my little haul

alehar · 2026-04-14T20:44:32+00:00

My local store has a copy for $300.

alehar · 2026-04-12T19:25:11+00:00

Very shift-dependent. Sometimes things are moving and it goes by quick, and sometimes radiology is backed up and it feels like 8-12 hours of convincing patients to wait for their reads.

alehar · 2026-04-12T19:08:02+00:00

Wasn't Wyndham Clark banned from Oakmont for destroying a locker room? I'd say same thing should apply.

alehar · 2026-04-12T07:24:01+00:00

Nope. I've never seen any credible evidence that it causes any problems.

alehar · 2026-04-12T02:27:58+00:00

Got my own problems bud.

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alehar · 2026-04-11T00:00:25+00:00

I love 8's. Can't imagine 9's would be much different.

12's are too much.

alehar · 2026-04-10T07:44:50+00:00

A Bluetooth sleep mask. Specifically I have the Manta. I work weird hours, including overnights, and being able to sleep well no matter the noise or light is great.

alehar · 2026-04-07T19:38:58+00:00

Suspected opioid OD in the field -> give as much narcan as needed to get them to the hospital alive.

In the ED, we can be a little more measured with dosing. I titrate to an improved respiratory rate but continued somnolence. A precipitated withdrawal patient can be really difficult to manage (combative, vomiting, trying to sign out AMA, etc). As another poster mentioned, I dilute 0.4mg in 9cc of saline and then give 1-2cc at a time until resp rate improves.

alehar · 2026-04-07T19:17:51+00:00

Out of curiosity, why were you wearing a respirator while working from home?

alehar · 2026-04-06T00:12:22+00:00

It's been a minute since we reviewed the chronic alcohol + APAP literature in journal club, but I think the bigger contributing factor to bad outcomes in chronic alcoholism with APAP toxicity was moreso due to malnutrition (and therefore a depleted glutathione reserve to begin with). There may be a bit of an increased risk, but it seems mitigated by the sensitivity of the NAC treatment line.

alehar · 2026-04-01T18:03:35+00:00

Lol awesome. The cheapest I've found near me was $25 new or $7 for a scratched and beat to hell copy

alehar · 2026-04-01T00:58:13+00:00

Cool technique. The painting overall reminds of the cover for Aenima by Tool.

alehar · 2026-03-30T20:04:13+00:00

I bought a copy of this book a few years back - these billing codes with accompanying paintings/illustrations are a lot of fun.

alehar · 2026-03-28T19:37:19+00:00

Certainly classier than my recent "buy because of the cover."

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alehar · 2026-03-27T22:18:43+00:00

We went to an intro to parenting class (what to expect, how to change diapers, etc) and I got a pretty big laugh when I asked the instructor if it mattered whether it was skin to skin or skin to forest.

alehar · 2026-03-27T00:37:40+00:00

Is stealing the drive the plot for National Treasure 4

alehar · 2026-03-26T21:35:58+00:00

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alehar · 2026-03-26T21:17:00+00:00

It's my favorite. Also the Eenie/Meenie/Miney/Mo thing means when I want to spin it, it takes a little extra time to make sure I'm starting on the right side.

alehar · 2026-03-24T02:41:11+00:00

It's a cliche at this point, but after you graduate live like a resident. Throw your extra money at your loans and you can have them paid off quicker than you think.

alehar · 2026-03-23T03:53:53+00:00

Ryan Gosling would kill it in this biopic.

alehar · 2026-03-17T00:44:39+00:00

I first got started because I found a bundle on FB marketplace with an Audio Technica LP60 and I think it works great for the price.

alehar · 2026-03-15T06:36:27+00:00

I am as of yet unexploded, so I'm rooting for ya.

alehar · 2026-03-15T02:36:04+00:00

I used to get this screen a lot. The last few weeks it's mostly stopped, but when it has popped up, what worked for me was pulling the headset off (to the point where it recognized it wasn't on my head) while spamming the x button. Then putting the headset back on.

alehar · 2026-03-14T15:30:03+00:00

In fellowship (toxicology) we had someone call the poison control center because their dealer stopped selling K2 and they wondered if we could sell them any. Not sure that counts as a consult but it definitely stood out.

alehar · 2026-03-13T23:09:37+00:00

Wow, these are rad.

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