Get out of anesthesia or cardiac , ccm fellowship

[Psai]

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No. I listed 1-4 randomly. You pick the area that interests you the most. If you don't like any of those 4 go with Cardiac to improve your job prospects for the future.

Interested in 3 of those 🙂

 

[Carbocation1]

Holy crap, I thought CRNA Florida twitter was a joke...

https://twitter.com/crnaflorida

CRNA Network ‏@crnaflorida May 6
Another office contract taken from an Anesthesiologist! Feels great to educate surgeons on all CRNA services. Yes we can! #CRNA

1. 
   CRNA Network ‏@crnaflorida Dec 21
   MDA... What disease are you treating? #CRNA #Anesthesia
   
   
2. 
   CRNA Network ‏@crnaflorida Dec 20
   When all else fails in Med school... Become an anesthesiologist. #CRNA #Anesthesia
   
   
   
3. CRNA Network ‏@crnaflorida Dec 19
   Why are anesthesiologists' doing a nurses job. Study harder, become a surgeon if the OR is where u want to be. #CRNA #anesthesia #berealmd
   

 

[scudrunner]

Shining examples of ignorance. Total ignorance. And the funny/scary part is they have no idea.

 

[deleted171991]

LOL..

This is what surgeons see when they look over the drape.

I tend to agree. Maybe not in cardiac surgery or liver transplant, but for simpler procedures.

Very few non-anesthesiologists can comprehend the width and breadth of our knowledge. That's why we are losing the CRNA war, too. We are a black box and, hence, can be replaced by any other black box which apparently does the same thing.

 

[Man o War]

Holy crap, I thought CRNA Florida twitter was a joke...

https://twitter.com/crnaflorida

CRNA Network ‏@crnaflorida May 6
Another office contract taken from an Anesthesiologist! Feels great to educate surgeons on all CRNA services. Yes we can! #CRNA

1. 
   CRNA Network ‏@crnaflorida Dec 21
   MDA... What disease are you treating? #CRNA #Anesthesia
   
   
2. 
   CRNA Network ‏@crnaflorida Dec 20
   When all else fails in Med school... Become an anesthesiologist. #CRNA #Anesthesia
   
   
   
3. CRNA Network ‏@crnaflorida Dec 19
   Why are anesthesiologists' doing a nurses job. Study harder, become a surgeon if the OR is where u want to be. #CRNA #anesthesia #berealmd

Jeesh. It is really obvious that this is a murse with an inferiority complex. Either couldn't get into med school or the anesthesiologist banged his wife.

 

[criticalelement]

Put people to sleep. Have fun. Work with good people
.

If it were only that easy Ignatius... If it were only that easy...

 

[criticalelement]

Holy crap, I thought CRNA Florida twitter was a joke...

Not to worry. The AAs and MDs are taking note on how incompetent the crnas are. The legislators are taking not on how duplicitous the crnas and nursing lobby is. So AA legislation is being passed all over the place. And paradoxically, crnaflorida's home state of Florida has the friendliest AA legislation known with at least 2 more AA schools slated to open once financing and the infrastrcuture is put into place. So the CRNA rhetoric will be quieted. If not they will dig their own grave in FLorida at least.

 

[Twiggidy]

Are you so good in anesthesia?
Seems that you're good to point to grammatical errors .
Let's see how good you are.
8 pm eastern time - pgg will find 20 questions.
We'll answer in real time.
Let me wake you up from the ...hole that you're living in. Or maybe you live in a nice suburb - the same ...hole IMO.
Give you some perspective.
We can work it out also - one question me, one question you.
Are you up too?
If not - 3 drug man.
Cheers,
2win

This is hilarious.....all his posts end with "Let's have anesthesia Jeopardy"

 

[deleted171991]

What do you expect from an intensivist? 🙂

Well-read is their middle name.

 

[Twiggidy]

Interventional Rads-pretty cool stuff, just didn't do a rads rotation

IR lifestyle-wise can be pretty brutal. Overall still probably better than anesthesia though

 

[Ignatius J]

If it were only that easy Ignatius... If it were only that easy...

It's not supposed to be easy. Attitude and perspective make a big difference in anything you do. You will find Eeyores and Tiggers in every single specialty. Ours is no different.

 

[deleted171991]

IR lifestyle-wise can be pretty brutal. Overall still probably better than anesthesia though

Plus you are the boss, not the servant, I mean consultant.

Bad Eeyore, bad ! 😛

 

[Carbocation1]

Plus you are the boss, not the servant, I mean consultant.

Bad Eeyore, bad ! 😛

Since when are IR guys bosses? They probably have less patient ownership than gas.

People who want a lot of patient ownership go into Primary Care.

 

[deleted171991]

Since when are IR guys bosses? They probably have less patient ownership than gas.

People who want a lot of patient ownership go into Primary Care.

They are the bosses in the IR suite. They are the "surgeons".

We are truly bosses only in closed ICUs, or if practicing pain.

 

[Ignatius J]

They are the bosses in the IR suite. They are the "surgeons".

We are truly bosses only in closed ICUs, or if practicing pain.

I don't think it matters if you're the boss. It matters if you're answering to someone else, which undoubtedly IR specialists mostly are.

Below is a depiction of a live conversation in a hospital near you:

<Ring ring>
IR: Hello?
Urology: Hello, I need you to put some nephrostomy tubes in a patient.
IR: Sounds good!

 

[BLADEMDA]

At my gig the IR guys tell the surgeons whether their case is an "emergency" or can wait until the morning. I've never had that luxury.

 

[Carbocation1]

With gas you have the luxury of not taking the memory of the patient home with you. I think that is the trade-off.

 

[criticalelement]

It's not supposed to be easy. Attitude and perspective make a big difference in anything you do. You will find Eeyores and Tiggers in every single specialty. Ours is no different.

You make it sound like if you walk in with a coke and a smile, everything is and will be ok. I say NO... Its a complicated milieu we live in.

 

[Twiggidy]

Plus you are the boss, not the servant

And in all seriousness, for all these "Should I go into anesthesia?" "Should do *fill in the blank* fellowship? This is the one question any rising med student should ask themselves before the match. I was never told this, but I think it's important to know as you progress in medicine. I just couldn't deal with clinic and rounding. Next best choice for me would have been Rads and honestly it probably fits my personality better. But we all know what hindsight is....

 

[Twiggidy]

You make it sound like if you walk in with a coke and a smile, everything is and will be ok. I say NO... Its a complicated milieu we live in.

 

[Ignatius J]

You make it sound like if you walk in with a coke and a smile, everything is and will be ok. I say NO... Its a complicated milieu we live in.

Must have missed the first sentence.

Attitude isn't easy to manage or maintain. But yes, you can have two people in the exact same position and have totally different perspectives on a situation. I see it all the time.

Life is good. Sorry some are disenchanted by the Real World.

 

[criticalelement]

its been three minutes since the heparin sir

 

[criticalelement]

Must have missed the first sentence.

Attitude isn't easy to manage or maintain. But yes, you can have two people in the exact same position and have totally different perspectives on a situation. I see it all the time.

Life is good. Sorry some are disenchanted by the Real World.

look genius I know life is good i live it.
and yes of course you WILL not can have two people in the exact same position and have totally different perspectives on a situation.

 

[lakersbaby]

Holy crap, I thought CRNA Florida twitter was a joke...

https://twitter.com/crnaflorida

CRNA Network ‏@crnaflorida May 6
Another office contract taken from an Anesthesiologist! Feels great to educate surgeons on all CRNA services. Yes we can! #CRNA

1. 
   CRNA Network ‏@crnaflorida Dec 21
   MDA... What disease are you treating? #CRNA #Anesthesia
   
   
2. 
   CRNA Network ‏@crnaflorida Dec 20
   When all else fails in Med school... Become an anesthesiologist. #CRNA #Anesthesia
   
   
   
3. CRNA Network ‏@crnaflorida Dec 19
   Why are anesthesiologists' doing a nurses job. Study harder, become a surgeon if the OR is where u want to be. #CRNA #anesthesia #berealmd

When will the great "leaders" in ASA and academics realize that THIS is what young CRNAs are taught at their CRNA school? During their clinical years if being taught by an Anesthesiologist i'm sure they are kissing ass and being polite. But THIS is what they really learn behind the scenes. Unbelievable crap. This needs to be on display at the upcoming ASA meeting and addressed. We should no longer have cowards representing us. They should fight back with just as much malice.

 

[pgg]

its been three minutes since the heparin sir

I'm sorry they treat you like a monkey.

Part of the problem is that you're convinced you're a monkey.

You are what you pretend to be.

 

[Ignatius J]

I'm sorry they treat you like a monkey.

Part of the problem is that you're convinced you're a monkey.

You are what you pretend to be.

Yessir. great post.

God forbid you let the surgeon know that the heparin has had time to take effect without an insecurity complex kicking in. Does that mean I have the upper hand when he asks if I'm ready to take the clamp off?

 

[Planktonmd]

Everyone has an ego, but usually your ego shrinks gradually with age and experience until you reach a point when you look back at your interactions with others and realize that there were instances when you were simply a dick!

 

[2win]

No. I listed 1-4 randomly. You pick the area that interests you the most. If you don't like any of those 4 go with Cardiac to improve your job prospects for the future.

You should at least pay attention to Blade and Plankton....
They really know what's going on.
If you don't just play your cards and remember what they said in the future.
2win

 

[Ignatius J]

You should at least pay attention to Blade and Plankton....
They really know what's going on.
If you don't just play your cards and remember what they said in the future.
2win

Lol. Okay. Why don't you go sit in the corner and let the winners handle this. Pessimism has never won a battle.

To those who are prospective anesthesiologists who may be reading, life is good and your practice will be what you make of it in whatever you choose to do.

 

[deleted171991]

I'd rather gouge my eyeballs out than spend a second in an outpatient clinic, so when it comes time to pick a specialty I think anesthesia will be on my list even if it somehow becomes the lowest paying specialty.

Preop clinic for you. So that the anesthesia bean counters will know which big surgeries can still go to CRNAs.

Otherwise, most of the time, you can play perioperative surgical home, so that the surgeons can operate and make money to pay for your ass, or whatever the bureaucrats find for you, useless good for nothing doc. 😛

Who's gonna do the cool anesthesia cases in the OR? The 30% oldies like us, with the necessary bureaucratic connections, not the greenhorns. You can play firefighter for the CRNAs, 1:5, when you don't give breaks. 😀

 

[pgg]

You must really suck at medical knowledge or human interaction.

Man, that CCM fellowship has really gone to your head! 🙂

 

[Carbocation1]

I'm convinced gas docs have the best gig in the hospital and there is no amount of bs that will sway my opinion.

 

[GA8314]

I tend to agree. Maybe not in cardiac surgery or liver transplant, but for simpler procedures.

Very few non-anesthesiologists can comprehend the width and breadth of our knowledge. That's why we are losing the CRNA war, too. We are a black box and, hence, can be replaced by any other black box which apparently does the same thing.

I don't think they see that. What do you think they think we think when they add on another soft call Gallbladder when you could probably literally train a monkey to take that out??

Keep your skills and knowledge up, stay relevant, work hard, develop (if you don't already have them) your interpersonal skills, and keep staying active in local and national politics. It's all you can do. Enjoy this career. Is there BS?? Yes. There is. There's BS in any field.

Look at our jobs report. Consider that my 10 hospital system almost bought Mindray anesthesia machines from China based upon price alone. Consider the pressures on all of our jobs. The cost pressures of the wonderful society we've created for ourselves...... Just do what you can do and realize you have a better gig than 90% of Americans, and even in the most grimm of predictions, you'll still likely earn that, albeit less than now.

 

[Doctor4Life1769]

With gas you have the luxury of not taking the memory of the patient home with you. I think that is the trade-off.

WTF are you talking about?
You may not have memories pertaining to a specific patient, but certainly would of the case if it went unexpectedly well or, not so well...

 

[2win]

I don't think they see that. What do you think they think we think when they add on another soft call Gallbladder when you could probably literally train a monkey to take that out??

Keep your skills and knowledge up, stay relevant, work hard, develop (if you don't already have them) your interpersonal skills, and keep staying active in local and national politics. It's all you can do. Enjoy this career. Is there BS?? Yes. There is. There's BS in any field.

Look at our jobs report. Consider that my 10 hospital system almost bought Mindray anesthesia machines from China based upon price alone. Consider the pressures on all of our jobs. The cost pressures of the wonderful society we've created for ourselves...... Just do what you can do and realize you have a better gig than 90% of Americans, and even in the most grimm of predictions, you'll still likely earn that, albeit less than now.

It is true.
Absolutely true.
Once again, family first, and love what you do.
Very insightful post.
It is sad that we have to defend our skills in front of others.
thank you,
2win

 

[2win]

Lol. Okay. Why don't you go sit in the corner and let the winners handle this. Pessimism has never won a battle.

To those who are prospective anesthesiologists who may be reading, life is good and your practice will be what you make of it in whatever you choose to do.

I left already the "winners" handle the specialty of anesthesia.
I am busy enough with the ccm.
I wouldn't call it "pessimism" - just reality.
Tell us about yourself - how did you build a practice in anesthesia?
Maybe you'll bring the optimism ...
2win

 

[deleted171991]

I'm convinced gas docs have the best gig in the hospital and there is no amount of bs that will sway my opinion.

The best gig is helping people while being truly appreciated (and I don't mean monetarily) for it.

 

[deleted171991]

Man, that CCM fellowship has really gone to your head! 🙂

To be exact, the head went to the CCM fellowship, not the other way round. 🙂

 

[ERRES2288]

The best gig is helping people while being truly appreciated (and I don't mean monetarily) for it.

Any what gig would that be ?

 

[Ignatius J]

I left already the "winners" handle the specialty of anesthesia.
I am busy enough with the ccm.
I wouldn't call it "pessimism" - just reality.
Tell us about yourself - how did you build a practice in anesthesia?
Maybe you'll bring the optimism ...
2win

No offense, but this is probably for the better. We don't need folks like you leading the charge that our profession needs or will need to make. That mindset gets us nowhere, and make no mistake your mindset pops up in every specialty, and indeed every profession. You can't let people such as yourself suck you in to their misery. Misery loves company.

What do you want to know, specifically? I joined a private group out of residency, try and work hard and do all the little things my mom told me to do (be on time, say 'please' and 'thank you', look people in the eye, know a funny joke or two, etc.), and enjoy doing it. Not hard, nor is it rocket science. I've developed a fruitful practice and am thankful I get to do what I do every day. There are obviously bumps in the road and bad days, as there is with anyone's practice.

Best of luck in your new place of practice.

 

[2win]

No offense, but this is probably for the better. We don't need folks like you leading the charge that our profession needs or will need to make. That mindset gets us nowhere, and make no mistake your mindset pops up in every specialty, and indeed every profession. You can't let people such as yourself suck you in to their misery. Misery loves company.

What do you want to know, specifically? I joined a private group out of residency, try and work hard and do all the little things my mom told me to do (be on time, say 'please' and 'thank you', look people in the eye, know a funny joke or two, etc.), and enjoy doing it. Not hard, nor is it rocket science. I've developed a fruitful practice and am thankful I get to do what I do every day. There are obviously bumps in the road and bad days, as there is with anyone's practice.

Best of luck in your new place of practice.

Congrats then!
Important is that you love what you do.
Fruitful - you mean productive I would guess - enjoy it!
Good luck to you!
2win

 

[G-Man82]

I left already the "winners" handle the specialty of anesthesia.
I am busy enough with the ccm.
I wouldn't call it "pessimism" - just reality.
Tell us about yourself - how did you build a practice in anesthesia?
Maybe you'll bring the optimism ...
2win

Do you do 100% CCM? Academics or PP? What sorts of cases/units do you handle?

I'm in my first few months as a green Anesthesiologist/Intensivist. The transition to ICU attending has definitely been tougher than to general anesthesiologist, despite the one year of no OR practice. I still like the OR, but utilize it more as a "break" from the unit. The unit is still more fulfilling IMO.

 

[2win]

Do you do 100% CCM? Academics or PP? What sorts of cases/units do you handle?

I'm in my first few months as a green Anesthesiologist/Intensivist. The transition to ICU attending has definitely been tougher than to general anesthesiologist, despite the one year of no OR practice. I still like the OR, but utilize it more as a "break" from the unit. The unit is still more fulfilling IMO.

I do both.
Academic and private + locums.
I love it and I am almost at peace leaving academics.
I will miss the library, academic discussions and great colleagues.
I will not miss other stuff...
The same for me - I love CCM and I enjoy it.