Josh L.Ac.

Josh L.Ac.

Pain Management

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All Content by Josh L.Ac.

  1. Pain is NOT subjective

    Josh L.Ac. replied to SunnyAndrsn's topic in Pain Management

    Being a patient advocate also means looking out for the patient's best interests, especially when they contradict their wishes (e.g., opiates for

  2. Nursing programs that integrate acupuncture

    Josh L.Ac. replied to RubyCO's topic in Holistic

    It's one of those Worsley / Lonny Jarrett / 5 Element classifications. I hardly use "Classical Five Element" acupuncture since I think of all the styles of acupuncture that I've seen, it is the most...

  3. Nursing programs that integrate acupuncture

    Josh L.Ac. replied to RubyCO's topic in Holistic

    It is an error to assume that a master's degree-level (or beyond) acupuncture training program focuses only on the didactic aspect of acupuncture and ignores the "spirit" of the medicine, and it is a...

  4. Nursing programs that integrate acupuncture

    Josh L.Ac. replied to RubyCO's topic in Holistic

    Nurses shouldn't be doing acupuncture unless they have completed a master's degree program (even if legally they can). Three years of solid acupuncture training is just the tip of the iceberg and you...

  5. Question about AA's

    Josh L.Ac. replied to mammothsnw's topic in Student Registered Nurse Anesthetist

    While that is true that you can have any kind of bachelor's degree for AA school, the basic science prerequisites for AA school meet and exceed the classes nurses take as a part of their

  6. Pain is NOT subjective

    Josh L.Ac. replied to SunnyAndrsn's topic in Pain Management

    That's why I like pain scales that illustrate the patient's functional ability instead of the patient's "perception" of what their pain should rate (look under "Activity Tolerance Scale") : While all...

  7. Pain is NOT subjective

    Josh L.Ac. replied to SunnyAndrsn's topic in Pain Management

    Methadone for fibromyalgia?

  8. Who's going to Anesthesia school?

    Josh L.Ac. replied to jrec's topic in Student Registered Nurse Anesthetist

    Only applied to UMKC's anesthesiologist assistant program with a 3.3 science GPA and 29 MCAT, interviewed, and accepted. Start in January 09 and currently reviewing Lange's Pharmacology chapters on...

  9. How can I become a nurse anesthetist if I have a bachelors degree in biology?

    Josh L.Ac. replied to Weber's topic in Student Registered Nurse Anesthetist

    While CRNA's can practice independently in some locations, in the metro center I live the only place CRNA's function in that manner is outside of hospitals or out in the rural areas. In order for...

  10. How can I become a nurse anesthetist if I have a bachelors degree in biology?

    Josh L.Ac. replied to Weber's topic in Student Registered Nurse Anesthetist

    So is there any research showing decentralized anesthesia is more cost-effective and as safe as anesthesia delivered by the ACT

  11. How can I become a nurse anesthetist if I have a bachelors degree in biology?

    Josh L.Ac. replied to Weber's topic in Student Registered Nurse Anesthetist

    So it is cheaper for 4 rooms to be run by individual CRNA's and anesthesiologists than it is for one anesthesiologist to supervise 4 rooms run by midlevel's that are paid 1/2 to 1/3 their salary? It...

  12. How can I become a nurse anesthetist if I have a bachelors degree in biology?

    Josh L.Ac. replied to Weber's topic in Student Registered Nurse Anesthetist

    I had a BS in biology and went into an accelerated BSN program, but instead of applying to CRNA school, I applied and was accepted into AA school. If you plan on working in the city under the ACT...

  13. Complete 1 yr ICU req. in the first year of CRNA Schoo?l

    Josh L.Ac. replied to FutureNurseSaga's topic in Student Registered Nurse Anesthetist

    Or if you plan on working in a major metropolitan center where most midlevels practice under the ACT model, then the term assistant is just semantics and rhetoric. To be honest, do you really think...

  14. Anyone work for a HCA hospital?

    Josh L.Ac. replied to hullo's topic in General Nursing

    I think that HCA hospitals in the greater KC area are all increasing their wages for staff nurses, although it is taking many months to get it finalized [back pay, anyone?]. I work outpatient pain...

  15. RN's w/chronic pain, using narcotics

    Josh L.Ac. replied to SRbear's topic in Pain Management

    So the participants in the study we tested while taking a small oral dose of oxycodone, then titrated to a low level of transdermal fentanyl, then tested again with the results compared to their stats...

  16. Drug seeking or real pain? How do you tell?

    Josh L.Ac. replied to JudyPRN's topic in Pain Management

    When we fire a patient, we do offer to taper them off for six days and also encourage them to do an inpatient detox. There is always a

  17. Senior SRNA Accepted to Medical School. Now what?

    Josh L.Ac. replied to MelissaRN.FutureCRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Probably just like PA's did because obviously they were underprepared because they weren't nurses first. SRSLY?

  18. Dr. Oz says energy medicine the next big thing

    Josh L.Ac. replied to passionflower's topic in Holistic

    Just to clarify, acupuncture has little or nothing to do with

  19. Holistic RN or chiropractic?

    Josh L.Ac. replied to abell's topic in Holistic

    You might be able to legally practice as a PCP in several states, but ND schools lack the training necessary to ethically practice as one. Four to six hundred patient contacts in school combined with...

  20. CRNA vs AA: pros and cons of both

    Josh L.Ac. replied to TheIncredible's topic in Student Registered Nurse Anesthetist

    Yeah...if the failed RN takes additional basic science classes and does well on the MCAT, they might get into AA

  21. Blood Patch

    Josh L.Ac. replied to crazylilkelly's topic in Certified Registered Nurse Anesthetist, CRNA

    I work in pain management as a murse, and blood patches tend to have a negative connotation, usually because the patient gets pushed onto the schedule [rightful so] to relieve a rare complication of...

  22. CRNA vs. anesthesiologist

    Josh L.Ac. replied to jermaughan0814's topic in Student Registered Nurse Anesthetist

    Do you honestly believe that a BSN program is comparable to medical school? How about 1 year ICU experience + 36 month CRNA school being comparable to a four year anesthesiology residency?

  23. CRNA vs. anesthesiologist

    Josh L.Ac. replied to jermaughan0814's topic in Student Registered Nurse Anesthetist

    That statement is entirely wrong. Since the use of anesthesia actually dates back to the father of Chinese surgery, Hua Tuo, then CRNA's/AA's and MDA's are all actually practicing Traditional Chinese...

  24. Distance Degree in Holistic Nursing or Alternative Medicine

    Josh L.Ac. replied to alphabet's topic in Holistic

    If you are interested in candor on TCM schools, probably the only websites with much of a pulse [pun intended] on the message boards are: http://www.tcmstudent.com/SMF/...

  25. Curious...using the title "Doctor" for a DNP...

    Josh L.Ac. replied to justme1972's topic in Doctoral Nursing Degrees

    Wrong. It is not up to the physicians to prove that nurse practitioners cause harm, it is up to the nurse practitioners to prove that they don't. Similarly, it is not up to the consumer to prove that...