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re: I hate our healthcare system and PAs/NPs

Posted on 8/10/17 at 7:49 pm to
Posted by PoppaD
Texas
Member since Feb 2008
4910 posts
Posted on 8/10/17 at 7:49 pm to
Im not a Dr. I dont know the difference between Clindamycin and Amoxicillin. I dont know why insurance would or would not cover it. I do know both are generics.

All i did was review the price with my Dr and he said Amoxicillin would work equally well. He suggested it, I trusted him, my son healed.

I know Dr's have no idea of prescription cost, all Im saying is it was refreshing he listened to what my insurance payed for and recommended an alternative that worked.
This post was edited on 8/10/17 at 7:52 pm
Posted by LEASTBAY
Member since Aug 2007
14284 posts
Posted on 8/10/17 at 7:51 pm to
I work with NPs. They all have doctorates in nursing. I would see them before any doctor. They just seem more up to date on treatment than most docs. In response to OP, do you think you were diagnosed miscorrectly? Wrong meds given? Did you go there for treatment or just to bullshite with an MD for 30 mins or so and to get the same exact thing. I just dont see a problem here.
Posted by BeaumontBengal
Member since Feb 2005
2334 posts
Posted on 8/10/17 at 7:55 pm to
quote:

doctorates in nursing. I would see them before any doctor.


Doctorates in nursing. LOL.
Posted by pjab
Member since Mar 2016
5646 posts
Posted on 8/10/17 at 7:55 pm to
NP and PA treat unique situations as they treat the hundreds of similar conditions they have treated. They don't have the knowledge base to know if something is not like the hundreds of similar cases. That's what medical school rotations and residency was for.

It's the situation we are in now. They walk into a patient room in a long white coat and patients don't know the difference.
Posted by SlapahoeTribe
Tiger Nation
Member since Jul 2012
12095 posts
Posted on 8/10/17 at 7:58 pm to
quote:

You went to the doctor for some pimples on your back?
Don't be a dick.

You've obviously never suffered from severe acne. That shite will NOT clear up with otc meds.
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
32445 posts
Posted on 8/10/17 at 7:59 pm to
quote:

He said he was billed $150 for a 7 minute office visit. That's excessive for any practitioner. Hopefully his insurance will knock it down to $20 or so.

That NP is not making $150 for that visit.
Posted by TigerGman
Center of the Universe
Member since Sep 2006
11202 posts
Posted on 8/10/17 at 8:00 pm to
quote:

You've obviously never suffered from severe acne. That shite will NOT clear up with otc meds.

You on the juice too I see...
Posted by pjab
Member since Mar 2016
5646 posts
Posted on 8/10/17 at 8:02 pm to
Docs may not now they cost of every medicine or how a particular insurance covers a specific medicine. Just have the pharmacy call the doc to ask about alternatives that are more affordable.
Posted by BeaumontBengal
Member since Feb 2005
2334 posts
Posted on 8/10/17 at 8:03 pm to
quote:

They walk into a patient room in a long white coat and patients don't know the difference.


Especially after they introduce themselves as doctor. The "doctor" of nursing is purposefully misleading in a clinical setting.

The online advanced practice diploma mills are out of control.
This post was edited on 8/10/17 at 8:04 pm
Posted by PoppaD
Texas
Member since Feb 2008
4910 posts
Posted on 8/10/17 at 8:10 pm to
quote:

Docs may not now they cost of every medicine or how a particular insurance covers a specific medicine. Just have the pharmacy call the doc to ask about alternatives that are more affordable.


Thats why I said it benefits the patient to know their coverage. You cant expect the Dr to know what your plan covers.

There was a thread the other day asking what pharmacist do. You gave a good example of what a good one does. They work with Dr's to find good alternatives if needed.
Posted by BeaumontBengal
Member since Feb 2005
2334 posts
Posted on 8/10/17 at 8:13 pm to
quote:

I just dont see a problem here.


Do you see a problem when a nurse practitioner just changes specialty with no additional formal training? An MD would have to do an entire residency to do this.

OP has a legit gripe. At least he knows a dermatologist did formal training through residency to become a dermatologist. An NP could have trained in family medicine but decided mid career to work in dermatology, no further formal education needed.

LINK

From linked article: "While the experience acquired in an NP residency is certainly valuable, prospective derm NPs shouldn't feel pressure to complete this program. The majority of dermatology nurse practitioners enter the field with little or no experience..."
This post was edited on 8/10/17 at 8:46 pm
Posted by MrSpock
Member since Sep 2015
4343 posts
Posted on 8/10/17 at 8:36 pm to
quote:

I work with NPs. They all have doctorates in nursing. I would see them before any doctor.


Ever looked at a DNP curriculum?
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 8/10/17 at 8:45 pm to
quote:

Devil's advocate: how long should a healthcare provider stay in the room once they have convinced themselves of the diagnosis, discussed it with you, and answered all your questions?


They're going to bill in 15 min increments. So I'd hope I'd get that.
Posted by SuperSaint
Sorting Out OT BS Since '2007'
Member since Sep 2007
140462 posts
Posted on 8/10/17 at 8:48 pm to
quote:

acne (shoulder and back,
take a shower you nasty Hebe
Posted by The Torch
DFW The Dub
Member since Aug 2014
19272 posts
Posted on 8/10/17 at 8:57 pm to
Obaamer screwed the pooch on this.

Mine went up 400% in 5 years, deductible also went up.

I pay 1/3 and my company pays 2/3, my part is $225 a month (my son and I)but doesn't pay anything until I pay the first $1,500.00.

This shite sucks - I hardly ever have a year where I reach the $1,500

Posted by LCA131
Home of the Fake Sig lines
Member since Feb 2008
72597 posts
Posted on 8/10/17 at 8:59 pm to
quote:

Mine went up 400% in 5 years, deductible also went up. I pay 1/3 and my company pays 2/3, my part is $225 a month (my son and I)but doesn't pay anything until I pay the first $1,500.00. This shite sucks - I hardly ever have a year where I reach the $1,500


And all of this generates a fund to pay for others...Exactly as our former President intended.

Thank you for your help.
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 8/10/17 at 9:10 pm to
quote:

That NP is not making $150 for that visit.




A dermatologist shouldn't be making $150 for that visit. No one should.
Posted by Gevans17
Member since Dec 2007
1135 posts
Posted on 8/10/17 at 9:16 pm to
No way your dermatologist would not be knocking down $500,000-600,000/year without those busy PAs.
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 8/10/17 at 9:21 pm to
quote:

No way your dermatologist would not be knocking down $500,000-600,000/year without those busy PAs.


Would our health care be any worse if that dermatologist made, I don't know, half as much?
Posted by Scruffy
Kansas City
Member since Jul 2011
72062 posts
Posted on 8/10/17 at 9:22 pm to
quote:

They walk into a patient room in a long white coat and patients don't know the difference.
There is a hospital in the Midwest (Scruffy thinks) that changed from white to blue coats for physicians because white coats no longer specifically denote a "MD".

No one should be permitted to wear long white coats except for MDs.

NPs do not have anywhere remotely close to the training of MDs and they need to be regulated far more tightly.
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