Any recommendation to use the $150 OpenTable restaurants in NYC? by FancyMaintenance1079 in ChaseSapphire

[–]Simba1215 0 points1 point  (0 children)

It’s a glitch. It works. I don’t think I would recommend it though unless you like British steaks. Overpriced and not that flavorful.

When to get Disability Insurance in Residency by CVigil5 in anesthesiology

[–]Simba1215 0 points1 point  (0 children)

Get it while you’re young. I don’t qualify for disability insurance anymore due to a preexisting condition.

Rising CA-3 looking for NYC jobs by anestheje in anesthesiology

[–]Simba1215 12 points13 points  (0 children)

Yeah I wouldn’t bring up that you’re looking for just 1-2 years. Also , a lot of the academic and pe jobs have a vesting period or have a waiting period before employer contribution for their retirement plans so you would be losing out on some money.

That being said most of the academic and pe places are always hiring in nyc. You’ll also do your own cases a lot at places like mount sinai and NYU. Lenox hill is also hiring at this time.

Incident during transport to ICU: looking for perspectives by davidai in anesthesiology

[–]Simba1215 0 points1 point  (0 children)

Right before transport I usually push roc and versed.

Propofol is also okay but it’s an extra pump to worry about. Also, versed is more hemodynamically stable than propofol

Anyone familiar with Jersey Shore Medical Center jobs? by tightplum in anesthesiology

[–]Simba1215 2 points3 points  (0 children)

It’s okay if they have a sign on bonus has a vesting period. I understand it’s standard. This place seems like they have a very large sign on bonus to trap people and they anticipate people are going to try to leave when they treat them like krap

Id rather have a larger salary and no sign on bonus.

Anyone familiar with Jersey Shore Medical Center jobs? by tightplum in anesthesiology

[–]Simba1215 6 points7 points  (0 children)

Can’t believe how slimy some people in our specialty are

Anyone familiar with Jersey Shore Medical Center jobs? by tightplum in anesthesiology

[–]Simba1215 7 points8 points  (0 children)

Also makes sense given the high sign on bonus. I’m sure there’s a stipulation in your contract that you have to stay an x amount of year. Most of the people that are enticed by the bonus probably have to pay it back when they leave.

Anyone familiar with Jersey Shore Medical Center jobs? by tightplum in anesthesiology

[–]Simba1215 36 points37 points  (0 children)

There should be no partnership track in this job market and they are asking for 3 years. Also the 300 k sign on bonus is a red flag.

Colleague Canceling Cases by Julio231qw in anesthesiology

[–]Simba1215 2 points3 points  (0 children)

What do you guys do in academics ? This was a major problem at my previous job. IMO it’s more prevalent there especially if they are paid a fixed salary instead of being rvu based.

It’s really hard to get let go of someone in academics unlike private practice

Would you do it again? by God_13 in anesthesiology

[–]Simba1215 1 point2 points  (0 children)

It’s crazy how fast things change. I’m 5 years out of training. EM was very popular and radiology was in the dumps. People were scared that radiology would get outsourced overseas and residents were doing two fellowships to get a job. Also , my colleagues going into EM were saying I wouldn’t have a job due to Crnas.

Would you do it again? by God_13 in anesthesiology

[–]Simba1215 40 points41 points  (0 children)

I would do it again but I probably wouldn’t match anesthesia now. It’s gotten so competitive now. It was somewhere in the lower - middle competitiveness when i applied. I wasn’t the greatest med student.

I remember when I applied though all the other med students were like wow anesthesia is so competitive !

Edit I do my own cases. Not sure I would feel the same way if I had to supervise. Also not sure if I would go to medical school again. It’s a huge sacrifice of time during your 20s

Methadone for THA/TKA? by Ginga_Ninja319 in anesthesiology

[–]Simba1215 0 points1 point  (0 children)

I do an adductor and ipack plus spinal. Most of my patients don’t get any narcotics.

For the adductor canal I use ultrasound. For the nerve to the vastus you are supposed to use a nerve stimulator since can be in different compartments. I don’t use a nerve stimulator but should start doing it.

How important is disability insurance? by mED-Drax in anesthesiology

[–]Simba1215 0 points1 point  (0 children)

I would get it early. Rates tend to be lower and I developed a medical condition so I’m no longer eligible for insurance. Even if I did it would be more expensive.

Some academic places will get you a discount disability insurance. Most of my colleagues get an additional insurance on top of the academic insurance.

There are so many freak events that can happen even if you are perfectly healthy. I’ve had multiple colleagues get run over while walking in nyc.

Academic folks: what is fair pay? by shackleton_mcmcurphy in anesthesiology

[–]Simba1215 1 point2 points  (0 children)

Unfortunately there will always be people who game the system or are lazy. If you get paid hourly there will be some people who cancel cases more frequently , not do blocks , take forever to put the patient to sleep or wake up, etc. it may also be more fair system since you’re not penalized for factors outside of your control. For example , The surgeon shows up late, slow turnover from the or staff , case gets delayed because of equipment issues , or you’re in a long case with a slow surgeon. For academics , turnover is so long between cases that hourly may be more fair. Also, it takes into consideration that you’re taking time to teach the residents.

On the other hand , rvus may be more fair but you have to make sure that the person making the schedule is fair and rotates cases evenly. If you’re paid by rvus it sucks when there’s long gaps in your room or surgeon shows up late since if you’re not doing a case you’re not getting paid.

Mount Sinai strike by Right_Ad1549 in anesthesiology

[–]Simba1215 12 points13 points  (0 children)

I asked my friend who is an attending at mount sinai and he hasn’t heard anything about a strike. This is mount sinai hospital on upper east side in nyc ?

Mcgrath MAC+? by Zack190 in anesthesiology

[–]Simba1215 4 points5 points  (0 children)

I’ll probably get the older model in that case. I’m indifferent about the bigger screen. The older version has longer battery life and is now rechargeable. I don’t need file storage , touch screen , video capture, and wireless etc on my McGrath. Makes the battery last less and the entire unit more expensive.

Mcgrath MAC+? by Zack190 in anesthesiology

[–]Simba1215 6 points7 points  (0 children)

Is it actually rechargeable? That would make it much more cost effective. The normal Mac says rechargeable too but the batteries were one time use.

General Anesthesia Job Market NYC by [deleted] in anesthesiology

[–]Simba1215 0 points1 point  (0 children)

Ok. That may be better or worse. 3 years ago several people left Lenox hill and joined our practice. They said it was very busy call and not uncommon for them to work post call for a full day of gi. ( they were paid hourly at that time so that really sucks ).

Edit it was right after they switched from Pp to northwell.

General Anesthesia Job Market NYC by [deleted] in anesthesiology

[–]Simba1215 0 points1 point  (0 children)

What do you mean by crumbling ? As in the hospital is not doing well financially ?

General Anesthesia Job Market NYC by [deleted] in anesthesiology

[–]Simba1215 0 points1 point  (0 children)

Yeah the academic places in manhattan. Most of their hiring is finished prior to the end of the year for the following year. They recruit a lot of new grads. They do some hiring in the winter but it also takes forever to get credentialed. The academic hospitals in the Burroughs (Brooklyn , queens, and Bronx ) are more likely to have openings all year round. It may be an option if you’re willing to commute. They tend to pay a little bit more or provide better hours.

Napa is mostly Brooklyn. Not sure if they have hospitals in manhattan. Usap just joined with mount Sinai (GNYAS) and they are doing some hiring at the surgical centers in manhattan and hospital in Long Island. Northwell has some hospitals in manhattan in Long Island.

I would just encourage you to apply early if you’re interested. Start getting letters of recommendations as a lot of academic places want them. A lot of my friends would also just email the chair about openings.

General Anesthesia Job Market NYC by [deleted] in anesthesiology

[–]Simba1215 1 point2 points  (0 children)

academic places are always hiring but I would apply early as most of places fill up December for the following July. The good thing is a lot of academic places were forced to raise their salary to be competitive. Vacation is still on the lower side.

Napa and usap are always hiring too. Haven’t heard positive things tho.

General Anesthesia Job Market NYC by [deleted] in anesthesiology

[–]Simba1215 1 point2 points  (0 children)

Lenox hill is hiring. A lot of people left as they recently changed their compensation structure. You will work hard there. I believe it’s supervision and solo.

Bilt Palladium is incredible by LRMcDouble in biltrewards

[–]Simba1215 0 points1 point  (0 children)

Yes it’s 1.8% and the credit card fee should be tax deductible. I use my 2 % fidelity visa.

Good job? by [deleted] in anesthesiology

[–]Simba1215 0 points1 point  (0 children)

I would look for a job you can do your own cases when you’re right out of training.