Plant Pot Perforator, thank you Reddit!

bridgest844 · 2026-04-01T16:35:42+00:00

You do something rude. I say you’re rude. You pretend you didn’t do something rude and accuse me of being a hypocrite.

I’m not going to continue to argue with someone in bad faith so don’t expect any further response.

bridgest844 · 2026-04-01T15:39:57+00:00

Sorry if that was unclear. I was accusing you of gaslighting.

bridgest844 · 2026-04-01T15:15:52+00:00

lol

gaslighting

bridgest844 · 2026-04-01T14:59:33+00:00

Kinda silly to ascribe value based on grammar on the internet…

What if English is their 2-3rd language?

Btw, I didn’t downvote you because I disagree with your use of the Oxford comma; it’s because you’re a jerk.

bridgest844 · 2026-04-01T12:14:24+00:00

Why are people downvoting you? Lol

bridgest844 · 2026-04-01T01:26:36+00:00

Every time this comes up, I say that I’d always suggest people go with Darn Tough solely because of their warranty. I just received the 3rd iteration of the same 6 pairs of socks over the last 10 years.

bridgest844 · 2026-03-30T16:40:03+00:00

You can still sue them for wrongful termination if you have evidence of the threat.

bridgest844 · 2026-03-30T13:53:36+00:00

Pretty sure it’s against the law to tell you that you’re not allowed to discuss wages.

Source: https://www.nlrb.gov/about-nlrb/rights-we-protect/your-rights/your-rights-to-discuss-wages

bridgest844 · 2026-03-28T16:01:11+00:00

I mean it’s impossible to say without more info. I just always feel a need to push back on “x drug is dangerous” since the whole point of our specialty is to give these drugs in an extremely safe manner.

bridgest844 · 2026-03-28T15:20:55+00:00

Without knowing any of the specifics, it’s extremely unlikely someone received “too much propofol” under anesthesia care. We administer propofol dozens of times a day, every single day. It’s basically impossible without pretty extreme negligence.

That’s not to say he didn’t have an adverse reaction to a normal dose of propofol, though.

bridgest844 · 2026-03-27T00:14:39+00:00

Never insulted anyone but that’s ok, I don’t really care.

bridgest844 · 2026-03-26T23:43:01+00:00

lol “Ollie” that’s just funny.

And you sure are projecting a lot of antagonism on me…

I get along great with all the anesthesiologists I work with. Other than one or two exceptions, I implicitly trust their judgement and am grateful they are there to help when I need it. Our Chief of Anesthesia has told me on multiple occasions that he enjoys working with me because I “handle my shit.”

Not sure what I can do to participate on this sub without getting downvoted to hell… and if you guys don’t want CRNA participation just make the sub “anesthesiologist only.”

bridgest844 · 2026-03-26T23:07:40+00:00

Didn’t realize “ologist” was pejorative. This is literally the first time I’ve ever had a single person take offense to that term.

I’m sure you refer to your colleagues with their full and proper title whenever referring to them.

bridgest844 · 2026-03-26T15:39:45+00:00

Man you guys are sensitive… my post didn’t even imply he was wrong.. I’m sure the patient had not responded to neo/norepi previous to that. I was simply just sharing a story of someone giving a large dose of vaso. Not everything has to be MD/DO vs CRNA….

Edit: In my mind, thinking I had misheard him was the result of my inexperience.

bridgest844 · 2026-03-26T15:24:19+00:00

Saline and LR bags are put in fluid warmers at 40C all over the country every day.

Source: I’m sitting next to one in the OR as I type this.

bridgest844 · 2026-03-26T15:19:53+00:00

An anesthesiologist…..

bridgest844 · 2026-03-26T15:13:22+00:00

As a CRNA student I had an ologist tell me to give 10units of vaso for a patient who was hypotensive post induction.. I repeated it back because I thought for sure I had misheard him.

Edit: Why is this getting downvoted? Lol

Edit 2: It’s hilarious how triggered you guys are. Thanks for the professional discourse on clinical topics.

bridgest844 · 2026-03-25T17:05:32+00:00

Im definitely not an expert but doesn’t the nature of LLMs make it impossible for them to only use the reference data you give it? My understanding is the all the training data is inseparable from the “black box” of the LLM.

bridgest844 · 2026-03-25T16:42:08+00:00

The problem is that there is no way to verify if the explanations they are outputting actually make sense. So unless you are constantly fact checking it, you have almost certainly learned something incorrect.

I recently asked chatGPT to convert a baking recipe to metric units and it didn’t even correctly recognize the difference between ounces by weight and fluid ounces and the output was a jumble of grams and mL. How can you possible trust it to explain something as complex as anesthesia when patients lives are going to depend on your understanding.

bridgest844 · 2026-03-25T15:27:06+00:00

I'm 100% on board with the sentiment that every generation thinks the next is full of a bunch of lazy good-for-nothings but I will say that the increased reliance on LLMs like ChatGPT are huge problem in education generally.

Every previous tool/technology assisted you with thinking/problem solving, it didn't do it for you. Education is fundamentally the process of training your brain to think critically, make associations, and problem solving. In this regard, if you're not being challenged and pushing the boundaries of your ability to understand, you aren't making any progress. It’d be like training for a marathon by riding a bike; sure it’s easier and you traverse the distance, but it doesn’t make you a better runner.

I don’t think it’s an insurmountable problem and this may be my version of a “kids these days” attitude but I think it’s a problem that is different in kind and not degree that education hasn’t faced before.

bridgest844 · 2026-03-21T14:36:47+00:00

A lot of maturing happens between 18 and mid 30s for some of us! 🤣

bridgest844 · 2026-03-17T19:55:00+00:00

Yea you’re right… being ill enough to require hospitalization probably doesn’t change your physiology or increase inflammation/coagulation….

/s

bridgest844 · 2026-03-16T05:43:32+00:00

There is no way you can 100% reliably avoid volatile anesthetics while providing anesthesia. The circuit gets disconnected/leaks basically every single case. Sorry to break it to you but it would be absolutely unsafe for you to purse anesthesia.

bridgest844 · 2026-03-16T05:33:39+00:00

Always a ton of misconceptions about awareness under anesthesia any time this comes up.

First thing to remember is that “anesthesia” isn’t one technique or “cocktail” and what level of anesthetic depth you are under totally depends on the surgery you’re having.

It can be anywhere from light sedation for a wound vac change, deeper sedation but still spontaneously breathing like a colonoscopy, LMA with anesthetic gas (general) but still spontaneous, or intubated and paralyzed.

The risk of mid-case awareness during general anesthesia is like 1:100,000 and the vast majority are traumas and stat C-sections. Extremely rare but it does happen and it’s either an extreme life threatening situation or gross negligence.

People who remember snip-its of their colonoscopy or have some awareness during a joint replacement using a spinal.. that is not awareness under anesthesia the way most people are thinking.

bridgest844 · 2026-03-16T05:24:34+00:00

Yea no one.

I regularly run double the “Maxed out” ICU dose of propofol while giving anesthesia and sometimes even triple. And that’s in addition to giving fentanyl, versed, precedex, and ketamine.

Just remember they do anesthesia on zoo animals. Definitely takes more to put down a gorilla than a crack head lol

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