paindoc

paindoc

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All Content by paindoc

  1. The number one reason by far people gravitate to CRNA is $$$$$$$$$.....much higher than any other nursing profession. They also enjoy a position that does not require any patient ties or...
  2. Actually, medicine began "fixing" this situation 10-20 years ago, depending on the specialty, with MOC testing and time limited certifications, something that CRNAs seem to have missed. Once a CRNA,...
  3. The tacit response of CRNAs to a challenge is that "there is no data to support....whatever". But shouldn't there be data to support the contrary? Why should the public have to accept the assumption...
  4. The anesthesiology curriculum has increased in length by 33% over the past 25 years. The CRNA curriculum has increased by between 67% and 150% depending on how you do the math. The...
  5. I agree the 4th year is not necessary in anesthesiology residency. Much of residency is redundant and that in and of itself is of the old school philosophy that repetition makes good practitioners....
  6. My point exactly...CRNAs have the blessing of the entire nursing field and nationwide credentialing to be able to practice. FPs doing surgery had no certification at all by anyone to do...
  7. You are incorrect. Anesthesiologists at least in the last half of the last century, had to attend a residency program. You could not be "grandfathered" in as an anesthesiologist any more than a FP...
  8. Interesting! So some CRNA programs are not 24-33 month continuums but may be broken up. This is different than AA and MDA programs that require a continuous involvement. As for AAs, they...
  9. An excellent choice if you plan on spending the next 8+ years of your life in training
  10. I think it depends on several factors. Many nurses make the choice to go into CRNA school because of a 300% increase in income $$$$$ and make a faustian bargain in the process by giving up most...
  11. Med school for experienced CRNA?

    I would have to vehemently disagree that 20-30 years experience makes a CRNA with inferior training equal to or better than todays BSN or MS or DNP trained nurses. If that were the case, why not just...
  12. Med school for experienced CRNA?

    A CRNA with a one year certificate program and 2 years RN degree after high school cannot possibly have the "same equivalent training" as a 4 year BSN plus 24-33 month training program (whats with the...
  13. Med school for experienced CRNA?

    Not necessarily....CRNAs have not always had to have BS degrees or MS degrees. These were gradually phased in and those CRNAs with a 2 year RN program then one year certificate in a nurse anesthesia...
  14. Med school for experienced CRNA?

    Just as a CRNA is viewed as "one trick pony". CRNA salaries are obscenely high...much higher than most primary care physicians that work 50-100% more hours than the average CRNA. Eventually this...
  15. At this point in time, most require a BSN, but there are thousands of CRNAs practicing that have only an associate degree RN (2 years after high school) with a one year certificate program in nurse...
  16. Why so Interested????

    The number 1-3 reasons are: 1. money 2. money 3. money. The position is for the most part that of a technician since anesthesia has become so very safe due to advances in monitoring,...
  17. I think you are out of your mind :-) You are talking about 1-2 years to get into med school (you may not have the basic prerequisites), 4 years med school, 4 years residency, then fellowship if that...
  18. Steroid Question

    Radiating pain down both legs during interlaminar epidural injections can be a sign the needle is misplaced (subarachnoid even without aspirate of CSF, subdural-supraarachnoid), that there is...
  19. Steroid Question

    Agree with the caveat that some patients respond with radiating leg pain with the epidural needle in the multifidus musculature far outside the spine. The safest place for interlaminar injections are...
  20. Steroid Question

    There is no proof of the assertions in the Nelson paper. It is all conjecture based on supposition...he did NO STUDIES. Now if you have any PROOF as I asked for, by all means present it here. It is...
  21. Steroid Question

    The manufacturers never applied to the FDA for that usage. The common usage administered epidurally is so prevalent that the manufacturers elected not to spend the tens to hundreds of millions of...
  22. Steroid Question

    I am a comprehensive pain physician...interventional is one part of what I
  23. Steroid Question

    Actually, there is no evidence polyethylene or polypropylene glycol cause adhesive arachnoiditis, but there is speculation by those that have no proof of such. If you have proof, please present it...
  24. Steroid Question

    Particulate corticosteroids all contain preservatives. Kenalog 40 contains the neurotoxin benzyl alcohol and polysorbate 80, a preservative. Depomedrol single dose also has a preservative MPC,...
  25. Steroid Question

    The subject is much more complex than a simple pro or con list, and I would suggest anyone considering injecting epidural steroids be fully versed in the information contained in the package insert...