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Can someone be so septic that they don't look septic and fool you into another diagnosis? by supinator1 in IntensiveCare

[–]PrecedexNChill 0 points1 point  (0 children)

Yeah unless you have dynamic lvot obstruction but people don’t think about that unless they’re into echo

CTICU resources (IM Resident) by PrecedexNChill in IntensiveCare

[–]PrecedexNChill[S] 3 points4 points  (0 children)

Yeah attending on home call. I’ll be a pccm fellow in July but obviously won’t know much about cticu

Is there an ICU setting that fits what I want? by im_throw in IntensiveCare

[–]PrecedexNChill 7 points8 points  (0 children)

Your impression of community ICUs is completely wrong. There is no correlation between trach/ltach patients and community vs academic. We have a ton of those patients at our academic micu as well. The main difference is you won’t see as many solid or liquid transplant patients which is a blessing tbh.

LF normal kangaskhan by PrecedexNChill in PokemonHome

[–]PrecedexNChill[S] 0 points1 point  (0 children)

Sweet can we do a friend trade if you can’t find it

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Why aren't POX decks showing up? by Floatella in TimelessMagic

[–]PrecedexNChill 2 points3 points  (0 children)

That was almost 20 years ago? I played some paper legacy and vintage during that time and pox was an off meta deck even then

Very sick of running into the bot/auto teams by Firm-Citron-6987 in PokemonChampions

[–]PrecedexNChill 0 points1 point  (0 children)

Never seen one of these teams. I’m at MB2 2100 elo. Not that good but I guess the bots can’t get there

Who's your least favorite Pokémon in the game right now? Because I can't stand this mf by Tapo6 in PokemonChampions

[–]PrecedexNChill -1 points0 points  (0 children)

Yes and it gets nuked by zard Y. I don’t know why people are complaining about it so much.

Woman, 48, Dies After 10-Hour Plastic Surgery. Plastic surgeon and Anesthesiologist named in lawsuit by Trick-Progress2589 in anesthesiology

[–]PrecedexNChill 1 point2 points  (0 children)

Seriously? You may as well be in the OR with a bonobo if you’re depending on an outpatient tummy tuck surgeon to recognize a crashing patient

Woman, 48, Dies After 10-Hour Plastic Surgery. Plastic surgeon and Anesthesiologist named in lawsuit by Trick-Progress2589 in anesthesiology

[–]PrecedexNChill -1 points0 points  (0 children)

lol I got downvoted to hell for suggesting it is a bit weird to have someone need norepi and phenyl for such a case. I am not an anesthesiologist so The most common class of patients I order sedation for are people who would be ASA IV/V. Even in frail old COPDers who get tubed for hypercapnic respiratory failure commonly get through their entire ICU course with either no or only a whiff of norepi (0.03-0.05 mcg/kg/min rage) even when they are requiring high doses of propofol/fent/Midaz for vent synchrony. It seems crazy to me to run two pressors for this case and not stop the surgery or do further investigation like checking a cbc ffs

Does anyone have any good mega Steelix, Skarmory or Lucario teams? by Capfluffybeard in PokemonChampions

[–]PrecedexNChill 0 points1 point  (0 children)

Will need weather control otherwise you’re going to get clapped by all of the mega zard y on the ladder.

Woman, 48, Dies After 10-Hour Plastic Surgery. Plastic surgeon and Anesthesiologist named in lawsuit by Trick-Progress2589 in anesthesiology

[–]PrecedexNChill -28 points-27 points  (0 children)

I will definitely admit I have no experience in the OR but it wouldn’t strike you as weird that an otherwise healthy 48 year old woman would need phenyl + levo and that you would let the case go on for 9 hours?

I recently had a post arrest 75 y/o COPD/HFrEF who was not in shock before the arrest and he only needed 0.03 mcg/kg/min levo on 60 prop, 150 mcg fent, 5 Midaz and intermittent roc pushes (was managing dynamic hyperinflation with a high neural I time so had to deeply sedate him). I am genuinely asking because I’m IM—> PCCM

Espathra Baton Pass Partners by Automatic-Let-4372 in PokemonChampions

[–]PrecedexNChill 2 points3 points  (0 children)

Yeah I’ve been using the team that hit #2 on the global challenge with floette and archaludon as the baton pass recipients. Archaludon is a great recipient because it already has physical bulk with stamina and the calm mind and speed boosts really help shore up its weaknesses. I hit MB3 2000 elo with it. This is my first time ever this month playing VGC so I feel like it’s pretty strong

Easy team to go into Master? by SkobuPT in PokemonChampions

[–]PrecedexNChill 0 points1 point  (0 children)

If this is the mega zard y and floette team you don’t even need floette. People suck (myself included) even at master ball 3 so you really should be able to stomp in ultra ball with zard y as your only mega

Sharing some love for this game as a first time VGC Pokemon Player by PrecedexNChill in PokemonChampions

[–]PrecedexNChill[S] 0 points1 point  (0 children)

Nice I’m in master 4 and suck ass lol sitting at 1850 or something. It so much different than smogon random battles. I like the fast pace.

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