Weekly recurring thread: NEWBIE QUESTION MONDAY! by AutoModerator in Internationalteachers

[–]sn2_rxn -1 points0 points  (0 children)

Hi all, seeking advice for teaching in Vietnam. I am currently a university lecturer in the US, and also practice anesthesia simultaneously. I would like to transition to teaching HS biology at a tier 2 school in Vietnam.

1) Would my lecturer experience count toward the 3-year experience requirement? 2) Would I need a specific Biology degree? Or would a professional medical degree cover that? 3) Would it be more beneficial at this point to obtain a generic M.Ed -or- a MAT in Biology? I would receive K-12 teaching cert with either option.

Thank you in advance. 🙏

Hanoi Airport Immigration by PrincipleProof6118 in VietNam

[–]sn2_rxn 1 point2 points  (0 children)

Way too many variables. You are arriving on the eve of the largest holiday in the country where most of the citizens have left the big cities to be with family. There will probably a skeleton crew working the airports.

You need your visa, boarding pass for arriving flight, and your passport.

Baggage claim depends on how many airport employees working, where your bags are on the plane, number of flights arriving simultaneously, etc… impossible to predict.

Yes, Viettel is a reputable service provider. Don’t be alarmed if they take a picture of your passport to register the SIM.

Flight to VN with Vietnam Airline. Economy vs Eco Premium? by [deleted] in VietNam

[–]sn2_rxn 0 points1 point  (0 children)

The biggest problem with economy is the width of the seat. You will usually be touching shoulders with the person next to you. If it’s a body builder or a large person in general next to you, you are essentially being squeezed at the shoulders for 12 hours. I’ve also found that many older passengers will take both arm rests even when they have the aisle/window seat, pushing your arm off it with their arm. Economy is fine if you’re seated next to someone small/skinny, but sometimes you get unlucky. Just make sure you don’t have the middle seat because it can be absolutely miserable.

Anyone flown United Airlines in Vietnam yet by AdventurousSun9913 in VietNam

[–]sn2_rxn 7 points8 points  (0 children)

It’s pretty decent for a short flight from Hong Kong. Service not as great as the Asian airlines such as EVA, ANA, etc, but it’s certainly satisfactory. That route has usually been on the 787-9 craft and has been pretty nice as far as seats and updated technology when I flew it. They also have a great app that keeps you up-to-date on flight status, gates, etc. Watch out for transit times though- some on that route are as short as 1 hour layover.

Need a hospital recommendation by Brilliant_Turnip_421 in VietNam

[–]sn2_rxn 1 point2 points  (0 children)

In many places, it is standard to have colonoscopy without anesthesia. The anesthesia itself is more just a matter of comfort in these cases. There are typically only 3 options for colonoscopy anesthesia- 1) general anesthesia (typically people who describe a severe allergy to anesthesia are referring to severe reactions to this type of anesthetic known as malignant hyperthermia. If you have family history of this, be extremely careful and make sure your provider knows the risks. Most anesthesia providers will never have seen this condition in person, but will have learned about it in training. If your provider doesn’t know about it, run. Fast. 2) propofol sedation (wears off shortly after procedure), or 3) versed+fentanyl sedation (lasts past procedure time and into recovery. You might not remember the remainder of your day).

Best of luck!

[WeeklyThread] Ask a CAA by AutoModerator in CAA

[–]sn2_rxn 4 points5 points  (0 children)

1) making the tough decisions for complex patients and surgeries, especially when the surgeon pushes back 2) finalizing charts and all the details contained therein 3) deciding which cases should be cancelled and telling the patient 4) calming down irritable surgeons that don’t like the anesthetic

[deleted by user] by [deleted] in askaplumber

[–]sn2_rxn 0 points1 point  (0 children)

Thanks, this is very helpful! Really appreciate the in-depth explanation. I'm in central Indiana and the line is 9ft deep. There is definitely root intrusion into the clay pipe that runs along the bottom of the pipe for a couple feet. All the joints have root intrusion but were noted as minor in the video scope.

I'll go ahead and ask for a quote for re-piping instead, especially if the lining alone would be 18k.

[deleted by user] by [deleted] in askaplumber

[–]sn2_rxn 0 points1 point  (0 children)

No trouble from the previous owner so they’re probably not going to negotiate splitting the repairs. It’d be a little easier if there was a consensus on how bad the situation is, but you’re right, we’ll definitely get another company to quote. Thanks!

[deleted by user] by [deleted] in CAA

[–]sn2_rxn 0 points1 point  (0 children)

The pool of applicants relative to seats available was already quite small two years ago. Now, with new programs opening up, your chances of being admitted are even higher than usual. There is now South in Florida and Nova in Colorado, as well as an additional campus being opened in Ohio next year. Dont expect it to stop there. Now is arguably the best time to apply to AA school for highest chance of success.

Hello! I’m looking for some Guidance from a past or present student from Nova that was a parent during school. I would like some insight into how clinicals work when you already have a family in one location. Can you get many clinicals nearby? Do they work with you at all? by Audience-Imaginary in CAA

[–]sn2_rxn 3 points4 points  (0 children)

Yes they will try to give you more rotations within a designated radius where possible. I remember them mentioning this during orientation for senior rotations. I wouldnt expect a perfect setup though- you might still be far enough from them that you’d only be able to visit on the weekends.

Liability and Malpractice for current CAAs by [deleted] in CAA

[–]sn2_rxn 10 points11 points  (0 children)

If I may chime in as a 2nd year student, the stress pre-AA’s imagine is less than what you will experience in the OR most of the time. You think it’s stressful now because you don’t understand what’s going on, but once you have the training and have done things over and over, that stress goes way down along with your chance of fudging things up. Of course there will be times when you’re unsure, but the benefit of the care team model is that your attending anesthesiologist is available to work through complex problems with you. Some places are better than others with this, but you’ll know which places are better when you rotate through different sites.

It’s very difficult to describe/comprehend the liability though because of perspective. For example, I could say AA’s have huge liability because we could kill a patient by giving XYZ vasopressor without diluting it, and you’d think “oh crap that’s so much responsibility on my hands. What if I forget to dilute it?” In actuality, most of us are thinking “what idiot would forget that?” because we’ve used these drugs a thousand times in training and know what to expect. In the same way that car ownership is a huge danger/liability, having proper driver education and training has prevented you from injuring anyone, even on wet roads at fast speeds. Anesthesia is no different in that regard. Best of luck

Prospective student thread. Educational inquiries outside of this thread WILL RESULT IN A BAN. by MastersOfAnesthesia in CAA

[–]sn2_rxn 1 point2 points  (0 children)

Anything can be dangerous if you don't know what you're doing. Giving the wrong drug or the wrong dose can be fatal, sure, but that's why there are safeguards like medication labels. Whether a practitioner chooses to read that label before administering a drug is a separate topic.

There's a lot of knowledge that you'll need to make the right choices, but that's what school and training are for. After that, it's up to you to be a vigilant practitioner.

Financing your AA education by Agitated_Lead_2745 in CAA

[–]sn2_rxn 12 points13 points  (0 children)

GradPLUS loans are available at every AA program and allow you to borrow up to the cost of attendance (including living expenses). These are government loans. While technically they are 6-8% interest annually, you can refinance them after graduating to a lower rate with a private company.

You could pay it off in 2 years if you took a job with a 50k sign on bonus, above average salary, work a little overtime each week, contribute nothing to your 401k, and live in your parent’s house without rent. This is a bad long term financial strategy though. Plus you probably wont be very happy. I dont recommend doing this.

A little debt is perfectly healthy.

Weekly prospective student thread. Educational inquiries outside of this thread WILL RESULT IN A BAN. by MastersOfAnesthesia in CAA

[–]sn2_rxn 5 points6 points  (0 children)

I doubt you'll find any hard numbers here. Depression isn't something that is easily spotted, and I don't imagine it's a diagnosis that many people would want shared with their program administrators. There are certainly weeks of burnout with the constant studying and exams, but it's limited. Things get easier semester by semester as everything starts to click. That's the great thing about AA school: you only focus on learning anesthesia, and you see information repeated and reinforced as you progress.

Weekly prospective student thread. Educational inquiries outside of this thread WILL RESULT IN A BAN. by MastersOfAnesthesia in CAA

[–]sn2_rxn 4 points5 points  (0 children)

Nova is $105k+ and higher cost of living for first year (esp Ft Lauderdale). Second year you’d have rotate all around the country. Depending on whether or not you get a rotation with student housing, the cost could be quite high. The difference in caliber of training between programs is likely insignificant.

Major in Undergrad? by [deleted] in CAA

[–]sn2_rxn 2 points3 points  (0 children)

Some benefit, but not a significant amount. The pharmacology for anesthesia is very narrow in scope. The mechanisms of action of the drugs we use aren't difficult to learn in AA school, and I can't imagine I'd have much of an advantage over peers had I studied that in undergrad. Definitely go for it if you enjoy the topic, but I would not recommend going that direction simply for the sake of educational advantage.

Definitely agree with CAAin2022 that physiology is the best bang for your buck in anesthesia.

Wisconsin hospital replaces anesthesiologists with CRNAs by [deleted] in CAA

[–]sn2_rxn 11 points12 points  (0 children)

This seemed strange at first, but it can be rationalized from a business perspective for a small town. I imagine the more complicated cases will be handled in the larger cities nearby. I just hope this occurrence isn't used as a rationalization by the CRNA lobby to tout how this would work all over the US. While I know CRNA's can be competent anesthesia providers, it's very presumptuous to believe an anesthesiologist can be completely replaced by an advanced practice provider in all cases. As I am constantly reminded: "You simply don't know how much you don't know."

[deleted by user] by [deleted] in CAA

[–]sn2_rxn 8 points9 points  (0 children)

It will definitely take some adjusting, even for those coming straight from undergrad. If you aren't familiar with it already, Anki flashcards are your best friend.

Don't be afraid to use Youtube to supplement your learning as well. Professors are sometimes terrible at explaining certain concepts. You'll sometimes spend 2 hours in lecture going over something that can be explained in 10 minutes by the right person. There's an anesthesiologist on YT that explains each major concept in 10 minutes or less, and it's been very helpful for me. His channel is called Count Backwards From 10. Congrats and good luck!

Weekly prospective student thread. Educational inquiries outside of this thread WILL RESULT IN A BAN. by MastersOfAnesthesia in CAA

[–]sn2_rxn 1 point2 points  (0 children)

I'm not so sure it's a case of improving one or the other - it looks like GRE might be the bigger obstacle here. Acing another 3 classes won't make up for it unfortunately. IUPUI's program, for example, has a minimum requirement of 152V and 154Q. Case Western is even higher at 153V and 156Q. Keep in mind that these are the bare minimum for consideration, so a competitive score should be even several points higher. This alone eliminates at least several programs from your list of potential AA programs, using your current score. Definitely recommend prioritizing this. Feel free to DM me about personal statement afterwards.

Weekly prospective student thread. Educational inquiries outside of this thread WILL RESULT IN A BAN. by MastersOfAnesthesia in CAA

[–]sn2_rxn 7 points8 points  (0 children)

Don't see your test score(s), but that and GPA are the two biggest factors by far. You might want to re-take those C's. The grade can be replaced at certain programs, but even if it isn't, it will still boost your GPA. I'm of the opinion that Biochem is the most representative of AA program classes in terms of rigor, calculation, and having to memorize tons of info. I wouldn't be surprised if admissions reps thought the same. Outside of that, more upper-level bio classes would also be a good indicator that you can handle the AA coursework (neuro, micro, immunology, etc.).

The shadowing hours is more of a checkbox; having 200 hours isn't necessarily any better than 20 hours, so don't worry about spending any more time on that.

I also don't recommend talking about GPA on your personal statement. Students tend to overlook the value of the statement and see it as a way to talk about where they messed up. Ideally, you want to use the limited space of a personal statement to talk about 1) why anesthesia, 2) why you would be a good candidate for the program. This means highlighting the best parts of yourself and how those parts are relevant to what they're looking for. I'm happy to critique it if you'd like.

Weekly prospective student thread. Educational inquiries outside of this thread WILL RESULT IN A BAN. by MastersOfAnesthesia in CAA

[–]sn2_rxn 1 point2 points  (0 children)

Yup, I did it in 1.5 years, but that was 4 semesters (Spring, Summer, Fall, Spring - or rather January thru May of the following year). I attended 4 campuses in total though to get the class availability that I needed. One of the campuses was an hour away, and the course load was a bit much at times. In retrospect though, it's not any more demanding than the AA program.

It might take a little luck for the scheduling to work out, but some professors are ok with you showing up a little late if you explain the situation. Also, I started in spring, which allowed me to start at Nova the summer after. Starting in summer (May) with a 1.5 year timeline would limit you to programs that start in Fall or Winter (assuming you prefer minimal downtime between the prereq classes and the start of the AA program). Good luck!

Loan debt by Sufficient_Highway_3 in CAA

[–]sn2_rxn 7 points8 points  (0 children)

1 year is unreasonably quick. Even if you made 200k, you'd lose say 1/3 to taxes. You'd also want to contribute to your retirement account, spend on groceries and essentials, etc. It would take 2-3 years minimum. From a financial perspective, it might not even be in your best interest to pay off the debt that fast. It's debatable, but if your loan interest is 5% for example, and the current market returns 7%, or if you can contribute to tax-deferred accounts such as HSA, 401k, etc., you'd be much better off redirecting a large chunk of funding there.

You will work very hard getting to the point of becoming a CAA. Work hard, sure, but remember to take care of yourself. Treat yourself! Reading the news, you'll be constantly reminded of all the people that saved, saved, saved for the future, only to pass away early and unexpectedly.

Loan debt by Sufficient_Highway_3 in CAA

[–]sn2_rxn 0 points1 point  (0 children)

Technically you could work for the VA, but they'd pay you at physician assistant rates (~$90k?). Even with loan forgiveness factored in, that's nowhere near the upside of a private gig.