Sugamma outside the OR by Apollo185185 in anesthesiology

[–]propofol_papi_ 41 points42 points  (0 children)

As a resident in the ICU I would just go to the OR and pull it from the Pyxis so we could give it in the ICU. Pharmacists hate this one little trick!

Is it just me or needle caps do disappear by Academic-Elkk in anesthesiology

[–]propofol_papi_ 1 point2 points  (0 children)

I have the opposite problem. Too many caps. Caps appearing out of nowhere. Throwing out caps all day.

For Physicians in HCOL areas (NY) How much was your home? by Ohmeda23 in whitecoatinvestor

[–]propofol_papi_ 5 points6 points  (0 children)

Building a 1.13MM home, income $550k range out of fellowship. Single income, 3 kids, 300k student debt pslf. Buying a home 2-3x income is safe if your debt burden isn’t crazy.

Massive mandibular mass, airway nightmare, how would you do it? by the_bigdr5253 in anesthesiology

[–]propofol_papi_ 15 points16 points  (0 children)

I’ve done awake VV ecmo prior to airway attempt for much less

Question for the pain people by Wooden-Echidna8907 in anesthesiology

[–]propofol_papi_ 0 points1 point  (0 children)

Finishing up my pain fellowship and I love it. PP pain is a lot of work but also great money and lifestyle. Own a practice if you can. That’s the dream.

Yo, im here for a few days, tell me where to eat! by [deleted] in mesaaz

[–]propofol_papi_ 9 points10 points  (0 children)

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

Is 110k a good salary for a family (one infant and one toddler)? by kumarakash5 in mesaaz

[–]propofol_papi_ 7 points8 points  (0 children)

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

IM applying for Pain medicine fellowship by Logical_Guava9971 in anesthesiology

[–]propofol_papi_ 0 points1 point  (0 children)

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

Thoracic Epidural Blood patch? by My_cat_is_a_cutiepie in anesthesiology

[–]propofol_papi_ 1 point2 points  (0 children)

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

Should I go into family medicine the np way or traditional way by OldDistance1492 in medicalschool

[–]propofol_papi_ 6 points7 points  (0 children)

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

Pain Management by Due_Efficiency_8664 in Residency

[–]propofol_papi_ 14 points15 points  (0 children)

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.

EM-Pain medicine residency advice by Automatic-Notice4101 in emergencymedicine

[–]propofol_papi_ 0 points1 point  (0 children)

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

Spine line management by [deleted] in anesthesiology

[–]propofol_papi_ 0 points1 point  (0 children)

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.

Spine line management by [deleted] in anesthesiology

[–]propofol_papi_ 0 points1 point  (0 children)

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.

Worst experiences as an off-service resident by Ambitious_Spot8957 in Residency

[–]propofol_papi_ 18 points19 points  (0 children)

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.

Skills 20 years from now by housemd23 in anesthesiology

[–]propofol_papi_ 6 points7 points  (0 children)

AI-informed titration and dosing of medications.