I see that you're still hung up on my poor choice of words. Let me clarify that I didn't literally mean that you knew "absolutely nothing" about CRNAs. I forgot how careful I have to be on these sites with my word choices. Now that we got that out of the way, I did not call you names, curse at you and I don't believe that I was disrespectful. If we were in the professional setting, we would not be having this discussion because I don't bring politics into the workplace. Even if I did, exactly what would you not stand for? I merely voiced my opinion and still stand by what I said. It's a great pet peeve of mine when people make statements about something that they aren't knowledgable about. I was in DC last weekend and the state capitol several months ago talking with legislators, attempting to prove that we're safe and capable of doing a job that we've been doing for over 150 years. Some of the legislators in DC didn't even want to meet with us "nurses." If you were a SRNA or CRNA and actually knew the true expertise and knowledge that a CRNA holds and that most run their cases independently with the MDA peeking in from time to time, you'd understand my frustration. I'm the first one to offer support to future SRNAs and I do wish you the best in your endeavors. However, this profession can't handle too many more CRNAs that don't view themselves as independent providers. That thought process is weakening the profession. The ASA would like the public to believe that AAs and CRNAs are interchangeable and CRNAs that aren't confident in their skills will only facilitate their cause. I've met several CRNAs that work in an ACT environment and are still great critical thinkers and excellent practitioners, so I'm not even suggesting that every CRNA should work independently. However, I do believe that ALL CRNAs should think independently and not use MDAs as a crutch because we don't have to. If you would quit focusing on semantics and my words choices maybe you can understand what I'm trying to say. Again, I'm not being harsh or disrespectful, just direct. That's how everyone was in the ICU and that's how everyone is in the OR. Oops...that's an absolute statement...99%. I haven't had one person that I've worked with label me as rude or unprofessional. I've heard a lot worse said to me in the OR, so I think you'd be pulling a lot of people to your office. I do apologize if my delivery rubbed you the wrong way but I can't say I apologize for my stance. Thankfully for me, we have more tactful posters that have said exactly what I intended and you appear to be more receptive. I guess I've gotta work on my political correctness. Guess I've gotten used to being beaten up on in the OR that it's rubbing off. Yikes!