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

Posted on 5/19/16 at 9:35 am to
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 5/19/16 at 9:35 am to
quote:

All medical professionals including surgeons will be replaced by robots in the near future. Surely with a Spock avatar you watched any Sci-fi movies/series.


Even in Star Trek there a still doctors.
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 5/19/16 at 9:39 am to
quote:

Even in Star Trek there a still doctors.


Barely. Bones is a wreckless and under qualified hack. You'd be better off cruising the stars with 911moto's crippled arse looking at your plaque.
This post was edited on 5/19/16 at 9:40 am
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 5/19/16 at 9:41 am to
quote:

Even in Star Trek there a still doctors.


Glorified techs with a "Doctor" title. Machines are performing assessments, robots are performing appys, abortions, etc.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/19/16 at 9:49 am to
I bet your GP is not actually a GP
Posted by GeauxxxTigers23
TeamBunt General Manager
Member since Apr 2013
62514 posts
Posted on 5/19/16 at 9:50 am to
quote:

Even in Star Trek there a still doctors.



The best Star Trek doctor was a hologram.
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/19/16 at 10:00 am to
I'll just buy a robot. Wanna see the robot? Fine. Wanna see me? Fine. But if anybody thinks we're gonna have robots providing care and replacing doctors anytime soon, they obviously know nothing about healthcare. And yes, mid-levels would be the first to go. And nurses. They can't even come up with one to do our insurance coding and billing.

Medicine will evolve. just like with any profession, those that evolve with it with thrive, those that don't will not.
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 5/19/16 at 10:01 am to
quote:

The best Star Trek doctor was a hologram.



Which was 150 years after Dr. McCoy. I would suggest his 10 year timeframe for robotic and computer takeover of the medical field is a bit aggressive.


Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 5/19/16 at 10:09 am to
quote:

Medicine will evolve. just like with any profession, those that evolve with it with thrive, those that don't will not.




Which is funny because, that is what this is about... evolving scope of practice.
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 5/19/16 at 10:14 am to
quote:

And yes, mid-levels would be the first to go. And nurses.


Not even close, as much as I hate nurses, they'll be the last ones to go. Software is cheap once it's developed, robotics and hardware not so much. A diagnosis algorithm will replace a primary care doctor WAYYYYYY before a robot replaces a nurse.

And if you do buy a robot, you better call him sir, since he'll be doing your job better than you ever could dream of.
Posted by Turbeauxdog
Member since Aug 2004
24273 posts
Posted on 5/19/16 at 10:26 am to
quote:

robots providing care and replacing doctors anytime soon


I think it will happen soon in imaging.

Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/19/16 at 10:50 am to
Too many intricacies and too much higher order thinking necessary
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 5/19/16 at 10:54 am to
you either haven't done the research or you're delusional. The software is already there doc, are you a surgeon?
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 5/19/16 at 11:02 am to
quote:

you either haven't done the research or you're delusional. The software is already there doc, are you a surgeon?


To what software are you referring?
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 5/19/16 at 11:08 am to
You're lazy

But IBM had been modifying their Watson program for this exact purpose. If a program can beat Ken Jennings in Jeopardy, then I'm pretty confident in its ability to give me syphilis medicine.

fricking "intricate higher thinking", you've gotta be fricking kidding me.


ETA the IBM example is just one of many companies trying to come up with this because it's a profitable idea. People would rather pay to see a near perfect robot doctor than a very flawed human one.
This post was edited on 5/19/16 at 11:10 am
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 5/19/16 at 11:13 am to
quote:

You're lazy


I suppose.

I thought the conversation was referring to imaging.
Posted by MSMHater
Houston
Member since Oct 2008
23255 posts
Posted on 5/19/16 at 11:16 am to
Computers could easily do a physicians job, if patients weren't such shitty medical historians.

If the input into the program is shite, and past medical history is a pretty important piece of data, then the output will be shite. And human docs spend alot of time trying to interpret a patients medical history.

I think all the other variables: diagnostics, physical appearance, review of systems, current symptoms, etc... could be programmed.

But the real question with robot docs is "who do I sue?". Are IBM and Apple taking out medmal policies? Is the institution that purchases the computer liable for its mistakes? Where does liability fall, and how would you ever prove incompetence or malice in a machine?
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 5/19/16 at 11:16 am to
My bad. I was still jabbering about doctor robots. I do think it's pretty fascinating that that particular profession will be one of the first ones to go to technology. It's one of the few high paying jobs that's perfectly suited for a computer.


Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 5/19/16 at 11:20 am to
quote:

who do I sue?


Whom

quote:

Where does liability fall, and how would you ever prove incompetence or malice in a machine?


I think this is key. There will be fewer incorrect diagnoses thus fewer lawsuits. And when blood sucking lawyers do pop up, they'll have actual code that they can claim is at fault, it will be a black and white issue, either it was coded to optimise chances for success or it wasn't.
Posted by MSMHater
Houston
Member since Oct 2008
23255 posts
Posted on 5/19/16 at 11:30 am to
quote:

Whom


Damn you! And I'm usually conscious of that, which makes it worse.

quote:

they'll have actual code that they can claim is at fault, it will be a black and white issue, either it was coded to optimise chances for success or it wasn't.


So that code will have to be written based on the most current medical research (devised by humans, BTW). It would be a set of "standards" to serve as the baseline code for these machines, and deviation from those standards will result in liability. That sounds great!!!

Why haven't those standards been set already? We could use them as a baseline for current litigation. Physicians wouldn't have to fear litigation if they stayed within the standard, which would then cause a HUGE decrease in defensive medicine and over utilization, and eventually lower overall costs.

:rhetoricalquestion:

I think you will have more groups than you realize resisting advancement to E-Docs.
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 5/19/16 at 11:56 am to
quote:

think you will have more groups than you realize resisting advancement to E-Docs.



Fair enough, but if I may summarize my thesis with my two main points:

1. The profession is easily replaced with a computer, the technology already exists.

2. Anyone fighting against the robo docs will be doing so to preserve their income, not to ensure quality care.


Just look at early in in this thread, all the docs talked about getting patients the care that they needed, but it was pretty transparent what they were really arguing for.
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