CRNA Debate from www.studentdoctor.net

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kmchugh

801 Posts

Someone stop me before I post again! Actually, I did just post again. I'll probably hang around that bulletin board a while, just to see where the discussion goes.

Kevin McHugh

joeyrigor

17 Posts

Great stuff Kev!

Look forward to the ensuing responses. We're right behind you!

bubba

36 Posts

Kevin,

Well written. What will your first book be about? You have a gift. Use it.

BRobison

48 Posts

Kevin: Are you going to take on this amazing question? ("amazing" because it seems to be asked with sincerity, "amazing" because these people don't KNOW the answer to that!)(actually, maybe that's more "scary" than "amazing!")

"Are you of the opinion that in a clinical environment, CRNAs can do everything that an MDA can do? Do you think there are circumstances when only an MDA should be allowed to run the anesthesia (i.e. very complex, serious cases) or do you think CRNAs can handle (on their own) absolutely anything that the hospital can dish out to them? I'm referring to the average CRNA vs the average MDA, with years of experience being roughly equal."

bubba

36 Posts

What is the difference in an anesthesiology resident's training and a CRNA's training?

bubba

36 Posts

One thing I have noticed is that some of those "jokers" on the student doctor forum seem to be avoiding the real questions by trying to find irrelevent flaws in the logic of a post that may otherwise raise a valid point, or question. They also state that their intention is not to offend you, but then they do it indirectly by making comments about your argument or your education or whatever............Hummm seems passive aggressive to me.

joeyrigor

17 Posts

"Are you of the opinion that in a clinical environment, CRNAs can do everything that an MDA can do? Do you think there are circumstances when only an MDA should be allowed to run the anesthesia (i.e. very complex, serious cases) or do you think CRNAs can handle (on their own) absolutely anything that the hospital can dish out to them? I'm referring to the average CRNA vs the average MDA, with years of experience being roughly equal."

This statement is quite amusing, probably more so if it comes from a student doctor (can Batman beat Spiderman....?)

My guess is is that this question posed totally misses Kev's point. This is not a question of whether a CRNA can do what an MDA can do - because the bottom line is, I would rather have an average anesthesiologist than a bad CRNA look after me or vice versa - have good CRNA rather than a bad anesthesiologist. All the MD training in the world will not help a bad anesthesiologist exercise his expertise if he is incompetent to begin with. My opinion is that Kev tried to set the facts straight on these grossly misinformed student doctors on the qualities, attributes and training a CRNA receives. His post in no way bases a presumption that one is superior or inferior to the other.... unlike the posts from Klebsella, but I believe it attempts to dispel the negative myths and rumours that are circulated and unwittingly mongered by these student doctors.

I suggest that this question NOT be graced with a response but rather have the question rephrased and re-directed in the following manner for perspective:

"Are you of the opinion that in a clinical environment, two identically trained MDAs can do everything the other MDA can do? Do you think there are circumstances when one MDA should be allowed to run the anesthesia (i.e. very complex, serious cases) over another MDA with an equal and identical education level. Can any MDA handle (on their own) absolutely anything that the hospital can dish out to them? I'm referring to the average MDA vs another average MDA, with years of experience being roughly equal."

ANSWER: EXPERIENCE (and that very elusive associated a$$hole factor!)

Go for it Kev!!!!

nrw350

370 Posts

In relation to Kevin's excellent discertation (I hope that is the right word, if it is not please let me know). I remember watching TLC one night and it showed how one man changed his mind about becoming a doctor and became a nurse instead. He lost his child, and it was the nurses that where there for him and not the doctors. The nurses are the ones who helped him thru his tragedy.

Nurses are extremely important, and I understand that from being the patient all the time. While having a good doctor is crucial, having a good nurse is also crucial because what good can they do if the patient is uneasy with them. You could have the best doctor in the country, and the nurse be the worst. And all the doctor's hard work would be ruined by the nurse.

Sorry for the rambling, but that is just how I feel.

Nick

meandragonbrett

2,438 Posts

Originally posted by sikofitall

You've got a lot to learn Mr. CRNAguy2b

That's your opnion. I have my own.

Brett

meandragonbrett

2,438 Posts

Better yet, why don't we set our differences aside and let this go? Let's not turn this into another SDN resident forum where everybody is fighting each other.

Brett

alansmith52

443 Posts

Bravo kevin.

that site was giving me gas. very well organized I am very proud. I havn't been to the board in a few days I've been working a few days. I flogged a guy for twelve hours yesterday. he threw several PE's on the table and they brought him to me. (they barley even closed, really blood everywhere) after two days of my havning him one on one we transfered him to the MICU. see we are neruo, and he was neurologicaly fine. his lactate was 7 his ph was 7.27 his co2 was 35 hco3 of 15 . sounds easy enough. metabolic acidosis. fluid resus fix the lactate. right!!!! after 17 liters of crystaloids nothing. all types of pressors, dobutamine, and another beta that I cant remember finally to levophed I never came out of the room all day. yeesh. those are the ones that really get at you once you get home. actually he was lucky to be alive with the PE's and all. the anesthesiologist said that he has a real steep gradient. his end tidal CO2 started to drop sharpley and he was requiring 100% fio2.

nrw350

370 Posts

Hey Alan or someone, can yall explain the description of that guy?

Thanks.

Nicholas

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