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

Posted on 5/24/16 at 11:03 pm to
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 11:03 pm to
quote:


Yes

Surgeons do surgical residency training

Surgeons GO TO MEDICAL school




So after over 1500 cases in two years with no negative outcomes you are still arguing non MDs aren't qualified to do surgery? Hate to break it to you all but success is based on outcomes not if they went to medical school.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 11:04 pm to
Yes they are not qualified to be surgeons
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 11:04 pm to
quote:


I'm sure there is - but it's less common




Ok prove it.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 11:06 pm to
I am not a statistician
I just work down at the Oakdale pizza pit

I'll put my computer geek buddies on the hunt for data
Posted by Parallax
Member since Feb 2016
1459 posts
Posted on 5/24/16 at 11:06 pm to
What's considered a negative outcome? No one, even the absolute best with simple procedures, does "over 1500 cases in two years with no negative outcomes".
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 11:07 pm to
quote:


Yes they are not qualified to be surgeons




If not qualified how come they are so successful??
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 11:08 pm to
They're not doing the most advanced stuff is one reason. Plus idk if I trust that data. Where'd it come from
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/24/16 at 11:09 pm to
The NP's license is not a license to practice medicine, and the care provided by the NP does but the MD and his license at risk, specifically if the MD might have prevented the act which caused the damage, and have not done it. How can the actions of the NP endanger the license of the physician if they aren't practicing under the MD license?

My wording was a little off. My information is accurate. It would have been more accurate to say the NP practices under the umbrella of the MD license, as only licensed MDs are allowed to enter under a CPA and the actions of the NP under that agreement do ultimately put the MD license on the line. Without a licensed MD, the NP cannot practice.

Regardless, the semantics don't change the point, which is that supervision of midlevels, if anything, should have an increased floor, not one dropped out altogether.
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 11:09 pm to
You are the one so quick to put anyone under the bus that isn't an MD. YOU HAVE SPENT 96 pages arguing non MDs aren't qualified. You then throw Optometrists under the bus but have absolutely no numbers to back it up?
Posted by jat912
Florida Parishes
Member since Jun 2008
231 posts
Posted on 5/24/16 at 11:09 pm to
quote:

So after over 1500 cases in two years


Which cases and where? Hope you can show where rural patients got their eye surgeries done by optometrists who came to their small towns.

If you have claims data for Medicaid/Medicare in LA, that would be very pertinent to the issue of "access".
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 11:11 pm to
They train for 1/2 as long!

Unless you're twice as smart there's no way you can match the person who trained 2x as long
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 11:12 pm to
quote:


They're not doing the most advanced stuff is one reason. Plus idk if I trust that data. Where'd it come from




I agree with you here they aren't doing the most advanced procedures those are left for Ophthalmologists.

However they are practicing to the law and there are no negative outcomes. If there was some even one don't you think Ophthalmologists and MDs as a whole would be all over it?
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 11:15 pm to
quote:

If you have claims data for Medicaid/Medicare in LA, that would be very pertinent to the issue of "access".




Look at Medicaid in Louisiana you will be surprised 70% of ALL eye care in Louisiana including medical eye care and surgeries. That can be verified by DHH if you want to check.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 11:15 pm to
Some ophthalmologists are acared to speak up because the optometrist will never again send them a patient
Posted by jat912
Florida Parishes
Member since Jun 2008
231 posts
Posted on 5/24/16 at 11:15 pm to
Something to consider as to why the optometrists spent so much time and money to get surgical authority:

LINK
Posted by Parallax
Member since Feb 2016
1459 posts
Posted on 5/24/16 at 11:16 pm to
Please back up your over 1500 cases with no negative outcomes. That would be unprecedented and that person deserves adulation.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/24/16 at 11:16 pm to
quote:

no negative outcomes. If there was some even one


Again, that depends entirely on
1) what's defined as "a negative outcome"
2) gets published.
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 11:17 pm to
It's public information contact the optometry board.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 11:17 pm to
Now we're taking advice from the people who brought you the bill we have to pass so that you can find out what is in it

Yes
We
Can

Posted by Parallax
Member since Feb 2016
1459 posts
Posted on 5/24/16 at 11:18 pm to
So you're talking out of your arse? Cool.
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