TIME Magazine Article

[SleepIsGood]

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FYI folks

there's a TIME magazine article on anesthesiology. I believe it's called "Guess who is putting you under".

Possibly a good PR move for us. The article which has quotes from Drs. Ron Miller and Guidiry go into the fact that many non-Anesthesia providers (ie Surgeons,etc) attempt to 'sedate' and then fall into traps. Miller actually talks about how he once gave a pt run-of the mill midazolam and the pt stopped breathing. The article also pointed out the fact that a plastic surgeon out in FLA had his girlfriend attempt to provide some sort of anesthesia but this ended up catastrophically.

Short article, check it out if you like👍

 

[carn311]

Link

 

[toughlife]

Way go to! Awesome article. We need more like to raise awareness about anesthesiology!

 

[militarymd]

Let's be honest here....

How many anesthetics do you think Ron Miller has done on his own in the last 10 years?

and based on that, how many of you would let him do your anesthetic????


I doubt that I would.

 

[toughlife]

Let's be honest here....

How many anesthetics do you think Ron Miller has done on his own in the last 10 years?

and based on that, how many of you would let him do your anesthetic????


I doubt that I would.

why do you always have to be a party-pooper? Keep it up and I will be forced to kick your sweet-and-sour chicken ass.

 

[Trisomy13]

Let's be honest here....

How many anesthetics do you think Ron Miller has done on his own in the last 10 years?

and based on that, how many of you would let him do your anesthetic????


I doubt that I would.

fair enough, but i don't think that was the point of either the article or the original post. 😉

 

[militarymd]

why do you always have to be a party-pooper? Keep it up and I will be forced to kick your sweet-and-sour chicken ass.

I give it to you straight.

I don't mince words.

I don't care about your "feelings".

Life/business/anesthesia is not the picture that many seem to see through their rose colored glasses that everyone talks about.

What you see and experience as a student and resident is NOT representative of what happens "out here" where the majority spend the majority of their working lives.

If you don't want it straight, then just tune me out...a la "ignore", but when you get out "here", and things aren't what you thought they would be......well....I'll be right there to say "I told you so"

And if it turns out all rosy like you thought it is going to be...then GOOD for you.



AND,.....I'm more of a beef and broccoli ass kind of guy.

 

[Trisomy13]

... broccoli ass ...

is that anything like cauliflower ear?

 

[toughlife]

I give it to you straight.

I don't mince words.

I don't care about your "feelings".

Life/business/anesthesia is not the picture that many seem to see through their rose colored glasses that everyone talks about.

What you see and experience as a student and resident is NOT representative of what happens "out here" where the majority spend the majority of their working lives.

If you don't want it straight, then just tune me out...a la "ignore", but when you get out "here", and things aren't what you thought they would be......well....I'll be right there to say "I told you so"

And if it turns out all rosy like you thought it is going to be...then GOOD for you.



AND,.....I'm more of a beef and broccoli ass kind of guy.

OK grand kung-fu master. I will heed thy advice

 

[SleepIsGood]

Frankly I like General Tso's (?sp) better.

BTW Mil, since you brought this up. I know this Academic Anesthesiologist who is a MD/PhD over at University of X. When I was a med student and he was the attending for a certain case. The dude was freaking out about putting in a central line. Literally he was telling the resident, "please get this in, you've probably done a lot more of these than I have recently, so make sure you get this in".

Flip side is. He's a well published academic and an individual hated by almost all the hospital staff...but he brings in the $$$$$$$ to the hospital via his research.

 

[militarymd]

Frankly I like General Tso's (?sp) better.

BTW Mil, since you brought this up. I know this Academic Anesthesiologist who is a MD/PhD over at University of X. When I was a med student and he was the attending for a certain case. The dude was freaking out about putting in a central line. Literally he was telling the resident, "please get this in, you've probably done a lot more of these than I have recently, so make sure you get this in".

Flip side is. He's a well published academic and an individual hated by almost all the hospital staff...but he brings in the $$$$$$$ to the hospital via his research.

So, if this guy tells you about how to do an anesthetic....would he have any credibility with you?

I think not.

There are 2 components to being an anesthesiologist:

1) medical knowledge and experience
2) actual manual skills and ability to react under real time environments.

Many academics have number 1 but lack number 2.

Many private slicks have number 2 but lack number 1.

You need BOTH.

 

[jetproppilot]

So, if this guy tells you about how to do an anesthetic....would he have any credibility with you?

I think not.

There are 2 components to being an anesthesiologist:

1) medical knowledge and experience
2) actual manual skills and ability to react under real time environments.

Many academics have number 1 but lack number 2.

Many private slicks have number 2 but lack number 1.

You need BOTH.

Ahhh, the voice of reality.

 

[jetproppilot]

OK grand kung-fu master. I will heed thy advice

If youre smart, Tough, you'll eliminate the smiley-laughing-face from the end of this post and take the info you read here seriously.

Especially the part Mil said about what you see in residency is not representative of private practice.

We're already out here, and have been for some time.

Real-world info.

Post sarcastic responses at will, but I assure you EVERYTHING Mil has posted on this thread is dead-center-accurate.

 

[BIS]

Been seeing alot of this lately now that I am doing a private practice rotation, which is the bomb by the way. A new anesthesiologist fresh out of residency wants to RSI everyone and use Succs all the time. They have had to talk to this MD on several occasions since they are butting heads with CRNA's and other MD's.

Training in the academic facility we would have def. used succs and a RSI with these patients but in private practice standard induction, vec maybe roc. No cricoid pressure ect.

So what gives? I would love to count the # of RSI's at an academic facility vs private facility. Then they look at you at the private facility like you are a fool when you say Succs/RSI. What is right and wrong? Seems like what you are taught in an academic faclity is not what is really done.

 

[doc3341]

I think the article is good for the profession. Like someone else already posted, it shows the need for trained anesthesiologists!

 

[Laryngospasm]

So, if this guy tells you about how to do an anesthetic....would he have any credibility with you?

I think not.

There are 2 components to being an anesthesiologist:

1) medical knowledge and experience
2) actual manual skills and ability to react under real time environments.

Many academics have number 1 but lack number 2.

Many private slicks have number 2 but lack number 1.

You need BOTH.

They can still pimp the shiznit out of you at oral boards though unfortunately🙁

 

[SleepIsGood]

So, if this guy tells you about how to do an anesthetic....would he have any credibility with you?

I think not.

There are 2 components to being an anesthesiologist:

1) medical knowledge and experience
2) actual manual skills and ability to react under real time environments.

Many academics have number 1 but lack number 2.

Many private slicks have number 2 but lack number 1.

You need BOTH.

This particular guy....I would not have too much credibility with him. Well I take that back. I would definitely try to learn from the guy because A)he's obviously extremely intelligent B) he does know his material when it comes to theory

However.....no...I would not want to learn the 'manual' skills from him. Also, socially the guy is just impossible to get along with. No joke, the dude is HATED by every resident/student/nurse,etc in the hospital. But you know this as well as I do...peoples' (the masses) liking of you doesnt necessarily dictate your status at the hospital. It depends on WHO likes ya. 😎

 

[aredoubleyou]

This particular guy....I would not have too much credibility with him. Well I take that back. I would definitely try to learn from the guy because A)he's obviously extremely intelligent B) he does know his material when it comes to theory

However.....no...I would not want to learn the 'manual' skills from him. :

How could you make that determination? How are you going to decide what attendings to "learn manual skills" from and who not to as a resident, especially a CA1? If I was in the OR with the chairman of my program who had 30-40 years experience, regardless of how much of that was in a lab or in an office, I would think of him as being an extremly credible source for anything regarding anesthesiology. If that chairman just happened to be the editor of the most commonly used reference text of anesthesiology, it would only add to his credibility.

I am not saying MilMD isn't correct, how would I know - I'm just an intern, and next year I'll just be a CA-1. If I had a choice I would probably want my mother in the hands of someone like MilMD rather than an old academic- but there very well might be a real advantage from learning, at least initially (for say 3 years 🙂 ) from academic types rather than the real world private practice studs -- but then again how would I know...and not that we have a choice anyway.

 

[SleepIsGood]

How could you make that determination? How are you going to decide what attendings to "learn manual skills" from and who not to as a resident, especially a CA1? If I was in the OR with the chairman of my program who had 30-40 years experience, regardless of how much of that was in a lab or in an office, I would think of him as being an extremly credible source for anything regarding anesthesiology. If that chairman just happened to be the editor of the most commonly used reference text of anesthesiology, it would only add to his credibility.

I am not saying MilMD isn't correct, how would I know - I'm just an intern, and next year I'll just be a CA-1. If I had a choice I would probably want my mother in the hands of someone like MilMD rather than an old academic- but there very well might be a real advantage from learning, at least initially (for say 3 years 🙂 ) from academic types rather than the real world private practice studs -- but then again how would I know...and not that we have a choice anyway.

AreDoubleYou-
I'm totally with you on this one. I agree as a resident I should and I am learning from EVERY attending. You're absolutely correct in stating that as a resident one should be exposed to all sorts of knowledge (the good, bad, etc). In this particular instance though, the attending himself stated that he wasn't too confident on his manual skill of performing X. That's why I stated I wouldnt necessarily confide in his manual skills.

If I was working with any other physician, atleast at this point in my career, I would completely be all ears and would never judge their abilities.

In terms of who I would want if my mom was in the hospital. That's up for debate. I certainly wouldn't want an old academic, at the same time I wouldnt want a smooth talking private practice doc either. I think in academic institutions there's a lot more vigilance and because the attendings are constantly teaching, they may be more 'up to date'. We all know that in private practice, a lot has to do with making $$, so would corners be cut at times and be more 'relaxed' in trying to crank out the # of cases quickly? Possibly. I'd really have to get to know the particular facility/physician before making any decisions. In both set ups, one can find good clinicians.