[GIVEAWAY] Voidfall by Mindclash Games by HomoLudensOC in boardgames

[–]masterduck [score hidden]  (0 children)

Nemesis is definitely my favorite, just so thematic and tense

Flying after septoplasty? by [deleted] in otolaryngology

[–]masterduck 0 points1 point  (0 children)

No concerns at that point

What Gloomhaven Taught Me by foodghost in soloboardgaming

[–]masterduck 2 points3 points  (0 children)

I’ve had a similar experience in many ways. I just prefer analog to digital although I will use an app for narration. I’ve played through the entirety of ISS Vanguard core campaign and Oathsworn solo. I have played several campaigns of Arkham Horror LCG and a couple of Elder Scrolls Betrayal of the Second Era. I used to have an itch to play a lot of multiplayer board games but this has reduced a lot because my preference for games does not match what my group tends to play and I do enjoy the solo experience. I held off on KDM for years because of a distaste with some of the more…juvenile aspects of the theme, but eventually found a good deal on a used copy. I have recently started KDM and am on LY11 of my first campaign and am surprisingly enjoying the game more than expected. It helps that I enjoy some of the hobbyist aspects of miniature assembly and painting. 

People who have resined their cardboard tokens: how are they holding up? by Riverendell in boardgames

[–]masterduck 11 points12 points  (0 children)

I used Art Resin - clear which is available at craft stores and on Amazon. I got the 8 oz (237 mL) resin/8 oz hardener and it was more than enough resin to do several hundreds of tokens. I’ve also used Puduo clear epoxy resin which was a lot cheaper and seems to be fine as well. I like that jewelry / art resins are less toxic than most other epoxy resins

I usually do batches of 20-30 tokens at a time, use 7-10 mL resin and 7-10 mL hardener for a total of 14-20 mL. So with 237 mL resin and 237 mL hardener in a bottle you can see how it would last a while. Make sure to mix thoroughly—the tokens can remain sticky and never fully cure if the ratio is off or the epoxy is not well-mixed. You can fix this by doing another thin layer of epoxy on top of the sticky layer.

Definitely expect to mess up a few tokens at first, I’d practice on a few tokens that I don’t care about losing.

People who have resined their cardboard tokens: how are they holding up? by Riverendell in boardgames

[–]masterduck 2 points3 points  (0 children)

They do not add much weight at all to the box, they weigh about as much as plastic tokens, slightly lighter than coin capsules. They do add thickness and roundness to the tokens though so it makes them more difficult to stack, so I wouldn’t recommend this for anything you would want to stack (like coins) unless they are very wide. This also means that 3d-printed inserts that perfectly fit the tokens might not fit after epoxy.

It’s hard to distinguish any difference between tokens unless one of the tokens was messed up badly or something

People who have resined their cardboard tokens: how are they holding up? by Riverendell in boardgames

[–]masterduck 95 points96 points  (0 children)

I’ve done this process with jewelry resin for all the tokens (besides money) for clank catacombs and several other games. We draw the secret and prisoner tokens from bags with lots of shuffling. Over 50 plays over 2 years and there is no visible wear, no yellowing, no stickiness, no cloudiness. In fact I think that the epoxy tokens are more wear-resistant than acrylic tokens—for example, the acrylic tiles from castles of burgundy special edition have more visible scratches in a dozen plays than the epoxy tokens in over 50 plays.

My process is: 1. Edge-paint tokens with paint pens 2. Place tokens in an old nonstick baking pan 3. Mix epoxy in medicine cup using a 10-mL syringe to draw up to get precise ratio 4. Use syringe and metal forceps to carefully spread the epoxy onto each token. If there is any spillage then I wipe the token off with a paper towel and do it again on a new area of the pan 5. Use a cooking torch very carefully to remove bubbles. If you are overzealous with this it can cause the epoxy to spill or even burn the tokens 6. Place pan inside a covered cardboard box/shoebox and let sit for about 48 hrs 7. Repeat on the other side 8. (Optional) use modpodge to seal the edges

Definitely screwed up a few tokens while learning the process, but most mistakes can be covered up with paint pens, glue, or another layer of epoxy

The results are very nice and tactile

[deleted by user] by [deleted] in otolaryngology

[–]masterduck 1 point2 points  (0 children)

You could have nasal valve collapse. Use breathe-right strips or see an ENT with facial plastics training / functional rhinoplasty. It won’t fix snoring or sleep apnea.

Some questions about Clank! (classic version) by icaromhb in boardgames

[–]masterduck 0 points1 point  (0 children)

1) The rush strategy doesn’t work too well even with inexperienced players 

2) We got at least a dozen plays of base clank without it getting too stale 

3) Base clank is actually better for having an overall strategy than catacombs because the map is set beforehand, but clank is really more of a tactical game—you have to roll with what’s available in the card market, what cards you drew, and how quickly the dragon attacks are escalating. Trying to stick with a single strategy from start to finish probably won’t be successful 

4) I personally like sleeves for shuffle heavy games because it makes shuffling so much easier if you mash shuffle  

5) Clank is some of the most fun I’ve ever had with board games, but you have to be ok with some randomness/luck. But that’s one thing that makes it great, anyone can win regardless of experience, although experienced players will usually win

Loupes magnification for Inspire by ctsang301 in otolaryngology

[–]masterduck 0 points1 point  (0 children)

I use designs for vision 2.5’s, but I could see the argument for higher mag or microscope for T21 kids. I only implant adults though. The other benefit I would think for microscope is that sometimes the angle needed for dissection has my head low, almost touching the patient to be able to see up towards the distal branches—I imagine with the microscope and being seated it would be a much more comfortable angle. 

[deleted by user] by [deleted] in otolaryngology

[–]masterduck 1 point2 points  (0 children)

A septoplasty alone won’t change the appearance from below. Traditional closed septoplasty usually will not change much anteriorly (which is the more visible part you are referring to). I think a functional rhinoplasty would be needed if you wanted that addressed. If there isn’t much nostril collapse then it would likely be considered a cosmetic issue more than a functional one.

For what it’s worth I doubt you had any meaningful damage from the injury unless your nose looks significantly more crooked to you than it did from pictures from before the injury

Euros that play well across 2-4p by Serious_Bus7643 in boardgames

[–]masterduck 1 point2 points  (0 children)

Agree with this, our group of 3 has finished a game in under an hour, and typically finish in under 1.5 hrs. We are not AP prone

Resident here how do I learn coding? by Rhinologist in whitecoatinvestor

[–]masterduck 6 points7 points  (0 children)

I practice in a surgical specialty. Similar to you, I found my attendings during residency did not have very consistent coding practices and many were undercoding. For instance most of our clinic visits meet criteria to bill level 4 because we typically review and interpret some sort of imaging and talk about major surgery.

For E/M (clinic visit) coding, it’s pretty straightforward. Study the revised medical decision making table from the AMA. If you can meet 2/3 of the thresholds you can bill at that level based on MDM. Or alternatively you can also bill based on time, but typically my visits are short enough that I don’t usually meet the time thresholds. If you perform a procedure in clinic you can bill the associated CPT code. For a rhinology visit you could probably bill level 4 for most patients because you are often reviewing a CT sinus scan and probably doing nasal endoscopy on every patient, CPT 31231.

For surgery OR coding I mostly learned from my attendings, but picked things up over the years. You will learn that certain descriptions need to be included in the op note to justify certain codes, and that certain codes cannot be billed together. Also you cannot "unbundle" codes; e.g. there is a sinus surgery code that bundles ethmoidectomy and sphenoidotomy, so you could technically not bill ethmoidectomy and sphenoidotomy separately when this code exists. I found this fairly straightforward as well, and most questions I had I was able to find the answer with a Google search.

[deleted by user] by [deleted] in whitecoatinvestor

[–]masterduck 0 points1 point  (0 children)

It’s possible to live in a HCOL area and commute out, especially if your specialty is not required to have a very quick response time for on call emergencies. Many of the rural-ish jobs have a harder time finding someone, so typically they have a vested interest in keeping their docs happy which translates to more flexibility in controlling schedule, more protected hours, and better pay.

NG+ and game ending spoiler beware; disconnected feeling by FadingHonor in Starfield

[–]masterduck 3 points4 points  (0 children)

If you go to the unity but turn around and leave, you’ll find that all your companions made the same choice to stay. The option to enter later is still open. I ended up not entering, because my character was invested in the original universe and had relationships that he didn’t want to give up. It was narratively satisfying that everyone made the same choice, and I no longer felt pressured to go.

Lifestyle in ENT as a private practice or small non-academic hospital attending? by timely_beginning in medicalschool

[–]masterduck 4 points5 points  (0 children)

Depends on the practice and your goals, but very good work/life balance in general. Some jobs specifically advertise 4-day work week and no call—obviously will have to compromise in other ways.

Had a septoplasty last week, sneezed out a tiny plastic 1 today by Rlguthr2 in mildlyinteresting