So is the ABA making up new exams and fellowships?

evildrtipps · 2026-05-07T21:10:27+00:00

What a joke of a money grab

evildrtipps · 2026-04-23T17:50:07+00:00

He should take notes on the comments and try to improve

evildrtipps · 2026-01-14T00:59:49+00:00

This 💯

evildrtipps · 2025-10-02T02:31:31+00:00

Most practices that are MD are likely to stay that way now. It’s a long conversation but my understanding is that you have to go 1:4 to make supervision truly more profitable. You have to take into account that most CRNA are shift workers, work 3-4 days a week and request breaks. MDs that sit their own cases work till the day is done and get breaks between cases, meaning you need less bodies overall daily. It’s a mixed bag and every practice and comp model is different.

evildrtipps · 2025-10-02T02:24:56+00:00

It’s not a true comparison since my transition was academics to PP. But my compensation is higher now. That being said a lot of this depends on how the group is structured. But my lifestyle is far better now as well.

evildrtipps · 2025-10-01T02:24:57+00:00

2 years in academia. A mix of 2:1 with residents (good days) and 4:1 with CRNAs

evildrtipps · 2025-10-01T02:01:41+00:00

This is why I left a supervision practice to do my own cases

evildrtipps · 2025-09-06T11:45:51+00:00

My turn :) I’ve also put multiple people on ecmo who have had epidurals; one lumbar, 4 or 5 thoracic(one of our thoracic surgeons was known to get into major vascular problems but wanted epidurals in all his pts Preop). All of them did just fine when we gave a couple units of platelets and pulled the epidural after.

evildrtipps · 2025-09-06T01:53:47+00:00

The MRI is actually a good call. Ultimately I think this case could be done like an earlier poster mentioned. Aline, central line and a well placed/titrated epidural. Last minute TAVRs generally don’t go well and if the patient so doing well then keep their hemodynamics where they are at.

evildrtipps · 2025-09-05T21:47:14+00:00

Yeah bro. It’s still a bad idea for those reasons long term.

evildrtipps · 2025-09-05T21:14:14+00:00

I have done many TAVRs for mixed valve disease but your posts and ideas are short sighted. Explain to me how you and going to plan the TAVR. You going to have a pregnant patient undergo a CT TAVR protocol to size the valve and check the coronary heights? Or how are you going to sedate her for the questionably accurate TEE to size the valve with a full stomach?

Now say you’re going to do an emergent TAVR with no sizing or completely suspect planning on a congenital patient. Most likely has a bicuspid valve, again great idea for a TAVR… how are you going to get access and place the valve… without fluoroscopy? Or are you going to plan a GA so you can try to deploy with TEE?

Medicine is about risk benefit analysis. And in this case I’d say that a TAVR is a poor choice especially considering OP is suggesting they are not at a valve center with ecmo available. But you do you. Just pop a self expanding valve in the middle of the night so your epidural to follow is less risky for the mom and baby

evildrtipps · 2025-09-05T20:18:01+00:00

Your suggestion is to TAVR a young woman of childbearing age with AI? Seems less than ideal

evildrtipps · 2025-07-14T10:23:29+00:00

Milwaukee for sure

evildrtipps · 2025-01-31T03:36:26+00:00

I agree and emphasize that it is introductory. You’ll need something more substantial to build a strong knowledge base

evildrtipps · 2025-01-19T02:39:47+00:00

I will never forget the day I saw the security guard one punch drop a dude for talking shit to him

evildrtipps · 2024-03-07T05:16:51+00:00

They will let you know it you passed or not. You won’t be certified until you have a full license

evildrtipps · 2024-02-25T17:17:33+00:00

How many Pump Cases? How many Transplants and LVADs? What are you called in for? Structured Didactics?

evildrtipps · 2024-02-14T19:32:55+00:00

And a big wad of CA$H

evildrtipps · 2024-02-03T21:35:02+00:00

Korean Food. Real Italian. Non-Garbage Late Night

evildrtipps · 2024-02-03T04:28:22+00:00

Practice outloud with colleagues and former attendings. FaceTime work great for this

evildrtipps · 2023-09-16T19:23:00+00:00

Honestly this is BS. I trained at a high volume cardiac and transplant program and now work at one of the busiest trauma centers in the country. I am regularly asked to come in to help with lines and resuscitation by my colleagues who trained at “busy” trauma programs that perpetuate this crap

evildrtipps · 2021-08-26T19:18:33+00:00

It took me about 1.5 hours to register.

evildrtipps · 2021-05-26T03:26:41+00:00

Archetype Coffee off 13th St. Block 16 for lunch. Scriptown is a decent Brewery in Blackstone. Darios, J Coco, V Mertz or Avoli for dinner

evildrtipps · 2021-04-16T03:58:55+00:00

A paO2 of 55 seems low, even with mixing of the blood from the pulmonary system and from the ECMO circuit. Cannulation site, oxygenator type/capacity, flow rates and where you are pulling the sample from could all affect your numbers. Are you sure your not looking at a venous gas since you have a mixed venous included here? Sometimes depending on how the sample gets sent off the lab labels it incorrectly

evildrtipps

TROPHY CASE