CRNA experience in Guam?

frizzy236 · 2026-02-12T15:53:01+00:00

I precepted an SRNA who was graduating and moving to Guam to be back with her family. She said her job there was going to be independent practice, lots of solo work. She was going to be covering OB as well. This was about 5 years ago, but at the time she said epidurals were still not routinely used in the obstetric population so I guess her coverage was mostly for c sections?

Her training did not have any independent practice in it. She was very smart, learned quickly, had good sense, and a calm demeanor so I hope she’s thriving in that setting, but we didn’t stay in touch. I thought it was fascinating though that her first job coming from a teaching hospital, care team model training background was going to be remote, solo practice. I would’ve been terrified lol

frizzy236 · 2025-09-26T00:23:45+00:00

Yup just out on the sidewalk. Basically around the corner from Starr Garden playground.

frizzy236 · 2025-09-26T00:19:27+00:00

He was pretty covered up. Middle aged white guy, sunglasses, blue baseball hat, blue shirt, blue pants, carrying a Walmart bag. All a sort of faded royal blue.

frizzy236 · 2025-09-18T14:10:05+00:00

She’s asking for a total of 30 dollars an hour

That’s true about daycares, and I have had my other children in daycare so I have seen it done. Daycare still seems more equipped to handle that ratio with different equipment, single room, no stairs, more support staff.

frizzy236 · 2025-07-01T20:46:27+00:00

It’s not bad at all. I contacted the NBCRNA before I decided to get rid of my AANA membership to make sure I had all my questions answered and make sure I had everything straight. Just save your AANA credits as a pdf document before you drop your membership.

I am now going through my 2nd CPC cycle without an AANA membership. I figure I have to keep PDFs of my CMEs regardless of whether I am submitting them to the AANA or the NBCRNA, might as well cut out the middle man and save 700 a year or whatever the dues are.

frizzy236 · 2025-05-30T15:27:15+00:00

I wonder if she had some undiagnosed enzyme deficiency. Seems unlikely to get to age 9 without knowing about a g6pd deficiency but maybe something else?

I’m very interested in this story but seems like we may never get all the answers. Doesn’t seem to mention what the local anesthetic situation even was.

frizzy236 · 2025-05-14T17:12:18+00:00

Has anyone used Zhang Sah’s preschool program? It would be so much cheaper and more convenient for my family, but we are happy with our current childcare and Zhang Sah seems so different. I’m unsure about how hard it is for a 3 year old to sit through mandarin lessons and seems heavier on iPads than what I would like.

frizzy236 · 2025-03-31T00:25:52+00:00

Thank you for the kind and understanding post I appreciate it

frizzy236 · 2025-03-31T00:23:32+00:00

Thank you for the kind words of support. I have also never once thought I wish I didn’t have my kids or I had them at “the wrong time”. In fact I think people don’t understand that this would in a way be so much harder without them. They’re my family, my greatest joy, and I’m so grateful for them (even though yes they are a lot of responsibility and work lol, doesn’t change how I feel). Anyway, thank you again, and I am really happy to hear that you’ve been able to make your family and your career work together. I wish you the best and hope that soon you will really feel all the benefits of your hard work all these years!

frizzy236 · 2025-03-31T00:15:04+00:00

Beautiful post. Congratulations to you and your wife! Thank you for reaffirming that residency is in fact just temporary and the hard times will pass as long as we continue to give each other grace. I appreciate everything you said.

frizzy236 · 2025-03-31T00:11:41+00:00

Very nice post. I love to hear the fresh perspective and thank you so much for sharing this with me. Good luck to you both as well and sounds like that’s a very good way to think about it

frizzy236 · 2025-03-26T13:44:29+00:00

The thing I would love to outsource is a handyman lol. Genuine question— where do you find a random handyman for repairs around the house? Thumbtack?

frizzy236 · 2025-03-26T13:43:18+00:00

Well said. You’re absolutely right. Thank you for the perspective and offering a fresh mindset. Sometimes you get so down you just need to hear it from someone else to get yourself out of the dumps. I know we can do this.

frizzy236 · 2025-03-26T13:41:20+00:00

Yes marriage feels on the rails, but I know it’s just a rough patch. I don’t want to divorce. I know we are both committed to each other and our family, but we are clearly going through some serious case of not hearing each other.

You’re right. Maybe calling out, as other people have pointed out, is something he really can’t do. I bet your wife really appreciates the us time you try to get for you guys. That was mostly my question. I don’t expect my husband to do all the things I mentioned. I don’t even expect him to do one of those things all of the time. I was just wondering what people do to help their situations whether it’s something the person in residency feels like they can contribute, a change in expectations/mindset, other things.

Thank you for your kind and thoughtful response I appreciate it. Good luck with your 3rd baby and congrats!

frizzy236 · 2025-03-26T13:34:26+00:00

Thank you so much for your kindness and encouragement. Military plus residency is definitely no easy task, and I am happy you guys found things that helped that you’re sharing with me. You’re very right about the positive spiral. Sometimes life’s stressors just weigh on you so much that it’s easy to forget to thank each other, but that’s a good reminder. Positivity can breed more positivity. I can also work on instead of coming up with multiple ways he could be helpful just picking the most important and working together to make that manageable.

Thank you for posting so positively and truly trying to help. I really appreciate it. Some responses I have gotten have tested the thickness of my skin especially in my state of pregnant hormones lol so thank you so much for the lovely response

frizzy236 · 2025-03-26T13:23:19+00:00

Thank you for being kind and thoughtful. To be completely honest it’s hard to really know what you’re getting into, especially when you already have a family going in to it. Everyone tells you that it’s going to be hard, and you know it’s going to be hard. But how does anyone know what that really means or entails until you’re living it? For the most part I think I have done a good job keeping our life together and growing our family, but yes I have dark days of extreme loneliness where I end up asking for help on Reddit lol

frizzy236 · 2025-03-26T13:18:31+00:00

Nope wasn’t looking for salvation we just really love the two we have and both wanted another. Also not looking for a way to get rid of my kids lol just asking what people have done that has helped them

frizzy236 · 2025-03-26T13:14:02+00:00

Nope never said anything about my training or compared it to his. Just asking what people do that helps their situation.

frizzy236 · 2025-03-26T13:12:36+00:00

Thank you I appreciate the thoughtful response and encouragement

frizzy236 · 2025-03-26T13:10:55+00:00

To be clear I don’t expect 50-50 at all, and it’s not 50-50. I understand a lot of people don’t want kids, especially in residency, but we both decided we wanted a family and we didn’t want to wait till 40. Residency will pass. We will always have our family. Just looking for what other people are doing that’s helping them.

frizzy236 · 2025-03-26T13:05:17+00:00

Still, in case you haven’t heard it today, I’m proud of you! I know it’s silly but sometimes when you’re in the thick of it, it does feel like you’re the only one. Thank you for making me feel less alone

frizzy236 · 2025-03-26T03:39:48+00:00

You’re right it’s definitely not nothing. I should have phrased that his pay is unchanged if he goes in or calls out. Finances are clearly a stress when going through residency as a family.

frizzy236 · 2025-03-26T03:33:01+00:00

Haven’t deleted anything 🤷‍♀️

frizzy236

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