• Beginning Regional Anesthesia As A CA-2

    Beginning Regional Anesthesia As A CA-2

    Today was my first month doing dedicated regional anesthesia as a CA-2, and my goodness, blocks galore! I swear, if I had done zero neuraxial or peripheral nerve blocks coming into this month, I’d easily meet my minimum requirements for RESIDENCY by the end of December. The volume is crazy,…

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  • Busy Day On Acute Pain

    Busy Day On Acute Pain

    What a crazy day – the first epidural I’ve ever had to abandon, a myriad of acute pain consults, continuous block of the brachial plexus at the axilla, rectus sheath block x 6, post-op TAP block… and more Tegaderms than I want to remember right now. The culture here is all…

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  • 2016 Anesthesiology In-Training Exam (ITE) Preparation

    2016 Anesthesiology In-Training Exam (ITE) Preparation

    It’s so difficult to buckle down and study for another in-training exam (ITE), but the next one I’ll take will be somewhere between February 18 – 22, 2016. With about three months till then, I need to find the motivation to study!

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  • The Evolution Of My Epidural Technique

    The Evolution Of My Epidural Technique

    Prior to my current rotation on the acute pain service, I had three months of obstetric anesthesia – the world of lumbar epidurals for labor analgesia and surgical anesthesia. I experimented with several epidural techniques but initially settled on intermittent pressure with a saline filled glass loss-of-resistance (LOR) syringe. This allowed me…

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  • Dual Fellowship Training – Critical Care and Adult Cardiothoracic Anesthesiology
  • Halfway Done With First Acute Pain Rotation

    Halfway Done With First Acute Pain Rotation

    What a beautiful day in Houston! I’m halfway done with my first acute pain rotation and really enjoying my time back at the #1 cancer hospital in the country – MD Anderson Cancer Center. :-)

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  • Fellowship Applications Begin – Critical Care Anesthesiology

    Fellowship Applications Begin – Critical Care Anesthesiology

    The San Francisco Match (SF Match) opened up for critical care anesthesiology earlier this week ($50 fee), so I’ve scrambled nonstop to finish my applications ASAP. Compared to the American Medical College Application Service (AMCAS) and Electronic Residency Application Service (ERAS), fellowship applications are much less centralized.

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  • Academic Institutions Are For Teaching

    Academic Institutions Are For Teaching

    It irks me when nurses, attendings, and more senior residents from various specialties complain about having to cater to a junior resident or medical student’s intellectual or procedural ineptitude. Please wake up and realize where you are – academic institutions are for teaching.

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  • Last Shift Of Obstetric Anesthesia As A CA-2!

    Last Shift Of Obstetric Anesthesia As A CA-2!

    I’m tired… like really tired. I’ve been working over two weeks without a true day off. I’ve got one more call shift beginning this afternoon before I’m officially done with obstetric anesthesia as a CA-2. More importantly – three days off! :-D

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  • World Anesthesia Day!

    World Anesthesia Day!

    Before the 1840s, the advancement of surgery was hampered by a lack of anatomical knowledge, poor aseptic techniques, and especially a lack of safe, reproducible anesthetic techniques. Beyond remedies like alcohol and opium, patients had very little in the way of anesthesia prior to surgery. In 1842, pioneers William Clark…

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