Recent content by dannyboy1

I was always astounded that anyone intelligent enough to make it into med school could fail out. At my school all of the tests were multiple choice and they gave us access to previous years exams ( hint: the material doesn’t change that much). If you just reviewed the PowerPoints and did a lot...

Yup. Also not as hungry all the time.

Yes. Just no desire to snack all the time.

My experience was that around the 6 week mark, when I was on the 0.5 dose was the low point for my appetite. I literally could not finish 2 rolls of sushi. Slowly everything starts coming back. The GI seems to go back to normal but there is definitely less desire to eat overall. I maxed out on a...

There is tachyphylaxis according to the studies. After 20 weeks of use gastric emptying essentially goes back to normal. Having used this drug I can attest that it seems accurate.

Have done both. Certainly worked a hell of alot harder at the surgicenter. Minimal turnover time and quick procedures combined with early starts and late evenings. As I have always worked by the hour the hospital is a lot more relaxed….

Some rural departments hire one doc “just to consult” their (independent)CRNA’s or something like that. He is likely not billing the patient but getting a small salary from the hospital. Similar to a primary care doc “supervising” PA’s by being available by phone and reviewing charts. What his...

Wherever the dressing ends.

Agreed. Demand is not gauged by those who want to see you. It’s by those who will pay to see you.

Some would consider an anesthesia job (especially the way some of us “supervise”) to be the definition of retirement….

What are you smoking. Even if you won’t, many will. Certainly the AMC and hospital employed positions. It will affect the market for all of us.

There is really nothing you can do to avoid this. Show me the anesthesiologist who does such a good job that he is irreplaceable. Not worth the headache.

Why do you have any contact with admin? Just get through your day and leave. If you get paid by the hour there are no problems….

Give him ketamine. Seriously, who cares. So long as the patient is lucid and consent able I would proceed. If the surgeon is concerned about possible joint infection from IVDA that is a surgical cancellation, not mine.

To what end. We are all hospital employees now. There is no incentive to do anything but punch a clock. Most of us are shift workers so we can give a crap about efficiency. Wouldn’t the hospital rather have a PP model (even though a stipend would be needed) to create incentive ?