Where do you currently practice?
I practice at Mercy Mount Shasta, a level 3 trauma center and critical access hospital located in Mount Shasta California. We are an independent, all CRNA practice with the closest referral center over an hour away. The cases we routinely cover include, Orthopedics (“including total joints”), Obstetrics, Spine, General, Trauma, Gynecological, Opthalmology, and ER.
What are your favorite cases or anesthesia specialty?
Ultrasound regional anesthesia is by far my favorite specialty. We have a robust continuous catheter peripheral nerve block program and we perform all the newest blocks including: Adductor Canal, IPACK, PECS 2 and Quadratus lumborum.
What is the most rewarding part of being a CRNA?
To me the most rewarding part of being a CRNA is practicing in a rural town. You learn to practice with limited resources and never know what case will come through the doors. An added bonus is you literally cannot go anywhere in town without seeing a patient or family member of a patient that you have helped in someway.
What are your passions outside of work?
We live in a mountain town so naturally I take advantage of all the typical mountain sports, usually with family and friends. In the winter I can be found skiing in the backcountry or at our local ski park. In the summer I can be found riding a bike on both the trail and road or on the local streams and rivers fly fishing.
Is there any research, thesis, practice projects, missions, or other anesthesia related work you would like to share with our community?
In our practice, we have made a conscious effort to reduce our opioid use. To do this we have been using regional anesthesia and multimodal pharmacology on any case we possibly can. We are constantly learning new nerve blocks to eliminate pain more effectively and also to address a broader range of procedures. In the last 2 years we have effectively cut our hospital’s perioperative opioid use by over 50%. Myself and another CRNA also volunteer on our county’s opioid reduction task force in conjunction with community leaders, the county sheriff, and police departments. It is my hope that we can make a difference in our county’s opioid epidemic.