▲ 3 r/MPX

Which HF or pelican case size?

Might buy an mpx and want to know what size pelican or HF apache (or other) case you guys went with.

Do you normally go for the gun + 6 mags + suppressor + tools all in the one case? Or break them up?

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u/medquestion80 — 6 days ago

Outdoor/quieter ranges?

I unfortunately have some hearing damage, but enjoy guns. Even with double plug+muffs I'm concerned about more long term damage.

Given that I'm looking to move to all .22 suppressed or 9mm subsonic suppressed. A few questions:

  1. Are there any outdoor ranges you'd recommend where I might be able to get more privacy? I don't want to end up next to someone shooting a 50cal or 7.62 unsuppressed (hell even 5.56) blowing my ears out. Indoor is also obviously much worse.

  2. Also open to other suggestions for quieter calibers. Could of course look at air rifles, paintball, etc. I think 9mm subsonic suppressed is probably about the quietest round I could use that's center fire? Maybe 45 gets close since subsonic.

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u/medquestion80 — 6 days ago
▲ 5 r/VAGuns

Shops with tippman m4-22 mags and pistols?

Recently ran into quite a lot of hearing loss, so looking to move towards the quietest options possible, being .22lr and with a suppressor.

Pretty interested in the tippmann elite m4-22 series with more 25 round mags. Maybe even splurging on the FRT variant.

Since this is post july 1 though, would prefer to just buy with cash esp for magazines.

Any local shops near NoVA selling the tippmann 25 round mags or have some tippman m4 stuff to handle?

Also open to more fun/interesting .22 ideas. Ruger stuff seems kind of boring to me.

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u/medquestion80 — 19 days ago

Steroids (60mg prednisone) and diabetes risk

Suppose someone just decided to start on a steroid for treatment of noise induced hesring loss. this is typically done for very high loss sudden onset, but patient is experiencing significant issues at probably 10db loss or more and distorted coicea at 7 days.

main concern is beta cell burnout/permanent shift to diabetes.

patient isn’t quite diabetic, but has historically had a1c values in the 5.5-5.6 range and maybe 5.7 once. fasting glucose about 100mg/dl. fasting insulin 4-6 range. homa-ir usually 1.5, but no ogtt type results

post prandial meals can creep up to 160-170mg/dl at an hour for medium to high carb meals. Some meals can carry higher numbers for 2 hours (pizza and higher fat) others return faster

  1. is this patient type a high risk for glucose issues with the high dose (60mg) prednisone for a week and then a week of taper?
  2. or more generally where do you draw the line for metabolic disease/insulin resistance before you are quite concerned
  3. at what glucose levels would you have this type of patient stop the steroid usage (2 week administration period for hearing loss)

of course can’t take personal medical advice but general guidance for a high dose steroid risk like this in a middling area metabolic condition patient

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u/medquestion80 — 29 days ago

Steroid use for more moderate noise induced hearing loss

I won't ask this as direct medical advice, but more as an understanding of the literature.

It seems for most sudden hearing loss of > 30db, steroids are advised, ideally within 72 hours, even though evidence seems kind of so-so for results.

However, I have found almost no literature on more moderate suspected 10-15db threshold shift from loud concerts/noise induced. (particularly around 1-2khz)

It seems to me that it's not that steroids might not work here, but rather that studies really haven't been done in this more modest loss range?

How are ENT's deciding when to prescribe in this conditions vs. just waiting for recovery?

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u/medquestion80 — 30 days ago

GPA issues with a goal of prestigious masters programs

TLDR:

I'm a reasonably smart guy that did quite well on my SAT, but got really poor grades in undergrad a long time ago in engineering courses due to a combination of crushing depression from some family issues combined with zero studying. My undergrad was a state school (uiuc) but with a top 5 engineering program and quite selective.

I'm much older now (40s), and debating going back for a masters. With some practice tests I'm confident I can crush the GRE.

The problem is my GPA is hot garbage, so I'm basically debating:

  1. Can I just try to lean on work experience? (prob not?)
  2. If not, is there a way to either get alternative transcript grades to replace the old ones, or prove myself by testing out of some programs at that school?

I'm mostly considering CS/AI technical type degrees from top programs like stanford, mit, carnegie, uc berkley, uiuc, etc. No need for a Phd, just want to check the masters off. UIUC might be easiest since I did undergrad there but would like something better if possible.

Am I totally screwed? Find some kind of easier executive type program? Just forget about it and go for big tech jobs on my resume instead?

Unfortunately I'd also have to figure out some good references. I've been at only a handful of companies and have been coasting a little too much.

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u/medquestion80 — 1 month ago