[PrvPracNP] Hello

Tue Mar 14 09:21:49 PST 2006

----- Original Message -----
From: Nina Ravey
Sent: Tuesday, March 14, 2006 8:32 AM
To: 'Private Practice NPs'
Subject: RE: [PrvPracNP] Hello

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  

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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