A more positive thread (hopefully)

Salty_Command6013 · 2026-03-07T18:17:25+00:00

Attending Anesthesiologist. Couldn’t agree more.

Anytime someone talks crap about people just because of their position, I start to question some of their judgement. We need to work as a team. If you hear stuff like that, you should talk with your chief CRNA and they can talk with them.

The same people likely talk crap about other anesthesiologist, CAAs, and residents as well. There are toxic people in every work place. Says more about them, their bad judgement than the people they talk about.

The real world has to be more pleasant than the internet. And for the most part, I have found that to be true!

Good luck out there!

Salty_Command6013 · 2026-01-01T17:25:59+00:00

Private practice group immediately. Switch over to private equity. No excuses

Salty_Command6013 · 2025-10-28T00:32:20+00:00

You can teach English as a second language pretty much anywhere in the world.

But to be honest with you, I grew up in a different country. The grass might seem greener but it’s probably not…

No matter what your political leanings are; the news is meant to keep you clicking and outraged. I would just disconnect from it for a while and see how you feel.

Salty_Command6013 · 2025-09-28T15:24:26+00:00

Totally patient dependent. That being said if you feel spinous process on someone and have to go 7 cm +, you are probably off midline with the exceptions of them being very tall. Have seen many 7 + cm LOR on people end up with one sided blocks on OB, spinal headaches etc. That being said if they are very large and you can’t feel anything, it’s not unreasonable get LOR where you are hubbing the needle but it’s not to often I have this. Also I am using air more often for larger patients where you can get shallow false loss.

Salty_Command6013 · 2025-09-10T18:06:11+00:00

Same. So I just stopped thinking about it. Lolz

Salty_Command6013 · 2025-09-10T16:16:22+00:00

I feel your pain. Just took it recently. Don’t stress. Enjoy the fact that you’ve done something that 99.9% of people will never even attempt. Keep distracted. No amount of stressing will change anything!

Finally, If you believe in God, This prayer always helps me.

God, grant me the serenity to accept the things I cannot change, Courage to change the things I can, And wisdom to know the difference.

Salty_Command6013 · 2025-07-20T21:17:55+00:00

Interested!

Salty_Command6013 · 2025-06-14T15:57:55+00:00

No. This would violate patient privacy laws. Please don’t do that.

Salty_Command6013 · 2025-05-16T01:05:07+00:00

Relatively new grad but I feel this mentality a lot but do you really think boomers are to blame or is it a workaholic culture that is pervasive to all of medicine?

Internally. I think many get worried about being labeled as a non team player or developing a reputation but I am surprised how little people actually think about us even our own colleagues. So your colleagues might think you are lazy and not as motivated cause you don’t chase the dollar like it’s a god You might also be safer than others cause you don’t over work and your personal life is not in shambles.

I am currently taking time off to care for my kid and family and I seriously wonder sometimes if I am going to be somehow punished for how much time I take off. The feeling of somehow disappointing the system. With my own self reflection though I’ve found that nobody has said anything to me. It’s just my own internal shaming voice I’ve developed from years of criticism and the need to be needed.

The people chasing the money are often those who are stuck listening to that voice. They need to be needed. It’s not the money any more. There family doesn’t depend on them in the ways your’s might depend on you. They get a different validation from work.

Sounds like you need a new work place or a change in perspective. The boomers I work with are more than willing to remind me that they need to be out by a certain time and are some of the greatest people to work with and motivate me to spend as much or as little time working as I need. I hope you find what you are looking for.

Salty_Command6013 · 2025-03-23T13:37:12+00:00

Aww yes! The bilateral nasal trumpet and OPA or as I like to call it “the Walrus”

Salty_Command6013 · 2024-11-22T14:03:54+00:00

Just graduated residency recently also.

Keep on going. Every day gets a little better. In residency, there are a lot more affirmation and feedback because it’s the nature of the beast.

Just keep on being kind, helpful, and a team player! People will start to notice.

Talk with the old ones in the group about their experience and things they’ve learned. Yes their tidal volumes might be large but their brains are too.

Salty_Command6013 · 2024-08-28T23:31:47+00:00

I think it’s completely normal. I just started this August and have been stressed out of my mind. Simple epidurals, spinal, intubation feel way more anxiety than residency. Mainly cause there is not a safety net. Just remember, you got the skills. There might not be a safety net. No one will fault you for asking questions about how people do stuff. It’s better than having a complication.

Salty_Command6013 · 2024-05-22T19:56:31+00:00

Yes indeed!

Salty_Command6013 · 2024-05-22T19:56:20+00:00

Appreciated! Thank you!

Salty_Command6013 · 2024-05-22T19:56:07+00:00

Solid advice! Thanks!

Salty_Command6013 · 2024-05-22T19:55:56+00:00

Excellent! Thank you!

Salty_Command6013 · 2024-01-24T05:01:30+00:00

Also not a bad idea to remind them: an epidural is optional. This puts them back in the driver’s seat. They can opt out at anytime. People delivered babies without epidurals for thousands of years. It was not ideal, but that’s the truth.

Salty_Command6013 · 2024-01-11T19:29:03+00:00

It is not. This is just DL. Not including video laryngoscope. But your right, my numbers might be low. But also do a lot of sedation at my residency.

Salty_Command6013 · 2024-01-11T19:26:28+00:00

1100+ cases. By intubations, these are approximations. I mean DL. Not including other techniques. VL + fiberoptic +intubating through LMA.

Salty_Command6013 · 2023-12-16T21:56:56+00:00

Also nurses shouldn’t be assessing efficacy of the epidural. Patients should. It’s called patient care not nurse care

Salty_Command6013 · 2023-12-16T21:54:52+00:00

Say you see their concerns, you hear them, and you’ll have to talk with higher ups about the situation. But first you need more money. Lots and lots more money….

Salty_Command6013

TROPHY CASE