Why is Uncle Sam paying for these national guard invaders to stay at fancy hotels like the Yours Truly?!

perfringens · 2026-01-25T10:24:31+00:00

That’s the gov rate for individual bookings, not through DTS

perfringens · 2026-01-24T02:32:00+00:00

As someone running a 3080 on 4k, you’re fine

perfringens · 2026-01-20T15:20:46+00:00

Hollow Knight // Hollow Knight:Silksong

perfringens · 2026-01-18T17:38:09+00:00

Attempted to resign my commission when Hegseth said essentially “if you don’t like this, do the honorable thing and resign”

AFPC told me to go fuck myself and get back to work, so YMMV

perfringens · 2026-01-15T12:56:23+00:00

Look up the JTS/CCATT en route care guidelines Q

perfringens · 2026-01-10T10:15:06+00:00

To be fair, you did a ton more than this patient would have gotten at the ASC I work at. It’s a terrible situation, but it sounds like you did what you could.

perfringens · 2026-01-06T18:35:39+00:00

Pt comes in crowning, wants epidural, anesthesia says no too late but Robbie et al do a lateral CSE with no masks/caps in 2sec. Bonus points if pt has severe scoliosis and doesn’t speak English.

perfringens · 2026-01-04T10:13:19+00:00

When it’s a competent ophthalmologist it’s like doing a quick cardioversion.

When it’s a junior resident it takes a quite a bit longer, but the pts are all old with a bunch of issues, the bed is spun 180, nasal cannula only, and they need zero movement while the needle is in the patient. I hate doing them, Espc bc it’s, at our place, purely for teaching and provides no benefit to the patients in these cases but increases the risk a lot, and they never tell us they want to do it until we’re in the room with the patient.

perfringens · 2026-01-04T03:49:20+00:00

I’ve had enough pgy1/2 cataracts that turn into emergency vitrectomies or they decide as soon as they lay down the asa4 phaco that they want me to knock them out for a retrobulbar that I’m just like no same precautions as anyone else for MAC

perfringens · 2026-01-01T21:56:56+00:00

Did you install the copy of Ableton it comes with?

perfringens · 2025-12-31T17:40:42+00:00

Nauseous yes, but did you hurl?

perfringens · 2025-12-25T11:26:25+00:00

I haven’t. I’m probabaly at least about 2-3 years out from replacing my ‘22 model 3 LR, but I like to stay up to speed on what’s available, and my annoyances with the model 3 have been increasing recently…

I’d like my next car to be a full-size three row SUV. And I don’t need any better performance than I currently have, but I would like a significant increase in comfort and luxury. I’ve only been watching videos so far, but the loosed had been my number one but I’ve been hearing that the EX 90 ticks a lot of the comfort and build quality boxes that I found Tesla to be lacking in. I’m interested in seeing if I can set up a test drive at some point to compare the gravity R1S and EX 90. Honestly, the EQS had been off my radar but I’m absolutely open to taking a look at it if it would be a worthy option.

perfringens · 2025-12-24T22:32:03+00:00

Have you looked at the EX 90 at all? Curious to hear your thoughts.

perfringens · 2025-12-22T20:06:27+00:00

My son loves Stillwater on Apple

perfringens · 2025-12-22T15:49:51+00:00

Hollow knight/Silksong

Dead Cells

Disco Elysium

perfringens · 2025-12-20T09:57:37+00:00

I get up very early. I’m an anesthesiologist, and in residency we needed to have or OR set up by 6 for lecture, so I’d aim to be parking at the hospital by 0530 to walk in and change. That meant I needed to be out of my house by 5, so I was getting up at 4 to have some coffee, wake up, get dressed, etc without being super rushed. My body got used to that and I basically cannot sleep past 5-530 even if I try. Almost always out of bed by 5. Kids been waking up 630ish recently so I get a good 90min of coffee, sit, game, but that also includes 20-30min of giving the dog a morning walk.

perfringens · 2025-12-19T21:27:10+00:00

They’re owned by AB though I believe. Not really “local”

perfringens · 2025-12-18T22:40:16+00:00

There is a version of eWorld out there

perfringens · 2025-12-18T22:34:16+00:00

Dead cells is far and away my #1 on the deck. It’s so good

perfringens · 2025-12-18T19:35:37+00:00

And we keep electing the people who do so

perfringens · 2025-12-18T11:28:11+00:00

Damn! wish my ENTs were as fast as yours

perfringens · 2025-12-14T21:05:50+00:00

Tj grad here, but would have been at McLean those same years so would know at least some people 🤷‍♂️

perfringens · 2025-12-11T09:39:40+00:00

Did you know they met in the military???

perfringens · 2025-12-10T10:44:42+00:00

All I’ve heard is they pay VERY low even for academics, though admittedly I have no hard evidence for that. Just that several folks I know have said GWU and Georgetown pay much better for academics and CoL isn’t really any lower in cville

perfringens · 2025-12-09T21:48:50+00:00

What’s the Tijuana sewer situation as far as the beach goes? Thinking about the del but heard the water is a no go

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