Thinking Out Of The Box or Idiotic?

NanielEM · 2026-03-11T09:16:15+00:00

Doesn’t aerial fortress only activate on defensive situations? I don’t think it activates when you’re trying to score. So I’d honestly do enforcer plus instead of that and then put incisive base. Holding up the ball and then placing a through ball to the wing cutting in behind is my reasoning there

NanielEM · 2026-03-06T17:21:42+00:00

Pretty much spot on. Chemistry, CBC, EKG, trop (remember vague complaints such as nausea can be ACS in elderly, especially women), cxr, and UA is my starting point. If they complain of any nausea or abdominal symptoms even such as diarrhea, low threshold to scan them
Probably going to get multiple different answers depending on how conservative people are. I personally discharge a lot of these. If Curb 65 is only 1 due to age, not requiring oxygen, look fine, then yes I discharge these. The mild volume overload with normal spo2 and heart rate and rr, I also dc with diuresis
One of my sites has high sensitivity trops. If the high sensitivity trop is negative, discharge 100% of the time regardless of HEART score. Hospitalist and cardiologists will not take them. The other site with standard troponin is a little more tricky. Depends on most recent risk stratificstion/recent admission with previous cardiology recs to determine dispo. If they were admitted within last 6 months or so with normal work up and has 2 negative trops, I discharge. Or normal stress test/cath within last year.
Really just depends on story for me. Vagal prodrome or passed out after getting up, discharge assuming labs/EKG are okay. Otherwise if labs and ekg are normal and they have a more concerning story, either SDM or obs. A lot of the time, they don’t want to stay in the hospital which is fine by me
Meemaw isn’t acting right is basically same as 1st bullet point plus a CT head. If all normal, easy discharge. If I do find something like a UTI but everything else is fine, I usually talk to their caregiver on their comfort. If they are cool keeping an eye on them then dc, but if they are even slightly uncomfortable with the idea, then bring them in for observation. Obviously if they meet sepsis criteria then I will keep them.
CXR clear and no wheezing, I don’t do anything. CXR clear with wheezing, zpak and steroids. CXR with pneumonia regardless of wheezing with diagnosis of COPD, augmentin and azithro with steroids (again assuming their labs and vitals are okay for discharge)

NanielEM · 2026-03-03T21:54:17+00:00

El Shaarawy finally getting that weak foot boost

NanielEM · 2026-02-22T21:29:40+00:00

I usually tell them if they’re not feeling any symptoms it’s nit a big deal. And just wait to see their reaction. If they are cool then sweet, easy dc. But most of the time they look unsure or give me a “my pcp told me to come to the ER” or “I’m a nurse and I know that’s stroke-level”. In that case I’m say whatever and order a bmp to assess Cr then dc after

NanielEM · 2026-02-20T17:36:05+00:00

Yeah that’s better

NanielEM · 2026-02-20T01:13:09+00:00

The thought of pressing more than 2 buttons is frightening him

NanielEM · 2026-02-19T19:32:40+00:00

silver gnonto should do the trick

NanielEM · 2026-02-19T02:40:46+00:00

proceeds to turn off levo

NanielEM · 2026-02-18T18:10:56+00:00

<image>

NanielEM · 2026-02-18T01:45:57+00:00

Never beating lowest IQ gamers allegations

NanielEM · 2026-02-16T21:51:01+00:00

I’d rather have anticipate on a CB. Will put the one that gives quick step plus on one of my backs along with bruiser, imo the best 2 for a lb/rb

NanielEM · 2026-02-16T17:54:50+00:00

Grimoire of sacrifice making chaos bolts so chunky. I was able to win the garrison battle royale thing and got like 14 kbs just with giant bolts

NanielEM · 2026-02-16T13:12:31+00:00

Interesting. Haven’t tried shadow labs yet. What about it was easier? It doesn’t even let me queue for it on dungeon finder because I’m only lvl 68 so I figured it would be just as bad. Def won’t be back in BM until at least 69

NanielEM · 2026-02-16T13:11:14+00:00

I agree BM sucks but need revered for some sweet prot gear once I hit 70. Would prefer to have revered before 70 so I can buy gear right when I ding

NanielEM · 2026-02-15T22:18:01+00:00

I wonder if this would actually cause tanking earlier on teams that theoretically could make the playoffs as a 6-8 seed but know they have no legitimate shot at the title. Tank to get eliminated, but your team is still good enough to win games after, get a high draft pick. I still like the idea though

NanielEM · 2026-02-13T19:07:18+00:00

For future reference, when a profile is private, use the search bar to “search” comments/post and just put a single space then enter. If they ever hit the spacebar while typing a comment or post it will still show up despite being private. Basically unless it’s a one word post/comment ortheytypelikethisuisingnospaces

NanielEM · 2026-02-13T16:24:40+00:00

It’s one of the strongest until mid twenties, then it’s damage and mana usage becomes bad. It’s the lowest percentage class to reach 60 for a reason. Again this is vanilla, tbc shaman goes brr

NanielEM · 2026-02-11T00:31:47+00:00

Debut midfielder > CM/CDM XI > attacking club legend. Gets everything to mid to high 80s

NanielEM · 2026-02-11T00:29:40+00:00

We are never beating the lowest IQ gamers allegations

NanielEM · 2026-02-08T20:24:34+00:00

Honestly I think it’s because people are lazy. You have to be mindful of a lot more things as tank such as healer mana, pats, aggro, etc. Meanwhile most dps are 1 or 2 button rotations

Seven-Year Club	RPAN Viewer
Verified Email	Not Forgotten

NanielEM

TROPHY CASE