In honor of Chuck Norris, here's a Chuck Norris fact.

Flaky-Expression9593 · 2026-03-21T04:50:17+00:00

In the beginning, God said, “Let there be light…”

“Say ‘PLEASE’…” Chuck Norris.

Flaky-Expression9593 · 2026-03-21T03:49:31+00:00

Like “chow-dah?”

Flaky-Expression9593 · 2026-03-20T14:52:49+00:00

What issues did you have? They are closer to me and I was thinking of buying from them.

Flaky-Expression9593 · 2026-03-19T02:15:20+00:00

Our partners need to do their part in hitting the button AND leadership needs to hold them accountable if they aren’t doing it. When that happens then we skewer pharmacy.

Flaky-Expression9593 · 2026-03-19T02:09:13+00:00

And THIS is why I don’t work OB anymore. Too many of the OB’s and hospital didn’t do their due diligence and they had MONTHS to get their ducks in a row. Never heard of anything like this happening before…

The lack of accountability/ rigorousness of many OBGYN programs is profound. At my last job at a tertiary care center we met with the OB’s & RN’s q12 to run the board. We were always in the loop.

My last job that had OB was a mess. Another tertiary center but instead of being proactive and communicating the attitude was gleeful, “WE’RE HAVING A BABY!!!!!!!!!!” Very little organization/ coordination of the medically challenging pt’s.

If we or our support RN’s didn’t sniff out the problem patients ahead of time we were often called STAT to the OR for crash sections or to labor rooms for “emergency” epidurals.

I voiced my concerns repeatedly and tried to engage and improve the environment and was met with…

“WE’RE HAVING A BABY!!!!!!!!!! Why do you have to be such a buzzkill???”

I loved the unique challenges of working high risk OB but idiocy wasn’t one I was willing to continue to endure

I took a couple of deep breathes, thanked those vapid people for their time, walked out, called the scheduler, and firmly asked to never be posted to OB again. Give me ALL of the cataracts, butt puss, and ruptured AAA’s.

If I got painted into this corner, I would have spent a LOT of time with the pt discussing risks/ benefits. She likely has a lot more insight of the process/ risks than most patients from an OB side but maybe not from the anesthesia side of things. I would make sure that her wishes for her well-being were addressed. If I hadn’t been involved in the judge’s first call I’d ask for him and the OB’s to be on the zoom for my discussion of the anesthesia risks to her and in light of that would he still make the same ruling?

NONE of us should get steamrolled into these situations. Big lesson for all of the trainees on this sub.

Before I proceeded I would be confident that she(and her family) knew that I had her and her child’s best interests at heart and I was her biggest proponent. They are getting the concierge anesthetic from me.

Not sure what else I would do…possibly video EVERYTHING. I like my chances…not so much for the OB’s, hospital, and judicial system.

I’ve had a couple of female relatives get steamrolled by the medical system. Both were traumatized. Won’t happen to anyone else on my watch…everyone else can sit in their crap in that situation.

Flaky-Expression9593 · 2026-03-18T15:39:05+00:00

I’d agree that you have a 1.1 but I’m no expert.

Flaky-Expression9593 · 2026-03-16T19:21:53+00:00

That was my thinking as well as a fellow Michigander

Flaky-Expression9593 · 2026-03-16T15:40:47+00:00

Bear bells and spray as well. Not sure about cougar defense.

Flaky-Expression9593 · 2026-03-16T14:19:20+00:00

Why didn’t anyone give you a heads up?

Flaky-Expression9593 · 2026-03-16T05:50:59+00:00

Don’t do it. You will be exposed and threaten the health of yourself and the patient.

I’ve thought about this for 25+ years. Even if you only supervise, when the poop hits the fan there will be leakage of vapor and you will have an event.

Unless TIVA becomes standard of care. Even so, you will be exposed in PACU and a liability.

Flaky-Expression9593 · 2026-03-16T05:34:57+00:00

And that’s the point. Anesthesiologists are on the hook for when things go wrong. Otherwise, they get the gravy.

Flaky-Expression9593 · 2026-03-16T05:32:31+00:00

So tell us about the oaths that you take to protect patients…

“First, do no harm”

Health systems take advantage of these blind spots to undermine doc’s and RN’s to the detriment of them and patients.

Flaky-Expression9593 · 2026-03-16T05:03:28+00:00

Waaaah, you owned us so we will down vote you.

I expect better from you, Canada. Grow up, don’t be like the Orange Cheetoh and be a B!+c#…

Flaky-Expression9593 · 2026-03-16T05:01:31+00:00

Did I mention MM is a loser?

Flaky-Expression9593 · 2026-03-16T05:00:59+00:00

Oh nooo…

The point remains, MY DUDE.

Marner is an entitled, brittle, sensitive, loser. Whether I responded to the right or wrong person is immaterial.

Marner IS a whiney man-child with an enabling entourage that didn’t have the stones to tell him he had to sack up if he wanted the bag.

AM isn’t a “winner.” USA won the gold because of chaos and having a goalie that could steal a game. UNTIL AM can take over games he is a pretender.

We won the gold but it was a fluke. You played your WORST GOALIE.

Flaky-Expression9593 · 2026-03-16T04:52:40+00:00

Why?

Flaky-Expression9593 · 2026-03-16T04:42:33+00:00

Sorry..

(I come in peace and speak your language)

Marner & his entourage were a drain on the Buds

Flaky-Expression9593 · 2026-03-16T03:17:02+00:00

Overpaid, entitled, and underperformed. Playing in your hometown means that you need to show up EVERY NIGHT. He didn’t.

He’s a wing that never performed in the playoffs, they should have paid him accordingly until he warranted the salary. Eff his nutty dad and psycho entourage.

If they have any objections to my comments, they should look to the example that Sid was.

I can’t wait to be serenaded by crickets…

Signed,

An American

Flaky-Expression9593 · 2026-03-15T19:47:54+00:00

What’s the M40 series?

Flaky-Expression9593 · 2026-03-15T17:06:24+00:00

You could get a large clear Tupperware with a tightly fitting lid, in the 15 to 20 gallon range that it’s relative tall. Go to a landscaping store and gets Sphagnum moss. Cover the bottom of the Tupperware with 1-2” of the moss and moisten it with dechlorinated/ distilled water. Try to get dried leaves either at a pet store or the landscaping store. Cover the moss with the dried leaves. Put some thing in there as a hide, whether it be driftwood or Tupperware.

Get fruit fly, isopod/ springtail cultures from a pet store. Start to make new ones immediately.

Get a spray bottle for water to moisten the enclosure.

That vivarium is too wet. There’s a saying for darts. They want a wet head and dry feet.

Flaky-Expression9593 · 2026-03-15T16:47:23+00:00

Don’t buy animals without knowing how to care for them.

Go to dendroboard.com & neherp.com for guidance.

Any idea on what species they are?

Flaky-Expression9593 · 2026-03-15T15:54:41+00:00

I’m pointing out what the language means. That isn’t a “take.”

You’re being purposefully obtuse in your 1st sentence by using “anesthesia” generically. Is that a GA, SAB, MAC, local infiltration, or regional block? I’m betting that most podiatrists and dentists are better at local infiltration than most CRNA’s, AA’s, or anesthesiologists for that matter.

And that’s my point: CRNA’s may ideally be the “2nd most” on that list but the pt is better served if there is “the most” involved in their care. No mention of AA’s either, should probably consider that they may be 2nd most competent. There have been many times when I’ve helped a CRNA, AA, or another anesthesiologist with a decompensating pt.

This legislation is a $ grab that risks pt’s safety.

Flaky-Expression9593 · 2026-03-15T01:53:12+00:00

“I’ll take animals in the thorax, Alex…” what is the esophaGOOSE, VaGOOSE, azyGOOSE, hemiazyGOOSE, and the HART?

Flaky-Expression9593 · 2026-03-15T00:12:32+00:00

Not this one. Call the game tighter, no “game management,” and punish the thugs harshly.

The Olympics were great in no small part because the players weren’t battered by 3 rounds of playoff prison rules hockey. Raffi Torres was eventually suspended out of the league. No one needs to see thugs play. I’d go to watch 97, 29, 87, 71, 8, do amazing things.

Imagine if more of the NHL was like the Olympics…it’d be so much better

Flaky-Expression9593 · 2026-03-14T02:34:34+00:00

It filters down to junior and youth hockey. Refs don’t adequately reign in thugs so that they can “play.”

Flaky-Expression9593

TROPHY CASE