ridiculous

[nissangtr]

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props to everybody who is an anesthesiologist...........but does anybody feel that anesthesiologists pay is somewhat undeserved? i mean, during most surgeries, anesthesiologists are doing crossword puzzles while the surgeon is actually doing all of the work.........yet the anesthesiologist makes the same or maybe a bit more............isn't that ridiculous?

 

[Planktonmd]

props to everybody who is an anesthesiologist...........but does anybody feel that anesthesiologists pay is somewhat undeserved? i mean, during most surgeries, anesthesiologists are doing crossword puzzles while the surgeon is actually doing all of the work.........yet the anesthesiologist makes the same or maybe a bit more............isn't that ridiculous?

We haven't had any entertaining trolls here lately.
Thank you for coming.

 

[Octagonecology]

Oh wow. I can't wait for this one.....

 

[Bertelman]

props to everybody who is an anesthesiologist...........but does anybody feel that anesthesiologists pay is somewhat undeserved? i mean, during most surgeries, anesthesiologists are doing crossword puzzles while the surgeon is actually doing all of the work.........yet the anesthesiologist makes the same or maybe a bit more............isn't that ridiculous?

Next time your family member needs surgery, ask the surgeon if there is a cheaper anesthesia option available. Maybe ask if the surgeon could do both, because it is apparent we get paid to sit and do nothing.

Or you could try to spend a few minutes understanding what it is that we do. Maybe during that downtime, when we aren't occupied with Sodoku, we're concentrating on keeping your ungrateful ass alive. Perhaps you could marvel at our ability to handle more than one task at a time.

Modern medical practice, and particularly that within the hospital environment, has been under intense scrutiny in an attempt to improve patient safety and optimize outcomes. Anesthesiology has been cited as among the most successful specialties effecting improvements. According to the Institute of Medicine's 1999 report, To Err is Human, "... anesthesiology has successfully reduced anesthesia mortality rates from two deaths per 10,000 anesthetics administered, to one death per 200,000 to 300,000 anesthetics administered."

https://www.researchgate.net/publication/6676983_A_three-decade_perspective_on_anesthesia_safety

 

[EternalMD]

I like the approach

--- Say something nice "i give you props"
--- Follow with criticism "but you guys are useless"

if only you perfected it with "on the other hand, you guys are AMAZING at moving the table up and down"

 

[nissangtr]

you guys are a little bit sensitive aren't you? i guess you guys have to be since there is no difference in mortality/care that a crna provides compared to an anesthesiologist..............but obviously you guys need an ego to have a sense of self-worth.............

 

[fastosprintini]

 

[slunk]

you guys are a little bit sensitive aren't you? i guess you guys have to be since there is no difference in mortality/care that a crna provides compared to an anesthesiologist..............but obviously you guys need an ego to have a sense of self-worth.............

theres also no data on whether a slug of propofol for induction increases mortality in aortic stenosis patients vs other induction drugs.

oh wait... you're probably just a douche med student going into surgery and don't know what I'm talking about.

 

[Bertelman]

you guys are a little bit sensitive aren't you? i guess you guys have to be since there is no difference in mortality/care that a crna provides compared to an anesthesiologist..............but obviously you guys need an ego to have a sense of self-worth.............

Where exactly are you in your studies? An undergrad with some time to kill? You seem to have made a craft out of posting to the specialty forums and insulting us. OBs, FP, Psych, etc.

It's clear you're looking for a specialty with income and lifestyle. Get over yourself. We're not sensitive. We just get tired of tools like you that come along every 6 months telling us we shouldn't be making so much money. If you think you're the first person to bring up a thread like this, you're mistaken. So in this instance we choose to skip the pleasantries and insult your ignorant thoughts.

 

[deleted126335]

.

 

[JLM]

you guys are a little bit sensitive aren't you? i guess you guys have to be since there is no difference in mortality/care that a crna provides compared to an anesthesiologist..............but obviously you guys need an ego to have a sense of self-worth.............

Come on guys . . . is there really any question as to who or what this creature is. Lets not feed it. Perhaps it should spend a bit more time learning its nursing theory and less time trying to piss off the physicians.

 

[JohnnyRock]

Looks like this every post this guy has made in the past has inquired into the salaries and hours worked for anesthesiologists, ob-gyn, FM, etc..

It also looks like someone is bitter because they don't have the USMLE scores to be competitive enough to get an anesthesia residency.

 

[nissangtr]

crna=anesthesiologist in terms of care. too bad you people are useless

 

[Planktonmd]

:troll:

crna=anesthesiologist in terms of care. too bad you people are useless

 

[StanleyCup7]

:troll:

Really? C'mon, I think it's kind of fun...

 

[jetproppilot]

crna=anesthesiologist in terms of care. too bad you people are useless

"LISTEN, MUTHERF........."

Nahhhh.

😆😆😆

 

[RussianJoo]

 

[Coastie]

I LOL'd at this picture. Much props.

 

[flashgordon]

I hope this DOUCHEBAG gets his IP address banned permanently.

Good luck scrambling for a FM residency spot in BFE...

 

[jetproppilot]

I hope this DOUCHEBAG gets his IP address banned permanently.

Good luck scrambling for a FM residency spot in BFE...

SDN moderator colleague, alone on top of an adjacent building. Night scope homed in on the head of the troll. SEVEN SIX TWO MILLIMETER. FULL. METAL. JACKET....

One shot, it's echo filling the streets.

POW.

One shot, one professional assassin kill. SEE YA, SLIM.👍

 

[chillman_05]

SDN moderator colleague, alone on top of an adjacent building. Night scope homed in on the head of the troll. SEVEN SIX TWO MILLIMETER. FULL. METAL. JACKET....

One shot, it's echo filling the streets.

POW.

One shot, one professional assassin kill. SEE YA, SLIM.👍

 

[jwk]

crna=anesthesiologist in terms of care. too bad you people are useless

I know you're already gone but you probably can't help yourself looking back and seeing what an ass you made out of yourself.

It's interesting to me that CRNA students get the political indoctrination before they even start clinicals. Strange priorities.

 

[Masseter Spasm]

nissangtr wrote:

"props to everybody who is an anesthesiologist...........but does anybody feel that anesthesiologists pay is somewhat undeserved?"

I think this is a reasonable question, which our specialty will need to do a better job of answering in the future. With potential changes in health care and reimbursement on the horizon, it is quite posssible that our services may be paid less.

I think the answer (for now) is that anesthesiologists get reimbursed for performing procedures and for the time involved providing anesthesia. Overall, we are a hospital-based specialty and much of our actual work time is reimbursed. This is often not the case for other physicians. Office based specialties collect for office visits. Time spent beyond a patients office visit coordinating care, haggling with insurance companies, and completing charting is not reimbursed beyond the basic office visit code. A more complex patient or in lenghty evaluation, however, might code at a higher rate.

That is one simple and probably naive explanation. Perhaps some of the older more economically savy attendings could expand on this topic

 

[proman]

What other specialty gets paid for how long it takes to do work? From what I understand, the ASA negotiated time because we're so dependent on other physicians (ie slow surgeons). The surgeons should have lobbied a way to get paid for doing that re-re-redo abdominal case that takes 3 hours just to get in the belly.

 

[killerleaf]

I have always heard:

A monkey can put someone "under"😴
but it takes an anesthesiologist to keep them alive.

 

[Licoricestick]

I have always heard:

A monkey can put someone "under"😴
but it takes an anesthesiologist to keep them alive.

Quite true!

The other one I tell my patients when they think I'm either not a doctor or "just" the anaesthetist is that I don't get paid to put them to sleep, I get paid to wake them up again at the end of case.

 

[dfk]

I have always heard:

A monkey can put someone "under"😴
but it takes an anesthesiologist to keep them alive.

clearly you know nothing.. or at least not enough.

 

[sevo85288]

crna = md. yes that's why only crnas are employed in the USA; even at Kaiser Permenente where $$ is everything, and the HMO is known for cost cutting measures; they have almost a 1:1 ratio. And no CRNA is allowed to touch kids, old people, sick people or anyone who is educated enough to know the difference b/t a nurse and a doctor. (or hospital admins or surgeon family members) 2 yrs of ICU nursing and you think you know it all....nice. Maybe you can do the surgery.

 

[Bertelman]

clearly you know nothing.. or at least not enough.

On what point is he uninformed?

 

[medstud2be]

I went back to work for the summer after first year of med school. (IM/Peds practice) I was talking to the nurse manager of the OR at the rural, county hospital where we admit. She told me that in the last 6 months they have stopped using CRNAs because no physician was willing to take the responsibility. Now, they are contracting with an MD/DO group to provide all their care. According to her, multiple places in the surrounding areas have implemented this same prolicy. Supposedly, the surgeons said they would not be responsible, and demanded Anesthesiologists because of several instances of subpar/mediocre care by the CRNAs. After having formal complaints lodged with the hospital medical board, the administrators decided it made more sense to hire MD/DOs. With the fear of litigation, the administrators didn't want the liability of using CRNAs. So, in this instance CRNA does not equal MD.

 

[Planktonmd]

clearly you know nothing.. or at least not enough.

😀
If that's the case then he might be a CRNA

 

[ProRealDoc]

I went back to work for the summer after first year of med school. (IM/Peds practice) I was talking to the nurse manager of the OR at the rural, county hospital where we admit. She told me that in the last 6 months they have stopped using CRNAs because no physician was willing to take the responsibility. Now, they are contracting with an MD/DO group to provide all their care. According to her, multiple places in the surrounding areas have implemented this same prolicy. Supposedly, the surgeons said they would not be responsible, and demanded Anesthesiologists because of several instances of subpar/mediocre care by the CRNAs. After having formal complaints lodged with the hospital medical board, the administrators decided it made more sense to hire MD/DOs. With the fear of litigation, the administrators didn't want the liability of using CRNAs. So, in this instance CRNA does not equal MD.

it only makes sense to always have anesthesiologists around supervising CRNAs. We must continue to fight the nurses push for independence. It is not ideal for patient care despite how much they would like to believe so themselves.

 

[veetz]

Whenever I introduce myself as an anesthesia doctor and they say, 'Oh, you're the person who's going to put me to sleep", I counter with, "No, I'm the one who is going to make sure you wake up!!"

 

[coprolalia]

What I've noticed about the midlevels with whom I practice is that the majority of them seem to be far more cavalier about the anesthetic they are giving. It reminds me, many times, of when I was a CA-1...

Early in my training, I used to do cases, put patients to sleep, wake them up, drop them off in the PACU, and nothing seemed to go wrong. My attending would come in and would point out what I needed to pay more attention to, and I would think to myself, "This d-bag. That **** ain't important." And, each day, I would reaffirm this with my limited experience doing cases in patients where there weren't many co-morbidities or when I would never see them again post-op.

Then, as I progressed through my training, I got more experience taking care of truly sick patients. I mean, taking patients to the OR who were at death's door. I started doing my advanced rotations in the ICU, and I got to see what the effects of a sub-optimal anesthetic had on the patient (acute kidney injury, need for prolonged resuscitation, inadequate analgesia, prolonged intubation, massive fluid shifts, etc.) in the immediate peri-operative period. My eyes were opened. And, I started to realize how important the little details that I wasn't previously aware of actually were. This is the result of knowledge AND experience, and what separates a practitioner from a consultant. That's the difference.

So, now I see this unspoken but clinically-evident bravado in my CRNA colleagues with whom I work, and I'm reminded of myself early in my training. But, when a truly, truly sick patient comes to the OR, they suddenly seem a little more quiet. They suddenly seem to have a little wider eyes and slightly more dilated pupils. You suddenly start to hear from them things like, "Hey, is there anything I'm missing here?" or "What do you think we should do next?"

Many of you have heard the saying: "There are no atheists in a foxhole." Sometimes in the OR we find ourselves, so to speak, in the foxhole with bombs dropping all around us and bullets whizzing over our heads. The spirit of this expression is far more evident in our daily clinical practice than most CRNAs are willing to admit. That would require them to let go of their tenacious grip on the attempted devaluation of the Anesthesia Care Team model, something - purely for political and financial reasons, not safety - they are vociferously unwilling to do.

-copro

 

[funkyfaroh]

dude....as a brand spanking new CA-1, that was a very eye-opening and beneficial post. Thanks Copro!