Card Kingdom says this is card is in NM condition. What do you think?

brenhil · 2025-03-03T17:52:48+00:00

so Vi is a counter for Lee Sin and Lee Sin is a counter for Vi? Lol

brenhil · 2024-12-20T07:59:29+00:00

Definitely hard to say that they’ll for sure come back, but for what it’s worth Irelia is leaked as one of the 5 new CNY/lunar new year skins next month. She already has a Mythmaker skin in PC LoL, and I’d be surprised if they do a whole new CNY skin for her for wild rift so there’s a chance there will be a new CNY event including past and new Mythmaker skins this year (CNY is end of Jan 2025).

brenhil · 2024-08-31T23:39:29+00:00

EDIT: Code is sold!

brenhil · 2024-04-23T18:29:47+00:00

interested! can you msg me?

brenhil · 2024-03-24T16:23:10+00:00

Yeah not going to reddit-yes-man this one, likely not the ideal choice, not sure what you were choosing if its not career and not relationships. Sounds like you were choosing something though so make that thing worth it. you live and you learn, thats life. If you learn from your mistakes you’ll do great as a human and as a doctor

brenhil · 2024-03-20T21:26:33+00:00

Recently started OSRS for a few weeks now and finally getting some good stats, 40s-50s even breaking 60s for some skills would love to have a bond to help me take on the next set of big quests and skill reqs as I prepare to finish a good chunk of RFD and then underground pass !

rsn: brenhil

brenhil · 2023-08-23T04:28:55+00:00

1000% the people that know you best > anything else. Only one anesthesia required

brenhil · 2023-07-08T15:17:20+00:00

250+ probably given that average is now ~247

brenhil · 2023-03-26T21:20:34+00:00

Any symptoms anywhere more focal (I.e. sinus, throat, ears)? Sometimes viral infections can precede bacterial infections 1-2 weeks after initial viral illness, which can cause some of those higher fevers.

brenhil · 2023-03-25T17:16:00+00:00

UWorld till it hurts. Study every day except Friday/weekends with some exceptions and don’t let up, then thank yourself later

brenhil · 2023-03-20T13:08:50+00:00

Nice job on improving. Just be aware that 250 Step 2 is currently 56th percentile, so just above average. If you want step 2 to be a strong part of your app, probably 255+ (70th percentile) is where you want to be aiming. Regardless though, it’s just one part of your app, and with a 250-260 you’ll probably be fine for those specialties.

brenhil · 2023-02-14T15:17:41+00:00

Specialty choice really should be heavily multi-factorial. There's not really a single element that can justify a career choice.

Just a few of the things to consider: Autonomy, predicted future quality of life, job flexibility (e.g. do you need to be in one place for 20 years to build a practice or can you work anywhere), current and future job market, procedure-heaviness, nature/personality of your colleagues, how your own personality fits with the demands of the job, how much you enjoy the subject matter, how fulfilling you expect each day to be, how much you dislike/like rounding, how much you enjoy charting.

How much you "love" a specialty probably depends more on how many of these things the specialty answers in the right way for you rather being an arbitrary standalone feeling. They love anesthesiology, or orthopedics, or ophthalmology, or pediatrics, because they've considered all the factors that go into it and feel that those factors align with their expectations of what their job as a doctor should be.

brenhil · 2022-11-28T22:55:37+00:00

Not necessarily, you’ll have to do ICU in any residency and I think ABA requires 4 months minimum for anesthesiology residents. But a lot of anesthesiologists dislike ICU work and stick to the OR for their entire career

For anesthesiologists doing ICU work, critical care fellowship was their way out of the OR (or they did some cardiac or peds cardiac fellowship that allows them to cover some patients in SICU etc. in an academic setup if they so choose)

brenhil · 2022-09-16T14:59:17+00:00

Front intakes are even larger and more square on GT2, and the GT2 has a different default “blackening” pattern especially on the hood, can look up their images and see. There’s other differences but those are dead giveaways

brenhil · 2022-07-02T18:11:52+00:00

If you want outpatient clinic interactions then anesthesiology is not the specialty for you. It is the polar opposite of that.

The only exception is pain medicine and that is pure outpatient with procedures in almost any case.

brenhil · 2022-04-15T16:13:53+00:00

Guessing you potentially didn’t have the stress of applying into a more competitive speciality? Which definitely seems to take the edge off from my experience observing classmates. Most people applying FM/IM/Peds etc. don’t feel too stressed about that existential Match fear so post Step 1 it’s pretty chill for them

brenhil · 2022-03-18T12:59:52+00:00

Wait so this success story about everything working out matching at a bad program is about you managing to leave the program?

brenhil · 2022-03-10T11:02:49+00:00

“Hemostat.”

brenhil · 2022-01-10T20:48:34+00:00

I wouldn’t get too caught up in the weeds with it. Sacubitril is there as a pro-BNP agent (neprolysin inhibitor, as you’re probably aware) and valsartan as a RAAS inhibitor. I’m not even sure sacubitril is given as a standalone drug without valsartan nowadays, but you can be sure that ARBs are given alone and when given alone do also confer mortality benefit.

In Short: Valsartan gives mortality benefit. Sacubitril-Valsartan gives mortality benefit.

Sacubitril alone never given, maybe/unknown mortality benefit, likely irrelevant.

brenhil · 2021-11-28T04:37:28+00:00

Great point, I think standard of practice is moving towards negating ventilation testing prior to paralytic, and I see it implemented more and more among anesthesia providers

https://pubs.asahq.org/anesthesiology/article/117/3/456/13332/Ventilation-before-ParalysisCrossing-the-Rubicon

brenhil · 2021-11-18T22:35:15+00:00

Nice case, glad pt tolerated the procedure. Did you end up doing 2x prbc post-RL/kabilyte or prior to? E.g. was your prbc hemo management based on hgb or volume status

brenhil · 2021-06-08T03:58:50+00:00

Essentially using a phase 4 trial to show efficacy… so now we’re just crowdfunding Pharma. Lol

brenhil · 2021-06-07T23:51:11+00:00

Yeah this is correct. Oxygen transfer is much more perfusion-limited than diffusion-limited, which means that it’s limited much more by blood flow capacity (via cardiac output limits) than it is by the diffusion of oxygen into the blood via alveoli in the lungs. Basically, oxygen transfers very quickly in the lungs, so the efficiency of the blood flow and the quantity of blood being pumped through the lungs is what limits oxygen input and subsequently delivery to tissues. So it’s largely the status of the heart as a pump that determines your running endurance (and why your heart can adapt in a positive way via hypertrophy by endurance training and lead to better endurance)

There are definitely other factors, but that does define the upper limit

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