There's something called "scope creep" which is where nurse practitioners and physician assistants are getting more and more ability to do things previously only allowed by doctors including prescribing controlled substances (depends on state). This makes doctors BIG MAD since they require a lot more education and usually know what they're doing. All NPs/PAs are supposed to work under an attending physician.
Residents, who are full doctors but still in training, are the main ones taking umbrage to the scope creep as they have an attending as well.
NP misses pulmonary embolism, doctors seethe
Doctors point out that NP care is more costly. It's also less effective and results in a lot of readmissions
Sleep deprived docs make a funny meme and dunk on NPs
Pick me nurse tells residents that NPs suck
An NP has a mentally stable reaction when told she's not a real doctor
Frozen insider advice: If you need real care, go to a doctor. If you need narcotics, go to an NP. They are just excited they get to prescribe the no-no substances.
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See also
@snallygaster βs fantastic post below about some doctors who are very very angry at nurses and nurse practitioners.
https://rdrama.net/post/9545/found-a-subreddit-full-of-doctors
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Thanks! As always Iβm the bargain basement version of Snally
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Doctors sneeding that they don't have a monopoly on ego and knowitallness anymore.
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Great post, Frozen!
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Oh so the meds kicked in
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Yes
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The Burger medical system creates an unnatural shortage of Doctors by limiting seats in medical schools along with requiring an undergraduate degree in usually unrelated shit, meaning many Doctors are usually giga-autists or URMs.
They do this to protect physician salaries and other entrenched bureaucracy.
Burger med school is 33% longer than Swiss med school, are our doctors 33% better? Eh. Especially when a lot of care is provided by NPs and PAs anyway, since decreasing labor costs finds a way. This also pushes doctors to specialize since nobody wantβs to take out 300k in student loan debt to be a GP in bumfrick indiana. (Which is why theyβs so many foreign doctors doing lthe needful in Hometown, USA)
The US also puts a bunch of additional requirements on qualified foreign doctors from Canada and Mexico, because when NAFTA was negotiated they didnβt want an influx of Canadian and Mexican doctors in the US to increase supply and Canada and Mexico didnβt want to lose their doctors to the great satan.
Since NPs and PAs can prescribe and perform most of the functions that people go to the doctor for anyway, hospitals hire them (at 80k a year) instead of having another doctor on staff, because they gotta make the business work.
Nobody wants r-slurred doctors, but what has happened is that now people arenβt even treated by doctors.
Tl;dr a bunch of r-slurred regulatory shit and problems caused by lobbyists.
US politics is a framework of people screaming to cut other peopleβs r-slurred bureaucracy but to leave and maybe strengthen their own totally-necessary r-slurred bureaucracy to protect clients or whatever.
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It's even worse for !leafs. Millions simple have no doctor and have those of us that do often have doctors so shit we may as well have no doctor at all.
I unironically haven't been to the doctor in 4 or 5 years now
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My family doctor is at a university clinic and thankfully they don't actually check you're enrolled cus I've been telling them I'm a student still for years lmao. All my friends are SOL. There's one urgent care afaik for the entire city. If you don't get to a walk-in an hour before it opens you will not be seen because the lines are so long. Sometimes the doctors just don't show up, can't tell you how many times I've seen posts about there being no doctors working at any walk-ins in town. 16 hour waiting times at the ER. The children's hospital also has 16 hour waiting times but thankfully they've diverted resources to a gender diversity clinic
I've had probably 8 doctors in the 8 or so years I've been going there... I'm pretty sure every doctor worth their salt just goes to school here and practices long enough to get through the process to immigrate to the states where they can make real money. Idk how they expect any rich leafs to stay here when they treat anyone who loves the flag like a nazi and also make the living conditions so much worse than the country right below us where you're allowed to openly be proud of where you live
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I spent 14 hours waiting in ER for some painkillers so I could rip off my largely detached toenail.
14 hours for some local numbing agent and snips!
I unironically went out and bought some oxys the next day. I'm never being made to wait for pain relief like that again
Yup.
It's fricking insane! We make less, pay more for everything and have way higher taxation. Thank god I'm paid under the table
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The only way to do it. Cash is king bb
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It's makes me so happy to know not only do I get paid per hour the same as my collegecel friends, but I take more of it home!
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post pics of the toenail please
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are you serious
why is it so bad? is it just because canadian salaries are so much lower than the US?
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Canada has a population of 40 million, and a gov initiative currently is to get at least 500k immigrants a year coming in
So it's 1. Shit pay 2. Way too many patients to devote more than literally 10 minutes to them per appointment so they don't even get to feel like they're helping 3. Insanely overworked. And it's a cyclical thing because the more that can't handle it and move to the states, the worse the workload gets for the rest of them. Canada is unironically fricked lol don't ever let anyone tell you our healthcare is something to envy
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look im gunna have 2 ask u 2 keep ur giant dumps in the potty not in my replys π·π·π·
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i deserved that
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I haven't had a check up since the 80s
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inb4 colorectal cancer
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Yeah what elvergalarga describes also applies in part to Canada, in QuΓ©bec the doctor's union blocks the doctor quota from being raised
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I go once a year for a checkup so I don't lose my place and then try my best not to need care the remaining 364 days
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A large amount of doctors are scum , ask anybody that works with them including other doctors but burger medics seem to be on another level, *it's all about patients * healthcare is broken * * What you mean I shouldn't be a millionaire
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Same happens in Europe. There is an artificial shortage of doctors, by completely gatekeeping requirements and limiting student numbers who can to get into medschool.
Like imagine if you needed a masters in CompSci to be a webdev. Sure codecels would be living as gods, but what would be the point?
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Well for starters I would hopefully deal with much less r-slurred webdevs
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I honestly donβt think there is much difference from medior+ between a guy with a compsci degree and a bootcamp grad with the same motivation and general intelligence. And juniors are all equally useless.
As for webdevs, your fullstack Java dev makes more money than an embeddedcel or something-else-dev in a low level language, so why the frick wouldnβt you do that?
How many times did you have to solve integrals/matrices after school? It was all fricking useless and people who claim βOh it made me think smarterβ just gaslight themselves as a form of Stockholm syndrome after analysis 3.
I can count on one hand how many useful classes I had.
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If ur swiss and u fail the exam to get into med school or something i dont think you're allowed to practice medicine in the country anymore.
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Your pulitzer's in the mail
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The US has a similar number of doctors per 1k pop as other countries.
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Itβs on the lower end and the shortage of GPs is really whatβs contributing to NPs and PAs essentially acting as doctors.
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I mean that looks like a similar number.
There is a shortage of GPs though, but that's mainly because nobody wants to be one and they prefer higher paid specializations.
Almost every GP I've ever met is an old person that retired from a specialist field.
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I fricking canβt stand nurse practitioners and their stupid butt βββcultureβββ of βweβre just like real doctors too, you know!β Attitude. Literally the worst medical treatment Iβve ever received was from the first (and last) NP Iβve seen and over the absolute bullshit reason. Frozen girl, Iβm fuming about this, Iβll hit you up in DMs. Donβt want to stink up ur post here with my hot goss. Thanks beebee.
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Posted below as well: I had an NP tell me the lump on my neck was bc I was touching it and all my other symptoms were βfibromyalgiaβ (aka attention seeking white woman disease). Went to an ENT and he IMMEDIATELY (within seconds) knew it was probably cancer (matted lymph nodes).
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Jesus fricking Christ. Imagine if you would have just taken their word for it? Absolute garbage people. Glad you had the sense to get a second opinion.
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I was going through multiple inhalers a week and I developed https://en.wikipedia.org/wiki/Superior_vena_cava_syndrome because of the delay π
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Unreal. Whatβs so infuriating is Iβm sure they didnβt have to answer to anyone for their incompetence. Not even a βhey sorry I fricked you up permanently. Whoopsie!β Card.
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You have cancer?
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I had Hodgkinβs in 2016, Iβm totally fine now :)
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I had a NP diagnosis me with tonsillitis after going two days without eating or drinking without puking/pooping instantly. Originally I thought it was a hangover after my friends 21st birthday.
5 days later I was having my appendix removed
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Why are burger NPs massive r-slurs? In Australia, you need to be at least 5-10 years in the field + masters at a minimum to become an NP. We do have different regulations though, stricter.
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Dm me too pls. More nudes like last time
Ooooooooooooooooooooo oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo
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"i stopped blogposting i swear
"
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I'm not a nurse or a doctor? I just know how to get the good drugs
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Another good tip that my doctor friend taught me: [redacted lol]
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Like what
Is it still possible to bait into opioid prescriptions? Adhd meth is probably the easiest, I woould think?
Ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo
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Yes. Tell them you have very bad menstrual cramps. May not work if youβre a man (male). Xanax and Adderall are very easy to get.
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Oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo ooooooooooooooooooooooooooooo ooooooooooooooooooooo oooooooooooooo
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What's the easiest way to get Vyvanse?
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Be fat and say itβs for BED
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What is BED?
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Binge eating disorder. Vyvanse is on label for that and no one would think youβd lie about having it
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Hard to get addy when there's a shortage tho π
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i would totally die if i had monthly bottles of speed
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What does a foid consider "good drugs?" Adderal and diet pills? What I consider good drugs you dont get at the doctors office lmao
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Scheduled meds. Pain pills, benzos, stimulants.
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Wine? Hot chip?
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The Elvis special
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You WILL be treated by a nurse
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Are you trying to bag a rich doctor frozen?
This post sounds like pickmeista behaviour ngl
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Yes
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Get that bag queen
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NPs are overwhelmingly people who couldn't get into a US med school so the seethe is extra delicious
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The worst medical advice i have ever received in my life was from an NP
She gave me a req to a frickin pediatric office
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I had an NP tell me the lump on my neck was bc I was touching it and all my other symptoms were βfibromyalgiaβ (aka attention seeking white woman disease). Went to an ENT and he IMMEDIATELY (within seconds) knew it was probably cancer (matted lymph nodes).
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L O L
The shitty part in leafland is u cant just go to an ENT without a req, and that needs a doctors or NPs approval first
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every single thing I've heard about your healthcare here has been bad
i thought our healthcare was supposed to be bad but we don't have any of the problems i see you guys talk about
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Maybe it was good in the 70s or smth and the idea stuck cos this shit aint even FREE
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lol
how short r u bb
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4'8" but im ripped AF
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lol
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wtf are you a member of the choking fandom or smth?
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tf no i ain't a bdsm b-word bb i just love masculine forearms they just yummy
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in the anglo world if you call yourself a doctor and youre not specifically in an academic setting/its a setting pertinent to your degree then im automatically assuming your an r-slur.
Some places in LATAM ive been literally everyone tacks on their qualifications as titles... like Engr. Santos Maria or Plumber Donald Miguelan
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doctors of education asking to be called dr. especially deserve to be laughed at unless they're doing it in an academic environment (e.g. Dr. Jill Biden)
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Surely no one here tacks their qualifications onto their name. Smith, baker, goldenberg.
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i dont fink that emerged as a status thing but idk, ppl call themselves dr in anglo world knowing full well colloquial meaning is medical dr cus theyre c*nts who want attn
also im not saying it bragging status nonsense in those places, just that its the custom
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Lol gonna start using my Juris Doctor degree to start claiming Iβm an expert in diagnosis and treatment
Unfortunately the only prescription I can fill is (1) rampant alcoholism or (2) they looked at you funny, take them to small claims court
Also fun story, had a classmate retitle themselves on LinkedIn as βDr. So-and-soβ after we got JDs. The Dean of the law school commented on her next post with βyou are embarrassing the professionβ and my classmate changed her actual fricking name two months after lmao
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All post RN Nurse education is a meme. I considered going back to school for my BSN but when I saw what that actually entails (writing papers and doing online βdiscussionβ) I decided itβs just a scam for tuition money. My take as a nurse is Iβm not a doctor, and have no desire to be one. When you work with doctors everyday you see itβs not as glamorous a profession as many think. They have a loooot of responsibilities and are overworked to heck. Iβll keep my $40 an hour and unlimited overtime while being able to forget the hospital exists when I go home thanks.
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Post grad nursing eduction is a meme in America? You just have a shit system set up then. I'm heading to a master of research. Hopefully PHD in nursing after.
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RN-BSN is a confirmed meme done 100% online with no additional clinical training. Past the BSN level I donβt know much about tho.
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Wow wtf. Isn't there required clinical hours?
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Nope. There is for the RN but if you already have that like me you can get the rest of your bachelors without stepping foot in a hospital. A couple coworkers are doing thereβs right now and itβs literally just writing bullshit papers and participation in forced online discussions. Itβs like one long nursing theory course, useless.
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Theory course useless? What are they teaching?
80% of my theory is anatomy, disease pathophysiology, pharmacology, with 20% social subjects e.g., Indigenous Health and Mental Health. We also have lab simulations weekly. We require roughly 840 clinical hours too, which means while everyone else is on their semester break, we are in the hospital. 3 years total, but very strenuous with a remarkable drop out rate.
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Okay it sounds like youβre in a straight bachelors degree program which is different than what Iβm talking about. Here in the states we have those but whatβs more common is an associates degree (2 years) program with a state mandated exam at the end. During those two years we do probably a thousand hours of clinicals as well as weekly skills training and competence checks.
After this program you can return to school for whatβs called an βRN-BSNβ program to complete your bachelors degree, but hospitals do not require it and all thatβs taught at that point is mostly fluff.
And by nursing theory I did not mean patho or anatomy etc, we had those as separate classes. Nursing theory meant like learning about Florence Nightengale and the models of nursing care etc., or nursing care plans. shit you learn for a test then never need again.
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Ah yeah, that bullshit.
So you do your associates degree then you work in a hospital as an RN? Or are you below an RN level?
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Iβm a full RN working at a hospital with an associates. 90% of RNs in the states donβt have a bachelors as itβs not required by most employers and doesnβt really give you a pay bump.
The BSN is needed for some administrative jobs but they have no additional scope in a clinical setting compared to associate degree RNs.
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Most doctors freaked out disproportionately over Covid so theyβve lost my trust. Let people decide what medicine they need.
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Vax max? Opinion discarded
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The doctor who gave me the vaxx agreed with my distrust of the vaxx. Since we're both in similar fields we had to take it.
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Why didnβt they just fake the vaxx? Just pretend to give it to you
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Nah, I'm good with fraud
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My foid sent this to me yesterday during xer's rotation at a VA
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Dunking on residents is what keeps me in the health sector. The impotent rage of graduated pre-meds when I tell them Iβm paying them less makes my peepee rock-hard.
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Also check out https://old.reddit.com/r/Noctor/ for more nightmares
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required listening for the narcotics fandom:
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Americans really allow alternative medicine doctors act as real MD's.
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I worked in healthcare for about 10 years (Pharmacy)
NPs and PAs are legitimately bad.
Also female doctors are less fricking neurodivergent and annoying. idk if that translates to better care but every male doctor is a fricking dork i hate them.
Secured my spot as a top 100 most memorable rdrama poster
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My doc is an
lady and sheβs really chill and calming. 
Every male doctor Iβve met is either hyperactive or way too shy. 
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My own neurodivergent hypothesis is that women probably have to have social skills to climb that medical ladder and men can get by on adderall and antisocial behavior
Secured my spot as a top 100 most memorable rdrama poster
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Ok but what about HRT? This is rdrama, please stay on topic
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Nurses should NEVER be trusted with anything real, 2 supplementary years and 3 months of βhands-on trainingβ wonβt change that. Nurses struggle to grasp the most basic concepts in medicine, if you ask them to actually describe the pharmacology and physiology behind anything, you will not get an answer. They cannot explain to you what medicine theyβre giving actually does, they cannot explain to you what causes your disease and how this med or treatment will somehow help it, all they know is simple input:output of issue:remedy and have never had to deal with critical thinking.
Trusting an NP with your health is worse than trusting a black affirmative action student, DO NOT LET THEM TOUCH YOU THEY WILL ONLY MAKE IT WORSE.
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If pharmacology is the concern why not talk to a pharmacist more than the Dr, lot more formal science education than most docs for that part
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Are you a pharma
or surgical sales 
rep
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Similar.
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Nice post, bro! I posted it to twitter.
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Snapshots:
NP misses pulmonary embolism, doctors seethe:
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Doctors point out that NP care is more costly:
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less effective:
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a funny meme:
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Pick me nurse tells residents that NPs suck:
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mentally stable reaction:
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Lol I love pooping on my residents and having them stand at the medical student part of the or table while I set the shittiest NP Iβm forced to work with first assist. You can see them about to burst a vessel. Best part is if Iβm feeling naughty I donβt let the midlevel do shit then let the resident struggle through everything while saying wow thatβs why the midlevels canβt even be alone, they canβt even be trusted to retract. Pisses everyone off right good
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Half of what docs do is BS anyway
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Here in the states most of the specialized doctors are scum who will put as many fake diagnosis codes they think they can get away with on your chart. Some try to justify it as just trying to rip off insurance, but the patient gets hit with the bill too. They will also mislead patients into thinking they need extra procedures/specialized equipment to no benefit of the patient. The only real benefit is that the extra stuff isn't covered by insurance and when the patient agrees to use it, it means the doctor can charge whatever the frick he wants. Ex: Femtosecond laser for a patient who is getting cataract surgery with a standard lens. Without the laser the patient would have to pay nothing or next to nothing on most insurances, with the laser it's $1750 per eye. It doesn't make the surgery safer and it does not improve vision outcomes, we just heavily imply that it does (Its more precise and helps with lens placement). Technically the patient is getting minor astigmatism correction for the extra $1750 we charge, but we never tell the patient that is what they are paying for. We just tell them the doctor has recommended the laser and that the insurance doesn't cover the laser. If a patient pushes back hard enough we tell them that we will ask the doctor if it would be okay for them to not use the laser. All the real information IS present in our consents, but when our coordinators help patients understand the consents they heavily summarize what's in there and hope that the patient won't want to spend time reading all 7 pages. We have 10 different surgeons, some aren't scummy about this stuff at all and will properly inform the patients, the others are constantly trying to upsell.
Also I've come to think that most insurances are quite reasonable with payouts and what they cover. The only reason you get denied at in eye stuff is the doctors help staff being completely r-slurred. Meanwhile the doctors trying to rip off insurance are already making bank, but its still not enough in their eyes, they became doctors to get rich.
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Have you owned the libs yet?
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