Anesthesiology/Expert Profile


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Expertise

I can answer questions related and specific to clinical anesthesia issues, problems, concerns and methods--both pediatric and adult. This includes matters that are strictly anesthesia in nature and also in other related medical specialties that impact various patient management decisions (e.g. asthmatic undergoing surgery) during or around the time of an anesthetic. I can answer questions about becoming a physician and specifically an anesthesiologist, and practicing anesthesiology. I am not a researcher or academic, so questions so-related are for someone else. I can tell you what a nightmare government involvement in medicine has been and will continue to be as it escalates.

Experience in the area

Over twenty years of adult and pediatric, inpatient and outpatient clinical anesthesia practice--some private, some group.

Organizations

American Association of Physicians and Surgeons. My county medical society.

Publications

[not a researcher]

Education/Credentials

American medical school graduate. Board Certified. Fellowship trained Cardiovascular and Pediatric anesthesia subspecialist.

Past/Present Clients

Over 20,000 anesthetics, the majority of which have been personally managed, with less than 5% consisting of supervising nurse anesthetists or in-training resident physicians.

Something interesting about this subject that others may not know:

Many anesthetics are not delivered by board-certified anesthesiologists, but by less trained individuals. Surgeons usually do not know the credentials of the anesthesia personnel at the hospitals or surgery centers where they work. Check them yourself. Often anesthesiologists supervise many nurse anesthetists at one time.

Something controversial or provocative about this subject

The dirty-little-secret in this business is that when doctors themselves have surgery they have a one-on-one anesthesiologist who is not supervising others, administering the anesthesia himself. State on your operative consent exactly what you expect from your anesthesia provider. (e.g. "board-certified anesthesiologist managing only my case")

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    K = Knowledgeability    C = Clarity of Response    T = Timeliness    P = Politeness
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Meleah11/23/0910101010 
melissa11/16/0910101010 
charles11/12/0910101010Thank you, doctor, for laughing at my .....
Tim Bell11/02/0910101010thank you sooooooooooooo much . we know there .....
Donna Griffiths10/20/0910101010 

Recent Answers from JM Starkman, MD

2009-11-21 Nardil and versed, fentalyn:

I'm sorry you had the problem that you did with this "doctor" (probably a gastroenterologist, not an anesthesiologist). Many medications do not 'block', but instead "soup up" (the medical term is enzyme

2009-11-14 hasn't woke up after surgery:

Typical. You don't mention what "DR." doesn't know what the problem is....and you can bet he's NOT the anesthesiologist. Granny is elderly and doesn't REQUIRE standard dosages of medications and not

2009-11-09 old age:

This really doesn't require the expertise of an anesthesiologist or physician---but more that of a career counselor......which I am not. Nevertheless, you know the timeline involved to become an anesthesiologist

2009-11-08 Epidural site pain:

Congratulations on the birth of your son! As far as this unusual pain goes, since so much time has passed since you were given the epidural I really think it's unlikely to be related. However, there

2009-11-07 Advance directive regarding anesthesia:

In the event of ELECTIVE surgery you'll have time to re-write or modify the consent for surgery and anesthesia to suit your desires. For example, you might elect to cross out areas of the consent that

 

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