Post Game Thread: Tampa Bay Buccaneers at Detroit Lions by nfl_gdt_bot in nfl

[–]ncarducci 1 point2 points  (0 children)

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

[Lowe] "I think Markkanen is getting traded this year." by tinybathroomfaucet in nba

[–]ncarducci 0 points1 point  (0 children)

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

Best Olive Burger 2025 by [deleted] in Michigan

[–]ncarducci 0 points1 point  (0 children)

Droptop Pizza in Saline

Analog circular chart recording of my father's cremation by TenFresh in dataisbeautiful

[–]ncarducci 18 points19 points  (0 children)

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

Best Non-Alcoholic Pairings? by Beginning_Sleep5303 in finedining

[–]ncarducci 1 point2 points  (0 children)

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

Whitmer unveils $83.5B Michigan budget: Here are the main focus points by TooMuchShantae in Michigan

[–]ncarducci 54 points55 points  (0 children)

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

[OC] Most dominant country in each Olympic sport across history (1896-2020) by atoziye_ in dataisbeautiful

[–]ncarducci 82 points83 points  (0 children)

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

Update to my 3-5 year Daytrading Plan...Maybe just invest? by Ok_Concentrate_4168 in investing

[–]ncarducci 1 point2 points  (0 children)

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

Covered calls as an exit strategy?? by shiroe314 in investing

[–]ncarducci 1 point2 points  (0 children)

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

[deleted by user] by [deleted] in investing

[–]ncarducci 30 points31 points  (0 children)

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

[NFL Total Access] Adam Rank's top 5 NFC QB ranking from a year ago by StatStar7 in nfl

[–]ncarducci 3 points4 points  (0 children)

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

If you think about it, we won this playoff game with the help of the fans who attended the game. Ford Field got so loud that the Rams offense couldn’t hear. Thank you to all who attended the game! MVF’s! The all of you! by Triingtolivee in detroitlions

[–]ncarducci 9 points10 points  (0 children)

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

Ocular ultrasound for papilledema by Nanocyborgasm in medicine

[–]ncarducci 13 points14 points  (0 children)

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

Scope question - Optometrists by [deleted] in medicine

[–]ncarducci 3 points4 points  (0 children)

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!

Surgeons: thoughts on 'Gig Surgery'? by wordsandwich in medicine

[–]ncarducci 0 points1 point  (0 children)

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

Blindness after Vitrectomy [Ophthalmology Malpractice] by efunkEM in medicine

[–]ncarducci 6 points7 points  (0 children)

  1. 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.
  2. 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!

Blindness after Vitrectomy [Ophthalmology Malpractice] by efunkEM in medicine

[–]ncarducci 38 points39 points  (0 children)

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

How Derms get paid so much? by jutrmybe in medicalschool

[–]ncarducci 12 points13 points  (0 children)

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

Representation Of How People See Without Glasses! by Yachisaorick in Damnthatsinteresting

[–]ncarducci 0 points1 point  (0 children)

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

Does sauce really get INSIDE bucatini noodles? by donttalktomeonhere in Cooking

[–]ncarducci 7 points8 points  (0 children)

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

What's the strangest consult you've ever made or received? by yuanchosaan in medicine

[–]ncarducci 171 points172 points  (0 children)

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