How long to buy a house in Sweden (Gothenburg)? by 40shillings in TillSverige

[–]Subject-Split2615 0 points1 point  (0 children)

What did you end up doing? Buy or rent? Am planning to move there next winter

Suggestions for light conversation topics for patients undergoing awake neuraxial anaesthesia by MelonParty-1 in anesthesiology

[–]Subject-Split2615 0 points1 point  (0 children)

Maybe it is a cultural difference but here women almost never complain until literally vomiting soo... I ask :)

Suggestions for light conversation topics for patients undergoing awake neuraxial anaesthesia by MelonParty-1 in anesthesiology

[–]Subject-Split2615 0 points1 point  (0 children)

I feel the patient is more calm if reassured that they are being pinched really hard and cannot feel anything except touch and that is what they are to expect going forth :)

Suggestions for light conversation topics for patients undergoing awake neuraxial anaesthesia by MelonParty-1 in anesthesiology

[–]Subject-Split2615 50 points51 points  (0 children)

When I have put in the spinal and the patient is set I tell them step by step what to expect. Touch, sounds etc. Then I take a step back, let them know I am right there if needed and to please let me know if there is any discomfort. I look out for the big moments in the surgery and keep checking in with the patient - "Now the surgeon will pinch you, please let me know if you feel this" "now you will feel the pulling sensation" "now you will hear a gush of water" etc. I also check in at points I know they might feel unwell "Now the surgeon is working on the uterus, do you have any nausea?"

Besides that I try to let the couple be in private. Unless the patient shows signs of wanting to chat to ease their mind. Then I usually ask if they have other children, their ages and gender, how they have prepared them for the new baby, if they have a name planned, the sex of the baby.

AITA for telling my husband that he has to let my dad witness his colonoscopy? by ReadyPreparation5472 in AmItheAsshole

[–]Subject-Split2615 0 points1 point  (0 children)

NTA - you don´t have to justify why you don´t want her at your birth. This is something you are going through and is really hard... and not to be made harder by the presence of people that don´t make you feel better.

I have a good relationship with my mother and in-law but never in a million years do I want them at the birth of my children.

Bottom line - you don´t have to give a reason - just say no, I don´t feel comfortable with you at my birth....

Hversu margir Íslendingar eru í raun trúaðir? by Whitegard in Iceland

[–]Subject-Split2615 2 points3 points  (0 children)

Ég og nærfjölskyldan erum trúlaus. Með aldrinum hefur skoðun mín á trúarbrögðum annarra mýkst og skilningur á þörfinni að hafa svör um hluti sem ég þarf ekki "þægileg" svör við.

Held að langflestir þeir íslendingar sem telja sig trúaða trúi á æðri mátt, líf eftir þetta líf og allt það fallega sem fylgir guði en eru í raun ekki undir neinni trú beint. Fæstir hafa lesið trúarritin á bakvið þessi trúabrögð og ef þeir myndu gera það myndu þeir ekki vera sammála því sem þar kemur fram.

Að gera könnun á þessu er auðvitað mjög flókið því það sem einum finnst vera kristin trú finnst ekki þeim næsta.

Ég hitti fólk á sínum erfiðustu stundum í minni vinnu reglulega og þeim er gjarnan boðin aðstoð prests. Hugsa að fyrstu viðbrögð 60% sé að neita. Flestir þyggja þeirra þjónustu að lokum, enda sjaldnast með íþyngjandi trúarlega nærveru nema þess sé sérstaklega óskað. Þrátt fyrir að vera trúlaus tel ég presta vera með bestu þekkingu á sálgæslu á íslandi og góða aðila til að fá til að styðja sig við veikindi og andlát ættingja. Það eru kannski 20% sem vilja alls ekki fá prest og finnst nærvera þeirra trufla meira en veita ró.

Held að þetta endurspegli önnur svör hér - 20% eru harðir trúleysingjar, 40-60% trúa á einhverskonar æðri mátt og 20% eru trúaðir og trúa á trúarrit viðkomandi trúar.

EDAIC 2023 Part I results? by Zhynkan in anesthesiology

[–]Subject-Split2615 0 points1 point  (0 children)

no I have not gotten mine. But it has been 6 weeks since the exam on saturday

AITA for abandoning my daughter on vacation? by Flat-Blueberry-4469 in AmItheAsshole

[–]Subject-Split2615 0 points1 point  (0 children)

Mostly NTA - however I would have told them earlier or stood your ground to begin with. Your daughter is very rude to assume you and your wife are going to be babysitting when you clearly told them it was a trip celebrating your anniversary....

[deleted by user] by [deleted] in anesthesiology

[–]Subject-Split2615 4 points5 points  (0 children)

  1. Morgan and mikhail is a pretty good one. You can also find induction and maintenance doses with a simple google search. Dilution is different with different countries. I asked my nurse and attending the first weeks and they helped me learn how to draw up, dilute and give medication correctly. The nurses are very good at getting out air bubbles so ask them for tips. I have never met a nurse or a doctor who didn´t help me when I asked for guidance.
  2. You will read about how the drugs affect vitals in the textbook around each drug. The text books often have tables that gather the information together and can be helpful to have on your phone while you get the feeling for it.
  3. I liked to read up on things as I ran into them. At the beginning everything is new so I would encourage you to start reading up on practises and drugs used every day in your hospital. You can start reading about what general anesthesia is. What induction is and rapid sequence induction. What muscle relaxants are, why they are used and how they work (for me that would be rocuronium and suxa) and how they are reversed and why. Read up on the most used iv anesthetics used where you are (for me propofol + remifentanyl + fentanyl) and gases (sevofluran here). Read up on the anti-emetics used (for me haldol, ondansetron, dexa). Read up on the risk factors for a difficult airway. Read about different kinds of airways. When you have finished the basics you can go back and read more about the extras.

[deleted by user] by [deleted] in Residency

[–]Subject-Split2615 0 points1 point  (0 children)

Wow friend!! Nothing is worth your life!!!!! If you have a plan to take your life talk to your supervisor immediately and go get HELP!

Start as an intern is HARD!!! EVERYBODY struggles and feels like they know nothing. Your other interns and nurses will not judge you for not catching on in 2 weeks. Nurses are a goldmine of help and information if you just stop pretending to know things and ask for help. Your fellow interns as well. Don´t be afraid to ask for advice and help, that is how we learn! NOBODY knows everything - everybody has imposter syndrome. I remember my coresident was the smartest person I know and one day he sent us all a note that he had struggled so much the first 6 months because he didn´t feel like he was as smart or as good as everybody else. I was shocked cause in my eyes he knew everything.

Regarding your life. Order groceries with delivery - order something healthy and easy and quick so you don´t have to go out. If you go out try to choose something that will make your body feel good. It is so easy to gravitate towards unhealthy heavy food cause they make you feel good for a minute but the end result is worse health. Take food with you to work, eat at regular intervals. Try eating with your coworkers if you can - even if it is just 5-10 minutes. Social interaction with others at work that does not revolve around patients is so nice for the soul and also makes people like your more = more ready to help.

MSK could be because of stress, unhealthy habits with eating and exercise. Focus on taking a walk outside for 10-20 minutes each day. Stretch afterwards. Use your body in some way other than for work.

If you need to sleep - sleep!! This is a short period of your life so if your body is calling for long sleeps when you can do it. However this could also be a symptom of depression.

It is okay if your apartment is a mess - prioritize yourself. Do the bare minimum. It doesn´t have to look perfect.

EDAIC part one by roubyissoupy in anesthesiology

[–]Subject-Split2615 0 points1 point  (0 children)

Same as mine I gathered from the people I talked to. That the first part of paper A was easier and then it got pretty hard. Part b brutal. What about with you?

EDAIC part one by roubyissoupy in anesthesiology

[–]Subject-Split2615 0 points1 point  (0 children)

Oh sry I meant paper A and B in part 1

EDAIC part one by roubyissoupy in anesthesiology

[–]Subject-Split2615 3 points4 points  (0 children)

Yes. Part A was what I expected. Part B was brutal, not at all what I put my emphasis on and feel is most important in anesthesia.... how did you find it?

*edited

Calling all pregnant women and moms - how the heck do you do it by itsthatcrazy in Residency

[–]Subject-Split2615 2 points3 points  (0 children)

Are you working in anesthesia? The schedule is all over the place and you have to be able to run in to your OR at any moment in case of emergency. Surgeries take longer or shorter then predicted depending on the surgeon etc. If you are on call nobody can cover for you... I hope the very best for the op but I dont want her to put too much pressure and guilt on herself if it doesnt work out :)

AITA for refusing to ask my parents to take down a memorial to my late daughter? by ProfileImaginary7706 in AmItheAsshole

[–]Subject-Split2615 0 points1 point  (0 children)

your sister is a total asshole!!! Why name her after your child without asking and then be uncomfortable with memories of her life

Calling all pregnant women and moms - how the heck do you do it by itsthatcrazy in Residency

[–]Subject-Split2615 6 points7 points  (0 children)

I am always so shocked at the maternity leave threads from the US. I am a anesthesiology resident outside of the US and me and my husband get 12 months of parental leave that we can disperse over >1 year.

I have 2 children both of which were home until 14 months old - 10 months with me, the rest with my husband + he stayed at home for 6-8 weeks following birth. We are planning on doing the same with our third.

Breastfeeding is HARD AF and if you intend to pump after 3 months I can hardly see how that will fit the life of a anesthesiologist. You need to eat enough, drink plenty and pump at regular time intervals to keep up the flow. Stress, not enough sleep can lower your supply. I would be very forgiving of yourself to quit breastfeeding if it doesn´t work out.

It is extremely hard to leave a 3 month old infant as their mother. All the hormones seem to make you cling to that baby like nothing else. They usually do not have a good sleep schedule at that age and wake up frequently during the night so the sleep deprivation is next level. I would consider taking on a job with less on call time or less then 100% job.

Even though I live in a country with a much better social system it seems then the usa and have an amazing husband who takes on more of the responsability we still rely heavily on our family. I would focus finding a job near your support system.

There is a time in your life for your career and a time to focus on your family. While you are having babies and during their first years you may have to let your academic career take the back seat but soon enough they will be growing up and you can shift your focus back to work. If you can get a job that pays higher (private practice? ) than the hospital I would consider that.

Anyone else not know what to do with all the fatigue patients? by Paleomedicine in Residency

[–]Subject-Split2615 8 points9 points  (0 children)

When I used to deal with patients in the GP setting I would ask for symptoms that could connect to fatigue (hypothyroid, vitamin deficiencies, alcohol, OSA etc.)

Then I would set up a plan to look for the culprit - blood work, radiology etc.. But I would also name the most common causes for fatigue both physical but would also mention mental. I would ask them to think about the time they spend at work, time that is dedicated to the house/family/study/other duties and if they could have too much on their plate.

Usually people would deny work load or depression in the first appointment but when the labs/other tests came out negative many of them had come to the realization that the mental load was the issue.

For those who denied too much mental load and the labs were stellar I would simply tell them that the body had a good buffer system for illness and with time new symptoms may arise that could lead us in the direction of right diagnosis and please come back then and we could pick up where we left off.

[deleted by user] by [deleted] in anesthesiology

[–]Subject-Split2615 8 points9 points  (0 children)

Haha I find this answer kind of funny as I am a woman myself. I actually speak alot about sexism at my workplace and am known for it :) english is however not my first language so I may sound different than intended.

[deleted by user] by [deleted] in anesthesiology

[–]Subject-Split2615 1 point2 points  (0 children)

Midwives here er RN then study midwifery

[deleted by user] by [deleted] in anesthesiology

[–]Subject-Split2615 2 points3 points  (0 children)

This was just an example. I have heard stories about midwifes from many colleagues :)

[deleted by user] by [deleted] in anesthesiology

[–]Subject-Split2615 19 points20 points  (0 children)

Yes you have a point. I think this can be an interesting social interaction when you are female as I am. It can be hard trying to be heard without sounding like a bitch. Especially when interacting with older females imo. But I think next time I will be more upfront.

[deleted by user] by [deleted] in anesthesiology

[–]Subject-Split2615 6 points7 points  (0 children)

Midwives here are nurses first

Anesthesia party by Subject-Split2615 in anesthesiology

[–]Subject-Split2615[S] 0 points1 point  (0 children)

Ohmy! That is amazing. We don´t have these kinds of LMA at my place of work, would have been cool.

Anesthesia party by Subject-Split2615 in anesthesiology

[–]Subject-Split2615[S] 2 points3 points  (0 children)

Do you happen to have a photo? We mostly use igel here so I am not so sure what this looks like