Tomorrows Schedule

[jetproppilot]

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Geez...

Ortho Stud #1: THA,THA,ACL,carpal tunnel, carpal tunnel, shoulder, THA

ORTHO STUD # 2: Shoulder,Shoulder, Shoulder

plus 4 more deep rooms with various gen surg, gyn, neuro surg (2 deep brain stimulators).

28 cases

My holding room nurse is gonna need a martini by 3pm tomorrow.

New Orleans is a dying city..yeah right.

 

[Noyac]

Geez...

Ortho Stud #1: THA,THA,ACL,carpal tunnel, carpal tunnel, shoulder, THA

ORTHO STUD # 2: Shoulder,Shoulder, Shoulder

plus 4 more deep rooms with various gen surg, gyn, neuro surg (2 deep brain stimulators).

28 cases

My holding room nurse is gonna need a martini by 3pm tomorrow.

New Orleans is a dying city..yeah right.

thanks for the relief from some of the crap that has been posted lately 🙂

 

[militarymd]

 

[IceDoc]

Geez...

[plus 4 more deep rooms with various gen surg, gyn, neuro surg (2 deep brain stimulators).

28 cases

My holding room nurse is gonna need a martini by 3pm tomorrow.

New Orleans is a dying city..yeah right.

Just curious, how long does your usual deep brain stimulator take? I got stuck in an unusually long one which lasted 9.5 hours BEFORE slipping the LMA in for the battery pack. 😡 But on the bright side, my attending said I 'exceeded expectations' by simply not hanging myself from the IV pole.

 

[jetproppilot]

Just curious, how long does your usual deep brain stimulator take? I got stuck in an unusually long one which lasted 9.5 hours BEFORE slipping the LMA in for the battery pack. 😡 But on the bright side, my attending said I 'exceeded expectations' by simply not hanging myself from the IV pole.

about 3 hours

 

[UTSouthwestern]

about 3 hours

3 - 9.5 hrs!?!?! Dudes, 2 hours tops with the battery! Course he does a boatload of them.

Tomorrow's schedule for us has us GIVING AWAY 23 cases for lack of manpower. All private insurance. 👎

 

[jetproppilot]

3 - 9.5 hrs!?!?! Dudes, 2 hours tops with the battery! Course he does a boatload of them.

Tomorrow's schedule for us has us GIVING AWAY 23 cases for lack of manpower. All private insurance. 👎

yeah, our guy isnt the fastest. Plus he always shos up late.

 

[bigdan]

Tomorrow's schedule for us has us GIVING AWAY 23 cases for lack of manpower. All private insurance. 👎

Ridiculous. No luck with the job search, huh, UT? Hang in there man!!!

Good luck

dc

 

[Noyac]

Ridiculous. No luck with the job search, huh, UT? Hang in there man!!!

Good luck

dc

I am also sorry to hear about the job search, UT. If I were not completely happy where I am I would be banging on your door. I think one of the best assets of your job offer is the acuity of your cases. I mean you guys seem to do everything and as a resident coming out of training, this would be exactly what I would be looking for. When I finished my training I went to a group just like yours and I learned more in 1 yr than I did in my whole residency. Residency just gave me the skills needed to succeed in this environment.

Do you guys use crna's? And don't get me wrong, I am neutral here, as far as anyone can tell. If so are you having a hard time find qualified crna's as well?

 

[UTSouthwestern]

I am also sorry to hear about the job search, UT. If I were not completely happy where I am I would be banging on your door. I think one of the best assets of your job offer is the acuity of your cases. I mean you guys seem to do everything and as a resident coming out of training, this would be exactly what I would be looking for. When I finished my training I went to a group just like yours and I learned more in 1 yr than I did in my whole residency. Residency just gave me the skills needed to succeed in this environment.

Do you guys use crna's? And don't get me wrong, I am neutral here, as far as anyone can tell. If so are you having a hard time find qualified crna's as well?

The thing is that we have a great balance of cases, not just hearts and major neuro. Our non cardiac business has grown such that we are doing less hearts on a percentage basis of our total case load. To boot, we don't have overnight in house call, don't cover trauma, don't cover OB, and don't have a lot of slow surgeons.

We do not use CRNA's. The group had entertained that thought in the past, but from a financial standpoint, we would make less per person because the surgeons are fast and the OR's rarely stagger cases.

Also, to this date, all of our surgeons have refused to use CRNA's, preferring to have direct physician care. Not a flame, but just a fact. They have told us that they don't want CRNA's unless the physician is in the room 100% of the time, which makes the presence of the CRNA moot.

 

[Noyac]

Also, to this date, all of our surgeons have refused to use CRNA's, preferring to have direct physician care. Not a flame, but just a fact. They have told us that they don't want CRNA's unless the physician is in the room 100% of the time, which makes the presence of the CRNA moot.

This is very similiar to the group I worked for prior to my current gig. The CVT and neurosurgeons refused to have crna's and claimed that a big reason that their hearts and heads did as well as they did was because of the anesthesia and the fact that the anesthesia was MD only. We did use crna's in the other cases with the exception of big vascular cases.

 

[UTSouthwestern]

This is very similiar to the group I worked for prior to my current gig. The CVT and neurosurgeons refused to have crna's and claimed that a big reason that their hearts and heads did as well as they did was because of the anesthesia and the fact that the anesthesia was MD only. We did use crna's in the other cases with the exception of big vascular cases.

We have two neurosurgeons and an orthopedic surgeon who were forced to have CRNA coverage at their previous hospitals and all three told me that it was one of the big reasons they left lucrative practices to start over. They felt that when the physicians of the anesthesia practice that covered them were 100% in the room, either solo or with the CRNA, their patients recovered more quickly and their M&M rates were lower. Maybe it was all just in their minds, but they also stated that they felt less pressure during the surgery because they did not have to supervise the anesthetic as well as operate when the anesthesiologist was not in the room.

 

[militarymd]

Although 90% of my practice is supervision.

I do the thoracic cases myself or pretty much stay in the room with the CRNAs.

It is interesting how things are different in different parts of the country. The surgeons almost never get MD only.

 

[UTSouthwestern]

Although 90% of my practice is supervision.

I do the thoracic cases myself or pretty much stay in the room with the CRNAs.

It is interesting how things are different in different parts of the country. The surgeons almost never get MD only.

Dallas and Fort Worth are heavily MD only practice populated. Some exclusive rights facilities use CRNA's but that has caused some friction with the surgeons and increased our's and other groups' business as a result.