CRNA RFA

Discussion in 'Pain Medicine' started by soccrwz, Jan 11, 2019.

  1. soccrwz

    soccrwz ASA Member
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    New procedure to help reduce pain without opioids

    Coming to a hospital near you....

    "Pullman Regional Hospital patients now have access to a new procedure that helps with pain management.

    Corey Johnson, a certified registered nurse anesthetist, said the new procedure involves radiofrequency ablation. It is narcotics- and surgery-free. Pullman Regional Hospital made it available in October of 2018."
     
  2. painfree23

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  3. lobelsteve

    lobelsteve SDN Lifetime Donor
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    "Johnson said the procedure, which can be done to relieve back or knee pain, takes about 30 minutes and requires the patient to be under deep sedation. The procedure is also used to reduce pain symptoms in a patient prior to surgery through a doctor’s referral."

    Discounted rates for attorneys representing plaintiffs against this murse.
     
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  4. Gauss

    Gauss Damnit Jim!
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    yay, more expert witness work!
     
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  5. Orin

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  6. SommeRiver

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    MINT trial sucks
     
  7. drusso

    Physician Moderator Emeritus Lifetime Donor Verified Expert Verified Account 10+ Year Member

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    Washington State @Ligament
     
  8. nvrsumr

    nvrsumr Member
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    We have had crnas doing stim trials in CO since I have been in practice.
     
  9. NJPAIN

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    CRNAs is Washington State have been out of control for years. I recall interviewing for a position at a major suburban hospital after finishing my fellowship at UW in the early 1990s. CRNAs were equal partners in the group. CRNAs required no supervision. Completely equal to an MD. At the same time, our CRNAs in NY couldn't do ANYTHING without supervision.
     
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  10. BobBarker

    BobBarker Member
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    What company?
     
  11. DODOCSS

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    blood boiling
     
  12. clubdeac

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    This makes me sick
     
  13. bronx43

    bronx43 Word.
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    Who's teaching these people the procedures?
     
  14. cowboydoc

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    "doctors" (of nursing) would be my guess.
     
  15. DocMorpheus

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    When I was in fellowship, we had a patient come in to see us from a hospital in a rural part of the state where a CRNA calling himself a doctor performed a cervical RFA and actually ablated her spinal cord. The MRI had multilevel signal cord change. She was lucky to be walking. We think the CRNA approached the RFA laterally and never checked an AP to see if he was in the spinal canal. Crazy stuff.
     
  16. SommeRiver

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    Whoa. I would think the ablation would have been extremely painful. Sedation?
     
  17. painfree23

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    Of course. A CRNA is “perfectly capable” of using propofol, how dare you ?
     
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  18. nvrsumr

    nvrsumr Member
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    Home -

    Doesn’t list scs but 90% this was the Crna doing them
     
  19. callmeanesthesia

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    They actually believe they are doctors...

    :bang:
     
  20. cowboydoc

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    Is she a doctor of CPR because she passed the ACLS course? What is the proper suffix to put behind your name if you possess this certificate?
     
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  21. DOctorJay

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  22. DOctorJay

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    https://www.painmd.com/dt_providers/d-john-kane-crna/

    Professional Certifications & Associations
    • AANA
    • NHAPRNPA
    • Certified in Advanced Interventional techniques including: Vertebroplasty, Spinal Cord Stimulator Implantation, and Therapeutic Injections
    • Advanced Cardiac Life Support Certification
     
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  23. lobelsteve

    lobelsteve SDN Lifetime Donor
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    What idiotic insurance pays for this?
     
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  24. DocMorpheus

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    Yes, propofol sedation.
     
  25. SommeRiver

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    Of course...

    My sedation - Whatever rolls smoothly off my silver tongue...
     
  26. Ferrismonk

    Ferrismonk ASA Member
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    This is the real kicker. I have an anesthesiologist that used to work with me. He was a general surgeon in Iraq and surrendered to the Americans during the first gulf war to get away from Saddam. Trained in anesthesiology in the US then did a pediatric anesthesia fellowship. Didn't get board certified because he was primarily doing research and his institution didn't require it. Now he can't work with me because Blue Cross want's him to be board certified. But there are CRNA billing for RFA no problem. I'm convinced more every day that the world has gone crazy.

    If Medicare required at least a Pain fellowship to do interventional procedures, this Ortho-spine/PCP/CRNA doing pain stuff ridiculousness would stop.
     
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  27. drusso

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    Imagine what MD/DO's could accomplish if we came together and lobbied in support of our own interests and the patients we serve...
     
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