[Medopark1]

So where was the urgent care that you had a good experience. Thanks. We need to know good places

[OhioBuckeye]

Originally Posted by manaboutown

You got passed off to a NP. No good! You should have seen an MD, an orthopaedic physician or a podiatrist.

The last time I was in TV I had a respiratory bug and went to urgent care. Never saw a real MD, just a couple of NPs or whatever who were not native English speakers which troubled me. I got better but was ready to get out of Dodge to see a real physician if necessary. Scary!

They also billed the crap out of my insurance which paid even for an unnecessary chest X-ray.

Not going to get into a long story MANABOUTOWN but I have a simular story. Had a 5 ways heart bypass, sat in waiting room for 4 hrs. 45 mins. at TV hospital, it was flu season with 3 other people sitting close to me with puke buckets, finally get in to see NP or a PA, not a licensed DR. didn't give right diagnosis, said they would give me a second opinion, never got it, which was a NO' NO. Got a bill for over $3,000. for doing absolutely nothing, Took bill to hospital CEO, she check it out & couldn't believe I got this kind of treatment, got another bill for $0,000. So what you said I can definately believe. Glad I finally got someone that had a nightmare too!

[OhioBuckeye]

You know I've had this same thing happened when I live in Ohio. You go to the Dr. with a health problem, they'll ask you what the problem is, then after you tell them what it is they'll almost tell you you're crazy & tell you that you have something totally different. My wife got the mumps when she was in her mid 40's. Her jaws hurt like crazy & she ask the DR. if she had the mumps but who gets the mumps at 45+ yrs. old. He started treating her for something off the wall, he never mentioned mumps because I really don't think he ever treated anybody with the mumps. We asked him if it was contagious & he said NO, so we went out to a restaurant that night, now can you believe how many people got exposed to this disease. So my wife called our brother in law who's a Internist. He told her to put her hand over her month & blow without letting no air out, my wife said it hurt like H _ _ _, he said you have the mumps, so go to the Dr. & tell him to do a mumps test & said no need you'll get over it. So she went to a pediatrician, yes I said pediatrician. Our Daughter worked for him & he said he would be more than happy to do the test. A couple of days later the results came back. She had the mumps. Can't believe a Dr. didn't know she had this, it's so fundamental that he should of known this his first week in medical school. So I can believe everyone of these stories or nightmares that everyone talked about!

[Aloha1]

Originally Posted by Marathon Man

A broken toe does not need a doctor, an x-ray, or any special care. You wrap it with tape and six weeks later it's healed. I broke a toe a year ago. I went to Walgreens for tape, in my sandals, and it healed up just fine.

I am seeing on this thread what I feel is some over-reaction.

With all due respect, one size does not fit all. In 2016, I broke my little toe. By break, I mean totally broken bone into 2 pieces. The toe needed to be reset and splinted for 6 weeks. You were lucky. Many are not.

[klindes]

Not necessarily. It depends on when they graduated. Education requirements have been changing in recent years.

[bbbbbb]

[QUOTE=retiredguy123;1507201]I went to the Urgent Care in Brownwood last week with a broken toe. A young woman nurse practitioner came into the exam room. I had to ask for her name and title and then she only gave me her first name. She spent most of the time on a laptop

Yes, we could surprise you with the Assistant to the Assistant etc. On the West Coast, this is not allowed.
It is extreme here, I could tell you some experiences with medical novices at the Villages and it is getting worse.
The medical boards etc., for this state need to get into this or Medicare or someone, it is really out of hand.

bbbbbb

[graciegirl]

Originally Posted by OhioBuckeye

You know I've had this same thing happened when I live in Ohio. You go to the Dr. with a health problem, they'll ask you what the problem is, then after you tell them what it is they'll almost tell you you're crazy & tell you that you have something totally different. My wife got the mumps when she was in her mid 40's. Her jaws hurt like crazy & she ask the DR. if she had the mumps but who gets the mumps at 45+ yrs. old. He started treating her for something off the wall, he never mentioned mumps because I really don't think he ever treated anybody with the mumps. We asked him if it was contagious & he said NO, so we went out to a restaurant that night, now can you believe how many people got exposed to this disease. So my wife called our brother in law who's a Internist. He told her to put her hand over her month & blow without letting no air out, my wife said it hurt like H _ _ _, he said you have the mumps, so go to the Dr. & tell him to do a mumps test & said no need you'll get over it. So she went to a pediatrician, yes I said pediatrician. Our Daughter worked for him & he said he would be more than happy to do the test. A couple of days later the results came back. She had the mumps. Can't believe a Dr. didn't know she had this, it's so fundamental that he should of known this his first week in medical school. So I can believe everyone of these stories or nightmares that everyone talked about!

Mumps - Diagnosis and treatment - Mayo Clinic

Mumps is usually not serious. Did the doctor tell your wife it was a clogged parotid salivary gland?

I have never heard of a doctor telling anyone they are crazy, not even a psychiatrist. Overstatement makes others skeptical.

[drcskny]

Thank you for the information. Can you provide the name of the urgent care center?

[graciegirl]

Originally Posted by drcskny

Thank you for the information. Can you provide the name of the urgent care center?

urgent care in the villages, fl - Bing

[Mstpac22]

So can Physicians Assistants. Having been one for 40 years I have that knowledge first had. My prescribed number in Florida is 2. Yes just 2. There is no practical difference between PAs and NPs. Mostly political. PAs receive their education in medical schools(at least I did at Emory in 1976). NPs receive their educations in nursing schools. In reality both do the exact same thing within their chosen field. PAs have been around longer than NOs with the exception of Nurse midwives who have been around for centuries. Attitudes have nothing to do with expertise in medical knowledge. Bad attitudes are shameful in anyone and regrettable at best. She could have ordered X-rays and maybe even a CT scan if that would make you feel better However all it would have done is raise your bill astronomically. It would not have changed your treatment nor would a doctor or a podiatrist or an orthopedist. I do believe there are young inexperienced NP PA and MDs who are left alone far to early in their careers. I ask what year a doctor is in his residency at teaching hospitals. I won’t see less than a third year resident. Same goes for PAs and NPs ask how many years they have practiced. If it isn’t to your liking ask for someone else or go somewhere else. As for the laptop thank Congress and lawyers. The amount of documentation required to get paid takes far longer in many cases than seeing a patient examining and treating them. So from one who is one I hope this helps define the lines

[Nectarine]

I have been treated very well and professionally at Urget Care on Rt. 44 across from Publix. Both by NP and Md.

[Mstpac22]

To the people who said NPs have more medical education there are variances from Certificates with BSNs to Masters to Doctorates. The same for Physician Assistants. Here a question for y’all to debate. Who would you prefer a medical provider with a higher degree or more years of experience?

[perrjojo]

Originally Posted by Mstpac22

To the people who said NPs have more medical education there are variances from Certificates with BSNs to Masters to Doctorates. The same for Physician Assistants. Here a question for y’all to debate. Who would you prefer a medical provider with a higher degree or more years of experience?

Having worked in the medical profession I say more experience. Another requirement is personal integrity. Some very talented doctors I have worked with were a little short on integrity. Some mediocre doctors were very high in that department.

[lindaelane]

Nurse practitioners have done a better job with me than doctors, on average. All my NP experiences have been positive and I can' t say the same for doctors. Last summer I asked a doctor to test me for Cronh's and he refused. Last month I told my ills to a NP, and she tested me - its positive. Now I can be treated and get to feeling better. The same was try for my chronic arthritis pain. NP allowed robaxin for those difficult days - this stops muscle spasms, which no doctor had ever explained were part of arthritis. I know it sounds silly but I thought the pain was mainly nerves and caused by inflammation inflammation. Nurse practitioners, on average, listen to me longer, and take my needs seriously.

It is really just a different model of how to treat those who are ill. Nurse practitioners have doctorates and there is a reason they can prescribe and diagnose in our strict system of medical qualifications - they are qualified.

I now need some cysts lanced and I am pretty grateful I can ask a NP to do this - doctors don't get very much practice at it but a NP will know if biopsy is needed in addition to lancing.

TV health does not have the specialists to take care of our needs -that is obvious. I have to wait two months for a colonoscopy and endoscopy even though my bloodwork is 95% indicative of Crohn's. (No treatment for the disease until the colonoscopy and endoscopy.)Pretty shabby. Anyone see any similarity at all, even in the slightest, to the VA scandal?

I think TV health tries not to hire MDs from outside the US. I think they mostly hire people who already know they want to retire in TV. The first doctor I had here was practicing and was an octogenarian. (Sadly, he had issues and I have to switch.) As anyone knows who has visited doctor's offices outside of large metropolitan areas, US physicians for the most part won't live in non-urban areas. You will be treated by a doctor from outside the US at least three-quarters of the time if not more. But my neighbor, a retired doctor, assures me that doctors from outside the US must pass all our medical tests.

[Barefoot]

Originally Posted by Mstpac22

So can Physicians Assistants. Having been one for 40 years I have that knowledge first had. My prescribed number in Florida is 2. Yes just 2. There is no practical difference between PAs and NPs. Mostly political. PAs receive their education in medical schools(at least I did at Emory in 1976). NPs receive their educations in nursing schools. In reality both do the exact same thing within their chosen field. PAs have been around longer than NOs with the exception of Nurse midwives who have been around for centuries. Attitudes have nothing to do with expertise in medical knowledge. Bad attitudes are shameful in anyone and regrettable at best. She could have ordered X-rays and maybe even a CT scan if that would make you feel better However all it would have done is raise your bill astronomically. It would not have changed your treatment nor would a doctor or a podiatrist or an orthopedist. I do believe there are young inexperienced NP PA and MDs who are left alone far to early in their careers. I ask what year a doctor is in his residency at teaching hospitals. I won’t see less than a third year resident. Same goes for PAs and NPs ask how many years they have practiced. If it isn’t to your liking ask for someone else or go somewhere else. As for the laptop thank Congress and lawyers. The amount of documentation required to get paid takes far longer in many cases than seeing a patient examining and treating them. So from one who is one I hope this helps define the lines

Excellent information from someone who is knowledgeable.