Taz Profile picture
Sep 30, 2020 10 tweets 2 min read Read on X
So AB 890 was signed into law by our CA governor, unfortunately. Some may feel as if it is a win, I do not. To clarify, nothing was preventing NPs from caring for the underserved...nothing. The lack of logic to their claims that physicians never work rural/underserved areas but
2)somehow prevented them from doing so did not register with legislators. The thing when one talks BS is you have to remember the lie. It's tough. They have been given license by our legislators to practice medicine w/o a medical license. The irony is the only nursing body to
3)oppose AB 890 was the CA BON who has now been forced to supervise what they did not want nor are equipped to supervise. So a fake-a** "advisory committee" made up of 4 NPs, 2 token physicians and one community member. No idea how members will be selected but I can guarantee you
4)it won't be objective. What bothers me most as a person with a conscience and a physician is that not one organization, legislator or person is concerned that no one has followed up quality of care in states with FPA. EVER. Seems to me when state legislators pass a law
5)asserting that care provided by NPs w/o supervision or regulations is of high standards, doesn't it make sense that perhaps someone would see fit to see if this is actually the case, instead of assuming? There is nothing that states so clearly that human beings are expendable
6)lab rats undeserving of further consideration. And our legislators in CA have jumped on that moving train, undisturbed since they have physicians to care for them. Anyway, the good news is that with the new law, NPs are not only required to advise patients they are NPs, they
7)must post in an obvious location that they are regulated by the BON, post in a conspicuous location the website where patients can go to check their licenses and if necessary, file a complaint. NPs must "have an identified referral plan specific to the practice area, that
8)includes specific referral criteria." Unfortunately, the bill cannot mandate docs accept those referrals if they do not believe them to be warranted or they don't want to increase their liability enabling an unqualified NP practicing medicine w/o a medical license. Because you
9)see, the BOM may just consider that aiding and abetting the illegal practice of medicine. Gray areas almost never work in favor of the docs. The idea of lawsuits makes docs nervous. So good luck with that Jim Wood. The NPs can call you. Because when you wrote this bill, you
10)failed to include docs at the table while expecting them to be available for the convenience of your bill. It just doesn't work like that. Docs just don't like their licenses being played with. It's how they feed their families and pay their bills.

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More from @Suburbanbella

Mar 25
@Cigna doing what they do best. Denying s**t. 3 mo old baby in respiratory distress-s/p open heart surgery 2 months before. Baby gets intubated at local ED & doc makes decision to transfer to a higher level of care emergently & arranges for air ambulance.
kffhealthnews.org/news/article/m…
2)Unsurprisingly, air ambulance is out-of-network. Mom and Dad get $97K bill. Cigna believes the pt could have gone by ground ambulance & whines that no records show that ground ambulance “would impede timely and appropriate medical care.” If a doc is transferring a patient Image
3)by air, it's f***ing emergent. We don't take that s**t lightly and we don't do it "routinely". We do it because it's necessary. Instead of having an actual EM Cigna doc talk to the doc so they can communicate the necessity of such a transfer, Cigna chose to deny the claim.
Read 11 tweets
Mar 3
Appears the NP who didn't recognize shingles(from my earlier post) was advised, by crowdsourcing, that the patient has shingles. One would think that would be enough. Nope. Now she asks how to treat. She has no idea how Acyclovir is metabolized(hint: it's not the liver) or how
Image
2)it's dosed. I will keep ridiculing this nonsense until dimwitted legislators stop enabling scope creep & nursing does something about it's trashy NP education. Improved access, but the quality of care sucks. No access is better than this s**t. midlevel.wtf/elite-np-would…
3)Why is it acceptable to "practice" this way on underserved/marginalized/disenfranchised populations? Let them go do this s**t on people in BelAir or the Hamptons for a change. See how that pans out legislators. I no longer redact names because the public needs to see it is not
Read 4 tweets
Feb 7
This is what bulls**t looks like. Lip service to appear important-but no receipts so the public can understand. Contrary to popular belief, PA school is not med school on steroids. Allow me to interpret the BS. If one is REQUIRED to apply to a med school, there is no "IF". Image
2)"If" implies the individual either does not know what the f**k they are talking or they are straight up lying through their f**king teeth. In the scope creep issue, it is both. "Regardless" is equivalent to "Anyway"...with an attitude. And no receipts.
3)Allow me to demonstrate receipts. Can't use PA programs in the UK because they are raggedy. There are 306 PA programs in the U.S. All are accredited(unless they are on probation). Below is the didactic/clinical curriculums of Duke's 2 yr PA program.
Image
Image
Read 9 tweets
Feb 5
What a move by the RCP. Totally antithetical to their core mission. Sellouts. PAs have been in the UK since 2005. Unregulated. Suddenly, regulation and prescribing rights are of the utmost importance. Let me say that as an EM doc, I have to be very familiar with pharmacology so
Image
Image
2)that I can intervene expeditiously in patients suffering from various toxidromes, in addition to "routine" medical management. Can't rush through learning that s**t. Ask a pharmacist. But a college that represents physicians is sanctioning expediting prescribing rights for a
3)"profession" with minimal pharmacology training. Like it's a piece of cake. I really don't understand why physicians endorse this s**t when they know full well it is not safe or in the best interest of the public. This is diabolic & reprehensible. Sigh...
Read 12 tweets
Feb 4
Some of you may recall the NP in California who impersonated a doctor online and in-person by not clarifying that she was a NP-as required by state law(Nursing Act). $20,000 fine by the San Luis Obispo DA. She had an "independent" medical practice(NPPs
2)cannot own medical practices in CA), writing prescriptions for everything under the sun w/o a protocol in place(also a violation of the law) & only notional supervision. Her "supervising" doc worked in Massachusetts. Welp, the doc has been fined $25K for failing to supervise.
Read 8 tweets
Feb 4
Listen, I have to get this s**t off my chest. Who the f**k actually believes it is acceptable to allow a so-called "health profession" to have access to patients, to do whatever the f**k they want, yet have no regulations or guidelines(so the public is not protected),
2)no CLEARLY defined scope of practice and NO LICENSE requirement?!! UK PAs, I'm looking at you👀. People, for the love of God, this is unethical as f**k. I cannot believe the commentary by physicians, who represent one of the most regulated, overly licensed & certified
3)professions in the f**king world, DEFENDING this s**t. I'm specifically speaking to the physicians who claim they have "trained" the PAs to be competent and provide high quality care. How the f**k is the public supposed to know that? Because you say so? There is no physician
Read 13 tweets

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