Recent content by Darwin

"The MAIN difference between a physician and US is we cannot admit, discharge, diagnose or treat. Thats the physicians responsibility... ...the surgeons frequently consult us to read 12 Lead EKG's, evaluate a patient for them to determine necessary diagnostics to clear them for surgery, and...

They do them all the time, as you said, to get a better view of the valves (eval. endocarditis, cath complications, endovascular valve repairs, etc). Most commonly I think they use it prior to cardioversion to r/o atrial thrombus. Our cardiologists stay pretty busy with TEE's.

diastolic dysfunction can be caused by a number of things, most commonly long standing hypertension. Rather than resulting in an eccentric hypertrophy, it causes concentric hypertrophy. A thickened myocardial wall, often times 14-18mm on posterior wall and septal measurements, and usually...

Over the past 4-5 years the field has become increasingly more competitive: 210's will not guarantee you a slot anymore, as it would 7-8 years ago. I know of a couple people in the 210's last year who only landed 3-4 interviews at "uncompetitive" programs, and one didn't even match. Many...

Just got the understanding of your wording...as if to say, the only place in San Diego that utilizes CRNA's is UCSD. My apologies.

Only CRNA's at UCSD? UCSD is an academic anesthesiology department, and one that is fairly renowned. Ever heard of Benumof, Wilson, etc? I'm not quite sure what you mean by this....:confused:

The AANA publishes and has been on record stating to congress that there are no studies showing outcome differences in regards to anesthesiologist directed CRNA supervision. But there is. Silber JH, Kennedy SK, Even-Shoshan O, Chen W, Koziol LF, Showan AM, Longnecker ED...

And we should add the ASA website to the flier/program/pamphlet, with instructions to click on "patient education" to learn more.

Be a Pro, Wholeheartedly agreed. Here's where we can start. From the ASA website under patient education, this is the list of suggested questions that patients should ask: * What are your qualifications? How many procedures like this have you done? * Who else might be...

I still feel that something about nurses delivering anesthesia needs to be included. You haven't educated anybody about the issues with this add. In the PACU I see CRNA's introduce themselves as "so and so, your nurse anesthesia provider". Ten minutes later I hear the patient say to the...

Looking good. We need to include something about nurses delivering anesthesia, as most people do not realize that receiving anesthetic care from a nurse is even a possibility. Many people, in my experience, are shocked and literally horrified when they realize this.

Ether, You have undoubdetly spent a lot of time thinking about the issues, and the ASA certainly needs more individuals like you. It is entirely irrelevant if people agree or disagree with what you have to say, the important issue is that you have an opinion and are clearly passionate...

What to do when... on A-lines - good flash, thread the wire fine, advance the catheter, then pull out the wire and no flow. So I back out the catheter about 1cm and get good flow...question is, can I re-insert the wire to try and re-thread?

And they go to great lengths to do this, even going so far as to fill their class :laugh:

that if you try to register for step 1 after having already taken the exam that it won't let you if you passed the exam? Thought I read this somewhere ...