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Started By
Message
re: Are we sure optometrists should do eye surgery w/o going to medical school?
Posted on 5/15/14 at 6:31 am to NbamaTiger90
Posted on 5/15/14 at 6:31 am to NbamaTiger90
quote:I think you are confused. Are you talking about ophthalmologists, who are eye doctors, or optometrists, who aren't eye doctors?
Eye Dr's are Eye Dr's. I'm not a fool. I understand 100% the difference. If I need penicillin I will go see my medical Dr. If I have eye issues I will go see my optometrist.
You should definitely go to an ophthalmologist if you have eye related issues, rather than primary care or internal medicine.
I'm not sure what you are commenting about.
This post was edited on 5/15/14 at 6:37 am
0
Posted on 5/15/14 at 6:38 am to Teddy Ruxpin
:
You raise an interesting point. Who's going to write them a med mal policy to do this shite?
quote:
Well, I doubt in a practical sense that a bunch of optometrists are going to rush to do eye surgeries they have no business doing just so they can get sued to smithereens.
You raise an interesting point. Who's going to write them a med mal policy to do this shite?
Posted on 5/15/14 at 6:42 am to Y.A. Tittle
quote:
You raise an interesting point. Who's going to write them a med mal policy to do this shite?
Same folks who insure podiatrists?
Posted on 5/15/14 at 6:56 am to NC_Tigah
quote:
Same folks who insure podiatrists?
Podiatrists are not midlevels. They attend a 4 year podiatric medical school and then do a 3/4 year residency. The degree they recieve is "doctor of podiatric medicine" and are governed by the state medical board. If you are looking for a provider to lump them in with, it would be more appropriate to compare them to dentists than a PA or nurse midlevel.
Posted on 5/15/14 at 7:09 am to hombreman9
I only have one comment about this: for the most part, this whole issue is all about money for both sides.
The side that admits that first has my vote.
The side that admits that first has my vote.
Posted on 5/15/14 at 8:05 am to hombreman9
quote:
it would be more appropriate to compare them to dentists than a PA or nurse midlevel.
I was comparing them to Optometrists.
Posted on 5/15/14 at 8:11 am to theunknownknight
quote:Perhaps from the optometrists' side....perhaps, but overall, not so much.
I only have one comment about this: for the most part, this whole issue is all about money for both sides.
Posted on 5/15/14 at 8:16 am to Asgard Device
quote:
Why not just let the free markets sort it all out?
Ultimately the market will decide. The state legislature can vote to allow sanitation workers to perform eye surgery but that doesn't ensure a brisk practice.
Posted on 5/15/14 at 8:26 am to NC_Tigah
quote:
Perhaps from the optometrists' side....perhaps, but overall, not so much.
Outside of patient well-being then what's the issue? Is there anything else?
Is it because it's much more difficult to get into med school, to meet higher standards of education, to go to school for more years, to endure long intense residencies, to pay higher school costs, and have to meet higher surgical standards?
Then after all the sacrifice meeting these intense standards, a group of "lessers" jumps in the mix, circumventing the system by taking shortcuts, without intense oversight while robbing MDs of their piece of the pie without all the effort, demands, and sacrifice?
Basically what I'm asking is this: is this really an issue of pride and prestige? If you had to rank the issues behind this dispute, how would you rank them?
Money
Patients
Pride/Prestige
?
I'm genuinely curious what you think.
This post was edited on 5/15/14 at 8:27 am
Posted on 5/15/14 at 8:38 am to theunknownknight
quote:For many/most in those respective fields, there may be less driving this outside of patient well-being than you would imagine. Admittedly, I don't know the optometrist pushing the law, or his motivation, nor do I know many optometrists, but I'd not assume out of hand money as a sole motivator.
Outside of patient well-being then what's the issue?
quote:Patients
Money
Patients
Pride/Prestige
Patients
Money/Pride/Prestige
Posted on 5/15/14 at 8:43 am to jamarkus
quote:Does the bill force people to use optometrists instead of opthamologists?
Are we sure optometrists should do eye surgery w/o going to medical school?
Posted on 5/15/14 at 8:44 am to LSURussian
quote:
Does the bill force people to use optometrists instead of opthamologists?
Nope
Posted on 5/15/14 at 8:47 am to boosiebadazz
quote:
As it stands now, the government has placed a regulatory barrier of entry into the market. Surely this offends our resident libertarians...
stopped reading the thread here, because this is where i'm at.
the above quoted statement is where my general views on things will lead my initial opinion to lean. what can alter it is a convincing empirical argument about statistically-significant worse outcomes from this policy, compared to the savings.
admittedly i haven't read the whole thread, but what i've heard so far from the opthalmologist proponents sounds much more like scare tactics though.
Posted on 5/15/14 at 8:47 am to theunknownknight
quote:
I only have one comment about this: for the most part, this whole issue is all about money for both sides.
Nope- it's about patient safety
Posted on 5/15/14 at 8:49 am to SpidermanTUba
quote:
The free market will best determine what kinds of qualifications are needed to do eye surgery - not some government officials
If we could have thought of this 40 years ago...
:banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead:Posted on 5/15/14 at 8:56 am to CamdenTiger
quote:Don't you hate it when you want to bang your head a bunch of times, but Chicken will only let you do it three times?
Posted on 5/15/14 at 8:56 am to CamdenTiger
can someone tell me what it is they'll be able to do that the turf-defenders are worked up about? i initially suspected this was about LASIK/PRK, but that seems to be excluded.
from the latest version of the HB, here's what they CAN'T do:
(cont'd)
so what is it they'll be allowed to do?
eta LINK
from the latest version of the HB, here's what they CAN'T do:
quote:
7 D. The following ophthalmic surgery procedures are excluded from the
8 scope of practice of optometry, except for the preoperative and postoperative care
9 of these procedures:
10 (1) Retina laser procedures, Laser-Assisted In Situ Keratomileus (LASIK),
11 Photorefractive Keratectomy (PRK), and any form of refractive surgery.
12 (2) Penetrating keratoplasty, corneal transplant, or lamellar keratoplasty.
13 (3) The administration of general anesthesia.
14 (4) Laser or nonlaser injection into the vitreous chamber of the eye to treat
15 any macular or retinal disease.
16 (5) The following nonlaser surgical procedures:
17 (a) Surgery related to removal of the eye from a living human being.
18 (b) Surgery requiring full thickness incision or excision of the cornea or
19 sclera other than paracentesis in an emergency situation requiring immediate
20 reduction of the pressure inside the eye.
21 (c) Surgery requiring incision of the iris and ciliary body, including iris
22 diathermy or cryotherapy.
23 (d) Surgery requiring incision of the vitreous.
24 (e) Surgery requiring incision of the retina.
25 (f) Surgical extraction of the crystalline lens.
26 (g) Surgical intraocular implants.
27 (h) Incisional or excisional surgery of the extraocular muscles.
28 (i) Surgery of the eyelid for suspect eyelid malignancies or for incisional
29 cosmetic or mechanical repair of blepharochalasis, ptosis, and tarsorrhaphy.
(cont'd)
quote:
1 (j) Surgery of the bony orbit, including orbital implants.
2 (k) Incisional or excisional surgery of the lacrimal system other than lacrimal
3 probing or related procedures.
4 (l) Surgery requiring full thickness conjunctivoplasty with graft or flap.
5 (m) Any surgical procedure that does not provide for the correction and
6 relief of ocular abnormalities.
7 (n) Injection or incision into the eyeball.
8 (o) Retrobulbar injection.
so what is it they'll be allowed to do?
eta LINK
This post was edited on 5/15/14 at 8:58 am
Posted on 5/15/14 at 9:33 am to boosiebadazz
quote:
Shouldn't the free market decide this?
The healthcare industry is an example of a free market, boosie?
Posted on 5/15/14 at 9:48 am to lsu13lsu
Haven't they already changed this in a number of other states? Allowing optometrists to do some procedures?
Posted on 5/15/14 at 9:57 am to extremetigerfanatic
I think just 2 other states. Illegal in 48 iirc
ETA: and don't think I don't notice your downvotes bro
ETA: and don't think I don't notice your downvotes bro
This post was edited on 5/15/14 at 10:00 am
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