WUSSUP DUDES & DUDETTES! Yeah, I've been dormant for a while. I'm sure I'll bore you with the details of my absence at some point in the future (read: post-Katrina personal woes). I feel the need (THE NEED FOR SPEED.....sorry...little Top Gun slip) to PUMP UP THE VOLUME ON THIS FORUM which seems to have taken a rating on the bore-meter lately. Hmmm......so whatcha think? A UFC fight between Mil & Volatile? Yet another thread on the CRNA threat? laugh: ) How creatine has assisted my mini-muscles out of dormancy? Why on earth Copenhagen costs five bucks a can? A New York Mets scout watching my left-handed-batting four year old? I agree. All the above are relevant topics. But I'll lead out with a decision that is relevant to the every-day ins-and-outs of being a clinician at a busy private practice hospital. Boring, everyday scenerio? Yes. Does this happen at every busy hospital EVERY DAY? Yes. 22 year old ASA 1, 120 lb girl with appendicitis. Not a perfed, septic appy, but appendicitis nonetheless. No appetite, but thirst overcame her 30 minutes ago and she downed a Coke Zero like you down a Hurricane at The Cat's Meow on Mardi Gras day. Now what? Do you tell the surgeon he's gotta wait? Or do you proceed? If you choose to wait, can you justify the wait? If you choose to go, can you justify going? And if you go, can you cite evidence on the stuff we've been taught to do (cricoid pressure, pepcid/reglan, NGT, etc)?