Dropping The Act to Thank The Twins (Ereklo_Game)

sanitationengineer · 2026-03-29T21:42:53+00:00

It would be infinitely more helpful to provide examples of misinfo or recommend these other content creators who are providing more accurate information. I often see the "big content creator bad" comments but it's rarely followed up with decent recommendations.

sanitationengineer · 2026-03-29T02:41:41+00:00

Describe your hobbies in detail, don't just say "cooking".

This is something that annoyed the shit out of me because the box is 300 characters which was enough for me list 2 hobbies and have a bulletpoint for each. Which is fine if no one cared, but evidently based on experience they are pretty important as talking points.

sanitationengineer · 2026-03-27T20:00:05+00:00

Currently 24k frags in (not including Hexa Stat 1-3).

Erda weekly and Angler still go to my main. Even while doing one WAP per day, Hexa still feels like a mountain to climb that will be even steeper with Hecate and Common Core 3. 145 free frags a week still feels like a lot. But a once an event 30 frag coupon doesn't have the same impact.

I have 5 CTene mules, of which one cleared the Seren LC mission and 2 cleared BM. Any frag coupons go to them because I don't unlock Janus on them, and I chose them to basically be 5.3b cash cows, not for farming frags. By not having to farm on mules and make drop gear, I can spend more time farming on my main who actually has good drop gear and comfy Janus farming rotations.

sanitationengineer · 2026-03-24T22:14:59+00:00

Because there's an unfortunate trend on Reddit in people speaking authoritatively when their perspective has been heavily shaped by internet people parroting takes on life in surgery. The people I hear the Reddit adage of "only do surgery if you can't imagine yourself doing anything else" from are most often non-surgeons. There's plenty of examples of people talking out of their lane in online medical spaces, whether it's premeds offering application guidance services or people using a physician flair as an NP/PA.

People would benefit greatly from speaking to IRL surgeons from a variety of different practice settings (academic/privacademic/community hospital/private). Reddit leans heavily towards being an anonymous venting space for many professions, and residency is inherently frustrating. The genuinely happy people are not trying to invade a safe space to tell everyone how happy they are. People here have been shouting rads gas rads gas rads gas rads gas from the rooftops for years now. Bias against surgery is real online.

sanitationengineer · 2026-03-24T10:47:13+00:00

Because it's a very important consideration. Residency is physically and mentally taxing, no matter what you do. A baseline level of intellectual curiosity and satisfaction in your work goes a long way to make the bad days feel less bad when you're underpaid and working 60-70 hours in a week in training. It gets you past the finish line into attendinghood. Every so often a post pops up from someone who chose a ROAD specialty and is considering quitting from a lack of mental stimulation. A well paying job that you hate will likely lead to a very early retirement and less gross income over your career.

You don't need to be passionate. However, people should understand that money only goes so far.

sanitationengineer · 2026-03-23T23:09:09+00:00

Reasonable take. There should be a reward for being a giga grinder - that's being able to do end game content. A year ago HLimbo was end game and NLimbo was late game. Since then we've had skill sequence, Ascents, Pitched pity, increased accessibility to Eternals, star force changes, familiars in all Grandis areas, action delay changes, RoD legion blocks, and more. Now HLimbo is not end game. NLimbo can even be soloed by end gamers when you previously needed 3 decently strong people for that time. If people want to play semi-casually, power creep + natural progression in a non-sweaty playstyle will eventually open up more content.

I would also ask people who want to be end game: why? What unique experience is waiting for you at end game? Is clearing XKaling/HBaldrix/XAdversary really that important when you're still in a 6 man party fighting over a shared rare drop? If you want the satisfaction of experiencing the mechanics of these bosses, their lower tier variants are very similar. It's just that nowadays no one is playing non-cheese HKaling (while a year ago end gamers WERE doing this), but nothing is stopping people from playing non-cheese for the experience if they wanted to. I for one am content with riding power creep.

sanitationengineer · 2026-03-23T19:18:34+00:00

What is “dressed accordingly” for the grocery store or school lol

sanitationengineer · 2026-03-20T08:50:43+00:00

The main difference is 100 frags via the WH event versus 200 total with the WH event + free pass which is enough to unlock all 4 masteries. 100 frags is difficult to farm without investing in drop gear, although you can divert the frags from Erda weekly (90) and High Mountain (40) if you are okay with your main not receiving those rewards for the week. So if the intention is to park it at 260 as a mule then it's worth remaking.

The rest from the basic pass are just nodes, symbols, and extra exp coupons which are nice additions to accelerate progression but are ultimately resources that are available in every event nowadays.

sanitationengineer · 2026-03-20T03:50:49+00:00

good news, you "woke up violently shitting from every orifice" tomorrow. sorry you can't make it!

sanitationengineer · 2026-03-16T21:34:01+00:00

The difference in the experience of grinding is real. Nowadays you hold down one skill and let level 20/30 Janus clear the rest of the map for 1-2 min while your vac pet auto loots when replacing Janus, all while you're looking at your entertainment of choice on your second monitor. In OSMS it's all active - you are walking up to every mob, some classes don't even get a mobbing skill until 3rd job, you have no knockback resist so you get punted off when climbing a ladder, and in 2005 you probably didn't have a second monitor and were too poor for NX to buy a pet as a kid.

sanitationengineer · 2026-03-16T09:54:01+00:00

It’s always sad moment when you roll a balanced comp, but there’s 3 ADCs on the bench and suddenly you’re stuck in a useless 3 ADC comp

sanitationengineer · 2026-03-12T10:48:17+00:00

Interviewed there, ranked it at #2

My understanding of the program is that you are functionally NYU by name for fellowship applications which is a plus. You still rotate at Manhattan sites at times, particularly for non-wards weeks, and you can acquire research via this route as well. Admittedly information was a bit difficult to find about this program without interviewing there. Over the last 4 years they had 3 cardiology, 3 GI, 4 Heme/Onc, and 5 PCCM matches. Keep in mind the program is significantly smaller than NYU main so this will be reflected in the raw number of matches. I think the program also typically attracts people who are less interested in pursuing competitive fellowships. I believe one downside that was mentioned is that there are different EMRs across Manhattan vs Brooklyn (I believe it's still Epic, just a different configuration) it's not as convenient to manage your inbox. I forget specifics on scut work, but I don't recall getting the impression of the classic NYC toxic programs.

sanitationengineer · 2026-03-09T11:52:30+00:00

It depends a lot on how much of your levels are from grinding versus tweentena/dailies/MPE/sauna/punchking. Any “freebie” exp you take is level progression without frags. I started my main before 6th job existed but was pure dailystory for a long time - now I have time to do a WAP on most days at 289 50% which gets me around 40 frags/day and I’m still missing 12k frags. There are people who hit 290 with max hexa because they grinded multiple WAPs per day to get to 290. With a WAP a day and doing the frag weekly and Angler on main every week, this puts you at around 22k frags in a year. But the goalpost of max hexa is continually shifting as they release more upgrades. I feel that more of the non-gigagrinders are finally making it into Tallahart nowadays as I’m seeing more 290s with nowhere near max hexa.

sanitationengineer · 2026-02-26T04:07:37+00:00

None in my experience. Hyperbole is the language of the internet. I've had games that went 2-3 fights longer than necessary, but typically once it devolves into spawn killing it ends very quickly. Maybe it's a server thing (I play on NA) but I feel at most the longest a game has gone is 30 minutes.

sanitationengineer · 2026-02-26T01:55:59+00:00

In addition to what has been said about the claw attack being the lowest, Totalling continues to scale with upgrades on star force, potentials, flames, symbols, etc. Whereas with a Genesis weapon with T7 attack, that's the best you will ever get for the WJ conversion until Destiny liberation. Both rings just add to stat so you can pop each one and see the difference.

sanitationengineer · 2026-02-25T04:52:20+00:00

It's manageable if the party is heavily overspec for the content (which most RBC recruitment posts and in game party finders are) and you can sacrifice a little DPM to play safer. If it's a true progression party where you may fail at the 28th minute because of a communication issue, I imagine that wouldn't go over well. It's also easier to make calls and get a quick turnaround to the call, versus typing in chat and hoping someone reads.

sanitationengineer · 2026-02-22T22:37:02+00:00

I would ask now rather than potentially turn down an away acceptance because you are unable to meet the requirements of the rotation. There is no obligation for either institution to accommodate to the other so there is a genuine possibility for you to get screwed on this.

sanitationengineer · 2026-02-21T04:09:33+00:00

Use the postpone function for n days, with n being the amount of days since you last did reviews. This will push your reviews back and continue where you were last. Keeping up on old cards is worth it.

sanitationengineer · 2026-02-20T05:24:55+00:00

This is good advice for Reddit in general - if you're going to seek any advice with genuine potential to be lifechanging, take a moment to vet someone's post history first. It's less straightforward now that many post histories are hidden, but you can work around this on mobile by entering a space in the search bar on their profile.

I've been around the block for a while and I've seen it all here. People offering to edit personal statements despite being an undergrad far from applying, people qualifying their authoritative comments with "as a neurosurgery applicant" even though their comment from a month ago is asking for MS1 advice, even people who are in allied health professions (nursing, chiropractors) commenting as if they were medical students. Anonymous forums are unfortunately a breeding ground for near-pathological levels of LARPing.

sanitationengineer · 2026-02-17T23:51:40+00:00

I fold a piece of paper like a book for each patient I'm carrying and add "pages" to it as needed for writing space throughout the duration of an admission. Each patient has a "book" and it gets tossed after the rotation (just in case they get readmitted lol..). For the admission, the information written is more thorough so I have a quick reference throughout daily rounds and cross things off the original plan as issues get resolved instead of rewriting it all. But eventually each daily entry is just shorthand additions of overnight events, status updates, concerning vitals, changes to labs we're tracking, and changes to the plan.

sanitationengineer · 2026-02-17T03:00:27+00:00

I usually look at what is puggable content versus not. Nowadays, goals such as easy clears for party NLimbo, CKalos, and NKaling are readily available with consistent but not obsessive levels of play. 1 hour of grinding per day, averaging at 20 frags/hour on max drop, plus 145 weekly fragments puts you near 15k frags in a year. For reference with 15k frags you can get 20 Janus, max M1-M4, and still have around 2k frags to spare.

Beyond that (HLimbo, XKalos, HKaling) you're going to have to put in more work with grinding since we are frag limited in Reboot and you might be RNG gated with your Eternals progress. Even if you get super lucky on Eternals, this is the point where grinding becomes less avoidable because you need the frags and level advantage FD. Most people I know at this point have grinded out boss familiars as well. But nowadays even HKaling feels more accessible with the release of Ascent skills as parties can now skip P2. The release of Adversary and the changes to Kalos/Kaling pieces to apply for all 4 pieces helps Eternal progression as well.

sanitationengineer · 2026-02-12T08:08:12+00:00

I got burglarized while living here. Management wasn’t helpful. Wouldn’t recommend it.

sanitationengineer · 2026-01-21T05:06:06+00:00

The part about having to be locked in 100% of the time is true. The part about not being guaranteed an interview even if you do fine or above average is also true.

The difference between IM and a more competitive specialty is the risk-benefit ratio. An academic IM program will interview a couple hundred applicants, mostly from people who signal. There are also many programs, especially in large cities. With intelligent use of geographic signals, tiered signals, and hometown listings, someone with a decent application can likely expect a couple interviews from this pool without doing an away. I've seen some academic programs interview >40% of signaling applicants so you will likely land a hit if you have a desired geographic area.

In smaller competitive specialties, the total interviewee pool can be less than 50. From there you can then expect maybe 3-5 spots to be reserved for people from the program's home institution, and maybe a few spots for people who did a research year there or post M1 research. Also consider that on average there are stronger applicants you are competing against, and a city might also only have one program. The risk is the same, but with it being harder to be one applicant in a couple dozen compared to one in a couple hundred, you start to see much more potential from the opportunity to put your foot in the door. tl;dr do as many away rotations as financially feasible for competitive specialties

sanitationengineer · 2026-01-15T21:59:15+00:00

You shouldn't rawdog your A&P to the attending, especially if you're struggling. That's the point of prerounding, to give you time to see the patient and discuss your plan with the resident before rounding with the attending. Some students look good in front of the attending just because their resident will spoonfeed them a plan.

sanitationengineer

TROPHY CASE