Fight against CRNA cooption of the subspecialty of Pain Medicine

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Ligament

Interventional Pain Management
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March 4, 2009



To: ASIPP Members



Re: LA CRNA case



Dear Friends:



We are at a critical stage in the battle between Spine Diagnostics Center of Baton Rouge, and the Louisiana State Board of Nursing (LSBN). Because of the mounting costs and lack of financial support from our membership, we must decide whether or not to continue in this fight. This is a critical time as the LSBN, Louisiana Association of Nurse Anesthetists (LANA) and the American Association of Nurse Anesthetists (AANA) have appealed our favorable decision (see excerpt below), (letter announcing the decision) to the Louisiana Supreme Court.



While we recognize the importance of this case and the national significance of it to interventional pain management, the fact is ASIPP cannot afford to pay the mounting legal fees without the support of members like you. Even though this case is taking place in Louisiana, I know you are well aware that CRNAs across the country are pushing the boundaries of their skills and scope of practice. The outcome of this case will undoubtedly affect the future of your practice.



Since ASIPP began supporting this important case, we have paid out over $180,000, to Keogh, Cox & Wilson, Ltd. Louisiana members and LSIPP have contributed approximately $50,000 of this total. The balance on the legal fees currently exceeds $85,000; obviously to stay in without the support of the membership will harm reputation of ASIPP and our future well-being.



We believe this is an extremely important issue and would like to continue in the effort to preserve our specialty. Please lend your support to this fight today. If you would like to see IPM stay in the hands of well-trained physicians like yourself, you can help by sending in your contribution to Physicians for High Quality IPM Care. This money is earmarked to pay for the costs associated with protecting IPM patients in Louisiana. Contributions of all sizes are needed and appreciated. Click on the following link for your contribution form.



Thank you in advance for your response to this important call for assistance. The future of this case and of IPM is in your hands.



Sincerely,



Laxmaiah Manchikanti, MD

Chief Executive Officer and Chairman of the Board, ASIPP and SIPMS

Medical Director, Pain Management Center of Paducah

Associate Clinical Professor

Anesthesiology and Perioperative Medicine

University of Louisville, Kentucky



2831 Lone Oak Road

Paducah, KY 42003

Phone: 270-554-8373 ext. 101

Fax: 270-554-8987

[email protected]

Members don't see this ad.
 
Jolley aims to limit non-physicians practicing pain management


EDMOND, Feb 18, 2009 (The Edmond Sun - McClatchy-Tribune Information Services via COMTEX) -- A pain management bill supported by state Sen. Clark Jolley, R-Edmond, would deal with non-physicians practicing pain management. Senate Bill 1133, the Oklahoma Interventional Pain Management and Treatment Act already has won unanimous support by passing through the Health Care committee.
Jolley's concern is that non-physicians such as chiropractors are currently confident about injecting steroids into the cervical area of the neck or the spinal column lumbar area.

"Certified registered nurse anesthetists that are doing them -- they are concerned about the bill," said Jolley, chairman of the Senate Health Committee. "I don't in any way, shape or form want to limit what CRNAs want to do, that they should be doing.

"But if you are a millimeter off when you are injecting a long needle into somebody's neck, if you inject a steroid in there, if you're off by a millimeter, you can kill somebody instantly."

The standard of care for this procedure requires the use of live X-ray technology, Jolley said. The only professionals operating pain management clinics should be medical physicians or doctors of osteopathy, he said.

"The Oklahoma Nurses Association supports the CNRA practice as it exists today," said Jane Nelson, RN, ONA executive director. "We do not support anything that would erode their current practice."

SB 1133 is currently pending before the full Senate.
 
Note the Oklahoma bill is a grass roots initiative, similar to what Dr. Burdine did in taking on the CRNAs in Louisiana. None-the-less, once it passes, anyone want to bet Dr. M. will take credit for the success, and use it as an opportunity to raise funds?
 
Note the Oklahoma bill is a grass roots initiative, similar to what Dr. Burdine did in taking on the CRNAs in Louisiana. None-the-less, once it passes, anyone want to bet Dr. M. will take credit for the success, and use it as an opportunity to raise funds?

Lots of anti-ASIPP AMP, sounds like your local schmuck is going big time.

Or has the formaldehyde from your FEMA trailer finally taken its toll?
 
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