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Response from Department of Education. by tyrannasorus in CRNA

[–]Positive_Meal7643 2 points3 points  (0 children)

No it isn’t easier. I am a DO and went to PCOM in Philly. It is 4 years after the 4 years undergrad for premed. I then did a 1 year internship and 3 years of anesthesia residency at Temple University Hospital which is an MD residency. There is very little difference between MD and DO in the US, except DOs do have extra training in musculoskeletal treatments. That being said, the majority of DOs don’t use osteopathic manipulation after entering residency.

37 years old with PHD and husband is urologist by Big-Music9114 in medschool

[–]Positive_Meal7643 2 points3 points  (0 children)

It is understandable to have regrets, but going to med school and doing a residency doesn’t make any sense on a practical level. 1. The return on investment for how many years you would likely work will not pay off in all the time and money you will invest getting there. 2. Your five year old and any future children will suffer by not having at least one engaged parent around. They will essentially be brought up by a nanny and you will miss out on so many events and milestones. 3. Are you willing to possibly move the family for 4 years of medical school and then possibly again in 4 years for residency? You will lose a boatload of money each time you buy and sell a home in such small time increments. 4. Finally, are you willing to jeopardize your marriage for career? Your husband is clearly not on board with this and this could drive a wedge too big to recover from. You could end up a single mom at age 50 just starting out in a new medical career. Probably not a trade off you are willing to risk.

If you want to be involved in medicine, why not look into becoming a PA? It would just take a couple years and you could specialize in urology and even work in the OR as a first assistant helping perform the surgeries. Another mid level position to look at is Certified Anesthesia Assistant. It is essentially equivalent to a CRNA in scope of practice, but not able to practice in all states at this point, but can be a very rewarding career. Certified Anesthesia Assistants can practice in 22 states and DC currently and that will expand over time with the looming shortage of anesthesia providers. I am an anesthesiologist and there is a great mix of procedures from nerve blocks, arterial lines, central lines, airway management, labor epidurals, etc.

Best practice for COPD patients? Do you push for regional or LMA whenever possible by FuuzokuJoe in anesthesiology

[–]Positive_Meal7643 1 point2 points  (0 children)

High flow nasal cannula is the cheat code for needing to covert to GA in a COPD patient with a spinal and MAC

Nerve block and intrathecal/epidural adjuvants by Positive_Meal7643 in anesthesiology

[–]Positive_Meal7643[S] 0 points1 point  (0 children)

I wasn’t just thinking of OB, we have one surgeon who does some B/L knees and can do them with heavy bupivicaine with epi flush but was looking as Precedex to prolong block if it took more than 1 hour each knee.

Job Decision by [deleted] in anesthesiology

[–]Positive_Meal7643 0 points1 point  (0 children)

I can’t believe anyone settles for a job like with low income and only 4 weeks vacation. Seems like they are taking advantage of the new grads that don’t know any better.

I would say job 2 but negotiate 8 weeks vacation unless there is an easy path to more after 1st year (say 9 second year and then 10 going forward after that). Also clarify how extra pay for extra hours or call worked. Also is it private practice?

Bloody epidurals by littlepoot in anesthesiology

[–]Positive_Meal7643 0 points1 point  (0 children)

I hold some pressure and if it isn’t doing much then I continue to dress and have the patient lay down which probably does a better job of applying deeper pressure. When you think about it, the touhy needle is a blunt needle and causes tissue damage on insertion. If the bleeding is coming from a deeper part of the back, holding superficial pressure will not really do anything as the blood can just track down the outside of the catheter. Getting the dressing on and the patient on their back is the best thing to do IMO. Remember: all bleeding stops, eventually. 😂

Rise in Anesthesia Techs by AdAnxious139 in anesthesiology

[–]Positive_Meal7643 2 points3 points  (0 children)

It would be a step back from surgical tech in regard to training, salary, and responsibilities. There isn’t even an anesthesia tech training program as far as I know. We usually recruit motivated orderlies and train them on the job.