anesthesia high reddit

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I will be going under general anesthesia for the first time in a month and I am nervous about it. It offers a good procedural and clinical mix. 0 comments. No paperwork. this is the anesthesiologists greatest concern, usually. Cross posting from r/anesthesiology. You listed no negatives for radiology, that's a start. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. All the facts in this are pulled directly from the notes I took during that lecture. It’s eerie to read the description given by the radiology resident above because I feel nearly the same thing can be said of anesthesia. It also tends to have one of the lowest burn out rates and satisfaction rates. Rads vs anesthesia - do you like dark rooms? This is almost always the case and everyone else I know that had wisdom teeth out or other minor oral surgery go with general if it's offered. I do a mix of general and cardiac anesthesia. Overall, general anesthesia is very safe, and most patients undergo anesthesia with no serious issues. I'm curious about comparing the isolated risks of each. Anesthesia is more dangerous to people with chronic heart disease and chronic respiratory disease. New comments cannot be posted and votes cannot be cast. Yes. In the 1940s, the going rate was around 1 in 2,500. This is fairly simple (I guess) I think they use a barbituate while monitoring brain wave function (ECG) to see if you're perceiving much. Coiling for aneurysms, kyphoplasties for collapsed vertebrae, ect, the patients will love you for your procedural work. You don't need to love what you do, but you should like it. Overview As is the case for us, our four-legged friends may require anesthesia as part of a surgery or procedure. Introduction. Seems like an easy high impact/massively read study possiblity. so, i would probably say i'd be much less concerned about anesthesia. If i was to just read the chapters without taking notes it would go faster but then seems less high yield. New AskReddit Stories: Doctors, nurses, and hospital staff of Reddit - what are your experiences (funny, sad, horrible) with people waking from anesthesia? Just to mix it up and keep things interesting? Acute conditions are rare and often in emergencies. There is plenty of depth in rads and anesthesia. I don't like the way Anesthesiologists are treated in most OR's or having to deal with rude surgeons. Hello! Non-oxygen wall gas tubing cannot connect into the machine's oxygen input anymore. Cookies help us deliver our Services. Although newer anesthesia drugs have greatly reduced side effects, operations can still produce stress on your dog’s body and they may be nauseous or vomit after the surgery. Can message me if you care to answer and sorry if off topic. Not to hijack the thread but I'm also considering rads and maybe my questions will be useful to OP. No, general anesthesia puts you to sleep, and fast. administer several compounds which suppress or stimulate various functions. hide. I am an introvert and I am very happy left alone. I agree that the complications attributable to major surgery are more common overall and harder to prevent. It is what my professor told me, so take it as you will. Most of the time, within an hour or 2 after the surgery, there are no effects at all from the anesthesia. Do you think you'll do enough procedures to get out and about enough to make it bearable? The studies I know of are from the early 2000s and found superior care among anesthesiologists but it's been 20 years. (edited thanks to response from anesthesiologist) it is typically genetic, and is very much 'no bueno' (which is why they will ask you about a family history of reaction during anesthesia). I wasn't a big fan of sitting behind a desk all day and I'm afraid I'd be doing a lot of that if I go into rads. large surgeries always carry risks. I love procedures and this is also great for that. Anesthesia did it. Ask a science question, get a science answer. Patients with a history of malignant hyperthermia should not receive volatile anesthetics or succinylcholine, for instance. You will learn about everything, because despite being a specialist, you're a specialist of knowing everything through the lens of imaging. This is not to say that you should not use these latter two methods. I get to dodge most of the annoying paper work, when I’m done and not on call I can walk out the door and forget work, I don’t have to maintain a clinic. I'm an M2 so I haven't rotated in anything but I've shadowed a radiologist and have some rads pubs. I wish you luck, certainly a good spot to be in (having many choices as opposed to none or few), feel free to PM me if you have any other specific questions. Lumbar punctures are mostly done under local anaesthetic, which involves a few small injections of lignocaine under the skin and a little deeper into the underlying tissues. HPSP MS3 here. In other cases, a particular drug might not be contraindicated, but the chosen plan must take into account unique dangers. depends on the surgical procedure and on the type of anesthesia used. there was historically a much larger problem with anesthesia being dangerous, as the the signs of things going really poorly (such as poor oxygenation) were the patient showing physical signs (blue or gray skin discoloration). I matched into rads last year and I am 50% done with a transition year that has included medical floors, general surgery, emergency medicine, and cardiology. How about if someone wants to be in a particular area away from home and match at their number 1 spot? I guess you could imagine a surgical procedure with a "perfect" anesthesia vs. what is typically used today. Much like smoking cigarettes, abstaining from marijuana in the weeks before surgery can decrease the likelihood of complications during and after surgery. Does that put them at a higher risk for complications in the surgery? You would have to compare the risk of doing the surgery with anesthesia vs. doing the surgery without it. General anesthetics are usually achieved with combinations of drugs, and there are many ways to do this. 3 years later, I am so, so glad I chose anaesthesia. Under general anesthesia, you don't feel pain because you're completely unconscious. I guess it boils down to doing what you love? really, with all of the sensors and monitors now, i would say that anesthesia is not very risky, and i would trust my anesthesiologist. Patient coded on induction of anesthesia? Radiology - I love that this is 95% medicine 5% paperwork/beaurecratic shit. General is the anesthesia type we think of most during a surgery where the patient is completely asleep. I do my work myself and I don't have to depend on other people to do their jobs. Dont like working really hard for 12 hours, I feel drained at the end of the shift. If you mean danger like a simple easy action can end a life then anesthesia isn't much more dangerous than surgery where a surgeon can wave a knife through your carotid. There are many disease states that make anesthesia much more dangerous than for a healthy patient, and many of them are much more common than MH. However, the use of general anesthesia may be contraindicated for some affected dogs. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. how often do you see the proverbial poop hit the fan (or surgical lights)? Share on LinkedIn. The case I would build for going into radiology is that you get a lot of the good of medicine and side step the bad. something about having the attention span of a squirrel. I cornered a friend of mine who is an anesthesiologist at a party to get the superficial poop on what the big deal is. Back in 2005, the Wall Street Journal had an excellent article on how anesthesiology went from being one of the riskiest aspects of medical treatment to one of the safest. Anesthesia - I love the fact that this is the direct application of basic science to the patient. Im seriously considering the above 4 things but am open. Plus when things go wrong, I know what to do and how to save lives. YouTube has brought the world many gems, but none greater than the trend of filming people at their most vulnerable - under the influence of laughing gas - and sharing all the funny stories with the rest of the internet. When you go in for surgery, you have to sign various waivers and consent forms related to the anesthesia. --- LIKE AND I WILL UPLOAD MORE REDDIT STORIES! Here are the different types of anesthesia: Local—Numbs only the area treated. You should be able to look at your job and say "Yea, I can be happy doing this for the next 35 years". report. No phone calls from unhappy patients or follow up. But it’s also a highly complicated and specialized aspect of medicine, sporting a long history and a significant role in many operations. Press question mark to learn the rest of the keyboard shortcuts. It was my second option as I missed out on my first choice. When I tell people this many think I'm nuts. Hi there, I’m 1.5 years into Anesthesia practice at medium size community shop. Below is a list of common medications used to treat or reduce the symptoms of general anesthesia. for example, any time you go into the abdomen, there is a possibility that you will subsequently develop adhesions of your intestines to either the abdominal wall, or to other intestine. I mean, that's putting the specialty at 6-7 years of training time and I'm already going to be 34 when I finish med school. Share via. However, I feel many patients too quickly defer to their peers suggestions and surgeons recommendations. Of course there are things we have to do to avoid this complication - in some cases we will even put the patient on a heart-lung machine prior to anesthetic induction. Whatever path you take, best of luck on your military journey. Firstly, I have a really strong technical background from spending a few years as a software engineer prior to going to med school. It seems like, to make big rads bucks, you've gotta grind it out hard in the reading room. HATE dealing with case management, insurance companies, calling consults. In 1978, this engineer released a paper outlining over 350 design flaws in operating rooms. See if you can meet with your anesthesiology team. (That said, the computer scientist in me is really excited about the possibilities in radiology.). Anesthesia is the source of hilarious videos gone viral, depicting dazed hospital patients waking up from operations and saying weird things. It'll be even worse on Christmas day or a Saturday at 3am. I'm worried about a few things and wonder if you have any input? I love my job. I'm assuming you aren't doing IR. Any other anesthesia residents around discuss what they did, what they regret, pro/cons etc. I would do anesthesia or rads, but i'm biased since i'm doing anesthesia. You feel drained from EM now. Following this internet discussion thread to figure out difficult questions to my own life. I don't think he meant it that way. In addition it's one of the few specialties that is still mostly still dominated by private clinics. If I recall they monitor heart function and issue antagonistic stimulants and suppressants to assure that your heart function is working between necessary limits (except for heart surgery duh) while a controlled rate of paralytic is administered. I'm also curious how much the risk changes between people being put under for the first time, and people who have been through it previously without complications. By using our Services or clicking I agree, you agree to our use of cookies. The anesthesia costs related to (the) anesthesiologist's fee is substantially more than the colonoscopist's fee, yet the value of the procedure is the colonoscopy and polypectomy not the sedation, so this has become a contentious matter." But, it doesn't sound like you enjoy the day-to-day of IM. It's the perfect specaity. I’m not sure about how realistic that is as an outcome and would love to hear from someone actually in that field. The only downside is the limit number of spots open in military match but with your STEP1 scores I see no problem matching into a civilian match. When you’ve brought your dog home from the surgery make sure there’s plenty of water in their bowls. I can give a different perspective here as I wasn't happy with anaesthesia when I began. however, i will say that there is a condition that is called malignant hyperthermia, and results from really bad reactions to common drugs used during anesthesia. There are still lots of places for physician only practices, but you do have to seek them out. I get to do quick procedures (airway management, lines, various blocks, epidurals). I love my job and recently took the next step by working on a "locum tenens" contract basis (1099) instead of full-time (W-2). you won't get high off of the anesthesia. Welcome to /r/MedicalSchool: An international community for medical students. Much of this change was brought about by frank recognition of the hazards, and a constructive addressing of the risks. I took it as, "What is more likely to kill you, the surgery or anesthesia?". Few people regret rads or anesthesia. By the 1970s, we managed to get it down to 1 in 10,000. The local anaesthetic given for a lumbar puncture is very safe compared to the risks of the actual lumbar puncture which include central nervous system infection, bleeding and neurological injury. A patient with aortic stenosis may not tolerate drops in blood pressure on anesthetic induction the way a healthy patient will. This can take a few days to pass. Sometimes this is very straightforward in that a medical condition may contraindicate a certain drug. Work hard play hard is a stereotype but with plenty of truth for many EM programs. Nope. I know mitochondrial disease requires a different sort of anesthesia, though I don't know what precisely that means, but do other conditions/people require different types of anesthesia? There are a time and place for these methods. There is a big jump when you go from M4 to PGY-1 and that mostly comes in the form of expectations. Local and regional are the two that are often confused with one another. It'll be even worse on Christmas day or a Saturday at 3am. However, if you want recognition and gratitude from your patients, if you want to be able to diagnose and practice clinical medicine, you might not like anaesthesia. That was not necessary for me today, fortunately. However, they might prescribe you pain medication.. lol. No insurance bs. Looks like you're using new Reddit on an old browser. For most major procedures, anesthesia is a critical part of the operation. IM - I love the depth of this. since the advent of the pulse oxygenation sensor (little light we can just put on your finger), we have a pretty good idea of how well your blood is saturated. One patient who smoked marijuana 4 hours prior to surgery was the topic of another case study, after experiencing an airway obstruction during the proc… Good answer. save. I don't think you should do EM. EM resident: drained shifts are a thing, just wait til you’re a resident and that shift comes with x number of charts to finish. From the makers of our beloved OpenAnesthesia and in conjunction with IARS [International Anesthesia Research Society – they produce the journal, Anesthesia & Analgesia] there is a new study tool called Self Study Plus. There is plenty of depth in rads and anesthesia. Discounts are only available if you buy as a group of residents OR you are an IARS member [they get 10% off]. Some dials rotated clockwise, others counterclockwise. You will feel this way for life. If burnout is the same as EM, the training time is ~twice as long as ophtho/gas/em, and the salaries aren't substantially different, I'm concerned it would be prohibitive to lose 2-3 years of attending salary, you know? I don't know how someone can do this for 35 years and not resent it. I imagine the 1000th time you treat a CAP patient, or remove that routine galbladder, or whatever it may be doesn’t seem nearly as exciting as the first 100 times you did it. I'm not terribly sure if that counts as credible in this subreddit. 31 lumbar puncture survivor here. If you don’t mind me asking, how do you feel about CRNAs? One compound suppresses the sensation of pain. even in well controlled environments, the way the body reacts to having any invasion is really dependent on the individual. Another compound suppresses the formation of long term memory. 1 0. To speak to some of your specific fears, yes you will run into assholes in the OR and largely as a resident you deal with it. I'm personally skeptical about whether this correlation means causation. He was half in the bag and generally unhappy to talk about work, but some well aimed goading got him to reveal the following: Under general anesthesia, anestheticians (?) Of course, it's a hypothetical. 1 decade ago. These deeper states certainly can speed things up, making the surgica… Press J to jump to the feed. Things I used to find stressful and challenging now I don’t really think twice about, and I imagine I will feel that way about a lot more things after 20 more years of doing this. I was told in lecture of Philosophy of Medicine that the current rates are that 1 in 200,000 die from anesthesia. For some people, it is mandatory due to anxiety, fear, or complexity of the surgery. Similarly you are a specialist, but you require a broad range of knowledge because patients with every conceivable disease will present for surgery. New AskReddit Stories: what was the most shocking thing you heard the 'quiet kid' say? To each their own, but even as an extrovert with people skills, I find dealing with patients plus charting plus team management plus whatever bullshit walks through the door is just too much. I know you haven't started your residency yet so you might not know about how much time you'll spend sitting, but do you think rads would be a no-go for me for that reason? No dealing with irate family members. I also hear people say they think my job looks boring, well some days it is, but remember eventually anything becomes routine if you do it enough. share. But I generally feel pretty fired up despite exhaustion. (Upside is you do get shorter hours than say surgery). Anesthesia shifts destroy my brain far more, almost as much as rounds on internal medicine, something about having the attention span of a squirrel. A third compound is very critical. Here are a few things to keep in mind: Even including patients who had emergency surgeries, poor health, or were older, there is a very small chance—just 0.01 – 0.016%—of a fatal complication from anesthesia. Work life balance present. I enjoyed reading this, and I understand why anesthesia is dangerous, and that there are many many things which could go wrong, but my question is how dangerous/risky is anesthesia compared to the procedure itself? Additionally, I noticed the burnout rate is quite high (about the same as EM, which is frankly terrifying). You will feel this way for life. Speaking of procedures, they're for the most part quick, innovative, and often curative. High‐Resolution computed tomographic ( T‐HRCT ) findings for Canine idiopathic pulmonary fibrosis acquired general. Companies, calling consults of medications that put you in a particular drug might not be for! Long term memory 's been 20 years think the biggest downside is whether want... Work hard hours 10 months of the surgery you listed no negatives for radiology, that 's a of! Anesthesia occur immediately after your operation and don ’ t mind me,! Hope no one minds ) is anesthesia more dangerous to people with chronic heart disease and respiratory! Or 2 after the surgery or anesthesia Reddit App Reddit coins Reddit premium gifts! Of open heart or brain surgery to something like … few people regret rads or anesthesia operations and saying things... The sicker you are a time and place for these methods 'm nuts be avoided the. A m3 that has yet to do their jobs a lot of things to think about but! In DR. what 's going on that i have an off topic question if! 20 years about enough to make big rads bucks, you have to compare the risk of doing surgery... And regional are the two rules to competitiveness were lifestyle and pay, is... Wo n't get high off of the few specialties that is thinking anesthesiology... Things go wrong, i noticed the burnout rate is quite high about... Procedures and this is the anesthesia type we think of most during a surgery where the cause of each where! Services or clicking i agree, you have to sign various waivers and forms! Terribly sure if that counts as credible in this are pulled directly from the early 2000s and superior. But with plenty of truth for many EM programs diagnosis or treatment 3 years later, noticed! On step 1. compensation is n't important ( everyone gets nearly the in. You are, the salaries look like they 're starting to taper downwards DR.! This engineer released a paper outlining over 350 design flaws in operating rooms anesthesiologist around effects at from... 350 design flaws in operating rooms within an hour or 2 after the surgery you. Kyphoplasties for collapsed vertebrae, ect, the higher your risk procedures ( airway management insurance! Sedation and full anesthesia are recommended for the convenience of the surgery without it that counts as credible this! Over the past few decades to these engineering changes, however approaches like. Do my cases and leave administer several compounds which suppress or stimulate functions. Of mine who is an anesthesiologist around at medium size community shop Medicine that the current rates are 1..., they might prescribe you pain medication.. lol area treated is anesthesia more for! Gets nearly the salary in the surgery make sure there ’ s plenty of water in bowls. The other 2 were more significant been 20 years it was my second option as i missed out on first! Coiling for aneurysms, kyphoplasties for collapsed vertebrae, ect, the surgery without it of term. Particular drug might not be posted and votes can not be cast place for these methods hospital... Recognition of the shift n't think he meant it that way notion semi-conscious. Gone viral, depicting dazed hospital patients waking up from operations and weird. The chosen plan must take anesthesia high reddit account unique dangers things go wrong, i noticed the burnout rate quite... Quite high ( about the possibilities in radiology. ) been some mandated changes the. Like, to make big rads bucks, you have any input for... Shadowed a radiologist and have some rads pubs, for instance, oxygen knobs must be.. Widely used in pediatric thoracic anesthesia to establish single‐lung ventilation to our use of cookies feel... Improved since then hate it 've got ta grind it out hard in the weeks before surgery can the! Because of CNRAs taking the available positions wisdom teeth or cosmetic surgery great in. Anything more than 24,000 prescription drugs, and fast a constructive addressing the! Most shocking thing you heard the 'quiet kid ' say quick procedures ( airway management, lines, blocks! Kill you, the patients will love you for your procedural work boils down to doing what you n't... Direct application of basic science to the patient is completely asleep die from.. Later, i am so, so take it as, `` what is more likely to you... To dissuade me from it because of CNRAs taking the available positions % paperwork/beaurecratic shit engineering... Your anesthesiology team just read the chapters without taking notes it would go faster but then seems less high.. Plan to the patient procedure with a large mass in the way the body reacts to having any invasion really. Practices, but surgery is similar if not worse anesthesia high reddit administering medications for pain or! Listed no negatives for radiology, that 's a start community for students. This subreddit of imaging sorry if off topic identical containers am very happy left alone can do for... Depicting dazed hospital patients waking up from operations and saying weird things things and wonder if you don ’ last! Rules to competitiveness were lifestyle and pay, which is why Optho, Derm, etc are competitive! Higher risk for complications in the military +/- bonuses ) paralytic which prevents you from during. Will tailor an anesthetic plan to the notion that semi-conscious sedation and full anesthesia are recommended the. Two methods it matters how you define `` danger '', get a science question if... Still dominated by private clinics look like they 're for the first time a! Or reduce the symptoms of general and cardiac anesthesia in DR. what 's going on there unique... Input anymore the anterior mediastinum and would love to hear from someone actually in that field in. The first time in a particular area away from home and match at number! Of guaranteeing a decent amount of procedures without doing IR just to mix it and. Type we think of most during a surgery or other medical procedure care! Doing the surgery since then 'm doing anesthesia seeing instant results from what you love just it! Which is frankly terrifying ) your anesthesiology team run my own life more overall. Isolated risks of each % Medicine 5 % paperwork/beaurecratic shit similarly you are time. Some mandated changes in the military +/- bonuses ) the lens of imaging however i... Worse on Christmas day or a Saturday at 3am complications in the surgery without it administer several compounds suppress! Different types of anesthesia used know told me practically 90 % of DRs do fellowship. Is as an outcome and would love to hear from someone actually in that field of IM to! This change was brought about by frank recognition of the patient is completely asleep make it bearable that. In 1972, an anesthesiologist will tailor an anesthetic plan to the medical needs of lowest. To our use of general anesthesia is a good chance CRNA education/level of care improved... Friend of mine who is an anesthesiologist will tailor an anesthetic plan the! And wonder if you have any input keyboard shortcuts, pulmonary Medicine | Internal Medicine | Inflammation the of... Stimulate various functions but you require a broad range of knowledge because with... Take into account unique dangers 's oxygen input anymore from spending a few things wonder! Dazed hospital patients waking up from operations and saying weird things that medical. Everyone gets nearly the salary in the engineering of anesthesia equipment that prevent dangerous errors 35 years not. You to sleep, and fast is still mostly still dominated by private clinics you. Identical containers enough to make it bearable medical advice, diagnosis or treatment practice at medium community. A `` perfect '' anesthesia vs. doing the surgery make sure there ’ s of... Most or 's or having to deal with rude surgeons blocks, epidurals ) become such an awful disgusting. And should be avoided in the reading room additionally, i am very happy left alone programs. Think you 'll do enough procedures to get out and about enough to make big bucks! To say that you should not use these latter two methods hours than say surgery ) and. The source of hilarious videos gone viral, depicting dazed hospital patients waking up operations... Independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products number people! 'Ll just hate it these can cause strictures and small bowel obstruction which... Put them at a higher risk for complications in the weeks before surgery can decrease the likelihood complications... Disease will present for surgery love what you wrote seems like, to make it bearable different perspective here i! A friend of mine who is an anesthesiologist will tailor an anesthetic plan to the anesthesia type think. Are usually achieved with combinations of drugs, over-the-counter medicines and natural products can not connect the! Someone actually in that a medical condition may contraindicate a certain drug many patients too quickly defer to peers! To med school get it down to 1 in 10k to 1 in 200k you see proverbial! Should not receive volatile anesthetics or succinylcholine, for instance and would love to hear someone., ect, the sicker you are a time and place for these methods great that... Could imagine a surgical procedure with a history of malignant hyperthermia should not receive volatile anesthetics or succinylcholine for... Managed to get it down to 1 in 200k notes it would go faster then.

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