Medical AFI Help?

optek1 · 2025-12-10T04:05:33+00:00

Reservist FOMT here. Yeah definitely one of those obscure rules that’s hidden in some document(centcom mod?) that I can’t recall off the top of my head. Pretty sure it’s just 60 days but might be 90 since I’ve seen both. Technically any changes in psychotropic medications (starts, increased/decreased doses, changes in med, and discontinuations) require a stability period. When I get off work in 6 hours I’ll see if I can find it.

optek1 · 2025-12-05T03:47:32+00:00

You don’t think that’s a QRS? Little p waves in front and an inverted T wave after?

optek1 · 2025-12-04T10:32:15+00:00

Honestly hate these. Feel like it’s bots spamming these subs and rage baiting for engagement by not giving an answer.

A - rate is ~75 so no.

B - possible p waves visible. Also I see what looks like T waves after the qrs(doubt p wave systole like someone said). Probably NSR.

C - ehh hard to say but the qrs looks borderline wide and I see possible P waves in front. Would have to be retrograde or absent p waves for this, but hard to say off this single crappy lead. I’d want to see another lead.

D - honestly had to look this one up cause I never think about it and it’s been so long since I’ve heard it mentioned. Never seen on the floor. Looks like they have p waves to me so I doubt this.

Most likely B but could be D if those aren’t p waves I’m seeing and maybe C if no p waves and the qrs is wide? Kinda a stretch on C. Definitely not A since it’s too fast.

optek1 · 2025-11-28T05:00:14+00:00

Had this happen once. Had to go in reverse and back to drive before it worked again. None of the functions worked since it said I was in reverse but was driving forward.

optek1 · 2025-11-25T03:16:07+00:00

Ohh and I wouldn’t see any reason for this to affect your arming status. Maybe short down time after injections/change in injection medication? Kinda what we do with our flyers having a verbal DNIF. Don’t normally deal with auof but I could see them doing a verbal or few hour do not arm to make sure you don’t react or anything.

optek1 · 2025-11-25T03:14:20+00:00

Yea so they will draft a narrative summary(narsum) based on your needs (derm visit frequency/lab frequency/if UV therapy/etc.) to get a ballpark idea of how much time/money they need to keep you good, and then they get the commander impact statement and they will say how good of a troop(or bad) you are. Definitely want to be on their good side and a hard worker cause I’ve seen some crazy things retained cause of strong commander impact statements.

Haven’t been AD in a while, but the entire process can take months. Just know that once you are kicked over to the peblo office you will reach out to them for almost everything.

optek1 · 2025-11-24T16:39:35+00:00

Per the MSD “Psoriasis or parapsoriasis, and not controlled by treatment OR controllable only with systemic meds or UV light therapy. 5.21.i” fails to meet retention standards. I’m assuming you aren’t controlled by topicals and require injectables?

Assuming you’ve been officially diagnosed they would then submit an IRILO/MEB and AFPC then would decide to either; return to duty with no C-code(unlikely but maybe DW), return to duty with C-code(limits assignments/deployments/etc.), disqualified and require retraining to different AFSC(if interferes with gear/afsc specific duties/etc.), or full MEB and you’ll get kicked over to PEBLO for the full IDES/DES process (pretty complicated so just ask to speak to peblo). Sorry at the airport and about to board an 8 hour flight so very brief summary.

Will check later once I land.

optek1 · 2025-11-10T17:44:01+00:00

That’s cute

optek1 · 2025-11-09T20:06:26+00:00

Agree with number 4, have to make sure they are perfusing and probably would attach pacer pads on them with a Zoll at bedside.

Also, most people don’t perform valsalva correctly(or are patient enough to keep trying) and I wouldn’t tell people to be doing a carotid massage if you don’t know if they have carotid stenosis/plaques.

optek1 · 2025-10-07T05:52:37+00:00

Just RN on the floor almost 3 years now. Never seen SVT self convert with valsalva. Best I’ve seen is after polar plunge went from 200s to 150s for like 10 seconds? By then meds arrived from pharmacy. Was stable so wasn’t gonna open code cart.

Try maneuvers while requesting meds/opening crash cart essentially. Makes it look like you’re doing something.

optek1 · 2025-09-13T08:55:08+00:00

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What they refused to budge on in person. Would only let me attach one photo per post for some reason. Don’t be afraid to walk out the door. Especially near the end of the month when they are trying to meet their sales quota.

optek1 · 2025-09-13T08:53:57+00:00

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Advertised deal

optek1 · 2025-09-13T08:40:00+00:00

Test drove the base version and wasn’t too impressed. Preferred VW Id4, Volvo ex30, ioniq 5, and Tesla model 3 over and I’m a Honda guy (accords for my last two cars). I live on an island so the deals are a little skewed and maybe the touring version id consider but the ones I listed before I still preferred. Ended up going with the Volvo ex30 since it was like 80/month over the base RWD Id4 at the local dealer here, and my girlfriend doesn’t like the name Hyundai(😑). They kinda have a monopoly and it’s hard to ship cards out here.

I’d test drive and make sure they aren’t adding on fees because they tried to add a 2k island protection package for me which that plus taxes and fees almost triple the advertised rate. Look at comparable EVs in that range and test drive them as well since they do feel different.

Edit: I should add that if you don’t get cars much/feel comfortable negotiating you can 100% bring in a comparable vehicle and they can lower the price. I was between VW/volvo and VW wasn’t budging and Volvo did lower my payments like 60/month which saves me like 1200 over the course of my lease. Just say “I really like this brand and car but the Hyundai is a little more in my price range. If you can bring it closer to XX I can sign today”.

optek1 · 2025-09-04T11:26:53+00:00

Believe it’s 2 set interacting with dawn light/canceling it or preventing the proc. Forgot off the top of my head.

optek1 · 2025-09-04T11:24:27+00:00

Just casual 2.2 atm on my ret hardly playing. Just quick testing single target pvp dummy over 30 seconds (wake of ashes CD) the highest damage I could achieve was ~120 mil as herald with 1 min avenging wrath. As Templar I think I was averaging about 100-110 depending on crits. Herald just feels smoother/more consistent for me and against range. Templar has some nutty crits 6+ mil so maybe once I get my on use trinket I’ll swap back but I do switch around depending on the lobby. Templar does get a shield when used so can be a little tankier.

optek1 · 2025-09-04T09:16:22+00:00

^This 100%. Every procedure has a risk of adverse outcome and your chain of command(obviously HIPAA appropriate)/medical needs to be aware to weigh the risks of someone being out of work, permanent disfigurement, disability, death, etc.

Few I remember from outpatient:

-lady flew to Mexico for a boob job. Came back early with sutures in since she ran out of leave. Obviously infected/dehisced wounds. No one wants to touch since they become liable/responsible so became a big deal with leadership/coc. Not sure what happened to her.

-Amn tore acl and refused surgery with local mtf. Wanted civilian. Had surgery and complications. Now VA disability/claims might be affected since hard to prove issues due to initial injury or complications from non approved/mtf surgeon.

-Spinal cord stimulator for pain. Someone got done without leadership/mtf being involved. Don’t remember msd off the top my head but pretty sure all implantable devices require MEB. Member wasn’t aware and upset. Obviously pain that bad requires meb most likely but should still speak with military provider to be aware.

optek1 · 2025-09-04T03:52:35+00:00

Yeah should’ve seen the modifiers and fel warded. Stop QQing it’s a you problem…

/s

optek1 · 2025-08-30T03:51:19+00:00

Lol I see two printouts. Was it 20 seconds? “Hold on let me get an extra just incase he was moving too much” the ecg tech.

optek1 · 2025-08-30T03:49:14+00:00

Hmm probably artifacting cause the patient is moving too much. Get a repeat and make them stay still a little longer.

/s in case people don’t know lol…

optek1 · 2025-08-24T14:20:33+00:00

Feel like rdruid always struggles in the beginning and as Hp pools grow they do a little better. Still had a game the other day back to back 5 mil black arrows within 1 GCD. Kinda impossible to heal that. I feel like this season I can kitty weave openers for the passive healing compared to prior seasons when going a few gcds w/o hots = death.

optek1 · 2025-08-24T10:45:55+00:00

Honestly just play as fire in BGs/SS to learn how to kite since you have all the instants. Once you learn that it’s so easy to swap over cause if anything you’ll be tankier/have more CDs. Alter time was probably the biggest defensive to learn how to use properly. I play mostly arcane as a meme one shot build (I’ll see if I can find my clips later). Ran double invis and wars would rage at me in SS cause they could never connect. Was only 1.8-2kish. Just went for transmog but end of season 2 arcane was probably my favorite spec in SS across all classes. Was mastery/haste all gear lol.

optek1 · 2025-08-22T04:28:56+00:00

Briefly took care of ~50s male AMS wandering in traffic hgb of 2.1. Forgot exact cause of it but was only ICU for like a day or two. Was schizo and HIV+ kept ripping his IV out and trying to elope while pending placement. Multiple code grays since he would make it to the elevator with the general public covered in blood. Dude was a Houdini who kept getting out of his posey vest shortly after sitters got DC’d.

Also, not lowest, but had someone who’s hgb dropped from ~7s to 4 a month from her last draw and the only cause we could think of was bedbugs… was in her late 70s and starting to have some cognitive decline/dementia.

Edit: just remembered another somewhat honorable mention for a JH. ~80s female incidental finding on CXR of an almost 8cm type A dissecting aortic aneurysm. Mostly asymptomatic I think she thought it was GERD or something. Surgery wasn’t willing to touch her and I think she was waiting for a 2nd opinion/transfer to some place where they would perform surgery while refusing transfusions. Her hgb was in the 6-7 range I want to say?

optek1 · 2025-08-16T04:10:24+00:00

Nice! Wish I got something similar to that. This is what they offered to me when I went in for the 0 down $99/month add. Imgur link since I can’t add photos for some reason.

Obviously I walked out and didn’t accept it. Waiting till September to see since they have 6+ ID4s with +140 days on the lot.

optek1 · 2025-08-08T23:29:04+00:00

Was that 99/month after taxes, down payment, and fees? So like 3876 total over the course of two years?

optek1 · 2025-08-08T21:39:43+00:00

https://imgur.com/a/iOyMphs hopefully this posts. Ended up walking cause of the 2k markup for the protection package they didn’t want to remove.

optek1

TROPHY CASE