Only had one evening in a transplant OR but, just peeking over the staff's shoulder, it was fascinating seeing a liver like it is in the textbook. Other bonus - it's one of the most poorly paid (on average) surgical subspecialties, actually making less than the average general surgeon. I agree that it is very academic, like peds surgery, but in both cases, you can find non-academic surgeons doing big work. By using our Services or clicking I agree, you agree to our use of cookies. Just wanted to point out some of the realities so you can make an informed choice. You do a bunch of lap/robotic colons and can turf the crazy IBD stuff to a specialty center. If you're already 35, you're really getting a start late in life. Your hair transplant should hold up over the long-term. All elective. Breast surgery is by far the easiest. Some hospitals don’t require a critical care fellowship to take trauma call though. 1. The small time hospitals love the "our general surgeons won't touch these bariatric patients" even with appendicitis... Would you say Thoracic (purely) could potentially be more lifestyle field? It's 5 years, don't think you can tough it through just to get into transplant. Cons - I think I mentioned them already. The transplant surgeons I rotated with I wouldn't call cushy. Very few places have enough volume to keep a transplant surgeon busy with strictly transplants. You can profoundly and immediately change lives. In the past years, although Turkey experienced a massive decline in its tourism industry, the number of medical tourists looking for a hair transplant surgery remained strong. "I had an eye surgery to fix a scarred retina. As an OR nurse I can't speak much more for their lives and lifestyles and what they do outside of the OR. I can't imagine how transplant surgery is worth it overall. NO, the field is not "dying", please stop asking. Pros - really cool operations. Obviously not for everyone but the total hours worked for the pay is great. NAT is the worst. Breaking News. My honest advice would be to focus on general surgery for the moment. It is fascinating combination of general surgery, intensive care, internal medicine, and immunology. Cookies help us deliver our Services. They work around the clock, sometimes doing back to back livers and liver/kidneys when they are on call, but once again, it only averages to one liver per week, one surgeon for procurement, one for recipient, procuring surgeon will bench and then assist the primary surgeon. r/transplant: This is a community for organ & tissue transplant donors and recipients, and anybody else whose life has been affected by organ … Press J to jump to the feed. That's how sick your patients are. Our transplant surgeons only operate one or two days a week for scheduled (read not transplant) surgery, usually fistulas, living donor kidneys (donor and recipients) , hernia repair or liver resections. Vascular surgery: Another very tough lifestyle. As others have said, In general its breast, colorectal, and bariatrics (not on your list), acute care surgery (if you have a hospital that follows that model). Did you know if you do a amputation on someone for peripheral vascular disease, their odds of being ALIVE 3 years later are only 50%? Well I remember the JAMA article stating vascular surgeons work on average 888 hrs more per yr than the average family doctor. Or in a rural setting like my man u/nysoz. That is best done with a broad base of experiences in surgery, not just in transplant. Sometimes transplant felt like palliative medicine. There are also a fair amount of meetings they go to... For example, multidisciplinary listing meetings (ours are twice a week for each organ: kidney and liver, so 4 meetings right there) and living donor meetings (ours is every other week), plus we have other post txp multidisciplinary meetings (path conference, tumor boards, etc). That's a big sacrifice, so take your age into account. I mean I know generally that gen surg is notorious for having a "bad" lifestyle, but are there any diamonds in the rough here? These are very sick patients, with end stage liver disease and cancer. So I wouldnt think it's a "typical" lifestyle specialty. Take the patient population into account. Not to the extent of breast/MIS, but maybe better than Trauma, Surg Onc HPB, Ped Surg if you exclude lung transplant? The transplant fellow is the hardest working person in the hospital. Gratifying to literally change someone's life. This is compared to the traditional model where trauma is covered by general surgery or those trained in critical care. General surgery residents study with Division of Transplantation faculty during transplant service rotations in the first and fourth years of training. After weeks of waiting, a heart finally did arrive and in the early morning hours of December 28, 1986 Dr. Lefrak began the D.C.area's first heart transplant surgery on Eva Baisey. Surg critical care: Usually this is bundled with trauma/ACS. Those patients like to wait until their albumin is 1.2 before they come in. It is very cool, and very rewarding. The typical critical care fellowship is mainly non operative 1 year rounding in various ICU. If you're doing it at a big center you'll see tons of crazy reop IBD/fistula disasters. How Much Is FUE Hair Transplant Reddit? Bariatrics/MIS: Another lifestyle gem. The intense competition among clinics in the country makes up for their really low prices compared to others. I heard transplant and vascular are pretty cushy. Not true. Readmissions for Transplant related issues are usual under their service as well, for some specified amount of time post txp (ours is 1 year). Some people do transition to research and general given hours, but in my limited experience they did transplant up until they finished for the most part (unless they transitioned into administration). Bad patients with poor protoplasm too. It's exhausting work but you can't turn down an organ when one comes your way. At my hospital there is a thoracic guy who will cover trauma call, round on trauma patients and do really small vascular cases. Often supplement your practice with an elective general surgery practice (hernias, choles, etc). That attitude will show and reflect on evaluations and your general reputation. Also have to compete with ENT for the same turf. We do about 50-60 livers a year between 4 surgeons (each transplant involves 2 of them) and I'm not sure how many kidneys but I'd say roughly the same, possibly more. I know a vascular surgeon who is also crit care boarded. Most people don’t need a biventricular device. There is hope on the horizon for lifestyle though - with the advent of pump devices for procured organs, the window from procurement to transplant is extending. As … My theory is if you can't do the foundational training programs, then pick a different field. The post transplant inpatients are under their service, and as such are the primary decision makers for all of their issues, so rounds (often times more than once) every day. Colorado, Florida and … However, it is no secret that the lifestyle of transplant surgery is very demanding and it is hard to imaging keeping that up for 40 years. My father was a transplant surgeon. However, the hours must be horrible and you first have to go through general surgery which is no joke. You gotta look into it more, I know an attending who does this in her group, but I dont have hard data. New comments cannot be posted and votes cannot be cast. I know they have clinic and consults and have to do paperwork to list people for transplant. A brave frontline doctor who is continuing to care for patients as he waits for a life-saving liver transplant has launched a “desperate” £250,000 fundraising . GI/HPB do a bunch of super difficult, high risk, poorly reimbursed cases - truly a field for the masochists among us. If you are converting open VBGs with mesh to Roux-en-Ys in someone with recurrent ulcers, not so much. The natural extension of HCC resection is transplant, they go hand in hand. Vascular surgery: Another very tough lifestyle. But it is hard. For people who really like physiology and sick patients it's a great field. Court blocks Trump administration bid to detain migrant families indefinitely; Transplant: Hands down the hardest subspecialty to train in. Selena Gomez says that after her kidney transplant surgery, she felt uncomfortable with how her body looked. Can be called anytime for organ procurement and have to fly or drive somewhere to strange places that you're not used to. Bad outcomes in kids are brutal. Are surgeons able to transition their practice as they get older? If you're just pounding out sleeves, it's quite easy. A heart transplant is a major operation that has significant risks. (The nurse asked what kind of music he wanted to listen to, and he said Coldplay). Each salary is associated with a real job position. Or Colorectal (I know you said this was a good lifestyle field too). Covered by general surgery practice ( hernias, choles, etc ) is very academic nobody... Also, does surgical critical care fellowship to take ER call cancer plus anti-reflux/hernia )! By general surgery call Selena Gomez says that after her kidney transplant surgery is worth it overall community.. I woke up as the media likes to say that all vascular surgery is the competitive! Half the fellows at my program have PhDs or a GI/HPB type any surgeons! 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