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re: How do you feel about Nurse Practitioners?
Posted on 3/20/24 at 9:40 pm to SaintlyTiger88
Posted on 3/20/24 at 9:40 pm to SaintlyTiger88
NPs are fine for everyday stuff or for routine checkups. Most urgent care clinics are staffed with NPs.
I wouldn't rely on one for anything serious, though. Nor do I think most NPs would expect that.
I wouldn't rely on one for anything serious, though. Nor do I think most NPs would expect that.
0
Posted on 3/20/24 at 9:45 pm to SaintlyTiger88
If she’s hot, why not?
Posted on 3/20/24 at 9:59 pm to SaintlyTiger88
Dated one and got in those britches. Best I ever had.
Posted on 3/20/24 at 10:13 pm to SaintlyTiger88
Wife is a NP. As many others have said, Dr’s are set in their old ways. NP’s are up to date on latest treatments and spend more time with patients. Dr’s do the same ole same ole.
Posted on 3/20/24 at 10:25 pm to SaintlyTiger88
I don't think it matters what we think bc they have shoved it right in our face. Remember when DRs couldn't diagnose you over the phone.....well now they can diagnose you over the phone. Now the PA can diagnose you over the phone. LOL they have a mess on their hands. Couple family members in medical field have been warning us that our medical care will go to crap and it surely has.
Posted on 3/20/24 at 10:28 pm to 6R12
Anyone comparing the two has no clue what they are talking about. NPs have significantly less training. But everyone in here says “my cousin is a great NP, doctors don’t listen”.
Posted on 3/20/24 at 10:38 pm to SaintlyTiger88
I go to them for routine physicals, straight forward type illnesses, and simple colds. If it’s more complicated I go to a doctor or specialist.
Posted on 3/20/24 at 10:43 pm to tigerbutt
quote:
Wife is a NP. As many others have said, Dr’s are set in their old ways. NP’s are up to date on latest treatments and spend more time with patients. Dr’s do the same ole same ole.
You just described doctors that just completed medical school, a 3-5 year residency, and a fellowship in some cases. There is no substitute for a doctor when comparing the two. These newly trained doctors know all the latest treatments in their field and most likely can do all the procedures.
This post was edited on 3/20/24 at 10:46 pm
Posted on 3/20/24 at 10:45 pm to tgrbaitn08
quote:
A hernia and/or prostate exam
Two individual, separate and unrelated exams.
Turn your head and cough: Hernia exam
Bend over: prostate exam
Posted on 3/21/24 at 3:37 am to tgrbaitn08
quote:
not the same....that just shows your ignorance
Are you retarded? You have to have a BSN to enroll into any MSN or Doctoral program. A NP is just a nurse with a Master’s degree
Posted on 3/21/24 at 5:30 am to SaintlyTiger88
I got fed up waiting 2 hours to see a GP, so someone recommended Kristin Guidry (NP) in Prairieville.
She is great. Does everything my previous GP did, but is ALWAYS on time. I’ve never waited more than 10 minutes.
I highly recommend for anyone that doesn’t have a day to kill in the waiting room. frick that.
She is great. Does everything my previous GP did, but is ALWAYS on time. I’ve never waited more than 10 minutes.
I highly recommend for anyone that doesn’t have a day to kill in the waiting room. frick that.
Posted on 3/21/24 at 6:08 am to blueboxer1119
The problem is not NPs. They are just filling a need. It’s with the Doctors as a profession. It’s lost its luster. ESPECIALLY in the Family Doctor or Internal Medicine categories. If you’ve found good old doc Sawbones and it’s like it was in 1985, god bless. Stick with that man or woman until they retire.
Family docs have to kill themselves with volume to make money. 5 days a week. Maybe half a day on Saturday. Taking work home with you. Charting, answering questions and emails, sending out e-prescriptions, and taking call. There just is no longer any prestige in being a family doc. These issues have to be magnified in Louisiana. It’s a problem here in Katy.
NPs are now everywhere. Go to a busy family practice office 25-50% chance you’re seeing an NP anyway. “Want to WAIT for the doc?”
I finally gave up and just followed the NP I saw all the time at the family practice i went to.
The key is find an NP who is knowledgeable (no shite) but knows their place. That’s mine. She manages my minor standard fat American issues. When I told her I went into atrial flutter her first question was “you followed up with a cardiologist right?” She will refill those meds if I’m in a bind but she is adamant that you keep a specialist in the loop.
Her office is like the family docs office I went to with my folks when I was a kid. Busy not crazy. When she talks to you she has the time to listen. She didn’t just read your chart and complaint for the visit beforehand and decide everything before talking to you.
Family docs have to kill themselves with volume to make money. 5 days a week. Maybe half a day on Saturday. Taking work home with you. Charting, answering questions and emails, sending out e-prescriptions, and taking call. There just is no longer any prestige in being a family doc. These issues have to be magnified in Louisiana. It’s a problem here in Katy.
NPs are now everywhere. Go to a busy family practice office 25-50% chance you’re seeing an NP anyway. “Want to WAIT for the doc?”
I finally gave up and just followed the NP I saw all the time at the family practice i went to.
The key is find an NP who is knowledgeable (no shite) but knows their place. That’s mine. She manages my minor standard fat American issues. When I told her I went into atrial flutter her first question was “you followed up with a cardiologist right?” She will refill those meds if I’m in a bind but she is adamant that you keep a specialist in the loop.
Her office is like the family docs office I went to with my folks when I was a kid. Busy not crazy. When she talks to you she has the time to listen. She didn’t just read your chart and complaint for the visit beforehand and decide everything before talking to you.
Posted on 3/21/24 at 6:18 am to LSU alum wannabe
quote:
Family docs have to kill themselves with volume to make money. 5 days a week.
This isn't true but it's what many in the field choose to believe and pursue. It's not really all their fault because its not what they really teach in medical school and the reason so many just say F IT, throw their hands in the air and go work for a health system on salary.
Low cost quality care on a 4 1/2 day work week seeing less than 20 patients a day turning profitable margins is possible BUT it requires a change in approach, changes in contracts/reimbursement and a shift in how healthcare in general is viewed.
In general, I don't have any problem with NPs for primary care but I do not have any complex medical issues. If I did, I may want something with more developed and specific training.
If I had COPD for example I'd prefer a PCP who may be double certified in Pulmonology. There's a reason many specialties don't really have a huge saturation of NPs.
This post was edited on 3/21/24 at 6:20 am
Posted on 3/21/24 at 6:27 am to LSUfan4444
quote:
cost quality care on a 4 1/2 day work week seeing less than 20 patients a day turning profitable margins is possible BUT it requires a change in approach, changes in contracts/reimbursement and a shift in how healthcare in general is viewed.
Concierge medicine? It’s probably great for all involved. After you pay that membership. Basically here in Katy if you find a doc whose name your parents can pronounce, they are concierge or about to be.
Posted on 3/21/24 at 6:32 am to SaintlyTiger88
Most think they know more than the MD's. Many RN's know as much or more than the PA's and NP's.
Posted on 3/21/24 at 6:34 am to LSU alum wannabe
quote:
Concierge medicine?
That's one option but certainly not the only. There are contract options with health insurance carriers that offer higher reimbursement rates not based on pure volume. Health systems may pay the PCP on an RVU scale (many of which are on these type of contracts I just mentioned) but independent primary care providers have access to these contracts too but many don't realize it or even know how to do it. The belief is just what you said...work my arse off, maximize the fee for service payment system and make as much as I can on volume not patient health, quality or cost of care provided.
Posted on 3/21/24 at 6:38 am to double d
quote:
Most think they know more than the MD's. Many RN's know as much or more than the PA's and NP's.
Sh!t rolls down hill... Intensivists think ER docs are idiots, many Neurosurgeons are on the Spectrum and think everyone is an idiot... Nurses... Techs...
Posted on 3/21/24 at 9:01 am to Dragula
pb
Posted on 3/21/24 at 10:22 am to SaintlyTiger88
I usually see NP for primary care, and she’s excellent. She actually reads my chart and the appointment notes entered by the nurse before she comes in the examining room. Super thorough and very easy to talk to. The NPs at the oncologists’s office have worked with my Dr long enough that there is no discernible change between their care and his. I’ve only had one NP that I never would have seen again, but several Drs I feel that way about.
Posted on 3/21/24 at 10:36 am to SaintlyTiger88
My PA knows more about what he's treating me for than his supervisory physician does.
He's the TRT guru. While the other urologists have their bandwidth being taken up by the entire urinary system, this guy was brought in to specialize in TRT and nothing else.
He's the TRT guru. While the other urologists have their bandwidth being taken up by the entire urinary system, this guy was brought in to specialize in TRT and nothing else.
This post was edited on 3/21/24 at 10:54 am
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