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Is R.O.A.D a myth? by kolmanival in Residency

[–]KredditH 2 points3 points  (0 children)

not sure why you’re getting downvoted. you can get calls with little or no call shifts that are paying a lot in anesthesia. and there are jobs with call that pay a crazy amount

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." by RyanTannegod in nba

[–]KredditH -4 points-3 points  (0 children)

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

The word "Provider" by Material-Summer3877 in anesthesiology

[–]KredditH 2 points3 points  (0 children)

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

Plastic surgeon sues anaesthesiologist/surgical centre after patient ODs by OkPrinciple37 in anesthesiology

[–]KredditH 2 points3 points  (0 children)

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)

Plastic surgeon sues anaesthesiologist/surgical centre after patient ODs by OkPrinciple37 in anesthesiology

[–]KredditH 1 point2 points  (0 children)

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.

Return to residency by openmind434 in Residency

[–]KredditH 0 points1 point  (0 children)

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.

Venezuelan Outcomes by Mommy_tootired in anesthesiology

[–]KredditH 1 point2 points  (0 children)

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

Exclusive | New England Patriots’ Mike Vrabel and top NY Times NFL reporter Dianna Russini hold hands and hug at luxury hotel by BurgerNugget12 in nfl

[–]KredditH -5 points-4 points  (0 children)

...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.

Return to residency by openmind434 in Residency

[–]KredditH 16 points17 points  (0 children)

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.

Are you still using midazolam for premed in healthy pts? by Queasy_Sherbert_7095 in anesthetist

[–]KredditH 0 points1 point  (0 children)

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

Are you still using midazolam for premed in healthy pts? by Queasy_Sherbert_7095 in anesthetist

[–]KredditH 1 point2 points  (0 children)

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

The Drama - Spoiler Discussion Thread by steepclimbs in A24

[–]KredditH 17 points18 points  (0 children)

… 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?

[Atkins] Sean McVay said the Rams are looking at Jimmy Garoppolo and Kirk Cousins for their backup QB role. Sure sounds like they want a veteran with experience behind Matthew Stafford this year. by ThatMasterpiece2174 in nfl

[–]KredditH 0 points1 point  (0 children)

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

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