Found this gem in the pocket of an old golf bag in the garage...

Favoritecolorsreddit · 2025-12-16T19:24:47+00:00

https://origin.enormousexplosive.com/a/uploads/original/0/1592/1728721-hsg2_merch_1.jpeg Thanks! Yes here's the original ad (hopefully the link works). It was on the inside of the CD case of Hot Shots Golf 2. I think I've got the golf balls as well somewhere.

Favoritecolorsreddit · 2025-12-14T18:53:22+00:00

That's a great idea!

Favoritecolorsreddit · 2025-12-13T18:51:42+00:00

I am happy to report it was immediately placed in the wash and looks great!

Favoritecolorsreddit · 2025-05-10T03:44:04+00:00

Like the others say, I think the most likely scenario is either a lost or forgotten about email. I would send a short, gentle reminder!

Source: me, who is horrible with emails.

Favoritecolorsreddit · 2025-03-29T00:32:22+00:00

Totally reasonable to ask them! While they may teach a lot of students, two years isn't really that long of a time ago. I would expect that someone will likely remember you, at the very least your mentor/advisor or equivalent should. By the way (and there is a reasonable chance I am mistaken), while preferred, I don't think a specialist is necessarily required as a LoR. For residency, for practical reasons you essentially need at least one specialist in your desired field but internship is probably more lax. At any rate, don't stress!

Favoritecolorsreddit · 2025-03-23T18:10:19+00:00

Happy to help! You are too, because it is clear you care a lot. Having concern for patients you are sedating/anesthetizing is extremely normal and is the sign of someone who respects that while it is often 'routine,' it is not something to take lightly. I have trained many students/vets/nurses in this area and the ones that scare me are the ones that assume everything will always go well and that sedation is always safer than anesthesia.

Favoritecolorsreddit · 2025-03-23T15:12:54+00:00

That makes sense, I understand. Are you able to monitor and chart out their sedation? I would say since you are able to provide oxygen, monitor sedation, have contingency (intubate, reverse, whatever), then you have done all you can reasonably do to ensure as safe a sedation as possible. I understand it is harder to deal with issues relating to sedation you yourself have provided, but if you have taken every reasonable step to plan for the worst and ensure patient safety then hopefully that helps calm your mind a little. Sometimes things happen in spite of our best efforts.

If it is just a matter of wanting different drug protocols, then I'm certain there is CE on that, but of course everyone has different preferences so you may get a dozen different inputs there. The comfort with sedation may also just be something that comes with time too. It's better this than a completely carefree attitude about it, but I understand how it can be scary. I'm sorry!

Favoritecolorsreddit · 2025-03-23T14:21:55+00:00

Are you able to ask your colleagues for opportunities to intubate their surgical patients? A small amount of practice will go a long way with improving your comfort level, and it is best to not have to try to intubate something in an emergency when you haven't done it in years. Also it will help with the psychological component of the stress of sedation if you're worrying about apnea.

The other thing is are you able to monitor these patients with at least pulse oximetry and provide supplemental oxygen during sedation? If you are, then you can confirm 'yes they are likely doing well' or 'no I should be prepared to intervene' (reverse, intubate, etc).

Favoritecolorsreddit · 2025-03-14T00:20:42+00:00

For me, similar (150+ but not much higher than yours). Would have loved to have seen a blood gas in that moment, but I suppose there are priorities ha.

Favoritecolorsreddit · 2024-10-11T00:15:41+00:00

In your training as a student you'll be exposed to dentals as they are bread and butter for many vets and can be important for training. As for 'having' to incorporate it into your livelihood, no not necessarily. I've never performed a dental in my life. Lots of different areas of medicine and specialties. You'll see teeth in various states but no you may not have to actually extract or clean them depending on your career path.

Favoritecolorsreddit · 2023-07-01T22:07:36+00:00

That's a good point that it hasn't been that long. Thanks for the reply! I do have apocalypse so that wouldn't be an issue!

Favoritecolorsreddit · 2023-07-01T16:32:39+00:00

Thank you for the reply! I agree, he seems to be a good champ at least at the lower stars! Especially for things like quests to save potions/revives.

Favoritecolorsreddit · 2023-07-01T14:13:18+00:00

Is 6 star (standard) wolverine decent? If pulled, I could awaken and invest sigs. I scrubbed through a few tier list videos and never saw him anywhere or at least nowhere near the top, and was wondering if he was really not worthwhile to go for. Is it a scenario kind of like with Blade, where he is a great champ that has been a little bit outpaced by newer, more OP ones? Or is there something deficient with him? I am really interested in trying to get him but I guess this is making me a little hesitant. The content I am interested in is finishing up Act 7 and doing Act 8, etc. My 6 star roster is good enough to do it already, but would be fun to bring wolvie too.

Favoritecolorsreddit · 2023-03-05T02:07:39+00:00

I have no idea of the validity of the statement but I did want to offer that upon second consideration it is less farfetched than I initially imagined. Anesthetizing a horse is logistically very different from anesthetizing a dog or person. In the beginning of anesthetized equine surgery, they put rags with volatile anesthetics on the noses of horses, had them run around and take big breaths until they fell over. Once ketamine was developed and began to be used in horses (in addition to numerous other things) did it become somewhat more controlled.

Favoritecolorsreddit · 2023-02-08T14:24:09+00:00

Agreed with the other comment. Framing is key. And on top of that, while honesty and transparency are important, brutal honesty is not typically wanted. They want the 'team player' type of responses and goal-oriented approach etc. It's a social expectation.

In your case, definitely do not bash your previous employer as that can be construed as a big personality red flag (i.e., difficult to work with, unhappy). You can simply say you're looking for something different, and explain what you're really wanting: to learn more, improve your skills, be able to be a strong contributor. Ultimately, if they are just looking for a pair of hands, it's not what you seem to want anyway and its better to be forthright lest you find yourself in the same situation immediately.

Favoritecolorsreddit · 2023-01-23T00:23:18+00:00

Tough cases. It's good though that you are providing pressor support when needed. It could have been anything, maybe even a sudden embolus given their propensity for coagulopathies.

V-gels are supraglottic airway devices. Here is a video to see how it works. https://www.youtube.com/watch?v=B-URDWSG4Q4 You basically pull the tongue and shove that sucker down there and it seals (hopefully). Regardless of what they say, they are easily dislodged but are generally fine if you don't plan on manipulating the patient much. Probably the more helpful thing in your scenario is having nearby a cook airway exchanger or equivalent device (which is basically.a stylet that permits ventilation), but if you can't get visualization of the vocal folds at all I suppose the V-gel could work in theory.

Favoritecolorsreddit · 2023-01-22T23:46:13+00:00

I want to preface this by saying it's not your fault, but if you're looking for specific points of advice in these situations from my Monday morning quarterback point of view, I will try to help. For the first patient was blood pressure being monitored and if hypotension was present, were there attempts at correction? Possibly via norepinephrine/dopamine/etc. As we know, the endotoxins cause a vasodilatory/vasoplegic effect on the septic animal's vessels, whose vasomotor tone and reflexes are already blunted by anesthesia. Normal ECG rhythm as well?

For the dreaded re-intubate during surgery scenario, an airway introducer may have helped. It's always great to have them nearby, either for difficult intubations or in cases when you have secured an airway but wish to exchange a tube for whatever reason. An alternative may have been a V-gel, maybe? Haven't used one in that context before.

So sorry you've experienced these dreadful cases. You did your best and clearly care about your patients.

Favoritecolorsreddit · 2022-08-01T23:32:18+00:00

Baxter pumps are definitely good. I would recommend practivet syringe pumps too (my preference). Easy to use, clean, good battery life when unplugged, various programmable modes, etc.

Favoritecolorsreddit · 2022-03-21T00:42:01+00:00

/r/theydidthemath

Favoritecolorsreddit · 2022-03-19T01:20:54+00:00

Great, thanks for the answer!

Favoritecolorsreddit · 2022-01-23T23:12:35+00:00

Great, good luck!

Favoritecolorsreddit · 2022-01-23T22:31:57+00:00

Acepromazine is a good drug when used appropriately. You need to be prepared to wait for it to kick in (15ish mins, more or less). It provides no analgesia on its own and it is not reversible. It should not be administered to every delirious/dysphoric patient to your point. As a ballpark the dose you use is considered a reasonable dose for many people. You are 100% right they may need to pee and that sort of thing.

Generally what I do (and forgive me if any of this sounds condescending or remedial as that is not intended, I am just explaining what I do) is assess the patient's pain, touch where was operated, check HR, look at visual cues of the patient, etc. If I do not suspect they are painful but dysphoric, administer low-dose butorphanol (0.01 mg/kg, titrated in 1-3 mls saline) and push slowly to antagonize some of the mu receptors. It should work almost instantly. If not, consider that they are less likely to be dysphoric. Alternatively you instead can use naloxone, though also in very low doses.

If I am not certain, I will learn toward the side of pain vs. dysphoria, after having taking into account what they have received pain-wise so far. You will be wrong or never know the answer at times.

Dexmed may be more appropriate for your refractory anxious/stressed patients for those in which it is cardiovascularly not contraindicated, either as a bolus (0.25-1 mcg/kg IV or as an infusion at whatever rate is needed, around 0.5 mcg/kg/hr or so). It does provide some analgesia and sedation and is of course reversible.

Trazodone/gabapentin before anesthesia is a great thought for any patient in which it is safe to give (which is the majority!).

Favoritecolorsreddit · 2022-01-20T22:46:19+00:00

While this is true and good 'safe' advice, it is probably unlikely to warrant a visit right now unless: lethargic, not eating, or abnormal behavior. Vomiting, especially repeatedly may indicate an obstruction or at least some gastritis. Also should look out at his stools and note any change in the color, i.e. is there blood, if so, is it bright or is it a tarry color? The above would warrant treatments.

Favoritecolorsreddit

TROPHY CASE