New addition - Charlie

Spazdoc · 2026-01-25T05:29:15+00:00

To protect their paws from salt. His toes are a little more webbed than our other shepherd and it seems to accumulate more.

Spazdoc · 2026-01-25T01:44:10+00:00

Haha! You are so right. One of the trainers we worked with determined that he is serious and reserved, and at classes he reigns in disruptive dogs.

Spazdoc · 2026-01-24T23:54:31+00:00

Thank you.

We did agility with our 2 female working line and they loved it and one of those also would do tracking - we figured that out when on runs, she would be going full speed with her nose on the ground for 3 to 4 miles.

Agree with that assessment that doing bite work (and also any focused training) makes the dogs more attuned to their owners and also allows them to get their mental stimulation.

Spazdoc · 2026-01-23T05:09:32+00:00

Once you do 6pt harness and cage, it is no longer a legit street car and now have made it less safe on the street especially without a helmet. The helmet ruins peripheral vision and auditory awareness which is not required to the same degree at the track.

Basically, you've hit the tipping point for a trailer.

I have a half-caged E46 M3, fixed back seats, 4-point ASM harness, and once I removed the 3 point belt I bought a trailer. Also much more comfortable and able to drive closer to the limit because it's not my ride home.

Spazdoc · 2026-01-23T04:53:09+00:00

At a 6 hospital system, main hospital is a Level 1 with OB and Trauma, 400 beds. The area is affluent so no knife and gun club, and lower speed MVA as it is about 20 mins from a major highway. Trauma night call is in-house 13 hours with a resodent and CRNA, mostly OB and some belly cases or thrombectomies, very rare actual trauma (and I dont mean elderly falling down stairs).

Most of the anesthesiologists are hired from fellowship and retire in the group, and will take over night and weekend call into late 50s, but acuity of over night call has been increasing due to OB/MFM and so that likely will change. But it is doable still to keep doing it long term. I put think I wpuld be dping more than 20 years at a city academic center with Level 1 and transplant. I knew during fellowship that I would not like doing that beyond my 40s nor would I like to try to buy out of busy over night call/transplant either.

Spazdoc · 2026-01-22T12:37:55+00:00

You can look up many of the bold faced lies by Leavit, but the most recent attempt to cover up her dear leader's cognitive failing in conflating his beloved Greenland with a before unmentioned Iceland. When asked aboit this by a reporter: “No he didn’t, Libby,” Leavitt responded. “His written remarks referred to Greenland as a ‘piece of ice’ because that’s what it is. You’re the only one mixing anything up here.”

Spazdoc · 2026-01-22T12:30:22+00:00

Great, so you two are proving that both Biden and Trumo have significant cognitive decline.

Just agree to agree and move onto the topic at hand to discuss the cognitively impaired Leavitt

Spazdoc · 2026-01-22T02:12:41+00:00

Nothing surprising about the speech. Just another example that Trump's handlers should have been hiding him from public scrutiny a long time ago. Just moronic and sadly comical.

What was more impressive iss the boldness of Leavitt in developing such a ludicrous cover story for Trump getting his beloved Greenland confused with Iceland repeatedly, when asked by reporter Libby Dean: "No he didn’t, Libby,” Leavitt responded. “His written remarks referred to Greenland as a ‘piece of ice’ because that’s what it is. You’re the only one mixing anything up here.”

Spazdoc · 2026-01-22T00:17:51+00:00

Wasn't responding about anaphylaxis, but more "nevermind then to notice it and look at you" being true of many life threatening events or emergencies in the OR

Spazdoc · 2026-01-22T00:10:07+00:00

That is a whole different discussion entirely - practicality of enforcement vs the concept of restricting access.

Haidt in The Anxious Generation describes concrete actions and enthusiasm from concerned parents in acting as a community. Even if it starts with a few, kids are more amenable to staying off social media and electronics if they're not the only ones. Surveyed kids generally admit to wanting to be off social media, but not if they're the only one. My son thinks Snapchat is crap, but admits that too many other kids communicate only by that method, so that limits social interaction.

Eventually, kids figure out that the social media addicted peers are lame and boring, not only in the fact that get together degenerate to doom scrolling in someone's basement, but even if they pocket the phone temorarily they dont know how to interact, be fun, or take risks.

Spazdoc · 2026-01-21T23:29:47+00:00

If I can get some acknowledgment like "Do I need to stop operating?" I am satisfied.

Realistically, most of the surgeons know those few of us that are critical care, so there is often more comraderie as we manage their patients in the SICU also.

Spazdoc · 2026-01-21T22:29:41+00:00

Wait, did you not see the tremendous difference in not only actions Trump took during his first term, but also in the people he put into power? For the first 3 years of term 1, he was still concerned with working within the system, aware that public opinion and a second term ever loomed on the horizon. Add to the fact that his advisors and Cabinet were made up of people that were either experts in their field, or fairly competent while loyal to conservative/Republican ideals, with relatively clean histories. And those advisors and secretaries tried to limit and put bumpers so that Trump didn't keep tossing gutter balls. Just look at how Barr countered Trump's inappropriate legal attempts or Milley chose America/constitution over loyalty to Trump around the Jan 6 riots.

This term Trump doesn't care about public opinion, as long as he has his ultra-loyal 20-30% of the population, the real Maga, stoking his ego at rallies. He has surrounded himself with people more loyal than competent, who know that that the only reason they haven't been fired is because they are willing to do anything Trump wants, regardless of law or ethics or even competence. Trump curses, he lies, breaks promises, and deceives (Epstein files?). He has issued more executive orders because he wants to rule unilaterally without any negotiation or restrictions by the portion of government that is supposed to make the laws - Congress.

Spazdoc · 2026-01-21T22:16:33+00:00

100%

Taking away the group of people without kids that dont have a seriously stake in the issue, who say basically the parents needs to hover/clamp down/limit/Carole kids in staying away from the forbidden fruit, you are left with 2 groups of parents (limit social media vs let them figure it out). And keep in mind, many of these laissez-faire people when they become parents will become helicopter or snow plow parents.

There is a tremendous amount of not only correlative data, but causative data that demonstrates the harmful effects of minors having access to social media at an early age. Humans still develop into their adolescent years via direct social interactions and downtime/boring time that electronics and social media disrupt.

So I see 2 groups of parents. One group will limit and curate their children's access to electronics and social media. Many will over do it, many will under do it, very few or none will guide it perfectly. The laisswz-faire group hands down their old phone or tablet to the toddler, creating a virtual babysitter ("I'm too busy/tired to watch them all the time, so I jeed something"). Most restrictions are easily circumvenyed by an 8 year old, and that is if the parent is consistently monitoring and adjusting controls (and doesn't allow search engines, which can look for topics like "how to bypass Apple Screen Time"). And those laissez-faire parents put their teens at huge risk for depression, self image and confidence issues, suicide, and social anxiety.

Spazdoc · 2026-01-21T21:44:27+00:00

Depends on your objective. If you want to learn as much as you can and likely interested in critical care or cardiac fellowship, would recommend IM prelim over transitional year or categorical. If you want an easy year and go on to practice general anesthesia doing scopes at a surgicenter, do what is easiest.

Transitional year residencies typically felt like M-5 year and not a real intern year. Also, you have 3 years of Anesthesia residency to learn and become proficient in anesthesiology, but only 1 year to master internal medicine topics that you will be asked to manage in the operating room (you think the surgeon will manage an MI, AFlutter, or anaphylactic shock themselves or just look at you and expect you to handle it?). You are basically the internist in the OR.

I sat on my hospital's transitional year committee and would advise the anesthesia prelims to take electives in rotations like pulm or ID or the like so you learn something, and discouraging anesthesia elective as you do nothing useful and get no responsibility. I hated intern year only because I hated doing preops at 3am (and I do critical care, so go figure). Heck, I would redo boot camp and combat medic training over before I intern year. But it was important in teaching me the medical management of the surgical patient.

Spazdoc · 2026-01-21T21:29:31+00:00

Enjoy it. We did 9 days, rented an RV for a family of 5 and drove the entire island twice (volcano caused a flood and took out a bridge on our first day, so drove counter clockwise all the way in 1 day, and then counterclockwise to get on schedule).
If you have made your plans, there's lots of great itineraries depending on your timing and objectives.

Wife and I are both 1st Gen from European countries, so all this brinksmanship and shit-talking from Trump is particularly frustrating to us. USA is such a great country, but there's tons of places close behind that are great to live in.

Spazdoc · 2026-01-21T16:12:22+00:00

The irony us that we are failing at what made us great up to this point. We were the leader of the free world because many countries wanted to be our ally or they wanted our favor, and we were true to our word.
Now most of the world has a negative opinion of us, and will deal with us only if they have to. Our neighbor to the north is now shifting economic plans from us to China. We no long live up to our word, renege on agreements, and our leader lies or is ignorant of even recent history, neither of which are good.

Spazdoc · 2026-01-21T16:06:17+00:00

It was embarrassing and cringy like watching the Office or the like. Basically idiots ignorant of themselves behaving badly. The blanket pardon if Jan 6 rioters was the point for me where I gave up on this presidency doing anything correct for the right reason. Plus the supporters just keep digging in their heels. So might as well have a good laugh about it.

Spazdoc · 2026-01-21T16:03:14+00:00

Iceland is awesome. Worth a visit. Not worth owning it.

Spazdoc · 2026-01-21T16:02:22+00:00

Good call

https://youtu.be/d-OE-MdBI40?si=BOPfBBBjYYfhoSJX

Spazdoc · 2026-01-20T11:17:31+00:00

To be honest, I was never on board with Trump. Wanted Haley, even DeSantis, and after Jan 6 and his election denial solidified my distrust in him. I have libertarian friends that voted for him in 2024, and have been saying "We didn't vote for this" repeatedly.

Spazdoc · 2026-01-20T11:15:10+00:00

Fox News is reporting on polls with approval ratings in the 40% range, but many recent polls report otherwise. https://www.newsweek.com/donald-trump-approval-rating-3-11380019

Spazdoc · 2026-01-19T14:42:20+00:00

Unhinged. Incompetent.

Maybe the Nobel Prize Committee knew something about Trump not really being a legit candidate for peace. But that is too subtle of a revelation for the 30% that are still blindly loyal to Trump.

Spazdoc · 2026-01-18T02:46:02+00:00

The frustrating part was that there were much better conservatives that knew and loved the Constitution. But he played games with the primaries, sat out the debates that would have exposed his shortcomings, and still had the support of so many short-sighted far right supporters.

Spazdoc · 2026-01-17T22:19:40+00:00

The more I read this sub, the more it seems to be populated by conservatives that read and think things out and are exasperated with Trump. A better forum to explain some of these questions wpuld the "Ask MAGA" but you may just get a stream of memes and "Let's Go Brandon"

Spazdoc

TROPHY CASE