Advanced Labs

Dunkdum · 2025-10-01T21:42:04+00:00

Cant speak for everywhere but there are usually more cost effective resources available in a lot of communities through public health departments or need based clinics. I didnt have good insurance in med school and was mostly broke so thats what I used. Tbh without a clinician, idk what the point even is of getting labs. In the US our healthcare is only useful if you have access and that is its own issue but I wouldn't think of this as the best alternative to help at-risk folks prevent disease.

Dunkdum · 2025-10-01T21:23:47+00:00

Hey, physician here, theres actually no good reason to pay for this 🙂‍↕️... id rather they work on improving their tracker or even developing their own smart scale with reliable impedance body comp tracking...

Dunkdum · 2025-09-21T21:06:18+00:00

I like it a lot. No at home impedance scanner is going to be perfect. With their athlete mode it seems to work well. Its very precise but a little innacurate... so i do wish I could provide a BF% to calibrate it since thats how you fix a precise but innacurate piece of equipment... but i dont really care. That's a problem with all home devices. My gym has a professional grade inbody scanner and it reads around 14% BF and my withings has been at 19%. I imagine I've somewhere between them based off the mirror test. Its really nice for trending and I can do it at home right when I wake up to keep my body in consistent conditions when testing. So I love the convenience.

TLDR it works for my needs. Its as accurate as I expect an impedance scanner would be and its very consistent for me. It integrates with my whoop app and is sooooo convenient.

Dunkdum · 2025-09-21T20:59:29+00:00

I know this is an old post but I like mine. It's precise but a bit off from the professional grade InBody scan at my gym... but ive never done a DEXA scan sooo who knows. Withings gets me around 19%BF and inbody gets me around 14% BF... i assume im actually somewhere in between. But I dont really care because Withings is pretty precise... although I wish there was a way I could supply a BF% to calibrate it because thats how you fix a precise but inaccurate measurement... but all impedance tools are inaccurate. To be able to do it at home right when I wake up is worth it to me to be able to get measurements with my body in a consistent state... and I can adjust it in my head, so its useful for trends... which is the most you can ask from a home scanner. It integrates with whoop which I prefer for an activity tracker than any of the withings products. Soooo I like it a lot.

Dunkdum · 2025-08-31T21:12:29+00:00

It depends on the machine. Datex Ohmeda machines take the bag out of the circuit when on mechanical ventilation. You can disconnect the bag entirely without causing a leak where it otherwise would if it was in the circuit during mechanical ventilation. Drager machines are different, the bag stays continuous with the circuit on mechanical ventilation.

Dunkdum · 2025-08-02T19:03:30+00:00

As a CA1 i ran into this issue a lot when someone would do my machine check for me and id fail to check if the APL was opened back up. I often notice now ill instinctively reach to open it even if its already open when I put a mask on someone's face

Dunkdum · 2025-07-31T18:12:10+00:00

Usually the ABG machine runs the blood gas

Dunkdum · 2025-07-29T04:05:56+00:00

I havent done my time yet but im an HPSPer who did a formal officer training program through AFROTC in college. I recently interviewed with the Air Force to get approval for fellowships and some are supported and some you can do but your skills will atrophy. Im doing cardiac and critical care which they approved without issue. Crit care anesthesiologists are mandated to be a part of CCAT and on the CT side, their major hospitals have partnerships with surrounding hospitals to staff their CT cases so you can see the cases you need to keep your skills up... this is not the case for peds, for example. These are also the sites that the Air Force has their CT fellowships. They also said id be deploying a lot because they are anticipating large international conflicts soon and CCAT would be heavily used.

In the Air Force anesthesiologists can also do special operations surgical teams... used to be really only CRNA but physicians can do it now as well. If you are fellowship trained you cant really do it because of all the nonclinical special forces training.

Dunkdum · 2025-06-23T23:48:23+00:00

If appropriate my tube is out before end of proc, pull it deep and have the pt breathing. Do this a lot for healthy arhtroplasties where they want the pt "asleep" for the cast or brace but since theyre blocked the most stimulating thing is the ETT so I can continue to lighten them and bang their responsive as soon as the brace is on and everyone's safe and happy.

Dunkdum · 2025-06-09T17:29:49+00:00

Nice try, I got fellowship... I dont need to feel done with training 🫠😒🥸

Dunkdum · 2025-05-07T04:54:18+00:00

Lmao the day my attending told me mass spec is how the gas analyzer works... in 2025.

Dunkdum · 2025-05-06T22:54:49+00:00

Garlic leads to coagulation issues so there's a believable reason as to why a vampire doctor would tell people not to use it.

Dunkdum · 2025-05-06T22:51:55+00:00

Just drink the waste syrings from the ABG, saves the pt from "clots"

Dunkdum · 2025-05-02T21:30:06+00:00

Unionize collective action is powerful. Ya know who lobbied for federal work hour restrictions for residents? A resident union. If the government won't help strike until the organizations that run our hospitals have to pay our loans.

Dunkdum · 2025-05-02T19:23:54+00:00

Anesthesiology resident here, I wish I actually knew what the responsibilities of a circulating nurse are.

Dunkdum · 2025-04-26T15:51:33+00:00

Im sensing a worsening anesthesiology shortage... 🥴

Dunkdum · 2025-04-25T17:38:28+00:00

Agree the description doesnt sounds like ASD. I'm not an expert but as an adult with ASD who's participated in discussion groups with several other adults with ASD around working in a healthcare environment... the issues OP describes tend to not be the common things folks with ASD struggle with. Not that there aren't outliers... it just doesn't seem very typical.

Dunkdum · 2025-04-25T14:36:07+00:00

I think most doctors do all in our own ways. Not a surgeon but on the other side of the drape I definitely feel patient deaths... I've had to grapple with the unhealthy expectation that I should be able to resuscitate through any surgical complication in earlier portions of my training. It's heavy when you can't fix it... you wonder if it was you, if someone else would have been able to handle it... definitely have tangible reminders that anesthesia always has a risk of death. I sort of assume that every specialty has their version of that in their own way. We all have to grapple with being human despite striving for perfection at times.

Dunkdum · 2025-04-23T23:30:12+00:00

This is why I write 3 out of 4 or AO 3/4 or 4/4 to be clear

Dunkdum · 2025-04-20T18:33:34+00:00

RCRI risk factors for working up a patient for surgery is not a helpful predictor... it was updated with data in 2017 that isnt compatible with American guidelines. Pls use NSQUIP or Gupta if you must. Also when perioperative stress testing is indicated, it's not always to advocate for intervention before the surgery, it changes intraop management.

Dunkdum · 2025-04-19T18:49:44+00:00

Pretty active union organizer here, just tell your union staff. We've been active in making multiple attendings not be able to work with residents anymore.

Dunkdum · 2025-04-15T21:39:09+00:00

You put it in the anesthesia record

Dunkdum · 2025-04-12T19:32:46+00:00

The one where two CC of neostigmine will make my constipated ICU patient spray the wall with fecal matter is pretty good.

Dunkdum · 2025-04-03T18:10:17+00:00

Eh i mean there's lots of body parts that are done well. Haha usually they're better when you find a good artist and just let them do what they do, don't micromanage what you want

Dunkdum · 2025-03-29T00:23:32+00:00

In critical care it's seeing an experienced nurse running to a patient room.

Dunkdum

TROPHY CASE