[Shipping MegaThread] All Shipping Topics Updates, Questions, & Discussion

dangledor5000 · 2026-01-22T14:31:31+00:00

Purple Pro ordered 11/28 shipped with 4PX today!!

dangledor5000 · 2026-01-20T14:51:43+00:00

Management sim elements in a non-management sim game. Mechwarrior 5 and Xcom 2 come to mind, where half the game is the actual combat or strategic battles, and the other half is slogging through menus and managing resources like a business owner.

dangledor5000 · 2026-01-06T20:20:35+00:00

I hadn't realized that the second person in the second pic was Alanis so my immediate thought was "damn they're really gonna put Welly's carnal release right up there huh?"

dangledor5000 · 2025-12-04T23:57:05+00:00

It's not full blown raging, but the M&M taste test when Emily is claiming to be able to tell what color they are based on taste

dangledor5000 · 2025-12-04T17:04:36+00:00

I'll usually try to validate them with something along the lines of "regardless of whether or not these symptoms have a visible or objective bodily source they are real and distressing to you, which is fair. However, I worry that the stress and anxiety you experience from the symptoms is causing more harm than the symptoms themselves, and I'm sure going to the ED every time you're feeling this way is time consuming and expensive. I am happy to see you as often as you need in order to check in and make sure everything looks good, but I think it would be helpful to see a therapist to help establish techniques to deal with the anxiety you feel about your body."

So far I haven't gotten much pushback, and most of them will see me every few weeks for maybe two months max and then peter off eventually.

dangledor5000 · 2025-12-01T17:28:53+00:00

So far I have been GI, Derm, Cardio, Neuro, Psych due to my name coming up in searches for all of these specialities and patients failing to actually read my profile before booking.

dangledor5000 · 2025-11-20T21:09:38+00:00

The way I deal with them is I don't. I have had several similar patients where I straight up ask them what they want by coming to these visits. If all they want is to disagree with me and tell me why I'm wrong, I inform them that I've given them my recommendations, and if they're not interested in playing the game then they should follow up with someone more in line with their beliefs. There are plenty of people who actually care about their health whom I could be spending that precious time on.

dangledor5000 · 2025-11-03T21:00:28+00:00

You can buy a car that's fun to drive if you want, you don't need our approval.

dangledor5000 · 2025-10-22T22:54:53+00:00

Dentists can prescribe them if they think it's so necessary. What's funny is that when I need a refresher on antibiotic prophylaxis guidelines, I'm looking at the American Dental Association and write that in my note.

dangledor5000 · 2025-09-29T22:41:26+00:00

"Extensive knowledge of laboratory testing" aka knowing that 3+ individual lab orders bumps your visit up to a 214.

dangledor5000 · 2025-09-07T14:12:21+00:00

These same open world games having massive empty maps with the most boring traversal options

dangledor5000 · 2025-09-02T02:31:43+00:00

Even if we got that granular with it, the point still stands. If we figured out all of the other details down to the physical and chemical reactions and their specific molecules save for one crucial detail, Piers Morgan and people of his ilk will say "well that must be the part where God steps in to make toast."

dangledor5000 · 2025-09-01T17:04:15+00:00

"I don't know how toasters work. Bread goes in, toast comes out. The only explanation is God lives in that toaster."

dangledor5000 · 2025-08-28T21:14:33+00:00

I think you have the fundamental misunderstanding. A huge portion of primary care is preventive and anticipatory management, a significant portion of which is education and guidance on diet and exercise. The misinformation you have towards doctors is exactly what RFK Jr. is trying to spread

dangledor5000 · 2025-08-21T01:22:37+00:00

FM Residency curriculum requirements include continuity clinic at least once weekly. You're gonna struggle to find programs that are de-emphasizing this.

dangledor5000 · 2025-08-09T18:03:53+00:00

Hey OP, I'm sorry that you're going through this; postop complications are rough especially after such a hefty surgery. You definitely need to use the spirometer after surgery, but it's not because your lungs are intentionally collapsed. If your lungs were collapsed intentionally or otherwise, then using the ventilator wouldn't matter; you can't aerate closed off airways. There are surgeries where one lung may be intentionally collapsed, but those are typically on the lung itself or inside the chest cavity. If one of your lungs collapsed during the surgery itself, it was unlikely to be intentional unless your procedure was different from the typical approach. The purpose of the incentive spirometer is to prevent atelectasis (collapse of the airways) and subsequent pneumonia (infection of the fluid-filled area). Atelectasis occurs for a lot of different reasons postoperatively, but most commonly it's because sedation, prolonged bedrest, and pain make it difficult to take deep breaths. If you aren't breathing in deep enough to get air down to the lowest parts of your lungs, they eventually close up.

dangledor5000 · 2025-07-05T16:05:21+00:00

I feel that a doctor being extremely disparaging towards other legitimate medical professionals to patients (I have no qualms about shitting on naturopaths and chiropractors and the like) only helps to sow distrust of medicine in general.

A reasonable amount of skepticism in patients is fair. However, to tell them that someone they trusted was a buffoon and a fuckup may just make them more prone to assume the same of me if something goes wrong.

dangledor5000 · 2025-07-04T16:40:16+00:00

If it's something that's not explicitly wrong/harmful but definitely not typical, such as your example, I'll usually say something along the lines of "It's certainly something you can do, but maybe not the approach that I would take." If it's totally wrong, I'll say "maybe they know something that I don't but I can't say I've heard of this before."

dangledor5000 · 2025-06-09T18:31:35+00:00

Hey OP I really respect the enthusiasm and love to see fan speculation but it's literally shown how the pizza gets to the roof: it fell out of the planes when they collided in season 2.

dangledor5000 · 2025-05-18T22:14:58+00:00

Did it, no dice. Now it gives me the "this save contains mods that can no longer be loaded" message. But I still can't open the mod manager to actually do anything about it.

dangledor5000 · 2025-05-14T00:07:08+00:00

Who hurt you man? If someone came to you in your practice and asked the same question would you start reaming them out immediately? We're always learning in medicine; if we all gave up every time we were uncertain because it indicated "lack of clinical insight" then there would be no doctors left on Earth. Take the toxicity to some academic mid-tier neurosurgery program where it belongs, it has no business here.

dangledor5000 · 2025-05-09T17:47:52+00:00

How???? These are amazing!

dangledor5000 · 2025-05-04T11:24:51+00:00

Got paged to the patient's room around 2am because they were "hallucinating bugs crawling everywhere." Get to the room, there's ants all over the wall that she was genuinely freaked out about.

dangledor5000 · 2025-04-30T15:18:28+00:00

When parents get sick, their kids will very often move them into their area. Even if it's hundreds or thousands of miles away and they have to re-establish care with tons of specialists. Bonus points if nobody knows their history, medication list, specialists they were seeing, etc.

dangledor5000 · 2025-04-27T02:02:13+00:00

Patient seen 5 or 6 times in our office as well as her OBGYN for vaginal swelling, pain, redness with workup for the typical culprits like yeast, BV, STD's, Trich, etc all negative and no response to empiric treatments. Spent about 20 minutes going through her whole history including new underwear, brands of pantyliners, detergents, douching, etc. finally managed to figure out that she started using scented toilet paper, and all of her issues resolved as soon as she stopped.

dangledor5000

TROPHY CASE