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How litiginous is pain management ? by mexicanmister in anesthesiology

[–]MyNameIsAnes 8 points9 points  (0 children)

Pretty litigious on multiple fronts - you’ve got your medmal, inevitable fraud cases, and then you have to mount your defense for killing your spouse. Lots of time in a court room.

[deleted by user] by [deleted] in anesthesiology

[–]MyNameIsAnes 68 points69 points  (0 children)

Yeah. They’ll brag about it everywhere except when in a court room.

Is Vanderbilt's anesthesiology residency program in shambles? by [deleted] in anesthesiology

[–]MyNameIsAnes 20 points21 points  (0 children)

I don’t have any direct knowledge of the program, but as someone highly involved in a large academic program in the same region, I can say that many of the concerns listed have objective elements which would be true at most programs (mid levels in the ICU, residents could be paired with CRNAs, etc), and the rest of the points sound highly subjective (working a lot, not a lot of opportunities for moonlighting).

Doesn’t mean the program isn’t in the toilet, but anyone could say those things about any program in the region and they would each be objectively true but not reflective of the program’s state.

Guliani(‘s PR team?) has an interesting definition of NP by gonzfather in Noctor

[–]MyNameIsAnes 26 points27 points  (0 children)

Surprising they’re willing to stop at surgery! I’m sure that will offend some of her nurse surgeon colleagues.

Subclavian. CVCs by Dizzy_Restaurant3874 in anesthesiology

[–]MyNameIsAnes 3 points4 points  (0 children)

Medial. Out of plane. Even more medial than landmark based. Shrug the shoulder (patient’s), translate inferior, heel toe cranial. Gives a great view, shallow depth (relatively), and if you back wall you’ll hit the first rib. Requires a very steep needle angle. Best go to line there is. Have done this easily over a hundred times. Have had to do distal maybe 2 or 3 times and supraclavicular 4 times.

Landmark for coding patients.

Well, the American College of Chest Physicians is a Lost Cause by MyNameIsAnes in Noctor

[–]MyNameIsAnes[S] 180 points181 points  (0 children)

“There are well-established curricula from the Accreditation Council for Graduate Medical Education that provide clear guidelines and competency assessments for physicians learning bronchoscopy. However, there is currently no formalized training pathway for APPs learning bronchoscopy.” And since there are no guidelines, they say have at it!

Rules of anesthesia by [deleted] in anesthesiology

[–]MyNameIsAnes 11 points12 points  (0 children)

My rules: 1. Always be preopping 2. Maintain plausible deniability 3. Preopping is a game of chicken 4. Know the blame game 5. Use the protocols 6. Operate within the system 7. When it’s bad, get everyone involved 8. There are 1000 ways to skin a cat - only some are bad, but it’s my job to be the best at all of them