Check out @ASAGrassroots’s Tweet: https://twitter.com/ASAGrassroots/status/981951115062337536?s=09
I wasn’t always a huge supporter of eating organic. I was a poor college student… a poor medical student… and a poor resident. In fact, I didn’t start thinking about my health seriously until my husband and I were planning to get pregnant. Maybe this was a little late in the game at 37 years old… but better late than never, right?
In college, I lived off of lean cuisine microwaveable meals with plastic and drinking 3 diet dr. peppers a day. In medical school, I survived off a protein bar, sandwich, and microwaveable dinners as well. Did I mention that I experimented with smoking to help me study? Ick, what horrible habits! In residency, I continued with protein bars, microwaveable meals, and hospital food that was free for residents around 9p. Not to forget, that I made sure I went to a bunch of residency interview dinners to meet potential incoming residents. Fast forward to getting ready for my wedding day, I went 3 months on a paleo diet and felt incredible and saw real changes in my body without feeling deprived or hungry. We went organic during my first pregnancy. We’ve placed more importance on sustaining our baby and helping her maximize her growth and learning with a more nutritious diet. During my second pregnancy, I again ate organic. But, I was diagnosed with gestational diabetes and moved to a more Whole30 diet — eliminating processed foods as well as sweets. I was able to really control my blood sugars with diet alone, and I feel better without all the processed food and sweets in my system.
Why do I think about this now? More and more, I feel the impact of a well-balanced diet on my body. My AGING body. Perhaps in our youth, we can fake it and make it by eating crap food and maintaining an unhealthy lifestyle. But as I’m aging, I feel the effects more and definitely sooner. Additionally, I care more now about what I put into my body and in my family’s. I would love to teach my kids the importance of healthy eating and what good food tastes like. So, enter my quest to eat organic as well as grass-fed, hormone-free meats as well as going more plant-based.
- Eat organic and free-range/cage-free/grass-fed/hormone-free when possible
- Pesticides are toxic and can lead to health problems later in life
- Choose organic alternatives to the Dirty Dozen
- Babies, young children, pregnant women, and breastfeeding women are more susceptible to pesticides and toxins in food.
- Research the labels and get the facts
- Consider these Netflix documentaries on Health and Nutrition
The independence debate in anesthesia. #anesthesiologist #physician @nmsahq @asahq Physician-led anesthesia care team provides patient safety, which is the #1 priority in patient care. #va #patientsafety #healthcare
The physician vs. crna debate has reared its ugly head…. yet again. There have been multiple bills presented to suggest crna independence WITHOUT physician anesthesiologist oversight. In 2017, proposals were made to the Veteran’s Affairs to replace physicians with crnas. Here’s what they found when they looked at the VA databases to conclude that nurses will continue with physician oversight in anesthesia:
Current laws in 45 states and the District of Columbia all require physician involvement for anesthesia care and the VA in 2017 decided to maintain its physician-led, team-based model of care. The VA’s Quality Enhancement Research Initiative (QUERI) could not discern “whether more complex surgeries can be safely managed by CRNAs, particularly in small or isolated VA hospitals where preoperative and postoperative health system factors may be less than optimal.”
Here’s my evidence and reasons why I believe the care of the patient is best when it is physician-led. After all, would you want a nurse or assistant doing your actual surgery? The ultimate goal is patient safety.
Physician anesthesiologists have up to 14 years of post-graduate medical education and residency training, which includes 12,000-16,000 hours of clinical training, nearly seven times more training than nurse anesthetists.
- The Doctors, the nurses, and the anesthesia
- Putting surgery patients at risk
- WSJ: Follow-up: Anesthesiologists, Nurse Anesthetists, and Evidence
Yet, here’s another debate that shows there’s no difference in an anesthesia care team setting with an anesthesia assistant and a crna:
- Anesthesiology. Anesthesia Care Team Composition and Surgical Outcomes. May 2018. Compared to care teams with nurse anesthetists, care teams with anesthesiologist assistants were associated with non–statistically significant decreases in length of stay and medical spending.
- Anesthesiology News, June 2018: Surgical Outcomes Similar Between Anesthesiologist Assistants and Nurse Anesthetists
- ASA: Statement comparing AA and CRNA education and practice
- Anesthesiology News, July 2018: ASA, AANA Clash Over Anesthesiology Shortages, Practice Authority in VA Hospitals
Bottom line in my opinion:
- Physicians endure years of grueling medical education that starts with the why, how, and treatment of disease. This is followed with years of residency training in anesthesia. There’s also further training in the form of a fellowship for specialized fields.
- Getting into medical school is an extremely competitive process. You take the top 1% of college graduates and high MCAT scores to get into medical school. The board certification for becoming certified in anesthesiology is quite complex and difficult in both the written and oral board exams.
- I will continue to be FOR team-based physician-led anesthesia care.
Written Jan 2, 2019
I can’t believe Arden is almost a year old! Where did the year go?! I’ve got to start getting ideas for her bday as well as invites, food, party favors, location, etc.
- Hint Mama: 7 affordable activity ideas for 1st bday parties
- FrugalGirls: 22 1st bday ideas on a budget
- Parenting: 20 fun 1st bday party ideas
- Parents: 17 tips to throw a kids’ bday party on a budget
- Rookie Moms: 1st bday ideas
- Fit pregnancy: 8 budget-friendly 1st bday party ideas
- The Good Stuff: 17 1st bday party ideas for moms on a budget
Electronic invites: Paperless Post
Location: Carmel Valley parks
Carmel Valley Community Park and Recreation Center
3777 Townsgate Drive
San Diego, CA 92130
** Insurance for caterers/vendors/food trucks needed. No glass containers. Alcohol is permitted. If >50 people, then $175 for day use. Tables 1st come, 1st serve.
Things to get:
- Inflatable swimming pool: Amazon
- Balls to fill pool: Amazon
- Bubbles: Amazon
- Gluten-free Cupcakes
- sheet cake – Costco?
- one small cake for Arden
- decor for Arden high chair: Amazon
- Plates, silverware, napkins
- 529 gifting: https://gift.my529.org/1RU6HD
- Party favors: bubbles, pinwheels, Amazon
As Arden is getting older and bigger, I’m wondering if she will outgrow her pack and play that has been her bassinet and crib since she was born. At school, she naps on a floor bed. The times we have tried to get her to nap at home on a floor mattress, she wanders around her room. That was prior to her really crawling around. Now almost 11 months old, she is so fast at crawling and getting around…I’m worried she’ll wander around her room and not get a good night’s rest. But, maybe the ability to explore and be comfortable in her own space is exactly what she needs…