2023 Ram TRX with Comma 4 and Sunny fork. .

I don't know about the rest of you, but I went from the comma three to the comma four and I actually noticed my truck is ping-ponging back and forth more than ever. It also seems to slow down around corners or randomly at times in a way it never has before and chime like crazy thinking I'm not looking forward even though I am as if it can't see me very well.

Is anyone else having these same issues?

reddit.com
u/MacKinnon911 — 3 days ago
▲ 5 r/CRNA+1 crossposts

ASA’s Favorite 2018 Care Team Study Does Not Say What They Claim It Says

We finally wrote this one up because Sun et al. 2018 keeps getting cited online like it proves CRNAs and AAs are equivalent.

It does not.

The actual study was “Anesthesia Care Team Composition and Surgical Outcomes” by Sun, Miller, Moshfegh, and Baker, published in Anesthesiology in 2018. The authors studied elderly Medicare inpatient surgical cases and compared physician anesthesiologist-supervised ACT configurations involving AAs versus CRNAs. The outcomes were inpatient mortality, length of stay, and spending.

That is a very narrow health services study. It is not a CRNA-versus-AA anesthesia outcomes study. It did not measure anesthesia-specific complications, rescue events, airway events, supervision intensity, provider experience, independent CRNA practice, or whether any outcome was actually related to the anesthetic.

So when ASA/AAAA advocates cite this as proof of broad CRNA-AA equivalence, they are stretching the paper way past what it measured.

open.substack.com
u/MacKinnon911 — 3 days ago
▲ 0 r/srna

Titles Matter. So Does the Double Standard.

If titles matter in health care, they have to matter for everyone.

“Provider” is vague. “Mid-level” is hierarchical. And selective outrage over titles like “nurse anesthesiologist” says more about professional power than patient transparency.

  • Physician anesthesiologist? Accepted.
  • Dentist anesthesiologist? Accepted.
  • Certified Anesthesiologist Assistant? Accepted.
  • Nurse anesthesiologist? Suddenly confusing?

That double standard is the point.

Proud to co-author this piece with David Warren, Matthew Harmon, Erik Rauch, Nijma Yusuf, Jeffrey Molter, Joseph Rodriguez, and Jennifer Banek.

Patients deserve clear, accurate titles that identify the professional, the role, and the clinical domain. Not corporate language. Not rank-based language. Not selective title protection.

open.substack.com
u/MacKinnon911 — 20 days ago

Getting frustrated

So I’m a lifetime member and what started off amazing with this product seems to have gone downhill? But maybe I’m missing something?

  1. even when using 5.5 with message mode it corrects swearing. If I’m swearing for a text message I don’t want it corrected. Can’t seem to fix it.

  2. seems to recently take significant liberty in shortening/interpreting med-long dictation including taking out important pieces of the context. Changing the detail. I didn’t buy a “‘make what I’m saying better” product, I just want it to dictate and fix spelling and sentence structure etc.

  3. it tries to answer what I’m asking. Seems to be random but very irritating after any length of dictation.

Am I missing some settings to fix these things? I don’t think I use ANY of the options as I don’t find them useful to me. I just want a better dictation tool than the Mac native one.

reddit.com
u/MacKinnon911 — 1 month ago

NU DNAP Program Hub

Start here for National University's Doctor of Nurse Anesthesiology Practice program: admissions, program updates, student life, clinical education, and official resources.

Training clinicians, not technicians.

## Start Here

- This community is for NU DNAP program updates, applicant Q&A, Nurse Anesthesia Resident (NAR) life, clinical education, and professional resources.

- Use the monthly applicant thread for admissions, requirements, interview, ICU experience, CCRN, shadowing, and application questions.

- Use Ask Program Admin for program-level questions.

- Do not post private student, faculty, clinical site, patient, or applicant-identifying information.

## Admissions

- Latest applicant thread: https://www.reddit.com/r/NU_CRNA_Program/search/?q=Applicant%20Thread&restrict_sr=1&sort=new

- Official NU DNAP FAQ: https://www.nu.edu/doctor-of-nurse-anesthesia-practice-dnap-frequently-asked-questions/

- Good topics: prerequisites, ICU preparation, CCRN, shadowing, interview preparation, application timing, and readiness.

- Always verify official requirements on the NU pages before making application decisions.

## Curriculum

- Official NU DNAP program page: https://www.nu.edu/degrees/nursing/programs/doctor-of-nurse-anesthesia-practice-dnap/

- Use this section for high-level discussion about doctoral preparation, didactic development, simulation, clinical formation, leadership, and professional identity.

## Clinical Education

- Discuss clinical formation, simulation, professional behavior, case preparation, full-scope practice readiness, and high-acuity learning.

- Keep cases educational and non-identifying. No patient-specific medical advice and no clinical site identifiers.

## Student Life

- Latest student-life discussions: https://www.reddit.com/r/NU_CRNA_Program/search/?q=Student%20Life&restrict_sr=1&sort=new

- Useful topics: study systems, wellness, moving/logistics, cohort support, organization, lessons learned, and what helped you get through the month.

## Ask Program Admin

- Latest Ask Program Admin threads: https://www.reddit.com/r/NU_CRNA_Program/search/?q=Ask%20Program%20Admin&restrict_sr=1&sort=new

- Best for program structure, admissions process, clinical education, simulation, onboarding, and professional expectations.

- Not for private student records or individualized admissions decisions.

## Official FAQ

- NU DNAP FAQ: https://www.nu.edu/doctor-of-nurse-anesthesia-practice-dnap-frequently-asked-questions/

- NU DNAP program page: https://www.nu.edu/degrees/nursing/programs/doctor-of-nurse-anesthesia-practice-dnap/

## Program Updates

- Latest program updates: https://www.reddit.com/r/NU_CRNA_Program/search/?q=Program%20Update&restrict_sr=1&sort=new

- Look for Admissions / Program, Faculty / Program News, Cohort Updates, and Program Administration posts.

Welcome in. Ask good questions, use accurate professional terminology, and help keep this community useful for applicants, incoming NARs, current NARs, alumni, faculty, and CRNAs.

u/MacKinnon911 — 1 month ago

Chat gpt app issues

Anyone else get the chat app logged in then it just opens and closes and isn’t useful? I can use it on the browser but that’s clunky comparatively.

Any fixes? Looks like I’m not the only one with an issue

reddit.com
u/MacKinnon911 — 2 months ago

New user AVP M5

Hey all!

Long time lurker and Apple fan.

So I’ve done the searches but I’m trying to figure out if I’m missing something.

I have a M4 Mac mini and I can get the AVP to connect from the mini and create an ultra wide. But here are my questions

  1. can I create more than one monitor? I currently have 2 ultra wides and I’d like to recreate that?

  2. can I connect from my AVP instead of initiating from the mini? I’d like to have it in the living room or outside on the deck recreate my monitors.

reddit.com
u/MacKinnon911 — 2 months ago
▲ 7 r/NU_CRNA_Program+1 crossposts

NUDNAP Faculty Dr. Eric Kramer Wins 2026 AANA Foundation Janice Drake Humanitarian Award

National University’s Doctor of Nurse Anesthesiology Program is proud to congratulate Dr. Eric Kramer on being selected as the recipient of the 2026 Janice Drake Humanitarian Award from the AANA Foundation.

This award recognizes an individual who has gone above and beyond in service to the AANA Foundation, charitable organizations, the profession, and the broader community. Dr. Kramer’s selection reflects the qualities so many of us have seen firsthand: generosity, optimism, professionalism, volunteerism, and a deep commitment to advancing nurse anesthesiology.

Recognition at this level is not only a personal honor for Dr. Kramer, but also a point of pride for our entire National University DNAP community. His work, service, and dedication represent the best of what we hope to model for our faculty, graduates, and Nurse Anesthesiology Residents.

Dr. Kramer will be officially recognized with this award at the AANA Annual Congress in August, and he will be featured on the AANA Foundation’s Janice Drake CRNA Humanitarian Award page following the official presentation.

Learn more about the award here:

https://www.aana.com/aana-foundation/foundation-grants-scholarships-poster-sessions-awards-and-capacity-building-efforts/awards/janice-drake-crna-humanitarian-award/

Please join us in congratulating Dr. Kramer on this well-deserved national recognition.

u/MacKinnon911 — 25 days ago
▲ 29 r/NU_CRNA_Program+1 crossposts

Be the person in the arena

This quote always makes me think of Nurse Anesthesiology applicants and NARs. (especially right now as we are going through applications)

It’s easy to sit outside the arena and critique who should have interviewed better, studied more, handled clinical differently, or looked more polished under pressure.

But the people actually in the arena are the ones taking the risk.

They’re applying, getting rejected, trying again, grinding through ICU shifts, moving across the country, taking on debt, getting corrected in clinical, missing family time, studying when they’re exhausted, and still showing back up.

That matters, but so does recognizing the courage it takes to step into this profession and be tested every day.

The credit belongs to the one in the arena, be proud of yourselves.

u/MacKinnon911 — 2 months ago
▲ 0 r/srna

For every nurse anesthesia resident running on caffeine, tape, labels, and the quiet fear. This one is for the clinical days, the questionable technique, and the moments where all you hear is… “Who taught you that?!?” From every preceptor

Brought to you by us at NUDNAP!

Hit play, laugh a little, every CRNA has absolutely lived this.

#narlife #nurseanesthesia #NAR #CRNALife #whotaughtyouthat #clinicalsurvival

u/MacKinnon911 — 2 months ago
▲ 18 r/srna

New from AANA News & Resources

AANA Issues Statement on Department of Education Final Rule on Student Loan Caps and Advanced Nursing Degrees

Statement from the American Association of Nurse Anesthesiology (AANA) President Jeff Molter, MSN, MBA, CRNA, on the U.S. Department of Education’s (ED) final rule on student loan caps and advanced nursing degrees: “AANA is deeply concerned by the consequences of the U.S....

https://www.aana.com/news/aana-issues-statement-on-doe-final-rule-student-loan-caps-and-advanced-nursing-degrees/

aana.com
u/MacKinnon911 — 2 months ago