Why do you think current M4s aren’t heeding the warnings of Anesthesia being “dead”?

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PieOHmy said:
at least the others dont have to get up at the ass crack of dawn every day to put up with whining crnas who think you are better than you are , dingus surgeons who think you are useless and get paid too much, passive aggressive holding room nurses who think you create work for them, hospital administration who are trying to replace you with someone cheaper constantly, every single page that is not answered within 25 secs is reported. All the while trying to get a moment of peace to take a dump is a struggle. That is the day in the life of an anesthesiologist.
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And honestly let this whiner be a lesson to kids wanting to go into anesthesia because of little patient interaction. Yeah your patient interaction is minimal but your inter professional interaction is MAXIMAL compared to all the specialties across medicine. You have to be incredibly skilled and adept at managing and dealing with people.
 
PieOHmy said:
Oh yea, i have to blame myself for everything wrong with this world.. yep its me.
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While I agree with you there are a lot aspects that make this field that are difficult whether it's financial, administrative, or interpersonal, Salty is also correct in that if the job is that bad then maybe it's time to find a new job. Trust me, I GET where you are coming from
 
Twiggidy said:
Literally one day we had one of the worst attendings in the program teaching and of the rare times there is patient interaction in radiology it went bad. I still think it was a rash decision given how much I enjoy medicine/anatomy but also enjoy computers and tech. It really does come down to picking the lesser of all evils because all fields have their BS it's just the BS we tend to deal with in this field can be bothersome because, let's be real, in a lot aspects anesthesiologist get treated like second rate citizens in the hospital until we're need and then we're super heroes. Most of us in this field simply HATED clinic and found radiology too boring (or didn't have the credentials to match the field).
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So you were a radiologists that switched half career to anesthesia? Doesnt seem worth it imho.
 
PieOHmy said:
at least the others dont have to get up at the ass crack of dawn every day to put up with whining crnas who think you are better than you are , dingus surgeons who think you are useless and get paid too much, passive aggressive holding room nurses who think you create work for them, hospital administration who are trying to replace you with someone cheaper constantly, every single page that is not answered within 25 secs is reported. All the while trying to get a moment of peace to take a dump is a struggle. That is the day in the life of an anesthesiologist.
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There are practices where not a single one of those things is true except the ass crack of dawn.
 
PieOHmy said:
Epic IS a fresh pile of excrement.
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Have you worked with Cerner or Meditech, perchance? Epic has it's problems, but it's far better than done if the other EMRs out there.

Also, I agree, you should look for another job. It sounds like you work at a terrible place. It does not have to be that way, and you don't have to put up with everything you describe.

Sent from my SM-G930V using SDN mobile
 
psychbender said:
Have you worked with Cerner or Meditech, perchance? Epic has it's problems, but it's far better than done if the other EMRs out there.

Also, I agree, you should look for another job. It sounds like you work at a terrible place. It does not have to be that way, and you don't have to put up with everything you describe.

Sent from my SM-G930V using SDN mobile
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I know, i know..
Just because there are worse, doesnt mean epic is good. It sucks too. And I havent experienced worse..
Epic tries to guess what im trying to do and it just cannot do it.
It just makes my life a living hell.
Im hunting through a million boxes for the one that fits when i could have just wrote it and been done with it. try wasting 10-20 mins each patient multiplied by 15-20 patient charts. infuriating.
 
Twiggidy said:
Literally one day we had one of the worst attendings in the program teaching and of the rare times there is patient interaction in radiology it went bad. I still think it was a rash decision given how much I enjoy medicine/anatomy but also enjoy computers and tech. It really does come down to picking the lesser of all evils because all fields have their BS it's just the BS we tend to deal with in this field can be bothersome because, let's be real, in a lot aspects anesthesiologist get treated like second rate citizens in the hospital until we're need and then we're super heroes. Most of us in this field simply HATED clinic and found radiology too boring (or didn't have the credentials to match the field).
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It's a matter of priorities. I hate being treated like the hired help.
 
NVO said:
Ive noticed a lot more people jumping ship from surgery and surgical subspecialties to join anesthesia. I know it's a common thing, but I think it's happening more and more as "lifestyle" is more important to people now
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People constantly say general surgery has a bad lifestyle. Are people talking about surgery residency or a private/academic practicing general surgeon? As a resident, sure, they are in the hospital a long time. As an attending these guys are living the best life. They work as much as they want to work and do cases that they want to do. This isn't 20 years ago anymore. My roommate is in neurosurgery residency and he says it's no where near as bad as his dad had it 30+ years ago. I believe in the idea that life style is how you make it.

People are jumping ship because it's better. 😉
 
Drangue said:
People constantly say general surgery has a bad lifestyle. Are people talking about surgery residency or a private/academic practicing general surgeon? As a resident, sure, they are in the hospital a long time. As an attending these guys are living the best life. They work as much as they want to work and do cases that they want to do. This isn't 20 years ago anymore. My roommate is in neurosurgery residency and he says it's no where near as bad as his dad had it 30+ years ago. I believe in the idea that life style is how you make it.

People are jumping ship because it's better. 😉
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This is true. It’s actually funny to listen to the older surgeons talk about how the new young surgeons are lazy because they don’t want t to take ER call and work every weekend of the month
 
agammaglobulin said:
I was recently talking with a Radiologist who used to work remotely in Europe reading films for a hospital he previously worked at in the US. He said Medicare/Medicaid changed their rules and made it so he was unable to do this. Not sure of the details, but I think Twiggidy is right that these rules have changed and perhaps had an effect on the market domestically.
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AdmiralChz said:
I thought something had changed! When I was an intern on night float it was very difficult to get ahold of the Radiologist as the Nighthawk person was in New Zealand or Australia.

If you think hospitals are looking to cut out how much they pay anesthesia, you'd better believe the Radiology is right up there and above on that list.
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I think that is good fr the radiologist. might explain the recent boom in salary and job market for radiologists..
 
anbuitachi said:
its probably easier if you just dont read it .. anesthesia can be soul crushing but i think if i HAD to choose again a medical field, id still pick anesthesiology > medicine.
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Agreed. There's been days where I think I'd make a different choice if I had to start over...not a different medical field, a different field entirely. But that being said, most days I'm very happy with where I'm at and wouldn't go back and pick a different specialty.
 
PieOHmy said:
I know, i know..
Just because there are worse, doesnt mean epic is good. It sucks too. And I havent experienced worse..
Epic tries to guess what im trying to do and it just cannot do it.
It just makes my life a living hell.
Im hunting through a million boxes for the one that fits when i could have just wrote it and been done with it. try wasting 10-20 mins each patient multiplied by 15-20 patient charts. infuriating.
Click to expand...



"If you don't like your life, then you should go and change it"
 
Ok

Where I did my anesthesiology residency, 5 pain interventionists who left it for the OR completely, including the current chairman, most within 7 years of practice. One had a sweet gig of a PP handed down by a family member. Still left to the ORs after a few years. These guys did little to no opioid management, almost all proceudres.

Where I did my interventional pain fellowship, the former pain fellowship director and his predecessor (former former pain fellowship director) are both working in the OR in the same facilities and no pain. One of them literally has the pain procedure rooms and pain fellow yearly awards named after him and he is not doing pain at all anymore.

I also know 2 neurosurgery residents who left for an anesthesia residency. One in his fourth year and one was in the fifth year.

Also, a cardiac surgeon who was out in practice for several years who went back and did an anesthesia residency then became a staff pediatric anesthesiologist at our residency program.

To each their own, just stop thinking sky is falling.
 
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TheLoneWolf said:
Ok

Where I did my anesthesiology residency, 5 pain interventionists who left it for the OR completely, including the current chairman, most within 7 years of practice. One had a sweet gig of a PP handed down by a family member. Still left to the ORs after a few years. These guys did little to no opioid management, almost all proceudres.

Where I did my interventional pain fellowship, the former pain fellowship director and his predecessor (former former pain fellowship director) are both working in the OR in the same facilities. One of them literally has the pain procedure rooms and pain fellow yearly awards named after him and he is not doing pain at all anymore.

I also know 2 neurosurgery residents who left for an anesthesia residency. One in his fourth year and one was in the fifth year.

Also, a cardiac surgeon who was out in practice for several years who went back and did an anesthesia residency then became a staff pediatric anesthesiologist at our residency program.

To each their own, just stop thinking sky is falling.
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Im not saying the sky is falling, IM saying the job sucks
 
PieOHmy said:
Im not saying the sky is falling, IM saying the job sucks
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Excuse me...are you coming on to a busy anesthesiology forum frequented by anesthesiologists to tell them their job sucks?

Look I had also seen your posts on the pain forum and some were not very kind to you over there but what is the point of these posts?
 
PieOHmy said:
umm, yea i am!!!
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Dont waste your time and dont waste ours.

I'm ACGME pain and anesthesia trained. You are starting a nonacgme fellowship and complaining about the non supportive environment you have on the pain forum. People come on here for advice and encouragement.

What you are doing is trolling...unnecessary.

Crapping on others because you have a difficult situation is low.

Continue and you probably find yourself blocked off sdn. Tread lightly.
 
Anesthesia still has the highest suicide rate of all specialties. The lifestyle is very stressful. Hard work, up all night often. Look, when OBs or surgeons or GI docs are up at night, anesthesiologists are also up. Also there are fewer anesthesiologists than there are surgeons or OBs.
Hospitals, other doctors and nurses disrespect anesthesiologists.
Add in the destructive corporate entities like USAP and NAPA. Do the math. Don’t fool yourselves.
 
seniormd said:
Anesthesia still has the highest suicide rate of all specialties. The lifestyle is very stressful. Hard work, up all night often. Look, when OBs or surgeons or GI docs are up at night, anesthesiologists are also up. Also there are fewer anesthesiologists than there are surgeons or OBs.
Hospitals, other doctors and nurses disrespect anesthesiologists.
Add in the destructive corporate entities like USAP and NAPA. Do the math. Don’t fool yourselves.
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I don't know any anesthesiologists who have committed suicide conclusively, I do know of a few that overdosed and died.

But I can imagine the daily stress, frequent call, hectic schedule, production pressure, and family stress can all contribute to a sense of doom that could be inescapable.
 
seniormd said:
Anesthesia still has the highest suicide rate of all specialties. The lifestyle is very stressful. Hard work, up all night often. Look, when OBs or surgeons or GI docs are up at night, anesthesiologists are also up. Also there are fewer anesthesiologists than there are surgeons or OBs.
Hospitals, other doctors and nurses disrespect anesthesiologists.
Add in the destructive corporate entities like USAP and NAPA. Do the math. Don’t fool yourselves.
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No it doesn't have the highest suicide rate. Don't spread foolish lies.
 
tennessee2244 said:
No it doesn't have the highest suicide rate. Don't spread foolish lies.
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OK, if you say so...

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extractions said:
Does anyone know why it’s so high? I thought anesthesiology as a specialty was very sought after becauSe of the lifestyle.
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My answer some where else. I see you’re a dentist/dental student? Some parts you will not understand, nor need to. Not a put down, but that’s that.

“We are number 1 at something?! Congrats!

Joking aside, it is a very stressful job. It looks easy, but we do bring people to the brink of death every time we administer anesthesia. That line is very thin, if you f up, patient pays dearly, quickly.

We also have all the drugs at our disposal. Uppers, sure we have them. Downers? Plenty. Easy access along with the know-how to kill oneself, and stress.

I can see why we are number 1.

Nothing to be proud of. I am in a very collegial group, and had a few very bad outcome cases. There is virtually no one to really talk to about those cases. The best support I got was, sometimes s*!t happens. If I cannot talk with my partners/colleagues, certainly not lawyers, some parts of the cases do get played back in my head. Not healthy, but that’s the reality of the profession. “
 
tennessee2244 said:
Some tilted stats there. The specialty doesn't kill a person. A person kills themself. That's the logical misstep here. Too many people hope to live their lives thru medicine and end up empty.
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Never said anything about causation, but there's clearly correlation here. You stated that anesthesiology didn't have the highest suicide rate and that was a "foolish lie." I don't know why you want to just flatly deny the stats, but do you man.
 
DrZzZz said:
Never said anything about causation, but there's clearly correlation here. You stated that anesthesiology didn't have the highest suicide rate and that was a "foolish lie." I don't know why you want to just flatly deny the stats, but do you man.
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Hey, cut him a little slack. He’s from Tennessee.
 
Suicide is because of the person. Not the job. There are a whole lot of worse jobs to do than anesthesia......
 
dannyboy1 said:
Suicide is because of the person. Not the job. There are a whole lot of worse jobs to do than anesthesia......
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well it's certainly an interesting correlation if nothing else. Job stress is a known factor contributing to many suicides. Anesthesia has "lifestyle" because of work hours and $$$. It is also a job that signs you up to get pooped on by surgeons and administrators.
 
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