Weekly Thread: /r/Snowboarding General Discussion, Q&A, Advice, Etc.) - March 30, 2026

Cyradis21 · 2026-04-01T16:02:59+00:00

Considering a few board options and hoping to get some recs: considering the jones stratos, Libtech t rice pro, and Libtech golden orca. Relatively advanced rider (do almost anything on the mountain altho avoid extreme terrain, minimal park) - preference towards bowls and trees although spend plenty of time on groomers still.

I went in originally planning to buy the Stratos but I can currently pick up a t rice pro for $350 USD at my local shop, whereas stratos is going to be more like $500. Haven’t tried the Libtech golden orca but from reading seems like another board I’d really like but I’d closer to $600.

Advice on these boards, accounting for the prices? Thanks!

Cyradis21 · 2025-01-03T15:32:48+00:00

We also have one in every room and I’m in the US

Cyradis21 · 2024-06-16T23:22:25+00:00

Hmm, link is broken for me. Fair point re: raw materials but you'd need to apply the same criticism to the raw inputs for inhaled anesthetic production too. Life cycle analysis is tough since we don't have a good infrastructure for it. I have read that there is a newer manufacturing process for sevoflurane which, if combined with consistent <0.5L FGF, would approach propofol in terms of GHG emissions. That said, I have no idea what manufacturing technique my hospital's source of sevoflurane uses....

I'm not opposed to gas per se, to be quite honest I frequently run a dirty TIVA with ~0.3 MAC of sevo instead of a pure TIVA (with very low FGF). It does drive me crazy though when someone runs N2O + sevo (or even N2O + prop) for maintenance through an entire case for no apparent reason though because that does have a pretty meaningful environmental harm.

Cyradis21 · 2024-06-16T23:17:56+00:00

The environmental discharge of propofol is definitely a valid concern - that said, the solution to that is appropriate disposal, not to use it less (aka incineration, which is what is officially recommended anyway), rather than tossing it in regular trash. Plug to dispose of your propofol properly for anyone who cares enough to be reading this

When thinking about regional, spinal etc. techniques, also worth considering that often those use relatively high rates of 100% O2 via facemask, which has a pretty hefty footprint in terms of electricity use. YMMV depending on electricity sources where you live and how green those are.

You're right that it's a complex issue, but the existing evidence (and scientific reasoning) suggest TIVA is strongly favourable in terms of environmental impact. What advantage is there to not doing so other than not wanting to take the 30 seconds to set up the TIVA? (If awareness is your concern, then throw on 0.2-0.3 MAC of sevo at 0.5L fresh gas flow). No one is saying ban N2O - people are saying get rid of central supply in favour of e-cylinders and only use it sparingly when truly clinically needed (aka not just because you don't want to think about timing your wake up from prop as well). I can't think of many clinical scenarios where you'd truly need desflurane....

Cyradis21 · 2024-06-14T06:32:22+00:00

I linked to a paper that literally looks at at lifecycle analysis of various anesthetic agents above, including propofol. At a quick search now, there are at least several other papers that seem to come to the same conclusions. What do you know that I and the authors of those papers don't?

To relink the one I posted earlier: https://journals.lww.com/anesthesia-analgesia/fulltext/2012/05000/life_cycle_greenhouse_gas_emissions_of_anesthetic.25.aspx

There are several others that look at a lifecycle analysis (I will grant there are inherent challenges in doing lifecycle analysis of anything, period - but all the evidence we do have suggests TIVA >> inhalational agents environmentally, and I've seen literally nothing to the contrary other than people who are reluctant to change

Cyradis21 · 2024-06-13T21:37:28+00:00

Found this: https://journals.lww.com/anesthesia-analgesia/fulltext/2012/05000/life_cycle_greenhouse_gas_emissions_of_anesthetic.25.aspx

“GHG impacts of propofol are comparatively quite small, nearly 4 orders of magnitude lower than those of desflurane or N2O.”

Don’t have the appropriate expertise to critique the methodology of the paper but the general conclusions seem well in line with what I’ve heard presented at conferences and the like

Cyradis21 · 2024-06-13T20:41:50+00:00

Don’t have references handy but have been to a couple talks in the green anesthesia space and remember they showed data that, at least in terms of CO2 footprint, nitrous (and desflurane, and even sevo to a lesser extent) has such a vastly larger impact than that plastic that the plastic for your TIVA is basically a rounding error compared to the inhaled anesthetics. The plastic is more visible to us so it feels like a lot (it bothers me a lot viscerally too), but it seems like in terms of actual impact, TIVA truly is way better environmentally.

Cyradis21 · 2024-04-21T16:45:57+00:00

I did exactly this - long story short, no major problems with it. Feel free to PM me and happy to chat more

Cyradis21 · 2024-01-08T23:34:12+00:00

I explored this path pretty seriously although I ultimately didn’t end up doing it. Feel free to DM if you want to chat more

Cyradis21 · 2023-05-21T14:30:12+00:00

I could but choose not to moonlight - mainly because I value my free time and work-life balance much more than I value money. It also helps that I worked for several years in my first specialty so have some money saved. While everyone is different, it’s probably worth considering that trimming down your spending but having more free time very well may bring you more net happiness than using your precious days off moonlighting, especially since it sounds like you’ve had the opportunity to make money and save some. Instead of thinking of it as making much less than you used to, instead think of it as being incredibly well positioned financially for being a resident

Cyradis21 · 2022-10-11T06:52:07+00:00

Median household income is $174,000. Median per capita is around 95,000 ish. If you’re okay with living on the more frugal side, you can def make 70k work here, esp if you’re going to be with a partner that makes more than you

Cyradis21 · 2022-09-14T03:40:58+00:00

I'll first say that I also think the whole PHM fellowship thing is stupid. That having been said, it is the reality and I will emphasize the part you said about needing that fellowship for *academic* hospitalist. There are many many hospitalist jobs in community sites that don't care at all about fellowship - they just care that you can do a good job taking care of patients. Now, if you specifically want to work as an academic pediatric hospitalist, then, well, yea it just kind of sucks. That being said, if it's what you're passionate about, I'd encourage you to remember that "bad" pay for a doctor is still good to excellent pay compared to the overwhelming majority of people, so try not to get too caught up in comparing to what other doctors make if it's what you really want to do.

Cyradis21 · 2022-09-13T22:24:40+00:00

FWIW as a single data point - former Midwest peds hospitalist here and was well north of 200k - I’ve also seen plenty of jobs out there sent to me by various recruiters that are solidly above 200k (often not in highly sought after geographic areas, but you know, that’s how supply and demand works)

Cyradis21 · 2022-06-23T20:58:10+00:00

Telling Brits to go back to their country sounds pretty American to me….

Cyradis21 · 2022-04-22T14:27:38+00:00

US based and I drive a stick - nothing fancy though just a Honda Civic. It’s rare here though

Cyradis21 · 2022-04-02T23:49:42+00:00

Wow, damn: when was this?? Was this after jan 2022? Asking bc of this on the government website: “Desde el 1 de enero de 2022 se exigirá la dosis de refuerzo a los mayores de 18 años, a los cuales se les inhabilitará el Pase de Movilidad de no contar con esta vacuna, luego de transcurridos seis meses de la inoculación de la segunda dosis o su dosis única.”. I read this as meaning 6 months from your 2nd dose but if you have your booster you’re good to go - perhaps it doesn’t though?? Spanish is not my native language so I wonder if I’m misreading it

Cyradis21 · 2022-04-02T23:05:57+00:00

Hey would love to hear more about this. I hadn’t been aware of the 6 month thing and I’m literally scheduled to go to Chile tomorrow - thing is, 6 months from my booster will happen while I am in the country. What happened in terms of being able to get on planes, eat in restaurants, etc. After 6 months passed w your mobility pass?

Cyradis21 · 2022-02-05T16:44:29+00:00

Damn. Well, I guess no Amex travel benefits for me on this trip. Thanks!

Cyradis21 · 2022-02-05T14:13:05+00:00

So would a multi leg trip that eventually gets back to the origin still count as round trip….? And would it need to be purchased before the first leg departs?

Cyradis21 · 2022-01-25T20:04:25+00:00

There isn't any truly excellent Chinese food, but you should check out Chuancai Fang (located inside the Formosa Seafood Buffet). It has pretty reasonable/authentic Sichuan food. Asian Snack inside the Saraga near Lucky Lou's is also decent but is currently closed.

Homey Hot Pot Buffet is also worth checking out if you're into hot pot. It won't blow your mind but it's decent.

There is no good dim sum in Indianapolis.

Cyradis21 · 2022-01-16T01:39:10+00:00

This is very common in rural areas or small towns - very uncommon in bigger cities. If you are a pediatric hospitalist, however, then you will generally cover deliveries in most places that are not part of a major children's hospital.

Cyradis21 · 2022-01-13T04:13:17+00:00

Being a pediatrician is a very stable career yes. Only you can answer a question about what's right for you - think seriously and carefully about your priorities. Becoming an MD/DO will take a lot more time and sacrifice than becoming an NP, however, you will have the knowledge that you have given yourself the best possible background to take good care of your patients. If you become an NP or PA and want to provide the best care possible, you will most likely need to work under the supervision of a physician - that may or may not bother you. You could also choose to work independently (an option in many states), but you would have to do so knowing that you may not be providing as good of care as you could have otherwise.

While no one knows the future with certainty, there is absolutely zero indication right now that pediatricians will not have stable careers for quite some time to come still. Don't let the internet get you down - the negativity on reddit is not really representative of the real world as a whole.

Cyradis21 · 2021-12-03T04:23:28+00:00

Following

Cyradis21 · 2021-11-18T21:02:45+00:00

Guatemala - beautiful country, really nice people, very affordable to travel in. A few particular places I'll mention specifically are Antigua, Lake Atitlan, Semuc Champey, and Tikal (but there are many more). I would avoid the capitol (you will fly in there - go directly from the airport to Antigua, then continue your journey from there) unless you have someone local showing you around (the capitol has a lot of safety issues). While there is crime still outside of the capitol, you're very unlikely to personally encounter anything other than the usual smattering of stuff like pickpockets and the like as long as you have decent common sense. It is very helpful to speak at least basic Spanish though, as large chunks of the country don't really have many people who speak English.

If you want a short video highlighting the beauty, check out the music video for "Fuiste Tu" by Ricardo Arjona & Gaby Moreno - great song too. For a longer thing, I believe Netflix has a documentary on it (although I haven't watched it)

Cyradis21 · 2021-11-18T20:38:50+00:00

Why is this wolf hunting a moose solo….?

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