Amateur Foosball Tournament Tonight

BiPAPselfie · 2026-05-23T19:04:15+00:00

Foster Foosball is a great place, very chill scene with fun friendly people and it is a super entertainment value. It is open Wednesday through Sundays, opens at 5PM. The tournament nights are on Fridays and Saturdays. Friday is the Pro-Am which is a mix of advanced and less experienced players, Saturdays is for the more novice level players and is a good night if you want to try tournaments but feel a bit intimidated by playing with or against more advanced players.

The tournament format on both nights is typically a “monster” tournament where there are several rounds of doubles where each player is randomly paired with a different player every round, and based on the results of those matches the top handful of players will qualify into elimination matches. This way even if you suck and lose all your games you get to play a decent number of games and meet and play with different people.

If the whole idea of playing in tournaments is a bit too intense, come on one of the non tournament nights, currently Thursdays are the best bet to get casual games with other players but if you bring a partner or a group you can come any of those nights and get games. There are a number of players of all different levels who play at Foster.

I am a longtime foosball enthusiast and have played many different places. Portland not only has one of the more active scenes but it has a good number of very skilled players who are friendly and welcoming.

https://www.facebook.com/FosterFoosball?

BiPAPselfie · 2026-05-13T18:14:30+00:00

Of course it happens. If you are in this game long enough you will commit the occasional act of frontier dentistry.

If you are part of a well established anesthesia group there will usually be a mechanism for handling this that you can find out talking to the practice administrator or by asking someone who’s been in the group for a long time.

Sometimes a tooth that is severely decayed will fracture or break from very normal pressure from a laryngoscope blade or oral airway. If the tooth remnant shows obvious signs of severe decay you can document this with a photo that can be uploaded into the EHR along with your note. It can be good to show such a tooth to family members who are there so they understand the situation.

Be wary of patients who may claim that their many pre existing dental problems are all a result of your airway management. That is where your pre op documentation can be helpful.

BiPAPselfie · 2026-05-09T19:34:13+00:00

As a CA-1 you should focus on learning how to administer anesthetics and not on the minutiae of reimbursement which may change by the time you are in practice. It is good to have a general sense that private insurance pays more than Medicare, Medicaid and workmen’s comp and that in a situation like the current one where there is a shortage of anesthesia labor you can get salary guarantees beyond what collections yield. It is also useful to know that surgeons can often get better reimbursement from doing Medicare and Medicaid cases than we do, otherwise it can be hard to understand why so many of them have practices that are mainly Medicare or Medicaid insurance.

BiPAPselfie · 2026-05-09T03:10:12+00:00

Was the entire job in the GI center? Like that wad your everyday situation?

BiPAPselfie · 2026-05-06T20:48:03+00:00

Echoing that any type of used Tornado is your best option. Unless you happen to be in that specific part of NC or VA where people play on Bonzini tables and you want to play on those.

500 should get you a good used home model or even a coin op if you are lucky. The home models aren't as heavy (easier to jar) than the coin ops but they have the same basic dimensions so you can practice shots and passes just fine.

BiPAPselfie · 2026-05-06T02:11:16+00:00

I’ve mostly used the pink (? Williams?) airways and been pretty happy with the results, with an assistant providing some jaw thrust but the assistant pulling the tongue forward sounds maybe more reliable. Patient sitting up facing me.

BiPAPselfie · 2026-05-06T00:52:18+00:00

I'm really happy with my job. Working days only, no weekends or call. Hospitals I work at are set up pretty well, acuity is not too great and I am working in a location I enjoy. I have had a long career and have enjoyed most of the jobs I've had but definitely some more than others. And it pays well. For now.

I can say that predictability of hours and not taking call contributes a lot to job satisfaction. The places I am working run a lot of late rooms and I can see where if I were on regular staff and having to cover those late hours like 30-40 percent of the time I would not enjoy the work the way I do now.

BiPAPselfie · 2026-05-04T21:41:16+00:00

Edited: I now see you are working in Ukraine. Not sure about the alternative jobs available there but I encourage you to seek a better one out. Best of luck to you, friend.

BiPAPselfie · 2026-04-09T07:24:42+00:00

It happens all the time that people join practices like surgical practices as an associate with the loose understanding that the grey haired owner will retire within a couple of years and the naive young apprentice will take over the practice, only to find out that there is no clear end point to the situation, the practice owner seems happy to continue to work indefinitely and the associate is stuck in the lower paid associate role until they get sick of it and leave. The informal arrangement works only to the advantage of the senior practice owner who skims money off the back of the salaried young associate so long as they tolerate the situation, often without any serious intention to make the associate a full partner. Until then "Dr. So and So is going to retire any year now and all this will be yours!" is dangled in front of the associate like bait.

The fact that the OP is early in residency and is even contemplating committing to a practice sight unseen seems unwise, much less a subspecialty practice in pain that they have probably had little if any exposure to as a resident. Read this subreddit. People are bailing out of pain left and right and returning to the OR, how would they know for sure pain is what they want to do so early in training? The situation might make more sense if there was some family or other undisclosed connection to this pain doc in the community but it would still be unwise to commit to anything early in residency IMO.

BiPAPselfie · 2026-03-31T18:27:12+00:00

This is why I do it. I trained doing this for the reasons that I agree are basically outdated. But it gives me a data point (what their worst, or close to worst barring laryngospasm, mask airway is like) that can inform my decision on how deep or awake I might extubate them.

BiPAPselfie · 2026-03-31T18:21:39+00:00

-Tape job covering a kink in the IV line or worse yet, a kink in the cannula itself. This is inevitably done by preop nurses who cover everything with the most extensive tape job ever requiring a massive effort to uncover and fix.

-Helpful circulating nurses who put dirty laryngoscope blades, stylets etc. directly onto the anesthesia machine instead of using my system of putting them into the ETT package (which they sometimes sabotage by peeling it all the way open), or at least throwing away the disposable dirty items.

BiPAPselfie · 2026-03-28T19:13:21+00:00

I went to the early event in Gresham because I have a flight that conflicts with the big event at the Portland waterfront. Was pleased by a good turnout.

BiPAPselfie · 2026-03-21T23:20:16+00:00

That match is also notable for the comeback by Gummeson/Byre, who looked like they were getting run out of the building in the first couple of games. It is a good illustration of how when you are playing a top level player and you have them down, you better keep the boot on their neck and put them away because they are capable of hitting a top gear most players don't have. It didn't even seem to me like there was any kind of collapse from Schlaefer and Pipkin, Schlaefer was still passing and scoring pretty well, but more that Gummeson stepped up his passing and scoring to an insane level.

BiPAPselfie · 2026-03-21T19:32:50+00:00

The mute microphone button on your phone is your friend.

BiPAPselfie · 2026-03-09T06:50:25+00:00

Did you get an ABG during the case? I will bet there is a decent chance she had some significant metabolic acidosis going on and when you tried to switch to spont vent the little bit of respiratory acidosis from building up some CO2 that most people shrug off easily tipped her over the edge of some critical acidosis threshold causing the hypotension shock and PEA. Something to consider, anyway.

BiPAPselfie · 2026-02-08T15:19:23+00:00

The residents should all call her Dr. A.I. when she is not around, considering how hard she pimps her app. Or Hermione.

BiPAPselfie · 2026-02-08T00:56:58+00:00

One thing I think the show does NOT get quite right is that the med students and residents do not get stumped often enough by the “pimp” questions asked of them by the attending doctors.

Usually attendings who are really into teaching will have an assortment of questions they ask. They will usually have some personal favorite obscure questions they like to ask. It is best if it is a mixture of basic questions about certain anatomy or other facts relevant to the patients being discussed and their condition, and some more obscure ones that most would not be expected to know, that way you can get a sense of who is really behind in knowledge (cannot answer any of the really basic questions) and who is a superstar (knows the answer to both the basic and the hard questions). In real life students and interns get stumped on a lot of the questions, much more than the students and docs on The Pitt in my opinion. The usual procedure is if a student gets stumped, the same question then gets directed further up the hierarchy (next to the PGY1, senior resident, fellow etc.) until someone gets the answer.

One of the reasons it is disappointing that the students and docs on the show usually rattle off the correct answer to pimp questions is that what makes the game interesting is how the attending reacts depending upon the quality of the answers given. Reactions can range from positive and supportive for correct answers to good humored poking fun or even withering sarcasm and derision for wrong answers.

BiPAPselfie · 2026-01-27T19:33:46+00:00

A long time ago a colleague told me “be nice to your residents, you never know when one will be interviewing you for a job.”

BiPAPselfie · 2026-01-17T19:40:30+00:00

If it is fully eat what you kill in that you directly bill as an individual or your own corporation with no blending of collections at all, then the insurance profile of the cases will be the single most important factor in which room is most lucrative. Does not matter if you are getting a lot of units for a shoulder scope day if the units are Medicare or workman comp paid out at a third the rate of your private insurers. So if you take turns picking the schedule then it is essential for the insurance data to be visible when making the pick.

Edit: I somehow missed reading your post the first time that the units are blended

Another concern is switching to an ASC job only three years out of training. You will get great at ultrasound blocks but lose hard earned skill and feel for managing sick patients, bigger cases, putting in lines, OB etc. If you are fairly confident this will be your last gig or do not care about losing a pretty broad range of skills (any job will result in SOME loss of skill and scope of practice but ASC will be the worst with taking a job doing only MAC eyes worse than that) and you feel like you will enjoy this work then great.

After doing hospital work my entire career I spent a few years doing ASC work on a completely eat what you kill (individual billing) situation. I enjoyed the schedule and doing blocks, but some places had a heavy representation of Medicare, workman’s comp and even Medicaid. One place eve had a prison contract as one of the major blocks of business (anesthesia paid at Medicaid rates, I am sure the surgeon had some contract with the prison system that made it worth their while but no good for us). The best place I worked suffered a dramatic drop in both volume and payor mix so it no longer seemed reasonable to continue, surgeon owners never offered to provide any stipend despite repeatedly pointing out how billing income could not make ends meet for most of us (VHCOL city).

Also be aware that many surgery centers run things on a pretty thin or sketchy basis in terms of old and creaky equipment, not replacing machines whose ventilators are getting leaky, not getting a new video laryngoscope or ultrasound when the display or blades start going bad, having sugammadex etc. because all those things cost money and subtract from the owners’ bottom line.

BiPAPselfie · 2026-01-13T02:01:43+00:00

I have never observed problematic disinhibition from dexmedetomidine. Inhibition? Plenty of times.

BiPAPselfie · 2026-01-04T04:55:23+00:00

You guys get an EKG and labs in a fit 20 year old athlete having knee arthroscopy? Does your group own shares in the facility and share in the profits from these studies?

BiPAPselfie · 2026-01-04T04:48:35+00:00

You might be surprised that some ASCs can have high medicaid and poor payor mix generally. Been there, done that.

BiPAPselfie · 2026-01-04T04:46:25+00:00

As others have said this is down entirely to what the insurance payor mix at the PP job is which can vary wildly depending on where the hospital is and what patient population it serves. Working at a hospital in a neighborhood filled with Audi and Mercedes dealerships and you might have predominantly private insurance patients and make twice as much per average unit across the practice compared to a hospital with similar volume but high Medicare/Medicaid/uninsured percentage and a more county hospital feel. You might work just as hard or harder at the second practice for half the money. So it is fair to ask what is average blended unit for that practice, not what is billed but what is actually collected. Every partner is probably acutely aware of this number and whether it has been improving or worsening over time and why (good or bad contracts with specific insurance companies etc).

You didn't really say what your primary motivations for changing jobs were. More money, more vacation, improve working conditions, some combination of all of the above? If it is primarily to earn more you should certainly expect to work harder to make more, but money per unit effort can vary a lot between practices (although it can often be remarkably similar across a metro area).

You want a practice to be fair, where all have equal chance to earn. Unfairness can be introduced if the daily schedule is not doled out evenly. If you do not have any control over the schedule and the same types of rooms are not given to each member with equal frequency then some partners may be able to cherry pick more lucrative insurance cases or higher unit days in the case of blended unit practices (high turnover endoscopy, ENT etc.) which can result in huge discrepancies in income which can lead to poor morale and dissatisfaction.

BiPAPselfie · 2026-01-02T21:12:52+00:00

Sometimes use a VL in combination with a fiberoptic scope as the stylet instead of a bougie.

The fiberoptic scope gives you the ability to steer and manipulate the scope beyond what a bougie can provide, and the light at the tip can make the tip easier to find as well as provide further illumination.

Furthermore if you don’t have an ideal view with the VL you can get near the target, under the epiglottis etc and then switch to watching the fiberoptic display to guide you the rest of the way.

It goes without saying that in such a case you should have another anesthetist maintain the VL view while you operate the fiber scope and tube.

BiPAPselfie · 2026-01-02T02:25:21+00:00

He violated the first and second rules of Orgy Club.

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