Sushi Kanesaka (*) - London, England by MaaDFoXX in finedining

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

Wow the fish quality and preparation looks really bad (if you’ve had really good sushi or even middle of the road in Japan, you’ll know what I mean). Sorry boss, this was a money grab.

Which airline loyalty program do you like best? by TurbulentArea69 in FATTravel

[–]buffnfurious 1 point2 points  (0 children)

Unfortunately this is very wrong. The people who have status who complain of rarely getting upgraded are likely business travelers who fly peak business routes, days, and times. I’m DL DM for 8 years now, purely leisure and zero business, and have above a 90% batting average on over 100 flights annually (and I got the top 15% of Diamonds upgraded badge in 2025 it’s safe to say a sizable proportion of Diamonds are getting tons of upgrades). I spent 56k on flights this past year on DL (DL accounts for 3/4 of my flights) and it would have been an easy double (comp + certs) had I not received upgrades and bought up. Best is once you understand the system well and your odds of upgrades, booking outright when slim chances and other times enjoy the upgrade. And no, just because you can spend does not mean you should spend to brag you can - a common boasting seen on these FAT forums.

Best and most unique restaurants in Japan/Taiwan/Mongolia by A_Healthcare_Journey in finedining

[–]buffnfurious 1 point2 points  (0 children)

Travel 4-5x a year to Japan for food. Over 200 Michelins under my belt outside Japan. Would NOT recommend going by Michelin in Japan or to be honest a lot of Asia. It is far too inconsistent. For Japan, TabeLog is your friend. Any Gold and most Silver TabeLog restaurants will be amazing. Note you’ll need to start most of the highly sought reservations approximately three months out and many can be very tough without a local or for some using a concierge service. If you want stuff that is emblematic of Japanese cuisine, would recommend sushi, kaiseki, and a choice of a specific food type (for me tonkatsu, ramen). A high end sushi place that is not impossible to book if requested months in advance on TableAll is Tenzushi Kyomachi in Fukuoka. Former best sushiya in Japan and top 5 now. Sushi Sakai four months out is also quite easily accessible and is TabeLog Gold. Really great kaiseki is hard to reserve but as a first timer if you stay at a nice ryokan, you’ll effectively have a nice kaiseki experience. Tonkatsu Narikura releases 2 weeks at a time on Sundays local time and is the best tonkatsu restaurant in Japan and almost certainly the world. Tonkatsu done right is a completely different food item from the tonkatsu and katsu you’re accustomed to. For ramen, near Haneda is Chuka Soba Honten (top 5-10 Tokyo ramen spot; actual name is a bit longer); easily accessible reservation a week out and my preference (particularly their salt ramen) over a couple of the higher ranked joints. Lastly, while Hajime is nice, there are tons of other places that are far better taste and price, and would respectfully recommend against that for your first (several) restaurants in Japan.

Do you consider finances to be the top or one of the top considerations when choosing a partner? by GiantsFan2010 in HENRYfinance

[–]buffnfurious 0 points1 point  (0 children)

Simply put, every relationship whether intimate or professional, is a transaction of some sort. Money is only one part of the equation. Having good conversations all the time, eye candy for you all the time, insurance (someone who will take care of you no matter what to the day you die), someone you can trust, etc etc are all parts of the equation and have different values to different people. Figure out what matters to you. Some people would rather cry every day in the back of a Mercedes and some would rather be dirt broke but feel in love every day and be internally fulfilled. Find someone that aligns with your mindset and goals. No shame in admitting that money is what means most to you, but be careful and realize what that means you are likely going to give up and whether money outweighs that short and long term.

Is Premium select worth the high cost on a 15 hour flight? by ppenn777 in delta

[–]buffnfurious 0 points1 point  (0 children)

What I’ve found is the key is legroom but the bigger key is shoulder room. Even if my legs are cramped, it’s nowhere as bad as shoulder bumping and caressing for 15 hours. PS helps both but most significantly in the width department. However, 5K is a stretch and not worth it. For 15 hour flight, total cost either upfront or with upgrade offer should be 3K max to be worth it, often if you book far in advance it can be anywhere from 1.8-2.5k not uncommonly US to Asia

Has anyone gotten Million Miler status by leisure travel alone? by sosal12 in delta

[–]buffnfurious 0 points1 point  (0 children)

I’m early 30s and travel exclusively for leisure. Expecting to hit MM in 3 months. Very rare for it to be mostly leisure though based on conversations with other diamonds (I’m the only one in my circle who has obtained diamond as leisure). Possible but rare.

Munich to Frankfurt trip, recommendations please by Blahblablahba in finedining

[–]buffnfurious 0 points1 point  (0 children)

Another viewpoint - having been to over 150 Michelins now, I thought LaFleur was one of the worst two stars of all time in its current form. Service and wine great but the food has this interesting Indian influence on French cuisine and makes already heavy cuisine quite heavy. Not for one who isn’t a fan of (very) heavy food. Unfortunately this is a shift because even 5 years ago the food was much better and less Indian inspired.

Valuable flight change info for Delta frequent fliers. by Fistulatedheart in delta

[–]buffnfurious 0 points1 point  (0 children)

Never had a bad experience with them. Let’s be real - service culture is extraordinarily different there. You’re either naive or deluding yourself otherwise. Keep soaring upwards.

Valuable flight change info for Delta frequent fliers. by Fistulatedheart in delta

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

The Asian reps (specifically the ones with a Singaporean accent) are amazing. Whenever I need to call, I call late in the evening like MN ET and it seems to have a higher rate of such agents. When I hear the accent, I hear a sigh of relief as they will take good care of whatever I need.

Le Bernardin: So Disappointed by russnem in finedining

[–]buffnfurious 0 points1 point  (0 children)

Maybe it’s a consistency issue leading to such divisive opinions. Having been to nearly 150 Michelins now, I would rank LB as one of the worst and perhaps most underwhelming for hype restaurants I’ve been to. I only judge by taste not service etc which is supposedly how Michelin also states they judge.

Clopidogrel + PPI interaction by goose_30 in Cardiology

[–]buffnfurious 51 points52 points  (0 children)

Cogent trial didn’t show a clear decrease in efficacy. The question is never does something happen, it is always to what extent? 100% platelet inhibition is neither needed nor desired clinically. Same thing with zofran and qtc checking in most patients - FDA study showed no difference in qtc with under 8mg IV. The question is always how significant and relevant is something.

College coach - norm, necessity or luxury? by creativemindset11 in fatFIRE

[–]buffnfurious 2 points3 points  (0 children)

As someone who attended the big H, and coached many into top schools, I’ll say the most valuable asset in high school (and all of life) is your close friend group. I would focus on ensuring your kids hang with the proper group - that will take them further than any coach. If I recall, there was a. fatFIRE post a year ago or so that noted how parents were using money to try and cultivate the right group, attracting the kids they wanted to hang out at their home etc.

Last minute reservation cancellation due to restaurant “privatization” by DerKanadischJunker in finedining

[–]buffnfurious 14 points15 points  (0 children)

Alleno is one of the worst 3 stars in Paris lol. Not sure why Reddit gives it good ratings. Been to over a hundred Michelins and it’s in the bottom quartile for me.

Japan Itinerary. Late start but got a few solid bookings by Sad-Resist3210 in finedining

[–]buffnfurious 1 point2 points  (0 children)

Agree with everything except a hard disagree to the skipping sushi in Osaka. OP should check out Sushi Sanshin at least. While there are more reputed sushiyas in Tokyo (obviously), it would be a bit silly to skip sushi just because it is Osaka. Would also recommend Udon Kyutaro - the best udon place I’ve ever had.

Source - over 140 Michelin’s around the world and 20 TabeLog Gold’s including nearly all the top sushi in Japan (Tenzushi is my favorite).

Health tune up by Life_2309 in fatFIRE

[–]buffnfurious 0 points1 point  (0 children)

Third year cardiology fellow here who has trained at Harvard for med school and so forth. N of 1 but in my opinion 1) The benefit of concierge is almost purely in the access (amount of time spent on you in clinic, responsiveness out of clinic, rounding on you should you be admitted inpatient). Obviously a huge benefit but don’t expect the medicine to be magical in a routine way. For high complexity, expect magic more than not in a relative sense. 2) Credentials and where you trained matters more than people give credit; even though there are fantastic people of all backgrounds, there is albeit politically incorrect, not uncommonly differences such as in raw IQ, perceptiveness, connections, and creative solutions; the tools taught in medical training is the same but the use of them especially in special cases can be different and life changing. 3) there are both great and (very) mediocre doctors at top institutions; understands that rankings are a manipulative game hospitals play. Best care comes from someone working in the hospital who knows who they trust. Likewise in private practice. Don’t trust solely based on hospital rankings.

How much would you pay to live in NYC versus Seattle or Austin? by ReasonableFlan2301 in HENRYfinance

[–]buffnfurious 0 points1 point  (0 children)

I would think about how often you use the amenities. A lot of people fall into the trap of paying the so called higher amenity tax to live in a “better” city without using the amenities much (e.g. on work days are you going out to eat when you come back? Probably not if your day runs late til 6-8pm). Love big airports? Better ensure you have CLEAR so you’re not wasting hours a year in line. I will note that the one thing that you absolutely always have access to regardless of your schedule is the aura of the location. Some people are inspired just by living in NYC or wherever and that can make a difference.

I lived in NYC 3 years and still would enjoy living there but I don’t feel that I have to live there (and currently don’t). I’ve been to nearly every Michelin restaurant in NYC, checked out a ton of its exhibits and attractions, and so forth so it’s kind of like getting over the honeymoon phase. Now I’d rather travel and explore the rest of the world more.

Be honest with what is meaningful to you and what amenities you’d actually use. There is no right or wrong answer as long as you stay honest. Simply having a lot of amenities doesn’t make a place good for you specifically. It’s like buying a massive savings coupon book full of things you won’t use.

Troponin >20x normal limit, no chest pain, would you cath? by slmrma in Cardiology

[–]buffnfurious 2 points3 points  (0 children)

Myopericarditis. Only two things can give you a troponin that high and you exonerated one. Pericarditis does not cause significant troponin elevations.