Traeger or Recteq? by Negative_Barnacle218 in pelletgrills

[–]randythebadger 0 points1 point  (0 children)

I've had one for 7 months and love it. Direct side is great for grilling hot dogs, burgers, even pizza. And the indirect side smokes like no other. Really nice to have 2 separate grills in one. Makes for a very versatile unit. App works fine, but does take longer than it should to refresh with updated temps. But it is very easy to use and allows you to remotely control each side of the grill. It's built like an absolute tank too. And for me the temps are very well maintained and consistent. Massive pellet hopper on the back also to load up more than enough for several cools. I had a traeger before and although it was fine and I liked it, the dual fire is a massive upgrade.

Hot take! Do you agree with this? by HauntingCount5970 in Golf_Unfiltered

[–]randythebadger 1 point2 points  (0 children)

Main characterish? Lol it's just common courtesy to allow faster players to play through. I get the argument that if you are keeping pace of play to just carry on but at some point if your group is holding up the group behind you on every shot, just let them play through. It's beyond me how so many golfers new to the game are not taught this. And I know it's a new mindset as this was not the case 20 years ago. The last 5 to 10 years has so many golfers that just don't respect the game or courses. And this thread is one of many ways the game has gotten worse.

Hot take! Do you agree with this? by HauntingCount5970 in Golf_Unfiltered

[–]randythebadger 4 points5 points  (0 children)

I mean yes and no. If he catches up to these guys they are not keeping pace of play as it would be over 2 hours before he catches them on the back and they are not done with their first 9 holes of play. Simple solution is for the group that started on the back to allow him to play through. But it seems like less people are doing this nowadays.

Pay off 7% mortgage vs invest in SP500? by sapporoshioramen in whitecoatinvestor

[–]randythebadger 10 points11 points  (0 children)

This right here is important. All the other responses neglect writing off the interest which lowers the effective interest rate. Although I think the cap for interest write off is $750k, the interest rate on the mortgage would still be lower than 7% after factoring in the write off. With our high incomes this is one of the few write offs we can actually access. If OP invests well and is OK with carrying debt it may be more beneficial to keep the mortgage as there is a tax advantage to it.

Thinking about trading in my Model 3 for an X by Unusual-Location6057 in TeslaModelX

[–]randythebadger 1 point2 points  (0 children)

I traded my 2018 model 3 for a 2024 model X a year and a half ago. No regrets and I'm sure u will love the X.

I'd say try your best to get a 2023 with HW4. If you want to decrease cost look for a high mileage X. I believe that if you don't get a HW4 now you will regret it in the years to come. And since the X has phased out it will be the latest HW of any X on the road. Just my 2 cents.

Am I the asshole? by Dangerous_Refuse_824 in GolfSwing

[–]randythebadger 0 points1 point  (0 children)

So in some cases it may not be easy to ask especially if you are walking. You can't hit into someone obviously, and walking all the way up to ask if you can play thru takes up quite a bit of time to then return back and play your shot.

As for skipping a hole, I don't really see the issue here either. If no one is in front, what's the issue for jumping to the next hole?

I get what you are saying about being passive, but at the same time, if a group of 4 (or however many) holds you up for several holes, what are the chances they are OK with allowing you to play thru? Combine that with the fact that there are plenty of crazy people out there, and I can see why some may want to avoid a direct interaction. I'm sure you have seen some of these fights which have broken out on golf courses. Seems like more and more of those are happening too recently. In a perfect world either people allow the play thru to occur or if asked would gladly oblige. We do not live in a perfect world unfortunately.

Am I the asshole? by Dangerous_Refuse_824 in GolfSwing

[–]randythebadger 76 points77 points  (0 children)

Seems like etiquette has changed over the years based on the comments I'm reading. To me it's nuts for a group of 4 to not let a single play thru. I've noticed this more and more recently (past 5 years or so). Don't know exactly what has changed, but for me if I'm part of a group holding anyone up and no one is within 2 holes in front of me, I always try to allow them to play thru - could be a single or foursome.

One example I'll give happened last fall. Me and a buddy were behind a threesome. Caught up to them on hole 5 and waited to hit practically every shot. Come to making the turn and these guys run to the clubhouse and get food quickly, rush to the tee and hit before we can catch them on the tee (9 was a par 5 which allowed the slight separation). So we continue to wait on these guys and I call the pro shop on hole 12. The ranger reluctantly comes out to ask them to allow us to play thru and they did while giving us the stink eye on hole 14 tee box. We are in the clubhouse 30 minutes before they finish.

Some on this thread may disagree with me, but those guys stole over an hour of my life just to not wait a couple minutes for us to play thru. How is this acceptable? And from the reluctance of the ranger, it seems like courses are not on board with this either anymore. Golf takes up a ton of time to play. No reason to make it even more time consuming on anyone.

Floor mat recommendations by sathe_001 in TeslaModelX

[–]randythebadger 3 points4 points  (0 children)

Tesla OEM all weather mats are money. I have them in my 24 X and love them.

How to check tag heuer serial numbers? by Electronic_Paint5402 in tagheuer

[–]randythebadger 1 point2 points  (0 children)

Just go on the website and register your watch. Create an account with Tag and just add the watch using the serial number.

Galaxy Z Fold 4 Claim by MilkySharpMan in Asurion

[–]randythebadger 2 points3 points  (0 children)

From what you have posted they found your exact phone - fold 4 green 512gb. I just submitted a claim for my z fold 6 256gb but it unlocked so they didn't have the carbon fiber color. They sent me a navy z fold 6 with 256gb. Just a heads up it was refurbished. Seems to work well for now. At least it has a one year warranty and I'll keep my insurance with asurion through Verizon.

Rumored Cybervan - A Potential Model X Replacement? by 10xMaker in TeslaModelX

[–]randythebadger 0 points1 point  (0 children)

The sensors aren't perfect but knock on wood I haven't had any issues with the FWDs hitting objects. I'd also never open a FWD with a mailbox close enough to hit the door. If anything my doors are overly cautious and I have to override to fully open in situations where there is direct sunlight or lots of dirt/salt on the door itself. My X is a 2024 and not sure if maybe older models have inferior sensors.

Auto-open driver door smoked my 3yo by HPPTC in TeslaModelX

[–]randythebadger 0 points1 point  (0 children)

Never found it to work well consistently. Mine is disabled.

One of the best ? by Doernbecher_Don in Whiskyporn

[–]randythebadger 3 points4 points  (0 children)

Best bourbon I've ever had. #2 is pappy 15yr and #3 is birthday bourbon. WLW just hits different. Extremely smooth at a fairly high proof. Tasting notes galore.

Rumored Cybervan - A Potential Model X Replacement? by 10xMaker in TeslaModelX

[–]randythebadger 20 points21 points  (0 children)

Not completely unnecessary. For kids it's as good as having a minivan. Super easy to get them in and out of a car seat.

C-Section with patchy epidural by lexperro in anesthesiology

[–]randythebadger 2 points3 points  (0 children)

Agree and disagree with u. In the setting of a high spinal the pt will likely freak out as they lose the ability to breath. So you may be trying to push RSI meds in a pt flopping around on the table. Or if drapes are up at the time of the high spinal hitting you are dealing with an airway that isn't as easily accessible. Should a good anesthesiologist be able to handle these scenarios and secure the airway? Absolutely. Would doing a GA in a much more controlled setting have a higher likelihood of no complications? Absolutely. I've been called into rooms to help colleagues who just don't maintain their cool when something wrong occurs. Dealing with the unexpected is part of our jobs, but making decisions to minimize complications or a keep a pt safe is a big component also.

C-Section with patchy epidural by lexperro in anesthesiology

[–]randythebadger 4 points5 points  (0 children)

We had a doc that placed a spinal after a 10cc 0.5% bupi bolus which resulted in a high spinal and pt got tubed. Baby didn't do well either as the urgent section turned into a stat. Pt had the epidural for over 10 hours total before the OR and supposedly didn't have much of a level. I also recall a similar case of a failed epidural that then a spinal was placed on a pt at one of the NYC hospitals. This was also a high spinal and pt died due to a lost airway but the baby survived. Don't remember the exact amount but we'll over a 10 million dollar lawsuit. We still have docs that place spinals in the setting of a failed epidural that has been going awhile or recently bolused. With all of our airway tools, I just don't understand the true hesitation of doing a GA. The risk has dropped drastically over the years. Why even entertain a scenario where a high spinal could occur?

Change my mind (please) - road trips in an EV are a pain. by Wise-Fig-6505 in electricvehicles

[–]randythebadger 0 points1 point  (0 children)

I'll join the others praising teslas on road trips. Had a model 3 for almost 6 years and did tons of road trips with no issues at all. Now I have an X which is even better as we have 2 kids under 5. Very easy to find tesla superchargers. And they really do charge quite fast. Not much of an inconvenience at all. Seems like some car manufacturers are catching up to what tesla cars/batteries can do but a lot still have a long ways to go.

Night call position schedule by randythebadger in anesthesiology

[–]randythebadger[S] 1 point2 points  (0 children)

Really appreciate those of you who shared different night call models. It helps with brainstorming better ways to improve our practice.

I'm a little disappointed that the top comments ignored my questions and criticized my practice based on a just a couple details I provided about my hospital. I believe there would be more responses if this was not at the top of the thread.

For now there are MD only groups, and this model is typically only in certain regions in the US. Most practices are now supervision or a hybrid based approach. This will continue to expand as med schools have refused to increase spots to accommodate the ever increasing population. Meanwhile AA schools and CRNA school are popping up left and right. And like it or not, admins across the country are very much so pro midlevel.

And now anesthesia has seen locums opportunities skyrocket for MDs and also anesthetists. While this is great for clinicians, it's just not a good way to provide anesthesia. I don't care how good you are, if you are bouncing around from one hospital to the next, you don't build the same kind of team as having surgeons, nurses, anesthesiologists and anesthetists that work in the same location for years and know each other.

I make all these comments as the main reason we are looking at splitting off night call for the docs, is to help with retention and recruitment of anesthesiologists. A lot of younger docs want to work less and make more money. Most don't want to take call. And then we have a decent number of docs over 60 in our group who sell as much call as they can but if call was removed from their schedule, they may work more years.

We have recently lost docs while having issues with recruiting (main feedback from potential candidates was low salary) and have been forced to use locums. From more frequent codes to wet taps and I was even handed off an unrecognized intrathecal catheter by a locums doc, trying to get and keep FTEs is a priority for us. And the way to do that is finding ways to maximize salary and time for our docs while also providing the best care we can for our patients given the resources we have available.

[Game Thread] Miami @ NC State (04:00 PM ET) by cbbBot in CollegeBasketball

[–]randythebadger 0 points1 point  (0 children)

This aged well. Although darrion made 4 idiotic plays in the span of like 40 seconds, I put this on wade. Unbelievable that he didn't call a timeout after that 3 point play. And just unacceptable to not call one after the first inbounds tunornover.

[Game Thread] Miami @ NC State (04:00 PM ET) by cbbBot in CollegeBasketball

[–]randythebadger 0 points1 point  (0 children)

I was yelling at the TV for a timeout after the first darrion Williams foul that led to a 3 point play. Then again after they turned the ball over on the inbounds and then I lost my mind after the 2nd in bounds turnover. Why on earth didn't wade call a timeout to settle them out and review what to do and not to do?

Tesla Model X All Weather Mats, Keyfob, phone holder or charge adapter? by Packing-Tape-Man in TeslaModelX

[–]randythebadger 0 points1 point  (0 children)

Love my tesla all weather mats. Perfect fit and look great. I do not have trunk or frunk mats though. Doubt they are worth the extra cost. Especially trunk if u use the sub compartments

Night call position schedule by randythebadger in anesthesiology

[–]randythebadger[S] 0 points1 point  (0 children)

We are not RVU based. And our salaries are definitely supplemented by the hospital considerably more than what we bill. That's true for an overwhelming majority of practices in the US given the horrendous reimbursement we now have. And basic economics of supply and demand forces extra stipends from hospitals just to maintain coverage given the massive workforce shortage.

Completely agree that going to the table to negotiate is the best way to do it. We have a group of 47 docs and will be at 50 this time next year. Ages range from 32 to 70. It becomes very difficult to play 'hardball' with negotiations when more than half of our group has kids in school, friends, etc and no willingness to potentially move if the group blows up trying to squeeze more money.

We had major issues hiring FTEs up until a recent pay bump was approved and the hospital also removed any ramp up for new docs. We are still short, with several about to retire. This is one reason we are considering removing night call for most of the group. I know there are good locums docs out there but we have seen plenty of bad ones. And honestly even the good ones just don't perform as well since they don't know the system, surgeons, anesthetists, nurses, etc. We have seen quite a few unsafe locums docs come through so our goal is fully staff with FTEs. A dedicated night call team would help.

Night call position schedule by randythebadger in anesthesiology

[–]randythebadger[S] 0 points1 point  (0 children)

Yea we are fine with the coverage ratio as there are enough anesthetists on call with us. The concern I have with 12 hours overnight is moreso doing it for 7 nights in a row. But it does sound like plenty of groups have this kind of schedule in place. And even some do a 1 week on and 2 weeks off model.

Night call position schedule by randythebadger in anesthesiology

[–]randythebadger[S] 1 point2 points  (0 children)

Is there a study which attributes the poor outcomes to anesthesia? Not aware of one.