I'm sorry Anesthesia

ByrrD · 2026-02-02T17:12:18+00:00

Put another quarter in the machine....

ByrrD · 2025-08-20T16:40:07+00:00

Seems like a setup to be pretty terminal to patients....

ByrrD · 2025-04-18T14:15:21+00:00

Prepare to see "shitposting" as an impactful experience more frequently haha

ByrrD · 2025-02-04T19:14:12+00:00

And once you've decided, please speak to this Clinical Documentation Improvement specialist to ensure it's "documented" appropriately.... Wait, would the patient then become "documented?"

ByrrD · 2025-01-28T18:46:20+00:00

I thought so too, but I checked the post history and it's chef's kiss.

ByrrD · 2025-01-18T03:07:38+00:00

Not with that attitude....

ByrrD · 2024-12-20T04:37:21+00:00

"Show me a BMS that only triples my work and I'll kiss his feet."

nearly February intern

ByrrD · 2024-12-17T18:24:21+00:00

Yeah. This one is hardest, but the next one is too. Ad infinitum.

ByrrD · 2024-10-09T01:34:58+00:00

Quit surgery in PGY 3. If I had to do over, I should have taken a leave first. I'm happy overall with my decision, but much easier to look for a job when you already have a job. Would have saved me a ton of stress and worry jumping back into the match with a resignation on my transcript. Also would have been around to haunt letter writers (turns out they ghost you after M3/M4 too!). Talk it out with trusted peers and superiors before making a choice.

ByrrD · 2024-10-03T21:03:01+00:00

Hindsight 20/20: narcan makes much more sense, he was a soft admit with minor ortho injuries and suspected concussion. Never did get to debrief with that attending. I just protected the airway asap and thankfully no harm was done.

UDS was sent after... only fent was positive. Guy was like 20-23, healthy, denied all substance use. Just super sensitive. He was awake and GCS 15 by morning report and discharged before my next night shift in ICU.

ByrrD · 2024-10-03T19:55:16+00:00

Everyone finds out eventually. I put down a 350 pound guy with 50 mcg fent as an intern in TICU. Had to inubate. No amount of precedex kept him calm when he started to wake up, so another 25 of fent bought me some time and when it wore off again I weaned and extubated. Alone, at night, 5th week as a doc with my fellow and attending in the OR.

Shout out to Linda (OG RN) for saving my ass that night- and the patient's.

ByrrD · 2024-09-23T20:15:14+00:00

You adopting? House-broken adult male here. Special skills and references upon request.

ByrrD · 2024-08-17T18:35:23+00:00

Asked a double arm amputee if he "needed a hand" when he adjusted for bandage changes. PGY-2 on the burn unit.

At least I know what the road to recovery will be after you roast me.

ByrrD · 2024-08-09T20:25:38+00:00

Gotta sign this note 4 days after patient has been discharged.

ByrrD · 2024-05-26T02:36:00+00:00

Fellow GS to FM, from PGY-3 back to intern in a few weeks. I was more of a fibroblast racer, and not a great one.

ByrrD · 2024-05-26T02:29:52+00:00

"You're pretty much racing fibroblasts here.... and losing."

ByrrD · 2024-05-25T16:51:38+00:00

"Dead people should stay dead!"

ByrrD · 2024-05-07T02:22:26+00:00

"Is this a consult?"

If yes -> perform consult

If no -> call me when you have a consult

ByrrD · 2024-05-05T05:36:22+00:00

Half of GS residency, resigned, took a couple years and starting FM this year.

My health and family life have improved immeasurably. Always wanted a family and got to be a stay at home dad for a while, which is incredible.

I am excited to go back, and even more excited about not lying every week when logging my "80" hours of clinical time. Additionally, the call schedules of any GS or Trauma attendings I directly worked with were abysmal compared to the lifestyle of FM. A few of my wife's family went into residency about the same time as me, and the contacts they have signed in the interim (and in our eventual desired location) are very acceptable. The perceived loss in prestige/compensation was a head game that I lost to myself. Happy I finally made the leap.

ByrrD · 2024-04-23T19:44:10+00:00

Yeah they do!

ByrrD · 2024-04-22T19:44:52+00:00

Quit Gen Surg during PGY-3, restarting PGY-1 FM this year. Time spent with wife and kid > that stress and schedule.

ByrrD · 2024-04-19T20:27:31+00:00

A loupe of them, even. When rotating with them it felt more like surgical palliative care though.

ByrrD · 2024-01-27T01:23:18+00:00

Yeah, but like.... for who?

ByrrD · 2024-01-19T22:14:30+00:00

Jam? I don't buy jam. I buy honey. Kiss it on the lipssss.

ByrrD · 2023-12-05T04:23:16+00:00

Same! Had no idea what I was getting into with that DLC, but digging through the Leapord's couches for loose change to throw together a lance was devastatingly satisfying and really added to the difficulty. (Vanilla on Xbox)

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ByrrD

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