epidural man

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So you’re defending your professional identity by making vague homophobic and transphobic remarks? Seems like a winning strategy.
this is over-the-top ridiculous.

"institution as ancient as 'marriage' " Is not in any way homophobic. Maybe the poster is...but no one could tell by this comment. I mean..really. It is complicated subject, but someone that may be religious and believe that marriage is an ancient ritual with religious roots (and may even think they have historical context and background to prove this point) doesn't say anything about their feeling towards someone who has same sex attraction, nor about what that person feels about the governmental rights they deserve if they form a union with their loved one.


"or the identity of male and female is completely up for grabs" - this has NOTHING to do with transgender, trans-whatever. How can you say that the poster is scared (phobia) of transgender people based on this?

Isn't ridiculous generalizations the problem? Why are you making them then?
 
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GravelRider

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I don't think it sounds strange. I try to introduce myself as "Hi, I'm Dr X, I'll be your physician doing your anesthesia." I emphasize physician so the surrounding CRNA's hear it.

I wish we could all get in a room and agree on terms. who cares what we call each other - as long as the CRNA's agree it is important to delineate, and that they would agree on a term that we could use and that they could use that clearly showed that they were different. Who cares if they think they are better. Good for them.

I've always said - let the public decide. But IF we do that, we need to stop playing in the sand box. Give CRNA's complete independence. Then sue their A*SS if we find them using any of our guidelines, any of our textbooks, any of our science.

Then don't let them work in MD hospitals. They can have their own hospitals. And again, let the public decide where they want to go.

IF we give them complete indepedence, we can then refuse to work in the same building as them. How many surgeons would go for this in a hospital?

I mean, maybe they are just as good. If they are, that will manifest itself. If they aren't, that will also manifest itself.
I vote for this as well. I say let the CRNAs have full independence. I couldn’t care any less. I would rather do my own cases than run around doing pre-ops and figuring out the logistics of how I’m going to squeeze in the two 15s and a 30 for each CRNA.
 

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I vote for this as well. I say let the CRNAs have full independence. I couldn’t care any less. I would rather do my own cases than run around doing pre-ops and figuring out the logistics of how I’m going to squeeze in the two 15s and a 30 for each CRNA.
+100. Whenever I have a solo day, it's like a parallel universe. Even BMI 50 patients become fun.
 
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GravelRider

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This is not the answer.
For me it is. I couldn’t care any less about the effect on the profession, healthcare system, or population level measurable differences in morbidity and mortality. All I care about is me, my job and life satisfaction, and the patients I take care of.

Believe it or not, despite my cynicism, I also think independent CRNAs would actually drive up the demand for anesthesiologists as well as drive up salaries. Despite the rhetoric from the CRNA lobby groups, most surgeons still want an anesthesiologist involved. Do you want to be the surgeon who uses the CRNAs while the other surgeons only works with anesthesiologists? How about the hospital that uses CRNAs while the one down the road uses anesthesiologists? I work with some surgeons who refuse to even allow CRNAs in the room...and their cases are not overly complex. CRNA independence would be suicide for their profession whether they know it or not. If they want to staff the greedy GI suites or the hospitals in the middle of nowhere, have at it, because I have no desire to do that anyway.
 

Mman

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I've always said - let the public decide. But IF we do that, we need to stop playing in the sand box. Give CRNA's complete independence. Then sue their A*SS if we find them using any of our guidelines, any of our textbooks, any of our science.
that's not how the law works.
 
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epidural man

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that's not how the law works.
You would think that is the case, but when a president can argue what the definition of “is” is, a murderer with indisputable DNA evidence gets off free because of a catchy glove-fitting line, the head of NSA bold-face lies to congress about blatant 4th amendment offense and no one cares or does anything about it, you can be a super hot pop star and have sex with LOTS of little boys and get away with it because of great lawyers, etc...I would say anything is possible “legally” with a good argument.