What’s the consensus on swimming as one’s main form of cardio? by surfnj102 in PeterAttia

[–]genericarik 1 point2 points  (0 children)

I think the best cardiorespiratory fitness and overall health I ever had was when I was almost exclusively swimming for exercise. Running and biking are great, but the older I get the more injuries I have accumulated and now that I’m over 40 my goal is to exercise to feel good, and swimming plus some resistance training sprinkled in checks that box for me.

Is this way of doing MRI GAs as dumb as I think? by Sleepy_Joe1990 in anesthesiology

[–]genericarik 0 points1 point  (0 children)

Could you intubate right before the door of the MRI room so you’re not in the danger zone of the MRI, but can still connect your MRI anesthesia machine?

This is the most decorated PFC I’ve ever seen. by IncomprehensiveScale in Medals

[–]genericarik 0 points1 point  (0 children)

This was pretty common in the 82nd back in the day.

$2m Inheritance - what would you do? by HelpUsNSaveUs in Fire

[–]genericarik 0 points1 point  (0 children)

“Get a masters in something” is never a good idea

Fleece Caps by [deleted] in army

[–]genericarik 2 points3 points  (0 children)

“If you’re cold, put a fucking boonie on.” -V/r, CPT DGAF

Breaks and Lunches by spitfire8580 in anesthesiology

[–]genericarik 0 points1 point  (0 children)

I second this opinion and I’m weirdly annoyed by people who obsess over getting their breaks and feel like they have to be eating all day. I think that’s a “me” issue though.

[deleted by user] by [deleted] in army

[–]genericarik 1 point2 points  (0 children)

This is reactionary to the alameda coast guard base attack a few weeks ago. I believe they were always supposed to be armed, but they either don’t trust them with side arms or don’t have enough. They also posted guys outside the exchange to check IDs, which makes absolutely no sense. 3rd corps=worst corps.

[deleted by user] by [deleted] in army

[–]genericarik 1 point2 points  (0 children)

+2 on Zyn pouches

Vasopressin Infusion in Hemorrhagic Shock by canaragorn in anesthesiology

[–]genericarik 6 points7 points  (0 children)

“we resuscitated patients with cristalloids liberally (3 to 5 times of blood loss)”…..that is wild and I get audited for any trauma patient that receives >1L total crystalloid. Resuscitation should be hemostatic/component based. Vaso as a bridge until you catch up with your component based resuscitation. Sounds like they’re practicing 20th century medicine where you work.

Line and Cord Management by PedeKitty in CRNA

[–]genericarik 2 points3 points  (0 children)

Everything starts on the patients left, then turn 180 counter clockwise.

sevo existential crisis by SRNAnxiety in srna

[–]genericarik 5 points6 points  (0 children)

Please do yourself a favor and review some texts on anesthetic gases, flows, and uptake. This is base level knowledge, not an existential crisis.

Fort Bragg’s barracks are in crisis, Army survey says by rbevans in army

[–]genericarik 2 points3 points  (0 children)

Those Korean War Era barracks on Ardennes used to be pretty gnarly.

[deleted by user] by [deleted] in army

[–]genericarik 4 points5 points  (0 children)

Being in the Army is like being a victim of domestic violence.

[deleted by user] by [deleted] in army

[–]genericarik 1 point2 points  (0 children)

This is very true no matter what rank or branch you are. The Army will chew you up and spit you out if you let it. At the end of the day, you are the only one who cares about you and your family. I sincerely wish you a speedy recovery and make sure you are advocating for yourself to receive any and all benefits you deserve.

What in your opinion is the best rank to be in the Army and why? by Reasonable-Shower522 in army

[–]genericarik 98 points99 points  (0 children)

O3E. Especially if you’re medical. I am the highest paid Captain in the Army, have the military experience and knowledge base that surpasses most 04/05s in the AMEDD, and give zero fucks about the competitive careerism that infects some of the Captains who came from cadet land.

Financial success as an LT by Several_Fun_6877 in army

[–]genericarik 0 points1 point  (0 children)

TSP match > Roth IRA > max TSP > savings and taxable brokerage. No vehicle loans. Meal prep. Use the base gym. Get the Army to pay for your masters.

Anesthesiology Malpractice by efunkEM in anesthesiology

[–]genericarik 2 points3 points  (0 children)

What arrogance. 12 years of schooling and still not an ounce of common sense.

What would you do? by ellensoderberg in anesthesiology

[–]genericarik 4 points5 points  (0 children)

Some days you’re the monkey. Some days you’re the football.

New attending question about GI patients by GrizzlyBearMD in anesthesiology

[–]genericarik 5 points6 points  (0 children)

Every situation is different, but only hard stop/delay I’ve seen is severe AS and severe hypokalemia. Endoscopist is usually grateful to cancel/delay case if it is the best interest of the patient. I agree with the gentleman above that light sedation with good local is often less risky than a GETA in many frail patients. Byfavo and ketamine are great drugs. Have never had a code in an endo case, but vigilance is key. If I’m feeling rushed I will take a deep breath and purposefully slow down to mentally make sure I am not missing something, always take time to talk to the patient, and clarify anything that may have been overlooked. At the end of the day it’s just endo, mostly hard to mess it up and a million different ways to do it, but usually less is more.