Discover and read the best of Twitter Threads about #anesthesiologists
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A (LONG) thread for patients with #mecfs #longcovid expecting surgery and the #surgeons #anesthesiologists #crnas and #pacunurses caring for them. I'll share my recent perioperative experience. This is neither comprehensive nor medical advice, but I hope it helps. (0)
1. Recovery was a bitch. I've had general anesthetics before, even in the same organ system. This was not the same body undergoing #anesthesia.
2. Set Expectations: Physicians
Expect long lists of meds, allergies, requests, and questions. Listen to and engage with your patient. They may educate you. Anticipate a potentially prolonged and complicated recovery. This is not a fast-track. Respectfully, don't be a Dick.
Expect long lists of meds, allergies, requests, and questions. Listen to and engage with your patient. They may educate you. Anticipate a potentially prolonged and complicated recovery. This is not a fast-track. Respectfully, don't be a Dick.
This is not good news for the residents of Watertown, WI. Watertown Regional Medical Center(courtesy of the private equity-backed, contract medical group Envision) removed all of its anesthesiologists for a 100% CRNA model. In a nutshell, they replaced physicians with nurses. 
2)They then have the audacity to declare that the "literature is clear" that the quality of care and outcomes "are just as good"...compared to whom Anesthesiologists? Yeah...No. To state that the 100% CRNA is a "common model" smacks of them trying to reassure somebody this is a
3)good move. It isn't. No anesthesiologist will be available to patients for emergencies that CRNAs are not trained to manage? The surgeons will now be the "Captains of the Ship"--liable for any mishaps by the CRNAs, despite the fact that they don't know jack about anesthesia
MYTH BUSTER: #anaesthesia & #anaesthetists are hard words to say (I’m one & have trouble!) & people are sometimes confused about what we do (even other doctors!) and that’s fair enough, but we are way more than just people who “put you to sleep” for your surgery #covid19aus 1/
It’s better to think of us as #anesthesiologists (with an american accent!) like they say in the US. We are medical specialists. We have a medical degrees & a specialist qualification, are highly trained having done continuous training until we are often at least 30 years old 2/
We assess all aspects of you before giving you an anaesthetic - Such as your health conditions, your medication, your worries/concerns about what about to happen to you, your pain requirements, & make decisions about the safest anaesthetic to give you for your surgery 3/
This weekend, my wife @WomenFacultyMD, is rounding as "ICU Lead" in our hospital's largest #ICU: The 28-bed OR-ICU.
The conversion of operating rooms into an ICU, complete with infrastructure and staffing, was done in one week.
One week.
#COVID19 #Pandemic #NewYorkCity
The conversion of operating rooms into an ICU, complete with infrastructure and staffing, was done in one week.
One week.
#COVID19 #Pandemic #NewYorkCity
More on how we did that later. I wanted to highlight the #ICULead role.
It's what we used to call "attending".
But when we expand capacity and everyone moves up a rung, the former ICU attendings become #OversightAttending
@SCCM #TieredStaffing
sccm.org/Blog/March-202…
It's what we used to call "attending".
But when we expand capacity and everyone moves up a rung, the former ICU attendings become #OversightAttending
@SCCM #TieredStaffing
sccm.org/Blog/March-202…
(Side note: @SCCM 's original #TieredStaffing model somewhat strangely had fully licensed and credentialed #anesthesiologists functioning as fellows rather than as #ICULead.
Why? Have no idea. The society is made up of intensivists from multiple primary specialities...
Why? Have no idea. The society is made up of intensivists from multiple primary specialities...
Citation counts come from OTHER RESEARCHERS. They are important, yes.
But, sharing #science on #SoMe=broad & instantaneous dissemination to those who focus their time AT THE BEDSIDE. Which may surprise some- but is MOST OF MEDICINE especially....#anesthesiology.(Thread) #AUA2019
But, sharing #science on #SoMe=broad & instantaneous dissemination to those who focus their time AT THE BEDSIDE. Which may surprise some- but is MOST OF MEDICINE especially....#anesthesiology.(Thread) #AUA2019
A metric like the “Kardashian Index” *MAY* be relevant in genome biology where the proportion of basic/translational science is significantly higher and no immediate bedside application for a general practitioner is there. (and I’m making an assumption here) #medtwitter #aua2019
When your #research is relevant primarily to other #scientists who are also writing research papers then citation counts do more wholly reflect the paper’s impact. But in clinical research, it’s different. Bedside clinicians are looking to the literature for guidance & new ideas.
