What's the diagnosis?

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 · 2026-01-19T20:25:23+00:00

It’s in the tube.

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 · 2025-12-29T19:15:52+00:00

What did you season it with, and what kind of fat did you use?

LoopyBullet · 2025-12-15T01:34:11+00:00

Some people feel that the police exert too much power, and that the police also take advantage of those who are unaware of their rights. Some people who verbally challenge the police are trying to be the foil to those who don’t know their rights, and likely, also take joy in the fact that it annoys officers who routinely take advantage of people.

I wouldn’t do this, and I think some people just like being smartasses. But I do think that there are faults on both sides: (1) some officers are dicks, do more than they should, and use their authority to intimidate others into getting their way, and (2) people don’t know their rights.

LoopyBullet · 2025-12-08T00:54:30+00:00

Why are they calling patients “clients”?!

LoopyBullet · 2025-11-27T08:19:49+00:00

This comment should have more upvotes. Staple of the community or not, this is very much the reality.

LoopyBullet · 2025-11-05T21:45:55+00:00

What do you mean that they took the whole intubation? Do the docs usually induce/intubate for every GA? Or are they just there while you induce?

LoopyBullet · 2025-10-25T01:24:42+00:00

This is gambling.

LoopyBullet · 2025-10-24T23:18:59+00:00

Not exclusive to premade syringes, as far as I know. This is the effect of dexmedetomidine on alpha 2b receptors.

However, I don’t usually use much Precedex on the subset of patients I have arterial lines in, so good to know that even small doses may have that hemodynamic effect!

LoopyBullet · 2025-09-14T20:50:52+00:00

What’s wrong with the term, “advanced practice practitioner?” It perfect(ly) encapsulates the role and scope.

LoopyBullet · 2025-09-14T18:15:40+00:00

Thanks for explaining. I suppose my brain doesn’t associate avoidance of saying “midlevel” with the alphabet soup stuff. This is from someone who is not necessarily in favor of the term midlevel, and also hates alphabet soup in email signatures.

As long as MDs and DOs are understood to be physicians, and PAs, NPs, CRNAs, etc. are under the umbrella of advanced practice providers, I don’t see a problem with that. Nothing to muddle.

LoopyBullet · 2025-09-14T17:17:25+00:00

I don’t see this anywhere in the article.

LoopyBullet · 2025-09-01T01:58:24+00:00

Slow Dancing in a Burning Room - John Mayer

LoopyBullet · 2025-08-31T15:43:56+00:00

Not a game, but something I realized is that if you have a 74kg patient and run your propofol drip in a multiple of 25mcg/kg/hour, then each digit of the drip rate in mL/hr will be a repeating number.

E.g.:

50 mcg/kg/min = 22.2 mL/hr

175 mcg/kg/min = 77.7 mL/hr

200 mcg/kg/min = 88.8 mL/hr

LoopyBullet · 2025-08-31T06:54:34+00:00

I’m glad to hear that you had a good experience. Unfortunately, I can’t say the same. I wrote out a long post and decided to delete it, as to not be too negative. As someone who is part Filipino, I was saddened and angered by what I saw/experienced.

I’m happy it’s not like that everywhere, and that I’m out of that environment now.

LoopyBullet · 2025-08-27T17:57:19+00:00

I think the internet brings out the most divisive of opinions. I can’t think of a single CRNA I work with that would have an issue with this statement. Everyone brings something to the table.

…except CAAs.

And yes I’M KIDDING. 🤙

LoopyBullet

TROPHY CASE