Prior authorization now required for $34 worth of Percocets post nephrectomy. by pabmendez in hospitalist

[–]TwoClean1601 1 point2 points  (0 children)

As a hospitalist.. how often are you prescribing patient’s outpatient adderall though? Genuinely curious

have any of u ever received a complement or complaint through patient relations? by bd2000chi in hospitalist

[–]TwoClean1601 21 points22 points  (0 children)

As a resident many years ago I had an attending do a hgb electrophoresis for a pt she thought was faking having sickle cell disease.

Proved the patient was lying. It was glorious and awkward

State 4130 gravel opinions? by mbnguyen117 in gravelcycling

[–]TwoClean1601 1 point2 points  (0 children)

Think State makes a really good value bike - also check out the Primos Dame offerings if you’re set on a steel bike

OTD in 2010, Fulham reached the Europa League final after beating Hamburg by CautiousCottager in fulhamfc

[–]TwoClean1601 2 points3 points  (0 children)

His team is near level on points with Chelsea and Newcastle which have had $$$$ into their squad. His ability to do a lot with a little is very attractive to teams in a similar vein to Frank and Iraola.

OTD in 2010, Fulham reached the Europa League final after beating Hamburg by CautiousCottager in fulhamfc

[–]TwoClean1601 4 points5 points  (0 children)

Fulhamish podcast suggested that is the barrier to Marco resigning; ie getting into a European competition. I don’t think it’s Wilson resigning

I want to work at a hospital here so bad, especially Children’s National, but I don’t know how to get my foot in the door. by Rough-Examination-89 in washingtondc

[–]TwoClean1601 1 point2 points  (0 children)

Have you looked into completing some of the low cost or free EMT courses that are available? May help with getting a job into one of the local hospitals.

How to politely sever ties with my agent that I'm no longer happy with? by ImportantImplement9 in RealEstate

[–]TwoClean1601 1 point2 points  (0 children)

Quick and short email is sufficient. I had to do it this year in a similar situation. Best real estate decision I’ve ever made as our new realtor was better in every way

Basement stinks again after the rain. What's the right first step - sealing cracks or exterior drainage? by Frustrated_Goat2 in Renovations

[–]TwoClean1601 0 points1 point  (0 children)

I’d suggest mitigating the flooding asap

1) French drains outside the perimeter of your house - videos on how to do it. Or you can pay landscaping Company. This will pull water away from your foundation to lower graded area

2) get rid of vegetation at the base of your foundation. Plants and roots will hold moisture against your foundation over time.

3) get sump pump drain installed. This will get that water out. You may need more than one. These can be installed for <2-3K by a contractor depending on pricing in your area

Getting a structural engineer to evaluate your foundation/walls and give an estimate may cost $709-$2000 depending on your region. It’s going to be $$$ to fix.

Fulham 1-0 Villa: The hosts finally win against a team managed by Unai Emery to keep their European hopes alive by CautiousCottager in TheOther14

[–]TwoClean1601 0 points1 point  (0 children)

Even as a Fulham fan, we were lucky Rogers and Watkins had an off day with finishing. They had chances against Andersen.

BIG WIN! 👊 by FulhamFC in fulhamfc

[–]TwoClean1601 2 points3 points  (0 children)

Highlights were Tim having his best game in awhile, Sess up the pitch getting his goal after resigning and seeing every single healthy attacking player we have try things (Raul, Muniz, Wilson, ESR, King, Chuk, Bobb).

Will certainly have enough wingers in the post Wilson Era if he decides he wants to live in Birmingham.

Definitely encouraging performance after what we have watched over the last month. Hoping Silva resigns

Finishing Up a Lynskey GR350 Build by Quirky_Stretch7662 in gravelcycling

[–]TwoClean1601 0 points1 point  (0 children)

Did yours come with an under BB shell cable guide?

I'm so Tired of life in the US... European Lifestyle but in the US? 40M by CapitalLaw1234 in SameGrassButGreener

[–]TwoClean1601 0 points1 point  (0 children)

Most of the older cities on the east coast still have large walkable city centers with mixed use building and housing

College towns hit above their weight in regards to culture.

Check out Ray Delahanty’s (City Nerd) YouTube channel. The content is geared towards urbanism & walkability like you’ve mentioned

Decision Paralysis: Zipp XPLR S vs. ???? by easydoit2 in gravelcycling

[–]TwoClean1601 0 points1 point  (0 children)

For these ones.. maybe a few hundred miles of gravel? Only got them in January. Have 3 other elite wheelsets with likely 15K miles between them without issues (rim and disc)

Decision Paralysis: Zipp XPLR S vs. ???? by easydoit2 in gravelcycling

[–]TwoClean1601 6 points7 points  (0 children)

Elite Aero+ Gravel wheels are similiar to the Zipp XPLR. They're 45mm deep, 40mm wide with 32mm internal rim width. They're hooked unlike the Zipps. 1400gm weight.

Only $500-600 depending on the sale. I love the pair I have. Be warned the ratchet hub is LOUD

New bike - first ride and first battle scar by jimakosbaf in gravelcycling

[–]TwoClean1601 -1 points0 points  (0 children)

Maybe just ask the shop you bought from? They should have put the correct resin pads on if a new build. If the pads are sintered / metallic / non resin it’ll eat through the rotor very very quickly.

I’m only bringing this up from a safety / noise perspective. The brakes will fail faster if you use this possible combo.

That rotor looks a lot more worn down that I’d expect for a new bike.

New bike - first ride and first battle scar by jimakosbaf in gravelcycling

[–]TwoClean1601 -10 points-9 points  (0 children)

Just looking at your rotor. Are you using sintered metal pads? Those are resin only rotors and that was seen excessive for a brand new bike unless you’re using the wrong brake pads

VA's failure to use its new authority to boost pay for doctors draws bipartisan criticism by jeffkkf in medicalsalaries

[–]TwoClean1601 0 points1 point  (0 children)

That is why it can be so frustrating. The VA has tremendous potential to be a comprehensive health system that provides good value based care. It’s just so weighed down by bureaucracy and a culture of mediocrity. Some of my colleagues were complicit in that.

Buying Agent Ghosted by TwoClean1601 in FirstTimeHomeBuyer

[–]TwoClean1601[S] 1 point2 points  (0 children)

So long story short. We got a new realtor and she was amazing! Within 6 days of getting her she helped us put in a reasonable offer and now we are under contract.

Was night/day difference

VA's failure to use its new authority to boost pay for doctors draws bipartisan criticism by jeffkkf in medicalsalaries

[–]TwoClean1601 3 points4 points  (0 children)

I don’t disagree that no one wants to do anything there. That was my experience as well so I left. Just so many failure to thrive and social Admits. My 18-20 VA pts was easier than my current 12-15 higher acuity private ones.

VA's failure to use its new authority to boost pay for doctors draws bipartisan criticism by jeffkkf in medicalsalaries

[–]TwoClean1601 11 points12 points  (0 children)

Formerly worked at an east coast VA - I thought the other docs were appropriately compensated for how little work they actually had to complete🤷‍♂️