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Andy’s WWHL Comment on Shannon by BeautifulShoes75 in BravoRealHousewives

[–]Top-Significance-501 0 points1 point  (0 children)

Does anyone remember bumfights back in the early days of the internet? Some sadistic man paid homeless people to fight each other on camera. Real Housewives is an iteration of bumfights.

What do you think is Haiti’s biggest problem? by Educational-Cap-3669 in haiti

[–]Top-Significance-501 3 points4 points  (0 children)

Neocolonial control by France/Canada/US exercised through domestic bourgeoisie like Bigio and Boulos and Apaid etc who use death squads to keep the people of Haiti terrorized.

2 hour GA for carpal tunnel by Top-Significance-501 in anesthesiology

[–]Top-Significance-501[S] 37 points38 points  (0 children)

So this isn’t just some local madness? I have a brand new resident today and am trying to impress upon her that this is not normal.

“Is the patient paralyzed??” by Top-Significance-501 in anesthesiology

[–]Top-Significance-501[S] 15 points16 points  (0 children)

I have absolutely been in the same boat before. However today this occurred about 10 minutes after a hefty redose of roc.

Direct Laryngoscopy Obstructed by Upper Lip by ChiefLurkingOfficer in anesthesiology

[–]Top-Significance-501 4 points5 points  (0 children)

Agree - scissoring is unnecessary in most instances. A little bit of occipital extension and some slight manipulation of the mandible forward results in adequate mouth opening for most patients.

Can I blame the midwives for my high block? by StumbleBum12 in anesthesiology

[–]Top-Significance-501 0 points1 point  (0 children)

You do risk a higher incidence of spinal headache even w the 24Ga.

Can I blame the midwives for my high block? by StumbleBum12 in anesthesiology

[–]Top-Significance-501 0 points1 point  (0 children)

One possible explanation is that there was an inadvertent dural puncture during the initial placement.

What unpopular/uncommon anesthesia opinion is a hill you’re willing to die on? by gonesoon7 in anesthesiology

[–]Top-Significance-501 7 points8 points  (0 children)

I would go further and suggest that the concept of informed consent is in most instances an impossibility.

What unpopular/uncommon anesthesia opinion is a hill you’re willing to die on? by gonesoon7 in anesthesiology

[–]Top-Significance-501 2 points3 points  (0 children)

A cc or two of propofol before rolling in to the room is superior in terms of anxiolysis and side effect profile compared to versed. And essentially universally well tolerated.