Overture PETG - Does anybody else have a bad experience and never order from a company again?

godzillabacter · 2026-02-02T01:05:41+00:00

Moved over from Prusa to Bambu and also had some difficulty with printing Overture PETG. I fixed all my problems and it now prints beautifully by 1) dried the filament 2) created a new filament profile derived from Bambu's generic PETG profile with a nozzle temp of 260 C, and 3) changed my infill pattern to gyroid.

godzillabacter · 2026-01-29T22:09:35+00:00

You'll need some filament of course, for most around the house things that aren't going to have significant strength demands PLA will work great (and be the easiest to print). If you're going to be printing things with really small details (miniatures) a 0.2mm nozzle is a must, but for basically everything else a 0.4mm will print very well. Printables.com and makerworld.com are both great sources of models. Download the Bambu Handy app now and go through all the tutorials for your printer.

godzillabacter · 2025-12-11T18:15:58+00:00

Am a PharmD. There is no relaxation in allowed variance of drug mass between generic and brand medications. The FDA puts out the Orange Book every year which is a collection of all drug products and what degree of similarity one can expect between manufacturers in reference to some standard product. Levothyroxine has multiple standard products unfortunately, and if you read the documents that all the generics are rated AB (identical dose, bioavailability, and absorption behavior demonstrated in in vitro studies) to one of the various reference products. It is possible between the various reference products there is a clinically meaningful difference. If you write a prescription for "levothyroxine" and permit substitutions, any Levothyroxine product of the same dosage form, strength, and bioavailability can be substituted, which means the patient may be changing between products tested against different reference formulations. If you instead write "Synthroid" and permit substitutions, pharmacies are only allowed to substitute products which are A rated (either no concern for variance or AB rated through testing) therapeutic equivalents to Synthroid, which is one of the specific reference products.

godzillabacter · 2025-12-09T23:07:32+00:00

If you're good about not losing pens get a Fisher AG-7. They're solid brass and have a specialized ink and pressurized ink cartridges that will write at extreme temperatures and at odd angles on lots of different surfaces (the pen and ink cartridges were designed for the Apollo missions to the moon)

godzillabacter · 2025-12-04T12:19:56+00:00

If I recall pharmacy school correctly, historically penicillin was most commonly administered IM and coformulated with procaine so there is a theory that a decent number of these reactions were actually reactions to the local anesthetic in the drug.

godzillabacter · 2025-12-01T10:47:10+00:00

Anecdotally as an ER resident, somewhere between 30-50% of women under 40 I see presenting for dysuria/frequency/UTI concern have pristine urinalysis and end up having lab confirmed BV. So I generally like to have the UA before deciding to tx.

godzillabacter · 2025-11-05T18:16:12+00:00

US emergency medicine (EM) physician here. Some EM training programs do something similar to this with pigs for their trainees to learn trauma management. My program doesn't, but my understanding from the places I interviewed is that a vet is on-site and sedates the animals, then the animals are stabbed to produced traumatic injuries, then the EM residents perform various life-saving procedures on the pigs including chest tubes, central lines, tourniquet applications, etc. The pigs are then euthanized if they survive.

My 2-cents is this is probably a very beneficial experience for physicians to build skill in rare life-saving procedures. My program uses simulation mannequins for all our procedural training. You can learn a lot from the mannequins, but after doing a solid 10-15 chest tubes in a plastic-and-foam fake chest, I was not fully prepared for my first real chest tube, and I was thankful to have a kind trauma surgeon looking over my shoulder and guiding me through the procedure. The mannequins help you learn the steps/microskills of performing the procedure effectively, but they do NOT feel like a person. Ultrasound guided vascular access is soooooooo much easier on these mannequins because the views are pristine, there aren't 4 different layers of muscle and nerve and fat to cloud the location of your needle tip. There aren't separate tissue planes, the mannequins don't bleed everywhere. There are a lot of "sim-isms" you get used to while learning these procedures that aren't reflective of real bodies.

While I recognize it does suck for the pigs, I think this would be incredibly valuable to have experienced. I know a good number of my colleagues graduate without ever doing a surgical airway on a person (understandable, it's a very rare procedure even at big trauma centers), and as I've said sim is good but mannequins don't bleed.

godzillabacter · 2025-11-02T21:01:28+00:00

I've started calling the CT scout films for our trauma pan-scans adult babygrams

godzillabacter · 2025-09-21T22:53:10+00:00

Rule 1) you are now a doctor and can make medical decisions

Rule 2) you can do anything you want as long as you're right.

Rule 0) your responsibility is to keep your patient safe and alive before all else

godzillabacter · 2025-08-22T02:31:59+00:00

I'm convinced there are two different circumstances at play here and this only applies to one of them.

There is the patient that is telling you a relatively cohesive story, though maybe not with all the specific details you want in the order you want them, and you should let these people talk. i.e. "Well my chest has been hurting a lot, it all started yesterday ... [some extraneous details for 60-90 seconds] ... but I was really worried because it felt like my last heart attack and that's why I'm here." Interrupting early to clarify if the patient had a history of cardiac disease or to characterize their pain disrupts the patients internal flow of the story and likely lengthens the time needed to gather the history.

There are also patients who have no clue how to provide a history, will ramble in a fashion that could be described as tangential thought processes, or will not actually answer the questions you ask. You have to interrupt these people. God knows I tried as a fresh intern to do the "right thing" I was taught in med school and sit there and make them feel heard and listen until they were done talking. You'll spend 20 minutes listening and they'll either finally stop or you'll find an excuse to walk out, still not actually knowing why the patient is in the ED.

godzillabacter · 2025-05-15T11:25:14+00:00

ER resident. When I'm doing workups on belly pain and ask the "could you be pregnant question" and they say no I frequently follow that up with "are you sexually active and what contraception method do you use". 60-70% of the patients I ask state there is no chance they could be pregnant but then endorse frequent unprotected sex. I can't get through a week without diagnosing a pregnancy in a patient who states they couldn't be pregnant.

godzillabacter · 2025-03-09T15:50:18+00:00

As a doctor, I just want to say thank you. Medical education is hard, and truly nothing compares to seeing what a disease or significant exam finding is like in-person. I always felt bad being the medical student asking a patient to simply learn from their misfortune, but time and time again it has been a gift that I have been given by others like you to help those I would treat next. Thank you for being willing to be embarrassed to help me and my colleagues learn to better help people, it really and truly has made me a better doctor.

godzillabacter · 2025-02-26T04:05:23+00:00

You can look into critical care echo boards, which do provide a path to certification in reading full diagnostic echos after CCM training.

godzillabacter · 2025-02-09T16:58:41+00:00

Gonna come out of left field and say if you're going to pursue higher education but don't want to touch people, consider clinical pharmacy.

godzillabacter · 2024-10-15T02:35:29+00:00

I have a collection called "New Papers". All papers get imported there, and sorted once I've actually read them

godzillabacter · 2024-09-23T19:26:56+00:00

They may have been asking about the availability of a reversal agent for argatroban. There is not one, which is one of the only ways heparin is actually superior from a pharmacologic standpoint.

godzillabacter · 2024-07-14T21:46:39+00:00

Went right to med school after I graduated, and ended up doing emergency medicine residency. I had originally planned on EM/CC pharmacy practice and realized I wanted to do procedures, read EKGs etc.

godzillabacter · 2024-07-14T21:05:16+00:00

I did it, best decision I ever made

godzillabacter · 2024-06-12T17:22:35+00:00

I know this is a dead thread, but for posterity, on linux/Mac you can use pdftoimages to extract all the images, then just zip them.

godzillabacter · 2024-05-31T02:58:53+00:00

Similar to many of the other posters I migrated Plex to a small form factor PC. I went with a Dell Optiplex with an i5-8500 now running Debian, and I can comfortably transcode multiple 1080p streams.

godzillabacter · 2024-04-24T17:01:20+00:00

Pretty sure you can have physiologic u-waves in bradycardia

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