Talk of The Villages Florida

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-   The Villages, Florida, General Discussion (https://www.talkofthevillages.com/forums/villages-florida-general-discussion-73/)
-   -   Doctor or a Physician Assistant (https://www.talkofthevillages.com/forums/villages-florida-general-discussion-73/doctor-physician-assistant-331695/)

mkjelenbaas 05-05-2022 05:52 PM

Quote:

Originally Posted by schwarz (Post 2091780)
Last time I saw my doctor at United Healthcare of the Villages I was told that I would be seeing his PA for my next six month visit, and perhaps for other future visits. This was disappointing as my understanding when I joined was that I would always see a doctor. I am sure that the PA is nice and communicating with my doctor but she is NOT a doctor.
Has anyone else experienced this yet? I was basically told that since I am healthy, he could spend more time with other less healthy patients.

You have a decision to make and I would not rely on input from this type of forum!

thevillages2013 05-05-2022 06:53 PM

Quote:

Originally Posted by schwarz (Post 2091780)
Last time I saw my doctor at United Healthcare of the Villages I was told that I would be seeing his PA for my next six month visit, and perhaps for other future visits. This was disappointing as my understanding when I joined was that I would always see a doctor. I am sure that the PA is nice and communicating with my doctor but she is NOT a doctor.
Has anyone else experienced this yet? I was basically told that since I am healthy, he could spend more time with other less healthy patients.

I drink to your health:coolsmiley:

thevillages2013 05-05-2022 06:57 PM

Quote:

Originally Posted by mkjelenbaas (Post 2092741)
You have a decision to make and I would not rely on input from this type of forum!

Easy now. Don’t be so hasty there are a few doctors that are regulars on here. SOME of them actually sound intelligent :popcorn:

mlmarr 05-05-2022 07:15 PM

PA
 
be happy you're getting treatment .. A PA has plenty of education to handle this position, with all patients being reviews by your PCP

markusmom 05-05-2022 08:47 PM

PA vs MD
 
My son is a doctor. The first two years of medical school is lecture and book work, the next two years are rotations, working with different specialists getting hands on experience participating in surgeries, observing and helping with the diagnosis of an illness or disease, stitching a wound, recognizing symptoms and learning how to treat them. Then on to at least 3 years of specialized training in their field. Someone with a PA degree completes the first two years of medical school, lectures and bookwork. They gain most of their experience while working in the doctor's office. As for "having time" to spend with the patient, that is a characteristic of the person not the degree.

dewilson58 05-05-2022 08:57 PM

Quote:

Originally Posted by markusmom (Post 2092797)
Someone with a PA degree completes the first two years of medical school, lectures and bookwork. They gain most of their experience while working in the doctor's office.

So does a doctor.

JMintzer 05-06-2022 05:53 AM

Quote:

Originally Posted by dewilson58 (Post 2092802)
So does a doctor.

Never go to the Hospital in July...

That's when the new Medical Residents show up... :eek::eek::eek:

mgkw1 05-06-2022 09:22 AM

My doctor has a PA that sees patients for follow up visits or illness visits. My yearly have always been with my doctor. The PA I see if wonderful, he is knowledgeable, asks the right questions and has always been spot on with treatment. In Jan I got covid and the Dr was not available, I dealt with his NP. Not having had good experiences with them in the past I was apprehensive. This woman was wonderful, She listened ...... Not just oh these are your symptoms, lets see what the book says. I can honestly say I like my physician, PA and NP. I must be one of the lucky ones

Golfer222 05-06-2022 09:35 AM

As a physician, I have worked with many PAs and NPs. Some are very good and some are very bad. But even the best are not even close to a physician. They lack the rigorous training ( both didactic and clinical) required to be a doctor. I did 4 years of medical school, 3 years of residency and 4 years of fellowship to subspecialize.
Even the most simple symptoms requires a differential diagnosis to exclude rare diseases. This is where I see the most difference. Most Pas and NPs will think of the top couple of diagnoses ( which are usually correct) but fail to exclude more rare causes, which can be fatal if not recognized. Essentially, they do not know what they do not know. Most URIs leave the office with a z-pack and a medrol dose pack , even though it is a viral illness. For any medical appointment I have, I always request a physician. If the office says I have to see a PA/NP, I politely decline and look elsewhere. Just my 2 cents from being in the trenches

Golfer222 05-07-2022 06:43 AM

Also, you have a right to determine who you see, although it may mean a later appointment

Golfer222 05-09-2022 05:47 AM

Would you want your plane flown by a "Pilot assistant" with 1/100 of the training of a certified pilot?

OrangeBlossomBaby 05-09-2022 11:46 AM

Quote:

Originally Posted by Golfer222 (Post 2092954)
As a physician, I have worked with many PAs and NPs. Some are very good and some are very bad. But even the best are not even close to a physician. They lack the rigorous training ( both didactic and clinical) required to be a doctor. I did 4 years of medical school, 3 years of residency and 4 years of fellowship to subspecialize.
Even the most simple symptoms requires a differential diagnosis to exclude rare diseases. This is where I see the most difference. Most Pas and NPs will think of the top couple of diagnoses ( which are usually correct) but fail to exclude more rare causes, which can be fatal if not recognized. Essentially, they do not know what they do not know. Most URIs leave the office with a z-pack and a medrol dose pack , even though it is a viral illness. For any medical appointment I have, I always request a physician. If the office says I have to see a PA/NP, I politely decline and look elsewhere. Just my 2 cents from being in the trenches

If I come in with an angry wound on my arm from a cut that is taking too long to heal and looks to have a bit of pus forming on one end, I'm going to trust the PA to a) assess that yes, it's an angry wound, b) it should/shouldn't need stitches, and c) it's definitely infected.

Other than the stitches, it's something even I, with no medical school at all, can figure out.

I'll trust the PA to a) clean the wound, b) stitch or not, depending on what it needs, c) dress the wound, and d) send me home with an rx for antibiotics OR give me an antibiotic shot if he/she thinks it's necessary OR recommend I redress with antibiotic ointment a few times a day for the next few days.

I'll trust that the PA is sufficiently trained in basic first aid and non-emergency wound care.

I'll also trust that if I insisted that only an MD could possibly handle this, the MD would likely be really annoyed that I wasted his/her time with a cut when the PA was perfectly capable of handling it.


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