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re: How do you feel about Nurse Practitioners?

Posted on 3/20/24 at 6:13 pm to
Posted by Knuckle Checker
Member since Jan 2019
276 posts
Posted on 3/20/24 at 6:13 pm to
NPs and PAs need to pick a specialty. Spend a certain number of hours training in that specialty and then stay in that specialty.

If I was a pediatrician I can’t just go be a Neurologist the next day.
But a NP can work in any field. How is that possible?

That pediatrician would have to go through another 4 year residency before he could practice Neurology.
Posted by soccerfüt
Location: A Series of Tubes
Member since May 2013
65869 posts
Posted on 3/20/24 at 6:15 pm to
Female NPs are nice.

Upvoted

Posted by 75503Tiger
Member since Sep 2015
4209 posts
Posted on 3/20/24 at 6:22 pm to
I get an annual free physical through my insurance. Since moving I do not have an MD, the one I had was outstanding. Seeing an NP or PA will never happen again, they suck when compared to a good MD
Posted by MeridianDog
Home on the range
Member since Nov 2010
14253 posts
Posted on 3/20/24 at 6:24 pm to
They are easier to see on short notice than your doctor. They have Strick instructions on what drugs they are allowed to write scripts for you and are about as likely to prescribe what the last drug salesman was pushing, just like your doctor does.

At Mississippi Sports Medicine, good luck seeing anyone other than a Nurse Practitioner if going to their open every day, walk-in-clinic. On your second visit for a legitimate appointment, you will see the Doctor, who will do pretty much what the NP did for you, unless he can talk you into surgery or a cat-scan, MRI, or scope.
Posted by AMS
Member since Apr 2016
6498 posts
Posted on 3/20/24 at 6:36 pm to
quote:

As an aside most people don’t realize that very often a PA or NP is the one stitching you back up not the surgeon.



as an aside...people don't realize sometimes they let 3rd-4th year med students stitch you up
Posted by The Detroit Lions
English Turn, LSU Alum
Member since Feb 2010
1444 posts
Posted on 3/20/24 at 6:41 pm to
i'll take the a-hole MD who doesnt know my name any day of the week over an NP who will hold my hand and mismanage a diagnosis
Posted by St Augustine
The Pauper of the Surf
Member since Mar 2006
64364 posts
Posted on 3/20/24 at 6:55 pm to
There are some in my hospital that are dumber than the decent floor nurses. There are a few who are smarter than most GPs there.
Posted by Dragula
Laguna Seca
Member since Jun 2020
4946 posts
Posted on 3/20/24 at 6:59 pm to
(no message)
This post was edited on 3/20/24 at 7:09 pm
Posted by Raging Tiger
Teedy Town
Member since Jun 2023
523 posts
Posted on 3/20/24 at 7:36 pm to
I think CRNAs get more respect because of their schooling. 3 years of schooling. Cannot work throughout (allegedly), and all you do is practice anesthesia.
Posted by Tigris
Mexican Home
Member since Jul 2005
12366 posts
Posted on 3/20/24 at 7:46 pm to
quote:

I see a NP instead of a GP and i'm very happy with the care I get from her. She's knowledgeable and most importantly, she listens.


Yeah, I'd rather the NP I see than the new GP I was assigned last year. She has 20 years of experience and spends the time and gives a damn. The new GP is a rookie who is "holistic" (doesn't believe much in lab work) and really doesn't inspire much confidence and rushes through everything. I prefer the NP.
Posted by Dragula
Laguna Seca
Member since Jun 2020
4946 posts
Posted on 3/20/24 at 7:46 pm to
quote:

I think CRNAs get more respect because of their schooling. 3 years of schooling. Cannot work throughout (allegedly), and all you do is practice anesthesia.




Most NP programs are around 3yrs with clinicals just like CRNA. Some specialties are longer than others as well as clinical hours.
This post was edited on 3/20/24 at 7:47 pm
Posted by Raging Tiger
Teedy Town
Member since Jun 2023
523 posts
Posted on 3/20/24 at 7:51 pm to
Think about the NP family pathway? Peds, cardiology office, inpatient, urology, etc. I have friends in both pathways… CRNA’s definitely go through more clinical’s and schooling, I see them struggle more than those in NP school.
This post was edited on 3/20/24 at 7:54 pm
Posted by Dragula
Laguna Seca
Member since Jun 2020
4946 posts
Posted on 3/20/24 at 8:03 pm to
quote:

Think about the NP family pathway? Peds, cardiology office, inpatient, urology, etc. I have friends in both pathways… CRNA’s definitely go through more clinical’s and schooling, I see them struggle more than those in NP school.


I cannot speak on struggle, but I've worked with some really sharp critical care NPs as well as Acute Care Neurosurgery NPs. Most ICUs at night do not have MDs present, only Acute Care NP's running everything. And I'm not talking about the Lady of the Sea in galliano, but level one Trauma Center CVICU, Neurosurgery ICU etc are all run by a NP for 12hrs. You had to have your sh! t together or it can get sidewise quickly.
Posted by cbree88
South Louisiana
Member since Feb 2010
5501 posts
Posted on 3/20/24 at 8:06 pm to
They’re even more pretentious and have an even higher false sense of importance than ordinary nurses.
This post was edited on 3/20/24 at 8:27 pm
Posted by The Eric
Louisiana
Member since Sep 2008
21017 posts
Posted on 3/20/24 at 8:20 pm to
As a go for regular check ups? Sure. They just running a panel where the computer is telling them what is within norms just like a doc.

To do surgery? Nah.
Posted by SmackoverHawg
Member since Oct 2011
27380 posts
Posted on 3/20/24 at 8:48 pm to
quote:

I am an NP. This is one of my biggest aggravations. Abscessed have to be opened. That’s actually the first line treatment. Losts of NPs (and some doctors in all fairness) refuse to open them due to the perceived amount of time it takes. Takes me about 5 minutes, I know it will get better, and I can drop a procedure charge. $$$$$



Truth. ER doctors are notoriously bad about this. Abscesses have to drain to heal. They're just being lazy or don't have the skills/confidence to do it. It's a very basic skill, but medical training at all levels has gone to shite. A good doctor is better than any NP you'll find, but a good NP is better than a bad doctor or a doctor that just don't give a shite.
Posted by CroakaBait
Gulf Coast of the Land Mass
Member since Nov 2013
3978 posts
Posted on 3/20/24 at 8:53 pm to
I like them for the most part, but I don’t think they respect the severity of my sinus infections that I get. I’ve been dealing with them twice a year for 30 years. I need an antibiotic, prednisone, and prescription decongestant and I’ll be fine in a week after suffering for a month. They need to get off my lawn and write me some ‘scripts.
Posted by OweO
Plaquemine, La
Member since Sep 2009
114038 posts
Posted on 3/20/24 at 8:54 pm to
I rather see my nurse practitioner. I've been knowing her since she was a kid, but she thorough and will tell you if there is something she isn't comfortable giving you an answer at that moment that she will consult with the doctor and get back to me, which she does well within reasonable time.

I guess it all depends on the person.
Posted by SmackoverHawg
Member since Oct 2011
27380 posts
Posted on 3/20/24 at 9:10 pm to
I have 3 NP's, and they are all great. They are very patient centered and know when to get me. I would love to hire a good young doctor, but have yet to find one I'd hire over my NP's. Giving a shite and listening to the patient is extremely important. I can teach someone that's willing and cares. I can't help lazy, entitled MD's that are in primary care because they couldn't do anything else. Medicine is becoming more and more of a shite show everyday.
Posted by riverdiver
Summerville SC
Member since May 2022
1245 posts
Posted on 3/20/24 at 9:32 pm to
quote:

its like you didnt even read the post you quoted. you missed the point of decreased right lung sounds -> foreign body. the point was the doc's expertise helped solve the problem when the np didnt order the cxr for continued wheezing. the point was theres a difference in midlevels and physicians competence.


To be fair, on an otherwise healthy child most MD’s wouldn’t initially order a CXR either until it was noted to be an ongoing problem.

If it was an 85 year old, probably a different story. Every situation is different.

There are good and bad NP’s, just as there are good and bad MD’s.
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