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> Morale of the story, don't let a dentist put you under without an actual anesthesiologist involved. An anesthesiologist says anesthesiologists are indispensa
by disown 6y ago
> Morale of the story, don't let a dentist put you under without an actual anesthesiologist involved.
An anesthesiologist says anesthesiologists are indispensable? How shocking. There are plenty of horror stories when anesthesiologists are involved as well. The moral of the story is whenever possible, try and not to be put under.
- sliken 6y agoSure, but if you need it, stack the odds in your favor by having an expert involved.
- rscho 6y agoNot indispensable. They just are the only ones who can react efficiently in case of problem. The complications linked to anesthesia itself are another matter.
- Aeolun 6y agoTheoretically it’s possible for a dentist to have the exact same knowledge as an anesthesiologist though. It’s like when people assume I don’t know anything about databases because I’m currently classified as front-end developer.
- macintux 6y agoKnowledge and experience, however, are two different things. If something goes terribly south, I'd rather have someone managing that who does it daily.
- thaumasiotes 6y ago> If something goes terribly south, I'd rather have someone managing that who does it daily. This depends heavily on what "it" refers to. If something goes terribly south, I really don't want to be handled by an anesthesiologist who handles terrible anesthesia-related screwups every day. He's almost certainly causing those screwups.
- darkerside 6y agoAnd if someone hires you to migrate their database and ends up losing data in the process, they deserve what they get.
- Aeolun 6y agoA perfectly migrated database? Is everyone really missing the point?
- rscho 6y agoWhat's your point, then? It seems you're supporting the idea that someone having knowledge and practicing once in a career can be better than someone practicing every day.
- darkerside 6y agoIt's a funny effect of lacking experience. The less you've seen, the less you think there is to see. Having been told nothing about this database except the fact that you are to migrate it, you immediately assume that you can do it perfectly. Is it Postgres? SQL Server 2012? Mongo? Oracle? Sybase??? Is it one DB or a cluster? Is it replicating, and by what methodology? How much downtime is acceptable, if any? That's a pretty limited set of possibilities because, you see, I'm also not a database expert. Maybe you think you can handle all of those situations, but I know I can't. So yeah, one of us is definitely missing the point. Not to mention, what if things don't go according to plan! Have you ever even dealt with a situation where you have unreconciled data?! The more I think about it, the angrier I get about your insouciant ignorance! But it's ok, at least I'm not the one hypothetically dealing with a database migration gone totally fucked :)
- sliken 6y agoPossible, yes, but hard for a patient to tell. But keep in mind even if they both have the same knowledge, when a dentist is concentrating on the procedure, handling any surprises, bleeding, and other difficulties they might well not notice that your breathing rate or heart rate have gone too low, or too high.
- Aeolun 6y agoThat’s also true. I’m inclined to believe a seperate anesthesiologist is a lot better for a host of reasons not necessarily related to experience.
- rscho 6y agoIn medicine, experience is everything. Theoretical knowledge is good to have, but it won't save you in a crisis. It's like asking of Joe Schmoe to make furniture better than a carpenter without having access to either the tools or the timber to train. Anesthesiologists are the ones who practice the skills most closely related to crisis situations in their everyday job. They will on average do massively better than anyone else, just because they're used to it. Modern medicine, especially interventional, is still more a practical skill than it is science. You can't "know it better theoretically". If I had surgery and something happened, I'd trade an anesthesiologist or CRNA vs. Pretty much any other specialist anyday (except some ER/ICU guys, but not all of them by far).
- patmorgan23 6y agoTheoretically they could have the same knowledge as a rocket engineer but that doesn't mean I would trust something they designed. Specialties exist for a reason.