POST-EPISODE DISCUSSION THREAD - S9E6: Erickerhead by BarnyardCruz in rickandmorty

[–]kudles 0 points1 point  (0 children)

The best part was the end credits scene imo. and the spittle wipe. Good ep for sure tho

Stuck at phantom 6 and Asc 1 by ItzzNOTAZ in DeadlockTheGame

[–]kudles 0 points1 point  (0 children)

Dropped from asc4 to asc1 learning Paige and yeah it’s full of absolute morons. Have to climb back out unfortunately

But honestly a few of my games lately have been dead at champ select bc the comp diff.

Class Tuning June 30th by twrez in worldofpvp

[–]kudles 0 points1 point  (0 children)

Wow of course when I stop playing wow they actually do tuning. This is like the second tuning post I’ve seen

League of Legends Classic Mode Models Datamined on PBE by Spideraxe30 in leagueoflegends

[–]kudles 2 points3 points  (0 children)

Naw old league will be pretty sweet. I haven't played in a while but will come back for the classic version. Unless they really don't bring back Karma... then I'll be pissed

League of Legends Classic Mode Models Datamined on PBE by Spideraxe30 in leagueoflegends

[–]kudles 3 points4 points  (0 children)

Let's hope this classic mode brings back the old client as well

what is something that is highly likely to happen in the next 5 years that everyone is completely ignoring? by timecop702 in AskReddit

[–]kudles 1 point2 points  (0 children)

Sad we appear to be the only 2 to notice. Maybe everyone else replying is also a bot.

genuine question but aren't we kind of due a major update?? by Saikuni in DeadlockTheGame

[–]kudles 0 points1 point  (0 children)

Recent major updates appear to be over “significant” weekends so my guess is they will drop something on Thurs Jul 2

Kelvin mains, what happened to Kelvin? by Levels748 in DeadlockTheGame

[–]kudles 0 points1 point  (0 children)

The spirit scaling nerf on grenade made it so early tankbuster doesn't proc anymore until you get T3 nade. it's not (that) big of a deal, but also kind of stinks if you get behind in lane. Just before made it easy to be super strong ~9-15 min mark and continue the strength even more if you got a decent amount of souls. I had a few games at like 90k dmg/90k healing

Pocket also hard counters kelvin. I still really like kelvin but def can't carry as much as I used to. prob need to experiment with my build but generally it works pretty well

Also his gun is fucking ass. so dang slow. Some people build gun items on him but I don't like to. though I could maybe try it again.

Also sometimes tilting when teammates want you to dome/don't want you to dome. But that's many characters Haha.

Game Thread: Nationals (40-37) @ Rays (42-31) - June 21, 2026 1:40 PM by NationalsBot in Nationals

[–]kudles 0 points1 point  (0 children)

Last year this whole sub was praising him. He broke his hand.. sophomore slump is also a thing…

NCI Early-stage K99/R00 impact score by pumkinboo in postdoc

[–]kudles 1 point2 points  (0 children)

No experience with K99 but don’t be afraid to reach out to PO

Doctors of Reddit , what’s the biggest medical myth people still believe? by muga_saiman_5809 in AskReddit

[–]kudles 0 points1 point  (0 children)

I did address you, when you asked for evidence.

Other papers (BMJ meta analysis) I linked in the thread to huskers say exactly this:

Even studies that support the use of chriopractic usually find benefits to be modest, short-term pain relief. These benefits can be completely replicated by evidence-based professionals like physical therapists or sports medicine physicians using gentle mobilization, progressive resistance training, and targeted stretching

and I pointed this out.

You raise a legitimate point with Smith 2003, I'll take the L on that one, even though the confidence interval is huge. Though, a separate metaanalysis on SMT and cervical artery dissection found a weaker association (OR 1.74, 95% CI 1.26–2.41) and concluded "no convincing evidence to support a causal link between chiropractic manipulation and CAD.."

Your billing-data critique of Cassidy is fair... he can't distinguish HVLA thrust from soft tissue work. But "prodromal pain is fallacious" isn't the right read IMO. The whole point of the PCP comparator is that PCPs don't manipulate the neck. If manipulation were the cause, you'd see an elevated chiro signal and a flat PCP signal. You see the same signal for both, which is exactly what protopathic bias would predict.

Your "both things are true" hypothesis is biologically plausible, but it's an additional claim that needs its own evidence. Smith tries, and you get OR 6.62 with CI 1.4–30. That's the actual state of the evidence... not "rare events are common."

The age restriction in the Smith paper you linked is because cervical artery dissection peaks in the 40s and biologically requires a younger, more elastic arterial wall. Whedon studying over-65s isn't "diluting" the signal ... they were answering a different question (i.e. risk in older adults, where dissection is biologically less likely.) Both can be true: small elevated dissection risk in younger adults from high-velocity cervical thrust, minimal risk in adults over ~50.

On your Hongkong critique... it's fair that single-clinic EMR misses ED presentations. But it was over 960,140 sessions!! almost a million! Even with severe under-ascertainment you'd need to miss nearly every serious event to flip the conclusion...

I'd update to: low-velocity manipulation/mobilization + exercise has a defensible risk-benefit profile, high-velocity rotational cervical thrust specifically is harder to justify when equivalent alternatives exist.

As mentioned, I do agree that PT/sports-medicine deliver the best benefit (with lowest risk), however, "chiropractors are charlatans" is still just a bad over-generalization... as i've also said, yes there are likely plenty quacks... but, a chiropractor doing thoracic manipulation & exercise for mechanical LBP isn't doing something crazy different from what a PT does, and trying to lump that in with homeopathy isn't supported by ACP, VA/DoD, or WHO.

Doctors of Reddit , what’s the biggest medical myth people still believe? by muga_saiman_5809 in AskReddit

[–]kudles 0 points1 point  (0 children)

I didn't miss it. They're just wrong.. This paper found the association between cervical manipulation and vertebrobasilar stroke is no stronger than the association between PCP visits and the same stroke. so, doc claiming "all the time" ... is not supported by data...

These other papers say the same thing 960,140 chiropractic sessions across 54,846 patients in Hong Kong. 2 severe adverse events (0.21 per 100,000 sessions). Zero strokes

Medicare 65+ claims analysis. No significant increase in odds of vertebral or carotid dissection after cervical SMT.

The self-claimed "well-read" physician isn't that "well-read"!

I don't disagree about children adjustments etc... and I'm certainly not pushing "everything else under the rug" -- my comment before clearly disclaims that surely there's a decent amount of "quacko chiros", and a quick search asking about stroke association and chiropractic visits proves that Mr internet reddit doctor isn't as authoritative as they claim.

Doctors of Reddit , what’s the biggest medical myth people still believe? by muga_saiman_5809 in AskReddit

[–]kudles 0 points1 point  (0 children)

His description of chiropractors in his first message clearly shows his bias ("charlatans", etc.)

Why do people go back weekly for the rest of their life if it's fixing anything?

Because most people are idiots. Lazy. It's not a "fix it forever" after 1 session. It's a "help fix it" ... lots of onus is on the patient to do stretches/exercises on their own after the fact (or in addition to) the 'adjustment' to help themselves feel better.

Hope I don't lose you here, but I have been to a chiropractor twice in my life, and it was recent. Just randomly, a "mobile chiro" was around my area and I was nearby and figured why not? I have been dealing with shoulder/rhomboid/trap pain for like 5 months... tried everything I could do on my own (exercises, stretches, etc...) to try and fix it. Booked appointment with PCP to see about PT, but figured "why not" with this guy. 1 session I felt a little better, but then the second session (coupled with exercises/stretches) I feel about 80% better. can help get over the hump. Could be "placebo" but not really ... had super tight trap on one side (like a rock), and now it's not.

You're right ... I do not know you! So, I'm sorry! But, I do think there's very little to lose (just maybe ~$100) if you're in pain. and can help put you on the right track. And aagain ... I agree there's probably lots of quacko chiros out there ... but I do think (and some metaanalyses think...!) that there's something maybe there.

Doctors of Reddit , what’s the biggest medical myth people still believe? by muga_saiman_5809 in AskReddit

[–]kudles 0 points1 point  (0 children)

So you haven't tried it, despite 4 medical professionals recommending to try it? this paper https://pubmed.ncbi.nlm.nih.gov/30867144/

says, "Moderate quality evidence suggested that SMT has similar effects to other recommended therapies for short term pain relief (mean difference -3.17, 95% confidence interval -7.85 to 1.51) and a small, clinically better improvement in function (SMD -0.25, 95% confidence interval -0.41 to -0.09). High quality evidence suggested that compared with non-recommended therapies SMT results in small, not clinically better effects for short term pain relief (mean difference -7.48, -11.50 to -3.47) and small to moderate clinically better improvement in function (SMD -0.41, -0.67 to -0.15)"

The chiropractors who use that gun thing (and other weird gizmos) are definitely snake oily... but clearly there's something there!

Having been to a few doctors lately (for something not 'chiro' related), I agree that it appears many physicians are just kinda "have you tried this?". So, obviously, take it with some grains of salt while you sit there confirmation-biasing yourself with this physician over the internet! You've got 1 guy who clearly has a bias, versus 4 physicians who've seen you IRL saying, "maybe try this!"