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re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187

Posted on 5/23/16 at 2:14 pm to
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 2:14 pm to
I
Am
Not
In
Primary
Care.

Plus I wouldn't have nps regardless
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 2:16 pm to
You're trying to get us to wander out in the weeds. And then u might try to sell us expensive sunshades once we're out there
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 2:17 pm to
It's likely to not end up any cheaper. It'll be like seeing an optometrist. Not really cheaper and you get < 1/2 the education
Posted by MSMHater
Houston
Member since Oct 2008
22775 posts
Posted on 5/23/16 at 2:17 pm to
Mid-levels
Exist
Outside
Of
Primary
Care.

Use new material to bump your thread.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 2:18 pm to
What if it's not flu and instead you have something rare and really serious
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 2:20 pm to
Go read the 2014 thread if you want to gain knowledge about the politics of my field.
Posted by WalkingTurtles
Alexandria
Member since Jan 2013
5913 posts
Posted on 5/23/16 at 2:25 pm to
Then unless my MD is House and he's there with Omar Epps, it will probably get diagnosed as the Flu, I'll get a bill and promptly die off its a rare disease. Gimme a break on that one chief.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 2:27 pm to
You have little knowledge regarding medical training
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 3:01 pm to
This is real life. Not a tv show
Posted by WalkingTurtles
Alexandria
Member since Jan 2013
5913 posts
Posted on 5/23/16 at 3:20 pm to
You have little knowledge of real world implementation.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/23/16 at 4:03 pm to
What is really unfortunate about this bill is that people like you think it will save money.

You save money through being more efficient. You save money by decreasing the amount to referrals, prescriptions, and tests ordered. You get to that point by more education and experience.

The 15% up-front cost of a visit is not even a drop in the bucket. A MRI costs the same if a MD or a NP orders it.

You are being fooled. It's a classic example of sacrificing quality for an initially lower cost. Maybe you need to learn more about real world implementation.
This post was edited on 5/23/16 at 4:11 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 4:48 pm to
Yes we can
Yes we can

U tell him
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 5:02 pm to
Can
We
Break
90
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/23/16 at 5:12 pm to
We need more primary care doctors

But we need HIGHER QUALITY primary care doctors MORE

That is what decreases costs. Preventative medicine and a reduction of referrals that lead to unnecessary tests. That is done by getting better qualified, and higher trained individuals at the front lines. What makes a specialist a specialist? More experience. So why would you argue that putting someone with 1/10th the amount of real world experience of a doctor at the front lines with no oversight?

This is just going to encourage people to go to some shitty NP at CVS for years because they have to wait 15 minutes less

and they will think that they are getting quality primary care. Scary.
Posted by EA6B
TX
Member since Dec 2012
14754 posts
Posted on 5/23/16 at 5:18 pm to
quote:

What if it's not flu and instead you have something rare and really serious


Like when someone I know had west nile and her physician continued to treat her for the flu, refusing to test for west nile because he had a white coat, years of schooling, and we were just dumb shite peasants punching in symptoms on WebMD? Everyone on here can probably recount similar situations.


Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/23/16 at 5:24 pm to
quote:

Like when someone I know had west nile and her physician continued to treat her for the flu, refusing to test for west nile because he had a white coat, years of schooling, and we were just dumb shite peasants punching in symptoms on WebMD? Everyone on here can probably recount similar situations.


This is my favorite argument around here

If you support this bill, can you explain how it is more likely that someone with 1/10th the amount of real world experience would be more likely to make that extremely rare diagnosis?

The argument that doctors miss diagnoses is not an argument for this bill. IT IS AN ARGUMENT AGAINST THIS BILL.

That is what I mean by higher quality primary care

You are more likely to hear a story like this involving a doctor because there are simply more primary care MDs, it's statistics, not some phenomenon unique to doctors


This post was edited on 5/23/16 at 5:27 pm
Posted by Rakim
Member since Nov 2015
9954 posts
Posted on 5/23/16 at 5:28 pm to
Once again NP's show themselves to be less qualified than PA's because they don't have the experience or in depth knowledge. NPs have almost NO standards as they allow just about anyone into their profession.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 5:28 pm to
And so you want someone with even less education calling the shots?

Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 5:30 pm to
Yes I am not for autonomous PA's by any means but I think a PA is more qualified than an NP to participate in patient care decisions
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 5:31 pm to
That said, the medical doctor should be calling the shots
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