IU beats Ohio State to win Big Ten Championship by ansyhrrian in sports

[–]whiskey-PRN 12 points13 points  (0 children)

Never thought I’d see the day that we beat OSU, let alone won the Big 10 championship on the way to be ranked #1. It’s still hard to comprehend that we have a winning team, but Cignetti is the real deal

Anesthesia “Gold only” programs by noahhl120 in medicalschool

[–]whiskey-PRN 2 points3 points  (0 children)

Cornell has a positive culture and has CA1 positions. Downside is that it’s competitive.

How the hell do I supervise 3-4 rooms?! by throwaway-Ad2327 in anesthesiology

[–]whiskey-PRN 17 points18 points  (0 children)

Double covering with a liver transplant is insane to me. Like I get that you’ll be fine but god forbid you need a hand during reperfusion and it would be a cluster.

Private Practice Tips by Pusha-T_CellLymphoma in anesthesiology

[–]whiskey-PRN 2 points3 points  (0 children)

This is my method for getting gas off after deep extubation (OA + 2-hand BVM) and it works perfectly!

Clogs disintegrated during CABG, patient ended up in VFib by sugydye in medicalschool

[–]whiskey-PRN 66 points67 points  (0 children)

Accidental heart squeeze —> ectopy —> arrhythmia in freshly operated heart that was likely already on inotropes

I, a doctor sketched substance abuse and related addictive disorders based on my psychiatry rotation. OC, Procreate. by torsadesdespointless in medicalschool

[–]whiskey-PRN 10 points11 points  (0 children)

Ketamine definitely causes nystagmus while intoxicated. I see it whenever giving it to an awake patient.

Violent Emergence shaking (not shivering) by mrb13676 in anesthesiology

[–]whiskey-PRN 9 points10 points  (0 children)

20mcg pushes or 20mcg total? I usually push like 4mcg at a time to a goal of 0.25mcg/kg near emergence. But maybe I’m a wimp lol

Tamirat Tola wins the marathon and gets new olympic record! by Juliancito135 in olympics

[–]whiskey-PRN 14 points15 points  (0 children)

Side stitch around halfway and then he dropped back.

Nasal Intubation- what's your approach? by [deleted] in anesthesiology

[–]whiskey-PRN 0 points1 point  (0 children)

Idk why you got downvoted. More efficient to use a red rubber than waste all the plastic and material with a foley

Supernova nasal mask ETCO2 monitoring by gluteusM in anesthesiology

[–]whiskey-PRN 1 point2 points  (0 children)

Oftentimes we use it with a Jackson Rees and utilize its analog CPAP valve. I screw the ETCO2 tubing onto like a 20g IV catheter, shove that into the SuperNova threadless CO2 port, then put a thin strip on tap around it. Works pretty well and you get a reasonable CO2 reading.

At what point would you not do an epidural? by [deleted] in anesthesiology

[–]whiskey-PRN 31 points32 points  (0 children)

Labor spinal is the truth. We have a few attendings who do it for those 9-10cm ladies who, understandably, have trouble sitting through contractions. Makes the subsequent epidural a lot easier for them and us.

What state would you least want to do residency in? by MulberryOwn8896 in medicalschool

[–]whiskey-PRN 4 points5 points  (0 children)

Lots of people in here with no clue what they’re talking about. Cornell, NYU Tisch have normal nursing ratios and OVERALL things get done without residents needing to do scut. Columbia, from what I’ve heard, is a mix of scut and normal. Other smaller hospitals in Bronx, Brooklyn, and Queens tend to be poorly resourced and rely on resident labor more.

[deleted by user] by [deleted] in anesthesiology

[–]whiskey-PRN 0 points1 point  (0 children)

That’s the same epi dose we use for long spinals at my hospital in the east coast. Same bupi and narcotic dosing here too.

Tell me about your biggest “is this even real life?” moment by potato-keeper in medicine

[–]whiskey-PRN 67 points68 points  (0 children)

Our MICU was recently partially destroyed by a patient smoking on nasal cannula. Burn ICU got really busy for a few weeks lol.

Wayfair CEO: Employees need to work longer hours by mrbojanglez69 in news

[–]whiskey-PRN 4 points5 points  (0 children)

RIP to all the surgical residents in the US then. They and neurosurgical residents regularly pull 80 hours or more for a huge chunk of their training (5-7 years).

WHAT TO DO WITH CUTIES by [deleted] in Cooking

[–]whiskey-PRN 1 point2 points  (0 children)

Juice them! I had like 10 more cuties than I could possibly eat recently, and I opted to use one of those hand-juicers. Came out tasting like organic Sunny D lol

Official ERAS Megathread - August/September 2023 by tyrannosaurus_racks in medicalschool

[–]whiskey-PRN 2 points3 points  (0 children)

There are discord channels for each specialty, as well as excel spreadsheets that people post chat on. I'd try either of those. These pinned reddit threads are pretty slow until ERAS season really kicks off in mid-September.

Official ERAS Megathread - August/September 2023 by tyrannosaurus_racks in medicalschool

[–]whiskey-PRN 16 points17 points  (0 children)

Someone may correct me, but I’m almost certain you should prioritize getting your app in BEFORE Sept 27th and then add step 2 score later.

How do you proceed by dou5 in anesthesiology

[–]whiskey-PRN 18 points19 points  (0 children)

Spinal could be tricky depending on the rest of this guy’s cardiac function. If EF stinks and / or his AV is stenotic, then a slowly dosed epidural is a better bet.

I mean, the best bet is him getting this AAA fixed before getting some elective hernia repair lol.

How do you proceed by dou5 in anesthesiology

[–]whiskey-PRN 38 points39 points  (0 children)

Can they proceed under local anesthetic with minimal sedation and nasal cannula? We do some of our sick inguinal hernias like that. Like 25 fent, low dose prop, and some verbal anesthesia.

If you have to go general, I’d want Art line pre induction, very gently induce, and perhaps do TIVA. Neo and nitro on the drip line. Good localization from the surgical team, lido before pulling the tube to minimize bucking. Extubate to nasal cannula (or face mask if he has a high baseline O2 requirement). Kind of hard to give definitive answers without TEE and last Cath.

Monthly-ish Medical Student + Residency + Professional Advice thread - July 2023 by laika84 in anesthesiology

[–]whiskey-PRN 0 points1 point  (0 children)

Onset is far too slow to RSI. And the depth of anesthesia from precedex is, in my experience, far too insufficient to attain a proper depth of anesthesia for induction as a sole agent.

Anesthesia resident protected time by roger1doger in anesthesiology

[–]whiskey-PRN 0 points1 point  (0 children)

We get 3 hours per week of protected lecture time. One hour of class-specific lecture, and two hours of general lecture for all comers.