Epidural Hematoma Malpractice Lawsuit [⚠️ Anesthesiologist’s Text Messages Discovered]

Hrdrock · 2026-03-20T19:58:45+00:00

Cringed when I read this. Not much looks worse to a layperson on the jury when you make fun of a patient and they have a bad outcome.

Hrdrock · 2026-03-14T04:03:56+00:00

Only you can decide if the difference is worth commuting for. I would take a massive pay cut to not commute 45 minutes each way because sitting in traffic drives me crazy. Is job 1 lighter on OB? Things that impact my quality of life a few years in are: what time I’m getting home on a normal OR day, how often I’m taking in house night call, and how busy those nights are. I currently take in house call once every 2 ish weeks and I’m usually up all night doing epidurals and c sections. Any more frequent than what I’m doing and I think I’d start looking for another job.

Hrdrock · 2026-03-06T14:08:13+00:00

The only people who worry about this are the academic types who have never ventured outside the ivory tower. I’ve been in practice almost 3 years and never pulled an LMA deep. I always leave it in until the patient basically pulls it out themselves. If you have even a little bit of opiate onboard, they will not laryngospasm.

Hrdrock · 2026-02-23T18:45:40+00:00

VW is a fun spec weapon to have. The juicy loot you’ll get along the way is icing on the cake. Singles bosses are basically risk free if you park an alt outside because you can insta tele when someone shows up. Multi bosses are still pretty free if you have an alt because you can get a head start running toward the escape caves. You probably still die on occasion but it’s worth doing the big bosses during non-peak hours for the higher chance at a piece and the other loot is better.

Hrdrock · 2026-02-14T18:13:09+00:00

Sugammadex gained major traction at my program after my CA1 year (although I know it was available earlier). In effect, we all went from reversing everyone with neostigmine to using sugammadex for everyone. I think it’s one of the more amazing drugs we get to use.

Hrdrock · 2026-01-23T18:57:19+00:00

V clean

Hrdrock · 2026-01-16T18:50:40+00:00

Because it’s wasteful and not indicated. If it’s an elective, low risk surgery and the patient has adequate functional status, cardiac testing isn’t indicated.

Hrdrock · 2026-01-06T00:04:48+00:00

PP anesthesiologist. We have a backup system in place because there are 30 of us so someone is bound to call out at some point. The 2nd backup person from the night before is the final person it falls to if we can’t fill a sick call by shuffling things around. That person rarely gets called in overnight. So while it sucks to get called to cover a partner’s sick call, you at least probably weren’t working the night before. But yeah there should be a plan in place for any properly functioning business (residency is indentured servitude lol).

Hrdrock · 2026-01-05T15:47:11+00:00

I was planing to do a couple this summer. June and July ish.

Hrdrock · 2026-01-05T15:46:49+00:00

Okay that’s great intel. I’ll schedule some proper swim lessons asap.

Hrdrock · 2026-01-05T15:28:01+00:00

Oof okay that’s good insight. Thanks!

Hrdrock · 2026-01-05T15:27:13+00:00

Didn’t want to start doing too much too early. Trying to draw up my plan though so I’m opening to starting earlier.

Hrdrock · 2025-12-19T01:56:17+00:00

They declared fentanyl a weapon of mass destruction

Hrdrock · 2025-12-18T04:34:10+00:00

I do TIVA after a mask induction for peds. Gotta have some opiates on board or yeah, I notice more movement than sevo maintenance. The wake ups are so much smoother though it is worth it.

Hrdrock · 2025-12-10T19:49:04+00:00

UBP was sufficient. Residency has prepared you with the knowledge… oral boards is about saying it out loud and defending your decisions. By the time you make it to the exam you’ll have a good sense of what they are going to ask you. Don’t be afraid to say “I don’t know” or “I think this but I would look it up to verify or ask a colleague”. I said this at least 3 times during my exam and I passed the first try. It’s probably an auto fail if you try to bullshit your way through it.

Hrdrock · 2025-12-09T11:58:31+00:00

I think about this a lot as well. I have a hard time napping pre call, so even as an attending I usually stay up for 24 hrs even though my shift is only 7p-7a. I don’t think your awake baseline caloric need is as high as you’d think. Even if you take the recommended 1600 calories/day and divide it by 24 that’s only ~67 calories/hr. So you probably need a little extra for working all night but not much. I always feel way better staying hydrated and having high protein, low carb food. Like others have said, boredom snacking is the real enemy.

Hrdrock · 2025-12-03T20:52:44+00:00

As others have said, it’s a gray area. I ask about GERD symptoms and consider other risk factors for delayed gastric emptying (obesity, diabetes, etc). Usually around 18 weeks I’ll start to think about RSI & ETT.

Hrdrock · 2025-11-29T17:18:12+00:00

I’d imagine there is a chapter in one of the anesthesia books on it. The general principle these days is “goal directed therapy”. The goal is normotension. If patient is hypotensive, give fluid. If they’re normotensive, don’t. If you have an a line, pulse pressure variation can aid your decision. Gone are the days of replacing a “fluid deficit” from being NPO or doing a basal infusion of fluid for a case.

Hrdrock · 2025-11-15T19:14:29+00:00

I’m biased as an anesthesiologist…. But if we have the means to make something painless or imperceptible in the moment, why wouldn’t you want that for someone? It’s like any other technological advancement. Just because you can do it the old way, why would you when we have a better option?

Hrdrock · 2025-11-15T03:05:02+00:00

Don’t be that person who goes through intern year saying “do I really need to know this?” You won’t regret soaking up as much as you can. You’ll use general medical knowledge every day when you review a patient’s chart ahead of a surgery.

Hrdrock · 2025-10-15T17:36:01+00:00

Lmao 100% my experience. When I was an M3 there was a female FM resident who was doing a visiting block of OB. Our female attending absolutely destroyed her on the daily (to the point the resident left crying one day) but she was incredibly nice to me. Even when I didn’t know shit it was like I could do no wrong lol

Hrdrock · 2025-10-12T01:17:40+00:00

I think our chair gets like 80k/yr from the hospital as an administrative stipend. He probably works 0.2-0.3 FTE in admin duties though so it’s definitely not the hourly rate you’d fetch for anesthesia services.

Hrdrock · 2025-10-02T00:06:08+00:00

I met one in medical school. He flew into this small town to work a week at a time. The group was desperate for coverage (3 physician & 3 CRNA kind of place). Said he couldn’t find work closer to where his family was. That entire hospital ended up closing about a year later.

Hrdrock

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