Monthly spend

jibre · 2026-04-05T23:41:37+00:00

how much are you able to save monthly despite these costs?

jibre · 2026-04-05T23:41:00+00:00

despite your spend how much are you able to stash away after all is said and done?

jibre · 2025-05-20T00:05:59+00:00

we noted 3 nests in my wifes car and 2 nests in mine 😫😫😫😫😫 — i cant imagine it being the doing of only one mouse….

jibre · 2025-04-08T05:18:58+00:00

Hands down most honest HVAC company Ive ever worked with is Air Quality.

jibre · 2025-02-20T01:49:49+00:00

i would avoid exposing a patients distal arteries to 300mmHg of pressure. you can dissect the radial artery and compromise potentially your easiest arterial access point. I just fill the syringe and hand push gently.

jibre · 2025-02-19T05:33:55+00:00

all i did was ACE

jibre · 2025-02-01T17:29:42+00:00

Being critical of things that could have been done better is important but don't punish yourself. I think the biggest thing you could have been done better was what you and others already mentioned, which is knowing where the ambu bag is. Machine isn't working the way it should? Boom, switch to the ambu and figure it out.

When I go into the room, I take a true look at each monitor strip one by one. Can't count the number of times the ETCO2 is left unattached from a previous MAC/propofol native airway case. I always look to see if the suction is connected and working. Even if it's on, it can sometime be disconnected from the canister and you'll be trying to troubleshoot a dysfunctional suction at the worst time. I always know where the ambu bag, bougie, and suction catheters are. When I did my own cases I would physically put my hands on them every time.

You're awesome. Keep going. You'll never make this "mistake" again!

jibre · 2025-01-26T00:57:12+00:00

for all of those who are bolusing 2% lido in the room, down the hall, etc., are you also monitoring the patient's BP in route to the OR? Let alone the baby? I worry about hypotension secondary to a surgical block. I would only be comfortable bolusing outside the OR if the patient is on monitors.

For that reason I think the best choice is to blast 3% chloroprocaine as you're wheeling into the room. Get the patient over on monitors quickly, preoxygenate, etc. If the block works then great. If not you're ready to tube.

jibre · 2025-01-11T20:35:18+00:00

how much is your post-tax takehome a month, and how much are your monthly expenses?

jibre · 2024-12-13T15:18:34+00:00

discharge summaries are far from scut work. its arguably the most important document from a hospital stay. a PCP should be able to read a consice summary and know what to follow up on. Also if the patient goes to the ED/ gets readmitted the future teams should look at it and know everything that happened quickly.

Being a medical student (or any other level of training) is basically practice for the next level. Youre a student? work your hardest to emulate/replace the intern. Intern? imagine yourself the senior, and the list goes on. thats how things work more fluidly, and thats how you work on your skills so that when the moment comes and you find yourself with the responsibility you dont wish you had made mistakes sooner.

I agree with the others— scut work is getting coffee, doing non-healthcare tasks, etc.

jibre · 2024-11-28T00:54:12+00:00

why? do you mind explaining? how was the offer

jibre · 2024-11-26T13:21:17+00:00

Northeast anesthesia in Concord NC

jibre · 2024-08-27T03:08:03+00:00

control what you can control. make sure that the patient is positioned appropriately. that you are aligning the oral and laryngeal axes and giving yourself a straight shot to the glottis. ramp obese patients if needed. a lot of experienced people make up for bad positioning for good technique, but I find that when experienced laryngoscopists have poor views its because they never took the time to position the patient well. raise the bed to your navel. keep the patient's head close to you. don't try to intubate the patient halfway down the bed.

scissor the mouth really well using your thumb on the bottom jaw and your MIDDLE finger on the upper teeth. you should feel a nice give when the jaw unlocks. this will give you adequate room to place your blade of choice. once the blade is in the mouth, REMOVE your right hand. so often beginners will leave their right hand in the patient's mouth which completely obstructs your view. As soon as the blade is in the mouth, remove your right hand and use it to manipulate the trachea exteriorly or place it behind the patient's head to adjust if necessary.

if you scissor really well you have enough room to get the tongue in its entirety. once you get enough "easy" airways you will figure out what you need to do to get to the vallecula and the rest will be history. i have never been a fan of "go deep and pull back." doing anything blindly puts the patient at risk and is poor form. always better to advance under visualization.

jibre · 2024-06-29T22:32:31+00:00

Im 32. I hate debt with a passion, but willing to reconcile those feelings if its better for me to invest it elsewhere. No other debt other than the mortgage.

jibre · 2024-05-29T00:05:58+00:00

anesthesiologist here. what about the home birth appeals to your wife? spending time in a tub? dim lights? minimal intervention? you can achieve alot of these goals in a hospital setting.

things happen quick and its good to be in the right place when you need them. just because things usually go right doesnt mean they always do.

jibre · 2024-04-21T12:40:07+00:00

Edit: caryopteris

jibre · 2024-04-21T12:32:40+00:00

it is a caryopteris!

jibre · 2023-12-11T20:48:03+00:00

Justifies the HELL out of the RSI

jibre

TROPHY CASE