Doctors vs NP's? - page 2

I hate to say this but I no longer like to see the NP when I go in for a doctors visit. I have noticed that doctors are much more secure with decisions and aren't so scared to prescribe something. I... Read More

  1. by   BostonFNP
    Quote from FrankRN2017
    Well instead of handling the low T issue herself she had to refer me to an endocrinologist? WTH?
    There could be many reasons for this including concern for abuse, a concern for an ADR, inappropriate prescribing by prior provider(s), concern for secondary etiology, an inappropriate patient group, NP works in a restricted practice state, or perhaps the NP just didn't like you. At the end of the day you have a choice what provider you se, if you don't like one, keep shopping, but it has nothing to do with NP vs MD.
  2. by   BostonFNP
    Quote from SmilingBluEyes
    I will not be convinced a person with a degree unrelated to nursing, and no experience as an RN, should ever, ever be a practicing NP. .
    Please, explain how the OPs post relates in any way to DE programs or prior RN experience...

    Quote from ICUman
    NP's should have RN experience. No direct entry programs.
    Please, explain how the OPs post relates in any way to DE programs or prior RN experience...
  3. by   FrankRN2017
    Quote from BostonFNP
    There could be many reasons for this including concern for abuse, a concern for an ADR, inappropriate prescribing by prior provider(s), concern for secondary etiology, an inappropriate patient group, NP works in a restricted practice state, or perhaps the NP just didn't like you. At the end of the day you have a choice what provider you se, if you don't like one, keep shopping, but it has nothing to do with NP vs MD.
    A NP not liking a patient is just plain unprofessional if that's their reasoning for withholding care. I don't always like my patients but I do not make them go without. Geesh! We ALL can find reasons not to do something in life but it's the smart ones who know the reasons we can do something in life.
  4. by   Scottishtape
    I work with several DOCTORS who refer out for everything.

    Why? Because they're people. Just like NPs.

    Just because you're a provider doesn't mean you know everything about everything.

    Referring out in my view is a providers way of admitting they don't know everything and are connecting their patient with the provider who can give them the best care.

    My husband had low t issues and his DOCTOR referred him out to a urologist because he flat it admitted he didn't know enough about it.

    It's providing good care, it doesn't mean they suck or are any less of a provider than someone else.

    It sounds to me like you're stirring the pot and looking for reasons to down NPs.
  5. by   FrankRN2017
    Maybe they didn't like your husband as someone has mentioned could be their reasoning.
  6. by   SpankedInPittsburgh
    I think all providers are human & personal likes or dislikes shouldn't come into play. However, I've seen it happen dozens of times at all levels of medicine. As far as meds, providers aren't a Pez Dispenser or at least they shouldn't be. The fact that one doc had somebody on X MED for years means nothing as far as weather a new provider thinks is a good idea to keep it up. In fact this faulty logic is one of the things that helped create the newly noticed but always there opioid crisis & the soon to be discovered (in my opinion) benzo crisis. Like you said low T is a part of natural aging for the male of the species. For millennium it was left untreated as a natural part of aging. Perhaps this provider just doesn't think the application of pharmaceuticals is a cure-all and often creates more problems than it solves.

    There is no shortage of Pez Dispensers out there who will write a script for anything for any BS reason to include their economic benefit and just getting a patient to shut up. These providers have MD, DO, PA & CRNP behind their names
  7. by   Farawyn
    Quote from SpankedInPittsburgh
    I think all providers are human & personal likes or dislikes shouldn't come into play. However, I've seen it happen dozens of times at all levels of medicine. As far as meds, providers aren't a Pez Dispenser or at least they shouldn't be. The fact that one doc had somebody on X MED for years means nothing as far as weather a new provider thinks is a good idea to keep it up. In fact this faulty logic is one of the things that helped create the newly noticed but always there opioid crisis & the soon to be discovered (in my opinion) benzo crisis. Like you said low T is a part of natural aging for the male of the species. For millennium it was left untreated as a natural part of aging. Perhaps this provider just doesn't think the application of pharmaceuticals is a cure-all and often creates more problems than it solves.

    There is no shortage of Pez Dispensers out there who will write a script for anything for any BS reason to include their economic benefit and just getting a patient to shut up. These providers have MD, DO, PA & CRNP behind their names
    Yes, on the benzos. So much yes.
  8. by   SpankedInPittsburgh
    Yeah, I think somewhere along the line we have become convinced that humans are never supposed to be in pain, anxious or even age and we have come up with meds for all the above. If I remember correctly we make up life 5% the earth's population and consume more meds than the rest of the planet combined. Are we healthier? Do we live longer? Are we even happier? Not according to the studies I've read. Besides all these meds have side effects that often cause more problems than they solve
  9. by   Farawyn
    Quote from SpankedInPittsburgh
    Yeah, I think somewhere along the line we have become convinced that humans are never supposed to be in pain, anxious or even age and we have come up with meds for all the above. If I remember correctly we make up life 5% the earth's population and consume more meds than the rest of the planet combined. Are we healthier? Do we live longer? Are we even happier? Not according to the studies I've read. Besides all these meds have side effects that often cause more problems than they solve
    I'm no against benzos. For some, truly the difference between panic, and not. Yes, it seems everyone is on Xanax and klonopin...and their kids are abusing them, and getting addicted.
  10. by   BostonFNP
    Quote from SpankedInPittsburgh
    Yeah, I think somewhere along the line we have become convinced that humans are never supposed to be in pain, anxious or even age and we have come up with meds for all the above. If I remember correctly we make up life 5% the earth's population and consume more meds than the rest of the planet combined. Are we healthier? Do we live longer? Are we even happier? Not according to the studies I've read. Besides all these meds have side effects that often cause more problems than they solve
    This is a huge issue in primary care: many patients feel like there is/should be a pill for every problem and are unwilling to even listen to non-pharmacologic treatment (i.e. lifestyle interventions). There are some providers that don't take the time (or care or due diligence) and rather just give them some pills. This is why I don't rubber stamp anything that comes from previous providers.
  11. by   BCgradnurse
    Quote from SpankedInPittsburgh
    Yeah, I think somewhere along the line we have become convinced that humans are never supposed to be in pain, anxious or even age and we have come up with meds for all the above. If I remember correctly we make up life 5% the earth's population and consume more meds than the rest of the planet combined. Are we healthier? Do we live longer? Are we even happier? Not according to the studies I've read. Besides all these meds have side effects that often cause more problems than they solve
    We have become a society of instant gratification, and one that has no tolerance for discomfort. Add that to a mentality that you can and should sue if things don't turn out the way you like, and you have the circus that we deal with on a daily basis. It's not just with controlled substances; it's with antibiotics too. I've already had 2 disgruntled patients today because I won't hand out antibiotics like Halloween candy. They are just not interested in hearing that their symptoms are likely viral, and really don't care about any info I give about developing antibiotic resistance. They just want their nasal congestion or cough gone now, and feel they shouldn't have to let their illness run its course with symptomatic treatment.

    One of the reasons I got out of primary care was the constant pressure from patients to prescribe instant fixes (benzos, opiates), and the pressure from management to keep the patients happy. I hate the whole customer service mentality that health care has seemingly embraced.
  12. by   BCgradnurse
    Quote from Farawyn
    I'm no against benzos. For some, truly the difference between panic, and not. Yes, it seems everyone is on Xanax and klonopin...and their kids are abusing them, and getting addicted.
    Benzos have their place, it's true. However, I feel just handing out benzos without dealing with underlying causes of the panic or anxiety is doing the patient a disservice. I can understand needing a benzo occasionally for specific situations that can trigger the panic, but I do feel that if someone needs one on a daily basis then a psychiatric evaluation is in order, and therapy or a different type of medication may be more beneficial.
  13. by   Davey Do
    Quote from FrankRN2017
    If NP's are expected to be a growing profession then... GROW SOME!
    A little levity for your consideration:

    grow-a-pear-

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