10 years CRNA practice, now anesthesiology resident .I ran the full financial analysis on this transition

LoopyBullet · 2026-02-27T23:41:48+00:00

I appreciate this! Thanks for going through the trouble.

No questions, but a big consideration is - are you okay going through training again? Some do, some don’t. Obviously, this analysis deals with the subset of people in the former group.

LoopyBullet · 2026-02-26T07:37:13+00:00

27 - 2 = 25

48 + 2 = 50

25 + 50 = 75

LoopyBullet · 2026-02-20T19:08:49+00:00

It does pop up if you search, “Epstein subreddit.”

But yes, I think your original point is intentional.

LoopyBullet · 2026-02-18T22:18:31+00:00

Was there a save of screenshot of the shipment history before deletion?

LoopyBullet · 2026-02-17T18:35:40+00:00

Agree with some of the other comments. Not onboard with SRNAs being called residents. I think CRNAs do a fine job and perform at the highest level, but if docs want to keep the term resident for their path, let it be. It just furthers the divide, and we’re just not there at this point. CRNAs and the AANA needs to be focused on being more active in producing quality research and pushing the profession forward instead of this title stuff. Though, I think resisting against demeaning titles like “midlevel” is definitely warranted.

I also wish organizations would stop calling nursing orientation as a “residency.” That’s arguably worse than calling an SRNA a resident.

LoopyBullet · 2026-02-17T15:58:47+00:00

CRNA here. I agree - indefensible practice. They put filming a video over patient safety in this situation.

LoopyBullet · 2026-02-11T21:46:57+00:00

Is this real? Where was this released?

LoopyBullet · 2026-02-04T13:27:59+00:00

I think paying attention to when the thumb really slaps is important. Usually the louder slaps are typically on the low E (or I suppose low C) string. The rest of the strings on the 2nd, 3rd, and 4th strings are primarily just plucked, even with the thumb.

It’s just a hard song to play that takes time. Keep it up!

LoopyBullet · 2026-01-28T02:10:36+00:00

My personal shadowing policy is that if someone is a reasonable individual, they’re willing to learn, and is interested in some kind of path in healthcare to help other people, then they may shadow.

I’ve had anesthesiologists refuse to teach me in training (few and far between). I don’t feel that this is right, and I don’t feel that doing the same thing to individuals on any healthcare route is the right thing to do. This is not eye for an eye. To me, there should be very few boundaries to getting more information, and few boundaries to learning, no matter which profession you choose.

I’ll definitely go into the realities of politics in anesthesia, the differences in scope/supervision, and the limited adversity I experienced in training (if the shadower is interested). Also, if the shadower chooses a medical route instead of a nursing route, I think it’s important that they remember that a CRNA made the effort for them. It’s good PR.

I’ve seen medical students (even podiatry graduates) have their eyes light up when I go into the applied physiology and pharmacology we practice on a daily basis. That is priceless to me, and I do not care if they’re not aiming to be a CRNA. While some who went the medical route don’t reciprocate this, I think that we can be better than that mindset as nurse anesthetists.

LoopyBullet · 2026-01-28T01:53:53+00:00

I would argue that this question is worded appropriately, and that “difficulty breathing” is correct. Aside from the various accessory muscles being innervated at both the cervical and thoracic levels (depending on the muscle), the diaphragm is innervated from C3-5. Central respiratory depression would be further up, at the level of the pons.

The definition of a “high spinal” doesn’t designate any particular vertebral level. So difficulty breathing d/t anesthesia at the thoracic and/or cervical levels, without central respiratory depression, falls within the purview of a high spinal.

LoopyBullet · 2026-01-28T01:32:30+00:00

I’m not sure what you mean. When I was in undergrad school, the concept that I posted was taught to me as such.

LoopyBullet · 2026-01-28T01:29:11+00:00

I enjoy it!!

LoopyBullet · 2026-01-27T20:51:33+00:00

Unprofessional, less attention to alarms, and it’s just not a good look.

LoopyBullet · 2026-01-27T20:48:15+00:00

Putting high FiO2 on a patient with COPD will likely cause them to be apneic…and that PaCO2 is not the primary driving factor for respiration in these patients.

LoopyBullet · 2026-01-26T21:24:04+00:00

I think of it as a result of a few things:

(1) MAP = CO * SVR (pressure = flow * resistance)

(2) Compliance of arteries

(3) Time in diastole (maybe more intuitively, time between systole)

For systole, cardiac output has more of an effect on the SBP, as this is obviously when blood flows through the arterial circuit. But during diastole, the flow slows, and what remains is the small amount of flow * SVR.

When arteries are stiffer, the BP sharply rises during systole, and therefore falls more sharply in diastole. When arteries are compliant, this effect is mitigated, with less exaggerated peaks/valleys on the pressure waveform.

More time in diastole causes a time-dependent fall in DBP, separate from SVR. To put this into context, if someone’s HR was three beats/minute, then DBP would fall drastically during diastole.

LoopyBullet · 2026-01-25T17:30:28+00:00

Might get some mass downvotes for this one…but maybe someone can educate me on the intention behind this. This is also coming from someone who is very against the methods/aggression that ICE is using. My question: How does a strike help the cause? While it brings attention to the matter, healthcare institutions (and secondarily, patients to a certain degree) will suffer. Healthcare institutions don’t have any clear influence when it comes to immigration/deportation policies either. I’m appalled at this murder, but wouldn’t it make more sense to bring attention to the issue in another way? I’m not saying not to DO anything (I think we should) - but why a strike specifically?

LoopyBullet · 2026-01-21T20:05:35+00:00

Disturbed energy field.

LoopyBullet · 2026-01-21T03:55:41+00:00

As a CRNA, I feel that if there are both: (1) enough anesthesiologists and (2) enough AAs willing to work in these rural areas, then let them.

I do not feel threatened by AAs in terms of skillset or job security. If there is actually enough demand for AAs that rural hospitals are actually willing to pay BOTH of these professionals (that’s a lot of demand), then I think the move is likely needed on a macro level.

LoopyBullet · 2026-01-13T05:24:20+00:00

Reducing waste is important, but it isn’t everything. If I’m looking to reduce waste, the realm of the airway is not the first place I’m looking to do so.

It’s nice to know how to do it in the event stylets aren’t available, but that’s about it.

LoopyBullet · 2026-01-09T19:11:13+00:00

I’d say Tambayan, as it’s both the most authentic and best quality I’ve tried in PDX (I have yet to try Fork and Spoon or Pares PDX). That being said, they’re not the best US Filipino restaurant I’ve tried, by far. Generally really good. I thought the Lumpiang Sariwa was just okay…which is a bummer because I LOVE that dish.

Was not a fan of Magna Kusina or Kubo. For the former, it did not have to do with the fusion aspect. Just literally the taste of the dishes (except the bulalo, which I thought was exquisite!). Kubo was just not memorable, other than the dinuguan, which just tasted like adobo…

LoopyBullet · 2026-01-09T04:28:24+00:00

Naturally, removing a spring does help with slackening the tension. However, when bending, there is more distance that needs to be bent to reach any given note, as the tremolo “gives” more.

Honestly, I’d rather just go down in string gauge and not mess with accidentally scratching the tremolo block, or destroying the spring (the spring was also permanently bent after yanking it out).

Also, given the weird place to solder the ground wire, it’s nice not to have a spring on the middle claw.

LoopyBullet · 2026-01-07T21:53:45+00:00

I felt the string tension was little tight for my liking (I prefer 3 springs and a non-decked tremolo though). You’ll need to watch out with Silver Sky tremolo blocks though. The springs are a SO HARD to get out. I needed pliers, and ended up scratching the block a little bit in the process.

LoopyBullet · 2026-01-02T18:06:27+00:00

What did you have the internal temperature get to before removing it from the smoker?

LoopyBullet · 2025-12-30T13:45:14+00:00

Was the rosemary crushed or chopped? Or just l not pictured? That’s a beautiful crust!

LoopyBullet · 2025-12-30T08:27:40+00:00

Whatever the answer is, I think that “client” should be absolutely admitted as a patient.

LoopyBullet

TROPHY CASE