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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
9154 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
145432 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 OysterPoBoy
City of St. George
Member since Jul 2013
37006 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 tigeraddict
Baton Rouge
Member since Mar 2007
12129 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 thermal9221
Youngsville
Member since Feb 2005
13470 posts
Posted on 8/10/17 at 6:27 pm to
quote:

Costed
Posted by Itismemc
LA
Member since Nov 2008
4736 posts
Posted on 8/10/17 at 6:28 pm to
frick you,

PA
Posted by Hopeful Doc
Member since Sep 2010
15178 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 East Coast Band
Member since Nov 2010
63948 posts
Posted on 8/10/17 at 6:41 pm to
NPs make entirely too much money, but they are still more cost effective than a doctor in today's prescription driven medical world.
Posted by CamdenTiger
Member since Aug 2009
63574 posts
Posted on 8/10/17 at 6:44 pm to
You taking any growth supplements, testosterone?
Posted by tgrbaitn08
Member since Dec 2007
146872 posts
Posted on 8/10/17 at 6:46 pm to
You have acne on your shoulders. The NP has probably seen hundreds inf not thousands of the same acne. She knew what she was doing.
Posted by BulldogXero
Member since Oct 2011
9845 posts
Posted on 8/10/17 at 6:50 pm to
quote:

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


This sounds like my experience with a GI specialist and having to pay specialist co-pay on a follow-up visit when unbeknownst to me, a NP sees all follow up patients.

Posted by Capital Cajun
Over Yonder
Member since Aug 2007
5544 posts
Posted on 8/10/17 at 7:03 pm to
Bring your prescriptions to a mom and pop outfit and stay away from the CVS/Wallgreen pharmacies.
Posted by TigerGman
Center of the Universe
Member since Sep 2006
11526 posts
Posted on 8/10/17 at 7:28 pm to
You went to the doctor for some pimples on your back?
This post was edited on 8/10/17 at 7:31 pm
Posted by PoppaD
Texas
Member since Feb 2008
5067 posts
Posted on 8/10/17 at 7:31 pm to
In todays world the consumer of healthcare needs to have a complete understanding of their health plan and prescription coverage. Its the only way to not get screwed.

Example- my son needed and antibiotic. The Dr prescribed clindamycin which wasnt covered under my prescription plan. CVS was going to charge me $245.00 for a ten day supply of liquid. I reviewed my script plan and spoke with the Dr on the phone. He changed the script to Amoxicillin for a grand total of $13 dollars.

$245 vs $13 is a big difference. Some consumers might have just paid it but by researching my plan coverage I saved a ton.

Consumers have to pay more for Dr visits and scripts thanks to high deductible plans. Dr's and pharmacys need to be more transparent on their pricing so consumers can make better decisions and if your only going to see a Np the price should reflect that.
This post was edited on 8/10/17 at 7:42 pm
Posted by Wolfhound45
Hanging with Chicken in Lurkistan
Member since Nov 2009
120000 posts
Posted on 8/10/17 at 7:48 pm to
quote:

schwartzy
They hate you too.
Posted by SuperSaint
Sorting Out OT BS Since '2007'
Member since Sep 2007
140607 posts
Posted on 8/10/17 at 8:48 pm to
quote:

acne (shoulder and back,
take a shower you nasty Hebe
Posted by The Torch
DFW The Dub
Member since Aug 2014
20377 posts
Posted on 8/10/17 at 8:57 pm to
Obaamer screwed the pooch on this.

Mine went up 400% in 5 years, deductible also went up.

I pay 1/3 and my company pays 2/3, my part is $225 a month (my son and I)but doesn't pay anything until I pay the first $1,500.00.

This shite sucks - I hardly ever have a year where I reach the $1,500

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