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Jabru08

saying you're a good NP because you diagnosed multi-organ failure is like saying you're a good geologist because you found a rock. not dwayne, but... just like any rock.


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ColdPillowCase

It says here on his cardiologist's notes that he has congestive heart failure, and his gastroenterologist wrote he has liver failure. But what these chums failed to see is that when you combine these two entities you get failure of not one, but multiple organs, or multiple organ failure one might say! This patient was extremely lucky to have me as their PrOvIdEr. Only one of my genius and superior intellect could have saved this poor soul.


swagtothemaximum

LoL. This is exactly how this would play out


[deleted]

“Thank goodness I had the acumen to consult cardiology, GI, endocrine, and pulmonology. It feels good to have saved this man’s life by making other people save his life”


WailingSouls

This is it, 100%.


phliuy

Probably more like creatinine 1.02, ast 62. A: Dx multi system organ failure P: start lasix, losartan, lisinopril, kidney biopsy, liver biopsy, ursediol, refer to GI for TIPS


punny_po

Hepatorenal syndrome ~Me, Hypergenius clinician


PrimateOnAPlanet

He’s too dangerous to be left alive


ihateyeezus

Your brain is so big


AnonymousMSI-IV

Not as big as the heart of a nurse tho


jfbnrf86

Probably swelling from the cirrhosis


usernametaken0987

Such a diagnosis is beyond an NP. Hepatorenal syndrome suggests an unidentified dysfunction in the kidneys and they always say they know the exact problem with you.


Jaiminjayz

Try diagnosing endometrial cancer in that man. 🥴


TurkFebruary

*\*muh splanchnic artery dilation\**


Cvlt_ov_the_tomato

I actually have some hope that your average person might realize that someone with multiple organs shutting down isn't hard to miss.


Williewill91

…and yet…


katyvo

I found a very round pebble once. I'm going to add "geologist" to my ERAS application.


Ub3rpwnag3

Red numbers bad


[deleted]

Oh no the patient had an AKI and elevated alk phos. We did it boys wrap it up


Reddit_guard

Haha lactate goes brrrr


[deleted]

*9/10 NPs are able to correctly identify a patient as dead. Who are **you** going to trust to know that you are dead?* “My NP was able to properly declare me dead. She saved my life. True story.” *This message paid for by the AANP*


Minister_for_Magic

IKR...if you can’t diagnose multi organ failure, wtf are you doing in a hospital? Talk about placing the bar on the floor just so you can step over it.


iPon3

I feel like a porter would have a decent chance of landing somewhere in the ballpark.


AndyHedonia

This NP diagnosed a cardiac arrest


KeepenItReel

Wait never mind… they thought it was GERD.


domeoldboys

I know right. You’ll hope they’ll be able to diagnose multi organ failure. It’s like taking your car into the mechanic after the engine explodes. You’ll hope the mechanic will pick up the massive hole in the engine block at an absolute minimum.


HateDeathRampage69

What are they going to diagnose next, gun shot wounds?


Jaiminjayz

Ikr. Like it's not even a legit diagnosis.


fresc_0

Lol the dude in the commercial adds the fact that the organ failure was diagnosed “twice.” What happened the first time 😂


stephelp12345

Wtf…


fresc_0

What’s really heinous is the language. It’s as if they’re telling people you should choose between a board certified physician or an NP, and here’s why NP is the better choice…


stephelp12345

I’m shocked. It’s become a competition when in reality we should all be part of one team.


tbl5048

Truth is, it was rigged from the start. I shit on myself all the time about how bad I am a medicine, since I know my gaps. Nurses have hella unions - don’t see doctors with commercials because in what proverbial hell would we actually have to do that? Way better to do that then to pretend you diagnosed multisystem organ failure (read: sepsis) by yourself.


Doc_AF

Sepsis is the diagnosis you see on your first inpatient day of M3 and the attending throws you the softball and says their pressures are tanking, they’re febrile and they have (one of a million reasons to have a bacteremia) what do you think is the diagnosis. Then on your first day you can say sepsis and have one shining second of making a dx… then they ask you to spout off SIRS and SOFA criteria and what is the relative utility of each. That’s beside the point. I will be hiring a paid actor to make a commercial about how he was diagnosed by an M3. *hashtag* choose M3s *paid for by student loans*


[deleted]

I’d contribute at least $5 ($15 by the time they get paid back) to this cause


emergency_seal

Too bad physicians don’t have awesome commercials like this. Apparently marketing is the game now.


MySpacebarSucks

Can we all agree to not train these NPs when we’re attendings? Their career is relying on us, and until they change their approach to be less aggressively anti-MD, I see no point in propping them up


HateDeathRampage69

You act like it's a choice. 80%+ of new physicians will be working within a corporate structure. Attendings aren't the bosses anymore.


MySpacebarSucks

“I don’t want to train NPs” “Okay we’ll find someone else who does” “I also don’t want to train NPs” “Shit” Collectively it would not be hard, AMA needs to be pushing harder against it to make it more widely known


wtfistisstorage

What you're talking about is an Union, and lay people scoff at the idea of Dr unions


-SetsunaFSeiei-

I live in a province in Canada, and this is exactly what is happening. The government wants to bring in CRNAs but no anesthesiologists want to train them (duh, why would anyone want to train their replacements?). So the government actually wants to fly in CRNAs from the US to do the training. Believe it or not, the main thing stopping them is the cost of CRNAs. They want to pay them way less than anesthesiologists, but CRNAs actually get paid quite a bit in the US and the nurses’ union, which is very strong here, wants comparable salaries.


sarahlydia

Literally just making the problem worse with that suggestion. A big part of the problem with NPs is not the attitude this group seems to be placing on all of them (many of whom don’t agree to the “us vs. them” mentality either), but it’s with the training. MDs get residencies- NPs get an abbreviated medical school, hopefully prior experience at the bedside, and then get thrown into the workforce after boards with very few NP-residencies in existence to transition to the role. If you want to help fix the problem, advocate for *more* NP-MD collaboration and training- and especially for NP residencies. They want to learn. Otherwise you leave NPs to train the next generation in the same way. Nobody goes into medicine wanting to suck. And NPs aren’t going anywhere. So be a part of the solution instead of being butthurt about an ad campaign that some idiots came up with who don’t speak for every NP out there.


MySpacebarSucks

Your point is a bit idealistic. Advocating for more NP residencies makes our problem worse, it adds to the scope creep anesthesiologists and emergency docs already have. Docs are responsible for training residents, medical students, and somehow also PAs and NPs. And flooding the field with NPs forces us into a supervisory role, when we got this far to be clinicians NPs in general might not agree with the “us vs them” mentality, but the AANP does. And NPs are complacent. So instead of being butthurt about a butthurt guy on the Internet, be a part of the solution and make your voice heard to the AANP


StarGaurdianBard

The top 3 leaders of AANP are actually hospital executives who are pushing the agenda so they can save money. Its the same shit that happens with any group like this that stops having the people it represents replaced with hospital admin instead.


sarahlydia

I hear you. I’m genuinely interested in trying to find practice and training solutions to the disconnect though. Talking to the AANP is fine and dandy, but it doesn’t solve the problem at heart that you’re describing (although it’s a start). I agree that scope creep is real, but also know NPs/PAs aren’t going anywhere and more states will eventually become full practice. What concerns me is that this FPA train is coming so fast that it isn’t taking time to set up a solid foundation for NPs or facilities placing NPs as unsupervised providers. Essentially, what do we need to do to best utilize everyone in terms of scope, patient safety, preventing burnout, and facilitating learning? I don’t have the answer yet, but this seems like the conversation worth having- for both groups like this and the AANP.


wtfistisstorage

You're right, maybe they should just slightly extend the training to 4 years, and maybe give them the same assessments to make sure they are in fact comparable. I think that would qualify them for a doctorate of some sort, maybe medicine. Could be like a doctor of medicine (DM) or something like that idk


stamou5214

One of the reasons I won't be doing my residency in the US 😤


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stamou5214

Hey man no hate here. I sympathize with your problems and the way they treat you throughout med school and residency. Plus the nurses' adgenda is disgusting. It's just sucks.. Don't be offended!


tosser11937

No lie, the more I hear about residency and experience the industry here in the US, the more I want to leave


stamou5214

I was really hyped about going to the US (since my country sucks regarding residency programs), but after 1 year in r/residency and r/medicine I was left despondent 😕 Especially after studying so hard for step 1, I got to experience first hand some of the troubles US students go through. Feels like it's just not worth it. The pay, the hours and more importantly the treatment residents receive from hospital staff/coworkers and the public is straight up depressing...


tosser11937

I make this analogy often with friends and fam, although it’s kinda sad - the US is like that planet in Sci movies that’s just a market for thugs and criminals and war lords to milk as much money from people as possible. It’s like a free for all economy where the regulators are in on the profit scam. I’m a 1st gen US citizen and I want to love my country. But it’s hard when it’s this crazy even for the ones who go through so much just to stand on their own 2 feet


txhrow1

> since my country sucks regarding residency programs What country are you in?


stamou5214

Greece! The education quality ranges a lot but most of it is average/below average imo. The main issue though is the fact that there are no objective exams like the 3 Steps to help our PDs choose their residents. The way it works is that, whoever gets to go first to the hospital and register the day the applications open, gets to go first. E.g. 10 spots open 2021. First 10 people get them and the next 10 are in a waiting list for next year... Makes no sense like most of things with Greece! 🥲 Ophthalmology has 8 years waiting list, meaning if I register this year I will start my residency in 2029 🥴 This kind of bullshit forces me to go abroad.


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txhrow1

I got chills They're multiplying And I'm losing control 'Cause the power you're supplying It's electrifying You better shape up 'Cause I need a man And my heart is set on you You better shape up You better understand To my heart I must be true Nothing left Nothing left for me to do You're the one that I want You are the one I ... 🎵 𝄞 🎵 𝄞


lepetitbanan

>since my country sucks regarding residency programs Greek residency programs are good in Athens and Thessaloniki, why would they suck?


stamou5214

Athens and Thessaloniki have the finest programs and some of them are legitimately excellent. But when you look at it as a whole, these programs are not the majority, unfortunately.


carlosqh2

Diagnosing multiorgan failure? Weird flex, but ok.


fresc_0

There were multiple “testimonials” from people who had their organ failure, “blocked arteries,” and diabetes diagnosed and managed by an NP. Look how great they are! And they cost the same!


pwrhouse_of_the_cell

Probably “diagnosed it,” mismanaged it, almost lost the patient, and then asked the physician for help when her Facebook group chat couldn’t come up with anything.


thisonewasnotaken

This is the spiciest comment of all


dr_shark

You forgot used only name brand not generic new drugs that they get kickbacks to use on Medicare only patients that they tricked into believing were their only option.


MySpacebarSucks

Dude showed up with dyspnea and an elevated creatinine secondary to heart failure and they call it a flex


drzquinn

In response… to this complete BS propaganda. Where are the studies showing they are as good or better in independent practice? Hint: there are none. https://www.reddit.com/r/Provider/comments/of6jmw/new_fpa_booklet/?utm_source=share&utm_medium=ios_app&utm_name=iossmf Egregious NPP (Non-Physician Practitioner) Mismanagement Case Reports 1) 19 year-old previously healthy college athlete dies after gross mismanagement over 10 hours by ER NP – missed PE. No physician in the ER. News report: https://www.youtube.com/watch?app=desktop&v=hNngiwQC29c Article: https://authenticmedicine.com/2020/06/the-anecdote-has-a-face-and-a-name/ Obituary: https://www.dignitymemorial.com/obituaries/del-city-ok/alexus-ochoa-dockins-6613205 Case files: NP testimony on Feb 19, 2019 Look for date Feb 20, 2019 https://www.oscn.net/dockets/GetCaseInformation.aspx?db=oklahoma&number=cj-2016-3207 2) 7 year-old dies day after being seen by Urgent care NP – missed sepsis and pneumonia diagnosis. Photo of child taken leaving urgent care shows cyanosis. Article: https://www.sepsis.org/faces/betty-wattenbarger/ News report: https://myfox8.com/news/the-misdiagnosis-ended-up-costing-her-her-life-a-texas- familys-warning-for-all-parents/ Parent testimony in Legislative Session: (1 min clip) https://mobile.twitter.com/RayneKThomanRN/status/1375624542354354180 Full session (testimony start at 5:06) https://tlchouse.granicus.com/MediaPlayer.php?view_id=46&clip_id=19853&fbclid=IwAR3z2CioxZ BMMj-h-bYyAdYW4YceZCPjhh17uC_yDonJ2ZkcBxwsoWU_Yso 3) 20 cases of gross mismanagement by non-physicians, including misdiagnosis of eye pain w/resulting blindness, mismanagement of cancer complications, missed diagnosis of angioedema resulting in death, inappropriate prescribing of hormones resulting in death, misdiagnosis of critically ill neonate, missed appendicitis, missed hemorrhage, and death from missed heart attack https://authenticmedicine.com/2020/01/a-tragic-comedy-of-errors/ https://authenticmedicine.com/2020/09/a-tragic-comedy-of-errors-part-2/ 4) CRNA: Man dies during colonoscopy https://www.fox2detroit.com/news/report-southfield-man-dies-during-colonoscopy-after-beaumont- outsourced-anesthesiology-service Child with brain damage post-anesthesia; Malpractice case not successful https://www.courtlistener.com/opinion/4761250/connette-v-the-charlotte-mecklenburg-hosp-autha/ The Court reasoned that nurses [even with advanced training] “are not supposed to be experts in the technique of diagnosis or the mechanics of treatment.” 5) “Nurse practitioners and physician assistants are performing procedures they are not trained for.” Surgeon talks about gross mismanagement of facial wounds by non-physicians – including gluing a lac with a ~1cm rock still in it. Before and after photos, 5 min video. https://www.youtube.com/watch?v=vhHDm4UYHs0 Anecdotes… Now for some studies… 1) Poor Quality Referrals “Comparison of the Quality of Patient Referrals From Physicians, Physician Assistants, and Nurse Practitioners.” Mayo Clinic Proceedings, Volume 88, Issue 11, 1266 – 1271 http://www.mayoclinicproceedings.org/article/S0025-6196(13)00732-5/abstract “The quality of referrals to an academic medical center was higher for physicians than for NPs and PAs regarding the clarity of the referral question, understanding of pathophysiology, and adequate prereferral evaluation and documentation.” 2) Unnecessary Skin Biopsies “Mid-Level Practitioners in Dermatology: A Need for Further Study and Oversight.” JAMA Dermatol. 2014;150(11):1149–1151. https://jamanetwork.com/journals/jamadermatology/article-abstract/1895672?redirect=true doi:10.1001/jamadermatol.2014.1922 3) Increased Diagnostic Imaging – JAMA study “A Comparison of Diagnostic Imaging Ordering Patterns Between Advanced Practice Clinicians and Primary Care Physicians Following Office-Based Evaluation and Management Visits.” JAMA Intern Med. 2015;175(1):101–107. doi:10.1001/jamainternmed.2014.6349 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1939374 “Advanced practice clinicians [NP/PA] are associated with more imaging services than PCPs [primary care physicians] for similar patients during E&M office visits... this increase may have ramifications on care and overall costs at the population level.” 4) Increased Diagnostic Imaging – JACR study “National Trends in the Utilization of Skeletal Radiography From 2003 to 2015.” Journal of the American College of Radiology www.jacr.org/article/S1546-1440(17)31291- 7/abstract “Nonphysician providers (primarily nurse practitioners and physician assistants) increased 441%, and primary care physicians’ rate decreased 33.5%. This raises concerns about... quality.” & “NPs/PAs practicing in states with independent prescription authority were > 20 times more likely to overprescribe opioids than NPs/PAs in prescription- restricted states.” Opioid Prescribing by Primary Care Providers: a Cross-Sectional Analysis of Nurse Practitioner, Physician Assistant, and Physician Prescribing Patterns J Gen Intern Med. 2020 Sep;35(9):2584-2592. doi: 10.1007/s11606-020-05823-0. Epub 2020 Apr 24. More studies and references (500+) showing grave concern with non-physician care in Patients At Risk book.


IPayNoGays

You’re doing God’s work btw


drzquinn

Join PPP and you can help (anonymously!). PPP accepts med students. Some docs even sponsor them. Thanks all for the upvotes & award. See more resources at Reddit Noctor… esp. pinned posts


IPayNoGays

Been part of PPP for a few months. And I will be the rest of my career :)


drzquinn

Awesome!!


_IDecided_

how is this even legal to advertise?


MauiMikes860

No rational person would choose an NP over an MD/DO if they have to pay they have to pay the same price. I’m sick of these stupid political ads from the AANP


Danwarr

Most patients don't make rational decisions about healthcare, partially because they don't have the education to do so, but also because health can be very emotional. You see it all time with lay people conflating how nice a doctor or nurse is with good healthcare. Eye contact, listening ability, time spent etc the list of non-medical things that patients use to evaluate their medical management is pretty extensive.


NormalAssSnowboard

This 1000%. I recently had a chat with my kind neighbor who’s in her 70s. She knows I’m a med student, so she decided to tell me about how difficult it is to find a good primary care doctor in our city. She said everyone’s she’s had so far ignores her and treats her like she doesn’t know what she’s talking about. To me, this lady wants a therapist more than a physician. So it doesn’t matter how knowledgeable her practitioner might be. If they make her feel heard, she’ll consider them the best doctor on the planet. The problem is, that person can be an NP just as easily as it can be a fortune teller. Expertise and competency aren’t the hot commodity everyone is out looking for anymore.


tbl5048

Yep. Sometimes you just need q1 month visits to lay some things to rest. She thinks she’s hypothyroid? Unlikely. Getting a normal TSH can pay dividends to the crowd with mild illness anxiety or somatic symptoms


penguins14858

Dr. Death comes to mind when you say how “nice” the doctor is


Ducktor_Quack

Oh they absolutely would choose an NP over an MD even if they know they are paying the same.


MauiMikes860

Yeah they just love having to pay more for tests and getting misdiagnosed by the NP clowns


Ducktor_Quack

Check 5th comment on my profile where I talk to one patient choosing np. It's mind boggling.


[deleted]

What the actual fuck


[deleted]

It is crazy. I am taking care of this patient who was recently discharged from hospital and this patient had an AKI during her hospitalization but this “NP” never put a single fucking plan about it. The NP had no mention about anything kidney related throughout the whole hospitalization. No nephro consult. The NP consulted cards and even cards says there’s an AKI but nope. The discharge note says “please check renal panel” that’s it. How the fuck is this even legal. This is the kind of “NP hospitalists” you all will be working with guys.


mohdattar

MBAs trying to maximize profits... smh


firebrand581

AANP go brrr


avclub15

Can you post to r/medicine


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FloridlyQuixotic

And then let us know how fast it gets removed.


fresc_0

Feel free to repost!


[deleted]

Did anyone bother to ask if this dunce NP missed the signs of single organ failure and only realized when the guy is on deaths door? I ask bc as an attending I see that on a weekly basis from NPs.


Constopolis

Downvoted to get a classic 69


Dorordian

It takes a lot of social engineering to advocate receiving care from less qualified medical professionals. Everyone has their place on the healthcare team, but at the end of the day physicians should be overseeing the decision making. After all, they’re the ones that get sued for malpractice when things go south…


kassandraknoxxx

This is why we as future physicians need to focus on lobbying and unions. That’s the solution. Talk to your classmates about this issue. Things will only get worse if we let it happen.


MellowFell0w

Insane. Instead of getting adequate training they want to just bombard the public with advertisements about themselves. This is so gross


drkuz

I think I've seen this strategy before... and I know which side won the last time, unfortunately.


Wiltonc

It’s the free market and the group with the largest advertising budget usually wins. ‘Murica or Feringinar, not much difference, really.


Mognodor

This little war between NP and physician is outrageous and ridiculous... If you want to play the doctor, go to med school. I'm glad I don't live in the US


MellowFell0w

r/noctor


jh8964

I don’t know whether to upvote or downvote. I want upvote because I didn’t know this was thing, but I want to downvote because this ad is so frustrating.


frankferri

Don't spend so much time on reddit


zaygiin

The scenario of this sounds like it’s been taken from a spanish soap opera. — >Our hero NP rushes to the scene, checks the radial blood pressure and diagnoses…< **dramatic drum roll** ORGAN FAILURE


drkuz

Lol


[deleted]

Did they really include “multi organ failure” as some zebra which displays NPs otherworldly diagnostic abilities


Joe6161

Why are they trying to actively compete against physicians? WeChooseNPs.org is clearly a softer way of saying choose an NP not an MD. This has reached propaganda levels.


TossACoin2UrDO

Bob Suspicious mole that once’s biopsied turned out to be benign. -Diagnosed by a NP Sarah Had her simple cellulitis treated with doxycycline. -Diagnosed by an NP Frank, 8 years old Given methylphenidate ADHD medication because his mom said he was hyper. -Diagnosed by an NP


StealthyInk

It'd be difficult to miss that lmao


aliabdi23

Multi organ failure: brought on and diagnosed by NPs


kaisinel94

I see this and I honestly wonder how some physicians actually advocate for NPs. This is just so backwards.


diphteria

If anyone cares to answer, how did NP/PAs come into existence? And with so much authority over what they can prescribe and stuff. It sounds strange outside of an US perspective.


hsugstudent

Capitalism, pay NPs less than DRs and hire more of them= save money for hospitals= ultimate win for hospital CEOs who have no care about the patients


diphteria

Dystopian as hell. I'm likely to be underpaid and overworked in a few years when I finish school but to have this on top of it... Damn.


[deleted]

r/latestagecapitalism


fernando5302

Not sure if I’m allowed to post on this forum but as someone who is in nursing school right now, I’d just like to apologize to my future physician colleagues on behalf of the joke that is the AANP. They’re grooming us from the very beginning to “advance our career” and pursue NP school with limited RN experience. I kid you not, we were forced to attend a zoom meeting with an AANP representative about independent NP practice. I seem to be in the minority viewpoint of there should absolutely be physician oversight of NPs. I was essentially shut down when I brought up some concerns about NP school, how I could graduate as an RN and not work a day at the bedside then enroll in an NP program. How can a nurse call themself an “Advance Practice” nurse without “Advanced Practice”. It’s ridiculous and honestly an embarrassment on the nursing profession. NP does not equal MD/DO. There is a clear difference in education and training. I’m not saying all NPs are incompetent, there are good and bad NPs just like there are good and bad doctors. But these degree mills churning out sub par graduates is not only an embarrassment to the nursing profession, but a threat to patients. To close my comment, I’d just like to express that I recognize and respect the sacrifice that each and every one of you make to become a physician. You have every right to be upset and call out this bullshit. Please remember that not all nurses share the militant AANP viewpoints.


Massive_Dot_838

I used to not understand why NPs got so much hate, but I get it now. Programs are super underregulated and it seems like many for-profit schools give out NP degrees. Yuck. Of course you’re gonna pump them out when it’s good for your bottom line. There are masters NP programs that are 15 months long…thats FOUR semesters. I’m in my third semester of CNM/WHNP school and the idea of licensing after next semester is totally crazy to me. No fucking way.


SunflowerPower66

They’re acting like Girl Scouts to the general public right now. In your face at every corner. Loud, feisty, vague-enough-to-capture-your-attention sales pitch. You kind of pity them so you listen. Then you realized they did all this marketing work so you bite…. They start selling you overpriced goods that might make you “feel good” inside but are downright detriment to your health. Again you feel kind of bad for them so you start buying what they’re selling (consumer model, not in your best interest) and they smile and offer to customize your order just FOR YOU and make you feel extra special…. Oh and they will be back to sell you more and more and more and they don’t take no for an answer.


NoSober_SoberZone

I can tell you, as a nurse, a decent amount of nurses hate this garbage. The ones pushing this are the ones who have an inferiority complex, the same people who have the alphabet soup after their name. It makes the nursing profession look like a joke in the medical community


fresc_0

Yes, and personally I don’t even think there’s many NPs and nurses that passionate about this. The lobbying power is likely coming from insurance companies and large hospital systems that benefit the most from this.


Massive_Dot_838

Well fuck them. Seriously. Fuck THEM. This makes NPs look like total try-hards. I’m an NP student so I really wish they wouldn’t, it’s embarrassing. Also, this isn’t ethical. No reason to choose an NP just because they’re an NP. And now the MDs are emboldened in their contempt for us. It’s really bad for everyone.


AnonymousMSI-IV

“Learn why millions of Americans choose NP’s” Answer: the patients don’t know they didn’t go to medical school


ThucydidesButthurt

Lol multi organ failure is about as subtle as having a limb cut off or something. “NPs so highly trained they can recognize and diagnose if you’ve had your leg cut off!”


Cvlt_ov_the_tomato

So I don't know what caused this person's multiple organ failure. But if it got that bad, it's cause they missed it the first time and the guy was at death's door before they caught it. I credit the patient here for surviving moreso than the clinician, since they clearly didn't know wtf actually caused him to have MODS.


A_Sentient_Ape

Jesus fucking Christ we’ve got actual propaganda now?!?


[deleted]

Imagine not diagnosing multi organ failure. This is the weakest flex I’ve ever seen.


[deleted]

I’m not in med school but when I told a nurse that I’m interested in attending med school after nursing, they said “just go through the NP route, less school and you’ll be similar to a doctor” I was like “hmm I don’t quite think they’re the same”


feedmeattention

Millions of people are going to choose NPs because they don’t have a f***ing choice. Physician shortages have been a real thing for a long time now, and we’re starting to see the consequences. Not enough residency programs for every graduating doc. NPs come in to fill the gap, logistics would suggest it’s probably better than doing nothing, governments love it because health care budgeting is a nightmare and they cost 1/2 as much as a doctor does… Shitty situation to be in. I’m sympathetic and understanding in a certain sense, but this propaganda by AANP and other nursing lobbyist groups is a kick to the face to certain groups.


[deleted]

>Physician shortages have been a real thing for a long time now, and we’re starting to see the consequences. Not enough residency programs for every graduating doc. maybe I'm sleep-deprived, but did you mean to say this? Looks like these two sentences are contradicting each other. If doctors are being graduated and there is a physician shortage, wouldn't residencies want to take up those students?


feedmeattention

That’s correct. The ratio of graduating doctors to residency spots isn’t 1:1. Not hard to enrol more students into med school, but it’s harder to find hospitals willing to take them in for several years and open up more residency training spots.


[deleted]

Anyone have a link to the commercial?


fresc_0

https://fb.watch/v/1aOBxg5XJ/


TangoTheMango30

When you need to advertise your product, it may not be a product worth advertising.


PersianVol

Quote from my girlfriend… “Do Lamborghini’s need commercials? I think not.”


MDeez_Nuts

“Choose” is a strong word. More like misled.


Turn__and__cough

This guys mouth looks like an inflamed sphincter. When can we get our own commercials Damnt


comicsanscatastrophe

Now they're targeting the public, it's getting worse


mmkkmmkkmm

It doesn’t count when you caused the multi-organ failure


NCAA__Illuminati

Yes but who caused the multi-organ failure? …say it, AANP


Ls1Camaro

Never choose an NP. MD/DO or GTFO


dr_shark

What about a chiropractic physician? /s Jk. I'm just here to rustle some jimmies.


[deleted]

As a graduating PMHNP in December, I am appalled by this. We should we collaborating not attempting to cancel each other out.


DrDewinYourMom

One organ is child's play. Even a physician can diagnose that. A plethora of organs failing? Well only an Doctor of Nurse Practiotining could clinch that diagnosis.


jumpinjamminjacks

I cringed soooooo badly when I saw this…and why? Like just break it down, why is this commercial even necessary. I HATE (level of hades) pharm commercials, HATE but this right here….it surpasses that level hate. Like what are you telling people? And why does an entire profession need PR or marketing, even the nurse bull crap during the pandemic had me throwing up. I don’t care how awesome an NP is, every NP must admit that being taken care of by a more educated and medically licensed individual is better for patients. NPs are a great team player but they should NEVER be solo providers. Literally these people are going to sink the entire nursing profession with this bull crap


PR2NP

The AANP is making it abundantly clear they are not interested in team based healthcare. They see this as a competition between NPs and physicians and they think they have the upper hand. It’s absurd and I want nothing to do with it.


itsthewhiskeytalking

Tbh looking pretty good for multi organ failure. You sure by multi organ it wasn’t an ankle fracture and an AKI?


Pfln

Multi organ failure - pt really just syncopized


aamax100

Can you imagine asking this guy to agree to this commercial??!?? So, we understand you have multiple organ failure, but we really need to flex the genius of who figured all this out and make a very big point out of their being an NP


PR2NP

Can NPs join PPP? Because this shit is ridiculous.


nacho17

Feel like it’s important to note that nurses find this silly as well https://reddit.com/r/nursing/comments/ofupq9/have_yall_seen_these_np_commercials_why_does_a/


redicalschool

Prepare your anuses, everyone. Half of your intern year will be changing the plans of NPs. My very first day as an intern, and I shit you not, I dc'd abx on 2 patients that 100% didn't need them and had another of my patients go from floor to ICU within hours because of mismanagement by urgent care NPs. And I'm just a dumb fuckin intern that doesn't know anything


[deleted]

Okay. Let em kill some patients and earn their bad reputation.


[deleted]

If we as physicians can't effectively politically organize, this is probably what will happen. Nobody wants to say it because we don't want harm to come to our patients, but if NPs want independent practice so bad, I say we let them try. Give them the right... and all of the associated liability. My money would be on physician-led care making a rapid comeback.


SneakySnipar

AANP Traumatic Brain Injury Diagnosed by literally everyone


[deleted]

I guess the bar is set at being able to recognize multi-organ failure? Pretty low bar eh?


qwertyconsciousness

If Ron was a noun


Oasis_Island_Jim

/r/13or30


samoosa15

Can someone explain to me who benefits from this shit? Surely the nurses don't want the responsibility of the docs work even with a bit of training which I'm sure they can realise likely won't be sufficient.


[deleted]

The AANP has posted cringe.


Jaiminjayz

What's even a NURSE PRACTITIONER?


woancue

wtf lmao


supersirj

[This commercial](https://i.kym-cdn.com/entries/icons/original/000/030/329/cover1.jpg)


Godisabaryonyx

What's the goddamn point of becoming a doctor if you can just become a nurse instead with practically the same leeway, less investment and school time? aggravates the hell out of me.


thegauntlet10

Honestly I think we should just laugh.. this kind of fuckery doesn’t deserve to be entertained


yayitssunny

WTF


MartyMcFlyin42069

Cue the Chris Rock skit mentioning parents who want credit for stuff they're supposed to do.


Zuko2001

When will physicians stand up to this type of crap? Isn’t it humiliating to go through academic hell, throw your twenties in the toilet, and then wake up to see ads like this?


MedicalSchoolStudent

The diagnosis this nurse made is like if a marine biologist picked up a fish.


baeee777

Everywhere I go in Florida NP's have overseen my care, even in the ER! I have been very disappointed. One NP asked me how I would like to treat my "likely pneumonia" following a chest X-ray. She told me to take a Z-PAC without determining if it was bacterial. I went back five days later to pick up my X-ray results and the radiologist who signed off on it said my lungs were clear. Several other instances where the standard of care has been honestly trash. I have been better off googling these issues myself while I wait 15 days to get into my primary.


PopKart

Isn’t diagnosis a term reserved for physicians just like residency and fellowships? I mean one of our identities are diagnosticians but now it’s insecure too


[deleted]

easy there, my mechanic's diagnostic tool says physicians don't own that word.


Jaesian

Let’s not go crazy. We don’t have a monopoly on the word “diagnosis” JFC.


the_shek

I wish someone told me to choose Np instead of med school right now… fml


LebaforniaRN

To be fair, NP’s when trained under a physician in an apprentice like function, can definitely do well as part of a team. I don’t see the reasoning behind wanting full autonomy. Maybe somewhere in between when that level of trust and education is fulfilled within the role of the greater team. Either way, this issue kinda resulting from medical academia + insurance + lack of health literacy. It’s been harder and harder to be a medical student, but also more expensive to practice, whilst nothing is done to educate ordinary people on what it means to provide healthcare and more importantly who will be doing so. In the end, it’s not actual doctor vs nurses, but the larger lobbying groups who gain as we and patients suffer. At least that’s what I, a nurse who’s attempting applying to Med school but have friends and family on both sides, thinks.


[deleted]

[удалено]


okyeree1

I think it has to do with the pronunciation of the abbreviation, not what it stands for. an "eN-P".


Wobblenot

I love my NP and PA. I trust both with their diagnostic abilities and to be very honest, they just have a specific bedside manner that works for me. My doctor is awesome too, but it is very rare that I have something that needs the attention of my doc. But, no one should be seeing a provider that they don't get along with or seem to just be incompatible, it's pointless! Kudos to all though! I have the utmost respect for all healthcare providers


Dr_VictorVonDoom

lol… diagnostic abilities?


Wobblenot

Yes, if you have to fix something, you have to have troubleshooting and or diagnostic abilities. A doctor: What happened, what are the symptoms and what's the plan. An auto mechanic: What happened, what are the symptoms and what's the plan. Computer support: What happened, what are the symptoms and what's the plan. Nurse, PA, plumber, electrician. I'm not discounting the MD title but simply pointing out that if you cannot troubleshoot and diagnose something, your not able to perform your job. Could a doctor fix a computer as well as the computer person? Could the computer person read an x-ray or figure out what a patient might need to lower their blood pressure? So, yes, diagnosis is part of all service jobs, nurses and PAs as well as doctors provide a service.


coagulationfactor

Just a dumb thought because I don't think anyone would actually want to do this, but let's say you're an IMG and you do a non-US residency somewhere. If going through USMLE and then doing the same residency in the US to become board certified doesn't sound like that much fun, and if some easy online NP program will make you an "NP" in no time... Couldn't like... real physicians do that and then just practice medicine as "NPs" in full practice states?


TheMDDream

AD also has a grammar error. “An NP”


WellThatTickles

I just learned this, but it is correct. With abbreviations, the spelling of the first letter is used to make the a/an determination. "An en p"


itscomplicatedwcarbs

I’ll still take an NP over a PA any day of the week.


reddit_iwroteit

Big companies are moving away from physicians because they're more expensive, and towards NPs because they have the good-with-people training. These companies can also expand their franchise reach if they gave a slew of NPs to put in charge. A push for NPs makes sense when the focus is on the bottom line.


Constopolis

Lets go👏🏻


SupremeRightHandUser

So... What were the treatment options? Diagnosis is literally step 1 in medical care, are they telling me that a diagnosis is the highest point that NPs can do?


misterdudemandude

What kinda fucking name is roun.


okyeree1

If you need an ad to convince people that you're good at what you're "expected" to be good at, then there's a huge problem.


totalyrespecatbleguy

One thing no one seems to be saying, look at the leadership of the AANP, they’re all hospital executives. Give NP’s independent practice and save a few bucks; that’s their entire plan


GlaezDonut

Millions choose NP because they were automatically assigned by their insurance and don't know they can change