Recent content by Ronin2258

I regret I have only one like to give.

When I trained, I earned the right to call an attending by their first name by what I did and what I know. I let them call the shots on whether they want me to be called by their first name or not.

I have heard nightmare stories of delay in care, lack of appointments, and just crappy care from patients I take care of. Please, let the midlevels get sued. If they were able to put the VA on the hook for 2.5mil with all the red tape that is involved, perhaps it will happen outside to the...

I also worry about it in populations that are very prone to PTSD issues. The last thing I want to do with a Vietnam veteran who had time in the Tet offensive is make him relive the experience.

Interested as well.

I've used Arrow catheter trays all throughout residency. Very rare I do them anymore as well. The hospital I am have nursing that freak out when they see something like that on the floor. Does anyone tunnel these catheters in adductor canal blocks? Did that in residency. Someone didn't do...

They had just started Epic (Fail) in one of the hospitals I rotated to in residency before I graduated. It made labor epidurals a pain in the semperini. I had to do a similar thing about transferring vitals from the OB nurses to my mobile chart, and then transferring it back to nursing again...

It's the paperwork that probably burns out more primary care physicians than the patients themselves. Most of them have to do billing, the negotiation with the insurance companies to get a reasonable compensation. The horror stories I have heard from classmates who are PCP are that sometimes...

And this is why I harp my padawans that the pulse oximeter is the FIRST thing that goes on the patient when they hit the OR, if not sooner for sicker patients. And for those that do mission work, Masimo has one that plugs into smartphones and tablets: Micro USB. Lightning/iPhone They...

About every new topic I get that thing. As for the PC issue: I realize that we are a professional forum. Yes, there are "spirited" conversations here, but I hope there is a general respect for others' opinions. Out of respect, I self censor myself because I don't like dropping "colorful...

Has anyone addressed the chloride load with normal saline and the hypercholremic metabolic acidosis and potential renal damage? The ICU team where I am are paranoid enough about it that they actually use a mix of half-normal saline and sodium acetate to avoid it. Basically, it's Plasmalyte...

You know, I keep thinking that surfing the endless summer would be an option. Then again, I am of the ethnic background that I can get land in HI for $1/year for the rest of my natural days. Being a bum and camping on the land does have its appeal.

That sounds cheaper than the kit. I noticed that neurosurgery isn't on this list. I had fellows I was working with as a resident in neurosurgery getting offers at least 1.5 of what we earn median. And, where I work, I know I am underpaid. But the lifestyle/health choices had to be made.

Haven't lost the empathy for the patients. The patients I have in my population are the reasons I wake up to come into work. The bureaucracy, (THREE 1.5 hour meetings during the day yesterday,) and difficult colleagues and staff are what are making things burnout-able where I am now. To say...

Big cup of nope here.