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Started By
Message
re: Optometry: LA HB 1065/SB 568: What if your Louisiana Eye Surgeon is NOT an MD?
Posted on 5/20/14 at 10:58 am to guttata
Posted on 5/20/14 at 10:58 am to guttata
quote:
better access to care
Such BS. There isn't an optometrist in this state who practices further than a 30 minute drive from an ophthalmologist, and 85% of optometrists are in the same town as ophthalmologists. We have more ophthalmologists per capita in Louisiana than in Texas or any other neighboring state.
I guess it's better access to care if you don't want to have to drive 10-15 minutes to have eye surgery done. And there's really only 1 or 2 rare emergent conditions that this bill would potentially help a patient that shows up in an optometrists office with.
0
Posted on 5/20/14 at 11:00 am to Blind Eye
quote:
No one who has posted on here has a clue as to what our board autonomy piece in the bill means.
Sure we do. It means you will be allowed to hold yourself to a the same, stricter, or looser standards to perform procedures that already have guidelines and requirements in place that are currently outside the scope of the field you chose to go into in well over the majority of the states. There's nothing butthurt about it. That's what it means.
Posted on 5/20/14 at 11:00 am to guttata
quote:
I get called enough at home, at midnight, for my own patients.
I don't know where you practice, but I rarely get called at home, at midnight, as an ophthalmologist. And if you get called at home, it's definitely nothing emergent that can't wait until the morning.
Posted on 5/20/14 at 11:04 am to Blind Eye
quote:
No one who has posted on here has a clue as to what our board autonomy piece in the bill means.
Sure we do. We know that the optometry board will become the only board besides the LSBME to oversee surgery in Louisiana, including oral surgery and podiatry.
quote:
I treat far more sinister ocular disease than OPC and chalazions every day.
And you had some training and oversight when learning how to treat those other diseases.
Posted on 5/20/14 at 11:08 am to LATigerdoc
Posted on 5/20/14 at 11:08 am to Blind Eye
quote:
My patients trust and respect my knowledge and decision making.
quote:
Blind Eye
Yikes
Posted on 5/20/14 at 11:08 am to jamarkus
quote:
The optometrist can's celebrate today along with our senator and one ophthalmologist.
Do you know who this was? I never heard who it was that testified on behalf of the optometrists.
Posted on 5/20/14 at 11:39 am to MasterofTigerBait
OPTOMETRISTS, my questions....
I need to be an informed constituent damnit
I need to be an informed constituent damnit
quote:
Did you not know what kind of profession you were going into? If you wanted to perform surgery why didn't you go to medical school
Posted on 5/20/14 at 12:04 pm to medtiger
quote:
I never heard who it was that testified on behalf of the optometrists
Baron Williamson
Posted on 5/20/14 at 12:06 pm to EYEDOCNO
quote:
I never heard who it was that testified on behalf of the optometrists
Baron Williamson
quote:
Blind Eye
I called it earlier..
Posted on 5/20/14 at 12:10 pm to GrammarKnotsi
I am not Baron! Baron is however in surgery right now as the rest of us tools are whining on a message board.
This post was edited on 5/20/14 at 12:15 pm
Posted on 5/20/14 at 12:12 pm to Blind Eye
quote:
I am not Baron!
Posted on 5/20/14 at 12:21 pm to EYEDOCNO
quote:
Baron Williamson
I don't know him, but this makes sense. I just checked out his website, and he's the lone ophthalmologist in his practice, with 3 ODs (including Blind Eye, I assume). So, this bill would help his bottom line.
Posted on 5/20/14 at 12:23 pm to LATigerdoc
quote:
Like any script? Like for arthritis and blood pressure meds?
No you idiot.
If the law passes they break away out of the jurisdiction of the Louisiana Board of Examiners. The optometrist then can perform surgery and could eventually write scripts for pain etc.. Read the bill and see the autonomy they are actually after. The only one that would have oversight of optometrist is the Louisiana Legislature.
Posted on 5/20/14 at 12:30 pm to TOKEN
Just so you are fully informed. ODs have had prescriptive authority (including pain meds) for yrs. Had ODs fallen under the medical board, no way would they have the autonomy they have now, regardless of if the bill passes or not.
This post was edited on 5/20/14 at 12:33 pm
Posted on 5/20/14 at 12:31 pm to medtiger
I don't know him, but this makes sense. I just checked out his website, and he's the lone ophthalmologist in his practice, with 3 ODs (including Blind Eye, I assume). So, this bill would help his bottom line.
How so? Baron and I are partners. He already gets my referrals. All this does is unclog his schedule to do the more advanced procedures that this bill specifically does not allow ODs to perform. Med, you and I had these same discussions last year. This will allow for a more vertically integrated eye care system. The days of stand alone solo eye care practices are behind us. In the end, it's about patient care and economics. You can't have one without the other. The ones dead set against this legislation are students, those in academia and those who are woefully misinformed.
How so? Baron and I are partners. He already gets my referrals. All this does is unclog his schedule to do the more advanced procedures that this bill specifically does not allow ODs to perform. Med, you and I had these same discussions last year. This will allow for a more vertically integrated eye care system. The days of stand alone solo eye care practices are behind us. In the end, it's about patient care and economics. You can't have one without the other. The ones dead set against this legislation are students, those in academia and those who are woefully misinformed.
This post was edited on 5/20/14 at 12:36 pm
Posted on 5/20/14 at 12:37 pm to guttata
Guttata, do I know you? Are you at the capital right now? Bill just got pushed back to tomorrow.
This post was edited on 5/20/14 at 12:39 pm
Posted on 5/20/14 at 2:29 pm to Blind Eye
quote:
Bill just got pushed back to tomorrow.
Thank god
Posted on 5/20/14 at 2:37 pm to Blind Eye
quote:
How so?
You answered your own question...
quote:
unclog his schedule to do the more advanced procedures
So, he sends the lid lesion down the hall to you to remove, gets a cut of that reimbursement, and has more time to see other patients or do other procedures.
quote:
This will allow for a more vertically integrated eye care system
I'm not quite sure what you mean by that, but the eye care system seems to be "vertically integrated" just fine to me as it is. Basic eye exams, contacts, glasses, etc are generally handled by optoms, and more advanced diseases and surgical procedures are handled by eye MDs.
quote:
it's about patient care and economics.
It's not about patient care at all. There is plenty of availability in ophthalmology clinics right now for all of these surgical procedures that optoms want to do. Even if there was a backlog and patients had to wait a month to have YAGs done and lid lesions removed, it doesn't justify giving the optometry board the authority to oversee surgical procedures.
quote:
The ones dead set against this legislation are students, those in academia and those who are woefully misinformed.
I don't know a single ophthalmologist who isn't "dead set against" it as it currently stands other than your associate, who stands to benefit economically by this bill's passage. I'm willing to listen if the bill would be amended to allow oversight of optometric surgery by the LSBME. There's no reason you shouldn't be amenable to that...every other surgical subspecialty is overseen by the LSBME including oral surgery and podiatry. Why should optoms not be included? And the bill would still give you the authority to do the procedures you're asking for with LSBME oversight.
Posted on 5/20/14 at 2:38 pm to medtiger
So, this is set for tomorrow now?
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