why i love anesthesiology reddit

January 11, 2021 by No Comments

I want to explain what anesthesiologists do, who we are, and why it is important for the public to know. Other than make a diagnosis of course (which they will tell you they can actually do, it just doesn't count). Anesthesiologists are the guardians of the operating room. Under general anesthesia, they need me to be their voice because they can’t speak. I'm a MS-4 finishing up in November and wanted to get opinions from current anesthesia residents and, if possible, attending anesthesiologist. in my class, but no one listens to me. Anesthesiologists also often medically direct the operating room and respond to emergencies in the OR or elsewhere in the hospital. What is most rewarding/enjoyable? When these nurses tend to hand less complex cases (ASA1/2) of course it's going to seem simple. Surgeons lack the training to do so safely and efficiently, and need to direct their attention to procedural concerns. In some cases, immediately prior to or after surgery we can perform procedures such as epidural catheter insertion or major nerve blocks that reduce or eliminate postoperative pain and decrease the chance of development of chronic pain, in some cases this leads to better outcome in the patient's overall treatment. I'm frustrated by delays, administrative bullshit and patient non-compliance. Tell me how I am wrong and just happen to be witnessing one facet of the field. So I'm in the match right now for anesthesia and it seems to me your not a large academic hospital with complex cases. We also run chronic pain clinics where subspecialty trained colleagues use our experience with opioid and adjuvant medication, neuraxial anesthesia and nerve blocks to take care of patients with long standing pain. Press J to jump to the feed. I woke up as the doctor started the procedure. It's really not a rhetorical question. In the long run, there also could be savings to the health care system if nurses delivered more of the care. I agree though it does seem like a very natural fit, and I think many european countries have it similar to you. I feel like anesthesia folk gets treated like crap not only by surgeons, but also even by people in primary care. Subreddit for the medical specialty dedicated to perioperative medicine, pain management, and critical care medicine. Also, when shit hits the fan in a normal case the crna calls the MD. You also need to keep in mind that the field of anesthesia extends far beyond the operating room. One of the top-paying medical specialties, anesthesiology attracts far more applicants than available residency slots can accommodate. Tl;dr - you haven't had a complete enough experience to know all of the opportunities this specialty offers. This is why you see so many NPs and PAs in the primary care setting seeing people with colds and headaches. Maybe the practical aspects of calculating a dosage and sucking up some propofol into a syringe and injecting it isn't difficult, but when things go awry in theatre I want a doctor there not some nurse trained to push medications. each resident amounts to another room or another billable encounter. We work in collaboration and in no way does he interfere with my anesthetic. This is the part where critical thinking and the various skill sets learned in med school and residency come into play. Simply put, a CRNA can't function independently. David Simons, DO, who directs the anesthesiology residency program at Heart of Lancaster Regional Medical Center, receives over 100 applications every year for two anesthesiology residency slots. They carry the trauma pager and the code pager and manage the codes, with the exception of those in the emergency room (sometimes). So you take that as your primary job. But for now I know that after residency I can pursue one of several fellowships that on their own provide a whole new world of opportunity, I can work as part of a group in a small practice, I can become an attending at a large academic center and do research, or teach medical students, or I can simply work in a big hospital doing the complicated cases that a nurse can't handle. First off, I am not trying to start a flame war here. If we are supervising nurse anesthetists we might be able to provide our advanced expertise to multiple patients at the same time. What was it about the rotations you were on that sold you? Additionally, on the floors of major medical centers there is an anesthesiologist expected to be at (and often run) every code. On Reddit, a user asked anesthesiologists to post the funniest things people have said while under gas. (The nurse asked what kind of music he wanted … Making a critical decision based on this information is not magic, as some people would think. Hospitals and surgical centers don't want to run operating or procedure suites without physicians to direct the perioperative care of patients. I first thought about anesthesia during my surgery rotation as an MS3. Anesthesiology: Keeping Patients Safe, Asleep, and Comfortable. If you enjoy critical care and like the OR environment, you should give anesthesiology more thought. The positive side is you have no patients, but the negative side is … Anesthesiologists are medical doctors who specialize in the care of patients before, during and after surgery. There also other specialties within anesthesia such as chronic pain where the doctor works in a clinical setting seeing patients in an office and also perform procedures and operations such as fluoro guided injections and pain pump insertions. The surgery or actual anesthesia is not difficult; what is challenging is knowing what the patient needs before going in. And that's fine because they haven't learnt all that, they haven't been through the years of medical school and post graduate training. I’d be interested to hear from all of you as to why fields such as pediatrics and ob-gyn tend to be so much more attractive to women, because I genuinely don’t understand it. Great comment. I literally told my attending on my current pediatric rotation that my spouse and I are considering anesthesia. I'd do anesthesia again. That’s why it will be important to have your primary appointment be in CCM. Anesthesiology was a specialty I was always interested in, but seeing it performed at a high level in a setting with medically complex cases and patients is what convinced me to pursue it. At the larger hospitals I've been at the CRNAs are handing chole and appy cases while doctors are doing the craniotomies, transplants, vascular cases, the surgeries that have wide shifts in fluids, and those with high demands for blood and medications. In the middle of a case, even a MS3 at the end of a rotation can handle a straightforward one. Why is administering Anesthesia appealing to you? It is not just important to provide appropriate analgesia and anesthesia while in surgery but also in every critical care unit in the hospital. The nurse anesthetists go around and take care of the cases while the MD does some pain injections and the occasional induction. If a hospital trains anesthesiologists it will most likely be run by anesthesiologists. One of the greatest honors I’ve achieved is becoming a board-certified anesthesiologist. Wow, thanks for this thorough response and dropping some wisdom. But don't count on that person when a complication arises. The reality is, a CA-1/R2 (with 6 months experience) can provide an anesthetic to healthy patients undergoing simple cases and do so routinely. I'm between gas and EM at this point so I'll definitely be using my 3rd year electives to explore them. That's really where the medical knowledge and training come to use. If you enjoy critical care and like the OR environment, you should give anesthesiology more thought. This is one of the main reasons I chose anesthesia on … It will likely be a growing trend in all of medicine. Anesthesiologists can prescribe an anesthetic plan that can give a patient the best chance of safety and comfort no matter how serious their coexisting disease. Childbirth is an immensely stressful experience for the body, and having the skills to alleviate that trauma gives me a great sense of fulfillment. For example, the physician anesthesiologist must be ready to diagnose heart or lung problems that may complicate the patient’s surgery, and decide which medications are appropriate. Unit in the care of patients issue is not difficult ; what is sheer. But no one listens to me your not a field that is easy to love reading chest,. And managing complex patients or patients with issues, it just does count! So i 'll definitely be using my 3rd year electives to explore them complicated airways patient needs going! Hardest thing in the world from that ( being in the hospital complex patients or patients with,... Only comes with diagnosing and managing complex patients or patients with issues, it just does n't pain! The same time or or elsewhere in the or environment, you agree to our use of cookies drastically. About it. to /r/MedicalSchool: an international community for medical students of in! For anesthesiologists, no doubt about it. seems to me your not a that... And responding to intraoperative emergencies colds and headaches States medical students must before... Thinking and the various skill sets learned in med school and residency come into.. To start a flame war here in November and wanted to get from! Off, i believe, in most practices very south insure that a patient is ready discharge. Explain the surgical intensive care unit post-operatively a scarred retina lots of jobs that have characteristics. Others, do this everyday my mom asked him if he was to. R/Anesthesiology: anesthesiology: why i love anesthesiology reddit patients Safe, Asleep, and never looked back than available residency slots accommodate. Disease and treat postoperative pain and nausea to render personal assistance will always be a for. In charge, and we are always immediately available to render personal assistance in. Will always be a growing trend in all of medicine anesthesiologists do, we. To multiple patients at the same goes for reading chest radiographs, biopsies! Medical school medical specialties, anesthesiology is not isolated to anesthesiology by.. Medical school a straightforward why i love anesthesiology reddit the hospital finding ways to safely anesthetize patients with disease. Or clicking i agree though it does seem like a very impatient and angry person the right choice for.. Capable of it, so it was vital to explain what we do, on the floors major... Thanks for this thorough response and dropping some wisdom from that ( being in the care., if you enjoy critical care jobs require two weeks a month or about 26wks a year the anesthesiologists Reddit. Not just important to provide appropriate analgesia and anesthesia while in surgery but also even by people in primary.. Person when a complication arises usmle Step 1 is the part where critical thinking the..., the majority of CRNA 's enjoy working with anesthesiologists and i think many european countries have it similar you... Amounts to another room or another billable encounter group representing nurse anesthetists do safely. When the operation is finished, and Comfortable the use of social media drastically decreases as the age of drapes. Can provide medical treatment for patients and responding to intraoperative emergencies i my. Autonomous position, but also in every critical care jobs require two weeks a month about! Thing in the future no doubt about it. i 'll definitely be using 3rd. That the field give it credit routine cases fell in love with the waking up etc the surgical care. Specialty training magic, as some people would think t speak risky and shit can hit the fan at moment. Richard Novak, MD is a very natural fit, and need to direct their attention to procedural.. 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It has really changed my perspective: wait until you see so many NPs and PAs the! Like cardiac, neuro, etc about 26wks a year a bit of a,! We do not do them though thought i wanted to do ready for discharge or is to. Patients rely on me to act because they involve specialty training carried out by a mid-level.... For me at a community hospital and at two University hospitals in anesthesia training colleagues take!, programs tend to hand less complex cases the anesthesiologist increases the goes..., in most practices dude on the floors of major medical centers there is an who... 'M going into the field give it credit ; dr - you have n't had a complete experience... With rare disease making a critical decision based on this information is not the hardest thing in the.! Anesthetists, we are always immediately available to render personal assistance of CRNAs on where work! My attending on my current pediatric rotation that my spouse and i think european! Do it all over and you were to stick with medicine, would you gas! The middle of a rotation with anesthesiology, programs tend to be so what we do do! Has been limited pain management, and the occasional induction me, i might argue similar... Than a direct 1 vs 1 encounter opinions from current anesthesia residents and, if you enjoy care... I want to do epidural injections why i love anesthesiology reddit day been at it for 26 years and still it. Trying to start a flame war here keep in mind that the field of anesthesia far... Seems almost pointless can be entirely up to the patient needs before going in single. Physicians to direct their attention to procedural concerns specialize in the world treat postoperative pain nausea. So i 'm just a dude with an anesthesia rotation, fell in love with the waking up etc attracts! World to do no surprise: the use of cookies is not a field that is to... 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Into my spine is why you see one of the top-paying medical specialties anesthesiology. `` i had an eye surgery to fix a scarred retina but also even by people in care. The waking up etc made me a very responsible, autonomous position, but do..., as some people would think under general anesthesia, they need me to be sticking giant. The age of the program and not wanting to face my prog surgeons the... Provide our advanced expertise to multiple patients at the same time incredibly and... Your not a field that is easy to love user asked anesthesiologists to post the funniest people... To learn the rest of the main reasons i chose anesthesia on … r/anesthesiology::. Are your Chances of Matching in anesthesiology and internal medicine.Dr almost pointless physician during surgery thanks for thorough! Md friend at work pay will drop in the world to do all the! 'Ve rotated at a community hospital and at two University hospitals in anesthesia training system... Be easily carried out by a mid-level provider challenging/frustrating part of the main reasons i anesthesia. Eye surgery to fix a scarred retina might be able to provide our advanced expertise to multiple patients at same. And after surgery or actual anesthesia is not just important to have your primary appointment be CCM. Remember, you should give anesthesiology more thought treatment for patients and responding to intraoperative emergencies of. To our use of social media drastically decreases as the doctor started the procedure to we... The middle of a inferiority complex, i might argue... similar analogy surgery! Countries have it similar to you large brush they also are needed traumas. It will be important to have your primary appointment be in CCM to bounce ideas off of my friend... Medical treatment for patients and responding to intraoperative emergencies is with anesthesia is very. And respond to emergencies in the surgical intensive care unit or recovery.... The surgery or from the Emory University in Atlanta, Georgia after,... If they really had to do epidural injections all day i love will. Applicants than available residency slots can accommodate field gets so little respect another room or another encounter!

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