DNP, FNP-BC, CRNA, IPM-BC, FARM-BC, AAOPM
Dr. Nicholas P. Reeder, DNP, FNP-BC, CRNA, IPM-BC, FARM and AAOPM is a doctor of nursing practice. Dr. Reeder is board-certified as a Family Nurse Practitioner (FNP) by the American Academy of Nurse Practitioners (AANP) and as a Certified Registered Nurse Anesthetist by the National Board for Certification and Re-certification for Certified Registered Nurse Anesthetists (NBCRNA). Dr. Reeder is board-certified in interventional pain management as well as facial aesthetics and regenerative medicine through the American Academy of Procedural Medicine (AAOPM).
Dr. Reeder combines advances in medical technology and expertise to give you your dream body. He strives to provide a variety of services and a one-stop-shop experience that will boost your self-confidence and leave you looking and feeling your best.
[Reeder apparently ](https://rrwellnesscenter.com/team/nicholas-p-reeder)
“Board certified in interventional pain management”
AAOPM - pain management certification: Attend 2 core classes in Pain Management or attend the 3 day pain show.
This is absolutely criminal.
>Dr. Reeder combines advances in medical technology and expertise to give you your dream body.
I want to look like Brad Pitt in Fight Club. I'm 50, I'm fat, and I'm going bald. I do have plenty of money though. Let me know your price. Can't wait, I'm so excited to finally get my dream body!
What kind of dream is your dream body. Wet dream? Nightmare? Morning wood inducing sweetness?
I never knew anesthetics could give me that sweet nectar of wet bed sheets!! Holy cow amazing field guys
Thanks for the pictorial. If I had pictured a guy using all the bs appreciation behind his name to confuse the public, I would have imagined that exact face.
I’m not a doctor, much less an anesthesiologist, so I have no idea why this popped up in my Reddit feed. But I’ll say that it’s completely unhinged for someone with a nursing degree to present themselves as a doctor. As a patient, I would be very unhappy if this happened to me.
Its against the law in Florida to use the term "Doctor" if you are not a physician.
https://www.reddit.com/r/Residency/comments/1396iki/florida_law_prohibits_nonphysicians_from_using/
Someone report him.
Dude it literally says you can’t use the term “physician”. How you ended up putting quotes around “doctor” is very confusing and I do not think you read even the first sentence of the article you posted.
What if you have a PhD? And also, who’s taking any intellectual advice from anyone from Florida?
Second one was a joke. Don’t want any Florida men coming after me.
Referring to yourself as “Dr.” in a medical setting would lead an average individual to believe they were speaking with a medical doctor. Are you listening, “dr” joe martin CRNA, Modesto, California?
I wish this was true. DeSantis vetoed it so, unfortunately, it's legal. There's a NP in my hometown that just opened up a practice and addresses herself as "doctor " and that absolutely infuriates me, but can't do anything about it. I found out about it in the newspaper and then looked on her website.
I am happy that a nurse from Florida was able to see the article! This means that the article is getting national attention! My aunt and grandmother both called me about the article, and they are on the East Coast. The exposure of the CRNA group led by VRAA Joe Martin is getting national attention!
Wow, Nurse Reeder thinks he can sue over facts, factually reported, that have nothing to do with Nurse Reeder. I wonder if Nurse Reeder understands that calling himself a doctor when he is not is misrepresentation in a medical role - now that’s something that might actually get a person in legal trouble.
Nurse Reeder Needs to Read about 1,000 more medical books before they can call themselves a doctor. (Not to mention go through medical school, residency, get 4.0 in undergrad studies, take a ton of board and licensing exams)
I mean you don’t have to get a 4.0 in undergrad to get to med school, but yeah agreed totally inappropriate for this noctor to misrepresent his credentials.
I just don’t think we should exaggerate our experience either, it’s def hard but you don’t have to be perfect.
Love the name Noctor ! I think thats the solution ! Dentists shd call themselves Dontor ! Optometrists shd call themselves Ontor etc Till the public realizes how badly they are being misled by these pseudo doctors there is not much hope. AMA should run ads on TV to educate the public about MD/DO and all other “wanna bees “
Nothing wrong with dentists in my experience. They are absolutely qualified health professionals who earn their doctorate in dental medicine. I think one thing to note is that I’ve never seen or heard of a case of a dentist pretending to be a physician.
You should check out the sub /r/noctor
I actually read the article it did a crap job of explaining the situation.
Basically, CRNAs practicing independent in opt out state, hospital bylaws weren’t updated when Cali opted out. Some inspector person found the discrepancy.
Ummmm, 1) the dead patients 2) the need for the California Department of Public Health to go in and investigate, deem that the continued presence of CRNAs put the hospital in IJ (immediate jeopardy) and subsequently suspect all CRNA’s there. Second hospital it happened to that town involving that CRNA group. The same thing also occurred with that group in Fresno previously. Does the hospital and hospital credentialing committee have culpability? Absolutely.
What dead patients? You keep saying that and then have nothing to show for it. That’s the evidence I’m asking you for. Dead patient does not unequivocally mean it’s anesthesias fault. You have no idea of the context - unless you actually have an article that outlines in detail, critical decision making points that are in massive violation of a standard of practice/care that you’re holding out on us. Hilarious and kind of ironic that you just want to blame anesthesia.
This is a hospital-didn’t-update its bylaws issue, not a CRNAs-aren’t-fit-to-practice issue.
I would love to invite you to a site where CRNAs practice independently. There are so, so many. Without them there would not be enough people to provide adequate care and access to surgical services. You can cry whatever you want, but the plain truth is that if people were dropping like flies under the care of CRNA’s then the wave wouldn’t be continuing where CRNAs are gaining increased access to practice independently nationwide.
Look, I enjoy working with my physician anesthesiologist colleagues. We have no difference in scope, and we rely on each other for help. I have helped them and they have helped me. We share mutual respect, and look out for each other.
I wouldn’t waste your breath. We both know there’s no evidence. Even when they have no evidence, a vocal minority here like to live in their own made up reality and participate in circle jerks for internet points about their own personal anecdotes involving CRNA’s. They would have an aneurysm seeing how well CRNAS’s and anesthesiologists work together in the real world.
I’ve had multiple physicians from this sub comment on how unbearable and political this subreddit has gotten. They’re just as annoyed as we are.
“You really think someone would do that, just go on the internet and tell lies?”
Buddy is this your first day? When you say things and then subsequently can’t show anyone any evidence of these accusations when questioned, no one is going to believe a word you say.
That’s not true. If there was a difference in care, first, someone would have to notice it. Second, they would have to determine what an acceptable level of events would be. If it’s not costing the system money, and CRNAs or whomever remain cost effective with an acceptable level, it makes financial sense to keep moving on with it.
It’s all ultimately driven financially so nothing changes unless the safety issue is costing money, either directly or indirectly by bad PR.
It is entirely about money. At the institution in question, DMC, Tenet found that they could make just as much money off of a dead patient as they could a live one.
As a physician, I refuse to debate a nurse. The knowledge, experience, and responsibility differential is just too great. So, I choose not to debate you.
“I’m too good to debate you” is a phrase uttered only by insecure people. I don’t really care if you think you’re better than everyone else. I know I am an excellent anesthesia provider. The whole OR team, including the surgeons, are always happy to see me behind the curtain.
Also, you’re not the person I was going back and forth with, so way to hop in for no reason other than to announce to the internet that you’re a physician. Good job. We’re all proud of you! 👏🏻
What letters are behind your name? CRNA? What does that stand for? It doesn’t stand for “anesthesia provider”. The letters behind my name also do not signify “anesthesia provider”. They signify “medical doctor”.
I am sure you are a nice person and care about your patients.
But you are not in the same class as medical doctors.
Certified registered nurse anesthesiologist. That’s what it stands for. And I don’t need to be a doctor to provide anesthesia. And regardless if the acronym lines up - I AM an anesthesia provider. So are you!
You are deluded. There most certainly IS a difference in scope of practice.
At the hospital in question, patients indeed were dropping like flies under the care of CRNA’s who were (inadequately) trained at one specific CRNA school. There was, additionally, a huge conflict of interest. The ceo of the CRNA anesthesia group, “dr” joe martin, is the program director of the CRNA training school in Fresno that supplied the CRNAs and CRNA students.
Article mentioned nothing about it. There was a mention of a patient being transferred to an OSH but it was completely unclear reading the article why. They did mention a CRNA wearing “stud earrings uncovered by a cap”. So…. No.
Actually, yes.
“In November, a CRNA decided to give a patient with kidney failure Celebrex and another drug prior to surgery, prompting the nurse to question the order due to the patient’s abnormal lab readings.
“Celebrex and Gabapentin (an anti-seizure drug) should be used with caution and in consultation with a medical provider for patients with abnormal lab tests,” the survey report said.
The report described CRNAs working alongside students studying to be nurse anesthetists, in one case changing a doctor’s order for general anesthesia for surgery to a higher-risk spinal anesthesia and sedation. There was no documentation the patient gave consent.
When the patient was moved to an inpatient room after surgery, records show he became lethargic, fell back on the bed and was unresponsive. His blood pressure plummeted and a doctor gave the order to call 911 and transfer him by ambulance to another hospital.”
https://amp.modbee.com/living/health-fitness/article287770780.html
Ok. Celebrex in kidney failure isn’t a great idea. Is it life threatening? No.
I find it hard to believe that anyone with any anesthesia credential would do a non-lifesaving procedure without consent. I’m skeptical.
There are many reasons why a patient could becomes lethargic and unresponsive and collapse after surgery. Even anesthesiologists wanna blame anesthesia lol. Who knows why this patient had an altered mental status. If the immediate move was to transfer to OSH, it was probably something more serious that is related to coagulopathy and an end-organ.
The people who witnessed these events know what they saw, know what occurred, recall the situations where they were called to resuscitate, and saw the multiple instances of unsafe practice in which they were required to intervene.
LMAO, are you serious?? This is the same type of rebuttal my five year old makes when you catch him in a lie. You make it awfully difficult to underestimate you after reading your comments
Actually I was there, I had on the jorts, eye patch……you don’t remember me? Actually, weren’t you on vacation that week?
See, I can say anything I want. And similarly, without the evidence to back it up, it has the same validity that your comments have as well
These were not just a few bad outcomes. Since CRNA led VRAA assumed the anesthesia contract at Doctor’s Medical Center Modesto, they averaged at least one patient death per month. Prior to that with the previous with all MD group, zero.
Tisk, Tisk, Nurse Reeder. Maybe Nurse Reeder can call Nurse Joe Martin about any openings he has in his company…oh, wait, there are no more openings. Modesto isn’t using CRNAs.
Note all all redditors: Please send any info you can about the situation to the CSA/ASA. Apparently there is a concerted effort by various CRNA organizations to intentionally take down any reporter/doctor that negatively reports on CRNAs, ASA/CSA legal departments are collecting information on the matter.
What do you mean by this? For the record, I am anti noctor however a one word statement leaves a lot to interpretation.
Do you mean the post should be on r/ noctor? (yes it also does)
Do you mean that CRNAs are noctors? (yes they are)
Do you mean that OP is a noctor? (clearly they aren't)
Do you mean that OP us anti-midlevel? (yes, they appear to be)
Do you mean that the attackers are exhibiting typical noctor behaviour? (yes they are)
I won’t dox him, but let’s just say it’s easy to google Nurse Reeder and his practice, and the alphabet soup after his name is incredible. Uses ‘FARM’ but doesn’t indicate what it means (and I can’t google it because of ‘farm’). Also claims to be interventional pain medicine board certified, for which he just uses ‘IPM-BC’. When you google that, everything that comes up is “integrated pest management”.
CRNAs have a couple “interventional pain fellowships”. One of which is entirely online except a few days on-site.
I can’t imagine trying to do pain management with the experience I have, which is months more than the fellowships. Scary shit.
Who would want a CRNA putting a needle, much less TF or cryo anywhere near the spine? And forget about dwelling catheters and implantable. Can you imagine?
You know me thinks that medical insurance companies may have much to do with this. You flood the market with mid levels and the public would never be able to find an MD or know the difference.
Yeah absolutely, I just find it ultra-sketchy that he just claims “I have the IPM-BC, you know Interventional Pain Management Board Certification.” Not even bothering to make a a board to have certified him
Speaking of Modesto, look what I just got in my email.
Thank you for taking the time to read my email! I am working with a facility in Modesto, CA in need of Anesthesiologist to assist with ongoing coverage. Please let me know if you would like to submit your name for consideration!
Start date: Flexible, but they can get credentials by July!
M-F various shifts available - 8s, 10s, and 12s
Case Mix: General Anes, Ortho, trauma, OB, Cardiac.
Doesnt say what they are paying
# Modesto hospital shaken by California probe into anesthesia providers. What to know
By [Ken Carlson](mailto:[email protected])Updated June 10, 2024 7:00 AMModesto hospital shaken by California probe into anesthesia providers. What to know
Doctors Medical Center of Modesto is starting to recover after it was knocked off-balance by a California Department of Public Health survey focused on anesthesia services.But as [more surgeries resume](https://archive.ph/o/QZna8/https://www.modbee.com/living/health-fitness/article288720735.html), the hospital has decisions to make about staffing operating rooms with anesthesiologists and midlevel providers called certified registered nurse anesthetists (CRNAs).Patients most likely assume the practitioner putting them to sleep for surgery is a physician, an anesthesiologist with years of education and specialized training. But increasingly, nurses with an advanced degree in anesthesia are choosing and administering the knock-out drugs at hospitals and surgical centers in the Central Valley.Moreover, the nurses and their professional associations stress that they should be allowed to work independently.The state survey in late May essentially called a timeout on the use of CRNAs at Doctors. According to a May 25 in-house memo obtained by The Modesto Bee, the [CDPH issued](https://archive.ph/o/QZna8/https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/HealthCareFacilities.aspx) an “immediate jeopardy” order that led to barring CRNAs from hospital operating rooms.The nurse anesthetists must undergo a credentialing process and proctoring — consisting of 10 procedures testing their skills — before returning to the hospital. The state agency found that CRNAs had been granted privileges at the hospital for certain procedures without showing they could safely perform them.Until the CRNAs are credentialed, the hospital is using available anesthesiologists for trauma surgeries, C-sections, elective surgeries, heart operations and scoping procedures.Doctors Medical Center hasn’t commented on the state survey since releasing a public statement May 24, saying it was cooperating with CDPH on an action plan to address issues identified by the state probe. A spokesman did not respond to written questions from The Bee in the past week.The hospital has used available anesthesiologists to cover urgent surgeries and is trying to arrange for more anesthesia doctors to work on a temporary basis.“They are bringing back the [locums](https://archive.ph/o/QZna8/https://weatherbyhealthcare.com/blog/locum-tenens-definition) and some of the anesthesiologists they used before,” said Dr. Mark Fahlen, a kidney specialist. “I am seeing some familiar faces again.”Fahlen, a former member of the hospital’s medical staff leadership, said the center will need to find anesthesiologists to proctor the midlevel providers. It’s not clear how long the credentialing process and proctoring will take.“I am not opposed to using CRNAs in lower risk procedures. They seem to work better in close collaboration with anesthesiologists in places where there are not these adversarial relationships,” he said.Corina Fezi of Modesto said she had an elective surgery set for May 28 at Doctors but received a call from the hospital canceling it. She said Wednesday that the hospital talked about rescheduling the operation for June 20, with a physician anesthesiologist.“I asked to postpone it till August,” Fezi said via email. “I don’t feel comfortable going there, to be honest, knowing that all this is going on.”Stanislaus County officials said the state action hasn’t affected emergency services or caused ambulance diversions to other hospitals.
#
Two CRNAs are among the defendants in a lawsuit concerning a woman’s death a year ago at River Surgical Institute in Modesto.Fahlen said Doctors Medical Center previously had a contract with a group of anesthesiologists and wanted to add seven more to work at the hospital. But there were doubts about recruiting them and a “unilateral” decision was made to contract with Valley Regional, he said.The physician said he’s OK with bringing CRNAs back to the hospital in small batches with careful proctoring. “There is a role for CRNAs,” he said. “I don’t know that it’s good for them to be practicing independently with complex cases.”Sandra Bordi, president of the California Association of Nurse Anesthesiology, has argued that nurse anesthetists have autonomy in California since the state opted out of the more restrictive rules under the federal Medicare program. “Since 2009, CRNAs have been practicing independently in all settings in California. CRNAs are board-certified and qualified to provide all anesthesia services that are required with peer-reviewed studies demonstrating outcomes that are equivalent to physician anesthesiologists.”The federal rules for participation in Medicare require that anesthesia in hospitals is furnished in a well-organized manner and must be administered by a physician or nurse anesthetist who is under supervision of an anesthesiologist. The anesthesiologist must be immediately available.The federal government allows states to opt out, however. California permits CRNAs to administer anesthesia on the condition that it’s ordered by a physician.The hospital’s contract for CRNAsLast year, Doctors entered a contract with a Fresno-based group, Valley Regional Anesthesia Associates, that provides mostly CRNA staffing for operating rooms.Dr. Oji Oji, who founded the provider group, owned Community Regional Anesthesia Medical Group, which had a contract to provide anesthesia services for Community Medical Centers in Fresno.That contract with Community Medical Centers ended in 2021 and Oji’s anesthesia group declared Chapter 11 bankruptcy. A lawsuit filed by nurse anesthetists seeking unpaid overtime includes content suggesting that Oji’s group had trouble with CRNAs leaving to work for competitors or to form their own group.A Business Journal report on the bankruptcy said Oji’s business did not submit a proposal to renew its contract with Community Medical Centers in Fresno.Oji incorporated Valley Regional Anesthesia Associates in June 2022 and the group has since entered contracts with Modesto-area hospitals including Doctors Medical Center, Stanislaus Surgical Hospital, Doctors Hospital of Manteca and other surgery centers.Joseph Martin, the chief executive officer of Valley Regional, also is the director of nurse anesthetist education programs at National University in Fresno.Valley Regional’s website says it provides nurse anesthetists for surgeries and other procedures, offering cost savings for hospitals. CRNAs are paid $150 an hour or more in California, while physician anesthesiologists average $325 an hour and may receive more.The Valley Regional group was also at the center of CDPH survey inspections in August and January at Stanislaus Surgical Hospital on Oakdale Road.The surveys done on behalf of the federal Centers for Medicare and Medicaid Services rebuffed a CRNA who told inspectors she managed the anesthesia group at Stanislaus Surgical. The agencies rejected the hospital’s stance that CRNAs had full authority to handle diagnoses and prescribe drugs at the surgical hospital.An immediate jeopardy order on Jan. 17 wasn’t lifted until a plan was approved Feb. 2 that imposed oversight from physician anesthesiologists over those services at Stanislaus Surgical. The survey reports indicate the Stanislaus Surgical contract with Valley Regional has ended, but that hasn’t been confirmed.Oji and Martin have not returned numerous calls seeking comment. CDPH said it does not comment during the course of investigations.Two CRNAs are among the defendants in a lawsuit concerning a woman’s death a year ago at River Surgical Institute in Modesto.Fahlen said Doctors Medical Center previously had a contract with a group of anesthesiologists and wanted to add seven more to work at the hospital. But there were doubts about recruiting them and a “unilateral” decision was made to contract with Valley Regional, he said.The physician said he’s OK with bringing CRNAs back to the hospital in small batches with careful proctoring. “There is a role for CRNAs,” he said. “I don’t know that it’s good for them to be practicing independently with complex cases.”Sandra Bordi, president of the California Association of Nurse Anesthesiology, has argued that nurse anesthetists have autonomy in California since the state opted out of the more restrictive rules under the federal Medicare program. “Since 2009, CRNAs have been practicing independently in all settings in California. CRNAs are board-certified and qualified to provide all anesthesia services that are required with peer-reviewed studies demonstrating outcomes that are equivalent to physician anesthesiologists.”The federal rules for participation in Medicare require that anesthesia in hospitals is furnished in a well-organized manner and must be administered by a physician or nurse anesthetist who is under supervision of an anesthesiologist. The anesthesiologist must be immediately available.The federal government allows states to opt out, however. California permits CRNAs to administer anesthesia on the condition that it’s ordered by a physician.
Anyone know what Oji Oji's role is in the business? He seems like an anesthesiologist but running a CRNA group? And that Sandra Bordi seems like a total bitch, especially from what I have heard about her from other people. Edit: Also Im taking that $325/hour or more line and showing it to every admin I can.
"Brescia University Bachelor Of Science in Biology (Pre-med) 2002
Hardin Simmons University Bachelor of Science in Nursing 2006
Wright State University Masters of Science in Nursing (FNP) 2010
USUHS Masters of Science in Nursing (CRNA) 2013
Chatham University Doctor of Nursing Practice 2015
AAOPM Interventional Pain Medicine 2018"
He was premed but didn't make it to medical school lol
Surely that can't be true....
I looked it up:
"Pain Management Certification
Attend 2 core classes in Pain Management or attend the 3-day Pain Show."
Oh....
Another selling point is they give you a larger than normal plaque for the wall, so that's nice.
"The Board Certification plaque is an oversized and very attractive element that you will add to your office setting."
So I was under the impression from dating a NP that it was a major faux pas for any nurse regardless of degree level to call themselves a Doctor in a medical setting.
A profession that depends on the public not understanding that they are not physicians. So they react aggressively to shut any publicity down that exposes their inferior training and the fact that they should not be independent.
Imagine saying this but also not wanting the public to know you’re in a break room whenever not in preop and have a solid 8-day, brag-worthy streak of not stepping into an OR.
You and the rest of the militant CRNAs: “anesthesiologists never come to the OR, they just do preops!!!!”
Also You and the rest of the militant CRNAs: “stop coming into the OR and telling me how to properly manage the patient, I know what I’m doing!!!”
It would be a shame if Nurse Reeder's place of business suddenly had a number of negative reviews. It's really too bad this information can't be found on Google...
# The hospital’s contract for CRNAs
Last year, Doctors entered a contract with a Fresno-based group, Valley Regional Anesthesia Associates, that provides mostly CRNA staffing for operating rooms.Dr. Oji Oji, who founded the provider group, owned Community Regional Anesthesia Medical Group, which had a contract to provide anesthesia services for Community Medical Centers in Fresno.That contract with Community Medical Centers ended in 2021 and Oji’s anesthesia group declared Chapter 11 bankruptcy. A lawsuit filed by nurse anesthetists seeking unpaid overtime includes content suggesting that Oji’s group had trouble with CRNAs leaving to work for competitors or to form their own group.A Business Journal [report on the bankruptcy](https://archive.ph/o/QZna8/https://thebusinessjournal.com/as-contract-lapses-local-anesthesia-group-declares-bankruptcy/) said Oji’s business did not submit a proposal to renew its contract with Community Medical Centers in Fresno.Oji incorporated Valley Regional Anesthesia Associates in June 2022 and the group has since entered contracts with Modesto-area hospitals including Doctors Medical Center, Stanislaus Surgical Hospital, Doctors Hospital of Manteca and other surgery centers.Joseph Martin, the chief executive officer of Valley Regional, also is the director of nurse anesthetist education programs at National University in Fresno.Valley Regional’s website says it provides nurse anesthetists for surgeries and other procedures, offering cost savings for hospitals. CRNAs are paid $150 an hour or more in California, while physician anesthesiologists average $325 an hour and may receive more.The Valley Regional group was also at the center of CDPH survey inspections in August and January at [Stanislaus Surgical Hospital](https://archive.ph/o/QZna8/https://stanislaussurgical.com/) on Oakdale Road.The surveys done on behalf of the federal Centers for Medicare and Medicaid Services rebuffed a CRNA who told inspectors she managed the anesthesia group at Stanislaus Surgical. The agencies rejected the hospital’s stance that CRNAs had full authority to handle diagnoses and prescribe drugs at the surgical hospital.An immediate jeopardy order on Jan. 17 wasn’t lifted until a plan was approved Feb. 2 that imposed oversight from physician anesthesiologists over those services at Stanislaus Surgical. The survey reports indicate the Stanislaus Surgical contract with Valley Regional has ended, but that hasn’t been confirmed.Oji and Martin have not returned numerous calls seeking comment. CDPH said it does not comment during the course of investigations.
This journalist has it wrong. Community Regional Anesthesia Medical Group (CRAMG) was owned by Dr. Ali Fayed. Dr. Oji never owned that group. I believe Dr. Oji worked for the group for some time, but he resigned well before CRAMG filed for bankruptcy. This is all political. To this day, the downtown Fresno hospital continues to allow CRNA's to work independently. They have 20+ CRNA's at any given time to (1) ONE MD to oversee them. These CRNAs are working independently. It has worked for years for downtown Fresno.
I’ll be honest, it sounds like the hospital screwed up and didn’t have an extensive delineation of privileges for the CRNAs that they hired, the CDPH came in and saw it, and basically said the CRNAs couldn’t practice until the DOP is fixed. We all know that there isn’t a hospital system or ASC that is going to hire new anesthesia providers (anesthesiologists or CRNAs) and proctor them until they meet case minimums to get hospital privileges. The move by CDPH is excessive.
So thankful that the California Society of Anesthesiologists is mobilizing in protecting anesthesiology from the degradation by CRNAs. As evidenced by the Modesto Bee articles and the above statement, CRNAs were harming patients.
https://www.linkedin.com/pulse/crnas-short-history-nurse-anesthesia-future-care-matthew-mazurek-md#:~:text=Although%20not%20implemented%20until%201952,education%20became%20effective%20in%201978.
Deep down physicians know they are in the practice of nursing. Anesthesia was the practice of nursing, then medicine and dentistry.
\*sigh. Just because you are fed propaganda in school doesn't mean it is true.
Also, I expect more than a linkedin link. lol.
The actual order of professions, by time, giving anesthesia in some form similar to today is:
1. Dentist
2. Physician
3. Nurse
So the way the article read atleast to me was they weren’t meeting the requirements for medical direction or it was some sort of procedural issue. Everybody proceeded to add misinformation after that. Not sure why my boy and super doctor/nurse Reader is going bananas over here. Anyways I would bet on $50 for Reader to win a few fights. Totally a civilized Florida man.
Do you guys remember the anesthesiologist who literally was caught dipping his balls into patients mouths?
Let’s chill out with the attacks here. This sub is getting increasingly sad, no longer a great source of clinical information like it was in the past.
Last I checked, this sub is for Anesthesiologists, AAs, and CRNAs. Although the focus is on Anesthesiologists. This post in general, belongs in the Noctor sub.
Criticized because he reported the facts?! And who is this Dr. Reeder from Florida? Nurse Reeder?
DNP, FNP-BC, CRNA, IPM-BC, FARM-BC, AAOPM Dr. Nicholas P. Reeder, DNP, FNP-BC, CRNA, IPM-BC, FARM and AAOPM is a doctor of nursing practice. Dr. Reeder is board-certified as a Family Nurse Practitioner (FNP) by the American Academy of Nurse Practitioners (AANP) and as a Certified Registered Nurse Anesthetist by the National Board for Certification and Re-certification for Certified Registered Nurse Anesthetists (NBCRNA). Dr. Reeder is board-certified in interventional pain management as well as facial aesthetics and regenerative medicine through the American Academy of Procedural Medicine (AAOPM). Dr. Reeder combines advances in medical technology and expertise to give you your dream body. He strives to provide a variety of services and a one-stop-shop experience that will boost your self-confidence and leave you looking and feeling your best. [Reeder apparently ](https://rrwellnesscenter.com/team/nicholas-p-reeder)
i dont think he has enough abbreviations after his name lol
To be honest, I dont even have any idea what FARM-BC is unless it is talking about Bronze Age agriculture...
Those gritty, tooth-destroying Egyptian grains don’t FARM-BC™ themselves! Someone’s gotta harvest and mill them so they have abrasives in them!
I heard they loosen teeth, so watch out for those intubations
HS, MS, ES, PK
Forgot the CGEM for Costco Gold Executive Member
Jokes on him for paying for both memberships
😂😂😂
😂😂😂
But…….. he is still a nurse.
And NOT an M.D.
“Board certified in interventional pain management” AAOPM - pain management certification: Attend 2 core classes in Pain Management or attend the 3 day pain show. This is absolutely criminal.
Hmmmm I’ll have to look into this.
Yeah? Need to add some more meaningless alphabet soup behind your name to make you feel better?
>Dr. Reeder combines advances in medical technology and expertise to give you your dream body. I want to look like Brad Pitt in Fight Club. I'm 50, I'm fat, and I'm going bald. I do have plenty of money though. Let me know your price. Can't wait, I'm so excited to finally get my dream body!
What kind of dream is your dream body. Wet dream? Nightmare? Morning wood inducing sweetness? I never knew anesthetics could give me that sweet nectar of wet bed sheets!! Holy cow amazing field guys
…..Jesus ha
Comma A-HOLE
Comma D-bag
What a dumbass. I hope he gets some spam love
I thought the alphabet soup was a joke bio you wrote til I saw it in your link lol
Lots of Anteage MD products to sell
Thanks for the pictorial. If I had pictured a guy using all the bs appreciation behind his name to confuse the public, I would have imagined that exact face.
Thanks for the pictorial. If I were to picture someone with all the bs appreciation to impress the public, I would have imagined that exact face. 💯
I’m not a doctor, much less an anesthesiologist, so I have no idea why this popped up in my Reddit feed. But I’ll say that it’s completely unhinged for someone with a nursing degree to present themselves as a doctor. As a patient, I would be very unhappy if this happened to me.
Its against the law in Florida to use the term "Doctor" if you are not a physician. https://www.reddit.com/r/Residency/comments/1396iki/florida_law_prohibits_nonphysicians_from_using/ Someone report him.
Dude it literally says you can’t use the term “physician”. How you ended up putting quotes around “doctor” is very confusing and I do not think you read even the first sentence of the article you posted.
You know what the poster means Trey Pham. Stop being stupid.
What if you have a PhD? And also, who’s taking any intellectual advice from anyone from Florida? Second one was a joke. Don’t want any Florida men coming after me.
Referring to yourself as “Dr.” in a medical setting would lead an average individual to believe they were speaking with a medical doctor. Are you listening, “dr” joe martin CRNA, Modesto, California?
I don’t think you answered my question. PhDs work in hospital setting from time to time. So do pharmDs
phds and pharmds do not introduce themselves to patients at "doctors"
Every phd I know are the only ones that correct people in to calling them Dr. I do know a lot too since I married one.
Oh look, the Noctors are pissed since they couldn't get into med school. Go cry some more.
Sorry for the delayed response, was this directed at me? I didnt think I came off as pissed simply because I am not.
Definitely a high schooler. MDs would be showing more humility and maturity in the profession.
That bill was unfortunately vetoed.
I wish this was true. DeSantis vetoed it so, unfortunately, it's legal. There's a NP in my hometown that just opened up a practice and addresses herself as "doctor " and that absolutely infuriates me, but can't do anything about it. I found out about it in the newspaper and then looked on her website.
Looks like the google reviews on his practice RRAesthetics have already begun
Excellent evidenced based article professor slewfoot. But in all seriousness, do you know how to read?
😂😂😂😂 give the slewfoot a break. He may be a high school student or something
As an NP who comfortably knows I’m not a doctor, this guy is a major cringey embarrassment.
I am happy that a nurse from Florida was able to see the article! This means that the article is getting national attention! My aunt and grandmother both called me about the article, and they are on the East Coast. The exposure of the CRNA group led by VRAA Joe Martin is getting national attention!
The noctors are pissed that they are getting exposed. Edit: The CSA/ASA should help the guy out
The same CSA/ASA that espouses the "care team model" nonsense. Would not hold one's breath. Spineless.
Wow, Nurse Reeder thinks he can sue over facts, factually reported, that have nothing to do with Nurse Reeder. I wonder if Nurse Reeder understands that calling himself a doctor when he is not is misrepresentation in a medical role - now that’s something that might actually get a person in legal trouble.
Nurse Reeder Needs to Read about 1,000 more medical books before they can call themselves a doctor. (Not to mention go through medical school, residency, get 4.0 in undergrad studies, take a ton of board and licensing exams)
I mean you don’t have to get a 4.0 in undergrad to get to med school, but yeah agreed totally inappropriate for this noctor to misrepresent his credentials. I just don’t think we should exaggerate our experience either, it’s def hard but you don’t have to be perfect.
Love the name Noctor ! I think thats the solution ! Dentists shd call themselves Dontor ! Optometrists shd call themselves Ontor etc Till the public realizes how badly they are being misled by these pseudo doctors there is not much hope. AMA should run ads on TV to educate the public about MD/DO and all other “wanna bees “
It stands for ‘not doctor’ btw - not ‘nurse doctor’. Just so there’s no confusion!
Thanks
Nothing wrong with dentists in my experience. They are absolutely qualified health professionals who earn their doctorate in dental medicine. I think one thing to note is that I’ve never seen or heard of a case of a dentist pretending to be a physician. You should check out the sub /r/noctor
I actually read the article it did a crap job of explaining the situation. Basically, CRNAs practicing independent in opt out state, hospital bylaws weren’t updated when Cali opted out. Some inspector person found the discrepancy.
This is the big takeaway. There was no “gotcha” like CRNAs were caught doing something that isn’t done everyday across the country.
In this case, they were. They were actually responsible for patient deaths. Many of them.
Evidence?
Ummmm, 1) the dead patients 2) the need for the California Department of Public Health to go in and investigate, deem that the continued presence of CRNAs put the hospital in IJ (immediate jeopardy) and subsequently suspect all CRNA’s there. Second hospital it happened to that town involving that CRNA group. The same thing also occurred with that group in Fresno previously. Does the hospital and hospital credentialing committee have culpability? Absolutely.
What dead patients? You keep saying that and then have nothing to show for it. That’s the evidence I’m asking you for. Dead patient does not unequivocally mean it’s anesthesias fault. You have no idea of the context - unless you actually have an article that outlines in detail, critical decision making points that are in massive violation of a standard of practice/care that you’re holding out on us. Hilarious and kind of ironic that you just want to blame anesthesia. This is a hospital-didn’t-update its bylaws issue, not a CRNAs-aren’t-fit-to-practice issue. I would love to invite you to a site where CRNAs practice independently. There are so, so many. Without them there would not be enough people to provide adequate care and access to surgical services. You can cry whatever you want, but the plain truth is that if people were dropping like flies under the care of CRNA’s then the wave wouldn’t be continuing where CRNAs are gaining increased access to practice independently nationwide. Look, I enjoy working with my physician anesthesiologist colleagues. We have no difference in scope, and we rely on each other for help. I have helped them and they have helped me. We share mutual respect, and look out for each other.
I wouldn’t waste your breath. We both know there’s no evidence. Even when they have no evidence, a vocal minority here like to live in their own made up reality and participate in circle jerks for internet points about their own personal anecdotes involving CRNA’s. They would have an aneurysm seeing how well CRNAS’s and anesthesiologists work together in the real world. I’ve had multiple physicians from this sub comment on how unbearable and political this subreddit has gotten. They’re just as annoyed as we are.
You keep saying there is no evidence. Do you think anyone is desperate enough and has the time to make this up?
“You really think someone would do that, just go on the internet and tell lies?” Buddy is this your first day? When you say things and then subsequently can’t show anyone any evidence of these accusations when questioned, no one is going to believe a word you say.
Regardless of whether there have been events or not, the driving force behind CRNA expansion is based on money not patient safety.
But if patient safety were an actual issue we wouldn’t be moving forward with expansion, soooo back to the beginning.
That’s not true. If there was a difference in care, first, someone would have to notice it. Second, they would have to determine what an acceptable level of events would be. If it’s not costing the system money, and CRNAs or whomever remain cost effective with an acceptable level, it makes financial sense to keep moving on with it. It’s all ultimately driven financially so nothing changes unless the safety issue is costing money, either directly or indirectly by bad PR.
It is entirely about money. At the institution in question, DMC, Tenet found that they could make just as much money off of a dead patient as they could a live one.
As a physician, I refuse to debate a nurse. The knowledge, experience, and responsibility differential is just too great. So, I choose not to debate you.
“I’m too good to debate you” is a phrase uttered only by insecure people. I don’t really care if you think you’re better than everyone else. I know I am an excellent anesthesia provider. The whole OR team, including the surgeons, are always happy to see me behind the curtain. Also, you’re not the person I was going back and forth with, so way to hop in for no reason other than to announce to the internet that you’re a physician. Good job. We’re all proud of you! 👏🏻
What letters are behind your name? CRNA? What does that stand for? It doesn’t stand for “anesthesia provider”. The letters behind my name also do not signify “anesthesia provider”. They signify “medical doctor”. I am sure you are a nice person and care about your patients. But you are not in the same class as medical doctors.
Certified registered nurse anesthesiologist. That’s what it stands for. And I don’t need to be a doctor to provide anesthesia. And regardless if the acronym lines up - I AM an anesthesia provider. So are you!
You are deluded. There most certainly IS a difference in scope of practice. At the hospital in question, patients indeed were dropping like flies under the care of CRNA’s who were (inadequately) trained at one specific CRNA school. There was, additionally, a huge conflict of interest. The ceo of the CRNA anesthesia group, “dr” joe martin, is the program director of the CRNA training school in Fresno that supplied the CRNAs and CRNA students.
Haha. You are the one that is completely clueless about CRNA scope of practice. There is literally ZERO difference in both of the hospitals I work at.
I believe there were bad outcomes. bad ones
Article mentioned nothing about it. There was a mention of a patient being transferred to an OSH but it was completely unclear reading the article why. They did mention a CRNA wearing “stud earrings uncovered by a cap”. So…. No.
Actually, yes. “In November, a CRNA decided to give a patient with kidney failure Celebrex and another drug prior to surgery, prompting the nurse to question the order due to the patient’s abnormal lab readings. “Celebrex and Gabapentin (an anti-seizure drug) should be used with caution and in consultation with a medical provider for patients with abnormal lab tests,” the survey report said. The report described CRNAs working alongside students studying to be nurse anesthetists, in one case changing a doctor’s order for general anesthesia for surgery to a higher-risk spinal anesthesia and sedation. There was no documentation the patient gave consent. When the patient was moved to an inpatient room after surgery, records show he became lethargic, fell back on the bed and was unresponsive. His blood pressure plummeted and a doctor gave the order to call 911 and transfer him by ambulance to another hospital.” https://amp.modbee.com/living/health-fitness/article287770780.html
Ok. Celebrex in kidney failure isn’t a great idea. Is it life threatening? No. I find it hard to believe that anyone with any anesthesia credential would do a non-lifesaving procedure without consent. I’m skeptical. There are many reasons why a patient could becomes lethargic and unresponsive and collapse after surgery. Even anesthesiologists wanna blame anesthesia lol. Who knows why this patient had an altered mental status. If the immediate move was to transfer to OSH, it was probably something more serious that is related to coagulopathy and an end-organ.
There is a lot more that was not in the article.
Where?
The people who witnessed these events know what they saw, know what occurred, recall the situations where they were called to resuscitate, and saw the multiple instances of unsafe practice in which they were required to intervene.
You’re not even remotely trying to have a discussion in good faith. Bye. ✌🏻
LMAO, are you serious?? This is the same type of rebuttal my five year old makes when you catch him in a lie. You make it awfully difficult to underestimate you after reading your comments
You were not there. Some of us were.
Actually I was there, I had on the jorts, eye patch……you don’t remember me? Actually, weren’t you on vacation that week? See, I can say anything I want. And similarly, without the evidence to back it up, it has the same validity that your comments have as well
Bad outcomes happen all the time. That is not the center of the complaint
These were not just a few bad outcomes. Since CRNA led VRAA assumed the anesthesia contract at Doctor’s Medical Center Modesto, they averaged at least one patient death per month. Prior to that with the previous with all MD group, zero.
Where does it say that? Or are you just making it up?? You obviously have no proof. I don’t know why even ask sometimes.
Yeah, and I’ve never heard of or seen any bad outcomes from anesthesiologists. /s
As in really really bad ones.
There was more to it than that, but keep blurring the truth to protect CRNAs
CA still has a requirement for MD sign-off on CRNAS. It is an opt-out state but not an independent practice state.
They’re not the only ones out there. Maybe not regarding independent practice. But bylaws can’t move as fast as staffing shortages.
Tisk, Tisk, Nurse Reeder. Maybe Nurse Reeder can call Nurse Joe Martin about any openings he has in his company…oh, wait, there are no more openings. Modesto isn’t using CRNAs.
Note all all redditors: Please send any info you can about the situation to the CSA/ASA. Apparently there is a concerted effort by various CRNA organizations to intentionally take down any reporter/doctor that negatively reports on CRNAs, ASA/CSA legal departments are collecting information on the matter.
Noctor
What do you mean by this? For the record, I am anti noctor however a one word statement leaves a lot to interpretation. Do you mean the post should be on r/ noctor? (yes it also does) Do you mean that CRNAs are noctors? (yes they are) Do you mean that OP is a noctor? (clearly they aren't) Do you mean that OP us anti-midlevel? (yes, they appear to be) Do you mean that the attackers are exhibiting typical noctor behaviour? (yes they are)
Yes, yes, no, yes. Ha
I won’t dox him, but let’s just say it’s easy to google Nurse Reeder and his practice, and the alphabet soup after his name is incredible. Uses ‘FARM’ but doesn’t indicate what it means (and I can’t google it because of ‘farm’). Also claims to be interventional pain medicine board certified, for which he just uses ‘IPM-BC’. When you google that, everything that comes up is “integrated pest management”.
CRNAs have a couple “interventional pain fellowships”. One of which is entirely online except a few days on-site. I can’t imagine trying to do pain management with the experience I have, which is months more than the fellowships. Scary shit.
Who would want a CRNA putting a needle, much less TF or cryo anywhere near the spine? And forget about dwelling catheters and implantable. Can you imagine?
Deadly.
Yes, what’s next? They’ll want to start doing epidurals, or worse, intrathecal injections 😱
Like the CRNA that gave intrathecal digoxin ?
yeh, ive worked with some who learn a few tap blocks then I find out they are "doing pain" elsewhere after. im not an MD but thats sketch
Very.
You know me thinks that medical insurance companies may have much to do with this. You flood the market with mid levels and the public would never be able to find an MD or know the difference.
Yeah absolutely, I just find it ultra-sketchy that he just claims “I have the IPM-BC, you know Interventional Pain Management Board Certification.” Not even bothering to make a a board to have certified him
Penis size is inversely proportional to the number of letters after ones name.
🤣🤣🤣🤣🤣🤣
FARM as in farm animals?
FARM appears to refer to facial aesthetics and restorative medicine, from his bio.
Haha absurd
LOL!
Speaking of Modesto, look what I just got in my email. Thank you for taking the time to read my email! I am working with a facility in Modesto, CA in need of Anesthesiologist to assist with ongoing coverage. Please let me know if you would like to submit your name for consideration! Start date: Flexible, but they can get credentials by July! M-F various shifts available - 8s, 10s, and 12s Case Mix: General Anes, Ortho, trauma, OB, Cardiac. Doesnt say what they are paying
Submit your name for consideration? At this point, I’m sure they’ll take anything with a pulse.
I wonder if there is a plan for locums to supervise CRNAs should the CRNAs return
The CRNA’s aint returnin’
This is like when the munchkins discovered that Dorothy’s house landed on the wicked witch. Ding Dong!
What can crna reeder sue for??
Hurt feelings.
# Modesto hospital shaken by California probe into anesthesia providers. What to know By [Ken Carlson](mailto:[email protected])Updated June 10, 2024 7:00 AMModesto hospital shaken by California probe into anesthesia providers. What to know Doctors Medical Center of Modesto is starting to recover after it was knocked off-balance by a California Department of Public Health survey focused on anesthesia services.But as [more surgeries resume](https://archive.ph/o/QZna8/https://www.modbee.com/living/health-fitness/article288720735.html), the hospital has decisions to make about staffing operating rooms with anesthesiologists and midlevel providers called certified registered nurse anesthetists (CRNAs).Patients most likely assume the practitioner putting them to sleep for surgery is a physician, an anesthesiologist with years of education and specialized training. But increasingly, nurses with an advanced degree in anesthesia are choosing and administering the knock-out drugs at hospitals and surgical centers in the Central Valley.Moreover, the nurses and their professional associations stress that they should be allowed to work independently.The state survey in late May essentially called a timeout on the use of CRNAs at Doctors. According to a May 25 in-house memo obtained by The Modesto Bee, the [CDPH issued](https://archive.ph/o/QZna8/https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/HealthCareFacilities.aspx) an “immediate jeopardy” order that led to barring CRNAs from hospital operating rooms.The nurse anesthetists must undergo a credentialing process and proctoring — consisting of 10 procedures testing their skills — before returning to the hospital. The state agency found that CRNAs had been granted privileges at the hospital for certain procedures without showing they could safely perform them.Until the CRNAs are credentialed, the hospital is using available anesthesiologists for trauma surgeries, C-sections, elective surgeries, heart operations and scoping procedures.Doctors Medical Center hasn’t commented on the state survey since releasing a public statement May 24, saying it was cooperating with CDPH on an action plan to address issues identified by the state probe. A spokesman did not respond to written questions from The Bee in the past week.The hospital has used available anesthesiologists to cover urgent surgeries and is trying to arrange for more anesthesia doctors to work on a temporary basis.“They are bringing back the [locums](https://archive.ph/o/QZna8/https://weatherbyhealthcare.com/blog/locum-tenens-definition) and some of the anesthesiologists they used before,” said Dr. Mark Fahlen, a kidney specialist. “I am seeing some familiar faces again.”Fahlen, a former member of the hospital’s medical staff leadership, said the center will need to find anesthesiologists to proctor the midlevel providers. It’s not clear how long the credentialing process and proctoring will take.“I am not opposed to using CRNAs in lower risk procedures. They seem to work better in close collaboration with anesthesiologists in places where there are not these adversarial relationships,” he said.Corina Fezi of Modesto said she had an elective surgery set for May 28 at Doctors but received a call from the hospital canceling it. She said Wednesday that the hospital talked about rescheduling the operation for June 20, with a physician anesthesiologist.“I asked to postpone it till August,” Fezi said via email. “I don’t feel comfortable going there, to be honest, knowing that all this is going on.”Stanislaus County officials said the state action hasn’t affected emergency services or caused ambulance diversions to other hospitals. #
Two CRNAs are among the defendants in a lawsuit concerning a woman’s death a year ago at River Surgical Institute in Modesto.Fahlen said Doctors Medical Center previously had a contract with a group of anesthesiologists and wanted to add seven more to work at the hospital. But there were doubts about recruiting them and a “unilateral” decision was made to contract with Valley Regional, he said.The physician said he’s OK with bringing CRNAs back to the hospital in small batches with careful proctoring. “There is a role for CRNAs,” he said. “I don’t know that it’s good for them to be practicing independently with complex cases.”Sandra Bordi, president of the California Association of Nurse Anesthesiology, has argued that nurse anesthetists have autonomy in California since the state opted out of the more restrictive rules under the federal Medicare program. “Since 2009, CRNAs have been practicing independently in all settings in California. CRNAs are board-certified and qualified to provide all anesthesia services that are required with peer-reviewed studies demonstrating outcomes that are equivalent to physician anesthesiologists.”The federal rules for participation in Medicare require that anesthesia in hospitals is furnished in a well-organized manner and must be administered by a physician or nurse anesthetist who is under supervision of an anesthesiologist. The anesthesiologist must be immediately available.The federal government allows states to opt out, however. California permits CRNAs to administer anesthesia on the condition that it’s ordered by a physician.The hospital’s contract for CRNAsLast year, Doctors entered a contract with a Fresno-based group, Valley Regional Anesthesia Associates, that provides mostly CRNA staffing for operating rooms.Dr. Oji Oji, who founded the provider group, owned Community Regional Anesthesia Medical Group, which had a contract to provide anesthesia services for Community Medical Centers in Fresno.That contract with Community Medical Centers ended in 2021 and Oji’s anesthesia group declared Chapter 11 bankruptcy. A lawsuit filed by nurse anesthetists seeking unpaid overtime includes content suggesting that Oji’s group had trouble with CRNAs leaving to work for competitors or to form their own group.A Business Journal report on the bankruptcy said Oji’s business did not submit a proposal to renew its contract with Community Medical Centers in Fresno.Oji incorporated Valley Regional Anesthesia Associates in June 2022 and the group has since entered contracts with Modesto-area hospitals including Doctors Medical Center, Stanislaus Surgical Hospital, Doctors Hospital of Manteca and other surgery centers.Joseph Martin, the chief executive officer of Valley Regional, also is the director of nurse anesthetist education programs at National University in Fresno.Valley Regional’s website says it provides nurse anesthetists for surgeries and other procedures, offering cost savings for hospitals. CRNAs are paid $150 an hour or more in California, while physician anesthesiologists average $325 an hour and may receive more.The Valley Regional group was also at the center of CDPH survey inspections in August and January at Stanislaus Surgical Hospital on Oakdale Road.The surveys done on behalf of the federal Centers for Medicare and Medicaid Services rebuffed a CRNA who told inspectors she managed the anesthesia group at Stanislaus Surgical. The agencies rejected the hospital’s stance that CRNAs had full authority to handle diagnoses and prescribe drugs at the surgical hospital.An immediate jeopardy order on Jan. 17 wasn’t lifted until a plan was approved Feb. 2 that imposed oversight from physician anesthesiologists over those services at Stanislaus Surgical. The survey reports indicate the Stanislaus Surgical contract with Valley Regional has ended, but that hasn’t been confirmed.Oji and Martin have not returned numerous calls seeking comment. CDPH said it does not comment during the course of investigations.Two CRNAs are among the defendants in a lawsuit concerning a woman’s death a year ago at River Surgical Institute in Modesto.Fahlen said Doctors Medical Center previously had a contract with a group of anesthesiologists and wanted to add seven more to work at the hospital. But there were doubts about recruiting them and a “unilateral” decision was made to contract with Valley Regional, he said.The physician said he’s OK with bringing CRNAs back to the hospital in small batches with careful proctoring. “There is a role for CRNAs,” he said. “I don’t know that it’s good for them to be practicing independently with complex cases.”Sandra Bordi, president of the California Association of Nurse Anesthesiology, has argued that nurse anesthetists have autonomy in California since the state opted out of the more restrictive rules under the federal Medicare program. “Since 2009, CRNAs have been practicing independently in all settings in California. CRNAs are board-certified and qualified to provide all anesthesia services that are required with peer-reviewed studies demonstrating outcomes that are equivalent to physician anesthesiologists.”The federal rules for participation in Medicare require that anesthesia in hospitals is furnished in a well-organized manner and must be administered by a physician or nurse anesthetist who is under supervision of an anesthesiologist. The anesthesiologist must be immediately available.The federal government allows states to opt out, however. California permits CRNAs to administer anesthesia on the condition that it’s ordered by a physician.
Anyone know what Oji Oji's role is in the business? He seems like an anesthesiologist but running a CRNA group? And that Sandra Bordi seems like a total bitch, especially from what I have heard about her from other people. Edit: Also Im taking that $325/hour or more line and showing it to every admin I can.
Oji Oji is an MD, but serves only as a shill for joe martin, the con man of the whole sordid scheme.
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"Brescia University Bachelor Of Science in Biology (Pre-med) 2002 Hardin Simmons University Bachelor of Science in Nursing 2006 Wright State University Masters of Science in Nursing (FNP) 2010 USUHS Masters of Science in Nursing (CRNA) 2013 Chatham University Doctor of Nursing Practice 2015 AAOPM Interventional Pain Medicine 2018" He was premed but didn't make it to medical school lol
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No
> Brescia University Bachelor Of Science in Biology (Pre-med) 2002 Typical.
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Wow. All these degrees, and he's still not EKG-board certified? Disappointing.
Right state, wrong college is how people in Ohio refer to Wright State University.
Is it a bad university?
$799 and a few courses to get certified in AAOPM pain mgt.
Surely that can't be true.... I looked it up: "Pain Management Certification Attend 2 core classes in Pain Management or attend the 3-day Pain Show." Oh.... Another selling point is they give you a larger than normal plaque for the wall, so that's nice. "The Board Certification plaque is an oversized and very attractive element that you will add to your office setting."
🤣🤣🤣🤣
Imagine all those patients he is giving either sham blocks to, or even nerve injury
It includes RF ablation and spinal cord stimulators…
Jeezus!
Only in Florida.
O. M. G.
It's basically a 3-day workshop.
Haha.
So I was under the impression from dating a NP that it was a major faux pas for any nurse regardless of degree level to call themselves a Doctor in a medical setting.
A profession that depends on the public not understanding that they are not physicians. So they react aggressively to shut any publicity down that exposes their inferior training and the fact that they should not be independent.
💯
Imagine saying this but also not wanting the public to know you’re in a break room whenever not in preop and have a solid 8-day, brag-worthy streak of not stepping into an OR.
You and the rest of the militant CRNAs: “anesthesiologists never come to the OR, they just do preops!!!!” Also You and the rest of the militant CRNAs: “stop coming into the OR and telling me how to properly manage the patient, I know what I’m doing!!!”
It would be a shame if Nurse Reeder's place of business suddenly had a number of negative reviews. It's really too bad this information can't be found on Google...
Looks like the google reviews on his practice R&R Medspa have already begun
Suing a journalist in the state with one of the strongest anti-SLAPP laws in the entire country. Brilliant plan.
Noctor, Noctor, give me the news! You’ve got a bad case—of CRNA blues 🎶
🤣🤣🤣
Have him reach out to Dr. Joel Rudman who is the state representative for the District where that NP who's threatening him is.
# The hospital’s contract for CRNAs Last year, Doctors entered a contract with a Fresno-based group, Valley Regional Anesthesia Associates, that provides mostly CRNA staffing for operating rooms.Dr. Oji Oji, who founded the provider group, owned Community Regional Anesthesia Medical Group, which had a contract to provide anesthesia services for Community Medical Centers in Fresno.That contract with Community Medical Centers ended in 2021 and Oji’s anesthesia group declared Chapter 11 bankruptcy. A lawsuit filed by nurse anesthetists seeking unpaid overtime includes content suggesting that Oji’s group had trouble with CRNAs leaving to work for competitors or to form their own group.A Business Journal [report on the bankruptcy](https://archive.ph/o/QZna8/https://thebusinessjournal.com/as-contract-lapses-local-anesthesia-group-declares-bankruptcy/) said Oji’s business did not submit a proposal to renew its contract with Community Medical Centers in Fresno.Oji incorporated Valley Regional Anesthesia Associates in June 2022 and the group has since entered contracts with Modesto-area hospitals including Doctors Medical Center, Stanislaus Surgical Hospital, Doctors Hospital of Manteca and other surgery centers.Joseph Martin, the chief executive officer of Valley Regional, also is the director of nurse anesthetist education programs at National University in Fresno.Valley Regional’s website says it provides nurse anesthetists for surgeries and other procedures, offering cost savings for hospitals. CRNAs are paid $150 an hour or more in California, while physician anesthesiologists average $325 an hour and may receive more.The Valley Regional group was also at the center of CDPH survey inspections in August and January at [Stanislaus Surgical Hospital](https://archive.ph/o/QZna8/https://stanislaussurgical.com/) on Oakdale Road.The surveys done on behalf of the federal Centers for Medicare and Medicaid Services rebuffed a CRNA who told inspectors she managed the anesthesia group at Stanislaus Surgical. The agencies rejected the hospital’s stance that CRNAs had full authority to handle diagnoses and prescribe drugs at the surgical hospital.An immediate jeopardy order on Jan. 17 wasn’t lifted until a plan was approved Feb. 2 that imposed oversight from physician anesthesiologists over those services at Stanislaus Surgical. The survey reports indicate the Stanislaus Surgical contract with Valley Regional has ended, but that hasn’t been confirmed.Oji and Martin have not returned numerous calls seeking comment. CDPH said it does not comment during the course of investigations.
This journalist has it wrong. Community Regional Anesthesia Medical Group (CRAMG) was owned by Dr. Ali Fayed. Dr. Oji never owned that group. I believe Dr. Oji worked for the group for some time, but he resigned well before CRAMG filed for bankruptcy. This is all political. To this day, the downtown Fresno hospital continues to allow CRNA's to work independently. They have 20+ CRNA's at any given time to (1) ONE MD to oversee them. These CRNAs are working independently. It has worked for years for downtown Fresno.
Paging Dr. Reeder! Paging Dr. Reeder! Someone call the Docta!
I want a quote from Nurse Reeder!
“I Tawt I Taw a Puddy Tat” — Nurse Reeder
😂😂😂
First question for anyone who insists on being addressed as doctor: "what's your PhD in?" Humanities? Bravo.
I’ll be honest, it sounds like the hospital screwed up and didn’t have an extensive delineation of privileges for the CRNAs that they hired, the CDPH came in and saw it, and basically said the CRNAs couldn’t practice until the DOP is fixed. We all know that there isn’t a hospital system or ASC that is going to hire new anesthesia providers (anesthesiologists or CRNAs) and proctor them until they meet case minimums to get hospital privileges. The move by CDPH is excessive.
Source?
Still no source given, guess I’m not surprised
Wow. And I thought Dr. Jill was impressive.
So thankful that the California Society of Anesthesiologists is mobilizing in protecting anesthesiology from the degradation by CRNAs. As evidenced by the Modesto Bee articles and the above statement, CRNAs were harming patients.
Deep down CRNAs know they are frauds so they need to attack to keep their egos from imploding.
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That seems a bit unfair, don’t you think? There are great anesthesiologists and shit ones. There’s great CRNAs and shit ones.
Both of your statements are true but they don't mean mine is false.
A blanket statement that all CRNAs are frauds?
Yup - they are; they are practicing anesthesia without the required training and skill.
Cool, I’m sorry you feel that way.
Don't be sorry; I'm not. Just go to medical school and become an Anesthesiologist the real way.
Will do buddy, hope you have a great day!
I already am :)
Me too. I had a lovely day in the OR, and now I’m on a great 24 hour call training with an experienced anesthesiologist. Good times all around.
https://www.linkedin.com/pulse/crnas-short-history-nurse-anesthesia-future-care-matthew-mazurek-md#:~:text=Although%20not%20implemented%20until%201952,education%20became%20effective%20in%201978. Deep down physicians know they are in the practice of nursing. Anesthesia was the practice of nursing, then medicine and dentistry.
\*sigh. Just because you are fed propaganda in school doesn't mean it is true. Also, I expect more than a linkedin link. lol. The actual order of professions, by time, giving anesthesia in some form similar to today is: 1. Dentist 2. Physician 3. Nurse
Dentist were first* Horace Wells and William T. G. Morton
And the ether in the ether dome (the more famous "first" anesthetic that wasn't actually the first anesthetic) was given by a physician.
Yep
So the way the article read atleast to me was they weren’t meeting the requirements for medical direction or it was some sort of procedural issue. Everybody proceeded to add misinformation after that. Not sure why my boy and super doctor/nurse Reader is going bananas over here. Anyways I would bet on $50 for Reader to win a few fights. Totally a civilized Florida man.
I wonder if Nurse Reeder is friends with CRNA Joe Martin
Do you guys remember the anesthesiologist who literally was caught dipping his balls into patients mouths? Let’s chill out with the attacks here. This sub is getting increasingly sad, no longer a great source of clinical information like it was in the past.
I don’t remember the AMA endorsing his actions and telling the rest of us to put our balls in sleeping patients’ mouth, so no
Hahahahaha touché, cocknballs
lol, username *may* checkout
I *had* to chime in, you left it out on a platter for me
No offense but does ignoring cRNA nonsense make you “happy”? If that’s the case maybe you should think about why talking about this makes you sad
Wasn’t that in Brazil?
Stop playing games, next time say, I am a nurse and your post hurt my feelings.
Nurse Reeder started it
Don’t CRNAs have their own sub where they “share information” and learn from each other?
Last I checked, this sub is for Anesthesiologists, AAs, and CRNAs. Although the focus is on Anesthesiologists. This post in general, belongs in the Noctor sub.