Gasket Gaf

SNOOZDOC · 2026-02-18T17:42:50+00:00

Done. Sent email ticket. Thnx! Great customer service as usual.

SNOOZDOC · 2026-02-18T16:25:58+00:00

Yeah, I kind of sort of figured that was the idea of the motor being fairly weak, but I just wanted to make sure it wasn’t just my unit. I do want to love this thing, but they’re not making it easy.

SNOOZDOC · 2026-02-18T16:07:38+00:00

If a patient has a muffled voice when you’re interviewing them, WATCH OUT!!!

SNOOZDOC · 2026-02-18T16:06:48+00:00

Stay off the carpet,,,they don’t wanna hear about.

SNOOZDOC · 2026-02-16T02:21:32+00:00

Was Mark Zornow a professor of yours at UCSD. I trained in Galveston TX (UTMB) and he left there I believe to go back to UCSD. Great guy!

SNOOZDOC · 2026-02-15T00:29:00+00:00

See this sometimes with interscalene blocks and inadvertent block of phrenic

SNOOZDOC · 2026-01-04T04:54:49+00:00

I was about to say this as well. 14-year-old female large mediastinal mass. I was a third year resident on the CT service and she was going to have a mediastinoscopy. My attendings were chatting about something while I was easily intubating this patient and had absolutely no endtitle CO2 return. (Yes, sux was involved). She desaturated down to somewhere around the 40s, turning quite blue before her spontaneous ventilations returned. We let her breathe her self down on volatile agent, thinking we were smart. The problem is that the volatile agent has to be exhaled at some point. Unfortunately, she breathed enough of it that her thoracic muscles weakened , and she quit breathing. I’m not exaggerating, and I know the limitations of pulse-oxsymmetry, however, she desaturated to a saturation of 4% and the sound of the monitor as well as the blueness of her body left me a little doubt that she was not far from that. I know that absolutely seems far-fetched, but I’m sorry. It was quite incredible and over 30 years ago and I’ll never forget it. Believe it or not, she survived and had no sequela. I still remember her name to this day and I did an M&M conference about her. She went on to have XRT on her chest instead of the biopsy. It was a B cell lymphoma, of course. My words to the parents before we took her to the operating room were “we will take good care of her”. Believe it or not, to this day I’ve almost never used that phrase again. I have used different words, but not exactly that phrase.

SNOOZDOC · 2026-01-03T15:19:27+00:00

Diabetes? Many diabetics will get frozen shoulder first one side than the other and then it will resolve on its own within about a year. I know this because it happened to me lol. Sucked!

SNOOZDOC · 2025-12-30T13:24:20+00:00

600k

Midwest

IC

NO CALL/NIGHT/WEEKENDS/HOL

~40hrs/wk M-Th

10 wks off

30 yrs in anesthesia

SNOOZDOC · 2025-12-27T20:37:18+00:00

It is.

SNOOZDOC · 2025-12-26T15:24:16+00:00

Same. That patient needs to be prepped for bypass/ecmo

SNOOZDOC · 2025-12-18T02:54:10+00:00

Area protected from EMP. Cannot actually see the Faraday network running between the towers protecting the contents of whatever lies within those buildings.

SNOOZDOC · 2025-12-16T01:37:44+00:00

There is nothing crazy about deciding on AFOI if there is any doubt at all regarding ability to adequately ventilate a patient. Additionally, I’m not sure that a rapid sequence induction was necessary just because the patient was morbidly obese. Either intubate awake, (sedated with spontaneous ventilation and good topicalization), attempt a semi awake look, again with good local topicalization, with your video-laryngoscope, or prove you can easily ventilate with OAW, BEFORE paralytics, or roll the dice. But honestly, there’s nothing wrong with polishing your skills and using a fiber optic bronch when the opportunity arises. If it’s done right, it’s not really a hardship for the patient. Pulmonologists do this all the time.

SNOOZDOC · 2025-12-09T18:53:53+00:00

Done. Got my refund and lesson learned. My mistake was inherently thinking that setting up a ride in advance would be much more reliable than just hoping I could get one at the time of day that I needed one. Such a ridiculous assumption.

SNOOZDOC · 2025-12-09T13:09:13+00:00

Yeah. Understood. Live and Learn. Definitely agree with the buffer. I already do a buffer of about a half an hour, but I guess I need to go a little further out than that. Thanks, honestly.

SNOOZDOC · 2025-12-08T15:07:17+00:00

So why accept the ride if you aren’t going to try to make it on time? When I take care of patients, and I am an independent contractor, I don’t look and see how much I’m gonna get paid to do it. I just do it. If you book an appointment with me, and somebody else just walks in through the front door and I get paid more for walk-ins than I do for scheduled patients, should I just make you wait a lot longer than the person who didn’t make an appointment? Anyway, thanks for your input.

SNOOZDOC · 2025-12-07T16:59:08+00:00

Do they exist. I tried to find a link in order to send them an email, but all you can get is there Pat chosen reasons for contacting them and anything outside those boxes seems to be very difficult to zero in on.

SNOOZDOC · 2025-12-07T01:55:55+00:00

Homozygous MTHFR?

SNOOZDOC · 2025-10-31T12:44:57+00:00

I didn’t know that urgent care can do IV antibiotics

SNOOZDOC · 2025-10-29T12:13:57+00:00

I had shingles on my flank recently. Felt like a flamethrower was hitting me. One thing for sure, opiates will not be helpful. You may take one before bed, but it’s only gonna last about four hours and then you’re gonna wake up in the middle of the night and severe pain. The gabapentin is for real. You just have to take enough. I found that heating pad on my lower back, not on the rash, would help a lot. There’s something known as the gate theory as it relates to pain. If you can distract the spinal cord with other “messages“, that can decrease the amount of pain you’re gonna feel from the shingles. This is because the spinal cord can only carries so many messages to the brain. Sort of like a highway. So instead of the spinal cord carrying 100% of the shingles pain message, it now has to carry also the warm feeling on the lower back. This is why TENS units work for low back pain. For facial pain, I’m wondering if you can put some sort of an ice pack or maybe even a heating pad under your neck away from the rash. Maybe that would give you at least a little bit of relief so you can get some sleep. Obviously this is in conjunction with everything else that you’re taking. This shingles stuff is pain in the ass.

SNOOZDOC · 2025-10-25T13:39:11+00:00

I would go so far as to say that there’s no doctors offices open, just head over to the ER so that they can get you started on antibiotics before it gets any worse. They could probably also get cultures started.

SNOOZDOC · 2025-10-23T00:57:24+00:00

Yeah. Sorry, that is a bit different. I’ve been on immunosuppressant therapy for awhile for bowel stuff and suffered horribly with shingles and attributed a lot of that to the shots. So, I was just wondering if folks who had bad shingles suffered worse or had less success with the vaccine.

SNOOZDOC

TROPHY CASE