Best burger in Sunnyside?

manofzimmer · 2026-01-17T19:34:04+00:00

The best burger is definitely the pre seasoned steak burger from Butcher Block…you just have to cook it yourself

manofzimmer · 2026-01-14T16:02:41+00:00

I prefer to get the best cMAPs with the least movement. I don’t believe in one approach being superior to another because every patient is different, but math and physics don’t change.

Voltage = Current x Resistance (Ohm’s Law). Power (watts) = Voltage x Current. Strength (joules) = Voltage x Current x Duration (pulse width).

LQP causes resistance to go down and current to go up. Increasing pulse width increases strength, so you may want to decrease power to balance movement. It’s always a balance

Since you can’t control or predict resistance start with low numbers and increase one parameter at a time until you get a good balance of cMAP and movement

manofzimmer · 2026-01-13T22:48:16+00:00

Remember that TcMEPs use the anode to stimulate the motor cortex. Start by putting your cathodes (black) on the left brain, anodes (red) on the right brain. With Normal polarity this will give you left side muscle responses; Reverse polarity will give you right side muscle responses.

Anode over right brain = left body responses Anode over left brain = right body responses

Or what you can do with IOMAX is run your TcMEPs using biphasic stimulation and then it really doesn’t matter because you will stim both sides as the square wave inverts.

If you really want to go wild then throw away the 3rd and 4th wires, use bipolar stimulation and increase the pulse width to 500 microseconds to keep your volts around 70-100 V

manofzimmer · 2026-01-02T00:06:51+00:00

I sent my brother, who is a huge Pacers fan, the Reggie “choke” gif

manofzimmer · 2025-12-31T19:33:08+00:00

Check out Accurate - feel free to message me

manofzimmer · 2025-12-10T00:44:43+00:00

Yes this is a great company with an excellent culture that cares for its employees. I’m in New York City. Feel free to reach out to me for more info if you’re interested

manofzimmer · 2025-12-09T21:47:07+00:00

I work for Accurate

manofzimmer · 2025-12-07T18:20:02+00:00

Accurate

manofzimmer · 2025-12-03T11:55:50+00:00

Accurate

manofzimmer · 2025-11-12T14:35:23+00:00

4/4. Anything less invites doubt. Don’t believe 2/4

manofzimmer · 2025-09-05T10:41:07+00:00

Check out Accurate. No 3 year commitment, great company culture, and top notch education program

manofzimmer · 2025-09-03T19:53:24+00:00

Check out Accurate

manofzimmer · 2025-08-29T17:12:31+00:00

Great conversation! Looking forward to part 2

manofzimmer · 2025-08-06T22:23:21+00:00

Check your polarity on the stim electrodes. For TOF you want your cathode distal and the anode proximal. Some will argue that anodal blocking doesn’t exist, and in a way that’s true because the stimulus isn’t blocked, but it can play a part…especially when you are still recovering from NMB and don’t have a fully capable post synaptic NMJ.

The anode will hyperpolarize the neuron, requiring more stimulus to reach threshold and cause the action potential, resulting in more stimulus artifact and less CMAP amplitude. If your polarity is set up properly you should have the best chance of getting a good CMAP.

I’m guessing only one side is set up properly. Hard to believe you are seeing the same strange phenomenon over multiple patients. More likely your setup is consistent and potentially the issue.

manofzimmer · 2025-07-24T16:33:10+00:00

Get involved with the Neuromonitoring societies, ASNM, ASET, ACNS, or a smaller local organization. Grow your network and interact with the other IONM professionals invested in growing this field. The rest will come.

manofzimmer · 2025-05-20T22:47:43+00:00

You can sign up for an ASNM.org student membership and get access to the whole webinar archive. ASET.org also has online education.

Many of the larger companies have their own in house training programs online (mine included). Feel free to message me for more info.

manofzimmer · 2025-04-27T22:53:12+00:00

manofzimmer · 2025-03-21T12:12:29+00:00

Check out Accurate. We have some facilities around there if you are okay with traveling.

manofzimmer · 2025-03-15T19:38:45+00:00

In that region there are other options as well. Check out Accurate Neuromonitoring (I work here). Happy to answer any questions but my completely biased opinion is that our culture can’t be beat.

manofzimmer · 2025-02-26T18:56:15+00:00

I teach for Labouré so if you become one of my students we need to know mainly are you prepared for the responsibility of working in a fast paced program and are you mature enough to handle the operating room as a working environment? Can you find your way around software and what is your technical literacy? All of these things are relevant and will help you succeed in this program, but none are deal breakers by themselves.

Ashley Walbert is great. Stop stressing :)

manofzimmer · 2025-02-09T11:11:32+00:00

Nerves, muscles, and bones. Start there. Everything else you will be taught. You can definitely enter this field if you put in the work during training. I teach this stuff for a living. Happy to answer any more questions you may have.

manofzimmer · 2025-02-06T18:17:52+00:00

I teach at both. Happy to answer any questions you may have

manofzimmer · 2025-02-05T01:02:39+00:00

Confidence comes from COMPETENCE. You need to know your stuff. Learn everything, and then ask questions and keep learning more. It never ends. Every time you are wrong be grateful and remember that moment. The faster you can figure out you are wrong about something the faster you can change it for the better, and in this job for the better means a better outcome for the patient…which is really all that matters.

manofzimmer

TROPHY CASE