[PrvPracNP] Hello

Tue Mar 14 10:27:03 PST 2006

Terry,

I have been a RN for 33 years and a FNP for 5 years.  Never heard a word or
knew any of the state board people prior to becoming a NP.  Now, I think
they recognize my voice when I call I have had so much contact with them!
And it hasn't been all good!  Louisiana is a "good ole boys" state and my
little town is a "good ole boys" town with the doctors being the good ole
boys and trying to shut me down.  I've been at it 4 years and they still
want to get rid of me - I treat 70% medicaid and am the only provider in
this parish (county) of 40,000 people who accepts new adult medicaid
patients and they still don't want me in their territory.  Yet I was born
and raised here and many of them were not - so I'd like them to go back from
where they came from.  At times I'd like to give up, but then I kick myself
in the butt and go back to fighting the good fight - afterall, if we don't
push on and get things changed, the docs will always have the upper hand and
that sucks!

I'm not trying to discourage you because I love what I do, but I'm just
letting you know the sordid lining of this equation - it's not all a bed of
roses.  I even have fellow NPs who ostracize me in order not to be
associated with me since I am so unwelcome.  Most of those work in a docs
office so they have no clue how difficult it can be.

I think you should do fine.  Try not to spend too much money on the business
and don't keep throwing good money after bad - set a stopping mark for
yourself so that when you reach it you reevaluate the business and determine
truthfully where you want to go from there.

You can call me any time if you'd like.  I'm not always negative - in fact I
precept students from two NP programs 40 miles away and the instructor would
like me to move my clinic there because so many of the NP students want to
come to my clinic to practice.  We give them "the rest of the story" when
they come to us - take off the gloves and get down and dirty.

Let me go to the office.

Nina Ravey

Nina Ravey, RN, MSN, CNS, C-FNP
Family Nurse Practitioner
Shirley Medical Clinic
711 N. Main St.
Jennings, LA 70546
337-824-2002
Fax:337-824-2004
www.shirleymedical.com
Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
Management, Physical Medicine and Rehabilitation, Diabetic Education
Classes, Walk-ins, Appointments

"It never ceases to amaze me how being a good nurse is often in direct
opposition to being a "good employee."

Spreading the word and bucking the herd!

Backing up what's right without backing down from the fight!

Nurse Practitioners are exactly what our health care system needs: a
flexible, adaptable, high-quality, low-cost provider who can fill a variety
of roles. 

After all, it's what we do that makes us what we are.
jim croce

Those are my principles, and if you don't like them... well, I have others.
- Groucho Marx 

"You don't stop laughing when you get old, you get old when you stop
laughing" 

Psalms 55:22 "Cast thy burden upon the Lord, and He shall sustain thee He
shall never suffer the righteous to be moved." 

"First they ignore you, then they laugh at you, then they attack you, then
you win."  quote from Mohandas Ghandi

"Shoot for the moon.  Even if you miss, you will land amongst the stars." 
-Les Brown 

  <http://allthingshawaiian.com/kalena/livealohahibiscus.gif> 

<file:///C:\Program%20Files\Common%20Files\Microsoft%20Shared\Stationery\ama
izrul.gif> 

  _____  

From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of Terry White RN FNP
Sent: Monday, March 13, 2006 11:35 PM
To: PrvPracNP at nurse.net
Subject: [PrvPracNP] Hello

I'm from LaFayette NY---just south of Syracuse (Gerry MacNamara
Country---for all you college basketball fans.....), and have started
tackling the ultimate goal of my life---opening up my own
practice....WHEW!!!!

I have the building (an old Victorian house)---practice will be on first
floor, and I'll be living on second floor, have the financial backers, have
a good patient base --approx 300 to start, have an accountant, attorney, but
I'm still scared to death that I'll bomb----I have 20 yrs as RN, and 10 yrs
as NP, and as outspoken and confident as I have been for past 30 yrs, I'm a
wreck....

Did anyone else have that nagging anxiety when they first started out????

Have any pearls to throw out?????

Thanks

Terry

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