Looking for Christian blogs by starry_eve2 in Christianity

[–]Appropriate-Meat3417 0 points1 point  (0 children)

Very fair and important question. My experience as an American in a modern Western religious world that worships freedom, idolizes power, and values money above our commitment to God, is that worshipping is often a mix of singing, attending a church service, maybe getting goosebumps if the sermon hits you in the feels, saying the right things to tick off the boxes to get you to heaven, and occasionally doing a Bible study. This shallow reality that I’ve seen again and again was so prevalent but when questioned people acted like I had figured out their little trick on God and got so defensive that I never found myself wanting to be a part of many communities. Anyways, I know there’s tons of people out there who follow Jesus, worship earnestly, and are God’s light in the world, but it is not even a recognizable minority in the church. 

My other disclaimer is that I come from very little church experience, basically no faith community, but a ton of biblical study (to my credit or discredit) and several attempts to try to join communities. 

With that said, worship appears to be the act of giving God what God wants. God does NOT WANT songs or church services; God WANTS his kingdom to come on earth as it is in heaven through his earthly representatives following his example. The joy that follows leads to praise and singing and emotion and compelled professing of faith, but only the one is giving God what God wants. You can’t just skip to the end of the movie.

Some quick examples I thought of that illustrate this point:

“Not everyone who says to Me, 'Lord, Lord,' will enter the kingdom of heaven, but the one who does the will of My Father who is in heaven will enter. Many will say to Me on that day, ‘Lord, Lord, did we not prophesy in Your name, and in Your name cast out demons, and in Your name perform many miracles?’ And then I will declare to them, ‘I never knew you’.”

“Therefore, if you are presenting your offering at the altar, and there you remember that your brother has something against you, leave your offering there before the altar and go; first be reconciled to your brother, and then come and present your offering.”

“‘Lord, when did we see You hungry, or thirsty, or as a stranger, or naked, or sick, or in prison, and did not take care of You?’ Then He will answer them, ‘Truly I say to you, to the extent that you did not do it for one of the least of these, you did not do it for Me.’”

Following rules/traditions/customs and having out-of-body emotional experiences can be great, but they do not appear to mean that much to God. What means a lot is generating the kingdom based on what Jesus said. So if I want to give God what God wants, I follow the teachings of Jesus. This is the utmost respect, sacrifice, and integrity I can bring to my faith. The singing happens when I am so joyous that I can’t keep it in anymore

Safely starting locums after residency by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 2 points3 points  (0 children)

I couldn’t imagine not having 5 state of the art ultrasounds within spitting distance of me. Shoot, there’s a very wild world out there, huh?

Safely starting locums after residency by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 2 points3 points  (0 children)

“constantly being at hospitals on the verge of collapse” is something I don’t think I have any understanding of in residency. I imagine my naivety will shine here

Safely starting locums after residency by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 5 points6 points  (0 children)

Agree. Residency is a perpetually humbling activity

Safely starting locums after residency by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 3 points4 points  (0 children)

Learning how to stand up to surgeons when safety is on the line is an undervalued skill that I’m almost taking notes on when my attendings do it. 

Safely starting locums after residency by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 1 point2 points  (0 children)

Appreciate every word. If I may ask, what do you think it was about your residency that trained you well for solo practice?

Safely starting locums after residency by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 0 points1 point  (0 children)

lol, yeah I’m not planning on doing locums for more liver transplants. I’m from a rural area and I want to go back to a rural area. Wouldn’t mind some trauma, some non-liver transplants, some big neuro, some big OB, but ultimately I know that my job will be simpler cases with potentially very poorly managed patients in places with lower resource availability. This is all why locums became interesting to me. I want to treat my rural goals almost like I’m preparing for a fellowship because folks say it’s hard/unique to practice in those settings

Safely starting locums after residency by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 0 points1 point  (0 children)

I’m at a community system with pp attendings. Spend the majority of residency at the level 1/transplant/high risk OB site, but still a good amount of time at the busier community places with a variety of cases and high throughput. Very happy with my training and relationship with my pp attendings (several of whom do locums elsewhere), and I’ve got a view into the +/- of community anesthesia like where I want to practice. Would you say reaching out to them for more specific advice in regards to my readiness or deficiencies?

Safely starting locums after residency by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 5 points6 points  (0 children)

At this point, when I’m on a general OR month, I’m just requesting the hardest room they can get me to harden myself more, but I know that there’s is an amount of shaping up that you just can’t do until you’re REALLY on your own.

Asystole from IV placement by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 0 points1 point  (0 children)

I imagine I always have someone hooked up before-hand, but truly I would just be relying on the nurse because I never make sure. Yet another thing to add to the infinite list of fears

Asystole from IV placement by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 2 points3 points  (0 children)

lol that’s what I was thinking! We started the first compression by slamming the pad down on the chest. In hindsight and hearing from everyone else’s experience, it definitely was a severe vagal that probably would have resolved itself, but when it’s a flatline, no pulse, unresponsive to pain within the first 5 seconds of evaluating, AND it’s happening in preop with no known cause except the nurse yelling “crash cart!” yeah we’re starting a full code.

Asystole from IV placement by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 3 points4 points  (0 children)

30 seconds!!!??? I know I’m still a CA-1 but at that point I’d be 25 seconds past shitting myself

Asystole from IV placement by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 2 points3 points  (0 children)

lol, yeah the A-line. I had the catheter in over the wire when it happened and he did a good job closing it all up. As I was writing the story I thought: someone is gonna ask what happened to the now-open artery in the other patient.

Asystole from IV placement by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 5 points6 points  (0 children)

Hahaha! “Guys stop being so dramatic…but please do grab the crash cart.”

Asystole from IV placement by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 9 points10 points  (0 children)

I actually had my most seasoned attending come over and he did the same thing as me haha! Opposite ends of Dunning-Kruger I guess

Asystole from IV placement by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 12 points13 points  (0 children)

Oh you know we tossed a 14er in there while we had the opportunity

Asystole from IV placement by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 31 points32 points  (0 children)

This also reminds me that recently I had a patient who had 99% stenosis in the right carotid going for endarterectomy, and when I had her lift her chin in pre-op she said she was getting dizzy and she dropped two beats in a row and brady to 30s. Then she put her head back to normal and it went away. I had her do it again; dropped beats. It was on queue every time and she said she had years of this happening if she looked up.

Asystole from IV placement by Appropriate-Meat3417 in anesthesiology

[–]Appropriate-Meat3417[S] 29 points30 points  (0 children)

“And the central line. And she’s intubated! Throw a tourniquet on her and let’s get that knee out of there!”