MDA vs. CRNA

[Leukocyte]

BTW, what's with the Sir? Do I need to tart it up a bit?

Well, your user name no longer gives away your gender, as your old one did. By the way, Why did you choose "Winged Scapula"? It sounds more medical than surgical.

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[Apollyon]

Ironically, jwk isn't even an anesthesiologist. He's an "AA" - an "Anethesiology Assistant".

 

[Winged Scapula]

Well, your user name no longer gives away your gender, as your old one did.

I made two assumptions:

1) that Jet knew who I was and that I was female

2) even if he didn't, my picture is on my profile and I think its pretty clear I'm female

By the way, Why did you choose "Winged Scapula"? It sounds more medical than surgical.

Actually a Winged Scapula is a known complication of axillary node dissection or any surgery in the axilla resulting in nerve damage (which nerve? Pimp time!).

Not that I've ever knowingly made one, so I thought by choosing it as my new user name I would ward off evil juju.

 

[Arch Guillotti]

That said, while nurses/CRNAs are welcome here, bashing either profession is not welcome, so I will remind users to keep things civil and professional. If it ceases to be so, then the thread will be closed. I have no interest in this turning into the debacle seen in the Gas Forums.

Bashing however is welcomed in the gas forums but it only goes one way these days.

 

[jetproppilot]

Bashing however is welcomed in the gas forums but it only goes one way these days.

Sounds like you've got a beef with us sleep doctors over there.

I've read your undertones more than once.

Whats up?

I think things are more collegial over there than ever.

Please identify whatever is bothering you.

Specifically.

Sounds to me like you are disseminating inaccurate data.

 

[Arch Guillotti]

Sounds like you've got a beef with us sleep doctors over there.

I've read your undertones more than once.

Whats up?

I think things are more collegial over there than ever.

Please identify whatever is bothering you.

Specifically.

Sounds to me like you are disseminating inaccurate data.

Dude relax it was tongue in cheek. Simply referring to how the trolls are pretty much run out and get beat down when they reappear. I was not aware of any undertones, PM if you wish to discuss further.

 

[Winged Scapula]

I just got this one in rounds the other day.

"I believe that's the I-Don't-Give-A-F#@% nerve, ma'am."

 

[nonesuchgirl]

I just got this one in rounds the other day.

"I believe that's the I-Don't-Give-A-F#@% nerve, ma'am."

 

[Chronic Student]

Long Thoracic, it was on my gross final.

 

[Miami_med]

Long Thoracic, it was on my gross final.

It seems to me that dissecting out that stupid thing on a rotted cadaver a few years ago, that I had some sort of existential epiphany wondering if there was a god, why he would make the friggin nerve carry on for that long as opposed to just popping out somewhere in the lower thoracic vertebrae. It's kind of like that one nerve who's name I can't remember that goes on for a couple of miles to provide sensation to a minimal part of the big toe.

 

[Blade28]

By the way, Why did you choose "Winged Scapula"? It sounds more medical than surgical.

Really? Whenever I hear "winged scapula" I immediately think "long thoracic nerve" and "breast surgery."

Edit: darn it, just noticed this was supposed to be a pimp question.

 

[Leukocyte]

Really? Whenever I hear "winged scapula" I immediately think "long thoracic nerve" and "breast surgery."

Edit: darn it, just noticed this was supposed to be a pimp question.

Yes, the long thoracic. I did not think about that, because most of the "winged scapula" cases I saw were due to injury to the brachial plexus from pulling on a baby's arm during delivery.

 

[Winged Scapula]

Yes, the long thoracic. I did not think about that, because most of the "winged scapula" cases I saw were due to injury to the brachial plexus from pulling on a baby's arm during delivery.

But that still makes it a surgical rather than a medical problem.

 

[Leukocyte]

But that still makes it a surgical rather than a medical problem.

Are you saying what I am thinking! Did a surgeon here actually (finaly) admit that a certain specialty that deals with women's health is considered surgery?!

 

[2win]

What are you talking about? Your "phrasiology" is very cryptic and difficult to read (not just in response to my post, but each of your 8 posts on this topic). Yes, I've rotated on CT. No, I haven't seen a nurse read a TEE, nor did I advocate for that. Honestly, I'm not sure your run-of-the-mill anesthesiologists could give an accurate read of a TEE unless they've been through CT or critical care graduate training. Yes, I've seen a nurse read an ABG, and those in the ICU (let alone those with graduate training) tend to know what to do about any derangements. No, I'm not still "in the hernia rotation." Please reread my post; I said that for the simple stuff (like hernias) CRNAs are fine, but that when it comes to the more advanced procedures, I would rather have an anesthesiologist than a CRNA (or even a junior level anesthesia resident).

I'm not sure what your regular SDN user name is, but your "post-bombing" of this thread is quite annoying and you really aren't adding anything intelligible with your incomplete thoughts and difficult to interpret prose. Please slow down, gather your opinions into one coherent idea and then post that rather than the mish-mash of random thoughts currently on display, as I'm getting a headache trying to decipher your point(s).

So buddy - take it easy and don't use all the Xanax. Before to post your smart ideeas about the MD- CRNA relation , get some work experience. Of course they are OK - the cute ones... I bet you're a frustrated nurse. When I see beside that your Socialist f..ing name, I wonder what creep you are. Are you in Canada or Cuba? Get lost in Marx and Lenin. What do you know about TEE - there is a tube or what? What did you do in your CT roation? Bringing the CT scans in OR? And - what surgery had your wife? Podiatric? Just don't bother to answer nursy.

 

[Blade28]

Are you saying what I am thinking! Did a surgeon here actually (finaly) admit that a certain specialty that deals with women's health is considered surgery?!

I'm in surgery. I delivered a baby a little over a year ago.

 

[SocialistMD]

So buddy - take it easy and don't use all the Xanax. Before to post your smart ideeas about the MD- CRNA relation , get some work experience. Of course they are OK - the cute ones... I bet you're a frustrated nurse. When I see beside that your Socialist f..ing name, I wonder what creep you are. Are you in Canada or Cuba? Get lost in Marx and Lenin. What do you know about TEE - there is a tube or what? What did you do in your CT roation? Bringing the CT scans in OR? And - what surgery had your wife? Podiatric? Just don't bother to answer nursy.

Glad to see professionalism continues once you are an "attending."

 

[Winged Scapula]

Are you saying what I am thinking! Did a surgeon here actually (finaly) admit that a certain specialty that deals with women's health is considered surgery?!

Uhmmm...I meant that a winged scapula is a surgical issue because repair of a brachial plexus injury is a highly skilled surgery and is not done by Ob-Gyns nor treated medically (as you seemed to imply in your earlier posts).

So no, I am not saying what you think I am saying (that Ob Gyn is surgery).

 

[2win]

I got a warning - beeing impolite and I apologize. . Attending - yes, have a great weekend. Think more before you get involved in this political discussion. I could give you tones of evidence regarding the level of care provided by CRNA-s. You'll see what means a war in the close future.

 

[mark2climb]

Would you help us out by sharing some of that TONS of evidence for the level of care by CRNAs?

I got a warning - beeing impolite and I apologize. . Attending - yes, have a great weekend. Think more before you get involved in this political discussion. I could give you tones of evidence regarding the level of care provided by CRNA-s. You'll see what means a war in the close future.

 

[SocialistMD]

Think more before you get involved in this political discussion.

I'm not sure what I said that was inappropriate. The OP asked the opinion of surgeons on this matter. As a surgery resident with an opinion, I thought it was my place to answer the question. It wasn't a political statement, it was my opinion based on my interactions with CRNAs and anesthesiologists as both a surgeon in cases of various levels of difficulty and as a family member of someone who recently had a routine abdominal surgery.

But you keep the fight alive :black power fist up:...

 

[filter07]

I think it says a lot that a discussion on the difference between an MD and CRNA becomes a "political" issue rather than a medical one.

 

[DrDre311]

Am I the only one reading this thread who thinks of 2win's posts in like a really exaggerated Borat accent? I can just see that kick-*** mustache...

I think the root of the bitter undertone of this discussion lies in the fact that in some cases people with less training can get paid excellent money to work much shorter hours with less liability--doing the same work that docs have traditionally done.

Why go to med school, suffer through 4, maybe 5-7 years of residency, then work yourself to death as an attending when you can become a PA or CRNA, work 40 hours a week, and still make a great living? Not to mention legal liability/malpractice/med school debt.

 

[Miami_med]

So buddy - take it easy and don't use all the Xanax. Before to post your smart ideeas about the MD- CRNA relation , get some work experience. Of course they are OK - the cute ones... I bet you're a frustrated nurse. When I see beside that your Socialist f..ing name, I wonder what creep you are. Are you in Canada or Cuba? Get lost in Marx and Lenin. What do you know about TEE - there is a tube or what? What did you do in your CT roation? Bringing the CT scans in OR? And - what surgery had your wife? Podiatric? Just don't bother to answer nursy.

Please Please Please Please don't connect the senseless rants to capitalism.

 

[DrDre311]

I'm gonna start posting in a weird cryptic Russian accent now too. That stuff is too funny.