MH in the news

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anyone catch the today show? a teenager undergoing corrective breast surgery died of MH, at an outpatient surgery center....they had the head of the plastic surgery association on....why not the anesthesiologist? he said surgeons do everything they can to minimize this...blah blah....no explanation of what it is or anything....
he did say that he had a case of MH in another patient and named the anesthesiologist and said she saved the patient....
why in the world would they have a surgeon on to talk about MH and not an anesthesiologist?
 
I was also annoyed by this. I'm post-call and saw it this morning. Why not interview one of the anesthesiologists that are part of the MH hotline, or even just any anesthesiologist that has treated it? We're the ones who recognize and treat the condition. The surgeon didn't seem very knowledgable about it and the interview overall was pretty useless. I was glad that he emphasized that it was the anesthesiologist that saved his patient.
I wonder why this girl died. I mean, I know why she died, but I wonder if it just wasn't recognized in a timely manner.
 
I thought either not recognized early or dantrolene, cooling blankets, etc. not readily available at the outpatient surgery center.
 
Even I, as a surgeon, thought it was a bit odd to not have an anesthesiologist there.

Not sure how well the ASC was stocked but it seems like any place that administers anesthesia should have the necessary meds, etc. to tx it. I'm at an ASC today, see the MH poster on the wall behind Gas, he tells me he has dantrolene, cooling blankies, etc. (as we start to discuss the case).
 
Don't you guys know we are just glorified nurses??

Why would the public care/want to see our grill on tv when you can talk to the real doctors, like the surgeons.

I think it comes down to the same issue we have brought up a hurdered times. The public has no idea what we do. All we do is put people to sleep.
 
Looking at these reports, I wonder if the surgery center was staffed with an anesthesiologist. One report says that the surgeon diagnosed her with MH. I know of some of these plastic surgery mills that just employ CRNA's that are "supervised" by the surgeons. I don't know if this is the case but it seems odd to me that nobody has mentioned the anesthesiologist in any of these reports.
 
pd4emergence said:
Looking at these reports, I wonder if the surgery center was staffed with an anesthesiologist. One report says that the surgeon diagnosed her with MH. I know of some of these plastic surgery mills that just employ CRNA's that are "supervised" by the surgeons. I don't know if this is the case but it seems odd to me that nobody has mentioned the anesthesiologist in any of these reports.
Click to expand...

bingo
 
Yeah, if it turns out that it was a CRNA involved in all this, and she was somehow negligent because of lack of training and education, she needs to be made an example of.
 
g3pro said:
Yeah, if it turns out that it was a CRNA involved in all this, and she was somehow negligent because of lack of training and education, she needs to be made an example of.
Click to expand...
Why does this old man even try to keep his colleagues from stepping in it (I am trying to help)?

We look foolish by jumping the gun (so do we really want to make an example of them and fry them? It looks like that may be a very bad idea.)

That surgery center at 1905 Clint Moore Road uses the following anesthesia services:
http://www.officeanesthesia.net/pages/3/index.htm
http://www.healthgrades.com/directo...d-reports/Dr-Wayne-Weidenbaum-MD-416D34B7.cfm
 
Its also important to realize that while everyone involed with administering anesthesia has heard of MH, few of us have actually seen it, and so failure to promptly diagnose, coupled with what might have been substandard knowledge of how to treat, coupled with a disease thats 10% fatal when recognized...coupled with a 20g IV and likely no central line/a line anywhere in sight and multiple delays in getting dantrolene, etc.

scares the sh1t out of me
 
In your mind you have already concluded that the CRNA was a female...so, what leads you to that conclusion. I didn't realize that having a penis makes you more apt at recognizing and properly treating MH.



g3pro said:
Yeah, if it turns out that it was a CRNA involved in all this, and she was somehow negligent because of lack of training and education, she needs to be made an example of.
Click to expand...
 
Geez, just let it go. Can't take a tiny bit of a hypothetical before it will set you off.

Nah, nevermind. Just give me everything you got. From behind. I deserve it. Don't forget to spit on me and call me a *****.



yeesh. 🙄
 
I just hope the physician said that phrase that we all say everyday "have you or anyone in your family ever had an adverse reaction to anesthesia?", or some variant. that could literally save his ***.
 
Don't confuse hypothetical with stereotypical...


g3pro said:
Geez, just let it go. Can't take a tiny bit of a hypothetical before it will set you off.

Nah, nevermind. Just give me everything you got. From behind. I deserve it. Don't forget to spit on me and call me a *****.



yeesh. 🙄
Click to expand...
 
quaker1996 said:
Why does this old man even try to keep his colleagues from stepping in it (I am trying to help)?

We look foolish by jumping the gun (so do we really want to make an example of them and fry them? It looks like that may be a very bad idea.)

That surgery center at 1905 Clint Moore Road uses the following anesthesia services:
http://www.officeanesthesia.net/pages/3/index.htm
http://www.healthgrades.com/directo...d-reports/Dr-Wayne-Weidenbaum-MD-416D34B7.cfm
Click to expand...


Stop pretending you're an attending dude. You look foolish.
 
toughlife said:
Stop pretending you're an attending dude. You look foolish.
Click to expand...
Who are you????

I became board certified almost 12 years ago, you?

It is obvious by my moniker where I trained, you?

I have nothing to prove to anyone, I live in an enormous house in Devon, PA; drive a Maserati GranTurismo, and I have slept with one exceptionally beautiful women for the last 22 years......You?

Call me what you want, I don't care.

I do care about the profession and want you up-and-comers to quit jumping the gun and looking foolish and become more far-forward in your thinking about this fight.
 
quaker1996 said:
Who are you????

I became board certified almost 12 years ago, you?

It is obvious by my moniker where I trained, you?

I have nothing to prove to anyone, I live in an enormous house in Devon, PA; drive a Maserati GranTurismo, and I have slept with one exceptionally beautiful women for the last 22 years......You?

Call me what you want, I don't care.

I do care about the profession and want you up-and-comers to quit jumping the gun and looking foolish and become more far-forward in your thinking about this fight.
Click to expand...


Material goods are or will be attainable to anyone in this forum who becomes an attending so there's nothing unique about them. So explain how we can become far-forward thinking.
 
toughlife said:
Material goods are or will be attainable to anyone in this forum who becomes an attending so there's nothing unique about them. So explain how we can become far-forward thinking.
Click to expand...
Start by finding out what the ASA has done to garner support from the potential Presidential candidates. How much do you know about your representatives in congress? What does your congress representative know about you? Have you had a face to face meeting with him/her?

Policy will dictate practice, always. That is where strategy should be focused. It is foolish to highlight incidents that occur by CRNAs because it always seems that those same incidents happen with Anesthesiologists. How do you think it feels to bring up something like that in a policy hearing and then get "blind-sided" because the same thing has happened with an Anesthesiologist. Once I got burned with that, I stayed away from firing salvos across the table.

Again, policy will dictate practice. Whoever sells the "package" the best will change the minds of the politicians. However, because the Practice of Anesthesiology is safer than at any point in history, the argument of patient safety is not the winning strategy. Educational differences and consumer confidence research/market research are the key in formulating the most attractive argument.

Take that for what you will, it is one man's opinion who has been doing this a very long time.
 
quaker1996 said:
Start by finding out what the ASA has done to garner support from the potential Presidential candidates. How much do you know about your representatives in congress? What does your congress representative know about you? Have you had a face to face meeting with him/her?

Policy will dictate practice, always. That is where strategy should be focused. It is foolish to highlight incidents that occur by CRNAs because it always seems that those same incidents happen with Anesthesiologists. How do you think it feels to bring up something like that in a policy hearing and then get "blind-sided" because the same thing has happened with an Anesthesiologist. Once I got burned with that, I stayed away from firing salvos across the table.

Again, policy will dictate practice. Whoever sells the "package" the best will change the minds of the politicians. However, because the Practice of Anesthesiology is safer than at any point in history, the argument of patient safety is not the winning strategy. Educational differences and consumer confidence research/market research are the key in formulating the most attractive argument.

Take that for what you will, it is one man's opinion who has been doing this a very long time.
Click to expand...

Very wise advice.

I've been in this game long enough to know the same thing.

I can NOT stand all the attacks that get posted here against CRNAs.....it's always about something that they did WRONG.....

You know what? It happens to anesthesiologists too...Anesthesiologists do some of the EXACT same things with exactly the same bad outcomes.
 
quaker1996 said:
Start by finding out what the ASA has done to garner support from the potential Presidential candidates. How much do you know about your representatives in congress? What does your congress representative know about you? Have you had a face to face meeting with him/her?

Policy will dictate practice, always. That is where strategy should be focused. It is foolish to highlight incidents that occur by CRNAs because it always seems that those same incidents happen with Anesthesiologists. How do you think it feels to bring up something like that in a policy hearing and then get "blind-sided" because the same thing has happened with an Anesthesiologist. Once I got burned with that, I stayed away from firing salvos across the table.

Again, policy will dictate practice. Whoever sells the "package" the best will change the minds of the politicians. However, because the Practice of Anesthesiology is safer than at any point in history, the argument of patient safety is not the winning strategy. Educational differences and consumer confidence research/market research are the key in formulating the most attractive argument.

Take that for what you will, it is one man's opinion who has been doing this a very long time.
Click to expand...


Those points has been brought up and discussed in the past by many here especifically the highlighting of educational differences and length of training.

UT SOuthwestern, JPP and BladeMDA were vociferous in those specific issues. The ASA is currently working on it and there's talk of a branding campaign in the works.

I personally will be attending the June ASA legislative affairs meeting in Washington, DC to hopefully get to interact with my representatives and learn about the process of developing relationships with legislators.

The ASA by virtue of donor contributions and via the ASAPAC reaches out to legislators from either party asking for their support of the specialty. What we fail to realize is that WE ARE THE ASA. If we don't support it monetarily, there is no ASA. You know it takes substantial donations to get face time with legislators.

Which leads me to ask, where in the world are the attendings??? The ones with the big houses, phat cars and exorbitant salaries. You guys are the worst offenders when it comes to supporting the ASA and making these much-needed interactions with legislators possible.

Aren't you all embarrased that residents are stepping up to the plate and contributing to the ASAPAC in record numbers. Just check out the last ASAPAC contribution report and notice how the donations increased to over $1 million this year because of record resident contributions.

It is fine and dandy to expect the ASA to have a plan of action but let's not forget that the ones who benefit the most from its lobbying is not me and my co-residents but you and your peers.

As far as I am concerned, those attendings who ride in the coattails of donors are an embarrasement to the specialty. So all of you attendings with the fat wallets, step up to the plate and put your money where your mouth is. Someone like you, for example, who drives a Maserati Gran Turismo, has lots of hot women and lives in a mansion should have no problem making the highest contribution allowed of $5000. Right?
 
quaker1996 said:
Start by finding out what the ASA has done to garner support from the potential Presidential candidates. How much do you know about your representatives in congress? What does your congress representative know about you? Have you had a face to face meeting with him/her?

Policy will dictate practice, always. That is where strategy should be focused. It is foolish to highlight incidents that occur by CRNAs because it always seems that those same incidents happen with Anesthesiologists. How do you think it feels to bring up something like that in a policy hearing and then get "blind-sided" because the same thing has happened with an Anesthesiologist. Once I got burned with that, I stayed away from firing salvos across the table.

Again, policy will dictate practice. Whoever sells the "package" the best will change the minds of the politicians. However, because the Practice of Anesthesiology is safer than at any point in history, the argument of patient safety is not the winning strategy. Educational differences and consumer confidence research/market research are the key in formulating the most attractive argument.

Take that for what you will, it is one man's opinion who has been doing this a very long time.
Click to expand...

Please tell us where you are an attending at. I'm sure that will allow us to clear up this confusion and ensure that you are not a CRNA.

Tough, Mil, Noy, Jet, etc. all know each other by name and location. Please tell us your name and location so that you can dispel the notion that you are a CRNA in disguise.
 
UTSouthwestern said:
Please tell us where you are an attending at. I'm sure that will allow us to clear up this confusion and ensure that you are not a CRNA.

Tough, Mil, Noy, Jet, etc. all know each other by name and location. Please tell us your name and location so that you can dispel the notion that you are a CRNA in disguise.
Click to expand...

Upon receipt of the afore mentioned names and locations, I will be more than willing to provide mine.

Regards.
 
quaker1996 said:
Upon receipt of the afore mentioned names and locations, I will be more than willing to provide mine.

Regards.
Click to expand...


Can you explain to us in the forum why your IP address matches that of Armygas? You know that CRNA that used to lurk here and was banned. I can smell CRNA poopoo a mile away and the smell coming from your IP address is very strong.
 
toughlife said:
Can you explain to us in the forum why your IP address matches that of Armygas? You know that CRNA that used to lurk here and was banned. I can smell CRNA poopoo a mile away and the smell coming from your IP address is very strong.
Click to expand...

Your kung fu is strong, you have done well in blowing my "cover", nice work 👍.

However, I have roughly 15 other usernames I have made over the last 3 years that you have no clue who I am (you would be surprised as to the information that I have collected, and what I have cracked. This is an internet site and anything can be hacked into with the right software 🙂)

You should really hear how you have sounded over the years, I have a nice file on you. Your banter over the years does not present well and will be quite humorous when I post my collection of "key phrases" in my upcoming "Anesthesia Review Blog - Highlighting the "stars" of the Anesthesia Blog and Forum world" at http://anesthesiawebreview.blogspot.com. I have to thank you as you have provided some of the most "animated" material.


You have won this battle grasshoppa........
 
Hey Quaker, on your website you have a picture of yourself waking up a POW.


Your ECG leads are backwards. THought you might want to know.
 
quaker1996 said:
Your kung fu is strong, you have done well in blowing my "cover", nice work 👍.

However, I have roughly 15 other usernames I have made over the last 3 years that you have no clue who I am (you would be surprised as to the information that I have collected, and what I have cracked. This is an internet site and anything can be hacked into with the right software 🙂)

You should really hear how you have sounded over the years, I have a nice file on you. Your banter over the years does not present well and will be quite humorous when I post my collection of "key phrases" in my upcoming "Anesthesia Review Blog - Highlighting the "stars" of the Anesthesia Blog and Forum world" at http://anesthesiawebreview.blogspot.com. I have to thank you as you have provided some of the most "animated" material.


You have won this battle grasshoppa........
Click to expand...

How many of these creeps do I have to deal with.

Off to the big bad mods with you too.

Adios to your IP address as well.

Good lord man.

Vent
 
VentdependenT said:
How many of these creeps do I have to deal with.

Off to the big bad mods with you too.

Adios to your IP address as well.

Good lord man.

Vent
Click to expand...

Oh wait! Its actually the same dirtbag vigilantwatch.

You have done your profession great justice oh CRNA. You totally rock and deserve a cold frosty one.
 
Since this thread is no longer about MH, you all should go to the Nurse Anesthetist CRNA forums on this trolls blog. In case anyone may have thought the crna's were closing the gap in anesthesia just view the Labetolol vs Esmolol thread. What a joke. These guys/gals have no idea what the drugs they use really do and why. Not to mention can't diagnose an introp complication effectively. I got such a kick out of those posts.

I wonder if you saw them, Mil. I saw that you have been a regular there. I can also say that your posts are pretty amusing as well.
 
....just saw on the news it was an M.D. handling the anesthesiology for this young girl who died.
 
We have an MH Guru at our hospital who has some inside info on this case. It was an individual surgeons office with an anesthesiologist caring for the patient. Recognized MH, started dantrolene, called 911 for transfer to hospital. Did not give enough dantrolene, didn't realize how tough it was to prepare, did not resucitate enough or follow to ER. Patient's temp upon entering ER was over 108, patient was also in DIC. Died within 24 hours.
MH Sucks a big fat C**k. I had one case years ago. Anyone else?
 
numbmd said:
Did not give enough dantrolene, didn't realize how tough it was to prepare
Click to expand...

had to make it for the ER for NMS patient. used a hot water bath; put the vials in to heat up while they "waited" to be reconstituted.
i imagine heating the diluent, too, would help. it's one the most annoying things to make; the emergent nature of it doesnt help!🙂
 
tussionex said:
had to make it for the ER for NMS patient. used a hot water bath; put the vials in to heat up while they "waited" to be reconstituted.
i imagine heating the diluent, too, would help. it's one the most annoying things to make; the emergent nature of it doesnt help!🙂
Click to expand...

It is recommended to use warm diluent.
 
Noyac said:
It is recommended to use warm diluent.
Click to expand...

we "hazed" a student with some outdated dantrolene that we weren't going to get credit for.....told him ER needed it "stat"....had kept it kinda cold before we gave it to him...even got an ER nurse to come in and demand the med faster....wanted to see if the kid would lose his cool.

gotta pep up a slow night somehow...😀
 
Noyac said:
It is recommended to use warm diluent.
Click to expand...

That was from a study done by.....CRNA's.......!!!!!!!!!!!!!!!! Published in their journal.

Do you read the AANA journal much?
































Yeah, I know. It was highlighted in Anesthesiology News. I don't know what all the fuss is about. Diluting that stuff is not that hard. All you gotta do is "shake it like a Polaroid".
 
Kubed said:
http://www.nurse-anesthesia.org/photopost/data/500/DSCN0005.JPG

:laugh:
Click to expand...
It is a nice picture isn't it 🙂

BTW we had moved the patient from the table to the stretcher and the OR nurse re-applied the leads. The patient was fine and I wasn't worried 'bout fixing "the leads".

Man, I feel refreshed to be back (the more you ban me, the more I shall return as armygas2, armygas3,......armygas(infinity)). I have collected quite a useful amount of rhetoric on most of the haters.

I know the identities of many of you (internet investigation is easy). As you can see, I don't hide mine.

I believe in respect and now I will be all over this forum showing how many of you are disrespectful to not only CRNAs but other people in general.

I have indexed the entire site on my hard drive (software is wonderful) and there are many quotes that I am sure some of you would like to have back. I have also been able to gather names and locations of practice for many of you. I wonder if you have the guts to stand behind what you say when your names are made public.

Have a nice day.
 
someone has way too much time on his hands and way too much sand in his vagina :laugh: wow.
 
Well, at least you're maintaining your professionalism and not acting infantile or anything.

Oh wait...
 
Is it me or are you admitting to stalking people? i imagine this might be illegal to the degree you are doing it.


armygas1 said:
It is a nice picture isn't it 🙂

BTW we had moved the patient from the table to the stretcher and the OR nurse re-applied the leads. The patient was fine and I wasn't worried 'bout fixing "the leads".

Man, I feel refreshed to be back (the more you ban me, the more I shall return as armygas2, armygas3,......armygas(infinity)). I have collected quite a useful amount of rhetoric on most of the haters.

I know the identities of many of you (internet investigation is easy). As you can see, I don't hide mine.

I believe in respect and now I will be all over this forum showing how many of you are disrespectful to not only CRNAs but other people in general.

I have indexed the entire site on my hard drive (software is wonderful) and there are many quotes that I am sure some of you would like to have back. I have also been able to gather names and locations of practice for many of you. I wonder if you have the guts to stand behind what you say when your names are made public.

Have a nice day.
Click to expand...
 
urge said:
That was from a study done by.....CRNA's.......!!!!!!!!!!!!!!!! Published in their journal.

Do you read the AANA journal much?
Click to expand...

Oh **** I didn't know that. It must be wrong then.😀


But it makes since that it is in a nursing journal since they are the ones that would and should be mixing it. 😉
 
armygas1 said:
It is a nice picture isn't it 🙂

BTW we had moved the patient from the table to the stretcher and the OR nurse re-applied the leads. The patient was fine and I wasn't worried 'bout fixing "the leads".

Man, I feel refreshed to be back (the more you ban me, the more I shall return as armygas2, armygas3,......armygas(infinity)). I have collected quite a useful amount of rhetoric on most of the haters.

I know the identities of many of you (internet investigation is easy). As you can see, I don't hide mine.

I believe in respect and now I will be all over this forum showing how many of you are disrespectful to not only CRNAs but other people in general.

I have indexed the entire site on my hard drive (software is wonderful) and there are many quotes that I am sure some of you would like to have back. I have also been able to gather names and locations of practice for many of you. I wonder if you have the guts to stand behind what you say when your names are made public.

Have a nice day.
Click to expand...


Way to give the CRNA folks a good name for new soon-to-be residents such as myself. 🙄

What a douche.
 
quaker1996 said:
Your kung fu is strong, you have done well in blowing my "cover", nice work 👍.

However, I have roughly 15 other usernames I have made over the last 3 years that you have no clue who I am (you would be surprised as to the information that I have collected, and what I have cracked. This is an internet site and anything can be hacked into with the right software 🙂)

You should really hear how you have sounded over the years, I have a nice file on you. Your banter over the years does not present well and will be quite humorous when I post my collection of "key phrases" in my upcoming "Anesthesia Review Blog - Highlighting the "stars" of the Anesthesia Blog and Forum world" at http://anesthesiawebreview.blogspot.com. I have to thank you as you have provided some of the most "animated" material.


You have won this battle grasshoppa........
Click to expand...


So I was right all along. Well, what can I say, my sense of smell for your brethren is just well developed.
 
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