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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 10:08 pm to
Posted by guttata
prairieville
Member since Feb 2006
22654 posts
Posted on 5/12/14 at 10:08 pm to
Or let ophthalmologists do liposuction. Oh wait
Posted by Kafka
I am the moral conscience of TD
Member since Jul 2007
157377 posts
Posted on 5/12/14 at 10:10 pm to
I used to be a tree surgeon















but
















I kept falling out of my patients













and












I fainted at the sight of sap
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:11 pm to
I would imagine if you were to suck all the fat out of the orbit, it would lead to some sort of strabismus
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 10:11 pm to
quote:

after that fake surgeon butchers a few hundred eyes


And, unfortunately, there are some of us who think about these few hundred and how their plight could have been prevented. Perhaps by only allowing groups operating under the current guidelines and regulations (regardless of the letters...because, again, these procedures could be taught over a long period of time to an optometrist working with/for an ophth even without a more formal fellowship. Eyedoc may disagree, but I think it's somewhat feasible. It's definitely not a weekend, weeklong, or even month-long process though. It's long.) rather than letting them go off and create their own.
Posted by EYEDOCNO
New Orleans
Member since Sep 2004
1154 posts
Posted on 5/12/14 at 10:11 pm to
quote:

Or let ophthalmologists do liposuction. Oh wait


Last time I checked, whether you like it or not, ophthalmologists are medical doctors. Therefore, they are qualified to perform that procedure. HOWEVER, if they screw up they are subject to sanction by the Louisiana State Board of Medical Examiners!!
This post was edited on 5/12/14 at 10:13 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:12 pm to
(no message)
This post was edited on 5/12/14 at 10:56 pm
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 10:12 pm to
quote:

ophthalmologists are medical doctors



...and all procedures they do are in accordance with the LA State Board of Medical Examiner's rules, requirements, regulations, and guidelines or they are subject to penalty.
Posted by boosiebadazz
Member since Feb 2008
85685 posts
Posted on 5/12/14 at 10:13 pm to
Well it's definitely more important to remain ideologically pure to the tenets of libertarianism and pure laissez faire capitalism than to worry about the real-world implications of those policies.

Duh!
Posted by cornhat
Member since Feb 2011
3393 posts
Posted on 5/12/14 at 10:16 pm to
They're going to have to reform the medical school education going forward. It doesn't seem sustainable with the need of doctors rising even with expanding the roles of PAs and NPs.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:16 pm to
Why are we doing this when 48 states ban it?
That's sort of like voting for Mondale....
Posted by Asgard Device
The Daedalus
Member since Apr 2011
11562 posts
Posted on 5/12/14 at 10:17 pm to
Let the free markets decide.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:18 pm to
What's next, midwives operating on the pelvis?
Posted by boosiebadazz
Member since Feb 2008
85685 posts
Posted on 5/12/14 at 10:18 pm to
Because our state is backwards as frick in a lot of regards
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 10:19 pm to
quote:

They're going to have to reform the medical school education going forward. It doesn't seem sustainable with the need of doctors rising even with expanding the roles of PAs and NPs.



They could start by not denying admission to the thousands of qualified applicants that are turned away every year because they "slipped through the cracks" (this is a quote told to me at an interview for a school I was not even offered an interview for one year and accepted to the next).

Then you would probably wind up with more people in your subspecialties and still a lack of good primary care physicians.


I really think we should pay Peds/IM/FM more.
Posted by tomcatrav
Baton Rouge
Member since Nov 2009
492 posts
Posted on 5/12/14 at 10:22 pm to
As a surgeon, I have always felt that if you don't possess the knowledge and skills to treat/fix damn near all possible scenarios, complications, and curveballs you may encounter during the procedure, then you probably shouldn't be doing the procedure in the first place.

Without knowing much about eye surgery, I would suspect that MD's would me more likely to accomplish this than OD's.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:22 pm to
How's a YAG work?
Posted by Sentrius
Fort Rozz
Member since Jun 2011
64757 posts
Posted on 5/12/14 at 10:31 pm to
quote:

Let the free markets decide.


I'm a very big proponent of this and it was hilarious but wow inducing to see SFP roll with this in the thread last year on this very topic this thread is about. frick that guy is good even when you know for a fact that he's wrong on the topic.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:32 pm to
Maybe magic voodoo?
Posted by Patrick_Bateman
Member since Jan 2012
17823 posts
Posted on 5/12/14 at 10:34 pm to
Is there a shortage of people with the necessary skills to perform these procedures? Or do optometrists just want a bigger piece of the pie? Genuine question. If demand outweighs supply for the procedures, then the obvious solution to me (a layperson) would be to create more ophthalmology residency positions, rather than enabling non-doctors to perform the procedures.

If the procedures are simple and safe, then the argument boils down to money - which both sides (optometrists and ophthalmologists) will fight tooth and nail for.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 10:36 pm to
quote:

How's a YAG work?



I'm going to go with "magic." Like I said. I'm a student who's merely interested in the field. I think I've spend a total of five days doing surgeries and procedures. And by "doing" I mean "watching while occasionally squirting the eye with salt water or handing really, really, ridiculously small pickups to the real doctor, but I did get to use the bipolar once"
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