Lauren B | FNP, Mom 🫶🏻
Region: US
Wednesday 14 January 2026 12:04:26 GMT
133579
2811
180
14
Music
Download
Comments
kkmrozEk :
Point in case: cardiology orders a CT calcium score. Incidental finding a fatty liver. Patient asked what this means to cardiology. Cardiology says go ask your PCP and forwards the message and results. 🤦🏻♀️
2026-01-14 13:40:28
30
Ashley J. :
Oh my gosh, one of my biggest pet peeves. If you order the lab, follow it up. Family nurse practitioner does not stand for “catchall”
2026-01-14 21:18:10
156
Kittycat girl :
PCPs should also stop ordering labs they can’t interpret…like food allergy panels that aren’t indicated and end up being falsely positive
2026-01-15 04:34:05
36
Amanda :
I order labs all the time and I’m no intention of analyzing them. I always tell the patient I’m happy to get the ball rolling and we will reach out to you with the results, but it is their responsibility to follow up with the primary care doctor for management. Patient are the ones requesting labs.
2026-01-14 20:35:22
1
Julie DNP, FNP :
Allergy NP here- checking TPO used to be common for Chronic Spontaneous Urticaria- not so much anymore. BUT- I would always review and explain the issue. I’d also repeat before sending to PCP or endo if needed. Honestly
2026-01-14 13:55:45
31
Rachel ❌🤟 :
I’m a mental health provider. I have had pts sent to me for anxiety. No med work up. Thyroid has been abnormal hashi overall had two pituitary adenomas. Lots of iron deficiency anemias. So part of a work up for symptoms may be indicated as a rule out. I always send copy of labs to pcp however the whole point is the pt gets care. Some of this should be checked prior to some of the referrals.
2026-01-15 17:11:34
14
Gbaby :
NP at NYU long covid clinic ran a D dimer which came back 900 and she didn’t work it up :)
2026-01-14 13:54:04
8
Madeline Bebee :
Also cannot stand when the person gets all the way to a specialist, the specialist does a visit with them, then tells the patient that their primary care provider needs to order additional labs or imaging. Like isn’t that why I sent them to you?? Bc wtf am I gonna do with those results if they’re already in a specialist’s care??
2026-01-14 23:42:46
74
EG :
I think there’s nuance to this. I don’t think specialists expected to manage everything we find, but I also don’t support shotgunning labs willy nilly. If I pull labs because I’m concerned an undiagnosed chronic condition may be causing the symptoms they came to see me for, ex they have joint pain and I find out by bloodwork they have RA, I’m not going to manage the RA long term. I’m going to refer to rheum or back to pcp if their insurance requires it.
2026-01-14 22:23:47
7
BigBitesTakeMeHome :
I'm a huge advocate (small voice as I'm just starting as a doctor and not med student) about doctors accepting their limits and informing the patients and knowing when to refer. There's a reason why there's so many specialties.
2026-01-14 21:16:15
21
MentalMidwife :
Coming from psych- I will order labs in context of mental health evaluations or med monitoring knowing that some abnormal results I’ll refer back to PCP or to a specialist for further eval or management. It’s definitely my job to review the result, explain why the follow up is recommended etc. hopefully this isn’t annoying for PCPs?
2026-01-14 21:31:20
17
Holly Marie :
How much of a workup do you do when referring to a specialist? I was thinking it would be helpful to go ahead and get some labs/tests done while they are waiting for the specialist appt so the specialist could already have the info for that initial consult and save both them and the pt time. But is that not a good way to approach it?
2026-01-14 14:53:06
1
Endee70 :
My husband had his chromium checked as ordered by his orthopedic Dr. It was high and the Dr doesn’t own it! Neither will the PCP. Now what?
2026-01-14 18:13:56
0
Allyssa Buchanan :
Look what you started, Lauren 😂😛
2026-01-15 14:16:43
1
emilyblom :
Rheumatologist ordered labs on our patient. Her sodium was 134.. they told her to follow up with her PCP.. patient came to said follow-up.. and we proceeded to tell her it was one point out of range and not concerning. 😂 SO frustrating!
2026-01-15 00:31:48
10
Lori 🌼 :
Absolutely! I was always told, don’t order something you don’t wanna deal with later.
2026-02-19 17:10:51
2
Gui16 :
Legally, the ordering clinician is responsible for addressing abnormal results, even if the patient is told to “follow up with their PCP.”
2026-01-15 00:27:48
11
skelgreen :
This is why primary care should be top tier of office visit pay. You guys are the ones invested long term, start to finish. I said what I said. Not only would it increase providers, it would allow for longer appointments, and less fractured care. There can be only one captain of a ship.
2026-02-10 21:29:45
3
user3839885415190 :
Does the patient have csu? It’s standard for allergist to screen thyroid panels for hives but they’re not going to manage their thyroid if something is off will send back to PCP or endo.
2026-01-14 23:22:53
4
AE :
I’m a PA in ortho… see this all the time.. other non ortho providers order advanced imaging (usually not indicated) then have no idea what to do with the results because they dont know what they were looking for in the first place. Yes, refer to specialist to assist but don’t order a test/imaging that you cannot then result while waiting for specialty input.
2026-01-14 13:14:43
0
T 🍁 :
Sometimes there can be something wrong that can contribute to something, but does not need to be managed by the specialist. I want to know their metabolic risk so want to see a lipid panel, A1C, TSH on a patient but do not have the capacity to manage everyone’s chronic conditions. I let patients know they are abnormal and that they need to follow-up with their PCP.
2026-01-15 01:08:28
2
anniedanie92 :
As a speciality PA, I do agree with this. But question for you…I see so many patients in their 70s-80s who had an MRI ordered by their PCP for new onset knee pain with no injury. Why not just order an xr first and let me decide if further imaging is needed? I’m not saying all PCPs do this but I see this happen a lot.
2026-01-15 02:29:31
3
suzmacher :
Allergy PA here - You’re referring to us because a patient has hives. We do the urticaria eval, find the patient has an underlying thyroid condition, refer back to you for management. Has nothing to do with us ordering ancillary testing. A thyroid panel, including thyroid antibodies, is part of the normal work-up.
2026-01-16 01:01:19
4
To see more videos from user @laurenbthenp, please go to the Tikwm
homepage.
