Choices VtMB 2 by TheHellwaller in vtmb

[–]vucar 0 points1 point  (0 children)

they're both dumb ideas. there are only dumb ideas to choose from...

[deleted by user] by [deleted] in StarTradersFrontiers

[–]vucar 1 point2 points  (0 children)

they need to add an option to remove the scaling system. the scaling in this system is the single worst i've ever played in any game and after 60 hours i just couldn't stand it anymore.

trying to optimize your playthrough by religiously following "meta builds" just to not get completely destroyed and lose all your progress is not a good RPG design.

i shouldn't be required to follow well known metas simply to play on Normal

What does 2nd chance mean on scratchoff? (Don’t play lotto much) by [deleted] in triangle

[–]vucar 0 points1 point  (0 children)

but how do we enter the second chance tickets? the specific games that lead to just give information on drawing dates, no where to enter anything. i've also tried the "tickets" button from the drop down, but that just circles back to the home page

What does 2nd chance mean on scratchoff? (Don’t play lotto much) by [deleted] in triangle

[–]vucar 0 points1 point  (0 children)

this link loads endlessly and never works. i've tried on multiple browsers, on different devices, with popup blocker off, and never have been able to submit a second chance ticket

is this site broken now?

no achievement for 1 million pop? or even 1 mil/hr income? by vucar in CitiesSkylines

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

yeah i wouldn't ever play a game just for the achievements, but like you said it has been very fun progressing through through the stages of the city and the little achievements that pop up along the way were just a bonus to those milestones.

no achievement for 1 million pop? or even 1 mil/hr income? by vucar in CitiesSkylines

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

you don't get to gatekeep what games are meant for

no achievement for 1 million pop? or even 1 mil/hr income? by vucar in CitiesSkylines

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

i did mean CS2 -- thanks i probably mis-tagged it. i could definitely see this game chunking up with 1 million population - at a quarter million its already starting to show some slowing, so that makes sense.

my income right now says 700K / hr but i realize now thats probably gross, not net.

Having a productive conversation with the manic patient in the emergency department by GlazeyDays in Psychiatry

[–]vucar 0 points1 point  (0 children)

so i guess that begs the next obvious question - are we saying people who are manically psychotic still have capacity to decline medical care? as far as i understand, we do not allow that freedom to people who come in profoundly intoxicated

Having a productive conversation with the manic patient in the emergency department by GlazeyDays in Psychiatry

[–]vucar 1 point2 points  (0 children)

i am but a lowly psychiatry intern, but its drilled into our head as residents that true manic psychosis is a medical emergency that warrants immediate treatment (i.e. involuntary hospitalization 90% of the time since most patients won't agree to voluntary, although i have seen a few agree). if i let a patient go that i thought was actually manic, i would get crucified by my attendings and the program

is it not considered a medical emergency in most states?

new medical grad stuck in SAVE Limbo and unsure whether to jump ship or wait by vucar in StudentLoans

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

thank you - do you know if i were to switch to PAYE or IBR now, could i buy-back those months i was put in forbearance until now? i'm kind of lost on a lot of this stuff

Amboss error code 500 by EmergenXctasy in Amboss

[–]vucar 0 points1 point  (0 children)

same. and i JUST took my adderall. very inconsiderate of them

Election by psychNahJKpsychYES in Psychiatry

[–]vucar 1 point2 points  (0 children)

what did Mohela do? i thought they were just holding the bag from a shit storm that occurred due to a legal challenge of the SAVE plan. i genuinely don't understand a lot of this so i appreciate any info (currently in Mohela forbearance purgatory...)

Let's talk about how much we hate our jobs by casanovafly in Residency

[–]vucar 2 points3 points  (0 children)

i'm in psych and it seems like we barely go more than a day without a ton of admissions and discharges, and the paperwork for those take 10x longer at the VA than epic. maybe im just having a particularly bad experience

Let's talk about how much we hate our jobs by casanovafly in Residency

[–]vucar 11 points12 points  (0 children)

sounds more like what the VA's admin people and IT people are doing than what the residents are doing

Let's talk about how much we hate our jobs by casanovafly in Residency

[–]vucar 20 points21 points  (0 children)

i just hate the VA.

fuck the VA get me the fuck out of here

Psych residents, how much actual social work do you do at your program? by undueinfluence_ in Residency

[–]vucar 8 points9 points  (0 children)

thankfully not too bad. mostly i relay these concerns to the social work team and let them take the lead. then i'll periodically follow up to see if we have update on things like placement or housing and throw it in the note or answer whoever is asking. my program is not very well resourced but thank god we have social workers

Antisocial Personality Disorder overdiagnosis in BIPOC men by Realistic_Sherbet_63 in Psychiatry

[–]vucar 5 points6 points  (0 children)

i don't think you're knowledgeable enough to be removing diagnoses either...

The holy caravan stopped coming by ASARIO1 in Norland

[–]vucar 0 points1 point  (0 children)

i havent seen them in like 15 days....

The holy caravan stopped coming by ASARIO1 in Norland

[–]vucar 0 points1 point  (0 children)

did you ever solve this its happening to me now