Surgeon Bashes CRNAs in Vogue Magazine

Specialties CRNA

Published

I picked this up from another CRNA discussion board and have not read the article myself, but this appeared in the June 2004 Vogue magazine. It has stirred a lot of attention from CRNAs (As it should have!) and as far as I know it will be addressed by the AANA...or at least I hope so!

The article in the June 2004 issue of Vogue contains an article entitled 'Shopping for Surgey'. Santa Monica surgeon R. Patrick Abergel states " It's not illegal for surgeons to administer anesthesia themselves, and a lot do - or they work with Nurse Anesthetists. Both are unsafe, says Abergel. Prior to surgery, a patient should discuss their medical history as well as the type of anesthesia with the anesthesiologist..."

This may not be a medical journal, but it is a nationally read magazine. This kind of ignorant statement undermines a lot of the hard work that has been done to promote the truth that CRNAs are safe anesthesia providers. The general public reads this garbage and can potentially form an opinion based on a factless, biased statement by some surgeon. Although not credible in my eyes, these kinds of statements can do a lot of damage to the reputation of CRNAs. We have a lot of work to do!

Matthew Alan Smith RN. BSN. RRNA

Graduate Student

Texas Wesleayan University

[email protected]

June 2, 2004

Dear Mr. Thomas Florio, Ms. Anna Wintour, Ms. Ariel Levy and Dr. Patrick Abergel:

Responsible Journalism, I am not sure what it means anymore. Vogue Magazine published a statement that was slanderous to Nurse Anesthetists by saying in effect that having surgery when such provides the anesthesia is "unsafe". I call for the magazine to reference this statement factually. Many studies have been done that show empirically that Certified Registered Nurse Anesthetist (CRNA) are AT LEAST as safe as anesthesiologists and one study suggests that they are more so. (Pine ET all)

You the executive board must realize that not only will this deter people from getting plastic surgery but also getting life saving surgery as well. Twelve states have now made laws that give CRNA's the ability to work without anesthesiologists. These states have made these decisions based on the afore mentioned research that has been done.

CRNA's have been doing Anesthesia ON THEIR OWN in those states for at least a year now and guess what? People aren't dropping off like flies because of it.

The statement made by this magazine is slanderous, endangers actual sick patients and destroys jobs.

I demand a formal apology, in edition to an article that tells the truth. Vogue may not realize what a heated legal/political battle this is, and will soon find it self in a bad way if action is not taken immediately. I fully expect my professional association to litigate if corrective action is not taken immediately.

Matt Smith RN. BSN. RRNA

Thank you,

Matthew Alan Smith RN. BSN. RRNA

-------------------------------------------------------------------------

Dear Matthew Alan Smith,

Unfortunately, the comment published in Vogue is being taken out of context

and does not represent the full scope of my beliefs. I wanted to emphasize

anesthesia should not be performed by the surgeon or by unqualified

assistants. Rather, anesthesia should be administered by professionals

trained in the field of anesthesia, whether it is a Nurse Anesthetists or a

Physician Anesthesiologist.

I had no control over the editing of this article. I have high regard for

the profession of Nurse Anesthetists. My comments in no way were intended

to undermine your valuable contribution to the field of health care. I

apologize if that is the way it has been perceived by the article.

Best Regards,

R. Patrick Abergel, M.D.

-----Original Message-----

From: [email protected] [mailto:[email protected]]

Sent: Wednesday, June 02, 2004 6:24 AM

To: Vogue; R. Patrick Abergel

Specializes in Anesthesia.
...... Twelve states have now made laws that give CRNA's the ability to work without anesthesiologists. .......

Matt, please! NO STATE has EVER required a CRNA to work with an MDA.

Important distinction: the twelve Opt-Out states have simply removed the titular 'supervising' role from the surgeon or any other doc (for reimbursement purposes under Part A of Medicare only, blah, blah, ...snore...).

All fifty States have ALWAYS had CRNAs enabled to work without MDAs.

deepz

when I wrote that i tried to write simply so my audience (premadonnas) would understand, agree though you are right and I should have been more acurate.

Matt, please! NO STATE has EVER required a CRNA to work with an MDA.

Important distinction: the twelve Opt-Out states have simply removed the titular 'supervising' role from the surgeon or any other doc (for reimbursement purposes under Part A of Medicare only, blah, blah, ...snore...).

All fifty States have ALWAYS had CRNAs enabled to work without MDAs.

deepz

Specializes in Case Management, Life Care Planning.

I get nervous when I see a doc with a press kit that is larger than his training CV. This guy seems like a major a-hole. I loved the mea culpa letter response. Blessings to all you wonderful CRNAs turning up the heat on him.

As a side note, my wife had a CRNA do her epidural on our last kiddo. This lady was a saint. Beautiful bedside mannerr and a heck of a clinician. My hat's off to all of you.

Specializes in Vents, Telemetry, Home Care, Home infusion.

Unable to find Dr Abergel in USC faculty list or expert list.

http://uscnews3.usc.edu/experts/

Our Staff

We have selected our staff with particular concern for efficiency and a warm, dedicated attitude. Please feel free to approach anyone on the staff if you have questions or concerns. http://www.doctorabergel.com/services/services.html

No need for expertise or mention of nurses...

Dr Abergel, I am extremely offended and disappointed by your statements in Vogue Magazine. As a RN in California I work with many skilled surgeons and Anesthesiologists and none of them would offer such a misleading and erred statement lambasting the 100 plus years of safe anesthesia provided by Nurse Anesthetists. As a CRNA in training, I look forward to working in southern California and if our paths shall cross I look forward to thanking you for what you must do next. Contact Vogue; clarify your thoughtless statement. This is something you owe all CRNA's who have been providing safe quality anesthesia for much longer than you have had your fabled career.

Then I recieved the same form letter as everyone else. To which I responded....

Dr. Abergel, Thanks for the chain letter.

How do you intend to remedy the situation? Assuming you were truly misquoted when will you be contacting Vogue? You owe it to all CRNA's and their patients. Your comment "taken out of context" or not dismisses all reputable research in regards to patient safety and anesthesia providers.

We will be watching....

......................................................................................................

Hats off to Yoga and the others who got the ball rolling. UR

The problem I see is that - in my opinion - the "damage" has already been done! To merely respond with some little chain letter saying, "It wasn't really my fault - I was edited poorly... so sorry...." is worse than pathetic. I can recall celebrities who have sued and won cases against "tabloid magazines" for printing fabricated stories and extracted quite a few pound$ of flesh from those publishers. I do not simply want to read a little "Oh! You're right - I'm so sorry" from this guy. After all I have seen and read over the last year from the A$A and their minions trying to legislate CRNAs to a "physician extender" role or worse - drive us out of business eventually - I guess I am out for a little "blood".

To me, if we allow these insults and damaging remarks to go (basically) unchecked, then I believe we are waving the white flag and giving up now. If we are passive when attacked, do you think the A$A will "respect" us for it? I am thinking of the French response after Hitler attacked in WWII... basically, it was "bohica" - all over again! Sorry, but if we can't respond with more of a punch than accepting a non-apology as a remedy, then maybe we deserve to have our livelyhood handed to others.

Call me thoroughly ANGRY!

Sleeepy

I received the same cookie-cutter response that everyone else has after sending my letter. Can imagine that his PR company, as well as office, has been extremely busy. Wonder what his bill is going to be?

Has anyone tried contacting the author of the article by any chance?

Some Magazines Like To Run Articles Like This And They Can Usually Find Some Ego Seeking Expert To Say Anything But The Idea Of Holding Vogue Responsible Is A Good One....maybe Next Time They Will Check Their Facts First

Sleepy,

I agree that the damage has allready been done. Today I had to deal with a very nervous patient scheduled for a facelift next week. She is wondering if I am a safe practitioner and can handle her special needs (she is on three antidepressants). I don't know if she read the Vogue article or not, but I spent a lot more phone time than I usually do.

I have received the same cookie cutter response as everyone else, but I am continuing to look at other options. It will be interesting to see if Vogue publishes a retraction next month.

Stay tuned.

Yoga CRNA

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