Dc Council Dmg
10/16/2019
I treat patients as I would one of my own family members. My goal is to help patients understand their condition and possible treatment options so they can choose the treatment option that is best for them. I customize treatments to the specific needs and goals of my patients. When possible, I try non-operative treatments first. If a patient does need surgery, I strive to provide the most up-to-date and technologically advanced surgical treatments.
Council of the District of Columbia, and MPD make changes to MPD’s existing policies, improve information available to the public, and provide training to MPD employees regarding the new policies and procedures. PROPERTY DAMAGE CAUSED BY FORCIBLE ENTRY MPD has a written policy regarding how its members should conduct forcible entries. Current Affairs at Delhi Medical Council New!! Announcements CIRCULAR REGARDING ISSUANCE OF MEDICAL CERTIFICATE ISSUED BY MCI. Announcements Advisory for doctors clinic and Hospital. Announcements Equivalence of Primary Medical Qualification awarded by various medical university/institution outside India. Black Rose set is overloaded. DC ※ Kirsi ※ ※ Vehemence Council. And that taking dmg only procs on dmg done to your health bar, not a dmg shield. In other words, it's not even the equivalent of 61 actual regen because of these constraints.
Dc Council Meeting
Dc Council Dc
Based on 253 reviews
Dc Council Dcas
Buy DC Men's Council DMG Skate Shoe and other Skateboarding at Amazon.com. Our wide selection is eligible for free shipping and free returns. Sargent Memorial Presbyterian Church, Washington, District of Columbia was organized in 1908. District of Columbia was organized in 1908. Sargent Memorial Presbyterian Church. Chancel Choir. Sargent Gospel-Aires. Men's Council. Presbyterian Women. Christian Education.
- General
SPECIALTIES
- Hand and Upper Extremity
- Years in Practice: 13
BOARD CERTIFICATIONS
- Orthopaedic Surgery
PATIENTS SEEN
Accepts both children and adultsLANGUAGES
- English
MEDICAL INTERESTS
rotator cuff tears, shoulder arthritis, AC dislocations, basilar thumb arthritis, Dupuytren's diseasePERSONAL INTERESTS
family, modern art, travel - Education
EDUCATION
School University of Pittsburgh School of Medicine
Graduation Date 05/2001
Degree M.D.INTERNSHIPS
School University Health Center for PittsburghRESIDENCY
School University Health Center for Pittsburgh
Title Resident in Orthopaedic SurgeryFELLOWSHIPS
School Foundation for Orthopaedic, Athletic, and Reconstructive Research
School Indiana Hand to Shoulder Center
Specialty Hand and Upper Extremity
School University of Pittsburgh/Kaufmann Medical Building
School Sarnoff Foundation - American Society for Surgery of the Hand
- Arthroscopy Association of North America
- Ruth Jackson Orthopedic Society
- American Academy of Orthoapedic Surgery
- Illinois State Medical Society
- DuPage County Medical Society
Name America’s Top Orthopedists - Consumer’s Research Council of America
Date 01/2000Name America’s Top Orthopedists - Consumer’s Research Council of America
Date 01/2000Name Charles S. Neer Award for Clinical Science - American Shoulder and Elbow Society
Date 01/2000Name Orthopaedic Alumni Association Research Award - University Health Center of Pittsburgh
Date 01/2000Name Who’s Who of American Women, 26th Edition
Date 01/2000Name Nominee, Charles S. Neer Award for Basic Science - American Shoulder and Elbow Society
Date 01/2000- Based on 253 reviews
The Patient Satisfaction Rating score is an average of all responses to care provider related questions on our independent rating system, the Press Ganey Patient Satisfaction Survey.
Responses are measured on a scale of 1 to 5, with 5 being the best score. Learn more about our patient satisfaction survey.
Ease of scheduling appointments
253 ratingsProvider showed concern
251 ratingsFriendliness/courtesy of Care Provider
251 ratingsCare Provider spoke using clear language
247 ratingsProvider explained things clearly Dupage cardiology group.
251 ratingsTime Care Provider spent with patient
252 ratingsProvider included you in decisions
248 ratingsPatients' confidence in Care Provider
249 ratingsLikelihood of recommending this provider
250 ratingsWait time at clinic
241 ratingsComments are collected in our Press Ganey Patient Satisfaction Surveys. Patients are de-identified to protect confidentiality and patient privacy. Learn more about our patient satisfaction survey.
Dr Labriola is an excellent physician and surgeon. She has an excellent rapport with me, and, I'm sure with all her patients. She could, however, speak a little slower!
Conversation about my condition and related treatment was excellent and very thorough.
The doc is very quick ~ talks fast, moves fast, everything fast! And I was indeed happy with the results of her treatment. I can use my hands almost normally again!
Dr. Labriola took a lot of time to talk about my problem, and gave me great suggestions and definitely my favorite doctor with DMG!
Needs to spend more time with patient Excellent Doctor
Love Dr. Labriola. She is very caring and knowledgeable and explains things well.
Been there many times always excellent experience!!
my husband and I both were very impressed with Dr. LaBriola. perfect combination of professionalism and compassion.
The Dr. was very nice and seemed very capable, but I felt very rushed and that the Dr. had very little time for me.
Dr spoke too fast and I did not feel as though I was listened to.
Very happy with Dr. Labriola, but she spoke a little too fast.
Rushed very quickly - would have more detail about surgery & elbow repair.
wish she listened more. seemed in a rush and hurried.
Dc Council Member Charles Allen
Hey guys, first time writing a guide but I'm really enjoying the build I came up with and wanted to show it off. I'll try to make some videos if some people are interested. And yes, it's uber atziri, guardians and Shaper Viable. Poison immunity is a bitch and so those guardians will take some time to kill.. Concept I wanted to explore the full potential of double dipping damage and initially tried to come up with a very optimized crit BF abyssus zerker but eventually discarded the idea. Everything went smooth till 90+ when I started doing guardians. While my dmg was great, the 40% increased phys dmg taken, combined with the 10% from Zerker, made fighting rippy rolled Guardians a nightmare. While I was able to get the kills, I was getting 1shot many times and coming from a hardcore league player who now doesn't have enough time to play leagues and so I mess around in std., I fucking hate dying, so I wanted to refine the build and make it more survivable. So how could I have good survivability as a life-based character while also great dmg to tackle on the hardest content? The answer was abusing double dipping damage. So I dropped abyssus and all crit nodes and went Resolute Techniques, which removed the need for accuracy. I also dropped my main hand dagger and went for The Scourge (more on current gear choices down below) since it provides a great 70% dmg and allows you to use sick jewels. Bandits Normal- Oak Cruel- kraytin Merciless- Oak/Passive, up to you, I personally went for passive point. Ascendancy: I was sick of playing CI builds so wanted to do something life based, and specifically Berserker, so I built around this ascendancy. Aspect of Carnage is a crazy amount of double dipping damage at a very manageable cost (10% increased dmg taken). People often go nuts about the 100% more poison dmg from Assassin but don't realise Berserker's 40% is basically increasing poison for the same amount, while also increasing the initial hit dmg. I cry inside when I see prolific PoE content creators like Liftningnerd making terribly unoptimised Assassin poison builds with literally 0%-50% increased double dipping dmg.. Cloaked in Savagery is the other core ascendancy notable providing immortality (need Vaal Pact) as long as you can hit a target and you have enough life to survive 1shots. Crazy leech that allows you to facetank shaper, guardians and uber trio, vaals and atziri, as long as you dodge the telegraphed one shots. The other nodes you get on the way are pretty useful too, providing great base life and mana leech and some attack speed. Double Dipping As most of you know, 'double-dipping' in PoE refers to % dmg increases that affect Poison or Ignite damage twice. For instance, if you have 10% increased dmg, 100*1.10=110, and then that 10% will also affect the Poison dmg, 0.08*1.10=0.088. In this build I wanted to exploit double-dipping increases and then further amplify them with % more multipliers (berserker 40%, void manip, conc. effect, shock..). You can reach over 800% double dipping damage and 40%, 40%, 60% more multipliers, as well as 50% from shock (vaal lightning trap / vinktars), which take poison dmg to crazy levels where poison is doing more than 3 times the initial hit as damage per second. 0.08*9=0.72*1.4*1.4*1.6= 2.2579=225% damage of the initial hit per second over 2 seconds. With duration nodes, temp chains and Breath of the Council, our poison will last over 5 seconds basically doing over 1000% of the initial hit over 5 seconds. Crazy levels of damage over time, and remember POISON STACKS UP UNLIMITEDLY :D Gem Links Initially I was playing a regular Blade Flurry character but eventually realised Rapid decay doesn't work on the poison created by BF since it lacks the duration tag, and so I was left with 1 free link that I didn't know how to use. Melee Phys gem wasn't all that great since most of my dmg is chaos and fortify isn't very useful either since we can keep it up with whirling blades most of the time. Finally elemental gems such as added cold or lightning were giving me some nice tooltip increases but don't affect poison at all, the core mechanic of the build. So I thought about trying Blade Flurry Cast When Channeling Bladefall, since all my damage increases and more multipliers will affect Blade flurry, Bladefall as well as added chaos dmg from the gem and jewelry. 6-link Blade Flurry - Cast when Channeling - Bladefall - Added Chaos - Void Manipulation - Increased Area of Effect/conc. effect Gear choices Weapons = We wanna dual wield for the increased dmg and attack speed, as well as having the option to use two amazing weapons, The Scourge and the Breath of the Council. BF can't be used with maces so our dmg will be based exclusively on the Scourge, while BotC is simply a stat stick. The Scourge gives us 70% minion damage and makes it so minion dmg also affects us (and it double dips on poison). Breath of the Council gives us up to 80% dmg, 10% aoe and 40% inc. poison duration. Made for this build. Cospri's Will: free poison, effectively making our BF as 7L, as well as free curse and allows us to ignore curse immune maps and mobs. Crazy armour. Jewelry: Ideally you wanna craft coral rings (the build uses many rares so I dont think resistances are a problem) with essences of envy (20-33% chaos damage) and then craft added flat chaos damage mod for 13c. Gloves: rares with life, resistances, attack speed and craft minion damage. Belt: life and resists. Boots: I use Death's Door for the amazing bleed immunity (great for a lot of bosses and general mapping) but if you can't afford them go for life and resists. Helm: I crafted a Bone Helmet 40% minion dmg as its implicit mod, with 50+ int, life and resists. You need 150+ int for enfeeble. Jewels This is probably one of the most important parts of the build. The vast majority of our damage comes from jewels. You wanna go for Minion damage, Chaos dmg and Area dmg jewels, and if you're rich exalt those bastards hoping to get attack speed. You can get 10-12 jewels depending on how comfortable you are with your life pool. Just from jewels you'll get 350-400+% double dipping dmg, pretty crazy, it's like 10 grandspectrums for ignite builds. Passive tree https://www.pathofexile.com/fullscreen-passive-skill-tree/AAAABAECAQDuAecEswW1C2EPqxQgFE0WvxbpGJEaOBqNIZAi4iLqI_YkNySLJpUnLyo4Kk0s6TB8NZI31DrhPAU8LT38PydH4krITZJN41BHUUdRTFW1WGNZbVnzWyZfP1-YX7Bf0GHiYqxmVGhYaPJsCGyMbqpvO3IPcql4DXloe8N82X1bf_uDX4PMhMWGs4nYiq-Mz419jb-QEZBVlG-YV5u1naqezZ_LogCkOaZXpzCpbqxHrKqvbLTFtfK3PryfvwjAGsBmwQTC7MM6xPbGrsbYykrPMteW2L3b5-jW6hDtP-8O73zwH_GK8kX2SPcy-F_8S_4K_o8= Profile = https://www.pathofexile.com/account/view-profile/Blud2481/characters character PuppeyTheSmasher Defenses Dual blasphemy curses: enfeeble + temporal chains. Temp chains also has an offensive purpose since it increases the duration of each of our poison stacks. Arctic Armour Decent life pool. I'm currently sitting at 6.4k at 93 but could grab a lot more life at the expense of some damage. 4 endurance charges. Zerker Vaal Pact= Crazy Leech. 100% leech will make it so you can only die to 1shots if you have something to leech off from. Unwavering Stance, great for Guardians especially Chimera. Flasks Dying Sun highly recommended, it affects both our BFs and the range of our curses. Taste of Hate also great for the build providing some phys and cold mitigation. Basalt of Heat to avoid being frozen and 20% phys mitigation. Bubbling eternal flask of grounding, to remove shock and great healing flask, especially with 70%+ healing flask effectiveness from the tree (herbalism, profane chemistry) Finally I use Atziri's promise for 25% of phys added as chaos as well as good chaos leech. I think this flask is much better than Sin's Rebirth since we can't evade attacks anyway so stibnite is wasted and Unholy might is 30% vs 25% + chaos res + chaos leech. Last edited by Blud2481 on Jan 31, 2017, 6:37:41 PM | Posted by on Jan 21, 2017, 10:34:35 PM |
Interesting build. I'd add a 'current gear' section and show your gear. Also, you forgot to add Bandits. | Posted by on Jan 24, 2017, 9:41:52 PM |
' Yea, I've never written any guides before so I am not sure how to link my gear, I'll look into it. Regarding Bandits, well I normally don't find Bandits to be too important to even talk about them, but I'll add them. | Posted by on Jan 24, 2017, 11:29:50 PM |
Just wondering what's your Bladefall tooltip DPS? I know the overall damage due to poison double dipping will be much higher, but just curious what the Bladefall DPS is, I figure Blade Flurry also gets a bit of DPS too but doesn't contribute quite as much as Bladefall does. Also, have you tried this with poison immune guardians like Hydra and Chimera? Last edited by reciprocate on Jan 28, 2017, 1:22:28 PM | Posted by on Jan 28, 2017, 8:54:42 AM |
Very nice approach use of double-dipping. Just one important thing to point out: The 'Increased Chaos Skill Effect Duration' provided by Breath fo the Council DOES NOT increased the duration of the Poison applied by non-chaos skills, such as Blade Flurry or Blade Fall. Source: https://www.pathofexile.com/forum/view-thread/1676002/page/29#p13383914 Mark replied to TinyCamera's question regarding this item. | Posted by on Jan 28, 2017, 5:36:41 PM |
' Well if one can get a 4 or 5 blue Cospri's, then they can use Blight in place of Blade Flurry to take advantage of BotC's poison duration I guess. | Posted by on Jan 29, 2017, 1:04:06 AM |
' Unfortunately, Blight is a skill that doesn't hit enemies, so it can't proc 'on hit' effects such as Poison. =( | Posted by on Jan 29, 2017, 4:15:00 AM |
' Good point, I guess there's a fair tradeoff, stick with Blade Flurry and at least scale the phys damage before converted to the other mechanics (chaos, poison, area, double dipping). Or use blight at get that chaos skill duration benefit BotC gives. I figure Blade Flurry is the better choice, and it's easier to get a 3B or 4B compared to a 5B Cospri's anyway. Though, what if a Ming's heart was used to convert the phys to chaos damage? Do you think that may work with BotC's chaos skill duration increase? I would like to think it can, but I wouldn't be surprised if it isn't. It may be hardcoded to apply to only actual Chaos damage skills like Blight, Essence Drain, Contagion, etc. Last edited by reciprocate on Jan 29, 2017, 5:43:28 AM | Posted by on Jan 29, 2017, 5:33:28 AM |
' I believe it's around 6k average with inc. aoe and 9-10k average with conc effect (note that this is average hit and not DPS) with a 19/20 gem, since I initially played pure Bladeflurry build and only recently changed to BF. With a 21/20 dmg should be a lot higher. Chimera is super easy for this build but it takes time, compared to Phoenix and Minotaur, but you can't die to him once you learn the fight and the adds are super comfortable. Hydra takes longer than Chimera and it's kind of an annoying fight since you need to dodge all the shit but it's perfectly doable. Poison immunities are a bitch but you can faceroll 2/4 guardians, Uber atziri and Shaper so its fine that 2 of the other guardians are slower. Last edited by Blud2481 on Jan 31, 2017, 6:44:07 AM | Posted by on Jan 31, 2017, 6:29:09 AM |
' I'm pretty sure Mark is wrong. I will do some testing later on, but Mark is claiming that warcry duration DOES NOT affect poison and this has been tested and it DOES. Kripp even built around it. It wouldn't make sense that chaos duration doesn't affect poison when poison has the chaos and duration tags.. | Posted by on Jan 31, 2017, 6:35:41 AM |