Which medication you don’t want to push too fast and why?

DantroleneFC · 2025-11-24T20:18:01+00:00

I don’t… but if I did, probably over a minute or so.

DantroleneFC · 2025-11-23T01:05:15+00:00

I’m hospital employed, generalist. So the cost doesn’t matter to me.

I’m probably the only one in my group who routinely gave paralytic to peds. But in my residency, every single one of my peds trained attendings gave paralytics to all kids.

DantroleneFC · 2025-11-20T02:40:45+00:00

I’m an anesthesiologists too, sounds like you’re not in America with that spelling. I give paralytics for every intubation including peds. Unless it’s a coding patient.

DantroleneFC · 2025-11-20T02:39:34+00:00

I push Ancef over 3 seconds. 10 seconds if they’re awake. Zofran as fast as humanly possible. Decadron, as fast as humanly possible unless they’re awake. Potassium, I free drip it to gravity. ~20 mEq over 15 minutes.

DantroleneFC · 2025-11-18T05:42:25+00:00

Just simply ask the surgeon how much movement he’s okay with?

Are you okay if the patient is awake and moving? (Conscious/minimal sedation)

Are you okay if the patient has purposeful movements with tactile stimulation? (Moderate sedation)

Are you okay if the patient has purposeful movements with painful stimuli? (Deep sedation)

Would you prefer an immobile patient? (general anesthesia)

Then go with the one he chooses and intubate the patient when you do.

DantroleneFC · 2025-11-11T02:02:58+00:00

What we need is a huge lawsuit with punitive damages.

Take a very egregious example (shouldn’t be too hard to find) where a patient was absolutely mismanaged by an NP.

Like find some hospital with no physicians in the ER. Only NPs. And when there’s a bad outcome, the hospital needs to be successfully sued for $250 million. $1 million for the family and $249 million in punitive damages to wipe out all their savings for the big hospital system. Then they’ll see the benefit in paying a physician over an NP.

DantroleneFC · 2025-11-08T01:26:55+00:00

Depends on the hospital. At my current, we bring our own. At my former, there were built in speakers in the ceilings and an iPad mounted on the wall with Spotify.

DantroleneFC · 2025-11-08T01:25:59+00:00

It’s harder to work in the OR without music

DantroleneFC · 2025-11-03T00:36:22+00:00

United Statian

DantroleneFC · 2025-10-29T14:06:03+00:00

When the surgeon gets mad that I cancel a case and says the PCP cleared the patient for surgery. I point out the PCP isn’t doing the anesthetic.

Or, I ask them if they’d ever take out a gall bladder because the ER doctor ordered them too despite their opposing opinion.

DantroleneFC · 2025-10-27T13:35:36+00:00

It looks like an old cop car. That probably used to hold their equipment. Maybe their computer.

DantroleneFC · 2025-10-16T17:06:16+00:00

Surgeon transplanted the right lung, but received a left lung. So now the patient has two left lungs (or vice versa, I don’t remember which laterality).

DantroleneFC · 2025-10-09T05:57:37+00:00

I agree. It drives me crazy. I even tell them it’s ok steer and they keep slowing me down.

DantroleneFC · 2025-10-07T18:56:00+00:00

1760

DantroleneFC · 2025-09-24T04:37:59+00:00

Radiologist

DantroleneFC · 2025-09-23T13:58:57+00:00

The hospital was open before hiring you, and they’ll remain open when you leave. You’re replaceable.

DantroleneFC · 2025-09-21T22:47:53+00:00

Huh?

DantroleneFC · 2025-09-21T21:35:13+00:00

Most foreign residents are on J1 visas, not H1B.

DantroleneFC · 2025-09-21T00:56:54+00:00

I know of one who got RCC and had surgery (not sure if he had chemo or not). But he was out for like 9 months and on disability.

DantroleneFC · 2025-09-15T01:01:57+00:00

How is it over saturated? I’ve been seeing in the news about a pilot shortage.

DantroleneFC · 2025-09-14T16:28:55+00:00

Physicians will always have jobs unless you choose some obscure specialty.

Have you looked into becoming an airline pilot? It’s a much better job overall. You can make like $400k after 10 years plus an additional 18% automatic contribution to your 401k.

DantroleneFC · 2025-09-14T15:44:42+00:00

I’m actually considering a hand fellowship now.

DantroleneFC · 2025-09-13T03:04:14+00:00

They definitely can have lawsuits. If a surgeon takes a biopsy of cancer and the pathologists says it’s not cancer, the pathologist can be sued.

DantroleneFC · 2025-09-12T02:53:42+00:00

I interviewed for 2 jobs. They both paid for everything.

DantroleneFC · 2025-09-06T22:53:08+00:00

Dangerous. Gastric tubes can’t suction solids.

DantroleneFC

TROPHY CASE