neveragain

neveragain

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All Content by neveragain

  1. CRNA Vs. MD

    This state law still SAYS that anesthesia may be provided by "a CRNA who is UNDER THE DIRECTION of the operating practitioner or (UNDER THE DIRECTION) of a qualified physician who is immediately available if needed." Sorry for being so dense, but th...
  2. Anesthesia Provider Pay to Drop 60%

    Wow, so this FEDERAL LAW has absolutely nothing to do with supervision as it states, only billing, which it says nothing about. So this LAW actually means that it is giving people permission to BILL for supervision without actually having to supervi...
  3. Anesthesia Provider Pay to Drop 60%

    42CFR (civil federal regulations) 485.639 - Condition of participation: Surgical services (2) In those cases in which a CRNA administers the anesthesia, the anesthetist must be under the supervision of the operating practitioner except as provided in...
  4. CRNA Vs. MD

    42CFR485.639 ©(2) In those cases in which a CRNA administers the anesthesia, the anesthetist must be under the supervision of the operating practitioner except as provided in paragraph (e) of this section. An anesthesiologist's assistant who admini...
  5. Colonoscopy Drugs and alternatives

    Right on cue hypocaffeinemia does exactly what I expected. Versed can be a very bad drug and is unilaterally used on unsuspecting patients to gain compliance. Villifying those poor souls who have a bad reaction to Midazolam is perplexing to say the...
  6. Colonoscopy Drugs and alternatives

    lolol benzodiazepines linked to post-icu depression here is just one. i didn't really want to get into a *war* of citations. i assume that you will pick apart any of the studies i bring up. you may also want to look at studies of brain activity i...
  7. Colonoscopy Drugs and alternatives

    Yes, I surface on Midazolam discussions. I am a patient advocate with personal experience with Midazolam. It is not false to tell patients that Midazolam causes AMNESIA! It isn't false to tell the patient that under Midazolam they will be unable t...
  8. Colonoscopy Drugs and alternatives

    Its very telling to see posts like hypocaffeinemia! To have patients concerns dismissed as "anecdotal" and
  9. Can a patient refuse sedation?

    Thanks CrohnieToo! I have been worrying about having an endo without the Versed (or Propofol) The amnesia doesn't work for me with 9 mls of Versed but it does render me helpless. I just can't go in and have anything done with Versed. I would be t...
  10. Can a patient refuse sedation?

    I refused the procedure if I had to be sedated or knocked out. I told the doctor, called his office to remind him the day before surgery and told everybody that came in my room at the hospital that these things were out of the question. It didn't m...
  11. Can a patient refuse sedation?

    In theory the patient is allowed to have some say over sedation drugs or anything else for that matter. In practice it's not true. My nurse never said a word even though she knew that I had declined the drugs and had not signed an informed consent ...
  12. Colonoscopy Drugs and alternatives

    There are a lot of people who have a bad reaction to Versed. Not just tin foil hat people either. I have noted that people who do not get the amnesia claim that they were immobile, that their blood pressure shot up and that they were NOT relaxed. ...
  13. Colonoscopy Drugs and alternatives

    Notice how it is patients who dislike this drug while the nurses love using it. Very peculiar. I hope some nurses read this, as it seems nobody in the medical field wants to discuss how bad this favorite drug is. For every person who likes having ...
  14. questions on versed usage

    Versed merely blocks the memory of the pain. For me the idea that I may be in pain, screaming and writhing while my caregivers assume that I won't remember it is the stuff of nightmares. Babbling on about things that would absolutely humiliate me i...
  15. questions on versed usage

    There are studies in dental phobia that show Versed, because of its amnesia effect is not good for alleviating the phobia. Since there is no memory 90% of the time, there is a continuing panic reaction to dentist visits. I also feel that the roughn...
  16. questions on versed usage

    Take this with a grain of salt, as I am one of those who was traumatized (no drama) by Versed being used on me. Versed is not necessary for pre general anesthetic. Once you are knocked out that's it. The excuse is intraoperative awareness, but thi...
  17. Ethical/Legal question

    There are a lot of patients on this forum. The reasons you share about why the patient should not be a part of their health care team are pretty much in line with what I have dicovered from my own "team." I am sorry that you are not interested in t...
  18. Ethical/Legal question

    Hello again, haven't been here for a while... I have been having problems with my surgery and been told that due to the screws sticking out into the soft tissue from the reduction, that I could cut the tendons to my hand in two if I persist in using...
  19. Ethical/Legal question

    Thank you all very much for an enlightening look at medical professional thinking. I was hoping that the problem I had was not a pervasive one. Perhaps I am missing the whole point of "informed consent." From a patient's point of view it means tha...
  20. Ethical/Legal question

    Boy I wish the CRNA HAD told me to take a hike! I would have been more than happy to sign out AMA! I expected to be allowed to do so... I would have been a lot better off without his ministrations. By the example of the aggressive posts on this ...
  21. Ethical/Legal question

    I think that this goes back to patient choice. I chose NOT to be incapacitated and I chose NOT to have the surgery if the block and pain meds was unsuccessful. I was very clear about it! To have the CRNA decide unilaterally to negate my choice is ...
  22. Ethical/Legal question

    I gave permission for an axillary block and pain meds. Nothing else was to be used. I was very specific. I had reduced my own fracture before swelling started and the reduction I saw in the x rays was acceptable to me. Where I got into trouble wa...
  23. Ethical/Legal question

    I too have noticed a heated response to Versed. It's very odd. I had it used against me to gain compliance in an elective surgery. They didn't even attempt to have me sign an informed consent. (they knew that I would not sign anything that gave t...
  24. Dear Abbey, about a nurse

    This thread highlights one of the problems with CS. There are a lot of people who do not like a feeling of being out of control with memory loss attending. Yes, the PATIENT should be allowed to have access to this information regarding the effects ...
  25. I woke up during surgery, Have you?

    I had a bad experience with Versed as well. I was aware, but curiously unable to move unless the nurses told me to. They proceeded to give me a general anesthetic that I had told them would be completely unacceptable for my particular surgery. We ...