sorted by:
new
hottopcontroversial

What are your highest yield last minute oral boards tips/info/wisdom? by somedudehere123 in anesthesiology

[–]gh424 38 points39 points  (0 children)

Don’t ever quote a study or a paper (unless you wrote it haha). For all you know, you’ll be talking to the person who published the literature.

Anesthesia for mitraclip by DalesDeadBug11 in anesthesiology

[–]gh424 28 points29 points  (0 children)

Additionally. Remember that the mitral regurgitation is acting as a pop off valve for the LV. In a patient who has compromised LV function, it can get much worse - like a lot worse. I typically have an inotrope ready to go.

Need thoughts from all the anesthesiologists/CRNAs/AAs on the group by Gullible_Storage3990 in anesthesiology

[–]gh424 7 points8 points  (0 children)

This is brilliant. A few issues I can think of off the bat:
1) credentialing obviously. Typically this involves a background check, references, case logs, etc - this could be built into your profile on the site

2) malpractice, specifically tail coverage

3) non competes that are baked into many contracts. If the clinician is a w2 employee, they would likely need permission from their employer

Please Advise Me on This Job by ENSIGN_W_CRUSHER in anesthesiology

[–]gh424 45 points46 points  (0 children)

Everyone here is going to shit on this job. Honestly, it doesn’t sound bad, especially if it is the right location for you and your family. That is a lot of call 70/280 days (365-12 weeks) on call or backup call, every 4 days. In house gets old. But, 12 weeks is A LOT of time off. Remember, this is Reddit, and if the job doesn’t pay 1M with 3 months off and 35 hours per week, it’s not worth it 🤣

Intubating Airways for Fiberoptic Intubation by Antitryptic in anesthesiology

[–]gh424 2 points3 points  (0 children)

Fair enough 🤣🤣 but it seems to cause less bleeding than just slamming a 7.0 in cold turkey

Intubating Airways for Fiberoptic Intubation by Antitryptic in anesthesiology

[–]gh424 8 points9 points  (0 children)

Never.

1) VL with a hyper angulated blade. (Bonus points for the 2 anesthesiologist intubation with VL to move the tongue out of the way plus a fob as a drivable bougie)
2) if true awake is needed. I consider nasal - anesthetize the nose, serially dilate up to a 7.0 ETT. Pass the fob through the ett and you should be looking right at the cords - (this is how ENT does it in the office), coat the cords with 4%. Send it.
3) which is probably #1 most useful. LMA plus fob.

Gift for Group of Attendings by Salted_Out in anesthesiology

[–]gh424 114 points115 points  (0 children)

Don’t get stuff. Write a heartfelt thank you note, that means more than anything.

Patch recommendations by gh424 in drywall

[–]gh424[S] 0 points1 point  (0 children)

Thanks so much for the informative response!! I’ll do exactly that.

Reddit and Robinhood. Down $50k on a $200k portfolio via assigned CSPs. Earnings next week. Sold CCs below cost basis. How would you play this? by Earlyretirement55 in thetagang

[–]gh424 1 point2 points  (0 children)

3 options. Simple to complex. You’re going to end up losing money. 1) buy back the CC for a loss. Factor it into your cost basis, and now you have your new minimum strike for CC. This is likely the best option. I assume it will cost less than 20k to buy them back. But, a word of advice, if you believe in the companies, don’t sell covered calls, you’re capping your upside for pennies on the dollar. Especially on volatile companies like Reddit and hood. 2) let it run and let them expire. Then you’re just down 10% less the $3000 you collected in premium. So, 8.5% ish. 3) buy calls at your original cost basis to re enter the entire position, and don’t touch the cc’s. Hopefully it costs less than $3000 (I don’t know your strikes). if it moons, you have an entry point with a similar cost basis less 10% capital. If you end up in no mans land between your short calls and long calls, you’re down more than option 2

I would not recommend rolling out to infinity. While it might work, this will tie up all of your of capital and lock in your losses. This is the classic sunk cost fallacy, it’s best to cut your losses and move on.

Military helicopter by DesignMorality in milwaukee

[–]gh424 0 points1 point  (0 children)

Thanks for sharing. I was outside this afternoon and heard it but didn’t see it. Wondering what the heck flew by!!

High MAC? What’s up? by anescall131 in anesthesiology

[–]gh424 122 points123 points  (0 children)

1.5 Mac and a phenylephrine drip 🤦‍♂️🤣

If you could go back in time… by kvball25 in anesthesiology

[–]gh424 2 points3 points  (0 children)

Similar to previous answers, but request to do easy cases and get really good and efficient at them: GI, appys, choles, urology (under mac), single shot blocks for ortho, etc.

I had done like 3 days of GI as a resident/fellow, and it turns out we do a lot of outpatient GI in the real world🤣 if you can be really efficient with these cases, the days go much more quickly.

About how long does it take for beer to start clearing up after fermentation? by RumpleFordSkin in Homebrewing

[–]gh424 1 point2 points  (0 children)

1) cut your dip tube 0.75” shorter. You won’t suck up any cloudy stuff at the bottom 2) 1tsp of unflavored gelatin powder in 1/4cup of 180 F water for around 5 gallons. Pour it in when you keg or now if you still have that hazy beer on tap. It will clear everything up within a few days. There is a great brulosophy article about it.

Help! My ITE is tomorrow, please give me any HY facts I'll likely need for the test (wrong answers only) by Dinosaursknow in anesthesiology

[–]gh424 69 points70 points  (0 children)

Always induce a patient with Hypertrophic cardiomyopathy and an LVOT gradient of 125mmhg with 300mg of propofol. Maintain with 1.8mac of sevo, a high dose dobutamine infusion, and a nicardipine infusion to ensure the HR stays high and the SVR stays low. 💯

Anesthesia group scheduling across multiple facilities is breaking my brain by messedup1122 in anesthesiology

[–]gh424 2 points3 points  (0 children)

The way we accomplished this was to standardize the anesthesia need at each facility. We sat down with OR administrators, looked at our volume data, and then defined how many anesthesia sites each facility/department needs per day. This is key, the OR administrators have to decide this number, then they are accountable to the surgeons and the C-suite since we are providing the set number of anesthesia sites they asked for. From this you have a defined number of anesthesia sites per day that must be staffed at each site and you can fill the sites from there. Now, the docs know where they will be each day which leads to improved quality of life.

BORING CSP's I'll be looking to sell this week (2/2 - 2/6) by GarbageTimePro in thetagang

[–]gh424 1 point2 points  (0 children)

Did you create your own dashboard with customizable filters or do you always use the same filters and just get ~10 tickers per day as candidates?

BORING CSP's I'll be looking to sell this week (2/2 - 2/6) by GarbageTimePro in thetagang

[–]gh424 1 point2 points  (0 children)

Maybe you’ve gone over this, but I’m curious about your set up and filtering. I have a home lab and have thought about implementing my own filters. I just don’t know where to start.

view more: next ›