Dylan

Today would be Tyler’s 9th birthday. He was infinitely more than a pet but an intelligent, emotional creature who made me a better human. He taught me how to… instagram.com/p/BnJHILUlHH9P…

@QuigleyShaun @NikkiKeefe @UVARadiology @UVA_IR @LukeWilkins_UVA @ZHaskal Membrane gradient is more about lipophilic/non-ionized state than % of lido - the main reason to buffer. But really 2% is fine - not sure if pain comparison has been studied

@tarheeldylan @NikkiKeefe @UVARadiology @UVA_IR @LukeWilkins_UVA @ZHaskal And what about argument to use 2pc for smaller volume steeper gradient across cell membrane?

Learning about the #IRad technique for local anesthetic injection by @tarheeldylan. Can we make the patient experience better? Definitely, with improved techniques.

@tarheeldylan @QuigleyShaun @UVARadiology @UVA_IR @LukeWilkins_UVA @ZHaskal Used the contrast warmer today for the lido and the #IRad technique. Worked like a charm. Patient didn't even notice when I numbed!

@QuigleyShaun @NikkiKeefe @UVARadiology @UVA_IR @LukeWilkins_UVA @ZHaskal Solution of choice to minimize pain/increase efficacy: 1% lido with epi 1:100,000, buffered 10:1 with bicarb, and warm it to body temp if possible

@NikkiKeefe @tarheeldylan @UVARadiology @UVA_IR @LukeWilkins_UVA @ZHaskal Agree I thought I was better than average so what tips please?

@QuigleyShaun @NikkiKeefe @UVARadiology @UVA_IR @LukeWilkins_UVA @ZHaskal Key points to minimizing pain of local anesthesia: use 2 hands (put the probe down!), 30 ga needle, perpendicular injection, subdermal injection - no wheal! SLOW injection, lead with local not the needle

The evolution of "Vedder" - enjoyed being a part of this Christmas… instagram.com/p/BdYDAYCBbBJN…

Since day 1 of radiology residency this has defaulted to @saherssabri - you will be missed! Thank you for giving me a chance here @UVA_IR

"Too much isolation from patients and other doctors has hurt radiologists." dooz.us/2q3fLYt

Fun times @UVARadiology #RadRes Holiday Party. Excellent pinata by the 1st years.

Status post eating my weight in good ol' ENC BBQ at the #BigRockTournament with carolinacait &… instagram.com/p/3sHLoTnUYM/

Nice blackfin tuna caught by the beautiful carolinacait during the #BigRockTournament instagram.com/p/3sAfslnUcC/

Onboard "Tidal Volume" after a fun weekend of fishing with the beautiful carolinacait instagram.com/p/21kKBtnUXN/

Graduation Day! youtu.be/a8Iyl50jQmk

Last day of medical school! #bsom2015 instagram.com/p/2JYpNUHUZz/

To: The Brody School of Medicine From: The class of 2015

This is the amount of exercise you need to get each day to extend your life. nyti.ms/1FTFIg3

So proud of my classmate and friend, Jack Delaney. blog.ecu.edu/sites/dailycli…

EDITORIAL: The UNC men's basketball team should play a conference game in Carmichael Arena. bit.ly/1sfHbXx

New on @InTrainingDoc: a #medstudent talks about their use of #ADHD stimulants in #medschool. in-training.org/stimulant-use-… #meded

*Concern yourself on the process, not the result.* -Dean Smith