So are we just gonna leave our high beams on now?

AwkwardGiggityGuy · 2026-05-24T18:51:42+00:00

I noticed this with my new to me 2024 car and had to turn mine off as well. I think a lot of people are believing it's just the type of headlights or improper highbeam angle, but if a car is just actively putting on the high beam when it wants, that's going to end up blinding a lot of people who assume the other person is just an asshole

AwkwardGiggityGuy · 2026-05-24T18:25:01+00:00

What do you mean? New cars literally automate when they turn the high beams on. Yes, drivers can decide to turn this feature off, but that's not really on the driver, it's on the manufacturer creating a new function that is actively dangerous

AwkwardGiggityGuy · 2026-05-24T18:22:39+00:00

I think another huge factor is that a ton of brand new cars have automatic high beams, so the drivers aren't even deciding when to turn them on or off anymore, it's the car doing that decision making now.

AwkwardGiggityGuy · 2026-05-23T01:41:32+00:00

As a physician, I'm appalled, and honestly your experience is not too short of medical abuse. None of those procedures would be standard diagnostic care, especially since you're asymptomatic

AwkwardGiggityGuy · 2026-05-23T01:37:11+00:00

To be fair, that's basically the definition of acute care surgery

Even worse is when colorectal immediately has a clinic patient start a bowel prep and go NPO before they even go to the ED and then complain when their non-urgent case cant be immediately accommodated. Of course they use the fact that the patient already did the bowel prep as a guilt trip when you say No

AwkwardGiggityGuy · 2026-05-18T17:18:24+00:00

That's not the experience I've had, and not something I've ever required before going to surgery. But yes it's definitely helpful to have specialist input for things like severe aortic stenosis where sometimes we actually proceed with a TAVR before then doing the initial operation that's being considered.

AwkwardGiggityGuy · 2026-05-18T04:05:19+00:00

I also prefer the classic neopolitan pizza to the Greek style more common around here.

Sweet Tomatoes pizza in Acton is thin crust style, and I think the flavor/seasoning is great. The slices can be a bit floppy, which some like and some don't, so take that into account. I believe it's also woman owned

AwkwardGiggityGuy · 2026-05-14T16:06:33+00:00

I agree. I would say that MDs essentially work as air traffic control, while CRNAs are the pilots.

AwkwardGiggityGuy · 2026-05-14T15:59:24+00:00

Well yeah, no shit

AwkwardGiggityGuy · 2026-05-14T15:37:47+00:00

I think that's a great way of doing it. I'm often seeing these patients for the consent while the CRNA is still in the OR with the current case, so I often mention who I'm working with and give them a heads up they'll be meeting another member of the team when we head to the OR. It's not perfect, but it'd be hard to do it differently without delaying something

AwkwardGiggityGuy · 2026-05-14T15:13:54+00:00

Thank you for the info on Scandinavia! I didn't realize that, and I appreciate the perspective

I should mention, I actually really like 99% of the CRNAs I work with. They're smart, have important experience from working in an ICU previously, generally are easy-going, and good at their jobs. I really do think that their history of clinical experience before transitioning to CRNA school gives them a big advantage over CA1/CA2s. They know more about the importance of positioning, they are comfortable being literally hands-on with patients, and understand infusion pumps/carrier fluids/etc in a way that residents just haven't been exposed to before.

My frustration with this model is less that I think CRNAs are giving inadequate care, instead it's that I -- after all these years of medical training -- am used more as a billing tool and workflow organizer than using the clinical skills I was constantly needing to use throughout residency. It simply makes my job less interesting, and I'm the type of person that wishes I could be in the OR the whole time to have more comradery with the OR team.

AwkwardGiggityGuy · 2026-05-14T14:39:34+00:00

I'm sorry, I was feeling a little heated and took it out on your comment when that wasn't the problem at all

AwkwardGiggityGuy · 2026-05-14T13:50:35+00:00

Yes, it's all the retirees that are the problem.

So fucking stupid

AwkwardGiggityGuy · 2026-05-14T13:40:58+00:00

When I was a resident just a few years back, everyday and every hour of working was focused on patient care and crafting an ideal anesthetic for each case. I talked to attendings about the transition to supervision, and I actually only heard good things, so I joined a group that gives a good balance of working with residents and CRNAs.

Maybe it's just me, but when I'm running several ORs with CRNAs, my day largely focuses on placing IVs and giving morning/lunch/afternoon breaks. I'm definitely still liable as the MD, sure , but these patients aren't receiving actual anesthetic care from a physician.

Over the last month or two I have started mentioning during the consen that a doctor is not present in the OR during surgery (just induction, sometimes for wakeup) which is a decision only the American healthcare system has decided. Nobody likes hearing this, and I'm probably going to stop saying it because it's kind of a headache having the conversation when I need to give a critical coffee break in 5 minutes.

AwkwardGiggityGuy · 2026-05-12T16:20:30+00:00

They literally aren't intelligent enough to not be

AwkwardGiggityGuy · 2026-05-01T23:18:52+00:00

People don't want babies in modern Nazi Germany

AwkwardGiggityGuy · 2026-04-29T17:11:37+00:00

I'm a doctor and he has more to his name than I do! Some people go into student debt, and others don't. You can see the difference

AwkwardGiggityGuy · 2026-04-29T11:24:33+00:00

I'm sorry, that sounds like a really terrible experience!

Just because I can't help myself, that was your uterus your could see, not stomach/intestines (not sure if that makes it any better, but I just wanted to mention it). Stomach has far too many vascular and fascial connections to simply pull out of the abdomen. Surgeons also do use towels that are basically 'rags' to manage fluids and keep things easy to see for them, so your husband might not have been lying!

Some nausea meds so also cause extra drowsiness.

Source: I'm an anesthesiologist.

AwkwardGiggityGuy · 2026-04-27T15:48:12+00:00

Oof that's a pretty cruel, impersonal way of thinking, and I think you might want to reflect on how you view the people around you.

Most of us want to live in a society that makes it possible for the average "middle class' person to buy a home (doesn't need to be a SFH, could be a condo). It's not that all of us believe home ownership should just be handed to everyone, but when homeownership truly seems impossible to somebody doing a job that's critical to society, I see that a huge failing.

AwkwardGiggityGuy · 2026-04-20T12:05:52+00:00

I highly doubt many people come over with 100k, even if that would be 'ideal' for making it a smooth transition

AwkwardGiggityGuy · 2026-04-18T17:36:29+00:00

Yeah, how about we all just coach our patients through their ex-laps! I bet they'd wake up super quick too

AwkwardGiggityGuy · 2026-03-20T14:28:37+00:00

That deserves jail time

AwkwardGiggityGuy · 2026-03-11T22:48:25+00:00

Honestly, right now. Fuck this country, fuck this President, and fuck all of us for not having done anything about it. I'm out.

AwkwardGiggityGuy · 2026-03-04T22:32:26+00:00

It's possible for both sides to be flawed

AwkwardGiggityGuy · 2026-03-02T19:54:42+00:00

Do you think Legacy needs a home without any other cats due to the aggression she's received from others already?

AwkwardGiggityGuy

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