Doctor, from an anesthesiologist, retired after 43 years of giving anesthesia as both a CRNA and an anesthesiologist, I’ll say that you do an awesome job with your videos. Nice job explaining life in the OR. Nothing like a granola bar and a Mountain Dew at 0230, on call.
@@michellelyman7092 haha always gets me that some find Mountain Due and such to be too much... That's coming from someone who can smash a 4 Pack (2 Litres) of Energy Drinks in a day, don't do that anywhere near as often as when I was younger but sometimes 🤣
@@santinojozefmiller7721 To be honest, I don't care if the anesthetic doctor is Jewish, German or whatever, the main thing is that he's not aggressive and lets me sleep in peace and wake up again peacefully. My last general anesthetic went so wrong that I postpone it before the next one.
As both medic and patient that has been intubated 7 times, I love Anesthesiologists. Always made me feel more comfortable know that some with airway training was handling my airway; since I'm a grade IIA airway. Thank you for the videos and showing the Anesthesiology side of medicine. You rock and will excel!
I will never forget my first pedi-Code, 40+ years later, he was a boy, 15 months old, went with the doctor to tell the parents that after 90 minutes their child had died; back when I did volunteer Fire & EMS. RN x 30 years, last 21 in the OR. I loved nights and emergencies as you find out so much about people by the way they handle them & treat others. I would have loved having Anesthesia residents but we weren’t big enough in my last hospital. Your attitude and your knowledge will take you far. 👍🏼👍🏼🙏🏽
I love how this profession is constantly monitoring screens and numbers and making slight changes, following procedures, etc. But are still a doctor but not actually performing surgery. Very interesting
@@merdzky098 it's cool because they are all baseline doctors at the end of the day. Anesthesiologists are flashy to me because they are like masters of drugs, chemistry, medicine, keeping people alive, and using the body as a human biology experiment and chemistry set.
I’m a Maternal-Infant nurse of 30 years. I especially appreciate nurse anesthetist & Anesthesiologist because when emergencies arise, they are really the key doctors that coordinate ( anesthesia, blood etc)…in the OR. Thank you !
@@endlessrandomness1057 In fairness, surgeons could hardly be relieved in this way. Unless it was predetermined that certain surgeons would handle certain aspects, even then it would be quite unsafe to change the primary surgeon ad hoc.
I've had 11 back surgeries, and have met some really special people. You have to be very strong in this field. To see such an excited , warm, caring doc this , is really nice. I've seen these docs n all kinds of situations and they are very special people to me. Thank you for all you do.
I just had sinus surgery..... my 12th surgery overall..... anesthesia is my fave part of surgery. I always get great anesthesiologists. Thank you for always keeping us safe and making sure we wake up!!
Makes me so sad. My one day old son was transferred after birth to Children's Hospital in Denver. He received cpr and was revived during open heart surgery but died the next day. Was a complete surprise so very overwhelming. Had the same anesthesiologist who did my epidural for my c section 14 months later. He asked how the last year went and I said my son died. He said, " I remember that baby." He totally changed his demeanor with me.
Thanks for the nice feedback! Good luck studying for step 1, it’s all downhill from there. That was definitely the most stressful part of my career in medicine so far.
Several years ago I was blessed with a wonderful, caring anesthesiologist for my eight hour cyto-reductive surgery for metastatic appendix cancer. When the local apostolic pentecostal minister came in to have prayer with me and my family before I went to the OR he asked if he could stay with us while we had prayer. Judging by the fact that I was up in northern Indiana in the middle of Amish and Mennonite country and his last name I think he has had a Christian upbringing, could very well be Mennonite. He even went the extra mile and turned the radio on to the local contemporary Christian station while he and his assistants were getting me all ready and starting my anesthesia. The last thing I remember is hearing the song "I can only imagine" playing, next thing I remember is waking up hours later. He even reassured me about an epidural since I had a previous bad experience with the procedure.
You are amazing. I wish I had you in my first op. I would have been so less stressed... bless you for all the difference you make to us when we are at our most vulnerable situation.
Thankk you to all the nurses, doctors, maintenance staff, food service, and all the other people that were on the Covid front lines. Yes, I did say maintenance and food service because they too were on the front lines keeping the hospitals running while the doctors and nurses worked at saving lives. You were, and are, amazing people.
Another insightful video Dr. Thank you for sharing. After the Corps, one thing I learned doing 24 hour shifts as a LA City paramedic is never say the word quiet out loud . LOL..You lucked out lol...My Grandfather was a surgeon and was a field surgeon in WW2. Spent a lot of time watching him work growing up. I went from being a medic to becoming a forensic PA..But keep the video's rolling. Thank you for your service as an MD..
Hi Vicky, I made a video that addresses a lot of what goes into becoming an anesthesiologist, it's called "Become an Anesthesiologist - Career Advice from an Anesthesia Resident". I hope that helps!
Hey Dr. thank you very much for your videos and for what you and your team do. I have learned so much, and have been more comfortable knowing what training and what you go through. I have suffered two STEMI 100% occlusive heart attacks in eight months recently. I don’t remember a thing. You helping me understand what you you guys go through has made me appreciate you even more than I do. I mean I have appreciated you guys so much already and even more if that’s possible. Thank The hospital again for letting you do this.
Hello! I am so glad I found you, Dr. Feinstein. I'm a new subscriber and I have watched several of your videos. I am facing surgery, which will require general anesthesia and I am trying to gain insight and learn how it works in hopes to ease my tensions a bit. We appreciate the work you do. So very glad for caring professionals such as yourself. And what a cute pooch!
This video made me reminisce about my residency. You may have a "toxic" duty wherein you get absolutely no sleep/rest OR a "benign" duty where everything goes smoothly throughout the day and you end up having CBR (complete bed rest) 😉 Thanks for making these videos.
Hi Max,you are awesome! I have a lot of Doctor friends and I'm a Professor of romance languages so I teach them Spanish .I developed a course in Spanish for the medical profession. I love your videos because I have had 4 back surgeries and I know all the medical vocabulary because of my latin language studies. You really are an awesome person and a great doctor. I could see you as an instructor because your speech is perfect. All my best to you.
Wow you all deserve tons of credit! When I was recently in the hospital for surgery I told the surgical team a joke! "What happens to a frog if he parks on the wrong side of the road? He gets toad!! They all laughed!!
I became an anesthesiologist here in Dublin Ireland. I just love helping a patients body get through surgery safely. I always find it funny when they fall to sleep
Just wanted to say keep up the great work! I'm a fire medic in near KC, have really been enjoying your videos. I loved my OR rotations & had a great time working with the CRNAs & Anesthesiologists. I like your ability to speak plain English & still communicate complicated ideas simply. I'd love to have you go more in depth on some skills & interventions. Again, keep up the amazing work!
I appreciate the nice feedback! I'm actually from KC and got my initial interest in medicine sparked by doing ride-alongs with MAST (which I don't think even exists anymore).
@@MaxFeinsteinMD That's crazy! Several of my instructors & Chiefs used to work for MAST, it was a great service at the time. They did a lot of interesting stuff back then...
Yeah man small world. They also provided a big service to future healthcare providers by allowing teenagers to do ride-alongs. Really made an impression on me and lots of other kids who did that.
@@MaxFeinsteinMD I can totally see that. I am really enjoying my time in fire/EMS, but see myself getting pulled to the hospital more & more. That's why I've really enjoyed your channel, you do a great job of showing what your path has been like & it's been super informative!
get this man a sponsorship for dem bars. Love what u do. I always have trouble with hospital stuff. I dont even go to the dentist. Traumatizzed AF orso.. however, you give me some confidence, keep it up , we all need people like you someday, if u ever need free guitar tunes hit me up
Hey Roy, thanks for the nice feedback! I play drums although now with the pandemic, the practice space where I went is closed down. But maybe one day I'll post up a drumming video and you can shred along with me!
Great videos! New subscriber here! As a dentist, my career is not as exciting as anesthesia but I find the field fascinating from a patient’s perspective and after experiencing quite a few surgeries myself....love your appreciative attitude for all team members involved as well!! Keep the videos coming! PS how adorable is Kobe! 🐶❤️🦷
Hi and thanks for following along! I appreciate the nice feedback. I don't think it's bad to have less excitement, because in the OR, "excitement" is typically a thinly-veiled euphemism for something terrifying happening, yikes. Kobe is the best haha
As a Sinai Anesthesia alumni I loved this video. So nostalgic. Lol. It’s a great program. Tell Dr. Levine hey for me! Keep up the great job on the videos. Liked and subscribed. Will be checking out your other videos. Good humor!
Thanks for the videos! Im on my second (2/3) year of "anestesiologia" in Brazil. Before i've done 6 years of medical school. We have nearly the same routine, mostly.. Keep going!
Hi there, for your M2 year the most important focus is doing well on Step 1 (obviously you know this). Once you hit 3rd year, focus on doing well throughout all your clinical rotations. I know that seems obvious, but the importance in anesthesia is that it shows you get along well with providers from all services. As an anesthesia resident/attending, you'll work with providers from all services so it's good to indicate you can already do this well as a med student. Your surgery and internal medicine rotations are particularly important because in a sense, the anesthesia knowledge base lies at the intersection of those two specialties. For the end of 3rd year / beginning of 4th year, definitely try to do at least two anesthesia rotations so you can really be sure that it's your career of choice! And not just for you-- this is important to demonstrate on the interview trail that you've spent enough time to prove to your interviewer that it's an informed decision. While I did a fair amount of research (because I enjoy it), I don't think research is necessary for anesthesia. Hope that helps!
@@MaxFeinsteinMD Thank you Dr. Feinstein! That was so insightful. I’ve been binging your videos in the midst of studying cardio and pulm. It’s refreshing me and making me excited for post-Step 1 life haha
Things only get better as you move along in your training. Obviously pre-clinical years are just a grind. MS3 is tough but at least you're with patients. MS4 is usually pretty great. Then PGY1 you're finally a doctor, and PGY2 you get to actually do anesthesia! That's as far as I am, and it's the best haha.
Really cool video man. It’s awesome to see you work. I am going into medicine. It will most likely be surgery but watching your videos makes me reconsider. I’ve always thought about anesthesia, but I’m really considering after watching your videos. Keep up the great work man.
Thanks for watching, glad you enjoyed! Surgery is pretty awesome, I think I could have been happy going into a surgical field. But I'm happiest in anesthesia! Let me know if you have any questions (DM me on instagram) if you consider it any more.
Anything involving kids or babies scares me. They can de-compensate so fast that before you know it, you are behind the curve. Every time that I could take a CE course on babies I would jump on it so that I could feel a little bit more prepared.
I love how you keep saying "my operating rooom". I can just picture you, as the other physicians enter the room, sitting in a black leather chair, stroking a white cat, saying, "Ladies and Gentlemen, welcome to MY operating room"
Omg. You are so so so awesome and funny. Love ur videos. Right now I am on my anesthesia rotation and seeing ur videos is making me fall in love with anesthesia. Please make more videos regularly. 😀😀🔥🔥
Anesthesiology residency in my country is quite tough, seems u had a chill 24 hour call. We usually have around 34 hours call in nepal and handling around 10/12 cases in that periods along with icu rounds and vent as well as cvc insertion all day long . Nice to see u get a good 4 hours sleep
Hi Max, a couple things I wanted to share with you. 1. I do not think that your profession is a “lifestyle specialty.” I want and need someone who is well trained, knowledgeable in any anesthesia emergency and well rested to care for me as I “sleep” during my surgery. After all, every breath I take, every move I make, you’ll be watching me. (Little humor but very true.) My life is literally in your hands. Thank you for all you do keeping us safe during surgery. 2. You mentioned in your most recent video, 24 On-call that you had to lay off the Haribo gummy’s. Nah, you look very similarly today then you did when you made this video. Your face is filling in as a mature man. 😊 Spoken like a mama. 😉
Hi Max, I've really been enjoying your videos since I discovered them yesterday. My interest in medicine is that of a lay person--I wish I could have become a doctor (I'm a musician) but my talents are elsewhere. I've had many surgeries for various things. I had surgery for a broken wrist not long ago and since I was being given general anesthesia I asked the anesthesiologist about what it involves, what the risks are, etc. I have great admiration for the amount of extra training you go through with the patient's safety foremost. I have a request for a future video: can you explain why sometimes patients get nauseated and vomit nonstop after they come out of anesthesia? This only happened to me once, but it was miserable! Once again, I love your channel!
Awesome video! Your dog is so cute! Looks like ours. Sounds like your in a awesome safety hospital! Its so huge! I've had 4 sinus surgerys both sides. Always wondered how the estimation works with a surgeon up in your field. Thanks . Plus are u who gives the sinus blocks when done so theirs no pain or does ENT do it? Its great to have the stimulation twice a week. Awesome. I can imagine your 1st ped stimulation would be terrifying. Loved the back pack full of so much! When I worked as a nurse we never had anesthesiologists respond to codes. I'm very impressed to know they do now. Very informative. Thank u so much
Glad you found this video interesting Sherry! Anesthesiologists can learn various types of nerve blocks for structures around the face, but from what I've seen, it's typically the ENT who will do those. At least at my hospital, the level of collegiality and collaboration between ENTs and anesthesiologists is very high (our department has co-authored several textbooks with ENT attendings) so there's a lot of teamwork. It's pretty cool and would be a fun video to make of an ENT surgery some day.
I'm glad you mentioned at the NG tube because when I was in Germany studying there, I had an emergency appendectomy and they put one in and it was awful and I don't know why but now I know why
Dr. Max, would you be able to comment on the sorts of personalities and aptitudes that are best suited for the anesthesiology specialty? Thank you so much for making these videos. I'm proud to be a subscriber, and I've been sharing your videos with my medical school classmates who are considering anesthesiology.
Hi George, great question. I'd say there are some characteristics that are uniquely important in anesthesiology as compared to other specialties. Those that come to mind are:` - Good communicator, specifically with surgeons and other members of the team in/around the OR - Calm disposition, particularly in the face of acute and severe problems - Sociable (at least for short periods of time lol), especially when it comes to quickly establishing rapport with a scared patient 10 minutes before they undergo a huge surgery Thanks for following along the videos and sharing them with your classmates! Really appreciate it.
As someone interested in pursuing anesthesia or IM, I find your vlogs very informative. Thank you for taking us with you. My aunt who's a psychiatrist in the US is convincing me to take IM b/c she says anesthesiologists are always on-call. Plus there's the concern about CRNAs? What do you think about these issues? I personally love anesthesia even tho it can be nerve-wracking, the fact that you're in charge of a patient's physiology in the OR, and that there can be a learning curve with the hand skills. Thanks Doc.
I was actually very interested in pursuing IM, but anesthesia won out because I enjoy the OR so much, love the opportunity to help nervous patients feel a little less worried before surgery, and I like the pace of anesthesia ("95% boredom, 5% sheer terror"). The concern your aunt has about call really depends on what kind of practice you'd like to do. You can find anesthesia jobs that require no night or weekend call, but of course you take a relative pay cut for that. Really depends what you're comfortable with. As far as midlevel practitioners, you should ask your aunt what she thinks about the growing number of NPs who are practicing hospital medicine. Midlevel practitioners are present in most fields, so anesthesia isn't unique in that sense. The bottom line is that if you love anesthesia, you should do it. Just my 2 cents!
Thanks for the nice feedback! I hope you pursue anesthesiology if you find that it’s a good fit for your interests- it’s a wonderful field and I’m so happy to be in it.
You looked more awake at the end of the day than you did at the start of the day... what do your energy levels look like throughout a typical day at work? And do you drink a lot of coffee/caffeinated beverages? Loving your videos!!
Hi Jordan, yes I was actually able to get a decent amount of rest during the shift when I recorded this video. I usually have a pretty constant energy level during the day when I'm at work, but it's common for me to come home feeling quite tired. As far as caffeine, I always have a cup of coffee in the morning, and occasionally will have a 2nd cup in the afternoon if I'm on a 24-hour call. Thanks for following along with these videos!
@@MaxFeinsteinMD wow, you must really have to take care of your body to consistently keep your energy levels up. Thank you for taking your time to create videos and educate the online community about the work you do. 🙂
Because of you my surgery was canceled would have been done I was like pulling teeth to get me to have surgery now put off until April 13 thought their seen a branch
Awesome video as always, I want to know how anesthesia is sometimes referred as one of the lifestyle specialties when you work the same hours of our colleagues in surgical specialties 🤔 My main concern is about the working hours and the on call shifts after finishing residency..
Hey Fouad, thanks for watching and commenting on my videos so consistently! I think that on average, anesthesia residents work fewer hours compared to surgery residents. However, we still work 60-70 (or more) hours per week, plus call once per week or more, which is not consistent with a lifestyle specialty IMO. As far as number of hours worked and number of call shifts after residency, that really depends on where you decide to work and how you negotiate your contract. I don't know a ton about that process, but it sounds like you can pretty easily negotiate to take less call/hours but that comes with a pay decrease. Really depends on the specifics of the job- it's hard to generalize across the entire field.
@@MaxFeinsteinMD Much appreciated, thank you for your time and efforts representing the field of anesthesia in a very comprehensive way. All the best Dr. Feinstein 👍🏻
Doc great video...I used to drive an ambulance for Mt Sinai back in 1973 back in 1973.. I have been a producer director since the 80's, and gonna retire in a few weeks.. Still love the medical stuff, and by the way, I'm a hard stick lol
Just subscribed, I’m a 3rd year medical student and I’ll be applying for Anesthesia Residency. Looking forward for the new content on this channel. So far I’m loving it! Any suggestions or tips for matching in a similar anesthesia program like yours?
Hi Eloim, glad to know you're excited about applying to anesthesia! I appreciate the nice feedback. I think the majority of anesthesia programs take a wholistic look at your application, so Step 1 score isn't the only deciding factors, but all the other components of your application. I'd advise focusing your efforts on things you enjoy, whether or not they're directly related to anesthesiology. The program directors who will be interviewing you know that you're not just a future anesthesiologist, you're a person with interests outside of that. You'd be surprised how much non-anesthesia stuff came up during my interviews. Anyways, point is that you should do what you enjoy as far as research / volunteering / coursework etc. The specific things you should make sure to do are at least a couple anesthesia rotations to demonstrate that you've clearly gotten exposure to the field and have made a decision based on that exposure. Keep in mind that most people choose anesthesia late (3rd or even 4th year) so few people have CVs that are filled with anesthesia-specific stuff, unlike derm / ENT / ortho etc. Hope that helps!
I’m a truck driver. Retired now but used only be able to drive 10 hours then an 8 hour break. Hey I went to M.I.T. the Mississippi institute of Trucking and my attention span is a little longer than 10hrs.
Hi Max - I'm learning so much from your videos, thanks for bringing us along! Just curious, where do you guys sleep when you need to take a break? Just randomly at your desk or is there a designated "sleeping area" at the hospital?
Hi Bonnie, thanks for watching! We have "call rooms" that have a bed (clean sheets put on daily) and a computer where we can easily access electronic medical records. I will say that sleeping in the hospital is never nearly as peaceful as sleeping at home :D
Dr. Feinstein I love your videos! Your dog is adorable! Is he a Bichon Frise? I have bad sinus problems and in 2018 I had endoscopic sinus surgery with a septal bone spur removal and total ethmoidectomy at Mount Sinai. If you do anesthesia for ENT, you know my ENT doctor, Dr. Satish Govindaraj. You also know the anesthesiologist who did my surgery, who I vividly remember because his name was Dr. Adam Levine and he told me he’s the better looking one and he asked me if I wanted him to sing to me. The OR staff advised against it! 😆
Doctor, from an anesthesiologist, retired after 43 years of giving anesthesia as both a CRNA and an anesthesiologist, I’ll say that you do an awesome job with your videos. Nice job explaining life in the OR. Nothing like a granola bar and a Mountain Dew at 0230, on call.
ohmigosh who can nap after a Mountain Dew?! hahahaha I'd be so wired and have a stomach ache on top of it, that stuff is pure poison
@@michellelyman7092 haha always gets me that some find Mountain Due and such to be too much... That's coming from someone who can smash a 4 Pack (2 Litres) of Energy Drinks in a day, don't do that anywhere near as often as when I was younger but sometimes 🤣
@@MrRhysReviews bro with that many energy drinks your gonna end up being one of the patients on this guy’s videos one day
@@QuickStiQz Yeah probably 😂
hello, can you explain why you became an physician after being a CRNA?
Max your enthusiasm is amazing to see, hopefully the other residents share this with you. These videos are incredibly educating also.
Thanks for such nice feedback, I really appreciate it!
@@MaxFeinsteinMD Are you Jewish? If so, are you German Jew, Polish Jew, or what are you?
@@santinojozefmiller7721 To be honest, I don't care if the anesthetic doctor is Jewish, German or whatever, the main thing is that he's not aggressive and lets me sleep in peace and wake up again peacefully. My last general anesthetic went so wrong that I postpone it before the next one.
@@metakoerner-vollrath9879 I’m not judging anyone I’m just curious.
th-cam.com/video/3krE0-hW7yI/w-d-xo.html
As both medic and patient that has been intubated 7 times, I love Anesthesiologists. Always made me feel more comfortable know that some with airway training was handling my airway; since I'm a grade IIA airway. Thank you for the videos and showing the Anesthesiology side of medicine. You rock and will excel!
Thanks for the kind words! Glad you've had positive experiences with your anesthesia providers.
What do you say a patient who is extremely sensitive or nervous
I will never forget my first pedi-Code, 40+ years later, he was a boy, 15 months old, went with the doctor to tell the parents that after 90 minutes their child had died; back when I did volunteer Fire & EMS. RN x 30 years, last 21 in the OR. I loved nights and emergencies as you find out so much about people by the way they handle them & treat others. I would have loved having Anesthesia residents but we weren’t big enough in my last hospital. Your attitude and your knowledge will take you far. 👍🏼👍🏼🙏🏽
I love how this profession is constantly monitoring screens and numbers and making slight changes, following procedures, etc. But are still a doctor but not actually performing surgery. Very interesting
not all specialties are as "flashy" (for lack of a better term), but equally important! Radiologists and pathologists are very very "underrated", too!
@@merdzky098 it's cool because they are all baseline doctors at the end of the day. Anesthesiologists are flashy to me because they are like masters of drugs, chemistry, medicine, keeping people alive, and using the body as a human biology experiment and chemistry set.
Difficult to do surgery without us.😉
I’m a Maternal-Infant nurse of 30 years. I especially appreciate nurse anesthetist & Anesthesiologist because when emergencies arise, they are really the key doctors that coordinate ( anesthesia, blood etc)…in the OR. Thank you !
Thanks for a view inside being a anesthesiologist.
You're welcome!
"My attending relieved me so I could have some lunch" - only in Anesthesia.
Haha I've never heard a resident say such a thing. Thats a cool attending right there.
Seems like a healthy work environment
That’s the way things are supposed to be. That’s why I love gas
It's Sinai they will work anyone for sure
@@endlessrandomness1057 In fairness, surgeons could hardly be relieved in this way. Unless it was predetermined that certain surgeons would handle certain aspects, even then it would be quite unsafe to change the primary surgeon ad hoc.
I've had 11 back surgeries, and have met some really special people. You have to be very strong in this field. To see such an excited , warm, caring doc this , is really nice. I've seen these docs n all kinds of situations and they are very special people to me. Thank you for all you do.
I just had sinus surgery..... my 12th surgery overall..... anesthesia is my fave part of surgery. I always get great anesthesiologists. Thank you for always keeping us safe and making sure we wake up!!
You are a great credit to your profession. You actually care.
Makes me so sad. My one day old son was transferred after birth to Children's Hospital in Denver. He received cpr and was revived during open heart surgery but died the next day. Was a complete surprise so very overwhelming. Had the same anesthesiologist who did my epidural for my c section 14 months later. He asked how the last year went and I said my son died. He said, " I remember that baby." He totally changed his demeanor with me.
Mate your videos are the right balance between motivation and entertainment for my quick breaks while studying for step 1.
Thanks for the nice feedback! Good luck studying for step 1, it’s all downhill from there. That was definitely the most stressful part of my career in medicine so far.
I've just stumbled upon your videos and I'm hooked! What an incredible insight into your important role 👏
Thanks for watching!
Several years ago I was blessed with a wonderful, caring anesthesiologist for my eight hour cyto-reductive surgery for metastatic appendix cancer. When the local apostolic pentecostal minister came in to have prayer with me and my family before I went to the OR he asked if he could stay with us while we had prayer. Judging by the fact that I was up in northern Indiana in the middle of Amish and Mennonite country and his last name I think he has had a Christian upbringing, could very well be Mennonite. He even went the extra mile and turned the radio on to the local contemporary Christian station while he and his assistants were getting me all ready and starting my anesthesia. The last thing I remember is hearing the song "I can only imagine" playing, next thing I remember is waking up hours later. He even reassured me about an epidural since I had a previous bad experience with the procedure.
You are amazing. I wish I had you in my first op. I would have been so less stressed... bless you for all the difference you make to us when we are at our most vulnerable situation.
Thankk you to all the nurses, doctors, maintenance staff, food service, and all the other people that were on the Covid front lines. Yes, I did say maintenance and food service because they too were on the front lines keeping the hospitals running while the doctors and nurses worked at saving lives. You were, and are, amazing people.
Another insightful video Dr. Thank you for sharing. After the Corps, one thing I learned doing 24 hour shifts as a LA City paramedic is never say the word quiet out loud . LOL..You lucked out lol...My Grandfather was a surgeon and was a field surgeon in WW2. Spent a lot of time watching him work growing up. I went from being a medic to becoming a forensic PA..But keep the video's rolling. Thank you for your service as an MD..
Thanks for the nice feedback! Yes it’s definitely dangerous to say the word “quiet” aloud haha. Very cool to hear about what your grandpa did.
Can you make a video on what it takes to become an anesthesiologist? I love your vlogs and wish you and your wife much success!❤️
Hi Vicky, I made a video that addresses a lot of what goes into becoming an anesthesiologist, it's called "Become an Anesthesiologist - Career Advice from an Anesthesia Resident". I hope that helps!
What is the salary of being an antesthiologist?
@@andrewgameel5541 it depends on your location but it’s often very high
@@andrewgameel5541 shouldn’t be the matter talking about physician salaries aren’t worth it
Hey Dr. thank you very much for your videos and for what you and your team do. I have learned so much, and have been more comfortable knowing what training and what you go through. I have suffered two STEMI 100% occlusive heart attacks in eight months recently. I don’t remember a thing. You helping me understand what you you guys go through has made me appreciate you even more than I do. I mean I have appreciated you guys so much already and even more if that’s possible. Thank The hospital again for letting you do this.
Hello! I am so glad I found you, Dr. Feinstein. I'm a new subscriber and I have watched several of your videos. I am facing surgery, which will require general anesthesia and I am trying to gain insight and learn how it works in hopes to ease my tensions a bit. We appreciate the work you do. So very glad for caring professionals such as yourself. And what a cute pooch!
Thanks for watching, and best wishes for your surgery!
This video made me reminisce about my residency. You may have a "toxic" duty wherein you get absolutely no sleep/rest OR a "benign" duty where everything goes smoothly throughout the day and you end up having CBR (complete bed rest) 😉
Thanks for making these videos.
Hi Max,you are awesome! I have a lot of Doctor friends and I'm a Professor of romance languages so I teach them Spanish .I developed a course in Spanish for the medical profession. I love your videos because I have had 4 back surgeries and I know all the medical vocabulary because of my latin language studies. You really are an awesome person and a great doctor. I could see you as an instructor because your speech is perfect. All my best to you.
Wow you all deserve tons of credit! When I was recently in the hospital for surgery I told the surgical team a joke! "What happens to a frog if he parks on the wrong side of the road? He gets toad!! They all laughed!!
I became an anesthesiologist here in Dublin Ireland. I just love helping a patients body get through surgery safely. I always find it funny when they fall to sleep
22:48 HE SAID THE Q WORD OH NO
These videos are amazing ! Thanks for going into such great details of anesthesia residency ! Cheers from an M3 in the UAE 🙏🏽
Thanks very much Frank!
Thanks for explaining everything the way you do.
Just wanted to say keep up the great work! I'm a fire medic in near KC, have really been enjoying your videos. I loved my OR rotations & had a great time working with the CRNAs & Anesthesiologists. I like your ability to speak plain English & still communicate complicated ideas simply. I'd love to have you go more in depth on some skills & interventions. Again, keep up the amazing work!
I appreciate the nice feedback! I'm actually from KC and got my initial interest in medicine sparked by doing ride-alongs with MAST (which I don't think even exists anymore).
@@MaxFeinsteinMD That's crazy! Several of my instructors & Chiefs used to work for MAST, it was a great service at the time. They did a lot of interesting stuff back then...
Yeah man small world. They also provided a big service to future healthcare providers by allowing teenagers to do ride-alongs. Really made an impression on me and lots of other kids who did that.
@@MaxFeinsteinMD I can totally see that. I am really enjoying my time in fire/EMS, but see myself getting pulled to the hospital more & more. That's why I've really enjoyed your channel, you do a great job of showing what your path has been like & it's been super informative!
get this man a sponsorship for dem bars. Love what u do. I always have trouble with hospital stuff. I dont even go to the dentist. Traumatizzed AF orso.. however, you give me some confidence, keep it up , we all need people like you someday, if u ever need free guitar tunes hit me up
Hey Roy, thanks for the nice feedback! I play drums although now with the pandemic, the practice space where I went is closed down. But maybe one day I'll post up a drumming video and you can shred along with me!
Bassist amateur here, recently took up 5 strings, plan on trying fretless when my €'s are saved for the bass-project I have in mind for that one ;)
@@MaxFeinsteinMD * ONE YEAR LATER * ill look forward to that video
fascinating to be able to have an understanding of all the ways you spend your time during that period
Great videos! New subscriber here! As a dentist, my career is not as exciting as anesthesia but I find the field fascinating from a patient’s perspective and after experiencing quite a few surgeries myself....love your appreciative attitude for all team members involved as well!! Keep the videos coming! PS how adorable is Kobe! 🐶❤️🦷
Hi and thanks for following along! I appreciate the nice feedback. I don't think it's bad to have less excitement, because in the OR, "excitement" is typically a thinly-veiled euphemism for something terrifying happening, yikes.
Kobe is the best haha
You also have the added fact that 90% of the population hate you too 🤣🤣
Kobe wasn’t really ready to wake up bless him 😂
Hahaha too true.
As a Sinai Anesthesia alumni I loved this video. So nostalgic. Lol. It’s a great program. Tell Dr. Levine hey for me! Keep up the great job on the videos. Liked and subscribed. Will be checking out your other videos. Good humor!
Hey thanks for watching! I'll tell Dr. Levine hey for you and also be checking out your videos, too.
@@MaxFeinsteinMD haha. Thanks. I plan on doing some on being an anesthesiologist as well. Enjoy your time there. You will miss residency at Mt Sinai.
From Dr. Levine: Jack’s the absolute best send my regards!!
@@MaxFeinsteinMD haha. That’s awesome. Awesome dude!
th-cam.com/video/3krE0-hW7yI/w-d-xo.html
Love how excited you are about your training and career. It’s very refreshing and contagious!!
Thanks for the videos!
Im on my second (2/3) year of "anestesiologia" in Brazil. Before i've done 6 years of medical school.
We have nearly the same routine, mostly..
Keep going!
Pretty cool, thanks for sharing! Would love to visit Brazil one day.
Wow, I didn't know Mt. Sinai has so many hospitals. That's great...and you guys are great 👍
Love your vídeos, I’m thinking about going into anesthesiology as well.
Thank you! Personally I couldn’t be happier having gone into anesthesia
Great video! .......I'm always impressed by highly motivated and bright people. Thanks again......Howdy from Branson Missouri!
Woo Missouri! I’m from a Kansas City.
No idea how I ended up here, but very interesting!
I feel the same way sometimes haha.
M2 here looking into anesthesia so this is really helpful and insightful!!
also any advice 3rd and 4th year? rn i’m mostly just focused on research and step 1 rn 😭
Hi there, for your M2 year the most important focus is doing well on Step 1 (obviously you know this). Once you hit 3rd year, focus on doing well throughout all your clinical rotations. I know that seems obvious, but the importance in anesthesia is that it shows you get along well with providers from all services. As an anesthesia resident/attending, you'll work with providers from all services so it's good to indicate you can already do this well as a med student. Your surgery and internal medicine rotations are particularly important because in a sense, the anesthesia knowledge base lies at the intersection of those two specialties.
For the end of 3rd year / beginning of 4th year, definitely try to do at least two anesthesia rotations so you can really be sure that it's your career of choice! And not just for you-- this is important to demonstrate on the interview trail that you've spent enough time to prove to your interviewer that it's an informed decision.
While I did a fair amount of research (because I enjoy it), I don't think research is necessary for anesthesia.
Hope that helps!
@@MaxFeinsteinMD Thank you Dr. Feinstein! That was so insightful. I’ve been binging your videos in the midst of studying cardio and pulm. It’s refreshing me and making me excited for post-Step 1 life haha
Things only get better as you move along in your training. Obviously pre-clinical years are just a grind. MS3 is tough but at least you're with patients. MS4 is usually pretty great. Then PGY1 you're finally a doctor, and PGY2 you get to actually do anesthesia! That's as far as I am, and it's the best haha.
I enjoy your videos and your channel. Quite interesting to see what is like to be on 24 hour on call as Anesthesiologist resident.
Thanks again for following along!
Really cool video man. It’s awesome to see you work. I am going into medicine. It will most likely be surgery but watching your videos makes me reconsider. I’ve always thought about anesthesia, but I’m really considering after watching your videos. Keep up the great work man.
Thanks for watching, glad you enjoyed! Surgery is pretty awesome, I think I could have been happy going into a surgical field. But I'm happiest in anesthesia! Let me know if you have any questions (DM me on instagram) if you consider it any more.
Anything involving kids or babies scares me. They can de-compensate so fast that before you know it, you are behind the curve. Every time that I could take a CE course on babies I would jump on it so that I could feel a little bit more prepared.
You guys do an amazing job around the globe!!
I love how you keep saying "my operating rooom". I can just picture you, as the other physicians enter the room, sitting in a black leather chair, stroking a white cat, saying, "Ladies and Gentlemen, welcome to MY operating room"
have you heard the joke : “rate how badly your life is falling apart from 1-10; with 10 being Nature Valley Granola Bar”?? a favorite of mine !
Omg. You are so so so awesome and funny. Love ur videos. Right now I am on my anesthesia rotation and seeing ur videos is making me fall in love with anesthesia. Please make more videos regularly. 😀😀🔥🔥
Thanks for the nice feedback! Anesthesia is the best, enjoy your rotation. New videos coming soon!
Thank you for all you do, Max
Anesthesiology residency in my country is quite tough, seems u had a chill 24 hour call. We usually have around 34 hours call in nepal and handling around 10/12 cases in that periods along with icu rounds and vent as well as cvc insertion all day long . Nice to see u get a good 4 hours sleep
Thankyou for showing your Hospital.i went to your Hospital in 2006.Same building.Nice Hospital
Hi Max, a couple things I wanted to share with you. 1. I do not think that your profession is a “lifestyle specialty.” I want and need someone who is well trained, knowledgeable in any anesthesia emergency and well rested to care for me as I “sleep” during my surgery. After all, every breath I take, every move I make, you’ll be watching me. (Little humor but very true.) My life is literally in your hands. Thank you for all you do keeping us safe during surgery. 2. You mentioned in your most recent video, 24 On-call that you had to lay off the Haribo gummy’s. Nah, you look very similarly today then you did when you made this video. Your face is filling in as a mature man. 😊 Spoken like a mama. 😉
Hi Max,
I've really been enjoying your videos since I discovered them yesterday. My interest in medicine is that of a lay person--I wish I could have become a doctor (I'm a musician) but my talents are elsewhere. I've had many surgeries for various things. I had surgery for a broken wrist not long ago and since I was being given general anesthesia I asked the anesthesiologist about what it involves, what the risks are, etc. I have great admiration for the amount of extra training you go through with the patient's safety foremost. I have a request for a future video: can you explain why sometimes patients get nauseated and vomit nonstop after they come out of anesthesia? This only happened to me once, but it was miserable! Once again, I love your channel!
That ping, that damn ping from the monitor drives me kinda nuts.
Thanks for adding actual captions for the Deaf.
I adore you Max! Thank you for caring!
Very interesting. My Daughter is in her 1st year of nursing school in St Louis. The practice of Medicine is fascinating.
Agreed! I hope your daughter enjoys nursing school and her career in medicine.
@@MaxFeinsteinMD thank you!
You're welcome!
Awesome video! Your dog is so cute! Looks like ours. Sounds like your in a awesome safety hospital! Its so huge! I've had 4 sinus surgerys both sides. Always wondered how the estimation works with a surgeon up in your field. Thanks . Plus are u who gives the sinus blocks when done so theirs no pain or does ENT do it? Its great to have the stimulation twice a week. Awesome. I can imagine your 1st ped stimulation would be terrifying. Loved the back pack full of so much! When I worked as a nurse we never had anesthesiologists respond to codes. I'm very impressed to know they do now. Very informative. Thank u so much
Glad you found this video interesting Sherry! Anesthesiologists can learn various types of nerve blocks for structures around the face, but from what I've seen, it's typically the ENT who will do those. At least at my hospital, the level of collegiality and collaboration between ENTs and anesthesiologists is very high (our department has co-authored several textbooks with ENT attendings) so there's a lot of teamwork. It's pretty cool and would be a fun video to make of an ENT surgery some day.
U r really inspiring max. Anaesthesiology resident from India here. We had chat in Instagram if u can remember. Keep going
Hey Anil yes I remember! Thanks for following along with the videos. I hope you're well.
Nature Valley SPONSOR HIM!
They have a very hard job alot of timi in school parents should be proud
This is why doctors get paid as they do!
I'm glad you mentioned at the NG tube because when I was in Germany studying there, I had an emergency appendectomy and they put one in and it was awful and I don't know why but now I know why
Your doggie is way too cute!!
Kobe!!! What a doll. I mean dog. ❤️
Love watching these!! A nurse from up here in Canada!!
I love watching your videos again and again.
I am Arthur, still in Medical school.
I am eyeing the speciality .
Dr. Max, would you be able to comment on the sorts of personalities and aptitudes that are best suited for the anesthesiology specialty? Thank you so much for making these videos. I'm proud to be a subscriber, and I've been sharing your videos with my medical school classmates who are considering anesthesiology.
Hi George, great question. I'd say there are some characteristics that are uniquely important in anesthesiology as compared to other specialties. Those that come to mind are:`
- Good communicator, specifically with surgeons and other members of the team in/around the OR
- Calm disposition, particularly in the face of acute and severe problems
- Sociable (at least for short periods of time lol), especially when it comes to quickly establishing rapport with a scared patient 10 minutes before they undergo a huge surgery
Thanks for following along the videos and sharing them with your classmates! Really appreciate it.
@@MaxFeinsteinMD Very helpful, thanks!
Hi from Ohio having a complete shoulder replacement on Thursday..Love your videos.
As someone interested in pursuing anesthesia or IM, I find your vlogs very informative. Thank you for taking us with you. My aunt who's a psychiatrist in the US is convincing me to take IM b/c she says anesthesiologists are always on-call. Plus there's the concern about CRNAs? What do you think about these issues? I personally love anesthesia even tho it can be nerve-wracking, the fact that you're in charge of a patient's physiology in the OR, and that there can be a learning curve with the hand skills. Thanks Doc.
I was actually very interested in pursuing IM, but anesthesia won out because I enjoy the OR so much, love the opportunity to help nervous patients feel a little less worried before surgery, and I like the pace of anesthesia ("95% boredom, 5% sheer terror"). The concern your aunt has about call really depends on what kind of practice you'd like to do. You can find anesthesia jobs that require no night or weekend call, but of course you take a relative pay cut for that. Really depends what you're comfortable with. As far as midlevel practitioners, you should ask your aunt what she thinks about the growing number of NPs who are practicing hospital medicine. Midlevel practitioners are present in most fields, so anesthesia isn't unique in that sense.
The bottom line is that if you love anesthesia, you should do it. Just my 2 cents!
Don’t let someone else convince you when you have to spend years training! What is it that you want to do?
I agree with you about nature valley! It’s my go to for my low sugar’s when i have to do the 15:15:15 with a carb
3:40 most badass thing ever this is what TH-cam was made for
I love your videos- I am a pharmacy technician and I’ve always been curious to learn how the drugs we supply are used!
Love ur videos! I’m thinking about going into anesthesiology as well and ur videos are so helpful... thank u for these 😊
Thanks for the nice feedback! I hope you pursue anesthesiology if you find that it’s a good fit for your interests- it’s a wonderful field and I’m so happy to be in it.
Lol i love your videos. Im an accountant and i just like seening all of this.
Glad you’re enjoying, thanks for following along!
Just seeing this, but love Kobe who is exactly like my adopted bichon, Koby.
As competent as you seem, overall, I’d have the utmost confidence in you simply because you use the Bic 4-color pen.
This is the correct answer.
KOBE is best dog. Dr. F is best Anesthesiologist
Your dog is a straight baller! 🏀
You looked more awake at the end of the day than you did at the start of the day... what do your energy levels look like throughout a typical day at work? And do you drink a lot of coffee/caffeinated beverages? Loving your videos!!
Hi Jordan, yes I was actually able to get a decent amount of rest during the shift when I recorded this video. I usually have a pretty constant energy level during the day when I'm at work, but it's common for me to come home feeling quite tired.
As far as caffeine, I always have a cup of coffee in the morning, and occasionally will have a 2nd cup in the afternoon if I'm on a 24-hour call.
Thanks for following along with these videos!
@@MaxFeinsteinMD wow, you must really have to take care of your body to consistently keep your energy levels up. Thank you for taking your time to create videos and educate the online community about the work you do. 🙂
I really enjoy your videos. Great job!!!
Your videos are the best!!
Because of you my surgery was canceled would have been done I was like pulling teeth to get me to have surgery now put off until April 13 thought their seen a branch
Enjoyed your videos! Informative. Having surgery in 3 days from now. Thanks
This is awesome im a GI resident but am quitting to reapply into anaesthesia :D
As you probably know, it's not uncommon for people to leave other specialties and join anesthesia!
@@MaxFeinsteinMD I made it!! my first 24h call is tomorrow 😁
Would be amazing if you and your wife made a video talking about the similarities and differences in your residencies so far
Great idea! We’re talking about doing a couples match video and eventually could do something about comparing our residencies.
American crew hair products. I see you are a man of culture as well.
LOL
Interesting to see what it’s like across the pond! I’m an Anaesthetist from the UK :)
Thanks for watching! Would be curious to know more about how things are different between here and there.
Awesome video as always, I want to know how anesthesia is sometimes referred as one of the lifestyle specialties when you work the same hours of our colleagues in surgical specialties 🤔
My main concern is about the working hours and the on call shifts after finishing residency..
Hey Fouad, thanks for watching and commenting on my videos so consistently!
I think that on average, anesthesia residents work fewer hours compared to surgery residents. However, we still work 60-70 (or more) hours per week, plus call once per week or more, which is not consistent with a lifestyle specialty IMO.
As far as number of hours worked and number of call shifts after residency, that really depends on where you decide to work and how you negotiate your contract. I don't know a ton about that process, but it sounds like you can pretty easily negotiate to take less call/hours but that comes with a pay decrease. Really depends on the specifics of the job- it's hard to generalize across the entire field.
@@MaxFeinsteinMD Much appreciated, thank you for your time and efforts representing the field of anesthesia in a very comprehensive way.
All the best Dr. Feinstein 👍🏻
Doc great video...I used to drive an ambulance for Mt Sinai back in 1973 back in 1973.. I have been a producer director since the 80's, and gonna retire in a few weeks.. Still love the medical stuff, and by the way, I'm a hard stick lol
Just subscribed, I’m a 3rd year medical student and I’ll be applying for Anesthesia Residency. Looking forward for the new content on this channel. So far I’m loving it! Any suggestions or tips for matching in a similar anesthesia program like yours?
Hi Eloim, glad to know you're excited about applying to anesthesia! I appreciate the nice feedback.
I think the majority of anesthesia programs take a wholistic look at your application, so Step 1 score isn't the only deciding factors, but all the other components of your application. I'd advise focusing your efforts on things you enjoy, whether or not they're directly related to anesthesiology. The program directors who will be interviewing you know that you're not just a future anesthesiologist, you're a person with interests outside of that. You'd be surprised how much non-anesthesia stuff came up during my interviews. Anyways, point is that you should do what you enjoy as far as research / volunteering / coursework etc.
The specific things you should make sure to do are at least a couple anesthesia rotations to demonstrate that you've clearly gotten exposure to the field and have made a decision based on that exposure.
Keep in mind that most people choose anesthesia late (3rd or even 4th year) so few people have CVs that are filled with anesthesia-specific stuff, unlike derm / ENT / ortho etc.
Hope that helps!
I’m a truck driver. Retired now but used only be able to drive 10 hours then an 8 hour break. Hey I went to M.I.T. the Mississippi institute of Trucking and my attention span is a little longer than 10hrs.
I LOVE your family pet dog
Hi Max - I'm learning so much from your videos, thanks for bringing us along! Just curious, where do you guys sleep when you need to take a break? Just randomly at your desk or is there a designated "sleeping area" at the hospital?
Hi Bonnie, thanks for watching! We have "call rooms" that have a bed (clean sheets put on daily) and a computer where we can easily access electronic medical records. I will say that sleeping in the hospital is never nearly as peaceful as sleeping at home :D
I love this.. it takes a lot of dedication and sacrifice.. I hope I will get to the level your in , someday
Kobe is so cute 😍 🐶
Haha yes he’s the best
Love your videos. As a seasoned circulator I’m curious to know if you’ve repented of the sin of saying “quiet” in relation to any part of the OR? 😂
That's one sleepy puppy.
Cute doggo my dude 😊
Spooky ! That sound effect when you were preparing to feed your dog is almost the same as the sounds I hear as I go under Anesthetic. 🥴
Cute Dog.
Dr. Feinstein I love your videos! Your dog is adorable! Is he a Bichon Frise?
I have bad sinus problems and in 2018 I had endoscopic sinus surgery with a septal bone spur removal and total ethmoidectomy at Mount Sinai. If you do anesthesia for ENT, you know my ENT doctor, Dr. Satish Govindaraj. You also know the anesthesiologist who did my surgery, who I vividly remember because his name was Dr. Adam Levine and he told me he’s the better looking one and he asked me if I wanted him to sing to me. The OR staff advised against it! 😆