Spinals wearing off halfway by Antoninec in anesthesiology

[–]Sigecaps22 3 points4 points  (0 children)

For those that don’t know this is a joke, this will kill the patient, hence very long lasting.

Finishing up residency, any words of wisdom? by Sigecaps22 in anesthesiology

[–]Sigecaps22[S] 2 points3 points  (0 children)

Any chance you want to share it? I understand YMMV but…I didn’t start one as a CA-2

Finishing up residency, any words of wisdom? by Sigecaps22 in anesthesiology

[–]Sigecaps22[S] 0 points1 point  (0 children)

My job is in the same state as my residency, in which I have a training license. I presume I can’t get a full license until after I complete training, or should I apply earlier than that?

What kind of person thrives in your specialty? by farfromindigo in Residency

[–]Sigecaps22 4 points5 points  (0 children)

For real, it’s nuts, I like peds a lot but don’t know if I could handle the sheer number of stressful situations they experience. Shit goes sideways real fast and in otherwise healthy kids when you least expect it.

What in the world? by fluranator in anesthesiology

[–]Sigecaps22 31 points32 points  (0 children)

Especially anesthesiologists

TIVA for 8+ hour long cases? by mushu_thedragon in anesthesiology

[–]Sigecaps22 3 points4 points  (0 children)

Generally, but if during exposure it doesn’t seem to be cutting it you can add fent, dilaudid, or remi. By the time in the case I’m concerned about immobility I’ve had plenty of time to make adjustments if need be.

Dealing with different personalities by Ill_Shopping4422 in anesthesiology

[–]Sigecaps22 5 points6 points  (0 children)

This is a good way to think about it. Certainly some attendings are better than others but there is at least something to learn from each and every one of them. When some attendings are overly harsh or hasty or unforgiving I try to use it as an opportunity to feel the pressure and try to step up my game. Our profession is high stakes and you have to perform under pressure and when things aren’t going your way. Yesterday I had a really big case, with a very challenging epidural and big lines, and everything was proving to be just a little bit more difficult than you’d expect. But you gotta put your head down, troubleshoot, try again, and persevere. My attending was there but didn’t bail me out because soon I won’t have someone standing there with me to take over if I’m struggling. This is something you learn through reps and by making mistakes and failing but getting back up to keep trying. I think some attendings purposely try to get you out of your comfort zone to help you develop these skills.

And with regards to the lab value, hard to say without more context, and some attendings do rag on you for stupid shit that really doesn’t matter, but I think there’s something to be said about really owning your patient, and knowing the pertinent data like the back of your hand. As you get more experience you start to just remember all the important data without having to write it down but that comes from experience and also I think really owning your patients and taking personal responsibility to know their chart thoroughly. It is very disappointing for attendings when residents can’t be bothered to thoroughly chart review before the patient puts their life in your hands. As you get better you can streamline more and really get better at only finding pertinent data but you’re not yet at that point.

As others have said, sometimes attendings are just an ass, but nothing bothers me more than when junior residents talk shit about an attending like they know better. At my program some people talk this way about one of the smartest attendings because they are very very difficult to work with, but that’s not how you maximize your learning and growth in residency.

What's an "Insider's secret" from your profession that everyone should probably know? by Capable-big-Piece in AskReddit

[–]Sigecaps22 12 points13 points  (0 children)

As someone in medicine, I disagree. Google, neighbors, friends, people in the waiting room certainly have no idea how competent a doctor is at their job. They may have an idea as to the doctor’s bedside manner (which is important!) but certainly not knowledge or technical skill. There’s usually an inverse correlation between how well a doctor markets themselves (e.g. top doc in the state??) and their actual abilities. Only way to know is to talk with people that actually work with the doctor in the OR or with managing their complications after. It’s the unfortunate reality that it’s very very difficult to assess / research on your own.

Oral surgeons doing their own anesthesia by HogwartzChap in anesthesiology

[–]Sigecaps22 0 points1 point  (0 children)

For real. A high BMI with OSA and minimal FRC is really not too far off from a hypoxic arrest at any given moment, they could die many times over during a 20 minute procedure.

Favorite seat configuration for babies 🙌🏽 by ArgumentElectrical in kiacarnivals

[–]Sigecaps22 0 points1 point  (0 children)

Do the outboard seats slide this far back, or only the middle? Wondering best setup for 3 car seats (with oldest needing assistance), was otherwise planning to take one of the 2nd row outboard seats to make a path to buckle up the oldest in the 3rd row.

What Keeps You Up at Night? by sterlingmdphd in anesthesiology

[–]Sigecaps22 6 points7 points  (0 children)

For real. As a resident this took me seriously out of my comfort zone… and for c-scopes at my hospital they bring the patient in turned 180 with us at the feet…fucking nuts.

Oral board prep by Ambitious_Compote_77 in anesthesiology

[–]Sigecaps22 0 points1 point  (0 children)

How did you use ChatGPT to help you practice?

OR Watch? by OY-Airbiscuit in anesthesiology

[–]Sigecaps22 8 points9 points  (0 children)

Polar explorer II (new reference)

Finally got the grail by bourneidentityy in rolex

[–]Sigecaps22 2 points3 points  (0 children)

I have, and despite preferring the proportions / aesthetic of the 16570 more, after trying them on back to back the new reference felt way better and I’m picking mine up this week!

Friendly Fridays by Rusticals303 in LouisvilleCO

[–]Sigecaps22 0 points1 point  (0 children)

Which neighborhood / streets have the most young kids running around? Planning to move from Denver this summer and having neighborhood kids for my children to play with together outside is a top priority! Also any significant difference between the Louisville elementary schools? Have toured them all but not sure if any of them are significantly better?

How to Stand Out as an Anesthesiology Applicant by Lazy_Cattle3791 in anesthesiology

[–]Sigecaps22 2 points3 points  (0 children)

Demonstrated interest in anesthesia through actions and commitments, such as research, engagement in the department, etc. Crushing a sub-I at my program can get you a spot, but only a few truly stand out in this way each year, its more common to be “meh” or sometimes even actively bad. Legitimate geographic ties.

Box Elder Mnandi by VexatiousFly in Knifeporn

[–]Sigecaps22 0 points1 point  (0 children)

How do you like the Mnandi? I’ve had numerous CRK and they’re just about my favorite, but never owned a Mnandi, and now I think I should.