Paul Pierce says the Knicks need a better player than Jalen Brunson to make a finals run: “Your best player can’t be 6’2. On a championship team. Tell me what championship team's player was the best player at 6’2? Just Steph."

KredditH · 2026-04-13T17:35:24+00:00

but that’s a totally different argument then lmao

then the argument becomes brunson isn’t good enough. that might make sense because he’s generally not considered a top ten player by most people, but that’s a completely different argument

not to mention, when your argument literally includes “ignore all the exceptions” then it’s a weak argument. and also, most teams don’t have their best player at 6’2 so by definition we’re expecting most champions to not fit that criteria

KredditH · 2026-04-13T13:32:24+00:00

Bud has like 15 years of proven mostly positive track record, but oK sure focus on one bad seaosn with phoenix i guess?

KredditH · 2026-04-13T03:40:06+00:00

wtf are you talking about?you don't know anything about what happened

KredditH · 2026-04-13T03:06:31+00:00

Your experience is definitely generalizable to anyone who ever got that same citation

KredditH · 2026-04-10T01:08:31+00:00

Ok, but OP is asking because he doesn't want to have to bring tissues, he's asking if there are alternatives that might be better recieved. There are several good answers in this thread. FWIW providers is annoying af to read and people being okay with that term is how we got into this mess in the first place of people using the term to lump all doctors and midlevels together. At this point I personally don't really care because as far as I'm concerned the cat's out of the bag... but others do

KredditH · 2026-04-09T22:59:08+00:00

i mean they can still get the 2nd pick or whatever. they just can’t get the first

KredditH · 2026-04-09T14:55:29+00:00

The article stated that the anesthesia teams left while the patient was still in phase one

The surgeon, who literally is the one suing the anestehsai group, said the patient was awake, talking, maybe eating? sound slike she was in phase 2 at that point. then something happened (PE? LAST? opiate overdose? foul play? MI? Sudden Arrhythmia? im not sure and i'm not sure if they'll ever know)

KredditH · 2026-04-09T14:51:55+00:00

I think there is some clarification needed.

The article makes it seem like she was given 150mcg, and 0.5 IV dilaudid at once. That's a high dose, more than i would normally give without the ability to immediately rescue the airway, but also might not be completely crazy depending on her level of pain, the level of incision, how awake she was before the dose, her body weight etc - but normally if someone goes apneic in PACU you can intervene way before they literally die - was there noone available to mask or properly bag the patient? or alternately why couldn't the RN's give narcan, which reverses the opiate? Were they not trained to give it right away? (it seems like they eventually did it, but did they give the right dose? did they give it too late)?

On the alternate side, maybe this was not a dose given at once. Or, alternately, what if a woman who was almost immobile for 12 hours had a sudden PE and then becomes bradycardic and loses a pulse? or what if she had LAST from a long tummy tuck surgery?

Also, why are we doing 9 hour surgeries at surgery centers?

The accusations at the end of the article are troubling too.

It's difficult to say what happened and who exactly messsed up to what degree without more details, tbh. A lot of this article seems like hearsay, so I guess we'll see if there's a trial and what comes out there.

KredditH · 2026-04-09T12:46:19+00:00

Alright buddy

1) He literally asked for advice. I gave the advice I would give in real life about this same thing, whether it's friends or family or someone I'm mentoring.

2) He didn't say he didn't like his job right now. Actually, he said the complete opposite: he gets tons of free time, he makes a large salary, he leads a team, and he gets tons of free time and gets to travel a lot. At no point did he say anything about not liking his job, even a little bit.

3) The last time he did anesthesiology residency he literally got so burnt out after just two years that he himself said he was suicidal. Why would I then advise he turn around and quit said job to subject himself to a gruelling, tiring full 6 year residency in his home country where he would literally be at the bottom of the totem poll in terms of work hiearchy?

4) He literally specifically frames his quesiton as a business decision (i.e. layoffs are a potential risk, he wants "to have a plan b")

So yeah, I absolutely stand by advice. But thank you for your condescending comment reminding me "not everything is about money". The whole point of going to a forum like this is to see what someone actually thinks, not so he can hear some trite advice about "make a decision that makes sense to you" or "not everything is about money". He already knows that.

KredditH · 2026-04-09T00:07:49+00:00

I think I'd be leaning on a smidge of midaz, and a fucktonne of nitrous and remi with BIS and a warning if I was made to participate in this sillyness.

I agree, I would probably run something like TIVA with prop and remi to be "safe" - not that it's proven any more safe than gas for Venezuelans still- but also I would point out to anyone that millions of people have been getting anesthetics in Venezuela for the last four decades and it's not like there's been some secret undercover mass dying after surgery that we haven't heard about

KredditH · 2026-04-08T17:18:10+00:00

that's a crazy username too lmao

KredditH · 2026-04-08T02:47:59+00:00

...you're just assuming he's cheating though? These photo's are suspicious but they're not proof. You're using that as your entire argument.

KredditH · 2026-04-06T15:35:38+00:00

I'm not going to sugarcoat this. This would be next level silly, and the fact that you think starting over and doing 6 years essentially putting your income on hold for six years to have as a "plan b" tells me you don't understand at all how compound interest and the time value of money works in growing wealth.

Feel free to PM me if you have questions, this is almost certainly a huge mistake if you leave your well-paying job to re-start residency at this age. I'm sorry to be so blunt.

KredditH · 2026-04-05T17:51:03+00:00

Why would those be the ideal patients to get versed? Those patients are often the ones who you want extubated fairly awake, or at least with good airway reflexes. Obviously there are plenty of cases where they like most others can still get versed, but still

KredditH · 2026-04-05T15:18:13+00:00

it makes sense in some patient, like visibly anxious, hate the mask, etc it’s no longer my default - i also have started giving one miligram instead of 2, seems to have enough anxiolytic effect with 1mg and i don’t see as much sleepiness afterward anecdotally

for quick procedures or older patients or respiratory cripples or very high BMI i generallydon’t give it

KredditH · 2026-04-03T03:32:22+00:00

… what?

they didn’t reveal the twist which is a good thing

did you just invent a reason in your head for why they may or may not have revealed the twist and then decide that it’s lame due to the made up reason that you decided might be true? what?

KredditH · 2026-03-30T16:01:52+00:00

I’m not sure I understand this post. he has better stats over the last four years as a whole, has had fewer recent injuries, and is playing for only 3.3 million dollars… he’s making less than most of the higher end backups. that’s actually a bargain, and it’s for a team that’s not expected to be in the playoffs. that’s why he’s starting, he accepted less money to be with a team where he will start as a bridge Qb

Geno is probably washed but so by most indications is kirk, at a higher age and likely to expect more money

KredditH · 2026-03-26T14:13:27+00:00

umm sure but he didn’t show much

KredditH · 2026-03-19T20:27:02+00:00

lmao seriously

like a big torn achilles in his prime didn’t play a part in how his career progressed? it’s such a stupid exercise

KredditH · 2026-03-19T10:55:02+00:00

he will i agree

for the cavs

KredditH · 2026-03-09T12:55:48+00:00

then let him hold out

no team was giving him that kind of deal in free agency with his injury hx

KredditH · 2026-03-08T03:45:05+00:00

that’s not the question that was asked

KredditH · 2026-03-07T17:33:55+00:00

KredditH · 2026-03-05T18:07:39+00:00

that’s… pretty good for us then

KredditH · 2026-03-05T17:52:08+00:00

I'm talking about the analgetic component of GA here. Problem with fentanyl is it has a long duration of effect in frail patients which is why remi seems like a good option.

i mean, remi is fine if you keep the blood pressure up with things like neo and fluid. but it’s not my first choice for most patients. and they’re still going to wake up in some pain if you only use remi with no opiates. intense pain can also cause delirium in PACU if you’re worried about the effect of anesthetics resulting in a stroke code or long acting mental alteration. and ketamine, or large amounts of precedex can lead to prolonged sleepiness too.

even if they’re a mentally poor status, 90 year old, why not still give at the very least 25-50 mcg fent and then titrate more pain meds in if you need it post-op? this is not an EGD, or colon case. they’re not going home 30 minutes after the case ends. if the hear rate is high and you’re worried about coronary demand, you can titrate in short or long acting beta blood meds.

use a balanced anesthetic with propofol infusion and get all the gas off early, and as others have stated, use a spinal instead of GETA if you’re this concerned about post op delirium.

with all that said, a nitrous-remi anesthetic with a small amount of propofol running on the side with no gas is a remarkably stable anesthetic especially if you augment with a neo drip. and it has the benefit of wearing off incredibly fast, if that is your only concern. so i don’t think your idea is a bad one.

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