@@flossenking When you take into account how long they last, the cost is bearable. Just make sure to try before you buy. Most chairs are expensive and terrible.
On the first day of my anesthesia rotation my attending drilled in to me the importance of adding extensions to the IV lines so you can push drugs without having to stand up.
🤣🤣 .... So accurate though. "We must be going walkies. Why else would he stand up? I know it's not dinner time yet. It's walkies. Alright, let's go! Chop chop!"
@@thiya4627 His nose itched and you're not allowed to touch the face mask for risk of messing up sterility, so he did it while everyone was looking away.
@@sleepycritical6950 So fun fact is that watching someone scratching when you're not itchy will make you itchy but When you have an itch in a specific place watching someone else scratch that same place on their own body may actually help alleviate the itching
@@Whitecrocthe fun part is the med student isn’t even scrubbed in so it doesn’t matter how much he touches his face, however we all know that the scrub tech will still yell for no reason whatsoever
Endo too. Anesthesia shifts a little and all of a sudden the nurse and the doc are looking back and forth between the CRNA and the monitor. “The patient doing okay?”
As an anaesthesiologist I found this video wholly hilarious. Unfortunately I don't have a comfy chair with lumbar support in my current workplace, which is why I actually do stand up from time to time to stretch my back. Also, to assess how far they have progressed on the other side of the "blood-brain barrier" and if I need to get more Propofol, Remifentanil etc.
Haha I was going to comment something and refer to the "blood-brain-barrier" aswell, but since you did I don't have to ;P Have a good time everybody, lets bring this year to an end.
@@30pranaypawar17 Risky for the patient, yes. Difficult? 90% of the time, it isn't. The remaining 10% are precisely the reason it exists at all and isn't for the faint-hearted. Basically, it requires to be able to switch from "chill" mode to "need to take the right action within the next 30 seconds or my patient will die" at any time. Not for no reason, some people draw comparisons with pilots.
@@richardkirkpatrick175 indeed. Being both an anaesthesiologist and a private pilot, I am well aware of that. No procedure I performed in the OR ever made me as nervous as my first solo in a single engine aircraft...
If there wasn't that bit about having to pay attention and learning the meds and all that, it'd sound absolutely perfect working environment for inattentive type ADHD me! Watch me be fully entertained in my head while time flies by! XD
@@pochopmartin is it difficult? I think i want to learn and become one. But the risk and responsibility scares me... dealing with patient on line of dead and alive at same time, is a big deal. Thats why right now i am thinking of medicine manufacturing field but regardless i do wonder about this job...
@@30pranaypawar17 If it scares you, become the next best thing: CAA (certified anesthesiologist assistant) - Master's degree, they practice under the Anesthesiologist and it's probably one of the most desirable non-MD jobs at the hospital. They get paid close to $250k salary, then there's all the on-call and OT benefits. You can easily make $400k/year if you've been there for a few years and take OT/on-call. If I had known about it sooner, I would have probably went that route to be honest.
During our unplanned and unwanted c section, the anesthesiologist was awesome. He was the calming soothing presence on our side of the firewall, keeping us company. His calm politeness seriously helped put my wife at ease. My wife was shaking uncontrollably and he offered something to relax her. During our traumatic experience, he was our rock.
Haha, I'm actually in a Chronic Pain group started by my hospital and recently in our "open floor" session I brought up my dislike of doctors and how they treat me in many cases, specifically in GP and GI. I did mention that I've never gotten such treatment from an APRN or, say, with anesthesiologist which lead to an unexpected break out in the group where people from across sex, age, and pain scale said that oh,yeah, anesthesiology is by far the best and has easily the kindest, most patience, hottest doctors. Just facts.
@Gildedmuse fun fact is, they aren't "allowed" to be called DRs. They "normal" doctors won't allow it. My cousin had a doctorate for nurse anesthesiology. He does all the work and stuff, did ALL the hard schooling, but is not allowed to be called it. That why my pet peeve is the first lady is called that, and she's not even in medicine. Hasn't really done anything to warrant having her called that everytime her name is said. Whereas people in the medical field with it will get in trouble if it is used at all.
@@glorygracek.1841 No, anaesthetists are definitely doctors and they use the title. Nurses who do additional training in anaesthetics are not doctors though.
But prolonged periods of sitting encourage blood clots in the legs which could eventually make it to Anesthesiology's brain or lung. Also, even the softest chairs hurt my ass after a while.
Was coming to say this. Sat down and played BeamNG (crashing cars down cliffs is so fun) and stood up. All the blood that had been cut off by how firm my seat was came rushing back and it felt like I'd been got in the rear with a cat-o-ninetails. Was not pleasant
Prolonged static positions are generally a bad idea, regardless of what it is. It's why you can get sore from just laying in bed for too long. I'll always appreciate the neurosurgeon who was adamant about me getting a standing desk. 😂
I am amazed that even though me being from the EU, where there is an Ocean between our continents and so much difference in so many elements of our lives - the behavior habits of our medical staff is like 100% identical. I am truly stumped by that 😅 How is that possible?!
Medicine is one of those fields where exchange is very common and where borders tend to get opened. Aka a country may not let anyone in, but doctors or firefighters or non-military staff trained in disaster management or ppl bringing medicines and food? IF someone gets into the most closed off corners, then them!
@@KxNOxUTAThis is not exactly true. As a licensed, practicing anesthesiologist in the EU with almost a decade of experience under my belt I would still need to start over from scratch with residency if I wanted to practice in the US. There are quite a few barriers (including language) to practicing full time internationally. I think the similarities in behavior in medicine worldwide are more a case of convergent evolution than gene mixing 😅
Ha i wish! I had to fight for a stool (doesnt even have lumbar support or armrests) Still working on the fatigue mat. Currently propping the monitor up closer to eye level using a plastic upsidedown box
I bruised my tailbone so I’ve been standing up a lot more. I’ve been banished to GI and pulmonary lab until the new year because I’m making the surgeons nervous
I am from Spain and I am an anesthesiologist and I can say that the same thing happens here. I love all the videos, it seems that the way of being of surgeons, anesthesiologists, nurses, students, does not know nationalities
I’m an anesthesiologist near chicago in the US. How hard would it be for a US anesthesiologist to work in Spain? I’ve been to Spain 3 times already and we are going again next summer. We love it there. Where in Spain do you live?
@ouch Hi, I live in Seville, in the south of Spain. Working in Spain is easy as long as you speak spanish and validate your degree as a specialist in anesthesiology. But I must tell you that our salary is much lower because we have a National Health Service which is free for spanish citizens. It is the opposite of your system. There are also Private Hospitals with better wages. Speaking Spanish and English it can be easy for you to work in private hospitals in cities with a large foreing population, like Malaga, Mallorca or Canary Islands.
@@martaalarcon3668 Thanks! I speak Spanish (my parents are from Colombia) but unfortunately I am not entirely fluent. I have been to Seville. It’s a beautiful city with a rich culture. We are going to the north of Spain in July. We are taking one of our kids to a horse camp/language camp in the Pyrenees. We’ll be free to explore for 2 weeks. Any recommendations of Northern Spanish cities to visit. We may also go south to visit other cities but not sure which ones. Have you ever been to the United States? As far as anesthesia, the salaries are high here but the work can be stressful. There’s always the threat of lawsuits and so many patients are obese. Do you have to take overnight call in the hospital?
Since I restock the operating rooms after everyone is gone, I can attest to how comfy and adjustable the anesthesiologist's chair is. Incredibly customizable comfort. And then there's the rooms that insist on using merely a (well-padded) stool; not relaxing enough.
I'm a x-ray technician, and we had a case in the OR. The guy Came to relieve me for lunch. There was nobody using the chair, but the anesthesiologist only wants to use that specific chair and my co-worker wouldn't give it to him,and that went to my manager, to HR. And you know hospitals valued MD over lesser position employees. So,he won't back down and got fired because of a stupid CHAIR.
@@marcjulmis4746 Just curious, what country are you from? I'm in the US and we only call ourselves x-ray technologists here. Technicians here are the people who work on the machines, not use them.
Maybe a bit off topic- I had a friend who flew private charters. He always said that there were two people you absolutely never lied to about your weight, your pilot and your anesthesiologist
When my wife had her appendix removed the anesthesiologist came by to do his evalutation. He asked her how much she weighed and she wouldn't tell him unless I left the room. She didn't know they write that in the chart and that since I had privileges at that hospital nobody would blink an eye if I looked in her chart.
It's when radiology takes off his glasses. He might just have gotten an itch in his eye but everyone thinks he saw death on that scan 😂 "call in the palliative team, he's too far gone!"
@@ro0skeNobody gets itches _in_ their eyes. That would make you want to scratch the eye itself which would be a big problem. You can only have an itch around your eyes. 🤓
Wait when I had my hysterectomy and everyone was coming in to do preop stuff, the anesthesiologist was the only one who sat down to talk to me 😂 is this why???
I had a great chat during my knee surgery with anesthesia. He was the closest one to being on my eye level so😆 Also surgery brought me cookies in the prep room, that place was nice.
Oh no, should I have been scared that the anesthesiologist was standing when we were going over my med history before I went into the OR? /joke (or at least I hope so)
No, we sit down to talk because we understand you're likely nervous, and standing over you emphasizes the vulnerable position you're in. So we sit down and talk to you at eye level to put you at ease. My first day as a doctor, the day I graduated, we had the final lecture being given by a doctor who was retiring that day (his last day as a doctor). It was very poetic. His lecture was short and sweet: pull up a chair. Even when you're in a rush, even when you don't want to spend a lot of time talking, pulling up a chair and talking to the patient sends them the message that you're there with them and that they are important. Not all docs do that. And to be honest, if I hadn't gotten that advice, I wouldn't do it myself. But I did get that advice and it has served me very well in my career.
I'm here typing this left handed after having hand surgery yesterday. It was under local anesthetic, my doze doc was awesome, had a bluetooth speaker we jammed out to 00s Alt Rock for the surgery cracking jokes to the point the surgeon in recovery came out and said it was so much fun listening to us two bro out within minutes of meeting each other.
Bless that med student because after that he’s gonna get shouted by the surgeon for contaminating the OR by wearing his white coat inside even he’s not supposed to
😂 As the circulator, I get freaked out whenever the anesthesiologist just starts moving too much. Like, dude, why are you moving?? You’re making me nervous.
When I had my recent knee surgery, the anesthetist came in to start the nerve block and took a seat in the chair next to me. I immediately felt calmer 🪑
I do that as well, and I am so glad to see so many comments about it making a difference! It was advice I got on the day I graduated and I am thankful for it.
As an Anaesthetic Nurse I can confirm... Our Anaesthetists all have a special type of chair in each theatre. Its designated to them and no one else can use it. We all sit on chairs with no back and they have the comfy recliner with back support.
Joke I heard in residency that seems on point . . . Two vascular surgeons are having lunch. Dr. Grouse asks Dr. Angst, "How was your morning?" "Terrible! I was doing a triple A, and the patient bled to death on the table." "Who the hell was your anesthesiologist?"
Does anesthesiologists in USA have other responsibilities then administer anesthesia? I recently have learned that in my country (Poland) they also decide on treatment of patients that need immediate care (do patient need to see neurologist or x-ray etc). Also thank you for your work - it really helps to understand how healthcare works in USA and helps to appreciate European healthcare.
In Germany they monitor the patients vitals all the way through and adjust medication as needed. Anesthesiologists are among the most capable dostors when it comes to keeping people alive. They might not know how to fix what's killing you, but they will your organs working until another specialist hopefully saved you. That's why they often do intensive care (if there is only a small ICU in the hospital) and emergency service as well. Yes we have doctors on our ambulance for the more urgent calls. Poza tym: cześć!
Don't have time for a comprehensive response, so I'll summarize with an analogy from prehospital medicine, my field Saying that Anesthesiologists are just responsible for administering Anesthesia is like saying Paramedics stabilize and transport. Technically correct but it misses the depth of the work, so to speak, and without context is pretty reductive. A slightly more straightforward answer is that anesthesia is responsible for the monitoring and ensuring the safety of the patient being operated on so long as it's a parameter they have control over whether it's in pre-op, the OR, or to some extent the PACU
In America we advocate for the patient and cancel surgeries if the patient is not optimized for the procedure if not medically necessary immediately. Then we consult specialists to evaluate the patient to then be ready for surgery in the future… but anesthesiologists are not hospitalist or intensivists… the role of the anesthesiologist is to provide safe anesthesia
As an anesthesia resident I can confirm, every single time I stand up to stretch the OR team is stressed XD Off note, thank you for the amazing nephrology water bottle :)
They all acted as if they'd suddenly spotted a yeti when he popped up over the drape like a medical meerkat. Surely even anaesthesia suffers from numb bum syndrome from time to time?
No joke, the chairs in Surgery are some of the most comfortable and expensive chairs I have ever had the pleasure to sit in. I'd get one for myself if I could afford it.
They say that the proportion of time Anesthesia spends sitting vs. standing is inversely proportional to the ASA Physical Status Classification. This is correct until thirty minutes of total standing, when the patient's ASA Class automatically goes to 6 (A brain-dead patient for Organ Procurement).
Dang I make the Anesthesia students ride the stool…..I figure it builds character… I tell them they get the chair when they’ve earned it….. but yeah I never start a case without a proper chair… been in the game for 12+ years
So much like on this! Love all your content! I am in IT always in different hospitals working but don't get to interact much with staff. I used to do PM's though for vents, pumps and anesthesia (great chairs!) and your portrayals are amazing!
There is has been nothing quite as terrifying as waking up *FOR a SECOND time,* during my last surgery to hear MY doctor yell, _"She woke up again!!!_ *WHERE IS THE ANESTHESIOLOGIST?!?!"* Edited for grammar. I omitted a word.🙄
@@williamsstephens - Thank you for acknowledging my comment and experience this morning. _You need not read further, I am going to vent..._ •I have been having a difficult time with that experience, as it was my tubal ligation and seventh surgery. I never received a call from anyone the next day or ever -from the hospital, *or from my* (Now former.) *gynecologist who PERFORMED MY SURGERY!!* About two months post-op, I developed two strange complications. When I called that OBGYN for help or a referral (To someone else.), _Her phone number was disconnected._ The building where her practice "was" (I drove over after all three phone numbers were disconnected) *was empty and for lease.* When I finally tracked her down, her receptionist said, "Well, we announced our move to a new building." I told the receptionist that I NEVER RECEIVED NOTICE. What was her reply? "We did not send out notices to patients. We *PUT IT ON THE RADIO."* I let her know that I do not listen to the radio and would never listen to the ONE STATION they chose. *She responded, **_"THAT'S NOT OUR PROBLEM."_* •I have had _an entire career in healthcare working directly with patients_ of every age and gender. I never thought a woman who BOASTED how great she was (and had the references) would treat another woman, let alone A PATIENT, with such utter disregard. This OBGYN had ("had" the "operative" word) privileges where my paternal aunt was and still is the Head RN of Day Surgery and Anesthesiology. _Choosing that hospital was great for my three previous ortho surgeries there, so I was happy to go to the same hospital again._ *BIG MISTAKE.* •This OBGYN no longer has privileges in ANY hospital in a 50-mile radius. I no longer even go to that hospital, or its in-state network of hospitals, _for anything,_ ever. I have been to a GYN once since that experience _eight years ago._ *I was lucky to find an OBGYN who specializes in Ehlers-Danlos Syndrome.* •We had a fantastic first appointment only to receive a letter a month later telling me he was quitting the conglomerate where he was employed, to be closer to his family. *At least, HE notified his patients by mail.* :) •Four years later, now October 2023, a former colleague and I found said OBGYN (60 miles away) and I am on a waiting list for a mere callback to become his patient. Today is my Birthday, so here is looking towards 2024! •fingers crossed.
When I walk into the OR to set up in the morning, I make sure the anesthesia chair is there (must adjust the height of seat and armrests). They are so much more comfortable than the other OR stools 😂
Just came back from job shadowing a surgeon in another country. Can confirm the anesthesiologist was in the operation room only twice - once to sedate the patient, once to brief the anesthesiologist taking their place after 5 hrs into a surgery they barely saw. The next week all anesthesiologists went on strike because they don’t get paid enough in national healthcare system. I pray it works out for them. And yes, the day they went on strike all surgeries were rescheduled
When I peek over the drapes, it’s fairly common for the surgeon to ask me if the patient is ok. Sometimes I want to answer “well, he’s unconscious and on a ventilator and has an open abdominal wound…so you tell me.
But anesthesia has to assess whether to 2X or 3X the surgeon's 30-minute time estimate. There are some clues ... hearing calls for irrigation, or calls for suture but sometimes you just gotta look over that blue drape and see for yourself.
Eh- this one I actually object to a bit- I regularly do laps around the OR. First, I am shockingly bad at sitting still. I like to see the field- I wander because I’m bored- I also like asking surgeons/proceduralists annoying questions (exploiting colleagues for non credited cme is an under appreciated aspect of anesthesia that I really enjoy since we work with so many specialties. Seriously, one of our pulmonologists used to let me bronch and some of the pathologists let me look at slides with them. It keeps things fun)
Yes! I also ask the surgeons questions. "So why did you do this robotic vs laparoscopic?". When do you decide it's worth doing that meniscus repair? Why a reverse shoulder vs a regular arthroplasty? How do you know when you've cut enough in that TURP?
I remember the actual name of the Anaesthesiologist from my hysterectomy, 17 years ago. I not only have FMS, _but_ a high tolerance for anaesthetics (locals can be a real problem, I ALWAYS warn people) which actually runs in my family, AND am resistant to even strong pain killers. I had been a patient of my Ob./Gyn. for over 10 years and he'd operated on me before. I never did find out whether my Gyno. got him in specifically, but I suspect so, the Anaesthetist was a Professor, (and the only unexpected 'out of picket' cost after the surgery. Something beyond the level of insurance I have - and I've never had to pay extra for an _Anaesthetist_ before!) But, they also had to give me a lot more morphine than they were expecting, and monitored me closely afterwards. He suddenly turned up, on day 2 or 3 (of 5) _just to come see how I was doing_ , and how well I'd pulled up after the operation! After care! From an Anaesthesiologist! He was a lovely man, and specifically came by to see me, and check up on me - I'd never even _heard_ of one doing something like this - which, of course, made me wonder (later) about how my weird chemistry had affected his part in my surgery? Even though the extra bill was entirely unexpected, and out of the blue; given his visit, and genuine interest and concern? I didn't really begrudge the Professor the out-of-pocket, >$300-. I always suspected he'd earned it.
When my wife was in college-section I got to be in the OR. I was trading jokes with anesthesiologist, and I asked them to weigh in on the anesthesia stare. The guy demonstrated it and I think it rattled the obstetrician.
