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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 5/22/14 at 4:21 pm to Traffic Circle
Posted on 5/22/14 at 4:21 pm to Traffic Circle
I'm sure several different fields in medicine took note of what happened with this bill. I wouldn't be surprised if there was an attempt by other groups (NPs, CRNAs, Chiros, etc) to expand their scope of practice through legislation.
1
Posted on 5/22/14 at 4:30 pm to medtiger
I was just thinking of the outer limits. Everything evolves.
I never thought Psychologists, Nurses, or Optometrists would be able to prescribe medicine. Not sure about PAs or even really what that field is.
Never thought Chiropractors or Optometrists could perform surgery.
Now dentists are performing plastic facial procedures and Botox injections, and Family Practitioners are skin and weight loss specialists.
I guess Chiropractors could make a run at prescriptions and surgery too, as could Physical Therapists. Dentists could maybe try to get into liposuction. Who knows?
I never thought Psychologists, Nurses, or Optometrists would be able to prescribe medicine. Not sure about PAs or even really what that field is.
Never thought Chiropractors or Optometrists could perform surgery.
Now dentists are performing plastic facial procedures and Botox injections, and Family Practitioners are skin and weight loss specialists.
I guess Chiropractors could make a run at prescriptions and surgery too, as could Physical Therapists. Dentists could maybe try to get into liposuction. Who knows?
Posted on 5/22/14 at 4:42 pm to Traffic Circle
Physical Therapists tried to pass legislation last year enabling them to perform therapy without a prescription from a physician. It failed. But if they get a lobby like the ODs had this go around, it could pass. That's what this is all about.
Posted on 5/22/14 at 5:16 pm to medtiger
What a sad state we live in if you can round up a bunch of donations and politick yourself into the qualifications, knowledge, and legal status to physically alter human beings' bodies without the training.
I'd like to think the people of Louisiana would have some respect for medical training and the GIANT amount of effort it takes to adequately take care of people.
Somehow we've found ourselves under a government that would rather be persuaded by politics, money, and influence than any small dose of common sense.
This is not over. Let's hope we have (or get) a Governor who knows what he's doing so the legislature will be irrelevant.
I'd like to think the people of Louisiana would have some respect for medical training and the GIANT amount of effort it takes to adequately take care of people.
Somehow we've found ourselves under a government that would rather be persuaded by politics, money, and influence than any small dose of common sense.
This is not over. Let's hope we have (or get) a Governor who knows what he's doing so the legislature will be irrelevant.
This post was edited on 5/22/14 at 5:17 pm
Posted on 5/22/14 at 5:25 pm to LATigerdoc
Money makes the world go 'round.
The La. Constitution prohibits "gambling" so, we have "gaming." And, the State Supreme Court says that that is ok.
I find the erosion of practice areas of medicine (and other fields) quite interesting to watch from afar. On one hand, it's protectionism (with a measure of safety) vs. encroachment (with a measure of turf expansion.)
I still can't figure out how psychologists can prescribe medicine.
The La. Constitution prohibits "gambling" so, we have "gaming." And, the State Supreme Court says that that is ok.
I find the erosion of practice areas of medicine (and other fields) quite interesting to watch from afar. On one hand, it's protectionism (with a measure of safety) vs. encroachment (with a measure of turf expansion.)
I still can't figure out how psychologists can prescribe medicine.
Posted on 5/22/14 at 5:26 pm to Traffic Circle
quote:
Family Practitioners are skin and weight loss specialists
You do realize these are well within the purview and training of Family Medicine Specialists right?
Where as the others you mention are generally pushing the limits or outside of the limits of their training.
I still want to know, can NP or PA practice independently in LA, ie without physician supervision?
Posted on 5/22/14 at 5:34 pm to Bleeding purple
quote:
I still want to know, can NP or PA practice independently in LA, ie without physician supervision?
I thought that they both had to. Somebody said earlier that a NP didn't but a PA had to.
I don't know, I am not even in the medical field. But I like to ask questions!
Posted on 5/22/14 at 5:43 pm to Traffic Circle
Well, There are also MD/MD issues. We battle gerneral orthos who are MDs but are not board certified spine surgeons pushing limits of "non/ minimally invasive spinal procedures".
Enough of this, I'm off to the camp to fish all weekend. Good luck Guys
Enough of this, I'm off to the camp to fish all weekend. Good luck Guys
Posted on 5/22/14 at 8:41 pm to Traffic Circle
quote:
Family Practitioners are skin and weight loss specialists
Family Practice has always included lots of minor derm training. So does IM. Primary care fields are also important in continuity of care and long-term trends, like weight loss and smoking cessation. Maybe I am missing your point, but I am failing to see what's "new" about this one specifically.
Posted on 5/22/14 at 8:47 pm to Bleeding purple
quote:
Family Medicine Specialists
One thing I have learned: essentially no one understands that Family Medicine is a specialty. They think it's General Practice.
quote:
I still want to know, can NP or PA practice independently in LA, ie without physician supervision?
They both require some form of supervision in the state of LA. there are a lot of "satellite" NP clinics with oversight from MDs that never set foot in the clinic. They were supposedly going to try to pass legislation limiting these clinics to a certain radius (10-15 miles, rather than Lafayette to Houston) where a physician had to physically be to "oversee" an NP clinic. They also wanted to fight the concept that free-standing NP clinics should fall under the board of nursing rather than the board of medicine. I don't know how any of this panned out, but I do know they currently do require oversight by an MD.
Posted on 5/22/14 at 8:51 pm to Hopeful Doc
quote:
ne thing I have learned: essentially no one understands that Family Medicine is a specialty. They think it's General Practice.
Very true.
quote:
but I do know they currently do require oversight by an MD.
And that oversight is very lax and minimal. Needs to be more stringent.
Posted on 5/22/14 at 8:52 pm to Traffic Circle
quote:
I still can't figure out how psychologists can prescribe medicine.
They bought the legislators and Blanco. Their coursework is an absolute joke. The NP's are better suited to prescribe than psychologists.
Posted on 5/22/14 at 8:56 pm to SmackoverHawg
quote:
And that oversight is very lax and minimal. Needs to be more stringent.
I agree. I think it should be run similar to a clinic with residents. Some things could stand a lower billing number and don't require physician contact. Others qualify for a little higher and the doc should lay eyes or hands on the patient. Unfortunately, it won't pass the "that doesn't help the shortage of care aspect because it reduces the potential number of clinics" argument.
Posted on 5/22/14 at 9:03 pm to Jake88
Actually, regarding NPs, they don't actually have to have a collaborating physican. The collaborating doctor can also be a dentist.
Posted on 5/22/14 at 9:08 pm to medtiger
quote:
Physical Therapists tried to pass legislation last year enabling them to perform therapy without a prescription from a physician. It failed. But if they get a lobby like the ODs had this go around, it could pass. That's what this is all about.
Actually they can perform therapy without a prescription, that was passed several years ago, As long as the patient has seen and been diagnosed by a physician within 90 days and the PT notifies such physician.
Posted on 5/22/14 at 9:21 pm to guttata
Good call, gutatta:
But if you read a little more into it, the law would not allow them to practice in a primary care setting with Dental oversight, if that is the suggestion you are trying to make.
quote:
"Authorized prescriber" means a licensed physician, dentist, or other health care provider authorized by law to prescribe drugs, medications, medical devices or appliances, and health care regimens.
But if you read a little more into it, the law would not allow them to practice in a primary care setting with Dental oversight, if that is the suggestion you are trying to make.
Posted on 5/22/14 at 9:33 pm to Marco Esquandolas
quote:<< Just a reminder
Heitmeier is a douche.
Posted on 5/22/14 at 9:34 pm to Tigerpaw123
quote:
As long as the patient has seen and been diagnosed by a physician within 90 days and the PT notifies such physician.
That's pretty much the same thing as needing a physician to prescribe the treatment. What happens if the patient was seen 80 days ago, the PT calls the ortho, and the ortho says no to the PT? Or is it just a notification and the physician has no say in the matter?
Posted on 5/22/14 at 9:41 pm to medtiger
quote:
That's pretty much the same thing as needing a physician to prescribe the treatment.
Not really, patient gets in MVA goes to ER, gets diagnosed with cervical sprain/strain, PT can then see them as long as MD is notified
quote:
Or is it just a notification and the physician has no say in the matter
This
Posted on 5/22/14 at 9:42 pm to Tigerpaw123
Also in many settings no order or notification is required for therapy
This post was edited on 5/22/14 at 9:49 pm
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