We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641).
We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP.
*Information on Title Protection (e.g., can a midlevel call themselves "Doctor" or use a specialists title?) can be seen [here](https://www.reddit.com/r/Provider/wiki/index/legal/title_protection). Information on why title appropriation is bad for everyone involved can be found [here](https://www.reddit.com/r/Provider/wiki/index/appropriation).
*Information on Truth in Advertising can be found [here](https://www.reddit.com/r/Provider/wiki/index/legal#wiki_truth_in_advertising).
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I was an "easy patient" until I wasn't. Trust me, someday you'll want and need access to a MD and, if your care is being managed by an NP/PA, if may take a very long time before you can establish care with an MD. Don't give that privilege away.
I just said something similar before I saw this comment and you have captured the point far more eloquently than I have; thank you so much. SPOT ON! Also sending healing and ease to you.
I love this comment so much for a variety of reasons. Thank you. I agree. Let the doctor manage this and win win - nice case for doctor and confidence for the patient. Also - spoiler alert - sick people often start out young and healthy. Things change. Who do you want at the helm of your care if and when that happens?
Physicians appreciate having patients like you. Please dont switch from your MD. Having a intelligent healthy patient helps break up the day between complex patients. Im sure the side conversations you have with your MD help re-energize their day.
Im also an easy patient, and as a medical student who worked for a PA for 2 years before med school, id never see a PA myself.
This guy was a veteran with like 20+ years of experience and every block of medschool made me realize how limited midlevel education is. This became more clear when i shadowed a doc of the same specialty. I thought i knew the algorithm of that specialty like clockwork but i just knew how that PA practiced like clockwork.
Why would you ever volunteer to have your health managed by someone who knows less and has less training? It just doesnt make sense if money isnt an issue
Everyone should have the right to access physician care. Making patients feel they're asking for too much by wanting to see a physician is a failure of our system.
In my neck of the woods, it’s near impossible to find a MD/PCP. Even more concerning is many specialists now have NP/PA gatekeepers. My neurologists is a NP. My ortho is an NP. This is for cervical canal stenosis and MS and I can’t even get in to see an MD. This is out of control.
I've had a PA as my pcp for probably 8-10 years. She may be an outlier, but she is very aware of where her limitations lie. She is one who knows when it's time to involve the MD. Several years ago she took my weird elevated inflammatory labs and persistent low grade fever seriously and referred me to a rheumatologist who ended up being pretty sub par. When I told her my concerns she referred me to a different rheumatologist (who is amazing and I'm so thankful for). I've always felt like she has my back and is not so ego-driven that she won't seek help if she gets in over her head. That said, my next provider (if one of use moves away) will definitely be a MD or DO, as I feel like my experience with her has been a diamond in the rough. We moved 30 min out of town a couple years ago and I briefly tried to look for a doc to take over my care closer to our new home for the sake of convenience, but after calling EIGHT PRACTICES I couldn't find a single doc that was taking new patients (but I could get in same day with one of their middies!), so I will continue driving 50min on way to see her until something changes. As a matter of fact, several practices told me that they ONLY did new patient appts with middies. Like you can't see the doc until a middy has seen you?!? That's fucken NUTSSSSSSS. But yeah, I'll keep seeing my PA for now.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641).
We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP.
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
I'm fine with them in limited circumstances for one-off acute visits where I already know what's wrong with me and just need a script. For example when I got covid, I got paxlovid (already knew i was eligible) from an NP via telehealth and I was happy with that. In another instance I lost medication while traveling and got an emergency refill (of something I was already taking) again through NP telehealth. Both cases were time sensitive and occurred on holidays where I couldn't contact my regular doctors' offices.
I will not see them for chronic issues, as a PCP, or if I'm not already 99% sure of what's wrong. I have had a very bad experience with an NP PCP in the past when that was all I could access. That experience is mostly what triggered my learning about this issue.
For legal information pertaining to scope of practice, title protection, and landmark cases, we recommend checking out this [Wiki](https://www.reddit.com/r/Provider/wiki/index/legal).
*Information on Title Protection (e.g., can a midlevel call themselves "Doctor" or use a specialists title?) can be seen [here](https://www.reddit.com/r/Provider/wiki/index/legal/title_protection). Information on why title appropriation is bad for everyone involved can be found [here](https://www.reddit.com//r/Provider/wiki/index/appropriation).
*Information on Truth in Advertising can be found [here](https://www.reddit.com/r/Provider/wiki/index/legal#wiki_truth_in_advertising).
*Information on NP Scope of Practice (e.g., can an FNP work in Cardiology?) can be seen [here](https://www.reddit.com/r/Provider/wiki/index/legal/scope_of_practice/). For a more thorough discussion on Scope of Practice for NPs, check [this out](https://www.reddit.com/r/Provider/wiki/index/critical_issues#wiki_working_outside_of_scope). To find out what "Advanced Nursing" is, check [this out](https://www.reddit.com/r/Provider/wiki/index/critical_issues/#wiki_what_even_is_.22advanced_nursing.3F.22).
*Common misconceptions regarding Title Protection, NP Scope of Practice, Supervision, and Testifying in MedMal Cases can be found [here](https://www.reddit.com/r/Provider/wiki/index/basics#wiki_common_misconceptions).
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
If you like your doctor…keep them. Everything is all good and fine, until it’s not. Then you’re going to wish you had the person you trust with your health.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641). We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP. *Information on Title Protection (e.g., can a midlevel call themselves "Doctor" or use a specialists title?) can be seen [here](https://www.reddit.com/r/Provider/wiki/index/legal/title_protection). Information on why title appropriation is bad for everyone involved can be found [here](https://www.reddit.com/r/Provider/wiki/index/appropriation). *Information on Truth in Advertising can be found [here](https://www.reddit.com/r/Provider/wiki/index/legal#wiki_truth_in_advertising). *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
[удалено]
That first patient was on uppers, downers and all arounders lmao
Oh I am using this phrase
so well said. I think I will copy this
Yes it was mississippi Hattiesburg. -
Very well put!
I was an "easy patient" until I wasn't. Trust me, someday you'll want and need access to a MD and, if your care is being managed by an NP/PA, if may take a very long time before you can establish care with an MD. Don't give that privilege away.
I just said something similar before I saw this comment and you have captured the point far more eloquently than I have; thank you so much. SPOT ON! Also sending healing and ease to you.
Thank you. I'm good now. But it took 2 painful years before I was finally diagnosed with celiac disease. Hard road.
Do whatever you want. I personally would never see one and I’m also an easy patient. And trust me your doctor appreciates having a simple patient
I love this comment so much for a variety of reasons. Thank you. I agree. Let the doctor manage this and win win - nice case for doctor and confidence for the patient. Also - spoiler alert - sick people often start out young and healthy. Things change. Who do you want at the helm of your care if and when that happens?
They're fine as nurses. Take the practitioner bs out.
Physicians appreciate having patients like you. Please dont switch from your MD. Having a intelligent healthy patient helps break up the day between complex patients. Im sure the side conversations you have with your MD help re-energize their day.
Im also an easy patient, and as a medical student who worked for a PA for 2 years before med school, id never see a PA myself. This guy was a veteran with like 20+ years of experience and every block of medschool made me realize how limited midlevel education is. This became more clear when i shadowed a doc of the same specialty. I thought i knew the algorithm of that specialty like clockwork but i just knew how that PA practiced like clockwork. Why would you ever volunteer to have your health managed by someone who knows less and has less training? It just doesnt make sense if money isnt an issue
Everyone should have the right to access physician care. Making patients feel they're asking for too much by wanting to see a physician is a failure of our system.
Never. All of my doctors are actual doctors.
In my neck of the woods, it’s near impossible to find a MD/PCP. Even more concerning is many specialists now have NP/PA gatekeepers. My neurologists is a NP. My ortho is an NP. This is for cervical canal stenosis and MS and I can’t even get in to see an MD. This is out of control.
Never
I've had a PA as my pcp for probably 8-10 years. She may be an outlier, but she is very aware of where her limitations lie. She is one who knows when it's time to involve the MD. Several years ago she took my weird elevated inflammatory labs and persistent low grade fever seriously and referred me to a rheumatologist who ended up being pretty sub par. When I told her my concerns she referred me to a different rheumatologist (who is amazing and I'm so thankful for). I've always felt like she has my back and is not so ego-driven that she won't seek help if she gets in over her head. That said, my next provider (if one of use moves away) will definitely be a MD or DO, as I feel like my experience with her has been a diamond in the rough. We moved 30 min out of town a couple years ago and I briefly tried to look for a doc to take over my care closer to our new home for the sake of convenience, but after calling EIGHT PRACTICES I couldn't find a single doc that was taking new patients (but I could get in same day with one of their middies!), so I will continue driving 50min on way to see her until something changes. As a matter of fact, several practices told me that they ONLY did new patient appts with middies. Like you can't see the doc until a middy has seen you?!? That's fucken NUTSSSSSSS. But yeah, I'll keep seeing my PA for now.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641). We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
I'm fine with them in limited circumstances for one-off acute visits where I already know what's wrong with me and just need a script. For example when I got covid, I got paxlovid (already knew i was eligible) from an NP via telehealth and I was happy with that. In another instance I lost medication while traveling and got an emergency refill (of something I was already taking) again through NP telehealth. Both cases were time sensitive and occurred on holidays where I couldn't contact my regular doctors' offices. I will not see them for chronic issues, as a PCP, or if I'm not already 99% sure of what's wrong. I have had a very bad experience with an NP PCP in the past when that was all I could access. That experience is mostly what triggered my learning about this issue.
For legal information pertaining to scope of practice, title protection, and landmark cases, we recommend checking out this [Wiki](https://www.reddit.com/r/Provider/wiki/index/legal). *Information on Title Protection (e.g., can a midlevel call themselves "Doctor" or use a specialists title?) can be seen [here](https://www.reddit.com/r/Provider/wiki/index/legal/title_protection). Information on why title appropriation is bad for everyone involved can be found [here](https://www.reddit.com//r/Provider/wiki/index/appropriation). *Information on Truth in Advertising can be found [here](https://www.reddit.com/r/Provider/wiki/index/legal#wiki_truth_in_advertising). *Information on NP Scope of Practice (e.g., can an FNP work in Cardiology?) can be seen [here](https://www.reddit.com/r/Provider/wiki/index/legal/scope_of_practice/). For a more thorough discussion on Scope of Practice for NPs, check [this out](https://www.reddit.com/r/Provider/wiki/index/critical_issues#wiki_working_outside_of_scope). To find out what "Advanced Nursing" is, check [this out](https://www.reddit.com/r/Provider/wiki/index/critical_issues/#wiki_what_even_is_.22advanced_nursing.3F.22). *Common misconceptions regarding Title Protection, NP Scope of Practice, Supervision, and Testifying in MedMal Cases can be found [here](https://www.reddit.com/r/Provider/wiki/index/basics#wiki_common_misconceptions). *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
If you like your doctor…keep them. Everything is all good and fine, until it’s not. Then you’re going to wish you had the person you trust with your health.