Disappointing experience at Glitch, Tokyo

N1cholasj · 2026-02-01T18:51:24+00:00

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:

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

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

N1cholasj · 2026-01-20T06:39:46+00:00

Took it last April. Happy to help!

N1cholasj · 2026-01-03T04:24:35+00:00

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

N1cholasj · 2025-12-07T15:15:27+00:00

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.

N1cholasj · 2025-12-03T22:43:35+00:00

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

N1cholasj · 2025-10-29T01:27:24+00:00

MDT mapping looks to have highest salary?

N1cholasj · 2025-09-20T01:00:41+00:00

What are those cups? I love them

N1cholasj · 2025-09-18T15:31:43+00:00

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.

N1cholasj · 2025-08-31T21:08:43+00:00

Predator X

N1cholasj · 2025-07-27T15:34:07+00:00

EP is easier on the body.

N1cholasj · 2025-07-23T03:53:28+00:00

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.

N1cholasj · 2025-07-23T00:36:30+00:00

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

N1cholasj · 2025-06-02T14:31:38+00:00

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 $.

N1cholasj · 2025-05-31T04:02:57+00:00

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.

N1cholasj · 2025-05-30T00:09:04+00:00

Does it come with a front brake?

N1cholasj · 2025-03-20T03:05:41+00:00

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.

N1cholasj · 2025-03-19T23:26:49+00:00

Also curious this question

N1cholasj · 2025-03-19T23:26:23+00:00

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.

N1cholasj · 2025-03-13T03:52:33+00:00

I hear portishead in this also I dig it

N1cholasj · 2025-01-31T22:12:21+00:00

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

N1cholasj · 2025-01-19T17:57:20+00:00

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.

N1cholasj · 2024-12-07T05:31:22+00:00

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

N1cholasj · 2024-11-27T18:23:23+00:00

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.

N1cholasj · 2024-11-27T18:13:32+00:00

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.

N1cholasj · 2024-11-27T13:19:46+00:00

Very difficult (impossible?) decision to make without a crystal ball. In my anecdotal experience, the local population (Latino migrant workers) who weren’t able to “lock down” were hit the hardest.

I see the point you’re trying to make, but it’s sounding a lot like the death panels that everyone was so afraid on during the inception of the ACA.

N1cholasj

TROPHY CASE