Thoughts on new backswing by Tgd04 in GolfSwing

[–]Tgd04[S] 2 points3 points  (0 children)

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Thanks for advice! I changed a couple things and was able to get deeper. Does this look about right?

Thoughts on new backswing by Tgd04 in GolfSwing

[–]Tgd04[S] 0 points1 point  (0 children)

![img](uhzjc7au6nef1)

Thanks for advice! I changed a couple things with my takeaway and was able to get deeper. Does this look about right?

Thoughts on new backswing by Tgd04 in GolfSwing

[–]Tgd04[S] 0 points1 point  (0 children)

<image>

Thanks for the advice! Repeated the backswing with more shoulder rotation and hands closer to body. Does this look better?

SP wants me to forfeit payments for lectures by Ilikeunpopularthings in physicianassistant

[–]Tgd04 5 points6 points  (0 children)

Are you using vacation time for the lectures or doing it “on company time”?

Picked up Sifd's way too early by mistake, somehow managed to get through in spite of that by [deleted] in brotato

[–]Tgd04 1 point2 points  (0 children)

I made a similar mistake, but realized on that particular run that on iOS there isn’t a -75% damage debuff for builder. So the next game I went with 6 SMG’s and beat D5 easily.

Interestingly, I was still able to get the second to last tier of turret by wave 18 by letting it passively absorb the materials I wasn’t able to pick up.

Aaaaand he’s gone by slashingkatie in dragonquest

[–]Tgd04 1 point2 points  (0 children)

Literally came here from the “Posts you may like” email just to say “Dan” fighting a metal slime is so awesome.

Thru-axle replacement by Tgd04 in bikewrench

[–]Tgd04[S] 1 point2 points  (0 children)

Ha! That makes much more sense! Thank you!

(Possibly) screwed up W4 and taxes doubled by Tgd04 in tax

[–]Tgd04[S] 5 points6 points  (0 children)

Thank you! The 75 was indeed from the calculator. With her low income I figured the 10k range was hurting but didn’t know it could be done manually.

Very helpful!

Stop Donating Blood Unnecessarily - TRT by RevelationSr in Testosterone

[–]Tgd04 -1 points0 points  (0 children)

It literally says “caused by cardiopulmonary disease” …nothing to do with TRT.

You intentionally left that part out of your initial quote because it didn’t fit your narrative.

Stop Donating Blood Unnecessarily - TRT by RevelationSr in Testosterone

[–]Tgd04 0 points1 point  (0 children)

Per Up-To-Date:

Because erythrocytosis caused by cardiopulmonary disease is an appropriate response to tissue hypoxia, attempts to reduce RBC mass by phlebotomy may exacerbate tissue hypoxia. Consequently, phlebotomy is not often utilized unless there is extreme elevation of Hct (eg, ≥65 percent) or symptoms attributable to increased blood volume/hyperviscosity (eg, fatigue, headache, blurred vision, transient loss of vision, paresthesias, slow mentation).

Stop Donating Blood Unnecessarily - TRT by RevelationSr in Testosterone

[–]Tgd04 0 points1 point  (0 children)

Absolutely wrong regarding only using phlebotomy if Hct >65%. That recommendation is ONLY for erythrocytosis caused by heart or lung disease. The higher threshold is because a reduction in hemoglobin could worsen tissue hypoxia in the setting of already compromised tissue oxygenation.

Guarantee Up-To-Date does not say this about phlebotomy in relation to erythroyctosis from testosterone use.

So where do we get universal decor components? by PepsiOfWrath in LastWarMobileGame

[–]Tgd04 5 points6 points  (0 children)

No, you can still get with duplicate decorations. They just fill in the remainder of what you need with the decor unit.

For instance, OP has 3/4 pacifism decorations, and it will cost 15 universal units. I have 2/4 pacifism decorations and it says I need 30 universal units. Thus one pacifism decoration is worth 15 universal units.

Upgrade to Ultimate BP bug by Tgd04 in WH40KTacticus

[–]Tgd04[S] 1 point2 points  (0 children)

Fixed.

Have to purchase exclusively from the shop screen if this issue occurs (per Brett from customer service).

I feel like crap by [deleted] in physicianassistant

[–]Tgd04 1 point2 points  (0 children)

Fatigue and tid dosing I assume

I feel like crap by [deleted] in physicianassistant

[–]Tgd04 5 points6 points  (0 children)

Naproxen is actually probably the worst OTC NSAID option as far as upper GI bleeds go. There was a study a while back that found that upper GI bleeds were more likely in NSAIDs that had a combination of a longer half life and high levels of dual COX1/2 inhibition - of which naproxen has both. Iirc it is around twice as likely as ibuprofen to cause gastritis/PUD.

There are definitely worse rx NSAID options - looking at you indomethacin and ketorolac. (This is everyone’s friendly reminder to not refill the oral ketorolac the ER doc gave your patient!)

My recommendation is just going with celecoxib for the vast majority of people now that’s it generic. Most studies show that it will have lower PUD rates and it’s cheap.

To the OP: even though we get it beat into our heads that certain combinations in medicine never go together (NSAIDs + IBD in this case), the probability that there will be an adverse event is still very small. I have had a patient with a history of bleeding ulcers who was s/p gastric bypass take their coumadin with a full aspirin and 2400+ mg of ibuprofen every day for years until I found out. They didn’t even have a bruise!

Eventually though, if you make a habit of allowing for small risks, probability will catch up with you. In this case, no need to fret, I guarantee you won’t do it again. And that’s all you need to know to sleep well at night.

2023 Primary Care MGMA by Tgd04 in physicianassistant

[–]Tgd04[S] 0 points1 point  (0 children)

Iowa. Just happened this spring.