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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
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/20/16 at 12:03 am to
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 by Blob Fish
Member since Mar 2016
3091 posts
Posted on 5/20/16 at 12:03 am to
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 by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/20/16 at 12:04 am to
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 by LSUfan4444
Member since Mar 2004
57082 posts
Posted on 5/20/16 at 12:04 am to
quote:

Potentially his life


so by seeing a ohysician his life is never in jeapordy?? The letters MD are purely life saving now?

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 by Bmath
LA
Member since Aug 2010
18912 posts
Posted on 5/20/16 at 12:06 am to
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.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/20/16 at 12:07 am to
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 by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/20/16 at 12:08 am to
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 by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/20/16 at 12:11 am to
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 by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/20/16 at 12:12 am to
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 by LSUfan4444
Member since Mar 2004
57082 posts
Posted on 5/20/16 at 12:13 am to
"obviously"...just don't feel my employer
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/20/16 at 12:14 am to
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 by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/20/16 at 12:14 am to
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 by Ken M
New York
Member since Jan 2015
498 posts
Posted on 5/20/16 at 12:15 am to
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 by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/20/16 at 12:17 am to
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 by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/20/16 at 12:18 am to
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 by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/20/16 at 12:19 am to
I
Am
Not
In
Primary
Care.

It's very nice to meet you
Posted by LSUfan4444
Member since Mar 2004
57082 posts
Posted on 5/20/16 at 12:19 am to
Is there any way you see this thread ending other than you making the last post?
Posted by Ken M
New York
Member since Jan 2015
498 posts
Posted on 5/20/16 at 12:20 am to
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 by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/20/16 at 12:20 am to
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 by LSUfan4444
Member since Mar 2004
57082 posts
Posted on 5/20/16 at 12:22 am to
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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