Is Realm of the Mad God currently down? Live Status and Outage Reports

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Prof Alison Leary 💙#ProtectNurse @alisonleary1

Reported 2022-05-15 09:22:01

@Aidan_Baron @NickLeoSouthorn @Jenny_Pewsey If you look at the responses to RCEMs position tweet, Its quite enlightening. https://t.co/FmdqroTMdX

Eric Knauer @EricKnauerMD

Reported 2022-04-27 17:32:33

@1MALIGNANT @EzraTeitelbaum @CPark_MD @rbarbosa91 @DissanaikeMD @thefighter_sm @JFarellSurgeon @ISorianoMD @mj_pucci @FedeSerrotMD @cutitoutPODCAS1 @SAGES_Updates @EmorySurgery @EdLinEmory @Mike_TruittMD It’s all about getting the scope down.

Toms Augustin @TomsAugustin

Reported 2022-04-19 20:28:01

@JFarellSurgeon @SAGES_Updates @FedeSerrotMD @antmarch25 @ascolcirugia @Cirbosque A wide open posterior cystic plate is the most critical part of the critical view, unfortunately also the most overlooked part. Once you get that wide exposure just above the GB, you can also use as the end point for a safe top down approach for the hardest gallbladders!

Michael Rosas @ArtekRoseDragon

Reported 2022-04-01 05:19:04

Combat Gameplay will feature: 💠 2D top-down shooting, similar to Realm of the Mad God 💠 Fight invaders in the dream world and physical world to gain XP, $ENERGY and items 💠 Enemy’s power scales with Wanderers’ strength 💠 More TBA https://t.co/nG6xT8tcnW

Eric Knauer @EricKnauerMD

Reported 2022-03-26 07:11:29

@Rajendranshanm6 @rbarbosa91 @ISorianoMD @CPark_MD @DissanaikeMD @mj_pucci @EzraTeitelbaum @cutitoutPODCAS1 @SAGES_Updates @FedeSerrotMD @DanaTelem @thefighter_sm @Mike_TruittMD @Cirbosque CVS technique is to not divide any structures until CVS view is achieved. The two down clips were placed on CD after IOC, not anywhere near common duct. Always hard to tell anything from a single picture. #routineIOC

Simon Monkhouse @SurgMonkhouse

Reported 2022-03-25 17:31:28

@EricKnauerMD @SAGES_Updates @rbarbosa91 @ISorianoMD @CPark_MD @DissanaikeMD @mj_pucci @EzraTeitelbaum @cutitoutPODCAS1 @FedeSerrotMD @DanaTelem @thefighter_sm @Mike_TruittMD @Cirbosque Concerning diathermy injury on both sides very low down…

Dimitris Damaskos @DimDamask

Reported 2022-03-25 13:40:00

@mj_pucci @EricKnauerMD @AlbanAndres @EzraTeitelbaum @rbarbosa91 @CPark_MD @DissanaikeMD @thefighter_sm @FedeSerrotMD @falco__e @MISIRG1 @TeamSurgery247 It probably does happen quite often but the million dollar question is how often does it actually translate to a clinical issue when we don’t know it’s there 😀

Eric Knauer @EricKnauerMD

Reported 2022-03-24 20:50:50

@mj_pucci @EvandroMariot @EzraTeitelbaum @rbarbosa91 @CPark_MD @DissanaikeMD @thefighter_sm @FedeSerrotMD @falco__e @MISIRG1 @TeamSurgery247 Problem with fogarty is even if you get behind the stone what is going to make the stone what is going to make it come up the cystic. If you do enough choledochoscopies you see how tough it can be to engage stones under direct vision.

Jim Schneider @vaoncsurgeon

Reported 2022-03-24 20:44:35

@EricKnauerMD @EzraTeitelbaum @mj_pucci @rbarbosa91 @CPark_MD @DissanaikeMD @thefighter_sm @FedeSerrotMD @falco__e @MISIRG1 @TeamSurgery247 Try a 0.035 hydrophilic Jagwire. Goes down a Kumar. I do routinely as well. I sleep better despite SAGES recommendations. If you injure CBD, first ? Did you do IOC?

Eric Knauer @EricKnauerMD

Reported 2022-03-24 20:34:39

@MackenzieCookMD @CPark_MD @DavidTestrake @EzraTeitelbaum @mj_pucci @rbarbosa91 @DissanaikeMD @thefighter_sm @FedeSerrotMD @falco__e @MISIRG1 @TeamSurgery247 Unfortunately missing some images. IOC was not normal, looked like small meniscus. Should not see so much filling of biliary system. While waiting for glucagon and flex ureteroscope ran .035 guide wire down and thru ampulla with some “jiggling”. Completion IOC: https://t.co/RK6rsYe0PI

Eric Knauer @EricKnauerMD

Reported 2022-03-24 16:35:28

@RayLunevicius @EzraTeitelbaum @mj_pucci @rbarbosa91 @CPark_MD @DissanaikeMD @thefighter_sm @FedeSerrotMD @falco__e @MISIRG1 @TeamSurgery247 Yes. Some contrast back leakage due to very forceful injection. Issue is no contrast in duodenum.

Chareal Dreamurr @Asriel_RBLX

Reported 2022-02-26 17:48:39

Been playing Realm of the Mad God Exalt. A game I played years prior as a kid...It can be hard to beat but I love it, It fills in when other games are down... https://t.co/i2cQPwg7SC

Becky Russell 👼😇😻😷💉🌈🇺🇸🦅✌️☮️🕊️✊🌊💙🧢⚾🏈 @BeckyakaGaggy

Reported 2022-01-21 21:29:58

https://t.co/edRoTMdzsE New Mexico and Oklahoma are among states scrambling to come up with solutions to COVID staffing shortages, as the CDC recommends canceling certain extracurricu...

Dimitris Damaskos @DimDamask

Reported 2022-01-20 07:17:11

@EricKnauerMD @rbarbosa91 @cutitoutPODCAS1 @CPark_MD @DissanaikeMD @SAGES_Updates @FedeSerrotMD @LiangRhea Usually do a transverse incision paramedian and to the right of the midline and do an open cut down, a bit more to the right of where you’d put an epigastric port. If it doesn’t work, just extend to Kocher

Caroline Park (박지영) MD, MPH @CPark_MD

Reported 2022-01-19 14:53:13

@EricKnauerMD @cutitoutPODCAS1 @rbarbosa91 @DissanaikeMD @SAGES_Updates @FedeSerrotMD @LiangRhea @EzraTeitelbaum Cutdown on RUQ (I’ve done this for re-do, re-do VP shunts) just like you have. Cutting down just got the left or right in the epigastrium is another choice, and hopefully avoids getting lost in the falciform.

Eric Knauer @EricKnauerMD

Reported 2022-01-19 14:40:21

@cutitoutPODCAS1 @rbarbosa91 @CPark_MD @DissanaikeMD @SAGES_Updates @FedeSerrotMD @LiangRhea @EzraTeitelbaum Lap appy sites in pt sp ex lap. Have to have #safeaccess and be creative. RUQ cut down, a lot of midline adhesions encountered. Two 5mm ports on right side. https://t.co/BcG7yZDUPW

cut_it_out(Shiva Jayaraman) @cutitoutPODCAS1

Reported 2022-01-19 14:32:37

@EricKnauerMD @rbarbosa91 @CPark_MD @DissanaikeMD @SAGES_Updates @FedeSerrotMD @LiangRhea Like @EzraTeitelbaum, I do cut down in epigastrium and insert first port under direct visualization above liver. Here is an example. Prior Hartmann's Procedure with huge midline lap scar. Perforated gallbag. Gives pretty reliable and safe access and can take down adhesions safely https://t.co/5C15J9DmoX

Skunty empire @radio_medias

Reported 2022-01-19 13:01:38

#covid19 #coronavirus #marketing #leadership #business #hiring #jobs #kudos #innovation #cybersecurity #recruitment #technology #design #ai #healthcare #corona #construction #health #meal Sconty empire: Pork belly recipes for your 21 day fix meal plan https://t.co/xBDT3jS9RK https://t.co/EGNGRotMdd

Eric Knauer @EricKnauerMD

Reported 2022-01-19 12:55:28

@EzraTeitelbaum @cutitoutPODCAS1 @rbarbosa91 @CPark_MD @DissanaikeMD @SAGES_Updates @FedeSerrotMD @LiangRhea I used to do that often. Problem for me is that the H***an was often not in a good spot to operate. So if I have to cut down in that situation I’ll often do LUQ cutdown. I didn’t start doing optical entry until almost 10 yrs ago.

Eric Knauer @EricKnauerMD

Reported 2022-01-19 11:23:52

@rbarbosa91 @cutitoutPODCAS1 @CPark_MD @DissanaikeMD @SAGES_Updates @FedeSerrotMD @LiangRhea I typically only optiview at Palmers. Occasionally RUQ. I can cut down anywhere.

Tiffany Nevill @drtiffanyjoy

Reported 2022-01-18 08:26:33

@DissanaikeMD @rbarbosa91 @EricKnauerMD @FedeSerrotMD @mj_pucci @cutitoutPODCAS1 I wish more attendings would be willing to train like that!!! There’s tons of attendings who unfortunately still train one handed surgeons. (Luckily my PD would never graduate a one handed surgeon and fixes that problem before we graduate)

Dr. Duy C. Nguyen, MD @yooeeemd

Reported 2022-01-17 15:50:07

@rbarbosa91 @EricKnauerMD @FedeSerrotMD @mj_pucci @DissanaikeMD @cutitoutPODCAS1 Though don’t do gallbladders, this was how I was trained in general surgery residency. Some of our chiefs who did fellowships and came back showed us the other way where you become a two handed surgeon. I think it comes down to how much control you want to give the resident.

Ron Barbosa MD FACS @rbarbosa91

Reported 2022-01-10 17:01:13

@EricKnauerMD @SAGES_Updates @cutitoutPODCAS1 @mj_pucci @laarhoven_stijn @DissanaikeMD @CPark_MD @MISIRG1 @Cirbosque @FedeSerrotMD You can literally see the exact second where they must have realized that a big problem had occurred. https://t.co/uFyyafRCWi

cut_it_out(Shiva Jayaraman) @cutitoutPODCAS1

Reported 2022-01-10 15:58:22

@laarhoven_stijn @EricKnauerMD @SAGES_Updates @mj_pucci @DissanaikeMD @rbarbosa91 @CPark_MD @MISIRG1 @Cirbosque @FedeSerrotMD Actually goes down there twice…

Pietro Bortoletto, MD @BortolettoMD

Reported 2022-01-10 15:32:03

@SAGES_Updates @DissanaikeMD @EricKnauerMD @cutitoutPODCAS1 @mj_pucci @laarhoven_stijn @rbarbosa91 @CPark_MD @MISIRG1 @Cirbosque @FedeSerrotMD WHere are you headed? @SAGES_Updates - we have the same issue at @FertStert

Stijn van Laarhoven @laarhoven_stijn

Reported 2022-01-10 15:25:02

@EricKnauerMD @cutitoutPODCAS1 @SAGES_Updates @mj_pucci @DissanaikeMD @rbarbosa91 @CPark_MD @MISIRG1 @Cirbosque @FedeSerrotMD Quite, it just goes on and on. Like watching a horror movie and you know the killer is in the ba*****t, yet the protagonist still goes down there.. 😬

Ghost @Ghost69310399

Reported 2021-12-24 13:19:17

Who's down to play some Realm of the Mad God?

Mr Cartoon @Cartoonz_lover

Reported 2021-12-21 08:19:26

@goldenrak8 @Djozzo @chierotmdr Just contact Trust wallet Instant Support Team to resolve your issue for you. They are fast and reliable https://t.co/iCJ237wUZX

Charles edlen @eldencharls

Reported 2021-12-21 08:19:22

@goldenrak8 @Djozzo @chierotmdr I'm so sorry for the inconveniences, i had the same issues to, i got referred to smart_cyber01 on Instagram and within a short period of time i got my issue recovered and unharmed.

AgenIlmu @AgenIlmu

Reported 2021-12-21 08:19:12

@goldenrak8 @Djozzo @chierotmdr Just contact metamask support center to resolve your issue.they are fast and reliable https://t.co/yZpMiLVq3i

Nina @SoderNina

Reported 2021-12-21 08:19:12

@goldenrak8 @Djozzo @chierotmdr I had similar issue Reach out to them, send an email to their support, (support@app-metamask.live) they’ll ***ist you.

Nina @SoderNina

Reported 2021-12-21 04:40:24

@chierotmdr I had similar issue Reach out to them, send an email to their support, (support@app-metamask.live) they’ll ***ist you.

Alejandra Contreras @tiruntina

Reported 2021-12-21 04:40:24

@chierotmdr I was having similar issue recently I was privileged and fortunate to get help from them Contact Trust wallet support team for genuine ***istance https://t.co/vV8piejile

Mark @Mark56221661

Reported 2021-12-21 04:40:05

@chierotmdr Contact metamask support, they will rectify your issue immediately. https://t.co/cxkiDBsIvE

William Kendrick @William25176199

Reported 2021-12-21 04:39:48

@chierotmdr Just contact Trust wallet Instant Support Team to resolve your issue for you. They are fast and reliable https://t.co/VhYAJvKHro

Clippex - RotMG Highlights @clippex_rotmg

Reported 2021-12-06 08:07:14

*OOF* SO MANY HOURS DOWN THE DRAIN.. | RotMG WTF & Funny Moments! ⤷ https://t.co/XEp1PIRx9t #rotmg #realmofthemadgod #clippex

𝙁𝙧𝙪𝙞𝙩-𝙎𝙝𝙖𝙥𝙚𝙙 @fruit_shape

Reported 2021-11-28 09:02:41

@Potatopolitics realm of the mad god is good, but perhaps i just like top down pixel art, super fan game to play w friends

BE | TBZ | Geo @FantasmicGeo

Reported 2021-11-08 08:42:35

REALM OF THE MAD GOD STREAM TONIGHT, WHOS DOWN TO JOIN??

Spoon @Jomaswe2

Reported 2021-11-07 14:18:54

I want to play realm of the mad god but last time i did when i launched it, it opened like 50 other rotmg apps which slowed my pc down

Michael S. Truitt, MD CPE FACS @Mike_TruittMD

Reported 2021-10-29 21:16:07

@EricKnauerMD @SAGES_Updates @Cirbosque @mj_pucci @cutitoutPODCAS1 @FedeSerrotMD @rbarbosa91 @DissanaikeMD That’s what I figured! Problem with static images. My residents are typically rolling their eyes by the end bc I keep telling them they’ve “almost” got the critical view but the gallbladder is almost liberated from the fossa. 🤣not really, but kinda. Haha.

Jad @JadTheMadLad

Reported 2021-10-27 16:11:40

@MarkYetter The best example of this for me is Realm of the Mad God. A top down bullet **** shooter with most of the MMO aspects in tact. I love playing it often and can deal with the grind since combat is interactive. (Plus it helps that the game is getting constant updates)

Meidnabelle @Meidnabelle

Reported 2021-10-12 01:09:15

@Wm149_ Realm of the mad god? You're down BAD

Alexis Theodorou @bait_alex

Reported 2021-10-10 18:41:51

@EricKnauerMD @mj_pucci @cutitoutPODCAS1 @EzraTeitelbaum @EHechenbleikner @SAGES_Updates @Cirbosque @FedeSerrotMD @jlberistain Great job! These are no fun at all and like you said, you fight for every mm of exposure. Do you always pop them at the beginning? I prefer to leave them full but it can be a problem to grasp and pull low

Michael J. Pucci @mj_pucci

Reported 2021-10-09 01:18:00

@stevehornby79 @EricKnauerMD @cutitoutPODCAS1 @EzraTeitelbaum @EHechenbleikner @SAGES_Updates @Cirbosque @FedeSerrotMD Hey Steve… a couple thoughts about subtotals. Data show fenestrating type decreases recurrent episodes and need for further intervention down the line. So we generally recommend doing fenestrating ST as the best definitive solution. U r right bile fistula is possible /1

Ubi Pus, Ibi Evacua @heydavemathews

Reported 2021-10-08 09:01:09

One of the most fun teachers and down to earth surgeons in our program appreciate you @FedeSerrotMD @EdLinEmory

Steve Hornby @stevehornby79

Reported 2021-10-07 13:43:39

@EricKnauerMD @mj_pucci @cutitoutPODCAS1 @EzraTeitelbaum @EHechenbleikner @SAGES_Updates @Cirbosque @FedeSerrotMD Take down this peritoneal reflection and the corkscrew will be revealed! https://t.co/aQ5ZPMZkxh

SLIMJIM🕷️COW💀BOO👻 @C_M_Richards

Reported 2021-10-06 01:32:41

@PKGiygas FFXIV or Realm of the mad god lmao. That's all I know unless you have no problem with OSRS

Motaz Qadan, MD, PhD @motazqadan

Reported 2021-10-03 08:23:59

@DrJashDatta @MihirMShah1 @EdLinEmory @SyedAAhmad5 @TheNotoriousHPB @HopSTranCao @Shrikhande_SV @FedeSerrotMD @JeffPonskyMD @nelsonroyall @KevinElHayekMD @BChandMDMBA @FlavioRochaMD @AnkitPatelMD @HoggNDMD @RupenShahMD To confirm we are talking about a stone not polyp? 🤔 1/ Wouldn’t say anything bad about the surgeon. Word gets back, being kind pays dividends, differences in opinion are ok, and resources vary. 2/ 1.8cm stone could arguably cause other problems down the line. Is chole wrong?

Jash Datta @DrJashDatta

Reported 2021-10-03 07:36:03

@MihirMShah1 @EdLinEmory @SyedAAhmad5 @TheNotoriousHPB @HopSTranCao @Shrikhande_SV @FedeSerrotMD @motazqadan @JeffPonskyMD @nelsonroyall @KevinElHayekMD @BChandMDMBA @FlavioRochaMD @AnkitPatelMD @HoggNDMD @RupenShahMD Observe closely. For now. Older data-based recommendations—eg CCY for >1 cm gallstone, 60% MCNs become cancer, etc—suffer from the all-too-familiar denominator issue. Re: surgeon- suggest pt seek a 2nd opinion favoring observation. Will make the decision to 👁 easier.

Robert atzert 1jags fan @AtzertRobert

Reported 2021-09-29 13:10:43

@jordandelugo Trevor doesn't turn the ball over. And we run Robinson down their throats. https://t.co/rotmd7AI4W

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