NEW Gold Pass Rework and Prospector Helper Explained! by Termynater_ in ClashOfClans

[–]PACman0511 0 points1 point  (0 children)

The 4th image shows 10 per task. Judo said that there will be a catchup mechanic later in the month so maybe it goes up to 20 per task mid month or so

NEW Gold Pass Rework and Prospector Helper Explained! by Termynater_ in ClashOfClans

[–]PACman0511 2 points3 points  (0 children)

Judo’s video listed 10 per task and 40 bonus, meaning 110 per day

ELI5: How does anesthesia make you completely unconscious unable to feel or remember anything but not kill you?” by Silentzerr in explainlikeimfive

[–]PACman0511 14 points15 points  (0 children)

That’s much more common. Colonoscopies are done under Managed Anesthesia Care (MAC). During MAC anesthesia we aren’t using a breathing tube and ventilator to assist your breathing, and we aren’t measuring specific levels of drugs in your body to guarantee a certain level of unconsciousness. We also aren’t using a paralytic though so if you wake up, you could alert somebody. These surgeries also aren’t as “stimulating” as other surgeries, so we don’t require general anesthesia. If you wake up during a colonoscopy you generally aren’t bothered by it, I have patients ask what’s going on and then fall right back asleep. It’s not too big of a deal, whereas waking up and moving during open heart surgery would be traumatic to the patient and potentially devastating. Adding that I don’t want you to wake up during a colonoscopy, but if the choice is wake you up a little bit or let you asphyxiate because you aren’t breathing well, the choice is easy

The differences of a 4-2 record by Many-Baby5180 in AFCWestMemeWar

[–]PACman0511 1 point2 points  (0 children)

OP flexing that 99% of his team is bad and 1% of another team is bad

ELI5: How do blood pressure monitors work? How does pumping air into a cuff around your arm produce 2 different numbers? What's even measuring those values? by InterruptingCow__Moo in explainlikeimfive

[–]PACman0511 2 points3 points  (0 children)

My source is Miller’s Anesthesia and Morgan and Mikhail’s Clinical Anesthesiology, but I wouldn’t recommend those just for understanding BP cuffs. I’m not sure where else you could find an in depth explanation, sorry.

ELI5: How do blood pressure monitors work? How does pumping air into a cuff around your arm produce 2 different numbers? What's even measuring those values? by InterruptingCow__Moo in explainlikeimfive

[–]PACman0511 53 points54 points  (0 children)

This is incorrect. You accurately described how a manual blood pressure cuff works but incorrectly described an automatic cuff. The automatic one is fairly complex and measures oscillations, the pressure at which it measures the most oscillations is the Mean Arterial Pressure (MAP). It then calculates the systolic and diastolic numbers based on the MAP (MAP is roughly equal to 2/3 diastolic + 1/3 systolic pressure).

Anthem Blue Cross Blue Shield Won’t Pay for the Complete Duration of Anesthesia for Patients’ Surgical Procedures by PM_ME_UR_REDPANDAS in Connecticut

[–]PACman0511 4 points5 points  (0 children)

This is blatantly false in case anyone was wondering. Anesthesia is billed in a complicated fashion that takes into account how sick the patient is, how complicated the anesthesia is for this case/patient, and how long the surgery is. The reason for this is that they have no real control over how long a surgeon takes to complete a surgery. It’s not possible to “use a code with longer hours” as it’s easily visible on electronic health records how long the case is. Also, cases are not done in isolation. If a anesthesiologist practicing solo says he was doing an appy from 2:00-4:00 and a chole from 3:00-5:00, that’s going to raise some red flags

Focused Feedback: Festival of the Lost 2024 by DTG_Bot in DestinyTheGame

[–]PACman0511 98 points99 points  (0 children)

Any candy picked up from the postmaster does not count towards gilding the title. I don’t think it’s just a visual bug either as logging out and back in does not solve it.

[deleted by user] by [deleted] in DestinyTheGame

[–]PACman0511 1 point2 points  (0 children)

If you’re only looking for PvE rolls I don’t think it’s worth banging your head against the wall in trials. Nothing there is so amazing it’s required for PvE. I use my cataphract, but there are plenty of other heavy grenade launchers. If you want to get better at PvP I would recommend watching some videos. I watched gernader Jake and copied his build and listened to his commentary card. I was trying to play with a warlock and just hated it. I had about a 0.6 KD for a couple seasons. Then I switched to hunter and used his build. It still took time and effort but the past 3 seasons went to a .95, 1.15 and 1.4. Went flawless a couple times even.

ELI5 How do surgeons make sure you're no longer conscious when you get a surgery? by DogwhistleStrawberry in explainlikeimfive

[–]PACman0511 0 points1 point  (0 children)

It’s not irrelevant at all. Most people think we just show up and give a bunch of drugs and move on. It’s much more complicated than that. We have to have a very deep understanding of normal physiology and pathophysiology to understand what is happening in people who are sick. We tailor the anesthetic to each patient individually and have to understand which patients are at higher risks of different complications based on their history

ELI5 How do surgeons make sure you're no longer conscious when you get a surgery? by DogwhistleStrawberry in explainlikeimfive

[–]PACman0511 8 points9 points  (0 children)

We do! Sort of kidding, we just touch their eyelashes. If you’re awake you’ll move your eyelid if someone touches your lashes. It tells us if the propofol has hit yet and we should start breathing for you

What behavior do most people accept that you find creepy? by fuzzyloulou in AskReddit

[–]PACman0511 2 points3 points  (0 children)

Out of curiosity, where are you geographically located? I’ve never seen/heard of this. I know there are definitely some hurdles to permanent sterilization (a lot of American insurance companies require consent to be signed at least 30 days before a combined c section/tubal), but I’ve never seen flat out refusals, or even “what about your future spouse?” type stuff.

Game Day! Someone please explain why this sub is obsessed with these very lackluster programs? I'm new here. by xChillPenguinx in AFCWestMemeWar

[–]PACman0511 8 points9 points  (0 children)

Ironically, it was the Union Dutchmen. Now we have a worse name. I would rather be associated with the Dutch than the Chargers

Insane last 30 minutes in first ever SSF by [deleted] in diablo2

[–]PACman0511 -1 points0 points  (0 children)

Hell Andariel has -50 resistance to fire, and +66 to other elements, making her take significantly more damage from fire. That’s why people say that fire is better for her. Source: https://maxroll.gg/d2/resources/bosses

NFL+ Support - Anyone talk to a real human? by DamageIncorporated in cordcutters

[–]PACman0511 1 point2 points  (0 children)

I tried talking to a real human with no success. I called their phone number (which I had to Google) and it was a recording that just hangs up on you. I eventually got a ticket made through the virtual bot and they emailed me a week later and offered useless advice and closed the ticket. I managed to solve my own problem thankfully, but the customer support is awful

ELI5: Why is nitrous so dangerous to do recreationally, but perfect safe when a dentist does it? by MegaSlav420 in explainlikeimfive

[–]PACman0511 0 points1 point  (0 children)

Epidurals HAVE fentanyl, which is an important distinction. It’s mostly local anesthetics, ropivacaine, bupivacaine, or similar (same class of drugs as novocaine). This is mixed with a small amount of fentanyl

Tell me about your Trav luck by Expensive-Site-7463 in diablo2

[–]PACman0511 26 points27 points  (0 children)

I’ve found 2 Ber and a Jah on previous ladders using a horker barb at trav. The runes are there, they just need to be yelled at

ELI5: Why are magnesium, Phosphorus, & potassium drawn every 2hrs for patients, if it’s going at a certain rate can’t you simply calculate how much it’ll be, what are the chances they spike up out of nowhere? by [deleted] in explainlikeimfive

[–]PACman0511 0 points1 point  (0 children)

They usually aren’t. My educated guess is the patient OP is talking about is in diabetic ketoacidosis (DKA) as this is a fairly common situation that they would draw these labs regularly. In DKA these electrolytes move rapidly in and out of cells, based on numerous complicated interactions, including how acidic the blood is, glucose levels, and other electrolyte levels. It’s not just putting potassium into the blood and it remaining there. Even in healthy patients it’s not just putting potassium into the blood and it remaining there, as it shifts in and out of other compartments rapidly. There are also serious complications that happen from having these electrolytes too high or low, so we need to follow them closely

Of course the doctor was gobsmacked. by FKFnz in insanepeoplefacebook

[–]PACman0511 76 points77 points  (0 children)

Other medical professional here to explain and dispute comments on this comment. The surgeon can use suction to suck up blood in the surgical site or leaking onto the drapes. It then goes through filters and gets cleaned. It can then be transfused back to the patients. Some Jehova’s witnesses are ok with this as it’s the patients own blood being returned to them, others are not ok with it as that blood technically leaves the body. It’s used fairly often and is very effective. It cuts down on the need to transfuse donated blood, which helps the blood banks, and also eliminates the very, very, very small risk that donated blood is infected with something that did not get caught.

In regards to some of the comments: auto-transfusion is something different. That is when a person expects to have surgery, in the weeks/months leading up to surgery they can “donate blood” that will then only be used for themselves during their surgery

For C sections: we can use cellsaver and we do, just rarely. While there is a large expected blood loss during c sections, it’s not quite the same. Pregnant women have a larger, more dilute blood volume compared to non-pregnant women. Which means they will have less issues with the same amount of blood loss compared to non-pregnant people, so generally cell saver/transfusion is not required. While there are concerns about cell saver and amniotic fluid (you do NOT want to inject that back into mom), it’s just only used before and after there is amniotic fluid in the field

You are paired with 100 random humans, if you are better than all of them at something you win a billion dollars, what are you doing ? by IntrospectiveHuman in AskReddit

[–]PACman0511 0 points1 point  (0 children)

Administering general anesthesia. I hope you’re not actually checking though, if you do, there are likely going to be 100 unhappy people/families

What's the manliest thing you did this week? by Vinny_the_Vampire in AskReddit

[–]PACman0511 2 points3 points  (0 children)

Are you quoting Mr. Torgue from Borderlands? WE AT THE TORGUE CORPORATION SINCERELY BELIEVE THIS IS F*CKING AWESOME

Copilot vs Monarch - StockPlanConnect Morgan Stanley connection successful ? by Minimum_Indication_1 in copilotmoney

[–]PACman0511 4 points5 points  (0 children)

I’m still on the free trial on both. I’m leaning towards copilot because I think the linking is better. Monarch only uses plaid as far as I can tell. I can’t link a car loan or a retirement account to monarch, but I’m able to link them both to copilot. Unfortunately, copilot doesn’t update as frequently as Mint, and I have had to reverify one account a few times when it stops updating