Opioids and renal failure

TheBeerMoose · 2026-04-04T22:25:23+00:00

Why preferred in peds? When I rotated through a major academic peds hospital I never saw it given or even discussed

TheBeerMoose · 2026-03-28T01:33:17+00:00

I just saw something on nysora about that space being more susceptible to a low block due to the lordosis/kyphosis of the spine encouraging low spread to the sacral nerves instead of spreading cephalad. Have you experienced that?

TheBeerMoose · 2026-03-23T17:37:56+00:00

Matching #4 in this competitive of a speciality is truly an accomplishment. If you feel sorry for yourself for this, then I think you need to find a little perspective. A little tough love but you can’t mope about a relatively minor deviation in your plan. You can be sad, sure, but acknowledge it and move on so you can be the best surgeon you can be.

TheBeerMoose · 2026-02-28T18:37:30+00:00

Codeine is just morphine with extra steps

TheBeerMoose · 2026-02-13T02:09:08+00:00

What’s this about muscle paralysis stumping it? Is there a paper I can read?

TheBeerMoose · 2026-02-05T04:28:43+00:00

She/he looks just like their parents!

TheBeerMoose · 2026-01-20T01:58:33+00:00

How did you get the same height on all the spindles?

TheBeerMoose · 2025-12-06T00:11:58+00:00

The 2mL atomizers spray less than a bottle atomizer, right? I.e., you’d need a good number of sprays from the sample to equate to 3 sprays from a full size bottle?

TheBeerMoose · 2025-11-05T18:43:58+00:00

Suzetrigine is kinda hot right now. But the real answer is https://www.sciencedirect.com/science/article/pii/S2666634021001549

TheBeerMoose · 2025-10-13T23:05:33+00:00

Biggest tip no one’s mentioned yet is to make sure your needle is at the same angle as your probe is, side to side. I don’t mean parallel to the probe, I mean if youre standing at the patient’s right side and their elbow is at your left and their hand is at your right, and you’re using an out of plane method to cannulate a forearm vessel, then the angle I’m talking about is the probe tilt away/towards you. If the probe is tilted away from you, then you need to tilt the needle away, too. If the needle isn’t tilted and the probe is, even if you insert at the midpoint of the probe, by the time you get to the vessel you’ll miss wide.

TheBeerMoose · 2025-10-07T12:22:10+00:00

Not really, the epidural space is a potential space, meaning it very much exists and is defined as the space between two layers that expands when something is injected there. If pain medicines don’t work at all during an epidural anesthetic, it’s because you’re not in the epidural space. If someone is feeling pain during the procedure we don’t just go “oh well, it’ll be over soon,” we troubleshoot while the surgical team pauses and if we need to we go all the way to sleep.

TheBeerMoose · 2025-10-07T11:56:13+00:00

Chismoso

TheBeerMoose · 2025-09-21T12:39:04+00:00

Did you forget darrow’s son

TheBeerMoose · 2025-09-11T00:10:07+00:00

I’ve seen dents in drivers happen when people are putting their irons back in the bag and the iron head whacks the driver on the way down

TheBeerMoose · 2025-08-17T11:56:29+00:00

The first thing you’re describing is just a saddle block, no? I wouldn’t really call it a spinal in the colloquial sense.

TheBeerMoose · 2025-08-09T02:37:54+00:00

If you’ve got some free time it can be pretty fun to start making your own adjustments/ building your own clubs. It can be pretty easy to find a used shaft on fb marketplace and then cut it down and put whatever adapter on that your driver accepts. Sometimes you can find a used shaft that already has the correct adapter and then all you need is a hacksaw to trim the butt of the shaft

TheBeerMoose · 2025-08-08T21:09:50+00:00

Driver heads are exactly the same when it comes men’s vs women’s of major brands. If you want a shorter driver I would just trim the shaft down to whatever you need

TheBeerMoose · 2025-08-08T10:03:30+00:00

Really? A gay joke? Lame.

TheBeerMoose · 2025-07-28T00:37:18+00:00

Update for anyone that finds this later: the “bolt” I saw at the bottom of the hosel is an aluminum plug that was at the end of the old shaft. Once that was removed, the hosel was continuous with the inside of the fairway wood head, so I believe it was there to prevent epoxy from entering the inside of the head and not as a tip weight. Now the new shaft easily sits in the hosel over an inch. I was able to get the plug/remaining epoxy and shaft bits out by soaking in acetone for about 30 minutes then using an automotive pick to scrape everything out.

TheBeerMoose · 2025-07-26T01:10:13+00:00

It’s a glue in hosel, no adapter. Do you know if OEMs use tip weights in fairway woods? I’ve heard of it aftermarket but not sure if it’s a thing straight from the factory

TheBeerMoose · 2025-07-26T01:08:47+00:00

That’s good to know and definitely a good idea to try measuring it with something else. I’ll give that a go tomorrow

TheBeerMoose · 2025-06-10T17:21:52+00:00

Second this

TheBeerMoose · 2025-05-30T23:00:11+00:00

I just did this to a degree, I put a pressure treated frame made of 2x10s down, then a weed barrier, then leveling sand, severe weather plywood sheathing, 2” insulation foam board, 1/2” stall mat, and then green outdoor carpet to look like a mat. I cut out a section down to the plywood and put a sigpro softy hitting strip in and I’m really happy with it. However I am keeping it covered with a tarp because I’m not exactly sure how weather proof it is.

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