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re: Optometry: LA HB 1065/SB 568: What if your Louisiana Eye Surgeon is NOT an MD?

Posted on 5/20/14 at 11:37 pm to
Posted by SmackoverHawg
Member since Oct 2011
30957 posts
Posted on 5/20/14 at 11:37 pm to
quote:

Except that the LSBME would revoke the license of a physician performing procedures he/she wasn't trained to do.


Trained to do can be very misleading. I mean you can go do some weekend courses, then go do a little hands on with some dimwit preceptor that'll sign off on it and be "trained". There will be some Ophtho's low on cash and integrity that will do just this. Hell, I've seen FP's do it for EGD and colons. I had one over me $25k to sign off on him to say he did 100 procedures with me. I refused, but I'll bet he eventually found someone that would.
Posted by oilmanNO
Member since Oct 2009
2873 posts
Posted on 5/20/14 at 11:38 pm to
Man you edit your posts a lot. A hope you aren't that indecisive operating on people's eyes
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/20/14 at 11:41 pm to
Straw man argument. Nobody on here claimed an ophthalmologist never makes mistakes. We just propose the idea that the bar should be set at med school / residency like it is in 48 other wonderful places on the US map. And that the LSBME should regulate surgery.

Plus skin lesions are extensively discussed in med school (and tested over) and students/residents get practice draining stuff over the course of multiple different rotations and courses throughout training. Especially PCPs have hands on training in skin stuff.
Posted by guttata
prairieville
Member since Feb 2006
22631 posts
Posted on 5/20/14 at 11:44 pm to
Yea, they are really cracking down on those family practice docs who open up those cosmetic procedure boutiques. What year of the residency do they teach chemical peels and microdermabrasion?
Posted by Blind Eye
Zachary, Louisiana
Member since Nov 2012
112 posts
Posted on 5/20/14 at 11:45 pm to
No, no one ever implied that ophthalmologists don't make mistakes. It has, however, been implied that optometrists make way more than ya'll.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/20/14 at 11:45 pm to
Ha sure man. I'll do your cataracts free if you don't mind me starting and stopping 12 times during the surgery...
Posted by Blind Eye
Zachary, Louisiana
Member since Nov 2012
112 posts
Posted on 5/20/14 at 11:47 pm to
Amen, Guttata. There is an ortho guy up here literally burning up the smart lipo.
Posted by Blind Eye
Zachary, Louisiana
Member since Nov 2012
112 posts
Posted on 5/20/14 at 11:58 pm to
re: Optometry: LA HB 1065/SB 568: What if your Louisiana Eye Surgeon isn't an MD? (Posted on 5/20/14 at 11:41 pm to Blind Eye)
Straw man argument. Nobody on here claimed an ophthalmologist never makes mistakes. We just propose the idea that the bar should be set at med school / residency like it is in 48 other wonderful places on the US map. And that the LSBME should regulate surgery.

Plus skin lesions are extensively discussed in med school (and tested over) and students/residents get practice draining stuff over the course of multiple different rotations and courses throughout training. Especially PCPs have hands on training in skin stuff.




So let me get this straight. When a PCP removes a chalazion it's not surgery... It's draining. When I do it, it's so complex that how could I even consider removing it without a surgical residency. Hypocrite much? Don't you think that in addition to learning how to refract we would get a little derm in the process?
This post was edited on 5/21/14 at 12:00 am
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/21/14 at 12:07 am to
PCPs train in skin surgery during residency. It's in a clinic set up for procedures. Draining/incising/lasering/cutting/etc, its all surgical stuff.. Plus there's surgery rotations in med school before they ever get to residency.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/21/14 at 12:09 am to
I don't think a "little derm" is sufficient. I think a derm course in med school and then hands on practice in med school / residency after all the other systemic rotations would be sufficient.
Posted by Blind Eye
Zachary, Louisiana
Member since Nov 2012
112 posts
Posted on 5/21/14 at 12:17 am to
I guess your pompous attitude can't filter sarcasm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/21/14 at 12:25 am to
Did not intend to be pompous. I think it's ok to advocate views without that being pompous
Posted by Blind Eye
Zachary, Louisiana
Member since Nov 2012
112 posts
Posted on 5/21/14 at 12:30 am to
No amount of advocating views is going to change neither yours nor mine. I wish you luck in your endeavors and I'm sure that our practices will both thrive. I just hope that I don't blind someone performing a PI after this legislation passes(sarcasm intended again). I've enjoyed the banter and stimulating debate.
This post was edited on 5/21/14 at 12:37 am
Posted by YipSkiddlyDooo
Member since Apr 2013
3786 posts
Posted on 5/21/14 at 1:21 am to
quote:

Actually you can already do the procedures based on the fact that you went to med school. Doesn't matter what specialty you are in.


Oh Jesus, not this unlimited scope bullshite. There are plenty of arguments to be made, this is a dumb one and not true in any universe
Posted by medtiger
Member since Sep 2003
21956 posts
Posted on 5/21/14 at 6:41 am to
quote:

The best was the late 80s when they thought that making up to 32 radial incisions into the cornea with the hope of flattening their k's to 35.00 and giving their cornea waves that would make a tsunami jealous was the best.


LOL at you comparing the RK saga to missing a well known and described diagnosis. Also, your comments make me believe that you don't understand why RK is a bad procedure in the first place, which is at the crux of what I'm trying to say.

Posted by medtiger
Member since Sep 2003
21956 posts
Posted on 5/21/14 at 6:44 am to
quote:

I just hope that I don't blind someone performing a PI after this legislation passes


I'm not worried about you blinding someone with the laser, I've said that many times. The argument that ODs can't perform these actual procedures is one I'd rather see dropped. A 12 year old could be trained to do the actual lasers being proposed here. The much bigger issue is knowing which patients to select for these procedures.
This post was edited on 5/21/14 at 7:11 am
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 5/21/14 at 7:24 am to
All this would sit better if the optoms would allow the surgeries to fall under the LSBME like everyone else. The legislature (minus one senator) would sigh relief & the M.D's would chill out a little. The optoms shouldn't be afraid of the same regulation as EVERY other surgeon if its doing things right!
Posted by guttata
prairieville
Member since Feb 2006
22631 posts
Posted on 5/21/14 at 7:38 am to
No they wouldn't. The MDs will never chill out. ODs didn't go to med school and are therefore not qualified to do these procedures, in their eyes. So now you are saying that ODs should allow this group, who already don't think they are qualified, to determine what they can and can't do? That is simply not going to happen.
This post was edited on 5/21/14 at 8:37 am
Posted by medtiger
Member since Sep 2003
21956 posts
Posted on 5/21/14 at 7:44 am to
I agree. That's the biggest issue in this debate. There's absolutely no reason the ODs shouldn't be agreeable to that either.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/21/14 at 12:03 pm to
quote:

Yea, they are really cracking down on those family practice docs who open up those cosmetic procedure boutiques. What year of the residency do they teach chemical peels and microdermabrasion?



PGY 1, 2, and 3. Which year of optometry school do they teach YAG laser procedures in?
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