Taz Profile picture
20 Mar, 17 tweets, 6 min read
Tweet Peeps, most of you who know me know that I am a wordsmith. Not quite as exceptional as @OTirmizi, but close. One of my biggest pet peeves is word manipulation. Spinning. Why? Because in some instances, it is intentionally used to deceive. When it deceives the public, I get
2)enraged. So let me demonstrate an example of a hospital's ad to provide consult services for Endocrinology, specifically, diabetes. So the "specialists" in the ad are two NPs. Deceitful act #1: One NP is described as a "board-certified NP who specializes in care for
2)endocrine diseases..." The implication is that he/she is a specialist in diseases of the endocrine system, with a particular focus in DM. His/her memberships includes the American Association of Clinical Endocrinologists(-ology)--lending false credibility to his/her being an
3)endocrine specialist. The second individual is an Adult Geriatric NP, also with a special interest in DM. At the end of their alphabet soup are acronyms indicating they are certified in DM education and/or management. Not endocrine--DM. Deceitful act #2: It is not clear here,
4)but NP subspecialties such as endocrine do not require schooling, just "training". OJT. A NP who works with an endocrinologist for 2 months may arbitrarily refer to him or herself as an "Endocrinology NP". They are actually NPs who work in endocrinology. Big difference in
5)meaning. That's the spin. It conveys an expertise that is not comparable to a physician who specializes in Endocrinology. For example, Duke has an endocrinology specialty for NPs--it's three courses in addition to their NP specialty/focus. Online, except for one day where they
6)must go on campus to have hands-on training/simulation of insulin pumps and Glucose monitors. Compare that to an endocrinologist who must have prior training in IM(3 yrs), Peds(4yrs) or Ob/Gyn(4yrs) before completing a 2 year fellowship in endocrinology. Duke is a stellar
7)school. Unfortunately, like a few other Ivy League or big name schools, they have joined the online NP degree mill racket. Their NP program is well structured. However, there is no way you can convince me that someone can become an expert in a medical specialty that requires
8)total immersion in a hands-on, didactic and clinical educational program. The majority of NPs in endocrine will most likely have trained under an endocrinologist who then determined, arbitrarily, that the NP was competent to see patients as initial consults. Despite the fact
9)that a fully trained and licensed physician referred patients to an endocrinologist for further assessment. It is safe to assume that the referring doc is most likely medically competent, has evaluated/treated/managed, etc. the patient and has hit a block in which more
10)expertise is required, only to have their patient seen by a NP who is not trained in medicine nor is an expert in endocrinology. The old bait and switch. Deceitful act #3: When a doctor vouches that a NP is an expert in his specialty because the NP was trained by him/her,
11)he/she is lying to the public. What do mosts specialists know about NP "specialties" or "subspecialties?" and their actual training? Again, a physician is not a nurse so when training, he/she is training in a medical model, the only model they know. NPs have no foundation in
12)medicine since they did not attend med school. What fundamental knowledge base is the physician then building on? A nursing foundation, something they know nothing about unless they have themselves previously been a nurse or NP. In the screenshot, the ad indicates the NPs can
13)provide consults for critically ill inpatients with DKA and HHS. That is worrisome. These NPs may be perfectly qualified to manage stable patients with DM and provide diabetes education. However, they are not physicians and should not be permitted to perform initial consults
14)on critically ill patients. Were I a patient reading this ad, I would feel perfectly secure. Ignorant of the fact that the ad does not indicate any of the information I shared above. So what would be my natural assumption? That they are as good as the doc. When I think of the
15)unmatched doctors who would be much safer to use in this scenario(as consults) but can't because they are not considered to have enough knowledge...Well--I get incensed. Please push your legislators to support this bill:
@pppforpatients @AmerMedicalAssn @acgme @AAMCtoday

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More from @Suburbanbella

4 Mar
Physician colleagues in Texas(and elsewhere), I ask that you please sign this petition for the Wattenbarger family to support them in persuading legislators to pass Betty's Law. This is especially important in light of a proposed bill, HB 2029, which
2)would allow NPs to practice medicine unsupervised. Physicians for Patient Protection(PPP) is vigorously opposing this bill because they don't wish to see any more preventable cases like Betty's. PPP was contacted by the Wattenbarger family when they read about the organization
3)in a news story concerning a NP-run hormone clinic. A community physician, @amytownsendmd, a board member of PPP, was able to get the clinic shut down after two patients died and a child was mismanaged. In both cases, NPs misrepresented themselves and "supervision" was lax.
Read 8 tweets
27 Feb
Peeps, Texas is next on the chopping block for FPA. NPs are at it again, trying to pass legislation(HB 2029) so they can practice unsupervised. If there was ever a time to stand up against, this is it. Physicians from all over, write letters or call Texas
2)legislators. NPs in this forum who oppose FPA, this is your time to put your money where your mouth is. It is not enough to say you don't support it then sit back on your laurels. Write/call the legislators and let them know. I have listed their contact info. Klick is a lost Image
3)cause--she is the sponsor of the bill. I encourage the public who don't support nurses practicing medicine unsupervised to contact these house members as well. MS legislators had the good sense to recognize that they needed to get more information before passing a bill that
Read 14 tweets
21 Jan
FYI CALIFORNIA PHYSICIANS: As most of you may know, AB 890, the bill sponsored by a nutwad dentist who thinks that NPs and physicians are the same, was passed into law on 9/29/20. As is typical with FPA, the plan on how that law will be executed is disorganized. Oversight by a
2)BON who is not only under investigation for falsifying documents, but who also voted against the bill and wanted no part of supervision but were forced, a weak "advisory" committee to the BON which has no enforcement powers whatsoever, a "transition to practice", provided NPs
3)have 3 years of FT "equivalent" work in good standing, (although this requirement can be modified if they have a DNP degree), etc. The legislature made their intent clear: "2837.100. It is the intent of the Legislature that the requirements under this article shall not be an
Read 13 tweets
18 Jan
I want those of you reading this to understand the significance of this request. Physicians are being asked to function as nurses after some "training". Not NPs who are actually RNs. Not CRNAs who are actually CC RNs. Not LVNs. Not EMTs or paramedics. Physicians. Nursing is
2)not an entry-level position, it requires skill. Expertise. Physicians are not trained to be nurses, although there are a few who were nurses prior to becoming physicians. So exactly what training will be provided since it takes a minimum of 2 years to become an RN(AA degree)?
3)That is, real nurses, not the entry-level degree RNs who don't actually work as RNs. So nursing must be pretty easy if anyone can be trained to do it. Why not contact the ANA or the AANP to ask them to put out the word to their membership and request assistance from actual
Read 13 tweets
16 Jan
thehill.com/opinion/health… Here we go again. This time it is the American Academy of Physician Assistants(AAPA)using the pandemic to push their agenda of Optimal Team Practice aka OTP aka practicing medicine w/o a medical license. Same old broken record of "outdated regulations",
2)designed to protect the public, preventing them from practicing at the "top of their license", which to date, remains undefined. Same old tired a**"studies" that show equivalent or better outcomes than the physicians who train them. Studies that anyone with common sense can
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Read 11 tweets
31 Dec 20
LONG TWEET. The WGN report by Rich McHugh set off a firestorm. The American Association of Nurse Practitioners(AANP) is on the defensive, claiming it disparaged NPs. Doesn't matter that WGN's anchorman clearly stated it was about transparency in health care, which all HCPs should
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3)Practice Authority(FPA) aka: "independent" practice aka: practicing medicine w/o a medical license should never have been an option in the U.S., because it represents two-tiered care. Now the AANP has set out to prove they are being discredited because physicians had the
Read 17 tweets

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