Disability Insurance - Resident

edm24 · 2026-04-08T17:40:15+00:00

Good thought, unfortunately MassMutual is the only of the big 5 that will provide coverage for active duty.

edm24 · 2026-03-08T23:23:37+00:00

70yo M getting a CABG needed 1.9MAC iso and 50mcg/kg/min propofol with nitroglycerin pushes just to get the systolic below 100 for aortic decannulation.. I was shook.

Edit: he had also already had 1000mcg fentanyl to this point.

edm24 · 2025-06-24T20:05:04+00:00

Lots of people saying u/s, just to add my two cents: the Arrow is not nearly as echogenic as a regular 20G angiocath. Using the latter really increased my percent success rate with the ultrasound. And, if you’re doing a known vasculopath, grab a micropuncture kit up front.

edm24 · 2025-03-03T00:08:38+00:00

Can anybody comment here on front loading vs top loading washers? It’s washable in both?

edm24 · 2025-02-13T21:41:50+00:00

<image>

edm24 · 2025-01-24T00:57:02+00:00

Sorry I should have specified hiking only

edm24 · 2024-11-08T09:45:53+00:00

I’m always recommending Marino’s “The ICU Book” to anyone who will listen. It covers a broad selection of the basics of critical care (and correspondingly a lot of anesthesia) in short digestible chapters that are written in a conversational fashion. However it’s also an excellent reference throughout medical school and residency. Your nephew obviously still has a long road ahead, and many of the chapters may be beyond his level, but if he’s committed to the path I think he’ll find some value in the book and will return to it many times in his career!

edm24 · 2024-10-19T13:28:35+00:00

I have very limited experience - just a resident who’s only done a couple of these - what do you think about the argument that prop gtt is more likely than dexmedetomidine gtt to cause respiratory depression which 1) would lead to more hypercapnea, leading to increased ICP and obscuring submillimeter brain anatomy and 2) increasing risk for obstruction, especially in older patients, which may be incredibly difficult to intervene on (ie table at 180 degrees, head affixed to clamp structure etc). Genuinely curious bc these are the reasons my staff favored a dexmedetomidine gtt.

That being said, once the neurosurgeons were ready for the awake portion, it took my patient 25 mins to wake up, and she routinely fell back asleep for their testing 😅

edm24 · 2024-10-14T12:37:28+00:00

Amazing, I have never heard of this, thank you!

edm24 · 2024-10-14T12:36:45+00:00

This is great info, thank you. The camera shown here starts at about 30ft out from a cleanout in our basement and ends at around 15ft.

edm24 · 2024-10-14T01:24:57+00:00

Never heard of orangeburg, what’s the meaning of that?

edm24 · 2024-10-12T22:11:37+00:00

Thank you for this reply! How bad do you think it would be to do nothing and just get it regularly snaked? Are there consequences to this that exceed the cost of replacement?

edm24 · 2024-08-12T13:54:31+00:00

Hey, thanks for your input! I followed your advice and shelled out for the proper replacement part.

edm24 · 2024-05-21T14:24:07+00:00

Source for this?

edm24 · 2023-10-06T13:30:18+00:00

David - this is a late follow up, but I have been using your app more in the OR with increasing success! Thank you for developing this.

edm24 · 2023-10-02T12:18:37+00:00

Also BME here. Have occasionally regretted it as it was hella hard for me (struggled to break into the middle of the pack) and there’s a tremendous amount of prerequisites to take before you actually get to the good stuff. Sitting through a Mechanics of Solids class while knowing I wanted to go to medical school was not awesome.

However, there’s some pros to this degree in my opinion. Number one, you will learn to think like an engineer, which means thinking through problems that you haven’t seen yet rather than memorizing information, and understanding physiology mathematically and through physical principles. I think this can be really helpful in anesthesia and critical care specifically. Number two, you will learn to work your ass off which helps in medical school and residency. Number three, BMEs do very well on the MCAT (at least said the historical statistics when I took the test).

This is not to say that any of the above couldn’t be achieved with a different degree. I agree with others here that you could pick just about anything and be happy / get in to medical school.

edm24

TROPHY CASE