pianoman511

pianoman511

Member

  • Content

    35

  • Visitors

    806

  • Followers

    0

  • Likes

    0

All Content by pianoman511

  1. some cardiology questions

    pianoman511 replied to Guest219794's topic in Emergency

    There is really no way to monitor v leads with a 3 lead system. With the good old einthoven's triangle, the idea is that the three leads make a triangle which has a center point corresponding to the...

  2. Valproic acid for pain? Really?

    pianoman511 replied to nursetim's topic in Certified Registered Nurse Anesthetist, CRNA

    Valproic acid (theoretically) increases the level of GABA in the brain. Since GABA is an inhibitory neurotransmitter it may decrease pain signals in the central nervous system....

  3. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    And what's the problem with practicing with physician oversight ? PAs are not advocating for independent practice rights since the degree (just as NP) was conceived with the idea that they would be...

  4. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    Specialists require an internal medicine residency before their specialty training which does require the same amount (more in the case of family practice) than a PCP. No doubt NPs are doing a SIMILAR...

  5. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    Almost all PA programs at this point (except around 3 - maybe less at this point) are masters programs (two years) which requires both a bachelors and health care experience which within itself is...

  6. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    I don't know the exact number of clinical hours, but the average is 80 hours a week for residents, resulting in about 4,000 clinical hours in a year (2005 numbers, but i don't think there has been...

  7. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    No problem. NY State - http://www.nydoctorprofile.com/ Doc Finder - http://www.docboard.org/docfinder.html (links to other states) In the past there have been insurance companies which had direct...

  8. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    They already do, most states have doctor profiles that the public can freely access and some insurance companies link to those profiles when people go to the site to find a new

  9. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    I won't be, but the public needs to know the differences in training and realize this can provide for suboptimal care. In addition if they go see a DNP ("doctor") then they need to know that it's not...

  10. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    Just because doctors make more money does not mean they have more disposable income. I am not in any way saying i am better or smarter than any other profession. Nor would I have any idea how to do...

  11. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    Experience is NOT the most important factor. If you are practicing independently then you have no one to "train you", something that is the whole idea behind a residency and is especially important if...

  12. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    Ok....i thought i did - it's no different than my argument all along. If someone does not have the training and education to perform the job then people will die or get suboptimal

  13. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    More disposable income ? How do you arrive at that conclusion ? Also, medicine IS more challenging, otherwise college would be shorter, training would be easier, and there would be no standardized...

  14. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    They will be the same for an NP assuming independence as a practitioner. If the NP is charging less then why would they be able to see the same number of patients in a day ? Unfortunately one year of...

  15. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    Four years of undergraduate training, four years of medical school, and 3-10 years in residency (average 3 for FP, 5-6 for IM). As for student loan debt, remember that most other professions either...

  16. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    If an RN with a few extra classes has even the option to practice independently then that's a problem. RN programs train nurses to assess patients and follow protocols and standards - not make...

  17. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    Patients are more satisfied because of what NPs currently can provide (i.e. more time, patient education), but that will change with independent practice - between administrative costs, time spent...

  18. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    1) Because it would not make sense to pay someone a greater salary because they spend 10-15 years (on average) of college, professional, and post graduate training to do a profession that is among the...

  19. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    If I can go right from a 2 year RN program (associates) or even 4 year RN program (BSN) for a few months of post-grad training and be an independent practitioner that does not make one iota of sense....

  20. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    If a healthcare practitioner is in independent practice then their scope of practice should mirror that of a physician. If you are offering the same services as that of a physician then why should the...

  21. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    There are MANY physicians going out of business or enter group practice because they can't maintain costs. Many are doing the job for much less than the average salary of around $170,000 (hence the...

  22. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    Regardless of the equivalency between the PA and MD/DO the training is very similar. Definitely more similar than either program to nursing or nurse practitioners. The training for a PA is modeled...

  23. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    Physicians are not saying that primary care is terrible, but they simply want more fair reimbursement. The primary care physicians see more varied patients than do specialists and they need a broader...

  24. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    I agree that the cost of practice is different for everyone, but in any case it is still a large factor in determining the number of patients you need to see every day to maintain financial viability....

  25. Don't Hate Me, All....

    pianoman511 replied to TakeBack's topic in Nurse Practitioners, NP

    I don't doubt that with your education and experience you are able to handle a complex patient. My question to you would be whether or not it helps you to have physician oversight or the option to...