From Dr. K

Doctors, Nurses, PAs, and NPs: What’s the Difference?

When you visit an urgent care clinic in Bradenton or Lakewood Ranch, you might encounter various healthcare professionals. Understanding the different roles and qualifications of these providers is essential for making informed decisions about your health and ensuring you receive the appropriate level of care. At East County Internal Medicine, we believe in transparency and empowering our patients with knowledge.
It’s important to recognize that while Physician Assistants (PAs) and Nurse Practitioners (NPs) are highly valued members of the healthcare team, they are not physicians. Each role has distinct educational paths, scopes of practice, and levels of autonomy.
Physician Assistants (PAs)
PAs are medical professionals who diagnose illness, develop and manage treatment plans, prescribe medication, and often assist in surgeries. They practice in every state and in every medical specialty and setting.

  • Education: PAs complete a master’s degree program (typically 2-3 years) after earning a bachelor’s degree. Their training follows a medical model, similar to physician education, but is less extensive. They are educated as generalists and can work in various specialties.
  • Supervision: PAs practice medicine under the supervision of a licensed physician. The extent of this supervision can vary by state and practice setting, but the physician maintains ultimate responsibility for patient care.
  • Focus: PAs are trained to diagnose and treat conditions within their scope of practice and often focus on disease management.

Nurse Practitioners (NPs)
NPs are advanced practice registered nurses who provide a broad range of healthcare services. They focus on health promotion, disease prevention, health education, and counseling.

  • Education: NPs typically hold a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP) degree, building upon their registered nurse (RN) education and clinical experience. Their training follows a nursing model, emphasizing holistic and patient-centered care.
  • Autonomy: The level of independent practice for NPs varies significantly by state. In some states, NPs can practice independently and prescribe medication without physician supervision, while in others, they require physician collaboration or supervision.
  • Focus: NPs often emphasize preventative care, patient education, and managing chronic conditions.

The Physician: Your Cornerstone for Complex Care
A Physician (MD/DO) completes the most extensive and rigorous medical training. This includes:

  • Four years of undergraduate education.
  • Four years of medical school (MD – Doctor of Medicine or DO – Doctor of Osteopathic Medicine).
  • A minimum of three to seven years of residency training in a specialized field (e.g., internal medicine, cardiology, surgery), followed by potential fellowship training for sub-specialization.

Physicians are uniquely qualified to:

  • Diagnose and treat complex, rare, and life-threatening conditions.
  • Oversee comprehensive patient care plans, especially for patients with multiple comorbidities.
  • Lead healthcare teams, including PAs and NPs.
  • Provide the highest level of medical expertise and decision-making for intricate health challenges.

Why Does This Matter for You and Your Loved Ones?
When you or a loved one needs urgent care, especially for serious or undiagnosed conditions, the level of expertise can be critical. While PAs and NPs are skilled professionals for many routine and acute issues, a physician’s extensive training and broad scope of practice offer a deeper level of diagnostic capability and management for more complex or ambiguous cases.
At East County Internal Medicine, your health is our priority. We are committed to providing you with the highest quality of care, led by experienced physicians who understand the unique healthcare needs of our Bradenton and Lakewood Ranch community. We encourage you to always be aware of who is providing your care and to ask questions about their qualifications and role.
For comprehensive and physician-led care, trust East County Internal Medicine.

Recreational Cannabis Up in Smoke for Florida

Getting a legal "high" on the ballot in Florida has hit another roadblock. For those waiting on the 2026 midterms to change the game, the verdict is in: Recreational cannabis is officially off the ballot.

Despite massive efforts, the Smart & Safe Florida campaign fell short of the required signatures by the February 1st deadline. Compounded by a Florida Supreme Court dismissal, the dream of adult-use legalization is effectively deferred until at least 2028.

For many in the East County community seeking relief from chronic pain, anxiety, or insomnia, this news might feel like a setback. However, there is a silver lining: The Florida Medical Marijuana program is stronger than ever.

Why Medical is Still Your Best Bet
You don’t have to wait years for a ballot measure to find relief. At East County Internal Medicine, we prioritize patient access to safe, regulated, and effective treatments. Here is why the medical route remains the gold standard:

  • Speed of Access: You can obtain your Medical Marijuana Registry Card much faster than waiting for a change in state law.
  • Professional Guidance: Unlike "budtenders," our medical team provides personalized dosing strategies tailored to your specific health history.
  • Quality & Safety: Floridas medical products undergo rigorous testing that ensures you are getting exactly what is on the label, free from contaminants.
  • Legal Protection: A valid medical card is currently the only way to legally possess and use cannabis in the state of Florida.

Get Started Today
Don’t be discouraged, join the growing number of patients here in Lakewood Ranch and Bradenton, Parrish, Sarasota and Myakka who engaged with us and got access to premium cannabis for relief.

Ready to explore your options? Visit the East County Internal Medicine Patient Portal to schedule your consultation and get relief today.

New Oral Wegovy (Semaglutide) is Here

Just this past week, Novo Nordisk (their rep), the big pharma that brought us Semaglutide (GLP-1) agonist, which so many people are losing weight with, came in and informed us they are rolling out Wegovy in pill form. You don’t need diabetes for this effective treatment; being overweight is enough.

We are transparent and, as always, put the numbers in writing. Check Novo Nordisk to confirm prices. We are moving forward with the plan below. From the looks of it, it appears to be a brute force tactic to overcome decreased absorption by passing through the stomach first, so tabs start at 25mg. If you remember, the SC injections start off at 0.25mg/week. How effective this will be compared to injectables remains to be seen. The reports from big pharma are great, but I’ll know firsthand if it’s successful.

The real benefit here will be with cost savings. I predict both oral and injectable will coexist in the market.

Stay tuned.

Fee Schedule for ORAL Wegovy 2/2026

Days Dose (mg/day) Visit Fee

Day 1 30 1.5mg New Patient $175.00

Day 1 – 30 1.5mg Established Patient $125.00

Day 31 – 60 4.0mg Established Patient $125.00

Day 61 – 90 9.0mg Established Patient $125.00

Day 91 and beyond 25mg Established Patient $125.00

Please note, patients must have an appointment with Dr. Kunwar to start a new dose of the medication.

Once a maximum dose is reached, the patient is required to have an appointment every two months. This is for your safety and to ensure the medication is effective in your weight-loss journey.