RK.md

September, 2016

• 21 September

  Google Allo Initial Impression

  

  I’ve been playing with Allo, Google’s latest “smart messaging app”, for the last day. Although I love its clean design and wonderful integration with Google Assistant, there are several key areas which, until addressed, will keep Google Hangouts as my primary messaging client.

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• 19 September

  29th Birthday

  

  Last year, I wrote about spending my 28th birthday on call at Ben Taub Hospital and looking forward to the fellowship interview/match process. Fast forward a year later, and I’m going to be on call for my 29th birthday as well. Woo! 😀

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• 18 September

  Pre-Op Screen: Ventilation Modes Change Cardiac Output

  

  Take a deep breath. Your diaphragm is contracting downward increasing your intrathoracic volume with a resulting decrease in pressure according to Boyle’s Law. This new pressure is less than that of atmospheric pressure (“negative intrathoracic pressure”), so a gradient is created driving air into your lungs.

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• 14 September

  Merck Journal Club – Sugammadex

  

  Merck hosted our first journal club of the academic year yesterday evening at Sullivan’s Steakhouse. The topic: “Clinical Considerations in Neuromuscular Blockade Management” with an emphasis on sugammadex (Bridion).

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• 7 September

  The Unknown Unknowns

  

  Medicine is all about constantly asking questions. Why is it so? Can it be done better? What am I missing? What’s the diagnosis? What labs/tests should I order? What kind of treatment(s) can I offer?

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• 4 September

  First Senior Trauma Call

  

  Friday night was my first senior call in the general/trauma operating rooms at Ben Taub General Hospital. The senior anesthesia resident works with the operating room front desk to coordinate add-on cases posted by various specialities, provides airway assistance at all code 1 traumas brought to the emergency center, responds to …

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August, 2016

• 30 August

  (Almost) Finished With Cardiac Anesthesia At The VA!

  

  I have one more day of cardiothoracic anesthesiology at the Veterans Affairs Hospital. Tomorrow’s case will also be my most challenging one to date – a descending thoracic aorta aneurysm repair. I’ll finally get a spinal drain in residency. 🙂

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