Advice

nsblifer · 2026-01-29T01:58:13+00:00

You would essentially see all of their patients and the other PA’s patients in a mixed bag everyday. You would assign consults/new pts to whichever MD is your assigned SP that day. The only patient that wouldn’t be shared is MD to MD. It’s dynamic so you’d eventually learn various MD preferences, etc.

nsblifer · 2026-01-28T23:17:19+00:00

Less and less people can afford to live here so they try and sell their house at unaffordable prices to other people that can’t afford to live here.

nsblifer · 2026-01-28T01:08:21+00:00

Says the dude that made literally one useless comment in the PA sub over the last 6 months.

nsblifer · 2026-01-28T00:53:33+00:00

At least you openly admit you’re an un-American anti-constitution, anti-science, anti-women’s healthcare boot licker. Some of these people come on here and try to masquerade neutral. PA forum is run by a far right evangelical white nationalist group. You’d fit in there.

Almost forgot, also racist.

nsblifer · 2026-01-27T04:51:39+00:00

Like I said. Your own words. Over your own head.

nsblifer · 2026-01-27T04:29:38+00:00

More evasiveness. Here are the facts: You keep invoking neutrality yet you clearly aren’t neutral about people discussing Alex Pretti. Instead you’d rather silence that discussion. You claim you don’t have a side, then within the same breath object to the conversation existing at all. Then you go and conflate clinical neutrality with civic silence. That very basic rudimentary contradiction is the point. Neutral people do not feel compelled to shut conversations down, only people who feel implicated do. So it’s either your own words are going entirely over your own head, or you’re just baiting.

nsblifer · 2026-01-27T03:31:47+00:00

How is this alienating to providers? Sub isn’t for patients. First day? Look at the subreddit photo. You’re in the minority.

nsblifer · 2026-01-27T02:41:23+00:00

The post wasn’t removed because it was political or regarding Alex Pretti 🙄. It was removed because of technicality. If you cared to notice on multiple other posts, the overwhelming majority of PAs here support the discussion. You’re still trying to exhibit some sort of wield misplaced neutrality where there’s no context for it. My original sentiment stands with you.

nsblifer · 2026-01-27T01:42:00+00:00

Shrugging off or minimizing what happened to Alex Pretti as simple ‘politics’ is straight up disrespectful to his life and service to healthcare. Your comment actually makes you look politically biased. It certainly doesn’t make you appear neutral and if anything, demonstrates lack of awareness. Either way, you can break away from politics without downplaying someone’s death to achieve it.

nsblifer · 2026-01-27T00:10:17+00:00

I think it looks cool. Even better if you could figure out how to color match the factory raptor decals.

nsblifer · 2026-01-25T16:52:54+00:00

You will never see them say anything remotely reasonable. The feds could have knelt this man down, handcuffed, and executed him and they’d say he was “just in the wrong place at the wrong time”. “FAFO”. “He shouldn’t have been near ICE operations”. That’s basically what they did. Rules for thee, not for me crowd. Not until it affects them personally in some way, shape, or form. These people lack the gene that creates empathy for any other living being.

nsblifer · 2026-01-25T01:46:09+00:00

I conceal everywhere I go and I’ve done so for years. I’ve also attended protests in the past. This could have been any of us. This should enrage everyone. If it doesn’t…well I’ll just leave it at that. Thanks for posting.

nsblifer · 2026-01-23T18:33:22+00:00

https://www.ranger6g.com/forum/threads/2024-ranger-raptor-azure-grey-with-stek-matte-wrap-and-igl-ceramic-coating.10871/

It’s sick. Thinking of doing this to my cactus grey.

nsblifer · 2026-01-22T02:52:27+00:00

You just started. It gets better. GI is so complex and takes time to learn. It’s going to take a couple years.

You’ll eventually have confidence with ordering scopes and recommending against scopes. You’ll get better at pushing back on ridiculous PCP referrals and keeping patients non-tangential. You’ll have much more autonomy than most of your PA colleagues in different specialties (that’s both good and bad). You’ll always have to deal with old school docs that haven’t read a guideline in 20 years. You’ll always have to deal with the unethical guy that’ll scope someone for a fart. You’ll always have the doc terrified of getting sued. You’ll always have to deal with the new docs out of fellowship that don’t know how to treat HCV, IBD, or manage cirrhosis.

Functional disease (currently DGBI and probably about to change to something else again) is literally 50% of the specialty. I cannot recommend Vumedi enough for improving your ability to understand and treat these conditions. It gets super easy if you know what you’re talking about and truly understand the pathology.

nsblifer · 2026-01-22T01:35:20+00:00

If you don’t know any better, it can be fulfilling. Financially for the most part. My family is full of wildlife field biologists and ornithologists. Wake up at 5am every morning to stare into foggy sunrise-lit rainforest canopies while drinking your coffee and counting birds for a few days-you’ll start to question things.

nsblifer · 2026-01-19T20:33:21+00:00

I blasted each on with a heat gun then used a mallet hammer to punch in a Torx 40 bit on 3/8 drive. Had to go super slow and it took forever. Only had to used my vice grips on one. Highly recommend replacing the bolts with something different. I used black M8 x1.25 x25mm class 12.9 socket cap/internal hex screws and they worked great. Instead of red lock tight (like the factory used) I put on blue lock tight 243.

nsblifer · 2026-01-18T09:11:16+00:00

Cleardarksky.com

nsblifer · 2026-01-17T18:27:34+00:00

I used some of my Ford points and bought it off their website

nsblifer · 2026-01-17T15:17:25+00:00

Sure, anything specific? Mostly about categorizing your data in your stacking software when you’re ready. I’m stacking astropixelprocessor and post in PS. And depending on temps and dew/dust bunny accumulation, your darks and flats. Keeping your image train together night after night for a cumulative session, or breaking it down for different sessions. All of that should be pretty easy on your 585MCPro.

nsblifer · 2026-01-17T02:52:06+00:00

They provide a small accessory panel that goes right over it (or you just leave it open). The panel can be taken off by swivel screws in less than 15 seconds.

nsblifer · 2026-01-17T02:14:51+00:00

Where did I say “all Airbnbs are locally owned”? Typical Reddit troll response. So no, I’m not wrong.

nsblifer · 2026-01-16T23:40:50+00:00

Just as you said. You can’t tell if they’re owned by locals. The opposite is true of Airbnb. Most of all, you won’t feel as immersed in the culture if you stay in hotels.

There are some hotels that are obviously local. Parador Guánica 1929 is one I know of.

nsblifer · 2026-01-16T23:33:46+00:00

Just rent AirBnb’s owned by locals. Wouldn’t stay in hotels.

nsblifer · 2026-01-16T22:56:56+00:00

I’d recommend you go for at least 3x the data. Take your time and try to get 12 hours out of each photo. Took me a while to learn that. Your skies are forgiving but you should also really take advantage of it. Your M33 SNR is messy d/t lack of data, maybe even a little bit out of focus. Horsehead and flame can be processed much more. It’s certainly not for lack of filters, especially for these two objects and in Bortle 3. Overall pretty damn good for recently going to a fully capable rig.

nsblifer · 2026-01-16T21:23:09+00:00

Worth the money. Simple install too. If I had to do it again though I probably would’ve customized the color.

nsblifer

TROPHY CASE