- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Coaching Changes
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: Optometry: LA HB 1065/SB 568: What if your Louisiana Eye Surgeon is NOT an MD?
Posted on 5/29/14 at 11:26 pm to LATigerdoc
Posted on 5/29/14 at 11:26 pm to LATigerdoc
"Hernandez, who said he would introduce his legislation and hold a hearing on the issue next month, said his own experience as an optometrist shows the need to empower more practitioners. He said he often sees Medicaid patients who come to his La Puente practice because they have failed their vision test at the DMV. Many complain of constant thirst and frequent urination.
"I know it's diabetes," he said. But he is not allowed to diagnose or treat it and must refer those patients elsewhere. Many of them may face a months-long wait to see a doctor."
Read more: LINK
"I know it's diabetes," he said. But he is not allowed to diagnose or treat it and must refer those patients elsewhere. Many of them may face a months-long wait to see a doctor."
Read more: LINK
This post was edited on 5/29/14 at 11:29 pm
3
Posted on 5/29/14 at 11:29 pm to LATigerdoc
Cool. So more people would get treatment for high blood pressure and diabetes, without a long wait.
That sounds like a good thing.
That sounds like a good thing.
Posted on 5/29/14 at 11:32 pm to Traffic Circle
On the surface it might seem.
Frequent urination or thirstiness is not an automatic diagnosis of Diabetes Mellitus. Medical Doctors treat diabetes (and kidney disease) (and brain tumors) (and endocrine disorders).
Frequent urination or thirstiness is not an automatic diagnosis of Diabetes Mellitus. Medical Doctors treat diabetes (and kidney disease) (and brain tumors) (and endocrine disorders).
This post was edited on 5/29/14 at 11:36 pm
Posted on 5/29/14 at 11:38 pm to LATigerdoc
I hope this thread never goes away! There are so many fine lines, nuances, turf wars, situations, etc.
I still can't believe the Chiropractic Proctology Surgeons.
I still can't believe the Chiropractic Proctology Surgeons.
Posted on 5/29/14 at 11:40 pm to LATigerdoc
quote:
I know it's diabetes," he said. But he is not allowed to diagnose or treat it and must refer those patients elsewhere. Many of them may face a months-long wait to see a doctor."
GO TO frickING MEDICAL SCHOOL!!!!! IT'S THAT SIMPLE. These dumbasses don't learn diabetic management. Nothing says he can't check a blood sugar. But he don't know shite about the meds or subtypes of diabetics. I have women come in complaining about their husbands not wanting to have sex. I'm going to introduce legislation to allow me to provide and bill for that service. I mean, it makes as much sense.
Posted on 5/29/14 at 11:40 pm to Traffic Circle
Ha it won't. It's really pretty black and white. Surgery is learned in residency.
Posted on 5/29/14 at 11:42 pm to LATigerdoc
This whole ACA health-care-shift in America just depends on grabbing control of the statehouse and shoving your agenda thru.
Fifty years ago, people would have never contemplated the idea of having a nonMD do surgery or any of this other stuff
Fifty years ago, people would have never contemplated the idea of having a nonMD do surgery or any of this other stuff
Posted on 5/29/14 at 11:43 pm to LATigerdoc
quote:
Ha it won't. It's really pretty black and white. Surgery is learned in residency.
And now, apparently Optometry weekend training.
It's a new world now.
Posted on 5/29/14 at 11:45 pm to Traffic Circle
quote:
Cool. So more people would get treatment for high blood pressure and diabetes, without a long wait. That sounds like a good thing.
Unless they pick the wrong meds and don't do adequate follow up. Do they know to check cr clearance before beginning metformin? Do they no interactions with other meds. Do they know best first line med for type II NIDDM? Can they differentiate type II diabetes from adult onset type I? Can they handle and admit a critically ill pt in diabetic ketoacidosis? Do they know beta blockers can block the protective hypoglycemic symptoms of certain meds? I think not.
Posted on 5/29/14 at 11:48 pm to SmackoverHawg
It's only a new world if we let it happen.
The people who've studied the most should have a say when it comes to protecting patients.
What if that patient doesn't even have diabetes?
The people who've studied the most should have a say when it comes to protecting patients.
What if that patient doesn't even have diabetes?
Posted on 5/29/14 at 11:50 pm to LATigerdoc
Plus how do you manage diabetes if you need to admit the patient but don't have admitting privileges or what if the patient has a diabetic foot ulcer or what if the diabetic patient comes in with painless fatigue or chest pressure which is actually occult cardiac pain?
There's a reason we have MEDICAL schools
There's a reason we have MEDICAL schools
This post was edited on 5/29/14 at 11:51 pm
Posted on 5/29/14 at 11:50 pm to LATigerdoc
stop acting like you aren't just protecting your interests. Putting regulations in place allows you to increase rents.
How about the consumers of the product get to decide?
How about the consumers of the product get to decide?
Posted on 5/29/14 at 11:52 pm to Tigah in the ATL
it's not the consumers deciding. it's some politicians deciding.
if you want the consumers to decide then open it up for a state-wide vote on election day
if you want the consumers to decide then open it up for a state-wide vote on election day
Posted on 5/29/14 at 11:53 pm to LATigerdoc
quote:
What if that patient doesn't even have diabetes?
Yes. Lots of other things to consider. Does he know new onset dm can be the first sign of pancreatic ca and which patients to screen for it? Do he know what levels warrant acute admission? Can he handle complications from the medicines if he were to rx?
It's already happened in primary care. Pts here are realizing NPs and PAs are worth a shite for even slightly complicated issues. I have pt's everyday come in for benign issues, but I find something life threatening because I know to look and will see things they will not. Every day I get pt's that have seen a NP or PA and been grossly misdiagnosed and mistreated.
Posted on 5/29/14 at 11:53 pm to SmackoverHawg
Yea, yea, yea. Violins out.
Trouble is, MDs been big timing it for too long, med schools shutting people out, keeping supply low and charging too much. We, the little guy are tired of 2 hour waits and $50 co-pays.
$450,000 salary so don't sit so well when we can't hardly get a job paying even $50,000. That big Mercedes and white coat look real good from our used truck.
Say what you want. Whine if you will. But this mess is of your making, and it's coming home to roost.
Trouble is, MDs been big timing it for too long, med schools shutting people out, keeping supply low and charging too much. We, the little guy are tired of 2 hour waits and $50 co-pays.
$450,000 salary so don't sit so well when we can't hardly get a job paying even $50,000. That big Mercedes and white coat look real good from our used truck.
Say what you want. Whine if you will. But this mess is of your making, and it's coming home to roost.
Posted on 5/29/14 at 11:58 pm to Traffic Circle
Last time I heard "coming home to roost", it was a preacher in Chicago.
Not too many people manage Diabetes and make 450K per year.
That's pretty much unheard of
Not too many people manage Diabetes and make 450K per year.
That's pretty much unheard of
Posted on 5/30/14 at 12:01 am to LATigerdoc
quote:
Not too many people manage Diabetes and make 450K per year. That's pretty much unheard of
Then you need to omit this from your practice and let the Optometrists have it. It obviously doesn't pay enough.
Don't you have a practice consultant advise you on matters like this?
Posted on 5/30/14 at 12:01 am to Traffic Circle
quote:
Yea, yea, yea. Violins out. Trouble is, MDs been big timing it for too long, med schools shutting people out, keeping supply low and charging too much. We, the little guy are tired of 2 hour waits and $50 co-pays.
WE don't set you co pays. That pts fault for not wanting to pay up front the getting reimbursed from insurance. Long waits? Well, I spend a good portion of my day on the phone or filling out papers so people can get their meds, scan, etc. Note to mention charting. We have to chart so fricking much more now than years ago, it's ridiculous. Guess what? That takes time. Our overhead balloons up because of shite arse regulations. So in order to see enough, we overbook. When yall show up with sick family members in tow, we see them too. When you drop eight complaints on me instead of one. I try to address them. That runs me behind.
Bring this shite home to roost. I got two NP's making me shite tons of money. Basically doing shite I used to do for free. People pay the same to see me as they do them. Copay don't change. So I'll be roosting my arse in an early retirement. Still don't make it a good thing. They do not have the knowledge or skills to practice medicine solo. Period.
Posted on 5/30/14 at 12:03 am to LATigerdoc
quote:
Not too many people manage Diabetes and make 450K per year. That's pretty much unheard of
not true. I know family docs making well over $500k. Legally.
But they do lots of procedures, have low overhead and see high volume. And don't go to the hospital.Posted on 5/30/14 at 12:07 am to SmackoverHawg
I don't care if diabetes paid nothing at all, the pancreas (and the rest of the body) is the realm of an MD.
Plus who has $ for a practice consultant?
Plus who has $ for a practice consultant?
This post was edited on 5/30/14 at 12:09 am
Page 31 of 43
Popular
Back to top
Follow TigerDroppings for LSU Football News