Gianna Banish

10/06/17

McAllister- ENG202D

                                                Comparing Jobs in the Medical Field

 

            Imagine walking into work every day to babies sleeping in incubators covered in chords that are attached to machines that are keeping them alive; and walking out at the end of your shift having witnessed your patient stop breathing because their lungs did not fully develop. Not everyone can handle death, but neonatal intensive care unit nurses are trained to. Imagine your patient of nine months that is supposed to be having triplets, go home with only two healthy babies because one was still-born. Not many people would be able to help her through this pain, but obstetricians are taught to. These are jobs that deal with risks and the chances of death are high. If you cannot handle death, but want to pursue a career in medicine, there are options in which you can help people. Cosmetic surgery is a way to help people get rid of their insecurities and make them feel better about themselves. There is always a risk of death when surgery is involved, but death rates are much lower than others.

 A NICU nurse is a nurse that works in the neonatal intensive care unit caring for sick and premature newborn babies. They are responsible for the complete care of infants who are diagnosed with complications or defects from birth. The extremely premature infants usually need help breathing or eating because they did not have the ability to develop fully in the womb. The nurses create plans to and treatments to keep the babies alive. Every day, “they administer medications, perform complex procedures, work with complicated technology, and consult with an interdisciplinary healthcare team to coordinate all aspects of a patient’s care” (Brannagan, Meg. “NICU Nursing Careers”). They are also required to be social and have compassion because they comfort the patient and provide reassurance to the parents. The median hourly wage for this job is $30.56. To become a neonatal nurse, one must be a registered nurse, and the outlook of RNs is sixteen percent from 2014-2024 according to the Bureau of Labor Statistics. There are three different levels of the NICU. The first level is level II, they are “designed for less critically ill infants who may require breathing assistance, support with feedings, or special medication. These units are usually found in community hospitals and in smaller healthcare facilities and are typically referred to as special care nurseries” (Brannagan, Meg. “NICU Nursing Careers”). The next level is level III, these NICUs are in large medical facilities and children’s hospitals. They take in infants who need advanced care, such as respiratory support and help breathing. The highest is level IV provide the most complex care for ill and preemie babies. This level is commonly called a regional NICU because infants from other facilities can be transferred for more complex care such as advanced life support and surgery. A pro to working as a NICU nurse is that they could potentially save the life of a child and, furthermore, restore a family. A con to working as a NICU nurse is that the chances of death are very high, “according to a new study of more than 34,600 pre-term babies born between 1993 and 2012, published Tuesday in JAMA, overall survival rates for preemies between 22 and 28 weeks of gestation increased to 79 percent in 2012,” that means around 7,266 preemie babies will die. Being a NICU nurse is difficult because one must be compassionate but, simultaneously, they must be able to cope with frequent infant mortality (Seidman, Bianca. “Survival Rates for Extremely Premature Babies Improve, Slightly”). Neonatal intensive care units are very much needed because, “premature babies account for about one and nine births in the U.S” and the 34,600 infants that are born prematurely would have little to no chance of survival without them (Seidman, Bianca. “Survival Rates for Extremely Premature Babies Improve, Slightly.”)

An obstetrician, the OB in OB/GYN, is a doctor who specializes in a woman’s reproductive system, pregnancy, and childbirth. There are other doctors that can deliver babies, but women choose obstetricians because they are able take care of them throughout their pregnancy and give them follow-up care. OB/GYNs, “have graduated from medical school and completed a four-year residency program in obstetrics and gynecology” (Johnson, Traci C. “What Is an Obstetrician?”). The average salary was $216,760 according to the Bureau of Labor Statistics in 2012. They must obtain, “a bachelor’s degrees and take courses in biology, chemistry, physics, and math, and then complete four years of medical school” (Suttle, Rick. “How Much a Year Does Obstetrics Make?”). An example of taking care of a woman throughout their pregnancy is monitoring the patient’s health as well as their babies’ health through ultrasounds, measurements, and tests. Another example is that the doctor will check for any health conditions that may cause problems during the pregnancy for both the mother and the child, such as finding high blood pressure. A few pros to pursuing this career are being able to help mother’s cope with their pregnancy pain, make sure that women have a safe delivery, and to bring babies into the world. A con of this career is that there is always a chance of the maternal and infant mortality during the pregnancy and birth. It is estimated that 18.5 mothers die “for every 100,000 births in the U.S. in 2013,” making a total of eight hundred deaths (Morello, Carol. The Washington Post). Worldwide, “the study estimated that 293,000 women died of pregnancy-related causes” (Morello, Carol. The Washington Post). Death can take a toll on a person, especially the death of a child, which is why a person must take these aspects into consideration before choosing this career path. The chances of infant mortality are estimated at “11,300 newborn babies die each year in the United States on the day that they are born” (Fox, Maggie, NBCNews.com).

Cosmetic surgery is the discipline of medicine that focuses on enhancing someone’s body through surgery. There are procedures focusing on every part of the body from head to toe, such as nose reconstruction and Brazilian butt-lifts. Cosmetic surgery is a choice, and because of that it usually is not covered by health insurance. Both men and women of all ages undergo cosmetic surgery, but “the average age patients receive cosmetic surgery is 41” (American Academy of Cosmetic Surgery, Cosmetic Surgery). A pro to becoming a cosmetic surgeon is that they can bring happiness and confidence to people that have serious insecurities about their bodies. A survey from the American Society for Dermatologic Surgery says that, “last year found that 52% of people are considering aesthetic treatments, up from 30% two years ago.” (Stein, Joel. “Plastic Surgery: The Rise of Cosmetic Procedures.”). People are becoming more comfortable about getting cosmetic surgery, “it has become the new makeup,” and that has led to there being more business in this field (Stein, Joel. “Plastic Surgery: The Rise of Cosmetic Procedures.”). Another pro is that cosmetic surgeons make an average of 400,00 dollars a year. A con could be that the surgeon did not meet the expectations that the patient had for their body after surgery, and because of that they are still insecure. It is different than plastic surgery because plastic surgery is used to reconstruct deformities of the face and body that occurred during birth or under other circumstances that cannot be controlled. Cosmetic surgery is often equated with plastic surgery because they are both surgeries that are performed to reconstruct the body, but; cosmetic surgery is, “elective and focuses on the aesthetics of beauty” (American Academy of Cosmetic Surgery, Cosmetic Surgery). The death rates are low in this career, for example, 1/10,000 to 20,000 deaths are caused by the breast implant procedure.

            Based on the reoccurring con of death, the best job for me would be a cosmetic surgeon. Although I could save the lives of babies as a NICU nurse, or help bring new ones into the world as an obstetrician, I simply could not deal with the amount of death I would have to witness in either. I feel I would become depressed being around so much death and I am not sure that I would be able to cope with it. I also do not believe that I could deliver the news of the death of an infant or it’s mother to a family. I think that the people who do these jobs are amazing because they put the needs of others before their own and dedicate themselves to saving lives. Cosmetic surgery is the job I would choose, because it has a significantly lower death rate and it provides people with an opportunity to fix the insecurities that they have with their bodies. This job would be the best fit for me because I can better people’s lives without having to handle death. Also, cosmetic surgeon’s make nearly double the salary of both jobs, so I would be working in a less stressful environment and make more money.

 

 

 

 

 

 

 

 

 

 

Works Cited Page

Brannagan, Meg. “NICU Nursing Careers.” InnerBody, www.innerbody.com/careers-in-health/nicu-nursing-careers.html. Accessed 03 Oct. 2017.

Fox, Maggie. “More US Babies Die on Their First Day than in 68 Other Countries, Report Shows.” NBCNews.com, NBCUniversal News Group, 30 Apr. 2013, www.nbcnews.com/health/more-us-babies-die-their-first-day-68-other-countries-6C9700437. Accessed 03 Oct. 2017.

“Frequently Asked Questions About Cosmetic Surgery.” About Cosmetic Surgery, American Academy of Cosmetic Surgery, www.cosmeticsurgery.org/?page=CosmeticSurgery. Accessed 03 Oct. 2017.

Johnson, Traci C. “What Is an Obstetrician?” WebMD, WebMD, 20 Oct. 2016, www.webmd.com/baby/what-is-an-obstetrician-twins#1. Accessed 03 Oct. 2017.

Morello, Carol. “Maternal Deaths in Childbirth Rise in the U.S.” The Washington Post, WP Company, 2 May 2014, www.washingtonpost.com/local/maternal-deaths-in-childbirth-rise-in-the-us/2014/05/02/abf7df96-d229-11e3-9e25-188ebe1fa93b_story.html?utm_term=.da441eb67351. Accessed 03 Oct. 2017.

“Neonatal Intensive Care Unit (NICU) Registered Nurse Salary.” Neonatal Intensive Care Unit (NICU) Registered Nurse Salary, PayScale, Inc., www.payscale.com/research/US/Job=Neonatal_Intensive_Care_Unit_(NICU)_Registered_Nurse/Hourly_Rate. Accessed 03 Oct. 2017.

“Registered Nurses.” U.S. Bureau of Labor Statistics, U.S. Bureau of Labor Statistics, www.bls.gov/ooh/healthcare/registered-nurses.htm. Accessed 04 Oct. 2017.

Seidman, Bianca. “Survival Rates for Extremely Premature Babies Improve, Slightly.” CBS News, CBS Interactive, 8 Sept. 2015, www.cbsnews.com/news/survival-rates-for-extremely-premature-babies-improving-slightly/. Accessed 03 Oct. 2017.

Stein, Joel. “Plastic Surgery: The Rise of Cosmetic Procedures.” Time.com, Time, 18 June 2015, time.com/3926042/nip-tuck-or-else/. Accessed 03 Oct. 2017.

Suttle, Rick. “How Much a Year Does Obstetrics Make?” Chron.com, 2017 Hearst Newspapers, LLC, work.chron.com/much-year-obstetrics-make-24733.html. Accessed 03 Oct. 2017.

Yoho, Dr. “Estimated Death Rate for Cosmetic Surgery Related Procedures.” Estimated Death Rate, Dr. Yoho, 2017, dryoho.com/dr-yoho/clinical/deaths-cosmetic-surgery. Accessed 03 Oct. 2017.