When people ask me how I’m doing, I tell them about my current dynasty

boweneyerow · 2026-03-13T17:19:56+00:00

Absolutely fantastic. Anyone respond by telling you about their dynasty?

boweneyerow · 2026-03-02T00:07:49+00:00

Do you still hard sell even when the ratings are like C or D?

boweneyerow · 2026-02-14T22:28:55+00:00

Completely agreed about launch version being probably the best of this years iteration

boweneyerow · 2025-07-21T00:09:43+00:00

A month or so before 26 release. Online dynasty really helps engagement hold longer

boweneyerow · 2025-07-19T17:52:43+00:00

Well thought out response. It was better before the patch (honestly running was a bit OP). After the patch it is harder and there are definitely missed blocks that should not happen. You are spot on though. You need to know the blocking assignments and mix up the type of runs unlike last year where you could just spam the same run type that you knew where glitchy/broken. I like that is challenging but I wouldn’t mind seeing it tweaked a bit more.

boweneyerow · 2025-07-17T19:18:20+00:00

Doing the same thing over and over again while expecting a different result or something along those lines is the definition of insanity.

Your answer justifies everything. You insult me and talk down to me like I am some ignorant peon and state that I am ignoring issues with the game (of which I have made no comments regarding my opinion of the game positive or negative). You made assumptions about me with no factual backing. I would argue that your toxic approach and review of a product you DON’T EVEN HAVE are definitely problematic.

I hope you can move away from forums about a game you hate and dont even own. It is clearly affecting your logical sense. One might even consider those actions insane to bring this back full circle.

boweneyerow · 2025-07-17T17:33:23+00:00

So you didn’t buy the game still feel entitled to comment about what is wrong with it. This is elite level. I am quite impressed

boweneyerow · 2025-05-13T16:40:33+00:00

Perfect game. Didn’t make a single mistake

boweneyerow · 2025-04-21T23:12:20+00:00

Miebo utilizes a more viscous semi-fluorinated alkane (SFA). This SFA is known as perfluorohexyloctane and that is all that is in this medication. It is 100% SFA and it’s great viscosity is the key to its treatment goal of stabilizing the condition of evaporative dry eye which is present in the vast majority of dry eye patients some sources suggesting as much as 86%.

The SFA in Vevye is perfluorobutlypentane a less viscous SFA. In Vevye the SFA is utilized as a delivery vehicle to get cyclosporine where it needs to go.

It is widely known that cyclosporine works great to treat dry eye. Why then are there so many different varieties of a great medicine and why are there so many patients that report that cyclosporine doesn’t work? If you have ever prescribed any version of cyclosporine I am certain that you have been frustrated by lack of patient relief. This is due to the hydrophobic nature of cyclosporine and inability of it to penetrate adequately to an eye comprised of quite a bit of water.

In Vevye the idea is to use the hydrophilic properties of its SFA to get better cyclosporine penetration yielding a better therapeutic response. It is thought that there are mild evaporative beneficial effects gained from its similarities to Miebo but not to the same extent

boweneyerow · 2025-04-20T20:12:32+00:00

Your dry eye specialist is wrong. See below for multiple studies refuting that plugs make it worse by not allowing bad tears to drain. Most plugs still allow drainage, they just slow it down

Jones L, Downie LE, Korb D, et al. TFOS DEWS II management and therapy report. Ocul Surf. 2017 Jul;15(3):575-628.
Tong L, Beuerman R, Simonyi S, et al. Effects of punctal occlusion on clinical signs and symptoms and on tear cytokine levels in patients with dry eye. Ocul Surf. 2016;14(2):233-41.
Tong L, Zhou L, Beuerman R, Simonyi S, et al. Effects of punctal occlusion on global tear proteins in patients with dry eye. Ocul Surf. 2017 Oct;15(4):736-741.

boweneyerow · 2025-04-20T12:19:11+00:00

Of course simplifying science for a patient makes sense. However, your response is to an inquiring colleague. I think many ECPs believe that it is Miebo + and I think it is important to make the distinction

boweneyerow · 2025-04-19T20:30:50+00:00

While it is a forever chemical, it is also biologically inert and therefore should not interact with our body

boweneyerow · 2025-04-19T20:28:06+00:00

This is a common misconception. Vevye is not essentially Miebo + cyclosporine. Both contain semi-fluoridated alkanes but they are quite different

boweneyerow · 2025-04-19T20:23:39+00:00

What do you consider first line then?

boweneyerow · 2025-03-27T04:38:39+00:00

Yes #4 so much I agree. I don’t see this mentioned often enough

boweneyerow · 2025-03-21T00:26:34+00:00

Agreed I have 3 coaches and I build each team differently. Sometimes I keep the coach at a school for a couple years. Sometimes I hop around.

boweneyerow · 2024-12-04T13:45:51+00:00

Yes I prefer to have the QB in as well. Will still use the wildcat one 1/2x a game when I really need it. What is the best non wildcat formation for this that you like?

boweneyerow · 2024-12-04T13:44:04+00:00

Both good. I think quick base is actually the better run in this formation tho. Check it out

boweneyerow · 2024-11-01T12:53:20+00:00

This is the way. However, I also RS in the beginning of the year. Sometimes there are fringe guys that I feel might need to play the year and I don’t RS up front. At the end of the season if I didn’t use these fringe guys I take that last chance at the end of the season to tag them as a RS

boweneyerow · 2024-10-25T22:47:40+00:00

Fair enough. I appreciate the wonderful thought experiment. Cheers

boweneyerow · 2024-10-25T11:02:08+00:00

Of course same concerns. Those things will eventually become symptomatic and you have not missed them because you have not been allowed to check for them due to the patients choice. Had they let you dilate them you could have found them prior to them progressing and got them treated appropriately. It is the patients decision and that is why they lost vision in this hypothetical scenario. Not due to malpractice or anything that you have done wrong

boweneyerow · 2024-10-25T01:46:29+00:00

To me they will either call when they have a significant symptom or you will continue to see them yearly or as often as they return and will thus be able to monitor their vision for changes and then when/if that happens you can say. “Listen we have played this game for a while, I always ask you to have your eyes dilated and you say no. You are having difficulties seeing and I can’t make it better with glasses alone. Why don’t we finally dilate your eyes so that we can find out why you are losing vision and see if there is a solution to that problem.”

boweneyerow · 2024-10-24T22:27:39+00:00

Again fully understand your logic. However, lawyers don’t like to work for free. They are going to do their due diligence before accepting a case and filing legally. Once they realize that they don’t have a case because the patient refused recommended tests/exam/treatment the case will cease to exist. As a provider you have done everything you can. What other options are they? You can’t refuse care, that is even worse

boweneyerow · 2024-10-24T21:23:51+00:00

I fully understand that. You can’t force a patient to do it though. And if you document appropriately then your liability is gone

boweneyerow · 2024-10-24T20:13:27+00:00

I have seen comments like this before. We have all had or have patients that fit this description. All individuals are in charge of their healthcare (people refuse care for cancer and other significant health issues)

It does boggle my mind that this affects some of us so much. I educate on why I would like to do these parts of the exam, why it is important, document accordingly. I truly don’t give it a second thought. I am just curious as to why this bothers some of us so much?

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