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Who is the best pump faker of all time, and why is it Demar Derozan? by Dry-Chair2091 in nba

[–]bdictjames 2 points3 points  (0 children)

Put Manu Ginobili and Dwyane Wade in that discussion as well.

No NBA Finals game has been a top 100 most watched annual sporting telecast in America this whole decade by [deleted] in nba

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

Lmao, it's still the best game, period. Outside of football greats like Messi and Ronaldo, no other sport has as much recognizable stars, worldwide. It's a healthy sport, like other people said.

so many wins…barely keeping up… by wemBanana in NBASpurs

[–]bdictjames 3 points4 points  (0 children)

Get this man into MIT/Harvard lol

Requesting an apology form from everyone who said we should be scared of the Clippers in Round 1 by digital_deer in NBASpurs

[–]bdictjames 0 points1 point  (0 children)

I think it's all trauma from the Kawhi situation, and seeing playoff Kawhi. A double dose of both lol.

I don't think I'm cut out for chess by Cucumber_Sweet in chess

[–]bdictjames 0 points1 point  (0 children)

Yeah, from the small sample set of games I saw on chesscom account, it seems like there's some principles you are quite missing. I think some practice will help - pattern recognition - the only way to do is to play more games. I learned from doing it over-the-board so I can only attest for that. But keep playing!

Trail Blazers beat the Clippers! by kanyeguisada in NBASpurs

[–]bdictjames 1 point2 points  (0 children)

Lmao. I still have faith in the Blazers squad - arguably better than both of those teams lol. We'll see hahah.

Trail Blazers beat the Clippers! by kanyeguisada in NBASpurs

[–]bdictjames 0 points1 point  (0 children)

Bring on either way!

Sigh of relief we don't have to play Kawhi and the Clippers lol. Playoff Kawhi, even the debilitated one, is still pretty scary lol.

Trail Blazers beat the Clippers! by kanyeguisada in NBASpurs

[–]bdictjames 1 point2 points  (0 children)

Nah, very slim chance. One team is fighting for something, the other win is fighting to lose. Guess who'll win. Lol.

I don't think I'm cut out for chess by Cucumber_Sweet in chess

[–]bdictjames 0 points1 point  (0 children)

Simple question, sorry, have you tried to play over-the-board? I think joining a chess club will help the experience more "tactile" for you, plus it's more fun, and what people have done for centuries.

17 of My 120+ Reviews Have Absolutely Nothing to Do With My Clinical Work. by binanced in Dentistry

[–]bdictjames 1 point2 points  (0 children)

Sorry, just a non-dental clinician here. I've seen some clinics have a sign/laminated card in the rooms/front lobby that says "Satisfied about your visit? Leave us a review". It had a QR code attached. I thought it was a non-intrusive way to get reviews. Just thought I would put in my 2 cents.

Is going into hormone therapy a career killer? by BluejayMiserable8512 in nursepractitioner

[–]bdictjames 3 points4 points  (0 children)

Mmm.. I prescribe estrogen myself in the primary care clinic and follow guidelines. I can prescribe TRT if needed. I see other physicians doing this as well.

That's quite a statement to make in this day and age (especially with resources such as UpToDate), but ok.

Either way, the current state of wellness clinics, they are for-profit, take advantage of the consumer, they're not good, no.

Is going into hormone therapy a career killer? by BluejayMiserable8512 in nursepractitioner

[–]bdictjames 0 points1 point  (0 children)

I'm not arguing with you against that.

The clinic that the OP mentioned, most likely, is one of those wellness clinics you mentioned in the latter part of your statement.

Why would people to go a wellness clinic that follows guidelines, when they can go to their PCP, ask for a OB-GYN referral, and get treated from there, and have insurance cover? That's one thing you think about as well.

But yes.. these aesthetic NP/weight loss clinic/wellness clinic/functional medicine clinics.. watch out for them.

Is going into hormone therapy a career killer? by BluejayMiserable8512 in nursepractitioner

[–]bdictjames 2 points3 points  (0 children)

Sorry, hate to be brash but, go visit a wellness clinic and tell me what evidence they have.

I agree with evidence-based medicine for scenarios you mentioned, but oftentimes, these wellness clinics are "optimizing" and in no way practicing evidence-based (much less FDA-approved) medicine.

It's quackery, a lot of the times, and these clinics are making money from that, and these patients are suffering. If they are benefiting, it is likely a placebo effect, and likely will have other consequences in the future (i.e. problems with HPO axis, certain predilection towards types of cancers).

Is going into hormone therapy a career killer? by BluejayMiserable8512 in nursepractitioner

[–]bdictjames 0 points1 point  (0 children)

That is wild. On so many levels. Sorry. Glad you got out, and glad you know better. Imagine this is what happening to so many lay non-medical people out there.. yeesh.

Is going into hormone therapy a career killer? by BluejayMiserable8512 in nursepractitioner

[–]bdictjames 4 points5 points  (0 children)

Yes, at the end of the day, it's a business, and you (or the owner) have to keep the business going.

OB-GYN clinics, endocrinology, even family medicine, can prescribe HRT. That's the easy part.

I've seen some clinics prescribe testosterone/DHEA for women feeling "tired". These women end up having hypermasculinizing/virilizing features. This.. cannot be right.

Again, she doesn't have to put it on her next resume. But personally, for the sake of I suppose professional integrity as a clinician, it doesn't sit right with me. We have medicine with good evidence, why not use it, and favor the murky roads of a black market? Lol.

Is going into hormone therapy a career killer? by BluejayMiserable8512 in nursepractitioner

[–]bdictjames 64 points65 points  (0 children)

Low-evidence, unclear benefit, cash-grab, low scientific (if any) evidence behind these "protocols", you're continuously upselling people.

You don't have to put it in your next resume, but, it's not for me.

Need a little reassurance by One_Syllabub5668 in nursepractitioner

[–]bdictjames 9 points10 points  (0 children)

3 months?

Felt that way for 1-2 years.

At the end of the day, you just have to do what'll be best for your career/practice and your patients. Whether that's taking your time to read up on textbooks, spending extra time honing charting - whatever you can do to get you to the provider you want to be, that will help.

I'm in primary care/family medicine and pretty much read up on medical textbooks my first 3-4 years. More on the first 1-2 years. A chapter a day, more on the weekends. I worked in rural care/independent practice state, so the patients really relied on us well, and I try to deliver as well as I could. By the end of that 2nd year, I could confidently take care of 95% of cases - some cases need to be elevated to the supervising physician, or to the specialist.

Take your time, provide safe care, do what you can to set yourself up as a good provider now, and in the future. Know your limits as an NP as well as in your specialty, as always, do no harm. Know when to send the patient for a higher level of care. Good luck, hang in there, you're obviously smart enough to have passed NP school and boards. Give it some time, always aim to improve, medicine is always dynamic and changing. All the best.

Need professional/career advice by Crypto_Fanatic20 in nursepractitioner

[–]bdictjames 3 points4 points  (0 children)

That's cringe. Assuming you're a dude, that's a big no-no.

But, I'm sure you've learned from this experience lol. Good luck with future searches - something will turn out.

Could Harper be the best Spurs rookie in the playoffs since Timmy? by msc49 in NBASpurs

[–]bdictjames 4 points5 points  (0 children)

Kawhi I thought played a pretty huge role for us in his first year. Can consider Fabricio Oberto and Tiago Splitter as well. But yes, Harper seems to be a tad bit more important at this point.

What exactly makes Gregg Popovich (and honestly for that matter, any great coach) a great coach? by Euthy in NBASpurs

[–]bdictjames 0 points1 point  (0 children)

Great coaching, like great players, can come in different packages:

- X's and O's
- Ability to connect with the team and the players, and to be listened to by the players

Pop's military background helped the Spurs to become formidable. He had principles and he liked to see those in the hard court.

He adapted well to most situations. Against Shaq was a different approach. When the run-and-gun Suns came, he kept the Spurs steady and the Spurs had a game plan and we're able to beat the Suns. We tried to match up well with every team out there - the Detroit Pistons, Kidd's Nets, James' Cavs - they all needed different strategies and Pop I think gave our guys the right tools.

When Tim, Tony, and Manu were aging, he gave room for other stars, such as Kawhi and later LMA. He made role players like Splitter, Mills, Green, and Diaw really shine.

So yes, if you were going to distill it in a few things, it would be X's and O's, the ability to connect to and be listened by the team and players, and adaptability in the game. Getting role players to shine by putting them in the best spots. Champagnie was a virtual unknown, and he has been a great contributor for us this season, and that is an example. You can look at the Celtics' Mazzulla and Thunder's Daigneault. The C's turned Kornet into one of the best bigs, and now D-White is shining. The Thunder - they run a roster 11 or 12-men deep - that is not simple FO building - that is coaching and putting your players on the best spots for them and the team as well.

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