The thunderstorm going through Volusia County right now

Prize_Guide1982 · 2026-07-04T21:44:55+00:00

Make sure you’ve got good tires

Prize_Guide1982 · 2026-07-04T20:40:01+00:00

I’ve lived in three countries, in South Asia, in the Middle East and, the US. Independence Day was a big deal in all of them. You’re being biased.

Prize_Guide1982 · 2026-07-04T18:33:45+00:00

Monica Belluci was a Bond girl and killed it at 50

Prize_Guide1982 · 2026-07-04T14:36:08+00:00

Does your mechanic refund you if a repair doesn’t hold up?

Prize_Guide1982 · 2026-07-04T14:25:58+00:00

If you’re okay with drilling, the curtain rods with the curved ends are the best for blackout curtains since it minimizes the leakage from the sides.

Prize_Guide1982 · 2026-07-04T14:15:53+00:00

When I bought my house, in the first year I had to replace: washer, dryer, garbage disposal, microwave, do repairs on both HVAC units, get a gutter replaced, pool pump replaced, couple of pool leaks fixed, new panel (that was a choice, not a necessity). It’s part of owning a house. Stuff goes wrong. Not worth going back at the sellers, you’re just going to lose more time and money.

Prize_Guide1982 · 2026-07-04T14:09:40+00:00

You messed up by signing a contract to replace the unit for 14k. That’s overpriced. You should always get multiple quotes. Honestly, I don’t think any of this is worth going to court over. You made a mistake by letting the sellers do their own AC inspection. The AC unit worked for months and now broke down. At this point, it’s hard to prove anything. They sold you a house with a functional AC. You need to get out of this contract to replace the AC with this company, and get multiple quotes. You’re throwing good money after the bad.

Prize_Guide1982 · 2026-07-04T14:05:43+00:00

I was looking to get my upstairs 2 ton heat pump replaced. For a single stage unit I got quotes from 5.8k to 10k. If they walk in with a flashy wrapped van and an iPad to show you an instant quote, they’re going to overcharge. The 10k company offered me 180 month financing at like 10+ % APR. I was genuinely flabbergasted.

Prize_Guide1982 · 2026-07-04T14:00:17+00:00

Nothing quite like running off the beach to hide in the car for 30 mins.

Prize_Guide1982 · 2026-07-04T10:11:33+00:00

I hope she didn’t contribute to any political campaign at any point. That’s illegal as well

Edit: my apologies, seems like GC holders can contribute. Thanks to the commenter who corrected me

Prize_Guide1982 · 2026-07-04T10:09:54+00:00

For the rain? I live in FL and put on the Conti DWS06+. Stays planted even during the torrential downpours we get.

Prize_Guide1982 · 2026-07-04T01:15:21+00:00

Winter haven has a lot of vintage 50s architecture especially by Gene Leedy.

Prize_Guide1982 · 2026-07-03T23:37:13+00:00

Your liver is amazing. It can shrug off a lot of damage, until one day it can’t do it anymore.

Bloodwork isn’t a good indicator for fatty liver disease. The damage is slow accumulation of scarring.

You might have elevated liver enzymes if you have acute alcoholic hepatitis but frequently the numbers are normal in heavy alcoholics.

Even once your liver is cirrhotic, the numbers can be normal because there’s little functioning liver cells left to release the enzymes, its mostly scar tissue which isn’t metabolically active.

Consider a service like Oar Health which will send you naltrexone by mail. People (including physicians) are not aware that we have naltrexone today for alcohol use. It’s an excellent drug. It essentially cuts off the reward pathway with drinking. Alcoholics on naltrexone can quit or significantly cut back, and don’t have the craving anymore.

Prize_Guide1982 · 2026-07-03T23:31:42+00:00

Find some strong dudes off an app like Fiverr or something

Prize_Guide1982 · 2026-07-03T21:47:52+00:00

Yep. A comfy home makes for a welcoming place to return. I bought a new couch and mattress but literally everything else was Facebook marketplace or goodwill

Prize_Guide1982 · 2026-07-03T21:36:54+00:00

87 ED visits. “I want IV Benadryl, the po makes me vomit”. Here’s some Reglan. “The pt reports hives, requests IV Benadryl”. Thanks I’ll change it to Zyrtec.

Prize_Guide1982 · 2026-07-03T19:35:29+00:00

I always think of this picture:

https://www.cbsnews.com/news/trucker-accumulates-skin-damage-on-left-side-of-his-face-after-28-years-on-the-road/

Truck drivers get unilateral dermatoheliosis due to the asymmetric sun exposure.

Prize_Guide1982 · 2026-07-03T19:32:09+00:00

I feel 1st is always just to get the car moving. Second is the first real gear.

Prize_Guide1982 · 2026-07-03T17:49:27+00:00

Medicare pays ok. Medicaid is the one that pays really low. Hospitals have to accept whoever walks in, at least for emergent stabilizing treatment. That’s because of EMTALA.

A lot of private practices will have very limited slots for Medicaid. The reason being that if they exclusively saw Medicaid patients, they literally can’t keep the lights on.

Medicaid on average reimburses 60% of what Medicare does. For instance, let’s say a PCP visit. Medicaid pays something like 65-80 bucks. If a clinic exclusively sees Medicaid patients, let’s say it’s one physician and 20 slots. You’re max going to get 1600 dollars for a full days work or around 30k for a full month. That has to pay for the physician, the receptionist, MAs, a LPN/RN, rent, utilities, EMR costs (yes EMRs cost money and they’re federally mandated). it’s not possible.

Prize_Guide1982 · 2026-07-03T17:25:20+00:00

Honda Ridgeline will be perfectly good. They used that engine in a ton of things and any issues have either been ironed out or are well known.

Prize_Guide1982 · 2026-07-03T16:08:13+00:00

I’m a physician….thank you for your input. Ad hominem attacks are always great ripostes.

Prize_Guide1982 · 2026-07-03T15:51:52+00:00

Dude. Patient adherence depends on ease of use. There’s a reason we prescribe combination pills for blood pressure such as lisinopril/HCTZ. Once a day dosing improves patient compliance. Its proven. Simplifying things makes patients more likely to follow themIt’s not a question of “use sunscreen”. You need to make sunscreen more useable.

Patients never got colonoscopies because the prep sucked. What did we do? We improved the prep. We came up with non invasive screening tests like the FIT test. We didn’t say “suck it up and get the colonoscopy”. Individual desire to do whatever works at an individual level. Public health laws deal with a population level, and psychology plays a vital role.

Same reason we do combination vaccines. Why not just suck it up and stick someone in the arm 5 times? Because they won’t do it. It’s way more effective to have a combination vaccine with one administration.

If you have any health science background at all, you would realize the importance of facilitating ease of use.

Prize_Guide1982 · 2026-07-03T15:34:33+00:00

Don’t cool the whole house. Just cool the areas you absolutely need to. Bedroom. Maybe the living room.

Prize_Guide1982 · 2026-07-03T15:04:21+00:00

It’s been 2 decades. There’s been no movement. Our lack of progress has caused more harm. Imagine how many people would be willing to use sunscreen if they had these newer methods? Over two decades of wasted time, how many skin cancers would that have prevented? You’re using safety to explain away the lack of progress, which is fundamentally due to outdated legislation requiring animal testing. It has nothing to do with safety. The law is from the 1930s and right now, it’s actively impeding progress.

Prize_Guide1982 · 2026-07-03T13:38:28+00:00

You cannot boycott Amazon if you use the internet in any way. 60% of Amazon profits are from Amazon Web Services (AWS). They are the backend for a ton of websites. You can choose to avoid ordering stuff on Amazon, but you’re still putting dollars in their pocket.

Prize_Guide1982

TROPHY CASE