![]() ![]() So when she said that she has been advised only to give the RX for high risk, I am betting that is what she is referring too. Minute clinic goes by strict collaborative agreements and if she goes against what she has been instructed, she is not covered to practice. Worse, if the NP is on a collaborative practice agreement and goes against what she has been told to do under that agreement - she can get in trouble. If your DD has mild enough disease that she is able to stay at home, I would continue with the care she advised. I would agree with the NP you saw at the minute clinic. I can understand wanting to go all momma bear and wanting to protect her with meds though. I know it is frustrating but I also know if my DD were mildly ill and had no other illnesses, the tamiflu would probably do little for her anyway. It is absolutely awful.ĭid they complete a flu test on your DD or did they just diagnose clinically? If she was diagnosed clinically and did not have a flu test, that makes it even trickier. Everyone is coming down with flu like symptoms right now. ![]() If everyone with flu like symptoms got tamilfu - we wouldn't have enough of it for the extremely sick. And we will only give tamiflu to those kids within the 48 hour window. We are only treating the severely ill with antiviral medication (think hospitalized) or those who are very high risk (have a pre-existing condition that makes them more likely to be hospitalized). I was able to get my acne calmed down to where I could cover it with makeup.Īnyway, for our kids - most are only mildly ill. But thank god she got me through, because I had to speak the next week in front of a group of people. And for my acne - she could only prescribe certain medications based on the severity of my acne. What she could prescribe and when she could prescribe it was very much spelled out to her - she had very few liberties. In fact, for each diagnosis or complaint, what she could give (medication wise) was based only on each diagnosis. For acne, she could only prescribe out of a list of of a few acne medications. She actually showed it to me because we were talking shop - I'm an NP too. Anyway, I gave them my list of meds, but the NP could only give me / refill what was on her roster. I can only prescribe up to age 21 because I am peds specialty, and of course, I would never prescribe for myself. So, for the first time ever, I went to a Minute Clinic. But I could not get into derm, nor I could I get into my PCP or any other clinic. So horribly in fact that I was panicking. I know this sounds silly - but I know that I had an "emergency" run into a minute clinic last when my face broke out horribly. At least, that is what our local Minute Clinics seem to do. ![]() Minute clinic goes by strict collaborative agreements and if the NP goes against what she has been instructed, she is not covered to practice. However, she does have the parents who push and push for it and won't leave without it.but she has similar parents when it comes to antibiotics. She said that unless her patients have underlying conditions she tries not to prescribe it. No two cases of flu are the same so the people getting better with tamiflu might have gotten better faster anyway. I know that if I get the flu I will automatically be put on tamiflu because I have asthma, heart arrhythmia and a suppressed immune system and every year that I get the flu, I end hospitalized for a week.īut my internist said she doesn't like prescribing it for low risk patients. It has a lot of side effects and for most people is t worth it. They said there are just too many flu cases and they have to prioritize who needs it the most and who it is really useful for. I was told by my internist on Friday and ER doctors yesterday that they are now only prescribing tamiflu for high risk patients (or if they live with a high risk patient). ![]()
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