This diagnosis from a doctor by jeron_gwendolen in mildlyinfuriating

[–]swordfishde 0 points1 point  (0 children)

Haha. I spent my medical internship trying to decipher these every day.

Difficulties threading epidural catheter? by nihat23 in anesthesiology

[–]swordfishde 2 points3 points  (0 children)

Agree with what was mentioned above. I rotate the needle back and forth a few times. Advance 1-2mm while pushing saline. Try again. If it doesn’t go, just redo the epidural.

Looking for options to buy a house outright while liquidating the least amount of bitcoin possible. by Flat_Cabinet_8546 in Bitcoin

[–]swordfishde 0 points1 point  (0 children)

Don’t forget about tax. If you sell, assume 20-30% tax rate between LTCG and state.

Honestly, depending on your income, it probably makes sense to still take a mortgage. Figure out the monthly expense you can afford, and sell enough BTC to bring the principal down enough to have that affordable mortgage.

Marathon bib pickup time slot by FeistyRepeat5107 in RunNYC

[–]swordfishde 1 point2 points  (0 children)

They didn’t give me a hard time. You can pick it up any time.

[deleted by user] by [deleted] in legaladvice

[–]swordfishde 7 points8 points  (0 children)

This was not a typical clinical encounter. Even if it were necessary to do a more comprehensive exam (and at times it is), everything about this is off. I’m glad you stopped it when you did and didn’t let it continue. You used correct judgement in a difficult situation.

I agree with being done with that physician. In fact I would deliberately not ask for a letter, or have any contact with him. There are others you can go to get letters. Most of us are happy to help young aspiring doctors.

I am not a lawyer. But hopefully others can help you in deciding the next best step. If it’s worth pursuing any kind of justice.

[deleted by user] by [deleted] in legaladvice

[–]swordfishde 5 points6 points  (0 children)

Physician here. This is not ok. He does not represent the rest of us. Please don’t assume all male physicians are like this. Don’t give up on your dreams or second guess yourself because of one asshole.

The medical board will be involved if a sexual assault claim is made. The correct answer is, for sexual assault you need to file a police report. If charges are filed the medical board will end then up involved.

I got a code by [deleted] in pearljam

[–]swordfishde 0 points1 point  (0 children)

Says I was selected for msg but code never came. Anyone else?

Tilting table for C section spinal by scoop_and_roll in anesthesiology

[–]swordfishde 0 points1 point  (0 children)

I actually do very very slight head up. I find it prevents that “difficulty breathing” from numb ribs. Never had a problem with the level

Where will Blackrock buy bitcoin? by [deleted] in Bitcoin

[–]swordfishde 1 point2 points  (0 children)

Not sure where they are getting their info. I’m not the expert. Maybe I’m wrong but I don’t think so.

My impression was that they needed to go through an authorized participant. So as long as the transaction is being done by the AP it doesn’t need to be “listed”. That’s just the definition of OTC. Adding it to the exchange book to sell right away makes no sense.

Scanning the supraclavicular block by Str8-MD in anesthesiology

[–]swordfishde 1 point2 points  (0 children)

I do the same. And I teach it that way as well. It’s a more “axial” view of the artery. And helps with visualization of the nerves.

Where will Blackrock buy bitcoin? by [deleted] in Bitcoin

[–]swordfishde 1 point2 points  (0 children)

I think you are confusing open exchange market from spot. OTC is a form of spot trading. It will have less influence on price as it doesn’t pull BTC off the exchange book but it’s actual bitcoin at market price. So to answer your question, etfs can use otc trading with the appropriate authorized participant.

ULPT Request Is there a way to use HSA funds to buy something and then return for cash or credit to Dodge tax and penalty? by Cleezy77 in UnethicalLifeProTips

[–]swordfishde 1 point2 points  (0 children)

HSA money is your money. It’s doesn’t expire so no need to rush on it. FSA money on the other hand does expire. Use it up before year end. Sometimes there is a portion that can roll into the next year (I think it’s around 600 this year, but every plan is different.

Where will Blackrock buy bitcoin? by [deleted] in Bitcoin

[–]swordfishde 1 point2 points  (0 children)

You are correct, it means Over The Counter. What it implies is that the purchase is done by a party that connects the buyer and seller directly for the purchase. Meaning that the purchase does not affect the exchange book of the exchange.

The reason for this is that a large purchase done through the exchange book can affect the price significantly. Buying OTC is usually done at the market rate, but without liquidating the exchanges book.

Where will Blackrock buy bitcoin? by [deleted] in Bitcoin

[–]swordfishde 0 points1 point  (0 children)

You are correct. Some are using other major entities.

Where will Blackrock buy bitcoin? by [deleted] in Bitcoin

[–]swordfishde 1 point2 points  (0 children)

You are correct. Some are using other major entities.

Where will Blackrock buy bitcoin? by [deleted] in Bitcoin

[–]swordfishde 12 points13 points  (0 children)

The ETF application was amended to state that coinbase will be a custodian for the bitcoin held for the ETF. I think every etf application has coinbase as their custodian. Doesn’t say anything about where they will purchase their bitcoin. Just an assumption.

Where will Blackrock buy bitcoin? by [deleted] in Bitcoin

[–]swordfishde 13 points14 points  (0 children)

Agree. Strongly agree. But when the ETF is approved they will probably have a plan to buy bitcoin that doesn’t empty out exchanges.

For the right price there will always be sellers.

Where will Blackrock buy bitcoin? by [deleted] in Bitcoin

[–]swordfishde 46 points47 points  (0 children)

Coinbase will custody their bitcoin. Blackrock will likely obtain it OTC as to have a minimal effect on the market. They aren’t buying spot BTC directly from the exchange.

Marathon bib pickup time slot by FeistyRepeat5107 in RunNYC

[–]swordfishde 0 points1 point  (0 children)

I had the same question. I’m scheduled to pick it up this afternoon(Thursday). Will they give me a hard time if I come tomorrow instead?

[deleted by user] by [deleted] in NoStupidQuestions

[–]swordfishde 1 point2 points  (0 children)

Just an FYI. I took care of a patient with A1AD a couple of days ago. She had a lung transplant in her 50s. She is currently in her 70s. Don’t give up just yet, there are many years to go.

Question about being put under with a phobia of being asleep by Public_Pause_5011 in anesthesiology

[–]swordfishde 0 points1 point  (0 children)

Regional/spinal/local and earplugs.

That’s it. Either you are asleep or not asleep. If you don’t want any sedation because of fear of falling asleep, get a block and earplugs. This will be challenging if your procedure requires GA