[PrvPracNP] Websites/Blogs for and about NP's

Wed Mar 28 13:43:13 PDT 2007

I'm not in private practice but I'm interested in the blog too
	Brenda

-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]
On Behalf Of lynn phillips
Sent: Wednesday, March 28, 2007 1:11 PM
To: 'Private Practice NPs'
Subject: RE: [PrvPracNP] Websites/Blogs for and about NP's

I like the idea of a blog, too.
Lynn Phillips,
Bethlehem, PA

-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]
On
Behalf Of amy ma
Sent: Wednesday, March 28, 2007 11:21 AM
To: Private Practice NPs
Subject: RE: [PrvPracNP] Websites/Blogs for and about NP's

I am not in private practice, nor own one.  But I like
the idea of Blog.  We can learn more from each other
and help each other.  

Amy Ma
New York, NY
--- Nina Ravey <nravey at bellsouth.net> wrote:

> I would definitely be an active participant and
> share the horrible
> experiences I have been put through the last five
> years in private, rural
> health practice (my own) in Louisiana where the good
> ole boys thrive and the
> rest of us try to survive and our BON is snowed by
> the Medical Community and
> association as are our legislatures and private
> insurances who back doctors
> and legislators to keep us in our places not being
> credentialed or allowed
> on their credentialing boards and therefore we are
> either not paid or paid
> out of network.  How long can anyone hang onto
> private insurance patients
> who have to pay all or 40% on top of their premiums?
>  None!  Even though in
> the 5 years I have offered free diabetic education
> classes in my office and
> in another town 20 miles away every four months and
> have diagnosed close to
> 3000+ diabetics most of whom begged their docs to
> test them further for
> diabetes and the doc told them no.  Then when I tell
> them that when they are
> dx they have actually had diabetes for a good 10 to
> 15 years, they get so
> mad because they think about all the time that has
> been wasted not
> preventing further damage to their organs!  A lot of
> these have been private
> insurance and they are faithful, but unless they get
> a respite from the
> cost, they have to eventually leave which is so
> exasperating - all the work,
> teaching, getting them to goal, checking their feet,
> HgA1C q 3 months, eye
> exams yrly as well as urine for microalbumin,ect.,
> etc.  And all of the
> other patients who I treat as family and probably
> shouldn't, but they need
> so much teaching and prompting, checking up on (I
> call my staff and I the
> blood sugar police, the blood pressure police, the
> breathing police and we
> call to check on them until we get them straightened
> out.  Making house
> calls to 80 and 90 yr old sweeties who I am so
> afraid will break something
> if they have to come all the time to my office - or
> the 60 yr old retarded
> girl whose mother died of a heart attach a few
> months after I started going
> to see them at home in the country of a farming
> community (we are all
> farming in Southwest LA, the ones who are not oil or
> blown away by the
> hurricaines) 25 - 30 miles from my office - and
> asked me to please continue
> seeing her daughter if something happened to her (
> she must have had a
> dream...) anyway she is bed bound, totally dependent
> on her sister and niece
> who have taken care of her for last 5 years since
> the mother died and have
> sustained accusations by home healths that they were
> not taking good care of
> the girl, that the girl was too bad and they should
> put her in a nursing
> home, that I was just a NP and they should see a
> doctor  - well they
> promised their mother and grandmother that they
> would keep her home and care
> for her and they have done an excellent job - I stop
> by without notice when
> I have to go to a meeting in north or central LA and
> she is always clean,
> and well cared for - she has her moments and times
> when she is ill, has
> chronic UTI's, has a PEG tube because she goes on
> strike every now and then
> and won't eat, mediport for the many times she has
> to have antibiotics, for
> which her insurance is Medicare ( her social
> security from her father is
> $100 too much for Medicaid and so they must pay for
> ambulance trips to
> hospital or any other place which is quite
> expensive, medication needed for
> current infection and which medicare will not pay
> for and so sister, who can
> ill affort to, has to pay for the expenses whatever
> they are.  I coukd
> probably write an encyclopedia but had better not. 
> Had better go to bed so
> I can teach two diabetic classes tomorrow after
> seeing patients in am at
> noon and after afternoon class to help other NP that
> will sub for me
> tomorrow.
> 
>  
> 
> But I have plenty to offer about the pitfalls and
> what I have learned from
> every mistake I have made in the book.  I love the
> idea of a patient blog
> also and could probably get patients to add their
> comments about their
> horrible experience  with doctors and why they are
> so happy to see me as a
> NP who explains everything to them and listens to
> their concerns when
> doctors DO NOT!
> 
>  
> 
> Let me at it!
> 
>  
> 
> Thanks,
> 
>  
> 
> Nina Ravey, MSN, RN, CNS, BC-FNP, APRN
> 
> Shirley Medical Clinic
> 
> 711 N. Main St.
> 
> Jennings, LA 70546
> 
> 337-824-2002 or 2005
> 
> Fax: 337-824-2004
> 
> ninanp at bellsouth.net
> 
> www.shirleymedical.com
> <http://www.shirleymedical.com/> 
> 
>  
> 
>  
> 
>   _____  
> 
> From: prvpracnp-bounces at nurse.net
> [mailto:prvpracnp-bounces at nurse.net] On
> Behalf Of Barbara C. Phillips
> Sent: Tuesday, March 27, 2007 9:30 AM
> To: 'NP Info'; 'Private Practice NPs'; 'NP Clinical'
> Subject: [PrvPracNP] Websites/Blogs for and about
> NP's
> 
>  
> 
> Colleagues,
> 
>  
> 
> Forgive the cross posting, but I wanted to get this
> out to as many of you as
> possible.
> 
>  
> 
> If there was a blog or a website that was geared
> toward NPs in Business (any
> kind of NP business/practice), and another one
> geared to health care
> consumers about NP Practice, would you be willing to
> participate? 
> 
>  
> 
> The first one would be geared toward NP business
> owners and those who wish
> to start a business (different types of practice and
> business). I envision
> it being our own experiences, a place to ask
> questions and get answers. A
> resource for those starting out and those of us
> already there. It would
> require input from other NP's as I can not possibly
> do it myself. Would you
> be willing to write an article, post to the blog,
> make comments, answer
> questions, talk about your practice, and/or ????
> 
>  
> 
> The second one would be geared toward health care
> consumers and the public
> in general. What NP's can do (ie scope of practice),
> advantages of having an
> NP as your primary care provider, etc.  Education is
> sorely needed (just
> yesterday, I had to explain to a rep for an A1c
> device, 
=== message truncated ===>
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