Pulmonologists pushing prop for Endo!
Started by Greenbayslacker
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deleted87051
Like this guy!
South Bay plastic surgeon charged in patient’s death pleads guilty
Carlos Chacon agreed to a three-year prison term and a lifetime suspension of his California medical license as part of his plea to voluntary manslaughter in connection with the death of Megan Espi…
www.sandiegouniontribune.com
No they're not
How is the billing done for non-anesthesiologists pushing propofol for sedation?
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We do cardioversions every day. A little propofol, eyes batting, zap, done. BTW it's illegal for RNs to administer propofol to non-ventilated patients in my state.
Cause we make em dance to our tune... we do em when we're ready so everything tee'ed... sometimes less than 1 minutes work
What's wild to me is I hear about these stories and at the same time I know plenty of places where CRNAs are pushing 2 of versed for eyes and waiting around all day.
I don't really believe in this "shortage causing X" type stuff. An anesthesiologist was making 200 an hour in 2018 now makes 250 an hour, inflation adjusted no difference. Someone getting some plastic surgery done previously was cool with 300 bucks but now is outraged at 375 6 years later? So clearly the only solution is to hire an RN for 50 an hour to push 10 of versed and 300 fentanyl and hope nothing bad happens. Sure.
It's like people forget what a real shortage looks like. During covid nurses were making 6-7k a week, routinely. ECMO up to 10k a week. That's a shortage that can drive people to do weird stuff. A shortage where inflation adjusted pay goes up like 0-10% over a period of 6 years isn't it.
A friend was looking into building a house and got some really pricey bids. The reason given was that lumber was super expensive. Meanwhile lumber is cheaper (without adjusting for inflation) than 6 years ago. People are just seeing what they can get away with.
I don't really believe in this "shortage causing X" type stuff. An anesthesiologist was making 200 an hour in 2018 now makes 250 an hour, inflation adjusted no difference. Someone getting some plastic surgery done previously was cool with 300 bucks but now is outraged at 375 6 years later? So clearly the only solution is to hire an RN for 50 an hour to push 10 of versed and 300 fentanyl and hope nothing bad happens. Sure.
It's like people forget what a real shortage looks like. During covid nurses were making 6-7k a week, routinely. ECMO up to 10k a week. That's a shortage that can drive people to do weird stuff. A shortage where inflation adjusted pay goes up like 0-10% over a period of 6 years isn't it.
A friend was looking into building a house and got some really pricey bids. The reason given was that lumber was super expensive. Meanwhile lumber is cheaper (without adjusting for inflation) than 6 years ago. People are just seeing what they can get away with.
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If I have it done, I want propofol. From a patient's perspective, propofol (in the right hands) is far superior for during the procedure and for the recovery period, in my opinion.
All the more reason to use propofol. This is a 15 minute time commitment tops, including getting propofol from the drug machine. Versed and fentanyl is absolute overkill for what is literally a one-second procedure.
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Assuming you meant to say "versed and fentanyl," I agree. The recovery time will be too long for my liking. Plus, most of the patients who need DCCV are elderly and I hate giving midazolam to elderly patients, especially when it is in the doses needed to make them comfortable for a DCCV.
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deleted1112838
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deleted1183938
Pants? Meaning license?
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deleted1183938
What’s that dose? Not very much.
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deleted1183938
I have given 2 and 1 to young patients and they did fine. An old person may just need a little versed and tiny dose of fentanyl. They don’t pass out. They just get a little sleepy. Like cataracts which also takes about 10 minutes with the fast surgeons.
Anyway, there are multiple ways to skin a cat.
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No, his actual pants. They were his favorite corduroys, too...😉
JK. They could have meant monetary loss or license. Not sure.
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deleted1183938
Off topic but why does your account always say on hold? I have been here six months now and it's always been on hold. On hold for what specifically?
For being pedantic.
Seriously though, I added that in a few years ago as a joke.
This guy has got to be trolling…
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deleted1183938
Yup. That’s me. I am a troller!! Apparently the definition of trolling is having a differring viewpoint.
