Does this "practical nurse" work for your doctor? If so, the nurse is SUPERVISED by your doctor and is privy to the same information that the nurse is. Seems that a lot of primary care physicians have two or more APRNs working for them who see the patients on a routine basis, with the doctor seeing patients on the first visit or on subsequent visits when something serious or outside the APRN's expertise pops up. But it is the doctor who makes that call, not the patient.
Not saying that this is the case...but many of us geezers interpret every ache, pain or twinge as "something serious".
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