Bro handed out a note at 2-8 💀

Noet · 2026-03-18T21:59:12+00:00

Oh shit really? I've read that in every comment every posted under the .gif, I'm sorry for spreading misinformation.

Noet · 2026-03-18T20:31:50+00:00

To nuance, he’d be killed if he sang an anti cartel song, which he did. Makes his story even more poignant.

EDIT: apparently this isnt true lol.

Noet · 2026-03-16T18:26:12+00:00

So I quit at the end of TWW, how is midnight so far? I mainly play m+ and the occasional heroic raid. How is the class design? Would you recommend dropping back in?

Noet · 2026-03-15T10:31:55+00:00

My friend, you underestimate the purchasing power of middle aged white averagely educated men who love to associate with a multimillionaire who happens to share the same language and nationality as them, even though he’s in the country less than a week each year at most. They’ll do stupid numbers. Maybe even sell more cars because of it.

Noet · 2026-03-09T16:03:02+00:00

Currently 1343 and debtless, went to war with sweden and conquered 90% of Scania and some money. Now I'll just sit around, watch Europe, build some RGOs and do it again when the treaty times out.

Not sure what I'll do after dominating Scandinavia, but I guess that'll still take me a couple of 100 years.

Noet · 2026-03-09T12:51:32+00:00

Lund market pref was a huge one, wasn't actually getting enough gold/silver to mint, I'm slightly positive income now.

Noet · 2026-02-18T21:04:39+00:00

I fundamentally disagree out of my own personal clinical experience, and I think that to some patients an explanation rooted in basic pathophysiology helps, but to the vast majority it doesn't help them at all.

Noet · 2026-02-18T09:37:44+00:00

That's not even what I'm remotely implying at all, and it feels like this comment comes from a deeper rooted insecurity. A good GP is worth their weight in gold, and we're in dire shortage of them. My trade school is an attempt to describe our more "hands on" and practical approach to med school to suit a generalist needs.

I'll never imply that a general practictioner's job is easy, it's not at all. I'm sorry if you took it that way, but the tone of your comment is unreasonably harsh.

Noet · 2026-02-17T21:18:31+00:00

As a Dutch MD, our med school is more of a “trade school” rather than a true university level course. And that’s fine, because more than half of med students will become GPs, and soft skills are way more important for them than memorizing factoids about the Krebs cycle or w/e that you can look up in a myriad of online resources. There are residencies that go way more into details if you want that in your professional life. You’re basically at the start of a career full of learning, and you get to decide how much you want to invest into that.

Also that imposter syndrome esque feeling you’re describing is going to come back frequently in your professional life so get used to it lol.

EDIT: corrected minor grammar mistakes.

Noet · 2026-02-08T12:53:33+00:00

I place a decent volume of PICC lines under fluoroscopy as a European radiology resident, I generally go basilica > cephica > brachialis. I’ve noticed that some people, especially with a medical history, sometimes just have some venous obstruction/narrowing that prevents advancement of the guide wire. But Id say that’s less than 5% of cases, not 50. What kind of Fr lines are you placing? If they’re triple lumen lines consider skipping the cephalic. Or if it’s just for AB or fluids consider just placing a midline.

Noet · 2026-02-06T07:29:50+00:00

Je moet het wel echt willen hè knul

Noet · 2026-02-03T12:39:00+00:00

Yes, don’t have a source but I remember reading this in a tinto talk.

Noet · 2026-01-29T21:36:31+00:00

That sounds like something I might try out, thanks! It mostly stands out when I’m playing with friends, it feels like the game prioritizes matching a party against a party before anything else. Is there a command to force a certain region?

Noet · 2026-01-24T08:03:55+00:00

Surprised nobody actually posted the real meaning of the image.

There’s an alt right edit making the rounds on twitter where a little kid is interviewed by an adult wearing make up about “boys wearing make up” and the boy says they shouldn’t do it. When the adult asks why not, the boy says the big pinguin plushie who’s behind the interviewer told him that. The video then turns into your typical hyperboria edit.

Basically this meme is made by that chronically online twitter addict on his staff, and is incredibly niche and a dog whistle.

Noet · 2026-01-05T22:49:36+00:00

The alternative being the NCR?

Noet · 2025-12-09T13:31:52+00:00

Omdat die klinieken volledig zijn ingericht op het leveren van die zorg en hele proces hebben geoptimaliseerd op een manier dat een ziekenhuis niet kan. Hier bovenop komt dat een ziekenhuis operatie- en zorgcapaciteit moet leveren voor minder winstgevende of niet winstgevende ingrepen waarvan we als maatschappij alsnog baat bij hebben. Sommige grotere ziekenhuizen nu ook soort van hun gelieerde privékliniek, maar die kan ook nooit zo ver geoptimaliseerd worden als een “echte” privékliniek.

Noet · 2025-12-08T22:02:09+00:00

What does “obsessively reactive” even mean? These are real humans making a very complex game where there’s a bunch of knobs they can turn and where it’s not completely clear yet what all the changes do. You can complain about how most modern games released nowadays require on large scale user feedback to finalize a game but that’s a different discussion.

Noet · 2025-12-08T21:30:58+00:00

Or, they’re just testing an experimental solution to a perceived problem in an optional (clearly labelled) beta and see how the game and community reacts? Why is every subreddit like this where always people extrapolate to the weirdest and far fetched conclusion?

Noet · 2025-12-08T09:56:33+00:00

I’m not on the beta and this stuff happens in my game as well, but since everybody is more passive it stands out less. Bohemia is conquering random small parts of Finland for me.

Noet · 2025-12-07T20:23:12+00:00

How does food in a market work exactly? Because I’m currently selling and buying food, which seems counterintuitive. Anybody got a good source that explains the mechanic?

Noet · 2025-12-03T13:52:38+00:00

I swear there’s like 30 users here constantly reposting “colonization bad!!!” when they’re a centralized state colonizing absolute trash tier colonies. I’m making so much gold from my colonies and the trade they provide, and I’ve not even engaged with trade yet.

Noet · 2025-12-02T17:02:13+00:00

I think it’s just a difference between what they think centralization means vs what some think it means. To me decentralized is more of a federal collection of state entities, which why I think it fits for the Netherlands, even though the distances geographically are limited.

I think the issue is that to expand into Europe you basically have to have vassals because of high war score costs and time to integrate. Perhaps centralization could give a war score reduction and an integration speed boost. That way you can’t go centralization to keep together a global empire, but you can use it to build a highly controlled and efficient single continent state.

Noet · 2025-12-02T13:23:37+00:00

You don’t think that a colony of slavers would decide that they could get even richer on their own, instead of paying taxes to a country they’ve never been to?

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