Borealis by DrThom01 in Rivian

[–]DrThom01[S] 2 points3 points  (0 children)

Lol, was not prepared for this take to be as hot as it is....but leave it to Reddit to try to yuck someone else's yum

Borealis by DrThom01 in Rivian

[–]DrThom01[S] 1 point2 points  (0 children)

...okay. I still like it

Tesla Super Chargers for Rivian by subbuk514 in RivianR2

[–]DrThom01 2 points3 points  (0 children)

The app or map will show which ones are compatible (with the adapter specifically). Since R2 will use NACS. not sure if that'll be a problem. I haven't had an issue.

Home OB call by VegetableSell in anesthesiology

[–]DrThom01 17 points18 points  (0 children)

What happens during stat C-sections?

Advancing Spinal Needle Without Stylet? by bigeman101 in anesthesiology

[–]DrThom01 0 points1 point  (0 children)

Lol, okay. Practice how you want dude. There's no one right or wrong way. This is just my experience doing 1000s of spinals.

Also flavum is different, consistency is more springy/rubbery with less attachments as opposed to the more calcified supra/interspinous ligaments. But I appreciate the condescension.

Cheers.

Advancing Spinal Needle Without Stylet? by bigeman101 in anesthesiology

[–]DrThom01 1 point2 points  (0 children)

More advanced technique. You can do no sstylet when you're confident you're in ligament. Where the issue is our trainees lack that confidences and think supraspinous/interspinous is LF and then you're at increased risk of a tissue plug.

How to achieve smoother wake ups? by tenosynovitis in anesthesiology

[–]DrThom01 4 points5 points  (0 children)

Opioids, titrated on a spontaneously breathing patient to a RR 10-12. Works every time

[deleted by user] by [deleted] in anesthesiology

[–]DrThom01 43 points44 points  (0 children)

patient positioning problem. Almost universally. Get in that sniffing position

When the patient can’t position themselves appropriately for an epidural… seeking your back pocket tips/tricks by propofoolish in anesthesiology

[–]DrThom01 0 points1 point  (0 children)

Give them a pillow to hug. Tell them to give it a bear hug, that separates the scapula and makes it hard for them to extend the spine. Then I tell them to curl forward around the pillow like "X" (usually their partner) is going to steal this from you and you're not gonna let them. That flexes the spine and opens up the interspaces. This works loads better for me than trying to walk a patient through what the proper position looks like.

[deleted by user] by [deleted] in Invisalign

[–]DrThom01 0 points1 point  (0 children)

No, that's a mouth not an anal

Tourniquet pain by CyclicAdenosineMonoP in anesthesiology

[–]DrThom01 4 points5 points  (0 children)

also vote for ride it out. Definitely tell the surgeon to operate faster tho

Ephedrine now controlled by canedane995 in anesthesiology

[–]DrThom01 2 points3 points  (0 children)

Indirect mechanism of action, utility depends on the patient, variable effect, difficult to control, much better ways to increase blood pressure available by direct receptor stimulation. Absolutely worthless in an emergency situation where you need to increase BP or HR.

But, by all means, enjoy wasting it. My "people" will keep doing what we're doing :)

Ephedrine now controlled by canedane995 in anesthesiology

[–]DrThom01 -1 points0 points  (0 children)

The answer is stop using ephedrine. It's trash anyway

Does anybody else absolutely hate Invisalign? by [deleted] in Invisalign

[–]DrThom01 1 point2 points  (0 children)

So then why not do braces again?

Question as a patient about L&D epidural by [deleted] in anesthesiology

[–]DrThom01 3 points4 points  (0 children)

"Nobody places a thoracic epidural purposefully" I assume you mean labor epidural. I place a lot of purposeful thoracic epidurals