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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 1:01 pm to
Posted by ThinePreparedAni
In a sea of cognitive dissonance
Member since Mar 2013
11315 posts
Posted on 3/23/16 at 1:01 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.


Things that Kujo begrudges:

-successful people
-attractive people
-well built people

Please post your height and penile length/girth measurements. I think I got you figured out, but need data to confirm
Posted by MoreOrLes
Member since Nov 2008
19472 posts
Posted on 3/23/16 at 1:01 pm to
quote:

quote:
often times the NPs that have had lengthy RN experience could run circles around some doctors.


This is true




This is hilarious and pathetically false.

MD's go through extensive education more than any NP. To think that NP's are on the same level as a MD is laughable.


I have no problem with people seeing medical treatment from a NP. What i have a problem with is NP's being passed off as an MD. They simply are not.
I also have no problem with people seeking medical treatment from their postal carrier. As long as the patient is informed.

But do not sell me on a NP being as good as an MD. They are not.
Posted by Gris Gris
OTIS!NO RULES FOR SAUCES ON STEAK!!
Member since Feb 2008
49636 posts
Posted on 3/23/16 at 1:03 pm to
What do you do for a living?
Posted by theunknownknight
Baton Rouge
Member since Sep 2005
60044 posts
Posted on 3/23/16 at 1:04 pm to
quote:

actually they are, it's just getting admitted into the school that's hard.


Getting into Medical School is not THAT hard.

Posted by dgnx6
Member since Feb 2006
85439 posts
Posted on 3/23/16 at 1:06 pm to
quote:

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. 


You have no idea what you are talking about.
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 3/23/16 at 1:06 pm to
quote:

If Np's are so smart why didn't they go to med school.

Hmmmmmm

You either are an MD or you are not.



That's your first mistake thinking evety NP wants to be a physician.
Posted by ThinePreparedAni
In a sea of cognitive dissonance
Member since Mar 2013
11315 posts
Posted on 3/23/16 at 1:10 pm to
Like any profession, there can be good and bad ones....


As others have posted, NPs will play a big role in medicine moving forward. The key is utilizing them properly to allow both them and the MDs to function efficiently and improve treatment of diseases.

Notice I did not state delivery of healthcare or maintenance of health.

Mini-rant:

The focus in the US seem to be on providing medical service for treating diseases. Despite the skewed statistics that are posted here, the US does a great job treating disease in a novel way (cutting edge technology and treatments).

What the US does a terrible job in is creating an atmosphere that is conducive to acquired chronic diseases (diabetes, metabolic syndrome). Adding to the problem, the public and practitioners are lulled into a false sense of security that our cutting edge treatments will acutely save them from decades of chronic abuse. We do a terrible job maintaining health (as that responsibility largely falls on the individual).

This is akin to fixing the plane after the parts are faulty or the plane has crashed instead of providing timely maintainence

Not enough efficient and practical recommendations are provided on:

-proper nutrition
-exercise
-sleep
-stress management
-good habits



Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 3/23/16 at 1:13 pm to
quote:

We're in Charlotte, and the NP's she's been following for her clinicals are making 75k-85k. For some reason this seems to be a shitty market for nurses and possibly NP's. It's pretty tough just to get a job as an RN here. Forget about six figures, a lot are making 45k-50k (I'm talking RN's here).

She may have an offer with a physician in a specialty where she would get a base salary plus a bonus dependent on the number of patients she sees. I'm curious to see what the offer is going to be.


Wow that stinks, new RN grads here are making more than that $50k.

I would consider moving, she's selling herself short.
This post was edited on 3/23/16 at 1:23 pm
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 3/23/16 at 1:14 pm to
quote:

No love for PAs?

I thought that they were higher than NPs, but I guess not.



Both are mid-levels with the NP having ability to be a true independent licensed practitioner.
This post was edited on 3/23/16 at 2:24 pm
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
36237 posts
Posted on 3/23/16 at 1:28 pm to
quote:

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


Average NP salary is 100k.
Posted by MSMHater
Houston
Member since Oct 2008
23143 posts
Posted on 3/23/16 at 1:29 pm to
quote:

You do know that Medicare pays nps 85% of md rates of they are billing as the sole provider?


revenue is only one side of the equation. what about a doctor's expenses compared to that of a NP.


That's easy to get around. The only time regulations REQUIRE me/someone to bill under the NP/PA's NPI is if the physician isn't "immediately available"...or some subjective regulatory term. Basically, if the physician is out or on vacation that day.

So the profitability is always there as long as seeing mid-levels doesn't adversely effect volume.
Posted by MSMHater
Houston
Member since Oct 2008
23143 posts
Posted on 3/23/16 at 1:30 pm to
quote:

Both are Mid-level, but NP's have a license.


All Texas PA's are licensed by the TMB
Posted by gumbodawg
Baton rouge
Member since Dec 2003
414 posts
Posted on 3/23/16 at 1:31 pm to
quote:

the NP's she's been following for her clinicals are making 75k-85k


This is more realistic than the supposed outlier making $650k. If there's an NP making >$500k, he or she ain't making it seeing patients.
Posted by mikrit54
Robeline
Member since Oct 2013
8664 posts
Posted on 3/23/16 at 1:36 pm to
quote:

MD's go through extensive education more than any NP. To think that NP's are on the same level as a MD is laughable.


On the whole, yes of course. There are NP's out there who will give some MD's a run for their money. I said some, not all.

Also, one of the primary jobs of an RN in a teaching hospital is to keep interns from killing patients.
Posted by Womski
Squire Creek
Member since Aug 2011
2762 posts
Posted on 3/23/16 at 1:36 pm to
I referred a few medical malpractice cases when I first got licensed, pretty easy, and it paid for my Range Rover.

Maybe I'll start keeping a closer eye on these NPs.

Since we have so many NP faithful here, what kind of insurance are they usually required to carry?

Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 3/23/16 at 1:37 pm to
quote:

Wow that stinks, new RN grads here are making more than that $50k.


Same here. I don't even have my BSN and I'm making almost more than what he said those NPs are making.

RNs in CA easily make 100k without OT as well.(but much higher COL)

I have no desire to go the NP route but can respect those that do. Just have to be careful what specialty you go into or you will be limited in jobs. Coworker of mine is actually a Pediatric NP. Only jobs she can get is pediatric urgent cares....so she is back to just working as a regular RN in the NICU until she finishes school to become a neonatal NP.
Posted by willhigg6
New Orleans
Member since Jun 2010
1039 posts
Posted on 3/23/16 at 1:37 pm to
The OP and some of the responses are painfully misguided. I'm sorry you had a bad experience, or a couple, with a NP, but I can assure you the same can be said by many patients about their doctors. No one and no profession is immune to mistakes. NP's can be compared to general practitioners, and make no mistake, NPs are replacing them. No, they didn't go to the same amount of schooling, but they are more compassionate and are certainly competent. Are the upper echelon of NPs better than the lower echelon of general practitioners? It's not out of the realm of possibilities. In my experience, NPs are highly skilled. Also, there is no "slapping" NP at the end of your name. It is now a doctoral program in the US. If you want to voice your displeasure, by all means, but please don't bash a whole career field that you obviously know very little about
This post was edited on 3/23/16 at 1:40 pm
Posted by roguetiger15
Member since Jan 2013
17293 posts
Posted on 3/23/16 at 1:40 pm to
quote:

RNs in CA easily make 100k without OT as well.(but much higher COL)


my brother did a travel nurse gig years back in San Jose. the hospital paid for every expense except for food and personal expenses while living there. I guess there was a shortage back then
Posted by MSMHater
Houston
Member since Oct 2008
23143 posts
Posted on 3/23/16 at 1:40 pm to
quote:

I referred a few medical malpractice cases when I first got licensed, pretty easy, and it paid for my Range Rover.


Ah...that explains alot.

quote:

Since we have so many NP faithful here, what kind of insurance are they usually required to carry?


That would depend on the scope of their responsibilities, just like any other healthcare provider. Strictly clinical is usually $100K-$200K / $300K-$400K
Posted by lsu13lsu
Member since Jan 2008
11764 posts
Posted on 3/23/16 at 1:42 pm to
quote:

For minor things, I'd much rather go to a NP. Go to a doc in the box with something like a sinus infection. You'll be lucky if the self absorbed jerk spends more than 1 minute with you. BTW, the future is NPs working in the local retail pharmacy. The NP diagnosis it, Pharmacist fills it, DONE!


The future is Health Apps like Apple have using real time information to make the right calls. I doubt we will even need all these NPs as the tech evolves.
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