Comments on: "Treat and street but refuse repeat" http://www.kevinmd.com/blog/2007/03/treat-and-street-but-refuse-repeat.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2007/03/treat-and-street-but-refuse-repeat.html/comment-page-1#comment-72850 Anonymous Wed, 14 Mar 2007 12:44:00 +0000 http://clients.emmense.com/kevinmd/2007/03/treat-and-street-but-refuse-repeat.html#comment-72850 I have been an internist for 5 1/2 years and have never given an antibiotic for a viral infection. It has cost me more than 2-3 dozen patients. I think you are mistaken when you assume all doctors give in to their patient's demands and all minute clinics follow the guidelines correctly. Wait until the person who owns your clinic tells you your satisfaction rating is 4.5/5 instead of 4.6/5. You will cave in and try your best to please every patient.<br/><br/>The reason the above poster would prefer a physician is the superior training and experience. That doesn't mean there isn't a place for NP/PAs, it just means they shouldn't operate independently. I think you realize that logic, it just runs counter to the situation you are in.<br/>b I have been an internist for 5 1/2 years and have never given an antibiotic for a viral infection. It has cost me more than 2-3 dozen patients. I think you are mistaken when you assume all doctors give in to their patient’s demands and all minute clinics follow the guidelines correctly. Wait until the person who owns your clinic tells you your satisfaction rating is 4.5/5 instead of 4.6/5. You will cave in and try your best to please every patient.

The reason the above poster would prefer a physician is the superior training and experience. That doesn’t mean there isn’t a place for NP/PAs, it just means they shouldn’t operate independently. I think you realize that logic, it just runs counter to the situation you are in.
b

]]> By: JP http://www.kevinmd.com/blog/2007/03/treat-and-street-but-refuse-repeat.html/comment-page-1#comment-72813 JP Tue, 13 Mar 2007 12:57:00 +0000 http://clients.emmense.com/kevinmd/2007/03/treat-and-street-but-refuse-repeat.html#comment-72813 Hi Kevin<br/>As a family nurse practitioner, I have been w/Minute Clinic for about 8 months. As the guidelines state, viral episodes are treated that way, rest, chicken soup and OTCs. Some patients come in asking for an antibiotic, and their disappointment if not given leads them to their PCP where, under pressure it is given, not because it is indicated.<br/>Some MDs act to please a patient more than using good clinical judgement; they are to be criticized as well. <br/><br/>thanks, Kevin JP Hi Kevin
As a family nurse practitioner, I have been w/Minute Clinic for about 8 months. As the guidelines state, viral episodes are treated that way, rest, chicken soup and OTCs. Some patients come in asking for an antibiotic, and their disappointment if not given leads them to their PCP where, under pressure it is given, not because it is indicated.
Some MDs act to please a patient more than using good clinical judgement; they are to be criticized as well.

thanks, Kevin JP

]]> By: Anonymous http://www.kevinmd.com/blog/2007/03/treat-and-street-but-refuse-repeat.html/comment-page-1#comment-72798 Anonymous Mon, 12 Mar 2007 23:37:00 +0000 http://clients.emmense.com/kevinmd/2007/03/treat-and-street-but-refuse-repeat.html#comment-72798 Go to the blog and check out some of the comments. It's a good read. <br/><br/>I've said it before and I'll say it again - I would never, ever, trust the primary care of my children to a NP. Go to the blog and check out some of the comments. It’s a good read.

I’ve said it before and I’ll say it again – I would never, ever, trust the primary care of my children to a NP.

]]> By: Kevin http://www.kevinmd.com/blog/2007/03/treat-and-street-but-refuse-repeat.html/comment-page-1#comment-72786 Kevin Mon, 12 Mar 2007 19:32:00 +0000 http://clients.emmense.com/kevinmd/2007/03/treat-and-street-but-refuse-repeat.html#comment-72786 lol - you're right. I was getting all Sean Combs there for some reason.<br/><br/>Thanks,<br/>Kevin lol – you’re right. I was getting all Sean Combs there for some reason.

Thanks,
Kevin

]]> By: DrPak http://www.kevinmd.com/blog/2007/03/treat-and-street-but-refuse-repeat.html/comment-page-1#comment-72785 DrPak Mon, 12 Mar 2007 19:30:00 +0000 http://clients.emmense.com/kevinmd/2007/03/treat-and-street-but-refuse-repeat.html#comment-72785 Don't you mean 'ditty' ? Don’t you mean ‘ditty’ ?

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