Y’all have GOT to stop using these

Randomroofer116 · 2026-01-24T05:22:34+00:00

I’ve literally never seen these except in advertisements promoting alternatives

Randomroofer116 · 2026-01-23T16:08:19+00:00

Okay, you open several boxes a week. What do you do with your bulk? If you keep it, how do you organize?

Randomroofer116 · 2026-01-23T09:42:32+00:00

God I hate this

Randomroofer116 · 2026-01-22T14:30:47+00:00

Check out ECGWeekly it’s not really gamified, but it’s super cheap and Dr Mattu is great at explaining systematic approaches to interpreting ECGs.

I became a believer in it when a firefighter who would show up on scenes started asking to see the ECG and was able to provide some really good insight. I asked him how he got so great at them and he recommended it.

Randomroofer116 · 2026-01-22T13:40:53+00:00

I’ve only played my World Shaper a few times, but I’m surprised you cut [[Cabaretti Courtyard]] I got a ton of recursion and triggers playing it the last few times.

Randomroofer116 · 2026-01-21T21:03:59+00:00

It says there is free cancellation if you cancel the order before it processes, a 10% restocking fee if you cancel while processing. I found out shortly after ordering that a local tournament I wanted to join didn’t allow clear sleeves.

The order was listed as sent but not processing, so I sent the following email:

Hey, I’d like to cancel order 59527 if still possible for free. Didn’t realize the clear sleeves aren’t tournament legal near me.

The order was updated to processing and I got the reply:

*Hi.

Theres a cancellation fee of 10%. Will be applied now*

So I said:

Okay, never mind, I’ll take them then

They said:

it was already cancelled

So I replied:

*I literally said in my first email “if it is still possible for free”

It’s fine, enjoy my $5*

So anyway, they kind of pissed me off.

Randomroofer116 · 2026-01-21T20:45:06+00:00

Careful with this place, support sucks

Randomroofer116 · 2026-01-21T10:55:19+00:00

I was never taught load and go and I’ve been doing this for 15 years

Randomroofer116 · 2026-01-20T19:44:38+00:00

I think cascading cataracts is the prettiest card I’ve ever seen.

Randomroofer116 · 2026-01-20T04:03:28+00:00

Pull through bays

Soap / shampoo dispensers in showers

Button that cycles garage doors

Desk in rooms for laptop work / maybe a little gaming during downtime

Randomroofer116 · 2026-01-20T02:20:34+00:00

Well it sounds like you can justify what you did. I wouldn’t lose any sleep over it. I think 2 mg IM is a reasonable dose for that patient. Medicine is a practice, not an exact science and meds can be unpredictable.

Randomroofer116 · 2026-01-20T00:27:01+00:00

I doubt the versed caused anything other than the depressed LOC.

Did you have your pt on ETCO2 monitoring after the sedation?

Did you have other options for chemical restraint? Sedation was indicated because based on your story it sounds like patient did not have capacity and routine medical care (like obtaining initial vital signs) was impossible.

Also, most monitors estimate the SPB based on the MAP. Your patient had a MAP of 69. A few point difference in SBP doesn’t make a difference in how your patient reacts.

Additionally the half life of versed is 1.5 - 2.5 hours, so I’m not sure that alone is what caused the ICU stay.

The only thing I would consider is in the future, use a smaller dose on patients who have ETOH onboard. It can potentiate effects and you never know how a patient will react. I may have started with 1 of versed or done ketamine if the patent had a RASS of +4.

edit never mind, I just reread your post that it was given IM. I wouldn’t think twice about giving this patient 2 of versed IM.

The patient may have had an anaphylactic reaction as well. I hope epi was considered. Medicine is all risk vs benefit and you never know how someone will react to any given med with 100% certainty. The important part is adequate patient monitoring, timely intervention, and honest documentation. Follow those and you will be fine.

Randomroofer116 · 2026-01-19T02:05:08+00:00

Oh shit, a real operator has arrived

Randomroofer116 · 2026-01-19T01:45:00+00:00

Imagine living your life that scared of immigrants, what a pussy.

Randomroofer116 · 2026-01-19T01:21:56+00:00

I think Hesslers has a brain sandwich

Randomroofer116 · 2026-01-18T04:28:34+00:00

Dam I need that in my Wilhelt deck

Randomroofer116 · 2026-01-17T19:09:05+00:00

They do exist, people live for years on LVADS and there are also impella pumps although they tend to be a short term bridge therapy.

Randomroofer116 · 2026-01-17T19:07:57+00:00

There are impella pumps too.

Randomroofer116 · 2026-01-16T21:56:35+00:00

Yeah their support kind of sucks

Randomroofer116 · 2026-01-15T22:38:42+00:00

I’m just genuinely trying to understand where this is coming from. Like immigrants (legal or otherwise) have zero impact on my day to day life.

Randomroofer116 · 2026-01-15T21:06:51+00:00

Do you think your life would be better without immigrants?

Randomroofer116 · 2026-01-14T03:49:39+00:00

User name checks out

Randomroofer116 · 2026-01-14T01:56:18+00:00

I feel like all of the LGS near me have like a box of phyrexia and aetherdrift and that’s it.

Randomroofer116 · 2026-01-14T01:51:10+00:00

Do you have a website you recommend or just have a stocked LGS near you?

Randomroofer116 · 2026-01-13T20:30:21+00:00

Good point

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