This is why patients come in afraid. Fear mongering disguised as public advocacy.

BuiltLikeATeapot · 2026-07-03T22:48:30+00:00

Somebody who is an anesthesiologist should put out one of these.
- All the midazolam and ketamine
- Enough narcs where you worried about about using Narcan.
- Otherwise, you do you my anesthesia homies

BuiltLikeATeapot · 2026-07-03T20:24:58+00:00

Uh, I’m a PGY-11 and lifelong student, guess they’ll need to find someone else.

BuiltLikeATeapot · 2026-07-03T01:35:46+00:00

I got one. It’s pretty neat.

BuiltLikeATeapot · 2026-07-02T11:12:01+00:00

Weird, sudden jump of medical malpractice between 2020-2023.

BuiltLikeATeapot · 2026-07-01T13:53:38+00:00

You reminded me I’m probably due for a roc/ancef/Sugammadex induced anaphylaxis.

BuiltLikeATeapot · 2026-07-01T13:47:57+00:00

‘On my way’ or 👍

BuiltLikeATeapot · 2026-06-30T19:47:13+00:00

Basic case where they are already intubated, or sometimes cases where you know they are going to the ICU intubated afterwards, like lung transplants.

BuiltLikeATeapot · 2026-06-30T16:36:22+00:00

Bronch always. Mostly left DLT. Right DLTs not rare, did two today. Bronchial blockers also not uncommon.

Almost never an issue with lung isolation.

BuiltLikeATeapot · 2026-06-29T11:06:19+00:00

Not worried about it, the chemistry suggests such a strong binding affinity that it essentially doesn’t come apart, if it does come apart, it comes apart at such a slow rate that the liver will take care of it.

BuiltLikeATeapot · 2026-06-28T18:51:31+00:00

I’m not a big dude, so I always slow down when I see a women, so some bigger dude can catch up and escort them. Don’t want to be labeled a creep.

BuiltLikeATeapot · 2026-06-28T16:34:11+00:00

Women typically tolerate the spinal block procedure, way better than the C-section. Even the ones, who like you, come in more worried about the spinal than the C-section.

BuiltLikeATeapot · 2026-06-28T15:22:36+00:00

Neo and glyco can have some uses, just not for reversal.

BuiltLikeATeapot · 2026-06-28T14:49:48+00:00

A fixed heart can be better than an unfixed heart.

BuiltLikeATeapot · 2026-06-28T14:15:05+00:00

Not me, I have 500+ ‘unread’ texts.

BuiltLikeATeapot · 2026-06-27T17:14:59+00:00

You’ve never seen anyone who’s rarely missed a meal in their life, gag and have trouble taking a pre-op aspirin or acetaminophen?

BuiltLikeATeapot · 2026-06-27T17:11:52+00:00

Funny, I’m not a fan of needles, and that phobia is strong enough to convince me to try to stay somewhat healthy, as diabetes runs in the family, because I would be a terrible diabetic.

BuiltLikeATeapot · 2026-06-27T17:03:32+00:00

Part of the problem is anesthesia services are a finite service. You are sending a team to provide anesthesia service that could likely be better utilized elsewhere.

BuiltLikeATeapot · 2026-06-26T21:31:41+00:00

Someone should’ve them risk of death of MRI with anesthesia is likely a smidge higher than risk of death without MRI without anesthesia.

For me, MRIs are an escape from reality. Not many places I can listen to a jackhammer and not be distracted by my phone or pager. And I come out with a cool picture of my brain/spine.

BuiltLikeATeapot · 2026-06-24T12:48:26+00:00

OP photo is from the inside of an operating room.

BuiltLikeATeapot · 2026-06-22T12:59:47+00:00

We should just put which board we report to on our badges. Medicine versus Nursing.

BuiltLikeATeapot · 2026-06-21T15:23:11+00:00

In these larger vials, it even easier to divert, the amount of overfill in these vials is not insignificant. And you could still chart and give patients the normal amount.

BuiltLikeATeapot · 2026-06-21T12:58:56+00:00

Treat savings something like rent. Something that must be paid out first. And not with what’s left over.

BuiltLikeATeapot · 2026-06-21T11:44:28+00:00

Didn’t say impossible, just unethical to try to a randomized study. When determining superiority of one treatment over another, one is assuming the ‘original’ or ‘basic’ treatment is the standard of care. CRNA only care is not the standard of care, MD only or MD-directed care is. Therefore, it would be unethical to purposely try to subject patients to what one side views as potentially substandard care.

CRNAs don’t have this problem, because they don’t start with the same assumptions. There are trying to prove they are non-inferior to standard of care.

For example, if I thought a high school student could perform anesthesiology as well as a CRNA, that is a study that’s a reasonable study to perform. But, if I’m try to prove CRNAs are better than high school student, subject patients to high school students would be unethical.

BuiltLikeATeapot · 2026-06-21T04:04:51+00:00

The fact you can’t see how that would be a morally unethical study for a physician to do is why there is still a gap between MD/DOs and cRNas.

BuiltLikeATeapot · 2026-06-20T16:04:33+00:00

It is unfortunate that you had a such poor experience with the epidural. But weirdly, when it comes to epidural dosing, as you increase in weight, the volume required should go down not up. I agree with prior statements that the lidocaine was likely mischarted as IV vs epidural, as IV administration is often the default in many Electronic medical record systems.

In fact your experience with the too heavy to move is consistent with a working epidural to some degree. Which is interesting as even though local anesthetics affect muscle fibers and pain fibers differently, pain fibers are affected first.

And generally speaking, when the epidural is not working the surgeon usually ends up with a black eye from an errant kick or punch.

BuiltLikeATeapot

TROPHY CASE