Do you know many doctors? The vast majority I've met/know are complete slobs and super self-centered. But it doesn't make me question their judgement on the medical side. They study their asses off and then want to chase the gold. But most doctors I know are incredibly inconsiderate people outside of work. I don't want to overgeneralize, but this is my observation.
1st death from measles in US since 2015
- Thread starter WhyisIUBBcursed
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Wrong. Completely made up. Look at what demographics refused the COVID vaccine more than others.
You’re absolutely correct about private equity controlling the bottom line and the amount of patients being seen. It’s so hard to be a small group and stay afloat. Regardless of your group doctors rarely have the quality time to spend with patients. It’s a broken system. Not enough doctors to cover the population. Insurance companies aren’t helping either as reimbursement is horrible. Then you’ve got the issue with digital records. While it’s helped with many issues there’s much more work for the doctors now and and often times spend an entire evening after a full day of work writing patient notes, crossing t’s and dotting I’s. Insurance will look for any loopholes to not give coverage. This system is hardly sustainable. Older docs are restiring, younger docs don’t want to work the same amount of hours and everyone is getting squeezed.
I understand not wanting to see DO’s, but my wife teaches them at Marian once a year and says they’re very motivated students, ask good questions and are trained to be better listeners with superior bedside manner. They definitely fill a need for the shortage. Private equity wants to use nurse practitioners but I think DO’s are more qualified.
I understand not wanting to see DO’s, but my wife teaches them at Marian once a year and says they’re very motivated students, ask good questions and are trained to be better listeners with superior bedside manner. They definitely fill a need for the shortage. Private equity wants to use nurse practitioners but I think DO’s are more qualified.
Or the mentally ill, or the infirm, etc, etc.
Makes sense as to why so many politicians are so passionate about them while ignoring our own homeless & needy, taking care of big pharma who lines their pockets.
To be fair, I've never had to lie to my mechanic when asked if I had firearms in my house.
Some of us in my profession refuse to ask those dumbass questions
I
DOs have a different approach. Holistic whole body etc. but historically lower scores and perceived as inferior. You’d never use one as an expert in med mal. For some things I think DOs are better
They start with that shit and I just cut them off and tell them I'm not depressed and to move on.
I see RFK continues to make dumbass statements about the current measles outbreak. So glad our medical advancements will be all for naught as more people buy into conspiracy theories and google searches rather than sound medical advice
The first time I was asked, I questioned why that was something that wpuld be asked and was told in a very condescending manner that it was because guns in the home are a leading cause of death among children. I asked her if she was also interested in how I stored household chemicals or if I had a pool. Probably should have just smiled and lied to begin with.
P.S. that's exactly what a depressed person would say, Mark. 😁
And then there's the wild card that potentially infects multiple fellow passengers and possibly a quarter of a major airport... :
www.dailymail.co.uk
US airport on disease lockdown as traveler brings in deadly illness
A passenger arriving on a Korean Air flight from Seoul to the US tested positive for the highly contagious respiratory illness.
Could've wondered aloud where exactly asking stupid and intrusive questions of patients landed on the list of leading causes of death among physicians...
I suspect many people who are depressed say they are not depressed. I might be wrong.
Funny the other day I was on line at the supermarket and overheard someone saying something about making polio great again
Kennedy got a big assist from Senator Bill Cassidy. Cassidy, a physician who practiced medicine for 30 years, legitimized Kennedy’s nomination and made it easy for others to vote for him, by citing “assurances” from Kennedy that he wasn’t going to fvck with vaccines.
Of course, a vote by Cassidy against Kennedy likely would have been the beginning of the end of his political career. What a selfish POS.
That's a very good point about NPs... All of the minute clinic type places here are NP only... Even the ones owned by the hospital chains! Some months ago I thought I was seeing a doctor in one when I scheduled that morning. There was no indication the guy was not a doctor. Nor did he introduce himself to as an NP nor did his name badge say as such. Anyhow he prescribed all kinds of crazy stuff which my friend said don't take. Funnily enough I got some outrageous bill. Did you know in Texas they can charge the same as a dr???? That's completely batshit insane. It's a bloody ****ing scam. I ended up just paying their cash rate and not the insurance after I got the bill. But the whole industry is complete scum. And these NPs get a few hundred hours of training??? Supposedly they get some doctor to sign off on crap who may not even be present in that office. Who never spoke to me. It's completely batshit insane.
Also in Texas if you visit a dentist and it's covered by insurance, but a certain service is not covered by insurance even if there is a negotiable insurance rate for that service they do not have to honor it and can charge whatever they desire.
This is a legally corrupt country. And not only in the medical business. Unfortunately, our choices are bad and worse. The ones claiming to throw out the corrupt numbskulls are more corrupt than the group of jokers they are replacing. I'm a capitalist through and through but this is not capitalism.
Those with the money are writing the rules to further their own money. Bailouts to those who scream the loudest with the deepest pockets.
In Indiana it's a minimum 2 + years to become a Nurse Practitioner (if that what your NP initials stand for)... That's on the back end of an RN degree... Its hard to believe it's much less than that elsewhere...
Most are expected to go on to get their Masters...
In the early 2000s it appear that all vaccine-preventable diseases were beat down to nothing by vaccinations. A 2007 review was pretty clear. But now not so much
Damned if we do or don’t. NP’s are generally poorly trained and I’ve had enough experience with them to verify that. Without mid levels the wait times to see a doctor would be outrageous and people would be livid also. Fix my industry. I beg you to
Compared to 4 years med school plus 3 years residency minimum to become a board certified physician
Wonder whyIn the early 2000s it appear that all vaccine-preventable diseases were beat down to nothing by vaccinations. A 2007 review was pretty clear. But now not so much
wonder whyIn the early 2000s it appear that all vaccine-preventable diseases were beat down to nothing by vaccinations. A 2007 review was pretty clear. But now not so much
I have no issue with NP assuming it's marketed as such, but on what planet should they be charging the same rates as for a doc? That's absurd, criminal, and comical but not in a funny way.
There is no doubt that you fully believe you'd get better information from google and twitter than a fully licensed and accredited physician. Based on your posts here you didn't need to say that. We all just assumed it.
Do they get more than a few hundred hours of clinical training? A doc is in the tens of thousands?
I have no issues with NP, but do you believe their chargeable rate should be the same as an MD?
There are good NPs and bad ones just like there are good doctors and bad ones.
NPs go through extra schooling and have to complete clinical hours. Just not as much schooling as doctors go through. Drs also have to check their work (although i think the checking gets less as they get more experience).
Are you sure chargeable rate is always the same or just where you went? NPs generally don't get paid anywhere near what doctors get paid. if the charging rate is the same, then more likely the hospital/office is to blame.
It should also be pointed out there is a high level of accountability for a doctor when you're their patient vs what some random twitter feed or google search says. There are few times I rush to judge someone, but if anyone tells me they think they know better than their doctor based on a google search or a tweet, I instantly think they're a moron.
My last two jobs have required me to work with a ton of doctors on varying levels. I'd say most of the doctors I've met are good people who got into medicine for the right reasons, but are understandably frustrated about parts of their profession.
Generally speaking though, I have run into some speciality docs who do think they're God's gift to humanity.
Yeap there is a scam where they claim "supervising physician". In any case when their pay is 1/3 of Dr why are the rates 85% of doc best case. I don't blame the NP. They aren't cashing in. It's the offices and industry.
Many reasons but one is quite simple. Self-centeredness and lack of understanding with a historical perspective.
Unless you are over 60 you simply don't remember the fear that these diseases instilled in the public. You can dismiss it, saying "I don't know of anybody affected in the least by polio".
Sure, I'm over 60 (by a little!) and I never knew anyone with polio, but my parents, grandparents, uncles, aunts, in-laws, etc. all shared stories of classmates and family members who got sick and spent their life in an iron lung or died. Or lost their hearing from a virus. Or lost part of a lung from pneumonia brought on by a virus.
Take a walk in an old cemetery and see all the tombstones for children who died from outbreaks
Curious Eppy, does your wife say anything about cases where people opt out of certain vaccines with lower efficacy and annual administration (e.g., COVID, Flu), but are fine with others (e.g., MMR)?
One site said a 1,000 hours but I'm unsure whether they were adding the Masters element to that or not... (most likely were).
I agree with you on the charges but I don't feel like they're completely unqualified when it comes to the basics...
It’s so us doctors can profit off them. Cmon man don’t be naive
I saw a child die from chicken pox pneumonia when I was in residency. I’ll never forget that
Her speciality doesn’t handle the administration of a lot of those vaccines however they do discuss it as part of the patients overall health choices.
She has been known to fire patients who are completely noncompliant. What’s the point of seeing them if they won’t listen and often times they’re the ones who bitch the most.
There’s some truth to that. Some feel they they’ve earned the right to be pompous and are a gift to society for the care they administer.
I can only speak to my wife’s practice which is one of the largest nationally for her specialty. Being a NP is kind of the sweet spot. While you do have to have the extra education you may only have to train an extra year in that specialty which is far less than what the specializing doctor may have to do to become an expert. The NP though is the glue to many of these practices. They see the overflow and follow ups. Without them the primary docs wouldn’t be back to see as many new patients. With this company yes they make less which makes them more valuable to the ownership group (private equity) but the NP’s aren’t responsible for any of the overhead. So essentially they’re cheaper labor but vital to the success of the practice. What is total BS though is if a referred patient sees the NP as a new patient. This shouldn’t be allowed within the system. A referring physician should also be pissed off if that’s what’s happening. My wife has worked hard to build her referral base because she writes thorough follow up notes and has shown good results.
I think many of the issues within the system are a trickle down effect. The insurance companies have too much power, private equity has taken over and a lot of docs are being squeezed. Like any business owner they’re feeling the affects of higher wages to staff the clinics with less reimbursement.
I won’t complain and say she doesn’t make a good salary, but compared to her father who she took over for she makes hundreds of thousands less and probably sees more patients and has many more headaches and has to basically work the second shift once she comes home. Once private equity bought out the practices and she became only a partial share holder she basically just became an employee.
So again being a NP isn’t a bad gig right now, and the nurses know this. They understand how valuable they are to the system.
As far as I’m aware it’s against GA law (I think) for a NP to be the first point of contact at our practice. They can see any and all follow ups however
