 Welcome back to my channel. Thank you so much for watching. Please don't forget to like and subscribe. So I'm going to be getting into a couple things today. I'm on my way into work. Today I'm on call and I also have endoscopy day in the children's award. So it's going to be interesting to see all of those things and how everything goes down. It's pretty early right now and I am still driving in. So let's get into it. So my original assignment was to be an endoscopy in children's award but it got switched as often happened. If there is a change in the staffing or some cases were canceled. As an anesthesiologist you have to be flexible. The thing for me is that I'm a generalist or a general anesthesiologist so I do a lot of different type of cases so I can take care of children and elderly and everything in between. So today I'm going to be doing some procedures in neuro interventional radiology which is basically part of the ORs where we do procedures that have to do with neurosurgery or neurovascular issues and it's minimally invasive. So we have nice setup with a lot of ability to take the images and x-rays and CT scans live as we're doing the procedure. So lots of computers, lots of x-rays and we actually can do CT scans while the patients are under anesthesia. So I'm going to show you guys a little bit of what we have here and what we're doing today. So the patient that we're going to take care of today has what we call a subarachnoid hemorrhage which is a bleed in the brain and that's something that can occur suddenly. We need to be able to intervene quickly in that setting. This particular patient didn't have a bleed that occurred recently. This patient had a bleed that occurred a week ago and now we're just watching. We're doing another follow-up study to see how the repair is doing and we're we do this sometimes either two weeks out. There's no symptoms of any changes or we do it a little sooner if there are symptoms just to make sure that we are able to control them. Okay so I'm going to go ahead and set up my OR. Some people asked me to show how that's done so I'm going to go through that here. So I'm all set up so now I'm going to go see the patient and then we're going to get started. I finished my case. It was a little challenging but not bad, not bad. So I'm now going to head all down to the cafeteria and get as much. Much needed coffee. So I'm done with lunch and I'm heading back to another case. I finished my procedures for the day and I'm about to go home. I cannot wait. I'm very exhausted and looking forward to dinner and getting into the bed. I don't want to get home. It's going to be job number two but at least I get to go. At this time of day it should be about 45 minute drive home and then when I get home I gotta make sure the kids are doing their homework and getting their dinner. So like I said job number two. Pop up in the whip. Close the all doors. Auto closed and ready to go. In the middle of the rain. Can't wait to get home and be cozy. So here's where the balance comes in. Like really trying to balance your time between working late some days and then you know getting home in time to help your kids with their homework. Give them baths. Don't tuck them in. It's hard but you can do it. You can make that time and try to be present which is really important for me. So no matter what job I take you know as an anesthesiologist I really factor in you know the free time balance quality of life that I want to have for my kids and myself. So I think that's most important over anything. You know I'm really happy and I feel rewarded when I can get home in time to see the kids and be there for their evening activities as well. So no it's another job and it's tough. I look forward to it. You know I feel proud of myself. Oh let me see. Is this the science test on yourself? Yes. Good job girlfriend. You got a hundred. Good job. Yay. See this is what happens when you study. Good job. I'm really proud of you. Oh is that Sarai? Come here baby. I went up to a store of cotton vowels.