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Just got a text from my boss' boss asking a work strategy question while I'm about to fall asleep. Immediately got me into thinking about it and crafting a plan and I'm wide awake. Pretty pissed off about it too because my sleep has been terrible lately. [/vent]
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Jan 19, 2024 05:34
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Dango Bango posted:Just got a text from my boss' boss asking a work strategy question while I'm about to fall asleep. Immediately got me into thinking about it and crafting a plan and I'm wide awake. Pretty pissed off about it too because my sleep has been terrible lately. [/vent] Send him a text with your response at 3 AM.
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Jan 19, 2024 06:05
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Shinji2015 posted:Didn't he just lose a ton of money on a bad bet, too?
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Jan 19, 2024 06:37
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Ornery and Hornery posted:How many of you make $200k or more? My wife and I do combined as design engineer and tenured professor. It's nice right now but my company is visibly dying and my wife works for a public university in the humanities that is being regularly assaulted with more and more austerity. GD_American posted:Today I had to make a phone call that has me seriously doubting I want to keep doing this job. In college I worked help desk for the bursar's office dealing in financial aid and have a handful of soul sucking stories. I had to explain to one family that their need-based federal aid would not be renewed because the father died and his life insurance payout counted as income. Another time, a mother apparently had a delay in the financial aid coming in so she took out a super predatory loan to cover it until the aid kicked in. When it did, the system cuts the check to the student who, upon receiving a windfall check for like $10k+, decided to blow it all on partying. So I had to explain to this mother that she needs to talk to her son and I can't legally say anything further. 
Salvor_Hardin fucked around with this message at 07:26 on Jan 19, 2024 |
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Jan 19, 2024 07:22
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FizFashizzle posted:c.) say gently caress it and work at that psilocybin/mdma/ketamine psych facility 20 minutes outside of town I noticed ketamine clinics in Minneapolis and, like, is that referal only for serious problems like treatment resistant depression or PTSD? Or can I just pay them like $100 to get K-holed for a few hours?
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Jan 19, 2024 07:30
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Excuse me for jumping in, Fiz is the clinician, but I did some research on this for my sister a year or so ago and have a couple bookmarks, so I'll chime in. The properly run ones are referral only for serious issues, and the FDA approved version esketamine approved in 2019 or so requires administration under supervision in a certified clinic or hospital type setting. My sister had a couple of assisted ketamine treatments in a clinic as an approach to her crippling depression, and she reported good results but it did not seem to have had the desired long-term effect and she cannot afford to keep trying it. However there have been multiple media reports about irresponsible treatment, with poor or no monitoring and without proper referrals, which can trigger severe or long-term side-effects. Very publically, Matthew Perry's cause of death was ketamine overdose. However, a fairly recent study that reviewed a total of 312 overdose cases and 138 deaths found that "No cases of overdose or death related to the use of ketamine as an antidepressant in a therapeutic setting were found;" as a rule, even in the shadier cases reported in the media, the dosages seem to have been controlled well enough that nobody died. That might seem like a low bar to clear, but there are other therapies for clinical depression that definitely have caused deaths via suicides, including a lot of prescription antidepressants and anti-anxiety medications. https://www.health.harvard.edu/blog/ketamine-for-treatment-resistant-depression-when-and-where-is-it-safe-202208092797 Since 2019 a ton of clinics have popped up, they're mostly for-profit, some medical insurance programs have started to cover therapies but I think the large majority of patients are paying out of pocket, and the staff at the clinics while they have to be a real doctor have a very obvious motivation to make prescriptions for whoever walks in the door. I'm not sure if we're quite at the level of "you technically need a prescription for viagra or medical marijuana, but lol" but it's not too far off from there either, and I don't think the above study I linked is recent enough to see what the state of affairs are right now this year. So it's worrying. Somebody fucked around with this message at 11:53 on Jan 19, 2024 |
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Jan 19, 2024 07:47
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Dango Bango posted:Just got a text from my boss' boss asking a work strategy question while I'm about to fall asleep. Immediately got me into thinking about it and crafting a plan and I'm wide awake. Pretty pissed off about it too because my sleep has been terrible lately. [/vent] I will never respond to a work enquiry outside of my contracted hours. Last time someone got the shits with me I told them I'm happy to be on call 24 /7 for consumate remuneration. If anyone contacts me I leave the text or email or call ignored til 8am the next work day. Its probably stunted some opportunities but they can eat my rear end.
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Jan 19, 2024 07:47
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CannonFodder posted:Was it the Bucs over Falcons game with the late TD making them hit the over or something? This might be true (I just hdn't heard about it). The one I remember is he flipped out and threatened to sue the Bengals/NFL cause he bet on the game where Burrow destroyed his wrist, but was wearing that brace beforehand without being on the injury report
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Jan 19, 2024 08:03
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My non-tech company just sent tech people (or at least me) two pretty nice zip-up fleece jackets, one black and one in (our particular version of) Hamlindigo Blue, as well as a cream colored puffer vest. I feel like I'm ready to go do an early mission as Michael in Grand Theft Auto V
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Jan 19, 2024 08:44
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Leperflesh posted:oh yeah I forgot there is one obvious line of work where you can make 200k and still be a lazy rear end in a top hat, and that's cops lol In Seattle at least you can just lie on your time sheet if you're a cop.
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Jan 19, 2024 08:52
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Cops? Lying? I think you'll find they only lie about the animals they tortured and the fires they set as children
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Jan 19, 2024 08:55
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BlindSite posted:I will never respond to a work enquiry outside of my contracted hours. Same and same. Any overtime is paid as, well, overtime, and we have a general corporate culture that any actual overtime has to be aligned with higher ups before it’s needed. Otherwise just take a day off at the end of the month or something to balance time out. So yeah, a reason I’m happy to stay where I am (company wise and in Japan versus hypothetically with my company in Europe or the U.S.) is that real sharp divide of work and life balance. Many Japanese companies only pay for overtime for full-time salaried employees after the first 30 hours of overtime in a month. I didn’t know much of this when I was searching for work — happy with many options that weren’t teaching English here — but I’m very lucky and fortunate to have fallen rear end-backward into something good. Oh, and unions are good, too.
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Jan 19, 2024 11:58
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BlindSite posted:I will never respond to a work enquiry outside of my contracted hours. I need to grow some balls like this
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Jan 19, 2024 12:49
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BlindSite posted:I will never respond to a work enquiry outside of my contracted hours. I'm salary but try to maintain this similar boundary. The only thing I'll adjust for is something that directly impacts my bonus. The good news is this is the first time in 17+ years with the company something like this has happened (which is why I did spin up and start back into work mode). And I did actually sleep through the night once I did fall asleep. I'm good with my boss' boss so I'm considering giving feedback.
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Jan 19, 2024 13:19
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I reply to emails at all hours. Gives the impression that I work all the time, I put execs on the spot in the middle of the night if they don't have an answer to what I've put back to them and I'll reply earlier than they do with follow ups, and then I shrug bigly when they don't get back to us with answers. Allows me to not reply during work hours because I'm sleeping and everyone thinks I work 24/7 because of the odd hours.
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Jan 19, 2024 13:21
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Ether Frenzy posted:My non-tech company just sent tech people (or at least me) two pretty nice zip-up fleece jackets, one black and one in (our particular version of) Hamlindigo Blue, as well as a cream colored puffer vest. I feel like I'm ready to go do an early mission as Michael in Grand Theft Auto V I’m unabashedly a vest guy and just caved and bought a Patagonia down vest that absolutely loving rules. Also this post made me jones even harder for GTA6.
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Jan 19, 2024 13:34
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Wayfair just laid off another 1800 people. My old boss got got and just decided gently caress it and retired with her severance. I think that makes like 4000 people in the past couple years
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Jan 19, 2024 14:24
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I’m always on call. I can easily not be but I need/enjoy money. Luckily I can always point to the courts for my pushback - not much I can do at 9:45 pm but hey, I’m here. Ironically i quit the big jobs as corporate counsel because that works trash, and being able to fire clients is amazing.
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Jan 19, 2024 15:09
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Anyone have any good or bad car/home insurance companies? I noticed my insurance has gone up like 30% over the last year and I haven't filed a claim since 2015, so it's not for any reason on my end. Looking to make a switch and see if I can get better prices. I'm on American Family right now, which covers my home and car, so I'd probably switch both if I made the switch.
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Jan 19, 2024 15:36
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Bird in a Blender posted:Anyone have any good or bad car/home insurance companies? I noticed my insurance has gone up like 30% over the last year and I haven't filed a claim since 2015, so it's not for any reason on my end. Looking to make a switch and see if I can get better prices. I'm on American Family right now, which covers my home and car, so I'd probably switch both if I made the switch. I’ve priced out probably every carrier you could come up with and Progressive is aggressively cheaper than anyone else for some reason. That said, I’ve seen people say the reverse. It’s all going to come down to your history, state and even Zip code I think. That said I loving hate Progressive and if they weren’t so cheap I’d tell them to suck a bag of dicks
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Jan 19, 2024 15:40
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Bird in a Blender posted:Anyone have any good or bad car/home insurance companies? I noticed my insurance has gone up like 30% over the last year and I haven't filed a claim since 2015, so it's not for any reason on my end. Looking to make a switch and see if I can get better prices. I'm on American Family right now, which covers my home and car, so I'd probably switch both if I made the switch. Doesn't hurt to shop and see what you can get. Just know the insurance market suuucks right now and rates are going up across the board. e: since Joey snuck in a reply - Progressive maintains their price point by aggressively keeping expenses low. Meaning bottom-of-the-barrel claims service and trying to weasel out of claims on thin technicalities. (Disclaimer - I've never been a customer so this is just what I've heard coupled with industry knowledge) Dango Bango fucked around with this message at 15:46 on Jan 19, 2024 |
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Jan 19, 2024 15:42
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Amica has good customer service and isn't terribly expensive if you've got a clean record.
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Jan 19, 2024 15:42
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Bird in a Blender posted:Anyone have any good or bad car/home insurance companies? I noticed my insurance has gone up like 30% over the last year and I haven't filed a claim since 2015, so it's not for any reason on my end. Looking to make a switch and see if I can get better prices. I'm on American Family right now, which covers my home and car, so I'd probably switch both if I made the switch. I've had Progressive for renters, then home, then renters ever since my first apartment back in 2005 and the rates have always been reasonable. I also had Progressive before I became disabled and couldn't drive anymore; only had to file a claim on auto once, in 2008, and the process was painless between the repairs, rental, the whole nine yards.
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Jan 19, 2024 15:44
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Salvor_Hardin posted:I noticed ketamine clinics in Minneapolis and, like, is that referal only for serious problems like treatment resistant depression or PTSD? Or can I just pay them like $100 to get K-holed for a few hours? There’s a couple of answers to this. Those little clinics that you see on the side of the road technically require a referral. These are all at infusion centers like the kind of place you go if you got a hangover and just want an IV with Toradol in it or something. You can receive a referral to go to one of these places. I have called in ketamine infusions before for patients with refractory migraines, and also people I just didn’t know what the gently caress else to do with them. The amount of ketamine, these infusions and quality that you receive is going to be highly variable. if you can’t get a prescriber from an outside physician, a lot of these places, have an on-call nurse practitioner or something like that. They can prescribe it to you when you’re there. Or they have someone on telehealth who can do it. It’s about as rigorous as those Websites that would diagnose you with ADHD during Covid. These places are mostly harmless. Swickles can speak more about this, but ketamine overdose doesn’t stop your heart, it stops your respiratory drive so you simply stop breathing. I had an ER doc tell me once that you could treat this just with an Ambu bag, but I don’t know how accurate that is and I don’t really want to know. So much of these ketamine infusion clinics are just for rich people who want to do drugs, and say that they prescribed so it doesn’t count. I can’t really speak to the efficacy of these long-term treatment, resistant depression. If you really have treatment resistant depression, you should be seeing a dedicated psychiatrist, not getting referrals to strip mall, ketamine infusion centers. On the other hand, there was a girl I went to grad school with who was assaulted by her boyfriend, and she got a referral to one of these because she was so traumatized by it. She told me to save her life. she sincerely believe that if she hadn’t gotten ketamine, she’d be under a bridge in Knoxville somewhere shooting fentanyl. To your last question, you won’t get enough to get enough ketamine at these places to put on your space boots or anything. Some people say that they feel good for several days afterwards. But again, in my experience, the people that most frequently use these are the ones that have been on Xanax for 30 years and are used to being legally high. overall, I’m skeptical. I’ve mentioned this before, but I was involved with the trials when I was in grad school for testing nasal ketamine for treatment, resistant depression. To get on this, you have to failed multiple appropriate trials of some serious medication. Like you’ve had to try Vraylar and Rexulti and Abilify, and it almost always Hass to be through an actual psychiatrist. Primaries won’t prescribe those drugs anyway. The way we did that was take the patient into a quiet room, let them squirt, nasal ketamine up their nose every five minutes, ask them orientation questions, every 10, and when they started to trip balls, we would pull back a little bit on it. That’s your therapeutic dose. Generally, you would take it like 3 to 4 times a week. It is very tightly controlled and if the “dog eats it” you do not get more into your next month. This is very, very effective, and literally save peoples lives. I am very much an advocate for it, and unfortunately, in my current role, I don’t really get prescribe it. But it Hass to be done appropriately and monitored. I know some people think medical providers are gatekeeping drugs like this, but it’s just very easy to get hooked to it and abuse it. There are some people just loving love ketamine, like Elon musk. Also, ketamine abuse eventually leaves urinary continence, and I’m fairly certain Elon wears briefs. The main thing we’re figuring out about drugs, like ketamine or sic sib is that they’re neural regenerative. PTSD, specifically destroys the connections, because the event is so traumatizing that our brain doesn’t want to think about it anymore. That’s what disassociative spells, amnesia, things like that. It’s our body trying to keep things from us. Unfortunately, just like scar tissue you can’t ignore injuries. You have to work it out. For psychiatric stuff, this involves therapy of various kinds, Medication, assistance, and more more we learning things like sin that can actually help put the brain back together. It’s just like tearing your ACL. Any surgery, you need things for pain and inflammation, and you need physical therapy.
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Jan 19, 2024 15:47
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My only experience with ketamine was in late 2020 and early 2021, before I had my pancreatic surgery and I was having multiple months-long stays in the hospital. Eventually, on two occasions, the doctors at the University of Wisconsin Hospitals decided to put me on 96-hour ketamine drips with occasional IV Dilaudid injections. I was high as a fucken kite, and when my girlfriend at the time showed me our text message conversations, I saw that I had been talking like a moon monster or something.
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Jan 19, 2024 15:53
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Bird in a Blender posted:Anyone have any good or bad car/home insurance companies? I noticed my insurance has gone up like 30% over the last year and I haven't filed a claim since 2015, so it's not for any reason on my end. Looking to make a switch and see if I can get better prices. I'm on American Family right now, which covers my home and car, so I'd probably switch both if I made the switch. Auto insurance is like the boiling frog theory: they'll keep raising rates until you switch, then at the next renewal, their rates will be cheap again (because now you'd be a new customer).
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Jan 19, 2024 16:34
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Ok, I'll at least check out Progressive and see what their rates are. My rates have been pretty stable until all of a sudden this year they sky rocketed.
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Jan 19, 2024 16:35
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My wife and I make a decent amount of money, but we are in an odd place where we bought our house when markets were relatively down and have a low interest rate (2.6), but we have also outgrown our house. It does not make sense to buy a house where the monthly cost is 4x what our current place is just for 400 more sqft, but we also make much more money than is necessary to afford our current house so we are accruing a ton of money that is more than anything else would need, but still not enough for a nicer house (SF bay area prices go brrrrrrrrr). Just dragons sitting on a pile of gold at the moment.
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Jan 19, 2024 16:44
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You are receiving this broadcast as a dream...We are transmitting from the year one nine... nine nine ...You are receiving this broadcast in order t
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Bird in a Blender posted:Ok, I'll at least check out Progressive and see what their rates are. My rates have been pretty stable until all of a sudden this year they sky rocketed. I did that, and so far so good, but I did find out that they give you some sort of super discount the first six months, and then when it’s time to renew, they remove it. But they’re still cheaper than Allstate or USAA (who I still have for home insurance).
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Jan 19, 2024 16:51
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Pain of Mind posted:My wife and I make a decent amount of money, but we are in an odd place where we bought our house when markets were relatively down and have a low interest rate (2.6), but we have also outgrown our house. It does not make sense to buy a house where the monthly cost is 4x what our current place is just for 400 more sqft, but we also make much more money than is necessary to afford our current house so we are accruing a ton of money that is more than anything else would need, but still not enough for a nicer house (SF bay area prices go brrrrrrrrr). Just dragons sitting on a pile of gold at the moment. Got enough property to build?
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Jan 19, 2024 17:03
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Mercury is cheap
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Jan 19, 2024 17:04
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Bird in a Blender posted:Anyone have any good or bad car/home insurance companies? I noticed my insurance has gone up like 30% over the last year and I haven't filed a claim since 2015, so it's not for any reason on my end. Looking to make a switch and see if I can get better prices. I'm on American Family right now, which covers my home and car, so I'd probably switch both if I made the switch. If you're in the Midwest, I have Acuity and have been really happy with them. Prices are reasonable for two cars, a home, and a $1m umbrella. I want to say I pay maybe $2k/year. I did just get into a minor fender bender yesterday (of course, a month before I trade in my car for a new one), and they already reached out and are working with the other driver to make it right. Highly recommend. FizFashizzle posted:I had an ER doc tell me once that you could treat this just with an Ambu bag, but I don’t know how accurate that is and I don’t really want to know. You can. Their respiratory drive is poo poo so you're supplementing it, same as an opiate overdose in the absence of narcan. You'll obviously want to monitor for any arrhythmias, vomiting, laryngospasm, or mental effects like them coming to and losing their damned minds, but if everything looks good, bagging is all you need. That being said, it can take a while to clear the system depending on how much they take and I don't want to bag someone for a half hour, so beep beep goes the vent. I gave a patient <10mg ketamine not long ago for pain (fentanyl didn't touch it and she was elderly so I went slightly under our protocol weight-based pain dose) and I think she may have saw God for a few minutes. Good poo poo, ketamine.
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Jan 19, 2024 17:12
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Bleh, my treadmill gave me a static shock yesterday and then just error-coded. Now if I power cycle it, it boots up like normal but after a second goes back to this nondescript error screen. There was some burning smells and the circuit board was hot enough to reflow some of the contact adhesive. Seems crazy that a static shock to the exterior wouldn't be grounded but here we are. I hope this is fixable; would be a shame to have to trash a perfectly good treadmill for a blown cap or whatever.
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Jan 19, 2024 17:35
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FizFashizzle posted:Got enough property to build? Forget property, if you can’t spread out go up, just add another story on top, let’s make 2024 the year of Groverhaus 2.0!
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Jan 19, 2024 17:38
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Pain of Mind posted:My wife and I make a decent amount of money, but we are in an odd place where we bought our house when markets were relatively down and have a low interest rate (2.6), but we have also outgrown our house. It does not make sense to buy a house where the monthly cost is 4x what our current place is just for 400 more sqft, but we also make much more money than is necessary to afford our current house so we are accruing a ton of money that is more than anything else would need, but still not enough for a nicer house (SF bay area prices go brrrrrrrrr). Just dragons sitting on a pile of gold at the moment. Add on to your house? I resisted and resisted this idea, and when it was over, it was easily the best option. Cost us around 48k for a new 400sqft bedroom/closet, but that’s really 29k for the room and 19k for redoing all of our carpet in the house as ceramic porcelain wood tile. Silly Burrito fucked around with this message at 17:42 on Jan 19, 2024 |
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Jan 19, 2024 17:40
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Thaddius the Large posted:Forget property, if you can’t spread out go up, just add another story on top, let’s make 2024 the year of Groverhaus 2.0! Forget up, strike the earth! 
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Jan 19, 2024 17:53
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Aaaaaaarrrrrggggg posted:
We use it to put kids under conscious sedation if I have to set a bone or something. I always ask them who their favorite Pokémon or whatever and tell them to think about them. I always tell parents not to watch, and they laugh when they come back and the first thing the kid says is “I met machamp”
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Jan 19, 2024 17:55
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Aaaaaaarrrrrggggg posted:I gave a patient <10mg ketamine not long ago for pain (fentanyl didn't touch it and she was elderly so I went slightly under our protocol weight-based pain dose) and I think she may have saw God for a few minutes. Good poo poo, ketamine. I’m not sure if you guys do chemical restraint (or if you do, what you use) but we switched to ketamine frontline many years ago. Initially we used same dose for RSI and chemical restraint at 1.5mg/kg but for whatever reason the IM dosing increase first to 3mg/kg then to 4mg/kg. We have autonomy to lower our doses if we have good reasoning, but those are the official guideline dosages. Thing is, I’ve never seen anyone that 1.5mg/kg didn’t level. Like, knees folding unconsciousness within ~30-60s. I haven’t had to use it in awhile but I half dosed the last guy I sedated (combative powerlifter I thought might be having hemorrhagic stroke) because I’d already given him 10mg Versed (5mg x2 IM) with no effect. 2mg/kg ketamine had him nearly unconscious, and close to needing a tube. It’s a pretty safe drug and I do like it, but these escalating doses are pretty nuts especially when most medics are so lovely at math and/or reasoning. Having said all that, I think Haldol is coming sooner or later in our area for prehospital but I’ll prob be done before it’s here.
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Jan 19, 2024 18:00
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B52 takes too long.
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Jan 19, 2024 18:07
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FizFashizzle posted:B52 takes too long. Yeah but it really really works. If these loving dorks would stop listening to cops and stop overdosing their patients or stop giving it to people who are already bordering on cardiopulmonary collapse, ketamine might not have such a negative connotation in prehospital setting.
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Jan 19, 2024 18:20
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