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

Posted on 5/14/16 at 12:23 pm to
Posted by LCA131
Home of the Fake Sig lines
Member since Feb 2008
77244 posts
Posted on 5/14/16 at 12:23 pm to
quote:

I usually just click respond on the last comment


Well that is not the way it should be done. Maybe you need some more training so you can more accurately convey your argument. THOUSANDS of more hours of training.
Posted by Finch
Member since Jun 2015
3741 posts
Posted on 5/14/16 at 12:53 pm to
quote:

As for the pharm reps, I agree with you. I've never met a pharm rep that didn't have a degree. And actually many of them I have encountered worked as nurses before becoming reps. Should have stated that in my previous post.

But I personally know 3 ortho device reps who don't have college degrees. I believe at least one maybe two of them work for Stryker. The other I can't remember who he works for, but its one of those big name ortho device companies. Surely the vast majority of them at least have college degrees, but these dudes I know do not. And they don't do shite and make over 200K. In my PGY-6 year, I may hit 60K! Hell yeah!

I'm not saying this to argue that I should be making 200K as a resident. I went into this knowing what I was signing up for.

Healthcare professionals need to take back control of our industry. Why is it that the discussion about healthcare reform is always between two options? Its always universal government-run healthcare vs private insurance-run healthcare? frick both of them. We need to kick them both out and captain this ship ourselves. Cutting out these middle-man leeches could save shittons of money in healthcare.




You have no idea what the reps do before and after the case. Doctors are always complaining about the extra work that isn't actual patient care the reps take care of a lot of organization and planning

You are coming off as kind of a jerk. Hopefully when you start your practice you realize that it doesn't benefit you to be that way. If you work with your reps they can be pretty helpful to your practice.
Posted by AFtigerFan
Louisiana
Member since Feb 2008
3735 posts
Posted on 5/14/16 at 1:27 pm to
quote:

I usually just click respond on the last comment


Well that is not the way it should be done. Maybe you need some more training so you can more accurately convey your argument. THOUSANDS of more hours of training.


It's clear that he needs supervision and should not be able to post without more oversight. I guess that's to be expected since he has less than 400 posts so far. I'm thinking 8-10,000 should be the minimum before he is let loose on the general public.
This post was edited on 5/14/16 at 1:28 pm
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/14/16 at 1:57 pm to
quote:

let me just say that i believe in the free market. i don't think doctors are "money-grubbing" and i respect doctors. allowing free people to make their own decisions and form their own opinions isn't some terrible thing to me. that's how free markets work

Would you feel the same about paralegals being able to become full fledged lawyers after working an "appropriate" number of hours under one and not having to pass the bar? Same difference. Free market and all. I mean, if the the customer is ok with the legal counsel one could provide, would that not be in their best interests?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/14/16 at 1:58 pm to
I kind of I spent my youth studying and not goofing around on tigerdroppings
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/14/16 at 2:01 pm to
You're judging the end result (through your own lens - without medical training) and ignoring what's going on inside the calculator itself. Fancier computers (more training, higher test scores, more wiring) can do more and do it more successfully. Primary care is not just abx, steroid shot, abx, steroid shot, repeat. Clearly you don't know anybody in medical training
Posted by LCA131
Home of the Fake Sig lines
Member since Feb 2008
77244 posts
Posted on 5/14/16 at 2:02 pm to
quote:

I kind of I spent my youth studying and not goofing around on tigerdroppings



Followed by an internship in God-complex and a residency in arrogance.
Posted by AFtigerFan
Louisiana
Member since Feb 2008
3735 posts
Posted on 5/14/16 at 2:03 pm to
quote:

Clearly you don't know anybody in medical training



Clearly, you have no people skills.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/14/16 at 2:03 pm to
Who on here took a course or courses in pathology? If you haven't then get lost cause your thoughts are irrelevant
This post was edited on 5/14/16 at 2:04 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/14/16 at 2:05 pm to
Address the argument and not just getting off on tangential insult hurling. You can't out argue us so you just make stuff up
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/14/16 at 2:06 pm to
People like me! Let's hang out some time
Posted by AFtigerFan
Louisiana
Member since Feb 2008
3735 posts
Posted on 5/14/16 at 2:07 pm to
quote:

People like me! Let's hang out some time



I'd have no problem with that. It's fun to poke the angry bear sometimes, but I do it just in fun. I'm always looking for another golf and drinking buddy.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/14/16 at 2:10 pm to
I just want to say to everyone, if y'all get us to 1000 posts, given my complete ineptitude with posting, using the Internet, know nothing about politics or life in general, i would count it as a grand success and be forever indebted.

And in return I will forever lobby to keep your babies safe
This post was edited on 5/14/16 at 2:13 pm
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/14/16 at 2:19 pm to
Another misconception is that NP's create cheaper care. Wrong!!! Most of their visits are visits that we used to treat over the phone free of charge. If they were the solution, costs would be decreasing instead of increasing. It's all based on a fallacy of cheaper care. What you will see is more visits and more tests and more referrals.

But what do I know? Do what y'all want, but you've been warned. And I'm not angry by any means. I'll just keep hiring NP's. I'm not worried about mine leaving or competing with me. They only ones that will go out on their own are the arrogant/reckless ones that have no clue what they don't know. The market will sort things out. I'm hoping nobody else will go into family practice. From a business standpoint, it only stands to benefit me. I understand the need and demand for a good FP. The less there are of us that can provide the services we do, the more we can demand for our services. I'm already seeing it as there are no internist left in our area, virtually no peds, and very few gyns.
Posted by LCA131
Home of the Fake Sig lines
Member since Feb 2008
77244 posts
Posted on 5/14/16 at 2:23 pm to
quote:

If you haven't then get lost cause your thoughts are irrelevant



quote:

If y'all get us to 1000 posts


Which is it, you arrogant windbag?

The only group I have ever seen who know what's best for me more than doctors is liberal politicians.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/14/16 at 2:27 pm to
Liberal politicians are who brought u this bill
Posted by volod
Leesville, LA
Member since Jun 2014
5392 posts
Posted on 5/14/16 at 2:28 pm to
quote:

Healthcare professionals need to take back control of our industry. Why is it that the discussion about healthcare reform is always between two options? Its always universal government-run healthcare vs private insurance-run healthcare? frick both of them. We need to kick them both out and captain this ship ourselves. Cutting out these middle-man leeches could save shittons of money in healthcare.


Thanks. I really do agree with this. (Im not in the field of medicine)
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/14/16 at 10:32 pm to
quote:

and very few gyns.


FP in your area do much on the obstetrics side? Or just your run of the mill non-OR GYN stuff (pap, colpo, EMB...)?
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 5/14/16 at 10:41 pm to
quote:

What you will see is more visits and more tests

very true.... and yes, while it may serve a broader patient base, and even alleviate the "gimme" cases from MD's, so they can focus on more advanced, complex cases, it will end up increasing, not decreasing HC costs... the way modern medicine is now, it's inevitable....

there is no slowing the machine at this point... you either blow it all up and start over, or shut the frick up... that's basically what politicians need to understand...
Posted by SuperSaint
Sorting Out OT BS Since '2007'
Member since Sep 2007
150397 posts
Posted on 5/14/16 at 10:43 pm to
Quick hijack


Hey bro? We FB friends?


I was going to ask you a couple questions he other day but didn't see you on my list

/hijack
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