Glad to see the Orgain shake, I love those things! First had them when going through chemo, and they came in really handy as a quick nutritious breakfast on my MA clincial externship! Thanks for showing your world!
Hi Anusha, thanks for the feedback! I am planning on making a video with advice for application components for anesthesia residency. Will probably be done within a month, give or take. Stay tuned!
im having brain surgery at some point in the future, just wanna say that watching your videos is kinda putting me at ease about the anesthesia fear i have.
Hi L S, I don't carry paper tape but it's very easy for us to get in the OR in case someone has an adverse reaction to the other stuff. Thanks for the nice feedback!
Have you ever had any patients that "need" to do the good night ritual and want to know when you're injecting the anesthesia? I call it the good night ritual because I tell everyone good night and the anesthetist lets me know somehow they're giving it to me. it always made me feel a bit better. via iv, not mask
@@MaxFeinsteinMD I didn't know it could be used for nausea. * digs out psychopharmacology textbook from storage * I happen to be allergic to ondansetron.
It may erode it slightly over time, you’re right. But I’d prefer to keep it clean with readily accessible cleaning supplies and then replace it periodically, as opposed to either not cleaning it or having to spend a lot of time hunting for different cleaning supplies.
How standard is what you carry among other providers VS you all just wear green for identification and kind of set it up how you want? Either way- it seems like a very interesting idea that seems like it can really only help patient outcome.
Any way for the rest of us to get one of these bags? We can’t have fabric ones in the OR and I don’t like the clear plastic ones because then everybody knows if i have money, an iPad or something like that in my bag.
@@MaxFeinsteinMD damn...lost another convert...Never mind the fanny pack nation shall take over the world one day! BWAAHHAHAHAHAHAHAcoughhackchokewheeze *Digs in fanny pack for albuterol inhaler* PFFFFFTT.....See *wheeze* They're a lifesaver....
Max Feinstein, MD So i can just take this to OR, and if the case is going fine and I’m a little hungry i can just snack right outside? Anesthesia is really starting to look good...
@@SlippedFob6 Haha ooo definitely not -- I just grab a quick snack either in between cases or if I get relieved for a 15/30min break during a case. Always have to closely be monitoring what's going on with the patient. Even when things are smooth as can be, disaster can always occur without warning.
in my hospital, phenyl needs to be diluted then only syringed out. I'm wondering if it's the same for yours, and how long can you keep it in your back before it expires?
They say that doctors hanging their stethoscopes over their neck, instead with the ear things around their necks like Dr. used to do has cost millions of dollars. Just the couple more seconds it takes to put them on with the newer way as opposed to the old way. I guess if you add all the extra seconds of all doctors together and the cost of healthcare per minute it’s true.
Fascinating video. Two questions: why is it necessary to carry anesthesia medications with you all the time instead of just relying on the hospital's inventory; and since you are carrying around controlled substances how would you justify being in possession of them if you were stopped/searched by law enforcement?
Hi Kurumi, we only carry the controlled substances with us (not all of the non-controlled medications) so it doesn't end up being too much. Technically, I carry part of the hospital's inventory on me, then just return whatever I don't use at the end of the day. I don't leave the hospital with any of these medications, and I don't anticipate a law enforcement officer stopping or searching me in the hospital. That said, I do have a federally recognized prescribing number that allows me to possess / prescribe medications.
The idea that there is a shelf for your thyroid but not the rest of your body seems peculiar to me. As I understand it, cancer is a collective exposure /cell damage over time sort of thing so it makes me wonder if there is that shield because the thyroid is particularly vulnerable.
This is beyond weird. All the stuff you carry with you should be available in the OR or within 5 minutes if needed. It's like this at least in my country.
Vasopressin is a vasopressor and is also known as anti-diuretic hormone -- it can be used to treat diabetes insipidus but is often used in the OR or ICU for its vasopressor actions!
This is funny.. You should never tell people what is in your bag. Do you ever worry about crooks or drug addicts? You should keep some mystery for your own protection.
Would you be able to do a video commenting on what being “on call” for anesthesia is like? Also what is the anesthesiologists role when called to other areas of the hospital? Thank you so much for your videos! I’m really interested in anesthesia and this is the best channel I’ve found to show what the day-to-day is like.
Hi Bryce, my first 24-hour anesthesia call is coming up soon and I will make a video of that experience! (I did a number of 24- and 27-hour calls as an intern, just not on anesthesia.) For "non-operating room anesthesia" aka NORA, we staff cases in interventional radiology, endoscopy, bronchoscopy, and MRI (for example pediatric patients who need to be sedated for a scan). While many of these cases are monitored anesthesia care ("conscious sedation"), we need to have equipment ready to convert to general anesthesia with an advanced airway if needed. That happened to me yesterday during an endoscopy, for example. Thanks for the nice feedback!
Max Feinstein, MD Hey Max, any thoughts on doing a series about difficult l cases/emergencies. Maybe specifically ones you encounter through your training or present at didactics. Probably a larger undertaking but would be cool
Beware carrying any meds in your bag! Speaking from the experience of a partner who rubbed a nurse the wrong way and was reported for having meds in his personal bag. No controlled substances, just standard anesthesia meds like you mentioned. The hospital sanctioned him because, since those meds have to come from somewhere, he had charged patients for meds which he didn't deliver to them so he could keep them in his bag. Ended up suspended without pay for several months while things got sorted...
It really just depends on the hospital. At mine, we are instructed to carry controlled substances in our bags because otherwise we have no way of getting them in the operating room.
Im not a medic, but I have just been through major surgery and watching your videos, humanised what can be a very scary process. Instead of the fear of the unknown, I attenended surgery 4 weeks ago familiar with the process, knowledgeable about the anesthesia options available to me and my fear was replaced with intrigue. Your videos provided genuine comfort and I realise now that your job is so much more than just the drugs you administer. You should be proud of this channel. thank you.
Littmann Stethoscopes are the best. I just purchased the Littmann cardiology IV and I love it. Great video and thanks to you and your dedication to the health profession.
Liquid ensure lunch when you are busy working and in a rush is great, but hopefully, there are no Junior Mints nearby! 😆 This review is great as many of these same meds are in crash carts where I have worked and am in the middle of updating my bls, acls, and pals. I would love to see how your place treats malignant hyperthermia.
My take on anesthesia people after working in operating rooms and getting to know them... MANY of them have substantial OCD. I actually bought a used car from an anesthesiologist. He included a log of times.. dates... and details of taking the doors apart and "servicing the mechanisms. " Your take?
Oh yeah, definitely a personality trait that anesthesiologists tend to have. We like things well organized, details precisely tracked, that sort of thing. Those are admittedly the kinds of traits that I would want in anyone who’s administering medications that could be potentially lethal if misused.
@@MaxFeinsteinMD I strongly believe that anaesthetists are greatly underrated sir and I cannot thank you enough for what you do. I have spent my life either being anaesthetised on countless occasions (I am mengingeomylocele) or else working for surgeons in medical records/appointments/waiting lists etc. I have a suggestion! Would it be possible to give mild sedation to the surgeons before they start becoming a little over excited about things? It would make life so much calmer for everyone! Haha! One of my surgeons was nicknamed The Incredible Hulk when he was in his "greens!" I was surprised your bag did not have some treats for Cody in it! Blessings and peace to both of you.
Hello! I was just wondering if that equipment is from the hospital or if you had to buy it all your self. Same with the machines, would I need to buy those when I become an Anesthesiologist?
I have a Littmann 3 cardiology which is completely overkill, but I had gotten it deeply discounted when I started med school and have just hung onto it since then.
In the anesthesia setting, Haldol is primarily used as a way to treat nausea. That said, there are other medications that are typically used before Haldol is employed (eg. dexamethasone, ondansetron).
Did your program help pay for the pulse ox, thyroid shield, or twitch monitor? Those can be pretty expensive. Looks like the SunStim alone cost >$300...
you explain everything well. I think you will be a very good parent(or you are already a very good parent). I am not in the medical field, but i have all type of things in my car, "just in case" i need it. first aid kit, hydrogen peroxide, rubber gloves, scissors, tweezers, tourniqet. OK, im a dog walker. dogs get injured, get in fights...
Hey Max, quick question - why do you carry an antipsychotic? It's not a drug I would have expected an anesthesiologist would use, especially enough to feel it was worthy of a place in their bag! Thanks. PS Have recently stumbled across your channel and am really enjoying it!
Why is the thyroid shield just cover your neck when your arms and chest are exposed and not covered during X-rays? I understand wearing that to protect you just wondering why you don’t wear more coverage for your upper body. Great video Doc! 🥼🎒🩺🏨
He will definitely throw on a x-ray gown covering his vital organs. However the x-ray gown does not cover your thyroid so it is important to add that piece of equipment since the hospital doesn’t seem to supply very many of them. Aka not enough to go around. The years add up so we must use protection
