May 2009

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NATIONAL ANESTHESIA NEWS

In this Issue

 



HAPPY MEMORIAL DAY!!!

Fun Facts:


General John Alexander Logan ordered the Memorial Day holiday to be observed by decorating the war dead.

On Memorial Day, the flag should be at half-staff until noon only, then raised to the top of the staff.

Red Poppies are recognized as the Memorial Day flower.

"Taps" is often played at ceremonies on Memorial Day.

Memorial Day was first called "Decoration Day" because of the practice of decorating soldier's graves with flowers.

New York was the 1st state to officially recognize Memorial Day.

Flowers and flags are the two most popular items people use to remember soldiers.

 

More Fun Facts:


The south refused to honor the dead on Memorial Day until after World War I when the meaning of Memorial Day changed from honoring civil war dead to honoring Americans who died fighting in any war.

Memorial Day was declared a federal holiday in 1971.

At 3 p.m. local time, Americans should pause for a moment of silence or listen to "Taps."

Unofficial kick-off of the summer season.

 

Save yourself time by keeping us updated with your credentials. Fax any updated information to 248.646.0361 as soon as you receive it or visit www.nationalanesthesia.com and create your online profile today! This will help in keeping you credentialed in your current assignment or preparing for a new one.

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A Message From The President

The summer season has officially started! We have all enjoyed watching the temperature climb here in Michigan. The kids will be out of school in no time and you can feel the excitement in the air as everyone begins to make plans for the months ahead.

Happy Father's Day to all of the dads out there!!! May your day include a round of golf (at least for me), something hot off the grill and quality time with your family.

We all know that work still goes hand in hand with all of the playing that we do when the sun is shining. For those of you who are looking for a new assignment or to pick up extra work on your time off, contact us today. National Anesthesia can help! We have long- and short-term summer assignments in Virginia, Hawaii, Pennsylvania, and Michigan. Don't forget that we staff nationwide, there's never a better time to try something new or travel to a new place. Connect with us today at 1-800-642-1999 to discuss your availability!

This month in National News you will read an article titled "'Brain Bucket' Can See Into Your Brain." The "Brain Bucket" is able to take high-resolution images of your brain and help treat patients. You will also read about Jill Binder and Jason Read's trip to the MGMA Meeting in Miami. In the article "Robots May Come to Aging Boomers' Rescue" you will read about robots that could aid the elderly. Technology continues to get better and better, I can only imagine what is next! Last but not least you will read about the state nursing boards that are going paperless in the article "FYI: Going Paperless."

We would like to thank everyone who has taken advantage of our online registration! Don't forget this is available to you 24/7 for updates and additions as well. Visit www.nationalanesthesia.com today!

Stephen Read, President
National Anesthesia Services, Inc.



 

Quote of the Month

Don't be fooled by the calendar. There are only as many days in the year as you make use of.

----- Charles Richards



 

'Brain Bucket' Can See Into Your Brain

It may look like something out of a sci-fi film costume closet, but a new brain scanner, affectionately known as the "Brain Bucket," is the latest in the high-tech fight against brain disorders.

Developed and implemented at Boston's Massachusetts General Hospital (MGH), the device, officially titled the "multi-channel phased ray coil," is basically a helmet featuring a myriad of sensors and coils connected to a magnetic resonance imaging (MRI) machine.

With the Brain Bucket, the MRI can generate incredibly high-resolution images of the brain up to 10 times faster than older machines -- and sometimes that can mean the difference between life and death.

"It's like we went from a cell phone camera to a 10 megapixel digital camera," Dr. Bruce Rosen, one of the Brain Bucket's creators and Director of the Nuclear Magnetic Resonance Center at MGH, told "Good Morning America."

"When you take a picture with a Brain Bucket, it can look literally like you took the brain, slice it up, and we're staring right at it before your eyes," Rosen said.

Head of Metal Coils Could Help Detect Diseases Early

The key to the new machine is its 96 metal coils, which act as separate receivers to pick up signals from different areas of the brain and translate them into a single, comprehensive image. By contrast, a traditional MRI usually uses only two to 12 coils.

"A small detector close up is more efficient, but it only captures a small part of the brain," Lawrence Wald, a biophysicist at MGH told Massachusetts Institute of Technology's Technology Review Magazine. "So you need lots of small detectors spread out over the scalp."

The resulting high-resolution image can show clear images of the brain down to the blood vessels, which allows doctors to catch and treat disorders like brain tumors, dementia and epilepsy. Many times, the abnormality is so small that a normal MRI would have missed it completely.

In a study using an early prototype and epilepsy patients, the new device caught abnormalities that previous brain scans missed in two-thirds of the patients.

Brain Bucket Could Battle Alzheimer's, Brain Cancer and Brain Bleeding

The device could also be a powerful weapon in the fight against Alzheimer's disease.

"In diseases like Alzheimer's, where there is not a basic diagnosis based on imaging, we hope that being able to look at smaller alternations in the brain would yield some additional diagnostic information and perhaps allow you to monitor medication," Wald said.

Recent studies suggest that subtle neurological changes could increase risk for the disease, but the intensive scanning needed to track such small changes was generally impractical.

But with its impressive resolution, the Brain Bucket can more easily identify and follow the changes, allowing doctors to prescribe more accurate treatments, the creators said.

Similarly, the Brain Bucket can help doctors fight brain cancer.

"The clarity of the pictures can help us see smaller legions," Rosen said. "They're easier to treat when they're small. We can also see the extent of the legion."

As far as brain bleeding, which caused the recent death of actress Natasha Richardson, the device can see "very fine bleeds and catch them early enough to treat," Rosen said.

Rosen said the Brain Bucket should be covered by insurance, and according to at least one patient, it is even comfortable.

"It's a little bit of a tighter fit than other machines, but you end up falling asleep," one patient said.

---Chris Strathmann and Lee Ferran
http://abcnews.go.com



 

MGMA Anesthesia Administration Assembly (AAA) 2009 Conference-Miami Heat!

Jill Binder and Jason Read hit the friendly skies and ventured south into the heat of Miami this past month to attend the 2009 MGMA Anesthesia Administration Assembly (AAA). We truly enjoyed the quality time spent talking to prospective clients. It was also a pleasure spending time with current clients and putting more faces to the voices we talk to daily- always fun to see reactions when we meet in person! If you were one of the attendees, thank you so much for visiting with us! The conference provided valuable one-on-one time with attendees through the exhibitor breaks and the networking events. It is always a great way to socialize and share industry trends and concerns with each other. Jill and Jason managed to squeeze in some fun and a visit to South Beach which provided an intriguing glimpse into the international flair and decadent lifestyle that the area is known for. The trip was a successful venture and we look forward to the next event.



 

Robots May Come to Aging Boomers' Rescue

TUESDAY, Nov. 18 (HealthDay News) -- In the not-so- distant future, American seniors may turn to helpful, uncomplaining robots to fill the worrisome "care gap" that many face today.

One of these autonomous devices, called the uBOT-5, is already capable of carrying out simple tasks while it monitors the home environment. The robot can even spot trouble -- such as a person falling down -- and call 911 if necessary.

The freestanding device can also bring a faraway loved one into an aging person's home via video Internet hook-up.

"So, if I'm at work, and it's lunch hour and I want to poke in on Dad, I can get on the Internet and basically 'step inside' the robot," said uBOT-5 co- inventor Rod Grupen, who directs the Laboratory for Perpetual Robotics at the University of Massachusetts, Amherst. With their face appearing via video on the front of the robot's head, the virtual visitor can converse with their loved one while moving the robot around, doing some cleaning, for example, or retrieving a dropped TV remote.

Any "authorized user" can jump into and guide the robot, Grupen said. "So, if you can't get to your doctor, your doctor can now come to you," he said. In fact, the UMass team hopes that the uBOT-5 will someday be capable of running simple medical tests, such as measuring blood pressure or blood sugar.

And because it's fully mobile, with Segway-like wheels, virtual visits from others should include much of the house, and beyond. "Your granddaughter on the West Coast can get into the robot and visit with you outside in the garden, you can have a two-way conversation with audio/video, hold hands and go show them the flowers you just planted," Grupen said.

There's a huge and growing need for robotic home assistants that might help care for the elderly or disabled and allow them to stay in their homes, Grupen believes. According to U.S. Census figures, the number of Americans age 65 or over will double by 2030, and two-thirds will need some form of long-term care. At the same time, there's a dearth of nurses and home health-care aides to care for them; experts predict a shortage of 800,000 nurses by 2020.

The uBOT-5's design was inspired by the human body. Its myriad sensors mimic human eyes and ears, constantly scanning its environment. It is even programmed to detect and respond to worrisome aberrations, including a fallen, unresponsive human. The robot's arms are each capable of handling 2.2- pound loads, and they can extend to reach high or pick things up off the floor (a dropped pill bottle, a package in a foyer, for example). The robot can lie prone to scoot itself under a bed (and then right itself), and it may even someday help with household cleaning and grocery shopping, Grupen said.

And the cost? Right now, the prototypes at UMass cost $65,000 apiece, but Grupen envisions a day when commercial versions would be sold for $5,000 plus a monthly Internet hook-up fee, much like today's computers.

And the uBOT-5 isn't the only such device in the pipeline. Over at Massachusetts Institute of Technology, researcher Nicolas Roy, at the institute's Computer Science and Artificial Intelligence Laboratory, has developed an "autonomous wheelchair" that only requires a command to whiz users from one spot to another in a hospital or nursing home.

When first delivered to a facility, the wheelchair -- rigged out with high-tech scanning software -- has no knowledge of the particular layout. But staff will uncrate it, turn it on, and give it a verbal guided tour, walking it past different rooms and nursing stations.

"You talk to it like you'd talk to a new person, a new nurse. And as a side effect of the thing being walked through the facility once or twice, the wheelchair has now been demonstrated a route between all the points," explained co-developer Seth Teller, who helps lead the lab's Robotics, Vision and Sensor Networks Group.

After that, a wheelchair-bound stroke patient or quadriplegic need only say, "Take me to Room 451" for the chair to understand and then do just that. The device will be launched as a prototype ready for testing in a Boston-area nursing home within two years, Teller said.

Finally, at Georgia Tech, researchers led by assistant professor Charlie Kemp are making their own home-care robots, inspired by the agile intelligence of service dogs.

"We're using service dogs to answer three important questions: What tasks would be good for a [home] robot to perform? How should people interact with the robot, to tell it to do these tasks? And how can the robot actually perform these tasks, given the complexities of the home?" Kemp said.

Service dogs and the disabled people they help are providing the answers. The new robot is being designed to move about and perform tasks such as opening drawers, turning doorknobs and working light switches, Kemp said. Users indicate what they'd like done by using a laser pointer, and homes are modified slightly to help the robot, just as homes are subtly tweaked to aid service dogs. "Things like tying a small towel to a doorknob" to facilitate grasping, Kemp explained.

The robot may not ever replace a great service dog, but Kemp noted that the average disabled American now pays $16,000 for a properly trained canine, and waiting lists now stretch for years.

"I think there's a real need," he said. "So, the hope is that people will support this sort of work. Then, we'll be able to deliver these things when people need them."

---E.J. Mundell, HealthDay Reporter
http://abcnews.go.com



 

FYI: Going Paperless

As technology becomes more advanced, the need for paper, pencils and postal services is decreasing. The majority of contact is through email and paper documents are simply sent as electronic attachments. You can download, complete and sign applications without ever picking up a pen. Now, add obtaining a state licensure to this ever-growing list of online advancements. Maine, Maryland, North Carolina, New Hampshire, New Mexico, Rhode Island, Texas, and Washington are now paperless states. They will no longer be issuing pocket cards or certificates for RN and APRN licenses. It is amazing how things are changing! Please contact us if there are any additional states that have also gone paperless.



 

General Disclaimer: The materials have been compiled by National Anesthesia Services. Inc. from internal and external sources. However, while we have attempted to provide accurate information in this publication, no representation is made or warranty given as to the completeness or accuracy of the Materials. In particular, you should be aware that the Materials may be incomplete, may contain errors, or may have become out of date. You should therefore verify information obtained from this publication before you take any action upon it.

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