The inspiring skillset of a combined cardiac anesthesiologist + ICU physician
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- Опубликовано: 13 июн 2024
- Did you know that anesthesiologists can pursue subspecialty training in both cardiac anesthesiology and ICU medicine? In this video, cardiac anesthesiologist and intensivist Dr. Sameer Lakha shows what goes into this highly specialized career.
0:00 Start
1:16 Training path
4:19 Anesthesiology vs. ICU
5:54 Scariest experiences
8:06 ICU equipment
10:41 Emergency management
11:34 Advice for med students
Music:
Subtle Swagger by Ron Gelinas: / atmospheric-music-portal
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
#Anesthesiology #Residency #MedicalSchool 
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as a nurse who's worked with him, he is such a gift to the hospital and a wonderful doctor!!
I often wonder what are the qualities of a "wonderful" doctor.
@@keithnichols7926 in my experience, a wonderful doctor is humble and teachable yet brilliant, observant, and well-read. they are kind to those around them, including nurses and ancillary staff, and make the people around them want to learn more and do better.
😄😄😄
I wish, if I had an extended surgery, he would be my doc, however chances are no since I live in Oregon! Can he recommend a hospital nearby, California, Washington, OHSU??
“As a nurse” 😂 why does every nurse have to announce that 😂 I swear.
That was a well-done interview, Max. Having formerly been a health care practitioner, I think he had two golden pieces of advice for students: 1) go spend lots of time with people who do the thing you're interested in, and 2) make sure you really understand what it's like to do the thing as opposed to just the intellectual aspects of that endeavor, which is also probably solved with number 1.
I think this is sound advice for another career other than medicine. Being a professional Commercial pilot especially transporting passengers. It is a physical and intellectual endeavor.
One of the challenging experiences I had as an apheresis nurse was having to do a plasma exchange through a cardiac bypass machine in the OR. Complicated case. The child was 10 years old and had undergone a heart transplant but the heart was rejected. Believe it or not, there was a second heart that was flown in and wasn’t rejected. The plasma exchange was done to get rid of the complement protein in her blood which had accumulated during the first transplant. So I continued the apheresis through the bypass machine during the 2nd transplant. And 7 days later this precious little girl was up walking around looking like she’d never had any major surgery let alone 2 heart transplants in one day! It was a scary experience for me never having done the exchange through a bypass machine, but everyone was so helpful. One of the craziest things I saw after the surgery was over, as I was leaving the hospital so many hours later, the cardiac surgeon was outside the ER smoking a cigarette! I guess he deserved it. Wonderful man who taught in the USA and went to Europe to teach other doctors interested in doing pediatric cardiac surgery.
❤
You are needed and I'm sure family was so grateful of your skills and the rest of the team. If not, you have it from me, you are a wonder!❤❤ !❤❤❤
@@dresdners54
Thank you. I never was called upon to do it again, but once was enough.
His advice is spot on at the very end. If you don't like the day to day realities of the job then it's not a good fit for you. I like the idea of computer programming but I could never imagine sitting at a computer all day every day. I much prefer my time in the hospital on my feet all day, interacting with others.
Its interesting that these are two split specialties in the USA.
In France, Anesthesiologists can work in the ICU and in the OR without additional training (Although a new ICU only specialty has been added recently).
Always cool to see how systems differ.
I'd love to see a video on a CRNA on your channel one day!
Great stuff as always Max
They can do that in the US too but it’s not needed because there are enough ICU doctors usually. When anesthesiologists in the US are in training during their residencythey do some training in the ICU as well. To be a cardiac anesthesiologist I think you go through an extra year or two or training after residency, called a fellowship, usually an extra 12-18 months
Knowing someone who ended up in the ICU with a life threatening infection following a minor back surgery and almost died but amazingly recovered after being in an induced coma and having quadruple amputations after her limbs died as a result of the infection it’s a really hard job that ICU workers have but I’m sure that the successes make it all worth it or at least more bearable for them, kudos to anyone who works in that environment and thanks for this informative video!
That was awesome, I learned so much! I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be a anesthesiologist physician, it takes a special person to be a anesthesiologist or CRNA and y’all are one of them! Anesthesiologist is the best
Max, these videos are so insightful! Please don't ever stop doing them! Bottom line, please don't stop being you!
Great video for aspiring anesthesiologists
Some great advice there that can be applicable to many careers outside medicine also. Great interview 👏
That last advice was GOLDEN - day to day vs the idea/intelectual content of the specialty... thank you!
Great interview.. It seems the heart/lung machine requires intense skill to operate and having a team that is prepared for every scenario represents the best of the best.
Great advises at the end. Worth listening to.
wow, so much information about a number of things. Learned so much!
Excellent interview!
That was fascinating. Thank you both so much!
Excellent interview, loved this video!!!
I am amazed by this doctor's intensive training and would hope more anesthesiologists go down this route. He treats the whole patient from surgery to the ICU!! If I ever have to have an extended surgery, I plan to investigate the anesthesiologist as to his/her extensive training! Kudos to this doctor for his dedication to patient health!!
Thank you for asking about his Fear response and how he critically thinks! That's something i ask other docs and CRNAs frequently for CRNA school.
Excellent informative interview with a very personable physician.
I did 21 days in the cardiac icu in Doylestown hospital in Doylestown Pa, had 3 cath lab procedures done and then open heart surgery
Really found the advice on how to decide on your specialty insightful, thank you
I love these informative chat setting discourses!
Thank you👍🌈🕊🔯
Excellent. Love these videos.
@Max Feinstein, if you ever have the chance interview Dr. Rishi Kumar. He’s also a Cadiac anesthesiologist/intensivist in Houston, TX. The man is nothing short of brilliant!
Great video, doc!
Great interview
Aaaahhh THATS what an LVAD is!!! My gosh I have not known what it was since Izzie cut Denny’s LVAD wires to move him to the top of the transplant list!
I had no idea. It’s been like 13 years of mystery lol
😂😂😂😂😂 👍
I wish that they would talk more about the drugs used as well as cognitive decline that can and does occur with anesthesia, particularly in older patients.
My childhood doctor graduated from Creighton University's med school in the 1920's. He was the sort of "physician and surgeon" still practicing in some small towns. These doctors were not exposed to most of what modern med students study nowadays. Anesthesiology, for instance, consisted in the doctor or his assistant sloshing ether on a wad of cotton waste and forcing the patient to breathe it. I still shudder remembering having my tonsils, adenoids, and uvula harvested this way in the 1930s. I believe that until the 1960s the major electronic aids doctors tolerated were the EKG machine and the x-ray. Nowadays, just recognizing what an OR's array of electronics do seems like a field of study in itself, and acquiring the medical knowledge that inspired their creation seems too much for a person to master in the time allotted.
I too. At 5 years old, was carried to the OR in 1963 with a mask covering my face waking up with terrible pain. I received a certificate that said "Congratulations, you have won the Tonsil Out Club!" My mom drove me home the next day, no mom overnight, and threw up all over in our 1961 Willy's Jeep easily cleaned with a hose!! That ether was nasty stuff!!
Anaesthesiologists are trained for both ICU and OT right from their 1st yr. Of training.
lmao I have to give a like for the Morton Salt! (vid was interesting too, as always :)
Unrelated to the video, but could you make a video about emergency surgery/unplanned surgery and what goes into that? Also is there always an open OR for emergent cases that come in?
Crazy that one year old specialist training makes you an intensive car specialist is the states
Unrelated to the video but I have a clotting disorder (BSS) and I was curious what are the extra considerations and steps you have to take when giving anesthesia to someone who may have a harder time with bleeding and blood loss during surgery?
Cardiac Anesthetist , 4 yrs training in general Anesthesia and 2 yrs in cardiothoracic Anesthesia...also take interest in icu care of patients .I am from Pakistan
The jar of salt made for great b roll footage
That made me laugh so much! 🤣🤣🤣
right 😂 I love how everybody is referencing the Glaucomflecken Cinematic Universe
I watched a vid of a RUclipsr who was dual trained…first as a pulmonologist and secondly as a critical care/ icu doc
Oh and my personal psychiatrist is dual trained in neurology and psychiatry. He’s the best doctor I’ve ever had.
Hi- Just wondering if you could do a segment on nurse anesthetists
How much can he earn yearly?
Yikes! I'v been under them 'thumb nail' lights...there bright and cold till its black.
At this point, you might as well do a collaboration with Dr Glaucomflecken’s nephrologist and cardiologist 🤣…
Please interview a CRNA
Physicians often don’t like CRNAs. They see them as competition. So much that they created their own schools for anesthesiologist assistants (AAs)
@@Eman1900O Lmao they were made in tandem in the mid-1900s and physicians will always supervise midlevels. There is no competition in their eyes.
@@AsiansFirst yes they do see them as that as more and more states are giving CRNAs to work independently of an anesthesiologist. They even lobby to try to keep this trend from continuing in other states. I am a CRNA. There are currently 27 states that CRNAs can practice independently and the number is growing. AAs on the other hand will never be allowed to work independently
I’m not saying these anesthesiologists in this video feel this way, but it’s possible. They are certainly out there
@@Eman1900O Generalizing does not help your cause at all, lol. I can promise you that from behind the drapes, no anesthesiologist seriously sees CRNAs as competition. If they were trained in the same capacity that would be the case, but we're not gonna delve into that.
Everyone has their role in filling the anesthesia workforce shortage and to see otherwise is short-sighted.
@@AsiansFirstthen why does the ASA lobby and give so much money to try to prevent it and also create their own schools for AAs instead of more schools for CRNAs? And why would an anesthesiologist make a video about CRNAs anyway? it’s not their profession and don’t know what their schools and training are like on a firsthand level. There are CRNA videos easily to be found
2:27 you know, I think a Johnathan could have come up with better b-roll 😜