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Old 01-06-2013, 08:38 PM
 
14,752 posts, read 27,518,778 times
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I have only seen MDs, and on a few cases, found myself in the office of an OD, osteopathic doctor, if in an immediate care office. Right now, I have a doctor I really like. He is smart, talks to me like I'm smart, knows I have a good memory of my health issues, their timing, and their treatment method, and is down to earth. Dang, it's hard to find those types of doctors. Obviously, I see a dentist as well.

I saw a physical therapist to rehabilitate a hand that was injured. She had a regimen of exercises and it worked out very well.

I saw a chiropractor once and found him to be awful. Not only that, they want you to keep coming back. I ended that situation. The sprain either felt better with the passage of time, with his twisting and turning, or both. I will never know.

Additionally, I do not believe in naturopaths, alternative medicine, Eastern medicine, or any other hippy-dippy doctors.

Are you "bread and butter" when it comes to YOUR health care, preferring to avoid alternative certifications in health fields?

 
Old 01-06-2013, 08:52 PM
 
Location: Georgia, USA
21,483 posts, read 26,089,700 times
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D.O.s receive the same training after medical school as M.D.s. I have seen both and was happy with them.

I do not want to see an N.P. or a P.A. and I have chosen an internal medicine practice that does not employ them. N.P.s and P.A.s do not have the depth of training that a physician does and nowhere the experience that a physician does before going into practice.

My daughter-in-law saw a Nurse Midwife while she was pregnant, which would have been fine. She ended up needing a Cesarean, however.

I would never see a chiropractor or a naturopath. Any benefits from most "alternative" medicine are psychological at best.
 
Old 01-06-2013, 09:08 PM
 
14,752 posts, read 27,518,778 times
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Quote:
Originally Posted by suzy_q2010 View Post
D.O.s receive the same training after medical school as M.D.s. I have seen both and was happy with them.
Yes. Like I said, I have encountered D.O.s (O.D. must be an optometrist, then) in immediate care if I got hurt and needed walk-in attention, but not ER grade. I can count two. They were fine.
 
Old 01-06-2013, 10:03 PM
 
Location: Los Angeles area
14,022 posts, read 16,943,481 times
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I agree with the OP, with the possible exception that I think O.D.'s (yes, corrected to mean optometrists) are fine. Although they are not M.D.'s, they are well qualified to conduct the glaucoma tests, look at our retinas, evaluate how cataracts are progressing, and other similar matters. They can be counted on, I believe, to know when to refer us to an opthomologist (an eye specialist who is an M.D.).
 
Old 01-07-2013, 02:50 PM
 
4,618 posts, read 10,497,588 times
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Quote:
Originally Posted by suzy_q2010 View Post
D.O.s receive the same training after medical school as M.D.s. I have seen both and was happy with them.

I do not want to see an N.P. or a P.A. and I have chosen an internal medicine practice that does not employ them. N.P.s and P.A.s do not have the depth of training that a physician does and nowhere the experience that a physician does before going into practice.

My daughter-in-law saw a Nurse Midwife while she was pregnant, which would have been fine. She ended up needing a Cesarean, however.

I would never see a chiropractor or a naturopath. Any benefits from most "alternative" medicine are psychological at best.
Your loss....

And the experience that a physician has going into practice doesn't matter unless you are comparing a new "grad" MD with a new "grad" PA/NP....otherwise the experience both receive while in practice is the same....
 
Old 01-07-2013, 02:59 PM
 
14,752 posts, read 27,518,778 times
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Quote:
Originally Posted by bluedevilz View Post
Your loss....

And the experience that a physician has going into practice doesn't matter unless you are comparing a new "grad" MD with a new "grad" PA/NP....otherwise the experience both receive while in practice is the same....
I don't have problems with them, for the routine stuff and a routine visit. My penultimate doctor had them. For simple vitals and Rx refills, they are fine. However, I like my current MD and would not want to see a PA/NP instead of seeing him.
 
Old 01-07-2013, 03:38 PM
 
Location: Georgia, USA
21,483 posts, read 26,089,700 times
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Quote:
Originally Posted by bluedevilz View Post
Your loss....

And the experience that a physician has going into practice doesn't matter unless you are comparing a new "grad" MD with a new "grad" PA/NP....otherwise the experience both receive while in practice is the same....
The physician coming out of residency has many more hours of patient contact than a P.A. or N.P. If the experience they both receive while in practice is the same, the P.A. or N.P. never catches up.

My father went to his internist complaining that his indigestion was a bit worse. He ended up having coronary artery bypass surgery the same day. I suspect that the average P.A. or N.P. might have sent him home with something for indigestion rather than doing an EKG.

The problem is the P.A. or N.P. who does not know his limitations and the practices that do not provide adequate supervision.

In a pinch, I might see one for a minor problem. If I am referred to a specialist, I want to see the physician, not a P.A. or N.P.

My surgeon uses a P.A. as his assistant. I do not mind that. I know he has her trained to his standards. But I would not want her to be the one who determined whether I needed surgery or not.

Sorry, but I do not think P.A.s or N.P.s provide the same standard of care as a physician.
 
Old 01-07-2013, 03:50 PM
 
Location: Soldotna
2,268 posts, read 1,734,158 times
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Quote:
Originally Posted by suzy_q2010 View Post
The physician coming out of residency has many more hours of patient contact than a P.A. or N.P. If the experience they both receive while in practice is the same, the P.A. or N.P. never catches up.

My father went to his internist complaining that his indigestion was a bit worse. He ended up having coronary artery bypass surgery the same day. I suspect that the average P.A. or N.P. might have sent him home with something for indigestion rather than doing an EKG.

The problem is the P.A. or N.P. who does not know his limitations and the practices that do not provide adequate supervision.

In a pinch, I might see one for a minor problem. If I am referred to a specialist, I want to see the physician, not a P.A. or N.P.

My surgeon uses a P.A. as his assistant. I do not mind that. I know he has her trained to his standards. But I would not want her to be the one who determined whether I needed surgery or not.

Sorry, but I do not think P.A.s or N.P.s provide the same standard of care as a physician.
Clearly you aren't in the medical profession.

NP in many states don't work under the supervision of a doctor.

And many have much more experience that GP's.

NP are not replacing internists. They are replacing GP's/Family doctors...

As to not thinking nurse practitioners don't provide the standard of care... You have evidence of that or is that just an uninformed opinion?

And P.A.s and N.P.s are not the same thing and do not have the same training.
 
Old 01-07-2013, 05:45 PM
 
Location: Georgia, USA
21,483 posts, read 26,089,700 times
Reputation: 26435
Quote:
Originally Posted by AnonymouseX View Post
Clearly you aren't in the medical profession.

NP in many states don't work under the supervision of a doctor.

And many have much more experience that GP's.

NP are not replacing internists. They are replacing GP's/Family doctors...

As to not thinking nurse practitioners don't provide the standard of care... You have evidence of that or is that just an uninformed opinion?

And P.A.s and N.P.s are not the same thing and do not have the same training.
I know that N.Ps and P.A.s are not the same. They are also not the same as physicians.

Nurse practioners have about 5300 hours of training. A Family Practice M.D. or D.O. has about 21,700. In the US, there is pretty much no longer such a thing as a G.P.

Here is another comparison (from a P.A. site):

Physician Assistant vs. Nurse Practitioner vs. Medical Doctor

The whole idea behind N.Ps and P.A.s was to relieve the physician of routine types of care. Instead they are being used for primary care of new, sometimes complicated, problems for which they are not as well trained as a physician.

As I said, if I go to a specialist, I do not want to see the N.P. or the P.A. I want to see a doctor. And a Family Practice doctor is a specialist, by the way.
 
Old 01-07-2013, 05:58 PM
 
Location: Soldotna
2,268 posts, read 1,734,158 times
Reputation: 1066
Quote:
Originally Posted by suzy_q2010 View Post
I know that N.Ps and P.A.s are not the same. They are also not the same as physicians.

Nurse practioners have about 5300 hours of training. A Family Practice M.D. or D.O. has about 21,700. In the US, there is pretty much no longer such a thing as a G.P.

Here is another comparison (from a P.A. site):

Physician Assistant vs. Nurse Practitioner vs. Medical Doctor

The whole idea behind N.Ps and P.A.s was to relieve the physician of routine types of care. Instead they are being used for primary care of new, sometimes complicated, problems for which they are not as well trained as a physician.

As I said, if I go to a specialist, I do not want to see the N.P. or the P.A. I want to see a doctor. And a Family Practice doctor is a specialist, by the way.
You leave out the years of experience as a nurse.


By the way...

When you are in the hospital when you see the doctor for about 5 minutes do you know who is telling them what you need and who the doctors listen to?

If you don't know the answer go to a hospital and ask.

Doctors are just the head of a team. If you believe doctors operate in a vacuum you are mistaken.

And NP's became widespread because there aren't enough general or family practitioners.

GP/FP replacements.
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