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Re: surgeon wants me to quit anaes and do surgery!

From:        nd
Date:        27 May 2006
Time:        11:00:09 +1100
Remote Name: 202.59.16.106

Comments:

I cannot comment on the differences between being a *consultant* surgeon or anaesthetist, but 
having had three years' experience of both surgery and anaesthesia, I am somewhat qualified to 
answer. 

In terms of lifestyle, sanity, workload, backup/support, training support, and overall enjoyment 
of the job, there is NO comparison! I spent most of my three surgical years chronically 
depressed, tired and very unhappy. The hours were appalling, the backup non-existant, and the 
demands unreasonably harsh. 

In terms of money, to be honest as a reg there is not really that much difference- maybe $10k or 
so. But to get that extra $10k, the amount of effort required is exponential. Personally, I don't 
think money can buy you happiness!

Whilst I enjoyed the technical aspects of surgery (ie the cutting), to be honest, that's only about 
20% of the job. The rest is ward rounds, ungodly early starts and late nights, awful clinics, ed 
calls, ward calls, crappola. And the enjoyment I got from the 20% was not enough to make up for 
the rest of it. The telling thing is that I only very very rarely want to be back on the other side of 
the BBB. 

As regards the anaesthesia being boring, well! I remember one 24 hour period last year floating 
a swan for CABG, watching a baby being born by LSCS for which I had done the CSE, 
anaesthetising for ECT, and assisting with a 3 week-old's spinal for laparotomy. Anyone who tells 
you anaesthesia is the same thing day after day just doesn't have a clue. There is as much variety 
in anaesthesia as there is surgery. Seriously. Gallbladders and colons all start to lok the same 
after a while.

Last changed: 05/27/06