Recent content by D P356

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    Rate this "cardiac" locum gig

    “Supervise using the QZ modifier” Not even “supervision.” Basically all crnas are solo; you’re there as a preop/firefighter for who knows how many rooms.
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    How does partnership work?

    The pendulum from great to horrible swings further in PP depending on the people. You know what you’re getting with an AMC.
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    State of Locums market

    Going hard in the paint! You forgot to add… Affect is a verb; effect is a noun. Just a reminder for all. So everyone cross your “t” and dot your…lower case “j”
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    Envision emerges from bankruptcy

    Private equity-backed radiology provider Envision Healthcare to exit bankruptcy; CEO departing for Humana. “Rechtin first took over as Envision’s top exec in February 2020. He has more than 22 years of experience in healthcare, including serving as president of UnitedHealth’s OptumCare. Prior...
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    FTC sues private-equity backed anesthesia staffing firm, saying it tried to corner the market and drive up prices

    It’s not that a non-compete is not enforceable. If you have to fight it to prove you’re correct, it will cost time and money. That’s pretty terrible they’re going after him with no non-compete at all. However, that must be pretty cool working with your old man.
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    Am I crazy for considering a job with a 90 minute commute one way?

    One will find a way to get it done.
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    Am I crazy for considering a job with a 90 minute commute one way?

    Hold the book at eye level while sitting upright. I’ve found keeping the semicircular canals (two of the three if I had to guess) and field of view along the car’s vector and level plane will result in less motion sickness.
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    Pushing meds for induction

    I don’t work with CRNAs presently. Most were pleasant and did a fine job when we communicated effectively. A snarky comment as above wouldn’t be met with animosity by me, More so “why are you choosing to be here?” I’d probably go a step further and bring some job postings back to them where...
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    Why are anesthesiologists masters of physiology?

    Eh. I’d add Ortho surgeons to those occasionally interested in physiology, especially during shoulder arthroscopies. “What’s the blood pressure?…” 😂
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    Dr Nurse - I see both sides

    Positively great dad joke!!!
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    Question about NMB reversal in pregnancy

    This is definitely a gray area. When faced with this situation, I’m more inclined to not use non-depolarizers because of the situation you present. Neostigmine and atropine would be the most feasible to me if I had to give anything. I prefer to avoid sugammadex in pregnant patients...
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    The “hourly MD employee” models especially in house calls

    Probably regional. In today’s anesthesia job market, it would be poor for a group or hospital to be stuck on a no outside moonlighting clause. That should easily be negotiated out or an addendum could be added (assuming one gets their own malpractice insurance for those assignments).
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    Nerve block, amide allergy

    Interesting prompt; I did a literature search. I’ve not done it before, but if you had to, a peripheral nerve catheter with Chloroprocaine from an OnQ pain ball would be an option. Probably not a good idea if Pt has pseudocholinesterase deficiency (genetic or liver disease) or if Pt is...
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    CRNA Group hiring MD/DO’s

    Abnormal syntax appreciated. Ban hammer on standby.
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