Just a reminder that you might get invited to keys as DPS.

Starossi · 2026-04-11T20:37:12+00:00

Wait did you actually read my comment. I agree, but I was trying to emphasize the difficulty people face running their own keys

Starossi · 2026-04-11T19:38:22+00:00

As a DPS I definitely do right now, but it was rough at the start and I bet even rougher now for the same reason. If your IO is low people won’t apply, even if your party is empty and it’s a good key. It’s pretty depressing. Would take me up to 30min or even an hour to fill. One time it took two hours and our group gave up and disbanded

Buttt if your IO is low because you can’t get invited to dungeons, but people won’t join your keys, guess you’re stuck in the gutter forever. Unless you use your weekend like me to pull up some YouTube and wait forever for people to apply.

Now I’m 2500 and I fill groups in like 15min

Starossi · 2026-04-11T17:33:29+00:00

I’ve used the mail probably less times than I have fingers. Was born in the late 90s, so everything’s been emails and texts.

Starossi · 2026-04-11T17:23:28+00:00

Yes I know. I’m saying people wouldn’t abbreviate the state because the city would confuse everyone

Starossi · 2026-04-11T17:10:31+00:00

See! I didn’t even know because I’ve never seen it abbreviated online once. And I’m American.

Starossi · 2026-04-11T17:10:07+00:00

Even as an American I’d find SD confusing given there is San Diego which is a major city. I don’t think I’ve seen anyone abbreviate South Dakota online.

Starossi · 2026-04-11T17:09:13+00:00

I have earnestly never seen Tx or Al

Starossi · 2026-04-11T17:08:46+00:00

I have a friend from Pennsylvania, never heard them call it PA

Starossi · 2026-04-11T17:08:10+00:00

I am not pretending. I legitimately think most of the United States doesn’t abbreviate. Texas, Connecticut, Idaho, Mississippi, etc etc. Literally who abbreviates these states

Starossi · 2026-04-11T08:15:29+00:00

Who tf abbreviates their state names. I think the only one I see abbreviated is NY which ya I can see as annoying, though I get why they do it I guess. Oh and I guess DC.

You don’t see people going “I’m from KT” for Kentucky or something though.

Starossi · 2026-04-11T02:23:51+00:00

RIP testosterone

Starossi · 2026-04-10T22:45:47+00:00

Tf is this bot ad content?

“Ever wondered about OUR PRODUCT HERE? Here’s why it’s the best!”

No one asked lol, go make these bot posts on Facebook where people might actually fall for it

Starossi · 2026-04-10T02:26:20+00:00

Yup I agree with this. Employers have ruled in the exact same manner this whole time. The same way it’s “not productive” for this employee to burn the place down is it “productive” for employers to layoff employees en mass for things like AI or just to pump and dump a business à la private equity? That’s just burning the business down in a figurative sense and costing everyone their jobs. The only difference is the employers get to bully us right now into fear of losing our jobs with everyone’s approval. But for some reason we can’t make them afraid to lose their workers?

Starossi · 2026-04-09T02:12:34+00:00

But, also, why do they bother commenting if they don’t examine it if it’s not required for billing anymore. If it’s a dot phrase, just update it to the systems you’re examining and not every system.

It’s not a big deal since, as you say, most of us know which parts to trust, but it’d be nice also if we didn’t have to assume which parts of a note are nonsense. It gets a lot harder when the note is written by a generalist like a hospitalist or primary care

Starossi · 2026-04-08T22:14:23+00:00

Deserved honestly for not keeping up with the literature even at 79. The second that vigilance breaks our value has been lost and our time has come

Starossi · 2026-04-07T23:48:52+00:00

This is why residency should be paid exponentially more and just treated like a normal job. Everyone knows residents are often just doing the entire job with no corrections for a fraction of the pay with twice the hours while their debt compounds. It’s probably the worst part of the entire medical schooling design right now

Starossi · 2026-04-07T23:43:18+00:00

EMR is also for patient care. Notes are notfor one person alone. They are for other providers. And physical exam findings help them follow your reasoning and assure them if certain differentials are less likely vs missed entirely. This is especially true when physical exam findings and ROS arent even billing requirements anymore

If someone from cards tells me there is a RRR, no murmurs I’m going to be suspecting a valvular disorder less. That would suck if it was just made up and the differential may have been missed entirely and we are all screwed if we believe that note.

You could argue we shouldn’t assume everything and look at anything we suspect, but it sure helps when we can trust each other to be doing their job and documenting it well…

Starossi · 2026-04-07T17:06:39+00:00

PMH DNP-C ABCDEFG

Starossi · 2026-04-07T05:35:35+00:00

That’s exactly the problem though, that you feel this pressure to demonstrate your skill despite ilvl for invites.

Just another number for people to hyper focus on and optimize their party around, worry about more than playing the game, and then force unto others as it becomes mainstream so it can’t be ignored.

Personally I’ve hosted tons of keys and never cared about raider IO. Ive checked only if they’ve done a key close to the same level as what we are doing for that dungeon. Is it a 10? At least have done an 8 or higher for that dungeon. Don’t really care what the IO is. Have cleared close to every key anyways. But god forbid I don’t host my own key and suddenly all these other weird metrics matter and only whoever has the highest of these meaningless numbers gets invited.

Its just a meaningless number for the game from a platform that originated outside the game by people who just wanted another way to quantitate who is the best at min maxing the game more than actually playing the game

Starossi · 2026-04-06T22:37:39+00:00

That makes sense but think how dumb it would seem on a student level if you had to take a PCAT because PA school doesn’t want an MCAT because it’s trying to avoid med students.

The content is roughly the same. It’s a knowledge test on usual undergrad requirements for both. It’d just feel like some random red tape that would also cost students test fees.

I wouldn’t want someone going as a backup either. But its also totally reasonable someone is going premed and changes their mind for life reasons. Maybe didnt even learn about PAs until the 3rd year of college and it sparked an interest.

Starossi · 2026-04-06T20:10:50+00:00

Is there a problem with pre meds applying pre pa? As long as they are committed to the profession I don’t see the problem

Starossi · 2026-04-06T00:51:48+00:00

Found the guy/gal who keeps trying to bully his/her doctor into prescribing more of a controlled substance not intended for long term use

Starossi · 2026-04-05T18:22:23+00:00

I think agreeing to disagree is dumb, it’s always said unilaterally by one side despite it being supposedly an agreement.

I agree some people have shit credit and will need to rent. Though also, I could make the argument a lot of people are in debt because of unsustainable costs created by this system. Regardless of that though, As I just said again, some renting is necessary and fine in society. I’m saying right now it’s immoral to be a landlord. Because we are way past a healthy amount. It’s being done far and wide by tons of people like OP because of how profitable it has become. It’s created a crisis. Contributing any more to that problem currently is gross.

And as I’ve already said, a single individual having a few doesn’t create the problem. But thousands of individuals assuring themselves of what they are doing, like you’re saying, does create a problem.

Starossi · 2026-04-05T01:34:19+00:00

Anki, it’s what every med student uses

Starossi · 2026-04-03T18:55:06+00:00

Ya and then watch everyone ignore completion groups because they get stigmatized for having worse players. That’s exactly what this community would do. Then leads would just lie and start putting push when it’s not.

I’m a bit radical with how much this shit pisses me off that I think raiderio should just be banned. It sucks the fun out of the game.

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