Let this NP teach you about CHF

[Psai]

Nope. PhDs or MDs only.

These mid-level derision threads are always amusing to me. It's like watching the a bunch of members of either political party talk about how right they are among themselves. (Not that I think you're wrong, it's just that I find the echo chamber scenario amusing.)

Why don't doctors fight the AANP/other-alphabet-soup-upstart-agency with vigor? Because everybody knows doctors know their sh**.

"Keep calm and heal the shetbegs." - Barack Obama

When half of your patients were admitted because they were horribly mismanaged by an np, your opinion of them would not be very high

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Members don't see this ad.

 

[charmiedermie]

Of course we do. You dont? We have plenty of clinical faculty members who are NPs

We don't. Do they actually grade you?

 

[Pacna]

When half of your patients were admitted because they were horribly mismanaged by an np, your opinion of them would not be very high

I imagine that's true.

Similarly, the ER I worked at received many patients mismanaged by urgent cares which had MD providers. Some urgent cares in my area were infamous for this.

 

[charmiedermie]

Usually you don't see that level of quality editing outside of porn.

A very different type of pearl necklace is edited in there though. No comment on the certified menopause practitioner's ability to double in that area.

 

[NickNaylor]

Of course we do. You dont? We have plenty of clinical faculty members who are NPs

No... MDs/DOs only. In fact, at one of our clinical sites the psych CL attending left and there was only an NP there to see the consults. They didn't have students go there because there was no physician to teach. Now I've certainly had rotations where you spend a good amount of time with an NP/PA, but in those situations you ultimately present patients to an attending and still get evaluated by an attending.

That's pretty weak if your supervisor is an NP/PA and you're actually getting graded by them.

 

[Jabbed]

The pearl necklace is freaking hilarious. Certified menopause practitioner? So what about the other 2 million things that go wrong with our health? Do they have to become independently certified to be able to adequately treat each one. I just became more skeptical of NPs. Next time I see one I'm going to ask what he/she is certified in.

Right now these are the current certifications for NPs:

View attachment 190961

10/10 would read again.

 

[moonwake]

No... MDs/DOs only. In fact, at one of our clinical sites the psych CL attending left and there was only an NP there to see the consults. They didn't have students go there because there was no physician to teach. Now I've certainly had rotations where you spend a good amount of time with an NP/PA, but in those situations you ultimately present patients to an attending and still get evaluated by an attending.

That's pretty weak if your supervisor is an NP/PA and you're actually getting graded by them.

There's this quote from the Bible I love to use in times like this:

"Let them alone: they be blind leaders of the blind. And if the blind lead the blind, both shall fall into the ditch."

Matt 15:14

Sorry it's just one of those analogies

 

[Promethean]

I like how mid-video, the pearl necklace suddenly appears.

That's what she said.

EDIT: Alas, I see I wasn't the first to interpret it that way. Gotta read to the end before commenting.

 

[PL198]

The pearl necklace is freaking hilarious. Certified menopause practitioner? So what about the other 2 million things that go wrong with our health? Do they have to become independently certified to be able to adequately treat each one. I just became more skeptical of NPs. Next time I see one I'm going to ask what he/she is certified in.

Right now these are the current certifications for NPs:

View attachment 190961

do they wear those patches on their coats? seems like boy scouts

 

[moonwake]

do they wear those patches on their coats? seems like boy scouts

lol- it was a joke. Yes, those are boy scout merit badges

 

[PL198]

the fact that I thought that was plausible probably tells you something about when it's like DNP FSADN EWFEN FSN PDRN WERN

 

[moonwake]

the fact that I thought that was plausible probably tells you something about when it's like DNP FSADN EWFEN FSN PDRN WERN

so true though

 

[Siggy]

Hey, look at this! They have a contraceptive "resource wheel!" It is a new addition that capitalizes on the success of their "pregnancy wheel!" It helps them decide what contraceptives to use when they don't actually understand what contraceptives are safe to use, brilliant!

So... in other words here's the difference between NPs and physicians:

NP: Those people at NIH told me what to do.

Physician: I have a comprehensive understanding of the physiology, pathophyiology, and pharmacology of my medications, as well as the literature underlying them, and think that ____ is the best option.

 

[Siggy]

Keep doing the algorithm until the patient dies.

...but wait. According to National Nurses United algorithms are bad and physicians do nothing but spend time filling out billable hour sheets (because we bill by the hour to begin with). See!

 

[Siggy]

A very different type of pearl necklace is edited in there though. No comment on the certified menopause practitioner's ability to double in that area.

What sort of low quality porn requires the pearl necklace to be edited in? Generally you see the entire manufacturing process.

 

[Mad Jack]

...but wait. According to National Nurses United algorithms are bad and physicians do nothing but spend time filling out billable hour sheets (because we bill by the hour to begin with). See!

In all fairness, that ad actually wasn't that bad to physicians. It made it sound like executives were the reason physicians can't see patients, and the nurse actually asked for a doctor rather than taking over the whole situation herself. I can agree with the message.

 

[evilbooyaa]

What sort of low quality porn requires the pearl necklace to be edited in? Generally you see the entire manufacturing process.

I'm imagining It's Always Sunny in Philadelphia making a porno similar to how they made Lethal Weapon 6. In that case, it'd likely be edited in.

Damn, now I want that to be an episode for the show.

 

[evilbooyaa]

In all fairness, that ad actually wasn't that bad to physicians. It made it sound like executives were the reason physicians can't see patients, and the nurse actually asked for a doctor rather than taking over the whole situation herself. I can agree with the message.

I don't have an issue with the Ad against algorithms and the 'robot-nurse'. It's the hypocrisy that algorithms are bad for nurses but good for those practicing medicine (like NPs who rely on them for any diagnosis).

I think most algorithms are great for medicine. EBM usually gets stuff right. But someone using an algorithm should ideally ALSO know what to do when stuff doesn't fit the algorithm (rather than just shoehorn the patient's complaints into the algorithm and proceed on)

 

[Mad Jack]

I don't have an issue with the Ad against algorithms and the 'robot-nurse'. It's the hypocrisy that algorithms are bad for nurses but good for those practicing medicine (like NPs who rely on them for any diagnosis).

I think most algorithms are great for medicine. EBM usually gets stuff right. But someone using an algorithm should ideally ALSO know what to do when stuff doesn't fit the algorithm (rather than just shoehorn the patient's complaints into the algorithm and proceed on)

Algorithms work until they don't. And once you're in "this doesn't fit" territory, you're basically screwed if you don't know the actual physiology of what is going on.

 

[touchpause13]

the fact that I thought that was plausible probably tells you something about when it's like DNP FSADN EWFEN FSN PDRN WERN

Im going to sign my name as Dr. Touchpause13 BA DO PAWG

 

[fancymylotus]

Im going to sign my name as Dr. Touchpause13 BA DO PAWG

fancy dds BAMF

 

[IlDestriero]

I scheduled an appointment today with a new practice. Was it rude for me to say "would prefer to see one of the physicians (MDs)."?

Never. I called an urgent care to make sure I would see a physician. No MD/DO and I would be calling the next one.

 

[IlDestriero]

If your kid with a cold coughs he might have asthma, apparently.

Dude, I had "asthma attacks" while in the military. I'm totally going to see her for my new disability rating. The VA owes me for all those colds, I mean asthma flare ups. Send me her phone number.

 

[JP2740]

Why do they all look like dykes?

 

[IlDestriero]

There are people in my class who think it is disrespectful to not refer to a PA preceptor as "Doctor" so and so because they feel it is "disrespecting their training." I am not making this up.

That will change.

 

[IlDestriero]

If anyone knows where to see the original video, please pm. I want to send it to someone.

 

[username456789]

Why do they all look like dykes?

I hate to say it, but that look is almost universal among nurse practitioners it sometimes seems. In the hospital, I can pick a nurse practitioner out a mile away. She's the one who looks remarkably identical to these women, wearing a long white coat. Virtually impossible to mistake them for a physician. It's just such a pathognomonic look.

 

[moonwake]

Why do they all look like dykes?

When some women put on pants they put on male gender attributes. Not to say women can't wear pants but the few who obtain power and don't know how to wield it turn out like Sarah Palin, Nancy Pelosi, or most NPs.

 

[touchpause13]

Why do they all look like dykes?

That is an extremely cruel and disrespectful thing to say

 

[Mad Jack]

Em Jay DO RRT MPH DP DVDA FFM ATM MMF MILF...- Oh wait, I mixed up my name tag with a porn meta tag.

 

[Mad Jack]

That is an extremely cruel and disrespectful thing to say

Really wasn't expecting this thread to take that particular turn. And yet this is SDN, so I'm not surprised in the slightest.

 

[Mad Jack]

I hate to say it, but that look is almost universal among nurse practitioners it sometimes seems. In the hospital, I can pick a nurse practitioner out a mile away. She's the one who looks remarkably identical to these women, wearing a long white coat. Virtually impossible to mistake them for a physician. It's just such a pathognomonic look.

It's weird, female physicians and female nurses do have different typical looks. Despite the average female physician having less time to take care of themselves, they tend to be better groomed and have better fashion sense in general. Older nurses tend to have the short hair, slightly overweight, zero makeup, and generally Hillary Clinton with a lab coat instead of a blazer look going on. It's weird how 9 out of 10 times you can just tell which is which...

 

[username456789]

It's weird, female physicians and female nurses do have different typical looks. Despite the average female physician having less time to take care of themselves, they tend to be better groomed and have better fashion sense in general. Older nurses tend to have the short hair, slightly overweight, zero makeup, and generally Hillary Clinton with a lab coat instead of a blazer look going on. It's weird how 9 out of 10 times you can just tell which is which...

Yup. Often times it's difficult to articulate exactly why or how you can tell, but you can almost always tell which is which just by looking at them.

 

[Siggy]

In all fairness, that ad actually wasn't that bad to physicians. It made it sound like executives were the reason physicians can't see patients, and the nurse actually asked for a doctor rather than taking over the whole situation herself. I can agree with the message.

Please, if the executive said that he couldn't see his nurse because the nurse was on her mandated break you'd have every nursing organization in the US condemning the ad.

 

[JP2740]

That is an extremely cruel and disrespectful thing to say

Really? I didn't think it was that bad. They have that look you know when you want to cast a stereotype into your movie. You'd laugh if it was in a comedy.

 

[touchpause13]

Really? I didn't think it was that bad. They have that look you know when you want to cast a stereotype into your movie. You'd laugh if it was in a comedy.

No.
Being called a **** isn't funny.

 

[Mad Jack]

Please, if the executive said that he couldn't see his nurse because the nurse was on her mandated break you'd have every nursing organization in the US condemning the ad.

You sound overly sensitive.

 

[Mad Jack]

Really? I didn't think it was that bad. They have that look you know when you want to cast a stereotype into your movie. You'd laugh if it was in a comedy.

You could say the same about the N word. You'd also be horribly mistaken.

 

[JP2740]

You could say the same about the N word. You'd also be horribly mistaken.

What? It's now equated to the "n" word? I must've missed when that happened. I guess you think I'm a nazi too. Whatever, you guys know what I meant. I supported gay marriage before it was the cool thing to do, and I don't really feel that bad about the comment.

 

[JP2740]

No.
Being called a **** isn't funny.

I didn't call anyone any name.

 

[Siggy]

You sound overly sensitive.

I'm overly sensitive about overly sensitive groups being hypocritical.

 

[touchpause13]

I didn't call anyone any name.

You used an offensive slur. Why do you think that is funny?

 

[JimmyB123]

Nurses r so hawt

 

[JP2740]

You used an offensive slur. Why do you think that is funny?

Didnt know it was that offensive considering I met some lesbians who self identified as that. I guess I was ignorant though, so my bad. The part I thought that was funny wasn't the word itself but how a lot of the gung-ho "I'm better than you" nurses have that look some other people are talking about - short, wide, same haircuts.

 

[touchpause13]

Didnt know it was that offensive considering I met some lesbians who self identified as that. I guess I was ignorant though, so my bad. The part I thought that was funny wasn't the word itself but how a lot of the gung-ho "I'm better than you" nurses have that look some other people are talking about - short, wide, same haircuts.

It's something that some members of the community use jokingly amongst ourselves but is hugely offensive when used in that manner that you did. (Hence MJs comparison to the n word)
Next time try butch instead, alright?

 

[JP2740]

It's something that some members of the community use jokingly amongst ourselves but is hugely offensive when used in that manner that you did. (Hence MJs comparison to the n word)
Next time try butch instead, alright?

Sure. Let's all hug it out and redirect our hate where it belongs, towards our colleague nurses!

 

[Psai]

It's weird, female physicians and female nurses do have different typical looks. Despite the average female physician having less time to take care of themselves, they tend to be better groomed and have better fashion sense in general. Older nurses tend to have the short hair, slightly overweight, zero makeup, and generally Hillary Clinton with a lab coat instead of a blazer look going on. It's weird how 9 out of 10 times you can just tell which is which...

So true, it's so funny that everyone wears long lab coats but once you've been in the hospital for a few months, it's very easy to distinguish. the young, pretty ones are nutritionists; the ones that look sharp and have that spark of intelligence behind their eyes are docs; the short haired, frumpy looking ones, chubby ones are nurses, etc.

 

[Mad Jack]

What? It's now equated to the "n" word? I must've missed when that happened. I guess you think I'm a nazi too. Whatever, you guys know what I meant. I supported gay marriage before it was the cool thing to do, and I don't really feel that bad about the comment.

Didnt know it was that offensive considering I met some lesbians who self identified as that. I guess I was ignorant though, so my bad. The part I thought that was funny wasn't the word itself but how a lot of the gung-ho "I'm better than you" nurses have that look some other people are talking about - short, wide, same haircuts.

The word you used is a pejorative insult, while "butch" describes a method of dress. I don't think you meant to be offensive in any way, but it's basically like saying "fa**ot" instead of "femme." And I don't mean to get sidetracked, I just figured it was something you didn't know, rather than something you were doing specifically to be inflammatory, and that you'd probably rather know than not know.

 

[touchpause13]

So true, it's so funny that everyone wears long lab coats but once you've been in the hospital for a few months, it's very easy to distinguish. the young, pretty ones are nutritionists; the ones that look sharp and have that spark of intelligence behind their eyes are docs; the short haired, frumpy looking ones, chubby ones are nurses, etc.

See in my experience female RNs tend to either be super hot or super not, with little in between. Male RNs tend to be a mix bag, but there are def some really hot younger ones.

 

[Mad Jack]

See in my experience female RNs tend to either be super hot or super not, with little in between. Male RNs tend to be a mix bag, but there are def some really hot younger ones.

They start off super hot, much of the time. But as a general rule, you add a female nurse's age to her weight (in pounds), and subtract it from her hair length (in centimeters).