Walgren is nailing him on his quote in the book/article about the MAC level of care, though White tries to emphasize that whatever he stated was in refferal to having a procedure.
Walgren asks if he is implying that without a proceudure lesser level of care is acceptable? White goes on to say that's not was I said stop taking my quotes out of context, I'm just pointing out the context of my quotes
Walgren says so what are yyou saying then, that without an op it's ok to have lesser care, White says he isn't saying anything about that, that he's insn't commenting on that, but that he'd like to give the same level of care to patients regardleless of patients given propofol or not.
Walgren's quotng another article/book white says I wanna see my book to say if it's a correct quote or not as u left out some of my paraphraph in ur last quatation.
walgren says sure
this quotation is about MAC level care as well,
Walgren asks if patients receiving regional or general anasthesia should be given the same level of care as well? White says that's right.
Says the continumn goes from minimal,/conscious sedation to deep anasthesia.
Walgren asks if it's also reffering to an office based setting, White says he ain't familiar with an office based settings as he doesn't practice in an offise, Walgren say's well you listed them in this article though, correct? White says yeah that's right.
Now White's reading his article on page 2617, Walgren asks him if he wrote guidelines on office based settings, White says corrects. That's right it's same for hospital settings as well, Walgren asks him about JCAHO, Walgren says it's an organisation that deals with monitoring equipments, requirements etc.
Walgren is asking White to read them, White says yeah if u insist I will but they are no difference from I mentioned, Judge interferes and says he isn't insisting but asking u to read them. Now White is reading them.
The guidelines are about office based Anasthesia.
Walgren's asking now if he'd agree if the same safety and monitoring requirements should apply equally if Propofol is administrated in a bedroom, White says he wouldn't give it in a bedroom. White says it's different as it's in a procedure. Walgren asks if he thinks there should be lesser safety requirements in a bedroom. White says it's different with off label use, say's some of it, applies some doesn't says there is no use for an anasthesia machine, says there would be no requirements for anathesia trained personel such as nurses.
Walgren's asking again about the standard of care and if the same should apply if propofol is given in a bedroom. White says again that he didn't say lesser care would be alright, says just different care. Says even if nurses/personel aren't trained in anasthesia it would be ok,
Walgren asks him in which way the requirements would change if it was administered in a home setting, White says there's different factors that would change in a home setting, Walgren asks if he'd at least agree that a patient given such meds in a home setting should at least be provided the minimal level of care patients in an office setting are, white says yes.
lunch break now
