The Monarchs of Money

May 5, 2013

Excellent video on Central Banks, Quantitative Easing, interview with Mark Carney, and more.

 

Nice article in A&A dealing with wound infection risk of giving dexamethasone for nausea prophylaxis (4-12 mg).  The following sentence confirms was we already knew: BMI and Smoking increase wound infection risk.

“Smoking (OR [95% CI]: 2.0 [1.3, 3.2], P = 0.003) and BMI (OR [95% CI]: 1.2 [1.1, 1.3], P = 0.0003) were the only significant predictors of wound complications in the multivariate model, whereas dexamethasone remained a nonsignificant predictor (OR [95% CI]: 0.7 [0.5, 1.1], P = 0.12).”

So how much more are we going to flog the SCIP protocols to try to ‘fix’ a problem we don’t control?

via A&A.

I’ve read numerous reviews now of users comparing and Android phone to an iPhone. They seem to focus mostly on the OS itself rather than the apps available for each and how those have changed over the last few years.  When I had my Nexus One phone, most iOS apps I was used to using on my iPhone were simply not available for Android.  This has changed.

I recently switched from an iPhone 4S to a Google Nexus 4–’just for fun’.  Although I did miss iOS initially after several weeks I am now quite comfortable with my Android Nexus 4.  The key?  The apps I spent most of my time in on the 4S are also available for the Android phone.  Those apps, in no particular order, are Google Chrome, Medequations, Fidelity, Evernote, Pocket, an RSS reader, and (of course) Word With Friends.  All those apps function and appear nearly identically to their iOS counterpart.

I bought a carrier subsidy-free Nexus 4 for $350 whereas a full price iPhone would have cost twice that much–and I have wireless charging today instead of a hope for it sometime later in 2013

So while Google has done a great deal to improve the Android OS up to its’ current 4.2.2 from the version 1 that I used some years ago, the app makers are what make it possible to switch from one to the other fairly easily.  Competition is good!

I figured out a very secure way to hold a reinforced endrotracheal tube in place in a tracheostomy stoma. Opsite!

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Should Desflurane Be Cloudy?

March 6, 2013

I was using Desflurane today and noticed that the agent visible in the fill window was cloudy appearing? What do you think?

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Time to change 529 plan allocations?

February 8, 2013

I changed the allocation for our college savings 529  plans from Aggressive Growth to Capital Preservation today.  From March of 2011 to today the USAA Agressive Growth portfolio has returned 28%. Time to sit on the sidelines for a year. I should add that last time I had this feeling was in early 2008, before [...]

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Drink coffee, cut your nasal MRSA carriage rate in half

December 30, 2012

Notes from Dr. RW:  Drink coffee, cut your nasal MRSA carriage rate in half.

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Two Factor Authentication Picking Up Steam

December 23, 2012

In the past year I have seen many acquaintances with Yahoo accounts have their accounts compromised and used to send spam. This has not been a significant problem with Google Accounts to my knowledge, but I realize its’ an arms race of sorts. In my attempt to keep my online information secure I’ve begun to [...]

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A Near-Miss in the Operating Room

November 18, 2012

I was giving anesthesia in the operating room for a total abdominal hysterectomy earlier this week. The blood loss was significant and, seeing that my IV bag was nearly empty, I reached over to spike a new bag. I didn’t remember hanging it but assumed my colleague had while giving me a break. Can you [...]

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Why I love Evernote ‘Clearly’

November 18, 2012

Evernote is a wonderful way to keep a database of article, snippets, pictures, etc available across all of your devices.  An especially useful addition to Evernote is called ‘Clearly‘.  Clearly is a browser extension for Chrome and Firefox that will ‘clean up’ a web page to show you just he main content.  When I forward [...]

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