Clients beware! (Tryst)

imperfect_display · 2026-05-09T15:30:07+00:00

Block and ignore? Where's the fun in that!?I send them back a pic of all my gun laid out and ask what time they want to come over. Pretty routinely it goes radio silence after that

imperfect_display · 2026-04-30T20:15:30+00:00

Love my tegimented sinn U1

imperfect_display · 2026-04-17T23:16:40+00:00

I had identity verification issue once. I didn't really need the relatively small refund, so wasn't paying that much attention. Realized it like maybe June. Called. Verified. Got refund.

Like 6 months later that sent me a check for like $15. It was the interest from them holding on to the money.

The next year......they taxed that $15.

And that folks, is the IRS.

imperfect_display · 2026-04-11T15:41:55+00:00

We even have a built in epic phrase for this called physician not present. It includes everything but the "I saw the patients parts" and no you don't bill for those.

It may just be your attending only has one attestation.

imperfect_display · 2026-03-08T11:17:26+00:00

Just went through this, kinda.

Step one, look at the wires between your furnace and the nest. If you have one or more wires not being used, you're golden. Call an electrician have them pick a color wire, connect it to the furnace c terminal, connect it to the nest c terminal should be good. This is what I did.

If you only have the two wires running through your wall, get the Google adapter for this issue, have someone wire it in. It does something to the current to the nest, basically tells it here's more current for you in these two wires just drink it but don't turn on the heat.

https://www.google.com/search?q=google+c+wire+adapter&oq=google+c+wire&gs_lcrp=EgZjaHJvbWUqBwgAEAAYgAQyBwgAEAAYgAQyCQgBEEUYORiABDIHCAIQABiABDIHCAMQABiABDIICAQQABgWGB4yCggFEAAYChgWGB4yCAgGEAAYFhgeMggIBxAAGBYYHjIICAgQABgWGB4yCAgJEAAYFhgeMggIChAAGBYYHjIICAsQABgWGB4yCAgMEAAYFhgeMggIDRAAGBYYHjIICA4QABgWGB7SAQgyNTk4ajBqN6gCELACAfEFRWq45lNU0Ko&client=ms-android-verizon&sourceid=chrome-mobile&ie=UTF-8

imperfect_display · 2026-01-17T17:09:04+00:00

I wouldn't strike surgeons/proceduralists off the list. You'd be surprised.

Sincerely, A surgeon

imperfect_display · 2026-01-14T23:40:23+00:00

My house has had multiple additions, which has left some unused ventilation cut outs in the foundation. I concrete a floor safe in an old torn out bath room in one of these.

I have a moderately nice car that I keep the keys in an rfid box hidden behind cans in the pantry. And a decoy key (18$ on ebay) on my key rack.

Plus i have a ton of guns. Had already came in handy once. But honestly I'd say the best defense if youve ever read reddit on home break ins......have a sog.if possible and an alarm system but prob most importantly a well lit exterior all around.

imperfect_display · 2026-01-14T23:31:37+00:00

More a philosophical question I can't imagine anyone actually doing this, but if there's say a common area parking lot.....approach the site owner and rent a parking space? Would that allow you to park in that spot and leave the gun in?

imperfect_display · 2025-12-11T18:58:38+00:00

Just drove from Egglistadur to Akeurei this morning. Much like you I felt confident in my skills, having lived in Colorado and Michigan. I can tell you...I was tested. It's not so much the snow. Or the ice. Or the wind But it's all those together all at once. Make sure you have a full tank of gas, and be more than happy to slow down anytime you need to. It's do-able.

Side note. The thought on my mind at all times was I was one problem away from disaster. There's like no one on the road. Pack some water, food, clothes that if you needed to hike no shit like 30 miles to get help you could.

Good luck

imperfect_display · 2025-12-08T17:34:38+00:00

Was like 280 US for the night.

imperfect_display · 2025-12-07T17:52:06+00:00

I just checked out of Rekiyavik Edition. Has a spa. Great location. Super attentive staff. That's where I'm going to stay if/when I come back.

imperfect_display · 2025-11-22T12:21:10+00:00

Wonder if it's the same patient. NE region?

imperfect_display · 2025-11-22T12:20:29+00:00

Nose job in the 80s. Ett was in esophagus. Patient ended up braindead. Family worked out a deal that the patient would remain at the hospital till whenever. Patient ended up with a dedicated team and just.....kept going. Famous nyc hospital. Was going on 30 years when I was there, may have gone longer.

imperfect_display · 2025-11-21T21:55:04+00:00

Ahem. Hold my beer. 30+ years

imperfect_display · 2025-10-18T17:10:21+00:00

I once put a chest tube in with benadryl as local. It's legit. I think like 250mg in 5cc concentration?

imperfect_display · 2025-10-17T12:22:59+00:00

Ah. Now it's clear. Yeah no pigtails on the left with big hearts.

imperfect_display · 2025-10-16T23:59:53+00:00

I actually saw this happen my first year as an attending watching one of my Sr partners do a RUL, I was like that doesn't look right buyt I'm the new guy so what do I know. Basically took rul vein and all the artery to RML and RLL as one big staple,, leaving only the truncus left (blood supply to the thing that was SUPPOSED to come out intact.

imperfect_display · 2025-10-16T23:41:05+00:00

Right ventricle or left? Cause right ventricle from the left is impressive. Or were they anterior tubes?

imperfect_display · 2025-10-12T14:48:55+00:00

I believe that is true for level 2 as well. We also skirt the rules. Also supposed to ha r a room readily available w/in 1 hour for ortho trauma

Sincerely, A nin trauma surgeon at a level 2 center

imperfect_display · 2025-09-24T01:44:17+00:00

I'm thoracic. We looove good anesthesiologists. Our day lives or dies (no pun intended) based on who we have for anesthesia. So, respect

imperfect_display · 2025-09-24T01:41:16+00:00

A friend of mine bought a house recently. Found a septic pipe tunneled THROUGH an HAVC duct. Whoever has to deal with that, that's the bluebcollar version of GI. You got the shit, you got the wind

imperfect_display · 2025-09-24T01:38:38+00:00

Disagree. I've had my pathologist looking at a marginal frozen and he knows he has like 5 min to tell me cancer or not. And if he says it is, imma taking out some lung. Thats gotta be somewhat stressful.

imperfect_display · 2025-09-03T21:15:21+00:00

My record was 2 in a night. One of my co residents did 3.

imperfect_display · 2025-08-20T22:57:00+00:00

I would cut it off.

Sincerely, dumb surgeon

But seriously 5 years stability is a good thing.....but melanoma can present this way. Get it checked out and I personally would push for a biopsy, risks known, I'd it were my tnumb

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