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RFA machine shopping: needs: perpendicular lesion ability and multilesion ability
Just as the thread title states. I currently utilize the Kimberly-Clark/halyard/Avanos machine. It is what I used in fellowship and when started in practice a little more than 10 years ago I got the same one. I really like cooled RFA in the lumbar spine especially for obese patients or patients with tough anatomy. It is great to be able to come in perpendicular because you get a very true view of the junction being squared up and you are obliqued so you get anterior enough without... RFA machine shopping: needs: perpendicular lesion ability and multilesion ability (Source: Student Doctor Network)
Source: Student Doctor Network - September 25, 2020 Category: Universities & Medical Training Authors: specepic Tags: Pain Medicine Source Type: forums

What is your approach to difficult IV access?
How do you guys manage difficult IV access intraop (say for your super morbid obese vasculopaths)? Any cool methods or tips/tricks that I am missing? 1) Peripheral IV in any extremity -Blind saphenous if peds -IO if emergency 2) US for obvious superficial targets in the extremities 3) US guided IV into deep vessel (basilic or brachial) 4) EJ 5) Central line (Source: Student Doctor Network)
Source: Student Doctor Network - September 11, 2020 Category: Universities & Medical Training Authors: propofabulous Tags: Anesthesiology Source Type: forums

Re: body analysis vs BMI as obesity measure
(Source: BMJ Comments)
Source: BMJ Comments - September 9, 2020 Category: General Medicine Source Type: forums

The pandemic intensifying the obesity epidemic
(Source: BMJ Comments)
Source: BMJ Comments - August 25, 2020 Category: General Medicine Source Type: forums

Crazy wakeup in morbidly obese patient
Wanted to get anybody's thoughts on how they would've handled it. Last week, there was a 600 lb patient undergo ECT. We were thinking of either doing it under LMA or ETT, but she was mallampati I and surprisingly easy to mask ventilate with oral airway) once she went to sleep. We used methohexital, ketamine, sux (while ramped and reversed T). Psych performed ECT and patient desatted to 70s (which was expected). I placed oral airway back in and ventilate back up to 95% and everything was... Crazy wakeup in morbidly obese patient (Source: Student Doctor Network)
Source: Student Doctor Network - August 25, 2020 Category: Universities & Medical Training Authors: osoprop28 Tags: Anesthesiology Source Type: forums

Obesity strategy still hindered by the Market Environment?
(Source: BMJ Comments)
Source: BMJ Comments - August 20, 2020 Category: General Medicine Source Type: forums

Re: Partha Kar: Our approach to tackling obesity needs rethinking
(Source: BMJ Comments)
Source: BMJ Comments - August 20, 2020 Category: General Medicine Source Type: forums

Combating the obesity epidemic
(Source: BMJ Comments)
Source: BMJ Comments - August 18, 2020 Category: General Medicine Source Type: forums

Re: Obese and hungry: two faces of a nation
(Source: BMJ Comments)
Source: BMJ Comments - August 18, 2020 Category: General Medicine Source Type: forums

PTCAS Academic Record Question
Hi! I am seeking some advice regarding the question on PTCAS that asks if my academic record reflects my capabilities. Most threads I have read said that unless there has been a tragedy, such as a death, answer yes. However, I was wondering if my situation would qualify as a no. My third year of college I was sick; the first semester I lost 30lbs and was diagnosed with anorexia nervosa. For three semesters I sought treatment through a partial hospitalization and intensive outpatient... PTCAS Academic Record Question (Source: Student Doctor Network)
Source: Student Doctor Network - August 2, 2020 Category: Universities & Medical Training Authors: goldielift Tags: Pre-Physical Therapy Source Type: forums

case - options for pain control
40 yo F morbid obesity (BMI 50 w/ OSA requiring CPAP) presents for bariatric surgery - laparoscopic. H/o Chiari malformation, h/o hydrocephalus w/ ventricular-thoracic shunt and lumbar-peritoneal-shunt s/p multiple revisions for failure and optic nerve fenestration for blindness, chronic neck/headaches on Norco 10-325, gabapentin 300 once daily, flexeril, fibromyalgia. Thoughts on pre-intra-post operative pain control options? Neuraxial? Multimodal? How would you manage her preop opioid use? (Source: Student Doctor Network)
Source: Student Doctor Network - July 28, 2020 Category: Universities & Medical Training Authors: mtu620 Tags: Anesthesiology Source Type: forums

Childhood obesity crisis: a comprehensive strategy with high-level political support is needed.
(Source: BMJ Comments)
Source: BMJ Comments - July 22, 2020 Category: General Medicine Source Type: forums

Covid-19: Intake-related Strategies for Tackling Obesity
(Source: BMJ Comments)
Source: BMJ Comments - July 19, 2020 Category: General Medicine Source Type: forums

Challenging case
Had an interesting case recently, wondering how others would have tackled it: 72 yo M with poorly controlled HTN, IDDM, morbidly obese (190kg), pAF, CAD s/p remote CABG complicated by ischemic CM (LVEF 25% w/ RWMAs), post-capillary pulmonary HTN (mPAP ~50, R heart dilated and mildly reduced fxn), and AS s/p TAVR now w/ severe prosthetic valve stenosis. ESRD on HD, however he is now progressively volume overloaded because he has been getting hypotensive during attempts at ultrafiltration... Challenging case (Source: Student Doctor Network)
Source: Student Doctor Network - July 6, 2020 Category: Universities & Medical Training Authors: Hork Bajir Tags: Anesthesiology Source Type: forums