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

Posted on 6/1/14 at 11:17 pm to
Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 6/1/14 at 11:17 pm to
quote:

My point is that in four years of medical school most MD's spend about 2-3 weeks AT MOST on the eye,



False. I did a 8 weeks of rotations and I'm going into Radiology. By fourth year you can tailor your roations to your field, or explore other fields.
This post was edited on 6/1/14 at 11:19 pm
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 6/1/14 at 11:17 pm to
Rad it will be difficult to have you al believe them, but have texted both they may likely both be asleep.
Posted by guttata
prairieville
Member since Feb 2006
22654 posts
Posted on 6/1/14 at 11:18 pm to
You must still be wet behind the ears. I've met quite a few that would never admit they've ever made a mistake.
Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 6/1/14 at 11:19 pm to
quote:

You must still be wet behind the ears. I've met quite a few that would never admit they've ever made a mistake.


Just ask their nurses.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 11:20 pm to
but they don't deep down believe that
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 6/1/14 at 11:20 pm to
quote:
My point is that in four years of medical school most MD's spend about 2-3 weeks AT MOST on the eye,
--------------------------------------------------------------------



You don't just learn them in medical school because you're not ready- you learn the whole body first, then in a 3-4 comprehensive surgical ophthalmology residency you learn every aspect of eye surgery -from when to do a surgery & how to manage complications. We dont just zone in & learn a few things that are somewhat technically straightforward & reimburse well.
This post was edited on 6/1/14 at 11:22 pm
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 6/1/14 at 11:23 pm to
As you also do in Optometry School. We also learn the surgeries in school and already manage most of the complications from these and many other surgeries.
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 6/1/14 at 11:24 pm to
quote:

technically straightforward & reimburse well.


I am glad you agree they are straightforward.

However I am not sure how $250 can be considered reimbursing well.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 11:25 pm to
What is the end goal of these legislative battles?
is it lasers?
is it anterior chamber?
the optic nerve?
where do we stop?
This post was edited on 6/1/14 at 11:26 pm
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 6/1/14 at 11:26 pm to
To be able to do what Optometrists are taught and provide that care to their patients. Care that is already proven in other areas of the country.
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 6/1/14 at 11:28 pm to
quote:

where do we stop?


I think this is the end barring major wholesale changes in how Optometry school teaches. It is my opinion that as of today this is what Optometry is, I think anything beyond it is where Ophthalmology takes over. I don't think there is another round on the horizon.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 11:35 pm to
Did the original bill not have more in it before they succeeded in amending it?
This post was edited on 6/1/14 at 11:40 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 11:36 pm to
It is misleading to imply that the first 3 years of med school have no connection/instruction about the eye. That's really far from true
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 6/1/14 at 11:39 pm to
Not really and Carmody had NOTHING to do with amending it.

Optometric Physician was taken out, Allowing autonomy for the Optometry board was taken out, and addressing the concerns medicine had over anesthesia, LASEK, and retrobulbar injections which were never the intent to get out of the bill.

The intent was to get exactly what is in the bill now, nothing more and hopefully nothing less. Which was obviously successful.
Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 6/1/14 at 11:40 pm to
quote:

As you also do in Optometry School. We also learn the surgeries in school and already manage most of the complications from these and many other surgeries.


According to Oklahoma there are no complications.
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 6/1/14 at 11:40 pm to
Well I'll guess we will have to live with 2 distinct standards of care: an OPTOMETRY standard based on their level of training (on pig eyes) & experience (ie. 4 days of lid & laser surgery training weekend course for 3-4 procedures -that happen to reimburse well) which was single-handedly jammed through the legislature by Senator Heitmeier (an optometrist) VS the OPHTHALMOLOGY standard of care based on 4 years of comprehensive medical experience, 3-4 years of intense comprehensive surgical eye training in a surgical residency followed by a sub-specialty fellowship.

Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 6/1/14 at 11:41 pm to
quote:

It is misleading to imply that the first 3 years of med school have no connection/instruction about the eye. That's really far from true


I never meant to imply that. However what I did want to point out to the non MD reader is that the 8 years quoted by you all is for the MOST part 4 years in intense training during the residency with a foundation laid in medical school.
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 6/1/14 at 11:42 pm to
quote:

According to Oklahoma there are no complications.


Those would be complications on the surgeries made by those currently performing them as Optometrists can't perform them in Louisiana.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 11:42 pm to
Is the eye surgery allowed in the bill under the optometry board or the medical board? I'm asking because I never heard for sure which happened
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 11:43 pm to
Yeah med school's not intense at all.
Never studied 10 or 12 hours in a day.
Never stayed up all night studying.
Never studied all summer.
Never dug around in cadavers.
Never watched people die.
Never had an intense rigorous medical education.
Never watched hundreds of eye surgeries.
Never learned anything about the eye ball
This post was edited on 6/1/14 at 11:45 pm
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