WTF happened to this forum

[periopdoc]

---

Members don't see this ad.

Used to be a good place to learn "outside the book". Now there is handwringing and arguing over whether it is safe to drop an LMA in sitting position and whether it is safe to drop a little propofol at the end of the case to temporarily deepen the patient for extubation.


Jesus, if I wanted to hear the kind of BS answers being promoted here I would just go read Miller or call up one of my academic attendings.


- pod

 

[urge]

So, what are you bringing to the table?

 

[periopdoc]

See the above mentioned threads.

I became pretty sick of this forum for a variety of reasons and have been spending my time on new and old hobbies, the family, and trying to get a new business off the ground (unrelated to anesthesia).


Just real disappointed to see where this place has come to.

- pod

 

[WholeLottaGame7]

Fortunately, I come to this forum to read threads about rank lists and people complaining about what happened to the forum and how awesome the other parts of their life are, so I think it's going well.

But seriously, there are some good clinical threads, some OK clinical threads, some bad clinical threads, off-topic threads on politics, guns, cars, alcohol, music, and there's a lot fewer (non-clinical) pissing contests now than there were a couple years ago, so I'd be hard-pressed to say that the forum is worse off on the whole.

 

[Bertelman]

I don't think anything has happened to this forum. You changed. I've changed. You've reached the point that you have seen every thread reincarnated probably 5 times. First time you read about Propofol at the end of a case, it rocked your world. Now you just yawn.

That's the reason the old guys don't come back, and when they do, they only get driven away. What has changed is your experience, and now there is very little that surprises you. At some point we all tire of arguing about how to wake up a T&A, or the Best Sciatic Cocktail Evah!!!!

 

[pgg]

What happened? Excellent and prolific posters left (for whatever reasons), and you're the 3rd in the last couple weeks to come back and wonder where the great clinical content went. I'll tell you what happened, you quit posting.

You want to see great clinical threads, post.

 

[Pooh & Annie]

I actually like it more now. With a few exceptions the childish factor has dropped quite a bit. And I do most of my learning in and around the OR. I'm more interested in the financial and political opinions of the other peeps. I'll read and contribute to a good clinical thread, but I like the other stuff more.

I've been on and off since 2005, and what people keep calling "the good old days" we're often pretty ridiculous in my opinion. Jesus, go back and read some of those threads. I don't care how much clinical stuff someone knows I'd they treat everyone who disagrees like a piece of $hit. As a medical student at the time, I thought it was really embarrassing for the profession.

 

[OB1🤙]

What happened? Excellent and prolific posters left (for whatever reasons), and you're the 3rd in the last couple weeks to come back and wonder where the great clinical content went. I'll tell you what happened, you quit posting.

You want to see great clinical threads, post.

This.

 

[scudrunner]

What happened? Excellent and prolific posters left (for whatever reasons), and you're the 3rd in the last couple weeks to come back and wonder where the great clinical content went. I'll tell you what happened, you quit posting.

You want to see great clinical threads, post.

Exactly.

Many of us are still too early in the game to start any interesting clinical threads. We need the vets to post more.

 

[TheBlend]

I actually like it more now. With a few exceptions the childish factor has dropped quite a bit. And I do most of my learning in and around the OR. I'm more interested in the financial and political opinions of the other peeps. I'll read and contribute to a good clinical thread, but I like the other stuff more.
.

Those of us who read them, but aren't qualified to comment on the clinical threads can at least add to the opinion stuff in the hopes of baiting you folks to come back and do just that. 🙂

 

[ssmallz]

What happened? Excellent and prolific posters left (for whatever reasons), and you're the 3rd in the last couple weeks to come back and wonder where the great clinical content went. I'll tell you what happened, you quit posting.

You want to see great clinical threads, post.

+1, I'm starting to get really sick of posters coming in here after months of lurking and telling use how this forum has died. I don't care what you screen name is, put up or shut up. If you're not actively posting good cases or starting good threads you can't complain that this forum has died. If you're not part of the solution you're part of the problem.

 

[Gern Blansten]

I actually like it more now. With a few exceptions the childish factor has dropped quite a bit. And I do most of my learning in and around the OR. I'm more interested in the financial and political opinions of the other peeps. I'll read and contribute to a good clinical thread, but I like the other stuff more.

I've been on and off since 2005, and what people keep calling "the good old days" we're often pretty ridiculous in my opinion. Jesus, go back and read some of those threads. I don't care how much clinical stuff someone knows I'd they treat everyone who disagrees like a piece of $hit. As a medical student at the time, I thought it was really embarrassing for the profession.

+1
If a poster is not interested in contributing anything more to the forum than to return in a 'roid induced, scorched Earth, caps locked, font set to 60, 7th grade gangster wanna-be dialect, resurrection of their own post from 3 years ago rant, telling everyone how good it was when they posted more...then I say the forum does not need them. I say let the forum be what it is. If a poster no longer participates, they have no say so in what the forum's make-up is.

I don't go back to my high school and roam the halls yelling at people about how lame they are and how much better high school was when I was there, because I was there. That would be just as lame as it is when people do it here

Periopdoc was always a great contributor to the forum, and as I recall, he was always respectful. Others who return only occasionally, lamenting how great it was in the good old days, don't have the self awareness to recognize that maybe others are glad they have chosen to be absent. The occasional good contributions don't justify the venom they are usually spewing.

 

[BLADEMDA]

I don't think anything has happened to this forum. You changed. I've changed. You've reached the point that you have seen every thread reincarnated probably 5 times. First time you read about Propofol at the end of a case, it rocked your world. Now you just yawn.

That's the reason the old guys don't come back, and when they do, they only get driven away. What has changed is your experience, and now there is very little that surprises you. At some point we all tire of arguing about how to wake up a T&A, or the Best Sciatic Cocktail Evah!!!!

Great insight.

 

[Bertelman]

I have my moments. 😉

 

[sevoflurane]

That's the reason the old guys don't come back, and when they do, they only get driven away.

I really appreciate having those guys on this forum. Nothing replaces experience... There are some contributors of this forum that have been doing this for 20+ years.... some even longer. They are golden. The 10+ year dudes are equally as golden. We shouldn't drive away anybody that contributes... Keep it positive, constructive and without prejudice.

I'm glad Docs like Blade and Doze are here. They've been around for a while and have a lot to say about anesthesia, politics, finances, etc, etc...

Then there is the 'ol crew from 5- 6 years ago: Arch, Jet, Noy, Plank (prolly put him up there with Blade and Doze), Mil, UTSW. Certainly glad to see they are checking up on this forum.... I mean they kept it alive for a while.

And then there are the recent attending crew: pgg, Idio, blaz, michigan girl, proman, periopdoc, cchokaul, foxtrot, etc.

And then there are all the residents and fellows that def. are learning some tricks from here.

This place is still good... just a little diff. I don't see the point of critisizing the forum.

I've learned a lot from here... and continue to do so.

One thing we all have in common is that we like anesthesia enough to get on a public forum and share ideas... I think it says something about the type of people that are on here. I've met/know a handful of you guys... without exception, they are all are smart, fun and good people.

 

[Bertelman]

I really appreciate having those guys on this forum. Nothing replaces experience... There are some contributors of this forum that have been doing this for 20+ years.... some even longer. They are golden. The 10+ year dudes are equally as golden. We shouldn't drive away anybody that contributes...

I agree with everything you said, but we don't engender better posting by telling people they suck. Anyone that has been here longer than 6 months can tell you it is cyclical. Same way my practice is. I may go 6 months without doing something interesting, then do 3 great cases in a week. If you're an old guy and you come to this forum to tell me it sucks, I might just decide to remind you how much you suck, too.

Don't be surprised when everyone posts their match list in Feb. That was far more valuable to me as a med stud than placing sitting LMAs. We have to support the clinical growth of residents if we expect quality input from these same folks when they become attendings, which is incidentally how we would accumulate more clinical experience from attendings. Think of the med students and residents as our farm system.

 

[michigangirl]

+1
If a poster is not interested in contributing anything more to the forum than to return in a 'roid induced, scorched Earth, caps locked, font set to 60, 7th grade gangster wanna-be dialect, resurrection of their own post from 3 years ago rant, telling everyone how good it was when they posted more...then I say the forum does not need them. I say let the forum be what it is. If a poster no longer participates, they have no say so in what the forum's make-up is.

I don't go back to my high school and roam the halls yelling at people about how lame they are and how much better high school was when I was there, because I was there. That would be just as lame as it is when people do it here

Periopdoc was always a great contributor to the forum, and as I recall, he was always respectful. Others who return only occasionally, lamenting how great it was in the good old days, don't have the self awareness to recognize that maybe others are glad they have chosen to be absent. The occasional good contributions don't justify the venom they are usually spewing.

👍

The forum has become "boring" for some because its become a bit more respectful, less unneccesarily condescending- which means that young/early career folks (med studs, residents) have become more comfortable actually posting on the forum and asking their burning questions-- which may be boring to some, but an important question that they haven't felt they've gotten a good answer anywhere else-- whether it's clinical, finance, personal, but all related to our fine specialty of anesthesia. I've always felt that is the essence of a strong forum. Noone should be intimidated from posting on an anonymous forum. But it was happening.

 

[Bertelman]

👍

The forum has become "boring" for some because its become a bit more respectful...

+1

Remember this is an internet forum. It attracts people that like to argue. Just so happens that in the past some of those people knew a few things about anesthesia.

 

[periopdoc]

I really don't have a problem with the thread topics per se. Sure we always want more clinical content etc, but the forum changes and goes through cycles. That is cool.

I believe that I am pointing to a different issue than the one MMD complained about. IMHO recent answers to clinical questions have become quite banal, unthinking, and "risk averse". They are the kind of safe answers one can pull out of any book and that one would use to teach a weak or new resident who has to be taught cookbook anesthesia because they need foolproof anesthesia. This place was and should be a place where we can take off the mantle of "by the book." You don't have to be an attending of 20 years to sit back, think about the problem presented, and figure out a novel solution. In fact you may be able to see something that the old-farts can't because they are blinded by their experience.

There are no boring questions, only boring answers. People come here looking for the answers they aren't going to get by talking to their peers or instructors.

- pod

 

[jetproppilot]

So, what are you bringing to the table?

He's bringing to the table, as you put it, that

THIS FORUM NEEDS DUDES/DUDETTES FAMILIAR WITH OUR CRAFT THAT WANNA SHARE THEIR EXPERIENCES WITH AN AUDIENCE IN A WAY THAT MAKES YOU WANNA READ IT.

Next question.

 

[pgg]

He's bringing to the table, as you put it, that

THIS FORUM NEEDS DUDES/DUDETTES FAMILIAR WITH OUR CRAFT THAT WANNA SHARE THEIR EXPERIENCES WITH AN AUDIENCE IN A WAY THAT MAKES YOU WANNA READ IT.

Next question.

Yeah ... quick snapshot from the main residency forum tree:

Military medicine - 23 viewing
General residency issues - 75
Anesthesiology - 89 (+6 in our subforums)
Derm - 5
EM - 55
FM - 11 (+1 in a subforum)
Cardiology - 10
GI - 2
Neurology - 13
OBGYN - 10
Ophtho - 13
Pain - 16 (+3 in a subforum)
Path - 20
Peds - 14
PM&R - 22
Psych - 47
Rad onc - 11
Radiology - 18 (+1 in a subforum)
Surgery - 54
Neurosurg - 6
Ortho - 5
Oto - 1
Urology - 4


Not a single forum has more current readers than anesthesiology, including the general residency forum.

There are more threads in this forum than ANY other specialty forum, including the general residency forum.

This is not an aberration - it's the usual state of affairs. Occasionally EM or gen res will top us for a short time. It's been this way since I first started lurking, well before I registered for an account.


Maybe I'm being misled by my book learnin' and ability to count, but it would appear that plenty of people want to read this forum, are reading this forum, and have been reading this forum despite your absence.

 

[jetproppilot]

Yeah ... quick snapshot from the main residency forum tree:

Military medicine - 23 viewing
General residency issues - 75
Anesthesiology - 89 (+6 in our subforums)
Derm - 5
EM - 55
FM - 11 (+1 in a subforum)
Cardiology - 10
GI - 2
Neurology - 13
OBGYN - 10
Ophtho - 13
Pain - 16 (+3 in a subforum)
Path - 20
Peds - 14
PM&R - 22
Psych - 47
Rad onc - 11
Radiology - 18 (+1 in a subforum)
Surgery - 54
Neurosurg - 6
Ortho - 5
Oto - 1
Urology - 4


Not a single forum has more current readers than anesthesiology, including the general residency forum.

There are more threads in this forum than ANY other specialty forum, including the general residency forum.

This is not an aberration - it's the usual state of affairs. Occasionally EM or gen res will top us for a short time. It's been this way since I first started lurking, well before I registered for an account.


Maybe I'm being misled by my book learnin' and ability to count, but it would appear that plenty of people want to read this forum, are reading this forum, and have been reading this forum despite your absence.

My presence here is irrelevant.

Anesthesia will always (current day) be popular because we make a lot of

BENJAMINS

after a relatively endurable residency.

If you're ignoring the influence of money on premeds/med students/residents that visit this site, you're not being honest with yourself.

What's

RELEVANT

is this forum could be sooooo much more if young attendings would

STEP UP.

MORE.

Contribute

MORE.

I'm not here to argue with you dude.

WANNA KNOW THE TRUTH?

I wanna see a few attendings ensconced with this forum, sharing their experiences. I wanna see residents posting prolifically here with their great cases and their Drudgery of Residency.

Not currently happening, Dude.

This forum is a shadow of it's former self.

 

[Pooh & Annie]

This forum is a shadow of it's former self.

A reasonable opinion that a lot of us obviously disagree with.

 

[periopdoc]

Those numbers are down from what I remember they used to be. We still have a lot of smart folks here, I am just challenging the ones who are active to think outside the box instead of regurgitating.

-pod

 

[jetproppilot]

A reasonable opinion that a lot of us obviously disagree with.

I would expect nothing less from you.

 

[Pooh & Annie]

I would expect nothing less from you.

I would expect nothing less from me either. Or too.

 

[jetproppilot]

I would expect nothing less from me either

A meaningless OH YEAH? WELL F%$K YOU

response.

Nice try.

Aim your bullets elsewhere.

 

[Pooh & Annie]

A meaningless OH YEAH? WELL F%$K YOU

response.

Nice try.

Aim your bullets elsewhere.

Ok

 

[DScully]

They are the kind of safe answers one can pull out of any book and that one would use to teach a weak or new resident who has to be taught cookbook anesthesia because they need foolproof anesthesia. This place was and should be a place where we can take off the mantle of "by the book." You don't have to be an attending of 20 years to sit back, think about the problem presented, and figure out a novel solution. In fact you may be able to see something that the old-farts can't because they are blinded by their experience.

There are no boring questions, only boring answers. People come here looking for the answers they aren't going to get by talking to their peers or instructors.

Interesting prospective...although do you think this is because the people who come to this forum have changed specifically or perhaps the whole culture of practicing medicine has changed?

As a resident, I get to learn different ways of doing the same thing when working with attendings at various stages of their academic career and it is quite common to see one attending prefers one way while the other attending would yell at you for doing the exact same thing...

So perhaps this forum has changed but perhaps it is also because now different people are posting. And while a 'traditional / text-book' like idea might not be the best idea in the world, it is still way much better than having no ideas...

I think one should always inspire to find solutions outside the box but sometimes it takes time and hopefully with time, wisdom and experience will follow.

 

[jetproppilot]

As a medical student at the time, I thought it was really embarrassing for the profession.

Really!

Do the STICKIES of this forum, immortalized by someone in the know that thought they were important and available to you and everyone else on the internet, most created during that time,

Do

THEY

embarrass you?

Have you read them?

 

[periopdoc]

Interesting prospective...although do you think this is because the people who come to this forum have changed specifically or perhaps the whole culture of practicing medicine has changed?

As a resident, I get to learn different ways of doing the same thing when working with attendings at various stages of their academic career and it is quite common to see one attending prefers one way while the other attending would yell at you for doing the exact same thing...

So perhaps this forum has changed but perhaps it is also because now different people are posting. And while a 'traditional / text-book' like idea might not be the best idea in the world, it is still way much better than having no ideas...

I think one should always inspire to find solutions outside the box but sometimes it takes time and hopefully with time, wisdom and experience will follow.

It is the people and the overall culture. I see some posters who used to make me stop and think "wow, now that is a great alternative to the traditional teaching" who now are playing it by the book. It is either laziness, lack of care, or nervousness about what a new/ weak resident might do with an alternative that requires judgement.

I would challenge anybody here to go through the mental exercise of playing out an alternative scenario on the board. This is a safe place to go through the thought process before you introduce it into your practice. You will get input on problems with your plan that you might not have thought of.

What about prone LMA, what about performing PNB under GA, what about TEP plus sedation for sternotomy???

Anyone can come up with a crazy idea... Attending, resident, med student. Think it through then don't be afraid to throw it out there.

- pod

 

[periopdoc]

And we need more gun threads.

- pod

 

[jetproppilot]

Those numbers are down from what I remember they used to be. We still have a lot of smart folks here, I am just challenging the ones who are active to think outside the box instead of regurgitating.

-pod

Uhhhh,

Moderators,

WHAT ARE THE RULES? I WANNA MAKE THIS A STICKIE.

NO, SORRY....I WANNA MAKE IT A

BIBLICAL VERSE...A

PROVERB....

PUH LEASE

EMAIL ME BACK

LOVE,

JET

 

[pgg]

And we need more gun threads.

- pod

I'm game. Since your last visit, I got stamps for my suppressed 9.5" SBR 300 Blackout. 😀 Unfortunately I only get periodic visitation rights since the cans and SBR lowers have to stay in Arizona.

Found & joined a new club with a 1000y range (harder than you might think in a state as big as CA), now I'm starting to shop around for a 338 Lapua Magnum bolt gun. Don't know much about them except that they're big and loud (guess I'll need another can) and very cool ...

 

[pgg]

Those numbers are down from what I remember they used to be.

For mid afternoon on a Thursday, they're pretty good.

I could've waited until a peak time or hit F5 a while and cherrypicked numbers that made my point better ... but that wasn't my intent or desire. Most relevant to my point is that this forum's numbers consistently top every other specialty subforum. Only EM and surgery occasionally compete. That hasn't changed either.

The statement that this forum's popularity or readership has decreased (much less plummeted as implied) is simply false.

 

[Pooh & Annie]

Really!

Do the STICKIES of this forum, immortalized by someone in the know that thought they were important and available to you and everyone else on the internet, most created during that time,

Do

THEY

embarrass you?

Have you read them?

I've probably read most of them while they were being formed. I don't know if the stickied ones are the bad ones. If they are, I don't think they should be stickied.

 

[jetproppilot]

I've probably read most of them while they were being formed. I don't know if the stickied ones are the bad ones. If they are, I don't think they should be stickied[/SIZE].

Typical.

Vindictive.



Wouldn't expect anything less from you.....

 

[Pooh & Annie]

Typical.

Vindictive.



Wouldn't expect anything less from you.....

I appreciate your candor.

 

[sevoflurane]

Jet,

Good to see you posting man.

Miss your posts.

and the chuckles.

and the good PP threads.

and the prolific BOLD writting style.

Good to have you around.

Don't become a MilMD or Zippy and disappear into the sunset.

I know you like it here. 😀

Noy and Plank are posting... that's a good thing bruh!

 

[Planktonmd]

👍

Jet,

Good to see you posting man.

Miss your posts.

and the chuckles.

and the good PP threads.

and the prolific BOLD writting style.

Good to have you around.

Don't become a MilMD or Zippy and disappear into the sunset.

I know you like it here. 😀

Noy and Plank are posting... that's a good thing bruh!

 

[Arch Guillotti]

I thought it was a pretty decent thread.

Used to be a good place to learn "outside the book". Now there is handwringing and arguing over whether it is safe to drop an LMA in sitting position and whether it is safe to drop a little propofol at the end of the case to temporarily deepen the patient for extubation.


Jesus, if I wanted to hear the kind of BS answers being promoted here I would just go read Miller or call up one of my academic attendings.


- pod

 

[Arch Guillotti]

Pretty much sums it up.

What happened? Excellent and prolific posters left (for whatever reasons), and you're the 3rd in the last couple weeks to come back and wonder where the great clinical content went. I'll tell you what happened, you quit posting.

You want to see great clinical threads, post.

 

[theatomic]

I will tell you exactly why this forum sucks now. its because of moderators like arch guilotti who ban people for dis agreeing with him.. he is a d i c k of mammoth proportions... why would anyone post under circumstances like that


FUUUUUUUUUUUUUUUUUUUUUU CCC CCCCCCCCKKKKKK YYYY OOOO UUUUUUUU AAAAARRRRCH GULOTIII

so why would anyone post sh i t when you are gonna get banned.. go blow arch...

im quite sure i will be banned for this one

 

[doctor712]

LOLOLOLOL. Wow. Arch, what did you do to this poor soul??? 😍

D712

 

[Bertelman]

LOLOLOLOL. Wow. Arch, what did you do to this poor soul??? 😍

D712

Likely banned him in a prior Internet life.

 

[IlDestriero]

I will tell you exactly why this forum sucks now. its because of moderators like arch guilotti who ban people for dis agreeing with him.. he is a d i c k of mammoth proportions... why would anyone post under circumstances like that

so why would anyone post sh i t when you are gonna get banned.. go blow arch...

im quite sure i will be banned for this one

You mean banned again, right?

Yo 712, good to see you back here again.👍

 

[theatomic]

that spineless ******* is probably out selling someone out ****ing invertebrate...

cmon ban my ass already. DO what they tell you to do.. you fu cking censorship loving dic k.

maybe the forum is dead because people realize that if they go into anesthesia they will have to work with people like you a r ch. You are prolly a chief somewhere along with militarymd making up glucose control protocols for every anesthesiologist to follow.. making up protocols for all of us to follow. maybe medical students dont wanna be protocol followers like you.... maybe they wanna be doctors...

 

[doctor712]

Hey IlD, nice to see you here.

Atomic, man that is the funniest stuff i've read in a while. The fact that Arch hasn't banned (or rebanned) you yet, and you're begging for it, is ABSOLUTELY BRILLIANT.

I am SO waiting for Arch's reply. Which, I BEG, would include the former user name of our dear Atomic...

WAIT......Is this POSSIBLY......My old pal, CFDAVID??????

D712

 

[All4MyDaughter]

 

[Planktonmd]

Hey doesn't this bring back some great memories? 😀