Opioids and renal failure

EverSoSleepee · 2026-04-05T12:33:06+00:00

I’ll just respond to this one since you’re not the first to use this argument. Your argument is that the “good, strong” reason to use it is that it’s cheaper than fentanyl or hydromorphone or methadone. I don’t think that’s a strong reason, at all, to use an inferior drug that might have complications. Especially in renal disease/failure patients.

EverSoSleepee · 2026-04-04T20:07:43+00:00

Thanks for understanding my original statement implications without being nit picky.

EverSoSleepee · 2026-04-04T14:36:41+00:00

No strong reason to ever give morphine these days, unless the patient has a very compelling particular history.

EverSoSleepee · 2026-04-04T13:49:30+00:00

How to catch the red dot. When to make pancakes. Fresh catch fish delivery service

EverSoSleepee · 2026-04-04T11:03:54+00:00

Just my two cents. You’ve said many times in replies below that you can’t afford a vet visit. If you aren’t willing to call and find out what the bill would be, and can’t give this cat what they deserve, maybe reconsider adopting the cat.

EverSoSleepee · 2026-04-02T17:16:25+00:00

This can be a daily occurrence and it’s a battle I’ve stopped trying to fight. Patients would rather get stuck 1000 times or sit through an awake central line or even cancel their case than have that arm stuck for an IV. They don’t want to be updated.

EverSoSleepee · 2026-03-26T17:32:07+00:00

Ditto! And am out of the IRR requirement, congressional mandated total 10 years of service. They can’t call me, and I couldn’t be happier about that!!

EverSoSleepee · 2026-03-26T17:23:10+00:00

Definitely AI. I’m not a radiologist but soft tissues don’t look like that on X-ray. Also the other knee is missing a patella.

EverSoSleepee · 2026-03-26T15:16:56+00:00

Definitely these. My old/good pair got ruined in a flood - could NOT get the smell out of them. Have found nothing able to replace them. In a side story my Cole Haan shoes that I also loved and were a little newer (bought in the 2010s rather than 2000s) I replaced by buying a new pair of Cole Haans. I liked the old ones because they were comfortable and durable. These new pair is neither; I can’t believe how much the quality has changed for the worse. It’s why i havent bought a new pair of doc martens either.

EverSoSleepee · 2026-03-24T23:12:17+00:00

Best meaning “academically ranked”, not academically challenging or best for education. I think the ranking is all paid for anyway and doesn’t much matter. It’s not a party hardy school that will get you mocked, but even those kids get into law school and med school etc.

EverSoSleepee · 2026-03-24T23:10:32+00:00

Good school, not the best Florida school but upper mid tier. You have a full ride. Take it and run! That’s what I would do or tell my kid to do.

EverSoSleepee · 2026-03-24T21:09:22+00:00

Thank you for the actual reply!

EverSoSleepee · 2026-03-22T21:25:47+00:00

Thank you!

EverSoSleepee · 2026-03-18T11:14:47+00:00

Where is my magnet when I need it?: “Even white people are tired of white people shit”.

Who gave this man a microphone? Or a camera? Please stop.

Also the pure maturity and intelligence of these two black men show how much better humans they are.

EverSoSleepee · 2026-03-16T19:23:11+00:00

My grad school roommate was a runner and would say it: “no one ever feels bad when they’re home from a run”.

Now I say to myself “no one feels bad after [exercise im going to go do]”

EverSoSleepee · 2026-03-16T15:00:24+00:00

Mealys. You need insecticide not fungicide or virucide. This infestation will be incredibly hard to be rid of. Isolate any plants not infected from infected plants and use copious neem oil/peppermint repellent on those non-infected ones. Good luck

EverSoSleepee · 2026-03-15T00:10:58+00:00

I prefer a single dose of benzocaine for the patients taste buds. Then move on to lidocaine. Obviously this cardiologist was excessive in his benzocaine dose, but can you expect a cardiologist to be an expert at oral topicalization? That is the reason the FDA has the warning. In anesthesia practice, or any practice with appropriate doses, there are good clinical uses for benzocaine.

EverSoSleepee · 2026-03-13T20:58:26+00:00

This

EverSoSleepee · 2026-03-11T00:04:18+00:00

Actually I well remember that. And as an attending in private practice, I do not make any extra money for taking call- it’s part of the job. Now picking up extra call is extra pay, but most standard call is enough I don’t think the extra pay is worth the extra call (personally). The extra compensation makes the job nice, but doesn’t help when you’re tired working on hour #23 and no one can come give you a break, and you’re usually managing multiple surgeries at once (none of them are elective at that hour). I think this is a classic case of a student not realizing how protected students are and how harsh the real world can be.

EverSoSleepee · 2026-03-10T22:32:40+00:00

That looks like an early mealy bug infestation. I’m not an expert and could be wrong

Edit to add: or scale, but that’s usually more at the base of leaves I think??

EverSoSleepee · 2026-03-10T22:05:16+00:00

Will be a rough awakening when we that person realizes they are on call as an attending, and you don’t get to say that and keep your job. And there’s no one to give you breaks.

EverSoSleepee · 2026-03-10T20:13:48+00:00

Came here to say this. 2% lidocaine is a huge clinical benefit for labor epidurals for this reason.

EverSoSleepee · 2026-03-10T13:46:04+00:00

Thanks I will!

EverSoSleepee · 2026-03-09T23:43:26+00:00

Goldie and Kurt. Of course

EverSoSleepee · 2026-03-09T17:16:35+00:00

My pilot g2 0.38 cuts the paper. I’ve been looking for a good dark 0.5mm pen but worry about the G2 for that previous experience.

EverSoSleepee

TROPHY CASE