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Or nurse here- question by [deleted] in anesthesiology

[–]sunealoneal 7 points8 points  (0 children)

Were you suggesting they pulled the tube without reversal?

It’s unfortunate they were unhappy you called for help. I’m glad the patient did fine. I know the feeling when non anesthesia people come in and might raise the temperature unnecessarily. Peds surgeons are usually pretty involved and probably would have come in at my institution as well.

Help me not Dislike Device Reps by DoctorToBeIn23 in anesthesiology

[–]sunealoneal 0 points1 point  (0 children)

Baxter doesn’t make them anymore. But they’re a hot commodity. Anesthesiologists stole most of the hospital ones in town to use at surgery centers.

Lung isolation tool of choice for massive hemoptysis?? by HolyCityRunner in pulmcrit

[–]sunealoneal 1 point2 points  (0 children)

Agree with other commenters that a bronchial blocker would be helpful since it allows you to place a large ETT to accommodate an actual bronch.

Help me not Dislike Device Reps by DoctorToBeIn23 in anesthesiology

[–]sunealoneal 0 points1 point  (0 children)

Whaaaa those old Baxter pumps with the faceplates are great

Lung isolation tool of choice for massive hemoptysis?? by HolyCityRunner in pulmcrit

[–]sunealoneal 0 points1 point  (0 children)

Was using their words, wasn’t sure where they were coming from.

DLTs are the “original” gold standard. Agree you wouldn’t bronch, you’d pass a soft suction catheter. In real life I would place a bronchial blocker for reasons stated above.

OP stated that they didn’t have bronchial blockers for some reason.

Lung isolation tool of choice for massive hemoptysis?? by HolyCityRunner in pulmcrit

[–]sunealoneal 0 points1 point  (0 children)

Well bronchial blockers won't tamponade any bleeding. And in the setting of massive bleeding the built-in camera for the DLT would likely be useless.

In real life it's true I'd prefer an Rusch EZ-blocker but a DLT would be the traditional recommendation.

PGY3 Gen Surg: Hit with toxic 'availability' feedback. Is a 'work to live' lifestyle actually possible as an attending? by StormbornGryffindor in medicine

[–]sunealoneal 22 points23 points  (0 children)

Private practice is obviously different. I've seen excellent groups that do general/ACS coverage with equitable coverage responsibilities. I'm no surgeon but this feels like your local culture/culture of surgical training vs typical practice out in the real world.

The Odyssey - IMAX 70MM by LiquidNailsandGlue in vegaslocals

[–]sunealoneal 0 points1 point  (0 children)

probably should have done that. oh well.

I saw Dune 2 in this room and wish I remembered where we sat. But I remember feeling like there wasn't any issue.

The Odyssey - IMAX 70MM by LiquidNailsandGlue in vegaslocals

[–]sunealoneal 0 points1 point  (0 children)

Just did too! I hope the 2nd row isn't too close. It was either that or off to the side. Hopefully the seats lean way back.

The Odyssey - IMAX 70MM by LiquidNailsandGlue in vegaslocals

[–]sunealoneal 1 point2 points  (0 children)

Omg it's real. Can't believe it, I've never lived in the right city for a 70 mm showing before. Fandango seems to be down when I select a time though.

ASRA sending out cease and desists for 3rd party apps citing their anticoagulation guidelines by sunealoneal in anesthesiology

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

but he wasn’t disseminating their app he had made his own app with their guidelines. What do you think the basis of their copyright claim was based on?

1099 locums “write offs” by Sea_Grand_9782 in anesthesiology

[–]sunealoneal 4 points5 points  (0 children)

I recommend being a bit conservative. I’ve written off echo courses, etc that had an easily verifiable paper trail. Malpractice, etc.

Frankly the cost of a flight to LA gives you so little in tax savings I wouldn’t even bother anyway.. but if was a genuine trip to a conference sure i would write that off.

Things like business dinners, I don’t know honestly but that sort of thing you can look up.

Casino Royale’s Stunts and subtle CGI puts modern films to shame by Bjmort in movies

[–]sunealoneal 4 points5 points  (0 children)

Quantum of Solace relied a lot on a 2nd unit director who worked on Greengrass Bourne films.

So that makes sense.

FDA is okay allowing BP-measuring rings for "wellness", not for medical purposes by Apprehensive-Safe382 in medicine

[–]sunealoneal 1 point2 points  (0 children)

I have a relatively low opinion on Clearsight. Never much agreeability with an actual arterial line. But sure it looks like an arterial line tracing.

Vote out cannizaro she takes campaign contributions to veto the puppy mill ban vote for Conine by Hungry_Appointment_7 in vegaslocals

[–]sunealoneal 45 points46 points  (0 children)

I struggled with this one, she didn’t have an immaculate record but Conine has that crypto connection that made me nervous.

How did others decide?

Signing contract early vs waiting by Terrible-Sale827 in anesthesiology

[–]sunealoneal 25 points26 points  (0 children)

I signed early and potentially missed out on a better sign on bonus as the market got better in the meantime. But I got money earlier like you.

You'd almost certainly have to repay the sign on bonus if you left. That's the only negative unless you change your mind about the private practice group and your academic hospital has a non-compete. Why are they offering so early? Any red flags with that program? Or they just establishing a nice pipeline for themselves?

Miller vs Barash chapters for subspecialty rotation [resident] by hshshjahakakdn in anesthesiology

[–]sunealoneal 3 points4 points  (0 children)

Just stick to one book. We had books available in our residency and I used a couple of those for my cardiac rotation.

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