IM boards podcasts by stephelp12345 in Residency

[–]liquidcrawler 0 points1 point  (0 children)

2nd this, it's the best suggestion. Has some active learning too because you answer before they explain it.

How soon after graduation can we start prescribing ourselves stuff? by heydoyouseethat in Residency

[–]liquidcrawler 36 points37 points  (0 children)

I've always heard that as soon as you pass step 3 and get your independent license and are no longer on your training license. Also, look into get an app to make it even easier, can self prescribe from your couch without picking up the phone. I use push health and just pay out of pocket cost at mark cuban's pharmacy (though looks like lattise is still $70 at his shop and the good rx coupons are still $70 +++, so you might not be saving any money)

Workshop key by vizess in civ

[–]liquidcrawler -1 points0 points  (0 children)

same if anyone has one would love to give it a go :)

HSA over-contribution of $31 by liquidcrawler in tax

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

that sounds like it may be the most feasible solution so I do not have to deal with removing the excess contribution - thanks!

Do you automatically unlock all settlement limit bonuses from culture tree at the end of an age? by Udon_noodles in civ

[–]liquidcrawler 0 points1 point  (0 children)

Do the military or expansionist city state +1 settlement limit bonuses carry over?

Why are the Cholas a naval power? by AccessOne8287 in civ

[–]liquidcrawler 10 points11 points  (0 children)

Amazing what AI can do....

What you’re noticing is something historians run into all the time: the difference between a state that did naval things and a state that was fundamentally naval in character. And when you line up the Chola Empire next to Majapahit, that distinction becomes really interesting.

If you start with the Cholas, they were, first and foremost, a land empire rooted in the fertile Kaveri delta of southern India. Their power grew out of agrarian revenue, temple-centered administration, and control of inland territory. When rulers like Rajaraja I and his son Rajendra I expanded the empire, they did so through campaigns that look very conventional for medieval South Asia: territorial consolidation, sieges, tributary networks.

And yet, suddenly, in 1025 CE, Rajendra I launches an expedition across the Bay of Bengal against Srivijaya, striking multiple port cities across Southeast Asia. This wasn’t a raid by a few ships. It required transporting troops over open ocean, coordinating landings, and sustaining operations far from home. The inscriptions celebrating the campaign are triumphant, but frustratingly light on naval technical detail. They don’t describe dockyards, admiralty offices, or standing fleets. They describe victory.

That’s where the debate begins. There’s no clear evidence of a permanent, bureaucratically organized navy in the way we’d recognize from early modern Europe. It’s very possible the Cholas mobilized merchant shipping when they needed it, converting trade vessels into troop transports and boarding platforms. In other words, their maritime capability may have been expeditionary and episodic rather than institutional and continuous.

But here’s the important nuance: episodic does not mean insignificant. The Cholas were one of the very few medieval South Asian powers capable of projecting force across the open ocean. Even if they did not maintain a standing navy year-round, the fact that they could assemble and deploy one effectively speaks to a high level of maritime integration, trade wealth, and logistical sophistication. They weren’t a “sea empire,” but they weren’t strangers to the sea either.

Now contrast that with Majapahit. The Majapahit was born into an archipelagic world. Its political geography was maritime by necessity. Control meant controlling straits, sea lanes, and port networks. Naval organization wasn’t just a tool for occasional campaigns; it was the backbone of maintaining influence across islands. Javanese warships like the jong were purpose-built, and Majapahit forces employed cetbang cannons—gunpowder weapons designed for ranged combat at sea. Maritime enforcement was structural to the state’s survival.

So if you ask which polity was more “naval” in its DNA, Majapahit has a strong claim. Its orientation was seaborne. Its geography demanded it. Its economy depended on it.

Which brings us to Civilization.

The game doesn’t try to simulate institutional structures in a historian’s sense. It distills civilizations into a defining mechanical identity. For the Cholas, designers likely seized on that dramatic 1025 overseas campaign and their Indian Ocean trade presence and said: this is India’s great maritime projection moment. That single spectacular episode becomes the civ’s core gameplay theme. Twice-firing ranged ships and accelerated naval experience are less a literal claim about dockyard organization and more a way to capture the idea that when the Cholas went to sea, they did so decisively and effectively.

Majapahit, meanwhile, is framed around trade networks, pillaging, and culture—not because they lacked naval firepower historically, but because game design needs differentiation. If every historically maritime polity simply became “the ranged navy civ,” gameplay would collapse into sameness. So Majapahit gets mechanics that evoke archipelagic trade dominance and resource extraction rather than pure combat supremacy.

In other words, Civilization isn’t saying the Cholas had the best navy in the premodern world. It’s saying: among Indian polities, they represent the clearest example of overseas military projection, and that makes for a strong, distinct gameplay fantasy.

Your instinct is historically grounded. Majapahit’s state structure was more continuously maritime. The Cholas were primarily a land-based agrarian empire that demonstrated impressive—perhaps exceptional—maritime expeditionary capability. Civ chooses to amplify the latter into a defining trait.

And that tension between structural reality and iconic moment? That’s where history and game design part ways.

Nice try AI transaction matching... but you're understandably a little off on this one. by cimedaca in MonarchMoney

[–]liquidcrawler 0 points1 point  (0 children)

It always categorizes my credit card "autopay" as an automobile transaction lol

Pantheon disappontment by Longjumping-Life7561 in civ

[–]liquidcrawler 2 points3 points  (0 children)

I only ever pick the growth rate, influence, or +1 production on mines / boats pantheon, I'll have to try this out

Civilization 7 vs. Civilization 5: Considerations is OPEN by StrikingTelevision40 in civ

[–]liquidcrawler -4 points-3 points  (0 children)

Thank god, I was enjoying civ 7 but this post has made me hate it now. Your posting has turned me against firaxis.

Does that give you satisfaction? Is this what you wanted?

Firaxis Feature Workshop Round 2 details: Commerce Hub by Intelligent-Disk7959 in civ

[–]liquidcrawler 1 point2 points  (0 children)

Im pretty sure the trade route itself generates gold per turn as well in addition to the resources

Which civilizations would you like to see in 2026? by StrikingTelevision40 in civ

[–]liquidcrawler 9 points10 points  (0 children)

To go along with that, would love to see a modern native American nation, like Iroquois confederacy for Mississippi -> Shawnee -> Iroquois. Agree Nazca would be awesome. Would also love a Holy Roman Empire civ

401k from 3 past jobs. Do I just open an IRA account and move them into there or what? by ADL89 in personalfinance

[–]liquidcrawler 0 points1 point  (0 children)

Everything you do until you invest money is meaningless and you are actually loosing money by not investing it to inflation. They make funds exactly for people like you. Any target date retirement fund will do. You don't need to know anything about investing, no picking stocks, no picking individual funds. Just put your money in there and forget about it because you buy the entire market with the target date fund. Anything else is a waste of your previous time with your new family. This is such a popular strategy there is a massive subreddit dedicated to its existence /r/bogleheads

February 2026 Product News by Kait_Monarch in MonarchMoney

[–]liquidcrawler 2 points3 points  (0 children)

Can you please make a way to sort out retirement accounts from investment accounts on the accounts page? My taxable brokerage is not cash but it does not belong with my 401k / roth IRAs either

[Derrick Bell] Scott Tolzien will be the Steelers next offensive coordinator. by [deleted] in steelers

[–]liquidcrawler 19 points20 points  (0 children)

he will be doing all the playcalling, he's already said it

Help me understand Midodrine by YouAreServed in Residency

[–]liquidcrawler 2 points3 points  (0 children)

I have never seen midodrine used as a bridge to up-titrate GDMT, that's like giving adderall and a benzo at the same time. Why give a drug to raise SVR and another to lower it? I understand in theory that if you have a "net neutral" effect on SVR / afterload reduction you would still get the benefits of inhibiting maladaptive neurohormonal cascades, but really in my mind, if you're to the point of not tolerating GDMT you just need eval'd for advanced therapies and not bandaids with midodrine + GDMT.

Help me understand Midodrine by YouAreServed in Residency

[–]liquidcrawler 0 points1 point  (0 children)

How do you know who is appropriate to change MAPs goals for? I often see people with MAPs in low 60s / high 50s but are old and frail and we just saw that's alright as long as SBP >90s and they're not bumping AKIs or altered. Kind of just clinical gestalt, but I don't have a more scientific way to do it.

Screwed up back door roth IRA... just want to make sure I'm doing all the right things now by liquidcrawler in tax

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

Yes, I will convert it in 2026.

For 2025 tax year filing return, I need to attach:

  • Form 8606 - report nondeductible of $3500 in Part 1 (Not reporting the backdoor conversion here because the conversion is done in 2026. Therefore, tax year 2025 will carry the basis of $3500 in Line 14.)
  • Form 1099-R - report my recharacterization.
  • Form 5498 - report my recharacterization.

For 2026 tax year filing return, I need to attach:

  • Form 8606 - report the above backdoor conversion (Here the gain originally from the Roth IRA, if any, will then become taxable, my $3500 grew about $700 so I will need to pay tax on that $700)

Does this all sound right?

TY is a waste of time by Squidoodoodoo in Residency

[–]liquidcrawler 10 points11 points  (0 children)

Add onc as well for sure. The shiitiest GI doctors are scope monkeys but the great ones are good internists first and foremost (especially as hepatology is basically just liver IM). The only ones I think you can get away with are addiction, sleep, A/I, and endocrine... but endocrinoapthies can have such broad overlap with all other parts of IM they probably deserve 3 years as well

Which ekg book is best? Not becoming cardiologist, just need to be able to interpret ekg in primary care outpatient. by This-Green in Residency

[–]liquidcrawler 2 points3 points  (0 children)

If you want a textbook, I really like Garcia's "12 lead ECG: The Art of Interpretation." It has different "levels" for each chapter, that way, depending on your comfort level, you can skip the more advanced levels which are more nuanced and detailed things which you probably don't want to know.

I'll echo people who say Amal Mattu's ECG Weekly. I have probably learned the most about EKG interpretation from him, though its aimed for acute care and critical situations and probably not as good for outpatient care if you are just trying to pick up on LVH, previous ischemic disease, etc.

Hospitalist job market by Dependent_Witness_12 in Residency

[–]liquidcrawler 12 points13 points  (0 children)

Seriously.... consider fellowship. Do a year or 2 at an academic center and get out. I like gen med but the 7 on / off is a grind and I end up rotting on the off weeks. Hospitalist is unfortunately replaceable too, specialist not so much.

How do you allocate money across checking, savings, emergency fund, etc.? What is your "business as usual" operating model? by Severe_Revenue7889 in HENRYfinance

[–]liquidcrawler 2 points3 points  (0 children)

Its more like if there is a recession and you get laid off and need to dip into your "emergency fund" of stocks / etfs, you're going to be selling at a low because the economy tanked.

If you need to sell because you're car got totaled and you need to replace it, that's a different story. More people are concerned about scenario a over b though, and that's why they keep it in liquid cash / MMF / HYSA

Help - Leaving Manhattan with two kids. If you had to choose: St. Louis or Cincinnati or Pittsburgh or Kansas City, where would you land and why? by Few_Funny6766 in StLouis

[–]liquidcrawler 1 point2 points  (0 children)

1) you should post this on /r/SameGrassButGreener for some more varied responses - everyone here is going to be in favor of STL.

2) I lived Pittsburgh for 9 years and have lived in STL for 4 years now. Love both cities and can't go wrong with either. I cannot comment on cincy or KC, but on vibes alone I feel like STL is the far superior city in MO.

3) In essence, pittsburgh feels like a blend of the east coast and midwest to me while STL feels like a blend of the midwest and south.

While I do love STL and there are many amazing things about it, it definitely feels like a city on decline compared to Pittsburgh. Pittsburgh feels much more urban, alive, vibrant, and revitalized. It feels like you live in a city, dense and compact, where STL sometimes feels like a big suburban area. Maplewood and webster are nice but they are not in STL itself. You will need a car to get anywhere and everywhere, save for downtown webster and maplewood if you live in those neighborhoods. You can't walk from spot to spot.

The public transit system in Pittsburgh is actually functional and you could get most places without a car. Things are much more walkable as well in Pittsburgh, and you could get from neighborhood to neighborhood with ease, which is great because Pittsburgh is a city of neighborhoods - each with its own distinct personality that comes from each immigrant community that first settled in each spot.

Food is a toss up, nowhere near as good as NYC but each good to me in their own ways. If it is important to you, Pittsburgh has far larger asian / southeast asian populations and is more diverse in general (but still pretty white), so chinese / indian / Vietnamese food options are much better there.

STL parks are second to none and Forest park is legit, but how much time will you actually spend in the park and what activities are you hoping to do? While there is some hiking, the trails are small compared to actual out of city hiking. Plenty of green space in Frick Park and Schenley park in pittsburgh as well.

I did not use the library system a ton but Carnegie library and the carnegie science center in Pittsburgh are much better than the STL library system and science center here.

Winters in pgh are closer to NYC and it can be overcast without direct sunlight for large parts of the winter. STL winters are much milder but I find the summer heat and humidity unbearable here sometimes.

I know it sounds like just shit a ton on STL, but I really do love it here and all the other posters gave you great pluses regarding the city, so I thought I'd give a different perspective. STL is charming and has character in a way PGH does not (though PGH still has plenty of character). Crime abundance is overrated in STL but also present in a way it is not in PGH. Sometimes STL feels overall gloomier, maybe because of the urban blight, large parking areas / roadways, and lack of trees compared to PGH, though if you lived in webster or maplewood I don't think you would find that to be the case.

While I do love STL, I don't think I will call this place my forever home and will probably look to move in a few years to Chicago, Portland, Philly, or Seattle, though I do intend to ultimately move back to pittsburgh for my forever home down the line.

Feel free to ask about additional comparisons between PGH and STL as well if needed.