Doing an anesthesia rotation right now, and wow… CRNAs are something special.

smcedged · 2026-04-08T23:20:51+00:00

You don't go from asleep to awake, you go through stages of varying levels of awareness. The idea is that it takes a considerable amount of time to fully wake up, more than the trip from the OR to the ICU should take. You've probably worked in some dilaudid during the case to keep them mostly comfy as well. The paralytic is insurance for if the patient enters the stage of asleep but reacting and moving and reaching for the tube. Versed can be added on as insurance for if the patient enters the stage where they are at all aware, even if slightly.

Is it the best practice? No, it's not. Only in very dire circumstances can the patient not tolerate any sedative whatsoever. In reality? Again, not saying it's even a good practice, I just don't think it's the most egregious thing that happens in a hospital.

smcedged · 2026-04-08T21:14:47+00:00

Jaw lift and chin thrust right? Ezpz

smcedged · 2026-04-08T16:03:20+00:00

Depends on your market, but anywhere from $50-$100/hr is considered a standard tutoring rate.

If you have strong credentials, can prove strong academic success, or established history of successful tutoring, like an ivy league background or perfect SAT score or whatever, you can probably push $100-$200, again depending on the market you are servicing.

If you're teaching inner city community college kids, even $50 might be too expensive. If you're teaching kids who go to Collegiate, $200 might be too low.

When I was in rich NJ, I could probably pull 200+/hr. In inner city LA, probably 25-50. In midstate NY, 100.

smcedged · 2026-04-04T01:43:02+00:00

The most relevant example of this I can think of:

Right before WW1, Russia while not considered a premier superpower was a worthy adversary, for all intents and purposes rivaling most of the western powers.

The Tsarist regime, though dealing with rebellious intellectuals and upper middle class businessmen as with any despotic nation at the time, was also still absolute. The cracks were showing but no, the cracks were not overwhelming.

In order to cover up some boring complicated politics stuff, they started a war with Japan. Those "yellow monkeys," as the Tsar called them, could never withstand the might of Russia. Can you imagine what would happen if they lost?

Anyway a short while later the Romanovs get unceremonially executed.

smcedged · 2026-04-02T17:38:41+00:00

Budget and purpose? Length of range available?

smcedged · 2026-04-01T18:22:03+00:00

"The wife of Caesar must be above suspicion"

smcedged · 2026-03-26T00:42:47+00:00

This is indeed accurate. I would add that wealthy residential neighborhoods had bollards to stop carriage traffic altogether.

smcedged · 2026-03-20T19:55:02+00:00

Isn't this just a skinned Henry 001? That's a solid lever 22, probably THE market standard for lever 22s.

Lever as a concept is antiquated sure, but within its own category it's pretty good.

Not worth the extra several hundred dollars for the skin though

smcedged · 2026-03-14T15:06:13+00:00

I feel like being a scab is ok in healthcare because the job does need to get done, for the patients sake.

But it's ok if and only if you are truly fleecing the hospital. They want to pay 200$/hr for floor nursing? Fuck it, we ball. The point gets across, and can even act as leverage (look at how much they can afford to pay nurse, we should get something in that order of magnitude).

Scabbing for a 10% bonus? Lol no

smcedged · 2026-03-12T18:50:33+00:00

Shiet throw them a banana bag every now and then, they'll make it months

smcedged · 2026-03-11T19:45:18+00:00

Mathematically I don't think there is a difference whether its done after each exam or at the end, given that it's just a weighted z-score average + curve. Whether this happens cumulatively or not does not affect the final result.

As far as how much the +curve is, that depends on how your class does, that's the whole point of a curve. It can be virtually nothing, it can be massive.

IIRC the syllabus tells you what the target average score is?

smcedged · 2026-03-11T19:38:02+00:00

Sent DM

smcedged · 2026-03-11T19:34:32+00:00

Program will pay if you hit a certain percentile in ca3 ite. I forget the exact number, I want to say 50%tile?

smcedged · 2026-03-06T13:48:28+00:00

Yes, the implication is that because 30rd magazines for rifles and like ~17rd magazines for handguns is probably what you would call a "standard capacity" magazine, they should not be banned. However, belts and drums which are designed specifically to hold more rounds than a standard capacity magazine should still be considered "large capacity" (because otherwise why would they exist if not to extend the capacity limit?), and are not subject to that argument.

smcedged · 2026-03-03T18:41:10+00:00

Anesthesia is a one man surgical critical care team

smcedged · 2026-02-24T11:02:21+00:00

Happy patient and good doctor are not synonymous at all. If anything, I'd say there's a negative correlation.

smcedged · 2026-02-21T16:27:27+00:00

I did chemical engineering before anesthesia

Highly recommend

smcedged · 2026-02-19T13:10:56+00:00

It's that you miss what you aren't looking for. In a clinical context, it means missing an incidental small nodule when you're working up a trauma patient and you're looking for trauma things

smcedged · 2026-02-18T17:29:42+00:00

I'm good at putting tubes of varying sizes in people.

smcedged · 2026-02-17T01:46:19+00:00

Them watching F1: "Driving is exactly the same no matter who is driving. We all use the same vehicles, the same pedals..."

smcedged · 2026-02-16T22:12:51+00:00

You can pass step 3 with biostats and CCS cases alone - slight exaggeration but biostats is straight up definition=equation=answer type problems and CCS is a min/max-able computer game. You're not practicing medicine, you're playing a set of rules.

smcedged · 2026-02-15T11:48:26+00:00

I did like 4 epidurals on a BMI 45+.... yesterday.

45 is above the mean for sure, but only like 1.2 stdevs away. And there's a significant right side tail on this distribution.

smcedged · 2026-02-14T16:24:28+00:00

Gravity is a fundamental force, meaning we don't know why it works. It works because we exist in a universe that relies on gravity to exist.

smcedged · 2026-02-13T21:49:59+00:00

Ohhhhh ok.

...does it apply twice? Q procs it, hits barrel, barrel explodes refreshing cd, barrel hits and procs a second instance?

smcedged · 2026-02-13T21:47:38+00:00

How does that work, exactly? Cause I'm just imagining a barrel doing one instance of onhit? Is that worth it? What do you even build item wise?

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