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AnesthesiologistAn anesthesiologist helps administer the anesthesia to the patient. There are 3 various types of anesthesia depending on the situation.The history of anesthesia has a harsh background. In the 18th century, the observed many medical advances and discoveries(Unknown,3). Back then, since they didn’t have anesthesia, they would use drugs like marijuana and opium to knock out the patient. People tried to induce a psychological state of anesthesia by hypnosis(Unknown,3). Distraction would be provided by rubbing the patient counterirritants such as stinging nettles(Sullivan,4). A direct but unpurified way to produce a state of insensitivity. Nitrous oxide also called laughing gas, was first made by Joseph Priestly in 1772. In 1799, Humphrey Davy found anesthetic properties of nitrous oxide. Around the same year, he experimented the nitrous oxide on animals than himself. Crawford Williamson Long claimed to have used it in surgery in 1842 and later used it on 4 guys around the age of 20. Another person who claimed to use it was Horace Wells. Believe it or not, an anesthesiologist is the most important person during a surgery. It deals with the practice of anesthesia for the relief of pain during a surgery. They calculate the amount of dosage for the patient. Most anesthesiologists work in hospitals or surgical outpatient clinics. They are usually in charge of providing pre- and post- operative pain management. There are three types of anesthesia- general, regional, and local. In general anesthesia, your unconscious and have no awareness of it. Regional is when they inject anesthesia near a nerve and you can’t feel in certain parts of your body. You can either be awake or sedated through the process. Last but not least, local is the same as regional but instead of being injected near a cluster of nerves, it’s injected just into the tissue. This is used for minor surgery. “Anesthesia is often portrayed as going to sleep but J.P. Abenstein, explains that general anesthesia is more akin to a powerful drug-induced coma.” An anesthesiologist may work shift that is 8, 10, 12,16, even 24 hours shift depending on the hospitals and their agreement. Since hospitals are open 24 hours, they may work 40-50 hours or more a week. They may work overtime to get more vacation or sick time.To become an anesthesiologist, one must have to attend a four-year college (it’s optional to enroll in pre-medicine). After finishing a four-year college, it is required to attend four years of medical school where you spend the first two years of basic science and the other two years in clinical training. After medical school, one must spend one year in an internship and three more years in a residency program. One must need to have a strong background in physics, chemistry, biology, and mathematics. No major is required but it’s highly recommended that you major in natural science, biology, microbiology, chemistry. or health sciences. In medical school, the first two years in a classroom setting, studying biochemistry, physiology, pharmacology, pathology medical ethics, etc. After the internship and residency, one can gain certification from the American Board of Anesthesiology by passing an exam.According to the U.S. Bureau of Labor Statistics, the average annual salary of an anesthesiologist was $235,070 in 2013(Miley,1). Now the median annual salary is between $317,616-$415,641 as of September 2017. Now some benefits of an anesthesiologist are they are allowed to have 21 days per year of vacations, and they also get paid vacations. Even during their work, they have benefits like professional Liability Insurance, Individual health, and dental insurance, etc. Other advantages are the job outlook. They have a high demand for hospitals and clinics.There are also major advantages like the high salary, job security, wide variety of patient types, autonomy, professional respect, hands-on job, even the littlest thing like instant relief and feedback in the operation room. They concern with critical care and the job is very transportable.Even though there are many advantages, there must also be disadvantages. Some disadvantages are over 10 years of schooling, residency can be competitive, lack of follow up with the patient requires a high level of responsibilities and can cause stress. They are allowed to have a max of 60 days of absence for 3 years. Even the littlest thing like not being recognized for their work and not having that much contact with patient afterward.”The BLS aspect this a positive career outlook to healthcare industry expansion and increased demands for medical services from the U.S. aging population. The BLS expected employment to grow 21% from 2014-2024.” Although it says it’s expected to grow over the year, it may be reduced due to new technologies. The necessity of having an anesthesiologist at an operation room, the outlook for an anesthesiologist is positive(McGrath,2).Interview/QuestionnaireWilliam Baker, M.D. (thestudentdoctor.net)Describe a typical day at work.-I usually get in about 6 am, to start evaluating patients and getting ready for surgeries starting at 7-7:30. Then I do all the cases assigned to me for the day. Some days are lighter than others. If I’m not on call, I can usually count on getting out of the OR by 3 pm or so, otherwise, I will stay until all cases are done.Are you currently a private practice or academic physician? What are the benefits of each type of work?-I was in private practice for 18 years. Now I am a faculty member at the University of Alabama at Birmingham. In private practice, you put in more hours but are also paid more. Now I am happy to work less and take home less.If you could do it all over again (become a doctor), would you? Why or why not, and what would you have done differently?-Yes. I enjoy science and its application to patients. Also, it is nice to know I was able to achieve my personal and family goals. How soon during your college or medical career did you know you were interested in anesthesiology?-I knew I wanted to be an anesthesiologist as a freshman in college.What do you like most and least about your specialty?-I most like the ability to relieve pain in the O.R. I least like the business aspects of my job.How many weeks of vacation do you take?-I get 6 weeks of vacation.Do you have a family? If so, has becoming a doctor and being a doctor made making time for family difficult?-Yes, I have a family and to some extent, it has been difficult. My long work hours led my wife to quit her career so one of us could be around for the kids.What advice do you have for pre-medical students? What mistakes or experiences have you encountered that you wished you had known about ahead of time, so you could have avoided them?-My suggestion would be to take as many courses as you can to prepare for the medical school curriculum. This will make the first two years easier, because you are reviewing material vs. learning it for the first time. Also, don’t worry about being a straight A student in medical school, the difference between an A and a B is not 10% more studying. It is very difficult because you must know every trivial detail instead of having a strong basic knowledge of science. In our class we had students who dropped out because they could not handle not being at the top of the class.As an anesthesiologist, what is the biggest problem with your specialty today?-The stress we face, and the use of drugs and suicide rate is high.Richard D. Delaney, M.D.Anesthesiologist  Describe a problem you faced with and how you solved it.-Shortage of medication. I set up a program with another facility to provide medication for one another and it was successful.What do you like about being an anesthesiologist?-Preventing the nerves from carrying pain signals to your brain.Why did you want to become an anesthesiologist?-It stood out to me and it was unique, and it dealt with medicine.Who’s been your mentor?-My father who is also an anesthesiologist, been helping me and guiding me to where I am today.Do you consider yourself a leader?-I don’t consider myself a leader, I consider myself a strong follower which will make me a leader when it’s time.How would your best friend describe you?-The passion I have for my job and helping people.There is a chance that your patient will not make it out of surgery. How would you handle the situation?-I’ll keep my composure the whole time. I can learn from the situation to possibly avoid it in the future.What is the most valuable thing you learned on the job?-Not to take administrative staff granted, I’ve realized they support the clinic in so many ways.

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