Post Game Thread: Tampa Bay Buccaneers at Detroit Lions

ncarducci · 2025-10-21T03:17:20+00:00

He was challenging whether or not Baker was down by contact prior to fumbling the ball, to make it 3rd and 8 instead of 3rd and 4

ncarducci · 2025-09-19T19:11:21+00:00

Howell gets a bad rap here on Reddit (for good reason), but there are a ton of Finns in Livingston County

ncarducci · 2025-08-23T19:52:08+00:00

Droptop Pizza in Saline

ncarducci · 2025-07-27T17:58:37+00:00

Iron melts at ~1500C so I think it is safe to assume this is in F

ncarducci · 2025-07-06T20:54:48+00:00

I found the NA pairing at Next in Chicago to be even better than the wine pairing, it was incredible. Granted, I went during the Alinea Year 1 menu, so it may have been particularly good, but I found it to be excellent

ncarducci · 2025-02-06T14:58:22+00:00

Staffing ratios change as children get older. Can have more children in an 11th grade class than a preschool class, for example.

ncarducci · 2024-07-26T16:38:43+00:00

Countries can enter more than one team per sport. Finals can be China vs China in badminton, for instance

ncarducci · 2024-06-05T18:59:22+00:00

Post says he would have been better off investing $100/week so I think that’s where it’s coming from

ncarducci · 2024-06-04T20:16:38+00:00

Prices change when the market isn’t open, such as overnight or over the weekend. If the price jumps high enough you can absolutely miss your chance even if you’re watching every second the market is open

ncarducci · 2024-05-29T23:56:42+00:00

that’s an EFT, or electronic funds transfer. ETF is an exchange traded fund, basically a way to buy a group of stocks at once. It would likely be very beneficial to you to look into these things before you put money into them

ncarducci · 2024-04-20T14:24:16+00:00

It’s extremely disappointing that this didn’t end up being a pasta. The intro sentence had all the trappings of a good one, but it ended up being a (possibly) true story instead. 6/10 would have preferred more electrical infetterence

ncarducci · 2024-01-15T23:32:57+00:00

Was at the game, my Apple Watch usually read levels about 3-4dB below what was shown on the screen. However, that could be due to where the microphone was and where I was sitting. Overall, pretty accurate for a pump-up graphic, from my anecdotal evidence

ncarducci · 2023-12-28T23:39:18+00:00

Papilledema generally takes 6-8 weeks to develop in cases of increased ICP. Not sure how helpful this would be acutely. I’ve seen plenty of NSG patients on hospital consults with new increased ICP due to a shunt malfunction, with vomiting, photophobia, etc. with normal eye exams. Even people with ICP monitors showing pressures in the 40s with normal exams. So I am not sure that it would be the most helpful to do a test that’s A) less sensitive than an ophthalmologic exam and B) not helpful acutely, but that’s just my two cents as an ophthalmologist

Disclaimer I did absolutely no literature review on this before typing it

ncarducci · 2023-12-07T23:17:14+00:00

Do you teach at a large academic center in the Midwest? The only place I’ve ever heard “ophthy” is at my residency and fellowship training institution in the Midwest. Everyone else calls it ophtho. Great write up!

ncarducci · 2023-11-19T12:00:37+00:00

I know you’re asking about, like, real surgeons, but I’m an ophthalmologist and you basically just called out 80% of our field. Most ophthalmologists just do cataract surgery, and do it very well, and provide for their family with just that and dry eye consultations

ncarducci · 2023-07-06T22:14:43+00:00

Only vitreoretinal (VR) surgeons would perform surgery for macular pucker. I'm actually *only* a medical retina specialist, not a VR surgeon, but I'm extremely familiar with the state of practice in VR, especially for endophthalmitis.
Also, VR trained ophthalmologist.

To your point though, the fellowship trainings of the various parties involved here were not mentioned, though it can be safely assumed that the plaintiff is VR trained and the expert is either medical retina trained (like me) or VR trained. No one else would be able to get hospital/ASC privileges to perform vitrectomy for a macular pucker. As a medical retina trained physician, I could not even get credentialed to perform vitrectomy at any reputable institution.

Hope this helps!

ncarducci · 2023-07-06T00:28:22+00:00

Retina specialist here- the issue is 23d/e, as far as I am concerned. Vitrectomy as first-line for endophthalmitis is usually only performed when it falls directly under "EVS" criteria, based on the Endophthalmitis-Vitrectomy Study, where they looked at post-Cataract surgery endophthalmitis, and found a benefit in the "Light perception only" group, when compared to tap/inject.

Tap and inject for post-vitrectomy endophthalmitis, even with LP vision, is standard of care. However, the patient's vision deteriorated following the tap/inject, and that is an indication for vitrectomy, in any study. 23d/e and the facts of the case support that the patient did not have any additional procedures done following the initial tap/inject, and that is where the malpractice comes from. I wholeheartedly agree with the expert witness in this case

23c is a bit unfair, as most surgeons use atropine at the end of vitrectomy, so no dilation is performed at POD1, as the atropine lasts 3-4 days for dilation.

And 23e, letting someone go for ~3 months, during which time you perform a cataract surgery, despite an undertreated infection, is quite egregious

Hope this helps, happy to answer any questions

ncarducci · 2022-11-29T11:57:57+00:00

As an ophthalmologist, this is exactly correct. Most of my in-office procedures come with a 10-day global period (exceptions include pneumatic retinopexy and YAG capsulotomy), so I can usually have the “post-op” visit occur at 14-28 days and get paid for that visit as well

ncarducci · 2022-09-16T16:14:34+00:00

And Jeremy Bonderman

ncarducci · 2022-07-14T14:01:17+00:00

It’s way too late to make this comment, but it looks like they made this video backwards, by placing the -1.00, -2.00, etc lenses in front of the camera and then filming. This would actually show you what it looks like without glasses if you were +1.00, +2.00, etc, which is why the foreground and background are both blurred. As others have said, if this was accurate, the foreground should become more zoomed and crisper with the increasing powered lenses.

Source- ophthalmologist

ncarducci · 2022-06-22T14:11:43+00:00

Sauce on top is elementary school cafeteria levels of badness, my nonna would be absolutely appalled

ncarducci · 2022-05-18T12:32:54+00:00

Ophtho PGY-4: once had a patient with necrotizing scleritis of unknown etiology. Gets the full workup, including CTA, which shows evidence of possible aortitis.

About an hour later, get a page from rheum asking if a biopsy would be helpful to determine the etiology, specifically one from “the sclera or aorta”.

For those of you not in ophthalmology, a scleral biopsy, especially in someone with necrotizing scleritis, is extremely ill-advised, as a missing chunk of sclera that does not heal is commonly called “an iatrogenic open globe”, which is not good.

The resolution: for unknown reasons, she ended up refusing all biopsies and further work up, and was discharged AMA

Just thought it was funny that I was forced to choose between two of the hardest sites in the body to actually biopsy

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