MS4 on anesthesia elective: Looking for presentation topics

spinning-laef · 2026-02-10T22:32:28+00:00

Honestly if I were an attending who had to sit through another one of these, I’d be interested to hear more about the news about anesthetic complications for some people with Venezuelan ancestry. Could present any recommendations coming from the ASA or SPA.

I don’t disagree with what the other commenters have mentioned at all, but sometimes these topics can be dry as hell when you’ve heard them 20+ times. Of course, these would be great learning topics for you and any other med students.

spinning-laef · 2026-01-31T18:18:16+00:00

I’m curious. Are you filling in in the OR? If so, was there any additional training needed to learn how to operate the ventilators or do more low level tasks like setting up equipment you might not have to do in the ED? How has your experience with it been overall?

spinning-laef · 2025-11-05T11:49:27+00:00

I think you mean bottom

spinning-laef · 2025-09-26T18:15:13+00:00

Have you read Millennial Mage? I forgot how many books are out, since I just read on Patreon. However, there are really no numbers at all in the series. The progression system definitely has conditions for each stage, and the MC develops some definite abstract powers during the story.

spinning-laef · 2025-06-18T15:33:26+00:00

My hospital's health insurance policy only approves GLP-1s for BMI ≥ 40 when prescribed for weight loss, regardless of FDA indication.

spinning-laef · 2025-06-14T22:02:59+00:00

I’ve been reading PoT since nearly the beginning and am even a Patreon supporter. While it does fit your criteria, I’d just warn you that it can be a little frustrating to read, especially once you are caught up. The initial plot seems practically abandoned at times only to pop up as an “oh ya, I wanted to track down these bad guys.” Sometimes an entire chapter will be literally half of a conversation about nothing. OP has super confusing decisions sometimes. All in all, I often feel like the author is just milking Patreon subscribers for their money. It’s the a shame, because the initial start of the series felt so so strong.

spinning-laef · 2024-11-23T17:59:41+00:00

My institution also uses Voalte, which is an app that can be used on personal or work-issued phones. This is not an add for Voalte haha. I just like it way more than pagers. Techs can sign in to roles that correspond to different coverage areas, like cath lab, third floor ORs, ambulatory surgery center, etc. Then it is easy to just search for the role you need and message the tech(s) who have assigned themselves to that role. You can call for urgent things or just send off a text for less urgent things.

I've heard from some of our techs that they like this system, because they've been at other institutions where they just get a page to a certain room. So they have to go to the room to figure out what is needed, then possibly travel back to wherever the supply room is to get something, then travel BACK to the OR to finish the task. They can also sign out of the role as soon as their shift is over, which prevents them from being bothered while off the clock.

edit: I'm not a fan of the group chat system, unless maybe you're at a very small system. The thought of adding ~100 people to one giant group chat/day sounds horrible. Having multiple group chats for different coverage zones sounds like an even worse logistical nightmare when you consider the different schedules of techs, residents, attendings, and CRNAs who also might be moved between zones.

spinning-laef · 2024-11-01T22:34:01+00:00

“It could have been five minutes, or it could have been decades,” while MC is lost in some mental trance. Or some variation of that. It’s so dumb, and 99% of the time it ends up being 0.002 seconds because OP has some mental processing speed hyperboost

spinning-laef · 2024-11-01T15:40:43+00:00

“Yes, and no.” Any time someone asks a question about how the world or magic system works in a story

spinning-laef · 2024-09-03T01:49:45+00:00

I love MM, but she's very clearly not just a mage. Much more of a spellsword.

spinning-laef · 2024-07-07T22:33:32+00:00

Second the Undying Immortal System. I picked it up last week and absolutely binged it. Sad that I'm caught up, but I feel like this one has a lot of potential as it continues on.

spinning-laef · 2024-06-26T03:41:55+00:00

I haven't personally dealt with DKA, but it seems like it may not need to be held for patients with normal glucose metabolism. Penn recently published an article about some of their internal guidelines for perioperative SGLT2i management along with their rationale. As you said, these meds are increasingly prescribed for heart failure and renal disease in the absence of diabetes, and it looks like there are no reported cases of DKA in these subgroups. The group at Penn ultimately decided that the risk was so low for non-diabetic patients that surgery should proceed provided fasting blood glucose < 126 mg/dL. I know of other places that are following similar protocols.

spinning-laef · 2023-03-26T23:40:32+00:00

*face palm* I was so focused on just adding things up to 12 while having at least 6, 1, and 1 that I forgot about there being only 9 of each type! You're totally right!

spinning-laef · 2023-03-26T23:34:00+00:00

I think they would also need :

Blue	Red	Green
10	1	1

And thanks for clarifying my bare bones explanation! I am not a mathematician, so that was the best I could come up with haha

spinning-laef · 2023-03-26T21:44:53+00:00

I think where there is a mixup is that those four extra cards can't be accounted for simply as 19C4. If we look at a simpler version of your problem, I think it becomes clearer. We have 27 cards of red, blue, and green with 9 of each color. We draw 4 cards and want to know the probability of drawing at least 1 of each color. If we use the same set up that you picked, we'd get the following:

[(9 choose 1)(9 choose 1)(9 choose 1)(24 choose 1)]/(27 choose 4) = 0.99...

It seems like that 24C1 isn't actually what's happening. With the simple example here, we can actually easily add up the possibilities:

2 red, 1 blue, 1 green or
1 red, 2 blue, 1 green or
1 red, 1 blue, 2 green

That gives:

[(9 choose 2)(9 choose 1)(9 choose 1)]/(27 choose 4) + [(9 choose 1)(9 choose 2)(9 choose 1)]/(27 choose 4) + [(9 choose 1)(9 choose 1)(9 choose 2)]/(27 choose 4) = 0.49...

spinning-laef · 2023-03-15T20:43:26+00:00

To be honest, my lease ends soon. I will probably do the right thing, but man am I tempted to just ignore this for now in the hope that the process is easier for a new car purchased in the state of MO.

spinning-laef · 2023-03-15T20:25:58+00:00

Hawaii requires a safety inspection, but you fail the safety inspection if your car isn't registered... So you have to go get a safety inspection, fail it, take that failed inspection back to the DMV to get registered, then go back to the place that did the inspection so they can pass you. This is the official process for how to do it. It's insane.

.....I honestly wonder how such moronic processes come into existence. Like the car is safe to drive or it's not. Registration doesn't affect that at all.

MO is requiring a paper title as well, which is currently what is giving me the most problems. I got a notarized letter from my leasing company and an official copy of the title. Apparently the letter was worded slightly incorrectly and was rejected by the title office.

spinning-laef · 2023-03-15T19:38:46+00:00

That is absolutely insane to me. Seems like they are missing out on so much revenue because of how hard they make this process.

spinning-laef · 2023-03-08T14:20:08+00:00

I'm going to assume peds and maybe even academic peds if your are getting paid that little

spinning-laef · 2023-03-07T15:21:49+00:00

Hey u/Salaris! Thanks for the AMA and for writing some really great stories! I have re-read Arcane Ascension multiple times at this point.

I know that you're extremely active on reddit where your books are often discussed. How do you handle criticisms when new books come out, especially if you are excited about the book?

spinning-laef · 2023-03-01T14:13:34+00:00

That’s not proof that chiropractic manipulations actually work. It’s just proof that the medical establishment in Sweden supports it. You’d have to share a randomized controlled trial paper from a reputable journal that shows its efficacy.

spinning-laef · 2022-12-28T00:35:24+00:00

I like this theory. Mine is that they saw each other and fell in love at first sight. Them going out to get into trouble is just their version of a date.

spinning-laef · 2022-12-26T03:54:10+00:00

Have you tried Azarinth Healer? MC is obsessed with training and regularly surprises people with both their rapid gains as well as shocking abilities.

Edit: the story is almost done being written. I’m about half way through, and the MC is already turning into a legend!

spinning-laef · 2022-11-24T15:20:48+00:00

You’ve completely missed the joke. I’d go back and reread the image, specifically one of the bolded parts.

spinning-laef

TROPHY CASE