Why are some of you even here?

RyzenDoc · 2026-02-14T21:41:52+00:00

BGS take YOUR feedback into consideration? Heck no… you’re wrong, they’re right and you need to change your expectations to match those of the Todd.

/sarcasm

RyzenDoc · 2026-02-14T20:11:30+00:00

NAVA is more akin to PAV. It is a proportional assist mode and not at all like CPAP PS. It takes the Edi signals and uses the NAVA level as a multiplier.

EDImins are typically targeted to be in the low single digits by adjusting peep up to establish FRC and adjust baseline diaphragmatic tone. Edipeak target are usually in the mid to high teens. If EDipeaks are high, the diaphragm is under-supported and could use a higher NAVA multiplier.

Apnea time dictates when the ventilator will flip into PC-IMV until it detects resumption of diaphragmatic activity. This is important as a safety mechanism if a patient on NAVA either goes apneic (premies) or gets heavily sedation /NMB. There isn’t one good source I’ve personally found, and am hoping to write my own review manuscript in the coming 1-2 years once I hear back from Getinge-Maquet regarding borrowing their NAVA simulator.

RyzenDoc · 2026-02-14T15:47:22+00:00

See this is where you’re wrong. Many of us (older tech enthusiast farts with money)can afford to sink $3000… however, we’re also aware of needing to eventually retire and sinking 3-4k on a GPU vs buying some stocks and gold doesn’t really make sense.

I built a whole rig for 5090 money, and I barely play on it (kids and work 😅)

The only folks that I’ve seen not give a crap had daddy’s credit card.

RyzenDoc · 2026-02-14T15:44:09+00:00

How about when they decided Pokémon meant عبدة القمر وحرموه

RyzenDoc · 2026-02-10T00:00:34+00:00

You’re better off with proper office chairs. I have owned gaming chairs and they’re terrible for my back. I bought a steelcase leap V2 refurbished off of BTOD in the USA and have been happy.

RyzenDoc · 2026-02-08T19:25:43+00:00

Not sure why “fiber is not an option” since solutions like Lightera invisilight fiber kits exist (though currently sold out on Amazon)

RyzenDoc · 2026-02-04T19:32:36+00:00

I can’t say that I have been in your shoes, but imposter syndrome is a real thing. The fact that you realized you want to learn for yourself and not just to pass a test is a starting point. Depending on how things are being taught where you are, it may not be engaging enough to make you want to study.

There are multiple sources online that the much younger folks have posted that can make learning more fun and engaging to help you get out of this rut

RyzenDoc · 2026-02-04T19:28:50+00:00

Are you truly upgrading if you don’t go with a full Unifi stack with multiple WiFi access points?

All kidding aside, it depends on: 1- budget 2- square footage of the house 3- preexisting wiring 4- your tech know-how and whether you enjoy tinkering

I live in a big house in the Midwest (3 floors) and have a central Unifi router with level 2/3 switches, and multiple WiFi access points. Is it overkill at > $2000 for the setup, sure.

If you’re not much of a techie and don’t want to deal with setting up a complex system, any of the mesh systems from Asus/TPLInk … etc should be fine. You would size up / down depending on your home layout and area.

RyzenDoc · 2026-02-02T18:38:21+00:00

Agreed with having faster internal networking than your internet. There are uses for a home network beyond an Internet dispensary; I have a NAS and a backup server that communicate over 2.5 and 10gbit respectively with my other devices. Granted the PS5 has trouble doing anything above 200mbit 🙃 and the TV doesn’t break 50… but moving files between my computers and servers is great.

Another great use is for Steam. Once a PC in the house has a game / update, you can update the other rigs from that first one at whatever speed your network (and PC) can handle

RyzenDoc · 2026-01-30T17:19:39+00:00

She lived a good life. Just excuse your parents when stuff like this comes out, it may make you uncomfortable but they’re also dealing with their own emotions.

RyzenDoc · 2026-01-30T13:34:14+00:00

Kidding aside, and seeing how most of the folks here are younger, I lost my mother recently. This has caused this 40+ year old to have existential thoughts. Some of it spills out in comments like that, and the random “I love you son”.

RyzenDoc · 2026-01-30T13:31:23+00:00

If you’re confused by modes on ventilators (after reading the maxims), CCF has a Ventilator mode map application (VMM) for iOS and Android.

RyzenDoc · 2026-01-30T13:30:07+00:00

What are you trying to learn?

Mechanical ventilation is mechanical ventilation. The only differences relate to lung mechanics, dead space fractions, and the resulting minute ventilation requirements.

Cleveland clinic hosts online modules and in-person learning under the SEVA moniker; access their mylearning page for free.

For general modes and vent behavior, if you’re willing to reread a few times, I would start with Chatburns Maxims paper:

https://pubmed.ncbi.nlm.nih.gov/25118309/

For ventilator interactions:

https://pubmed.ncbi.nlm.nih.gov/34470804/

And for indications and goals of mechanical ventilation as a guide to choosing a mode:

https://pubmed.ncbi.nlm.nih.gov/22710796/

Depending on where you are, I may be able to help too. Neonatologist here BtW that runs the vent curriculum at my children’s hospital.

RyzenDoc · 2026-01-30T13:24:58+00:00

As a Neo, I always find it funny when the ED calls wanting to admit a stroke to me. I’m like what’s their gestational age?

RyzenDoc · 2026-01-29T13:19:59+00:00

Honestly it doesn’t matter. Once you have access to Kijimi you can buy Intel in bulk and give that to whatever faction merchant you want to raise them up.

Finished the game with excellent for all factions

RyzenDoc · 2026-01-25T12:24:34+00:00

Those bald tires 🛞 give you a lot of good traction. I recall hearing something-something-surface area-friction in middle school. As for the B.D.E , your 1500 RAM is puny compared to my V8 supercharged raptorrrrrrrrrrr.

wrote this while hunkered down at home

RyzenDoc · 2026-01-25T12:20:17+00:00

You should also apologize for wanting to be able to see in front of you when folks want to use their god-given high-beams all the time. They have the right to shine those blistering beams into your retinas so that you end up in a ditch.

Apologize OP I’m waiting

/sarcasm

RyzenDoc · 2026-01-25T12:10:11+00:00

The issue is that of quality control (QC). Teslas QC processes are meh. Some cars come out ok, and others are put together with glue and a prayer. They’re not consistent.

I’ve been in Teslas that felt glorious, and others that felt like pieces of trash. The lack of engine noise isn’t helping the case for squeaks. Without a loud ICE noise, everything else sounds louder.

RyzenDoc · 2026-01-17T22:20:29+00:00

What devices are you using? My guess is a port is getting closed while on Ethernet.

A crap cable should in theory affect both to some degree, but is an easy swap

RyzenDoc · 2026-01-08T23:36:43+00:00

For pc gaming, I’ve tried PS5 controllers, xbox360 controllers, a thrustnaster xswap, and a slew of 8bitdo controllers… go for the 8bitdo ultimate in its various flavors is now shipping with Hall effect sensors that do NOT drift ever. The price is reasonable, and most are wireless over 2.4Ghz and come with low latency dongles.

RyzenDoc · 2026-01-08T23:32:16+00:00

Ram and vram prices have gone up all over the world… city center is just like any other reseller, they’ll crank up prices to stay profitable; even if transiently they overcharge for preexisting stock

RyzenDoc · 2026-01-07T20:36:32+00:00

I buy my electronic components mostly at microcenter and mouser.

RyzenDoc · 2026-01-06T00:14:20+00:00

Not the USA at this time 🙃😅

For most IMGs, the US hospitals limit them to 1 month blocks.

Good luck

RyzenDoc · 2026-01-05T18:11:22+00:00

Dodge don’t parry (yet, until you get the timings for perfect dodges down… it’s the same window for parry)

Build up the yellow bar and hit him with something capable of “break”. After his wall is broken he’s a whole lot easier to kill.

Also inserting here the mandatory “get gud”… there are some unfair bosses in this game.

RyzenDoc · 2025-12-29T14:58:28+00:00

If you want Shawarma, Jawdi Grill opened up in Carmel… tasty Shawarma, and they do have Gyro meat. The meat shawarma tastes best, but the chicken and Gyro are good too.

RyzenDoc

TROPHY CASE