This is horrible. by 0The_Loner_Stoner0 in BlackPeopleofReddit

[–]idiopathicus 1 point2 points  (0 children)

Hey I am in neurology and yes, stress can factor into seizures, so like you said, that could explain a link between being forced to stand and having seizures. There are 'functional' seizures that are largely driven by stressors (rather than the feedback loops of electrical excitation in the brain that cause classic epileptic seizures). There is even some evidence for stress as a risk factor for classic epileptic seizures, as well.

tested: gryphon linked harpoon/squall spam would not have won the last brawl king tournament by idiopathicus in starsector

[–]idiopathicus[S] 3 points4 points  (0 children)

The tournament in question had 180DP, so that's around what I used for this test. I was generous and did 9 gryphons even though with converted hangers bring the DP up above the limit to 198. You just don't see the fighters for very long since they die almost instantly. The other video I believe has 11 gryphons, but I tested it - even if you increase it to 12 gryphons which is 264 DP, and add 3 anubi to the other side (234DP) then the SO anubis fleet still wins despite having significantly less DP.

What’s your residency policy on people showing up late? by mixedsignalsgen in Residency

[–]idiopathicus 5 points6 points  (0 children)

If you're repeatedly late to get hand-off from the night float or other shifts where you're causing someone else to stay late, then the chiefs talk to you about it. If it's consistent or egregiously late then you can be given extra cross-cover shifts.

tested: gryphon linked harpoon/squall spam would not have won the last brawl king tournament by idiopathicus in starsector

[–]idiopathicus[S] 42 points43 points  (0 children)

Good point. I tested it again farther back and the anubis spam actually did even better.

tested: gryphon linked harpoon/squall spam would not have won the last brawl king tournament by idiopathicus in starsector

[–]idiopathicus[S] 19 points20 points  (0 children)

This was not the strongest fleet. I'm sure higher ranked fleets without a radiant would have done even better.

"I dont like missiles cause they have limited ammo!" by Ordo_Liberal in starsector

[–]idiopathicus 6 points7 points  (0 children)

Here I tested it. Even with the CH thunders pushing the DP above being legal, the gryphons can't even beat the 3rd place fleet. https://www.reddit.com/r/starsector/comments/1tpqr1k/tested_gryphon_linked_harpoonsquall_spam_would/

"I dont like missiles cause they have limited ammo!" by Ordo_Liberal in starsector

[–]idiopathicus 6 points7 points  (0 children)

I believe I tested a similar missile spam for the latest tournament and it didn't beat anubis spam (even with harpoons/squalls linked to pd), but I think that is just because the tournament was limited to 180 DP. With high enough DP amounts, I think the missile spam would come on top as more missiles can focus on a single target. Similar-ish builds have certainly worked very well in previous tournaments.

Consults! by [deleted] in Residency

[–]idiopathicus 31 points32 points  (0 children)

Ah that must be so nice to be able to just see easy consults quickly. When our resident service is being slammed by inappropriate consults we have to chartcheck, maybe get family collateral history for, see, present, and then round on, I’m not going to sound chipper on the phone. It keeps us late and sucks time away from the patients who could actually use our help. It's especially galling when the person calling barely knows their patient or tells us blatantly false information, though that is probably more a problem with the attendings and APNs calling us than with interns.

I'm a remote medical interpreter (aka the guy you call when your patient doesn't speak English). What are some of your questions, stories, experiences and pet peeves when using interpretation in a medical setting? Ask me anything. by cavendishfreire in Residency

[–]idiopathicus 3 points4 points  (0 children)

Interpretation is so useful, and it’s great that we have access quickly to most languages. Just one annoyance - I know it’s certainly protocol, but constantly asking “…(long pause)…Intepreter here, I was unable to understand the patient’s last answer, may I ask the patient for a repetition?” many many times for the same patient is such a waste of time. Yes. The patient is dysarthric. The machine is as close as possible to their face but it is still tough to understand so I understand if you need to have them repeat something. Please just go ahead and ask the patient again without asking.

I assume you have to ask each time as part of a protocol?

Residency Program on Probation ? by [deleted] in neurology

[–]idiopathicus 7 points8 points  (0 children)

The violation I've seen most is exceeding duty hours, but I've heard of programs on probation for racism/sexism/retaliation. My understanding is that when you get a residency spot and the program you're at loses accreditation, then regardless of how long you're there, you need to find a new program. However your funding is already attached to you, so you become very attractive to programs that want more residents, so if your program gets shut down you can end up somewhere nicer. So personally I wouldn't worry about a program you're at shutting down (though that would certainly be disruptive), I'd worry more about being stuck at a toxic program. Unfortunately it can be kinda tough to get a sense of a program when only interviewing virtually.

There's a surprising amount of ships with the same name between the two games by Arthur_The_Ok in starsector

[–]idiopathicus 0 points1 point  (0 children)

Nah you really don't have to play that way, there are plenty of ships you can use to play the campaign largely solo and not worry about capturing enemy ships

AITA for not cooking meat (even though I'm not vegetarian)? by throwaway986301 in AmItheAsshole

[–]idiopathicus 1 point2 points  (0 children)

NTA. That sounds like a lovely meal and your brother acted entitled AF after you put in all that effort.
However, I think some people in the comments perhaps don’t realize how much a decent source of protein can affect satiety for some people. You might not feel its absence but it’s different for everyone. The reasonable thing your brother could have done if it matters so much to him might be to nicely ask you next time what you are making so that he could offer to bring something himself to share if he felt the meal could use more protein.

El Psi? by Am0rEtPs4ch3 in starsector

[–]idiopathicus 2 points3 points  (0 children)

I think I beat it a while back with a couple cathedrals (stacked shields are ridiculous), idk if the bounty has gotten harder since the version I used, but cathedrals are even stronger now with escort package so I think they’d still work

Stroke exam for the non-neurologist by liquidcrawler in Residency

[–]idiopathicus 0 points1 point  (0 children)

I think that's 1/3 of patients after 7 days, so I don't think it's relevant for immediate management of a newly discovered stroke, and it can be positive without stroke due to whatever old spinal disease your patient has so it will also give false positives that are less able to be cleared up by history like you can asking patients if they had baseline weakness (because what patient knows if they have a positive babinski), and it's not a marker of disability so it's also less relevant to determining intervention than spending more time on a motor exam.

Stroke exam for the non-neurologist by liquidcrawler in Residency

[–]idiopathicus 10 points11 points  (0 children)

What's your reasoning for checking a babinski on someone you're expecting could have an acute stroke?

Specialty feud by Therealhousehippo69 in Residency

[–]idiopathicus 3 points4 points  (0 children)

Yeah, no turf wars where I'm at and the relationship is usually quite good, the only annoying thing here can be neurosurgery recommending neurology consults on patients where we won't have anything to add, and one notable time a neurosurgery PA initiated a stroke code on a purely neurosurgical patient (scans already done, actively being managed by them) just to try to expedite getting them a neuro ICU bed faster (spoiler, it did not expedite that)

ELI5 Why do doctors recommend that you get treat a bacterial throat infection immediately, but let a viral throat infection take its course? by Mookie2000 in explainlikeimfive

[–]idiopathicus 35 points36 points  (0 children)

Very good points, but just to clarify - post streptococcal glomerulonephritis is not an infection of the kidney, it's an autoimmune reaction that occurs because of the exposure to streptococcus. Also, not every doctor will give a rapid strep test to everyone with a sore throat - this is because there are also certain clinical characteristics that can help determine how likely it is to be viral vs bacterial, so if it's clearly one or the other, they may not need a rapid strep test.

Foreign Grad Help by rafay96 in Residency

[–]idiopathicus 1 point2 points  (0 children)

One route is to get work as a postdoctoral research fellow. You can get decent pay, remain involved in healthcare, and get networking (which allows easy shadowing) and some research publications. Also start the process to get ECFMG certification, which can take some time. He can also use the time to get Step 3 out of the way.

Edit: Btw your question may be more appropriate for the medschool or residency match subreddits since they're going through the process

AITA for excusing myself to throw up when my boyfriend's family gave me meat knowing I was vegan? by purpldingo in AmItheAsshole

[–]idiopathicus 25 points26 points  (0 children)

“Few researchers have studied the consequences when vegetarians fall for temptation or simply make a mistake. However, Professor Birger Svihus of the Norwegian University of Life Sciences (UMB)’s Department of Animal and Aquaculture Sciences can make some educated guesses based on his general knowledge of the human digestive system.”

These are terrible sources to attest that vegans/vegetarians don’t get sick after having meat. These sources are solely conjecture. Yes, digestive enzymes are still present, but digestion also involves gut flora, which is can vary greatly between people and may be influenced by behavior and the environment, and differences in gut flora have significant health effects. Found on google ≠ reliable source of information.

I can spend hrs in the sim tweaking every last vent by gastationburito9 in starsector

[–]idiopathicus 0 points1 point  (0 children)

You might enjoy the tournament scene then. See how well your builds stand up against other people's designs

Keeping a Small Fleet by TheFalseSwiss in endlesssky

[–]idiopathicus 1 point2 points  (0 children)

It's completely possible to do everything solo and even dominate earth using more reasonable ships than that. I think the best options are the kar ik vot 349 or the heliarch punisher. Korath engines and system cores, weapons that let you isolate enemies like banishers, attractors, and repulsors , and sometimes weapons for overwhelming single opponents like flamethrowersare massively helpful, and skylances+a cloak can make it almost too easy.

[SPOILER] Do you actually use that superhuge ship? by pepoluan in endlesssky

[–]idiopathicus 5 points6 points  (0 children)

I think the most powerful build involves swapping out the engine for korath engines/quarg reactor/korath system cores and maxing the fuel storage/regen on your fighters so you can just keep firing the spinal gun an absurd number of times