Anonymous
08/02/2024 23:08
Subject: Re:Nurse practitioner training has changed
Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:I had chicken pox in my 40s…NP thought it was a skin issue…Brother in law is a pen….diagnosed it in 5 minutes
Similar story here - my shingles was misdiagnosed as cellulitis by a PA at an Urgent Care. I was in agony for several days, as a pregnant woman, until a dermatologist diagnosed me correctly in about 30 seconds. I’m still so grateful to her!!!!
Actually your Obgyn should have seen that one and diagnosed easily. While shingles is relatively rare in young women, they are relatively common in the pregnant population due to immune suppression in pregnancy. I diagnose them several times per year.
I can absolutely see how an urgent care provider could misdiagnose, especially at early stages, regardless of training.
“Old-style” NP who commented earlier.
I’m glad to know that shingles is difficult to diagnose. I’m the formerly pregnant lady who posted above. I was 39. I started feeling the pain on a Friday (on top of my head), so it would have been difficult to get an outpatient appt anywhere. The weekend was agony - I took Codeine only when I could not stop swearing from the pain. The truly ridiculous thing is that Urgent Care PA called me the next week to follow-up. He was in disbelief that his antibiotics did nothing and his diagnosis was incorrect!
Umm shingles is not hard to diagnose. Same thing happened to me before I went to med school. I was in my 20s and super stressed about applying to med school and an NP I saw at urgent care was literally googling rashes in front of me. A doctor I saw it in 5 secs and diagnosed it. In med school I saw a ton of shingles and also as a resident. We also get tested on it a lot.
Did you happen to read the case? It was under the hairline on the head in early stages, before the vesicles appeared. Would you truly be certain it was shingles versus, say, poison ivy?
Anonymous
08/02/2024 21:19
Subject: Nurse practitioner training has changed
I work in a system that only hires RNs and MDs. I get so many resumes for NPs (applying for the RN positions) who are not qualified/experienced enough for me to hire as RNs and they are not only skill-dumb but book-dumb. I have no idea how some of them passed to have their DNP.
Anonymous
08/02/2024 21:06
Subject: Nurse practitioner training has changed
Anonymous wrote:Anonymous wrote:I don't see how this is an issue. They are doing three years of school. Medical school is only two years and a residency. I have a really good NP, I have also had really bad ones as well as horrific doctors. I really don't have any doctors I'd consider great. Training is just part of it.
Today I learned med school is only 2 years!
And those other two years aren't full of 40 hour weeks, either. Clinical time is usually limited to 80 hours a week.
Are NP students spending 50-80 hours a week in hospitals, managing patients?
Anonymous
08/02/2024 20:57
Subject: Nurse practitioner training has changed
Also- disseminated shingles is difficult to be certain
Anonymous
08/02/2024 20:55
Subject: Re:Nurse practitioner training has changed
Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:I had chicken pox in my 40s…NP thought it was a skin issue…Brother in law is a pen….diagnosed it in 5 minutes
Similar story here - my shingles was misdiagnosed as cellulitis by a PA at an Urgent Care. I was in agony for several days, as a pregnant woman, until a dermatologist diagnosed me correctly in about 30 seconds. I’m still so grateful to her!!!!
Actually your Obgyn should have seen that one and diagnosed easily. While shingles is relatively rare in young women, they are relatively common in the pregnant population due to immune suppression in pregnancy. I diagnose them several times per year.
I can absolutely see how an urgent care provider could misdiagnose, especially at early stages, regardless of training.
“Old-style” NP who commented earlier.
I’m glad to know that shingles is difficult to diagnose. I’m the formerly pregnant lady who posted above. I was 39. I started feeling the pain on a Friday (on top of my head), so it would have been difficult to get an outpatient appt anywhere. The weekend was agony - I took Codeine only when I could not stop swearing from the pain. The truly ridiculous thing is that Urgent Care PA called me the next week to follow-up. He was in disbelief that his antibiotics did nothing and his diagnosis was incorrect!
Umm shingles is not hard to diagnose. Same thing happened to me before I went to med school. I was in my 20s and super stressed about applying to med school and an NP I saw at urgent care was literally googling rashes in front of me. A doctor I saw it in 5 secs and diagnosed it. In med school I saw a ton of shingles and also as a resident. We also get tested on it a lot.
Timing of presentation determines ease of diagnosis. If you already have multiple vesicles along a dermatome- easy. If you have discomfort and redness but no vesicles yet- not easy to be certain. Again- valacyclovir pretty benign, so not a problem if you are wrong.
Anonymous
08/02/2024 19:43
Subject: Nurse practitioner training has changed
Anonymous wrote:I don't see how this is an issue. They are doing three years of school. Medical school is only two years and a residency. I have a really good NP, I have also had really bad ones as well as horrific doctors. I really don't have any doctors I'd consider great. Training is just part of it.
Today I learned med school is only 2 years!