if you were following yesterdays stories IKYK but unfortunately this is a weekly occurrence…probably more! A LOT falls under what PCPs have to manage and it’s not for the faint of heart. We do and will do A LOT but we cannot nor should we do it all. Speciality friends thinks of us before you say defer back to PCP pretty please😂😘 #primarycare #FNP #ruralmedicine #medicalhumor #NPlife #themidwestfnp #mominmedicine
2 years agolantypantss
Yeah. I started your patient on antihypertensives and metformin for you because you missed that on your last visit (the one where you had the numbers but for some reason only ordered a colorguard test and Rx’d some vitamin D and testosterone) and now homie got admitted with hypertensive urgency and an a1c of 12. Im telling him to follow up with you because I feel like that is more reasonable than the HOSPITAL managing his chronic medical problems. - signed, hospitalist NP who has no shame saying follow up with your PCP
2 years agoaonyx262
A well trained PCP can manage some things without having a specialist see everything that isn't HTN with single drug treatment or DM on metformin.
2 years agomartinchacp
It is the PCP’s job. It’s not the ER’s job to manage their DM, HLD, HTN. It’s not the cardiologist’s job to manage their COPD. It’s not the gastroenterologist’s job to counsel them on weight loss. It is the PCP’s job, see them more frequently, schedule nursing visits, etc.
2 years agodr.ihussain
Im confused, you do understand thats your literal fucking job right. To manage chronic medical problems that dont warrant further valuable time and resources of an emergency department/inpatient hospital. They are supposed to follow up with you post-discharge. Not use up hospital resources for some shit you [allegedly] are capable of managing outpatient.
2 years agoamedalie1
I already know there will be a ton of ludicrous comments about NPs buying their online degree and how if we want to be physicians we should go to med school, blah blah. I promise you, there are plenty of primary care provider roles to go around and not enough warm bodies to fill them- whether you’re MD, DO, NP or PA. Thankful I have a collaborating physician-and other MD members of our team- that do not share these small minded, negative viewpoints.
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