Shes so young! Like u she appears calm. And really knows her stuff! I'm glad the program enforces on u must think of the pt being compassionet even if only a short time. Dang shes so rt. Team work is so important. Thank you so much.
Yes, to become a physician (regardless of whether anesthesiologist or not) you have to take 2 semesters of college-level physics, among other premed classes.
@@Morningbaby799 A physician is any type of medical doctor. If you are from America or Canada, you need to have a bachelor's degree and complete the necessary prerequisite classes and take the MCAT in order to apply to medical school. Then you will do the USMLE step 1 and 2 in order to apply to a residency of your choosing. Then you do step 3 while in residency. The word "physician is related to the word "physics", but physicians are medical doctors who have an MD degree. A physicist is a person who does physics and they usually have a PhD.
Great question, for me personally it’s been developing confidence to troubleshoot problems that happen in the operating room when I’m alone (ie. the attending is gone, but always very close by).
I'm currently getting worked up for a liver transplant due to PSC. It was very interesting hearing about the different aspects of liver transplantation anesthesiology vs. others. Awesome channel Dr. Feinstein!
Thanks Curtis! Yes there are very special considerations for providing anesthesia for liver transplant surgeries. I hope you get a liver soon and wish you an uneventful surgery.
4th yr med student here...unable to do Anesthesia electives before finalizing applications next month (due to COVID). Lots of valuable insight here. Thank you!!
Next time move your subject to the other side so the interviewee is looking across midline instead of away from it. It will really help with composition. Otherwise, this is really cool and would have been really helpful when I was a med student!
Hey Max, I'm a med. student in Germany and wondering if you are alone during induction and the operation, or if you have some kind of nurse/ support that helps you? Here in Germany you'll have a nurse that helps you during the induction and before. The nurse draws up the drugs, prepares the patient and the material and helps you during the procedure. So all in all the doc says which kind of medication he want's to give to do the general anesthesia and intubates the patient
There are many diagnoses that we have to consider, especially on very short notice! For example, if during surgery my patient's heart rate starts going up, the diagnoses and/or causes I consider are: Is the patient in pain from the surgery / the anesthesia isn't adequate? Are they volume down (ie. don't have enough fluids) because they haven't gotten enough IV fluids, or are losing a lot of blood? Are they having a cardiac event like a myocardial infarction? Did they just develop a pulmonary embolus? We can diagnose many things during surgery-- electrolyte imbalances (hyper/hypokalemia, hyper/hyponatremia, hyper/hypocalcemia), shock, cardiac arrhythmias, and so forth. It's essential to have a good understanding of internal medicine to practice anesthesiology well!
If blood pressure starts to rise during surgery, and especially if it’s been a while since the patient received any medications for pain, then that’s usually a pretty good indication that it’s time for pain meds.
Is it possible to have opoids alone for general anesthesia? Have currently just finished tapering off diazepam and am concerned as most general anesthetic works on gaba a receptors. Mine will still be downregulated and may put me into a protracted withdrawal.
My anestesiologist literary spent 2 minutes with me. They usuially just give the consent form, expect you to sign it quickly and leave. I think all that info that they try to create somewhat of a connection with a patient is a big overstatement. I was woken up by a registered nurse not anesthesiologist.
Who do you think handed you over to the PACU? An anesthesiologist can't stay with you until you wake up from the anesthesia and the post anesthesia delirium to recognise that they were there. It's just not feasible.
@@MaxFeinsteinMD Would I be allowed to speak to an admissions dean directly at a medical school in order to talk to them about my individual situation?
@@davidsoto4394 I bet that if you emailed a med school admissions dean directly, there's a high likelihood they'd write you back! I would start by searching online for contact info of deans at med schools near you, or ones that interest you even if they're not necessarily close by. Let me know how it goes if you do end up getting in touch!
Hi Dr. Umair sorry to know it's been so tough. Anesthesiology can definitely be very stressful so it's good you have an awareness about what you feel comfortable with and what is uncomfortable.
Max! I think I’m gonna switch from engineering to medicine! Gonna take a biology and general chemistry class next semester. Do you think this will give me enough of a feel to see if I want to 100% switch?
Well for my arm/shoulder I got the "nerve" block which they said I had to be awake for with my royalty F'ed up arm and shattered shoulder. When the Anesthetist did the "nerve" block it hurt like hell. I started yelling at him then I was out. After the surgery the recovery nurse gave me a lot of dilaudid to where I didn't care anymore. When I got to the floor dilaudid is what they game me like 2mg. It killed the pain and I could sleep for a few hours. Till the muscle spams would hit my legs cause laying on my back. It happens cause of my OI. 150+ broken bones I have learned to ignore the pain
As an anesthesia *resident* I do rotate through the ICU, but as an anesthesia *attending* in the future, I won't attend in the ICU unless I end up doing a year-long critical care fellowship specifically for that purpose.
@@MaxFeinsteinMD please tell me . I've just finished tapering off diazepam. Which acts on gaba a receptors. They are down regulated . I know benzodiazepines and other hypnotics are used during anesthesia would this affect me as I've only recently got off my medication. Would opoids alone be appropriate for general anesthetic.
Couldnt marry an anesthesiologist. The argument about who’s cleaning up the dog poop in the yard changes with that exposure to drugs that can’t be traced or even tested for.” Yes officer,We we’re having a conversation and he just keeled over”
Hello, how is Dr Asher Kornbluth, attending Internest & GIT Medicine ? I attended his lectures with hunderds of forgien students in 1999 Kaplan Educational Center NYC . One question, do you anesthesise patients, or put them to sleep ? there is a great difference , hahaha just kidding. here we Anesthesilogists don't start by Cardiac Patients, but by Pediatric cases as they are young and cannot stand fasting.
Having had my first dealings with Anesthesiologists this past year I can tell you one of the most important traits is their ability to listen and HEAR what you as the patient are telling them. I noticed that this tends to come with experience in most cases. In my emergent situation every medical person tending to me perked right up and stopped what they were doing when I mentioned a family history of MH ( malignant hyperthermia) and in every case except one, I was told exactly what they would do to prevent that from ever happening by changing anesthesia protocols and thanked me for telling them. As one of the older Doc's told me, we don't like surprises and that is a serious one. Never had any instances where it became a problem.
Why don't you have an attending with you at all times if you are learning? I would be kind of nervous to be an Anesthesiology resident w/o that security blanket. I guess you need to take the training wheels off at some point. How did you feel the first time you were doing a procedure by yourself?
Exactly what you said- the training wheels need to come off at some point. I will say, however, that the training wheels come off *very* incrementally so that patients are safe at all times.
Yes to both, with possible exceptions! Sometimes there can be so much going on that there's no time to sit down. And as far as call, attending anesthesiologists can take jobs where they have no call whatsoever, although that's much less common. That also typically entails a considerable salary cut, so that's something to factor into the equation as well.
