Modesto can’t be that bad

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So, why not split the job up further? If they're looking for two at $900k - 1.2m, why not have four people split the jobs. Each comes in for one week, takes call each day, and leaves Sunday, after the next guy comes. Pay each $450-600k for the one week a month. I mean, ****, I'll fly across the country one week a month for that kind of money.
 
psychbender said:
So, why not split the job up further? If they're looking for two at $900k - 1.2m, why not have four people split the jobs. Each comes in for one week, takes call each day, and leaves Sunday, after the next guy comes. Pay each $450-600k for the one week a month. I mean, ****, I'll fly across the country one week a month for that kind of money.
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Samesies
 
turnupthegas said:
CEO of the group is a CRNA. No thanks!
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As long as I don't have to supervise his militant ass in the OR I'd take his $50K/week, a couple times per year.

Wouldn't move there. Modesto's primary redeeming quality was that there used to be some pretty great water slides in Manteca.
 
pgg said:
As long as I don't have to supervise his militant ass in the OR I'd take his $50K/week, a couple times per year.

Wouldn't move there. Modesto's primary redeeming quality was that there used to be some pretty great water slides in Manteca.
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They are still there and very fun but expensive
 
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This CT surgeon is insufferable, his brother is also a CT surgeon that was implicated in one of the largest medicare fraud schemes ever. Was stupid enough to try to fake doing CT cases and bill medicare for them. Many previous anesthesiologists have refused to work with this guy because the outcomes were so bad. I guess 900k is the asking price to sell your soul and be an accessory to murder.
 
USCTrojan11 said:
This CT surgeon is insufferable, his brother is also a CT surgeon that was implicated in one of the largest medicare fraud schemes ever. Was stupid enough to try to fake doing CT cases and bill medicare for them. Many previous anesthesiologists have refused to work with this guy because the outcomes were so bad. I guess 900k is the asking price to sell your soul and be an accessory to murder.
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I've noticed at every location I had interviewed at, if they are paying above regional MGMA, there is a reason. Malignant surgeons and staff, longer hours, more call. I call it the Unpalatability Premium (UP). Ie "you gotta bring my pay UP for me to consider the job"
 
USCTrojan11 said:
This CT surgeon is insufferable, his brother is also a CT surgeon that was implicated in one of the largest medicare fraud schemes ever. Was stupid enough to try to fake doing CT cases and bill medicare for them. Many previous anesthesiologists have refused to work with this guy because the outcomes were so bad. I guess 900k is the asking price to sell your soul and be an accessory to murder.
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Are you sure that was Modesto? There was a large cardiac surgery scandal in Redding 20+ years ago. I wonder if the anesthesiologists there knew what was going on.


North Coast Journal - Nov. 20, 2003: COVER STORY - In their hands -- Humboldt heart patients say Redding doctors betrayed their trust

In their hands -- Humboldt heart patients say Redding doctors betrayed their trust -- Cover story of Nov. 20, 2003 North Coast Journal Weekly of Politics, People and Art, Humboldt County, Calif., USA
www.northcoastjournal.com

Tenet Physicians Settle Case Over Unnecessary Heart Procedures at Redding Medical Center - KFF Health News

kffhealthnews.org kffhealthnews.org
 
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nimbus said:
Are you sure that was Modesto? There was a large cardiac surgery scandal in Redding 20+ years ago. I wonder if the anesthesiologists there knew what was going on.


North Coast Journal - Nov. 20, 2003: COVER STORY - In their hands -- Humboldt heart patients say Redding doctors betrayed their trust

In their hands -- Humboldt heart patients say Redding doctors betrayed their trust -- Cover story of Nov. 20, 2003 North Coast Journal Weekly of Politics, People and Art, Humboldt County, Calif., USA
www.northcoastjournal.com

Tenet Physicians Settle Case Over Unnecessary Heart Procedures at Redding Medical Center - KFF Health News

kffhealthnews.org kffhealthnews.org
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This is the CT surgeon's brother (also CTS)

www.justice.gov

Tallahassee Doctor Sentenced to Seven Years in Federal Prison for Performing Unnecessary Surgical Procedures on Patients and Defrauding Health Insurance Providers of $29 Million

www.justice.gov www.justice.gov
 
Correct re surgeon. Lots of complications. All perm MD anesthesia left. Crna group took over. CRNA owns group. Hospital is malignant tenant facility. Only go here for locums. They are very money hungry and will bait/switch
 
This is an update on an older thread. Background is that this Modesto, CA Hospital fired all their anesthesiologists and replaced them with a CRNA-only private practice group. Patient complications started to mount as CRNA's took over care (see article). Word on the street is that they are trying to re-hire "some" physicians and use physician locums. BIG CAVEAT ---> CRNA-only group will maintain complete control of operations and supervise the physicians they bring in.

ca.news.yahoo.com

Complaints at Modesto hospital under investigation by California agency. What’s the concern?

Some surgeries have been canceled or rescheduled as state regulators look at patient safety in operating rooms.
ca.news.yahoo.com ca.news.yahoo.com
 
Burned_Out said:
This is an update on an older thread. Background is that this Modesto, CA Hospital fired all their anesthesiologists and replaced them with a CRNA-only private practice group. Patient complications started to mount as CRNA's took over care (see article). Word on the street is that they are trying to re-hire "some" physicians and use physician locums. BIG CAVEAT ---> CRNA-only group will maintain complete control of operations and supervise the physicians they bring in.

ca.news.yahoo.com

Complaints at Modesto hospital under investigation by California agency. What’s the concern?

Some surgeries have been canceled or rescheduled as state regulators look at patient safety in operating rooms.
ca.news.yahoo.com ca.news.yahoo.com
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Do they come in and initial my charts every hour? Do I call them at 8:45 am for my break? Do I do an online nursing course so I can refer myself as a nurse to the patients?
 
caligas said:
Do they come in and initial my charts every hour? Do I call them at 8:45 am for my break? Do I do an online nursing course so I can refer myself as a nurse to the patients?
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Most likely they'll come in and try to sabotage your anesthetic so they can claim anesthesiologists are even worse care providers.
 
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GassYous said:
The Crnas will supervise?? the physicians??
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The CRNA-only group, Valley Regional Anesthesia Associates (VRAA), will still have control of anesthesia operations. Read into it what you will but that might mean scheduling, hiring & firing, and who knows what else. It very well could be that they place a CRNA as the anesthesia facilitator that makes decisions on whether it's safe to proceed with a case and then assign you that anesthetic.
 
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JoelJoel84 said:
“Hernandez Conte, the California Society of Anesthesiologists president, said …
the gold standard for care is a team model consisting of an anesthesiologist, surgeons and CRNAs.”


Not at all, and thanks for denigrating the specialty even more.
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Nimbus has been providing substandard anesthesia to his patients, lol
 
I think Modesto may be most famous for being where Scott Peterson killed his wife and unborn son. At least that’s what I know it as.
 
JoelJoel84 said:
“Hernandez Conte, the California Society of Anesthesiologists president, said …
the gold standard for care is a team model consisting of an anesthesiologist, surgeons and CRNAs.”


Not at all, and thanks for denigrating the specialty even more.
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The research actually shows this is the safest of the three models. More hands more brains and all. Followed by Physicoan only. At least the last time I looked it up. Of course it depends on how competent and team oriented the nurses are.
 
makemoney2024 said:
The research actually shows this is the safest of the three models. More hands more brains and all. Followed by Physicoan only. At least the last time I looked it up. Of course it depends on how competent and team oriented the nurses are.
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I understand what you're saying, but the studies that could definitively prove something like this will never be done because it would likely never get past the IRB.
I believe it was @pgg who very eloquently noted the following quote (which I wrote down because I liked it so much):
"We're a modern Greek Cassandra-esque tragedy-condemned to know the truth but be forever unable to prove it, surrounded by decision makers who don't actually care."
 
makemoney2024 said:
The research actually shows this is the safest of the three models. More hands more brains and all. Followed by Physicoan only. At least the last time I looked it up. Of course it depends on how competent and team oriented the nurses are.
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Someone has done a multicenter prospective RCT in which elective and non-elective surgical patients are randomized to physician-only, medical direction, and CRNA-only anesthesia care? Would love to read that definitive trial.

All kidding aside, it's obvious which model is the best for patient care.
 
This hospital in Modesto has a DO orthopedic residency. A couple years back the private practice group of orthopods who ran that residency got caught up in a fraud case. The bottom line is that people involved in that Modesto hospital are all about the $$$ and the surgeons are so greedy to the point of being illegal. I’d pass on ever working there. Hard pass.
 
TheLoneWolf said:

Puff piece trying to defend the CRNAs at the Modesto site.
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I found it to actually be balanced and has now laid out the whole story. Before it made no sense and now it does. They got rid of Physician only, brought in ACT but without enough anesthesiologists and then tried to make it work by granting CRNAs independence in that hospital.
It seems like bad **** then started happening and the CRNAs were kicked out. One doctor says that he tried to proctor some of the CRNAs for independence but too many of them were inexperienced and didn’t know what they were doing. It all makes sense now.
The suits brought in an incomplete ACT team to save money, and then tried to make do at the expense of the patients.
Don’t you love American medicine. 😅😅
 
Unfortunately a common theme. New crnas are not able to work independently. Too many education and training gaps. Some crnas that have been out and practicing for many years could do it... but u still catch some weird practices from them that fortunately don't cause significant patient care issues
 
Honestl
makemoney2024 said:
I found it to actually be balanced and has now laid out the whole story. Before it made no sense and now it does. They got rid of Physician only, brought in ACT but without enough anesthesiologists and then tried to make it work by granting CRNAs independence in that hospital.
It seems like bad **** then started happening and the CRNAs were kicked out. One doctor says that he tried to proctor some of the CRNAs for independence but too many of them were inexperienced and didn’t know what they were doing. It all makes sense now.
The suits brought in an incomplete ACT team to save money, and then tried to make do at the expense of the patients.
Don’t you love American medicine. 😅😅
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Honestly it’s probably the hospital and Tenet being cheap bastards. They want their ORs open but want to pay the cheapest rates possible. I hope they get a scar from this.

Probably a majority are decent docs and CRNAs involved that were put in an impossible situation by that hospital.
 
I would bet it's close to that, the hospital probably ponied up boku bucks to maintain their ORs running with known locals at 1099...what they probably don't realize is after being burned by the hospital I doubt anyone local would take a W2 there.
 
secretasianman said:
These administrative goons don’t understand that there is a price to selling out your hospital’s reputation.
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Yeah but it's only slightly monetary...they'll always be someone that will do it for a price. The price is quality, only when that price gets so high via bad outcomes will they notice
 
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