Josh L.Ac.

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

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 "forced" in terms of making reality fit theory, but...

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 logical fallacy to conversely conclude that a "bar...

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 would be doing your future patients a disservice b...

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 BSN.

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 the advocacy literature states we should complete...

Methadone for fibromyalgia? Wonderful.

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 anesthetics. Several guys I completed my accelerated...

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 decentralized anesthesia to replace the ACT model in t...

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

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 might be cheaper if all the rooms are run by CRNA's...

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 model and live near one of the 5 schools, then AA scho...

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 a couple of years of ICU plus 2.5 years of CRNA s...

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 management, so my experience is fundamentally differe...

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 while being on oxycodone? Not meaning to be inten...

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 choice.

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

Just to clarify, acupuncture has little or nothing to do with "energy".

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 the fact that the vast majority of naturopaths do ...

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

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 an epidural steroid injection [usually works] that ...

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? Seriously?

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 Medicine. http://en.epochtimes.com/news/4-2-6/1949...

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/ http://gancao.net/cgi-bin/ib3/ikonboard.cgi

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 a medication causes harm, it is up to the pharmace...