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re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 5/20/16 at 12:03 am to LATigerdoc
Posted on 5/20/16 at 12:03 am to LATigerdoc
quote:
This is not a hard concept.
Well, you'd be surprised. The average Joe couldn't tell you there were 5 different eye subspecialists. And if they could, they'd probably tell you the general ophthalmologists weren't smart enough to do retina/Neuro/plastics/etc
Posted on 5/20/16 at 12:03 am to LATigerdoc
There's no value in arguing with these people. You're yelling at a bunch of entitled Obama's America patients and former biology majors with 2.0 freshman GPAs or 19 MCATs X 3.
Posted on 5/20/16 at 12:04 am to WaWaWeeWa
Yes an optometrist from the 70s is almost unrecognizable compared to the new age surgical version. This is a new phenomenon. In the past they could not prescribe medication at all
Posted on 5/20/16 at 12:04 am to LATigerdoc
quote:so by seeing a ohysician his life is never in jeapordy?? The letters MD are purely life saving now?
Potentially his life
Come the frick on man. They aren't trying to make NPs neurosurgeons or cardiologists
This post was edited on 5/20/16 at 12:08 am
Posted on 5/20/16 at 12:06 am to LATigerdoc
They are not a physician, but they are a doctor. Words have meanings. Medical doctors in the English speaking countries fricked that up.
Interestingly, the etymology of doctor does not originally link to medicine but to academic pursuits.
Interestingly, the etymology of doctor does not originally link to medicine but to academic pursuits.
Posted on 5/20/16 at 12:07 am to LSUfan4444
quote:
Lol...so now the MDs were fighting the good fight over those codes for the elderly and poor. Holy frick!!! How slanted are you guys?
How fricking dense are you
I'm not talking about codes or whatever bullshite you are spouting
I'm talking about a group of people deliberately trying to be deceptive to a population that is ignorant to their level of training and what is required to be a competent surgeon
How is that self serving? And why would you be so surprised if we cared about the well being of society? What do you do for a living. Just because you may not give a flying frick about anyone else doesn't mean everyone is like you
This post was edited on 5/20/16 at 12:10 am
Posted on 5/20/16 at 12:08 am to LSUfan4444
What I said is this bill could lead to some poor patient outcomes including mortality due to inappropriate clinical decisions being made due to lack of training. 100 percent of patients do not live forever. The job of a doctor is to ward that off
Posted on 5/20/16 at 12:11 am to LSUfan4444
Obviously you've never worked in a primary care setting. General patients all die too. Often the last thing to leave a dying patient is an internist
Posted on 5/20/16 at 12:12 am to LSUfan4444
quote:
No matter what you say, in the end and in their mind they are above you, they are right and you are wrong.
I'll be the first to tell you that I'm often wrong and just a normal guy.
When it comes to discussing the integral parts of healthcare that I deal with on a daily basis, I'm probably a little more right than you.
When it comes to discussing (pick literally any other field of discussion in the world), I'm just another guy.
When it comes to discussing wherever you deal with on a normal basis, you're probably more right than me.
But generalizations are good. You just suggested that doctors are out for their own interest in a thread about a bill where a group of people with less training are trying to deliver the same care at the same cost (taken into account extra referrals and lab tests generated. There's no statistical difference in the cost of care but increased burden on the subspecialists level) while held to an inferior standard. I cannot say I follow your logic here.
Posted on 5/20/16 at 12:13 am to LATigerdoc
"obviously"...just don't feel my employer
Posted on 5/20/16 at 12:14 am to LSUfan4444
quote:
What does a patient lose by the passing of this bill?
Having someone held to the level of a board-verified physician in whatever field their problem is in overseeing their care. And also no less money.
Posted on 5/20/16 at 12:14 am to LSUfan4444
Cancer frequently presents to the primary clinic. I would say it's very rare for a patient to wander into the neurosurgeons office and say hey man I've got brain Mets would you look me over? Cancer is a PCP find
Posted on 5/20/16 at 12:15 am to LATigerdoc
quote:
Obviously you've never worked in a primary care setting. General patients all die too. Often the last thing to leave a dying patient is an internist
I've read this entire thread since you started it, and you have done nothing to prove this isn't about you trying to protect your pocketbook. You've used a ton of words and tried to act like a real genius and savior of the Louisiana public, but you are doing nothing but trying to protect your cash flow.
This post was edited on 5/20/16 at 12:16 am
Posted on 5/20/16 at 12:17 am to LSUfan4444
quote:
LSUfan4444
Do you know how many times I've seen doctors do surgeries for free, see a patient for free, stay late to see someone, etc, etc
So many I can't even count. I've seen plenty personally give someone money for medication.
You act like doctors are Wallstreet executives out for blood and solely driven by profits. The majority of us are compassionate and enjoy helping people like alot of other members of the healthcare community. I don't know what experiences you have had that shaped your feelings about doctors, but they are not typical.
Posted on 5/20/16 at 12:18 am to LSUfan4444
quote:
Of someone else gets paid less than you to do the same thing, it's gotte be scary.
The first statement is inaccurate. They do not do the same thing and are not trained to do the same thing. So it isn't really scary at all from that perspective.
Please explain how it is you believe they do the same thing as primary care physicians. They won't have admitting rights, they won't have the procedural skills, they'll have far less basic science knowledge on which their clinical experience is built upon.
Posted on 5/20/16 at 12:19 am to Ken M
I
Am
Not
In
Primary
Care.
It's very nice to meet you
Am
Not
In
Primary
Care.
It's very nice to meet you
Posted on 5/20/16 at 12:19 am to LATigerdoc
Is there any way you see this thread ending other than you making the last post?
Posted on 5/20/16 at 12:20 am to LSUfan4444
quote:
What does a patient lose by the passing of this bill?
They lose nothing, but gain everything.
You ever seen a NP? They treat you like a human 100x more than a doctor. They also don't treat you like a cog in an assembly line.
Do you think for one second that a NP who wants to consult with someone over a patient's condition wouldn't do so?
The passage of this bill lowers your medical costs, increases your providers, and has absolutely zero downsides.
Posted on 5/20/16 at 12:20 am to LSUfan4444
quote:
Come the frick on man. They aren't trying to make NPs neurosurgeons or cardiologists
Here's the thing- NPs are better suited to work in those offices than primary care offices (excludes procedures). Limited scope built on clinical experience is a much better option. Your understanding of primary care is different than those who do it on a daily basis.
Posted on 5/20/16 at 12:22 am to Hopeful Doc
Its not that they can see and NP for everything that can see an MD for..only somethings. But it's those things that the MDs will lose that has them shitting on their leather recliners.
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