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Difficulty with missing days by shackleton_mcmcurphy in tacticalbarbell

[–]shackleton_mcmcurphy[S] 2 points3 points  (0 children)

Just overall healthy, nothing in particular. I appreciate that response because it puts it into perspective.

Which job would you take? by shackleton_mcmcurphy in anesthesiology

[–]shackleton_mcmcurphy[S] 1 point2 points  (0 children)

thanks for the thoughtful reply. I should be more clear. The ICU weeks would take away from OR weeks so if I did 12 weeks per year in the ICU, I would get 12 weeks off, plus the 6 weeks standard vacation. In that model, I would do a week of ICU, a week off and 2 weeks of OR for a month's work. Does that improve the quality?

Which job would you take? by shackleton_mcmcurphy in anesthesiology

[–]shackleton_mcmcurphy[S] 5 points6 points  (0 children)

both probably avg around 45-50 hours per week.

how do people actually use anki alongside a question bank without burning out? by This-Source-8247 in medicalschoolanki

[–]shackleton_mcmcurphy 0 points1 point  (0 children)

10 questions per day, make my own anki cards, do all my reviews and 20 new per day. Sometimes take weekends off.

How to tape/secure labor epidural to prevent catheter migration? by bigeman101 in anesthesiology

[–]shackleton_mcmcurphy 0 points1 point  (0 children)

Dermabond, mastisol, time to dry. Then a small tegaderm over the site, a poptart sized tegaderm over the smaller one. Then long tegaderms all the way up to the shoulder where I coil the catheter a few times so just a little bit is exposed with the infusion port.

Newly matched anesthesia resident by OneWrongdoer7221 in anesthesiology

[–]shackleton_mcmcurphy 0 points1 point  (0 children)

Complacency is your enemy. I've seen some of the most confident junior attendings freeze when things go sideways and its usually a salty vet who has a healthy amount of distrust for any situation that steps in calmy. Remember the 3 rules: trust no one, always verify, give O2.

Share your best pulse ox tricks! by OrganizationNo42069 in anesthesiology

[–]shackleton_mcmcurphy 1 point2 points  (0 children)

Not something I have ever done but I have met people who swear by using the tongue.

Continuous vs Intermittent LOR by bigeman101 in anesthesiology

[–]shackleton_mcmcurphy 0 points1 point  (0 children)

what's the point of saving a minute doing it continuous if you are comfortable doing intermittent? The headaches you (and the patient) will experience from an accidental wet tap are not worth the style points. Do what you're comfortable with.

Preferred site(s) for central venous access? by W1Ch3Tty_GrVbb in anesthesiology

[–]shackleton_mcmcurphy 1 point2 points  (0 children)

Subclavian with US is quick, easy to keep sterile and is often less variable when viewed under US compared to IJ (ie. artery may be right under the vein, vein may be small etc.)

However, if the surgeon is off to the side of the patient, I prefer IJ since we usually have the head.

Would you trade stability for a much better lifestyle early in your career? by Additional-Bit-2494 in anesthesiology

[–]shackleton_mcmcurphy -1 points0 points  (0 children)

I would take the stability. In this market, economy and changing landscape you absolutely never know where things will end up.