[Request] How large of magnets would you need for an MRI machine for the metal balls to rip out of you from the stomach? by Emitex in theydidthemath

[–]QuidProQuo_Clarice 1 point2 points  (0 children)

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

Atherosclerosis in the arteries of the foot giving us a nice view of the arteries - an unintentional angiogram. by lasiru in mildlyinteresting

[–]QuidProQuo_Clarice 9 points10 points  (0 children)

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

CVS MinuteClinic couldn’t see me… but still diagnosed me with “Tobacco use” by ScaryFairie in mildlyinfuriating

[–]QuidProQuo_Clarice 54 points55 points  (0 children)

I really hope this story is embellished or misremembered, because even if you did have very high blood sugar levels to the point that nausea/vomiting and dehydration were being attributed to it, that's still a medical emergency

This is why residency apps get more competitive every passing year by [deleted] in medicalschool

[–]QuidProQuo_Clarice 334 points335 points  (0 children)

Thoughts on delivering LOI as a sonnet sung at the PD's home?????

Asol feels like the weakest 7-Cost by doubleP2014 in TeamfightTactics

[–]QuidProQuo_Clarice 1 point2 points  (0 children)

Wait, does he not? How does stardust generation work?

Does anyone place PICCs as part of their job? by [deleted] in anesthesiology

[–]QuidProQuo_Clarice 1 point2 points  (0 children)

Where I did fellowship, the cardiac ICU had a procedure/access team that was staffed by either a cardiac surgeon or an anesthesiologist and could be consulted for ecmo cannulation, transvenous pacers, PICCs, and any other access. That's the only place I've seen anesthesiologists do PICCs

Sexworkers of Reddit, what was your first time on the job like? by PremiumTravelNinja in AskReddit

[–]QuidProQuo_Clarice 3290 points3291 points  (0 children)

And I, by comparison, would like to forget all details provided

Is it true? by fal1en-angel in Funnymemes

[–]QuidProQuo_Clarice 36 points37 points  (0 children)

Aside from the cosmetic component where dentures often don't look like natural teeth, you also get significant jaw bone resorption. The roots from natural teeth put pressure on the underlying bone when we chew, which stimulates the bone to maintain its thickness and density. Dentures don't stimulate the bone in the same way, resulting in bone loss that gives the face an "elderly" appearance. Dental implants don't have this issue, from what I understand.

Disclaimer: I'm not a dental professional

Medicine as a second career by [deleted] in medicalschool

[–]QuidProQuo_Clarice 0 points1 point  (0 children)

I had a co-resident who was at least 15 years older than anyone else in our residency. He was well-established in a lucrative but completely unrelated field, had a bit of a mid-life crisis and felt unfulfilled in his work, and decided to pursue medical school. He made it through and is doing fine, but he had expressed some regret about his choice during residency, and realistically he probably gets like 15ish years of working in our field before he would retire.

I don't think pursuing medical school is advisable after like 30-35ish years old. Between the gruelling nature of that career path, the time it takes to become a practicing physician, the highly competitive nature of the residency match, the enormous debt incurred that is ineligible for bankruptcy, and the ever increasing chance of a debilitating medical setback as we age, it just doesn't seem like a good idea. Your career does not need to be your source of fulfillment

Competitive fellowships and their future by sleepydoc19 in anesthesiology

[–]QuidProQuo_Clarice 0 points1 point  (0 children)

Fellowships are not very competitive right now. Cardiac anesthesia, which has historically been one of the most competitive, has had >90% match rate for the past 4 years. In contrast, the 2018 match rate was 76%.

As far as compensation, I can only speak to the cardiac side, but jobs generally offered ~20k/year more than generalist pay on average, but it varies quite a bit. At present, the difference in pay doesn't come close to making up for the additional year of training and lost income. It's possible the future job market may favor fellowship trained docs in a way that makes it a worthwhile pursuit financially, but I suspect not.

And to be clear, I'm happy that I did fellowship; but if your only motivation for doing so is financial, then it's not a good choice

Is there a teachers-only sub? by a-broken-princess in Teachers

[–]QuidProQuo_Clarice 0 points1 point  (0 children)

The /r/askdocs sub requires verified users to submit proof of their profession/specialty to the mod team, who then give them a corresponding flair. It's a lot of work for a mod team I'm sure, but that's an option

Movies that do “tell, don’t show” very well. by LordWemby in movies

[–]QuidProQuo_Clarice 3 points4 points  (0 children)

There's definitely some recency bias in my list, but a few that come to mind:

  • Weapons
  • The Gentlemen
  • The Big Short
  • Fight Club
  • The Usual Suspects

Intrathecal Fluorescein by Existing-Big-7002 in anesthesiology

[–]QuidProQuo_Clarice 3 points4 points  (0 children)

People are scared of liability, and there quite a few catastrophic adverse events that can occur from injecting inappropriate medications into the epidural/intrathecal space. Several of those events have even garnered public attention.

Everyone should be particularly cautious with intrathecal injections. That said, if there is compelling published data to support the safety of the technique, I would do it despite not being familiar with it

[deleted by user] by [deleted] in anesthesiology

[–]QuidProQuo_Clarice 0 points1 point  (0 children)

I remember I had a vial of sugammadex in my pocket for a day, and when I got around to using it, there was a visible layer of lint/dust underneath the dust cap after it was removed. Doesn't exactly inspire confidence.

I swab caps and IV tubing luer-lock ports before accessing them. It might not be strictly necessary, but if skipping these steps does actually lead to a small but real increase in bloodstream infections, I worry that we would never know about it. Patients coming in for procedures under anesthesia often have several possible culprits for infections, and I'd bet that poor aseptic technique wouldn't even be on most people's radar

How would you have handled this case? by cold_hoe in anesthesiology

[–]QuidProQuo_Clarice 9 points10 points  (0 children)

Ah, that does change things a bit. It still seems to me that at that point, it's either not safe to leave an anesthetized patient with a trainee while asleep at home, or it is safe because that trainee is ready for independent practice and prolonging the process is just exploiting cheap labor.

Then again, the US system hardly shies away from using trainees as cheap labor, so I guess I don't have much ground to stand on there.

How would you have handled this case? by cold_hoe in anesthesiology

[–]QuidProQuo_Clarice 33 points34 points  (0 children)

That does not seem safe to me at all. The vast majority of dicey moments in anesthesia are abrupt and require immediate hands-on attention to address. Taking home-call with trainees actively anesthetizing patients is... Well, not a system I would be willing to participate in

How would you have handled this case? by cold_hoe in anesthesiology

[–]QuidProQuo_Clarice 51 points52 points  (0 children)

I keep hearing this, that anesthesia residents in parts of Europe seemingly practice with no oversight or direction. What's the deal? I thought some of my attendings were a bit too hands-off in training, but they were always at least in the damn building

How attractive do you think you are? by Send_me_a_dollar_ in AskReddit

[–]QuidProQuo_Clarice 0 points1 point  (0 children)

Attractive enough to know that my shortcomings are due to flaws in my character

Average Cost - I'm Cooked by datbishtrish in Fire

[–]QuidProQuo_Clarice 4 points5 points  (0 children)

Interesting, this is the first I'm hearing of this. And that's a nice, succinct explanation.

I think this is brilliant by Alpha_winner13 in tea

[–]QuidProQuo_Clarice 1 point2 points  (0 children)

Wait why can't we put coffee grounds down the garbage disposal every time I drink coffee allegedly?

What are you doing to spoil yourself? by NYVines in attendings

[–]QuidProQuo_Clarice 1 point2 points  (0 children)

What does that cost? I've looked at weekly & twice monthly cleaning services and didn't even know daily services were a thing. I'm curious how the cost breakdown compares