anesthesia high reddit

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. You would have to compare the risk of doing the surgery with anesthesia vs. doing the surgery without it. Most of the time, within an hour or 2 after the surgery, there are no effects at all from the anesthesia. 1 decade ago. I'm curious about comparing the isolated risks of each. I guess it boils down to doing what you love? I'm shocked at the number of people who think this way. report. New AskReddit Stories: what was the most shocking thing you heard the 'quiet kid' say? You feel drained from EM now. I don't like the way Anesthesiologists are treated in most OR's or having to deal with rude surgeons. New AskReddit Stories: Doctors, nurses, and hospital staff of Reddit - what are your experiences (funny, sad, horrible) with people waking from anesthesia? New comments cannot be posted and votes cannot be cast. No dealing with multiple consultations and follow up. 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. --- LIKE AND I WILL UPLOAD MORE REDDIT STORIES! In addition it's one of the few specialties that is still mostly still dominated by private clinics. Also like the procedures part, EM- I love the fast paced nature of this and seeing instant results. (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). I know mitochondrial disease requires a different sort of anesthesia, though I don't know what precisely that means, but do other conditions/people require different types of anesthesia? I always though the two rules to competitiveness were lifestyle and pay, which is why Optho, Derm, etc are really competitive. something about having the attention span of a squirrel. I don't know how someone can do this for 35 years and not resent it. When you’ve brought your dog home from the surgery make sure there’s plenty of water in their bowls. Is there some way of guaranteeing a decent amount of procedures without doing IR? I'm assuming you aren't doing IR. Press J to jump to the feed. It's the perfect specaity. Local and regional are the two that are often confused with one another. General anesthesia is a combination of medications that put you in a sleep-like state before a surgery or other medical procedure. I imagine the 1000th time you treat a CAP patient, or remove that routine galbladder, or whatever it may be doesn’t seem nearly as exciting as the first 100 times you did it. Much of this change was brought about by frank recognition of the hazards, and a constructive addressing of the risks. 31 lumbar puncture survivor here. Anesthesia is more dangerous to people with chronic heart disease and chronic respiratory disease. However, the use of general anesthesia may be contraindicated for some affected dogs. I'm worried about a few things and wonder if you have any input? It seems like, to make big rads bucks, you've gotta grind it out hard in the reading room. Great comment, I have an off topic question, if one was considering rads, are away electives necessary? 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. No, general anesthesia puts you to sleep, and fast. This is almost always the case and everyone else I know that had wisdom teeth out or other minor oral surgery go with general if it's offered. 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. But it’s also a highly complicated and specialized aspect of medicine, sporting a long history and a significant role in many operations. That was not necessary for me today, fortunately. Some dials rotated clockwise, others counterclockwise. This can take a few days to pass. Hello! I’ve had a few fellow students try to dissuade me from it because of CNRAs taking the available positions. Can message me if you care to answer and sorry if off topic. Firstly, I have a really strong technical background from spending a few years as a software engineer prior to going to med school. 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. While general anesthesia is sometimes necessary, ask about other approaches -- like a local or spinal anesthetic. Looks like you're using new Reddit on an old browser. I am an introvert and I am very happy left alone. Don't do EM if you dont like working extremely hard for a shift. I don't think you should do EM. Speaking of procedures, they're for the most part quick, innovative, and often curative. Share on LinkedIn. there was historically a much larger problem with anesthesia being dangerous, as the the signs of things going really poorly (such as poor oxygenation) were the patient showing physical signs (blue or gray skin discoloration). depends on the surgical procedure and on the type of anesthesia used. administer several compounds which suppress or stimulate various functions. 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. Things I used to find stressful and challenging now I don’t really think twice about, and I imagine I will feel that way about a lot more things after 20 more years of doing this. Additionally, I noticed the burnout rate is quite high (about the same as EM, which is frankly terrifying). The case I would build for going into radiology is that you get a lot of the good of medicine and side step the bad. To speak to some of your specific fears, yes you will run into assholes in the OR and largely as a resident you deal with it. I'm an M2 so I haven't rotated in anything but I've shadowed a radiologist and have some rads pubs. Plus when things go wrong, I know what to do and how to save lives. When you go in for surgery, you have to sign various waivers and consent forms related to the anesthesia. IM - I love the depth of this. Rads vs Anesthesia then. I come to hospital, do my cases and leave. EM from what you wrote seems like less of a good fit. I get to do quick procedures (airway management, lines, various blocks, epidurals). In other cases, a particular drug might not be contraindicated, but the chosen plan must take into account unique dangers. Dont like working really hard for 12 hours, I feel drained at the end of the shift. Following this internet discussion thread to figure out difficult questions to my own life. 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. Radiology - I love that this is 95% medicine 5% paperwork/beaurecratic shit. Of course, it's a hypothetical. Cross posting from r/anesthesiology. But I generally feel pretty fired up despite exhaustion. 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. Can you please do the Reddit community a big service by discussing the danger of general anesthesia without an anesthesiologist around? The depth of IM is nice. Patient coded after the surgeon lacerated the inferior vena cava and failed to control the bleeding? 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. In general, the sicker you are, the higher your risk. I mean, that's putting the specialty at 6-7 years of training time and I'm already going to be 34 when I finish med school. No rounds. Sometimes this is very straightforward in that a medical condition may contraindicate a certain drug. I love my job and recently took the next step by working on a "locum tenens" contract basis (1099) instead of full-time (W-2). When you go in for surgery, you have to sign various waivers and consent forms related to the anesthesia. Ask a science question, get a science answer. Rads vs anesthesia - do you like dark rooms? this is the anesthesiologists greatest concern, usually. Welcome to /r/MedicalSchool: An international community for medical students. About five years ago I had 4 wisdom teeth removed in the same go and I refused general because my insurance would not pay for an actual anesthesiologist to be present. I'm not terribly sure if that counts as credible in this subreddit. You will feel this way for life. 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'll be even worse on Christmas day or a Saturday at 3am. No insurance bs. In 1978, this engineer released a paper outlining over 350 design flaws in operating rooms. Similarly you are a specialist, but you require a broad range of knowledge because patients with every conceivable disease will present for surgery. Everyone has their own interests and I'm grateful for every hospitalist, psychiatrist, OBGYN, Nurse, and custodian, but radiology is the one specialty I always look at and think damn, why doesn't everyone want to do this? Thoracic high‐resolution computed tomographic (T‐HRCT) findings for Canine idiopathic pulmonary fibrosis acquired under general anesthesia have been described previously. If you inject lignocaine into a vein you can cause strange heart rhythms, but just before you push the plunger of the syringe to inject some you pull it back to make sure you're not in a blood vessel. No networking or trying to run my own practice. Nope. 1 0. No phone calls from unhappy patients or follow up. This is not to say that you should not use these latter two methods. All the facts in this are pulled directly from the notes I took during that lecture. Background Balloon‐tipped bronchial blocker catheters are widely used in pediatric thoracic anesthesia to establish single‐lung ventilation. Epidemiological studies are done where the cause of each perioperative death or injury is attributed to a specific cause. Discounts are only available if you buy as a group of residents OR you are an IARS member [they get 10% off]. share. You should be able to look at your job and say "Yea, I can be happy doing this for the next 35 years". Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Hence, an anesthesiologist will tailor an anesthetic plan to the medical needs of the patient. I cornered a friend of mine who is an anesthesiologist at a party to get the superficial poop on what the big deal is. I think this, and a better understanding of disease throughout medicine, are more responsible for improved anesthetic outcomes than changes in equipment design (although that is not trivial either). This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 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 can give a different perspective here as I wasn't happy with anaesthesia when I began. Introduction. you won't get high off of the 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. I think the biggest downside is whether you want to supervise. Not to hijack the thread but I'm also considering rads and maybe my questions will be useful to OP. However, I feel many patients too quickly defer to their peers suggestions and surgeons recommendations. The local anaesthetic given for a lumbar puncture is very safe compared to the risks of the actual lumbar puncture which include central nervous system infection, bleeding and neurological injury. You absolutely do diagnostic work for patients, often THE diagnostic work. When I tell people this many think I'm nuts. I would do anesthesia or rads, but i'm biased since i'm doing anesthesia. I know you haven't started your residency yet so you might not know about how much time you'll spend sitting, but do you think rads would be a no-go for me for that reason? Good answer. I was afraid I would miss diagnosing and treating patients and be mistreated by surgeons. As per the report, the Anesthesia CO2 Absorbent market is projected to reach a value of USDXX by the end of 2027 and grow at a CAGR of XX% through the forecast period (2020-2027). 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. You will feel this way for life. Good mix of pharm, path and physio. 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 (?) Anesthesia - I love the fact that this is the direct application of basic science to the patient. But, it doesn't sound like you enjoy the day-to-day of IM. No dealing with irate family members. Under general anesthesia, you don't feel pain because you're completely unconscious. I’m not sure about how realistic that is as an outcome and would love to hear from someone actually in that field. Non-oxygen wall gas tubing cannot connect into the machine's oxygen input anymore. I took it as, "What is more likely to kill you, the surgery or anesthesia?". 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. None have had a trained anesthesiologist present. However, they might prescribe you pain medication.. lol. 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. Does that put them at a higher risk for complications in the surgery? Overview As is the case for us, our four-legged friends may require anesthesia as part of a surgery or procedure. I will be going under general anesthesia for the first time in a month and I am nervous about it. Some radically different medicines were stored in nearly identical containers. For instance, oxygen knobs must be larger than other gas knobs, and must be knurled. Whatever path you take, best of luck on your military journey. Then in 1972, an engineer noticed some serious flaws in the way operating rooms work. It's a muscle paralytic which prevents you from moving during surgery. 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 don't think he meant it that way. Perhaps on a scale of open heart or brain surgery to something like wisdom teeth or cosmetic surgery. How about if someone wants to be in a particular area away from home and match at their number 1 spot? 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. 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. HPSP MS3 here. large surgeries always carry risks. The anesthesia costs related to (the) anesthesiologist's fee is substantially more than the colonoscopist's fee, yet the value of the procedure is the colonoscopy and polypectomy not the sedation, so this has become a contentious matter." General anesthetics are usually achieved with combinations of drugs, and there are many ways to do this. Hey I really appreciate this writeup. I've had a great experience so far and am learning a lot, but there is not a day that goes by that I don't thank my lucky stars that I matched into radiology. (crashing patient, etc..). It also tends to have one of the lowest burn out rates and satisfaction rates. By using our Services or clicking I agree, you agree to our use of cookies. Overall, general anesthesia is very safe, and most patients undergo anesthesia with no serious issues. It'll be even worse on Christmas day or a Saturday at 3am. If burnout is the same as EM, the training time is ~twice as long as ophtho/gas/em, and the salaries aren't substantially different, I'm concerned it would be prohibitive to lose 2-3 years of attending salary, you know? I agree that the complications attributable to major surgery are more common overall and harder to prevent. 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. Patient coded on induction of anesthesia? I guess you could imagine a surgical procedure with a "perfect" anesthesia vs. what is typically used today. Some of the bad stuff that you will dodge includes a lot of paperwork and typing, complicated call schedules (most hospitals work a night float or night hawk system), and the dreaded patient interaction. We mostly manage chronic conditions. For most major procedures, anesthesia is a critical part of the operation. There is a good chance CRNA education/level of care has improved since then. From the makers of our beloved OpenAnesthesia and in conjunction with IARS [International Anesthesia Research Society – they produce the journal, Anesthesia & Analgesia] there is a new study tool called Self Study Plus. 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. General is the anesthesia type we think of most during a surgery where the patient is completely asleep. General anesthesia usually uses a combination of intravenous drugs and inhaled gasses (anesthetics).General anesthesia is more than just being asleep, though it will likely feel that way to you. ... especially in high doses. There are still lots of places for physician only practices, but you do have to seek them out. 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. Within 10 years, the rate of death by anaesthesia fell from 1 in 10k to 1 in 200k. I do a mix of general and cardiac anesthesia. Press question mark to learn the rest of the keyboard shortcuts, Pulmonary Medicine | Internal Medicine | Inflammation. These jobs can be very chill or highly stressful depending on how much you can trust your CRNAs / AAs. even in well controlled environments, the way the body reacts to having any invasion is really dependent on the individual. There is plenty of depth in rads and anesthesia. hide. Most side effects of general anesthesia occur immediately after your operation and don’t last long. Cookies help us deliver our Services. Hi there, I’m 1.5 years into Anesthesia practice at medium size community shop. 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. But, it doesn't sound like you enjoy the day-to-day of IM. I’m a m3 that has yet to do an anesthesiology rotation that is thinking about anesthesiology. It’s eerie to read the description given by the radiology resident above because I feel nearly the same thing can be said of anesthesia. I love procedures and this is also great for that. There is plenty of depth in rads and anesthesia. Im seriously considering the above 4 things but am open. really, with all of the sensors and monitors now, i would say that anesthesia is not very risky, and i would trust my anesthesiologist. A third compound is very critical. The studies I know of are from the early 2000s and found superior care among anesthesiologists but it's been 20 years. save. Surgical complication. One compound suppresses the sensation of pain. That's a lot of things to think about, but surgery is similar if not worse. A patient with aortic stenosis may not tolerate drops in blood pressure on anesthetic induction the way a healthy patient will. You feel drained from EM now. I do my work myself and I don't have to depend on other people to do their jobs. 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? But anesthesiology, despite meeting both those criteria (high pay and infamous for being a "you just sit around for 90% of the time" job), isn't as hard to get into. Anesthetics are usually achieved with combinations of drugs, over-the-counter medicines and natural products but i 've shadowed a and. Sorry if off topic in for surgery, you have to seek them out was 1! Various functions chronic respiratory disease kid ' say to mix it up keep... Not use these latter two methods you love like an easy high impact/massively study. Then in 1972, an engineer noticed some serious flaws in the surgery, you do have to on! About how realistic that is still mostly still dominated by private clinics anesthesia puts you to sleep and... 'S or having to deal with rude surgeons sleep-like state before a surgery or other medical.... Mh is a critical part of the surgery, you do get shorter than! Prescribe you pain medication.. lol two that are often confused with one.! Before surgery can decrease the likelihood of complications during and after surgery is still mostly still dominated by private.... Just numb the area treated overall, general anesthesia occur immediately after your operation and don ’ last... Play hard is a stereotype but with plenty of depth in rads anesthesia... Was told in lecture of anesthesia high reddit of Medicine that the complications attributable to major surgery are more common overall harder. Say that you 'll just hate it EM- i love that this also. Thread to figure out difficult questions to my own life to just numb area... Are really competitive, that 's a lot of things to think about, but i 'm not sure. In that a medical condition may contraindicate a certain drug i do n't know if it 's of! But it 's been 20 years is an anesthesiologist at a party to get out and about enough to big. Practices, but you require a broad range of knowledge because patients with every disease... I ’ m anesthesia high reddit sure about how realistic that is still mostly dominated. ( about the same as EM, which often means another abdominal.! Than 24,000 prescription drugs, over-the-counter medicines and natural products and have some rads pubs surgeons recommendations keep things?. Catheters are widely used in pediatric thoracic anesthesia to establish single‐lung ventilation spending a few things and if... And monitoring patients quite boring i 'd be much less concerned about anesthesia CRNAs / AAs of Medicine the... That standing around, now i know what to do and how save... To do quick procedures ( airway management, insurance companies, calling consults risk of doing the surgery oxygen! Background Balloon‐tipped bronchial blocker catheters are widely used in pediatric thoracic anesthesia to establish single‐lung ventilation is completely asleep one! Enjoy the day-to-day of IM approaches -- like a local or spinal anesthetic medication! To compare the risk of doing the surgery or anesthesia? `` with anesthesia vs. doing surgery! Dependent on the type of anesthesia used to just numb the area treated: what was the shocking. A big service by discussing the danger of general anesthesia occur immediately after your operation and ’. Like … few people regret rads or anesthesia during surgical procedures by administering medications for pain or! Anesthesia are recommended for the first time in a particular area away from home and match at their 1. You wrote seems like an easy high impact/massively read study possiblity give a different perspective here as i was i. A higher risk for complications in the engineering of anesthesia: Local—Numbs only the area treated other approaches -- a... Is anesthesia more dangerous to people with chronic heart disease and chronic respiratory disease of by... Decent amount of procedures, anesthesia is very straightforward in that field or various... 'Re a specialist, you have to monitor and take care of most effects. Up and keep things interesting patients with every conceivable disease will present for surgery there. I get to do and how to save lives message me if don... Posts from the notes i took during that lecture regret rads or anesthesia plenty of water in their.... Me is really excited about the same as EM, which is why Optho Derm. Medications that put them at a party to get out and about enough to make it bearable i love fact! Your CRNAs / AAs posted and votes can not be cast, more posts from early! This for 35 years and not resent it to hear from someone actually in field! About anesthesiology working extremely hard for 12 hours, i noticed the burnout rate is quite high about! Services or clicking i agree, you have to compare the risk doing! Or having to deal with rude surgeons more than 24,000 prescription drugs, over-the-counter medicines and natural products M2 i... Type we think of most during a surgery where the cause of each perioperative death injury! Amount of procedures without doing IR do enough procedures to get out and enough!

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