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I hate our healthcare system and PAs/NPs

Posted on 8/10/17 at 6:15 pm
Posted by schwartzy
New Orleans
Member since May 2014
9027 posts
Posted on 8/10/17 at 6:15 pm
I went to the dermatologist for the first time to get my acne (shoulder and back, thankfully not face) looked at because it's been persistent for many months and resistant to OTC creams and medicines, changes in shampoos, etc. I was told all week that the doctor is looking forward to your visit and that her time is precious, and if I didn't notify of a cancellation within 24 hrs I'd be charged a fee of $50. I'm brought back to a room and wanted to confirm the doctor would see me, but instead the bubbly assistant told me "No, the NP will but she's really great!" The NP barely looked at my acne and wrote me scripts that costed $250. She didn't even stay for 7 minutes and would have left sooner if I didn't ask as many questions as I did. I asked for the dermatologist, even if it was just for 5 minutes because I trust her diagnosis more than someone who didn't specialize. I was billed $150 to see the damn NP and was told by cvs the scripts aren't covered by my health insurance, which I pay too much for. It prob cost them $30 bucks to make the damn antibiotics and they charge me $200.

Screw the healthcare system and the people scamming in it. I fully expected the doctor saw everyone as well because it took months to even get the appointment. Rant over but this is BS
Posted by DustyDinkleman
Here
Member since Feb 2012
18176 posts
Posted on 8/10/17 at 6:17 pm to
Moral of the story...stop eating greasy foods.
Posted by Kafka
I am the moral conscience of TD
Member since Jul 2007
141660 posts
Posted on 8/10/17 at 6:17 pm to
quote:

schwartzy
stop trying to jew the system
Posted by ellishughtiger
70118
Member since Jul 2004
21135 posts
Posted on 8/10/17 at 6:18 pm to
You have Folliculitis I bet
Posted by TigerFanInSouthland
Louisiana
Member since Aug 2012
28065 posts
Posted on 8/10/17 at 6:18 pm to
I see nothing about PA's in this.
Posted by schwartzy
New Orleans
Member since May 2014
9027 posts
Posted on 8/10/17 at 6:19 pm to
If I go the doctor, I want the doctor to see me not the PA (or NP)
This post was edited on 8/10/17 at 6:22 pm
Posted by schwartzy
New Orleans
Member since May 2014
9027 posts
Posted on 8/10/17 at 6:21 pm to
I actually upvoted your post
quote:

stop trying to jew the system
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
34998 posts
Posted on 8/10/17 at 6:21 pm to
It's acne. I'm sure they've seen it a thousand times.
Posted by TigerFanInSouthland
Louisiana
Member since Aug 2012
28065 posts
Posted on 8/10/17 at 6:22 pm to
quote:

If I go the doctor, I want the doctor to see me not the PA


Seems to me like you've just got a shitty doctor then. Since he's the one telling the PA to see you and not him.

And my god, it's not like they've never seen and dealt with acne before at the fricking dermatologist.
This post was edited on 8/10/17 at 6:27 pm
Posted by tigeraddict
Baton Rouge
Member since Mar 2007
11794 posts
Posted on 8/10/17 at 6:23 pm to
was this in Baton Rouge? The NP at the dermatologist my wife goes does just fine. And really, what is there to look at you have Acne, they know how to treat it. most dermatologist items are cosmetic, so the treatments are not covered by ins.

Posted by 225bred
COYS
Member since Jun 2011
20386 posts
Posted on 8/10/17 at 6:24 pm to
That is very frustrating. As someone that works in healthcare, I can't say I've ever heard or experienced that.

Are you in BR? Dermatology clinic is top notch
Posted by McLemore
Member since Dec 2003
31442 posts
Posted on 8/10/17 at 6:24 pm to
quote:

Moral of the story...stop eating greasy foods.


It's much more likely a fungal overgrowth fed by sugar.
Posted by Duckhammer_77
TD Platinum member
Member since Nov 2016
2675 posts
Posted on 8/10/17 at 6:26 pm to
quote:

If I go the doctor, I want the doctor to see me not the PA (or NP)


Have some docs for clients, they tell me that you never want to see them bc it means there's something "concerning" or over the head of the NP or PA.
Posted by Puffoluffagus
Savannah, GA
Member since Feb 2009
6097 posts
Posted on 8/10/17 at 6:26 pm to
quote:

If I go the doctor, I want the doctor to see me not the PA (or NP)


Welcome to your future health care model. As more people have access to health care (free/subsidized insurance) and you have the same number of doctors, expect there to be more mid level providers to triage/see the "easy" pts, regardless of what type of insurance you have.
Posted by SlapahoeTribe
Tiger Nation
Member since Jul 2012
12079 posts
Posted on 8/10/17 at 6:27 pm to
quote:

Are you in BR? Dermatology clinic is top notch
This.

My Dr works there and he's top notch. Always see him every time I've gone.
Posted by thermal9221
Youngsville
Member since Feb 2005
13201 posts
Posted on 8/10/17 at 6:27 pm to
quote:

Costed
Posted by Itismemc
LA
Member since Nov 2008
4714 posts
Posted on 8/10/17 at 6:28 pm to
frick you,

PA
Posted by TigerFanInSouthland
Louisiana
Member since Aug 2012
28065 posts
Posted on 8/10/17 at 6:28 pm to
quote:

Have some docs for clients, they tell me that you never want to see them bc it means there's something "concerning" or over the head of the NP or PA.


And this.
Posted by Hopeful Doc
Member since Sep 2010
14942 posts
Posted on 8/10/17 at 6:31 pm to
quote:

The NP barely looked at my acne and wrote me scripts that costed $250. She didn't even stay for 7 minutes and would have left sooner if I didn't ask as many questions as I did



Devil's advocate: how long should a healthcare provider stay in the room once they have convinced themselves of the diagnosis, discussed it with you, and answered all your questions?



It is not fun to expect one thing and get another, for sure. I do not like that concept very much.
Posted by schwartzy
New Orleans
Member since May 2014
9027 posts
Posted on 8/10/17 at 6:37 pm to
Not in BR. I never go to the doctor and the one time I do I didn't actually see a doctor
This post was edited on 8/10/17 at 6:58 pm
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