I'm surprised that no one has yet mentioned that the inhalation agent mentioned (desflurane) is the most expensive. So, the one who is happiest with this "study" are the administrators.....because using less desflurane means more profit. This is more about profit, than climate change !!!!

I actually had my administrator tell me that I wouldn't be allowed to use this drug anymore. (I then resigned/retired.) The day that I let an administrator dictate how I should treat my patients is the day that I should quit, and I did.

We have non-medical people making medical decisions ....


(BTW: That was 3 years ago....)

Surely, the Medicaid and Medicare administrators will see the wisdom of this and make sure that all government subsidized health-care is regulated by climate change.

quote:

Originally posted by 1flynDO:
I have personally performed anesthesia without anesthetic gases in the Middle East, Afghanistan and even here in the US.

My guys will not be doing this dumb shit. I will be giving gas til I get fired or die. There are some circumstances where you can’t but that is case by case.

I actually do a fair amount of TIVAs. I find that wake-ups tend to be a lot smoother.

But, as alreadydead mentioned, the decision to do TIVA or gas has zero to do with climate change.

quote:

Originally posted by mike28w:I actually had my administrator tell me that I wouldn't be allowed to use this drug anymore.

I had an administrator install gas measuring on our machines. He called me in one afternoon and showed me a histogram that he had created which showed my gas use vs. that of my partners, and told me that I'd need to "look at that". I gave him my two week notice on the spot. It was a shitty place to work anyway.

I use both inhalational agents and IV anesthetics with my patients.

Climate change has never factored in to my clinical decision making for a given patient.

I prefer a multimodal approach.

I would support this for when they operate on Gore and other climate change prophets.

Just like “climate change” frauds flying about the globe in low capacity jets to spread their message, this will be another elitist “do as we say, not as we do” initiative.

quote:

Originally posted by parabellum:
This stupid shit will go right out the window the first time someone wakes up on the table. Everyone involved had better make sure that their malpractice insurance premiums are paid up.

These people are insane, truly insane.

I partially woke up during an endo scope.

I distinctly recall the thrusting at my butt, and jumbled words of people. I hope they were saying 'give him more'. And I hope that meant anesthesia.

Afterwords I asked 'How far in do you guys go?"
Four feet I was told.

I'm going to have a Prostrate biopsy on Monday. Wish I could be knocked out with a big climate change dose of general anesthetic but going to make do with a needle of Lidocaine while pretending this only going to sting for a moment..

It’s getting easier to spot the flaky doctors now. Avoid climate cultists, anyone with pronouns on their door or in their bio, and anyone virtue signalling with a BLM or pride flag or Ukrainian flag for that matter. They seem to be unserious at best and easily manipulated.

quote:

Originally posted by 2PAK:

I'm going to have a Prostrate biopsy on Monday. Wish I could be knocked out with a big climate change dose of general anesthetic but going to make do with a needle of Lidocaine while pretending this only going to sting for a moment..

It's not terrible. I've had it done twice. Sort of like a series of moderate, not real bad, bee stings. Couple minutes and it's over and done.

Not as bad as some of the dental work I've had.

Well, I guess it’s back to hammers ala 3 stooges and civil war medical tents!

I'm going to ask my boss' daughter if she's had to deal with this crap since she's an anesthesiologist.

On another note, I had a vitrectomy a couple of weeks ago. Several days later I started getting surveys from the providers. I did the anesthesia survey first and rated everything great and added comments where provided.

Then came the last question; "Would you be willing to answer questions about DEI, Diversity, Equity and Inclusion?" It was a yes or no question. They didn't have a FUCK NO answer so I just answered no. Later that evening I thought I should have answered their questions in the hopes that there would be a comment box where I could express my thoughts on "DEI'. I tried to revisit the survey but couldn't get access.