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

Posted on 5/12/14 at 9:56 pm to
Posted by poochie
Houma, la
Member since Apr 2007
6765 posts
Posted on 5/12/14 at 9:56 pm to
I like to play doctor. Does that count?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 9:56 pm to
The real question is will it pass or get voted down?
I believe last year it was pulled, not voted down.
But it oughta get voted down.

Nobody answered if they'd let a psychologist do their craniotomy?
Posted by oilmanNO
Member since Oct 2009
2873 posts
Posted on 5/12/14 at 9:58 pm to
I wouldn't but people should be given the choice. You and I shouldn't limit their options. If they don't trust or believe in that certain doctor than they won't choose them
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 9:59 pm to
quote:

Nobody answered if they'd let a psychologist do their craniotomy?



To be fair, with the procedures they're asking for (no injections, limiting to partial thickness of the sclera, etc), it'd be much more akin to a psychologist doing an endovascular aneurysm coiling than a craniotomy.
To which I still would say "no."
Posted by EhSeeJay
Baton Rouge, LA
Member since Nov 2010
413 posts
Posted on 5/12/14 at 9:59 pm to
quote:

In the best interest of the patient? Yeah right. That's the reason ophthalmologists are challenging this. Get real. Let the patient decide. If they don't believe it is safe for them then they won't chose an optometrist. Give them the choice. Free enterprise


Sooooo I feel like flying a commercial jet today. I'm sure I could convince a few unsuspecting tourists that I am a pilot. And I'm sure when I crash over a school we could all just chalk it up to free enterprise.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 10:01 pm to
quote:

In the best interest of the patient? Yeah right. That's the reason ophthalmologists are challenging this. Get real. Let the patient decide. If they don't believe it is safe for them then they won't chose an optometrist. Give them the choice. Free enterprise



Yeah, yeah, yeah. Doctors are all in it for the money and will do anything they can to get more money. It's a real shame that this is the view of people outside of the field. Sure it applies to some. It would really surprise you the number that are genuinely concerned about patient safety.

For instance, if your PCP sees you have a heart attack, he will probably refer you to a cardiologist. Does he get a kickback on that referral? No. Does he lose money by letting the cardiologist see you rather than himself? Yes. Does he do it because it's safer for you? Absolutely.
Posted by EhSeeJay
Baton Rouge, LA
Member since Nov 2010
413 posts
Posted on 5/12/14 at 10:01 pm to
The majority of patients do not know the difference between optom and ophthom. They think they are the same. These folks would not be able to make an educated decision.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:01 pm to
Ha fair enough.
But the 3 laser procedures do amount to BURNING A HOLE or surgically modifying the eye. Tell me I'm anatomically inaccurate...
This post was edited on 5/12/14 at 10:03 pm
Posted by biglego
San Francisco
Member since Nov 2007
83092 posts
Posted on 5/12/14 at 10:01 pm to
No, the market shouldn't decide who does eye surgeries. That's crazy.
Posted by boosiebadazz
Member since Feb 2008
84429 posts
Posted on 5/12/14 at 10:02 pm to
quote:

I wouldn't but people should be given the choice. You and I shouldn't limit their options. If they don't trust or believe in that certain doctor than they won't choose them


shite, why have any regulation of the medical industry? Let's just let anyone and everyone call themselves a doctor and then just let the consumer decide. A pure free market! It'll be great!
Posted by oilmanNO
Member since Oct 2009
2873 posts
Posted on 5/12/14 at 10:02 pm to
But they can fly a jet.... Just don't have the same thing on their business card as you
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 10:03 pm to
quote:

You and I shouldn't limit their options.


No, but a single, common board that determines their proficiency should.

quote:

If they don't trust or believe in that certain doctor than they won't choose them


One claims he is LA State Board of Medical Examiners qualified. The other claims LA State Board of Optometry qualifications. No one knows whether they'll be the same (unlikely) or one more laxed than the other. Are those words enough to convince the average patient that they should trust the person performing the procedure? Probably so. And that's what's worrisome.
Posted by biglego
San Francisco
Member since Nov 2007
83092 posts
Posted on 5/12/14 at 10:04 pm to
quote:

But they can fly a jet.... Just don't have the experience or training and would not know what to do if something went wrong
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 10:04 pm to
quote:

But the 3 laser procedures do amount to BURNING A HOLE or surgically modifying the eye. Tell me I'm anatomically inaccurate...



Absolutely correct. And it's a pretty cool procedure to watch. It's done in the office under local anesthesia.
Posted by Kafka
I am the moral conscience of TD
Member since Jul 2007
154046 posts
Posted on 5/12/14 at 10:04 pm to
quote:

the difference between optom and ophthom
someone on opium trying to spell it
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 10:05 pm to
quote:

But they can fly a jet.... Just don't have the same thing on their business card as you



No, no, no. Not a prime example because it diminished them a little too much, but they are the steward/stewardess. They spend a lot of time on the jet. They know the ins and outs of the jet. They can show you every little compartment on the jet. They could probably sit behind the wheel and make it go in the intended direction. But if turbulence hit, an engine caught fire, or it came time to landing in a strong crosswind, I would very much doubt their ability to bring me down safely.


ETA: The difference is that one logs 100s of surgical cases over 8-11 years of training. The other logs few if any in 4.
This post was edited on 5/12/14 at 10:07 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:06 pm to
If you call yourself a surgeon, the patient tends to believe you
This post was edited on 5/12/14 at 10:07 pm
Posted by EYEDOCNO
New Orleans
Member since Sep 2004
1154 posts
Posted on 5/12/14 at 10:07 pm to
quote:

In the best interest of the patient? Yeah right. That's the reason ophthalmologists are challenging this. Get real. Let the patient decide. If they don't believe it is safe for them then they won't chose an optometrist. Give them the choice. Free enterprise



If you want me to get real, I will.

The truth is the only group that benefits from this bill is optometrists. Period.

Let's get this straight. If this passes, insurance companies are going to pay the same no matter who performs the procedure. This bill doesn't save the system a dime.

Trust me, no one is getting rich off of these procedures.

If it passes, like I said, I have NO problem competing with optometrists.

According to your theory we should just give patients a choice, right?

Ok, fine.

Let's amend the bill to let palm readers do hand surgery and fortune tellers do brain surgery and we will let those two group regulate themselves as well. That is free enterprise. Let's give patients a choice.

Posted by boosiebadazz
Member since Feb 2008
84429 posts
Posted on 5/12/14 at 10:07 pm to
But word will eventually get out after that fake surgeon butchers a few hundred eyes. That's how free markets work, silly!
Posted by cornhat
Member since Feb 2011
3393 posts
Posted on 5/12/14 at 10:08 pm to
quote:

I wouldn't but people should be given the choice. You and I shouldn't limit their options. If they don't trust or believe in that certain doctor than they won't choose them

I can't even imagine the malpractice and liability suits that would result from such deregulation.
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