Nurse Practitioners: All The Attitude Of A Physician, None Of The Skills.

My friends, this night I will convince you that all Nurse Practitioners should be stripped of their prescribing authority. Actually I won't do it, a Nurse Practitioner who chose to put on public display her incredible ignorance will. All I will do is cut and paste a letter to the editor from the leading trade magazine Drug Topics:

Generics are not the same

I am an NP in pediatrics — old school, you could say — practicing for close to 20 years. I have a real problem with generics for my patients, family, and myself. I was taught and have read that certain generics such as those used in warfarin and cardiac therapy should not be used.

Even the slightest difference could prove harmful. An oncologist here in town will only use brand Coumadin for her patients. I witnessed my father's blood pressure soar after only a few days on a generic and quickly return to normal after he took an extra dose and then went back to brand. I find various generic antidepressants have little to no therapeutic effects on the majority of my patients.

Brand drug prices are soaring. No one really talks about this subject, and consumers, our patients, should know or have a choice!

Jeanne Monaco, BM, BSN, MSN, ARN, CPNP


Dear Jeanne, 

I am a community pharmacist that has practiced for almost 20 years-old school you could say-if you were dumb, because there are about as many people who have practiced longer than me as there are people who haven't been practicing as long. So you could call me old school if you want, but a little mental effort would tell you I am really middle school. 

But the fact you have no sense of time doesn't make you stupid. Well, actually it does, but that wouldn't be a problem if that was where the stupidity ended. The real reason I'm posting here Jeanne, is to let the world know all Nurse Practitioners are incompetent. I have a real problem with Nurse Practitioners for my patients, family, and myself. I was taught and have read that some Nurse Practitioners don't know what the word " bioequivalent" means and should not be used.

I know an oncologist who refuses to let his wife or anyone he cares about see a Nurse Practitioner. And one time, I witnessed a patient who was treated by a Nurse Practitioner, then died. Many other people have died after seeing Nurse Practitioners as well. One other time, a person I know being treated by a Nurse Practitioner went code blue at the hospital, only to quickly return to normal after being attended to by a physician. I find various Nurse Practitioners to have little to no therapeutic effects on the majority of my patients.

The cost to see a physician is soaring. No one really talks about this subject, and consumers, our patients, should know or have a choice!

So there you go Jeanne, I just proved Nurse Practitioners are dangerous and should be avoided. The same way you took down over two decades worth of real world data and scientific evidence regarding generic drugs in 143 words. Or I just pulled a bunch of shit out of my ass, one of the two. Either way, our letters are remarkably similar, yes? 

Something tells me you don't see my point. 

Drugmonkey

ABU, NCH, OFLET, TERS, TOH, IDE, IMAM, ORON