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Old 01-21-2013, 01:20 AM
 
Location: TX
4,062 posts, read 5,645,484 times
Reputation: 4779

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It's a nurse practitioner. There are many nursing degrees, some are advanced without being an NP. My husband goes to one clinic and in the past he sometimes saw the NP in that office. She eventually retired, but she was excellent at what she did and we preferred her to the doctors. But I agree...no exam and no urine test in that case would be totally unprofessional.
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Old 01-21-2013, 04:34 PM
 
6,143 posts, read 7,556,449 times
Reputation: 6617
I have had nothing but good experiences with NP's and PA's. They have all been professional and competent, giving me a thorough examination with correct diagnoses and prescriptions. In fact, the first time I was ever told about antibiotics and BC pills was by a PA. I was 29. Obviously I already knew the info, but no DR ever bothered to mention it. Just something I found interesting...
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Old 01-22-2013, 04:43 PM
 
Location: Victoria TX
42,554 posts, read 86,977,099 times
Reputation: 36644
Quote:
Originally Posted by mm_mary73 View Post
If your primary care provider isn't doing this at your office visit, I would suggest you change who you go to for your health care.
You think if you're on Medicare, you can just start going to a different doctor?
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Old 01-24-2013, 07:47 AM
 
Location: SE Michigan
1,212 posts, read 4,911,729 times
Reputation: 684
Quote:
Originally Posted by Midwest Maven View Post
Thanks JanND. I did file a complaint and had the opportunity to speak with her supervising doctor during my appointment. Hopefully she'll just be reminded that she needs to consult with him before she prescribes medicine to patients without first testing or diagnosing them. But yeah, I'll see the doctor first next time even if I have to wait. I'm glad to hear that you've had positive experiences with nurses. I was wrong to throw the whole nursing profession under the bus with this rant thread as there are good nurses out there.
You keep talking about a "supervising doctor". Unlike the Physician's Assistant.. who works under direct supervision of a MD and works under a MD license, NP's work independently on their own nursing license and can directly/ independently bill Medicare.
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Old 01-24-2013, 11:20 AM
 
Location: Georgia, USA
37,102 posts, read 41,267,704 times
Reputation: 45136
Quote:
Originally Posted by kcam213 View Post
You keep talking about a "supervising doctor". Unlike the Physician's Assistant.. who works under direct supervision of a MD and works under a MD license, NP's work independently on their own nursing license and can directly/ independently bill Medicare.
It depends on the state. About 32 states do require physician supervision.
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Old 01-24-2013, 01:22 PM
 
Location: in a house
3,574 posts, read 14,343,748 times
Reputation: 2400
Quote:
Originally Posted by suzy_q2010 View Post
It depends on the state. About 32 states do require physician supervision.
"collaboration"
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Old 01-24-2013, 01:29 PM
 
Location: in a house
3,574 posts, read 14,343,748 times
Reputation: 2400
Quote:
Originally Posted by jtur88 View Post
You think if you're on Medicare, you can just start going to a different doctor?
Actually, you can, but your comments weren't in reference to that. Your comments referred to what you deemed "unnecesary procedures" in the ER, where you and your entire health history are basically unknown. Had your personal MD called or met you at the ER, those tests might have been avoided. You be sweet and stay healthy!
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Old 01-24-2013, 06:03 PM
 
Location: Folsom
5,128 posts, read 9,843,149 times
Reputation: 3735
Quote:
Originally Posted by suzy_q2010 View Post
It depends on the state. About 32 states do require physician supervision.
agreed, many states require supervision. I used to verify this information in a previous auditing job. It's amazing how many offices/clinics don't have a good system to keep track of their licensed staff.
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Old 02-21-2013, 01:51 PM
 
56 posts, read 185,296 times
Reputation: 73
After reading this thread, and a few others, I have to say that I am quite surprised of the polarized opinions about the quality of healthcare that mid-level practioners provide. I am not sure if those of you who feel negatively have just encountered a few bad apples or if PA's/NP's are truly incompetent healthcare providers.

I am currently on the path to becoming a PA. I only need to complete a few more pre-req classes and then I can begin the application process. However, the views and opinions in this thread and others are quite troubling and somewhat off-putting. I wouldn't want to immediately be sized up the moment I walk into an exam room because I am a PA, not a MD. I think some of the best medical practitioners of whatever level, or just smart people in general, know what they don't know...and I would be happy to see that my NP/PA is seeking the advice of their supervising MD rather than making an "educated guess."

Anyhow, I just needed to say my piece...I hope I am making the right career decision.
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