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

Posted on 4/10/16 at 1:26 pm to
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 4/10/16 at 1:26 pm to
quote:

Nobody is acting like physicians never miss anything

yeah, some of you kinda are...
This post was edited on 4/10/16 at 1:30 pm
Posted by Parallax
Member since Feb 2016
1459 posts
Posted on 4/10/16 at 1:28 pm to
quote:

trust me, we don't want to, asshat...

Not true. LINK

I guess if you keep saying this maybe you'll believe it at some point?
quote:

like i've said before, not everyone wanted to be a physician and then went and did something else.... i've never wanted to be a physician, nor do i envy any of you...
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 4/10/16 at 1:32 pm to
quote:

Not true

for a VERY large majority of us, it is.... sure, some do... but most of us just want to deal with improved pharmaceutical care of the patient.... that's it...
quote:

I guess if you keep saying this maybe you'll believe it at some point?

yeah, you got me... i was just a med school reject that had to do something, so pharmacy was next in line...


get the frick over yourselves....
Posted by Parallax
Member since Feb 2016
1459 posts
Posted on 4/10/16 at 1:33 pm to
I actually respect inpatient pharmacists a lot.

I'm sure you're just some outpatient blowhard, though.
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/10/16 at 1:35 pm to
quote:

trust me, we don't want to, asshat... nor did i insinuate that's what i, as a pharmacist, am promoting....

Maybe I'm mistaken but have you not been a proponent of pharmacists having prescriptive authority?

And what my wife does is perfectly relevant to this conversation. We went through school at the same time, so I know exactly what the curriculum and training is for a PharmD.

I have demeaned pharmacy or your training in no way. But pharmacist are pushing for prescriptive authority and the right to treat chronic diseases such as diabetes, HTN, and hyperlipidemia. If you're not an advocate of that, then my apologies. I had you crossed up with someone else.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 4/10/16 at 1:39 pm to
I hear what you are saying. There are alot of MDs that come off as arrogant and self righteous.

We really need to do a better job of showing humility if we want people to hear our opinions. As soon as doctors start talking about these issues in a condescending tone I feel like it kills the conversation. It's a big problem and this thread is a prime example.
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/10/16 at 1:40 pm to
quote:

for a VERY large majority of us, it is.... sure, some do... but most of us just want to deal with improved pharmaceutical care of the patient.... that's it...

By working for Walgreen's? GTFO. If you REALLY wanted to, you'd open an independent and really help people. I guess you have no clue how ridiculously high y'alls prices are? Put your money where your mouth is. Improved pharmaceutical care? How much free medicine you give out? You pay out of your own pocket to ensure that kids get the medicines they need? Do you direct cash patients to lower price independents for their meds when warranted?

Y'all still get a bonus for switching pt's to generics even when it's not in their best interest? I know this used to be done.
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/10/16 at 1:42 pm to
quote:

We really need to do a better job of showing humility if we want people to hear our opinions. As soon as doctors start talking about these issues in a condescending tone I feel like it kills the conversation. It's a big problem and this thread is a prime example.

True. But Tigerdroppings isn't real life is it? It is very easy to be a condescending prick online in a somewhat anonymous forum.
Posted by Yellerhammer5
Member since Oct 2012
11016 posts
Posted on 4/10/16 at 1:45 pm to
quote:

yeah, some of you kinda are...


Which post in particular bothered you?
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 4/10/16 at 1:45 pm to
quote:

Maybe I'm mistaken but have you not been a proponent of pharmacists having prescriptive authority?

you are..... i'm not advocating that at all, nor do i really want to, but i do think it is something that will happen due to physician shortages... it won't be complete autonomy, but i do see an expanded role of the pharmacy practice in the long term...

again, i'm not for it, as it seems it's going to require much more training/schooling, etc., and i'm just not for all the hassle of the whole thing...

quote:

I have demeaned pharmacy or your training in no way.

whether you notice it or not, you demean EVERY other healthcare profession not named "physician"... you come off very smug and arrogant, all because you have "MD" behind your name... you seem as an acolyte unto yourself...

you are the only poster on this site that i'd love to meet IRL
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/10/16 at 1:48 pm to
quote:

whether you notice it or not, you demean EVERY other healthcare profession not named "physician"... you come off very smug and arrogant, all because you have "MD" behind your name... you seem as an acolyte unto yourself...

Agreed. I have to check myself periodically.

quote:

you are the only poster on this site that i'd love to meet IRL

I think you'd like me IRL.



ETA- I was smug and arrogant long before I had MD behind my name btw. Not even sure it's worse since then. And I like to hear myself talk. Not gonna lie. I'm really a good guy, but I can be a prick sometimes.
This post was edited on 4/10/16 at 1:50 pm
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 4/10/16 at 1:48 pm to
quote:

We really need to do a better job of showing humility if we want people to hear our opinions.

totally agree.... some of you think you are God among men because you get to be called 'doctor'

quote:

t's a big problem and this thread is a prime example.

very true.... i mean, seriously, go back to page one, re-read it, removing your white coat (so to speak) and then see how it sounds....
Posted by Yellerhammer5
Member since Oct 2012
11016 posts
Posted on 4/10/16 at 1:52 pm to
quote:

totally agree.... some of you think you are God among men because you get to be called 'doctor'


It's hard to take your opinion seriously when you stick "Rx" in the middle of your username for a sports forum.

For the record, I think doctors that use "doc" or MD in their usernames are also douchebags and are probably the ones with vanity plates.
This post was edited on 4/10/16 at 1:54 pm
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 4/10/16 at 1:56 pm to
quote:

By working for Walgreen's?

don't work for WAG... sorry

quote:

If you REALLY wanted to, you'd open an independent

and lose my arse?? with decrease reimbursements, opening a new pharmacy is almost impossible.... you'd have to buy one... which, me and the wife who is also a pharmacist, will have the opportunity to do in a few years... i LOVE independent pharm... but they don't have the benefits (insurance, 401K, etc.) that retail can offer, which is why i had to go back to it after working in independent for years...

quote:

How much free medicine you give out?

plenty... when you guys close and your patients are out of meds, with no fricking refills...
quote:

You pay out of your own pocket to ensure that kids get the medicines they need?

i've done this quite a few times... i look at it like this... i can afford to make sure they have their medications, within reason and legality....
quote:

Do you direct cash patients to lower price independents for their meds when warranted?
absolutely... i don't work on commission... my paycheck remains the same, whether you pay $5 or $500...
quote:

Y'all still get a bonus for switching pt's to generics even when it's not in their best interest? I know this used to be done.
never heard of this... and i've been practicing since 2006... that must be a really old thing...
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/10/16 at 1:57 pm to
quote:

chRxis

Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/10/16 at 1:58 pm to
quote:

you are the only poster on this site that i'd love to meet IRL

Deal. I'll buy you a beer and we'll take it from there. But I'll warn you, I don't put out on the first date.
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 4/10/16 at 1:59 pm to
quote:

It's hard to take your opinion seriously when you stick "Rx" in the middle of your username for a sports forum.

i understand... it's hard to take yours seriously because you are a Bama fan...

if you can't see it's an obvious play on my real name, and not a "check me out, i'm a fricking pharmacist!!", then i truly don't know what to tell you there, "yeller"
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 4/10/16 at 2:02 pm to
quote:

SmackoverHawg

look, let's make a deal to respect each other's POV, in regards to our roles in healthcare...

good MD's are INVALUABLE, but at the same time, good PharmD's are pretty important too... good, patient centered healthcare requires a triumvirate, of sorts, between the MD, Pharm, and RN....
Posted by mikrit54
Robeline
Member since Oct 2013
8664 posts
Posted on 4/10/16 at 2:04 pm to
quote:

On what grounds is this even being proposed? I don't think I know one nurse who could even think of hacking it at medical school.
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/10/16 at 2:07 pm to
quote:

look, let's make a deal to respect each other's POV, in regards to our roles in healthcare...

I do. We're all on the same team ultimately. I get carried away and I admit that I can be a pompous, self important, egotistical dickhead at times. I would probably help my arguments on here at ton if I stayed more rational and even keeled but that's not my personality.
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