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re: Are we sure optometrists should do eye surgery w/o going to medical school?

Posted on 5/14/14 at 11:36 pm to
Posted by Roger Klarvin
DFW
Member since Nov 2012
46671 posts
Posted on 5/14/14 at 11:36 pm to
quote:

i'm not sure i would lop them in with the rest. RN plus 2 years required work exp., plus Masters for NP is fairly qualified...not for brain surgery, but quite well suited for pediatrics, family practice etc.


They recently gave many NPs across the country a standardized test made up of old USMLE step three questions (the test doctors must pass to practice on their own) just to see how they would do. 99% of doctors pass this test on the first try and it is considered by far the easiest of the licensing exams. Nobody in the residency programs at my school has ever failed it. Most pass it by a wide margin.

50% of the NPs failed this exam, many miserably so. NPs simply do not receive the same level of medical or post-medical education.

NPs are simply not qualified on the whole to practice independently. Many could have gone to med school, but they didnt. There is a difference in the level of training, a big one. It is a disservice to patients to allow this.
This post was edited on 5/14/14 at 11:37 pm
Posted by NbamaTiger90
Member since Sep 2012
1752 posts
Posted on 5/14/14 at 11:52 pm to
Optometry is a very specialized field. I'm not sure I need medical Dr's trying to tell them what they need to do.

If you have ever had a child that has been diagnosed legally blind you might understand. I've spent 10 years going from Dr. to Dr. in the southeast to get my youngest daughter the ability to drive.

Medical Dr.'s have no answer, yet after 10 years we were finally refereed back to a hometown eye Dr. Now my daughter is 26 and is about to get her drivers license and have a life she would have never had if she had only listened to medical Dr's.

From personal experience, I will trust a optometrist over a medical Dr. any day.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
135805 posts
Posted on 5/14/14 at 11:54 pm to
quote:

It is a disservice to patients to allow this.
At some point patients have to figure that out
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
135805 posts
Posted on 5/14/14 at 11:57 pm to
quote:

I will trust a optometrist over a medical Dr. any day.
For surgery?
Then sorry, you are an out-and-out fool.

Very happy for your daughter though.
Posted by pwejr88
Red Stick
Member since Apr 2007
37615 posts
Posted on 5/14/14 at 11:59 pm to
The bill will not allow optometrists to perform surgery. It will not even let them cut on, or in the actual eye. They will be able to remove a foreign object from inside the eyelid, treat styes, etc.

The bill should and will, be passed.
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
44030 posts
Posted on 5/15/14 at 12:02 am to
quote:

Wouldn't word of a bad 'surgeon' get out after 100 or so butchered eyes and the market correct itself?



Yeah.... Because there aren't any reputable medical organizations that police that kind of stuff.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
135805 posts
Posted on 5/15/14 at 12:06 am to
quote:

Because there aren't any reputable medical organizations that police that kind of stuff.
For optometrists performing surgery?
You are correct.
"There aren't any reputable medical organizations that police that kind of stuff."
Posted by boosiebadazz
Member since Feb 2008
84606 posts
Posted on 5/15/14 at 12:07 am to
I think you missed the overall point of my post.
Posted by Teddy Ruxpin
Member since Oct 2006
40606 posts
Posted on 5/15/14 at 12:08 am to
Well, I doubt in a practical sense that a bunch of optometrists are going to rush to do eye surgeries they have no business doing just so they can get sued to smithereens.
Posted by NbamaTiger90
Member since Sep 2012
1752 posts
Posted on 5/15/14 at 12:17 am to
If wee had listened to Medical Dr's my daughter would have basically been an invalid. We/Me refused to accept their diagnoses.

I put my marriage on the line. My wife didn't think my daughter could take another bad diagnoses. I begged her after emailing eye dr after eye dr. from NY to Denver and finally got refereed to a specialist in our area. We spent 4 years going to this specialist to only have a wrong diagnosis, until our last appointment when this Dr realized the small town we lived in. She said you have the best eye Dr in the country in your town.


Medical Dr's are Medical Dr's.

Eye Dr's are Eye Dr's. I'm not a fool. I understand 100% the difference. If I need penicillin I will go see my medical Dr. If I have eye issues I will go see my optometrist.

I will be bull headed on this topic as I have 100% vested interest in it.
Posted by SmackoverHawg
Member since Oct 2011
30973 posts
Posted on 5/15/14 at 12:33 am to
[quote]be allowed to do eye surgery despite receiving little to no training at all.[/quotey]
Nurse practitioners are too. Let em have at it. NP's don't know shite, but they can practice medicine. Do what we do. Get one to do the easy shite you don't want to. Teach them the shite they need to know and when to come get you and make bank on their efforts. They make more. You make more. Win win. Once again, didn't hear the ophthalmologist beating their drums as NP's, PA's and cRNA's expanded their roles. And in every Opth surgery center I see, it's cRNA's doing the anesthesia. NOT MDs!!!! Hypocrite much? Just saying. So non-md's are good enough to sedate your pt's but not to do some of the simple arse procedures y'all do?
Posted by SmackoverHawg
Member since Oct 2011
30973 posts
Posted on 5/15/14 at 12:35 am to
quote:

Well, I doubt in a practical sense that a bunch of optometrists are going to rush to do eye surgeries they have no business doing just so they can get sued to smithereens.


They'll mostly do easy shite like chalazions and such. However, it does open the door for more aggressive ones to do much much more.
Posted by SmackoverHawg
Member since Oct 2011
30973 posts
Posted on 5/15/14 at 12:38 am to
quote:

Optometry is a very specialized field. I'm not sure I need medical Dr's trying to tell them what they need to do.

Never seen anybody get declined to optometry school then go to med school. But.....

There is a selection process that begins before the training ever does. There is a difference in them and their knowledge. A big one.
Posted by Roger Klarvin
DFW
Member since Nov 2012
46671 posts
Posted on 5/15/14 at 12:38 am to
quote:

Eye Dr's are Eye Dr's. I'm not a fool.


Yeah, they're called ophthalmologists

quote:

Eye Dr's are Eye Dr's. I'm not a fool. I understand 100% the difference. If I need penicillin I will go see my medical Dr. If I have eye issues I will go see my optometrist.


Again, there is an entire branch of actual medicine that deals with the eye. Thousands of highly skilled ophthalmologists are ready to treat eye conditions, and all are more qualified and have far more thorough training than optometrists.
This post was edited on 5/15/14 at 12:42 am
Posted by Roger Klarvin
DFW
Member since Nov 2012
46671 posts
Posted on 5/15/14 at 12:44 am to
quote:

Never seen anybody get declined to optometry school then go to med school. But.....

There is a selection process that begins before the training ever does. There is a difference in them and their knowledge. A big one.


I am giving him the benefit of the doubt and assuming he is just mistaken on the title of the person he saw. Everything he is crediting to an optometrist is descriptive of an ophthalmologist.

I sincerely hope he isnt contrasting "eye doctors" to "regular doctors" and referring to an optometrist.
Posted by SmackoverHawg
Member since Oct 2011
30973 posts
Posted on 5/15/14 at 12:51 am to
I only support it due to the hypocrisy of the medical community. Non of the specialists have opposed mid levels basically given full practice rights in primary care despite perhaps an even greater gap in total knowledge. Now that they are infringing on their domain, it's a big damn deal. Too late. You'll get no support from the rest of us. You guys are right. The optometrist should not have their roles expanded. It's not in the best interest of anyone. But neither should NP's, PA's, and cRNA's. But this is healthcare of the future. Those that know better and can afford it will get MD's and overall superior care. Meanwhile, others will receive lesser, cheaper care from other providers.

And I employ two NP's, my brother is a cRNA, and my nephew a PA. Don't fight it. Embrace it and make it work for you. My partner refuses to and works longer, harder hours for waaaaaaay less money. You can train them to do what you need, profit from it and lesser your load of bullshite. They do my forms and paperwork. They "take the talk" out of the patients before I go in. And can handle 99% of the bullshite phone calls we get.
Posted by NbamaTiger90
Member since Sep 2012
1752 posts
Posted on 5/15/14 at 1:16 am to
There is a fine line in frick you and frick yall.


You're talking down to people only reinforces the ACA which I 100% oppose.

quote:

optometrist is descriptive of an ophthalmologist.


You and your little buddy can be as condescending as you wish. The fact still remains the same. Medical Dr's wrote my daughter off long ago as to have any normal life. After 10 years of fighting the system we finally found an EYE DR that got my daughter from seeing 20/200 to 20/60.

So you and your condescending friend can kindly go kiss each others asses.
This post was edited on 5/15/14 at 1:21 am
Posted by Roger Klarvin
DFW
Member since Nov 2012
46671 posts
Posted on 5/15/14 at 2:17 am to
Again, an optometrist isnt an "eye doctor". A ophthalmologist is an eye doctor.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
135805 posts
Posted on 5/15/14 at 4:40 am to
quote:

NP's don't know shite
Not even close to true. NP's are typically the crème de la crème of their nursing class. They are generally very good at what they do. They aren't MD's, but as long as they practice within capacity, they are a-okay. Reading your post, you seem to acknowledge that, albeit in a backhanded sort of way.

This post was edited on 5/15/14 at 4:47 am
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
135805 posts
Posted on 5/15/14 at 4:44 am to
quote:

If I need penicillin I will go see my medical Dr. If I have eye issues I will go see my optometrist.

I will be bull headed on this topic as I have 100% vested interest in it.
It also sounds like you had a uniquely weird experience.
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