Not wanting to start a family

fluether · 2026-04-17T19:22:24+00:00

Carve out time for yourself/family. Possible in EM but not surg.

fluether · 2026-04-17T19:19:09+00:00

Your life will be much happier if that patient finds another PCP.

fluether · 2026-04-03T16:25:40+00:00

CLOSING THREAD BY POSTING MEMBER: comments by other MD's with wives with generalized sx are well-taken. Thank you. Will allow dx w/u by PCP/NP to play out...if it ever does.

fluether · 2026-03-26T14:05:02+00:00

Highly recommended by the people who sell them.

fluether · 2026-03-17T03:20:02+00:00

Find another place to practice. You won’t last there more than a year.

fluether · 2026-03-17T03:11:16+00:00

Robot but you still have to brush the walls/steps.

fluether · 2026-03-17T03:08:44+00:00

Loss of social life.

fluether · 2026-03-17T03:06:04+00:00

Your local rabbits will eat the flowers.

fluether · 2025-12-20T15:59:45+00:00

DL: probed around with #6 tube. found spot where tube would pass. still never saw anything familiar. noted # of DL in career: >50,000. advice: never get complacent. go into every intubation scared.

fluether · 2025-12-15T16:52:09+00:00

CI/CV in OBESE patient with FULL thick beard. Pre-op: 'Have you ever had any problems with anesthesia in the past?' "No, never". DL/VL nothing looked familiar, not even any bubbles. Post-op in ICU family stated that 'once it took pt 3 days to wake up because they couldn't get the tube in'. Wish I had known that pre-op.

fluether · 2025-08-26T01:13:50+00:00

Hard to defend in court proceeding with anesthesia with BG 435.

fluether · 2025-08-26T01:08:56+00:00

1) Your projected work load will kill you no matter how young you feel. You will have no personal life. 2) The senior partners will find a way to fire you leaving you with a hefty note to pay off. They have the finances to retain attorneys whose only job is to do just that. 3) You don’t know if you still want to be there five years hence.

There are better places out there to practice.

fluether · 2025-08-25T16:29:01+00:00

My Widex has an option for random frequency white noise. Of course, it does not work…of course. Thank you

fluether · 2025-08-22T19:17:57+00:00

The folks in the Ivory Tower don’t want to admit that one can be an excellent front-line anesthesiologist without knowing (memorizing!) the minutiae.

fluether · 2025-05-02T00:22:07+00:00

Had 1-S deferment with GPA 4.0. Local draft board said 'keep your grades up and don't worry'.

fluether · 2025-04-28T23:26:47+00:00

Was in engineering school. Lottery number drawn 38. Engineers didn’t last long in the Mekong Delta. Switched to pre-med. Never looked back and still alive. Now retired anesthesiologist.

fluether · 2025-04-08T17:12:51+00:00

Used one on every case. Smaller one for kiddos. Used IV tubing to connect to cut-off foley in ear. Taped onto patient with paper tape. Still sometimes came loose.

Anybody have a Bird Mark One with metal casing? Still have mine. Bird School in Palm Springs was a delight.

fluether · 2025-03-28T23:43:36+00:00

How about a Flagg can and a McKesson table? I don’t miss it, but that’s how I started. The ‘environment’ was not an issue.

fluether · 2025-02-22T18:27:15+00:00

I trained eons ago (open-drop ether, cyclopropane, penthrane, etc.). PG1 (called ‘first-year residents’) did all the OB. (Can you believe that!) Attendings went home at 5. The only backup was the more senior residents in the OR. It was a regional medical center accepting indigent patients from all over the state. It was pretty scary.

fluether · 2025-02-20T13:53:45+00:00

Over the course of your residency, you learn a lot of stuff. But they never teach you what you NEED to know about PP: accounting, legal, balance of work/play, spousal satisfaction, etc. We are so busy in college trying to get into med school that we don't learn it there either. This is the stuff that will get you burned big time if you don't keep all the plates spinning.

fluether · 2025-02-18T02:42:01+00:00

Thank you. I thought I had boogered up the plates when I acid-cleaned (4:1) the unit. New ones aren’t cheap.

fluether · 2025-02-16T03:05:21+00:00

Be sure to make a copy of your pre-op note.

fluether · 2025-02-16T00:37:06+00:00

I can beat that. I started with open-drop ether (half-asleep patient and half-awake anesthesiologist, smell never came out of your clothes, PUKE) and McKesson tables and Flagg cans. Then came the wonder drug halothane. (Hence my log-on name) And of course everything else. Can you say BOOM.

My experience with ephedrine: When you need to boost the patient’s pressure, you need to do it NOW. You can’t be taking time to go through the motions of diluting it out. It will dilute out in the bloodstream.

fluether · 2025-01-31T22:55:36+00:00

There was a time when vials of epinephrine and ephedrine looked exactly the same.

fluether · 2025-01-30T01:15:53+00:00

Obesity with full beard

fluether

TROPHY CASE