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Just noticed your CT fellowship in your signature - congrats!
To pick your brain, what appealed to you about CT as opposed to, say, CC or other fellowships? In your mind, the +/- of a CT fellowship?
Curious,
nvshelat
Do I occasionally pull a diamond out of my ass from sphincter tone? You betcha. I just wanna pull less diamonds outta my ass once all is said and done.


In another few years when medical therapy for vascular disease gets perfected.....when stent technology has a ZERO percent stenosis rate....and IV Apolipoprotein therapy is the standard of care for atherosclerotic endothelial disease.....and getting your chest split is the only option for patients without access to standard medical care....and ONLY the surgeons who can't get into bariatric fellowships or who can't find regular jobs go into CT training...
Does it matter if you are a BAD ASS GAS PASSER getting 300 bucks for that BAD ASS case?
...oh and you won't have to talk to families...because only folks without any family would willingly get their chest split...because good family members would know enough to talk them out of such medieval torture?
Good luck with your fellowship🙂
In another few years when medical therapy for vascular disease gets perfected.....when stent technology has a ZERO percent stenosis rate....and IV Apolipoprotein therapy is the standard of care for atherosclerotic endothelial disease.....and getting your chest split is the only option for patients without access to standard medical care....and ONLY the surgeons who can't get into bariatric fellowships or who can't find regular jobs go into CT training...
Does it matter if you are a BAD ASS GAS PASSER getting 300 bucks for that BAD ASS case?
...oh and you won't have to talk to families...because only folks without any family would willingly get their chest split...because good family members would know enough to talk them out of such medieval torture?
Good luck with your fellowship🙂
I think this statement may have contributed to MilMD's response. By default it suggests that all other areas of anesthesiology are not "bad ass".My main decision is because I wish to be a bad ass anesthesiologist.
I think this statement may have contributed to MilMD's response. By default it suggests that all other areas of anesthesiology are not "bad ass".
I'm not going to apologize for wanting to be a better physician. Ridiculous.
I think this statement may have contributed to MilMD's response. By default it suggests that all other areas of anesthesiology are not "bad ass".
I think this statement may have contributed to MilMD's response. By default it suggests that all other areas of anesthesiology are not "bad ass".
Rock on, dude. Don't apologize to anyone. That TEE certificate alone will be worth its weight in gold. Dude I know finishing fellowship this year is going into PP as a cardiac anesthesiologist. Know what his package is first year out? Gets 17 weeks vacation and is pulling $450K. Anyone who wants to argue that an extra year of training ain't worth that is, well... you figure it out.
-copro
very astute....
AND the more important point that you guys are missing is that I suspect CV surgery is a dying field...and the picture I painted is a possible future.
I know of a number of CT surgeons who spent years training to find that in the short 7 to 8 years since they started, the field is not what they thought it would be.
Is that right? The used the say the SWAN told you everything you needed to know....
technology marches on
our understanding of medicine marches on.
our opinions of what's worth a lot of not changes with time.
If you REALLY like doing TEE's then great....but if that 17 weeks and 450 is any component of your perception....welll...
it could be working 45 weeks and getting paid 170.
That's certainly an argument for not going into CT Surgery, but it's not an argument for not doing a CT Anesthesia fellowship. Cardiac anesthesiologists ARE rock star anesthesiologists. Not only can they throw in a TEE probe to determine hemodynamic issues intraop -- in both cardiac and non-cardiac surgery, but they have more experience in working with cardiac patients undergoing non-cardiac surgery. There's a reason cardiac anesthesiologists are in high demand, and it's not because of cardiac surgeries. It's because of a population that continues to age, live longer, have more and complicated comorbidities, all at a time when surgeons are able to offer procedures to sicker patients, that normally would've been reserved for healthier patients. Ergo, whilst demand for heart surgeons dwindles, demand for cardiac anesthesiologists IS on the up and up.
Even if this is the case couldn't Someone with a fellowship in CT still be able to do what none fellowshiped anesthesiologist do, and if they can Vent is correct in saying it is just making him personally more badass. I highly doubt he wanted to put anyone else down for not having a CV/CT fellowship.
Even if this is the case couldn't Someone with a fellowship in CT still be able to do what none fellowshiped anesthesiologist do

There was a 🙂 in the post... plus it may be not that far form the truth 😱
Mil has put value on fellowships in the past so i think it was a little sarcasm imho
Our CT attendings have a hard time with regional![]()
A low blow is a low blow, I don't care if its followed up with 10 smiley faces. Gimme a break.
As for bad assness, I always want to step up to a case. The CV trained attendings at my institution ,which I look up to, do. They know when to say no of course. I have chosen to emulate them. Shocking eh?
If one is offended by that, then I'm not sorry. I never COMPARE myself to others. Only to myself. I know what I want to be. I want to be good at what I do. Shocking eh?
I don't foresee myself having touble with FO, regional, or anything else other than difficult peds cases. Shocking eh?
Who says that a CV fellowship is just you pushing etomidate droppen in a tube and an echo then waiting to disconnect before the pump goes on? Major vascular cases, VADS, sick as dog pulmonary and cardiac cripples, Cardiac ICU management with take back emergencies, F'd up vasculopaths, sick as dog folks coming in for lobectomies/pneumonectomies...over and OVER AND OVER again? C'mon man. Echo certified. Gimmie a break.
Whoever thinks that a CV trained fellow is LESS, clinically, than your average dude/ette graduating from residency is wrong. Period. Its just not possible.
I never said I want to be better than other people. Nor have I suggested that a CV fellowship makes you better than other anesthesiologists. The CV fellowship just is what it is. Perhaps you've misread my previous statement.
Again, do you need a CV fellowship to perform well in these types of situations? No. Does it help? What do you think? I guess anybody that graduates from a residency can sit in the heart room, pushen gas. Or take over a thoracic ruptured aneurysm, or just slap a double lumen tube in a lobectomy with an EF of 25%. No problem right? Then why doesn't every attending on staff do these cases? Seriously.
I didn't want to even write this, but ya know, I've spent too much F'n time on this site not to.
Vent
A low blow is a low blow, I don't care if its followed up with 10 smiley faces. Gimme a break.
As for bad assness, I always want to step up to a case. The CV trained attendings at my institution ,which I look up to, do. They know when to say no of course. I have chosen to emulate them. Shocking eh?
If one is offended by that, then I'm not sorry. I never COMPARE myself to others. Only to myself. I know what I want to be. I want to be good at what I do. Shocking eh?
I don't foresee myself having touble with FO, regional, or anything else other than difficult peds cases. Shocking eh?
Who says that a CV fellowship is just you pushing etomidate droppen in a tube and an echo then waiting to disconnect before the pump goes on? Major vascular cases, VADS, sick as dog pulmonary and cardiac cripples, Cardiac ICU management with take back emergencies, F'd up vasculopaths, sick as dog folks coming in for lobectomies/pneumonectomies...over and OVER AND OVER again? C'mon man. Echo certified. Gimmie a break.
Whoever thinks that a CV trained fellow is LESS, clinically, than your average dude/ette graduating from residency is wrong. Period. Its just not possible.
I never said I want to be better than other people. Nor have I suggested that a CV fellowship makes you better than other anesthesiologists. The CV fellowship just is what it is. Perhaps you've misread my previous statement.
Again, do you need a CV fellowship to perform well in these types of situations? No. Does it help? What do you think? I guess anybody that graduates from a residency can sit in the heart room, pushen gas. Or take over a thoracic ruptured aneurysm, or just slap a double lumen tube in a lobectomy with an EF of 25%. No problem right? Then why doesn't every attending on staff do these cases? Seriously.
I didn't want to even write this, but ya know, I've spent too much F'n time on this site not to.
Vent
I think this may be appropriate here:
http://www.changeboard.com/hrcircle...chive/2007/06/29/the-alpha-male-syndrome.aspx
In another few years when medical therapy for vascular disease gets perfected.....when stent technology has a ZERO percent stenosis rate....and IV Apolipoprotein therapy is the standard of care for atherosclerotic endothelial disease.....and getting your chest split is the only option for patients without access to standard medical care....and ONLY the surgeons who can't get into bariatric fellowships or who can't find regular jobs go into CT training...
Does it matter if you are a BAD ASS GAS PASSER getting 300 bucks for that BAD ASS case?
...oh and you won't have to talk to families...because only folks without any family would willingly get their chest split...because good family members would know enough to talk them out of such medieval torture?
Good luck with your fellowship🙂
I think this statement may have contributed to MilMD's response. By default it suggests that all other areas of anesthesiology are not "bad ass".
How do you repair valves with percutaneous procedures? Also, it's not like the CT surgeons aren't working on lesser invasive techniques. Who knows what the future will hold.
You, yourself have highly advocated a fellowship for future anes docs.
NEJM
Volume 358:331-341 January 24, 2008 Number 4
Drug-Eluting Stents vs. Coronary-Artery Bypass Grafting in Multivessel Coronary Disease. Edward L. Hannan, Ph.D., Chuntao Wu, M.D., Ph.D., Gary Walford, M.D., Alfred T. Culliford, M.D., Jeffrey P. Gold, M.D., Craig R. Smith, M.D., Robert S.D. Higgins, M.D., Russell E. Carlson, M.D., and Robert H. Jones, M.D.
Haven't read the article yet--but will do so at a more appropriate hour.
Dudes & Dudettes,
You guys are taking a (what I thought) humorous post and turning it into something else.
I have and always will advocate further and advanced training....I think our residency should be 5 years long.
I was just offering a different pov
Thanks for the support yall
Got a baby gorilla on the way too. Find out the sex in 4 weeks dude. Maybe it'll be a hermaphrodite.
Believe it or not I try to emulate you bastards too. 🙂
Got the biceps curls up to 40lb dumbells now Jet. I know its not your 65's but I'm getting there. Slowwwwwwwwwwly.
Got the Tricep skull crusher to 55lb dumbells now. Yeah baby.
Got a baby gorilla on the way too. Find out the sex in 4 weeks dude. Maybe it'll be a hermaphrodite.


Vent, bro, let's hope not....Believe it or not I try to emulate you bastards too. 🙂
Got the biceps curls up to 40lb dumbells now Jet. I know its not your 65's but I'm getting there. Slowwwwwwwwwwly.
Got the Tricep skull crusher to 55lb dumbells now. Yeah baby.
Got a baby gorilla on the way too. Find out the sex in 4 weeks dude. Maybe it'll be a hermaphrodite.