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Having not seen a physician who practices anesthesiology answer, I am going to answer from that perspective. For Quora members in any country related politically to Great Britain, an explanation is necessary, as my profession does not exist or most likely does not exist in your nation. In many countries, beginning with the USA, there have been advance practice nurses who has practiced anesthesia since the for many years. Members of my profession we are called Certified Registered Nurse Anesthestists. Our profession began in the late 1890’s with Alice Magaw who provided anesthesia for the Mayo brothers in Minnesota. These physicians/surgeons founded the famous clinic bearing their name. In 1899, she became the first nurse anesthetist to publish a scientific article for the Northwestern Lancet. Five more articles would follow. She was well known as a master of open drop ether and Charles Mayo dubbed her the "Mother of Anesthesia." She administered no fewer than 14,000 anesthetics with no deaths recorded.Ok, back to the question at hand. Whenever I have provided anesthesia for a morbidly obese patient I have always felt the same compassion, concern, the need for a strong team approach, appropriately extensive preoperative evaluation, and need for a good night’s sleep that I feel for every patient I have cared for. I used to be a private pilot. My father shared the adage “There are old pilots and there are bold pilots, but there are NO old, bold pilots.” I maintained this perspective during my years of anesthesia practice and shared it liberally with all the anesthesia residents (MD and CRNA) I had the privilege of teaching. In caring for the morbidly obese patient it is more true than ever.In morbidly obese patients there are major challenges to simply ventilating (breathing for) the patient. There are additional risks associated with these individuals which add to the riskiness of performing anesthesia. Prior to providing anesthesia it is required the provider discuss the risks and alternatives to the anesthesia he/she recommends for the patient. For the patients we are discussing, this can be, at times, a challenging conversation.

Both terms are used in the Native community. Some people prefer one, and some the other. Some people still prefer Indian or “American Indian”, others like Native, Native American, Native Peoples, Indigenous, or their particular tribal name. The term “Indian Country” is common for Native people in places where there are a large number of Natives and or reservations.“Native American” is an American term with an American history and politics around it. It arises from the same sort of Civil Rights movements that other ethnic groups in America had in the 1960s and 1970s. Some in the “Red Power” movement wanted this term. Others, like those in AIM, never liked it. In about the early 1980s it was common enough and Native people had pushed enough that it was put into style manuals.One of the biggest Native news media sources is Indian Country Today Indian Country Today - IndianCountryToday.com . The political group AIM uses it. Also the National Congress of American Indians (NCAI) Home | NCAI uses this use Indian. So does the American Indian College Fund. The American Indian College Fund | Education is the Answer The Indian Health Service uses it. And the National Museum of the American Indian uses it. And the Home > Institute of American Indian Arts (IAIA).And there is also the news outlet https://indianz.com/ . There is also the American Indian Business Leaders, American Indian Higher Education Consortium, American Indian Society https://aisdc.org/, Indian Land Tenure Foundation ILTF, the American Indian Center of Chicago, American Indian Business Leaders (AIBL), Association of American Indian Affairs, National Alaska Native American Indian Nurses Association (NANAINA), National Indian Child Care Association, The American Indian Library Association (AILA). Except for IHS, these are all Native run organizations.Others organizations use the term Native, or Native American. An example is: Native News Online -celebrating Native voices, American Indian News”. And National Native News - News for All Americans. Or The Center for Native American Youth, National Native American Bar Association, National Native American EMS Association NNAEMSA Conference, Native American Journalists Association, Alaska Federation of Natives, the NAVF Native American Venture Fund, Native American Art Council, Native American Capital (NAC), Native American Rights Fund, Native America Today | Native American News , Native American Times .Some Native publications use both. Here is a 2018 article from Indian Country Today that is titled “Seven election lessons from Indian Country”.Here is the first part:“At the ballot box this really was the Year of Native Women #SheRepresentsSo much history was made this Election Day and it really was the year of the Native woman.The first two Native American women in Congress, Representatives-elect Deb Haaland, New Mexico, and Sharice Davids, Kansas. Haaland is Laguna Pueblo and Davids is Ho Chunk and both are Democrats. The first Native woman elected lieutenant governor of a state, Peggy Flanagan of Minnesota. She is White Earth Nation and on the Democratic-Farmer-Labor Party ticket.Arizona tripled the number of Native representation in its state Senate. Senators Jamescita Peshlakai, Navajo; Victoria Steele, Seneca; and Mary Ann Gonzales, Pascua Yaqui, and enough members to caucus. All three are Democrats.There were at least 28 Native women elected to offices ranging from state legislature to Congress, nearly half of the 58 seats won by tribal citizens.”Seven election lessons from Indian Country - IndianCountryToday.comTo me, it seems that what is preferred really depends on the generation, part of the country, level of activism, urban vs reservation, and tribal membership.This is a little old, however it is similar today:“A 1995 Census Bureau survey that asked indigenous Americans their preferences for names (the last such survey done by the bureau) found that 49 percent preferred the term Indian, 37 percent Native American, and 3.6 percent "some other name." About 5 percent expressed no preference.”I would say that for many Native people today, they prefer the actual name of their tribe. Just as people in Switzerland say they are Swiss and not as often say European or Eurasian. In areas where there are many large tribes, at times people have a strong identity to their tribe in opposition to others. For example in the SW to be Zuni is very different than being Havasupai or Navajo or Apache or Tohono O’odham.This t-shirt is a bit old, as there are now 573 tribal governments, but the point is the same.What follows are quotes from the the journalism work of Amanda Blackhorse (Navajo). She interviewed different Native people about what term they prefer.Here are some of the interviews with people. For many people what they prefer really depends on the setting.“We know there is not one simple or singular answer. What we can all agree upon is to reject pejorative references to Native people (e.g. “redskins,” “squaw,” “savages,” etc.).” —Amanda Blackhorse.Here are some samples:“I refer to myself as Kiowa. Depending on the setting it may be appropriate to refer more broadly to the term of ‘American Indians,’ but it is also important for non-Natives to refer to me by my tribe rather than one of the umbrella terms because it is respectful and accurate.” -Courtney Tsotigh-Yarholar“If you ask 10 different people you will get 10 different answers…. In what I believe in how I was raised, I like to refer to myself as Sicangu Lakota….. he feels the term ‘indigenous’ is an acceptable blanket statement of our people.” —Frank Waln“When she introduces herself to other Natives she will introduce herself in her Diné clans first, and then say she is of the Navajo tribe. She says that when she is talking to non-Natives she does not say her clans, but she will say she is Native American and then say she is Navajo.” —Kiarra Spottsville“I always say ‘Native,’ and I do that as a conscious choice because we are Native to this land before it was the U.S. The name ‘American’ is a construct of our current state. We’re also Americans, but our indigeneity pre-dates that.” -Dyani White Hawk“I prefer indigenous, but I am comfortable with ‘Native American’ or ‘American Indian’. The reason I prefer indigenous is because being indigenous means you are of a place, one place on earth, which is unique to you. It identifies our peoples well because we referred to ourselves as from a place or location.” —Willow Abrahamson“Debbie says she prefers to call herself, “Diné.” Debbie says her views of how to identify and refer to herself evolved throughout her lifetime. Born in the 1970s, the common term was ‘Navajo’ and this influenced her. She explored the meaning of being Navajo or Diné in her adolescence through the traditional rite of passage for young women, the kinaaldá ceremony. She’s also influenced by her grandparents who emphasized, “You are of the people. Nothing less, nothing more.” In college Debbie grappled with names such as American Indian or Indian but she said these terms are complex and she feels most comfortable with identifying as a Diné woman.”—-Debbie Nez-Manuel (Diné) from Klagetoh, Arizona. She’s Tséńjíkiní, born for the Tse’nabah ł nii; her maternal grandfather is Tsi’najinnii and her paternal grandfather is from Tábaahá. (this is the normal traditional manner in which to introduce oneself in Navajo)“That’s easy, I’m Osage or Wazhazhi”. When he meets new people, he will introduce himself as this and people will often look at him confused because they don’t know what Osage or Wazhazhi is. He said, “It’s not my fault people don’t know what Native tribes are, or that Native American’s exist”. He believes in Native nationalism and that Native people should call themselves by their traditional names or in their own languages and not falter to societal pressures to identify as a homogenous group.—Ryan Red Corn"I abhor the term Native American," — Lakota activist Russell Means. From his 1998 essay "I Am An American Indian, Not a Native American!"Blackhorse: Native American? American Indian? Nope. - IndianCountryToday.comBlackhorse: ‘Native American’ or ‘American Indian’? 5 More Native Voices Respond - IndianCountryToday.comBlackhorse: Do You Prefer ‘Native American’ or ‘American Indian’? - IndianCountryToday.com"American Indian" or "Native American"?

I love being a respiratory therapist!My first encounter with a respiratory therapist came about 18 years ago, when I was working as an EMT in California. A transport nurse, another EMT, and I had to transport a patient on a ventilator. While we were in the patient room discussing the patient, the patient started to lurch in his bed. The ventilator started alarming and beeping a warning. The patient was gagging and his face was turning red. I noticed the doctor quietly slid out of the room, not wanting to troubleshoot what was going on with the ventilator. The RN called, “RT!!!” From around a corner came a young, attractive woman, who quietly pushed some buttons on the ventilator and did some things with the patient’s breathing tube which I didn’t understand. Almost instantly, the patient relaxed back into bed and closed his eyes. Without a word, the respiratory therapist stared at the ventilator, pushed a few buttons, and hurriedly left the room.We decided we couldn’t transport the patient. I don’t remember why- this happened a long time ago. But as we were leaving, the ventilator started beeping again, and a chorus of nurses’ voices called out in unison, “RT!!!!!”That’s why I like being an RT. I like that you have a skill that most people in the hospital don’t have. I work night shifts at a small hospital in Minnesota, and I’m the only respiratory therapist in the hospital. This means that if they need any kind of respiratory intervention, I’m the one they call.I like that I’m an expert with respiratory care. I’m good at ventilator management- better than most doctors, I think. I like a lot of action and emergencies, so when I heard that respiratory therapists always go to all the major traumas and cardiac arrests in the hospital, that really appealed to me. All of the high-risk labor and deliveries require an RT present as well. However, if you don’t like that kind of action, you can do pulmonary function testing or polysomnography (sleep apnea testing), which are very cerebral skills.Respiratory therapists are often confused with nurses and we work alongside the nurses often. Respiratory therapy and nursing both have their strengths and weaknesses. The biggest strength that nursing has over respiratory therapy is that nurses can work in a wider variety of fields- home health, community health, informatics, law, institutional health, psychiatric health… and on and on. Respiratory therapists don’t have that kind of variety. Nevertheless, I love the field I’m in and it’s estimated that this field will grow quickly in the next 20 years. Respiratory therapists are already greatly in demand. Only 0.03% of respiratory therapists are unemployed nationwide.For more information on respiratory therapy, you can go to the AARC’s website. (AARC = American Association for Respiratory Care.)Hope I wasn’t too wordy with my answer!