So tired of defending myself

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Beck928

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So now that I've matched, I am still on rotations of various kinds (unlike the lucky buggers out there who are "done" for the year, my school gives us no breaks!). When I tell my attendings that I'm going to be an anesthesiologist, I get all kinds of crap! Like "it's too bad you aren't going to be a 'real' doctor", and "you think it's going to be fun to put people to sleep all day long, that's going to get old fast", and also "you aren't going to have time for a family with a two physician household". Now I know this is just BS, but I'm getting frustrated! Don't people understand that's why there's different specialties, for different types of personalities? If I had to disect out a brain tumor for 10 hours, like the stuff I've seen recently, I would go insane! Why do people have to rain on everyone else's parade just because they're unhappy?
 
Wonder Woman, as I am sure you know from your clinical experience and your time on these forums, most doctors/med students have no idea what it is that anesthesiologists really do. Most think that anesthesiology involves bedtime stories and warm milk (propofol) and that the rest of the time is spent catching up on the stock ticker. However, as it has been said about a billion times on this forum, when the proverbial hits the fan anywhere in the hospital, anesthesia is the first group to be called. Consider them worse off for their ignorance--you have already seen the light! :idea:

Tell them that you realized that you want to be a happy, well-adjusted, stellar doctor and you found the fastest way to that goal was to be an anesthesiologist. Oh by the way, I am sure that no anesthesiologist has ever questioned your choice!!!

Your friendly Danger Man
 
Try to take these remarks as compliments. What they're trying to say is, "Damn, you're smart...wish I had you in my specialty".

Last week an internal med attending asked me what/where I matched. Told him. He said, "What's a smart guy like you going into anesthesiology for?"
I got pissed and said, "What, you want a dummy putting in your wife's epidural or anesthetizing your kid?" 😉

That shut him up fast. But I don't think he was trying to be offensive -- I think the medicine people are just jealous that competitive MS4s who might have once picked medicine are picking rads and anesthesiology...
 
bullard said:
Try to take these remarks as compliments. What they're trying to say is, "Damn, you're smart...wish I had you in my specialty".

Last week an internal med attending asked me what/where I matched. Told him. He said, "What's a smart guy like you going into anesthesiology for?"
I got pissed and said, "What, you want a dummy putting in your wife's epidural or anesthetizing your kid?" 😉

That shut him up fast. But I don't think he was trying to be offensive -- I think the medicine people are just jealous that competitive MS4s who might have once picked medicine are picking rads and anesthesiology...


Well said bullard...
Ask that attending who he calls in the middle of the night when one of his gomers in the ICU pulls out his trach and the patient then develops SUB-Q emphysema and he can't secure the airway to save his life, let alone his patient's, which DUMMY does he call...Sorry for the bashing but I also am sick of people slamming anesthesia like we are all a bunch of shmucks...I have said it before, I'll say it again, if we can't keep you alive or at least keep you stable enough to head to the OR, then for the most part no-one can period. God bless Anesthesia.

XC
 
who really cares what other people say. you do what you enjoy doing, and whether or not other people love or hate what you do, it shouldn't get you riled up like this.

medicine is all about ripping other people's specialties. we like dogging on medicine or surgery people about their choices because it's too boring, too many rounds, glorified carpenters, etc. etc...we do it, they do it...just don't let it get to you.
 
tell them to piss off. that will work. or you could just say "all i care about is money."

seriously, when your happily married, your loans are paid off, you have plenty of time for sex, and your able to watch your kids grow up...your not going to give a rat's ass what some b.s. medicine doctor thinks.
 
bullard said:
I think the medicine people are just jealous that competitive MS4s who might have once picked medicine are picking rads and anesthesiology...

once while discussing my budding career as an anesthesiologist, i actually had a very friendly and cool medicine attending, with whom i had a great and jokey rapport, say to me, "you are smart enough to have had a good career in medicine."

after a nice dramatic pause, i said, "no, actually i'm smarter." still to this day don't think he completely got it.

it is very true that when the doo-doo hits the fan in the hospital, anesthesia is always there. and, in all of the numerous codes i've been to, i'm always amazed at how all these brilliant medical residents seem to almost immediately vanish. guess they'd rather sit around for hours and hours and discuss the numerous differential diagnoses for mr. smith's rash. more power to them. i know i could hang with them and develop just as long of a list, but that ain't for me.
 
its funny that Beck brought up this subject.

two times today I told docs that asked me what I was going into. I told them I matched into anesthesiology. first thing one guy said was they "have a high suicide rate" and the second guy said " you know you better watch out many of the anesthesiologists I know are hooked on stuff like fentanyl, etc...so be careful".

both of these docs were miserable docs who it was apparent, hated doing their jobs. these comments were a clear indication to me that they were basically saying, "fudge, i shoulda gone into anesthesiology".

hahaha

suckas
 
Just say "I'll remind you of that when you try and switch into Anesthesiolgy after next year". I had a peds attending give me s h i t about anesthesiology last year every day I was onher service only to see her on the interview trail this year trying to get into anesthesia. I reminded of her of what she said - she denied it - I laughed. She won the battle last year I won the war.
 
I find this to be a very common thing to encounter from anyone not experienced in what an anesthesiologist really does. My peds chief resident disparaged the profession several times while I was on the rotation. I finally couldn't hold back anymore and told him off. It hurt my evaluation, of course, but I didn't care.
 
I find it somewhat suprising that you all have experienced this type of scrutiny, especially from primary care providers/residents. I found the latter to be very respectful and even deferential to our knowledge of critical care and management of emergency situations. Perhaps it is because we have a strong critical care presence in the pedi ICU.

My personal experiences were very positive especially on ICU/PICU rotations.

So far in the private practice arena, my interactions with both surgical and primary colleagues has been more than collegial with a healthy exchange of ideas.
 
This thread caught my eye...I'm doing Family Medicine but it's really funny to see people in the so-called "competitive" specialties dealing with the same BS.

Honestly, we're all smart, or we wouldn't be here. Let's not get too caught up in that kind of posturing or it makes us look worse than the people putting us down.

I had no idea when I decided to become a doctor that the field would be so full of playground politics and pi$$ing contests. Who cares, honestly? Apparently lots of insecure folks out there do...

God bless anaesthesiologists...and family docs...and radiologists...and pediatricians...etc, etc. None are any better or more important than the rest.

Well, best of luck to you guys. Glad you too have found what you love. Now just ignore the unhappy whiners out there who make themselves feel better by putting down every other specialty. Maybe the next generation of physicians can start to change the sometimes malignant nature of this profession....
 
Beck928 said:
So now that I've matched, I am still on rotations of various kinds (unlike the lucky buggers out there who are "done" for the year, my school gives us no breaks!). When I tell my attendings that I'm going to be an anesthesiologist, I get all kinds of crap! Like "it's too bad you aren't going to be a 'real' doctor", and "you think it's going to be fun to put people to sleep all day long, that's going to get old fast", and also "you aren't going to have time for a family with a two physician household". Now I know this is just BS, but I'm getting frustrated! Don't people understand that's why there's different specialties, for different types of personalities? If I had to disect out a brain tumor for 10 hours, like the stuff I've seen recently, I would go insane! Why do people have to rain on everyone else's parade just because they're unhappy?

I know how you feel there Beck. I too am from AZCOM and they made me do rotations right up until a week before graduation in JUNE!!!!! Arrrggh! But I got the last laugh. I scheduled an 8 week research trip to Nepal right after the match and had it count for elective time. oh yea.

ripped cheese is right. all specialties love to rip on each other. its crazy. anesthesiologists are all on drugs and read the newspaper during cases. surgeons are divorced and know nothing about medicine. orthopods are smartest in med school and dumbest after graduation. internists are the fleas. pathologists are introverted freaks. radiologists are like waffles. ER is glorified family medicine. Did I forget to offend anyone?

who cares what other people say. just tell them you are on drugs.

I'm on drugs!!!!
 
supahfresh said:
anesthesiologists are all on drugs and read the newspaper during cases. surgeons are divorced and know nothing about medicine. orthopods are smartest in med school and dumbest after graduation. internists are the fleas. pathologists are introverted freaks. radiologists are like waffles. ER is glorified family medicine. Did I forget to offend anyone?

you forgot to offend family medicine. 🙂
 
Every person I tell always gives me really positive feedback. On my last FP rotation, the doc must have told me at least 3-4 times a week what a great decision anesthesiology was. The only flack I ever got was from a surgeon who thought radiology was the way to go. Then again, I have been lucky enough to never get any crap from anyone all through school - I am thinking that my surgery prelim year will make up for that!
 
Beck928 said:
So now that I've matched, I am still on rotations of various kinds (unlike the lucky buggers out there who are "done" for the year, my school gives us no breaks!). When I tell my attendings that I'm going to be an anesthesiologist, I get all kinds of crap! Like "it's too bad you aren't going to be a 'real' doctor", and "you think it's going to be fun to put people to sleep all day long, that's going to get old fast", and also "you aren't going to have time for a family with a two physician household". Now I know this is just BS, but I'm getting frustrated! Don't people understand that's why there's different specialties, for different types of personalities? If I had to disect out a brain tumor for 10 hours, like the stuff I've seen recently, I would go insane! Why do people have to rain on everyone else's parade just because they're unhappy?

You dudes/dudettes are experiencing competitive stuff confined to academic medicine.

Bill the anesthesiologist, John the cardiologist, Brian the neurosurgeon, Rick the orthopedist, Charlie the spine surgeon, John the general surgeon, Lenny the pulmonary dude, etc see each other in the OR doctors lounge nearly every day at my facility.

We talk about our house renovations, marriage, kids, cars, vacations, airplanes, the upcoming football season, and occasionally, medicine.

Nobody gives a s hit why we all picked the specialty we did. We're a bunch of dudes that come to work, do our jobs, shoot the s hit with each other, and come home to our families.

For most of you, the egocentric-I'm-concerned-about-the-"respect factor"-of-my-specialty will pass. And the people (med students, residents, academic attendings) who are self conscious, insecure people that make comments like posted above (i.e. "too bad youre not gonna be a real doctor"....yeah whatever you insecure, arrogant pr ick) will soon become a distant memory.
 
The kind of people who would rip on a student's profession to his/her face are the kind of jerks you go into anesthesiology to avoid. Personally, I make a point of being nice and encouraging about any field that a student claims interest in. They all have their good points, even though you couldn't get me to do some of those fields under pain of death. Most of these residents/attendings wouldn't mouth off to different specialists at the same level of training. They're just bullying you because you're just a lowly student who doesn't matter. People like that represent everything that is wrong with academic medicine.

Platysma
CA-1 NYPH-Columbia

ps the guy who talked about fentanyl addiction was probably trying to be a jerk, but in all honesty, drug addiction in anesthesiology is something worth taking seriously.
 
supahfresh said:
only teasing. family docs do it all

That's okay, I know you were strung out on drugs when you said it so I didn't take it personally. 😉

Excellent perspective above, by the way. Can't wait to get to the point where this is a job and not a character definition.

OK, back to hanging out with all the ******s on the family board. 🙂
 
sophiejane said:
That's okay, I know you were strung out on drugs when you said it so I didn't take it personally. 😉

Excellent perspective above, by the way. Can't wait to get to the point where this is a job and not a character definition.

OK, back to hang out with all the ******s on the family board. 🙂

I was higher than you could ever imagine. tell the other ******s that the drug addicts say hi.
 
during interviews, a cardiologist that was interviewing me for a prelim spot said:
"You're going into anesthesiology? What a waste. How come all the smart ones now go to anesthesia"

It was like a half compliment, half put down. It does seem like anesthesia is going to hold some really top caliber students from now on.
 
jetproppilot said:
You dudes/dudettes are experiencing competitive stuff confined to academic medicine.

Bill the anesthesiologist, John the cardiologist, Brian the neurosurgeon, Rick the orthopedist, Charlie the spine surgeon, John the general surgeon, Lenny the pulmonary dude, etc see each other in the OR doctors lounge nearly every day at my facility.

We talk about our house renovations, marriage, kids, cars, vacations, airplanes, the upcoming football season, and occasionally, medicine.

Nobody gives a s hit why we all picked the specialty we did. We're a bunch of dudes that come to work, do our jobs, shoot the s hit with each other, and come home to our families.

For most of you, the egocentric-I'm-concerned-about-the-"respect factor"-of-my-specialty will pass. And the people (med students, residents, academic attendings) who are self conscious, insecure people that make comments like posted above (i.e. "too bad youre not gonna be a real doctor"....yeah whatever you insecure, arrogant pr ick) will soon become a distant memory.

And more importantly, I've been out of residency since 1996. And I still enjoy my job. Why? In no particular order,

1) The OR is a dynamic place. I enjoy conversation with people from all walks of life: patients rich and poor, surgeons, nurses, transporters, OR schedulers, CRNAs, SRNAs, my partners, etc
2)I dont have to go to clinic. About 95% of the specialists that require clinic, hate clinic.
3)I dont have to worry about what I'm gonna wear in the morning. Scrub drawer, t shirt drawer, underwear drawer, footie drawer, to the shower. Every morning.
4)I do cool procedures every day.
5)My schedule is pretty predictable.
6)I get alot of time off.
7)Many patients are very thankful for your presence, primarily in OB.
8)Rescuscitating a critically ill patient is second nature, thanks to training/experience.
9)I don't round incessantly
10)I dont have to write long winded, useless notes. Yes, a long winded initial note by the admitting MD is an asset to the patient's chart...but after that, unless theres a significant change, all the rest is usually a waste of time.
11)I get satisfaction out of helping surgeons....yep, thats right. Not the a ss h oles, who are rare out here by the way...but the deft dudes...they share a mutual respect...they value your prowess and are overtly appreciative if you make their day go smooth...they take your suggestions and value your opinions.
12)I'm reimbursed very well for my time at work.

Not too bad for a working man's gig.
 
jetproppilot said:
And more importantly, I've been out of residency since 1996. And I still enjoy my job. Why? In no particular order,

1) The OR is a dynamic place. I enjoy conversation with people from all walks of life: patients rich and poor, surgeons, nurses, transporters, OR schedulers, CRNAs, SRNAs, my partners, etc
2)I dont have to go to clinic. About 95% of the specialists that require clinic, hate clinic.
3)I dont have to worry about what I'm gonna wear in the morning. Scrub drawer, t shirt drawer, underwear drawer, footie drawer, to the shower. Every morning.
4)I do cool procedures every day.
5)My schedule is pretty predictable.
6)I get alot of time off.
7)Many patients are very thankful for your presence, primarily in OB.
8)Rescuscitating a critically ill patient is second nature, thanks to training/experience.
9)I don't round incessantly
10)I dont have to write long winded, useless notes. Yes, a long winded initial note by the admitting MD is an asset to the patient's chart...but after that, unless theres a significant change, all the rest is usually a waste of time.
11)I get satisfaction out of helping surgeons....yep, thats right. Not the a ss h oles, who are rare out here by the way...but the deft dudes...they share a mutual respect...they value your prowess and are overtly appreciative if you make their day go smooth...they take your suggestions and value your opinions.
12)I'm reimbursed very well for my time at work.

Not too bad for a working man's gig.
gonna mk a Tshirt out of this
 
Ahh, you have all restored my faith in this profession! Well, I'm kidding because I never lost my faith, but it's good to hear that others have had similar experiences. And I think that Bullard and Volatile hit the nail on the head when they mentioned that attendings are disappointed to lose great students to another specialty. And it's true that no one has any idea what really goes on behind the curtain unless they've done it. Again, I have NEVER heard an anesthesiologist discourage someone from going into anesthesia. All I have to do is get through a YEAR of wards, and then I'll really be glad that I went into anesthesia!
 
pej933 said:
"You're going into anesthesiology? What a waste. How come all the smart ones now go to anesthesia"

"Well Dude, anesthesiologists make alotta c-notes, most students that go into the specialty enjoy medicine but want a life outside the hospital which, by the way, the specialty provides, most anesthesiologists enjoy their work, burnout is low, and satisfaction, even years into practice, is high."

"Anything else, you insecure piece of s hit?"
 
yeah i hear you guys. . .I've been on medicine rotations the past couple of months, and I too heard a lot of misconceptions about the field, as well as regarding anesthesiologists' motivations for choosing the field. Just tonight, I was at a dinner get together with my team from last month, and one of the interns was so surprised that I actually enjoyed every rotation 3rd year, because he thought anesthesia was a field people chose cause they didn't like any of their 3rd year rotations. Whereas one of the reasons I chose anesthesia was BECAUSE i felt it was a synthesis of most medical fields--cardiology, renal, endocrine, hematology (well internal medicine, period! ALL of it), exposure to surgery, peds, emergency medicine (in the OR or on the floors during codes), CCM. Actually in my experience those who chose anesthesia cause they enjoyed everything were in the majority vs those who chose it out of exclusion.

When I started my medicine sub-i last month, when my resident and I were discussing what I'd like to get out of the month, he ACTUALLY goes "Well, I know you're going into anesthesiology, so you're prob not that interested in learning medicine." i'm like. . .does he realize how dangerous anesthesia would be if anesthesiologists practiced without a solid medicine foundation?? 😱 Yes, I was a bit offended by his statement. . .(1) because just cause I'm going into anesthesiology shouldn't imply that I'm not interested in learning something else and (2) because anesthesiology DOES involve a lot of medicine, and I chose anesthesia BECAUSE i enjoy medicine (not because of a lack of interest in IM).

I'm just appalled at how little other physicians know about our field. One of my missions is to change this. You guys should too. Educate em about how this field is awesome, not cause of the "easy" hours, not cause of the "pay", cause it's FUN, cause it's CEREBRAL yet PROCEDURAL, cause you have to be an expert at medicine and pharmacology, cause it's acute care at its purest, cause there is so much yet to be discovered!! (shall i go on?) c'mon there are so many awesome things about anesthesiology, why do people always start by mentioning the "pay" and the "hours"? This is what leads to the stereotypes. . .and I know most of you all didn't choose anesthesia primarily for the "hours" and the "pay". Let's go out there and EDUCATE! 👍
 
chicamedica said:
yeah i hear you guys. . .I've been on medicine rotations the past couple of months, and I too heard a lot of misconceptions about the field, as well as regarding anesthesiologists' motivations for choosing the field. Just tonight, I was at a dinner get together with my team from last month, and one of the interns was so surprised that I actually enjoyed every rotation 3rd year, because he thought anesthesia was a field people chose cause they didn't like any of their 3rd year rotations. Whereas one of the reasons I chose anesthesia was BECAUSE i felt it was a synthesis of most medical fields--cardiology, renal, endocrine, hematology (well internal medicine, period! ALL of it), exposure to surgery, peds, emergency medicine (in the OR or on the floors during codes), CCM. Actually in my experience those who chose anesthesia cause they enjoyed everything were in the majority vs those who chose it out of exclusion.

When I started my medicine sub-i last month, when my resident and I were discussing what I'd like to get out of the month, he ACTUALLY goes "Well, I know you're going into anesthesiology, so you're prob not that interested in medicine." i'm like. . .does he realize how dangerous anesthesia would be if anesthesiologists practiced without a solid medicine foundation??

I'm just appalled at how little other physicians know about our field. One of my missions is to change this. You guys should too. Educate em about how this field is awesome, not cause of the "easy" hours, not cause of the "pay", cause it's FUN, cause it's CEREBRAL yet PROCEDURAL, cause you have to be an expert at medicine and pharmacology, cause it's acute care at its purest, cause there is so much yet to be discovered!! (shall i go on?) c'mon there are so many awesome things about anesthesiology, why do people always start by mentioning the "pay" and the "hours"? This is what leads to the stereotypes. . .and I know most of you all didn't choose anesthesia primarily for the "hours" and the "pay". Let's go out there are EDUCATE! 👍

Sorry to burst your bubble, but lets take off the rose-colored glasses for a minute and talk.

First of all, like my post above stated, you are experiencing a transient academic-syndrome, where egos play a larger-than-normal part, where people feel the need to express opinions of which specialty is best, worst. No such banter occurs in my world.

Secondly, anesthesia's reimbursement DID play a part in my specialty selection. I came out of med school 200k in debt. Yeah, I like medicine. But it is not my identity. My identity is outside the hospital. So one of my goals coming out of med school was to get the most bang for my buck so I could continue my identity, which like I said, is outside the hospital. Family/personal interests are my identity. Not anesthesia.

Just so happens I like what I do. And I'm good at it.

You are at a point in your career where talking about money is taboo, so I understand your post. And yes, philanthropic individuals exist who dont care about how much debt they are in after med school, and dont really care that on a pediatricians salary, paying back 200k in student loans while also paying a mortgage and having 2-3 kids is gonna be rough. I respect those people.

But thats not me.

Taboo post here? Probably. But you need to hear it.

Think outside the box for a minute. Read some of my past posts about how after, say, five years or so in practice, ANY specialty will become kinda routine, and resemble a job in the true sense. Your life interests will diversify. Marriage. Kids. Travel. Maybe you'll wanna fly airplanes.

Do I like anesthesia? Yep. Could I like interventional rads? Yep.

I'd be happy in any well-reimbursed specialty with a good lifestyle. But I'm one of the dudes that doesnt put alotta emphasis on the doctor thing. Again, medicine isnt my identity.

I can say these things now because of where I am in my career. Ten years out. No way I'd do the weekends/holidays/nightwork I do for a pediatricians salary.

Does that make me "less" of a doctor? Maybe to the people you are associating with now. But like I said earlier, nobody out here really gives a rats a ss. We all come to work, then we go home.

But thats OK. I like what I do. I'm good at what I do. I deliver superior patient care, I work my a ss off to make sure the surgeons are in and out, and my department has high morale/no attrition under my leadership.

So tell your friends theres this anesthesiologist out there that posts on SDN who has paid off all his debt, enjoys his job, is watching his kids grow up, and has time to stay current in the left seat of a turboprop.

And theres many, many anesthesiologists out there just like me.
 
jetproppilot said:
Sorry to burst your bubble, but lets take off the rose-colored glasses for a minute and talk.

First of all, like my post above stated, you are experiencing a transient academic-syndrome, where egos play a larger-than-normal part, where people feel the need to express opinions of which specialty is best, worst. No such banter occurs in my world.

Secondly, anesthesia's reimbursement DID play a part in my specialty selection. I came out of med school 200k in debt. Yeah, I like medicine. But it is not my identity. My identity is outside the hospital. So one of my goals coming out of med school was to get the most bang for my buck so I could continue my identity, which like I said, is outside the hospital. Family/personal interests are my identity. Not anesthesia.

Just so happens I like what I do. And I'm good at it.

You are at a point in your career where talking about money is taboo, so I understand your post. And yes, philanthropic individuals exist who dont care about how much debt they are in after med school, and dont really care that on a pediatricians salary, paying back 200k in student loans while also paying a mortgage and having 2-3 kids is gonna be rough. I respect those people.

But thats not me.

Taboo post here? Probably. But you need to hear it.

Think outside the box for a minute. Read some of my past posts about how after, say, five years or so in practice, ANY specialty will become kinda routine, and resemble a job in the true sense. Your life interests will diversify. Marriage. Kids. Travel. Maybe you'll wanna fly airplanes.

Do I like anesthesia? Yep. Could I like interventional rads? Yep.

I'd be happy in any well-reimbursed specialty with a good lifestyle. But I'm one of the dudes that doesnt put alotta emphasis on the doctor thing. Again, medicine isnt my identity.

I can say these things now because of where I am in my career. Ten years out. No way I'd do the weekends/holidays/nightwork I do for a pediatricians salary.

Does that make me "less" of a doctor? Maybe to the people you are associating with now. But like I said earlier, nobody out here really gives a rats a ss. We all come to work, then we go home.

But thats OK. I like what I do. I'm good at what I do. I deliver superior patient care, I work my a ss off to make sure the surgeons are in and out, and my department has high morale/no attrition under my leadership.

So tell your friends theres this anesthesiologist out there that posts on SDN who has paid off all his debt, enjoys his job, is watching his kids grow up, and has time to stay current in the left seat of a turboprop.

And theres many, many anesthesiologists out there just like me.

Jet, you are the man.

I know you probably already know this, but I think it bears repeating.
 
jetproppilot said:
Sorry to burst your bubble, but lets take off the rose-colored glasses for a minute and talk.

First of all, like my post above stated, you are experiencing a transient academic-syndrome, where egos play a larger-than-normal part, where people feel the need to express opinions of which specialty is best, worst. No such banter occurs in my world.

Secondly, anesthesia's reimbursement DID play a part in my specialty selection. I came out of med school 200k in debt. Yeah, I like medicine. But it is not my identity. My identity is outside the hospital. So one of my goals coming out of med school was to get the most bang for my buck so I could continue my identity, which like I said, is outside the hospital. Family/personal interests are my identity. Not anesthesia.

Just so happens I like what I do. And I'm good at it.

You are at a point in your career where talking about money is taboo, so I understand your post. And yes, philanthropic individuals exist who dont care about how much debt they are in after med school, and dont really care that on a pediatricians salary, paying back 200k in student loans while also paying a mortgage and having 2-3 kids is gonna be rough. I respect those people.

But thats not me.

Taboo post here? Probably. But you need to hear it.

Think outside the box for a minute. Read some of my past posts about how after, say, five years or so in practice, ANY specialty will become kinda routine, and resemble a job in the true sense. Your life interests will diversify. Marriage. Kids. Travel. Maybe you'll wanna fly airplanes.

Do I like anesthesia? Yep. Could I like interventional rads? Yep.

I'd be happy in any well-reimbursed specialty with a good lifestyle. But I'm one of the dudes that doesnt put alotta emphasis on the doctor thing. Again, medicine isnt my identity.

I can say these things now because of where I am in my career. Ten years out. No way I'd do the weekends/holidays/nightwork I do for a pediatricians salary.

Does that make me "less" of a doctor? Maybe to the people you are associating with now. But like I said earlier, nobody out here really gives a rats a ss. We all come to work, then we go home.

But thats OK. I like what I do. I'm good at what I do. I deliver superior patient care, I work my a ss off to make sure the surgeons are in and out, and my department has high morale/no attrition under my leadership.

So tell your friends theres this anesthesiologist out there that posts on SDN who has paid off all his debt, enjoys his job, is watching his kids grow up, and has time to stay current in the left seat of a turboprop.

And theres many, many anesthesiologists out there just like me.

Maybe you did pick anesthesia for the pay/hours. . .however, as you yourself say, you could have picked interventional rads too (which pays REALLY great!) Why didn't you? My point is that I'm pretty sure you picked anesthesia cause you thought it was an exciting field, first and foremost, even though money did happen to enter the equation for you. And the former is what we should accentuate when educating others about our field, imo. That is all i'm trying to say.

As for us graduating 200K in debt. . .most med students do. . .not everyone chooses anesthesia, nor is anesthesia THE highest paying field and it's not like the lower paying fields like IM or peds pay so meagerly that the debt cant be paid off. I do understand that some have families and that makes the debt harder to manage on 100K/yr. But, I'm sure for the majority of people entering anesthesiology residency, even those with families, the motivator for choosing the field was not primarily the money. It's a secondary issue for most i'd say (if that), especially that reimbursements tend to be cyclical.

I just feel that anesthesia deserves a lot more respect as a field, even from other health professionals. It's up to us to gain that respect. this isn't about wanting to act or appear smarter than the other fields. this also isn't about humility. It's apathy. the current apathy, or "not giving a rats a ss" what others think in regards to this, is actually adversely affecting current med students who are going into anesthesia. Heck if that resident hadn't actually told me his misconceptions to my face, and if i didn't have this opportunity to correct him, I would have ended up having a sub-par learning experience on the wards, cause he would have been lackadaisical about teaching me. I actually had to be extra-assertive the entire time, because of these assumptions, and felt like I constantly needed to prove to him that I was INDEED very interested in learning medicine otherwise he'd just spend all his time teaching the med student who was going into IM. And it really is OUR OWN FAULT that we perpetuate such stereotypes about our field, as exemplified by your very words.
 
chicamedica said:
Maybe you did pick anesthesia for the pay/hours. . .however, as you yourself say, you could have picked interventional rads too (which pays REALLY great!) Why didn't you? My point is that I'm pretty sure you picked anesthesia cause you thought it was an exciting field, first and foremost, even though money did happen to enter the equation for you. And the former is what we should accentuate when educating others about our field, imo. That is all i'm trying to say.

As for us graduating 200K in debt. . .most med students do. . .not everyone chooses anesthesia, nor is anesthesia THE highest paying field and it's not like the lower paying fields like IM or peds pay so meagerly that the debt cant be paid off. I do understand that some have families and that makes the debt harder to manage on 100K/yr. But, I'm sure for the majority of people entering anesthesiology residency, even those with families, the motivator for choosing the field was not primarily the money. It's a secondary issue for most i'd say (if that), especially that reimbursements tend to be cyclical.

I just feel that anesthesia deserves a lot more respect as a field, even from other health professionals. It's up to us to gain that respect. this isn't about wanting to act or appear smarter than the other fields. this also isn't about humility. It's apathy. the current apathy, or "not giving a rats a ss" what others think in regards to this, is actually adversely affecting current med students who are going into anesthesia. Heck if that resident hadn't actually told me his misconceptions to my face, and if i didn't have this opportunity to correct him, I would have ended up having a sub-par learning experience on the wards, cause he would have been lackadaisical about teaching me. I actually had to be extra-assertive the entire time, because of these assumptions, and felt like I constantly needed to prove to him that I was INDEED very interested in learning medicine otherwise he'd just spend all his time teaching the med student who was going into IM. And it really is OUR OWN FAULT that we perpetuate such stereotypes about our field, as exemplified by your very words.

Perpetuate such stereotypes? I'm sorry, I guess youre not understanding my point.

NO PHYSICIANS IN PRIVATE PRACTICE CARE BECAUSE IT IS A NON ISSUE.

You are placing relevance on something that is irrelevant. Transiently significant to you and your colleagues.

Med students will always make jokes/degrade specialties they arent going into, as will certain academicians/residents, no matter how much you "educate" them. And since it has no impact on your career, why worry about it?

Point being, youre making a huge issue out of something that will soon be a nonissue in your life. Poor words? Nope. True words.
 
Duckie24 said:
I find this to be a very common thing to encounter from anyone not experienced in what an anesthesiologist really does. My peds chief resident disparaged the profession several times while I was on the rotation. I finally couldn't hold back anymore and told him off. It hurt my evaluation, of course, but I didn't care.


Peds making fun of anesthesiology? I know many who are lucky to make $90K a year. :laugh:
 
jetpro! you are awesome. love your posts.
 
toughlife said:
Peds making fun of anesthesiology? I know many who are lucky to make $90K a year. :laugh:

I really respect the fact that many are "lucky to make $90k a year". It definitely makes questioning their motives difficult. There are lots of reasons to dislike pediatrics in my opinion, but I probably wouldn't laugh at a pediatrician because of the money he/she makes.
 
chicamedica said:
.....

I just feel that anesthesia deserves a lot more respect as a field, even from other health professionals. .....

You know why anesthesiology (as opposed to anesthesia...sorry just a pet peeve of mine :laugh: after the chair at my school rebuked me for using the word 'anesthesia' in my personal statment) isnt as 'respectful' at times. It's because we let midlevels do things. True, allowing them may benefit our pockets because it's financial more correct, unfortunatley onlookers see it as "anyone can do anesthesia'. These onlookers are surgeons, nurses, etc who then perpetuate this. Heck, I see it all the time.

Guys remember the 'hippocratic oath'? I do. One of the reasons that doctors say in the 19th century had soo much respect was because their jobs were seen as jobs that ONLY they could perform. They didnt share with the whole hospital. People talk about the art of medicine. Talk to older docs. The 'art' including keeping the 'secrets' of medicine and sharing it only with MEDICAL STUDENTS and then handing htat down. Also, part of the art of medicine was the solace found in a physician laying their hands on the patient. Nowadays, all this is seen to be paternalistic,etc. People can just go onto the internet or emedicine and just look up Tx of Crohns dz or whatever.

Call me a young guy with conservative thinking, but I think docs 'back in the day' had it right. They were compassionate. They were smart. They were all the things that docs are today. The only difference was that they kept the 'secrets' as secrets and with that respect followed. It added to mystery of a physician.
 
Beck928 said:
So now that I've matched, I am still on rotations of various kinds (unlike the lucky buggers out there who are "done" for the year, my school gives us no breaks!). When I tell my attendings that I'm going to be an anesthesiologist, I get all kinds of crap! Like "it's too bad you aren't going to be a 'real' doctor", and "you think it's going to be fun to put people to sleep all day long, that's going to get old fast", and also "you aren't going to have time for a family with a two physician household". Now I know this is just BS, but I'm getting frustrated! Don't people understand that's why there's different specialties, for different types of personalities? If I had to disect out a brain tumor for 10 hours, like the stuff I've seen recently, I would go insane! Why do people have to rain on everyone else's parade just because they're unhappy?

you have to defend yourself because all the other doctors out there who are not anesthesiologist belong here....

http://media.putfile.com/Dave-Chapp...yer-Haters-Ball
 
ThinkFast007 said:
You know why anesthesiology (as opposed to anesthesia...sorry just a pet peeve of mine :laugh: after the chair at my school rebuked me for using the word 'anesthesia' in my personal statment) isnt as 'respectful' at times. It's because we let midlevels do things. True, allowing them may benefit our pockets because it's financial more correct, unfortunatley onlookers see it as "anyone can do anesthesia'. These onlookers are surgeons, nurses, etc who then perpetuate this. Heck, I see it all the time.

Guys remember the 'hippocratic oath'? I do. One of the reasons that doctors say in the 19th century had soo much respect was because their jobs were seen as jobs that ONLY they could perform. They didnt share with the whole hospital. People talk about the art of medicine. Talk to older docs. The 'art' including keeping the 'secrets' of medicine and sharing it only with MEDICAL STUDENTS and then handing htat down. Also, part of the art of medicine was the solace found in a physician laying their hands on the patient. Nowadays, all this is seen to be paternalistic,etc. People can just go onto the internet or emedicine and just look up Tx of Crohns dz or whatever.

Call me a young guy with conservative thinking, but I think docs 'back in the day' had it right. They were compassionate. They were smart. They were all the things that docs are today. The only difference was that they kept the 'secrets' as secrets and with that respect followed. It added to mystery of a physician.

Aw jeez, can we please not turn it into one of THOSE threads?
 
Pooh & Annie said:
I really respect the fact that many are "lucky to make $90k a year". It definitely makes questioning their motives difficult. There are lots of reasons to dislike pediatrics in my opinion, but I probably wouldn't laugh at a pediatrician because of the money he/she makes.


By the same token, I would not try to shoot down a med student who had chosen anesthesiology as a career. If anything, that attending should have been humble and encouraged the student to pursue his/her dream.
 
toughlife said:
By the same token, I would not try to shoot down a med student who had chosen anesthesiology as a career. If anything, that attending should have been humble and encouraged the student to pursue his/her dream.
i mean i think jet is right when it comes down to it. All this crap is what we see in ACADEMIA. outside of it, there's probably no shuffling of feathers since everyone's just trying to be efficient, profitable, and provide 'the best healthcare possible".
 
Do y'all think that these attitudes will persist after residency? Are anesthesiology attendings still defending themselves? I am really drawn to the field but wonder about how I'll be treated throughout my career.
 
Sammich81 said:
Do y'all think that these attitudes will persist after residency? Are anesthesiology attendings still defending themselves? I am really drawn to the field but wonder about how I'll be treated throughout my career.

Read Jet's replies earlier in this thread...beyond a little good-natured ribbing, I believe the answer is a resounding "NO." I am willing to bet that most competent anesthesiologists don't ever have to worry about how they're treated.
 
Andy15430 said:
Read Jet's replies earlier in this thread...beyond a little good-natured ribbing, I believe the answer is a resounding "NO." I am willing to bet that most competent anesthesiologists don't ever have to worry about how they're treated.

Thanks Andy...new to the board as of today, going through and reading old threads so I apologize for any repetition! 😛
 
Sammich81 said:
Thanks Andy...new to the board as of today, going through and reading old threads so I apologize for any repetition! 😛

No problemo, amigo. I would definitely recommend reading through the FAQs at the top of the forum if you have not done so yet. Some of the info might be a little out-dated, but there is a LOT of great info in there.
 
Hello, first of all I will apologize for my english - I`m not an english native person. I`m from an european country, in my first year of residency on anesthesiology and intensive care, I`ve started it 3 months ago;
What I want to say is that I love this job, I like it, I think I`ll be good at it, I have skills for it, but my problem is that sometimes I`m not sure my body will resist to all the pressure, I have to stand on my feet a lot, much more than I expected; I think I`ll have to start exercising, I already have a family background of varicous veins.
Can you please tell me - what do you think from your experience - does an anesthesiologist need to be in a much better physical shape than doctors in other specialties?
 
radustanca said:
Hello, first of all I will apologize for my english - I`m not an english native person. I`m from an european country, in my first year of residency on anesthesiology and intensive care, I`ve started it 3 months ago;
What I want to say is that I love this job, I like it, I think I`ll be good at it, I have skills for it, but my problem is that sometimes I`m not sure my body will resist to all the pressure, I have to stand on my feet a lot, much more than I expected; I think I`ll have to start exercising, I already have a family background of varicous veins.
Can you please tell me - what do you think from your experience - does an anesthesiologist need to be in a much better physical shape than doctors in other specialties?

Hello, I am also not native english speking person. From Uzbekistan, I finnish my residencey 3 yrs ago. I love anaesthesia; I must have to say; my butt is hard as rock from years of work. Girls love it so i proud; I ashamed to say sometime boy look at me--but I get mad and punch him; "I no gay" I say(noting wrong wit gay people though). From lifting fatty people, I can now move my pec muscles side to side like bodybulders. Yes! Anaesthesiologist get all hot women(unfotunatly sometime men too--I explained alredy--see above).
 
Atropine said:
Hello, I am also not native english speking person. From Uzbekistan, I finnish my residencey 3 yrs ago. I love anaesthesia; I must have to say; my butt is hard as rock from years of work. Girls love it so i proud; I ashamed to say sometime boy look at me--but I get mad and punch him; "I no gay" I say(noting wrong wit gay people though). From lifting fatty people, I can now move my pec muscles side to side like bodybulders. Yes! Anaesthesiologist get all hot women(unfotunatly sometime men too--I explained alredy--see above).


:laugh: :laugh:
 
radustanca said:
Hello, first of all I will apologize for my english - I`m not an english native person. I`m from an european country, in my first year of residency on anesthesiology and intensive care, I`ve started it 3 months ago;
What I want to say is that I love this job, I like it, I think I`ll be good at it, I have skills for it, but my problem is that sometimes I`m not sure my body will resist to all the pressure, I have to stand on my feet a lot, much more than I expected; I think I`ll have to start exercising, I already have a family background of varicous veins.
Can you please tell me - what do you think from your experience - does an anesthesiologist need to be in a much better physical shape than doctors in other specialties?
yo man get a stool :laugh:
 
Jet said it best before.

Doctoring is what I do, it's not who I am. As much as I love medicine, and would never do anything else, I love my outside activities just as much. So, I could care less about some douche-bag academic internists opinion of what I do, as long as I like what I do, and I get to enjoy my life.

As an aside, I've had plenty of people say "Anesthesia... seems kinda boring." In fact, my dean looked me straight in the eye and said "anesthesia!! Better get a good seat cushion" and he's a geriatric rheumatologist, Oh how the irony burns. On the other hand, I've had plenty of overworked private surgeons, and male OB/GYN's say I'm making the right choice. It's interesting to see how right on the money jet is when he states that the competition and put-downs are an academic creature, and that everyone else is just working for a living, yet people keep worrying about others opinions.

BTW, Congrats Beck!!!
 
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