You are one big contradiction. Please stay in the OR. Or send me your explants. I think you are completely nuts.
haha, wow. Thank you for your input once again, stevelobel.
Since you foolishly continue to make personal comments despite not knowing me, my practice, or what service I provide - which is probably far more comprehensive than yours (besides bread and butter interventional pain, all sorts or non malignant pain, it includes inpatient pain coverage, OB pain, cancer pain and palliative care, peds pain, as well as addiction medicine for a hospital). And I have noticed, you are quite snippy towards anesthesiologists in general - I am going to say a few things that you may not like, but here it is.
It is clear to me that you are one big narcissist and a highly insecure man. Your posts do suggest that. And hungry for attention!
This thread is again an example of such non sense behavior. Acted like SDN Pain grandfather once again, came out of left field and contributed nothing. This is a thread comparing anesthesia and pain, since you have never practiced anesthesia (God, I hope not), you are pretty much disqualified in contributing in this thread.
If posting images of cards on SDN and arguing with Dr Candido trying to one-up him on social media, and jumping on whatever posts that are not in line with your philosophy as a physiatrist who has never been exposed to REALLY sick patients, taken real in house call, or deal with REAL emergency situations gets you through the day, then so be it. We get it, our patients walk in and out of clinic and you are done by 5 pm and weekends are off. Congrats. Good job. Just don't disrespect the discipline of anesthesia.
and FYI, I do not do implants of any kinds. but again, you do not know my practice. I just do trials and send them out only if the patient convinces me that they want this device and will take ownership of stim, otherwise no implant.
And dot worry, even if you were in my own department, I would not send you any patients with your attitude. We have a very strong anesthesia based pain group as part of a major hospital system 50 minutes north and south of me, and neurosurgeons - thats where my patients go.
Good luck to you though.
To the original poster. The landscape of pain management has changed drastically in the last 10 years. From when I became interested in pain medicine and cancer pain as a MS-3, to residency, to fellowship, to now. Im sure others will say it has changed since they started.
It would be a grave mistake if you let go of your anesthesia skill. Your training is anesthesia. Do pain part time and help where you can with appropriate needle based injections. Don't be an "ortho monkey" and "candyman" by being a pain physician. Also, the expectations from pain doctors have changed. You will almost be a primary care doctor to many pain patients - which at times, means opioid based pain management. Thats another can of worms but its not an easy thing to manage even if you are shielded by a hospital system.