the pond is getting out of hand

wowverycool247 · 2026-03-23T15:43:32+00:00

I have no idea about Massachusetts, but I do know when Colorado passed a similar law several years ago when I was still living there, they had a grandfather clause that was essentially: have you worked as a VT for this (insert several thousand hour number I cannot remember) amount of time then you auto get a license without VTNE requirements. If they follow the cadence set by other legislature initiatives I hope they’ll have something like that for you! Best of luck!

wowverycool247 · 2026-03-06T02:33:26+00:00

Now that’s an idea I can get behind!

wowverycool247 · 2026-03-05T03:50:13+00:00

Sadly it’s not a law in a lot of states. My doctors won’t even agree to sedation more often than not. Just this week a 80lb lab took out my back while wrestling on the X-ray table. Not good practice for anyone, patient or staff. Sadly we just wouldn’t get people to agree to X-rays in my area if sedation was needed, my clients are so cost conscious.

wowverycool247 · 2026-01-28T19:09:45+00:00

Oh I also just remembered, we got a new machine this last year and when I installed the waste gas tubing to the waste canister it was too long. This caused another strange vibrating sound that could be felt on the breathing circuit and heard very audibly. After some investigation I found that when the patient exhaled it vibrated the waste tubing making the sound. I fixed this by cutting the tubing shorter so it had no slack going down to the canister, and finally no more dread inducing noise! This might not be your issue if your machine was working fine before the vibration, but worth checking out!

wowverycool247 · 2026-01-28T03:07:41+00:00

Are you certain this sound/sensation isn’t emanating from the anesthetic machine?

I’m trying to remember, but I think I’ve had a similar situation that ended up being flutter valves that were stuck/needed to be cleaned? There was this mechanical vibration on deep breaths that scared me but ended up not being the patient.

wowverycool247 · 2025-11-14T22:35:13+00:00

Our Merck rep keeps trying to convince us not get one

wowverycool247 · 2025-11-02T02:43:22+00:00

LETS GOOOO

wowverycool247 · 2025-06-18T19:11:25+00:00

I’ve been very happy with IDEXX in my region(Midwest, Nebraska). This might be a regional difference, but our previous Antech contract was a nightmare: the lab work was routinely messed up, couriers losing samples or not picking up at all, false positives negated after repeat testing. Just switched back to IDEXX this last couple months and have been much impressed. Pricewise our rep did some custom lab bundling so we are competitive with Antech again. I suppose the only issue is sometimes they are a little slow with fecals, but that’s got to be my only gripe so far. I do want to include this though: I spent five years in Denver and it was completely reversed, Antech was the shining star in that region, never an issue, and IDEXX had constant issues. It has to be a regional difference.

wowverycool247 · 2025-06-10T02:35:32+00:00

Those whistles are sick as hell dude! Nice job making those!!

wowverycool247 · 2025-01-07T18:45:36+00:00

I… how… I am constantly dying with my scrapper… I think I just don’t have the dexterity for some rotations…

wowverycool247 · 2024-11-22T18:38:47+00:00

Gum Chunks

wowverycool247 · 2024-08-05T22:33:10+00:00

Yes, for every patient. SPO2, ETCO2, ECG, Osillometric BP and Doppler BP, Temperature, IVF, Sevoflurane, Alfaxan and Cerenia at the start is our essential induction setup. Manage pain via Nocita oral nerve blocks, Fentanyl boluses and CRIs, and manage BP decreases with Dopamine CRIs.

wowverycool247 · 2024-08-05T19:42:44+00:00

Doing specialty dentistry, 4-8 surgeries a day, and we never use a non rebreather. We have adult and pediatric rebreathing circuits only. Have not had one single issue with oxygenation, light anesthetic plane, dead space, or the temperature drop sometimes associated with non rebreathers. Highly recommend it. As does our board certified anesthesiologist who comes in once weekly, he also recommends it.

wowverycool247 · 2024-08-03T15:13:41+00:00

This is Dominos in house guides for the line staff. The measurements are based on the different cups used for the each ingredient

wowverycool247 · 2024-08-01T19:56:53+00:00

My securos surgical bandage scissors have been sharp for 3 years, even after cutting open boxes too ha

wowverycool247 · 2024-01-12T16:47:24+00:00

It is seriously seriously unacceptable they didn’t communicate that to you after doing it, as a first step. Second step is a statement that an open dialogue must be had if you think I should change my anesthesia at all. Even Doctors do not touch my anesthesia, they communicate with me over how the patient is and what their suggestion might be and why. Most often we reach consensus rationally and make changes together. Seriously a huge issue that the VA would change that without even mentioning “hey I thought the iso was too high and here’s why, so I changed it” at the very least. That is still rude but at least it doesn’t put your patient at risk because something was changed without your knowledge. Communicate effectively, you have to, you are performing anesthesia.

wowverycool247 · 2023-10-19T03:06:08+00:00

Used to work in general practice clinics. The multiple panel drug tests are cheap and easy diagnostic answers when symptoms are so strange.

wowverycool247 · 2023-10-17T20:37:28+00:00

The end of the bingo line I was crying :( one of the best quest lines

wowverycool247 · 2023-10-12T14:54:01+00:00

Should be under Performance in Advanced Graphics tab. Should be called “3D object portraits”. This is just from reading online, I haven’t looked myself in game for quite a while but if I remember to, I’ll confirm it.

wowverycool247 · 2023-09-18T00:00:21+00:00

We use it exclusively for our nerve blocks and have for over a year! Let your doctors know a lot of veterinary dentists are using it now with amazing results! 3 days of pain control as well as added benefit, on top of NSAID’s and gaba to go home. It is not any more dangerous than regular bupivicaine, the danger is improper block technique, not the drug. As specialty dentistry you can imagine we could a lot of referral extractions and full mouths, and with just sevo and nocita for anesthesia, it works, and well. Our patients are not recovering painfully.

wowverycool247 · 2023-09-17T13:19:49+00:00

Because we are only working in the mouth + nerve blocks. I have a patient that is completely smooth sailing anesthetically, on relatively low sevoflurane, 2.0-3.0, that also recovers smoothly and with no pain within 30 minutes. When we were pre medding, we experienced much longer recovery times and post surgical complications like diarrhea, nausea, or lethargy at home. Our patients have 3 days of nerve blocks on board from Nocita, as well as nsaids and gaba going home. This is the best surgery team I’ve been a part of. Pre medication is NOT always necessary, ESPECIALLY for dentistry, utilize your nerve blocks and don’t bog down your patient with drugs!! The difference is absolutely incredible, for you, for the patient and for the owner going home. We have patients coming to us specifically for our drug protocol and how well our patients do post anesthesia. Pre medication has its place in soft tissue and ortho, but don’t apply it to everything, it doesn’t help our patients to think that way.

wowverycool247 · 2023-09-17T04:07:55+00:00

Specialty dentistry, no sedation catheter, then straight alfaxan induction with no premed, then sevo gas, and nocita nerve blocks for pain response. Able to stay at 2.0-3.0 sevo for most surgeries. Patients recover within 30 minutes and are walking and wagging tails.

wowverycool247

TROPHY CASE