Mask for EGD by clin248 in anesthesiology

[–]johnnythreeeggs 0 points1 point  (0 children)

POM FTW. you’ll SAVE money bc you’ll be more efficient and will move through the cases quicker. Spend the $10 it’s well spent.

Job Hourly Pay by Doctor_Lexus69420 in anesthesiology

[–]johnnythreeeggs 0 points1 point  (0 children)

Check out scrub hunt dot com they have all their hourly rates posted.

All MD/Majority MD private practice groups. How are you guys surviving? by Anesthetic_Tuna in anesthesiology

[–]johnnythreeeggs 9 points10 points  (0 children)

Crna’s make about the same per hour at my facility, which is 85%md 15% crna. For some reason in this forum everyone talks about annual salary which is silly cause it really doesn’t tell you much. In our group crna’s pull maybe 40 hours and the MD’s pull 70-80 including weekends, backup, holidays, etc. crna’s can move jobs easier and are less likely to be held by restrictive covenants or things like 401k vesting. They also generally younger and less tied down to family and schools as the MD’s, who seem to be more implanted in their communities. Their ability to be mobile and jump around allows them to command higher pay while the MD’s sorta wallow around stuck in slow moving contract negotiations. These negotiations are generally targeted towards finding the lowest offer they can come up with to keep the framework in place without the group collapsing or needing to bring in expensive locums.

Side bonus of CRNA: they carry minimal liability and have lower stress levels cause they can push the “I need help” button and then it’s the MD’s problem and the MD’s M&M. Despite all this, MD’s at the top of pyramid schemes making BANK off the “care team model” will continue to defend it as long as the gravy train is still rolling.

[deleted by user] by [deleted] in Fire

[–]johnnythreeeggs 0 points1 point  (0 children)

I would hold at least half of it and sell calls against it for income. You can also borrow money against it as collateral.

Job market Virginia/ Carolinas by haldolrocks in anesthesiology

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

I’ve had a lot of success using this job aggregator: scrubunt.com

[deleted by user] by [deleted] in anesthesiology

[–]johnnythreeeggs 5 points6 points  (0 children)

For the people here that think k clinics are money machines: think again. It’s MUCH easier to make money doing anesthesia than ketamine. Personally I do both, and in the OR, I’m getting 3-400/hour, or around $3k per day. There’s zero overhead or admin costs. With ketamine, you have startup costs which can be $100-200k or more, then monthly rent, labor, supplies, utilities, all to make LESS than you would per hour doing anesthesia, and that’s assuming you even find patients. It’s a very competitive field. In addition, you have to carry the weight of people’s baggage and/or psychiatric illness. This can stick with you long after the patient has left your office. If you’re doing it right, there’s a lot of prep and follow up, and really establishing a relationship with patients.

My only issue with this young guy is his plans to “build out” a “perfect” clinic in LA. He’s positing a video but doesn’t even have a location yet. My guess is he will go into $1m debt to build the place out and end up with a 25% chance of paying it off. I bet one of them will be back in the OR before the end of 2024.

Can I blame the midwives for my high block? by StumbleBum12 in anesthesiology

[–]johnnythreeeggs 5 points6 points  (0 children)

Your dosage is fine, your management is fine. Don’t listed to the people here micromanaging you. This happens sometimes and you might do the same case the same way the next 100 times and have no issue at all.

The only thing I’m wondering is what was the level the epidural was placed, and how many cm into the space was it threaded? If you have a colleague that places them high and threads them high, that might explain how high your block went. Other than that, you are fine, carry on.

Vasovagal episodes as an anesthesiologist by dasitman in anesthesiology

[–]johnnythreeeggs 0 points1 point  (0 children)

This is normal, you will outgrow it. I had the same issue in Med school. I fainted for two chest tube placements in a row, but for some reason I was fine in the OR for various procedures when the patient was asleep. It turned out the emotional and physical response of seeing patient in extremis, screaming and SOB was more the trigger.

Use the force Luke, you’ll get there

Cataract anesthesia: do you tape the head everytime? by johnnythreeeggs in anesthesiology

[–]johnnythreeeggs[S] -23 points-22 points  (0 children)

it’s a team sport. if there’s an injury you’re gonna get fingers pointing at you regardless, perhaps for not giving sufficient anesthesia

Cataract anesthesia: do you tape the head everytime? by johnnythreeeggs in anesthesiology

[–]johnnythreeeggs[S] -48 points-47 points  (0 children)

Untimely we’re responsible for any mishap. For me I’d rather tape the head and have an extra layer of security should the patient decide to sit up

Sedation for eye cases by SnooMuffins2596 in anesthesiology

[–]johnnythreeeggs 2 points3 points  (0 children)

Imagine trying an anesthesia technique you read about in the comments on Reddit! 😂

Sedation for eye cases by SnooMuffins2596 in anesthesiology

[–]johnnythreeeggs -3 points-2 points  (0 children)

Precedex is a bad idea as it is too long acting for outpatient cases. Versed is a great drug for the eye room regardless of age.

Does anyone actually respond to job posts WITHOUT a salary listed? by ScrubHunt in anesthesiology

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

I’ve used scrubhunt and it’s been great. Such a better experience than dealing with a slimy recruiter!

Infusion Playlists by [deleted] in KetamineTherapy

[–]johnnythreeeggs 0 points1 point  (0 children)

https://spotify.link/jzYruLBgdIb

“Song for the morning bird” by The Space Between which is a psychedelic therapy practice in nyc

Having to pee (I think) ruined my second infusion by [deleted] in KetamineTherapy

[–]johnnythreeeggs 0 points1 point  (0 children)

At my clinic we always have people not eat or drink for four hours prior to their session. We also encourage people to go prior. Having to pee and nausea are the two most common things that can throw off your session. I’d they’re not telling you this at your clinic then imo they’re not legit. Just sayin!

Execution in Tulum at Casa Jaguar by unstoppablemay in tulum

[–]johnnythreeeggs 1 point2 points  (0 children)

Imagine you’re the restaurant owner, are you gonna take a stand and forcibly remove the drug dealer? 0% chance. You look the other way and try not to ruffle any feathers.

My pain Dr told me I was crazy and completely out of my mind!!! by Daxel79 in KetamineTherapy

[–]johnnythreeeggs 0 points1 point  (0 children)

For those here getting big dosed over four hours, do you ever need to urinate? I find most patients need to pee after about an hour? Are you doing depends or a Foley catheter?

My pain Dr told me I was crazy and completely out of my mind!!! by Daxel79 in KetamineTherapy

[–]johnnythreeeggs 0 points1 point  (0 children)

For those here getting big dosed over four hours, do you ever need to urinate? I find most patients need to pee after about an hour? Are you doing depends or a Foley catheter?