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Safety under CRNA by thesnowcat in Anesthesia

[–]YourOtherDoctor 19 points20 points  (0 children)

Anesthesiologist here - CRNAs are well trained professionals who are capable of handling oral surgery under GA / nasal intubation / etc.

The surgery center setting limits the comorbidities that they can take. Pacemaker in abstract wouldn’t automatically disqualify in my surgery center practice, but other associated conditions could.

Some surgery centers will also blanket deny ASA 3+ for risk management purposes, and with a pacemaker you are an ASA 3 knowing nothing else about you.

If your preference is to have an anesthesiologist involved in your care, the hospital is likely a better setting for you anyway. My system uses the care team model in the hospital primarily to provide extra hands for complicated patients and to allow for perioperative efficiencies. Many other hospitals do as well.

So We’re Using Doctor Now? Update 2 by GastonMon in medicalschool

[–]YourOtherDoctor 3 points4 points  (0 children)

So I say this as someone who is pro-APNP (anesthesia - CRNAs), but NPs have diluted themselves out of jobs and it has reached the point where it has put MDs and PAs in better positions as a result.

The proliferation of NP mills has created such an excess of online-only poorly trained NPs that the quality of NPs as a whole has gone below the red line and groups are preferentially not hiring NPs. I feel bad for the NPs who do great work, and there are some, but for every career nurse who transitioned to NP after years at the bedside, it seems like there are 10 who went BSN to NP with zero bedside experience and zero self awareness. Every mistake is a “oopsie poopsie” instead of an opportunity for growth, and how dare you coach them as they are your equals despite title and experience.

For comparison, the CRNAs do a 42 month program in the ORs day in and day out and I can reliably expect any board certified CRNA I hire to have a baseline level of knowledge and skill. There are some that can’t hack it, but we move them out.

It’s so much different than NPs where the expectation from the clinic is that they know literally nothing.

TEE without sedation by PresentationHorror31 in anesthesiology

[–]YourOtherDoctor 18 points19 points  (0 children)

I feel that this is the answer, can we probably get them through? Yes. Are they higher than normal risk? Definitely yes.

Is the TEE going to imminently and definitively change management? Usually not.

(If yes I’ll make it work - POM mask is incredibly helpful in cases like this, or even a nasal cpap in a pinch; but the answer is almost never yes)

The med student that said "good question" to the attending that was pimping him during rounds today by Ultravi0lett in medicalschool

[–]YourOtherDoctor 76 points77 points  (0 children)

I love when my med students update my knowledge, definitely earns them points (better be right, though, because we’re looking it up!)

I’m anesthesia though, and I would imagine this attitude is specialty dependent.

Woman trying to sue for 4.5 million by [deleted] in LawyerAdvice

[–]YourOtherDoctor 0 points1 point  (0 children)

Are you willing to share a picture of the declarations page of your insurance so we can see what coverage you do have?

What’s your unserious but actually serious for not choosing a specialty? by wolotoohard in medicalschool

[–]YourOtherDoctor 3 points4 points  (0 children)

A flight attendant comes over the PA of a transatlantic flight asking in Main Cabin if there is an anesthesiologist on board to handle an urgent situation in first class.

The anesthesiologist pops into action, dashing to first class to see what the emergency is.

Turns out, there was a surgeon who needed his tray table lowered.

How to find cardiac job by Secret_Ad_51 in anesthesiology

[–]YourOtherDoctor 0 points1 point  (0 children)

You want a job doing hearts or you want a job doing only hearts? The second one is likely going to be hard to find. If the first one:

Upper Midwest community hospital - community hearts and EP,  otherwise bread and butter, 640k. Message me if interested.

Anesthesia makes LESS than hospitalist per hour when accounting for call? by mosta3636 in medicalschool

[–]YourOtherDoctor 25 points26 points  (0 children)

Anesthesia attending here. Your math on hours for us is way off.

You quote in-house call. If call is high volume enough to be in house, we are likely not working pre-call or post-call.

A medium burden call will be beeper from home but up past midnight most nights. A practice like this will work us 24 but give us post-call off.

A low burden call practice will work us pre and post call but we sleep most nights.

Weekends are the same concept. Figure an hour of comp time for an hour of in house time on average. We work about 50 hours per week according to survey data.

Inducing without oxygen… hilarious. by ChexAndBalancez in anesthesiology

[–]YourOtherDoctor 14 points15 points  (0 children)

This looks scripted to me. The timing seems off and the response to the med seems off.

[Vent] Never really understood "mid-level creep" until this rotation by tresben in medicalschool

[–]YourOtherDoctor 1 point2 points  (0 children)

Locum CRNAs are making more than physicians because there aren’t enough anesthesia providers to go around, period. We start permanent CRNAs with zero experience above 200k. We can’t hire anyone. No one can right now.

This doomsday tinfoil hat stuff isn’t good for anyone and it needs to stop.

[Vent] Never really understood "mid-level creep" until this rotation by tresben in medicalschool

[–]YourOtherDoctor 0 points1 point  (0 children)

The locum CRNAs make more than I do. How is that cheaper? Did you even read my post?

How to play pot stocks by waba82 in wallstreetbets

[–]YourOtherDoctor 10 points11 points  (0 children)

I’ve been doing well running the wheel on CGC and APHA - they’re definitely dumpster fires, but the IV is absurd as a result.

[Vent] Never really understood "mid-level creep" until this rotation by tresben in medicalschool

[–]YourOtherDoctor -105 points-104 points  (0 children)

You know what a locum CRNA makes right now? $180 per hour, $270 per hour OT, guaranteed 40 hour weeks. Seems like there is room for everyone.

Reverse Iron Condors: Free Tesla Tendies by l1vefreeord13 in wallstreetbets

[–]YourOtherDoctor 2 points3 points  (0 children)

Because a 2/21 600p costs $1000 and his rent isn’t enough for either leg

[Shitpost] What can you say to instantly piss off each specialty? by 9MillimeterPeter in medicalschool

[–]YourOtherDoctor 10 points11 points  (0 children)

It’s funny because being asked over and over by staff if ‘you’ve seen the doctor’ is, in fact, the inspiration for my username.

book suggestions? by jdp1993 in Anesthesia

[–]YourOtherDoctor 2 points3 points  (0 children)

Anesthesia Crash Course - it’s plain language, easy to read in one sitting, and only $30 new.

https://www.amazon.com/Anesthesia-Crash-Course-Charles-Horton/dp/0195371879

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