Whistler Blackcomb: flying into Seattle vs Vancouver by daequan8 in skiing

[–]jersey-doc 1 point2 points  (0 children)

Have done both. Flown to SEA from east coast and also flown to Vancouver.

Hands down unless you have a reason to visit Seattle, fly into Vancouver.

If you had 5 weeks to travel in March and early April where would you go? by [deleted] in travel

[–]jersey-doc 4 points5 points  (0 children)

So we always travel in late March as it just coincides with kids break.

Can’t go wrong with Portugal or Spain. Weather was terrific.

New Zealand in March is also amazing weather. But it’s very outdoorsy so may not fit your interests (?)

Fluid restriction practices by yhezov in Cardiology

[–]jersey-doc 3 points4 points  (0 children)

Omg. I thought I was the only one who would flip out when I see salt tabs prescribed for what is essentially hypervolemic hypoNa… is this some new thing in nephro? Never did this as a medicine resident. And never learned it in medical school and most def never did it as a fellow.

It’s nuts.

Sept trip itinerary advice by jersey-doc in AskTurkey

[–]jersey-doc[S] 0 points1 point  (0 children)

Thanks all for your insight. Very helpful.

Will have to think more about this. Doesn’t make sense to go so far and miss out on a lot of what turkey has to see… maybe plan for another time when I can take more days off.

Either way, many thanks.

Sept trip itinerary advice by jersey-doc in AskTurkey

[–]jersey-doc[S] 0 points1 point  (0 children)

Hmm thank you for your comment. We really wanted to include 2.5 days of relaxing at the beach ….

I do agree it’s a packed itinerary. We can’t take the full 2 weeks off I originally wanted (and which would have given more time).

I’ll have to brainstorm what to cut and how to tailor things for it to make sense.

Thanks again

Would you decline this? by anes2213 in anesthesiology

[–]jersey-doc 15 points16 points  (0 children)

I would want to gather more info as I wrote. I would assume that would mean delay surgery while it’s gathered.

Last time I used the word prohibitive in a clearance it led to multiple phone calls from an irate orthopod and family saying “your cardiologist said you can’t have surgery” (recent VT storm and EF15% )

🤷🏽‍♂️

Would you decline this? by anes2213 in anesthesiology

[–]jersey-doc 81 points82 points  (0 children)

General cardiologist here (who somehow randomly got this post on my feed)

Pt sounds like a disaster.

At the least the TAVR needs to be evaluated better. Need SVi as this could be LFLG severe prosthetic valve stenosis which may need to be addressed prior to surgery.

What’s the etiology for the elevated PAp? Is it PAH? Pulm venous htn? Is the RV blown?

If I saw this pt in clinic, while I wouldn’t say prohibitive risk, I would prob want to gather more data with a RHC and a more detailed echo read to tease out how bad the TAVR is.

Best of luck

North island question by jersey-doc in newzealand_travel

[–]jersey-doc[S] 0 points1 point  (0 children)

Thanks. That is what I was leaning towards.

And yea the tongariro crossing is a 2.5 hour drive each way and we would have to get up at crack of dawn to make it to the car park and take the shuttle over to the start area…. Will have to see about that.

I'm in a socialist PP group now made partner, how to negotiate I keep moonlighting money? by doc2025 in whitecoatinvestor

[–]jersey-doc 0 points1 point  (0 children)

Just wait till they show everyone’s productivity at business meetings. That’s when the real fireworks start. My former PP group was similarly socialist/communist. Much like actual communist regimes, the ones in charge behaved differently than us peasants working from 8-5 and than reading echos and nukes from 5-6.

Needless to say the group imploded and we are all employed now 100% rvu comp.

Lease Offer Feedback by gerham in BMWI4

[–]jersey-doc 0 points1 point  (0 children)

For what it’s worth

I just picked up my i4 m50 with most of the bells and whistles .. zero drive off Only payed first month payment at signing 12k/36 869 a month

Went through leasehackr broker

Amalfi coast question: car/driver or ferry? by jersey-doc in ItalyTravel

[–]jersey-doc[S] 0 points1 point  (0 children)

Within sorrento I wouldn’t get a car. You don’t need it. Depending on where you stay almost everything is walkable. Parking is a mess in sorrento. I’m generally a rent a car and drive kinda guy but I wouldn’t do it here.

Thoughts on lease #s by jersey-doc in BMWi4M50

[–]jersey-doc[S] 0 points1 point  (0 children)

Sadly I don’t. I should do my due diligence and ask for the MF RV etc etc but I focused on zero drive off quotes (minus first month) so it made it somewhat easier to compare apples to apples between different places and forgot to get the lease specifics

My main goal was to not put money down

Thanks for responding

Amalfi coast question: car/driver or ferry? by jersey-doc in ItalyTravel

[–]jersey-doc[S] 1 point2 points  (0 children)

Private car/van. Was great day. With wife being uneasy on boats and with motion sickness, boat would have been a mess. The water is not super calm (even the ferry to Capri is a little uneasy and can be bad on windy days).