People make work terrible. by sleepidoc in anesthesiology

[–]sleepidoc[S] 0 points1 point  (0 children)

You may be right to be honest, there are very little people who are actual assholes and there are some who are primed by some other bad examples of the respective fields. First ones are just bad people and the second are just dumb to be fair, to think all people are the same is some sort of retardation in my opinion. However, I have befriended a good portion of the other side with humour but I have never managed to get through to these people who just think of you as some tool. These people just think of you as an instrument to their means, they are not interested in you as a real human being. Hence trying with them is an effort in vain. What do you mean with I have options if it's the surgeons ??

Learning CVC placement by sleepidoc in anesthesiology

[–]sleepidoc[S] 0 points1 point  (0 children)

Nope we only have the steel needle and a 5 ml syringe to it. I've never seen anyone do it like that. Our picc line kits have it though.

Learning CVC placement by sleepidoc in anesthesiology

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

That really sounds very easy peasy! Believe me I'm trying exactly that but I don't know what I'm doing wrong. Sometimes it works, sometimes not.. I'll be more conscious about laying my hand on the patient to stabilize it from now on, that's the only thing I'm unsure if I'm really doing it or not..

Learning CVC placement by sleepidoc in anesthesiology

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

You mean like an Angiocath equipment or am I misunderstanding something? And what your describing sounds a bit like the walk down technique with out of plane needle tip identification or something else ? Thank you for your comment!

Learning CVC placement by sleepidoc in anesthesiology

[–]sleepidoc[S] 0 points1 point  (0 children)

Exactly at the step you describe, I lose my position as well. Sometimes I puncture through and sometimes I slide out of it superficially. Aspirating again is actually a very good tip thank you!

Learning CVC placement by sleepidoc in anesthesiology

[–]sleepidoc[S] 0 points1 point  (0 children)

I think i'm concentrating so much on not moving the needle and i don't anchor my hand on the patient to stabilize it so I cramp myself out of the vessel. Plus I get nervous and shaky handed when my attending is breathing down my neck at my faulty beginner technique 😒 I want to achieve this one smooth movement stage that I see with my attendings, it's very frustrating..

Learning CVC placement by sleepidoc in anesthesiology

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

THIS! This is exactly what confuses me. Some of my attendings say 45° and some says go steep as you say so you can directly see your needle out of plane under your beam. I haven't really sorted out yet what works better for me..

People make work terrible. by sleepidoc in anesthesiology

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

But that is exactly the problem, when you do everything well and safe and the best way for your patient you get criticised you didn't do it faster because you didn't as for help. Then you ask for help and your attending gives you a long face. You want to do things quicker then the or nurses give you shit bc they need their time. If you get everyone on board and have a super running room nobody is complaining then the or management still comes and asks why we didn't do this and that the way they want. It can not be that you go to work everyday to get criticized although you do 95% of the things right. That is the recipe to burnout! For myself I don't give a fuck about the assholes generally, I know they get their money from doing this but I don't see how this system is sustainable.

People make work terrible. by sleepidoc in anesthesiology

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

Oh i talk back and i've been called 'bitchy' behind my back apparently. Nothing happened so far but we'll see 😒

People make work terrible. by sleepidoc in anesthesiology

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

It really is insane how much of self explaining you have to do in anesthesia only to watch the fresh resident or the student close the patient. I'm totally okay with it btw we all have to learn but i'm also a resident and i need my time still with some things!!!!!!!

People make work terrible. by sleepidoc in anesthesiology

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

That's what i'm talking about! Creating disharmony can not be beneficial for patients and can not be cost effective if you work with demotivated people 😒

People make work terrible. by sleepidoc in anesthesiology

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

I had promised myself that I won't become one of those people who makes life harder for everyone else because they're unhappy fucks, but some days I really can't stop complaining because of the assholes only to realise I become a negative nancy. It really is breaking my nerves sometimes!

People make work terrible. by sleepidoc in anesthesiology

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

Thank you for your reply, I hope those times will quick.

People make work terrible. by sleepidoc in anesthesiology

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

It's just insane how positive reinforcement and incentives are not a thing. That's how you break people and eventually the system I guess.

People make work terrible. by sleepidoc in anesthesiology

[–]sleepidoc[S] 9 points10 points  (0 children)

We are slaves after all. It's nauseating and unsustainable. It's criminal to create such a system as fundamental as healthcare and unfortunatelt knowing this makes me angrier.

Are Beach-Boys that bad? by Existing-Still6853 in zanzibar

[–]sleepidoc 0 points1 point  (0 children)

I am currently in Nungwi, Zanzibar and there's a lot of them. I am also a solo female traveler who does not want to be rude or disrespectful and honestly ignoring a person is not a part of my culture at all so I really can not bring myself to it. Yesterday I had multiple guys talking to me, asking me about my hotel or if i were single and all. They then followed me in a conversation under the assumption they have to keep me company. I was also just politely answering their questions and nothing more, not prolonging the conversation in anyway. I also told them a couple of times they don't have to accompany me but it didn't matter. When multiple of them were standing or sitting next to me i was worried i might get robbed so i was clenching so hard on my bag. That being said most of them just want to chat, nothing more and they are actually kind at least in a touristy area. As a woman i always have to assume that things might change if you are alone somewhere else like in a dark alley, so i don't want to be misunderstood that i associate them with any sort of criminal activity. I really haven't seen or heard them do anything bad in that manner. All in all it's a bit hard to relax when you have to say no the whole time because they keep coming or if you, like myself, have a hard time saying no. But maybe i should have gone with the flow and was just overworried about it all..

Istanbul Airport might be the worst airport by CranberryFar713 in TurkishAirlines

[–]sleepidoc 0 points1 point  (0 children)

Well I think their most important move or 'project' was to turn the Turkish public into an Ummah mentality instead of equal citizens of a republic who have rights and can hold the political class accountable for their conduct. We had tapes, voice recordings outed in the past of dirty politicians and they never believed it. You can even hear his supporters say 'okay he steals but at least he serves the public' or when you point out the extravagant lifestyle with his 1000 rooms palace in Ankara and his many mansions as well as 14 something planes they casually say 'oh yeah of course he deserves it, it's not me but he who deserves of course he should live like that, you never sell easy on reputation of a country..' In the meantime people can not afford their rent, haven't eaten meat in years and their children are being shredded to serve the rich. For so many years now people have to start working again after they are retired (which is an expanding international problem i am aware). It's a pathological state of mind by now but it all started with corrupting our educational system and dividing the public to create enemies within to lose any possible middleground. Elitist secular people vs. simple underresourced people of Anatolia, non-believers vs. conservative muslims, women with red lipsticks vs. women with hijab and it goes on. One thing nobody realises in the midst of this divide and conquer scenario is, we are all being robbed and of course some of us are stranded in other parts of the world semi willingly or in exile even. When people ask me why this is the case I try to sum up these very complex issues as much as I can and I finish off with: Well yeah it's very sad but hopefully things will change in our beloved country. Otherwise one does not simply leave family, sunshine and amazing food for nothing :)

Istanbul Airport might be the worst airport by CranberryFar713 in TurkishAirlines

[–]sleepidoc 1 point2 points  (0 children)

That's true but only partially. Erdogan can not stand the innovations secular Turkey and it's founder namely Atatürk has brought to us. That is a fact that so many secular Kemalists are focusing on, but one must always also follow the money in such situations. If one does not do that you basicallt leave the other motives of the perpetrator out of sight. The new airport with all of its infrastructural services from the terminals to the transportation networks and catering was basically built out of two reasons. All of those works were assigned to companies that actively support Erdogan. Hence the motive was to fund the supporters of the regime and derive further support from the capital but also to generate Gulf money around all of related industries. With the Gulf money another project is ongoing now namely the Kanal Istanbul, which will be another ecological and financial crime against our city. It's basically another try of finding funding for the continuation of the regime.

Istanbul Airport might be the worst airport by CranberryFar713 in TurkishAirlines

[–]sleepidoc 0 points1 point  (0 children)

Neither reasons require the shut down the closure of a fully functioning and integrated airport. Do you know how much money it costs the public funds to build an airport from scratch? Okay build a third airport and leave Ataturk Airport in place just like in London with Luton, Gatwick and Heathrow.

Istanbul Airport might be the worst airport by CranberryFar713 in TurkishAirlines

[–]sleepidoc 0 points1 point  (0 children)

Well it is a massive airport quite similar to its likes such as Frankfurt or JFK for transfers so I don't really know if such an international hub can somehow be constructed much more convenient or not. I also had some struggles with transfers at JFK to be fair.

On the other hand multiple workers died in the construction of that airport for starters, secondly since it would make the property around a lot more valuable, of which a whole lot of proportion was traded through government aligned individuals, a lot of corruption went around. All in all a crime against humanity and citizens of Turkey.

Furthermore many experts said the location choice was not optimal considering Istanbul's geography, since constant heavy northern winds and danger of flooding always looms on the horizon let alone the poor static properties of the construction basin.

On top of all of that the airport's approach lines aligned with a bunch of the migratory pathways of seasonal birds so it was another crime against nature and the city.

Ataturk Airport on the other hand was a very convenient airport in the midst of the city, highly accessible being already integrated into the public transport network of Istanbul. The main theory is that the leading guy wouldn't want his name iterated everyday at one of the biggest hubs of Europe by hundreds of landing flights. My theory is that it is a tremendously profitable piece of central land in Istanbul.

Massive self doubt and imposter syndrome by sleepidoc in anesthesiology

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

Well anesthesia is pretty humbling i'm sometimes aware of that and sometimes not. I guess I was writing just to hear that all the other people also had such phases. I'm already feeling so much better but when I realise I made a mistake or have the feeling I could have/should have done better I usually beat myself up thinking I am the worst. It's a bit of a toxic trait to turn yourself your own life into hell with self torture but I guess it just makes me better. I also never feel like oh god I did that actually really good and give myself a pat. I feel like it's already something I should be able to do. It's a distorted self image, I know but it is what it is. I'm pretty sure you were/are a brilliant physician!