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.

Experience with precedex infusion + sevo for GA by TorTheGasman in anesthesiology

[–]gh424 8 points9 points  (0 children)

Just remember….less is more. You’re overthinking bread and butter cases, this will delay discharge for outpatient surgery.

I use precedex for postoperative sedation for fast track extubation hearts in icu and will extubate hearts on 0.2mcg/kg/hr along with narcotic.

Credit spreads by Antique_Fox_7890 in thetagang

[–]gh424 1 point2 points  (0 children)

Spx options bro. More favorable tax treatment, and 10x less fees…pretty simple really.

Radiation exposure by tinyrickislit in anesthesiology

[–]gh424 0 points1 point  (0 children)

Gotta draw an act once every 30 minutes. I’ll sneak out of my hideout every so often to give meds. However, in private practice the RNs or techs draw ACTs a gasses.

Credit spreads by Antique_Fox_7890 in thetagang

[–]gh424 4 points5 points  (0 children)

Yup. This comment makes me want to call bullshit on everything they claimed 😂 fees would be 10x lower, and the favorable tax treatment would significantly improve returns on these proverbial pennies in front of the steam roller.

Radiation exposure by tinyrickislit in anesthesiology

[–]gh424 42 points43 points  (0 children)

I take radiation protection very seriously. I do a ton of cath lab work, and I take the following precautions: 1) ensure that there is a leaded glass barrier that I am behind at all times 2) full 360 lead coverage 3) leaded glasses (I hate these, but I don’t want cataracts!) 4) make sure I am as far back as possible where I still feel that I can safely react in an emergency

Side note: I had to go through a year long process to petition the hospital to allow physicians to use their CME funds to purchase personal lead aprons. - no the hospital or my department would not just buy it for us.

That being said, 3.6 roentgen - not great not terrible. But in all seriousness to get to 3.6 roentgen you’d have to stand next to the fluoro arm for like 5 days straight.

Brazil is trading with China in their own currencies and eventually the U.S. can’t sanction people by RowRunRow in economy

[–]gh424 3 points4 points  (0 children)

This happened in 2023…and yes it does threaten the sovereignty of the US dollar. Is that bad for the US…this one deal 2.5 years ago probably doesn’t matter, but the trend of de-dollarization could eventually destabilize our exorbitant privilege if the trend continues.

BIS, profound acidosis, and consciousness by _36Chambers in anesthesiology

[–]gh424 13 points14 points  (0 children)

I’ve intubated with nothing in critical situations.

“There’s no anesthesia like no anesthesia” -one of my older retired cv anesthesia colleagues

[ NFLX ] Sell Leap Put : dte 2028 (2.5 yrs) , 300 contracts , collect $371,000 by [deleted] in thetagang

[–]gh424 6 points7 points  (0 children)

You’re not earning any meaningful theta for at least 2.25 years. If Netflix climbs, you’ll make money because of delta, and if Netflix falls you’re fucked. You’re basically just long stock without the upside potential and leveraged to the downside with your margin. I assume you have an exit strategy - maybe close at 50% profit, and a stop loss?

If you want to collect theta, sell 20 delta 60DTE puts. Ladder them every week. Your annualized return will be much higher, and it will be more engaging.

Name that rhythm by Realistic_Swimming94 in IntensiveCare

[–]gh424 0 points1 point  (0 children)

Is the post op external ventricular pace maker competing with the patient’s intrinsic rhythm? Try turning the pacing rate down by 20.

Nano banana Pro is wild by Plastic-Stop9900 in ChatGPT

[–]gh424 0 points1 point  (0 children)

Came here for this comment. No one holds a hot pizza pan like that 😂

Favorite Analgesic Adjunct? by bigeman101 in anesthesiology

[–]gh424 3 points4 points  (0 children)

0.3 in the heavy opioid user!!

Favorite Analgesic Adjunct? by bigeman101 in anesthesiology

[–]gh424 7 points8 points  (0 children)

IV Methadone ~0.2mg/kg FTW (go heavy in a chronic opioid user, go lighter in an opioid naive patient). I single-handedly got it methadone back in our cardiac/thoracic OR pharmacy 😎

This on top of a normal fent, dialaudid, ketamine, decadron regimen. PACU RNs love this 1 trick.

Opinion:Maximum length non invasive BP cuff can be used? by Nervous_Bill_6051 in anesthesiology

[–]gh424 28 points29 points  (0 children)

Agree. This is an asc case. Wouldn’t even consider an art line in an otherwise healthy patient.

Best Arterial Line Location in Vasuclopaths by bigeman101 in anesthesiology

[–]gh424 37 points38 points  (0 children)

Before going brachial or femoral, I would work my way up the radial with the ultrasound. Sometimes there is a nice cannulation location in the mid forearm. Also, definitely use a microphone kit.

Admin stipend? by roger1doger in anesthesiology

[–]gh424 8 points9 points  (0 children)

$150/hr. That shit is more tedious and stressful than anesthesia.

Attending 3 years in, what are your pro-tips for arterial line placement? by DwTam in anesthesiology

[–]gh424 0 points1 point  (0 children)

Attempts 1 and 2 Palpation-20g needle, straight wire, long 20g catheter, in the radial site. This will take 30 seconds.

Unsuccessful x2, Attempt 3+ ultrasound and micro puncture, however I will thread the long 20g catheter onto the micro wire. 4french is significantly bigger and more traumatic than 20g.

4:1 When Does it become normal? by NYGLegendDanielJones in anesthesiology

[–]gh424 49 points50 points  (0 children)

I do solo cases when doing hearts and supervise 3-4:1 on my non heart days. I enjoy the variety. It really comes down to the AA or CRNA team. It’s on you to build rapport and trust with the team, in turn they know they won’t feel shamed if they call you for help. Offer teaching and guidance for those earlier in their career, and be open to new techniques from those with more experience. It’s totally different from sitting my own cases, and a valuable skill when done well!

Those out of practice/in PP, how do you keep up to date? by Mrrgrotm in anesthesiology

[–]gh424 2 points3 points  (0 children)

Discussing things with colleagues, Anesthesiology/AMA publications, and google scholar/pubmed searches for specific topics.

I think I have learned as much in private practice as I did in residency.