CRNAS performing TEE

[periopdoc]

---

Members do not see this ad.

f I had one, I don't think I would risk losing it, to the law, by using it in a self-defense situation.

Excellent point, and one that should be considered by all men who choose to arm themselves.

My considerations for which backup home protection pistol to choose are thus.

1 - I would never draw a weapon at home unless my family was threatened.

2 -In the balance of things, I am willing to lose ANY gun to protect the wellbeing of my family.

3 - If I am protecting the wellbeing of my family, I want the best possible gun for my hands.

4 - I have yet to find another pistol that I can shoot as well as a 6" Colt Python.


Thus it is my pistol of choice for home defense. It is not my choice for EDC.

It also helps that (except for during my medical training) I have always lived in jurisdictions where confiscation of firearms by the police is generally frowned upon.

- pod

 

[periopdoc]

My EDC for the OR and everywhere.

- pod

 

[militarymd]

My EDC for the OR and everywhere.

- pod

this is my edc blade

[YOUTUBE]http://www.youtube.com/watch?v=BfgU9zHJ0Fk&feature=player_embedded[/YOUTUBE]

 

[periopdoc]

Very nice. Better finger guard than the FAST. Kershaw makes great knives, but I prefer to have the clip on the other end of the knife. Theoretically not as safe, but I don't like having to draw, flip, then open. I don't think that Kershaw manufactures a knife with the clip at the butt end, but you could probably modify them. Here is the FAST in action.


[YOUTUBE]mDHlT12fx4I[/YOUTUBE]

- pod

 

[coprolalia]

I have a Gerber fastdraw. I've had it for about 9-10 years. It's pretty beat-up. But, opening it is every bit as fast as any classic "switchblade", once you get used to the mechanism.

I still prefer to be not that close to anyone I might have to use any defensive weapon on, though. Never bring a knife to a gun fight. 😉

-copro

 

[dhb]

[YOUTUBE]http://www.youtube.com/watch?v=UyCzZH_hFlA[/YOUTUBE]

 

[coprolalia]

Great movie (even though Sting was in it)!

-copro

 

[SleepIsGood]

I can't believe I just read about 95% of this thread...

politics is politics and economic is economics, who knows what the future holds and if MD practices will have a place of not. One thing I do know is if myself or any family member were ever to go under the knife... I want a MD surfing the net, reading the newspaper, charting vitals, and checking urine on my family member as MillMD put it. Because I know I never do the first two and I don't chart vitals, the computer does that, I inturpert them, diagnosis, and provide intervention. This is what the job of a doctor and I often wonder how CRNA finangled their way in.[/QUOTE]

easy...the older guy like MilMD, etc ony cared about $$ They sold the profession out.

Of course their false pretense is that there is a shortage and the rest of the garbage statements he made on the thread. You want to be ticked off? Gotta look at our own and see who the ones were tht threw us under the train.

 

[militarymd]

I can't believe I just read about 95% of this thread...

politics is politics and economic is economics, who knows what the future holds and if MD practices will have a place of not. One thing I do know is if myself or any family member were ever to go under the knife... I want a MD surfing the net, reading the newspaper, charting vitals, and checking urine on my family member as MillMD put it. Because I know I never do the first two and I don't chart vitals, the computer does that, I inturpert them, diagnosis, and provide intervention. This is what the job of a doctor and I often wonder how CRNA finangled their way in.[/QUOTE]

easy...the older guy like MilMD, etc ony cared about $$ They sold the profession out.

Of course their false pretense is that there is a shortage and the rest of the garbage statements he made on the thread. You want to be ticked off? Gotta look at our own and see who the ones were tht threw us under the train.

If you had bothered to read my "garbage statements", then you would know that I have always maintained that we have TOO many of us around...and continue to train TOO many of us....and that we need to shut at LEAST half of our training slots.

Sleep....you're obviously one bitter little dude....

Why don't you tell us EXACTLY what you want?

 

[SleepIsGood]

If you had bothered to read my "garbage statements", then you would know that I have always maintained that we have TOO many of us around...and continue to train TOO many of us....and that we need to shut at LEAST half of our training slots.

Sleep....you're obviously one bitter little dude....

Why don't you tell us EXACTLY what you want?

I dont get it? I thought the reason you all wanted CRNA was to 'bridge' the gap since there's not enough anesthesiologists? Obviously, that is no longer the case, since many are going into anesthesiology. Doesnt this obviate the need for CRNAs?

Are you that selfish to replace nurses with physicians just to make a few more dollars ?

 

[militarymd]

Search my posts. Blade actually quoted me recently.

I have always maintained that there are too many of us.

I know you have invested ALL your time in learning medicine, but once you get out, you will realize that doing anesthesia will be the easiest part of your day.

It's about supply and demand........I have and will continue to maintain that the SUPPLY is too great....therefore we are driving down our demand.

As for hiring a nurse over a MD....it's business my young friend...it's business...When it's YOUR business, you will do the same.

I dont get it? I thought the reason you all wanted CRNA was to 'bridge' the gap since there's not enough anesthesiologists? Obviously, that is no longer the case, since many are going into anesthesiology. Doesnt this obviate the need for CRNAs?

Are you that selfish to replace nurses with physicians just to make a few more dollars ?

 

[DannyOcean11]

the psychological war from the AANA continues, check out the february 2009 issue of the AANA journal. The following picture appears on the cover:
http://www.aana.com/Resources.aspx?...enuTargetType=4&ucNavMenu_TSMenuID=6&id=22730

​

On the cover:
Susan Parry McMullan, CRNA, MSN, chief nurse anesthetist at Hinsdale Anesthesia Associates, Hinsdale, Illinois, uses trans­esophageal echocardiography to evaluate pre­operative heart function in a patient scheduled for coronary artery bypass graft surgery. McMullan is director of region 2 of the Illinois Association of Nurse Anesthetists. She is a doc­toral student at Rutgers, The State University of New Jersey, and a didactic instructor in the Rosalind Franklin University of Medicine and Science, Nurse Anesthesia Program, North Chicago, Illinois. (Photo taken by John Wheeler.)

How can she work in Illinois and at the same time go to school in New Jersey? Must have earned lots of cash and bought her own private jet or maybe she just owns a laptop. 🙄

I HOPE THIS SHOWS YOU STINGY, SELFISH, NON-DONATING RESIDENTS/ATTENDINGS THAT IF YOU DON'T CONTRIBUTE TO THE ASAPAC, YOU WILL BE THE CRNA AND THAT NURSE ON THE PICTURE WILL BE YOUR DNAP BOSS. KEEP BURYING YOUR HEADS IN THE SAND SO THEY CAN KEEP ON KICKING YOUR ASS.

"Chief nurse anesthetist". That's rich!

It's akin to calling someone "chief co-pilot" among a group of co-pilots.

 

[militarymd]

I completely agree with you MMD. Several of us here said the same thing as residents. Especially, as we saw more residency slots open in a city with fewer and fewer posistions.

The questions then become...How do we go about turning this around? Can the ASA help decrease those slots? Is this something the ASA also believes in, in the first place?

I'm not sure....the asa has many things to address...and all of it is in your interest....

Priorities:

1- the asa needs to have a LOUD voice in dc
2- then the members...you and I....then need to tell it what that message needs to be


Part of the problem is that we are NOT united....look at how I get flamed all the time....and how each of us disagrees with each other.

Getting doctors to agree is like herding cats......

 

[Bertelman]

Part of the problem is that we are NOT united....look at how I get flamed all the time....and how each of us disagrees with each other.

Getting doctors to agree is like herding cats......

That's because there is no clear answer to the current problem.

Why don't we instead limit the number of CRNA students?

I think we are all united in our desire to limit the growth of CRNAs while protecting our own future, we just disagree on the path to that goal.

 

[maceo]

If you had bothered to read my "garbage statements", then you would know that I have always maintained that we have TOO many of us around...and continue to train TOO many of us....and that we need to shut at LEAST half of our training slots.

look professor it wasnt too long ago maybe 10 years ago where we were only graduating 900 anesthesia residents per year.. now we are at twice that number.. why did they increase the number of graduating residents? if we had too many.. just keep the numbers at 900.... But i agree with you now.. there are too many graduates and too many anesthesiologist now.. and the older folks are not retiring.. those mfs

 

[militarymd]

I want everyone to take a look at your daily OR schedules and post up estimates of how many % of those cases REALLY need to be done.

I'm not talking about cases that surgeons WANT to do....or cases that hospitals WANT to staff because $$$$ can be made ...for both surgeons and hospitals.

I'm talking about cases THAT NEED to be done to save life and/or limb.

I suspect that percentage is probably pretty low...and we (md and crnas) are tripping over each other and bad mouthing each other over how to STAFF those cases......my thoughts on it....it's pretty sad....we (mds and crnas) have become beotches to all those cases that everyone wants to do because of convenience and $$$$

Think about a situation/future where...WE decide when and which of these cases go.......wouldn't that be nice?

I'll tell you that at the rate we're cranking out mds and crnas....that will never happen.

The 8 pm electives...will continue to frustrate and age us.

 

[ProRealDoc]

I want everyone to take a look at your daily OR schedules and post up estimates of how many % of those cases REALLY need to be done.

I'm not talking about cases that surgeons WANT to do....or cases that hospitals WANT to staff because $$$$ can be made ...for both surgeons and hospitals.

I'm talking about cases THAT NEED to be done to save life and/or limb.

I suspect that percentage is probably pretty low...and we (md and crnas) are tripping over each other and bad mouthing each other over how to STAFF those cases......my thoughts on it....it's pretty sad....we (mds and crnas) have become beotches to all those cases that everyone wants to do because of convenience and $$$$

Think about a situation/future where...WE decide when and which of these cases go.......wouldn't that be nice?

I'll tell you that at the rate we're cranking out mds and crnas....that will never happen.

The 8 pm electives...will continue to frustrate and age us.

try 5am tonsillectomies.

 

[2ndyear]

Ouch, 5am tonsils? It's like a vicious cycle: anesthesia group wants to please the hospital and the surgeons, play it safe and by the book, but if that means they want to do a hip fracture at midnight because, well for no good reason, then we do it. Can't have UNhappy surgeons and administrators, otherwise the will shop for another group who WILL do the 8pm add on crap case.

 

[militarymd]

Ouch, 5am tonsils? It's like a vicious cycle: anesthesia group wants to please the hospital and the surgeons, play it safe and by the book, but if that means they want to do a hip fracture at midnight because, well for no good reason, then we do it. Can't have UNhappy surgeons and administrators, otherwise the will shop for another group who WILL do the 8pm add on crap case.

We shouldn't be lazy and obstructionistic....we need to be good and smart and hard working...

BUT just as important....there needs to be fewer of us.

 

[Coastie]

We shouldn't be lazy and obstructionistic....we need to be good and smart and hard working...

BUT just as important....there needs to be fewer of us.

Can you flesh out a bit more how fewer of us would lead to our being in more control of B.S. addons?

We'd still have tons of CRNAs to staff, and if it got bad enough, they would just increase the supervision ratio.

Thanks.

 

[militarymd]

Can you flesh out a bit more how fewer of us would lead to our being in more control of B.S. addons?

We'd still have tons of CRNAs to staff, and if it got bad enough, they would just increase the supervision ratio.

Thanks.

I would say 50 % cut would be a good start.....and it has to be in collaboration with the aana.

 

[Gern Blansten]

I would say 50 % cut would be a good start.....and it has to be in collaboration with the aana.

Believing that the AANA will reduce positions if we do is like Obama disarming our military because Iran and N. Korea say they will play nice now. Very naive to believe they can be negotiated with in such a manner. ASA leaders have been down that path before. Hopefully they aren't as naive as before.

 

[militarymd]

Believing that the AANA will reduce positions if we do is like Obama disarming our military because Iran and N. Korea say they will play nice now. Very naive to believe they can be negotiated with in such a manner. ASA leaders have been down that path before. Hopefully they aren't as naive as before.

So we press on......and keep our numbers going up and up.....

My position (reducing numbers) BENEFITS crna's also.

If they don't want to reduce, then we should reduce.

At the END of the day, hospitals DO like to have the presence of well trained anesthesiologists available....even though they would rather not SUBSIDIZE for the presence of such trained individuals.

Like I have noted before, this is just my personal opinion....which SEEMS to make sense.

 

[deleted50478]

It's a shame that most politically active nurses anesthestists are more concerned with undermining physicians than with protecting their own field. They'd be much better off fighting to limit student nurse anesthetist positions rather than trying to back-stab docs. The ana or whoever decides these things is only going to listen to nurses, not docs. It'd be nice if they have the foresight to react now while their jobs are cush and high paying, but actions to protect themselves from excessive numbers of new grads seem to be lacking.

 

[militarymd]

It's a shame that most politically active nurses anesthestists are more concerned with undermining physicians than with protecting their own field. They'd be much better off fighting to limit student nurse anesthetist positions rather than trying to back-stab docs. The ana or whoever decides these things is only going to listen to nurses, not docs. It'd be nice if they have the foresight to react now while their jobs are cush and high paying, but actions to protect themselves from excessive numbers of new grads seem to be lacking.

perhaps you may be surprised if you wind up discussing things with them...instead of slamming them for protecting a piece of turf...which we continually fight over.

 

[deleted50478]

perhaps you may be surprised if you wind up discussing things with them...instead of slamming them for protecting a piece of turf...which we continually fight over.

Categorizing their behavior as "protecting a piece of turf" is grossly inaccurate. They are absolutely not trying to protect turf. They are trying to steal ours. I think they should be trying to protect turf. I've talked to many student nurse anesthetists. They realise the harm their numbers in training is doing and will continue to do, but that voice is lost beside the 'we can do everything you can do' b.s.

 

[mille125]

perhaps you may be surprised if you wind up discussing things with them...instead of slamming them for protecting a piece of turf...which we continually fight over.

Why not?

Cut anesthesiology residency positions AND close all university sponsored SRNA training programs. Wouldn't this accomplish all goals? What do you think Mil?

 

[SleepIsGood]

CRNAs want to undermine MDs. MilMD you are delusional if you think they will agree to reduce the number of 'them' (CRNAs).

Instead, WE...while we still have some power...cut the number of CRNAs. As long as wecut the nmber of CRNAs and maintain the growth of anesthesiologists, there will be plenty of jobs.

Dont cave into CRNA propoganda

 

[mille125]

CRNAs want to undermine MDs. MilMD you are delusional if you think they will agree to reduce the number of 'them' (CRNAs).

Instead, WE...while we still have some power...cut the number of CRNAs. As long as wecut the nmber of CRNAs and maintain the growth of anesthesiologists, there will be plenty of jobs.

Dont cave into CRNA propoganda

I agree. Cut all non community based CRNA training programs. It is time to declare war and this would be a shot that would end this conflict quickly. Believe me they would feel the heat and may even "play nice".


We definitely have the power to do this. But guess who would stop it............greedy academic chairmen...

 

[coprolalia]

We definitely have the power to do this. But guess who would stop it............greedy academic chairmen...

You know, I don't know about this "greedy academic chairmen" thing. Maybe in a private hospital or program that is in a community hospital based on a private practice model, where they also use residents effectively as indentured servants.

But, I really don't know how much performance bonus is tied into compensation at an academic institution. I've never seen their books. I do know that, in my case, my former chairman was paid by the medical school affiliated with the program, so his base salary was likely completely independent of what was collected through the anesthesia department insomuch as it wouldn't fluctuate based on whether revenue was up or down. He was paid out of the medical school coffers no matter what.

What I did see, overall, in that system was less loyalty to the anesthesia workforce itself, but I don't think this represented his greed as much as he wanted to build his business resume by showing potential future employers how much he ran the department in the black.

Would be curious to know if other programs operated similarly.

-copro

 

[mille125]

You know, I don't know about this "greedy academic chairmen" thing. Maybe in a private hospital or program that is in a community hospital based on a private practice model, where they also use residents effectively as indentured servants.

But, I really don't know how much performance bonus is tied into compensation at an academic institution. I've never seen their books. I do know that, in my case, my former chairman was paid by the medical school affiliated with the program, so his base salary was likely completely independent of what was collected through the anesthesia department insomuch as it wouldn't fluctuate based on whether revenue was up or down. He was paid out of the medical school coffers no matter what.

What I did see, overall, in that system was less loyalty to the anesthesia workforce itself, but I don't think this represented his greed as much as he wanted to build his business resume by showing potential future employers how much he ran the department in the black.

Would be curious to know if other programs operated similarly.

-copro

chairmen form these SRNA schools so that they can entice graduating CRNA's to work for them.....