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Fat Bastard

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Posts posted by Fat Bastard

  1. 8 hours ago, OWLVIS said:

    All the tests I'm aware of so no heart condition don't have high blood pressure barely high cholesterol which fluctuates anyway.

     

    I got a third Covid test there must be a reason for that I understand there have been some cases of strokes occurring to healthy individuals who had the flu

     

    Or it could just have been stress

    That’s kind of what I’m getting at. You’re pretty young to have major atherosclerotic disease if you don’t have major risk factors. We’ve seen an uptick of hypercoagulability (in my arena, that usually equates to increased PE’s), so that’s why I asked if you had a bubble study to eval for PFO. 
     

    What were the symptoms you presented with?

    • Like 2
  2. 1.5 sticks butter

    1/2 cup flour

    Trinity

    garlic

    Crawfish to your hearts content (i used 2 bags of the frozen American crawfish from H-E-B)

    2T tomato paste 

    2-3 cups of Low Na+ chicken stock (depending on how thick u like it)

    1T paprika

    2T tony cacheres creole seasoning

    1T dried parsley

    1T worcestershire sauce

    Take roux to a peanut butter color. Add trinity (With a pinch of salt). Sautée until softened, took me about 15 min.  Add tomato paste and spices. The creole seasoning is very salty so be careful how much added salt you add. Let it simmer for 10 min.  Add Worcestershire and crawfish. Simmer 10 more minutes and serve with white rice. 

    Finish with Squeeze of lemon And hot sauce at table side 

    • Like 6
  3. 25 minutes ago, Hank_Hill said:

    Blend recipe? Know a variation of Texadelphias has been posted by P Swayze but never saved it 


    2 parts mayo

    1 part Guldens spicy brown mustard

    kikkoman Teriyaki and honey to taste.
     

    The teriyaki gives it the bite and honey the smooth/sweetness. 

     

    I mix the mayo/mustard quantities I want then start adding the teriyaki and honey to taste. It’s an exact carbon copy. If u have too much bite from the teriyaki, need to add some more honey. Let it all set up in the fridge for a couple of hours too

    • Like 3
  4. Keep getting emails from Doris Metropolitan. Their bread service is amazing and they sent one out a few days ago for fresh challah. Couldn’t resist, so made some nutella stuffed Challah French toast (and some non-stuffed ones too for balance). Turned out absolutely amazing and the kids loved it.
     

    stuffed ones are double thickness and in foreground. Nonstuffed smaller thickness and in background 

    a211edf2919d83544fe4be3fa92dc44c.jpg

    0c2bd0415531a2a1d0da04c0b3a8286c.jpg


     

    • Like 4
  5. 52 minutes ago, NoName said:

    there are only a few things that (most) docs universally agree on:

    • they hate chiropractors - across the board
    • they hate dentists that are DDS and demand to be called Doctor
    • they hate podiatrists 

    Chiropractors - absolutely. True charlatans. Dentists calling themselves doctors? I don’t have a problem with. They’re mouth specialists and nobody else with an MD who isn’t OMFS has their expertise. And I love podiatrists. They are a key referral source for my large PAD/CLI volume. 

    • Like 1
  6. 6 minutes ago, naija said:

    you posted nonsense. it might be the policy at some hospitals, but to say most good hospitals don't allow CRNAs to intubate is pure nonsense. several of the Top 10 hospitals in the nation have CRNAs intubating. some of those also have RTs and Neonatal nurses intubating out of the OR (though usually not in codes or difficult airways). depends on the patient.  I'm not at a community hospital. 

    saying that CRNAs are then handed the vent to manage after the patient is intubated as if that is the easy part makes me wonder about your personal experience working a vent.

    I don’t work a vent, dickhead.  If you read my earlier responses I said we were allowed to them as medical students and ED docs do them in emergencies. And your long winded responses to most everything that don’t really add anything make you as useless as Brisket. I’d take a 100 CTJ’s over  both of you. 
     

    And judging by your posting history I would’ve guessed you were either a community hospital physician or work at a VA. You just seem the “type”. 

    • Fuck You 2
  7. 47 minutes ago, GRHorn said:

    Yes that’s a different situation entirely and fairly common.

    Full disclosure, I have pivoted to everything being done by CV-Anesthesia since residency ended as that is my focus, so what goes on in the general OR nowadays, I don’t know. But when I was rotating through general, it was still anesthesia with residents. Again, always at large teaching hospitals. 

    • Like 1
  8. 1 hour ago, hookem2010 said:
    1 hour ago, Fat Bastard said:
    From what I’ve been able to gather, he’s not an MD but likely a CRNA. At my hospital, and most good hospitals, they’re not allowed to intubate. They only manage the vent once the patient is intubated by the attending anesthesiologist. Now, if he works at some shitty ass community hospital, all bets are off. 

    I'm a PA and have worked in the OR at multiple hospitals in large cities. Wife is also in CRNA school. At every place I have worked at, the CRNAs do the majority of intubations for the cases they are running. Depending on the facility, the MD may or may not be in the room during induction and intubation, but even when they are there, the CRNA does the intubation 90+% of the time. I would not say most good hospitals have MD-only intubations, based on my experience in many DFW and Houston-area hospitals.

    In the hospitals I have always worked at (re: teaching hospitals), it has been the attending anesthesiologist or the anesthesia resident who does the intubation. Not saying a CRNA can’t do it. Shit, we used to do them (under supervision) as medical students. Fuck, even ED docs do them. If they can do them, anyone can do them. But, CRNA’s are not MD’s, no matter how badly they want you to think they are.  Good income tho. 

  9. 11 hours ago, Wiler77 said:

    Couldn't you use that logic on just about anything you cook?  Bread, hamburgers, ice cream, etc.  Cooking can be fun, and it will likely taste better than the cheap shit at a fast food place.  There's a reason it's cheap.

    Bread, absolutely - I’ve tinkered with baking and not only is it a royal pain in the ass, 99% of us don’t have the appropriate ovens to cook a piece of bread better than a legit bakery. What’s the most expensive piece of bread you’ve even bought? ~$5. Of course I’ll go the bakery route for high quality shit. 
     

    same goes for ice cream. While you can absolutely get high quality ingredients and mix ins to your heart’s content, most non-commercial ice cream makers will never churn the cream good and fast enough to prevent some ice crystal formation. 
     

    burgers I disagree with. While you can’t find awesome buns at your local H-E-B, you can get much higher quality beef, bacon and cheese. 

  10. 12 hours ago, Casual Encounter said:

    Just try and imagine GreenspointTexas being the person to intubate you as you fight for your life against COVID-19. You’re laying there gasping for air while he chastises you for all the things you likely did to put yourself in this position and reminds you of the low percentage of patients who make it off the ventilator alive. As you begin to drift out of consciousness he whispers in your ear, “ballgame”.

    From what I’ve been able to gather, he’s not an MD but likely a CRNA. At my hospital, and most good hospitals, they’re not allowed to intubate. They only manage the vent once the patient is intubated by the attending anesthesiologist. Now, if he works at some shitty ass community hospital, all bets are off. 

  11. 3 minutes ago, Gardner Barnes said:

    I was present when this happened.  Icon outed himself.  FB confirmed and added context a few days later.  As usual, Icon is lying.  But its not like FB helped.

    Gracias. I’m not saying I’m not an asshole (there’s a double negative for your ass Beau). But I sure as shit am not a morally reprehensible, pathological liar like that shitbag. 

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