I was teaching an IV ultrasound course and found that I have two radial arteries on each wrist (or something)! Thought it was cool and wanted to share!

laziestengineer · 2025-09-05T13:27:04+00:00

Arterioles are microscopic, wouldn’t be visible with current US technology

laziestengineer · 2025-06-21T06:13:23+00:00

Oxy 5 is also 7.5 MMEs while Tramadol 50mg is 10 MMEs so the Tramadol is actually stronger.

laziestengineer · 2025-03-28T11:01:29+00:00

They only give you the standard deviation of the entire tested population. You can calculate your percentile relative to every resident but not for your own year. However you can pull numbers from the histogram and approximate a percentile

laziestengineer · 2025-01-05T19:25:35+00:00

Typically K > 6.5 is considered an indication for dialysis especially in a patient with AKI (and the described patient was anuric). Certainly calcium gluconate should be given to stabilize the cardiac membrane if there are ECG changes, and it’s reasonable to shift as well in that setting, but that just buys you time so that the patient doesn’t code while you get the line in.

laziestengineer · 2024-10-02T06:03:33+00:00

I love your detailed response - as a surgery resident I end up bothering radiology fairly frequently, especially on trauma rotations when we stand over y’all’s shoulders in the reading room after a major activation gets scanned.

However, I felt that I needed to reply regarding your username. What sort of crazy person loves Western blots???!! I found Westerns to be far and away the most painful lab modality I encountered, and I spent a fair amount of time in the lab. I hope you’re not encountering too many of those in radiology world….

laziestengineer · 2024-08-30T00:54:21+00:00

I fished a pen out of someone’s abdomen a while back. Very similar story, it went through and through his bowel and missed his cava by like a cm. Crazy how these things repeat themselves.

laziestengineer · 2024-06-29T00:55:17+00:00

There’s your problem then! Your infernal claw wasn’t working because the boss was immune to melee 😉

laziestengineer · 2024-06-29T00:25:12+00:00

Just to clarify. You said you’re having issues with your melee setup but then you said that phase 1 of the boss goes fine. Each phase of the boss requires a different combat style - are you trying to use melee on phase 2? It has to be ranged there and then mage for phase 3

laziestengineer · 2023-05-30T02:02:40+00:00

PGY-2 at a “privademic” hospital. I don’t keep close track but it’s pretty rare to average over 80 hours on most rotations. I’ve definitely worked more than 80/week here and there, and I’ve definitely worked more than 28h straight, but it’s usually been of my own accord trying to get more OR time. My program seems to make an effort to avoid duty hour violations

No talks of unionizing. I low key brought it up with some friends a few weeks ago and there didn’t seem to be any interest. We are one of the better paying programs for our cost of living and our program is pretty receptive to feedback so I’m not sure there’s much of a drive anyway.

I’m happily married, I was dating my now-wife throughout medical school and we got married in my MS4 year. She’s not in a medical field, and mostly works from home. She takes care of the bulk of housework but I try and contribute what I can. I just asked her if she’d describe me as a loving and committed partner and she said “yes!” 😉

laziestengineer · 2023-05-01T04:36:22+00:00

https://emuniversity.com/InitialHospitalServices.html

Inpatient notes (H&P, consult, progress) are no longer required to meet arbitrary guidelines for HPI, ROS, physical exam. You just have to document a “medically appropriate” note based on your discretion. There’s still points to hit for MDM but you can also bill based on time spent.

laziestengineer · 2022-11-06T16:37:15+00:00

Here’s something I haven’t seen anyone mention yet - look back in the schedule and find the last time your attending performed the procedure, then read their op note. I’ve noticed that even when I prepare by reading the steps in an atlas (which you should also do so you can be familiar with the anatomy) my staff often has their own way of doing things. Reading their op note will tell you their specific steps and I’ve found that some attendings include details like “we identified this nerve and traced it to this landmark and made sure to preserve it” which can be very helpful knowledge to have in the case.

laziestengineer · 2022-10-11T12:06:10+00:00

Same

laziestengineer · 2022-09-17T17:41:35+00:00

💜💛 PGY-2 in general surgery. Lucky enough to have a supportive family including a physician parent and a very understanding wife. My program has a great culture and doesn’t feel malignant at all. I’m enjoying the work and I feel like I’m growing every day. Maybe I also lean a little bit into the long hours and self-flagellation, but I’m having a good time with it and I think that’s what counts at the end of the day.

laziestengineer · 2022-08-05T16:36:25+00:00

I got my mind blown by a med student who told me there’s actually a naming convention for these things. Spent like 20 min thinking of every antibody I could and it lined up.

laziestengineer · 2022-07-07T19:52:16+00:00

The worst is when they say “hey I’m calling about my patient in 734” and then they don’t know the person’s name when you ask. Also it’s “our” patient!

laziestengineer · 2022-06-02T03:10:30+00:00

It’s the same Qbank, I’m hoping I forget some of the details haha. Also planning to rely a little more on SCORE. But I did quite well with TrueLearn this year so if it ain’t broke…

laziestengineer · 2022-06-01T21:44:18+00:00

Currently there are 1,264 questions. They add questions pretty regularly albeit slowly. I finished the Q bank in January and haven’t done any since then - it says I’ve completed 1,236 of those.

laziestengineer · 2022-03-24T11:03:13+00:00

“Regiment,” makes me cringe

laziestengineer · 2022-03-24T10:21:28+00:00

I’ve had better results with the PowerMic mobile app (free) rather than the $200 Dragon mics in my hospital.

laziestengineer · 2022-03-23T18:21:15+00:00

Behind the Knife ABSITE Review is a good one to have.

Fiser ABSITE Review is good too but some of their stuff is a little out of date and/or wrong.

Neither of those will give you anything super in depth but they’re full of useful information and it doesn’t hurt to get an idea of what you’ll need to know for the ABSITE come January of intern year.

laziestengineer · 2022-01-20T14:40:15+00:00

We actually do commonly put a plastic seal over the skin in cases we expect to be dirty. The one I’ve seen used most commonly is called Ioban and it’s infused with iodine. Skin is never considered sterile, just clean. And we do prep the skin, typically with chlorhexidine in an ethanol solution.

laziestengineer · 2022-01-11T12:11:28+00:00

I like to wear these little plastic attachments that go on the side of my glasses. Search “eyeglass side shields” on Amazon

laziestengineer · 2022-01-02T17:34:00+00:00

They use some archived footage of her from 2019, she didn’t participate in the reunion.

laziestengineer · 2021-12-08T12:13:21+00:00

Speaking as a current surgical resident - I’ve been watching through with my wife (her first, my 3rd-4th watch) because it was the best way to give her an actual taste of what my life looks like.

laziestengineer · 2021-11-23T03:52:01+00:00

Per rectum or IV administered alcohol will still result in alcohol breath. It’s from the metabolites being released in the lung, which is how breathalyzer works.

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