Word of advice for current and future residents

[ReefTiger]

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I was going to read misteriosostupid's post, but it's just too much work.
That's definitely not what I'm about 🙄

 

[Misterioso]

What I shouldve said instead is, I'm sure Mil's comments arent racially motivated. Rather, they are motivated by the fact that he thinks youre a punk.

The fact he used an uppercase B is a giveaway to his motivation.

Search and read my posts..... Boy.

 

[jetproppilot]

The fact he used an uppercase B is a giveaway to his motivation.

Huh?

I dont get it.

 

[Misterioso]

Huh?

I dont get it.

And that's what Mil expected when he slipped that subtle remark in at the end of his post: that most people wouldn't catch it or even get it.

 

[miamidc]

The fact he used an uppercase B is a giveaway to his motivation.

Loser. That must have been what your name was and is for most of your life. Got any friends, Homey. Doubt it 👎 👎 👎

 

[Misterioso]

Loser. That must have been what your name was and is for most of your life. Got any friends, Homey. Doubt it 👎 👎 👎

If you want to defend racism that's your perogative.

 

[Danger Man]

Maestro, I can't thank you enough for providing the intellectual horsepower to help us anesthesia-types ("lazy") decipher blatantly racist comments like that made by mil. Along the same lines, if an attending surgeon/walk-on-water resident uses the term "a ss" or "A ss" to describe a junior medical student, I know that you will be there to elucidate the "difference" for all those other, less intelligent (or "lazy") people who may not pick up on the subtle, yet drastic, difference between the two terms.

 

[Misterioso]

Maestro, I can't thank you enough for providing the intellectual horsepower to help us anesthesia-types ("lazy") decipher blatantly racist comments like that made by mil. Along the same lines, if an attending surgeon/walk-on-water resident uses the term "a ss" or "A ss" to describe a junior medical student, I know that you will be there to elucidate the "difference" for all those other, less intelligent (or "lazy") people who may not pick up on the subtle, yet drastic, difference between the two terms.

You backpeddling for Mil isn't going to rationalize it. You'd be much better informed if you read up on some history and the connotations of that word.

 

[Danger Man]

You backpeddling for Mil isn't going to rationalize it. You'd be much better informed if you read up on some history and the connotations of that word.

Dude, I know the connotations of that word and I have no reason to think that Mil used it in that context. You are just upset because Mil (and others) have been calling you on your clueless, arrogant, and obnoxious (do I dare say?) contributions to this thread. To me, you are just searching for a way to criticize, what seem to be, very nice people on this and other threads.

Also, I will from this point forward not address you using a capital letter because I know that the connotation for "Misterioso" on this thread and others is "arrogant, cocky, self-important, no game med student."

 

[Misterioso]

Dude, I know the connotations of that word and I have no reason to think that Mil used it in that context. You are just upset because Mil (and others) have been calling you on your clueless, arrogant, and obnoxious (do I dare say?) contributions to this thread. To me, you are just searching for a way to criticize, what seem to be, very nice people on this and other threads.

Actually I've never gotten upset in our discussions, rather it has been other people, including mil, who have attacked me because they didn't agree with what I had to say. His latest remark is another example of that, it is unfortunate he had to take it to that level.

 

[Gimlet]

Actually I've never gotten upset in our discussions, rather it has been other people, including mil, who have attacked me because they didn't agree with what I had to say.

Yes indeed, you are a very skilled internet troll...I will give you that.

 

[Misterioso]

Yes indeed, you are a very skilled internet troll...I will give you that.

Calling someone a troll and placing all your focus on them instead of the discussion has so far been your way of dealing with the fact that you haven't been able to hold a rational point in any of the discussions.

 

[Trisomy13]

*yawn*

no pissing in the pool

 

[jetproppilot]

Calling someone a troll and placing all your focus on them instead of the discussion has so far been your way of dealing with the fact that you haven't been able to hold a rational point in any of the discussions.

So Mil hasnt chimed in as of now, but I'm sure he will. He's not intimidated by anything/anyone , so I'm sure he'll elucidate the true meaning of his post.

That being said, I'll call a spade a spade. I think you're way out of line , considering your current level of training. You remind me of a relative of mine who didnt even graduate from high school, yet trys to portray monetary superiority by showcasing expensive clothes and purses, despite her fifteen-dollar-an-hour position.

And THAT being said, I'll continue to call a spade a spade.

You're the nicest troll thats ever visited this forum. Mil called you Boy (whatever that connotation means; I maintain Mil meant it to mean Punk, and Punk only). I've identified your short stature and concominant Napoleanic complex despite your denial (cummon dude...it's TOO convenient that you're trolling on an anesthesia forum and coincidentally, the chick you "stole" was an anesthesia resident's girlfriend....I was born AT NIGHT but not LAST NIGHT).

Yet you continue to respond in a non-gangsta fashion.

You've got me in that department.

Sorry, I'm a red-neck-gym-fly-crakka from Florida.

If I meet a threat in real life, I'm gonna quell it Matt Hughes style.

Wanna grapple? (Not Mysterioso specifically. Speaking in general terms.)

I'm ready, willing, and able to quell your aspirations.

Yes, Mysterioso, you possess constraint that I don't have.

BTW, Mysterioso to me implies Latino origins.

Corroborate my-many years of FBI profiling by substantiating this intuition.

BUT,

Using subtle innuendos in eloquent posts (i.e. all anesthesiologists are lazy bc they are in a "lifestyle" specialty, albeit posted in a non-threatening fashion) doesnt pull the wool over my eyes, Slim.

I almost prefer Nitecap's previous posts (I say previously because dude has been contributing positively lately).

At least Nitecap wasnt trying the bait-and-switch, clandestine-insult strategy.

 

[VentdependenT]

Lazy folks and whiners get ostracized real fast. I can't hang with these peeps and don't wish to be anywhere near them when, inevitably, old man chaos takes hold of a situation. You can't whine your ass or run away as fast as you can from that.

Non sequitur: Just the other day I learned the friggen real real hard way not to use even small doses of etomidate, or anything for that matter, on these sympathetic dependent respiratory distress people. First code in the am it worked like a charm, the 3rd one in the unit. Well....that sucked. Guys ok now but I digress. Cardiac stable my ass. You guys warned me and I low balled the hell out of the drug but fer cryen out loud....

 

[Misterioso]

So Mil hasnt chimed in as of now, but I'm sure he will. He's not intimidated by anything/anyone , so I'm sure he'll elucidate the true meaning of his post.

He talks a big game. In reality he's a middle aged man still hanging out on a med student forum talking himself up to wannabe anesthesiologists.

I've identified your short stature and concominant Napoleanic complex despite your denial (cummon dude...it's TOO convenient that you're trolling on an anesthesia forum and coincidentally, the chick you "stole" was an anesthesia resident's girlfriend....I was born AT NIGHT but not LAST NIGHT).

You also talk a big game behind your keyboard. And as I said, you're projecting.

If I meet a threat in real life, I'm gonna quell it Matt Hughes style.

Sure thing, internet warrior. Your name dropping of real warriors doesn't impress me, it only reinforces your insecurity.

I'm ready, willing, and able to quell your aspirations.

You want to talk smack and throw out a challenge, then you better be willing to come to me and back it up.

PM me and we can set up a day to meet in the octagon or ring and see if you can back up your tough guy online persona.

 

[bullard]

That's issuing a physical threat. Can Mysterioso be banned now? I'm sick of reading this ****.

 

[miamidc]

Ban that Piece of S***

 

[Misterioso]

That's issuing a physical threat.

No it's not. Obviously you know nothing about MMA. Read jet's post.

I'm ready, willing, and able to quell your aspirations.

 

[jetproppilot]

Lazy folks and whiners get ostracized real fast. I can't hang with these peeps and don't wish to be anywhere near them when, inevitably, old man chaos takes hold of a situation. You can't whine your ass or run away as fast as you can from that.

Non sequitur: Just the other day I learned the friggen real real hard way not to use even small doses of etomidate, or anything for that matter, on these sympathetic dependent respiratory distress people. First code in the am it worked like a charm, the 3rd one in the unit. Well....that sucked. Guys ok now but I digress. Cardiac stable my ass. You guys warned me and I low balled the hell out of the drug but fer cryen out loud....

If they are "at all" with it when you get there, Ventmeister, midazolam 2mg will usually buzz-em-out. If not, give a little more, until you see that they're buzzed. Still breathing, yes...amnestic and apathetic, also yes.

Then, sux 40-60 mg (if not contraindicated by prolonged-immobility, burns, hyperkalemia, etc).

I dont understand the I-need-to-take-an-awake-look-philosophy-when-outside-the-OR commonly conveyed to anesthesia residents...my chairman was against giving paralytics for non-OR intubations. Its B.S.

Assuming theres not a contraindication, sux is your friend, especially in difficult, foreign intubating environments (like on the med-surg floor).

Preoxygenate, allowing FRC to be (as much as possible) nitrogen-displaced, give an appropriate sux dose (just a little) and it'll allow you to intubate a motionless airway. And if things go awry, sux pharmacokinetic redistribution will have the patient moving/breathing in no time.

I dont understand all the hype for awake looks.

 

[Danger Man]

I dont understand the I-need-to-take-an-awake-look-philosophy-when-outside-the-OR commonly conveyed to anesthesia residents...my chairman was against giving paralytics for non-OR intubations. Its B.S.

Jet, what was his logic for not liking paralytics in these situations?

 

[stephend7799]

Pure talent and ability will always rise to the top. You can't fake that stuff. People can, and do, fake to create good impressions.

If a group doesn't want you because of what others are saying about you then you shouldn't want to go there anyway. Never compromise yourself to fit in.

Venture out on your own. Work locum. Be your own independent contracting physician. Be your own man, answer to no one.

i actually agree with this statement.

Nobody is perfect and if groups are looking for the perfect candidates, they wont find em. at some point you have to accept the bad in people otherwise you will have to close rooms. If they are qualified and certified, hire them.. It aint that friggin hard. If you want to know if this candidate will play well in the sandbox with your group, thats your business. you tell the hospital why they are closing rooms. The groups want to hire people who will take it in the behind and thats n ot something i am interested in doing..

I echo above.. Be your own man. contract on your own. work locum .. you have skills.. no need to listen to fat cats in charge of groups to tell you how to behave when youve reached as far as you have.

 

[militarymd]

Jet, what was his logic for not liking paralytics in these situations?

I frequently use only brutane to intubate while outside the OR...why? I don't know.

 

[militarymd]

i
I echo above.. Be your own man. contract on your own. work locum .. you have skills.. no need to listen to fat cats in charge of groups to tell you how to behave when youve reached as far as you have.

A career out of Locums?

 

[Misterioso]

I echo above.. Be your own man. contract on your own. work locum .. you have skills.. no need to listen to fat cats in charge of groups to tell you how to behave when youve reached as far as you have.

👍

Some people live their entire lives being lead instead of leading.

 

[LanceArmstrong]

After having wasted an evening reviewing candidates to hire, I want to again emphasize to current and future residents that the easiest way to submarine your chances at a good job (and waste people's time reviewing your CV and interviewing you) is by being lazy, arrogant, and self-centered.

I had thought my group had found a great candidate from a great program on the east coast, only to have comments like "lazy, interested in only what's best for him, not a team player, arrogant, thinks he knows everything," etc. show up when speaking to his faculty.

YOU CANNOT JUST WORK HARD PART OF THE TIME. It will come out at some point and you will just screw your chances of getting a good position.

Harsh, really harsh...I wonder if its better if your references dont remember who you are rather than this...

 

[LanceArmstrong]

Yeah, til now, you were amusing.

Now I recognize you must be short in stature...probably 5'9" or less....160 lbs...definitely has an inability to score chicks...and you see surgery as the "manly" thing to do, to replete your diminutive self esteem caused by your Napoleanic body habitus.

Its not too late, Slim.

Even short dudes can make good anesthesiologists.

I object to 5'9" 160# being "Napoleonic" Napoleon was like 5' or 5'2" tops, probably under 130#. 🙂

 

[militarymd]

👍

Some people live their entire lives being lead instead of leading.

Leading by doing Locums???? Where many poorly qualified anesthesiologists spend their life? I know because I'm using a lot of Locums right now, and the leave a lot to be desired.

 

[UTSouthwestern]

Harsh, really harsh...I wonder if its better if your references dont remember who you are rather than this...

It would definitely be better to be anonymous than to make so strongly a negative impression.

 

[ThinkFast007]

Leading by doing Locums???? Where many poorly qualified anesthesiologists spend their life? I know because I'm using a lot of Locums right now, and the leave a lot to be desired.

are you serious?

Reason I asked was I thought Locums seemed like a pretty cool idea. From what I understand, if i wanted ot say just work for like 2 months straight in an area I could work there and get paid,etc. The locums job I thought paid for malpractice, etc. Granted from what I hear you will dumped upon w/ all the crap work. But it seems like it pays really well, and you have no real responsibilties. Basically, after you are done you can pack up and leave.

I guess teh downsides are you get dumped on, you have no 'home base'. I thought especially, if ppl had an interest in something 'outside' of medicine, like doing adminstrative work or small business, this could be a real 'quick' way to mk some easy $$.

Does this sound correct or am i just completely oblvious?

 

[Noyac]

are you serious?

Reason I asked was I thought Locums seemed like a pretty cool idea. From what I understand, if i wanted ot say just work for like 2 months straight in an area I could work there and get paid,etc. The locums job I thought paid for malpractice, etc. Granted from what I hear you will dumped upon w/ all the crap work. But it seems like it pays really well, and you have no real responsibilties. Basically, after you are done you can pack up and leave.

I guess teh downsides are you get dumped on, you have no 'home base'. I thought especially, if ppl had an interest in something 'outside' of medicine, like doing adminstrative work or small business, this could be a real 'quick' way to mk some easy $$.

Does this sound correct or am i just completely oblvious?

We currently use some select locums which are fine for us right now, as we move into a new hospital, and one of them we would consider highering but your comment about making more $$ as locums is not entirely accurate. I was speaking with our locums Doc today and she said that I made more $$ and had much better benefits. Locums in my opinion is fine for a short period of time when you are struggling with a place to live and type of job/group that you want to join. But I wouldn't consider it for long term (>1yr) unless I was looking to retire soon. Just my $.02.

 

[militarymd]

are you serious?

Reason I asked was I thought Locums seemed like a pretty cool idea. From what I understand, if i wanted ot say just work for like 2 months straight in an area I could work there and get paid,etc. The locums job I thought paid for malpractice, etc. Granted from what I hear you will dumped upon w/ all the crap work. But it seems like it pays really well, and you have no real responsibilties. Basically, after you are done you can pack up and leave.

I guess teh downsides are you get dumped on, you have no 'home base'. I thought especially, if ppl had an interest in something 'outside' of medicine, like doing adminstrative work or small business, this could be a real 'quick' way to mk some easy $$.

Does this sound correct or am i just completely oblvious?

yes

 

[supahfresh]

We currently use some select locums which are fine for us right now, as we move into a new hospital, and one of them we would consider highering but your comment about making more $$ as locums is not entirely accurate. I was speaking with our locums Doc today and she said that I made more $$ and had much better benefits. Locums in my opinion is fine for a short period of time when you are struggling with a place to live and type of job/group that you want to join. But I wouldn't consider it for long term (>1yr) unless I was looking to retire soon. Just my $.02.

What if I needed major flexibility with my schedule during a particular year? for example, I would like to go back to everest and make an attempt someday. For that I would need at least 3 full months off. Wouldn't it be better to be a locums guy for that year? I can't imagine some group is going to allow me to leave for 3 months.

 

[Misterioso]

supah,

Some of these so called "experts" that are advising you don't know what they're talking about. Check out this from a thread about locums:

I have heard of it. If you want to locum and make the big bucks, anesthesia is the way to go. I just finished a 1 month gig and made $46k NET. 1 month my friend!

 

[supahfresh]

supah,

Some of these so called "experts" that are advising you don't know what they're talking about. Check out this from a thread about locums:

sounds like there are a variety of jobs out there. My attending today was a locums guy and said he made 8500-10k a week but it depends on location/group/etc.

I'm just worried how I'm going to pull off a big expedition every couple of years while staying with a group.

 

[VentdependenT]

If they are "at all" with it when you get there, Ventmeister, midazolam 2mg will usually buzz-em-out. If not, give a little more, until you see that they're buzzed. Still breathing, yes...amnestic and apathetic, also yes.

Then, sux 40-60 mg (if not contraindicated by prolonged-immobility, burns, hyperkalemia, etc).

I dont understand the I-need-to-take-an-awake-look-philosophy-when-outside-the-OR commonly conveyed to anesthesia residents...my chairman was against giving paralytics for non-OR intubations. Its B.S.

Assuming theres not a contraindication, sux is your friend, especially in difficult, foreign intubating environments (like on the med-surg floor).

Preoxygenate, allowing FRC to be (as much as possible) nitrogen-displaced, give an appropriate sux dose (just a little) and it'll allow you to intubate a motionless airway. And if things go awry, sux pharmacokinetic redistribution will have the patient moving/breathing in no time.

I dont understand all the hype for awake looks.

Weeerrrrd.

Another dirty martini or 2 for you and yers tonight homeboy.

 

[coprolalia]

After having wasted an evening reviewing candidates to hire, I want to again emphasize to current and future residents that the easiest way to submarine your chances at a good job (and waste people's time reviewing your CV and interviewing you) is by being lazy, arrogant, and self-centered.

I had thought my group had found a great candidate from a great program on the east coast, only to have comments like "lazy, interested in only what's best for him, not a team player, arrogant, thinks he knows everything," etc. show up when speaking to his faculty.

YOU CANNOT JUST WORK HARD PART OF THE TIME. It will come out at some point and you will just screw your chances of getting a good position.

I read this with interest, because I am currently looking for a job.

I found this interesting because, without a doubt, there are certain attendings you could speak to at my facility who would call me "arrogant" or "overconfident" or what have you. I have to tell you, you should be careful about who you get some of that feedback from, because the ones who would say that about me - in no uncertain terms - are *****s.

Now, it may seem that it is arrogant for me to call them *****s, and that might be proof enough for you of said arrogance. But, they are truly *****s. I've, literally, recently prevented certain attendings - in no uncertain terms - from potentially doing real harm to patients. We can't get rid of them. My department has tried. They are like a bad penny. No matter how much call they get handed, they keep showing up. They don't get the hint that they're not wanted around anymore. When I do cases with them, I try my best to keep between them and the patient lest something bad happens to them.

I say this because, as you point out, you get to a point in residency where, quite frankly, you just know more than some of your attendings. Now, I recognize that many of them have VASTLY more experience (years and years) in comparison. But, some of the ones you may be seeking an opinion from, quite literally, haven't maybe done a cardiac case in ten years. They haven't intubated a 2-month old with cardiac dysfunction... ever. They've been doing ortho and gen surg cases the entire time they've been at the institution. And, memories are short and fleeting. Sure, I probably learned a lot from them my first few months when I was a CA-1, and soaked-up everything they told.

The funny thing is, if they actually went back and looked at their evaluations they wrote of me then before they took your call, they'd have said, "Great resident, hard worker, industrious, clearly engaging and inquisitive." Funny how, after you get some experience doing more complex cases - more complex cases than they've done in years - they still want to talk to you like it's your first week in residency and, quite often, suggest that you do ridiculous things that you've learned long already are not the best way of doing things from better, more-experienced attendings.

I tell you this in order that you be careful when you "vamp" for information from a program. I tell you this because, I freely admit, there are certain attendings that I simply do not get along with, and I don't want you talking to. There are some truly mean-spirited pricks (and bitches) at my program who would love the chance to bash me, if you called. I tell you this because I'm in the process of trying to continue to gain as much knowledge as possible, refine my skills, work with the people I trust and respect, and then get as far away from this place as possible. You get pushed to the point that you just get sick of taking other people's **** in a program, and you start to vocalize that. The irony is that your co-residents admire and respect you for that. The rest of the program doesn't necessarily, save a few attendings in my program who agree with me and actually I want you to talk to.

No one would ever call me lazy, though. If they do, I want you to tell me who it was, and I will straighten that perception out directly with the person who said it. People, under the veil of anonymity (and quite cowardly), can often be more blunt and harsh, and can embellish and overstate the truth, than they normally would when face-to-face with the person in question.

Just remember that. Please.

-copro

(I'm not interviewing in Dallas. I'm just trying to make a point.)

 

[Consigliere]

supah,

Some of these so called "experts" that are advising you don't know what they're talking about. Check out this from a thread about locums:

We see where your idiotic rantings got you Misterioso. Flippin' burgers?

 

[Gimlet]

We see where your idiotic rantings got you Misterioso. Flippin' burgers?

Man, that was a quality flamewar from back in the day....I like the display of solidarity from the forum regulars.

 

[jetproppilot]

Man, that was a quality flamewar from back in the day....I like the display of solidarity from the forum regulars.

Yeah, it got a little NIMBLY BIMBLY.

 

[Gimlet]

I'm curious... how would you feel about a candidate who works really hard but wants to work part time?

militarymd has made his position clear on this matter before...(it's not pretty).

 

[Gimlet]

BINGO....this is why our specialty is turning into a laughing stock....

Being a physician is a FULL TIME committment...if you want to get pregnant and have kids then do THAT....don't become a doctor....at least NOT an anesthesiologist.

Go and become a GP, occupational health, or something like that...don't f uck up our specialty anymore than it is....

.

 

[climbingdocs]

Mil, did you really say that about pregnant woman??😱 I can't find the original post...hmmm....

 

[Southpaw]

Wouldn't it be ideal to have enough trained physicians that every one of them can work 40 hours/week like the normal person? I understand the concern of continuity of care... But perhaps what we can fix is how we share information with the next physician. It seems to me that our society is moving towards creating a bunch of workaholics and drones... And I wonder if we will look back at age 100 (if we get there with the way we treat our bodies as physicians) and have serious regrets.

Many people go into medicine expecting and almost wanting to work harder and longer hours because they view it as more than a job. You might say you understand this, but having enough people around to work a normal 40 and having some system that makes it okay to pass the buck without repercussion, sounds a whole lot like any other job to me. I'm not trying to criticize your way of thinking, I'm simply saying the people who will disagree with you think of our roles and responsibilities much differently than you seem to. MMD posted at some point stating that the desire for an anesthesiologist to punch in and punch out and complain about working too much makes it much, much easier for CRNAs to claim equal footing with us. It was an excellent point.

I don't think we're creating workaholics and drones. I think the exact opposite. I think my generation and those younger expect to work less hours, not work as hard, but expect to reap the same benefits as those who came before us.

Sure you can become a physician and work part-time. Tons of people do it everyday. Just don't expect all of your fellow physicians to be hip hip hooray about it. I think a lot of people cringe at the thought that this line of thinking is endorsed early on in our education. Go over into the Surgery forums and read some of Castro Viejo's experiences. They aren't pretty.

 

[Planktonmd]

I think a lot of my classmates share the idea of working a normal work-week... But I think most of us realize we won't be making the same kind of bucks if we do. Who cares about money though... To me it's about having a satisfying life and job... and being healthy about both.

You are not serious are you?
Anyone who tells you it's not about the money is lying to you.
It is definitely about the money, no question about it.

The reason why we're not on equal-footing with CRNAs is because we should be able to take care of complicated cases and bail them out when things go wrong... The way I see anesthesia in 10 years is CRNAs running all the bread and butter cases, and anesthesiologists overviewing them as well as doing specialty work (cardio, regional)... Why not give the easy part to nurses... Why should we waste our training with something others can do.

That is not the answer, we are not going to give ANYTHING to anybody, we already gave enough, now is the time to fight for what we still have.
All those geniuses that are saying we should let the nurses do OR anesthesia and become consultants are basically saying let's give away the last piece of Anesthesiology we have and become some sort of perioperative internists who are going to compete with all the other specialists who are already practicing periopertaive medicine (hospitalists, pulomonologists, internists, GP's, Family physicians.....)
Why should we give away surgical anesthesia?
Look at the specialty of anesthesiology in other advanced countries, no one in Europe is getting ready to transform anesthesiology into nursing, why is that?
Why is it that everyone in the advanced world gets a physician anesthesiologist and Americans only get a nurse?
We should start by demanding from the ASA to clearly state that no anesthetic should be administered without the supervision of an Anesthesiologist, not any physician as they say now, but specifically an anesthesiologist and anything else should be considered substandard.
If the ASA is able to say that you should not give anesthesia without EKG monitor then they should be able to say you can't give anesthesia without an anesthesiologist.
If the ASA can not or will not establish this basic standard of care then they don't deserve our money.
This is the future we should be fighting for not giving away our identity to become something else that fits the agenda of the AANA.

 

[Noyac]

We should start by demanding from the ASA to clearly state that no anesthetic should be administered without the supervision of an Anesthesiologist, not any physician as they say now, but specifically an anesthesiologist and anything else should be considered substandard.
If the ASA is able to say that you should not give anesthesia without EKG monitor then they should be able to say you can't give anesthesia without an anesthesiologist.
If the ASA can not or will not establish this basic standard of care then they don't deserve our money.
This is the future we should be fighting for not giving away our identity to become something else that fits the agenda of the AANA.

How many times have we said this on this site?

Is the ASA listening to their constituents? Hello ASA, are you there?

Nope, no answer.

And as far as giving the OR cases to the nurses, no f*cking way. That job is not for sale. We opened the door years ago and the greedy bastards that are now retiring abused the system so much (not at all unlike the Wall Street scum we are dealing with today) that we are paying the price. Just like the Wall Street scum has screwed the american public so has our past ASA members. Demand a change in the ASA. Get those oldtimers out of there. Lets see some results.

 

[urge]

You are not serious are you?
Anyone who tells you it's not about the money is lying to you.
It is definitely about the money, no question about it.

One thing I have learned for sure in this business is that EVERYTHING is about money.

 

[Planktonmd]

Those replies did not address my original point about the number of hours not making our job special (which was my main point).

Regardless, I was saying *I* don't care about money... hence why I said "to me... blabla"... I realize money is important to a lot of people... most people, probably.

I have a strong feeling that you are really young, high school maybe??

With respect to the nurses... Everything in medicine is about patient care, and we are supposed to be practicing evidence-based medicine. If having a fully-trained anesthesiologist for basic OR cases is best, then so be it... But if having a crna with supervision is good enough, what is the problem? Defending our profession just for the sake of defending it is selfish. Society will (or should) eventually mold to what is ideal, and our role will likely shift.

No one said that CRNA's should disappear, we are just saying that they should be supervised.
And I am not sure what you are trying to say when you say it's all about patient care and we should practice evidence based medicine, are you aware of any reliable unbiased non AANA fabricated evidence that shows that nurses can practice anesthesiology without supervision?
I am not sure you understand the issues here, but again you might be too young to understand.

 

[coprolalia]

Those replies did not address my original point about the number of hours not making our job special (which was my main point).

Regardless, I was saying *I* don't care about money... hence why I said "to me... blabla"... I realize money is important to a lot of people... most people, probably.

With respect to the nurses... Everything in medicine is about patient care, and we are supposed to be practicing evidence-based medicine. If having a fully-trained anesthesiologist for basic OR cases is best, then so be it... But if having a crna with supervision is good enough, what is the problem? Defending our profession just for the sake of defending it is selfish. Society will (or should) eventually mold to what is ideal, and our role will likely shift.

Awwwwe. You get a cute little kittie.

He likes my bug avatar. He thinks it's cute too.

😀 🙂 😍

-copro

 

[Southpaw]

I have a strong feeling that you are really young, high school maybe??

Apparently not, but she sure sounds like it.

Cylene, you're narrowing your thinking tremendously by associating only "hours" and "job". It's much more involved than that and I'm sure if you sat down and thought about it for just a few minutes you'd realize it. And judging from another thread (where you've stated you're receiving interviews so you're an MS4) I'm highly, highly surprised you've gotten to this point in medicine and don't understand why medicine is not simply a job like punching the 8-4 is a job.

Regardless, and again, no one will stop you from working 40 hours a week and calling in "sick" as much as you're allowed, but don't expect to receive nearly the same amount of respect as the person you're in practice with who pulls 60-70 hours a week, stays until the job is done, helps their fellow partners out as much as possible with call, and is just a joy to work around. While saying people need to enjoy life as much as possible sounds fabulous, it changes nothing from the standpoint that there's work to be done, and most people want to do it and make as much as they can while they're at it.