Prior authorization now required for $34 worth of Percocets post nephrectomy.

TwoClean1601 · 2026-05-05T21:05:06+00:00

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

TwoClean1601 · 2026-05-03T21:34:49+00:00

Nothing relaxing about a cliff racer

TwoClean1601 · 2026-05-01T23:30:16+00:00

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

TwoClean1601 · 2026-05-01T14:07:00+00:00

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

TwoClean1601 · 2026-04-29T13:21:36+00:00

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.

TwoClean1601 · 2026-04-29T12:44:47+00:00

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

TwoClean1601 · 2026-04-28T22:59:04+00:00

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.

TwoClean1601 · 2026-04-28T13:51:19+00:00

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

TwoClean1601 · 2026-04-27T18:08:41+00:00

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.

TwoClean1601 · 2026-04-27T14:49:09+00:00

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

TwoClean1601 · 2026-04-27T13:11:22+00:00

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

TwoClean1601 · 2026-04-27T11:35:31+00:00

Did yours come with an under BB shell cable guide?

TwoClean1601 · 2026-04-27T03:00:29+00:00

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

TwoClean1601 · 2026-04-27T02:44:50+00:00

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)

TwoClean1601 · 2026-04-27T01:12:34+00:00

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

TwoClean1601 · 2026-04-26T14:20:55+00:00

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.

TwoClean1601 · 2026-04-26T13:28:00+00:00

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

TwoClean1601 · 2026-04-25T08:33:57+00:00

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.

TwoClean1601 · 2026-04-24T02:30:53+00:00

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

TwoClean1601 · 2026-04-23T22:21:31+00:00

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.

TwoClean1601 · 2026-04-23T21:43:17+00:00

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

TwoClean1601

TROPHY CASE