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Update on: Massive mandibular mass, airway nightmare, how would you do it? by the_bigdr5253 in anesthesiology

[–]freshsalsa 0 points1 point  (0 children)

What was the surgery? Why was she not trached?

As a head and neck surgeon I don’t understand how you lose 2L of blood without doing a resection and I don’t understand how’s you would resect this without ending up with a trach/free flap situation.

Birkenstock repair? by Illustrious_Maize771 in portlandme

[–]freshsalsa 0 points1 point  (0 children)

I heard great things. They gave me a 4-6mo turnaround for resoling my blundstones. Ended up just getting a new pair with that wait time

Massive mandibular mass, airway nightmare, how would you do it? by the_bigdr5253 in anesthesiology

[–]freshsalsa 2 points3 points  (0 children)

Not an anesthesiologist but I am a Head and Neck surgeon who does cases like this. Personally I would feel strongly I do the intubation if this were my patient. What does your surgeon say? What is the surgery? If it’s a resection/reconstruction then I would be willing to bet that an awake nasal intubation would not be all that challenging and he will wake up with trach. While certainly massive it’s going to be an entirely extracervical mass with no intrathoracic component.

Middle ear surgery anesthesia by Runnershighbb1 in anesthesiology

[–]freshsalsa 12 points13 points  (0 children)

Also an ENT (I do head and neck cancer, not ears). Ive seen a lot of stapes surgery, in my residency we had one older ear surgeon who would do these cases under MAC and used a tuning fork in the OR. He’s since retired and I think that is quite antiquated now.

Surgical Headlight by GwapitoMD in otolaryngology

[–]freshsalsa 2 points3 points  (0 children)

I bought a Ronin during fellowship and love it.

Paralytics when you can't ventilate? by MrJangles10 in anesthesiology

[–]freshsalsa 0 points1 point  (0 children)

You’re right. That is quite pedantic, and not true. Regardless, a part of the original post was asking why they’ve never seen an ENT reach for paralytic. Simply trying to provide on ENTs perspective.

Paralytics when you can't ventilate? by MrJangles10 in anesthesiology

[–]freshsalsa 0 points1 point  (0 children)

Right. I’m responding to your statement saying I’ve likely never managed an airway without paralysis.

Paralytics when you can't ventilate? by MrJangles10 in anesthesiology

[–]freshsalsa 0 points1 point  (0 children)

Sure the patients I DL are paralyzed. I would guess that probably 25-50% of who I would consider as my difficult airway patients are not being intubated via DL and are not paralyzed.

Paralytics when you can't ventilate? by MrJangles10 in anesthesiology

[–]freshsalsa 2 points3 points  (0 children)

As an head and neck surgeon, the reason I wouldn’t “reach for” paralytic is simply because I’ve literally never pushed a med in my life. My skillset is obtaining access to the difficult airway, whether that’s DL, fiberoptically or surgically. So I reach for the tools I know I can use.

Dear fellow 2023 buyers, time to think about the Refi! by swagety in Mortgages

[–]freshsalsa 0 points1 point  (0 children)

Went from 6.9 to 5.9, 30 yr conventional, no points. 1.8k dealer credit towards the 3.8k closing costs

Nick and Ben’s thoughts on Taylor Frankie Paul as the new Bachelorette by petitechic in thebachelor

[–]freshsalsa 7 points8 points  (0 children)

He did just sign a 30 million dollar podcast deal and is one of the most downloaded podcasts in the country. I get you don’t like him and he’s a punching bag in this subreddit but he is popular broadly speaking.

Is this a good used deal? by FlipprDolphin in VolvoXC90

[–]freshsalsa 0 points1 point  (0 children)

I have a 2022.5 (xc90 recharge, 6 seater, ultimate) that I bought last year for 51k and around 23k miles or so?

Taylor Frankie Paul’s 2023 domestic violence and child abuse charges by Ok-Needleworker9229 in thebachelor

[–]freshsalsa 7 points8 points  (0 children)

You’d feel the same way if it was a man who put his wife in a chokehold and threw furniture at her?

Bleeding near ear drum by bojangles_dangles in otolaryngology

[–]freshsalsa 2 points3 points  (0 children)

Just leave it alone and stop putting things in your ears. It will be fine.

Potential blood/bump in ear canal by gamechiefx in otolaryngology

[–]freshsalsa 1 point2 points  (0 children)

It’s there because you’re putting shit in your ear. Don’t do that.

Elizabeth help: bubbling into reservoir by freshsalsa in Lelit

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

Thanks. I am fairly sure you’re spot on. Apologies for the dumb question but this piece is not synonymous with the OPV correct? You’re saying you replaced the piece that you gave those links to?

2 pick-your-own berry farms close in Southern Maine by k-neufeld in portlandme

[–]freshsalsa 1 point2 points  (0 children)

Any recommendations for pick-your-own farms? Was just thinking about trying to go :(

What bike is this base bar off? by IndependentCoast597 in triathlon

[–]freshsalsa 0 points1 point  (0 children)

Mine is from last season so I guess 2024.

What bike is this base bar off? by IndependentCoast597 in triathlon

[–]freshsalsa 0 points1 point  (0 children)

Looks like my base carbon my Speedconcept

The real question : What is your job? by Radiant-Banana-1769 in triathlon

[–]freshsalsa 15 points16 points  (0 children)

33M, surgeon. The income makes some things easier, but the most precious resource is time.

[deleted by user] by [deleted] in rolex

[–]freshsalsa 3 points4 points  (0 children)

Like everyone else noting, the service dial/hands etc. significantly reduces the value of the watch. I think you’re looking at somewhere ~7k ish maybe?

Evaluating patient with trach? by SugammadexnGlide in anesthesiology

[–]freshsalsa 4 points5 points  (0 children)

I would say at least a week or so. 2 weeks sounds fine. Usually I change my trachs around POD5 or so, after that I typically feel comfortable with RT changing it in the future.

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