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Recent Posts

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91
I'm not an early adopter. I used to be.

Now - I watch from a distance. A cool buzz about a setting will definitely get me to look. But if the system doesn't hold up that setting well or has silly mechanics that are too cooked into the game to ignore or easily fix - I'll ignore it.

Recent purchases that are not mechanically universal for me.

FFG Star Wars - I've got PUH-Lenty of threads on this forum with me sniffing around it, and eventually checking it out. To my utter shock it worked very well with me and my group, playing it RAW. I've figured out flaws with the internal mechanics (crafting is not quite what I want) - I've come to enjoy it for what it is.

Symbaroum - Really cool setting. Mechanics seem to support the game. But I'm not sold on them. I did pick it up though.

Alien - Setting is shockingly good - in fact I look at it as a near perfect synthesis (discarding a lot of the silly shit in the movies by giving it a nod and moving on to more interesting shit). The system looks much better - but it's an unknown as I've not executed on it yet. Free League is a company I'm keeping my eye on, I'm digging their style, but I'm not sure on their mechanical design.

CPRed - Disappointment. Their "streamlining" seems to have thrown parts of the baby out with the bathwater. It's not so much that they overdid it - but they underdid it. They went for low-hanging fruit that ultimately changed the flavor. No gun-porn? BOO. Fixable.


93
Quote
This kind of stupidity is why people don't take the OSR, or many of its proponents, seriously.

Now go ahead, tell me I think my characters all have to be special snowflakes, and don't acknowledge or even contemplate why this approach is pants-on-head retarded.

Nah, you are just self-righteous prick :P
94
For you - and others that do this -

How often do find yourself getting close enough to not being sure - but buy it with the intention of giving it a test-run?

I'm nearly always a late adopter, even on things that I have reason to believe that I'll actively play.  For something that is somewhat iffy, that I might do a test-run with, I'll check reviews, previews, etc. first.  However, my default is "pass".
95
The first thing I do is quickly read the chargen, skill check, and combat sections of a book before I decide to buy or not. If I don't care for the die mechanics, I'll pass on the thing no matter how great the setting may be.

For you - and others that do this -

How often do find yourself getting close enough to not being sure - but buy it with the intention of giving it a test-run?

Sort of opposite for me: occasionally I spot or hear about a single mechanic that I'll buy a book to check out more fully for. I don't necessarily intend to test the system as a whole -- more likely just crib the one mechanic -- and I don't need the game's mechanics overall to be "close" to something I want to play.
96
Media and Inspiration / Re: The fall of He-man
« Last post by Armchair Gamer on Today at 10:38:16 AM »
The clips of the 2021 reboot which I've seen on YouTube suggest something worthwhile for the target audience and not insulting to the older fans. I'd give it a chance if I weren't boycotting Netflix on general principle and trying to avoid the Big Brands as much as possible. :)
97
Greetings Fellow Creatives,

Please don't forget to check out my Ogg music collections containing hundreds of my tracks in higher-quality Ogg format. They sound great, loop better in game engines and are a cool way to support my site.

Right now "Fantasy" and "Sci-Fi" seem to be the most popular but many of my other genres are available as well...so enjoy!

That said, this week's new free MP3 tracks are:

On my Puzzle Music  7 page:

"GLISTENING PUZZLES" – (Looping)
https://soundimage.org/puzzle-music-7/

On my Jazz/Big Band page:

"SLAPSTICK" – (Looping)
https://soundimage.org/jazz-big-band/

And on my Rock page:

"CLOSURE" – (Looping)
https://soundimage.org/rock/

Stay healthy, have a good week and keep creating!
98
Here in Korea things have gone pretty well. Less than 10% of Uruguay's death rate, have gotten off lighter than almost anywhere else economically, no lockdowns, few anti-vax morons, much less Zoom class for the kiddies than elsewhere, etc. etc. Starting to prep for stuff back in January 2020 and then really getting things in gear in February 2020 while most everyone else was standing around with their thumbs up their butts for weeks and weeks after things were already pretty well organized here really helped a lot. The government learned from the faceplant the previous epically incompetent administration did in terms of its MERS response in 2015 and was relatively on the ball, at least compared to all of the clownshoes shit elsewhere as there was still a good bit of bumbling...
Korea handled covid better than a lot of places. But then a habit of wearing masks when sick helped.

There are a lot of possible reasons for South Korea's success - ranging from government action, general population behavior, to masks, to possible genetic or prior disease exposure. It's hard to tell, because many things are correlated. ​

I was in South Korea in Jan and Feb of 2020 for business, and I got to experience their handling. During the course of my second trip in February, I was getting my temperature checked daily as I went into the office, and as I went into my hotel. Masks were everywhere. The subway stations were plastered all over with flyers and posters informing people. People were already avoiding crowds. I met my cousin just before I left, and the normally-crowded district was quite subdued - well before any government mandate. I even got my temperature checked to get on the plane home.

When I flew back to the U.S., I walked straight through customs just checking in at an automated machine. There were no checks or questions, and no announcement about covid. It would be many weeks before any concerted action.

I am inclined to think that all the precautions and organization did have an impact, though it's not clear which helped the most.

For masks specifically I think the best argument is Japan. While Korea was on top of things, Japan was really slow and incompetent in its reaponse. The only thing Japan did better than Korea was to gets its hand on good vaccines faster while for a while earlier this year Korea only had a trickle of the relatively crappy astrazeneca vaccines (which has caused problems recently until most everyone here got pfizer booster shots).

However, even before the vaccines Japan's death rate was only marginally higher than Korea's. If Japan's response was so lax why did so few people die there? Can't think of any good explanation besides widespread use of masks, especially masks at least marginally better than shitty cloth masks widely used elsewhere.

Masks don't even have to do much at the individual level to have a huge effect at a population level.

For example if the average unmasked sick person gives the virus to 1.2 people and the average masked person gives it to 1.0 people that's only a very small difference in how much a mask helps you individually but causes absolutely enormous differences on the population level due to how exponential growth works.

The subtle biggest factors in Japan?

1. They're not testing everyone unless they're symptomatic.
2. They have a lot fewer fat people than the US.
99
The RPGPundit's Own Forum / Re: Covid, the "lockdowns" etc.
« Last post by 3catcircus on Today at 10:26:26 AM »
This is what is happening in many places. Let's say they have 100 available beds, but only enough staff for 50 beds.  They can declare (and several have done so) themselves to be over capacity with 51 patients occupying beds. 

This is why you can't trust anything coming from hospital administrators without seeing it for yourself.

We have situations where they've fired unvaccinated nurses and doctors while simultaneously ordering vaccinated but infected ones to come back to work *while still contagious*.  Meanwhile all of those fired nurses and doctors are making 2x, 3x, or more salary by being traveling medical practitioners - either going elsewhere or actually being contracted by the hospital that fired them - as independent contractors, they don't have to be vaccinated because they're not employees...

When you say "we" here, 3catcircus, do you also work in health care and saw this yourself? If so, where do you work? If not, what is your source?

I don't doubt that dumb shit has happened. The question is what is the norm? I don't have first-hand knowledge, but people I know in health care seem to think it's roughly real. I'll buy that mainstream liberal-leaning media is biased, but even if I'm reading on Newsmax, I see stuff about hospitals being overwhelmed by the Omicron surge.

https://www.newsmax.com/newsfront/covid-omicron-hospital/2022/01/07/id/1051414/

CNN (lack of staff resulting in inability to use all their beds):

https://www.cnn.com/2022/01/13/health/us-coronavirus-thursday/index.html

Yahoo (sick healthcare workers ordered back to work):

https://news.yahoo.com/hospitals-reeling-california-tells-covid-130036030.html

travelnursing.org (job opps for traveling nurses):

https://www.travelnursing.org/covid-updates-for-travel-nurses-january-5-2022/

CBS News (no vaccine required to be hired as a nurse).

https://www.cbsnews.com/news/nebraska-job-ad-nurses-no-vaccination-requirement/
My hospital just opened 3 new floors on a tower, so 120 new inpatient beds. We've been trying to hire staff for the past year and we still only have about 1/3 what we need for the new beds (many new hires we redirected to cover gaps in other units) and even with traveling nurses, we can only staff 2/3 of those beds right now.

Right. The question is if your hospital will report over capacity if they put more bodies in beds than they have staff for, or only if they start stacking them in hallway gurneys because every other bed in an actual room is full.

Who knows if it is hospital administrators being disengenuous or if the media is (as is typical) not reporting factual information.
Hospitals don't choose which statistics to report or how they do so, they report them in the format they are told to do so by CMS and other authorities. This might be in terms of licensed beds, operational beds, or staffed beds.

Hallway beds are not an inpatient thing, they exist in the EDs d/t the requirements of EMTALA that no patient seeking emergent care be turned away until it can be determined that they no longer have an emergent condition (or that they never did).

Your "who knows" line is the kind of bullshit that doesn't help at all because it implies that nobody knows. I'm telling you facts from within the system and you're still going with "who knows" kind of shit. I know, and so do many others workign in healthcare.

If you're not in hospital administration and you don't think they would spin the numbers to fit a narrative, you're a fool.

Here's numbers from HHS... doesn't look like they're in a crisis at all.

I have a question for you.

You're in the financial services industry, not the medical industry. You're telling a guy who works in the medical industry that you know how his hospital works better than he knows how his hospital works, based purely on your gut instinct and what matches your world view.

My question is: How the fuck?

First of all, I'm an engineer. My assessment is data-based.  So, yes, based on the data, I am telling him how hospitals, by and large, are not in crisis. 

Secondly, while not as well-versed as dkabq in aerosol studies specifically, my work focuses on system-of-systems activities, so I've been involved in several air wake studies - even if you reduce risk to someone directly in front of you, no one in the real world sits there face-to-face in close proximity for hours at a time. The fact remains that you're sharing your exhalate to everyone behind and to the side of you. And that non-laminar flow ensures that anything hanging out in your exhalate is going to float along for quite some time.
You're a blind man describing an elephant.

Does your data show you the changes in ED accessibility? Does your data show you the multiple aspects of staffing difficulties (including retention and retraining)? Does your data show you the effects of disrupted supply chain on medical supplies and pharmaceuticals? Does your data show the impact of the pandemic on post-acute care options (which complicates discharges)? Does your data show you the impact any/all of these on patient experience/satisfaction scores (which directly impacts hospital reimbursement)?

It might surprise you to know that we in the healthcare industry know how to work with data too, and we weigh all of the above when we say hospitals are in a crisis.

Actually, ya don't.

The healthcare industry has, for decades, operated on razor-thin margins of material supplies in hand and on staffing bench depth.  Administrators have been rewarded for minimizing costs, even when it meant having not enough supplies in reserve and not enough employees to do the work - before covid happened.  Because, god forbid, they'd have had to have people employed to manage and rotate stocks of perishables and to survey levels of non-perishable supplies and might have had to pay people with nothing to do on slow shifts other than catch up on endless paperwork. When your model has been "just in time" delivery of stuff coming from China and "almost but not quite enough staff," and you don't change when you can see that supply chain issues will get worse (we knew this almost two years ago) and you purposely fire unvaxxed staff but then order vaxxed staff who are positive and possibly still contagious back to work, you deserve to get fired.
So, blind man, tell me again what an elephant is.

That you can't refute my statements says everything...
I can refute several of your points, but only for specific hospital systems. That's not saying your points are necessarily correct or incorrect, but they are sweeping generalizations. Further, any fool can point out flaws in a system without identifying feasible fixes. Do you have a magic fix beyond "just do better at everything?"

Then please do so. For every hospital system that you can do this for, there is an equal number that you can't. Multiple points of the same condition is not a sweeping generalization - it's pointing out that when the majority of hospitals are doing the same thing and it's not working, then they need to change how they do business.

As to how to identify fixes?  A couple of methods exist.  None of them are ready. Most of them require looking beyond a fiscal ledger sheet.

1. Actually negotiate with suppliers rather than try to maintain a comfortable relationship. Your goal isn't to be their friends - and the harder you negotiate, the more you can buy for the same price which means you can maintain higher stock levels.
2. Performance-based logistics works for some things, but not others. It uses desired outcomes as a measure of success.  If that means you order from suppliers, great. If it means you establish your own logistics organization, then do so - if you manufacture your own supplies, you never have to worry about paying to outbid your competition when dealing with a supplier.
3. Demand accurate record-keeping of things you know need to be kept track of, not just what is mandated to be kept track of. You can't know unless you measure, and too often, it gets blown-off.
4. Hire the best person for the job, regardless of background.  Right now, there is an emphasis on diversity hiring just to check a gender/color/race box even when a better candidate exists.  Pay them well or otherwise compensate them (time off, perks, specific job assignments, etc.) based upon what they value as compensation - not just what the market average is, but what you expect they'll be worth in a year or two - the goal is retaining people rather than scrimping on compensation so you don't have to recruit and train people in a never-ending cycle.  The goal is not to match newly-minted doctors and nurses just to fill the req, if they are going to take a long time to develop only to have them leave before you get to take advantage of their development and growth.  The goal is to have a solid bench of people who you can interchange in a surge/flex situation while having sufficient reserve that they aren't going to be burnt out too quickly.  This only happens when people want to come to work because they see themselves being promoted and earning more compensation 5-10 years down the line rather than "it's a job and I gotta pay the bills."  This is a bigger problem in LTCs than in hospitals.
5. Be willing to look at the organization and be ready to make redundant as many administrative staff as possible if they are not value-added and not willing to perform.  You don't need three supervisors if you have one with the authority to act and a willingness to do so.  Your legal counsel and HR director should not be more highly compensated then your licensed medical staff.  They're support staff and are part of your overhead costs and are not bringing in business, research dollars, etc.

These are all very simple things that are very hard to execute - mostly because top-heavy organizations all have to weigh in on policy and procedure.  Authority and decision-making should be driven down to the lowest possible level.
100
Nonhumans can have up to 8 build points, but each extra build point reduces the maximum level of characters by 1 (from 14, not WotC's 20+) and increases XP requirements.

This kind of stupidity is why people don't take the OSR, or many of its proponents, seriously.

Now go ahead, tell me I think my characters all have to be special snowflakes, and don't acknowledge or even contemplate why this approach is pants-on-head retarded.
Your failure to understand something doesn't mean it's stupid.
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