[NPInfo] Cynical

Wed Sep 26 16:33:41 PDT 2007

They aint just sleeping-  and they are certainly in bed with each other!

----- Original Message ----- 
From: "Conrad Rios" <conrad.rios at ucdmc.ucdavis.edu>
To: "NP Info" <npinfo at nurse.net>
Cc: "NP Info" <npinfo at nurse.net>; <npinfo-bounces at nurse.net>
Sent: Wednesday, September 26, 2007 4:13 PM
Subject: [NPInfo] Cynical

> I agree about money and power. This is the basis of the book Freakanomics.
> When I try to predict behavior I think to myself ,Follow the  Money, What
> are the politics?, and who is sleeping with who.
>
> Conrad J. Rios, NP, PA, MSN
> Faculty
> UC Davis, FNP/PA Program
> 559-281-8211
>
> Email: conrad.rios at ucdmc.ucdavis.edu
> Web: http://fnppa.ucdavis.edu
>
>
>
>              Jeffrey Hazzard
>              <jeffnp27 at yahoo.c
>              om>                                                        To
>              Sent by:                  NP Info <npinfo at nurse.net>
>              npinfo-bounces at nu                                          cc
>              rse.net
>                                                                    Subject
>                                        RE: [NPInfo] NPR stories
>              09/26/2007 12:05
>              PM
>
>
>              Please respond to
>                   NP Info
>              <npinfo at nurse.net
>                      >
>
>
>
>
>
>
>     Carla and Barbara,
>
>         Let me be cynical.  The primary care docs won't "collaborate" or
> take down "barriers" or act in the interest of patients because that isn't
> where their interests lie.  It is ALL ABOUT THE BENJAMINS.  ($$)
>         For the same reason the Oregon specialists are nice to you.
> Nothing to do with respect.  No, far from it.  However detestable you are
> as a life form to them, you are a source of referrals, and so worth
> courting with an eye to the BENJAMINS.  Predict the outcome?  Follow the
> money and the power.  It will always, reliably, predict behavior.
>
>        Jeff
>
> Carla Anderson <carla_rayne at yahoo.com> wrote:
>   Barbara,
>
> I thought that was your area when I heard "Aberdeen". When you listen to
> the audio, they seriously make it sound as if it is in the Sahara Desert,
> or somewhere in the Middle East as being so rural and remote, that it is
so
> difficult to attract doctors. It is amazing. The September issue of JNP
Vol
> 3 No 8 has a pretty indepth article titled "Strategies to Overcome
Barriers
> to Effective Nurse Practitioner and Physician Collaboration".. it gives a
> good description and comparison of NPs to Physician roles, and speaks of
> some of the barriers to include: Lack of knowledge about NP role (from
> physicians), Poor physician attitude, Lack of respect, Poor
> communication... The goal of collaborating in the community should mean
> working together for patient interests, and of course the respect of each
> profession, but regarding healthcare, it is just undermining and weakening
> the entire structure with some of these barriers. Communication, such as
> you mentioned, when you are trying to
> interact can really interfere with quality of patient care, and outcomes.
> It is so stressful for patients too as it puts them and familiy often in
> awkward positions when they get caught in the middle. This is not the case
> with all physicians of course, I have met a couple specialists recently
> here in Oregon that have been so supportive, and very open with
> communication. Carla
>
> "Barbara C. Phillips" wrote:
> I've not yet heard/read this story, and I'll do so later. However, in the
> meantime, I can speak somewhat to the shortage here in Aberdeen. While I
> hate to sound negative, this is a very "doctor-centric" medical community.
>
>
>
> Years ago, before Peninsula took over the community center, there was
> another organization that had several NP's. Peninsula came in and the NP's
> went aware. They were replaced by PA's. Peninsula is no longer in our
> community - SeaMar has now taken over - again, no NP's (that I know of.
>
>
>
> At the time of that transition, and before we knew that someone was going
> to
> operate the community clinic - it happened that I opened my practice. I
> showed up at the meeting of health care providers (not really invited per
> se) and other community stakeholders to let them know I was opening in a
> few
> short weeks. I thought they would be thrilled - after all we were suppose
> to
> be short 10 primary providers! I should have factored in that I had been
> trying to establish contact with the person at the hospital who is
> responsible for "practice development in the community" (She's an RN by
the
> way) and who never returned my many calls. Silly me.
>
>
>
> Before I opened, there was one other NP owned practice (outside of
practice
> in a physician owned clinic/office) in this county (at the far reaches of
> this rural county). She is closing at the end of this year after being in
> practice for 7-8 years. Since I have opened, one other NP has opened an
> office in town. We are all experiencing the same thing...being ignored,
and
> even having pts being told to visit a "real doctor". (I love it when my
pts
> tell me about it - but then they are the ones who tell them they are
seeing
> a "real doctor".)
>
>
>
> Recently, the "doctor community" has added a 4 or 5 new faces...all of
them
> are "foreign physicians" with the exception of one I believe. But then, I
> get my news from the local newspaper.
>
>
>
> And speaking of the newspaper...they have never once published any of my
> letters to the editor. All of them have been about how women can access
> free
> care through the BCHP at several locations through the country or other
> health positive pieces. Of course, they will take my money when I place an
> ad.
>
>
>
> As for the NP's in clinics/etc in town...the three of us that are
currently
> independent never hear from them - ever. I personally get more support
from
> NP's in our state capitol, 50 miles away. Of course, that does not count
> the other two...I think we'll have to come up with a name for our little
> bodacious group in October when we meet (I'm sure the names will flow once
> we've had that margarita!).
>
>
>
> That's the climate in this rural WA county of 60,000 - through the eyes of
> this NP.
>
>
>
>
>
> Barbara C. Phillips, NP
>
> www.NPBusiness.ORG
>
>
>
>
>
>
>
> -----Original Message-----
> From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
> Of Carla Anderson
> Sent: Wednesday, September 26, 2007 1:06 AM
> To: NP Info
> Subject: Re: [NPInfo] NPR stories
>
>
>
> Paula,
>
>
>
> Thanks for the link. That was a very interesting story. Also, on the same
> NPR site, there was an audio story of an female IRAQ vet who is 22yrs old
> and wants to be a PA, but is suffering from PTSD.. and another audio when
> you look up under Health section, of the lack of doctors in
> Aberdeen/Bremerton Washington, and the focus is on Peninsula Community
> Health Centers and how they are trying to recruit doctors for primary
care.
> No mention of NPs or PAs as options.. They even talk of incentives such as
> giving foreign doctors US citizenship if they go there.. Carla
>
>
>
> Paula Sumner wrote:
>
> There is a great story on NPR about an 86yo nurse who served in WW II and
> recently was awarded a medal from france. Here is the link:
>
> http://www.npr.org/templates/story/story.php?storyId=14627960
>
>
>
> paula
>
>
>
>
>
> Paula J. Sumner RN, MSN, HTP, CHt
>
> Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
>
> 3500 Westgate Dr., Suite 504-G
>
> Durham, NC 27707
>
> 919-490-4656
>
>
>
> http://paulajsumner.byregion.net Referral ID#10102918
>
>
>
> http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2
>
>
>
> http://www.letstalkcounseling.com/sites/paulasumner
>
>
>
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>
>
> Carla R. Anderson, FNP-C
>
> Healing Presence Family Practice, PC
>
> carla_rayne at yahoo.com
>
> 503 819 9726
>
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> Carla R. Anderson, FNP-C
> Healing Presence Family Practice, PC
> carla_rayne at yahoo.com
> 503 819 9726
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