Middle Market Doctors
Okay the title sounds stupid, but hear me out. If you needed surgery, ANY surgery, that required general anesthesia how would you go about that? Would you be fine with any random level 1 hospital, or would you only choose to use the absolute top teaching hospitals like NYP, JHU, Mass, UCSF etc....? Personally I wouldn't be super picky for a surgery that requires local anesthesia, but I feel like having a top hospital anesthesiologist is a must if general anesthesia is used. I feel like general anesthesia is the one place in healthcare you absolutely don't fuck around in. If you've never heard of anesthesia awareness, its a phenomenon where an anesthesiologist, or more commonly CRNAs (who are NURSES not doctors), messes up the anesthesia. There are really only three components to anesthesia: paralysis, sedative, pain. If the pain portion works but paralysis fails, no big deal, easy to notice and easy to fix. If sedative fails and the other two don't, it's would be pretty scary but ultimately notthat坏的。噩梦的情况是瘫痪的时候，但疼痛缓解和镇静剂却不是。这是一个绝对的噩梦，据估计在美国每1000次手术中进行1至2次。受害者的采访说，这绝对是最糟糕的事情。最终以PTSD结束。在某些情况下，麻醉师会注意到，由于疼痛/焦虑的结合，您的心率和血压接近心脏病发作水平；尽管由于其他一些药物，您的心率和BP可能会保持较低水平。有报道称人们以后自杀，因为这太糟糕了。他们还制作了海顿·克里斯蒂安森（Hayden Christiansen）的电影。
最重要的是，很少有人赢得对麻醉师的渎职诉讼。你能猜出为什么吗？因为从技术上讲，由于受害者无法证明他们自从瘫痪以来实际上已经醒了。加拿大有一个人能够赢得案件，因为她能够讲述医生的对话。大多数时候，您只是不幸。即使文档确实知道他们搞砸了，他们也不会说什么。
这把我带到了我的最初观点。鉴于我说的一切，除了最好的外，您几乎会拒绝任何人吗？还有一些机器可以检测到麻醉是否正常工作。上帝知道为什么这些不是普遍的，因为它们只花费$ 4K- $6k per unit（为了进行比较，低水平的MRI机器不能以不到20万美元的价格购买新购买，最好的价格接近$ 1mm）。这是我最近与一位护士的共同朋友进行激烈争论时出现的。她在谈论她“如何做与医生相同的工作，但几乎没有得到相同的认可”。如果这是紧急手术，则您的选择更加有限。如果您能等待，我相信等待最好的预订是完全值得的（通常最终是）。无论如何，您也可以要求不允许使用CRNA。他们可以拒绝操作，但我敢肯定，您可以找到一个不会的地方。
Like I mentioned earlier, it's not a big deal in most things, but in the event of a surgery requiring general anesthesia, I would not fuck around. Imagine somebody operating on you for hours, and you can feel everything and not at all move or tell anybody. Then afterward, they just deny it.
Comments (7）
1-2 per 1000 seems high - maybe it is 1-2 in 50,000? Do you have a source -
"If you always put limits on everything you do, physical or anything else, it will spread into your work and into your life. There are no limits. There are only plateaus, and you must not stay there, you must go beyond them." - Bruce Lee
https://pubmed.ncbi.nlm.nih.gov/15333419/
wowwww bro that's scary
我很高兴我没有住在平庸的医院的地方。
"If you always put limits on everything you do, physical or anything else, it will spread into your work and into your life. There are no limits. There are only plateaus, and you must not stay there, you must go beyond them." - Bruce Lee
他发布的链接并没有说这些百分比实际上感到痛苦，但该死。
I have seen that movie you're talking about - terrifying. I'm already fucked up a lot psychologically already - I don't need that.
"If you always put limits on everything you do, physical or anything else, it will spread into your work and into your life. There are no limits. There are only plateaus, and you must not stay there, you must go beyond them." - Bruce Lee
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Learn moreWhy are you so interested in this subject? Are you facing some kind of surgery?
"If you always put limits on everything you do, physical or anything else, it will spread into your work and into your life. There are no limits. There are only plateaus, and you must not stay there, you must go beyond them." - Bruce Lee
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