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January 12, 2021

Think Like An Anesthesiologist: No propellerhead residents, please

Homer's pea brain

15 years of teaching the art and science — far more art than science, IMHO — of anesthesiology to fresh-faced residents at two major teaching hospitals — UCLA and UVA — left me with some indelible impressions and opinions.

About ten years ago I began a book to be titled "Think Like An Anesthesiologist."

I abandoned it, but happened on bits and pieces this morning when Gray Cat and I were exploring my basement.

Below, an excerpt.


Gearheads and techies make terrible anesthesiologists.


Because they have Asperger-like tendencies which lead them to perseverate solving technical problems that invariably occur on a daily basis during surgery.

Residents with an analytic, problem-solving bent tend to forget that there's a real live patient on the table five minutes away from dying in the event of an interruption of oxygen flow to the heart and brain.

They turn their backs — literally — on their patients during surgery and instead focus all of their attention on trying to fix a monitor or display that's acting up. 

I enter the room and turn off the monitor, then physically grip the residents' shoulders and turn them 90° away from the array of screens so that they are facing the surgeon and the operative field.

It's not rocket science.

January 12, 2021 at 04:01 PM | Permalink | Comments (2)

Experts' Expert: Errol Morris's Top 5 Books Based on True Crimes


1. "An American Tragedy" — Theodore Dreiser (1925)

2. "Compulsion" — Meyer Levin (1956)

3. "Psycho" — Robert Bloch (1959)

4. "Handcarved Coffins" — Truman Capote (1979)

5. "My Dark Places" — James Ellroy (1996)

[via the Wall Street Journal]

January 12, 2021 at 02:01 PM | Permalink | Comments (0)

Poland's Solar-Powered Glow-in-the-Dark Bike Lanes


Poland recently introduced these in the town of Lidzbark Warmiński.


Igor Ruttmar of TPA Instytut Badan Technicznych, the company that installed them, told Civil Engineer, "They're lit completely by solar power so cyclists can see where they're going when the sun goes down and, more importantly, drivers can see them.


"The material we used for the track gives light for over ten hours. That means the path can radiate throughout the whole night and reaccumulate light the following day."

January 12, 2021 at 12:01 PM | Permalink | Comments (1)

What is it?


Answer here this time tomorrow.

Hint: bigger than a bread box.

Another: not the stairway to heaven (that's here).

January 12, 2021 at 10:01 AM | Permalink | Comments (0)

Anti-Theft Pencil/Pen/Crayon Holder


From the website:

This pencil-shaped container will help you organize your writing supplies, then keep them safe from "borrowing" hands.


11.41"H x 3.54" x 3.07".




Set of two: $59.90 (writing supplies not included).

January 12, 2021 at 08:01 AM | Permalink | Comments (0)

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