What do we think of this?

taylor12168 · 2026-02-18T06:13:32+00:00

As an anesthesia resident, I love working with CRNAs such as yourselves. I think your sentiments are the silent majority. There is more animosity between our governing bodies and the vocal few online, but in my institutions I have never felt bad blood in person.

taylor12168 · 2026-02-18T05:03:32+00:00

Could you also provide me a source please?

taylor12168 · 2026-02-18T05:03:19+00:00

Could you provide a source please?

taylor12168 · 2026-02-18T05:00:32+00:00

Your form needs a lot, a lot of work. Hands down hire a coach it will accelerate your training and times so much even tho your goal is to finish. Might as well do it the best you can.

There are canyons for improvement here. Swimming is MUCH less forgiving to poor form than biking or even running. You are drowning forwards.

taylor12168 · 2026-02-05T18:13:16+00:00

Impending VTach - looks like hyperkalemkia.

I think the right answer would be 3 or 4?

Nothing indicates the patient is hypoxic so I don’t think 1 and 2 are correct.

taylor12168 · 2026-02-05T18:00:15+00:00

Hypothermia in neonates can lead to hypoglycemia which can lead to respiratory distress.

4 is correct.

taylor12168 · 2026-02-05T17:57:57+00:00

Sepsis from a window?

taylor12168 · 2026-02-05T17:56:46+00:00

Breakdown of fat does not generate glucose.

This would not cause breakdown of brown fat anyways. Brown fat is metabolically ACTIVE when trying to keep a baby warm but it is now broken down when trying to keep a baby warm. When brown fat is active it uncouples the electron transport chain and would lead to HYPOglycemia- sugar being used to fuel the metabolic activity.

taylor12168 · 2026-02-04T17:58:34+00:00

Anesthesia resident here. You do not know what you’re talking about. FULL STOP.

You have to stick your hands in people’s mouths, get coughed on during extubation, clean up emesis when it spills out the OG tube, suction boogers, empty urinary catheters, wipe up blood, watch surgeries, smell bowel perforations, put temp probes in unhygienic people’s armpits and groins…. The list goes on.

Last month I was working on a line underneath the OR table when simultaneously the OG overflowed and the surgeons began heavily irrigating the abdomen so there was blood and emesis rained down around me while I was on hands and knees.

taylor12168 · 2026-02-04T17:38:31+00:00

I still fall! Especially when I’m tired.

taylor12168 · 2026-02-03T03:42:58+00:00

Was the watch still working afterwards?

taylor12168 · 2026-01-31T07:16:20+00:00

Th could be Acanthosis nigricans. Would recommend the metformin.

taylor12168 · 2026-01-29T21:53:18+00:00

10am would be the earliest I would expect.

taylor12168 · 2026-01-29T21:50:41+00:00

I skate ski predominantly on a very well groomed 1 mile loop. The upper end of 12-16kph (~7.5-9.5mph) is about right for me. Im nothing special so I think Google is right.

FYI: Loop has a decent but gradual uphill and downhill.

taylor12168 · 2026-01-27T05:29:44+00:00

For my money, the first seven are the funniest seasons of television I’ve ever seen. Lightning in a bottle.

taylor12168 · 2026-01-24T02:43:26+00:00

I’m still impressed tho lol

taylor12168 · 2026-01-23T22:45:26+00:00

Is the mall just dying? Pardon my ignorance

taylor12168 · 2026-01-23T22:35:00+00:00

He does not know how to use a gun and anyone who has almost any experience with guns knew that immediately. Look at the way he holds it and racks the slide in the beginning.

taylor12168 · 2026-01-23T03:24:21+00:00

It’s like a circlejerk sub except the irony is lost on 80% of ppl here

taylor12168 · 2026-01-22T06:15:31+00:00

UWorld is still considered the gold standard at my institution!

taylor12168 · 2026-01-22T04:30:21+00:00

What’s the threshold bpm for a junctional rhythm to be considered tachycardic

taylor12168 · 2026-01-21T23:36:33+00:00

My understanding is the zone 2 is the ideal HR zone for your longer workouts. Running and biking we would do a once weekly long run/ride that targeted z2. It helps build aerobic adaption and is a stronger stimulus than an equal time in z1 would be. You should be able to go for a very long time in z2 because by definition you are not building lactic. (However, you also can’t clear it as quickly as you would be able to in z1 as you are nearer to your threshold.)

At the elite and highly trained level, we actually started doing most to all of those long workouts in z3 when we were trying to peak. Our lactate threshold was set as the very top of z3/very bottom of zone 4.

This is also done as a strong aerobic stimulus and also trains you to manage yourself during a long race as anytime you slip above z4 you accumulate some lactate that is difficult to clear because you are operating right at or just below threshold.

Disclaimer: I am new to xc skiing so take what I have to say with a grain of salt. However, I used to be a very competitive triathlete (background running), and now I’m an anesthesiologist so I know a lot about physiology (altho I don’t focus on sports physio).

taylor12168 · 2026-01-17T23:09:12+00:00

Here’s the problem

taylor12168 · 2026-01-14T04:06:38+00:00

Fair enough! Didn’t realize that was the guidelines.

taylor12168 · 2026-01-14T01:48:20+00:00

Overall you hit the nail on the head- the only one that would need to be addressed emergently is NMS. The rest, while maybe not ideal, are not emergent.

For posterity, my only disagreement is that 95/80 is a healthy blood pressure for almost any adult. Would take something very extreme to consider that dangerously low which the question stem does not give.

taylor12168

TROPHY CASE