I don't want to be left out of piling on Kevin:
You may be the bestest, sharpest PA in existence, but in my 25-year experience most PAs, NPs, and even many MDs have only a pretty vague idea of the specifics of vascular disease and diagnosis. That's why we get called in so often to R/O DVT in a leg with cellulitis, or chronic bilateral edema.
Specialization is a good thing. Specialists know their specialty better than a generalist ever can, because all of medicine, like all of modern life, is so bloody complex. Generalists serve their important function, specialists serve theirs. I'm the beneficiary of specialists (surgery for acoustic neuroma, twice; those guys do them week in and week out), so I like specialists very much. I like being one, too.
Maybe we can all just get along, although flaming is fun, to be sure.
From: UVM Flownet on behalf of Denise Levy
Sent: Sat 4/11/2009 9:50 AM
To: [log in to unmask]
Subject: Re: question regarding a lovenox protocol
What the heck does any of your comments have to do with Lovenox and call?
Kevin this is now a Nerve Conduction test on Vascular Technologist... You
you struck a nerve of many...
WE are all professionals PA or Vascular... We all agree on the scope of our
professsion and none of it is NARROW...
There are all levels of vascular technologist and PA's, & doctors from
worse to the great vascular technologist.
Kevin be a little more humble and we know our place in medicine, surgery and
We all practice within our scope of practice and thank goodness there are
technologist that pick up incidental findings that do change the course of
the patients care...
Denise Levy, RVT, RDMS, RDCS, RT,R
San Jose, CA
On Sat, Apr 11, 2009 at 8:37 AM, Zzooomm <[log in to unmask]> wrote:
> There are many vascular techs that are very good at the job they do. The
> reality is that to be a vascular tech, most states require no formal
> education and only recently even requiring registration. I have great
> respect for the techs that I know and trust many of them in their scope
> without doubt. Because you note a mass on the kidney does not mean you can
> treat the patient. What kind of tumor is it? Do you do the biopsy? Interpret
> the labs? Write the referral for oncology? Take their call at midnight when
> they can't sleep because they fear they will not see their kids grow up?
> Order the MRI or CT? Counsel the patient about their diagnosis? Write their
> Xanax prescription for their new acute anxiety since their diagnosis? Will
> it interact with their other medications? I have the utmost respect for good
> techs but the scope of practice is limited. I stand behind my statement as
> educated and informed. I spent many years in a relationship with the best
> vascular tech there is! I have tremendous respect, but reality is reality!
> Be happy with the great job you do!
> Kevin Wilson, PA-C
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