This Forum Is Lakkin

[jetproppilot]

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Back a cuppla years ago, I'd log on to SDN anesthesia, now Gas Forum Anesthesia so we can avoid the wrath of the Ostrich Chick 🙂laugh: ), and see twenty-eight people logged on.

Twenty eight. Minimum.

At any time.

Day or night.

Hit the POST button and there'd be three responses by the time you're back on the thread.

As of late, we're lucky to have ONE all-night-internet-poker-player accidentally find this site, see the word anesthesia, and post if theres any professionals out there willing to advise him on what amphetamines to take to keep him awake for the WSOP final round.

I think the political vibe-of-late has contributed to the demise here.

BUT THATS ALL CHANGED NOW. 👍 👍

Because, along with the phenomenal, liberal, tolerant moderators here,

an INMATE is now a moderator.

And there are some new rules.

Wait a minute....did I say that?

Rules?

Hmmmmm..............

I hate rules.

So lets put it another way.

So Ostrich Lady will be proud of me.

I would PREFER if MD vs CRNA arguments don't take place in the public forum. If one starts, it will be promptly addressed.

The arguments are still available, albeit in the private forum.

And I (really) thank Blade et al for respecting this boundry. Which they have.

I don't know who Blade is, like I know Mil/UT/Noy/Trin, but the dude obviously has alot to offer.

Thank you, Blade, for taking time out of your busy life to post prose here.

OK.

Rule....I mean PREFERENCE number one is NO MD vs CRNA stuff here.

Preference number two: Is actually a lack of preference.

As you know, my posts are frequently dotted with....uhhhhh....expletives.

Does this offend you?

Sorry. No offense intended.

I just think a carefully-positioned expletive has power in delivering a point.

And my buddy Hung, I mean Mil, once described my posting style colorful.

I like that.

Colorful.

So colorful posts will get you in about as much trouble as Michael Vick's secret-compartment-laden-soda-bottle escapade at airport security.

Preference Number Three

You wanna go gangsta-style with me, Noy, Mil, UT, Trin, JWK?

I respect that.

Bring your arguments/frustrations.

DO NOT GO GANGSTA STYLE ON SDN1977.

If you do, you will be banned.

Period.

SDN1977 is a pharmacist who vastly contributed to this forum not long ago, and became so offended at posts against her that she stopped posting.

Now she is back.

Mess with her and you're goin down Tony Soprano style.

After those, uhhhhhh, preferences, I have one more PREFERENCE.

And that is to bring back the VIBE of this forum.

Feel free to post whatever (non-political) stuff you want here.

I encourage pre-meds, med students, residents, attendings, CRNAs, AAs, pharmacists, WSOP qualifiers, Pipeline surfers, rokkstars, paramedics, Bill Gates, Larry Ellison, Deadly Dudley, Tom Cruise et al to

BRING YOUR STORIES/INQUIRIES/VICTORIES/DEFEATS here.

This forum is laden with a plethora of people who know about the anesthesia biz. And said people enjoy interaction with you.

Lets get the signed-on-minimum back to TWENTY EIGHT. 👍

 

[Monty Python]

And my buddy Hung, I mean Mil, ]

JPP, the master of the double entendre.

Mil, I mean Hung, I mean Mil .... how did that old post go ?? Something about .....





























down to here? to the floor? something like that.

 

[badgas]

Thoughts on making one of the closed CRNA/MD threads a sticky? Or even having Blade come up with a new sticky addressing the political issues? Obviously it would have to be more tame than the norm. Most med students considering anesthesiology are not ASA members and should at least have some insight into those issues.

 

[jetproppilot]

Thoughts on making one of the closed CRNA/MD threads a sticky? Or even having Blade come up with a new sticky addressing the political issues? Obviously it would have to be more tame than the norm. Most med students considering anesthesiology are not ASA members and should at least have some insight into those issues.

Theres more than enough info available here.

All you have to do is use the SEARCH function.

The Blade-sticky is an interesting idea.

But right now we're interested in revitalizing this forum. And most people come here for stuff other than the political issues.

So we'll table that (good) idea for now, and readdress it after we get back to the vibe that was-once taken for granted here.

Thanks.

 

[badgas]

Theres more than enough info available here.

All you have to do is use the SEARCH function.

The Blade-sticky is an interesting idea.

But right now we're interested in revitalizing this forum. And most people come here for stuff other than the political issues.

So we'll table that (good) idea for now, and readdress it after we get back to the vibe that was-once taken for granted here.

Thanks.

Fair enough!

 

[Noyac]

So we'll table that (good) idea for now, and readdress it after we get back to the vibe that was-once taken for granted here.

Thanks.

Sounds like someone has been through a few negotiations. I got that response from the CEO this week when I asked for a raise. At least we set the date to readdress it.

 

[jetproppilot]

JPP, the master of the double entendre.

Mil, I mean Hung, I mean Mil .... how did that old post go ?? Something about .....





























down to here? to the floor? something like that.

Dude, I'm being serious here.

Dude's first name is HUNG.

And I get stuck with BILL.

Theres no justice in the world, I'm tellin' ya Trin.

No justice.

 

[sdn1977]

Jet (Bill) - whomever....

don't worry about my sensibilities - I can swear with the best of them & I do (when I get a good Cabernet)......

So....don't handle me with kid gloves, pleeeeese!!! Just dont' think I want to be a physician & try to translate what I say into thinking that. I already have a physician (albeit in training....😀 she's got a long way to go...) in my family - I'm married to a dentist (not a REAL doctor - but,, hey - he's a great fisherman & is a good father/husband/partner). I'm also a PharmD, but one of the "older" ones - 1977 to be exact.....so, I'm old enough to be your parent, aunt, older sister - whomever.....but, I've seen a lot of stuff over the years & have had wonderful & broad experiences with anesthesiologists. In fact, my one of my first ones was from a guy, whom I still commnicate & respect (he actually might be a "name" in your field - not sure though) ..wanted to use IV ntg on a pt - before IV ntg was commercially availble - can you even remember back that far???? He worked with a CV surgeon who actually has a CV catheter named after him (now I've given him away!!!) Anyway - we found a way to do it for him, altho much of the staff rebelled. So, I'm a beliver in making things work for the pt at the time, but also respecting what has to make the "system" work...because it is the system we have to work within.

Just don't get me involved with the whole midlevel stuff. I'm not a midlevel (altho some see me like that). I LOVE being a pharmacist & am a D*MN good one (ooooh that expletive stufff). That's all I've ever wanted to be & I'm really, really good at it.

I don't want your job!!!! Trust me - I don't!!! If you've ever read any of my posts, you'll know, I do indeed believe there is a difference in those of us who like to do what I do & those who become physicians. Altho - I have stepped up to the plate - I do prescribe & dispense Plan B & Zostavax & Influenza vaccine....all part of what I believe in.

But, I have complete respect for all those who diagnose & treat - all of you (MS III included, coming along fine!) I'm not you......I just love drugs - absolutely love what they do, how they act, why they act, what mechanisms go on to make them different in different folks......some here find it interesting, amusing...some find it offensive. Yes, I'm a lady - I can be offended occasionally. I chose to retreat when I was offended - perhaps too sensitive on my part, I'd admit. Ladies can do that, I think....no matter their profession.

So - I'm happy to chime in when its appropriate...I just don't want to get caught up in a political upheaval.

So.....drugs are my thing (sadly, I guess I'm a hippie🙄 ). I have opinions on how to get your intent to the pt & also to nursing, becaue drug errors & working to minimize them & correct them are also part of what I do. But, I will try to keep those comments to a minimum.

See you all whenever.....call me Jane - simple - like Bill!

My bigges fault - I am too verbose!!!😀

 

[jetproppilot]

Jet (Bill) - whomever....

don't worry about my sensibilities - I can swear with the best of them & I do (when I get a good Cabernet)......

So....don't handle me with kid gloves, pleeeeese!!! Just dont' think I want to be a physician & try to translate what I say into thinking that. I already have a physician (albeit in training....😀 she's got a long way to go...) in my family - I'm married to a dentist (not a REAL doctor - but,, hey - he's a great fisherman & is a good father/husband/partner). I'm also a PharmD, but one of the "older" ones - 1977 to be exact.....so, I'm old enough to be your parent, aunt, older sister - whomever.....but, I've seen a lot of stuff over the years & have had wonderful & broad experiences with anesthesiologists. In fact, my one of my first ones was from a guy, whom I still commnicate & respect (he actually might be a "name" in your field - not sure though) ..wanted to use IV ntg on a pt - before IV ntg was commercially availble - can you even remember back that far???? He worked with a CV surgeon who actually has a CV catheter named after him (now I've given him away!!!) Anyway - we found a way to do it for him, altho much of the staff rebelled. So, I'm a beliver in making things work for the pt at the time, but also respecting what has to make the "system" work...because it is the system we have to work within.

Just don't get me involved with the whole midlevel stuff. I'm not a midlevel (altho some see me like that). I LOVE being a pharmacist & am a D*MN good one (ooooh that expletive stufff). That's all I've ever wanted to be & I'm really, really good at it.

I don't want your job!!!! Trust me - I don't!!! If you've ever read any of my posts, you'll know, I do indeed believe there is a difference in those of us who like to do what I do & those who become physicians. Altho - I have stepped up to the plate - I do prescribe & dispense Plan B & Zostavax & Influenza vaccine....all part of what I believe in.

But, I have complete respect for all those who diagnose & treat - all of you (MS III included, coming along fine!) I'm not you......I just love drugs - absolutely love what they do, how they act, why they act, what mechanisms go on to make them different in different folks......some here find it interesting, amusing...some find it offensive. Yes, I'm a lady - I can be offended occasionally. I chose to retreat when I was offended - perhaps too sensitive on my part, I'd admit. Ladies can do that, I think....no matter their profession.

So - I'm happy to chime in when its appropriate...I just don't want to get caught up in a political upheaval.

So.....drugs are my thing (sadly, I guess I'm a hippie🙄 ). I have opinions on how to get your intent to the pt & also to nursing, becaue drug errors & working to minimize them & correct them are also part of what I do. But, I will try to keep those comments to a minimum.

See you all whenever.....call me Jane - simple - like Bill!

My bigges fault - I am too verbose!!!😀

SOOOOOOO........

LIKE I SAID BEFORE.......

FU K WITH DOCTOR JANE AND YOU'RE GETTIN A BULLET TO THE DOME.

UHHHHHH, DRE, WHERE YAA'T??????? DIDJA LIKE THAT REFERENCE TO DA CHRONIC LYRICS?????

 

[jetproppilot]

SOOOOOOO........

LIKE I SAID BEFORE.......

FU K WITH DOCTOR JANE AND YOU'RE GETTIN A BULLET TO THE DOME.

UHHHHHH, DRE, WHERE YAA'T??????? DIDJA LIKE THAT REFERENCE TO DA CHRONIC LYRICS?????

All I ask, Dr. Jane, no, I respectfully request,

that you keep your information-laden posts coming here.

Thank you.

 

[Noyac]

HEY Jane,

How do yo like that aerosol influenza vaccine? Is it any better?

I hear that it is.

 

[VA Hopeful Dr]

HEY Jane,

How do yo like that aerosol influenza vaccine? Is it any better?

I hear that it is.

Excuse my one example, no pharmacology knowledge M1 here.... but I had that a few years back, I liked it just fine except one thing.

Since it's a live virus, I had a month ban from my chemo-undergoing mother. Not sure if any research has been done about that, but the onc. wanted to be on the safe side and not risk live virus around her.

Any thoughts on that from those more learned than I am (which is pretty much everyone here)?

 

[burntcrispy]

Jet et al, thanks for bringing the forum back to its original vibe. I'd gotten to where I would hardly look around here anymore because there would be 10 threads all going nowhere. Now things are looking up and I hope it stays this way. Good work guys.

Try that Grizzly yet? Slum with us residents and get some wintergreen. It will grow on you and save you a little extra cash to throw down on the poker table.

 

[jetproppilot]

Excuse my one example, no pharmacology knowledge M1 here.... but I had that a few years back, I liked it just fine except one thing.

Since it's a live virus, I had a month ban from my chemo-undergoing mother. Not sure if any research has been done about that, but the onc. wanted to be on the safe side and not risk live virus around her.

Any thoughts on that from those more learned than I am (which is pretty much everyone here)?

yeah, a live virus.

But attenuated, right?

Geez.

What the hell do I know.

Hoping SDN1977 or an immunologist finds this very important post.

And replies.

 

[sdn1977]

All I ask, Dr. Jane, no, I respectfully request,

that you keep your information-laden posts coming here.

Thank you.

Will try! Just call me Jane - or sdn -whatever - titles have never meant much to me!

 

[jetproppilot]

Jet et al, thanks for bringing the forum back to its original vibe. I'd gotten to where I would hardly look around here anymore because there would be 10 threads all going nowhere. Now things are looking up and I hope it stays this way. Good work guys.

Try that Grizzly yet? Slum with us residents and get some wintergreen. It will grow on you and save you a little extra cash to throw down on the poker table.

Gotta level with'ya, Burnt.

I'm in the convenience store around da corner from my house at least once a day.

And I know the dudes behind the counter by name:

Riad.

Ali.

Malic.

But thats the topic of another thread.

Anyway, said middleeastern-dudes always save the TWO-FOR-ONE Copenhagens for me, since I'm in there every day.

So I'm gettin' 2 CANS OF COPE FOR FIVE BUCKS.

Cuz of my relationship with the.....uhhhhhh.....

well, I feel my Copenhagen dollars may be funding Bin Laden.

...since at least one of them is flying back to the MOTHER LAND at any moment....

But, again,

fruit for another thread.

But, current day significance, I'm gettin' pharmaceutical-grade Cope for two-fifty a can.

Now I have to wrestle with whether-or-not I'm contributing to the RPGs blowing up our troops.

 

[Pooh & Annie]

Gotta level with'ya, Burnt.

I'm in the convenience store around da corner from my house at least once a day.

And I know the dudes behind the counter by name:

Riad.

Ali.

Malic.

But thats the topic of another thread.

Anyway, said middleeastern-dudes always save the TWO-FOR-ONE Copenhagens for me, since I'm in there every day.

So I'm gettin' 2 CANS OF COPE FOR FIVE BUCKS.

Cuz of my relationship with the.....uhhhhhh.....

well, I feel my Copenhagen dollars may be funding Bin Laden.

But, again,

fruit for another thread.

All my roommates used to chew, and that's the NASTIEST freakin habit ever created, what with the cud filled pop bottles all over the place and brown carpet stains. Doesn't the boss give you grief?

 

[sdn1977]

HEY Jane,

How do yo like that aerosol influenza vaccine? Is it any better?

I hear that it is.

Actually Noyac, I don't stock it nor keep it, altho I can if I have to. It has to be kept frozen, even more frozen than the shingles vaccine, so its difficult to store.

The company provides the freezer, but as with your area of practice, space is always at a premium.

I'll give you the link to the CDC website so you can make your own decision. Although you might think you'd get better immunization by administering the vaccine via the route of transmission - the oropharyngeal route, the actual case studies doesn't really show a statistical difference.

You can check it out for yourself:

http://www.cdc.gov/flu/professionals/vaccination/

However, there are always those "needle" afraid patients - those who really need the vaccine. But....the problem is...this is a live virus - like shingles, which, btw...is a really great vaccine. But, the pt sheds live virus after receiving it, so the co-habiting family & contacts needs to know the individual has received the live virus.

It becomes an issue with those who are immunosuppressed - the cancer pts, obviously...but also those who are becoming more & more common - those who are on the immunosuppressant bioglogicals - Enbrel & Humira.

An inactivated virus has less problems with folks in places like nursing homes, but the live attenuated viruses may have a place with children in families without immunosuppressant issues.

Remember, every year - the vaccine components change. The virus shift variants are determined by the CDC in May - have actually already been determined for the 2007-2008 season now. So, each year, the efficacy is different, depending on the worldwide incidence of influenza - not what occurs locally.

 

[jetproppilot]

All my roommates used to chew, and that's the NASTIEST freakin habit ever created, what with the cud filled pop bottles all over the place and brown carpet stains. Doesn't the boss give you grief?

Yeah, she does, Pooh.

But theres compromise in a marriage.

My wife is a P.E.T.A. dudette.

You know the type.

Doesnt eat meat.

Or any food containing animal products.

Cringes at ANY animal walking unattended:

" OH MY GOD! HONEY! LOOK AT THAT POOR DOG! IT LOOKS LIKE IT NEEDS SOME WATER!".....uhhhhh....no, dear.....that dog needs a thirty-ought-six to it's dome.

SOOOOO,

My boss tolerates the Cope.

And I tolerate THREE dogs in our bed, wiping their asses on our sheets, licking their genitals-then-giving-my-boss-a-"kiss"....but....per the boss...I have to take a shower before getting into bed after work because of "germs".....

BTW,

it would be FOUR dogs in our bed, if it was up to da boss.

But our fourth dog weighs in at ONE HUNDRED TEN POUNDS, the average weight of women in states like California, Washington, Nevada. I live in Louisiana, where food is looked at like some type of god.. So I won't comment on the female/male average weight here.

So he (his name is JET, a great pyrrennese) sleeps on a three-hundred-f ukking-dollar-dog-bed next to our bed.

A bed nicer than I had as a kid growing up in a divorced home in Florida.

Jet.

The dog.

Sleeping on a doggy-V.I.P.-mattress.

Gimme a break.

So, you see the compromise of marriage.

BTW, my JENN AIR grill on the porch cooks more ribeyes than dudes claiming stakes in Anna Nicole Smith's potential post-mortem earnings.

Speaking of STEAKS,

Rare for me, please.

Yep.

Wanna cold-red-center.

Three minutes, each side, for a thick, thick ribeye.

Want some blood in the middle.

 

[deleted59964]

Back a cuppla years ago, I'd log on to SDN anesthesia, now Gas Forum Anesthesia so we can avoid the wrath of the Ostrich Chick 🙂laugh: ), and see twenty-eight people logged on.

Twenty eight. Minimum. .....

I encourage pre-meds, med students, residents, attendings, CRNAs, AAs, pharmacists, WSOP qualifiers, Pipeline surfers, rokkstars, paramedics, Bill Gates, Larry Ellison, Deadly Dudley, Tom Cruise et al to

BRING YOUR STORIES/INQUIRIES/VICTORIES/DEFEATS here.

This forum is laden with a plethora of people who know about the anesthesia biz. And said people enjoy interaction with you.

Lets get the signed-on-minimum back to TWENTY EIGHT. 👍

hi, i lurk here a lot, think maybe i've posted once or twice a while ago - maybe, and i thought i'd introduce myself... i'm an aussie med student, who used to be an ICU nurse, and did some anaesthetic nursing too (there are no CRNA's in aus - i was assisting).

i find the clinical posts here very informative, and it's nice to engage my brain about some of the critical care stuff, especially as it'll be a while till i get back there... i do get put off the forum by all the CRNA discussions though 😴
good luck with keeping the forum clinical

 

[Noyac]

And I tolerate THREE dogs in our bed, wiping their asses on our sheets, licking their genitals-then-giving-my-boss-a-"kiss"....but....per the boss...I have to take a shower before getting into bed after work because of "germs".....

Now I think may have pissed my pants.

 

[DrDre']

Jet,
I am always here in the wings, and got your back.

I have been reading faithfully everyday.

Intern year got me down. 28 days to go to CA-1.

Absolutely love the unit, and the G-unit.

Will likely do SICK-U fellowship.

Thx for coming back and going GANGSTA on the bad vibes.

As true as some of it is/was, I was ready to suck a gun, or drop out and sling crack instead.

THanks for the chronic shout-out. In 28 days, won't be nothing but a DRE day with no more D-R-E-s!!!!

Do you have my new vinyl? It has some chill lyrics for you to do your leg work outs to!

SOOOOOOO........

LIKE I SAID BEFORE.......

FU K WITH DOCTOR JANE AND YOU'RE GETTIN A BULLET TO THE DOME.

UHHHHHH, DRE, WHERE YAA'T??????? DIDJA LIKE THAT REFERENCE TO DA CHRONIC LYRICS?????

 

[badgas]

bye bye troll.

 

[rmh149]

Is there a way to delete posts?

 

[Noyac]

Sorry i missed this on.

but Jet's on it. He is going to use his mighty sword for the first time.

 

[Noyac]

Is there a way to delete posts?

Don't worry rmh, these posts don't really get very many of us worked up. This person is just trying to evoke a response and we are above that. They don't really believe what they are writing. They write this crap to to see what kind of response they can get.
The funny thing is that any lay person reading this will more than likely read right through it and see how much more training an anesthesiologist has and how defiant crna's can be. This will just help our status. I would almost welcome more of these posts but that isn't necessary.

Don't bother responding, anybody. I am leaving it up for Jet to get some combat practice with his new weapons when he logs back on.

man these posts crack me up.

 

[jetproppilot]

Is there a way to delete posts?

Yes.

 

[jetproppilot]

but Jet's on it. He is going to use his mighty sword for the first time.

Jet watches the loser through his scope....

"Enjoy the last minute of your life here, you $%#@*&^%fu*&^Y%%^&%^KER."

Jet exhales slowly............relaxes........troll's forehead in the crosshairs....Jet pulls steadily on the trigger ....


BOOM

Headshot at a thousand yards.

 

[24858]

I find it awesome that JPP took down that post, that is friggin great, thanks.
If there was anyone that saw that post and doesnt really understand what it is to be a doctor or what it all entails let me explain a few things:

Undergraduate school=college- Most doctors these days come from a varying array of undergraduate degrees. However, most still have a degree in the biology or chemistry fields. I have a background in pharmacology, I know others who have degrees in physical therapy, some have advanced degrees (a masters or a PhD) which may be physician assistants, one of my friends has a PhD in chemical engineering. That being said some undergraduate degrees may be more applicable to medicine. However the admission committees in medical school have recently decided to get people who are not the standard "science degree" graduates. The thinking behind that was to get a more diversified personality type in the medical field. For instance in my medical school class there were two nuns, a doola, a chiropractor, an Air Force pilot, engineers, psychology majors, teachers, numerous physical therapists, etc.
I had extensive training in undergraduate school in pharmacology which has been very important in my training to this day.
Medical school- the first two years are an intensive training in how to do a physical exam, what findings on a physical exam look like, what those findings mean, and of course there is in depth training in anatomy, physiology, pharmacology, immunology, microbiology, cardiology, hematology, oncology, gastroenterology, hepatology, neurology, pulmonology, etc.
How this training could be thought of as unnecessary, I dont know how anyone could deem this unnecessary? To think that medicine needs people who are undertrained and only looking to make a lot more money than everyone else in the least amount of time is, in my mind a type of thinking that should be pitied.
Anyhow, the 3rd and 4th years of medicial school is done in a hospital setting, where a medical student learns from an attending (this is someone who has completed medical school and then a residency) and residents. During these years the medical students learn what to do when they find a finding and also learn to think of a differential diagnosis (this is a list of diseases that a patient may have based on the physical exam, labs, and other testing). A differential diagnosis is an important tool to have because it allows the student to think broadly and not singularly. It is during this time that the student also learns what to do with a diagnosis, that is now that we know what you have, how do we treat it. Sure the students that come into a hospital are green, yet they learn very quickly how to negotiate around the hospital and around patients. I have had a number of patients who have told me they love to have students interview them and do their physical exam, because they are very thorough.

then there is residency, I wont go into that, other than to say it is where students become fledgeling doctors that get extensive training in a particular field of medicine.