It Could Be Worse

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divinemsm

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This forum tends to be all doom and gloom...and as an anesthesiologist , it makes sense to me that this would be the general atmosphere given that what we do professionally is for all intensive purposes , risk management / risk stratification.

Im doing a fellowship currently in a field which typically does not attract anesthesiologists. I'm surrounded by internal medicine / family medicine types and let me tell you ...I am SO glad I have anesthesia as an option.

Medicine is a dump all around . I've relearned the horror of writing bs notes , having to accept bs consults because people are lazy , and what's worse -having no immediate control over what happens to the patients .

We have a LOT of autonomy -clinically -as anesthesiologists . It's still a good field -imperfect for sure -but in the scheme of things , seeing the flip side of other fields makes me grateful.

I was an attending for 6 years prior to fellowship: it's been good to be reminded why I chose anesthesia and still actually like it.

Just wanted to put a positive perspective 🙂
 
divinemsm said:
This forum tends to be all doom and gloom...and as an anesthesiologist , it makes sense to me that this would be the general atmosphere given that what we do professionally is for all intensive purposes , risk management / risk stratification.

Im doing a fellowship currently in a field which typically does not attract anesthesiologists. I'm surrounded by internal medicine / family medicine types and let me tell you ...I am SO glad I have anesthesia as an option.

Medicine is a dump all around . I've relearned the horror of writing bs notes , having to accept bs consults because people are lazy , and what's worse -having no immediate control over what happens to the patients .

We have a LOT of autonomy -clinically -as anesthesiologists . It's still a good field -imperfect for sure -but in the scheme of things , seeing the flip side of other fields makes me grateful.

I was an attending for 6 years prior to fellowship: it's been good to be reminded why I chose anesthesia and still actually like it.

Just wanted to put a positive perspective 🙂
Click to expand...

Curious...what fellowship are you doing that doesn't attract anesthesiologists? And what made you want to do it?
 
divinemsm said:
This forum tends to be all doom and gloom...and as an anesthesiologist , it makes sense to me that this would be the general atmosphere given that what we do professionally is for all intensive purposes , risk management / risk stratification.

Im doing a fellowship currently in a field which typically does not attract anesthesiologists. I'm surrounded by internal medicine / family medicine types and let me tell you ...I am SO glad I have anesthesia as an option.

Medicine is a dump all around . I've relearned the horror of writing bs notes , having to accept bs consults because people are lazy , and what's worse -having no immediate control over what happens to the patients .

We have a LOT of autonomy -clinically -as anesthesiologists . It's still a good field -imperfect for sure -but in the scheme of things , seeing the flip side of other fields makes me grateful.

I was an attending for 6 years prior to fellowship: it's been good to be reminded why I chose anesthesia and still actually like it.

Just wanted to put a positive perspective 🙂
Click to expand...


What palliative care?
lol
Pathetic
 
It's actually hilarious that someone labeled me as pathetic -says lots about them , but I digress..:I'm not here for a pissing match.

I chose Palliative because I was sick and tired of being the first person to inform patients with terminal illness -6 mos or less-that in order for me to safely anesthetize them for whatever procedure : by proceeding would in high likelihood have them in the ICU and dying an agonizing death.

It amazes me in a bad way that despite having primary docs, oncologists, cardiologists, whatever the case-patients have no idea what it means to have serious illness, much less actually be told the words that they will die from it. It's a communication issue.

Anesthesiologists are perfect for this job because contrary to prevailing perception-we are badass docs who are presented with and manage the physiology of just about any disease process. Like I say to my residents -everyone with every pathology shows up for surgery / sedation/ labor and delivery -whatever. We have to be on our A game at all times -not telling any one anything they don't know.

My plan is to function as a consultant to teach programs how to do Palliation : most have no idea.

I want a hybrid career in which I can have an element of fluidity in my options.

-I've been pitched several job opportunities with respect to establishing and running a Palliative program for major cancer centers in the greater NYC area .

I was just trying to offer a different perspective from the usual.
 
Last edited:
divinemsm said:
It's actually hilarious that someone labeled me as pathetic -says lots about them , but I digress..:I'm not here for a pissing match.

I chose Palliative because I was sick and tired of being the first person to inform patients with terminal illness -6 mos or less-that in order for me to safely anesthetize them for whatever procedure : by proceeding would in high likelihood have them in the ICU and dying an agonizing death.

It amazes me in a bad way that despite having primary docs, oncologists, cardiologists, whatever the case-patients have no idea what it means to have serious illness, much less actually be told the words that they will die from it. It's a communication issue.

Anesthesiologists are perfect for this job because contrary to prevailing perception-we are badass docs who are presented with and manage the physiology of just about any disease process. Like I say to my residents -everyone with every pathology shows up for surgery / sedation/ labor and delivery -whatever. We have to be on our A game at all times -not telling any one anything they don't know.

My plan is to function as a consultant to teach programs how to do Palliation : most have no idea.

I want a hybrid career in which I can have an element of fluidity in my options.

-I've been pitched several job opportunities with respect to establishing and running a Palliative program for major cancer centers in the greater NYC area .

I was just trying to offer a different perspective from the usual.
Click to expand...

This is great, you are absolutely right about Palliative Care in most places do it so poorly. We have a real issue in this country letting go (see ECMO for PCI thread....), so thank you for fighting the good fight.

Also to the poster who mocked OP, cmon man get a life.
 
divinemsm said:
It's actually hilarious that someone labeled me as pathetic -says lots about them , but I digress..:I'm not here for a pissing match.

I chose Palliative because I was sick and tired of being the first person to inform patients with terminal illness -6 mos or less-that in order for me to safely anesthetize them for whatever procedure : by proceeding would in high likelihood have them in the ICU and dying an agonizing death.

It amazes me in a bad way that despite having primary docs, oncologists, cardiologists, whatever the case-patients have no idea what it means to have serious illness, much less actually be told the words that they will die from it. It's a communication issue.

Anesthesiologists are perfect for this job because contrary to prevailing perception-we are badass docs who are presented with and manage the physiology of just about any disease process. Like I say to my residents -everyone with every pathology shows up for surgery / sedation/ labor and delivery -whatever. We have to be on our A game at all times -not telling any one anything they don't know.

My plan is to function as a consultant to teach programs how to do Palliation : most have no idea.

I want a hybrid career in which I can have an element of fluidity in my options.

-I've been pitched several job opportunities with respect to establishing and running a Palliative program for major cancer centers in the greater NYC area .

I was just trying to offer a different perspective from the usual.
Click to expand...
The only reason I did not do palliative care is that the money is not as good as anesthesia. In my opinion it is one of the few remaining fields where we can make a huge difference and practice real medicine.
I truly wish the money was better.
 
Consigliere said:
Ugh! Don't ever, ever do this again. It's FOR ALL INTENTS AND PURPOSES.
Click to expand...

The grammar Nazi in you caused you to miss a very punny situation.

Just like how the cowboys will kick your butt on sunday night :pirate:
 
I didn't know anesthesia could even enter that field....

It makes sense that so few would given the limited exposure to goals of care anesthesia has. I agree with the above though, a good goals of care conversation can save an enormous amount of resources even though it's only reimbursed at under 1 wrvu. It is a noble field.

Sadly many people are refractory to this once the critical care train leaves the station. I'm convinced we will need panels to render rational opinions on futile care in order to save us healthcare given how old the full code population is getting.
 
divinemsm said:
It's actually hilarious that someone labeled me as pathetic -says lots about them , but I digress..:I'm not here for a pissing match.

I chose Palliative because I was sick and tired of being the first person to inform patients with terminal illness -6 mos or less-that in order for me to safely anesthetize them for whatever procedure : by proceeding would in high likelihood have them in the ICU and dying an agonizing death.

It amazes me in a bad way that despite having primary docs, oncologists, cardiologists, whatever the case-patients have no idea what it means to have serious illness, much less actually be told the words that they will die from it. It's a communication issue.

Anesthesiologists are perfect for this job because contrary to prevailing perception-we are badass docs who are presented with and manage the physiology of just about any disease process. Like I say to my residents -everyone with every pathology shows up for surgery / sedation/ labor and delivery -whatever. We have to be on our A game at all times -not telling any one anything they don't know.

My plan is to function as a consultant to teach programs how to do Palliation : most have no idea.

I want a hybrid career in which I can have an element of fluidity in my options.

-I've been pitched several job opportunities with respect to establishing and running a Palliative program for major cancer centers in the greater NYC area .

I was just trying to offer a different perspective from the usual.
Click to expand...

I think you will have a great career and I wish you the best. Personally, I think that would be very interesting, albeit I can see how it may not be as good for pay, but that's definitely something which you could use more as you perhaps got burned out in anesthesia.
 
dchz said:
Just like how the cowboys will kick your butt on sunday night :pirate:
Click to expand...

Oh I can't wait to rub it in your face when the Cowgirls get taken to school. Ezekiel who?
 
The Philadelphia Eagles went to the Dallas Cowboy's house and embarassed them. Go Eagles!!
 
25728.jpg
 
divinemsm said:
It's actually hilarious that someone labeled me as pathetic -says lots about them , but I digress..:I'm not here for a pissing match.

I chose Palliative because I was sick and tired of being the first person to inform patients with terminal illness -6 mos or less-that in order for me to safely anesthetize them for whatever procedure : by proceeding would in high likelihood have them in the ICU and dying an agonizing death.

It amazes me in a bad way that despite having primary docs, oncologists, cardiologists, whatever the case-patients have no idea what it means to have serious illness, much less actually be told the words that they will die from it. It's a communication issue.

Anesthesiologists are perfect for this job because contrary to prevailing perception-we are badass docs who are presented with and manage the physiology of just about any disease process. Like I say to my residents -everyone with every pathology shows up for surgery / sedation/ labor and delivery -whatever. We have to be on our A game at all times -not telling any one anything they don't know.

My plan is to function as a consultant to teach programs how to do Palliation : most have no idea.

I want a hybrid career in which I can have an element of fluidity in my options.

-I've been pitched several job opportunities with respect to establishing and running a Palliative program for major cancer centers in the greater NYC area .

I was just trying to offer a different perspective from the usual.
Click to expand...

Thanks for coming to share what you have to offer. Ignore 2win, he's just cranky. At baseline.

It's nice to hear that someone appreciates the position and privilege of being an anesthesiologist. There isn't often a lot of that around here.
 
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