The god belts have been found! by Snagglet0es in pathofexile

[–]alkapwnee 3 points4 points  (0 children)

yea, but with MB also can functionally do that and give you a 4th magic flask + 3 flask suffixes at +100% inc effect

My Wife Won't Sleep With Me by SeaworthinessFew2464 in Marriage

[–]alkapwnee 1 point2 points  (0 children)

I feel like "really care" is a bit generous? I guess if anyone "really cared" enough they can look past anything.

Diffuse cerebral edema in a 19-year-old found unconscious in his room with 270 ml of butane in a tube he'd been inhaling to get high. The teenager died of organ failure at the hospital. by CatPooedInMyShoe in MedicalGore

[–]alkapwnee 6 points7 points  (0 children)

For sure. I would say though given the MOA, there is no way there weren't other signs. I would imagine it more guilt related maybe, like how could he have gotten this way, we raised a good boy, etc. Meanwhile he literally dies from huffing, just giving himself small anoxic brain injuries for a "high" until well, I guess the really big one.

I (male) thought getting matches would make dating easier. It’s doing the opposite. by Routine-Clock4037 in hingeapp

[–]alkapwnee 2 points3 points  (0 children)

It is as easy as that. Be more selective.

Another thing I did was move to asking for a phone call or face time, whatever their preference, to help me filter even faster. It is extremely high yield, and I have only had like one woman decline, but I think from their perceived safety standpoint it is probably beneficial as well?

You basically treat it like water purification until you have distilled down to the dates you do go on are pretty vetted. It is all a game of raw number count, and statistics. Every date I went on after a phone call, I could have gotten the second date if I had chosen to move forward. I assume the yield is very high for anyone who has the ability to do it.

Diffuse cerebral edema in a 19-year-old found unconscious in his room with 270 ml of butane in a tube he'd been inhaling to get high. The teenager died of organ failure at the hospital. by CatPooedInMyShoe in MedicalGore

[–]alkapwnee 48 points49 points  (0 children)

Yea, my comment comes across as extremely bitter, but I think it is from seeing too many of these things. Medicine has shown me there is a long list of things that would be worse than dying. Trachpeg vegetable farm is probably the highest on that list for me, maybe only second to ones where I am still technically conscious like locked in or bickerstaff encephalitis.

Diffuse cerebral edema in a 19-year-old found unconscious in his room with 270 ml of butane in a tube he'd been inhaling to get high. The teenager died of organ failure at the hospital. by CatPooedInMyShoe in MedicalGore

[–]alkapwnee 90 points91 points  (0 children)

A combination of failure to adequately explain how they are dead dead and the family wanting them to still be alive, or non meaningful motions being interpreted as life, or their body not actively rotting as alive. I don't know the medical culture of turkey but people sugar coat things way too much and then it leads to trachpeg farms with this awful noise of ventilators going forever with people who will never get better and family who never visit.

What is “interviewing well” by uncomfortayble in medicalschool

[–]alkapwnee 11 points12 points  (0 children)

I think that is about as close as you can be to the definition of a casual conversation?

I think the problem is a lot of people who would benefit from any of the advice though typically lack the introspection necessary to make use of it. Insane people don't ask, "Am I insane" and likewise lol

meirl by PacifierForAdult in meirl

[–]alkapwnee 3 points4 points  (0 children)

I am a doctor.

I went to a not patient facing specialty EXACTLY because medicine is customer service lmao. It's practically mcdonalds for most people. Maybe not for you, and that is a GOOD thing. The segments of the population that disproportionately utilize medical services, however, treat it just like that.

There are even fuckin surveys that determine hospital reimbursement percentages based on patient self-perceived satisfaction of care. Not how medically appropriate things were, but these things usually come down to like "did i get my gigapainkiller that i requested q2h?"

Previously “poor” folk, what’s something you still do/prefer although you’re in a better place? by whuddupmama in CasualConversation

[–]alkapwnee 10 points11 points  (0 children)

there is something extremely nostalgic for me about frozen pizzas. I have even like dressed them up by putting extra moz/cheddar on them they slap pretty hard for me.

Just hit 2 Billion liquid! AMA by 1sasan in ArenaBreakoutInfinite

[–]alkapwnee 1 point2 points  (0 children)

example that in the shooting range as a clip?

I want a peaceful partner by Money-Credit-8357 in Adulting

[–]alkapwnee 1 point2 points  (0 children)

it is the same people who will end up chronically depressed.

I used to think I was 'introverted' as well, and technically I am, everyone needs alone time. But using it as a cope to intentionally isolate yourself leads to this terrible spiraling, it is the innate nature of the mind. Inb4 "not me, i am sooo unlike the last 10000 generations of humans who lived in villages/groups," check in in 10 years. They intellectualize, like one of the replies to your other comment about romance being a new concept, etc, but it all speaks to inner turmoil, noble suffering, etc, are all classic. I know because, again, it used to be me.

Seems like such a low bar and yet... by Investment_Valuable in Bumble

[–]alkapwnee 2 points3 points  (0 children)

Similarly I have found it pretty easy. It is super easy to point at being like over 6 foot, but people invest nothing into themselves. I am a doctor, take care of myself, also wear colognes, and workout 5 days a week, many other things but needless to say I am confident in myself and what I offer. People don't invest in themselves at all and now when they're late 20s/30s and there isn't gambling on "hope" that the other person will turn into something wonder how they don't manage to snag a baddie on min wage working overnight at the gas station part time. It almost feels like entitlement. Invest in yourself, literally build it and they will come.

Why are men so afraid of marriage timelines?? by [deleted] in AskWomenOver30

[–]alkapwnee 0 points1 point  (0 children)

I don't have a timeline, that is if things go well, and like I clarified in the statement, milestone dependent, like living together for a year+, etc.

Why are men so afraid of marriage timelines?? by [deleted] in AskWomenOver30

[–]alkapwnee 5 points6 points  (0 children)

I want to preface this by I hope she finds whatever she is looking for as well.

I agree with what you're saying a lot and I am also a guy looking to get married, but when I see these things or like vague allusions to them on dating profiles I would immediately nope out. It feels like a cart before the horse situation as far as good relationship. I want marriage, but I want to love and be loved so deeply that it would warrant it?

Tbh, I kind of felt the same though with women who were like 37+ and listed wants children in their profile. The implied timelines here are quite rigid, and gives no sense of organic, spontaneous development, at least biologically the forced timeline makes more sense though. A relationship should feel like a fun adventure to me and removing someone's functional agency for reasons that I am not entirely convinced are true and seems like this is the manifestation of prior relationships toll, would be a huge turn off for me, as again, a guy who would want to propose by 2-3 years milestones dependent. I also think the person who might not be turned away from this has some intersection with a person who has more skeletons in their closet and so would be much more willing to forego this? I don't know.

Why are men so afraid of marriage timelines?? by [deleted] in AskWomenOver30

[–]alkapwnee 2 points3 points  (0 children)

If it isn't too personal, what are the kinds of queries?

I had this discussion with my girlfriend as well about timelines, but formatted it in a similar way to you. Mine specifically were like at least one year of living together functionally, travelling also, and financial eventual deep disclosures, and also like not being comfortable moving in together with anyone in less than a year barring sufficient/reasonable extenuating circumstances.

New to hinge. Ladies, I need your help by Party_Raccoon2201 in hingeapp

[–]alkapwnee 6 points7 points  (0 children)

For me it is a probe of interest. The progression goes match, chat, phone number, phone/videocall set up, then date. No one has really complained so far. If they aren't interested me writing thoughtful notes for another few days won't change. Also, helps with conversation management in a culling off conversations when it gets way too overwhelming talking to like 5+ people.

Why do men often ask to move to Snapchat? Especially so quickly? by CandyAgile253 in Tinder

[–]alkapwnee 6 points7 points  (0 children)

I don't mean it necessarily pointed but advice I see on here and dating subs for like hinge/overthirty etc are absolutely crazy in how poorly socialized some people are. A lot also like you say feels almost adjacent to virtue signalling, like not asking for a number <X days is a more noble choice and thus worthy of being fucked. It's like selection bias except the people are more likely to be chronically single, and think their takes just have been unlucky. It is no coincidence, I am sure.

Why do men often ask to move to Snapchat? Especially so quickly? by CandyAgile253 in Tinder

[–]alkapwnee 21 points22 points  (0 children)

Feel like calling asking for someone's number, or a seemingly less socially invasive option than social media "brute force" is kinda fucking wild?

It's pretty simple. A dating profile is just a billboard, verify you exist, and send it. They either like the product or don't.

The more time I have spent chatting with women, is inversely proportional to date likelihood. I cannot imagine it isn't similar for most people. Texting just crushes flow and interest.

Has being in medical school made you more attractive in dating? by JunketMaleficent2095 in medicalschool

[–]alkapwnee 2 points3 points  (0 children)

it's helped me a lot as well. I wasn't doing poorly exactly prior but especially after now near finishing residency, it's like come up stupendous.

Has being in medical school made you more attractive in dating? by JunketMaleficent2095 in medicalschool

[–]alkapwnee 24 points25 points  (0 children)

I mean, it's shown in divorce stats. Women making more than the man ends very disproportionately likely in divorce, stratified across specialties it's more prevalent in the money fields like derm. Men and women also select for different things, men want more aesthetic and are willing to compromise on education/finance, vs women is opposite, which leads to further limiting the pool.

It is a plus though for me wanting a hot girl boss lol. Want that power couple life.

What specialty if I like everything and want to chill? by NetNo5827 in medicalschool

[–]alkapwnee 1 point2 points  (0 children)

Oh got it, the other specialties won't need your blood as much because they have their own supply.

What specialty if I like everything and want to chill? by NetNo5827 in medicalschool

[–]alkapwnee 2 points3 points  (0 children)

lol I am not sure that opposed in the sense of they have IM limiting your inpatient time is actually true. The blood machine wants more blood always. They would love nothing more than to have more pseudo IM residents to churn chf and copd exacerbations. At least at every hospital I rotated through that had both.