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

Posted on 6/5/16 at 1:25 am to
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/5/16 at 1:25 am to
Visit the pizza pit in Oakdale sometime. We can discuss Louisiana Medicine - free pizza I'll buy
Posted by p0845330
Member since Aug 2013
6069 posts
Posted on 6/5/16 at 2:31 am to
I'm on your side, but if I pretend I'm not, is the free pizza still an option?
This post was edited on 6/5/16 at 2:32 am
Posted by The Eric
Member since Sep 2008
24410 posts
Posted on 6/7/16 at 6:14 pm to
PT bill signed by governor today
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 6/7/16 at 6:25 pm to
quote:

PT bill signed by governor today


Great. Don't frick up.
Posted by Jake88
Member since Apr 2005
80001 posts
Posted on 6/7/16 at 6:29 pm to
What's the PT bill allow?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/9/16 at 12:52 am to
Allows the practice of medicine/ medical decision making by physical therapists in place of a primary doctor
This post was edited on 6/9/16 at 12:53 am
Posted by Marco Esquandolas
Member since Jul 2013
11828 posts
Posted on 6/9/16 at 1:10 am to
This sets a scary prescedent...
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 6/9/16 at 5:05 am to
quote:

This sets a scary prescedent...



It would be if it were actually true...


The bill allows a patient access to physical therapy without needing a physician referral.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/9/16 at 4:48 pm to
Call it whatever you wanna call it. We, in Louisiana, have transitioned from your doctor deciding when you need to see a therapist to now your therapist will decide when you need to see a doctor. That seems less likely to succeed if your primary objective is safety and you cut the most well-educated person out of the loop
This post was edited on 6/9/16 at 4:49 pm
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17881 posts
Posted on 6/9/16 at 5:14 pm to
No, the patient gets to decide, no one is telling them that they have to see a PT first, and at anytime the patient can see a doctor if they choose to. Now, if you strain a muscle in your back playing baseball with the kids you have the choice of going to a PT before seeing a doctor, prior or to this, you could go to a chiropractor, an athletic trainer, an acupuncturist or even a massage therapist without going to a doctor, but not a PT, who has arguably more education than all of the above.
This post was edited on 6/9/16 at 5:22 pm
Posted by Jake88
Member since Apr 2005
80001 posts
Posted on 6/9/16 at 5:27 pm to
How would a layperson know if the injury requires PT? Isn't that putting the cart before the horse? Does a PT have the ability to diagnose then treat? I've never been to one.
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17881 posts
Posted on 6/9/16 at 5:39 pm to
Great questions, let me see if I can answer them


How would a layperson know if the injury requires PT?
Maybe they have a recurring issue and have been helped with PT before, maybe they have a family member, friend , neighbor who is a PT, maybe they are just aware of what a PT can treat?

Isn't that putting the cart before the horse?
No, it is helping get the cart and the horse across the finish line faster

Does a PT have the ability to diagnose then treat?
Yes, doctorate level education, they are trained to evaluate, make a PT diagnosis and treat, more importantly they are trained to know when it is something outside of their scope of practice and needs to be referred. 43 states have been doing this for years successfully

I've never been to one.
Hope you never need one, but glad you have the choice to see one
This post was edited on 6/9/16 at 6:18 pm
Posted by AFtigerFan
Louisiana
Member since Feb 2008
3735 posts
Posted on 6/9/16 at 5:40 pm to
quote:

bill allows a patient access to physical therapy without needing a physician referral.

Common sense prevails.
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 6/9/16 at 6:22 pm to
quote:

PT diagnosis


I always see terms like this thrown around. Practice of nursing, scope of nursing, PT diagnoses...

What does that even mean?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/9/16 at 7:04 pm to
Doctoral level education with responsibility of diagnosis is a four year medical degree - plus 3-7 years of post-doctoral supervised graduated incremental responsibility.

PT was very recently a masters and they do not have the ability to fully diagnose disease. They did not study all the same lectures, come on
This post was edited on 6/9/16 at 7:07 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/9/16 at 7:05 pm to
Diagnosis is the turf of a physician. Please respect education
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 6/9/16 at 7:06 pm to
God you suck. I cannot wait until you're replaced by an algorithm.
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 6/9/16 at 7:09 pm to
quote:

God you suck. I cannot wait until you're replaced by an algorithm.



Pfft...as if I couldn't take your job.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/9/16 at 7:09 pm to
Looking out for patients. If you don't like that I'm sorry
Posted by AFtigerFan
Louisiana
Member since Feb 2008
3735 posts
Posted on 6/9/16 at 7:13 pm to
quote:

I cannot wait until you're replaced by an algorithm.

I'd bet some algorithms are already more accurate than him. And I'd guarantee all have more people skills than him.
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