Colo. medical groups sue to block new policy allowing nurses to adm...

Gas-passers charge as much as the doctors who do the work these days....Check you medical bills....

Many get off on any murder charges when they botch their job ( and MANY do ).

This might get rid of the years ( decades ) of finger pointing when it comes to settling on damages. The DOCTOR will finally be the one who is responsible!

The good news: Incompetent gas-passers will be out of a job....and will have to go to work!

The bad news Putting an extra load on the support staff ( who usually gets underpaid already )....

Nice! Lets put Anesthesia Doctors in the unemployment line with everybody else and hand our care to someone who doesn't have 8 years of education. Just a taste of the legalized euthansia included in Obamacare. Oh well this should help out the poor life insurance salespeople, huh?

madmadmad wrote:

Nice! Lets put Anesthesia Doctors in the unemployment line with everybody else and hand our care to someone who doesn't have 8 years of education.

We already do. read the Obamacare laws.....ALL of them, not just cherry pick...

When you go for a doctor visit that costs $150-200, how long do you actually see the doctor?

Wake up and take of the rose colored glasses.

When you send a fool to the market, the merchants rejoice.

the_punnisher wrote:

<quoted text>
We already do. read the Obamacare laws.....ALL of them, not just cherry pick...
When you go for a doctor visit that costs $150-200, how long do you actually see the doctor?
Wake up and take of the rose colored glasses.

I have read the Obamacare laws. No cherry picking there. The whole thing stinks, all 2700+ pages.

News flash gentlemen ... CO official opted out... 16 down... 34 to go.

madmadmad wrote:

Nice! Lets put Anesthesia Doctors in the unemployment line with everybody else and hand our care to someone who doesn't have 8 years of education. Just a taste of the legalized euthansia included in Obamacare. Oh well this should help out the poor life insurance salespeople, huh?

Stay mad... CO is a taste of what's ahead.... Safe CRNA anesthesia

No...you haven't, dumbdumbdumb, you just got caught spouting yet more right wing drivel.

So...the real question is...why do you keep posting ignorant crap when you've been told not to?

DL Probing wrote:

...
So...the real question is...why do you keep posting ignorant crap when you've been told not to?

Why listen to the outhouse exhaust fan?

Intelligent dialogue is NOT what can be had there.

Well...at least you're kinda honest about being a troll.

This is about the dumbest thing I ever heard of. Take what is usually the most dangerous part of an operation and had it over to a nurse! I am not putting nurses down but when I go under I want a doctor, a specialist doctor to be the one keeping be out without killing me.
What are they going to do next have Jim the painter draw my blood because some places may not have phlebotomist or nurses?

The most dangerous part of an operation is Gov Ritter.

MIster Twister wrote:

The most dangerous part of an operation is Gov Ritter.

The post on this site are scary, cavalier, and the mindsets of greedy docs... Wow....Colorado got it right for sure... Thanks for proving my point drones of medicine.

Anesthesia Provider.

By the way I never said my training was superior to that of nurse anesthetists, and I don't think I'm better than nurse anesthetists (they are my colleagues). I only wrote that I was well trained because you wrote you felt sorry for my patients because of my judgement. I love working with anesthetists, and even said I wasn't opposed to independent practice.

What's your story. Why are you so militant and confrontational? And don't bother answering if you have something derogatory to say about me, my training, or your apparent disdain for anesthesiologists (or am I misjudging your comments). Give me a straight answer.

Ncmd ... I feel no need to justify myself to you; however, I will say that I am an advocate for CRNAs working independently in this country. This job market is such that there is plenty of anesthesia work to go around...For both Docs and advanced practice nurses.... People on several of these posts deny the recent EBP and history of CRNAs to further there position if you will... And I disagree with that mentality of an md is a better option that a CRNA. I agree that in many ACT models it works well... But I'm am a voice for the flip side where autonomy is being stripped from competent CRNAs.

Btw... I have no disdain for anesthesiologists... I do work with, and have worked with, docs who are lazy, greedy, and cavalier to the hill... So when I say what I've experienced ... It is what it is...are there crnas like that... Sure... But most mdas to not want crnas around "competition"... This is in one part of the country that I can attest to ... But it is very real. My training and experience has giving me invaluable tools... I just don't accept a crna being restrained by false barriers... I enjoy what I do and I think many on this board do... But I will stand up for anesthetist autonomy until supervision CMS rules are obsolete... If that's militant... Then that is your opinion.

Thank you for your answer. I do question the validity of EBP studies in any branch of medical care (just as I question studies of drug efficacy funded by the company making the drug). For example in Cromwell's study he excluded specific data on surgical patients who were readmitted and underwent a repeat procedure in a 3 month period. We don't know how many times that occurred, and whether it would have changed the gist of the study. The same thing goes with ASA studies also, in my opinion.
Bottom line, I don't need a study to know CRNAs are as safe as MDs. They are as safe. I just believe anesthesia care is more than safety (at least in acute settings). In my setting there is a lot of medical decision making, that brings the care all together (and I think physicians should be involved with that component). I really don't have an issue with CRNAs practicing independently in various setting.
When you answer like that, you are a good representative of CRNAs. And you know what, I bet we would work well together.
Regards and thanks.

Sorry I didn't see your second comment.
I've been around CRNAs who are lazy, greedy, and cavalier to the hill also. It doesn't mean I put a blanket over the whole profession. I think from my previous comments I feel the exact opposite. I agree a MDA placing false barriers over a CRNA is ridiculous (it demeans the MD and CRNA, and I never do it daily or with our practice policies). I don't think you sometimes sound militant for being a CRNA advocate. I think it because of the tone in which you speak of MDAs in general. But like you said, we probably work in different parts of the country with different experiences.
Look at this link. The Dean of the nursing school at Duke wrote an article comparing anesthesia care to fixing a car. Her main point was why have 2 mechanics instead of one. The link is the response from the president of the NCANA. This is the type of team work we have in NC.

http://www.newsobserver.com/2010/09/30/710290...

Ncmd...I checked the link out and in act environments that work and are collegial ... Kudos... But there are so many variations of this to consider... Your comments here are actually dialogue worth engaging a bit; however, there exist a large majority of contrarians where I practice and have practiced that simply will not accept independent practice and autonomous critical thinking. Hence, my tone regarding these types of mds. Anyway, I can appreciate how you can agree that false barriers are negative for both parties and I also think anesthesia efforts are better focused on how this reform will play out.

Appreciate that. Although I've only been out of fellowship for a few years my group has taught me a lot about the history of anesthesia in the state. Bottom line is that the NCSA and NCANA have worked hard to become partners in anesthesia care (this wasn't known to the Dean of school of nursing at Duke, who unfortunately and uncomfortably put her foot in her mouth). Because of negotiations through the years our organizations work pretty well together, and have that mutual respect we talk about.
Sorry about some of those mds. My only comment, is don't let them change your professionalism (I know sometimes it's hard though). I just wanted to impress on you that there are a lot of anesthesiologists that really value, respect, and work well with CRNAs.

Regards and thanks