No insurance bs. Discounts are only available if you buy as a group of residents OR you are an IARS member [they get 10% off]. The studies I know of are from the early 2000s and found superior care among anesthesiologists but it's been 20 years. To each their own, but even as an extrovert with people skills, I find dealing with patients plus charting plus team management plus whatever bullshit walks through the door is just too much. It also tends to have one of the lowest burn out rates and satisfaction rates. Hence, an anesthesiologist will tailor an anesthetic plan to the medical needs of the patient. In 1978, this engineer released a paper outlining over 350 design flaws in operating rooms. Rads vs Anesthesia then. It'll be even worse on Christmas day or a Saturday at 3am. I can give a different perspective here as I wasn't happy with anaesthesia when I began. Any other anesthesia residents around discuss what they did, what they regret, pro/cons etc. Here are a few things to keep in mind: Even including patients who had emergency surgeries, poor health, or were older, there is a very small chance—just 0.01 – 0.016%—of a fatal complication from anesthesia. Much of this change was brought about by frank recognition of the hazards, and a constructive addressing of the risks. Some radically different medicines were stored in nearly identical containers. report. really, with all of the sensors and monitors now, i would say that anesthesia is not very risky, and i would trust my anesthesiologist. I matched into rads last year and I am 50% done with a transition year that has included medical floors, general surgery, emergency medicine, and cardiology. Share via. You feel drained from EM now. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. Another compound suppresses the formation of long term memory. Radiology - I love that this is 95% medicine 5% paperwork/beaurecratic shit. That was not necessary for me today, fortunately. The danger for such a patient is that positive-pressure ventilation (such as through a mask or endotracheal tube after a patient becomes apneic secondary to anesthetic induction) can cause the mass to obstruct the trachea or large bronchi, leading to inability to ventilate and subsequent death. I am an introvert and I am very happy left alone. Additionally, I noticed the burnout rate is quite high (about the same as EM, which is frankly terrifying). It was my second option as I missed out on my first choice. No dealing with multiple consultations and follow up. EM resident: drained shifts are a thing, just wait til you’re a resident and that shift comes with x number of charts to finish. When you’ve brought your dog home from the surgery make sure there’s plenty of water in their bowls. I would do anesthesia or rads, but i'm biased since i'm doing anesthesia. however, i will say that there is a condition that is called malignant hyperthermia, and results from really bad reactions to common drugs used during anesthesia. If i was to just read the chapters without taking notes it would go faster but then seems less high yield. Do you think eventually it will just become such an awful, disgusting grind that you'll just hate it? I have to do the military match in addition to the civilian match and have to stress way earlier than everyone which means I need to know what I want to do before too. General anesthesia is a combination of medications that put you in a sleep-like state before a surgery or other medical procedure. Looks like you're using new Reddit on an old browser. Although newer anesthesia drugs have greatly reduced side effects, operations can still produce stress on your dog’s body and they may be nauseous or vomit after the surgery. I agree that the complications attributable to major surgery are more common overall and harder to prevent. I cornered a friend of mine who is an anesthesiologist at a party to get the superficial poop on what the big deal is. These jobs can be very chill or highly stressful depending on how much you can trust your CRNAs / AAs. even post-op, when someone is on a lot of antibiotics, that can kill of most of the intestinal bacterial flora, which leaves a ripe bowel in which clostridium difficile can grow, leading to colitis and possibly toxic megacolon. Cross posting from r/anesthesiology. However, they might prescribe you pain medication.. lol. Im seriously considering the above 4 things but am open. Much like smoking cigarettes, abstaining from marijuana in the weeks before surgery can decrease the likelihood of complications during and after surgery. The only downside is the limit number of spots open in military match but with your STEP1 scores I see no problem matching into a civilian match. You will feel this way for life. Patients with a history of malignant hyperthermia should not receive volatile anesthetics or succinylcholine, for instance. Coiling for aneurysms, kyphoplasties for collapsed vertebrae, ect, the patients will love you for your procedural work. It'll be even worse on Christmas day or a Saturday at 3am. --- LIKE AND I WILL UPLOAD MORE REDDIT STORIES! I'm also curious how much the risk changes between people being put under for the first time, and people who have been through it previously without complications. One patient who smoked marijuana 4 hours prior to surgery was the topic of another case study, after experiencing an airway obstruction during the proc… I will be going under general anesthesia for the first time in a month and I am nervous about it. Thoracic high‐resolution computed tomographic (T‐HRCT) findings for Canine idiopathic pulmonary fibrosis acquired under general anesthesia have been described previously. I'm shocked at the number of people who think this way. Anesthesia is more dangerous to people with chronic heart disease and chronic respiratory disease. If you mean danger like a simple easy action can end a life then anesthesia isn't much more dangerous than surgery where a surgeon can wave a knife through your carotid. Not to mention I found standing and monitoring patients quite boring. There is a good chance CRNA education/level of care has improved since then. I don't mean interacting with patients, I mean interacting with that one patient who is obviously seeking painkillers, or the diabetic that is angry and doesn't understand why you can't just surgically reattach his gangrenous toe as he sips his 7/11 big gulp slurpy (real patient for me), or perhaps the worst, the patient interaction with the patient who wants to get better but the social system has failed via insurance, poor support, or poor socioeconomic factors. No paperwork. That's a lot of things to think about, but surgery is similar if not worse. One compound suppresses the sensation of pain. You should be able to look at your job and say "Yea, I can be happy doing this for the next 35 years". When I tell people this many think I'm nuts. You would have to compare the risk of doing the surgery with anesthesia vs. doing the surgery without it. MH is a concern, I don't know if it's my greatest concern. However, if you want recognition and gratitude from your patients, if you want to be able to diagnose and practice clinical medicine, you might not like anaesthesia. for example, any time you go into the abdomen, there is a possibility that you will subsequently develop adhesions of your intestines to either the abdominal wall, or to other intestine. since the advent of the pulse oxygenation sensor (little light we can just put on your finger), we have a pretty good idea of how well your blood is saturated. Like nicotine, marijuana can complicate surgery and should be avoided in the weeks and even months prior to your procedure. This is fairly simple (I guess) I think they use a barbituate while monitoring brain wave function (ECG) to see if you're perceiving much. Whatever you can sense or observe doesn't get written to long term memory (rohypnol or something similar) so you can't remember whatever sensations get through. Of course, it's a hypothetical. Anesthesia did it. I love my job. The quality of patient monitoring has improved drastically though such innovations as end-tidal carbon dioxide monitoring and pulse oximetry, and hence we are able to detect problems sooner and intervene before the patient is harmed. (edited thanks to response from anesthesiologist) it is typically genetic, and is very much 'no bueno' (which is why they will ask you about a family history of reaction during anesthesia). A third compound is very critical. Also like the procedures part, EM- I love the fast paced nature of this and seeing instant results. He was half in the bag and generally unhappy to talk about work, but some well aimed goading got him to reveal the following: Under general anesthesia, anestheticians (?) I also hear people say they think my job looks boring, well some days it is, but remember eventually anything becomes routine if you do it enough. I will be asking my doctor about this (and I am going to a general practitioner and a cardiologist for a check up as well) but I would like to get your thoughts. I was told in lecture of Philosophy of Medicine that the current rates are that 1 in 200,000 die from anesthesia. Few people regret rads or anesthesia. Introduction. If you're a people person you will still get plenty of people time interacting with patients during their procedures (which there are a lot of) and you will interact with other doctors, PAs, techs, and students quite a bit if you like. I guess you could imagine a surgical procedure with a "perfect" anesthesia vs. what is typically used today. New AskReddit Stories: Doctors, nurses, and hospital staff of Reddit - what are your experiences (funny, sad, horrible) with people waking from anesthesia? Not really the case as staff, especially in private practice, hell I see most of the surgeons I work with socially outside of the hospital. Of course there are things we have to do to avoid this complication - in some cases we will even put the patient on a heart-lung machine prior to anesthetic induction. Hello! Anesthesia is the source of hilarious videos gone viral, depicting dazed hospital patients waking up from operations and saying weird things. share. this is the anesthesiologists greatest concern, usually. Devlin B. Lv 6. It seems like, to make big rads bucks, you've gotta grind it out hard in the reading room. I get to dodge most of the annoying paper work, when I’m done and not on call I can walk out the door and forget work, I don’t have to maintain a clinic. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. HATE dealing with case management, insurance companies, calling consults. I wish you luck, certainly a good spot to be in (having many choices as opposed to none or few), feel free to PM me if you have any other specific questions. These deeper states certainly can speed things up, making the surgica… Local and regional are the two that are often confused with one another. 1 0. I don't think you should do EM. Just today I had a patient with a large mass in the anterior mediastinum. Back in 2005, the Wall Street Journal had an excellent article on how anesthesiology went from being one of the riskiest aspects of medical treatment to one of the safest. I took it as, "What is more likely to kill you, the surgery or anesthesia?". I enjoyed reading this, and I understand why anesthesia is dangerous, and that there are many many things which could go wrong, but my question is how dangerous/risky is anesthesia compared to the procedure itself? How about if someone wants to be in a particular area away from home and match at their number 1 spot? New AskReddit Stories: what was the most shocking thing you heard the 'quiet kid' say? There are many disease states that make anesthesia much more dangerous than for a healthy patient, and many of them are much more common than MH. Anesthesia - I love the fact that this is the direct application of basic science to the patient. Press question mark to learn the rest of the keyboard shortcuts, Pulmonary Medicine | Internal Medicine | Inflammation. (That said, the computer scientist in me is really excited about the possibilities in radiology.). Background Balloon‐tipped bronchial blocker catheters are widely used in pediatric thoracic anesthesia to establish single‐lung ventilation. You feel drained from EM now. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Don't do EM if you dont like working extremely hard for a shift. Lumbar punctures are mostly done under local anaesthetic, which involves a few small injections of lignocaine under the skin and a little deeper into the underlying tissues. You absolutely do diagnostic work for patients, often THE diagnostic work. Epidemiological studies are done where the cause of each perioperative death or injury is attributed to a specific cause. I always though the two rules to competitiveness were lifestyle and pay, which is why Optho, Derm, etc are really competitive. , innovative, and a constructive addressing of the time, within an hour 2! Some affected dogs thing you heard the 'quiet kid ' say rates and rates! The anterior mediastinum know told me practically 90 % of DRs do a mix of general anesthesia the! Suppress or stimulate various functions how about if someone wants to be a., or complexity of the risks have to sign various waivers and consent forms related to the anesthesia monitor. 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