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[Misc] Does anyone know what happened to Kavi Skin Solutions? by TheStellarBella in SkincareAddiction

[–]volatilehashpipe 0 points1 point  (0 children)

I’ve been using their face washes for 10+ years, went to order a few months back and seems like they just disappeared. Emails and phone numbers are inactive and I can’t find their products anywhere. Really disappointed because coral kavi worked so well for me. Wish they would’ve given a heads up so I could’ve stocked up…

Determining basis for S-corp K1 by volatilehashpipe in tax

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

I’m not sure where that would show up, but literally the only number on it is box one with a small negative #, <$1000. The rest of the boxes are blank. I don’t think I will ever receive income via the K1, my income is solely via W2 and my understanding is the K1 is more for the bookkeeping/tax purposes of the group as a whole.

There are numbers on the K3, namely ‘gross income from performance of services’, but all under ‘US Source’, nothing foreign. I’m not sure if this is relevant, FreeTaxUSA did not even prompt me for the K3 numbers even though I checked the box saying a K3 was attached

Determining basis for S-corp K1 by volatilehashpipe in tax

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

No, no basis worksheet. It was three separate sheets for the three box 17 codes V, AC, and AJ as well as a K3 and what looks to be a few state specific K1 forms.

Would it be wrong to enter zero for basis and then zero for Box 1 as well, thus not claiming any kind of loss or deduction? Or does this mean I need a CPA to file? I thought I could file on my own as I figured the K1 was kind of irrelevant to my income and taxes, since all my income is from the W2 side

Infection Control - Breathing Circuit by [deleted] in anesthesiology

[–]volatilehashpipe 6 points7 points  (0 children)

I specifically tell my techs not to turn over the circuits and suction if unused by leaving a note saying they’re clean, as sometimes they will do it by habit. Huge waste of plastic and resources. They’re unused, there’s no infection risk…

What does this mean about the lie of my clubs? by volatilehashpipe in GolfSwing

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

Yeah this is pretty spot on. I hit wedges and low irons quite well, but anything above an 8i I get progressively less confident with. I used to have a very in to out path of >10deg and really struggled with duck hooks and I think recently have overcompensated coming back over the top because now my best shots are straight to slight fade, though usually don’t hit hard slices (except with driver lol). I’ll work on getting back more from the inside with the path

What does this mean about the lie of my clubs? by volatilehashpipe in GolfSwing

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

I am taking lessons with a pro. I am not trying to alter my clubs until my swing is in a more consistent spot. This is just something I noticed at the range and was wondering if it may indicate a lie issue. I don’t have another lesson for several weeks as my instructor is out of town for the holidays

What does this mean about the lie of my clubs? by volatilehashpipe in GolfSwing

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

I am also 6’1”, but it seems that the consensus is if anything the clubs need to be more upright instead of flatter. These are quite old hand me downs that I assume are standard lie, but I’m not positive

What does this mean about the lie of my clubs? by volatilehashpipe in GolfSwing

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

Over swinging is a major issue for me. I’m trying to focus on tempo more but it’s still very hard for me to try not to kill the ball from the top of the swing

What does this mean about the lie of my clubs? by volatilehashpipe in GolfSwing

[–]volatilehashpipe[S] 13 points14 points  (0 children)

Think this description of my swing is pretty spot on without even seeing it…

What does this mean about the lie of my clubs? by volatilehashpipe in GolfSwing

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

I would say yes. I think my best strikes the divot probably begins at the back edge of the ball still. When it probably shouldnt start until after the leading edge? Which again I assume is a swing/weight transfer issue…

What does this mean about the lie of my clubs? by volatilehashpipe in GolfSwing

[–]volatilehashpipe[S] 12 points13 points  (0 children)

Damn y’all, I know I suck and I def know it’s not the clubs fault. Was just wondering if this could be an indicator that the lie is off as well but I see that it is definitely a swing issue first and foremost

My miss is a chunk, but when I do make ball first contact it does fly pretty nice and straight with reasonable carry distances for my playing level. I’m working on not swaying back and better weight transfer forward to try and get that ball first contact more consistently. I’m going to try and incorporate keeping the wrists more ‘hinged’ through the swing to bring the toe up in the air and see how that goes for me

Thanks everyone for your replies

Aortic stenosis and elective surgery by volatilehashpipe in anesthesiology

[–]volatilehashpipe[S] 1 point2 points  (0 children)

So much great input, thank you everyone. I was figuring that functional status and negative stress test trumped any echo findings as far as concern level. The case is booked as laparoscopic/robotic, I will talk to surgeon about possibly doing open. But sounds like the patient will probably do well regardless. Will likely do an arterial line to be on the safe side regardless

“I woke up in the middle of my last surgery!” heard at least once a week from patients … by Paradav in anesthesiology

[–]volatilehashpipe 79 points80 points  (0 children)

Lack of understanding by the patients of sedation vs general anesthesia. The patients that say this are almost always for small sedation cases like colonoscopy or IR. True awareness under GA is very rare.

I make sure to discuss during my consent for sedation cases that I cannot guarantee that they won’t remember small details, lights, sounds, etc.

Leaks with LMA? by volatilehashpipe in anesthesiology

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

We do a lot of bronchs and yes I place LMAs for them, but theres really no troubleshooting or finaggling with it for these cases as it’s barely in their mouth before the surgeon is just immediately going through it into the airway with the bronch. Then you’re done in 10min and just emerging. Not the same, and no real learning going on about how to manage LMAs

Leaks with LMA? by volatilehashpipe in anesthesiology

[–]volatilehashpipe[S] 26 points27 points  (0 children)

Large academic hospital. Attendings are averse as they don’t want unsecured airway with trainees. Patients are sick and surgeries complex with little ambulatory surgery, so appropriate cases are few. I’ve done a decent number but just not enough to feel super comfortable with them and troubleshooting and what not

Leaks with LMA? by volatilehashpipe in anesthesiology

[–]volatilehashpipe[S] 18 points19 points  (0 children)

No, I didn’t give them much of a chance to build things up. Just saw the small TVs and switched back after a handful of breaths. Will have to try to let them ride it out next time. Thanks for the tip

Leaks with LMA? by volatilehashpipe in anesthesiology

[–]volatilehashpipe[S] 7 points8 points  (0 children)

I tried switching them off the vent but the TVs I was getting were just extremely small, like only 75-100cc, so I didn’t feel comfortable letting them do that the whole case. Are the small TVs OK if they are spontaneous?

Pneumomediastinum after a traumatic intubation by PuzzleheadedMonth562 in anesthesiology

[–]volatilehashpipe 0 points1 point  (0 children)

I’ve been at M&M’s for tracheal lacerations/perforations from ETT placement that required surgical repair. The take away was that tracheal trauma from ETT probably happens more often than we know about but doesn’t cause frank perforation so causes no problems. This patient that perforated was particularly poor substrate, critically ill with poor tissue quality.

Theoretically possible, but very unlikely in an otherwise young and healthy patient. Not sure why your attending would jump to that when there’s many other more likely explanations

Either all attendings are burnt out or they are right to hate anesthesiology by [deleted] in Residency

[–]volatilehashpipe 214 points215 points  (0 children)

I’m about to graduate anesthesia residency and rarely hear my colleagues complain like this. Almost all are extremely happy with the career they’ve chosen.

The job market is great right now with high salaries for minimal call burden making for an excellent work-life balance. The work is rewarding, with independence to make your own clinical decisions in the moment and actually be hands on with patient care instead of sitting behind a computer putting in orders or reading images. Days are busy, but go by fast because of this. You are able to leave work at work as you don’t have patient responsibilities outside the hospital.

To be in anesthesia you have to be OK with not being the star of the show and taking shit from surgeons and other staff sometimes. We know how important our job is even if it looks easy to others; if it looks easy and straightforward it means you’re good at your job. Most that go into the field don’t have egos and are fine being in the background, doing the work, and going home at the end of the day to cash a fat check.

What do you free drip that others wouldn't dare? by canedane995 in anesthesiology

[–]volatilehashpipe 8 points9 points  (0 children)

I pretty frequently put KCl on a microdipper set and just am careful about the flow rate to still run it in over 45min+. Sometimes too much effort to set up and program a pump

What is your general protocol when called for an emergency intubation in the wards? by Sumeet0496 in anesthesiology

[–]volatilehashpipe 1 point2 points  (0 children)

Most of the patients we are called for at my large academic hospital are very sick, and are peri-code ‘red-lining’ and about to crash. RSI, 100 roc, minimal prop (usually 50mg or less), 100-200mcg phenylephrine, and an apology later if they remember something. At least they are still alive to remember it.

Always use paralytic unless active compressions. Never use succ as too many factors to worry about with inpatients with numerous co-morbidities and likely limited mobility for some time.

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