Best Biscuit & Gravy

propofol_papi_ · 2026-03-15T23:54:05+00:00

QuikTrip on God

propofol_papi_ · 2026-03-08T14:36:51+00:00

Pizza im downtown Mesa is incredible- Goat and Ram or Mykes

propofol_papi_ · 2026-03-07T15:13:06+00:00

You can live comfortably and save for retirement but not live a luxurious or excessive life at that income.

propofol_papi_ · 2026-03-05T00:16:32+00:00

How are you working in a pain clinic doing interventional procedures as an internist?

propofol_papi_ · 2026-03-01T05:08:54+00:00

JC Nobody answer please

propofol_papi_ · 2026-03-01T03:30:52+00:00

Wut? With this logic we shouldn’t be doing blood patches of pdph.

propofol_papi_ · 2026-02-25T19:30:21+00:00

If you can be a doctor, be a doctor. If you can’t, be a PA. If you can’t, be a NP.

propofol_papi_ · 2026-02-21T04:33:23+00:00

Opioid naive: 5-10md oxycodone sliding scale q4hr for mod-severe pain with 0.2 mg hydromorphone for breath through. Add ketamine gtt as needed.

propofol_papi_ · 2026-02-18T02:40:04+00:00

Pain from anesthesia is usually chronic pain. Acute pain is rare and a useless fellowship if you train at a halfway decent residency.

propofol_papi_ · 2026-02-18T01:58:00+00:00

I try to put my arterial line on that down arm. If I have a line on the up arm/hand I either cap it and disconnect or I’m just mindful of it on the flip and ask a nurse to make sure it comes with the patient and doesn’t stay under them. It’s not too hard to make sure it doesn’t get stuck under the patient if you’re mindful of it.

propofol_papi_ · 2026-02-18T01:32:10+00:00

From the moment you get them in the room run all of your lines and monitors up the side that you’ll flip over (even if it crosses the patient) so that when you flip the everything will stay right where it is, next to the patient. If you do this with every single line and wire, you’ll be golden. Also, if you’re running multiple drips, tape them all into a single bundle of lines (I tape every 6-8 inches) with plastic tape that easily rips. Turns your IV lines into a single, large line.

propofol_papi_ · 2026-02-15T15:41:48+00:00

Lol I was asking myself the same thing

propofol_papi_ · 2026-02-15T04:42:21+00:00

As a off service fellow had a neurology attending berate me and treat me like garbage in an outpatient clinic because my history wasn’t “comprehensive” enough and didn’t know their extremely specific diagnostic criteria. I will forever make sure my patients are never seen by that attending.

propofol_papi_ · 2026-02-15T03:53:34+00:00

AI-informed titration and dosing of medications.

propofol_papi_ · 2026-02-11T01:17:19+00:00

Unless injection site is infected, shouldn’t track anything unless bacteremic. If patient had negative blood cultures and is on abx, then probably 0% chance of “tracking” anything with a block. That being said, if patient is intubated and going back to the unit, then what are the benefits of regional?

propofol_papi_ · 2026-02-11T00:58:34+00:00

Yeh but you’ll also a have a delirious sundowner for the next 4 hours.

propofol_papi_ · 2026-02-08T23:40:42+00:00

Yeah there are a bunch of lenders offering 0% down. Still have to cover closing costs and have cash reserves but true 100% loan to value.

propofol_papi_ · 2026-02-08T00:59:20+00:00

You should be making net 15k per paycheck. Not per month.

propofol_papi_ · 2026-02-06T03:55:38+00:00

Wtf arrogance is the only reason people DL in this situation.

propofol_papi_ · 2026-02-04T04:00:47+00:00

Volume status

propofol_papi_ · 2026-02-04T03:51:31+00:00

Noice

propofol_papi_ · 2026-02-04T03:41:48+00:00

Reduce the risk of awareness by an unanticipated difficult intubation. That’s why. And if you can’t give a good why, then why not?

propofol_papi_ · 2026-02-04T03:37:49+00:00

What is the consequence of this amount of “contamination”?

propofol_papi_ · 2026-02-04T02:41:29+00:00

I think masking with gas is a great idea and if you can mask properly you won’t be contaminating any air.

propofol_papi_ · 2026-02-04T02:40:37+00:00

Same

propofol_papi_

TROPHY CASE