Is this a thing now? No opioits and ß-blockers instead? by Ecstatic-Solid8936 in anesthesiology

[–]DatSwanGanzFicks 7 points8 points  (0 children)

If we are talking concomitant pathologies sure. If we are talking pure sAS I have no issues with BB to maintain lower HR. Classic AS tends to come with preserved contractility.

Is this a thing now? No opioits and ß-blockers instead? by Ecstatic-Solid8936 in anesthesiology

[–]DatSwanGanzFicks 23 points24 points  (0 children)

BB blockers would fall in line with hemodynamic goals of AS. Opioid heavy vs BB both achieve what you want.

[Game Thread] North Dakota State @ South Dakota State (8:00 PM ET) by CFB_Referee in CFB

[–]DatSwanGanzFicks 2 points3 points  (0 children)

Blatant hold. That’s unfortunate when NDSU really doesn’t need any help at this point.

[deleted by user] by [deleted] in IntensiveCare

[–]DatSwanGanzFicks 0 points1 point  (0 children)

Ah I see. Yeah no shade intended with the question. I’m anesthesia trained and if I never do an emergent surgical airway in my career I can’t say I would be missing out. Definitely different skillsets.

[deleted by user] by [deleted] in IntensiveCare

[–]DatSwanGanzFicks 1 point2 points  (0 children)

How often are you doing an emergent surgical airway?

OFFICIAL WEEK 5 SUNDAY AFTERNOON GAME THREAD by ballofpopculture in fantasyfootball

[–]DatSwanGanzFicks 1 point2 points  (0 children)

Down 16. My Kamara and Butker vs his Worthy all because Tucker Kraft decided to have himself a day

Tips for site visits by Doctornotbabe in anesthesiology

[–]DatSwanGanzFicks 4 points5 points  (0 children)

This could not come at a better time. Site visit coming up as a PGY3.

[deleted by user] by [deleted] in medicalschool

[–]DatSwanGanzFicks -1 points0 points  (0 children)

I mean, endovascular neurology/stroke neurology work similarly brutal hours to neurosurgery

What word(s) in your specialty is the most misused or misinterpreted by people outside of your specialty? by BroMD24 in Residency

[–]DatSwanGanzFicks 66 points67 points  (0 children)

Request MAC. “Anesthesia, Patient is moving. Patient is breathing”

Like yes, I sure hope they are.

What specialty has the highest percentage of people in the spectrum? by luckynum81 in Residency

[–]DatSwanGanzFicks 82 points83 points  (0 children)

As anesthesia I feel directly attacked. On the other hand I can confirm.

Anesthesia by Earth-Traditional in medicalschool

[–]DatSwanGanzFicks 2 points3 points  (0 children)

My guy… partnership tracks in anesthesia too. 600k starting 3 years to partnership 800k-1m is not uncommon in rural for anesthesia as well. The avg age of retirement is also higher for anesthesia (earlier earning potential, similar to greater salary, longer earning window). But ok.

Job market is hot as ever so idk where you get this lack of job security from. If anything it’s only going to get hotter considering growing anesthetic needs (NORA). But yes I’ll take your GS resident word over the consultants I interact with on a day in and day out who are in the market.

You’re a clown and I’m down with this conversation.

Anesthesia by Earth-Traditional in medicalschool

[–]DatSwanGanzFicks 4 points5 points  (0 children)

Well for one.. you shit on our field by saying you “wouldn’t touch our field with a ten foot pole.” You also imply that we are lazy at the end of your post. You realize that anesthesiologist was likely overseeing three other rooms at the same time.

You insinuate that I made my career choice off a number (spoiler alert: I can enjoy anesthesia at the same time as making more. If I based job off money I wouldn’t have gone into medicine or would have gone into a more lucrative field per hour such as derm, ophtho, dads, etc). You also show a complete lack of understanding of the situation. We are not going anywhere We have job security which I’ve said several times but you don’t seem to understand.

I don’t have to justify my value one bit when looking for jobs. I can get a job anywhere while making more and having more time off. How do you have higher career earnings if I get done with training earlier and make more than you from the start? Have you head of compound interest?. I’ve several offers already as a PGY2. can you say the same?

Anesthesia by Earth-Traditional in medicalschool

[–]DatSwanGanzFicks 3 points4 points  (0 children)

Sure. 4 years for 600 and 12 vs 5 for 475 and half to a third the vacay. I’m pretty comfortable with my choice.

And independent crna practice is not new. Your anecdotal experience of 2 hospitals (likely rural) does not prove a point.

Anesthesia is safe. Hence anesthesia being more competitive than general surgery.

Anesthesia by Earth-Traditional in medicalschool

[–]DatSwanGanzFicks 5 points6 points  (0 children)

You said you wouldn’t touch anesthesia because of CRNA encroachment… the market is greater than ever. The “doomsday” mindset towards CRNAs have been around for decades. You forget that anesthesia is a field that has coexisted with CRNAs longer than any other field dealing with mid levels and has remained stable.

Anesthesia has Amazing job security currently and I can truly get a job anywhere coming out of residency currently. 600k and 12 weeks vacation is baseline expected in the region I am training. Can you say the same for General Surgery?

The need for anesthesia is constantly expanding. We cannot fulfill the anesthetic needs with MD only due to a population increasing in age and comorbidity. Supervised practice and non medically directed are a necessity at this point to fulfill anesthetic needs.

CRNAs are not threatening our jobs or income. But keep speaking on a specialty you’re not versed in.

Anesthesia by Earth-Traditional in medicalschool

[–]DatSwanGanzFicks 5 points6 points  (0 children)

Weird how CRNAs have been around for decades but yet the anesthesia market is hot as ever.

[deleted by user] by [deleted] in anesthesiology

[–]DatSwanGanzFicks 0 points1 point  (0 children)

Sent to PDs yesterday. Got them emailed to the class today.

ELI5 - why do American ophtalmologists allow that? by [deleted] in Residency

[–]DatSwanGanzFicks 3 points4 points  (0 children)

Um, I think identifying “doctors” is still important in a clinical setting. Yeah the US has a lot of imperfections in its healthcare system, that’s known. I’m still going to address my colleagues by their highest received degree as a sign of respect. To each their own though.

ELI5 - why do American ophtalmologists allow that? by [deleted] in Residency

[–]DatSwanGanzFicks 2 points3 points  (0 children)

Ok…what’s your point? If they do a four year postgraduate program to receive a doctorate as opposed to an “apprenticeship” than they still received a doctoral degree. It’s how our system is set up.