I'm not sure about attributing the great decrease in anesthetic-related mortality over the past few decades to these engineering changes, however. No paperwork. I've had a great experience so far and am learning a lot, but there is not a day that goes by that I don't thank my lucky stars that I matched into radiology. That's a lot of things to think about, but surgery is similar if not worse. You should be able to look at your job and say "Yea, I can be happy doing this for the next 35 years". administer several compounds which suppress or stimulate various functions. so, i would probably say i'd be much less concerned about anesthesia. It is what my professor told me, so take it as you will. A third compound is very critical. Nope. In addition it's one of the few specialties that is still mostly still dominated by private clinics. Epidemiological studies are done where the cause of each perioperative death or injury is attributed to a specific cause. Cross posting from r/anesthesiology. Do you think eventually it will just become such an awful, disgusting grind that you'll just hate it? Non-oxygen wall gas tubing cannot connect into the machine's oxygen input anymore. But it’s also a highly complicated and specialized aspect of medicine, sporting a long history and a significant role in many operations. All the facts in this are pulled directly from the notes I took during that lecture. depends on the surgical procedure and on the type of anesthesia used. One compound suppresses the sensation of pain. 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. It's a muscle paralytic which prevents you from moving during surgery. Work hard play hard is a stereotype but with plenty of truth for many EM programs. Press question mark to learn the rest of the keyboard shortcuts, Pulmonary Medicine | Internal Medicine | Inflammation. That was not necessary for me today, fortunately. Perhaps on a scale of open heart or brain surgery to something like wisdom teeth or cosmetic surgery. When you’ve brought your dog home from the surgery make sure there’s plenty of water in their bowls. Much of this change was brought about by frank recognition of the hazards, and a constructive addressing of the risks. Im seriously considering the above 4 things but am open. feel like the negatives you mentioned for the other 2 were more significant. Not to hijack the thread but I'm also considering rads and maybe my questions will be useful to OP. 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 is some truth to the notion that semi-conscious sedation and full anesthesia are recommended for the convenience of the oral surgeon. IM - I love the depth of this. Don't do EM if you dont like working extremely hard for a shift. Looks like you're using new Reddit on an old browser. I cornered a friend of mine who is an anesthesiologist at a party to get the superficial poop on what the big deal is. It offers a good procedural and clinical mix. Devlin B. Lv 6. Where do they give anesthesia for lumbar punctures? You listed no negatives for radiology, that's a start. 5-year AA here. However, I feel many patients too quickly defer to their peers suggestions and surgeons recommendations. Never had anything more than a local for it. Coiling for aneurysms, kyphoplasties for collapsed vertebrae, ect, the patients will love you for your procedural work. There is a big jump when you go from M4 to PGY-1 and that mostly comes in the form of expectations. Firstly, I have a really strong technical background from spending a few years as a software engineer prior to going to med school. even post-op, when someone is on a lot of antibiotics, that can kill of most of the intestinal bacterial flora, which leaves a ripe bowel in which clostridium difficile can grow, leading to colitis and possibly toxic megacolon. See if you can meet with your anesthesiology team. 0 comments. I will be asking my doctor about this (and I am going to a general practitioner and a cardiologist for a check up as well) but I would like to get your thoughts. Just today I had a patient with a large mass in the anterior mediastinum. See if you might have a choice. 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. Local and regional are the two that are often confused with one another. Work life balance present. I'm an M2 so I haven't rotated in anything but I've shadowed a radiologist and have some rads pubs. Hey guys! In other cases, a particular drug might not be contraindicated, but the chosen plan must take into account unique dangers. When I tell people this many think I'm nuts. Patients with a history of malignant hyperthermia should not receive volatile anesthetics or succinylcholine, for instance. It was my second option as I missed out on my first choice. Whatever path you take, best of luck on your military journey. Some dials rotated clockwise, others counterclockwise. 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." Rads vs Anesthesia then. Good answer. There is plenty of depth in rads and anesthesia. 253 on step 1. compensation isn't important (everyone gets nearly the salary in the military +/- bonuses). Most of the time, within an hour or 2 after the surgery, there are no effects at all from the anesthesia. Introduction. The danger for such a patient is that positive-pressure ventilation (such as through a mask or endotracheal tube after a patient becomes apneic secondary to anesthetic induction) can cause the mass to obstruct the trachea or large bronchi, leading to inability to ventilate and subsequent death. Most side effects of general anesthesia occur immediately after your operation and don’t last long. This is not to say that you should not use these latter two methods. However, they might prescribe you pain medication.. lol. I'm not terribly sure if that counts as credible in this subreddit. I don't mean interacting with patients, I mean interacting with that one patient who is obviously seeking painkillers, or the diabetic that is angry and doesn't understand why you can't just surgically reattach his gangrenous toe as he sips his 7/11 big gulp slurpy (real patient for me), or perhaps the worst, the patient interaction with the patient who wants to get better but the social system has failed via insurance, poor support, or poor socioeconomic factors. I guess it matters how you define "danger". 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? I do a mix of general and cardiac anesthesia. Share via. General anesthetics are usually achieved with combinations of drugs, and there are many ways to do this. Background Balloon‐tipped bronchial blocker catheters are widely used in pediatric thoracic anesthesia to establish single‐lung ventilation. I don't think you should do EM. Anesthesia is more dangerous to people with chronic heart disease and chronic respiratory disease. General is the anesthesia type we think of most during a surgery where the patient is completely asleep. Kittens receive anesthesia when they are spayed or neutered, and most pets receive anesthesia at least once more during their lifetimes.. General anesthesia is achieved by administering drugs that suppress your cat’s nerve response. A patient with aortic stenosis may not tolerate drops in blood pressure on anesthetic induction the way a healthy patient will. (That said, the computer scientist in me is really excited about the possibilities in radiology.). No rounds. Many such things have been done. When you go in for surgery, you have to sign various waivers and consent forms related to the anesthesia. 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. 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. Much like smoking cigarettes, abstaining from marijuana in the weeks before surgery can decrease the likelihood of complications during and after surgery. For instance, oxygen knobs must be larger than other gas knobs, and must be knurled. Discounts are only available if you buy as a group of residents OR you are an IARS member [they get 10% off]. Under general anesthesia, you don't feel pain because you're completely unconscious. hide. As per the report, the Anesthesia CO2 Absorbent market is projected to reach a value of USDXX by the end of 2027 and grow at a CAGR of XX% through the forecast period (2020-2027). Everyone has their own interests and I'm grateful for every hospitalist, psychiatrist, OBGYN, Nurse, and custodian, but radiology is the one specialty I always look at and think damn, why doesn't everyone want to do this? In general, the sicker you are, the higher your risk. No dealing with irate family members. 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. It's the perfect specaity. share. I love my job. report. (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). 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… But I generally feel pretty fired up despite exhaustion. I'm curious about comparing the isolated risks of each. 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. But, it doesn't sound like you enjoy the day-to-day of IM. It'll be even worse on Christmas day or a Saturday at 3am. We mostly manage chronic conditions. You will feel this way for life. Also, the salaries look like they're starting to taper downwards in DR. What's going on there?
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