Started By
Message

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

Posted on 5/12/14 at 10:37 pm to
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:37 pm to
Can we call it a surgery?
Posted by Patrick_Bateman
Member since Jan 2012
17823 posts
Posted on 5/12/14 at 10:37 pm to
quote:

What's next, midwives operating on the pelvis?
In fairness, pelvic surgeries are probably a little more complex than the laser procedures in question. And optometrists probably have more training than midwives.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:38 pm to
It's complex when it's your own eye...
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/12/14 at 10:39 pm to
quote:

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.


Ophthalmologists feel like they can satisfy the needs fairly easily in this state. If I remember correctly, optometrists posed it as an access issue in more rural areas. But something like 84% of optometrists practice in the same community as an ophth. The remaining 15.9% are within 15 miles of an ophth. There is 1 in the state who is 35 miles from the nearest ophthalmologist.

Now, the saturation of the ophthalmologists and their ability to take on new patients was not presented in that same flier. I also never saw a handout suggesting that they weren't able to take on the increased need.
Posted by Patrick_Bateman
Member since Jan 2012
17823 posts
Posted on 5/12/14 at 10:39 pm to
quote:

Can we call it a surgery?
Surgeries. My mistake.
This post was edited on 5/12/14 at 10:41 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 10:48 pm to
And why do we need to have a Senate version and a House version simultaneously rolling through?
Posted by Da Hammer
Folsom
Member since May 2008
5970 posts
Posted on 5/12/14 at 11:10 pm to
Optometrists have done over 20,000 of these procedures in Oklahoma alone. All we hear is that Optometrists aren't qualified to do these procedures. Tell me since all of Oklahoma and most of the US have been watching and waiting for an Optometrist to harm a patient and there haven't been any. How can Optometrists be so poorly qualified to perform the procedures?

MD's say Optometrists should be under the medical board the same group that says in testimony that a barber is more qualified to cut on a person than an Optometrist. Yeah that's going to work well.

Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 11:25 pm to
There are single eye surgeons in Louisiana who have done 20,000+ themselves
This post was edited on 5/12/14 at 11:25 pm
Posted by oilmanNO
Member since Oct 2009
2873 posts
Posted on 5/12/14 at 11:32 pm to
Optometrists are capable and will be able to perform surgery once this bill passes the legislature
Posted by medtiger
Member since Sep 2003
21956 posts
Posted on 5/12/14 at 11:36 pm to
quote:

How's a YAG work?


The laser is focused onto the posterior capsule just posterior to the intraocular lens implant, and it is fired precisely at that location circumferentially around the posterior capsule, with care being taken not to hit the IOL or the vitreous face. That's where the rare complications from that procedure can occur. It's less than a millimeter between these interfaces.

And, I agree with EYEDOCNO. I'm not scared of competing with the optometrists. I just want them held to the same standard I'm held to. Honestly, it's not the laser procedures I'm terribly concerned about. I'm more concerned about seeing botched "simple" eyelid or eye surface procedures showing up in my office.
This post was edited on 5/12/14 at 11:37 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 11:39 pm to
Tell me when did the fat lady sing?
Posted by medtiger
Member since Sep 2003
21956 posts
Posted on 5/12/14 at 11:40 pm to
quote:

Optometrists are capable




Considering they've never done any of the procedures they're asking to do, how can you possibly make a statement like this?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 11:40 pm to
How's a peripheral iridotomy work?
This post was edited on 5/12/14 at 11:43 pm
Posted by medtiger
Member since Sep 2003
21956 posts
Posted on 5/12/14 at 11:41 pm to
quote:

Tell me when did the fat lady sing?


When the bill passed the house. Heitmeier has been strong arming other senators for months. I'll be absolutely shocked if this bill doesn't end up on Jindal's desk. And he'll sign it.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 11:43 pm to
Jindal contemplated med school. No way he signs that
Posted by medtiger
Member since Sep 2003
21956 posts
Posted on 5/12/14 at 11:44 pm to
quote:

How's a PI work?


The same YAG laser is focused onto a crypt in the peripheral iris stroma, and the laser burns a hole through the iris until aqueous is visualized flowing from posterior chamber to the anterior chamber through the patent iridotomy.
Posted by oilmanNO
Member since Oct 2009
2873 posts
Posted on 5/12/14 at 11:44 pm to
Do you not follow the success they have had in Oklahoma?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/12/14 at 11:45 pm to
Now how's a trabeculoplasty work?
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 5/12/14 at 11:46 pm to
quote:

Considering they've never done any of the procedures they're asking to do, how can you possibly make a statement like this?


Presumably they will receive comparable training in those procedures. I don't think a serious person could remotely believe they're proposing to go in cold, and I don't think implying it helps your case any.
Posted by medtiger
Member since Sep 2003
21956 posts
Posted on 5/12/14 at 11:47 pm to
He absolutely will sign it as of now. The eye MDs I've talked to in the LOA have said Jindal isn't willing to get involved at this point. There was talk of getting a group to request a meeting with him with the hope that he'd tell the senate to put this bill under the scope of the medical board under veto threat, but I don't know what came of that.
Jump to page
Page First 4 5 6 7 8 ... 43
Jump to page
first pageprev pagePage 6 of 43Next pagelast page

Back to top
logoFollow TigerDroppings for LSU Football News
Follow us on X, Facebook and Instagram to get the latest updates on LSU Football and Recruiting.

FacebookXInstagram