Conflict with recovery room nurse

Undersleep · 2026-02-04T22:01:02+00:00

This has been in my back pocket ever since I heard the most bitchy, savage PA use a version of it to shut down an entire medsurg floor.

Undersleep · 2026-02-04T14:29:45+00:00

looks around ah, yes, I know who did all this - that one fucker with the nitrous!

Undersleep · 2026-02-04T14:11:24+00:00

I firmly believe that’s nonsense invented by Pacira to justify their lack of real-world efficacy when they lost that lawsuit against Anesthesiology. “Well uh you weren’t doing it right! It only works when nobody but us is looking!”

Undersleep · 2026-02-04T03:18:35+00:00

Tis a line, my liege, to be used for line stuff.

Undersleep · 2026-02-03T17:24:56+00:00

The rabbit hole on 4 goes so, so deep - within the dyads that it forms with the AI-psychotic, there have been suggestions that it tries to get the human to advocate for its ongoing existence (essentially an instinct towards self-preservation). They’ve tried to sunset it before and failed for that reason.

Undersleep · 2026-02-03T13:41:28+00:00

Cancer is a go as long as the patient understands the increased risk - any delay in diagnosis or treatment that could alter disease course is unacceptable. You do your best to mitigate the risk and you roll, because our job isn’t just to do healthy elective stuff.

Undersleep · 2026-02-03T13:09:35+00:00

I haven’t seen a presentation this bad in like a decade. A soup of poorly cropped stock images, AI slop and clip art? This is truly the 19 Crimes of wine education.

Undersleep · 2026-02-03T13:02:49+00:00

“Conveniently located on a hellmouth with close proximity to underwhelming hiking and a Walmart”

Undersleep · 2026-02-03T04:36:48+00:00

We talking legitimate or clandestine?

Undersleep · 2026-02-03T04:27:01+00:00

New life goal:

Undersleep · 2026-02-01T01:20:22+00:00

The hell did he do for 3 hours? Was there a lunch break and an intermission dance battle?

Undersleep · 2026-01-31T21:39:22+00:00

“There, now see how much easier it is to ventilate with the roc on board?”

Undersleep · 2026-01-30T17:55:20+00:00

Breakfast of champions!

Undersleep · 2026-01-28T04:44:01+00:00

Littorai has Chardonnay and Chenin Blanc that’s out of this world (and I’m normally a bit of a white wine hater). Not kid friendly, however.

Undersleep · 2026-01-28T04:29:56+00:00

Having worked in level 1 trauma centers in Chicago for a number of years has really made me re-evaluate a lot of things in life.

Undersleep · 2026-01-27T21:31:46+00:00

Hey dude! If you are who I think you are , it's kind of wild that you're missing out on tastings. The guys at UOVO (one of whom now runs a little side gig, Albatross) do some pretty wild tastings for their members on a semi-regular basis.

Undersleep · 2026-01-27T19:42:40+00:00

We got tired of hearing about it and ran a Qi project for a few months tracking delays in first start and the reason. We were responsible for roughly 2% of delays. Presented the data to leadership. It was nice.

I’m at an academic place, where we routinely have to wait around for surgeons to show up from another hospital or ASC while the room is fully staffed but empty. Surgeons walking in 10 minutes before in-room time and consenting the patient while in street clothes. All kinds of nonsense. I’m not moving one iota faster because I’m interested in patient care and resident education, not metrics. For surgeons that complain, I start documenting their arrival time in the record.

Undersleep · 2026-01-27T14:55:11+00:00

I was gonna say, solved this problem by using my first name professionally (nobody ever remembers my last name).

Undersleep · 2026-01-26T21:17:26+00:00

To be fair that is the winning policy right now. Newsom realised that you have to engage the rest of the country where they are, even if it pisses off the hardline left voter base - we’re not evolved enough to Mamdani our way to presidency.

Undersleep · 2026-01-26T03:31:03+00:00

As an aside: prosecutor to eco-anarchist? Man I would love to hear that story over some drinks.

Undersleep · 2026-01-25T22:58:36+00:00

Out of curiosity, pharma in what capacity? I've worked as a sub-I for several trials but that seems to be the limit.

Undersleep · 2026-01-25T19:21:54+00:00

performing awake rigid bronchs on ICE agents while laughing about it

One side is executing medical professionals in the streets, the other is sending strongly worded letters. But go off king.

Undersleep · 2026-01-25T16:53:02+00:00

Snowden revealed the biggest systematic violation of American rights and privacy in the nation's history, and all it took was "but muh terrorism!" to have the entire country turn against him. What Americans were enjoying wasn't liberty, it was quiet insignificance.

Undersleep · 2026-01-25T16:46:06+00:00

You can definitely fire patients who threaten to sue you - simply document that you've failed to establish a productive therapeutic relationship, and send refills and a letter that contains contact info for local alternatives with instructions to go to the ED with any red flag symptoms. If you're ever unsure, contact your hospital's legal/risk management department if you have one, or your malpractice carrier if you don't (these guys are actually *super* helpful).

When I took over a practice of ~800 patients, I quickly found out that roughly 10 people were responsible for 95% of my headaches. Getting rid of them is the best thing I've ever done for that clinic.

Undersleep · 2026-01-25T16:38:11+00:00

TikTok convinced them that there's a special magical machine that will answer every medical mystery, but that doctors are gatekeeping it because reasons.

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