Josh L.Ac.

Josh L.Ac. specializes in Pain Management.

Latest Activity

1. Pain is NOT subjective

   Josh L.Ac. replied to SunnyAndrsn's topic in Pain

   Being a patient advocate also means looking out for the patient's best interests, especially when they contradict their wishes (e.g., opiates for FM).

2. Nursing programs that integrate acupuncture

   Josh L.Ac. replied to RubyCO's topic in Holistic

   It's one of those Worsley / Lonny Jarrett / 5 Element classifications. I hardly use "Classical Five Element" acupuncture since I think of all the styles of acupuncture that I've seen, it is the most "forced" in terms of making reality fit theory, but...

3. Nursing programs that integrate acupuncture

   Josh L.Ac. replied to RubyCO's topic in Holistic

   It is an error to assume that a master's degree-level (or beyond) acupuncture training program focuses only on the didactic aspect of acupuncture and ignores the "spirit" of the medicine, and it is a logical fallacy to conversely conclude that a "bar...

4. Nursing programs that integrate acupuncture

   Josh L.Ac. replied to RubyCO's topic in Holistic

   Nurses shouldn't be doing acupuncture unless they have completed a master's degree program (even if legally they can). Three years of solid acupuncture training is just the tip of the iceberg and you would be doing your future patients a disservice b...

5. Question about AA's

   Josh L.Ac. replied to mammothsnw's topic in SRNA

   While that is true that you can have any kind of bachelor's degree for AA school, the basic science prerequisites for AA school meet and exceed the classes nurses take as a part of their BSN.

6. Pain is NOT subjective

   Josh L.Ac. replied to SunnyAndrsn's topic in Pain

   That's why I like pain scales that illustrate the patient's functional ability instead of the patient's "perception" of what their pain should rate (look under "Activity Tolerance Scale") : While all the advocacy literature states we should complete...

7. Pain is NOT subjective

   Josh L.Ac. replied to SunnyAndrsn's topic in Pain

   Methadone for fibromyalgia? Wonderful.

8. Who's going to Anesthesia school?

   Josh L.Ac. replied to jrec's topic in SRNA

   Only applied to UMKC's anesthesiologist assistant program with a 3.3 science GPA and 29 MCAT, interviewed, and accepted. Start in January 09 and currently reviewing Lange's Pharmacology chapters on anesthetics. Several guys I completed my accelerated...

9. How can I become a nurse anesthetist if I have a bachelors degree in biology?

   Josh L.Ac. replied to Weber's topic in SRNA

   While CRNA's can practice independently in some locations, in the metro center I live the only place CRNA's function in that manner is outside of hospitals or out in the rural areas. In order for decentralized anesthesia to replace the ACT model in t...

10. How can I become a nurse anesthetist if I have a bachelors degree in biology?

    Josh L.Ac. replied to Weber's topic in SRNA

    So is there any research showing decentralized anesthesia is more cost-effective and as safe as anesthesia delivered by the ACT model?

11. How can I become a nurse anesthetist if I have a bachelors degree in biology?

    Josh L.Ac. replied to Weber's topic in SRNA

    So it is cheaper for 4 rooms to be run by individual CRNA's and anesthesiologists than it is for one anesthesiologist to supervise 4 rooms run by midlevel's that are paid 1/2 to 1/3 their salary? It might be cheaper if all the rooms are run by CRNA's...

12. How can I become a nurse anesthetist if I have a bachelors degree in biology?

    Josh L.Ac. replied to Weber's topic in SRNA

    I had a BS in biology and went into an accelerated BSN program, but instead of applying to CRNA school, I applied and was accepted into AA school. If you plan on working in the city under the ACT model and live near one of the 5 schools, then AA scho...

13. Complete 1 yr ICU req. in the first year of CRNA Schoo?l

    Josh L.Ac. replied to FutureNurseSaga's topic in SRNA

    Or if you plan on working in a major metropolitan center where most midlevels practice under the ACT model, then the term assistant is just semantics and rhetoric. To be honest, do you really think a couple of years of ICU plus 2.5 years of CRNA s...

14. Anyone work for a HCA hospital?

    Josh L.Ac. replied to hullo's topic in Missouri

    I think that HCA hospitals in the greater KC area are all increasing their wages for staff nurses, although it is taking many months to get it finalized [back pay, anyone?]. I work outpatient pain management, so my experience is fundamentally differe...

15. RN's w/chronic pain, using narcotics

    Josh L.Ac. replied to SRbear's topic in Pain

    So the participants in the study we tested while taking a small oral dose of oxycodone, then titrated to a low level of transdermal fentanyl, then tested again with the results compared to their stats while being on oxycodone? Not meaning to be inten...