Balancing appointments and work schedule is always a challenge

Taking appointments is a challenging task in private practice. No matter what you do, you cannot please everyone. You have to have a clear conscience and act accordingly. You must keep your first appointment of the day on time. After that it is left at the mercy of hundreds of situations beyond your control. There is no point in secreting adrenaline and it is better to inform or arrange one of your colleagues to manage. Whatever one does, one has to hear from the surgeon “you have taken appointments very closely”. They forget that the anaesthesiologist is being delayed by one of their own kith. I once seriously consulted my teacher about this issue regarding schedule and being on time. His advices was to attend your first case in or before time and in case of delay say “sorry” and start the case. An experienced anesthesiologist can narrate hundreds of stories regarding appointments where no explanation is valid and you are blamed. Forget it and remind the surgeon of the delays that he has caused you and keep your cool; make sure that your anger is not reflected in the conduction of your next case. The surgeon will always have some explanation or excuse. Always talk to the surgeon previous day. A hernia on list can be bilateral hernia or an incisional hernia. This can upset your timing schedule. In any case inform the next surgeon about your whereabouts and the cause for your delay.
In cases you have met with complications or death, discuss the case with your teacher or any senior anesthesiologist. Narrate as things have happened truly, you will always get proper explanation. In case you are not satisfied tell the senior frankly and seek the explanation from another senior anesthesiologist. The same problem can recur in your practice and hence it is better to remember the mistake you have committed.

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Balancing appointments and work schedule is always a challenge

Taking appointments is a challenging task in private practice. No matter what you do, you cannot please everyone. You have to have a clear conscience and act accordingly. You must keep your first appointment of the day on time. After that it is left at the mercy of hundreds of situations beyond your control. There is no point in secreting adrenaline and it is better to inform or arrange one of your colleagues to manage. Whatever one does, one has to hear from the surgeon “you have taken appointments very closely”. They forget that the anaesthesiologist is being delayed by one of their own kith. I once seriously consulted my teacher about this issue regarding schedule and being on time. His advices was to attend your first case in or before time and in case of delay say “sorry” and start the case. An experienced anesthesiologist can narrate hundreds of stories regarding appointments where no explanation is valid and you are blamed. Forget it and remind the surgeon of the delays that he has caused you and keep your cool; make sure that your anger is not reflected in the conduction of your next case. The surgeon will always have some explanation or excuse. Always talk to the surgeon previous day. A hernia on list can be bilateral hernia or an incisional hernia. This can upset your timing schedule. In any case inform the next surgeon about your whereabouts and the cause for your delay.
In cases you have met with complications or death, discuss the case with your teacher or any senior anesthesiologist. Narrate as things have happened truly, you will always get proper explanation. In case you are not satisfied tell the senior frankly and seek the explanation from another senior anesthesiologist. The same problem can recur in your practice and hence it is better to remember the mistake you have committed.

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#1-5: Private Practice Anesthesia- Do’s and Dont’s

1. Keep calm – very easily said but difficult to practice. There are so many difficulties at each step. Do not bring your worries into the operation theatre.
   
2. Keep to your time schedule; it may not always work. Delays by the surgeon, nursing staff, unforeseen emergencies will always delay your schedule. If late or delayed say sorry and start. Do not argue even if you are not in the wrong.
   
3. Know your operation schedule the previous night before. In case of doubt, communicate; do not take things for granted. Hernia told to you may mean bilateral hernia, incisional hernia, umbilical hernia or obstructed hernia. Keep the time schedule accordingly. Inform the next surgeon about your delay. Leave the choice to him to arrange another anesthesiologist.
   
4. Check your equipment and drugs and replace them immediately.
   
5. Always check the notes or find out the information you need from the patient or the surgeon. Check the name and side of operation from the notes and confirm them by asking the patient. Check whether the patient is accompanied by a relative or responsible person.

#6-10: Private Practice Anesthesia-Do’s and Dont’s

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