Recent content by Twptophan

Inverse bond tent is the way to go... A few million in 401k-type RMD accounts invested in bonds/REITs. Draw down about 4-5% per year in your 50s (Rule of 55) to get the balance down to an amount for efficient RMDs when the time comes. Many more millions in the taxable brokerage in growth funds...

I heard about this new technology that uses lithotripsy to breakup intravascular calcifications. It is marketed by Shockwave medical and is relatively new. It seems to be safe based on a study from about 2 years ago. I'm curious if anyone has had any experience with it. We do not have it yet at...

I certainly do plan on following manufacturer recommendations, but I wonder if it even matters. I have seen it done both ways at various institutions. Biomed at my current institution disagrees with the manufacturer and the manufacturer cannot seem to give me any data/explanation to support...

I have heard conflicting statements on when to change out the CO2 absorber when flushing a machine for a MH patient. I have heard that you should change out the absorber at the beginning of the flush and this is what the technicians do at my institution. However, my machine manufacturer...

Seems like you have up to 60 days to elect COBRA coverage but you may have to make a payment as early as 45 days if you elect COBRA. Am I interpreting this correctly? Accessed 1/2017: https://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/cobra_qna.html Q14: How do I...

Is that 17K total or 17k per year x 7 years?

Just wondering, what are the chances of becoming disabled to the point where one is unable to perform anesthesia yet still work? Anyone have colleagues who met this criteria? I view insurance as a tool to protect against catastrophe such as a horrific car accident. Would regular generic long...

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Prior to occlusion of any major pulmonary blood vessels during a thoracotomy, applying positive end-expiratory pressure to ventilation through the dependent lumen of a double-lumen tube and occluding the upper lumen of the tube will (A) increase blood flow to the dependent lung (B) increase the...

Retrobulbar block --> brain stem anesthesia --> pt allergic to local anesthetics.

I had zero successful intubations my MS3 year because I kept going on the wrong side of the epiglottis.

Do you have to clamp the PLSVC?

Plenty of hearts at Tufts. We get occasional kidney transplants. Regional is fair at Tufts, however we are working on getting a rotation at the nearby Baptist hospital which is an orthopedic powerhouse. Tufts is a level 1 trauma center and we see all types of things. Mostly traumas come in over...

Does anyone know if I can use a regular laryngoscope battery pack for a bullard? Are they interchangeable? Or do I need to buy a special bullard battery pack? Also do people prefer using the integrated stylet or introducing the tube freehand? Thanks

Hey, its been a few years since you have posted this. How did the Baystate program treat you? Would you do it again? Thanks.