First, I will preface my answer with 2 caveates: 1 - I am not Tenesma & 2 - I am merely a senior medical student...in light of the above interactions, in my own experiences, what Tenesma and GasDoc describe appears to be more congruent with reality.Originally posted by Gator05
I've been reading your posts with interest. I hope you don't mind my asking some questions:
1. Are you satisfied with the impact you are having on your patients' life?
2. Are you satisfied with the amount of respect you receive from other specialties? (I don't expect anesthesiologists to be in the limelight, but I do believe physicians of all specialties are due some modicum of respect from their peers.)
3. How is the surgeon-anesthesiologist relationship at MGH?
4. Would it be fair to say that an anesthesiologist is free (to an extent, of course) to enjoy as much patient interaction as they like?
I had to respond to this post by you drreg b/c I can't agree more. Most people see anesthesia as boring b/c they don't understand that it looks "boring" only b/c the anesthesiologist or nurse anesthetist doing it is so GOOD at it! If they weren't, the patient would be crashing andlitterally dying b/c of hypotension, hypertension, hypoxia, blood loss, and the list goes on and on.Originally posted by drreg
the truth of the matter is that few medical schools require students to rotate through anesthesia. because of this, few students consider it because their perception of the field is that is boring. i was guilty of this myself. but after two years of internal medicine residency, all it took was one rotation on the anesthesia service to realize how complex, demanding, and rewarding it is with a great lifestyle to boot! the bottom line is that if more students were required to do a month of anesthesia, interest in the field would skyrocket. but then again, that might not be such a great thing with the market being as red hot as it is.
No..... they just tolerate youOriginally posted by Tenesma
but i have to be honest with you, the more i communicate with the surgeons the better the relationship gets... they become friendlier and actually respect me (well i think they do..)
In the grand scheme of what everyone is trying to accomplish during the time that we work together to provide patient care, there are people who are helpful, and there are people who create problems. It's clear you fall into the former category, Tenesma.Originally posted by Tenesma
but i have to be honest with you, the more i communicate with the surgeons the better the relationship gets... they become friendlier and actually respect me (well i think they do..) I usually will tell the surgeon when the pressure starts falling, i usually warn them that the patient is getting light and may move (which pre-empts them from looking funny at me when the patient starts bucking), etc... and they in turn become more communicative, warn me about blood loss, give me a heads up on time to closure, etc.
Hey Tenesma,Originally posted by Tenesma
iit is both a science and an art, and i walk home everyday happy with my choice....
Originally posted by Tenesma
they better do more than tolerate me... i have full access to the radio in the OR - so they have to also tolerate my taste in music... i also have full access to the room thermometer - nothing like making you guys sweat for 4 or 5 hours, because the patients temperature is "33.8"
No, I think the worst was when one of the eastern European Anesthesia residents that are here put some Latvian Euro-pop on. Talk about your collective groans!!!Originally posted by Tenesma
i'd like to see you (droliver) change the radio - while you are still scrubbed - right after i put in my favorite boy-band... hehe
LOL!!!Originally posted by droliver
No, I think the worst was when one of the eastern European Anesthesia residents that are here put some Latvian Euro-pop on. Talk about your collective groans!!!
the only lifestyle specialties left are rads (not interventional), derm, path and family practice.anesthesia is absolutely not a lifestyle choice..
long hours... little respect for anesthesia services by hospital and surgeons. call is more than light.... risky.. dealing with a lot of ancillary staff.. pay is decreasing a lot..
..........the true "lifestyle" aspect of anesthesia is that in 25 years i am still going to be happy to go to work in the morning.
path? Try finding a decent job.the only lifestyle specialties left are rads (not interventional), derm, path and family practice.
Great post....Here's my perspective from 13.5 years in pvt practice:
In residency, they told me I'd work until 3pm everyday and make $400k. Well, my hours are often alot longer, but my income is also alot higher. Docs who work until 3pm in Houston make more like $250k. Docs who take call and work as partners with more variable hours can make twice that easily. Lifestyle is about the BALANCE of time away from work and the money to enjoy that time. It is also about the enjoyment of the work itself.
In my practice we work with a strict rotating departure list, such that as the ORs finish for the day, each of us is relieved in order by the next available MD that is below us in the departure list. This interchangeability is the core of our lifestyle. When I'm relieved, I am DONE for the day. I am all about home and family with no worries of the pager dragging me back to the hospital. My father was a surgeon and was ALWAYS on-call for himself, but I probably have 5 calls and a weekend per month. I work when I am at work, and I am home when i am at home. Compartmentalization. This interchangeability also allows me to "buy" time away from work, that is, I can pay someone to fill my spot on the departure list. I can buy extra vacation from them.
Of all the Docs in my large hospital, the Anesthesiologists are the most atheletic, best travelled, most "normal" ones. We are also the best insulated from external admin/political BS.
Most practices offer fixed-salary, fixed-hours positions. If you want lifestyle i suggest you seek one of these. The downside is you will make less $.
As far as respect, only YOU can really give that to you. Work everyday, imagining that no one but you will ever know the care and quality you put into it. At the end of each day, go over what you've done and make sure that you would have wanted your family treated that well. Quit looking outward for respect. Its rare and unfulfilling. We work in the shadows doing one of the most important dangerous jobs on earth, all the while trying to keep that scary thought out of out patients' minds. Once you have renounced the importance of second-hand respect, ironically, your integrity will draw the kind of attention you once sought. If you need adulation and idol worship, switch to surgery (note my Dad was a surgeon, so please know I'm not flaming).
I'm in my eleventh year of private practice.this is soo hilarious. How do you know how youll feel in 25 years? Ive been at this 6 years, and im not thrilled going to work. way too much hassle! little reward. too early in the morning. and you know what? in residency i didint mind it too much it wasnt too bad.