Lurker > BlameAnesthesia

Ryzen 2600
RTX 2070
16 GB ram
32" 1440p 144hz monitor

For some reason my GPU has started to run hot, the fan will kick on to max and then go back down. It's very distracting. My Temps go up to like 80-83 under load, but adjusting the fan curve to prevent the intermittent jet engine leads to throttling.

I put a band aid on the situation by just lowering the power it draws to 85% and increasingly clock speed slightly. Still annoying. I have two intake fans in the front, and a back and top back exhaust fan. Dunno why all of a sudden I'd be running into issues.

Might upgrade to a 3000 series when they come out. =/

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Anesthesiology resident - PGY 2

Romulox28 posted...

I was thinking like a Civic Si or WRX or something

Hah, I used to have a 2014 Civic Si and just recently traded in for a 2020 WRX. I fucking love the WRX. It's definitely a fun manual car.

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Anesthesiology resident - PGY 2

You'll stall a lot in the beginning. Lots of practicing in parking lots and such. Might take a few days to internalize the muscle memory. Then it'll be a few weeks of nervous driving in low-risk traffic conditions. By a month you'll feel comfortable and by a few months you won't even think about it.

Starting off into 1st is the hardest. Doubly so on a hill.

It's not so much hard as it is just encoding the muscle memory to know just how much to pull out the clutch and how much gas to give so as to not stall and/or have a super jerky start. You can't force learn that, it's just practice.

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Anesthesiology resident - PGY 2

Glad to see the tradition kept alive!

https://store.steampowered.com/wishlist/id/soviet_poland/#sort=order

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Anesthesiology resident - PGY 2

The problem with racism is not overt racism (well not entirely), but more of an implicit bias. It's when you subconsciously aren't aware of preferences or biases because it never reaches a conscious thought stream. These tiny differences are imperceptible until they're seen on a systemic level. Cops can feel like they don't carry a bias and still do, and while that should not be punished as punitively as overt racism, it shouldn't be ignored.

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Anesthesiology resident - PGY 1

CedarPointcp posted...

so how many more years until you're paid like a real doctor? isn't it like a few more?

Yeah, 3 more years.

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Anesthesiology resident - PGY 1

CedarPointcp posted...

how old are you dude?

29

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Anesthesiology resident - PGY 1

One more week, then some time off, then I finally get to start doing my anesthesiology training. Woooooo!


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Anesthesiology resident - PGY 1

Too bad you don't have a PS4 Pro. Horizon Zero Dawn looks fucking gorgeous on an OLED LG C9

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Anesthesiology resident - PGY 1

I already got free starbucks from the healthcare worker promotions.

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Anesthesiology resident - PGY 1

Jurassic Park would have worked if Hammond* wasn't greedy. He ran a skeleton crew whilst touting shit like "spared no expense."

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Anesthesiology resident - PGY 1

MarthGoomba posted...

What's wrong with Intel

i7s are overkill for most people but i5s are the best you can get for the price

Ryzen chips are better these days.

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Anesthesiology resident - PGY 1

It's spread by droplets, not airborne. Meaning coughing can spread it, but direct-to-direct spreading would require someone to cough or sneeze right in your vicinity. More commonly, people cough on their hands and then touch something (i.e. a fomite) like a door knob. Then if you touch that object at a later time, say a few hours later, then if you rub your eyes, eat something you touched without washing your hands, rub your nose, etc these things can introduce that into your system.

Now remember, outside of the older population, a large majority of the population will have mild or asymptomatic disease. Couple this with the long incubation period, and that means a very large amount of people have it without showing any signs. They're able to transmit it to others, but they're not the ones getting tested.

That's why confirmed cases are a much lower number. Multiply 10-20x to get a better estimate of how much of the population is infected. And the confirmed cases are also on a time delay, because really that number reflects the people who are sick enough to see a doctor and the mean time for the onset of symptoms is 5 days, up to 14ish. The confirmed cases we're seeing now reflect the people who got infected a week ago and since the rate of serious illness is 14-20%.

If the U.S. is at ~3000 cases confirmed right now, that really means there were about 30,000 - 60,000 cases about a week ago. And given we're on the exponential side of the logistic curve, that number doubles every few days. We're over a hundred thousand now, just remembering that ~80% of those people won't be showing symptoms. In a week or two, possibly close to half a million. If not more.

But they can still spread it and without strict quarantining, those numbers will continue to double every few days and those greater than 60 years old face a fairly significant death rate. This isn't even counting how much it would overwhelm health care systems. My hospital is fairly large and we probably don't have more than 200 ventilators, of which ~80% of those are already taken up by other illnesses at baseline.

That's the big problem in Italy and other places. It's a treatable illness even with the pretty morbid complications. But it takes ICU care and once you surpass the number of beds and ventilators, every other subsequent illness requiring vent support will just die.

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Anesthesiology resident - PGY 1

SARS-CoV 2 is the name of the virus. Covid-19 is the name for the illness it causes. Much like HIV is the virus that causes AIDS.

Coronavirus is just the name of the family SARS-CoV 2 is in. It's the same family that has several coronaviruses that cause the common cold as well as the coronavirus responsible for the original SARS and MERS.

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Anesthesiology resident - PGY 1

When you compare it to something like seasonal influenza, flu has killed way more per year than Covid-19 has. However, influenza is an old pathogen that has had a lot of time to more or less "adapt" to humans as hosts and therefore is far less lethal than it's predecessor Spanish influenza. Plus, we've had many years to develop vaccines, predict seasonal patterns, and adjust to anticipate flu's effects.

However, flu still strains health systems all over. The cases that develop secondary complications up to things like requiring mechanical ventilation for hypoxic respiratory failure, etc lead to severe and prolonged hospitalizations and are why so many young, elderly, and immunocompromised die from flu every year.

That being said, Covid-19 is a novel virus that may not be as "scary lethal" as Ebola was back in the day, but what Ebola didn't have was easy transmission--you needed direct contact with bodily fluids. It was so lethal it burned itself out quickly.

Covid-19 is more readily transmissible along with having a long incubation period. When you couple this with the data we've gotten from wuhan, south korea, and italy, the findings are a bit concerning. Flu has a ~0.2% death rate. Covid-19 is more in the realm of 1-3%, possibly up to 6% (although less likely as places reporting these numbers likely have not been able to account for a true undiagnosed segment of the population).

80% of covid-19 cases are mild or asymptomatic. 20% therefore are moderate to severe. Of that 20%, maybe a third are serious enough for hospitalization requiring ventilator support for acute respiratory distress syndrome.

So a city of 1 million can expect to have ~50,000 cases. Of those 50,000, there will be about 10,000 classified as severe, and ~3,300 that will likely require a ventilator.

I work at a large tertiary teaching hospital and I can tell you we maybe have 200-300 ventilators. And it's not like they're all available waiting for covid-19 patients. From regular usage from other patients, 70-90% of that is taken up at any given time.

The issue is not that we can't handle the illness coronavirus causes. It's that superimposed with current resources, a not-insignificant number of people can die from this.

Countries like south korea have taken impressive steps to ensure testing is readily accessible to all for effective outpatient self-isolation. Italy and China had to resort to full on quarantines. A country like the U.S. whose workers cannot afford to take time off and who are likely far more reliant on modern society for all their needs will not fair well with draconian measures that would be required to halt progression of a pandemic.

This isn't like some apocalyptic thing, but it will have very real socioeconomic impacts and will lead to a lot of deaths. It's not nothing.

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Anesthesiology resident - PGY 1

TheAnthraxBunny posted...

It also tends to be a decent indicator of how the rest of the primaries will go, unfortunately.

There is less than a 100 delegate difference between the two front runners

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Anesthesiology resident - PGY 1

2/3rds of states are still left. Super Tuesday is just the largest amount of states in one single day and happens to be early.

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Anesthesiology resident - PGY 1

BlingBling22947 posted...

What's the last thing you drank?

Water

FF_Redux posted...

How many times per week so you hook up in the on call room?

Zero, hospitals are gross and covered in multi-drug resistant organisms.

BlingBling22947 posted...

Grey's Anatomy or Scrubs?

Scrubs, not even a contest.

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Anesthesiology resident - PGY 1

BlingBling22947 posted...

What's the last thing you ate?

spinach and cheese raviolis

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Anesthesiology resident - PGY 1

Isn't this common knowledge?

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Anesthesiology resident - PGY 1

Filipino Rebellion posted...

What does pgy mean?

Post graduate year. So the year of residency you're in after medical school.

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Anesthesiology resident - PGY 1

KnightofShikari posted...

weirdest thing you've found in someone?

Electric toothbrush.

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Anesthesiology resident - PGY 1

Turbam posted...

White or wheat bread?

Wheat.

SomeLikeItHoth posted...

Nutella or syrup on pancakes?

Too difficult to decide.

Verdekal posted...

Rake it in.

Ehhh. Better ways to make money than medicine. I'm 400k in debt with 6.9% interest that's been capitalizing from 4 years of med school and won't be able to start paying it down for another 4 during residency. Being a high earner is offset by the fact I'm 29 and won't be an attending until I'm 32 and realistically am nearly 10 years late in investing towards retirement. Yeah I'll pay it down with some discipline, and yeah, it's better than a lot of circumstances, but it comes at a huge cost.

megamanfreakXD posted...

Can you tell me why surgery doesn't want to take a patient who has documented GI bleed in the hepatic flexure of the colon on a CTA and when they call me for admission and I go see the patient sitting in a pool of blood?

Colorectal is actually a service I haven't been on yet.

SimpleMan posted...

Did they really need to call, and wake me up about my hct test coming back at 67.8%?

Yeah

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Anesthesiology resident - PGY 1

After 4 more months I'll start my 2nd year of residency, but the first clinical anesthesiology year.

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Anesthesiology resident - PGY 1

SwayM posted...

Few less scrub ass monsters on the food chain m I rite bois

This does capture the essence of monster hunter...

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Anesthesiology resident - PGY 1

That's why it's getting a massive 2.0 overhaul is my guess. Kind of like FFXIV.

The game definitely shows the levels of developmental hell it went through.

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Anesthesiology resident - PGY 1

400k debt from a medical degree, heyooooo

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Anesthesiology resident - PGY 1