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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 11:45 pm to
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 6/1/14 at 11:45 pm to
It's under the optom board. So 2 distinct standards of care
Posted by Da Hammer
Folsom
Member since May 2008
5969 posts
Posted on 6/1/14 at 11:45 pm to
@ Jamarkus

The standard of care is pretty good based on a PROVEN track record in Oklahoma and Kentucky. I don't for a minute believe there will be two levels of care.

Since you have posted in here previously that ODs can refract so can Ophthalmologists correct? Is there two standards of care there? The same standard applies to both. The same will be true here.

Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 6/1/14 at 11:45 pm to
quote:

Those would be complications on the surgeries made by those currently performing them as Optometrists can't perform them in Louisiana.


So, if you can't perform them in Lousiana. How exactly are you learning the procedures and complications?
Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 6/1/14 at 11:46 pm to
Simliar to Nurse Practitioner falling under nursing board, but providing medical care.
Posted by Da Hammer
Folsom
Member since May 2008
5969 posts
Posted on 6/1/14 at 11:47 pm to
quote:

It's under the optom board. So 2 distinct standards of care


So you are saying that if an Optometrist harms a patient they won't have the same punishments as imposed by a medical board? The same standard will have to be upheld in the care performed in these procedures by and Optometrist as an Ophthalmologist, otherwise Optometrists will loose their licenses same as an MD with the medical board.
Posted by Da Hammer
Folsom
Member since May 2008
5969 posts
Posted on 6/1/14 at 11:49 pm to
quote:

So, if you can't perform them in Lousiana. How exactly are you learning the procedures and complications?


I treat all of the non surgical complications in my office every day. I learned the procedures in school but don't perform them as I value my license. I did 20% of my schedule on Friday to post operative care that I didn't perform myself.
Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 6/1/14 at 11:49 pm to
quote:

So you are saying that if an Optometrist harms a patient they won't have the same punishments as imposed by a medical board? The same standard will have to be upheld in the care performed in these procedures by and Optometrist as an Ophthalmologist, otherwise Optometrists will loose their licenses same as an MD with the medical board.


NO, what he is saying is your boards, as proven by the ZERO complication Oklahoma boards, are full of shite.
Posted by Da Hammer
Folsom
Member since May 2008
5969 posts
Posted on 6/1/14 at 11:50 pm to
quote:

NO, what he is saying is your boards, as proven by the ZERO complication Oklahoma boards, are full of shite


PROVE IT
Posted by guttata
prairieville
Member since Feb 2006
22628 posts
Posted on 6/1/14 at 11:51 pm to
That's not entirely correct. If an MD performs a procedure, they are held to a standard based on what the avg MD would have done. When an OD performs a procedure, they are judged based on how the avg OD performs the procedure.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 11:52 pm to
Um, refractive error is not a pathological disease state.

Things which require surgery are usually something more serious. So there is a difference in refraction and surgery, yes.
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 6/1/14 at 11:52 pm to
This will turn hurt > help the optoms. NOW people know the difference between the two--already patients are feeling a sense of pause & mistrust about their OD. And their relationship with the medical community has soured which is a shame because there WAS was a pretty good synergistic relationship
Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 6/1/14 at 11:53 pm to
quote:

PROVE IT


quote:

Complications Nd-YAG Laser Capsulotomy

Complications may include the following:

Transient intraocular pressure elevation
Iritis
Retinal tears and detachments
Macular edema
Corneal edema
Intraocular lens dislocation into the vitreous
Pitting of the intraocular lens


Yet Oklahoma had no reports of any of these.
Posted by Da Hammer
Folsom
Member since May 2008
5969 posts
Posted on 6/1/14 at 11:54 pm to
I don't know Gutatta if an OD misses a diagnosis currently they are held to the same standard as an MD or OD that would diagnose the same condition.
Posted by Da Hammer
Folsom
Member since May 2008
5969 posts
Posted on 6/1/14 at 11:55 pm to
quote:

Yet Oklahoma had no reports of any of these.


I understand your point all I am saying is if Oklahoma is lying it's all out there in public record go prove it to be false.
Posted by RadTiger
Member since Oct 2013
1121 posts
Posted on 6/1/14 at 11:55 pm to
quote:

This will turn hurt > help the optoms. NOW people know the difference between the two--already patients are feeling a sense of pause & mistrust about their OD. And their relationship with the medical community has soured which is a shame because there WAS was a pretty good synergistic relationship


Think patients are confused now. What about D.O. Opthalmologist vs O.Ds
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 6/1/14 at 11:58 pm to
So is their an Optometry surgical review panel? Like there is a medical review panel? Are their standards the same? How does that work?
Posted by Da Hammer
Folsom
Member since May 2008
5969 posts
Posted on 6/1/14 at 11:58 pm to
Still is a pretty good synergistic relationship. At the end of the day Optometry will still refer a LOT of patients to Ophthalmology and Ophthalmology will continue perform the majority of eye surgery in Louisiana.
Posted by Da Hammer
Folsom
Member since May 2008
5969 posts
Posted on 6/2/14 at 12:00 am to
quote:

So is their an Optometry surgical review panel? Like there is a medical review panel? Are their standards the same? How does that work?


Why don't we let the Optometry board lay out the guidelines for this before painting it negatively. I have a VERY strong feeling there will be a surgical review panel. How it will work will remain to be seen but I suspect it will be equivalent or more stringent than what medicine has in place currently.
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 6/2/14 at 12:07 am to
Anybody (who's not an optometrists) & knows what really happened in this session is disgusted with the legislative process & people in it. The way it side stepped real training for real surgeries on real people just because they had a puppet in the Senate. Taking the easy easy way out. Hard for people to respect that.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/2/14 at 12:08 am to
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