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re: Going to a Nurse Practitioner is Like Going to a Paralegal for Legal Advice

Posted on 3/23/16 at 12:03 pm to
Posted by PurpleNGoldFan
Member since Sep 2012
1514 posts
Posted on 3/23/16 at 12:03 pm to
Such an ignorant post
Posted by roguetiger15
Member since Jan 2013
17293 posts
Posted on 3/23/16 at 12:04 pm to
quote:

Could you elaborate on this? My SO is about to graduate with an NP, and I didn't realize this level of pay was possible. I'm genuinely interested


my brother got his nursing degree at ULL and both his masters at University of South Alabama in geriatrics and psych. he hooked up with a Psych doctor and they make rounds at inpatient mental hospitals and nursing homes. Like I said earlier, these inpatient hospitals will pay my brother to round there under the psych doctor through monthly stipends ranging from 2k for the smaller hospitals to 10k at larger ones. He then bills medicare/Medicaid for the patients he sees. He's also got a clinic he goes to once a week. He is also paid monthly stipends to be on call so many days a month. he also gets paid stipends to do telemeds if needed (seeing a patient over the computer much like face time with a nurse at the facility as a third party documenting the diagnosis/prescription). He pays the psych doctor a certain percentage of the stipends because the doctor is the "medical director" of his practice (his business). His practice is mostly just med management being that he deals mostly with older patients that have some form of mental disease like dementia or Alzheimer's

most NPs are comfortable working for someone but he has his own LLC and insurance coverage much like an owner of a company and contracts himself out.
This post was edited on 3/23/16 at 12:15 pm
Posted by Jake88
Member since Apr 2005
77655 posts
Posted on 3/23/16 at 12:05 pm to
Nope. Just responding to the guy who said his NP wife runs circles around most doctors.
Posted by cleeveclever
Baton Rouge
Member since Aug 2008
2046 posts
Posted on 3/23/16 at 12:05 pm to
quote:

Something is amiss in the medical field when it is turning out these quacks that can see patients and prescribe medicine. I've seen NPs before out of necessity, but today was the last one.

I've never had a high opinion of general practice physicians, I think it's obvious they didn't exactly set medical school on fire, and typically have no idea how to diagnose your issue and just nod while scribbling a Rx for whatever drug they are being paid to push.

But NPs are an even further departure from that. Basically they are nurses who held on long enough to slap NP on the end of their name (and maybe had to study late for a few tests, wow, that sounds incredibly arduous). Sorry, I've known too many nurses before they were nurses to even attempt to have a high opinion of that field.

I would be pretty upset at how they are encroaching on the medical field, and are not doing real doctors any favors.



Back in college, I had lower-back and kidney pain and a slight wheezing cough for about a week. I saw my doctor who quickly told me the symptoms were unrelated, prescribed me some cough medicine and sent me on my way.

After a couple more days with no improvement, I went back and, unable to get an appointment with my doctor, saw the NP who worked at his office. Within 2 minutes, she diagnosed me with pneumonia. Chest x-rays confirmed.

My doctor was a decent dude but he was an inattentive and rushed doctor who wanted to quickly diagnose and move to the next waiting patient. The NP was really thorough and took more time to explore the possible diagnoses.

My pneumonia was bad enough to land me in the hospital eventually but was less severe than it could have been because an NP took the time to properly diagnose and start treatment.

Anyway, that's just my experience.
Posted by RabidTiger
Member since Nov 2009
3127 posts
Posted on 3/23/16 at 12:05 pm to
quote:

Private practice, some states NPs can work completely independent without physician oversight.


So an NP with his/her own practice or maybe partnered in a practice could pull down six figures?
Posted by Janky
Team Primo
Member since Jun 2011
35957 posts
Posted on 3/23/16 at 12:06 pm to
quote:

An intelligent person can pick another field that has good income potential without all the barriers of entry. So a person willing to go through all of it is just self-absorbed status whore.


Or maybe some people are truly good people and like the idea of helping others.
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 3/23/16 at 12:07 pm to
quote:

He told you this, didn't he. Chip on the shoulder.



Actually if you step away from the hate boner you have, it's very plausible.

Press-Ganey shows the practitioner who sits down and spends the most time with the patient has the most favorable reviews and this is usually the NP.
This post was edited on 3/23/16 at 12:11 pm
Posted by Jake88
Member since Apr 2005
77655 posts
Posted on 3/23/16 at 12:09 pm to
Again you're missing my point. I didn't say it wasn't plausible I said the poster only knows it because the NP told him.
Posted by taylork37
Member since Mar 2010
15607 posts
Posted on 3/23/16 at 12:09 pm to
quote:

Just responding to the guy who said his NP wife runs circles around most doctors.

May have been over-exaggerated, but in reality some doctors are largely out of touch when it comes to patient needs because of how little contact they have. So they may not run circles around the doctor as far as book smarts/intelligence goes, but they often times are more in tune with the patients needs than the doctors.

Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 3/23/16 at 12:10 pm to
quote:

So an NP with his/her own practice or maybe partnered in a practice could pull down six figures?




There are lots of experienced RN's making in the low $100ks without OT let alone NP's.

Private practice, and good client base and the sky is the limit.

Louisiana has a very low RN/NP pay compared to Texas so it's area specific. Sure California pays more but the COL is much higher.
This post was edited on 3/23/16 at 12:13 pm
Posted by Jake88
Member since Apr 2005
77655 posts
Posted on 3/23/16 at 12:11 pm to
Some and sometimes, yes.
Posted by taylork37
Member since Mar 2010
15607 posts
Posted on 3/23/16 at 12:12 pm to
quote:

So an NP with his/her own practice or maybe partnered in a practice could pull down six figures?


I may be incorrect but 100K is probably on the low end of what NPs can make.
Posted by Janky
Team Primo
Member since Jun 2011
35957 posts
Posted on 3/23/16 at 12:12 pm to
I know several NPs that work for the local hospitals that make over $100k.
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 3/23/16 at 12:14 pm to
quote:

I may be incorrect but 100K is probably on the low end of what NPs can make.



Correct, maybe at very rual places.
This post was edited on 3/23/16 at 12:15 pm
Posted by Kujo
225-911-5736
Member since Dec 2015
6044 posts
Posted on 3/23/16 at 12:15 pm to
quote:


Or maybe some people are truly good people and like the idea of helping others.



yeah, utopia

So committed to helping people that I'm going to dig wells in Africa, build homes in Malaysia, and then pay $300k...so I can help people, while living in a big arse house with some trophy blonde.
Posted by Janky
Team Primo
Member since Jun 2011
35957 posts
Posted on 3/23/16 at 12:16 pm to
quote:

yeah, utopia So committed to helping people that I'm going to dig wells in Africa, build homes in Malaysia, and then pay $300k...so I can help people, while living in a big arse house with some trophy blonde.


Good Lord you are a cynical idiot.
Posted by Jake88
Member since Apr 2005
77655 posts
Posted on 3/23/16 at 12:18 pm to
He's envious as Hell.
Posted by Kujo
225-911-5736
Member since Dec 2015
6044 posts
Posted on 3/23/16 at 12:19 pm to
quote:

so I can help people, while living in a big arse house with some trophy blonde.


Good Lord you are a cynical idiot.



what's the difference between sales reps of engineering devices and sales reps of medical devices?

why would one sales field have longer legs than the other? Could it be the client's response to legs?
Posted by TGFN57
Telluride
Member since Jan 2010
6975 posts
Posted on 3/23/16 at 12:20 pm to
What's wrong dr.? Did a nurse practitioner make a diagnosis that you missed and make you look like an idiot?
Posted by MaHittaMaHitta
Member since May 2014
3195 posts
Posted on 3/23/16 at 12:23 pm to
I recruit NP's and Physicians. NP's are the wave of the future. They will be the ones to fix the physician shortage. Every year there are more physicians retiring than there are graduating Med School. We can pay NP's close to half of what we pay Physicians. And yes, they actually know what they are doing.
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