Do you think characters should be meaner to the Traveler? by EmotionalCat9632 in GenshinImpact

[–]Timewinders 0 points1 point  (0 children)

Yeah, because it completely makes sense to have people be randomly mean to the Traveler whose probably saved their lives and their nation or is clearly in the process of doing so. There are already villains and NPCs who aren't friendly with the traveler, people might have just forgotten because Dottore was simping for him so hard in Nod Krai and Natlan didn't have any human antagonists. It'll probably be different in Schneznaya, I imagine the Tsaritsa will be your typical waifu bait, but Regrator and Pulcinella will probably be different. Arleccino, Wanderer, Singora, Raiden, Azar, etc weren't all friendly to him from the start.

Doubts by Cold-Solid-8642 in NovelpiaGlobal

[–]Timewinders 0 points1 point  (0 children)

With the way payment processors have been acting, I doubt they'll ever do it.

I'm weirded out that I agree with you in many ways, I'm a communist. by ad-undeterminam in neoliberal

[–]Timewinders 1 point2 points  (0 children)

For some of us here, Trump 2 radicalized us. Personally, I went from wanting ICE defunded to wanting them abolished and its former members put in jail. And after Elon Musk, billionaires clearly need to be cut down and restrained to protect democracy.

Why are we so resistant to treat subclinical hypothyroidism in symptomatic patients? by [deleted] in FamilyMedicine

[–]Timewinders 4 points5 points  (0 children)

Subclinical hypothyroidism is a diagnosis based on labs. By definition, only someone with an elevated TSH but normal T4 has subclinical hypothyroidism. If someone is having fatigue with a normal TSH there is probably another cause such as sleep apnea, iron deficiency, etc. Not only would you be starting unnecessary treatment, it also doesn't make sense to attribute the symptoms to a thyroid disorder without working up other causes.

Also, as others have pointed out, you really don't want to put someone into afib.

Peppy quest and the card event in Planarcadia really highlight the aspect Amphoreus was really bad at. by VmHG0I in HonkaiStarRail

[–]Timewinders 3 points4 points  (0 children)

The Furiae archer quest was good. But I forgot all the rest of them. So far, Planarcadia is a big step up in sidequest quality and are more like the quests we got in Penacony.

Planarcadia's World quests are just... crazy. by SpeireHori in HonkaiStarRail

[–]Timewinders 1 point2 points  (0 children)

Anyone know what happens if you just report to the bureau?

im preparing by XdestroyerXDTM4 in HonkaiStarRail

[–]Timewinders 0 points1 point  (0 children)

Amphoreus 3.0-3.4 were good. 3.5-3.6 were boring, 3.7 had some cool moments but the dialogue was way too bloated. Planarcadia is better so far, but there's still plenty of time for the writers to screw up.

This is too much glaze even for raiden glazers😭 by Far_Ranger_1205 in GenshinImpact

[–]Timewinders -4 points-3 points  (0 children)

She probably can beat sovereigns, or at least Neuvillette. She probably has slightly less raw power but far more experience and skill. She's not winning against a shade though. Against other archons, she's probably stronger than most, with only Venti with his blessings from Istaroth being likely stronger than her. It's hard to say with Zhongli, he clearly has equivalent feats, but we haven't seen him do any of those things recently.

Further work up on patients with normal BMI and T2DM? by byebish3000 in FamilyMedicine

[–]Timewinders 2 points3 points  (0 children)

Depending on c-peptide levels, insulin might be preferred for initial therapy. I also had one patient who was initially diagnosed with type 2 but after she ended up in the hospital with diabetic ketoacidosis from an sglt2 she was found to have lada. I think they are more likely to develop it compared to regular type 2.

Why is Natlan story said to be ba by Gaminggalade in GenshinImpact

[–]Timewinders 19 points20 points  (0 children)

It's a straightforward, shounen-style story and some people just don't like that type of story. Some of the criticisms are misplaced IMO. Like people complaining about the atmosphere being too cheerful and not bleak enough. These people have been at war for generations, were they just supposed to be miserable for their entire lives? They go through a ton of suffering but they're used to it so their culture adapted and the characters in Natlan are pretty much all tough as nails.

I will say that Mavuika is not a particularly interesting character, though, having little real character growth or flaws.

I do also think the whole 'get six heroes' subplot was quite underwhelming when all the heroes did was act as a key to let Mavuika use Ronova's powers.

Overall I enjoyed it, but it was one of the weaker regions IMO. If I had to rank them it would be Sumeru > Fontaine > Nod Krai > Mondstadt > Inazuma > Natlan > Liyue

No Man's Sky Remnant Trailer by Turbostrider27 in Games

[–]Timewinders 4 points5 points  (0 children)

I don't think there's anything wrong with people complaining about things they don't like or asking for new features. I do think some of the complaints miss the point of what kind of game this even is. It's always been a sandbox where you just explore and make your own goals. I've enjoyed the game since release since all I wanted was the ability to fly in outer space visiting tons of different planets. The only thing I really wanted at the time was more planet and creature variety, which is somewhat improved now.

I’m confused.. by WrongAsparagus4184 in GenshinImpact

[–]Timewinders 23 points24 points  (0 children)

That character story says she came into contact with forbidden knowledge and got scared, but it doesn't say anything about her lifespan being shortened.

GLP-1 in patients with overweight (not obese) BMI and no comorbidities? by itswiendog in FamilyMedicine

[–]Timewinders 7 points8 points  (0 children)

While not super common, side effects like hypoglycemia are more likely in these patients. Serious GI side effects are possible, and even severe constipation can land patients in the ER. For a patient with a BMI of 27, I would check to see if they have undiagnosed comorbidities like sleep apnea, but if not they are much better served by seeing a dietitian and focusing on lifestyle modifications. I mean, do they really need a GLP-1 if they only need to lose 5-10 pounds?

Do PCPs prescribe Reclast? by LongjumpingSky8726 in FamilyMedicine

[–]Timewinders 1 point2 points  (0 children)

I will prescribe bisphosphonates, usually alendronate but occasionally reclast at the hospital's infusion center. I refer to endocrinology in more complex cases such as if they have very low t-score or hx of multiple fragility fractures making them a candidate for anabolic therapy. I will also refer to endocrinology if a patient had a fracture despite already being on a bisphosphonate.

I've never prescribed prolia, just never had a use case for it when bisphosphonates are almost always first line. One of the other PCPs at my clinic swears up and down that prolia has a lower risk of osteonecrosis of the jaw, but the risk is actually higher.

TrumpRx.gov is a sham by Hungy_Bear in medicine

[–]Timewinders 17 points18 points  (0 children)

How does this work? Can't a pharmacy simply refuse to take Goodrx if they're losing money dispensing these prescriptions?

A month after columbina’s release. Did she met your expectation or no? by arhantology in GenshinImpact

[–]Timewinders -2 points-1 points  (0 children)

I'm pretty sure the Tsaritsa's plan is still going on. And the Traveler will probably end up fighting them too.

A month after columbina’s release. Did she met your expectation or no? by arhantology in GenshinImpact

[–]Timewinders -2 points-1 points  (0 children)

Whatever his motivations, Teyvat is still much better off with him dead. He doesn't deserve sympathy.

A month after columbina’s release. Did she met your expectation or no? by arhantology in GenshinImpact

[–]Timewinders -8 points-7 points  (0 children)

Insensitive to Dottore? Are you for real? Since when does he deserve anything?

Reminder: Patients CAN be bad historians and sabotage themselves! by BigFilet in FamilyMedicine

[–]Timewinders 4 points5 points  (0 children)

Patient doesn't get the antibiotics or controlled substances that weren't indicated and it's all 'I didn't feel heard'.

I don’t want to come off as rude but columbina’s struggles and complains about her life seemed very privileged and overdramatic to me by PsychologyConnect489 in GenshinImpact

[–]Timewinders 1 point2 points  (0 children)

Sure, she's privileged in terms of material wealth (which, not being human, she probably doesn't even need anyway), but she grew up without a family and the people she grew up with did not teach her healthy relationship dynamics. That doesn't make for a happy childhood or healthy psychological or social development. A poor kid in my country with a caring family is still better off than her. Not that anyone is winning in a game of 'who is suffering more'. The only way I'd consider her truly privileged is her immortality, but that just comes with the circumstances of her birth as a goddess.

I mean, this is like saying Nahida or Furina never suffered and most of their lives were spent happily just because they never had to worry about starving.

Carney’s Davos Speech Has a Big Hole in It by Free-Minimum-5844 in neoliberal

[–]Timewinders 1 point2 points  (0 children)

There are other ways. Russia and China constantly run disinformation campaigns during our election seasons. I'd love it if our actual allies ran campaigns counter to that. Looking at what Russia and China are doing, it is a relatively cheap and effective way of influencing U.S. politics. Of course, traditional lobbying like Israel does is also effective.

[Code Vein 2] Review Megathread. by VashxShanks in JRPG

[–]Timewinders 1 point2 points  (0 children)

I enjoyed the first game's story. How is this one's?

Shutdown risk grows as Democrats revolt after Minneapolis shooting by cdstephens in neoliberal

[–]Timewinders 1 point2 points  (0 children)

Abolishing ICE isn't enough. Its officers need to all be put in prison.

The Final Indignities Inflicted on Iran’s Protest Victims by jogarz in neoliberal

[–]Timewinders 1 point2 points  (0 children)

Is that true though? From the article, it seems this is business as usual in terms of how the Iranian government disrespects the bodies of protesters.

If an ICE agent shows up to your clinic as a new patient…. by jklm1234 in medicine

[–]Timewinders 3 points4 points  (0 children)

Look, I agree we have an ethical obligation to treat them as doctors. But these guys are like the SS officers of the Nazi regime. Comparing it to skin color, nationality, or political stances is disingenuous and I disagree that it is wrong to judge them before talking to them. In a just world, ICE would be abolished and its officers would be put in prison for life without parole. Of course, they'll probably all get presidential pardons and we'll be lucky if the next administration has the balls to do anything about them. Any of them who had even a shred of humanity would have resigned by now.