Inspirery – Alddo Molinar Doctor of Anesthesiology

Dr. Alddo Molinar is an anesthesiologist practicing medicine at East Ohio Regional Hospital and Ohio Valley Medical Center. He is licensed to practice medicine in both the state of Ohio and the state of West Virginia. He also holds a primary certification with the American Board of Anesthesiology and a subspecialty certification in Critical Care Medicine.

After showing a natural aptitude at a young age for academic pursuits, the future doctor turned his aspirations to the field of medicine following a tragic illness in his family. Seeing the toll the illness took on his family members, he vowed to direct his life’s pursuits towards the elimination of suffering wherever possible. This goal was further cemented following an early experience shadowing medical professionals at the Rio Grande Health Clinic in El Paso, Texas.

The doctor went on to attend Trinity University to obtain his Bachelor of Science in Biology and later The University of Texas Southwestern at Dallas for medical school. Following medical school, he was accepted into the competitive anesthesiology residency program at the Cleveland Clinic. There, he undertook trainings in anesthesiology as well as subspecialty trainings in critical care medicine. The doctor also went on to a fellowship program at the Cleveland Clinic where he served as Chief Fellow and underwent additional trainings in neurological and cardiovascular intensive care.

In the years since his formal education, Dr. Alddo Molinar has become known for his ability to connect with patients while delivering a high level of care. His ability to multitask inside and outside of the operating room and manage large teams of professionals has also earned him praise amongst his peers.

How did you get started in this business?

There was never really a question that I was going to care for people. Having grown up in a small business, I witnessed the selfless dedication of my parents in providing a high quality service. They owned an insurance company where I would help out every day after school. I did everything from answer the phones to setup the computer network and even helped build and paint the front desk. Aside from my parents instilling work discipline and value of the dollar, I learned the importance of advocating for the customer to get them the best result. I often heard my dad reassure his customers that they were going to be alright and I watched as he personally invested himself to follow them from the beginning of a traumatic experience until it was completely resolved.
Twenty five years later, patients are my primary customers and I find myself applying the lessons I learned from my father and reassuring them through traumatic experiences. But, in addition to patients, I have a customer base in surgeons, nurses, and administrators. The most important outcome is always making sure that each and every patient does well, each and every time.

How do you make money?

As a physician, I am in the service industry. I provide a service to hospitals who then provide a high quality service to patients. The actual reimbursement typically comes from insurance companies or it is billed directly to the patient. While fiduciary responsibility is important in medicine, the most important thing is that patients get the best outcome.

How long did it take for you to become profitable?

Becoming a doctor can be a long and grueling process, and a medical education can be an expensive endeavor. Thankfully, I had various grants and scholarships that made the cost of education manageable. I first started to turn a profit after I became licensed in the state of Ohio in 2011, but it does take several years to level off. Since then, I have done over 17,000 anesthesia cases and I am also licensed in the state of West Virginia. I have experience with everything from lung and liver transplants surgery to heart surgery to plastic surgery and endoscopies.

In 2016, I became an independent practitioner and started practice for myself. I took all the training that I had developed to that point to create a tremendous position which allowed me to leverage my professional skills and clinical abilities and combine them with my interpersonal skills in developing a consulting business.

When you were starting out, was there ever a time you doubted it would work? If so, how did you handle that?

Medicine is the type of career that requires 100% dedication. There was a time in my career when I worked so intensely that I felt my life got a little out of balance. I have now gained perspective regarding the importance of taking care of myself. I accomplish this through exercise as well as meditation. I also learned the importance of being an effective leader as well as teaching the next generation. I can make more of an impact on patients now, by recruiting, motivating, and leading a high quality team. With a cohesive vision, we can stay within our individual limits yet be incredibly productive as a team.

How did you get your first customer?

In the consulting business, it was about just pounding the pavement, and I found a group that needed help.

My company specializes in anesthesia and critical care in underserved areas and my first customers were in Martins Ferry, OH and Wheeling, WV. It provided an excellent opportunity to showcase my skills while working with a team in delivering a very high level of medical care. We were even recognized by the CEO and the president for a job well done.

What is one marketing strategy (other than referrals) that you’re using that works really well to generate new business?

Medicine really is a results-oriented business. If you can deliver the results while also being personable and empathetic, business generally will thrive. The exciting part about small communities is that word of mouth spreads quickly. For example, you can take care of somebody’s grandfather or grandmother and the following weekend they will have coffee with their neighbors, friends, and family and say good things about your care. This generally results in an excellent marketing strategy, but it also underscores the need to do the best job possible. Part of being successful is being a quick study of your environment and being honest with patients about both the best services you can provide as well as any possible limitations.

Also, there’s a very important part of medicine that involves support from your friends and family. It is so much harder to engage this support system if you have to travel for several hours to obtain care. I believe very strongly that you can provide a very high level of care at some of our regional hospitals. Granted, there are definitely some situations where it is best to go to a tertiary care center, but knowing how to differentiate between the two maintains your integrity in the eyes of a patient.

In this day and age of widespread social media, it is important to maintain a positive social media presence that supports your personal and professional mission statement. This is essentially like accelerating the model of taking good care of patients and having them go to talk about their care over coffee with friends and family.

What is the toughest decision you’ve had to make in the last few months?

In the wake of the decrease of surgical cases due to the COVID-19 outbreak, I’ve had more free time. One of the toughest decisions I had to make was deciding to volunteer to help New York City because this would involve leaving my family.

What do you think it is that makes you successful?

It is the sheer determination to try as hard you can to succeed. Even when I was in college, I would find a study room on Friday and Saturday nights to get ahead. While I do not in any way feel this makes me different from others who are willing to devote the effort it takes to succeed, it is important to know how to set yourself apart and stay focused. One of my favorite sayings is, “If you don’t have a competitive advantage, don’t compete.” That’s not to say you shouldn’t go after the things you want, but rather it underscores the importance of finding a competitive advantage to get whatever you want done. Sometimes you have to work harder than anyone else, and by doing this, you make yourself competitive. We live in the best country in the world. Just about everything is possible, so set you sights high and get it done.

What has been your most satisfying moment in business?

The independence and flexibility of helping at many different levels and with a variety patients. I also recognize the importance of staying up to date and working at my own pace. While launching my own business was a pivotal moment, I am also so fulfilled at this point in my career to have the confidence in my abilities enough to be able to guide and mentor others.

What does the future hold for your business? What are you most excited about?

One of the things that I am most excited about, has actually been revealed through the COVID-19 pandemic. The use of technology to help bridge the care gap that often exists in underserved communities has been driven to the forefront. In many states, the medical boards have relaxed requirements to see patients in person in order to provide care. While this was initially to triage who needs further care, it is a step in the right direction for those areas that are yet underserved or under-represented by specialists.

What business books have inspired you?

Talent is Overrated: What Really Separates World-Class Performers from Everybody Else by Geoff Colvin.

This book emphasizes that the source of great performance is hard work and the constant desire to excel at what you do. It speaks to me because it shows that you do not always have to be the best or the smartest at something as long as you are fully invested in it and care about putting in the hard work to achieve your outcome.

What advice would you give to your younger self?

Be highly adaptive. It’s easy to be complacent in life, but it is important to set goals and truly go after what you seek. To get it, you always want to be thankful for what you are and where you are, but you also need to take time to wake up each morning refreshed and invigorated to go out and do it with just as much energy and excitement as the first time. For me, this involves reflection and keeping my mind healthy with meditation.

Are you willing to be a mentor? If so, how should someone contact you?

Absolutely! For anyone looking for advice about medicine or starting out in your own practice, especially as an anesthesiologist or critical care physician, please contact me through my socials.

Read the original interview here:

Professional Tales – Dr. Alddo Molinar and the Direction of Anesthesiology

Anesthesiology as a field presents an interesting topic of study for those both in the profession and outside of it. Owing to its critical role in surgical operations, the specialization has a wide-reaching effect on other areas of medical study. As such, we’re taking some time to look at the field in greater depth and see not only where it is at present, but also where it is going in the near future. To aid in this analysis, we’re pairing it with a look at the career of Dr. Alddo Molinar. As a well-respected anesthesiologist himself, he makes for an excellent point of focus when discussing the field at large.

Professional background

Let’s first take a brief look at the professional background of Dr. Alddo Molinar to better understand the expertise of practitioners of this specialty. Like many medical doctors, the anesthesiologist showed a natural aptitude early in life that helped direct him towards a high-achieving career. After witnessing the devastating toll that illness took on several family members, the future doctor resolved to use that aptitude to pursue a career in medicine to help alleviate suffering in others.

The road to that career was a long one, spanning through his undergraduate studies, medical school, and finally residency and a fellowship. Those last two endeavors both took place at the world-renowned Cleveland Clinic, where he was able to get a firsthand appreciation at how the field of anesthesiology is practiced at its highest levels. His time at the clinic not only encompassed training in his primary field, it also included a range of subspecialty trainings. These included stints in both the neurological and cardiovascular intensive care units. He also underwent training in critical care medicine.

This broad range of trainings helped the doctor develop his understanding of the wider field of medicine. Since, as we’ll see, anesthesiologists are often involved in operations that touch on many different fields, this broad understanding has been a key part in allowing him to effectively carry out his professional responsibilities. This includes allowing him to better coordinate with other doctors and medical professionals inside and outside the operating room.

Operating environment

Since it plays a large role in the work of an anesthesiologist, it can also be helpful to get a better understanding of a typical operating room environment. That environment can lend itself to a certain level of controlled chaos, drawing comparisons to a busy airport. Like an airport, many professionals are required to work in close collaboration with one another in order to reach a common goal. If one part of the process were to break down, other areas would suffer and the team as a whole might be unable to complete the operation successfully.

In the context of this metaphor, Dr. Alddo Molinar has compared anesthesiologists to pilots. It is up to them to successfully take off at the beginning of an operation, by making sure the patient is properly anesthetized, and then to land the plane, so to speak, at the end of the operation. Not only does this collaboration take place with the professionals in an operating room, an anesthesiologist often works in multiple operating rooms at once. This requires a careful and organized approach that takes into account the needs of different procedures, patients, and operating teams.

Monitoring patients

One important part of the collaboration outlined above is the need for anesthesiologists to monitor patients throughout an operation. This monitoring requires doctors to be aware of vital signs such as blood pressure, heart rate, and ventilation to ensure patients aren’t having an adverse reaction to their anesthesia. By some estimates, anesthesiologists are tasked with monitoring up to 40 different patient data streams at once during an operation. The doctor can then use this data to make important decisions in real-time during a surgical procedure.

While the monitoring of this large amount of data is a necessary part of the profession of anesthesiology, it also can be somewhat unwieldy at times and can contribute to medical errors. For this reason, among others, the development of processes to improve patient monitoring and reduce errors has been a key focus of innovation in the field of anesthesiology.

Decision support systems

That search for increased innovation has led to the development of what’s known as decision support systems. Though these systems have been in use for some time, the positive results they have helped achieve in the operating room have contributed to projections of increased usage moving forward.

Put simply, these systems utilize electronic dashboards to help doctors make decisions based on data being received from patient monitoring. Rather than have that monitoring be handled through many different systems with different standards, a decision support system can present relevant data to doctors in a quick and efficient manner. This can aid their ability to make key decisions by improving accuracy and decision speed.

Such a system can also provide alerts to an anesthesiologist if it detects a worrying development within the data it is monitoring. These alerts can help inform a doctor’s decision, though they are still just information to be interpreted as the medical professional sees fit. This helps to illustrate how there is still room for improvement in these systems insofar as it is up to manufacturers to decide the manner and frequency with which to display alerts. Too many alerts may serve as a distraction to doctors, while too few may defeat the purpose of the system itself. As new systems continue to be developed in this space, they will continue to help evolve the practice of anesthesiology.

Information management system

As we’ve seen, decisions inside the operating room can be greatly affected by real-time data that results from the monitoring of a patient. The effective use of this data can result in a higher degree of medical care. Another component that can contribute to quality of care is data that is pulled from records. A wide range of important data can be contained in patient records such as allergies, past drug reactions, past operations, and more. Such records can represent a critical point of study for an anesthesiologist as they can help them better plan their approach once inside the operating room.

Since records can play such a critical role in the health outcomes of a patient, it is also important for an anesthesiologist to take proper records during an operation for present and future use. Such record-keeping can note important aspects of the data that is being monitored in real-time for use in other medical contexts down the line, such as postoperative management. However, while it is important, record-keeping can represent a significant draw on a doctor’s resources away from more immediate patient needs. In the context of an operating room, any draw on resources can serve as a weak point that can negatively contribute to a patient’s health outcome.

To help alleviate some of the downsides of record-keeping, medical facilities now often utilize information management systems to help automate record-keeping efforts. Such systems function as an integrated database ideally encompassing a patient’s medical records from their range of different medical procedures. With this information, an anesthesiologist can better determine a plan for anesthetization during an operation and for postoperative management.

Such systems also can help to automate the record-keeping process to allow anesthesiologists to focus on more pressing patient needs during an operation. The ability of this technology to take the record-keeping burden off of medical professionals is a key contributing factor to its adoption by a wide range of medical facilities. By automatically logging important data, these systems can leave doctors confident that records will be available down the line without the need to divert their attention away from a patient during an operation.

Integration setbacks

One issue that still affects the systems above is the disparate rates of adoption by medical facilities. While some facilities use such technologies to the fullest of their capabilities, others are lagging behind. This can lead to gaps in levels of patient care.

Another challenge in the integration of these technologies is the number of different systems in use at present. Since the idea of information management systems is that they can provide all of a patient’s medical records when needed, it can be counterproductive if different medical facilities utilize different systems. This is especially true if those systems don’t easily collaborate with each other.

As we’ve seen above, the field of anesthesiology has plenty of exciting developments that are serving to move it forward. The use of technologies such as decision support systems and information management systems are two examples of the direction the field is taking. Looking to the above information, along with the work of Dr. Alddo Molinar, provides a great indication of how the field of anesthesiology is evolving best practices to perform at even greater heights.