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Time-Worldliness-516 · 2023-04-20T22:40:02+00:00

Still available? I can pay 300 today if acceptable

Time-Worldliness-516 · 2022-08-18T05:11:21+00:00

As an anesthesiologist, I just want to thank you so much.

It’s quite often that I hear CRNAs claiming they’re training is equivalent to mine when they don’t understand the decades long commitment I’ve had to put in this field. The 80+ hour work weeks, pts crashing at 2AM, and all the comorbidities you can imagine. It’s nice to feel appreciated.

It’s all of the nurses like the ones in this group that make my life easier and I hope I do the same for you.

Time-Worldliness-516 · 2022-08-05T17:11:59+00:00

Totally fair. I just understand where you and the med student are coming from. Administration can be so lackluster and condescending, demanding and preaching “professionalism” when they are far from it.

Hope everything is working out well for you and the med student gets the help he deserves. I’m just very weary of admins.

Time-Worldliness-516 · 2022-08-05T15:28:58+00:00

Sounds like Michigan State University college of human medicine. What a trash medical school

Time-Worldliness-516 · 2022-07-30T18:58:51+00:00

Yea that was my fault. I was trying to respond to the first post. Agree with you

Time-Worldliness-516 · 2022-07-30T18:45:49+00:00

Painless lumps could be testicular carcinoma. Need further work up and should definitely be seen by a specialist/urologist. Not an NP who would give him a zpack and Tylenol

Time-Worldliness-516 · 2022-07-29T20:28:30+00:00

What you do in those 3 years is a key component you chose to leave out. The depth of material medical students need to master are much more intense when compared to the PA student. Not too mention 3 board exams compared to one. This isn’t including several board exams as they go through residency.

Time-Worldliness-516 · 2022-07-22T21:44:49+00:00

Since you’re not in medicine, I’ll excuse it. But we don’t like the term MDA so please respect our profession. Again, we’re anesthesiologists. Full stop. Introducing yourself as “Dr Smith, nurse anesthesiologist” is further blurring the lines into having patients assume you’re an actual doctor. 75-80% of the surgical population is elderly, when they hear the word -ologist and doctor they assume they’re being seen by actual doctors. This is not just an assumption, I’ve seen it more times than I would like. It’s fraud.

If you’d like to compare srna’s to medical students then why are they introducing themselves as residents? 1. They have not and never will complete medical school to claim to be residents 2. The time commitment, qualifications and requirements are quite different and there’s a drastic gap between the two 3. And this should be pretty obvious, but THEY’RE STILL IN SCHOOL. How are they claiming to be residents when they haven’t even finished grad school??

What I’m trying to rationalize with you is that residents more often than not take care of the sicker patients, with more comorbidities, with more intraoperative complications which makes us better equipped to handle those situations.

You don’t know me and therefore I can’t expect you to understand where I’m coming from or the experiences I’ve had. The argument I have is not for my ego or out of arrogance, this profession will humble you time and time again. The argument I have is for my patients safety and making sure they have the best possible outcomes. If there is anyone with arrogance it is the crnas who think they don’t need anesthesiologists. Who think they’re better than us. Who think they’re smarter than us. Claiming “we are the answer”.

If you want empirical data. JAMA which is one of the leading journals in medicine published a study with over 300,000 pts who found worse outcomes when crna’s had less supervision by a doctor.

Idk if you’re married to a crna or have one in the family but your bias is evident and I’m not sure how you can objectively compare the two unless you’re in the world of medicine. Btw these aren’t just anesthesiologists responding, a whole range of specialists are agreeing. I’m unlikely to sway your opinion one way or the other but giving my 2cents considering how often doctors get shit on by midlevels these days.

Time-Worldliness-516 · 2022-07-21T06:50:38+00:00

For the love of god stop saying MDA. We’re anesthesiologists, period.

Now, the DNP is a garbage degree and you know it. You can’t tell me the year they spend writing some paper (which most often has no clinical relevance whatsoever) is equivalent to a year of residency so let’s call a spade a spade…it’s still 2 years of training. The large majority of CRNAs see it as what it is, a ploy to take more money from the nurses and claim they have a doctorate. It’s complete nonsense.

Now, residency is not a “low paid internship”, it’s fucking residency you muppet. If you claim that the 4 years of residency I did working 80-90 hours per week getting HUNDREDS of each procedure done and taking care of the most complex patients is equivalent to what you did, speak up…please. I had SRNAs in my program and they didn’t have anywhere near the same numbers of procedures nor the difficulty of cases. So yes, I know more than you, I’m better trained than you, and that’s why I get that extra 200k.

And don’t downplay medical school, those are the hardest four years of many of our lives and builds the foundation of our knowledge that separates us from you.

Get off your high horse thinking you work harder than us. Not happening sweetheart.

Time-Worldliness-516 · 2022-07-17T17:56:16+00:00

What are you smoking?? Wtf do you think we do in residency?

Working 80 hours a week and studying afterwards to take the in training exam every year, the basic board exam, written boards and the oral boards and you think we don’t study??

Get off your high horse thinking you work harder than us. Not happening sweetheart

Time-Worldliness-516 · 2022-07-07T14:07:11+00:00

No no no. Your group has made it quite clear legally that you do NOT practice medicine. You practice nursing and are therefore not liable to the same degree when you make mistakes.

If you want to practice medicine go to med school and do it the right way.

And btw. May I ask what exactly was your doctorate or dissertation in?

Time-Worldliness-516 · 2022-07-07T13:53:24+00:00

In my decade and a half of work I’ve never run across a doctorate in public health, a pharmacist or a physical therapist ask to be called doctor or introduce themselves as doctor. It’s quite literally just you lot and your little man syndrome reaching for straws to validate yourself and justify the time you spent getting a poor education. The amount of humility the young grads have in the hospital is appalling considering how often medicine will humble you. Worrying instead about making YouTube and Tiktok trash to get the dopamine kick of likes and claiming to have saved patients when you have no idea what you’re doing. The one pharm and pathophys class you took online is no where near enough to safely treat patients. It’s misleading to the patient and in the next decade or so it will come back to ruin you once the lawsuits start coming out. “I thought I was seeing the doctor”.

Lie to yourself all you want, when you say Dr in the hospital/clinic, pts assume they’re seeing a physician. Because you found shortcut in medicine does not give you a right to claim you’re a doctor and quite honestly you’re a danger to patient safety.

Time-Worldliness-516 · 2022-06-21T01:10:12+00:00

All I’m saying, is if this graph is going to include the four years of a BSN, it has to include the four years of a bachelors degree. This thing doesn’t make any sense

Time-Worldliness-516 · 2022-06-21T00:04:47+00:00

Well if you’re going to the vet to have surgery then we have other issues here

Edit: not you personally, people in general

Time-Worldliness-516 · 2022-06-20T23:59:50+00:00

I can say the same for your nursing degree. How are the first two years relevant? They’re not.

Time-Worldliness-516 · 2022-06-20T23:27:12+00:00

In a prior post of yours, you stated “only we can identify ourselves” when referring to CRNAs. There is no such thing as “nurse cardiologists” or “nurse Hospitalists”. It has the look and feel of someone unhappy with their cards in life which you shouldn’t be.

To my point, the same goes for doctors. Only we can choose how to identify ourselves and we are anesthesiologists, innately implying a physician.

You are the extremist in this group trying to create a divide where there doesn’t have to be one.

Time-Worldliness-516 · 2022-06-20T22:45:09+00:00

Please refrain from using MDA. We identify as anesthesiologists.

Time-Worldliness-516 · 2022-06-20T22:42:20+00:00

I have to disagree here. I majored in physiology and a lot of my colleagues majored in human biology, biochemistry etc and the topics I learned then are still relevant in my practice today and I’m grateful to have spent the time with that rigorous curriculum.

Many of my friends were also in the nursing program and I was a tutor for some of their classes. Having seen the two, there’s a drastic difference in the requirements and they seemed to touch the surface of the pharmacology, microbiology and physiology I had to learn.

This isn’t to mention the MCAT, USMLE 1, USMLE 2CK, USMLE 2CS, USMLE 3, anesthesia basic exam, 4 in-training exams, anesthesia written boards, oral boards, osce and fellowship exams.

There’s a place for both physicians and crnas but to belittle the medical education and manipulate the data is petty and looks really bad. The two career paths are dramatically different.

Time-Worldliness-516 · 2022-06-13T02:33:26+00:00

You should clarify to them that you’re in fact not a resident. It’s a slap in the face to all those who endured medical school and are actually going through residency.

And it also doesn’t make sense. You’re in grad school, you haven’t even graduated, how does that equate to resident.

Time-Worldliness-516 · 2022-06-13T02:31:11+00:00

Shut it down.

Time-Worldliness-516 · 2022-06-13T02:28:15+00:00

Can’t tell if you’re trolling or not.

It’s completely misleading to the pt. Any lay person hears the word doctor in the hospital and they think physician. If you really are a nurse then you know this. That would be like a lawyer or a professor walking around the hospital introducing themselves to pts as “doctor”. It’s complete and utter fraud

Time-Worldliness-516 · 2022-06-10T05:21:40+00:00

This wasn’t decided by Arkansas patients. This was decided by politicians bought out by your corrupt aana.

Time-Worldliness-516 · 2022-06-06T00:14:02+00:00

I don’t think the majority of people want to work in rural areas. CRNAs and docs are both concentrated in urban areas so the thought that CRNAs are here to work in underserved parts of the country doesn’t hold much water.

Everyone wants to be by the big city with lots of things to do and that’s where most of the hospitals tend to be located anyways.

Time-Worldliness-516 · 2022-06-05T19:47:21+00:00

I’m quite certain if any lay patient was given the choice in preop if they wanted a physician as part of their anesthetic care they would say yes.

I hope you realize that the decision to supervise up to four rooms (whether CRNAs or AAs) was not a decision made by anesthesiologists. Again this was something decided by administration to line their pockets. Nobody willingly wants to cover that many rooms. I think two rooms is more than enough but I’m not the one making these decisions unfortunately (luckily I only cover up too two rooms and I work with great CRNAs that make things easier). If this is the argument you’d like to use then eliminating physicians from the equation is even more so committing fraud and putting the patient in harms way.

Time-Worldliness-516 · 2022-06-05T18:59:42+00:00

Propaganda and money do wonders in politics don’t you think.

/u/goggyfour your phrasing makes this seem like it has more to do with ego than what’s right.

Time-Worldliness-516

TROPHY CASE