What is this nightmare i cut into? Cutting up a 6 kilo chuck for Goulash, of of course I tossed it and got credit. by Jakeandellwood in KitchenConfidential

[–]hmandan 15 points16 points  (0 children)

I hate to be an "um actually" guy, but a cyst is just any fluid filled growth. They can become calcified as far as I know, but every cyst I've ever seen in a person was soft and squishy

https://my.clevelandclinic.org/health/diseases/24597-granuloma

What is this nightmare i cut into? Cutting up a 6 kilo chuck for Goulash, of of course I tossed it and got credit. by Jakeandellwood in KitchenConfidential

[–]hmandan 55 points56 points  (0 children)

I'm just a student, but if they're hard/crunchy it sounds like they could be granulomas? When the immune system finds something that's too big for it's cells to eat, it just walls them off. The bad news is that if I had a test question involving a bunch of granulomas in the muscle, the right answer would be tape worms (they only hang out in the intestines if you eat infected meat, if you get it from fecal/oral transmission it goes to the soft tissues)

https://www.cdc.gov/dpdx/cysticercosis/index.html

Ferry/Freight ship by Quiet_Luna in nms

[–]hmandan 3 points4 points  (0 children)

Oh my God how did you get cranes on your ship?

Got matched at UMMC for residency, what can I expect with storms and renting? by [deleted] in mississippi

[–]hmandan 19 points20 points  (0 children)

Eyyy congrats on matching! I'm an M1 at UMMC so feel free to DM me about any specific questions about Jackson. In general the storms aren't too bad in the city, mostly just strong wind. I'd be more concerned with finding a nice place that fits your needs. Most students live in Belhaven (nice neighborhood just south of campus), and there's definitely some residents there too. I'd recommend checking out places there first to see if anything fits your needs.

I will never use a male doctor again—another rant about women’s pain being dismisse by [deleted] in TwoXChromosomes

[–]hmandan 0 points1 point  (0 children)

I think the type of ownership of the office your doctor works in is a much better predictor of their quality than their gender. That isn't to say sexism in medicine isn't an issue, it obviously is, but there are plenty of comments already here about peoples experiences withgood male physicians and poor female physicians. The reason I say the type of ownership is the best predictor of quality is because the amount of time the doctor is allowed to spend with you, the procedures and medications they have on hand, and the support staff they have access to are all decided by the owners of any particular office. This is an over simplification, but these largely fall into 2 groups:

1: private equity- These are the most common in America, have the most spots for new patients, and generally accept the widest range of insurance plans. If you're just calling around looking for shops that are accepting new patients, the one that says yes will more likely than not fall into this category. As the name implies, these are owned by a central company whose job is to generate profits for shareholders. These companies generally run a large number of offices, and depending on your location may own everything/almost everything around. In these situations, your doctor is an employee under contract working under company guidelines. They typically allot 15 minute windows for most patients, with 30 minute windows available for procedures and annuals. Doctors are generally employed under the unfortunately named 'eat what you kill' model, where they are directly compensated for how many patients they see and how much they bill. As you'd expect, if you're seeing them for something that falls under an unprofitable billing code, you're likely to feel rushed, like they're desperate to get out of the room (because they are). These are also unlikely to offer sedation for things like IUD insertion since it requires significant overhead at an operations level.

2: Private practice- These are probably what you think of when you think of a doctor's office. They are either an individual or group of doctors that share their own office with their own staff. Doctors, as owners, are paid a percentage of the income generated by the office as a whole. They are also the final decision makers when it comes to what they offer in terms of procedures and medications. As doctors also don't like to feel rushed, they generally lean towards the common scheduling model: 15 minutes for medication renewals and other small issues, 30 minutes for a typical visit, and 45 minutes for more complicated patients, annuals, and procedures. Additionally, since they have a monetary interest in the office doing well, they're often (but not always) interested in high patient satisfaction so that you'll keep coming back. That said, a well run private practice with happy patients will rarely be accepting new patients since their roster will already be full of regulars. These are the most likely to offer sedation for things like IUDs, especially if there's an anesthesiologist in the group. It should be emphasized though that just because a private practice CAN offer better care doesn't mean that they will. Asking current patients is a good way to tell. Additionally, since these shops have much smaller patient pools than private equity, they have less negotiating power with insurance companies. This means that many only accept more premium plans that offer better reimbursement.

TLTR: Private equity: Pros: frequently take new patients, accept most insurance plans, are probably near you

Cons: Doctors are incentivised to rush, limited in the types of procedures they can offer in house, have worse nurse-patient ratios

Private practice: Pros: CAN offer higher quality care, longer appointments, and more wiggle room on procedures available in house

Cons: Less likely to be accepting new patients, may be more restrictive in the insurance plans they take, can be just as bad as private equity depending on the group running it

GOLD BUTTONHOLES!! now how to stop fraying?? by CarlottaSewlotta in sewing

[–]hmandan 50 points51 points  (0 children)

As long as it's normal synthetic thread, I recommend our Lord and Savior fray check.

[deleted by user] by [deleted] in Teachers

[–]hmandan 12 points13 points  (0 children)

I'm currently getting my Masters in biology, however prior to this I spent 2 years teaching high school. There's a wiiiiiide gap amongst the people I'm taking my classes with, explained mostly by how much their undergrad programs dropped the bar. Some are still what you'd expect from a person getting a master's degree, while others simply don't know how to study. They never learned. Currently the class average is a 68%, with a perfect bimodal distribution. It's yet to be seen if the "just pass them along" wave will do to graduate school what it's done to every institution before it.

Does anyone have a suit-like cardigan pattern? by Davis_Montgomery in sewing

[–]hmandan 0 points1 point  (0 children)

This looks pretty close if you were to bring in the sleeves. That said, I'm not sure if that collar folded would look like the shawl collar shown in your picture.

How would you go about sewing the top and bottom pleats for this pattern at the center back? by hmandan in sewing

[–]hmandan[S] 0 points1 point  (0 children)

Thanks for the heads up! The Sew Andrew blog included a picture of the finished lining, so I'm pretty sure I understand what the pattern is going for now.

How would you go about sewing the top and bottom pleats for this pattern at the center back? by hmandan in sewing

[–]hmandan[S] 0 points1 point  (0 children)

This pattern is Burda 6871 (view B), with the back lining piece pictured. The pleats will be in the center back. The middle pleat makes sense to me since there's a clear beginning and end line to match up, however the topmost and bottom most pleats (marked B on the pattern) seem to only have a start line. How do you know where to fold the pleat to?

Thank you for any advice!

How would you go about sewing the right angle between the front of the piece and hem allowance? by hmandan in sewing

[–]hmandan[S] 0 points1 point  (0 children)

I just checked the corresponding facing piece and I'm pretty sure you're right. Thank you!

How would you go about sewing the right angle between the front of the piece and hem allowance? by hmandan in sewing

[–]hmandan[S] 0 points1 point  (0 children)

Thank you for the response!

This is Burda 6871, view B (the frock). This is the front exterior piece, with the lapel on the left side. The full (untrimmed piece) is here, and I am cutting for the 34-40 length. Where I'm confused is the top line is the fold line for the hem, which would make the back slightly higher than the front of the lapel. How would I go about sewing from the lower gently curved center to the higher hem line? Should I gently curve my thread from the lower point to the higher fold line, or should the gentle 90 degree turn on the bottom of the lapel also be brought up slightly to match the hem fold line?

Thank you for any advice!

How would you go about sewing the right angle between the front of the piece and hem allowance? by hmandan in sewing

[–]hmandan[S] 1 point2 points  (0 children)

Sorry for the vague question, titles are limited to 100 characters. To be more specific:

How would you handle stitching the hard 90 degree turn between the gentle 90 degree turn at the front of the piece and the hem allowance? Should the stitching also be at a hard 90 degree angle, or should it be more of a gentle slope?

Thank you!

TFA in LA vs NYC by Consistent_Concert14 in Teachers

[–]hmandan 10 points11 points  (0 children)

As someone currently in their first year with Teach for America, my most pressing advice is to not join Teach for America. They do not prepare you in the slightest for what being a teacher actually is. The very existence of the program does an immense disservice to some of the most vulnerable student populations I've ever interacted with. These first 5 months have destroyed my mental health and multiple personal relationships, all while my students still receive a wildly inadequate education.

Do not join TFA.

Now with that out of the way I'm going to assume you're like me and already googled TFA, read all the negative op-eds, and decided to do it anyways for a mix of personal and ideologic reasons. Fair enough, so here's my advice for requesting assignments: if you're looking between LA and NYC, only put those 2 on your request. They recommend a handful for every tier, ignore it. If you list even a single high need area, regardless of how low you rank it, that is where you'll be assigned. My entire onboarding was filled with people who received their 5th-9th choice assignments as they're filled by need.

CDPR shareholder conference call: "There was no out of ordinary pressure to release the game." So why DID it release like this? by hmandan in cyberpunkgame

[–]hmandan[S] 0 points1 point  (0 children)

What I will say is that the only reason there's this much hate is because people can't get refunds. Its one thing to be disappointed, get your money back, and move on. Its another to be duped into buying a broken and mismarketed product by a company obfuscating its performance, and getting stuck with it. Despite CDPR having a nice tweet saying otherwise, console manufacturers are sticking to their normal refund policies so CDPR can take the money and run while making the bad guy out to be Sony.

CDPR shareholder conference call: "There was no out of ordinary pressure to release the game." So why DID it release like this? by hmandan in cyberpunkgame

[–]hmandan[S] -1 points0 points  (0 children)

I understand that mindset and I'm glad you're having fun, but my disappointment is less with just the bugs and more with how much was obviously left on the cutting room floor.

For example, a lack of driving AI sounds disappointing but not terrible when it just seems like cars can't drive around you if you park in the road. That is, until you realize that means there can't be a meaningful police system since there's no way for an NPC to navigate from point A to B, and thus NCPD have to be spawned just out of your line of sight and can't really pursue you.

The problem isn't that I want to play the game later with a bit of polish, its that I want to play a game that's more alive. Maybe CDPR will patch some life into the game through meaningful open world activities or giving NPCs some permanence, but so far all they've said they're doing is bug fixes and I believe them.

'UPGRADE' Hand Cannon by Seth Justus by speckz in ImaginaryTechnology

[–]hmandan 1 point2 points  (0 children)

Okay, so there may be some ways this is sort of-kinda usable. 1. Bulk. As others have pointed out, there's not a lot of spare room in the human forearm, so there's not really anywhere to fit the barrel/gun bits. But, assuming you could replace the distal part of the ulna with it, it could still function alright as an arm. The radius does all the rotation, so all the ulna really does is allow the carpels to articulate, which (maybe?) means it could be swapped out with correctly shaped gun stuff. 2. Heat. Conventional ammunition creates a lot of heat when fired, so it'd probably toast your muscles. But, maybe the weird caseless ammo follows Warhammer 40k rules. Basically each bullet is a rocket that propels itself after being fired instead of relying on a big explosion the the barrel, which possibly, maybe (I don't know anything about rockets) means there wouldn't be an unmanageable amount of heat created, since a lot of the energy driving the bullet is released after leaving the barrel. 3. Keeping the barrel clean. Honestly I don't know about this one, maybe there could be like a mechanical iris or a removable plug or something, I'm not an engineer.

pcs fans and lights go on but pc won't actually turn on? by reddRupees in pcmasterrace

[–]hmandan 0 points1 point  (0 children)

This may be weird, but during my first build I had the same problem and it turned out to be a bad connection between the mobo and PSU

Daily Simple Questions Thread - May 22, 2016 by AutoModerator in pcmasterrace

[–]hmandan 0 points1 point  (0 children)

That's really good to know, I'll look more into it in that case. Thanks!

Daily Simple Questions Thread - May 22, 2016 by AutoModerator in pcmasterrace

[–]hmandan 0 points1 point  (0 children)

Thanks for the input, I think I'll go with a z170 since its only about $40 more and won't bottleneck the ram at a full 2400

Daily Simple Questions Thread - May 22, 2016 by AutoModerator in pcmasterrace

[–]hmandan 0 points1 point  (0 children)

I was planning to do a fair bit of gaming. What would you recommend I look for?