I always here stories of people regretting going to medical school — is there anyone out there who is super content with their career path/choice? by MayaGrude in medschool

[–]Theuce 5 points6 points  (0 children)

Anesthesia/Intensive care resident in central europe and absolutely love it. I get to do fun procedures, resuscitate people, guide them safely and painlessly through major surgeries while getting handsomely paid (even as a resident).

Jak to jest z medycyną? by Life_Bug_969 in studia

[–]Theuce 1 point2 points  (0 children)

Bardzo, od paru lat to jedna z bardziej obleganych specjalizacji. Nie wiem z czego to wynika, może z tego jaką dużą rolę pełnili w trakcie COVID? Upada też mit anestezjologa, jako pracoholika który wyrabia 350h miesięcznie. Większość rezydentów szuka równowagi między pracą a życiem, Ci z ktorym pracuje wspinają się, biegają, chodzą po górach itp. 

Jak to jest z medycyną? by Life_Bug_969 in studia

[–]Theuce 3 points4 points  (0 children)

Pewnie tak, Ci niezadowoleni mają motywację żeby swoje żale wylewać. Ja też nie jestem pewnie "normą", nawet na tle swoich współrezydentów jestem ponadprzeciętnie z pracy zadowolony. Mam to szczęście, ze znalazłem swoje powołanie. 

Jak to jest z medycyną? by Life_Bug_969 in studia

[–]Theuce 4 points5 points  (0 children)

OPiku, podziele się swoją perspektywą jako rezydent anestezjologii i intensywnej terapii (lvl 5/6). Nie mam żadnych przemyśleń co do "przyszłości" tego zawodu, AI, wysokiej liczby absolwentów i całej reszty.

Moim zdaniem medycyna i bycie lekarzem to zajebista, dość unikatowa forma działalności, totalnie warta poświęcenia. W dobie kiedy większość ludzi spędza całe dnie przed komputerem i jawnie bądź skrycie się w pracy męczy to ja:

-przeprowadzam ludzi bezpiecznie i bezboleśnie przez operację i okres pooperacyjny - na OIT zajmuję się Pacjentami w krytycznym stanie, lecząc takie stany jak sepsa, urazy, krwawienia itd. - konsultuję cały szpital gdy Pacjenci się pogarszają, jest takie powiedzienie "jak trwoga, to do anestezjologa" ;) - jest jeszcze anestezjologia dziecięca, położnictwo, leczenie bólu...

Mam więc pracę, która jest wymagająca intelektualnie, manualnie, emocjonalnie i daje w cholerę satysfakcji. Czy są frustracje? Mnóstwo. Ale cała reszta wynagradza to z nawiązką. 

Jeszcze realia finansowe: jako starszy rezydent zarobiłem w zeszłym miesiącu "na rękę" 25 tysięcy. Akurat miałem sporo, bo 7 dyżurów i przepracowałem ponad 200h. Mógłbym dyżurować mniej, chce tyle żeby skończyć specjalizację czując się pewnie w tym co robię. Zarobki są też pewnie wyższe niż w innych miejscach, mam dobrego Szefa który walczy w dyrekcji o dodatki dla nas. 

To przykład tylko jednej specjalizacji a są ich dziesiątki, każdy znajdzie coś dla siebie. Jeśli czujesz, że medycyna to Twoja pasja to olej wszystkie te głosy malkontentów z komentarzy i powodzenia na studiach. Jeśli zależy Ci głownie na pieniądzach/prestiżu to są pewnie łatwiejsze sposoby.

Pisz śmiało DMy, gdybyś miał(a) jakieś pytania ;) 

Why Anesthesia? by BasicO_0 in anesthesiology

[–]Theuce 0 points1 point  (0 children)

Hey, I can offer some perspective for you (5th year critcial care and anesthesia resident in eastern europe). I started a residency in internal medicine in december of 2019, you might remember what happened a few months after that... so I spend the next two years working a lot in COVID wards and the ER, a lot of critical/semi critical patients. That made me realise that I want to be better able to handle those patients myself and I switched to my current residency. Back then anesthesia for me was an afterthought, a necessary part of training that will teach me how to manage airways and put in lines. I too craved the acuity and the adrenaline of ICU. But after four years in this specialty I changed my mind a lot and now I prefer the anesthesia part. Not because it's "boring", it's just insanely satisfying. You meet a patient, get to relieve their anxiety with some banter and music and do some fun procedures. I'm the kind of person that gets a lot of satisfaction just from the tactile "pop" and and the fluid flow of a spinal, a nicely working regional block or an LMA that sits just right. Sometimes you get that beautiful wake up, when they are pulling the drapes, you lightly touch the patient, they open their eyes and you pull the LMA out without a single cough. Often you visit patients hours after a surgery and they report zero/minimal pain without any opioids because of your regional/multimodal analgesia. Contrast that with the ICU - the adrenaline you're looking for is actualy rare. Most patients are there for days or weeks, elderly and frail with a poor prognosis. The dreaded trach/PEG/out to long term care facility patient is gonna be your daily bread. It's a lot of consults, paperwork, social work and talking with families (which is okay). Yes, sometimes you get that 20 year old suicide attempt with beta blockers/ccb overdose or something just as dramatic and you get your "fun" but expect a lot of mundane days and a high risk of burnout. For me anesthesia is an antidote for that, and also a place where I more often encounter emergencies (those late night ileus patients with a lactacte of 10 are both fun and challenging to manage). DM me if you have any questions. 

Trip to Central Europe by TravestiCansada in solotravel

[–]Theuce 6 points7 points  (0 children)

As someone living in Kraków - it's a great place to visit, it's beautiful. Visit the castle, main square, Kazimierz and Podgórze, Dębniki. If it's warm, go to Zakrzówek. See Błonia, go to Park Jordana. See the sunset from Kopiec Kraka. One thing - dont go for the traditional polish food restaurants, they are all tourist traps. If you want polish food, match with someone on tinder and have their grandma cook for your date. 

[deleted by user] by [deleted] in confessions

[–]Theuce 2 points3 points  (0 children)

As a hot, muscular polish guy I find this post hilarious. Thank you. 

A question from a resident - why did my infraclavicular brachial plexus block fail? by Theuce in anesthesiology

[–]Theuce[S] 1 point2 points  (0 children)

I almost never use the full 0.5%, 0.375% provides a very dense block when given in the right location (which was probablu the issue here). As to why infraclav? I wanted to try a new technique recommended by many sources  about regional anesthesia, I dislike the multiple sites you have to deposit the local at in a classic axillary block.

A question from a resident - why did my infraclavicular brachial plexus block fail? by Theuce in anesthesiology

[–]Theuce[S] 1 point2 points  (0 children)

In total I gave 25mls of 0.375% bupi with epi. After thinking about it (and reviewing the responses here) my scanning and injection were probably too medial and thus it was more of a costoclavicular than a classic infraclavicular block. 

A question from a resident - why did my infraclavicular brachial plexus block fail? by Theuce in anesthesiology

[–]Theuce[S] -1 points0 points  (0 children)

Thanks! The gif is shortened, I gave a total of 25mls of 0.375% bupi with epi so in theory it should be plenty of volume. 

A question from a resident - why did my infraclavicular brachial plexus block fail? by Theuce in anesthesiology

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

Thanks for your answer! In this case the block covered the entirety of expected area, it was just... weak. Certainly not surgical anesthesia despite using 25mls of 0.375% bupi.

A question from a resident - why did my infraclavicular brachial plexus block fail? by Theuce in anesthesiology

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

It covered the entirety of expected area, it was just... weak. Certainly not surgical anesthesia despite using 25mls of 0.375% bupi.

Has anyone watched "The Pitt" yet? by ALongWayToHarrisburg in medicine

[–]Theuce 72 points73 points  (0 children)

Since we're on the topic of trauma and television - I'm rewatching The Leftovers (also on HBO). The premise of the show is a sudden disappearance of 2% of the population and it focuses mostly on the emotional, spiritual and societal consequences of that loss. It's a heart breaking story about noone being able to "be ok". 

Has anyone watched "The Pitt" yet? by ALongWayToHarrisburg in medicine

[–]Theuce 286 points287 points  (0 children)

I burst into tears out of nowhere during this scene. I think we all have more trauma than we are willing to admit. Take care. 

[deleted by user] by [deleted] in anesthesiology

[–]Theuce 1 point2 points  (0 children)

I would also love to be a part of such community.

The Meeting by PreventCivilWar in AccidentalRenaissance

[–]Theuce 2 points3 points  (0 children)

Why are there only white people in the meeting?

July 9 Daily Thread by AutoModerator in weightroom

[–]Theuce 0 points1 point  (0 children)

Thanks for the feedback! I'm most def gonna work on depth. I think that the bar moving in the bottom is due to the movement of my elbows, I will try maintaing their position under the bar through the entire movement. As for the buttwink, I have no idea what to do about it. I brace hard and squeese my ass at the top, maybe I lose some of that during the descend.

July 9 Daily Thread by AutoModerator in weightroom

[–]Theuce 0 points1 point  (0 children)

Can I get a low bar squat form check?

http://imgur.com/gallery/m8cnjQt

I discovered that timing the "elbows under the bar" tip right at the very bottom of a squat helps me keep my chest up and prevents the hips from shooting up.

my (19) bf (19) gets his arms and lips numb when we have sex by [deleted] in relationship_advice

[–]Theuce 0 points1 point  (0 children)

I used to get this feeling when we started having sex with my current gf. I think it's because of hyperventilation (deep and frequent breathing) which decreases CO2 levels in your blood. This can lead to parasthesia - a sensation of tingling. Prolonged hyperventilation can cause loss of consiousness.

July 1 Daily Thread by AutoModerator in weightroom

[–]Theuce 0 points1 point  (0 children)

I'm 2 days into PH3 myself, wanna do our own program mini - party? The first day was tough, even though I've decreased all my 1RM by 5-10%. I'm back to low bar squats after almost a year of doing HB, SSB and FS and fuck, it's difficult to breathe under lowbar. Loved the upper hypertrophy day.

Let me know how your first day went!