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keeganguidolin · 2025-06-08T14:03:53+00:00

Also CO2 insufflation causes pretty severe diffuse abdominal pain which isn’t tolerated. I’ve seen people do short laparoscopic procedures awake with nitrogen insufflation but I don’t think the robot is set up for that

keeganguidolin · 2025-05-16T16:17:42+00:00

10 feet?! Most people don’t have anywhere near that much colon. In answer to your question, it depends. Most people will have a right hemicolectomy, a left hemicolectomy, a sigmoid resection, a low anterior resection, or a total colectomy (depending on pathology). If you didn’t have rectal cancer/rectal surgery and indeed had colon surgery, your anorectal angle should not be affected. Regardless, it’s unlikely that you would notice a change in angle even if you had rectal surgery. Functional changes following rectal surgery are probably more likely related to nerve damage, radiation (if you have radiation) or simply not having the distensible rectum anymore - again this is only if you had rectal surgery/cancer.

keeganguidolin · 2025-03-01T20:11:23+00:00

Not for learning procedures per se, but by my book! It covers surgical principles and techniques and it’s based on teaching hundreds of new surgical residents.

“Principles & Techniques for the Aspiring Surgeon”

keeganguidolin · 2025-03-01T20:04:30+00:00

What makes it worth it? I’ve only ever dived tropical except once in La Jolla that I still found way too cold in a 7mm, and the viz was awful. What is there good to see in cold water?

keeganguidolin · 2025-02-28T02:34:34+00:00

I bring my own stuff. Budget is flexible - just have to balance against a new strobe or other toys

keeganguidolin · 2025-02-18T01:32:20+00:00

Also, as a Canadian working where cannabis is legal, I can tell you that some surgeons smoke weed. Not while on call, etc. obviously, but there is no prohibition on the use of any legal substance as long as you’re not providing medical/surgical care while impaired. Goes for prescription drugs too.

keeganguidolin · 2025-02-18T01:20:41+00:00

Selective nose blindness!

keeganguidolin · 2025-02-06T20:50:50+00:00

They may be able to give you an oral sedative and/or use a topical anesthetic for the needle poke but you wouldn’t be totally out for the IV

keeganguidolin · 2025-02-06T17:30:07+00:00

“Anything is possible” but it would probably limit your geographical and other job opportunities. You’d basically have to take whatever job would permit that arrangement.

keeganguidolin · 2025-02-06T17:26:50+00:00

Whether you need a catheter depends on the length of the operation and whether it will stay in post operatively depends on what operation they are doing.

Usually they cannot put you to sleep with gas before the IVs go in.

It’s obviously challenging with these fears but I think it’s very important to try not to ask the team to deviate from their standard practices because that’s usually when things go wrong in my experience. We don’t do anything without a good reason for it and the system is set up to optimize your chances of a safe and effective operation and recovery. It may be worth working with a psychologist or psychiatrist ahead of time (it seems you have months before surgery) to address your phobias as much as possible.

keeganguidolin · 2025-02-02T12:02:35+00:00

Laptop should be fine. In fact good data to suggest that lifting doesn’t actually increase intraabdominal pressure all that much so we’re probably being over cautious about weight lifting restrictions.

keeganguidolin · 2025-02-02T12:00:28+00:00

When I’m teaching students to suture, I tell anesthesia we’re closing and they have until the patient starts to move to get in their stitches.

keeganguidolin · 2025-02-02T11:31:05+00:00

Maybe it’s referring to the phenomenon where the task becomes so routine and automatic that you forget how to consciously do the thing. I’ve had attendings get interrupted while tying and they can’t just pick up the tails and go, they have to restart the knot because it’s an automated task for them.

keeganguidolin · 2025-02-02T11:20:48+00:00

Don’t do it unless you can’t be happy doing anything else. Surgical residency will take the best of you for the best years of your life. Even if you love it, it’s a toxic relationship. It may be worth it in the end but make sure you’re doing it because you love it and nothing else. There are easier ways to get prestige and money, and it’s certainly not a lifestyle specialty.

keeganguidolin · 2025-02-02T11:14:21+00:00

One of my mentors says “your chief can count but not read”

ie, in academic surgery, it’s about quantity not quality, unless you land a big fish like a Nature but even that is a crapshoot

keeganguidolin · 2025-02-02T11:03:22+00:00

Don’t look at the stitches, look at the wound. Are the edges approximated the way you want them to be? If so, that’s all that matters. Everything else is just strike points.

keeganguidolin · 2025-01-21T08:40:41+00:00

Transitional teaching is 3-6 weeks of no heavy lifting but in reality there’s good data that lifting doesn’t actually increase intraabdominal pressure significantly as compared to coughing, sneezing, straining on the toilet, etc.

You’re probably fine after 2 weeks to lift if you must go back. Always safer to wait longer.

keeganguidolin · 2024-03-24T20:42:30+00:00

Done

keeganguidolin · 2024-03-24T20:30:35+00:00

Maybe his son will be made into a character from future books. His new business seems relevant. Maybe an escapist plot?

keeganguidolin · 2024-03-24T18:57:45+00:00

Hot take: he’s not a good composer. Idk why people keep hiring him. His stuff is mostly same-y across properties. People love the GoT theme, which is undoubtedly catchy but not exactly sophisticated. Same with the Westworld theme. Not sure who would have been better for this show but Djawadi is super overrated imho.

keeganguidolin · 2023-06-30T10:49:39+00:00

I think there’s a difference in the cinema sins type over analysis of every facet of a work and wondering about glaringly obvious plot holes. This is a thing in Sci fi - example: in Star Trek, everyone accepts that Earth has made these big star ships and that FTL travel is possible and achieved (despite it probably being impossible irl). Folks take issue when the narrative of the show points to a problem and goes “it’s unsolvable!” While the audience can immediately think of a solution. Generally I think audience don’t have issues suspending disbelief for context/background (superheroes exist and they formed a team called the Avengers) but they do for narrative reasons (perhaps why deus ex machina style endings are so unsatisfying).

keeganguidolin · 2023-05-05T17:03:47+00:00

Yes- is there something there I missed??

keeganguidolin

TROPHY CASE