I cornered a friend of mine who is an anesthesiologist at a party to get the superficial poop on what the big deal is. something about having the attention span of a squirrel. About five years ago I had 4 wisdom teeth removed in the same go and I refused general because my insurance would not pay for an actual anesthesiologist to be present. feel like the negatives you mentioned for the other 2 were more significant. 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. Coronavirus disease‐19 (COVID‐19), caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), remains a public health emergency of international concern with high levels of community transmission and a high mortality rate in high‐risk groups [].The care of patients with COVID‐19 has put a significant strain on intensive care unit (ICU) resources worldwide. Overall, general anesthesia is very safe, and most patients undergo anesthesia with no serious issues. Also, the salaries look like they're starting to taper downwards in DR. What's going on there? I was afraid I would miss diagnosing and treating patients and be mistreated by surgeons. But it’s also a highly complicated and specialized aspect of medicine, sporting a long history and a significant role in many operations. Not really the case as staff, especially in private practice, hell I see most of the surgeons I work with socially outside of the hospital. Just to mix it up and keep things interesting? I'm curious about comparing the isolated risks of each. I'm not terribly sure if that counts as credible in this subreddit. Firstly, I have a really strong technical background from spending a few years as a software engineer prior to going to med school. I don't think he meant it that way. But, it doesn't sound like you enjoy the day-to-day of IM. Plus when things go wrong, I know what to do and how to save lives. I do my work myself and I don't have to depend on other people to do their jobs. 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? I would do anesthesia or rads, but i'm biased since i'm doing anesthesia. None have had a trained anesthesiologist present. Share on LinkedIn. Introduction. When you’ve brought your dog home from the surgery make sure there’s plenty of water in their bowls. I don't think you should do EM. If you're a people person you will still get plenty of people time interacting with patients during their procedures (which there are a lot of) and you will interact with other doctors, PAs, techs, and students quite a bit if you like. I get to do quick procedures (airway management, lines, various blocks, epidurals). Here are the different types of anesthesia: Local—Numbs only the area treated. See if you can meet with your anesthesiology team. You feel drained from EM now. 1 decade ago. Hey guys! I took it as, "What is more likely to kill you, the surgery or anesthesia?". 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). I'm worried about a few things and wonder if you have any input? No dealing with irate family members. Nope. For instance, oxygen knobs must be larger than other gas knobs, and must be knurled. Hi there, I’m 1.5 years into Anesthesia practice at medium size community shop. I don't like the way Anesthesiologists are treated in most OR's or having to deal with rude surgeons. I guess it boils down to doing what you love? If i was to just read the chapters without taking notes it would go faster but then seems less high yield. Work life balance present. Patients with a history of malignant hyperthermia should not receive volatile anesthetics or succinylcholine, for instance. Another thing is: one radiologist I know told me practically 90% of DRs do a fellowship. (Upside is you do get shorter hours than say surgery). Background Balloon‐tipped bronchial blocker catheters are widely used in pediatric thoracic anesthesia to establish single‐lung ventilation. 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. 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. I was told in lecture of Philosophy of Medicine that the current rates are that 1 in 200,000 die from anesthesia. You feel drained from EM now. save. In addition it's one of the few specialties that is still mostly still dominated by private clinics. 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. There is a good chance CRNA education/level of care has improved since then. Never had anything more than a local for it. I always though the two rules to competitiveness were lifestyle and pay, which is why Optho, Derm, etc are really competitive. Great comment, I have an off topic question, if one was considering rads, are away electives necessary? I will be going under general anesthesia for the first time in a month and I am nervous about it. Most of the time, within an hour or 2 after the surgery, there are no effects at all from the anesthesia. The quality of patient monitoring has improved drastically though such innovations as end-tidal carbon dioxide monitoring and pulse oximetry, and hence we are able to detect problems sooner and intervene before the patient is harmed. 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. large surgeries always carry risks. Most side effects of general anesthesia occur immediately after your operation and don’t last long. Sometimes this is very straightforward in that a medical condition may contraindicate a certain drug. Longest residency of the specialties listed. (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'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. Whatever you can sense or observe doesn't get written to long term memory (rohypnol or something similar) so you can't remember whatever sensations get through. That was not necessary for me today, fortunately. 0 comments. No insurance bs. There is plenty of depth in rads and anesthesia. You would have to compare the risk of doing the surgery with anesthesia vs. doing the surgery without it. 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. 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. Anesthesia shifts destroy my brain far more, almost as much as rounds on internal medicine, something about having the attention span of a squirrel. Overview As is the case for us, our four-legged friends may require anesthesia as part of a surgery or procedure. Anesthesiologists work to ensure the safety and comfort of patients during surgical procedures by administering medications for pain reduction or sedation. You don't need to love what you do, but you should like it. When I tell people this many think I'm nuts. Devlin B. Lv 6. If you don’t mind me asking, how do you feel about CRNAs? I’m not sure about how realistic that is as an outcome and would love to hear from someone actually in that field. I'm personally skeptical about whether this correlation means causation. I have to do the military match in addition to the civilian match and have to stress way earlier than everyone which means I need to know what I want to do before too. No networking or trying to run my own practice. (crashing patient, etc..). That's a lot of things to think about, but surgery is similar if not worse. Many such things have been done. But, it doesn't sound like you enjoy the day-to-day of IM. MH is a concern, I don't know if it's my greatest concern. HPSP MS3 here. I come to hospital, do my cases and leave. It's a muscle paralytic which prevents you from moving during surgery. I'm assuming you aren't doing IR. Some dials rotated clockwise, others counterclockwise. Epidemiological studies are done where the cause of each perioperative death or injury is attributed to a specific cause. report. 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. Im seriously considering the above 4 things but am open. Good mix of pharm, path and physio. However, the use of general anesthesia may be contraindicated for some affected dogs. The studies I know of are from the early 2000s and found superior care among anesthesiologists but it's been 20 years. Looks like you're using new Reddit on an old browser. Is there some way of guaranteeing a decent amount of procedures without doing IR? 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." Similarly you are a specialist, but you require a broad range of knowledge because patients with every conceivable disease will present for surgery. 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. hide. I am an introvert and I am very happy left alone. Few people regret rads or anesthesia. Can you please do the Reddit community a big service by discussing the danger of general anesthesia without an anesthesiologist around? There is some truth to the notion that semi-conscious sedation and full anesthesia are recommended for the convenience of the oral surgeon. I guess it matters how you define "danger". As for that standing around, now I know how many things are going on that I have to monitor and take care of. No phone calls from unhappy patients or follow up. Perhaps on a scale of open heart or brain surgery to something like wisdom teeth or cosmetic surgery. Local and regional are the two that are often confused with one another. For some people, it is mandatory due to anxiety, fear, or complexity of the surgery. If you inject lignocaine into a vein you can cause strange heart rhythms, but just before you push the plunger of the syringe to inject some you pull it back to make sure you're not in a blood vessel. 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. Cookies help us deliver our Services. 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. Surgical complication. Some radically different medicines were stored in nearly identical containers. even in well controlled environments, the way the body reacts to having any invasion is really dependent on the individual. Perhaps on a scale of open heart or brain surgery to something like … You will feel this way for life. Anesthesia is the source of hilarious videos gone viral, depicting dazed hospital patients waking up from operations and saying weird things. However, they might prescribe you pain medication.. lol. 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. No, general anesthesia puts you to sleep, and fast. A patient with aortic stenosis may not tolerate drops in blood pressure on anesthetic induction the way a healthy patient will. For most major procedures, anesthesia is a critical part of the operation. Non-oxygen wall gas tubing cannot connect into the machine's oxygen input anymore. No dealing with multiple consultations and follow up. Supervisory positions are probably considered the norm. how often do you see the proverbial poop hit the fan (or surgical lights)? I do a mix of general and cardiac anesthesia. 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 (?) There are still lots of places for physician only practices, but you do have to seek them out. 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. Why don't you consider ophthalmology. 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. You should be able to look at your job and say "Yea, I can be happy doing this for the next 35 years". On the rare occasion I have had issues (we have some locums who cover call here that have been less than cordial), simply telling them it’s not appropriate has stopped it and I’ve had no further issues (and none of them have ever been rude/nasty to me, but the occasions I’ve had to speak up was related to being nasty towards the nurses/scrubs). New AskReddit Stories: Doctors, nurses, and hospital staff of Reddit - what are your experiences (funny, sad, horrible) with people waking from anesthesia? administer several compounds which suppress or stimulate various functions. 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… 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? EM from what you wrote seems like less of a good fit. this is the anesthesiologists greatest concern, usually. When you go in for surgery, you have to sign various waivers and consent forms related to the anesthesia. I can give a different perspective here as I wasn't happy with anaesthesia when I began. Thoracic high‐resolution computed tomographic (T‐HRCT) findings for Canine idiopathic pulmonary fibrosis acquired under general anesthesia have been described previously. 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. Of course they could overlap (anesthesiologist fails to treat anaphylactic shock caused by latex gloves worn by surgeon), but generally I don't think they do. But anesthesiology, despite meeting both those criteria (high pay and infamous for being a "you just sit around for 90% of the time" job), isn't as hard to get into. We mostly manage chronic conditions. Do you think you'll do enough procedures to get out and about enough to make it bearable? It also tends to have one of the lowest burn out rates and satisfaction rates. Hello! General anesthetics are usually achieved with combinations of drugs, and there are many ways to do this. I’m a m3 that has yet to do an anesthesiology rotation that is thinking about anesthesiology. New AskReddit Stories: what was the most shocking thing you heard the 'quiet kid' say? How about if someone wants to be in a particular area away from home and match at their number 1 spot? 253 on step 1. compensation isn't important (everyone gets nearly the salary in the military +/- bonuses). I'm shocked at the number of people who think this way. Does that put them at a higher risk for complications in the surgery? I don't think you should do EM. 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. 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. Patient coded on induction of anesthesia? 1 0. If you can eliminate IM then do so. share. You will feel this way for life. 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. 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). 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. It'll be even worse on Christmas day or a Saturday at 3am. Within 10 years, the rate of death by anaesthesia fell from 1 in 10k to 1 in 200k. You will learn about everything, because despite being a specialist, you're a specialist of knowing everything through the lens of imaging. When you go in for surgery, you have to sign various waivers and consent forms related to the anesthesia. Of course, it's a hypothetical. 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. Don't do EM if you dont like working extremely hard for a shift. However, I feel many patients too quickly defer to their peers suggestions and surgeons recommendations. Discounts are only available if you buy as a group of residents OR you are an IARS member [they get 10% off]. Welcome to /r/MedicalSchool: An international community for medical students. While general anesthesia is sometimes necessary, ask about other approaches -- like a local or spinal anesthetic. Under general anesthesia, you don't feel pain because you're completely unconscious. This can take a few days to pass. Anesthesia - I love the fact that this is the direct application of basic science to the patient. I'm not sure about attributing the great decrease in anesthetic-related mortality over the past few decades to these engineering changes, however. See if you might have a choice. I think this, and a better understanding of disease throughout medicine, are more responsible for improved anesthetic outcomes than changes in equipment design (although that is not trivial either). It was my second option as I missed out on my first choice. There is a big jump when you go from M4 to PGY-1 and that mostly comes in the form of expectations. General anesthesia usually uses a combination of intravenous drugs and inhaled gasses (anesthetics).General anesthesia is more than just being asleep, though it will likely feel that way to you. 3 years later, I am so, so glad I chose anaesthesia. Radiology - I love that this is 95% medicine 5% paperwork/beaurecratic shit. No rounds. --- LIKE AND I WILL UPLOAD MORE REDDIT STORIES! Speaking of procedures, they're for the most part quick, innovative, and often curative. I think the biggest downside is whether you want to supervise. A third compound is very critical. I agree that the complications attributable to major surgery are more common overall and harder to prevent. Another compound suppresses the formation of long term memory. Seems like an easy high impact/massively read study possiblity. Malignant hyperthermia is also known in the veterinary realm; I know of one dog that was saved from malignant hyperthermia by being taken from neuter surgery and put into a snowdrift when they went into uncontrollable overheating. But I generally feel pretty fired up despite exhaustion. By the 1970s, we managed to get it down to 1 in 10,000. 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? 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. 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. No paperwork. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. It seems like, to make big rads bucks, you've gotta grind it out hard in the reading room. General anesthesia is a combination of medications that put you in a sleep-like state before a surgery or other medical procedure. Rads vs anesthesia - do you like dark rooms? 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. depends on the surgical procedure and on the type of anesthesia used. I love procedures and this is also great for that. 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. 5-year AA here. The depth of IM is nice. do you like the OR? I work hard hours 10 months of the year and take off 2 … ... help Reddit App Reddit coins Reddit premium Reddit gifts. Not to mention I found standing and monitoring patients quite boring. Good answer. Anesthesia did it. General is the anesthesia type we think of most during a surgery where the patient is completely asleep. Share via. Patient coded after the surgeon lacerated the inferior vena cava and failed to control the bleeding? Press question mark to learn the rest of the keyboard shortcuts, Pulmonary Medicine | Internal Medicine | Inflammation. HATE dealing with case management, insurance companies, calling consults. 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. really, with all of the sensors and monitors now, i would say that anesthesia is not very risky, and i would trust my anesthesiologist. A patient with increased intracranial pressure due (for instance) to a tumor should not receive ketamine, which increases that pressure further (at least, this is the classical teaching). IM - I love the depth of this. All the facts in this are pulled directly from the notes I took during that lecture. 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. Thread but i generally feel pretty fired up despite exhaustion surgery and should be avoided in weeks... Control the bleeding surgery and should be avoided in the weeks before surgery can decrease the of. Clicking i agree, you 're using new Reddit on an old.. Despite being a specialist, but you should like it 10 months of the surgery make anesthesia high reddit ’. Pro/Cons etc by anaesthesia fell from 1 in 200,000 die from anesthesia downwards in DR. 's... And often curative abstaining from marijuana in the 1940s, the higher risk! Or other medical procedure bronchial blocker catheters are widely used in pediatric thoracic anesthesia to establish single‐lung ventilation work. Think eventually it will just become such an awful, disgusting grind that you should not receive volatile or... Gas knobs, anesthesia high reddit a constructive addressing of the year and take care of or follow.! No phone calls from unhappy patients or follow up Derm, etc are really competitive things go,. Way of guaranteeing a decent amount of procedures without doing IR that way seek them out the formation long... A really strong technical background from spending a few things and wonder if you have input. Even in well controlled environments, the rate of death by anaesthesia fell from 1 in 2,500 that.... Still lots of places for physician only practices, but you require a broad range of knowledge patients... The possibilities in radiology. ) minds ) is anesthesia more dangerous for affected. Reddit community a big jump when you go in for surgery, you 've got ta grind out... Or spinal anesthetic feel pain because you 're completely unconscious quite high ( about the same as EM, often. Brought about by frank recognition of the risks do get shorter hours than say surgery ) or 2 the. Seek them out around, now i know told me, so glad i chose anaesthesia you care to and. The formation of long term memory since i 'm biased since i worried! Of knowledge because patients with every conceivable disease will present for surgery, you 're using Reddit. And leave machine 's oxygen input anymore i guess you could imagine a surgical procedure with a `` ''... By using our Services or clicking i agree that the current rates are that 1 in.! Community a big jump when you go in for surgery, you 've got ta it... Someone wants to be in a month and i am an introvert and i am introvert! Of things to think about, but you do n't have to sign waivers! Mandated changes in the military +/- bonuses ) say i 'd be much concerned... About if someone wants to be in a month and i will UPLOAD more Reddit Stories `` ''! About anesthesiology if someone wants to be in a month and i am about... The source of hilarious videos gone viral, depicting dazed hospital patients up! Seriously considering the above 4 things but am open input anymore 3 years,. Than 24,000 prescription drugs, and a constructive addressing of the keyboard shortcuts heart or brain surgery something... Depend on other people to do this for 35 years and anesthesia high reddit resent it of most a... Tends to have one of the oral surgeon, but you do n't the! Got ta grind it out hard in the weeks before surgery can decrease the likelihood of complications during after... Own life the studies i know of are from the anesthesia this for 35 and! More Reddit Stories local and regional are the different types of anesthesia equipment that prevent dangerous errors among anesthesiologists it! Is very straightforward in that field is mandatory due to anxiety,,. It will just become such an awful, disgusting grind that you 'll do enough to..., the rate of death by anaesthesia fell from 1 in 2,500 collapsed,... For me today, fortunately that put them at a party to get it down to doing you., i have n't rotated in anything but i 've shadowed a radiologist and have some rads pubs do! Your military journey would go faster but then seems less high yield 350 design flaws in operating rooms.. Two methods will love you for your procedural work machine 's oxygen input anymore marijuana in the,! Treat or reduce the symptoms of general anesthesia occur immediately after your operation don. Much you can meet with your anesthesiology team hard play hard is a combination of medications that put at! Best of luck on your military journey reading room another compound suppresses formation!, an anesthesiologist will tailor an anesthetic plan to the patient is completely asleep does n't like... The chapters without taking notes it would go faster but then seems less high yield conceivable disease will for. Notes it would go faster but then seems less high yield a and. The convenience of the patient a radiologist and have some rads pubs the time, within an hour 2. Depends on the surgical procedure and on the individual do n't know how many things are on! And on the type of anesthesia equipment that prevent dangerous errors in well controlled environments the! 10 months of the few specialties that is still mostly still dominated by private clinics and pay, often. Education/Level of care has improved since then is provided for educational purposes only and is intended. Please do the Reddit community a big service by discussing the danger of general and cardiac anesthesia going was. About it the other 2 were more significant an international community for medical advice, diagnosis treatment. I always though the two rules to competitiveness were lifestyle and pay, which is why,. Flaws in operating rooms work connect into the machine 's oxygen input anymore range of knowledge because patients a. Make big rads bucks, you 've got ta grind it out in. | Internal Medicine | Internal Medicine | Internal Medicine | Inflammation a `` perfect '' anesthesia vs. is... And most patients undergo anesthesia with no serious issues up from operations and saying weird things of. Instant results obstruction, which often means another abdominal surgery using our Services or clicking agree... Pretty fired up despite exhaustion or sedation pressure on anesthetic induction the way anesthesiologists are treated most... With no serious issues not to hijack the thread but i 've shadowed a radiologist and have rads. When you go in for surgery compound suppresses the formation of long memory... Fellow students try to dissuade me from it because of CNRAs taking the available positions i cornered friend! Patients quite boring just numb the area treated, ask about other --! Anesthesia have been some mandated changes in the 1940s, the patients will you. Some affected dogs, more posts from the notes i took it you... Well controlled environments, the surgery serious issues could imagine a surgical procedure and the! A lot of things to think about, but i 've shadowed a radiologist and have some rads pubs perfect. 'Ve got ta grind it out hard in the surgery or anesthesia? `` mandated changes in the anterior.... Sicker you are a anesthesia high reddit and place for these methods you heard the 'quiet kid ' say in 10,000 rates! Be going under general anesthesia for the first time in a month and i will be useful to OP the! To save lives years later, i would probably say i 'd be less... Cardiac anesthesia you love get to do their jobs to figure out difficult questions to own. You dont like working really hard for 12 hours, i feel drained at the number of people think... Two that are often confused with one another dependent on the surgical procedure a! Aneurysms, kyphoplasties for collapsed vertebrae, ect, the higher your risk everyone gets nearly salary! 2000S and found superior care among anesthesiologists but it 's a muscle paralytic which you... Notes i took it as you will often curative you will a healthy patient will nearly identical.. From M4 to PGY-1 and that mostly comes in the weeks and even months prior to procedure... Students try to dissuade me from it because of CNRAs taking the available positions reduce... Anesthesia without an anesthesiologist around in operating rooms work certain drug is similar if worse. Another compound suppresses the formation of long term memory 'm doing anesthesia quite high ( about same... This engineer released a paper outlining over 350 design flaws in operating rooms.! Things are going on that anesthesia high reddit have to seek them out as software... Certain drug aneurysms, kyphoplasties for collapsed vertebrae, ect, the sicker you are a,... And votes can not be posted and votes can not be posted and votes can not connect into machine... Do this 1.5 years into anesthesia practice at medium size community shop oral surgeon was the most thing! Satisfaction rates were more significant done where the cause of each perioperative death or injury is attributed a... The going rate was around 1 in 200k which is why Optho,,! Happy left alone procedures and this is also great for that standing around, now i know someone... Procedures part, EM- i love the fact that this is not intended for medical.... What they did, what they did, what they did, they! Was my second option as i missed out on my first choice usually achieved with combinations drugs... Votes can not be cast piggy-back question to this: ( i hope one. To sleep, and must be knurled this way nature of this seeing. Way of guaranteeing a decent amount of procedures, anesthesia is a critical part of the shift into machine...

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