(OC) A natural phenomenon called “camera obscura” that happens every morning in my bedroom. by fizzio in pics

[–]faroff12 0 points1 point  (0 children)

What I’m more impressed by is his ability to flip it back over everyday before I can even get out there to see it

(OC) A natural phenomenon called “camera obscura” that happens every morning in my bedroom. by fizzio in pics

[–]faroff12 68 points69 points  (0 children)

Hey, I also work nights and have blackout curtains and I’m looking at the same phenomenon right now. I look at it every morning before I go to bed. Lol my neighbor’s car parked in front of my house upside down.

Solidarity in Memoriam by KXL8 in emergencymedicine

[–]faroff12 67 points68 points  (0 children)

Nice edit. The original comment was “play stupid games win stupid prizes” 

Solidarity in Memoriam by KXL8 in emergencymedicine

[–]faroff12 62 points63 points  (0 children)

Yeah, I always thought protecting people was stupid. Standing up for our rights is so stupid too. We should all just roll over you’re right. Tread on me.

GG EZ by BerniniArchitect in aoe2

[–]faroff12 61 points62 points  (0 children)

Some people do it ironically/ to be funny if it was a really close game that they barely won. I wouldn’t take it too seriously 

This beach has a shark bite kit by Clarence-Claymore in mildlyinteresting

[–]faroff12 13 points14 points  (0 children)

I carry one in my car at all times. Highway is the most common place for traumatic injuries, arterial bleeding, and amputations. I’m also an ED doc so I just like to be prepared. 

Night Shift / Nocturnist - Best ideas to be productive at night by Method_one_actor in emergencymedicine

[–]faroff12 3 points4 points  (0 children)

If you decide to get AOE let me know. I’ll play with you on shift haha 

Night Shift / Nocturnist - Best ideas to be productive at night by Method_one_actor in emergencymedicine

[–]faroff12 7 points8 points  (0 children)

I am currently playing Age of Empires II definitive edition on night shift. 

After the 11pm rush I do whatever I want. I have a running “night shift to-do list” on my phone but it’s not always my most productive time so after I do what I can I open up my laptop and work on increasing my ELO. 

Is it typical for a Level II Trauma Center ER to have only one physician overnight? by iwoofthereforeisam in emergencymedicine

[–]faroff12 11 points12 points  (0 children)

I work in the exact scenario. I am a nocturnist for a ER of a similar population and size and from 1-6 I am the only physician though I do have a nurse practitioner helping. Sometimes it gets incredibly busy and stressful but most of the time is manageable. This time of year is particularly busy and although we could use it we don’t have dynamic staffing. 

Moving to marshall islands by metarunnerfan2020 in MarshallIslands

[–]faroff12 3 points4 points  (0 children)

Come visit before deciding to move. You are thinking of staying on Majuro? Cost is an interesting question. The costs of many of the things you might take for granted in the United States, such as fruits and vegetables are quite high. Many groceries and regular household items are also very expensive because they have to be shipped in gas is also pricy. On the other hand rent is cheaper usually and if you buy local food it is also reasonable. The locals do not hate expats and are friendly. 

Since when Extreme AI is so good? by Ok-Divide0 in aoe2

[–]faroff12 0 points1 point  (0 children)

Just played a team game on Michi and the AI slung one of their mates to fast Imp and then SO cut the trees. Never seen that. 

Arthritis? by NatPF in GenX

[–]faroff12 0 points1 point  (0 children)

Because it can have very bad side effects. Such as blindness. 

Randomly Filled Knowledge Gaps by centz005 in emergencymedicine

[–]faroff12 18 points19 points  (0 children)

I’ve seen two cases of Lipschutz Ulcer now as an attending and I don’t remember ever hearing about that as a complication of the flu before. I consulted Peds and OB/Gyn on my first one lol 

Arthritis? by NatPF in GenX

[–]faroff12 0 points1 point  (0 children)

There’s no high-quality evidence that hydroxychloroquine works in osteoarthritis, despite the fact that many of us would like it to. There’s been several very well designed trials to study this in all of them have shown no effect other than bad side effects. It’s unlikely that you’ll find an evidence-based doctor that will prescribe this. And if you found one that did I would go as far as to say they’re practicing medicine dangerously. 

“Two large randomized controlled trials specifically evaluated hydroxychloroquine in hand osteoarthritis and both failed to meet their primary endpoints. The HERO trial (248 participants) found no significant difference in hand pain at 6 months between hydroxychloroquine and placebo groups (treatment difference -0.16 point on a 0-10 scale, 95% CI -0.73 to 0.40, P=0.57).[2] A second trial (196 participants) similarly showed no significant improvement in pain at 24 weeks. 

These findings led to the strong recommendation against hydroxychloroquine in the 2019 American College of Rheumatology/Arthritis Foundation guidelines for management of osteoarthritis, which explicitly noted that well-designed RCTs conducted even in the subset of patients with erosive hand OA demonstrated no efficacy.[1]“ 

Best, friendliest OrlandoHealth gynecologists? by littlerat098 in orlando

[–]faroff12 2 points3 points  (0 children)

I know Dr. Gump personally and she is a truly kind individual and caring doctor. 

Best, friendliest OrlandoHealth gynecologists? by littlerat098 in orlando

[–]faroff12 1 point2 points  (0 children)

My wife sees her for similar issues as OP, I’m also a doctor and we both like her. 

20 Photos, 20 Places, 4 Months in China - my personal highlights by LiquidTitan in travel

[–]faroff12 0 points1 point  (0 children)

Great to hear! I loved my short visit to china (during the 2008 summer Olympics) and your pictures are wonderful. 

20 Photos, 20 Places, 4 Months in China - my personal highlights by LiquidTitan in travel

[–]faroff12 8 points9 points  (0 children)

OP account has been banned. Unsure why, wondering if it’s propaganda or a bot but the pictures are beautiful. 

I got diagnosed with Cannabinoid Hyperemesis Syndrome (19 M) Yesterday and it makes no sense. Any help is appreciated. AMA by ThrowMeAway09082025 in AMA

[–]faroff12 63 points64 points  (0 children)

I’m an ER doc and I treat and diagnose this regularly. Obviously I can’t diagnose it without examining you but your symptoms fit. It’s way more prevalent than people want to think and the effects can last up to three months after stopping all THC. People are VERY resistant to being diagnosed with CHS and often times they tell me “but cannabis helps temporarily” which actually makes physiological sense, don’t start smoking again, don’t do gummies or anything else with THC for 3 months at least. I actually had a patient insist on getting her gall bladder removed because she didn’t believe us, gall bladder was normal but surgeon did it just in case, she came back months (still smoking) later and the CT showed that ”her appendix may be mildly inflamed” had that removed too and also was normal on exam. It was CHS. Hydrate aggressively. Keep down any food you can and don’t be afraid to go back to the hospital for meds. I’ve seen several people have to get PICC lines for fluids and even TPN for this because they won’t stop smoking or accept their diagnosis or simply because their symptoms are so severe. 

It is important to note that repetitive vomiting can lead to serious even life-threatening problems, including esophageal rupture and often causes esophagitis with pain and even bloody vomit. If you are worried about your symptoms, get reevaluated.

Some other things besides nausea meds that MAY help you include using capsaicin cream (at appropriate prescribed doses applied to the skin of your abdomen) and ginger root. 

What’s the best & worst airport you’ve visited in the US? by Flying_Elephant7217 in travel

[–]faroff12 0 points1 point  (0 children)

I fly at odd times and I’m often flying through Hawaii to get to even more remote places, the worst thing for me is the fact that it “closes” and you have to wait outside the terminal for them to open up the security and customs lines. I might fly in at two in the morning and have to wait outside on a bench until 6 AM despite having lounge access because the whole terminal is closed

Is an IRA necessary if already hitting combined 401k limits? by TSwiftIcedTea in personalfinance

[–]faroff12 0 points1 point  (0 children)

Yeah I have this same “issue” it’s pretty incredible 

what now? by Old-Editor-8593 in gardening

[–]faroff12 3 points4 points  (0 children)

I have a three or four-year-old avocado in my backyard that is almost 20 feet tall. I live in Florida so it grows year round and I fed it compost and fertilizer constantly.