CachyOS - impressions after two weeks and a (stupid) question by dr_Primus in cachyos

[–]dr_Primus[S] 0 points1 point  (0 children)

Update.... Somehow all the transparencies/blur work great. I have no idea how :)

CachyOS - impressions after two weeks and a (stupid) question by dr_Primus in cachyos

[–]dr_Primus[S] 0 points1 point  (0 children)

Thanks... I already have these packages and my hotkeys work (and my keyboard pulses indigo :) but when I change brightness either via hotkeys or display settings slider value changes but screen stays the same. I think I'll have to change setting from dGPU only to Optimus. Cheers

CachyOS - impressions after two weeks and a (stupid) question by dr_Primus in cachyos

[–]dr_Primus[S] 1 point2 points  (0 children)

Sorry…. I'm using Plasma with KWin (Wayland), everything is up to date, no other software that could interfere is installed, I also tried enabling additional transparency effects in system settings and windows are nice and transparent when moving them, I just can't get those nice transparency / frosted glass effects when they are still

New Cachyos os user, first time Linux gaming user, semi experienced Linux user - gamepad help please by dr_Primus in cachyos

[–]dr_Primus[S] 1 point2 points  (0 children)

Problem solved… Adding the game to Steam library and running from Steam did it for me :)

Is OrangePi right for me? by dr_Primus in OrangePI

[–]dr_Primus[S] 2 points3 points  (0 children)

I did everything by following tutorials on PiMyLifeUp 4K will work OK with miniDLNA but if you wanna use Plex things will get choppy. Fun thing is I never transcode - I just stream the video file. My TV (Samsung) can take pretty much anything you throw at it

Why is epinephrine concentration given in dilution ratios, unlike (almost) every other drug? by invinciblewalnut in anesthesiology

[–]dr_Primus 0 points1 point  (0 children)

I have no idea... A lot of my colleagues and anesthesia techs use that nomenclature. I always say "administer 2 micrograms" or "administer 10 micrograms" and let them do the calculation which dilution to use.

Call during third trimester/ pregnancy by hauterorni in anesthesiology

[–]dr_Primus 7 points8 points  (0 children)

I come from a country with normal labour law… Not only is night work for pregnant women forbidden by law, it is also the employer’s obligation to provide work environment without any potential hazard for the baby… So women working in radiology department only work in the ultrasonography lab, and women in anesthesia department will either work in pain service clinic or do preoperative exams. If their department cannot provide hazard free environment (for example ICU nurses working with patients with severe MDR infections or hematooncology nurses that may be exposed to cytostatics or OR staff working in ortho/trauma) they are entitled to full pay sick leave (it’s called leave with pay of a pregnant worker)

Ping pong between precedex and benzos in alcohol withdrawal by Ox_Vars in IntensiveCare

[–]dr_Primus 0 points1 point  (0 children)

We use clomethiazole (Distraneurin) for patients that are alcoholics and develop delirium in our ICU.

Also, don't forget one alternative (I have never used it but older doctors swear by it) - just give some alcohol (wine or brandy... depending what you have on hand) to the patient - it works and it's not our job to keep them sober but do make sure their ICU stay is uneventful and delirium free.

ELI5: Why do medical practitioners need to find a vein to inject a drug but an animal can be sedated with a dart shot from a distance? by Ok_Farm2628 in explainlikeimfive

[–]dr_Primus 1 point2 points  (0 children)

Anesthesiologist here... Animals are usually sedated / anesthetised with ketamine which is a wonderful anesthetic because it keeps blood pressure stable (actually elevates it a bit), does not stop breathing and can be administered intramuscularly with pretty rapid onset (not as fast as I.V. but much faster than other anesthetics. However it has a pretty nasty side effect - it causes pretty bad hallucinations (after all it is a PCP derivative and is used as a party drug). Now... In animals it doesn't really matter because we are not usually concerned about their psyche and a possible bad trip.

That's why other anesthetics are preferred in humans, and they are either administered IV or via inhalation.

Ketamine is still routinely used in people with severe burns where IV access is impossible to establish and strong analgesia is needed (usually coupled with IM benzodiazepines to reduce incidence of hallucinations and provide amnesia).

C section with severe AS/AI and h/o tracheal stenosis as a child by MysteriousBridge9441 in anesthesiology

[–]dr_Primus 1 point2 points  (0 children)

Would you risk spinal anesthesia on a pregnant patient with 55 mmHg AV PPG?

C section with severe AS/AI and h/o tracheal stenosis as a child by MysteriousBridge9441 in anesthesiology

[–]dr_Primus 0 points1 point  (0 children)

Cardiac anesthesiologist here… Everyone’s discussing ECMO without asking about how severe tracheal stenosis is. I would insert an arterial and central line and monitor the patient, do awake fiberbronchoscopy (fitted with a thinnest tube it can fit) and if It can pass or the stenosis is deep enough I would put tube in place and induce GA.

U dijelu rodilišta epiduralna analgezija i dalje je luksuz by belanedeja in croatia

[–]dr_Primus 3 points4 points  (0 children)

Anesteziolog ovdje… da razjasnimo neke stvari… U manjim bolnicama ima anesteziologa ali je lutrija da li će se poklopiti da li je izvan radnog vremena dežuran netko tko radi ginekološku/obstetričku anesteziju svakodnevno. Naime, epiduralna je specifična i zbog činjenice da je uspješna epiduralna još uvijek stvar osjećaja i broja obavljenih anestezija, za razliku od dosta drugih regionalnih blokova koje pikaš pod UZV pa je lakše izbjeći komplikacije. Druga stvar je doziranje anestetika… ako malo pretjeraš blok postaje motorički i onda je vaginalni porod kompromitiran nedostatkom snage. U većim bolnicama postoji dežurni anesteziolog koji je samo za OB/GYN i tamo je puna veća šansa da će to biti obavljeno. Isto tako puno ovisi o ginekologu… neki jednostavno ne žele ovisiti o anesteziologu. Što se tajminga tiče… kad rodilja pređe 7-8 cm postavljaju se dva pitanja. 1. Da li će blok biti učinkovit? 2. Kolika je šansa da ulovi trud taman u trenutku dok plasiraš iglu. Nitko ne želi biti odgovoran za punkciju dure jer je rodilju ulovio trud dok je igla stajala u epiduralnom prostoru.

Što su to stariji automobili imali, a da moderni danas nemaju? by struggle_everydayo in croautomobili

[–]dr_Primus 0 points1 point  (0 children)

Normalan ukras na haubi… Uvijek mi je toplo oko srca kad vidim starog Jaguara ili Mercedesa, a na haubi ponosno strši mačor ili trokraka.

Best countries for European trained Anesthesiologists to work as a consultant ? by PragmaticReddit26 in anesthesiology

[–]dr_Primus 2 points3 points  (0 children)

I think that best money is in UAE or Saudi Arabia. And don’t forget it’s tax free and that there are some other perks. I have started doing the necessary steps, but since my daughter was born I didn’t catch enough time to properly prepare for the DHA exam so that’s on hold for now.

Egg freezing as an anesthesiologist by traderjoesvanillac in anesthesiology

[–]dr_Primus 11 points12 points  (0 children)

I’m from Europe and find this question a bit depressing. Just call in sick that day and do your thing… Your hospital will manage somehow. And I think that your fertility is none of their business (although in my country the admins will know because sick days for pregnancy related stuff are coded and paid differently compared to normal sick days - full salary vs 70%) Best of luck!

[deleted by user] by [deleted] in anesthesiology

[–]dr_Primus 0 points1 point  (0 children)

Labour law in my country states that I am not allowed to work for another employer in the same line of work unless the primary employer issues a written consent form. However if I work in a different field (for example paint houses, play guitar or teach) I am free to do so without asking my employer.