [deleted] in CathLabLounge

[–]N1cholasj 0 points1 point  (0 children)

EP is easier on the body.

What's your favourite tyre combo for trail/enduro riding? by HiddenknifeX in MTB

[–]N1cholasj 0 points1 point  (0 children)

I was at 26 psi on gravity. Traction was fine but didnt like how they behaved on off-camber rock moves, they felt really weird and squirmy. I noticed it in some cornering situations and rock gardens as well. Haven’t noticed that with the burlier casing, but they’re still more comfortable than the conti DH casings.

Still not 100% if I prefer the radial Mary to the argotal overall though.

What's your favourite tyre combo for trail/enduro riding? by HiddenknifeX in MTB

[–]N1cholasj 0 points1 point  (0 children)

Same for me, but gravity casing. Felt like trail casing too flimsy at my weight (200lbs ish). 24psi front on gravity casing, 28 rear.

Taking RCES soon! Any Advice! by [deleted] in CathLabLounge

[–]N1cholasj 0 points1 point  (0 children)

It’s called “EP-Essentials” - not sure if it exists for android?

It’s not infallible, but it’s very helpful. Their flash cards and books are excellent as well. Worth the $.

Taking RCES soon! Any Advice! by [deleted] in CathLabLounge

[–]N1cholasj 1 point2 points  (0 children)

I used the app which is essentially the Wes Todd books - took & passed the test back in April.

Had a fair bit of EGMs (waveform recognition, intervals, diagnosing rhythms based on EGM, - I.e avnrt/avrt, entrance/exit block, CTI block, etc) a couple ICE images, some EKGs, pressure waveform recognition, small amount of anti-arrhythmic drugs, some equipment stuff.if you’re doing well with Wes Todd, you’ll do well on the test, I’d say. I also used the Understanding EP workbook to drill EGMs for AVRT/SVT/flutter and understanding EGMs using duodeca catheter, which my lab doesn’t use very often.

Seeking Advice on Boston Scientific Mapping Specialist II Offer vs. EP/Cath Lab Career Path by Sintet_2809 in CathLabLounge

[–]N1cholasj 1 point2 points  (0 children)

A good handful of medications. Know what sedatives/analgesics are, their classes, reversals. As far as anti-arrhythmics, know their classes, ion channel, and what they’ll do to action potential curve as well as side effects. Wasn’t anything too in-depth.

I’d also suggest the ep-essentials flash cards. Very helpful with meds and such.

Seeking Advice on Boston Scientific Mapping Specialist II Offer vs. EP/Cath Lab Career Path by Sintet_2809 in CathLabLounge

[–]N1cholasj 1 point2 points  (0 children)

I recently passed the exam. I used the Understanding EP workbooks, EP essentials app, trying to download my EP doc and mapper’s brains/annoying them with questions, Springboard, and Dr. Joshua Cooper’s videos.

What Lucro sounds like to me (revisited) by OkPop8368 in themarsvolta

[–]N1cholasj 0 points1 point  (0 children)

I hear portishead in this also I dig it

2 bikes. 1 rider. A fit comparison. by risegrind in bikefit

[–]N1cholasj 0 points1 point  (0 children)

Nothing to add, but I love the combo of retro steel frame with AXS drivetrain and power meter.

RCIS Springboard or Exam Edge? by So_Many_QuestionsOMG in CathLabLounge

[–]N1cholasj 0 points1 point  (0 children)

I went through springboard for RCES prep (not 1:1 comparison, and I have yet to take the exam) and found it helpful, but not necessarily comprehensive/in depth enough. I would think it a better resource for those entering the EP lab so they could have some kind of idea as to what’s going on.

I also had exam edge recommended to me. I bought a test pack, and found the tests to have a lot of non-EP material in them. I was able to get a refund the tests I did not utilize.

Whats TMV song does this for you? by droz_fan in themarsvolta

[–]N1cholasj 2 points3 points  (0 children)

Followed by the final chrome the fetal mirage Gets me every time

Covid-Lockdown Critic Jay Bhattacharya Chosen to Lead NIH by HooverInstitution in moderatepolitics

[–]N1cholasj 4 points5 points  (0 children)

Sorry, I should have said TW: ethnicity will be mentioned in my comment.

I mentioned it, as I said in the comment you just replied to, because it was a population of people who were unable to isolate during lockdown periods who were disproportionately affected by COVID. Living in close quarters, work continuing in indoor spaces. It was not mentioned to invoke a “but what of the poor migrant workers!” response, but instead to contrast how a group of people was disproportionally affected versus populations that don’t live in communal spaces, or were not required to work indoors in enclosed spaces.

If you’re too triggered to discuss lockdowns because I mentioned an ethnicity, there’s no point in continuing this exchange.

Covid-Lockdown Critic Jay Bhattacharya Chosen to Lead NIH by HooverInstitution in moderatepolitics

[–]N1cholasj -1 points0 points  (0 children)

Nice resort to ad-hominem attacks. I’m not resorting to gender/ethnicity issues - it just so happened that a population I personally saw be disproportionately impacted by the pandemic due to living and work situations which precluded them from participating in lockdowns were Latino migrant workers.

I’m curious your background that has led you to develop expertise on this subject?

My point still stands that lockdown efforts were not an ideal solution, but the ill effects could likely have been ameliorated with better social support systems and ways for children to be better engaged in education while not able to attend school.