u/centz005

Young man, recently immigrated from West Africa, brought by siblings for AMS after trying weed gummy for first time (given to him by his American friend).

Patient a bit tachy and hypertensive; obviously anxious, but oriented and without any neuro deficits. Complaining of chest pain, so figure i'd get an EKG and labs incase his "friend" was lying to him about the ingested substance. Give him some oral ativan and turn off the lights; reassure the family.

RN: Doc you want the urine?

Me: Nah, i'm good. He said it was weed gummy. Worst case scenario, he was slipped some meth or cocaine. If EKG/labs are fine, he can go once he's a bit more calm."

*A few minutes later*

RN: Hey doc, you sure you don't want the urine?

Me: ...N...no? No, i'm good. A UDS won't really change anything and i doubt this healthy, young man has a UTI...

*A few minutes later*

RN: Doc, you wanna look at the urine?

Me: ...Sorry, i'm not really into that kind'f stuff....

RN: Doc, i really think you should look at his urine.

Me: [This man better have porphyria or something]. *Sees urine* Oh....well....you know, RN....if you'd just lead with "Hey, Doc, this man just peed out a worm", i'd've been a lot more interested from the get go.

Honestly...i never really expected to have to prescribe praziquantel here in the US... Honestly, i don't even know if our local pharmacies carry it or can get it.

Pt: ...it's still wiggling around in there."

Me: "Why'd you eat a cockroach?"

Pt: "It wasn't on purpose. Happened while i was sleeping"

Me: ".....why do you think it was a cockroach..?"

Pt: "The texture."

Me: "Ooookay..." [Well....dry scan a few days back negative. He's febrile, so i guess i'll get labs and a chest x-ray...]

*A little while later*

[Ok, labs all normal. COVID/Flu neg. Huh...mediastinum's a bit wide on the x-ray. That's...not good. Guess i'll scan him.]

*A little while later*

[CT's up. Let's take a look....oh...well that's suboptimal.] "Clerk, please page Vascular".

Me: "Ok, man, i got good news and bad news. Good news: I've scanned you throat to rectum, and no cockroach. Bad news, you're dissecting from your aortic root down to your iliacs, and you need to go to surgery."

*Proceed to explain to patient what's happening, what his diagnosis means, why he feels that weirdness in his chest, and need for surgery, and risks of not getting it.*

Pt: "So will they take out he cockroach during the surgery?"

Me: "I..wha...?... Sure, buddy. If they see it, they'll take it out..."

(Normal, functioning member of society, w/steady job and negative UDS. No PMHx. No smoking. Near normal BP [max was like 160s] and pulses. Age less than 50. Symptoms for 6 days by time he got to me.)

I'm a 1099 w/a PLLC that files as an S-corp, and a colleague mentioned having a business investing account to decrease my tax burden. As i was looking into this, i ran across the idea of a Cash Balance Place as an alternative, but the whole process seems far more complicated and incurs a yearly cost.

Currently, i max out my solo-401k and back door Roth IRA. Any money i don't pay myself as salary, i pay as a distribution and hold in a taxable brokerage account, that i essentially treat as another retirement account. I keep a large amount of money liquid in a HYSA that gives me a 4% yield.

(Financially, i'm a bit of a simpleton, so i keep my investing simple, eg only invest in index funds).

I've got my eye on a couple of their watches (specifically a midnight black Orbital and the blue slate Regulator). Been hesitant to pull the trigger, mostly because of the sizes. My wrist is 2-inches in diameter and i'm, generally, not an ostentatious dude. Do these pieces come off as too big?

(sorry, only recently getting into watches and finally buying. most of the few watches that've been gifted to me are ~38 mm in size)

The story is interesting, i don't mind the side quests, but the game just keeps bugging out.

I'm playing on a PS5 Pro.

It'll freeze.

I've been "caught/arrested" by storm troopers over an entire base away.

If i die, when i respawn, every enemy i've defeated has respawned, too; every camera back on; every gate closed again.

When i first made it off world and had to go to an Empire base, i kept getting arrested by the tie fighters with that side-kick saying "i told you to be careful." I restarted, same thing. I loaded to an earlier point in the mission; same thing. I had to restart two hours prior to get around that little glitch.

Nothing is game breaking so far, but it's all very annoying.

Edit to add/clarify: Maybe I just don't play enough games, but this is the first time I've encountered a game that will respawn me where/when I died in mission, but then reset everything else. So when I respawn after dying, I'll respawn close to where I died in the map, but all mission progress is otherwise lost.

Before anyone yells at me, i'm a novice to watches. I barely wear them, and only started learning about them in the last two weeks. This was prompted by being in Switzerland and seeing a bunch of watches, then having my insta account advert a bunch of them to me. For reference, i own two Fossils, and 2.5 Tags (one was a knock-off i bought in NYC Chinatown and somehow got a repair shop to replace some of the parts w/authentic ones). All of my watches except one Fossil were gifts.

Anyway, does anyone in the community have any insight into brands like Norqain, Xeric, Humism, Benly, Vincero, Nubeo, Blackline, Arda, BA111OD, Timeless, and Original Grain?

I've found...varied...opinions on most of these...