WHO (?) Orders imaging, lab, and therapy

• Previous message: WHO (?) Orders imaging, lab, and therapy
• Next message: Transfer - NO [Stating a Fact!]
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

Should not NP's order diagnostic tests based on physical exam, differential
diagnosis and EBM?

Andrew Bowman

----- Original Message ----- 
From: <KMATTOX at aol.com>
To: <trauma-list at trauma.org>
Cc: <Redstart at aol.com>
Sent: Saturday, August 18, 2007 1:41 PM
Subject: WHO (?) Orders imaging, lab, and therapy


>
> Wadoodi has expressed concern that NPs are soon able to order lab &
imaging
> by protocol, WITHOUT a physician input.    We all will  very soon (new
wave of
> health care delivery under new political/economic  guidelines?) recall
with
> pleasure, the days when NPs ordered under  collaboratively developed
protocols.
>
>
> VERY SOON,  very soon, patients will have developed their own  protocols
from
> the Internet, and from WIKI forums of all sorts.   They  will have the
> ability to order their own labs, imaging, and drugs at proprietary  labs,
> pharmacies, and imaging centers, with some retired doctor adding their
name just so it
> can be pseudo legal.    The patients and their  families will also come
into
> the hospital ORDERING their own surgery,  chemotherapy, and other drugs,
as
> well as ordering just which specialist should  do what.    Wikitherapy
driven.
>
>
> k
>
>
> In a message dated 8/18/2007 12:31:23 P.M. Central Daylight Time,
> awadoodi at hotmail.com writes:
>
>
> hi
> My own observation is that we will soon been replaced by nurse practioneer
> who can order a CT just as easily as a doctor and cost a lot less to
train.
> The art of medicine will soon only be found in galleries as opposed to
> hospitals and clinics
> Wadoodi
>
>
>
>
>
> ____________________________________
>
> From:  "Eaves.Wanda"  <Eaves.Wanda at mccg.org>
> Reply-To:  "Trauma  &amp; Critical Care mailing list"
> <trauma-list at trauma.org>
> To:  "Trauma &amp;  Critical Care mailing list"  <trauma-list at trauma.org>
> Subject:  RE: New Intern,  Resident, Internist, Family Practioner, -- CT
Scan
> Date:  Sat, 18 Aug 2007 12:45:36  -0400
> >Mike: I totally agree with your post. It is so frustrating  to CT
> >everything when the patient obviously needs intervention, not  testing.
> >Wanda Eaves
> >
> >-----Original  Message-----
> >From: Mike Smertka  [mailto:medic0947969 at yahoo.com]
> >Sent: Friday, August 17, 2007 2:33  PM
> >To: Trauma &amp, Critical Care mailing list
> >Subject:  Re: New Intern, Resident, Internist, Family Practioner, --  CT
> >Scan
> >
> >Dr. Mattox,
> >
> >   it is  my observations that physicians who can do a HX and PE  without
> >relying on radiology are becoming few and farther between.  Infact, many
> >of the physicians I worked under and my preceptors have  reminded me that
> >there is no diagnosis without radiology,  irregardless of physical
> >findings. It was shocking to see the  comments about taking the pt to the
> >OR so fast. I can count the  number of patients I have seen taken to the
> >OR from the ED in less  than 45 minutes. The number I have seen go to
> >surgury without a  head/chest/abd/pelvis CT scan is even less. Of course
> >I have a theory  on this if you'd like, but I will spare the group  from
> >it.
> >
> >    Mike
> >
> >KMATTOX at aol.com wrote:
> >
> >In a message dated  8/17/2007 10:10:47 A.M. Central Daylight Time,
> >Krin135 at aol.com  writes:
> >
> >What was the patient doing in the "CT scan 2 hours  after arrival "
> >with a "systolic BP 0f 40-60"  ??
> >
> >
>
>
>
>
>
>
>
> ************************************** Get a sneak peek of the all-new AOL
at
> http://discover.aol.com/memed/aolcom30tour
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/

• Previous message: WHO (?) Orders imaging, lab, and therapy
• Next message: Transfer - NO [Stating a Fact!]
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]