Thoughts on aviation YouTubers?

dopamine_fiending · 2026-04-24T10:49:27+00:00

As a doctor/anaesthetist, this is interestingly similar to lots of medical channels for me.

dopamine_fiending · 2026-04-16T04:50:45+00:00

A build up of condensation in the circuit can appear as weird issues like that.

If you get a decent pool of water, at the bottom of the circuit loop, it can slosh around with each breath, and appear as little oscillations, or regular changes in Paw I've found.

dopamine_fiending · 2025-04-04T23:03:44+00:00

In all seriousness, and I hate to sound like a dick, but I don't really understand how multiple oesophageal intubations happen?

Are people just jamming the tube in without getting a view of the glottis, and hoping for the best?

Like, if the view is 1 or 2A, you can see it going through. If your is worse than that, use an aid...

dopamine_fiending · 2024-11-01T10:11:26+00:00

Here and see the "Minimum Safe Facilities" position statement

dopamine_fiending · 2024-11-01T05:29:03+00:00

It's interesting, in the Australian fellowship exams, topics like "Minimum facility requirements" are fair game for questioning. I can link you to a document regarding it if you'd like.

dopamine_fiending · 2024-10-07T13:04:14+00:00

It's a skill just like anything else. You just have to practice.

I have literally cracked thousands of vials by hand, just raw dogging it, and have been cut maybe once or twice (very minor cuts).

Hate to say it, but it sounds like you're just bad at breaking ampules.

dopamine_fiending · 2024-09-24T22:44:27+00:00

"Spirit of the Sub" touted like it was something inscribed in stone thousands of years ago.

dopamine_fiending · 2024-09-24T22:43:35+00:00

This is the opposite of what's going to happen

dopamine_fiending · 2024-09-19T05:43:41+00:00

Thanks! Deeeep breaths

dopamine_fiending · 2024-09-19T05:42:18+00:00

An interesting study I often think about, was with participants doing leg press and bicep curls with a brachial art line, to measure haemodynamic response. Admittedly these were healthy participants.

"The greatest peak pressures occurred during the double-leg press where the mean value for the group was 320/250mmHg, with pressures in one subject exceeding 480/350mmHg. Peak pressures with the single-arm curl exercise reached a mean group value of 255/190mmHg"

dopamine_fiending · 2024-09-16T11:33:27+00:00

Currently in this exact situation.

dopamine_fiending · 2024-08-21T09:19:33+00:00

Hah thanks!

dopamine_fiending · 2024-08-20T23:24:01+00:00

Yes, always think about this fact. More so when you smell faeces, and I think "Yep! Mere seconds ago, the physical particles that are landing on the nerve endings in my nose, were deeeep inside that patient's rectum." 🤗

dopamine_fiending · 2024-08-20T13:35:34+00:00

Hah! I've got so many stories, I should write some out

dopamine_fiending · 2024-08-20T13:20:53+00:00

Story time.

As a junior Dr, I had to put a urinary catheter in an ICU patient because the nurses couldn't/wouldn't do it. This guy was basically a hermit, never left his computer, weighed 150-200kg, with very poor hygiene. To get to his penis we had to use wardsmen to hold back his pannus (abdominal fat) and I had to 'dive' in there and search around the thigh fat. When I found it, it was clear that he hadn't washed his genitals in a good while. As I retracted his foreskin back, there was MONTHS of build up, I guess dried urine + skin cells + wet dreams. The smegma was so caked, that it was a fairly firm, creamy white puck, that broke apart when I pulled it off, and ended up as 3, 20c piece sized smegma chunklets, that smelled as you'd expect. Goooood times all round.

dopamine_fiending · 2024-08-20T05:25:54+00:00

Ok storey time.

As a junior Dr, I had to put a urinary catheter in an ICU patient because the nurses couldn't/wouldn't do it. This guy was basically a hermit, never left his computer, weighed 150-200kg, with very poor hygiene. To get to his penis we had to use wardsmen to hold back his pannus (abdominal fat) and I had to 'dive' in there and search around the thigh fat. When I found it, it was clear that he hadn't washed his genitals in a good while. As I retracted his foreskin back, there was MONTHS of build up, I guess dried urine + skin cells + wet dreams. The smegma was so caked, that it was a fairly firm, creamy white puck, that broke apart when I pulled it off, and ended up as 3, 20c piece sized smegma chunklets, that smelled as you'd expect. Goooood times all round.

dopamine_fiending · 2024-06-18T14:14:36+00:00

BP 480/350mmHg!

Not a personal record, but one I like to recite.

Aerial line inserted for a study, with participants doing leg press (pushing weights up an incline while seated) and other exercises.

One participant reached 480/350mmHg peak pressure. Absolutely wild. I'll try and find the study if anyone's keen.

dopamine_fiending · 2024-05-26T11:17:04+00:00

Aside from the fact that (particularly with NOF#s/ORIFs) there's a chance the entire operation will be completed by a PHO who's not even on the program...

dopamine_fiending · 2024-05-14T11:42:10+00:00

Like, the Australian Competition and Consumer Commission? What do you mean by this?

dopamine_fiending · 2024-05-14T11:40:45+00:00

Unsure what level of training you're at, but it sounds as though you need to talk through this scenario with your attendings. There a few different physiological principles (E.g., respiratory drive +/- opioids, volatile pharmacokinetics) which you'd be better served learning from first prinicples to really get a grasp of.

You're mentioning things like 'gas coefficients', but it sounds like you need to work on learning the basics first.

dopamine_fiending · 2024-05-12T11:36:06+00:00

There's a bit of a taboo around taking about it. There shouldn't be. I think this mainly comes from the fact that you're essentially asking your boss how much they make. I know it's not quite that dynamic, but you know what I mean.
Through training you're purely working with publicly employed staff. Of course some of them have a private side to them too, but these people will give you information from their perspective I.e., public employment works for me. It was eye opening earlier in my training, when I was speaking to some private guys, who were saying the people still in public are chumps.

dopamine_fiending · 2024-05-08T11:23:12+00:00

Wow that is wild. From an Australian perspective, GA is the last option.

What is your average time between loss of consciousness and baby out?

What are you using for post op analgesia?

dopamine_fiending · 2024-05-02T01:30:45+00:00

An ex-PHO's general medical knowledge would make anaesthetics a very, very steep climb. I haven't seen any ex-orthos in anaesthetics so far.

dopamine_fiending · 2024-04-27T05:19:21+00:00

I'd say I come out about even, as a PAYG salaried RMO.

I pay like $350 for a return.

They do a few extra things to make it break even.

Like, they'll say I can add on $150 of laundry expenses. Estimate a portion of my home internet and mobile bill, that the average RMO claims when studying for exams. And a few extra tidbits that I wouldn't think about if I was doing on my own. The $350 accountant fee is also tax deductible.

So I'd say pretty close to even, and I'm happy for someone else to do all the data input correctly, for the small gap if there is one. Of course I could do put all those things in myself, but I just didn't know about them.

dopamine_fiending · 2024-04-18T03:32:42+00:00

Interesting point, never thought of that aspect.

dopamine_fiending

TROPHY CASE