MDs vs NPs on Social Media
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- Опубликовано: 18 окт 2024
- It can get real ugly real quick in these online arguments. And nothing is ever achieved because these are all just crazy anecdotes that are often out of context and unverifiable
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Imagine having the balls to walk into a practice and start selling essential oils
We'll all mount on you😂
I've met some terrifyingly bad physicians, NPs, and PAs. The most important thing is that whatever our discipline may be, we all need to be aware of what we know and what we don't.
When I was in college, I had a PA misread my test results and think that I DIDN'T have C dif for a month. 20 pounds of weight loss later, a *different* PA that my mom had me fax all my stuff to, said, "SHE HAS C DIF, HOW DID HE MISS THIS," put me on Vanco, and probably saved my life.
Same level of education, but one could read test results the other couldn't.
That is why consistent standards of education are needed. We do not have NPs in my country, but because there are so many different programs gives the patient no information whether the provider is well trained or not.
This is where the pharmacist walks in, pulls up all their medication orders, and drops the mic on all of them.
😂😂😂
I’ve been watching a lot of Doc Schmidt, Dr Glaucomflecken, and Steveioe skits… it’d be interesting to throw in a pharmacist’s perspective on the madness😅
@@josephengel2091 they're too busy keeping modern medicine afloat to make videos
I was literally scrolling the comments thinking "I work in a pharmacy and I've seen some crazy shit from all kinds of practitioners, so..."
As a PA, I just like that we were left out of it.
Same!!
Because things could get *really* vicious if we started talking about independent PA practice.
When they work as their profession is named- as Physician’s Assistants- it’s a fine profession! But I think most people who are angry about the PA situation are angry about PAs attempting to work with more independence, despite the extremely low minimum clinical hour requirement compared to NPs and ESPECIALLY compared to residency.
It’s hard to blame PAs for this, as these jobs pay more, and they’re essentially advocating for the continuing growth of their profession. But I’m not a fan of the idea that we should encourage people to become PAs instead of doctors, or insurance trying to railroad people to exclusively see a PA instead of a doctor for their condition. If you trace it to the top, it’s all motivated by money, and if anyone with money really gave a shit about the best care for patients, we would have more scholarships for physicians.
@@HyperkalemiaSineWave sorry but you’re not well educated on the facts.
Lol!!! Yea you guys are in the safe zone . People hate us NPs lol
Oh there's no shortage of essentially "my D is bigger than your D" and gender doesn't matter in that argument in healthcare. Especially with specialties like cardio, ortho, neuro.
You're absolutely right!
It’s a bloody miracle to find a cardiologist or neurologist with any measurable amount of compassion for patients.
Cardiologists walk like they own the damn hospital
@@LeadTrumpet1 our cardio peds team was fantastic.
i think you could’ve just said arrogance since that is a gender neutral term. idk why “my penis is bigger than yours” was the default was to express that doctors are arrogant? no woman i’ve met had a “my d is bigger than yours attitude”, but i have met plenty of know it all and arrogant women, same with men
Ooh Doc Schmidt, I see you like to live dangerously
How big is the bottle for $39.95, and how much do you need to get a full revival? Do you have a discount code for us, Doc? Come on, hook us up.
Discount code is DocSchmidtRevivals
Just one drop. It's not about the quantity, it's about how much water you dilute it in and how many times you dilute it.
How did I not see the essential oil hawker coming? There's ALWAYS an essential oil "advocate" (possibly replaced with any number of other "alternative therapies") in those sorts of discussions online.
What I find interesting is that you can criticise the “mainstream” but if you criticise someone hawking a magic dust to sprinkle on your left butt cheek, you get piled on for being negative and a shill.
IV fluid "cocktails" for people who aren't hyper athletes that cant remember to drink water. Or my favorite - IV cocktails to help hangovers.
I’m with lavender guy, I from time to time burn my lavender essential oil candle and I have yet to die! So I mean the results speak for themselves.
Hey, his Essential Oils LLC now owns the hospital, so you better listen up.
😂😂😂😂
PA here, thoroughly enjoying this with a bucket of hot popcorn 🍿
This is probably the fastest advertisment video i have seen yet. Usually they go on for 15 minutes and then by 20 minutes they finally tell you what product to buy and where to buy it.
Accurate. I like respectful NP/PA/MD/DO interactions that complement one anothers' strengths - it exists😊
Have all of the above in the Neuro clinic practice I work at. It's great!
And here I was expecting one group to share like crazy and the other to be terrified of privacy laws...
Oh i have a great story about me being sick for almost a year and my MD gaslighting me bc she was incompetent and also sent me to a surgeon to have my gallbladder out simply bc ultrasound showed gallstones. He was ready to do it to and i almost had it done but i backed out at the last minute bc i felt it wasnt right. I finally got into GI and I had/have 2 bleeding ulcers, gastritis, SIBO, SIFO, Diverticulitis, and H. PYLORI, sliding hiatal hernia. THEY ARE TOO QUICK TO TAKE YOUR GALLBLADDER OUT! WE NEED THAT! Just bc we can BREATHE without one, doesn't mean its going to be comfortably. Living without one is like washing a greasy dish without any Dawn. You an develop pancreatic insufficiency and a whole host of other things. PLEASE question whether u need it out or not. Especially if you have no excessive bilirubin on testing, no stone blocking a duct, no jaundice etc. Remember...our gallbladder doesnt have any nerves. So unless those stones start traveling, ur not going to feel any pain from them simply sitting in there. Implement lifestyle changes. QUESTION EVERYTHING.
Well...That escalated quickly!
I'm a nurse, have been for fourteen years, but I will say nurse practitioner does not involve much schoolin'. I think it all depends on the individual though. You can have wonderful or terrible NPs or MDs...
0:43 Well that's one way of treating it. If youre dead you cant feel sad!
Where’s the link for the bottle of lavender oil?
You can just Venmo me. I’ll get it to him, don’t worry
I needed that belly laugh.
DOs left out of this like Gen X
I'm in too much pain to be laughing this hard! 🤣🤣🤣
When you have a shortage of drs (here in Canada) then you have the option of a NP you take it. Absolutely love my NP after going without anyone for 18yrs and treated badly by the drs at walk-in clinics between misdiagnosis and gaslighting. The clinic has both drs and NP's and they consult with each other if needed. So after going through all of that I don't care which they are as long as they're not arrogant and demeaning as the others I've seen treating patients as if we are dumb about everything because we aren't in their profession. I'm the one going through this and know enough to know what is going on with my disabilities.
A witch doctor has more medical experience than the mlm Hawking essential oils😂
Now look what you did! Your fighting brought out the 'essential oils are life' squad...
What's wrong with metropolol monotherapy? Sure my blood pressure still goes to 135/90 but it doesn't stay that way...
What no DO to talk about the benefits of both?
Should NPs be allowed to scope? Or are they totally unqualified?
LOL stop simping for NP likes and stand up for physician-led care
🤦🏽♀️ This. Friends, we have a MASSIVE shortage of primary care providers. MASSIVE. The shortage is so bad, that there are regions in which there’s only one provider in a 50-100 mile radius. Some areas, that number is zero. As a novice provider, I have OVERSIGHT. I have a 20+ year veteran provider overseeing me like a 1980s Police song. And I am so thankful. Plus, I am surrounded by other providers (from new like me, to seasoned like my senior). I admit that some try the MD-vs-NP rivalry BS. But I am Dr. Tofu and I actually do have a doctorate, so I don’t pay that nonsense too much attention. What we have here is a failure to join the team. Lots of members on the team; but we’re at a disadvantage. Roughly 35-40 providers to >20,000 in need. Some of that need is acute. Join the team and help out or don’t plague me with nonsense about degrees. The implication is ALWAYS that an NP provides substandard care to an MD. The DOs are smart and don’t get into it. We need to knock it off. All joking aside. Patient safety and healthy outcomes are the only things that matter. Us creating division and mistrust of the public in our colleagues is damaging to patient safety and they sure don’t have good outcomes from this behavior.
Thank you for your levity on this. Making people laugh about a serious topic breaks down bias and prejudice. We need to laugh. We need to work together. And we need to remember that grad school was like a terrible ex and that we’re all still a little traumatized. It’s not a competition. We’re all needed.
If anyone is listening, can we get a few more people interested in neurology? Wait times are approaching the absurd. And psyche? Wait times have far surpassed the absurd and we don’t even have a name for it yet.
WE NEED YOU!!! Primary care, neurology, and psyche!!!
I never see any openings for neuro
@@kingofallworlds That is wild!!! In New England, there’s a shortage. I’m caring for Parkinson’s, migraines, concussions, and dementias and all my humans have been waiting MONTHS for consults. Thank God for UTD and my two years precepting at a neurology clinic or I’d be screwed.
I'm in my second semester of PMHNP (psych np) school, and I have to say, the fact that this rivalry even exists is horribly discouraging. I understand that theres a medical hierarchy, and I respect that. However, to be told that everything youve aspired to is somehow less valid than those higher up can feel pretty awful. Of course, I reject that notion.
The way I see it, and perhaps Im naive, but NPs exist for a reason. As you said the system is failing. Patients cant see their providers due to wait times, regardless of background. We all bring something to the table. A solid foundation un nursing is nothing to turn ones nose up at.
I love Doc Schmidt, and I think he highlighted this topic well. We all point to the negatives in health care. This provider did this or this provider didnt do that. However with the prestige that comes with a medical degree, I feel as though doctors are somewhat shielded from that negativity. NPs and PAs however, while still respected, dont have that same level of shielding.
It is what it is.
Just feels strange to me. At a time where healthcare workers of ANY kind are stretched so thin, its wild to me that sometimes our biggest enemy is ourselves.
@@Jarvus360 One thing I can tell you is that although this idiocy exists, it isn’t something I deal with very often. You are SO NEEDED!!! Try not to let these stupid things get to you. I love what I’m doing. And I love my job. There are stressful days and there have been tears. But the rewards are immeasurable. I’m in an amazing place. Placement is really important. I believe you can learn something anywhere. But being in a place with a lot of varied providers is really amazing as a novice provider. I’m surrounded by people who were once novice providers too, and they’re incredibly positive regardless of the letters following their name. I try my best every day and cling to humility and compassion to stay grounded. That’s the best we can do. Keep the patient as your “true north” and act with integrity. Focus on that and the patients and you will be in good shape! Best wishes!!! You are needed!!! 😃❤️👍🏽
So. Much. Truth!!
Oils do smell nice and maybe that combined with a bath or something could reduce stress…that’s all I got
It's not the title after the name, but the quality of their knowledge.
Hey a mention for Pulmonary Hypertension! Although none of these characters in reality would know how to treat it, unfortunately🤷🏼♀️
Who would then?
@@Doc_Schmidt only Pulmonologists that specialize in treating it, a few cardiologists. In my area, only UCLA even has the meds, much less the know how to treat it and work around it. Although I was diagnosed 12 years ago, and treatment had come a long way since then. PH even made the rare disease registry, finally. When I’m in the hospital, I’m usually seen by one of the heads of pulmonology and they bring all the residents by to see me for a lesson. The nurses also all come by to watch me change my subcutaneous med pump myself because none of them have seen one or know how to do it. I’m glad to see PH is getting more visibility!
Make sure to copyright this, they may try to use this in a advertisement, especially the last part!
I want to hear more about those essential oils.🤔
I dunno if it’s the same as essential oils but I used to give my dog (RIP) CBD oil as a supplement to NSAID for my dog’s arthritis. When he got kidney disease and couldn’t take the NSAIDs- vets recommended a bunch of off-label use painkillers including one formerly used an antiviral. No long term studies as well on how it works for long term pain relief.
I realize doctors know more medicine than I do and are eons ahead in terms of practicing it, but prescribed medicine usually has a ton of experimental literature backing it up and I don’t think the collective sum of anecdotal experiences of vetinerary doctors about medicine working for their patients should extend to common treatment modalities. Of course they’re doing the best they can for their patients who are suffering in pain- but it’s absolutely outrageous how little progress has been made on safer NSAIDs and alternatives for pain relief- of course I say this knowing that the last safer NSAID made for dogs, Galliprant, had so few side effects, that it ended up not having much of a main effect 😂. But I think it’s probably things like off-label meds (especially when it comes to psychiatry and chronic pain relief) that make snake oil like essential oils so attractive.
This 100%, especially when it comes to psychiatry and pain and man are they pushing those antidepressants hard. Those things almost killed someone I know and now they are being prescribed for everything. They are handing them out like candy with no idea how they actually work and the science behind it is absolutely terrible.
Some people have a good experience with them, but nobody knows why.
The upside for them though..... if those things mess you up real bad, you can't prove it was the antidepressants that did it. So they won't get sued.
Veterinary med is decades ahead of human medicine and always has been for this exact reason -- the flexibility to be more experimental and the willingness as a community to spread anecdotal knowledge. People in human medicine still bicker over acupuncture when veterinary patients benefit objectively and drastically from it every day, and that's just one example. People in human medicine were still bickering over stem cell therapy usefulness when I was seeing bassetts get miraculous new knees from it like 12 years ago. People in human medicine bicker over nutriceuticals when I've watched phosphatidylserine supplements (combined with other nutrients) result in a few days' turnaround of motor and cognitive function for ailing senior dogs and put years on their lives.
The veterinary medical community has rigorous studies and peer-reviewed journals just like human med does (kinda sounds like you're implying it doesn't), it just also is a lot quicker to try things out by word-of-mouth while evidence is still coming together. Although that comes with some risks, as a public health geek, I think there's a lot to be gained from that approach and I wish human medicine had a better philosophical balance with less defaulting to being as cynical as possible about everything that hasn't had thousands of rcts yet. We all know formal research isn't well-funded enough, in any field, for any niche, anywhere.
That's why I only support DOs :)
This is fun!
Where's the joke? I only see facts 😭😞
Essential oil guy
I have been through this also.
I have no problem with PAs (assuming they practice within their scope) because their education is standardized, but we shouldn't be ignoring how variable the education of NPs is, from reputable programs to shoddy degree mills.
Midlevel providers as physician assistants have a place, but NPs do not, simply because of the subpar and nonuniform training that NPs receive.
There are crappy MDs and crappy midlevels, but I'd rather have a crappy MD than a crappy NP. The latter is terrifying.
NP's still participate in standardized certification exams?
C's get degrees. NP's and MD's can both be top or bottom of their class or somewhere in between. An individual practitioners listening skills can also make or break how good they are.
Weird to see you siding with profit driven medicine and the MBA admins.
But I guess you needed to post content on a Wednesday.
This is common sense. Life is shades of grey, not absolutes
I'm sure that's how this will be interpreted by people unsure if their 6 y/o should have a "pediatric nurse oncologist" construct their treatment plan so some MBA can buy another yacht.
You could have not posted anything. It's not a patient's responsibility to learn the intricacies of medical education. They trust us. I hate seeing the results of that trust betrayed. I'm sure you've seen it. Those were real people.
@@justsomeguy6730 if everyone suddenly refused to see NPs or PAs, our medical system would quite literally collapse
@@Doc_Schmidt there is no doubt it would be difficult. I'm sure you've seen what happens with independent practice, though midlevels practicing within their scope can be helpful.
But publicly equating physicians with midlevels hurts patient outcomes because they don't know any better and it excuses admin's intensely money driven practices or unethical independent midlevels who wanted to treat patients without having to go to medical school.
American healthcare is rough enough. Why should patients also just accept that they don't even get to see doctors for the bankrupting prices they pay?
I get that you need views and a good portion of your viewers are midlevels or have one in their family, and this will get shared in that demographic. I've enjoyed your previous content. I'm just disappointed you used your platform to push the narrative that will hurt someone's kid because they didn't research the intricacies of medical education and people tell them we are all the same.
@@justsomeguy6730 what do you think the message of this video is? Because your comments are telling me you have significantly misunderstood both this video and my position on physicians and mid-levels
In summary: anybody can be bad at their job
The probability that you will meet a terrible midlevel is significantly higher, add on to the fact that MDs put in way more years and effort into their degrees and are therefore much more vested and are afraid of losing said Qualifications that they spent most of their lives achieving compared to a midlevel.
I had a PA an army captain (o2) less time in the army than I had in the navy look at my non-weight bearing foot X-ray say “I’m not that good at reading X-rays but I don’t think it’s broken.” I at 20 years old almost no medical history could see 3 of the 6 fractures. Ended up being broken in 8 pieces. Caused entrapment syndrome and until I became paralyzed 20 years later I couldn’t walk right,run or do pushups and had to be medically discharged from the military. I also fell down 3 steps and had a 3rd degree high ankle sprain with an ankle fracture and was dc’d from the ER with a splint and crutches. My ortho literally said “WHO THE EFF (used full word)LET YOU OUT OF THE ER?!? You should have been in surgery that day!!” Thanks to insurance I had to wait 2 more days before having surgery. I do not let residents treat me. I will not allow students or newbies start ivs or do any procedures. The chief of anesthesiology is always the one to be in my room because I have woken up twice under too light of sedation. 40 years old. 40+ diagnosis. 4 heart attacks. Multiple PEs. Blood clots. Septic shock 2x. Heart failure kidney failure and now on hospice. I’m not a case for newbs.
Lol!
As a person who will be graduating this year with an NP degree, I love and appreciate this lol
I’m graduating as an FNP next year too. Good luck!
👍🏽 Good Luck on boards!!!! And congratulations!
No PAs killed his siblings though...just sayin
There's such a big shortage of GPs in NZ that people in some clinics aren't seeing a GP at all and have to see a NP. An elderly woman at my church ended up dying from lung complications because she could never get an appointment with the doctor.
Come on, no need to feed into stereotypes about big families.
Us PAs crying in the corner but rooting for the NPs to represent APPs
Eh. A lot of PAs would rather work alongside a physician in terms of practicing alone, but do also want to be recognized as actual competent providers then “ooga booga ppl who weren’t good enough to be doctors”. To me, as long as you can make a diagnosis, and make a treatment plan that makes sense with my current physiological state, I as a patient can only agree to treatment.
🤣
😂😂😂😂
Sell out
It’s not actually an ad, don’t worry.
Thats the way I feel about essential oils. They smell nice but they are no replacement for science based medicine
😂
First
lol, as an NP I appreciate this balanced take. I have seen examples of excellent and poor practice from other NPs and from much higher up the pay /education scale😅.