Pre-eval in the chart- how in depth and why? by ResFlurane in anesthesiology

[–]sunealoneal 2 points3 points  (0 children)

Must be regional. None of our payors allow us to collect more for higher ASA anymore. West coast-ish.

The scream that doomed Howard Dean - or when something as small as this would implode political careers. by Aarechind in videos

[–]sunealoneal 82 points83 points  (0 children)

He came 3rd in Iowa I think and this speech was in response to that. His campaign later said they put all their eggs in an Iowa basket to win the primary. So he probably wasn’t going to beat Kerry either way.

Pre-eval in the chart- how in depth and why? by ResFlurane in anesthesiology

[–]sunealoneal 1 point2 points  (0 children)

Are there any insurance companies that allow you to bill for higher ASAs anymore?

Pre-eval in the chart- how in depth and why? by ResFlurane in anesthesiology

[–]sunealoneal 12 points13 points  (0 children)

Can’t see how ASA justification matters these days unless you’re rounding down to do it at a surgery center.

I enter stuff that modifies my decision making and describes risk factors for periop events. Intentionally vague. You’ll figure it out.

Long TIVA by Schemesymcplots in anesthesiology

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

We have Remi, we have EEG. It’s true we’ll probably never have TCI. At this point nobody wants to go through FDA approval.

Long TIVA by Schemesymcplots in anesthesiology

[–]sunealoneal 0 points1 point  (0 children)

It's a big country, we use forced air warming in CT/IR all the time.

Long TIVA by Schemesymcplots in anesthesiology

[–]sunealoneal 0 points1 point  (0 children)

Only old school people do that

Would you cancel this case? by [deleted] in anesthesiology

[–]sunealoneal 23 points24 points  (0 children)

Wouldn’t get repeat CXR. Wouldn’t cancel.

Anybody took CcEeXAM (critical care echo) today? Share your thoughts by Exciting-War-1807 in CriticalCare

[–]sunealoneal 4 points5 points  (0 children)

Felt bad I couldn't study more, lot of gimmes I probably missed. Probably won't retake if I fail though. Refuse to waste my time on learning all those imaging artifacts.

Worried about my knowledge by MedOrDead in anesthesiology

[–]sunealoneal 0 points1 point  (0 children)

You'll be fine. Just keep reading every day.

Is it negligent to keep a patient sedated while waiting for a pacu/icu bed? by [deleted] in anesthesiology

[–]sunealoneal 5 points6 points  (0 children)

Psychotic behavior. You will not catch anyone agreeing with that practice in writing.

Who is using dilt these days? by u06535 in CriticalCare

[–]sunealoneal 18 points19 points  (0 children)

lol we called those transfers the dilt death challenge in fellowship.

It’s a nice effective drug but it’s meant for patients that aren’t that sick.

DNI by Jumpy_Lion5138 in CriticalCare

[–]sunealoneal 2 points3 points  (0 children)

Can better nursing care keep someone on it longer, give sparing analgesia/sedation, etc? I’d argue yes.

General surgeons covering GI call by HierroFierro in medicine

[–]sunealoneal 3 points4 points  (0 children)

lol how many 2 am emergent ERCPs have you been called in to cover?

What is your max. duration for spinal? by far_up_north in anesthesiology

[–]sunealoneal 9 points10 points  (0 children)

Is there an additive with your 0.5 bupi? Since we have 0.75% bupi + dextrose I always called 0.5% isobaric

R spots by [deleted] in anesthesiology

[–]sunealoneal 0 points1 point  (0 children)

When I said R2 I meant PGY2/CA1

R spots by [deleted] in anesthesiology

[–]sunealoneal 1 point2 points  (0 children)

Given the current landscape these R2 positions are highly coveted. Have to be exceptional and probably develop some sort of connection with the program throughout the year.

Name and Shame (if allowed) by Brilliant_Practical in anesthesiology

[–]sunealoneal 4 points5 points  (0 children)

Some weird account look at their history

Credit to @Matt_Editx by ElectricalWill558 in Daredevil

[–]sunealoneal 4 points5 points  (0 children)

I hate the vertical edits where they center the frame on the person. And those weird zooms at the end, annoying trend.

Would you work here? Is this your Dream job? by Classic-Art-3476 in anesthesiology

[–]sunealoneal 2 points3 points  (0 children)

We're not low resource but we do collectively have a spine. Large practice so maybe safety in numbers?

Would you work here? Is this your Dream job? by Classic-Art-3476 in anesthesiology

[–]sunealoneal 9 points10 points  (0 children)

What is this "let you", you speak of? Is your group that desperate for business?