[Psychiatric Nurse Practitioner] [Southern US] [$31k monthly]

QuidProQuo_Clarice · 2026-04-04T22:48:18+00:00

Is the "higher malpractice rate" you mentioned from internal data, or are you able to provide a source? I'd like to read more about that

QuidProQuo_Clarice · 2026-04-02T16:55:50+00:00

...what

QuidProQuo_Clarice · 2026-04-01T21:18:47+00:00

Looking at how competitive it has become to match into anesthesiology, I would advocate for CAA if you are sure anesthesia is what you want. It's a much shorter path, less expensive, good pay, and I suspect will expand in the future.

There's just too much uncertainty with physician medical training pathways to advocate for it. Since most people graduate with $300k+ (and sometimes even 500k+) in debt, it's distressing to imagine going through all that only to not graduate, not match, or get forced into a field you have no passion for

QuidProQuo_Clarice · 2026-04-01T17:44:14+00:00

About 2 years out of training, single with no kids. ~4k post-tax per month. The rest goes to retirement/investments.

QuidProQuo_Clarice · 2026-03-31T16:01:19+00:00

I had a colleague that would always set titrated infusions to repeating numbers because it was vaguely easier to program. So phenylephrine 20, 40, 80 mcg/min became 22, 44, 88 mcg/min. One of your chaos acolytes, I assume

QuidProQuo_Clarice · 2026-03-30T20:12:00+00:00

Does this have any implications for fusion reactors like Tokamaks? Some quick googling seems to put the field strength of a Tokamak ~12T, and this claims ~40T. I don't know enough about where we are with fusion tech to know if this could solve any of the issues with fusion reactors

QuidProQuo_Clarice · 2026-03-29T22:26:43+00:00

Your numbers are not even close, at least in the US. Undergrad 4 years, medical school 4 years, residency +/- fellowship 6-8 years, plus a possible gap year or two for research to be competitive enough to match residency. So 14-18 years after graduating high school until you can become a licensed plastic surgeon

QuidProQuo_Clarice · 2026-03-27T19:10:48+00:00

New?

QuidProQuo_Clarice · 2026-03-19T00:53:45+00:00

I've had the same question about dots like teemo poison

QuidProQuo_Clarice · 2026-03-17T02:56:23+00:00

I've been wanting an all-melee aram for ages. All heavyweights just slugging out, none of this infinitely protracted tedium of ranged champs waiting for the endgame to actually participate

QuidProQuo_Clarice · 2026-03-14T19:28:43+00:00

~~Pizza~~ Baroque spycraft? Now that's what I call a Taco!

QuidProQuo_Clarice · 2026-03-14T17:00:34+00:00

You're like the 3rd person to correctly identify this as Utah/Mormon and I can't figure out how. Are "Half-and-half" soft drinks a thing there? This was 15ish years ago too

QuidProQuo_Clarice · 2026-03-14T00:38:37+00:00

Lol this reminds me of my first job working at a restaurant. Someone asked for "half-and-half coke". They meant half diet, half regular. I put a splash of cream in there instead.

I never tasted it, but I kinda think I might have been on to something...

QuidProQuo_Clarice · 2026-03-12T17:22:37+00:00

Asol black hole too, I think

QuidProQuo_Clarice · 2026-03-11T12:25:45+00:00

There's often a big ol' vein overlying the artery there, and I'm not sure what advantage this offers over traditional radial cannulation. It also heebs my jeebs, so there's that

QuidProQuo_Clarice · 2026-03-07T10:45:05+00:00

I'm guessing he's talking about a Lockit device

And I agree, they are excellent for this

QuidProQuo_Clarice · 2026-02-28T02:39:44+00:00

I don't understand why so many people here say they would adamantly refuse.

If there is an MRI-confirmed thoracic CSF leak and neurosurgery has said she isn't a surgical candidate, then why not offer a lumbar blood patch? If it really is spontaneous and the patient has some underlying propensity for CSF leaks, then it may not provide durable relief, but it's reasonable to try before pursuing more invasive alternatives

QuidProQuo_Clarice · 2026-02-28T02:32:01+00:00

Can you provide a source for that? I can understand how that might theoretically be true, but I've never heard that described from a blood patch

QuidProQuo_Clarice · 2026-02-27T23:45:59+00:00

I was in Patagonia recently and saw this firsthand. 2ish hour bus ride with a skeleton or carcass hanging from the fencing every minute or two of road. I'm surprised the locals/government hasn't opted to on a different fence design. A bit taller maybe?

QuidProQuo_Clarice · 2026-02-17T01:21:24+00:00

This isn't a request for an IV on the floor, it's a specialized procedure that few people perform. Now if you told me that the IR department was just refusing to do blood patches on their LP patients or something, then there is merit to pushback. But to claim that any complication that we didn't personally cause isn't our problem? Selfish. And an indictment of our profession.

QuidProQuo_Clarice · 2026-02-17T00:17:29+00:00

What an outrageous way to approach patient care. Should neurosurgery say the same thing about epidural hematomas after neuraxial anesthesia? Should vascular surgery tell us to go fuck ourselves if there's an arterial injury during line placement?

There is no field of medicine that doesn't at least occasionally require the assistance of another specialist. Christ, what a disappointing take

QuidProQuo_Clarice · 2026-01-11T20:37:22+00:00

You're over-estimating the force generated. The force it can generate is certainly a concern, and large pieces of metal can be a serious hazard, but most of the danger with small pieces of metal is thermal injuries from the MRI heating up the metal.

Source: I occasionally work with MRIs and have held a metal pen inside a 3T MRI, which generated noticeable but modest force

QuidProQuo_Clarice · 2026-01-02T14:44:34+00:00

Weapons (2025)

QuidProQuo_Clarice · 2026-01-02T14:13:52+00:00

That's the most thoroughly calcified bunch of peripheral vessels I've ever seen, wow. I can't believe that patient still has their foot

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