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I’m only 3 years out of training but haven’t done OB since residency. Might be pigeonholing myself for future jobs but loving the no OB.
It's a nice pigeonhole to be in.I’m only 3 years out of training but haven’t done OB since residency. Might be pigeonholing myself for future jobs but loving the no OB.
No I haven't done afe. But Afe is once in a lifetime. Just have to be an agile when the time comes. No way to prepare for that otherwise. Use exotic potions to keep them alive as best you can to bridge to higher care.You've never crashed on ECMO due to AFE with complete thrombo-embolization of the pulmonary arteries/RV or had to do a crash section/hysterectomy with MTP on a morbidly obese patient with no pre-natal care who was bleeding out who you find out later had multiple elective abortions and C/S.s with placenta percreta.
Experience is a sometimes harsh instructor.
The first thing I’ll give up is OB, not quite ready yet, but in 10yrs absolutelyI haven’t done ob since residency. I think it has increased my lifespan. Too stressful. Constant pages , challenging patients, and annoying nurses.
OB - the bane of every anesthesiologist's existence.
Those that are earlier in their career and don't do ob, do you feel like you've lost the skill and can't do it anymore? Or do you feel like just a few shifts and you'd be back to good?
Not worth it.But $$$
Please do yourself and your patients a huge favor, and learn some humility. Docs like you can get themselves in a LOT of trouble when you are first starting out. Seriously, I am not trying to be a jerk, you need to realize that you still have a lot to learn, and you should be open to that. I’ve been doing this job for over 20 years, and I am still learning.Alright disclaimer I'm just a resident but this job sounds un friggin believable. Can't imagine a better job honestly. This is well past any of the groups I'm currently interviewing with. Almost a damn joke it's so good. 14-16 weeks vacation? Come on man. I don't care how bad ob is at night. Ob is easy as hell. The only thing that would make this a moderately difficult job on night call is if you're getting blasted by peri arrest traumas.
Is this a troll post by OP?
There is no such thing as complex ob no matter what high risk labels OB says. Drive the needle push the drug. Get the video scope for hostile airway. If things get bad cause of bad tone bomb the patient with volume. Ob patients can tolerate so much anyways. Again, ob is easy.
14 weeks vacation and 550k salary. Out by 3 or 4 most days. I mean let's be real here.
If you aren't a level I trauma center, which I surmise you aren't because no mention of trauma, this is a cush job.
Yeah, can’t tell if this kid is for real or not, so bombastic.
Sit down..........Waldo!Please do yourself and your patients a huge favor, and learn some humility. Docs like you can get themselves in a LOT of trouble when you are first starting out. Seriously, I am not trying to be a jerk, you need to realize that you still have a lot to learn, and you should be open to that. I’ve been doing this job for over 20 years, and I am still learning.
Alright disclaimer I'm just a residentl
Ob is easy as hell.
There is no such thing as complex ob no matter what high risk labels OB says. […]
Again, ob is easy.
Never say ob is easy.[…]
Good lord. Full disclosure - I’m an EM attending not an Anesthesiologist, but I bounce into these forums because our jobs, while very different, have some small overlap. It’s not *much* overlap, but when it occurs, it’s bc things have gone terribly wrong either in the OR or the ED. I always appreciate professional reciprocity in either direction.
I have mad respect for my anesthesiologist colleagues, and I would never presume to speak for them. But I would bet good money that both they and I have no trouble managing the traumas that OP seems to have respect for. However, the 40 yr old 30-weeker fairly sick/kinda-sorta hypo/hypertensive/maybe PE/maybe early DIC/maybe the baby is struggling is where the money is. These are not easy cases. You are essentially managing two patients.
I would 100% say something similar to an ER resident whose never heard of Dunning-Kruger - Show some goddamn respect to the job.
Nah. I went two years without it and then went back to it. I gave crappy epidurals at first because I was doing my LOR with water. I had to relearn how to do it properly with air again. Then went a few more years again and when I came back I gave a wet tap but the rest were good cuz I went back to air again. My hands were a little shaky though not gonna lie cuz it was a town full of larger patients. HahaI’m only 3 years out of training but haven’t done OB since residency. Might be pigeonholing myself for future jobs but loving the no OB.
I honestly think most of us despise it and it’s just something we suck up and do. I prefer my patients out.Surprised to see so many of you don't cover OB. That must be nice. In my region it seems that every group covers at least one hospital with OB. So basically every job besides academics and the rare ASC only job, you will do at least some OB.
I honestly think most of us despise it and it’s just something we suck up and do. I prefer my patients out.
Nah. I went two years without it and then went back to it. I gave crappy epidurals at first because I was doing my LOR with water. I had to relearn how to do it properly with air again. Then went a few more years again and when I came back I gave a wet tap but the rest were good cuz I went back to air again.
Plastic?!!?! Now you've gone too far!LOR to air with a plastic syringe is unquestionably the best approach.
LOR to air with a plastic syringe is unquestionably the best approach.
Arch is right. Slip tip is the only thing I will add to that.LOR to air with a plastic syringe is unquestionably the best approach.
Ok, why did I think dirty????Arch is right. Slip tip is the only thing I will add to that.
I just use the glass that comes in the kits. In residency we had the plastic and after that I haven’t seen them in the kits.LOR to air with a plastic syringe is unquestionably the best approach.
Two words:
hanging drop
Next you’re gonna tell me there’s something better than the light wand for difficult airwaysOf CSF. FTFY.
You people crack me up!!Two words:
hanging drop
Two words:
hanging drop
It’s what I do now!!!Mostly saline with a bubble of of air and intermittent pressure. I like combo appetizer plates too.
Feels like a magic trick, every time!In all seriousness, a crisp LOR to continous pressure with saline is one of my last remaining pleasures in doing anesthesia.
I wouldn’t quite go that far, but yes, continuous pressure with saline is the best technique.In all seriousness, a crisp LOR to continous pressure with saline is one of my last remaining pleasures in doing anesthesia.
Definitely the coolest intubation… just add some deamau5 and a strobe light after the lights go off.Next you’re gonna tell me there’s something better than the light wand for difficult airways
Next you’re gonna tell me there’s something better than the light wand for difficult airways