- Joined
- May 13, 2014
- Messages
- 987
- Reaction score
- 1,135
Hmm. I guess it's a bit odd that, legally, a nursing board can confer rights for practicing medicine when the barriers for entry are much stricter in the medical field.
When a nurse is your health-care provider, you’re at risk
- Thread starter Taurus
- Start date
- Status
- Joined
- Jul 21, 2008
- Messages
- 995
- Reaction score
- 506
^ Right. And there is exploitation on this for economic and political purposes. It will be, at the very least, interesting to see where this goes in terms of overstep. Right now, the healthcare economics is in such a growing state of disarray, concessions will be made. The attitude has been--IMHO at least--getting more covered trumps maintaining quality standards of care. This is part of the reason I have trouble with getting too stringent with tort reform. Board accountability is important--but so are other means of maintaining accountability. You get too easy with legal reforms for accountability, the mess is only going to get bigger.
No one likes this mess, and it seems that Mr. Obama's ACA is causing it to get worse. "It's all good, so long as everyone gets covered." Yep. Even potentially substandard care is OK, so long as everyone gets covered. Thing is, lol, far from everyone is getting covered. What a freaking mess.
Last edited:
Yes, but the administrative powers that be DO NOT CARE. That's what I fear people are missing. It's not the issue of APN/midlevels against docs that is so much the problem. It is the fact that all of the most dire concerns are purposefully be overlooked b/c of the bottom line. Who in medicine is going to say, "Stop this craziness!"? And how will they make anyone listen in light of the growing economic issues in healthcare?
- Joined
- Jul 21, 2004
- Messages
- 35,944
- Reaction score
- 17,726
- Joined
- Jul 13, 2010
- Messages
- 2,245
- Reaction score
- 1,103
What are you worried about? It's not like you have Advance Practice Dental Hygienists... yet
- Joined
- May 13, 2014
- Messages
- 987
- Reaction score
- 1,135
If that's the case, why not just staff hospitals with cheap ass FMG's who can pass nursing board exams? lol.
Instatewaiter, I must respectfully disagree. People are complex. Much of human behavior is repetitive, but this is not b/c people are simple. People are like onions w/ many layers. And as multidimensional people, at any given moment, interacting dimensions will be at play. Yes a primary care doc, ED doc, surgeon, whomever doesn't have time to peel through all those layers with each visit or interaction. But they can work with the understanding than an individual's multiply dimensional dynamics are affecting them--pulling at them.
Certainly practitioners can look at humans from the paradigm of being multidimensional people--just as they, too are multidimensional. Part of the frustration caregivers have in dealing with people--say a patient's noncompliance, or denial, or some level of resistance, has to do with the fact that the practitioner is not seeing the client/s from the multidimensional lens. So they lose compassion, insight, understanding for the patient. It doesn't just hurt clients/patients when we view them or their "problem" uni-dimensionally, it hurts our practice and that of the healthcare professions' on the whole.
Yes, there is difference when people use a holistic approach as a mere slogan, and when they actually appreciate and practice from the paradigm. Honestly, this is one reason why I switched my primary care physician from an MD to DO. It doesn't mean the MD isn't capable of seeing and practicing with respect to the paradigm. I know many that do. It is just the one my family and I were seeing didn't care. Not only that, he blew off important labs more than once, did not refer out to specialists when it was clearly indicated, and in general, just could have cared very minimally about the patients/clients. He wouldn't listen to clients, and he was incredibly condescending. I don't know if the fact that he was educated in another country had anything to do with it. But really, this is a huge deal, and if physicians don't think ignoring the paradigm and giving it due respect will affect their practice, they are kidding themselves. There are also people/pts that can tell when they are being BS'd. Eventually people see who is genuine and who is not. The pts that just want their drugs or meds, sadly they will not care. But even they deserve to have practitioners that see them through this paradigm and that can also look at the bigger picture.
Last edited:
- Joined
- Jul 27, 2013
- Messages
- 38,498
- Reaction score
- 75,460
Hospitals make the most money off of residents, but the work hour restrictions made them look for an alternative.
LOL, cause even they will be more expensive than midlevel practitioners--at least eventually. In the hospital though, NPs usually work directly under a physician. Eg., say a PICU, most stuff will have to be reviewed with the attending and or intensivist. But they are physician "extenders" in reality. Kind of like someone else noted, residents for life. But they often get six-figures or so for doing this--at least in my area.
Last edited:
- Joined
- Sep 24, 2014
- Messages
- 6,005
- Reaction score
- 4,357
it's already happening in dentistry-- University of Minnesota is giving a 'master of science in dental hygiene'... They will have some of the privilege in dentistry that NP enjoy in medicine...
http://www.dentistry.umn.edu/programs-admissions/advanced-programs/dental-hygiene/index.htm
Yea, that's not really the same thing. Dentistry has a firm hold on their profession, and they have not been as dependent, overall, as physicians when it comes to insurance or even Medicaid reimbursement. Not really the same thing. Pretty much the exception being the rural dentist.
Plus a number of dentists specialize, offering expensive procedures that fall closer to cosmetic. As such, it's not a so much a surprise that they don't rely on Medicaid.
Also note the use of the phrase, "as dependent." Plus the deductibles are big enough, and people can usually work something out with their dentists--depending.
Also many orthodontist I have seen employ PAs, of sort, to do a fair amount of work on the braces and such--they supervise them. Orthodontists can have a very sweet deal once they are established.
Plus a number of dentists specialize, offering expensive procedures that fall closer to cosmetic. As such, it's not a so much a surprise that they don't rely on Medicaid.
Also note the use of the phrase, "as dependent." Plus the deductibles are big enough, and people can usually work something out with their dentists--depending.
Also many orthodontist I have seen employ PAs, of sort, to do a fair amount of work on the braces and such--they supervise them. Orthodontists can have a very sweet deal once they are established.
Last edited:
- Joined
- Jan 2, 2014
- Messages
- 11,384
- Reaction score
- 24,014
I was hired upon graduation to join the academic community and participate in a start-up dental hygiene program. The UMN MDH program prepared me to confidently develop curriculum, serve as clinic coordinator, and participate in a successful accreditation.
Brenda Armstrong BSDH, MDH
Assistant Professor
Dental Hygiene Department
Thomas Nelson Community College
A new grad with letters that no one knows is developing their curriculum. fantastic. pretty soon they'll be doctors too
My dentist didn't even use a dental hygienist until more recent years--after he got to a certain place, financially speaking. Prior to that, he did his own dental cleaning and used it, as is supposed to be done anyway, but I haven't seen every dental hygienist do this, to evaluate the oral cavity for anomalies and growths, etc. Even the dental hygienist he has now doesn't always palpate glands in mouth and neck like he did. He is pretty thorough. Dental hygienists have a limited role, at least in my dentist's practice. I can't imagine my dentist allowing them to do root canals, etc. And dental insurance, although more limiting than health insurance, is not going to pay them to do them.
Last edited:
- Joined
- Jan 2, 2014
- Messages
- 11,384
- Reaction score
- 24,014
Probably what they said about NPs before they started hollering about doctorates and equivalence
- Joined
- Apr 28, 2006
- Messages
- 6,133
- Reaction score
- 2,366
We're saying very similar things (with the excpetion that I think that people are not complex). I do think proper care should be holistic. It goes without saying. If it is not incorporating everything needed to deliver proper medical care, it is not proper care. Having to say you deliver holistic care however is taudry and tends to be used by people who can't deliver real medical care. They tend to need to separate themselves from real doctors because the don't have the knowledge, don't have the skill or practice non-evidence based woo. If a patient wants to go to some quack who claims to be "holistic" that's fine. My **** has a lot of evidence behind it and keeps people alive longer. You're not coming to see me because you have a slight case of the unease. You see me because your most important organ is ****ed up.
Human beings are complex b/c they are multidimensional, and in reality, much within these dimensions is still not as well understood as we might like to believe. In fact, it would seem that some either don't believe or have only an inkling in how these dimensions overlap/intersect. I think probably unbelief is a big factor for some. To me, the closed thinking to that is sad, but whatever.
Humans are also complex b/c they are individuals--individuals that often have very involved or complex histories. Just b/c we have seen a lot of media presentations about some compelling stories, well, this doesn't mean it's all the same deal. The core belief against a holistic paradigm leads, IMHO, often to a lack of finding the particular value of the individual. Genetics alone make people complex. Heck, I haven't had two dog's personalities or even presentations that were exactly the same, and I have owned, bred, and raised a lot of dogs.
Now, I am thinking you may be a cardiologist. Over time problems with the heart can affect other organ systems--making even physiological management complex. Most things don't act in isolation--hence there is an inherent complexity with most things and the human body is no exception. The things of the mind and spirit are even more so. Life is complex, and people are included in what in life is complex, both physiologically and otherwise.
Listen, my mother is managed by an excellent EPS cardiologist, who really could seem to give two craps about taking a holistic approach. He's more an aloof kind of guy. Yes. He is very up on what's going on with her. He's very excellent at what he does in general. I trust his expertise. But he doesn't have that sense of respect for the whole person, and I guess he doesn't see the need to have it. That's his own particular complexity at work perhaps. I have worked with some surgeons like this. And b/c they are so skilled and adept at what they do, I stand by them and respect them. At the same time, personally, I think in some respects, he/they are losing out and so are his patients somewhat. Now some of that has to do with the sheer core demands of their jobs. But at the end of the day, that they seem to think they are just doing a job will take something away rather than protect them. And you see this from time to time with them. Some are just careful, but every once in a while a particular patient will affect them more on a personal level. Yes, people have to self-protect in this profession. But there are those that set proper boundaries and still believe and maintain a truly holistic approach with patients and families. These people I give the utmost respect, b/c I see how it positively affects patients, families, and staff. They are real leaders.
Now, please don't get me wrong. I don't want a provider that is all understanding and appreciates the multi-dimensionality of people, but who is not highly skilled or is less than highly competent. It's not an either or proposition. When it is genuine, and the professional understands and embraces the holistic paradigm, there is absolutely nothing tawdry about it. It's so sad and disheartening that you would use this word. In fact, it is judgmental against those that do genuinely employ the holistic paradigm.
No one is saying being truly holistic in approach means holding someone's hand every time you see them. That's not it at all. It's a paradigm that begins and ends with a sense of respect that goes beyond understanding of the physiological state of the individual. And often it is something some healthcare providers don't get until they are on the other side of bed--or they have a child on death's door or another close loved one that is being tossed from in-hospital department to department-- and usually they get it most when it is for something serious and often prolonged.
The value of a real holistic paradigm genuinely applied is that it increases empathy, and it helps to expand the picture in terms of things that could be missed which may indeed be relevant to the patient and his or her condition. It also brings a respect for the fact that a patient may not be a medical person, but they, however, are often experts in their own bodies and how they feel. So, they can clue into the trends--what alleviates the pain and what exacerbates it, for example. It also incorporates a sense of empathy, something we have dire need of in today's world. Some professional people have the strength to develop this, and others don't. It means in effect, working alongside the person--like a good coach that is rooting his player along to success--whatever that ultimate success may be--a better life or a respectful and quality ending of one.
That's my piece on that. It's neither here nor there to some folks, and that's quite sad to me. People fear what's not a black and white kind of thing. So many things in life just aren't.
Humans are also complex b/c they are individuals--individuals that often have very involved or complex histories. Just b/c we have seen a lot of media presentations about some compelling stories, well, this doesn't mean it's all the same deal. The core belief against a holistic paradigm leads, IMHO, often to a lack of finding the particular value of the individual. Genetics alone make people complex. Heck, I haven't had two dog's personalities or even presentations that were exactly the same, and I have owned, bred, and raised a lot of dogs.
Now, I am thinking you may be a cardiologist. Over time problems with the heart can affect other organ systems--making even physiological management complex. Most things don't act in isolation--hence there is an inherent complexity with most things and the human body is no exception. The things of the mind and spirit are even more so. Life is complex, and people are included in what in life is complex, both physiologically and otherwise.
Listen, my mother is managed by an excellent EPS cardiologist, who really could seem to give two craps about taking a holistic approach. He's more an aloof kind of guy. Yes. He is very up on what's going on with her. He's very excellent at what he does in general. I trust his expertise. But he doesn't have that sense of respect for the whole person, and I guess he doesn't see the need to have it. That's his own particular complexity at work perhaps. I have worked with some surgeons like this. And b/c they are so skilled and adept at what they do, I stand by them and respect them. At the same time, personally, I think in some respects, he/they are losing out and so are his patients somewhat. Now some of that has to do with the sheer core demands of their jobs. But at the end of the day, that they seem to think they are just doing a job will take something away rather than protect them. And you see this from time to time with them. Some are just careful, but every once in a while a particular patient will affect them more on a personal level. Yes, people have to self-protect in this profession. But there are those that set proper boundaries and still believe and maintain a truly holistic approach with patients and families. These people I give the utmost respect, b/c I see how it positively affects patients, families, and staff. They are real leaders.
Now, please don't get me wrong. I don't want a provider that is all understanding and appreciates the multi-dimensionality of people, but who is not highly skilled or is less than highly competent. It's not an either or proposition. When it is genuine, and the professional understands and embraces the holistic paradigm, there is absolutely nothing tawdry about it. It's so sad and disheartening that you would use this word. In fact, it is judgmental against those that do genuinely employ the holistic paradigm.
No one is saying being truly holistic in approach means holding someone's hand every time you see them. That's not it at all. It's a paradigm that begins and ends with a sense of respect that goes beyond understanding of the physiological state of the individual. And often it is something some healthcare providers don't get until they are on the other side of bed--or they have a child on death's door or another close loved one that is being tossed from in-hospital department to department-- and usually they get it most when it is for something serious and often prolonged.
The value of a real holistic paradigm genuinely applied is that it increases empathy, and it helps to expand the picture in terms of things that could be missed which may indeed be relevant to the patient and his or her condition. It also brings a respect for the fact that a patient may not be a medical person, but they, however, are often experts in their own bodies and how they feel. So, they can clue into the trends--what alleviates the pain and what exacerbates it, for example. It also incorporates a sense of empathy, something we have dire need of in today's world. Some professional people have the strength to develop this, and others don't. It means in effect, working alongside the person--like a good coach that is rooting his player along to success--whatever that ultimate success may be--a better life or a respectful and quality ending of one.
That's my piece on that. It's neither here nor there to some folks, and that's quite sad to me. People fear what's not a black and white kind of thing. So many things in life just aren't.
Last edited:
Sorry that was long instate. Passionate core beliefs is all.
On having a passionate opinion. . ."“You always own the option of having no opinion. There is never any need to get worked up or to trouble your soul about things you can't control. These things are not asking to be judged by you. Leave them alone.”
It's just hard for a passionate person like me to have no opinion on some things. And then other things lie shoes or things like who is sleeping with whom... well, these things don't interest me in the least. Although there is a chick at work that has the most incredible shoes, and she wears them well--if not rather precariously--sits most of the time. Nursing kind of kills wearing these kinds of shoes. The pain become more troublesome that the cuteness factor. Plus I'm too tight for that. But if it makes a person happy so be it. I'd rather collect books and music. Course, I ran around in summers in rural places and beaches completely shoeless.
On having a passionate opinion. . ."“You always own the option of having no opinion. There is never any need to get worked up or to trouble your soul about things you can't control. These things are not asking to be judged by you. Leave them alone.”
It's just hard for a passionate person like me to have no opinion on some things. And then other things lie shoes or things like who is sleeping with whom... well, these things don't interest me in the least. Although there is a chick at work that has the most incredible shoes, and she wears them well--if not rather precariously--sits most of the time. Nursing kind of kills wearing these kinds of shoes. The pain become more troublesome that the cuteness factor. Plus I'm too tight for that. But if it makes a person happy so be it. I'd rather collect books and music. Course, I ran around in summers in rural places and beaches completely shoeless.
- Joined
- Jul 29, 2007
- Messages
- 7,009
- Reaction score
- 4,494
Theres no pride in the profession. Take a look at med school. Run by low-life, overpaid administrative hacks. Theres almost no docs out there teaching at these programs who are passionate about what they do. No one that actively inspires the students and makes them feel PROUD to be apart of this ancient tradition.
Instead you have left wing windbags at the top of the administration (most of whom are not M.D.s) doing everything they can to marginalize the profession, most apparently by brainwashing them into believing every other profession is practically the same
I have a relative who is an M2 at one of these M.D. schools and he told me last week they had an "Interprofessional Day" where the kids had to sit and listen and participate in fake patient cases where every single member of the "health care team" was involved and how to utilize everyones skills effectively. Apparently the nursing programs were matched up with med students so it was DNP students and pharm students and med students and every single case apparently they tried to emphasize how the DNPs can and should do everything the physician does, and if you think your skills are more "specialized" you are probably a sexist, arrogant, or just full of yourself. 5 whole hours of this rubbish mandatory and virtually all of his classmates came out of it feeling like it was nothing more than a "bash the doctor" seminar.
Where are the role models? Why does the profession have nothing but used up old tires teaching at these schools? Why have the diversity perverts taken over every single aspect of academia?
- Joined
- Apr 28, 2006
- Messages
- 6,133
- Reaction score
- 2,366
It's so sad and disheartening that you would use this word. In fact, it is judgmental against those that do genuinely employ the holistic paradigm.
It is tawdry. It is cheap and hollow and meant for show. You don't need to say it. And saying it makes it cheap. The only "practitioners" who use the term holistic are those who are trying to sell you something- like a person whose whole practice is based on the idea that water has memory or someone who claims equivalence without the training or knowledge. They need something that gives them value since their care is either worthless or substandard. So they USE the idea of holistic care on the less educated or naive portion of the population to make it seem like they are getting something they can't from someone appropriately trained. It is not the people who deliver good care and are "holistic" who use this term. It is the quacks.
Oh and I have been on the other side.
- Joined
- Jan 2, 2014
- Messages
- 11,384
- Reaction score
- 24,014
My med school is run by physicians. We have a lot of good docs. But yeah I've noticed this interprofessionalism bullcrap; the nurses think that they can indoctrinate us like they do to their students. We see right through their ploy. MDs are just better than NPs but these nurses hellbent on proving that it's the same if not better whether it's with their degree creep or their transparent and pathetic attempts at scientific research. I can only imagine the backlash if doctors sat nurses down for one of those ridiculous sessions but then again, we don't need to play games or use rhetoric to try to prove our value when it's already so apparent
- Joined
- Jul 27, 2013
- Messages
- 38,498
- Reaction score
- 75,460
My dentist does a full palpation and evaluation after every cleaning- I wouldn't feel safe having only a hygienist do so. Only takes him about 3 minutes, plus he gets to catch up with me and make some small talk.
- Joined
- Jul 27, 2013
- Messages
- 38,498
- Reaction score
- 75,460
Does he at least make small talk afterward?
- Joined
- Jan 12, 2013
- Messages
- 511
- Reaction score
- 359
Fancymylotus must have a twisted sense of humor, but as long as it feels thorough..
- Joined
- Jul 21, 2004
- Messages
- 35,944
- Reaction score
- 17,726
Lol. Fancymylotus tries her hardest to actively avoid ACTUALLY doing any work so...
(Kidding)
In NYS hygienists can't do anything unless a licensed dentist is in the office. I don't do cleanings obviously, but I do have to do the exam and oral cancer screening. We have screening tools the hygienist can use but I still have to do it anyway. A dentist doing their own cleanings in a relatively large or busy practice is wasted production time for us.
- Joined
- Jul 21, 2004
- Messages
- 35,944
- Reaction score
- 17,726
The same way that nurses can't and shouldn't be doing everything, dental hygienists can't and shouldn't be doing everything. Lol.
Oh I think I'm on ignore, so this brilliant post of mine is gonna go unread. Sighhhh
- Joined
- Jan 12, 2010
- Messages
- 754
- Reaction score
- 1,020
MDs are holistic. We use a good H and P to ro things, taking your whole body into account.
- Joined
- May 13, 2014
- Messages
- 987
- Reaction score
- 1,135
Why is it that no group of physicians has funded their own "biased" study to demonstrate how superior physician care is?
I suspect it's because people will just react like, "Well, no duh. What did you get all that extra training for? Quit bashing nurses you bullies."
I suspect it's because people will just react like, "Well, no duh. What did you get all that extra training for? Quit bashing nurses you bullies."
- Joined
- Jan 18, 2008
- Messages
- 12,729
- Reaction score
- 4,899
It's a circle of life:
Nurses tell nursing students how to make doctors miserable and brainwash them into how bad doctors are. Med student enters and is immediately labeled and discriminated against. They try to be nice but are subjected to this revenge. Then they become a doctor and ends up hating nurses and making their lives hell. Nurses then tells the next batch of nursing students....
Meanwhile Rafiki raises Simba to the world
That may be true; still for some, in being on the other side, they missed the opportunity to see something. No one or nothing can make someone see something if they are hell bent on not seeing it--period.
What is intriguing to me is how some folks can learn and grow through tragedy--have a greater understanding for life and fellow human beings, and then there are others that don't. It's the better vs. bitter dynamic.
What happens where some grow and become better in their souls and view on life, whilst others become bitter or lose a sense of passion for others. Some people see their own garden as a place of toil, whilst others see it as a wonderland, worthy of every drop of sweat.
In short, some people focus on the rose, whilst others can't get past the thorns.
Some accept the thorniness of people and life, and they are reticent to toss the flower/s away. How is it that some, having gone through major tragedy and trials can do this while others cannot? I think of people like Viktor Frankl, who survived the Holocaust, but did so rather victoriously from the inside out.
We disagree. I am certain that genuine care and respect and understanding for the complexities and nuances of people as whole and multi-dimensional is never tawdry. Just b/c some folks use it as a sales pitch doesn't not mean it isn't real. It just as some people toss around the word love, and their actions speaks anything but love. Does this mean that philial or even agape love are not real? I can’t speak for everyone, but I have become persuaded that they are quite real.
I think maybe you are getting stuck on a word over considering and appreciating a principle. This is not Flat World. People are indeed multi-dimensional.
But rather than get caught in some endless, spinning laundry cycle, we will just have to disagree is all.
This was a man that truly understood the power of rising above adversity w/o becoming crippled by the injuries and scars of it.
“When we are no longer able to change a situation, we are challenged to change ourselves.” --Viktor E. Frankl, Man's Search for Meaning
- Joined
- Jan 2, 2014
- Messages
- 11,384
- Reaction score
- 24,014
Every post reads like a 10th grade writing assignment
I see that the frustration here to is maintain an "Us vs. Them" mentality against nurses or whomever. I have stated ad nauseum the limitations in using midlevel practitioners as "replacements" for physicians. What peole don't want to focus on is that healthcare is up against the economic scythe. Those wielding it are willing to take risks with patients---just look at the numbers. If the projections that include that 75% I spoke of earlier are correct, yes, they are going to roll the dice and deal with fall-out later.
But hating on nurses in general, lol, is not the answer. My nurse colleagues nor I have not talked trash on physicians. To assume such things is idiotic. And surely you realize that not every RN wants to become a NP or some APN.
I get it's blowing off steam. But it is far from addressing the REAL problem, which is an economic one.
But hating on nurses in general, lol, is not the answer. My nurse colleagues nor I have not talked trash on physicians. To assume such things is idiotic. And surely you realize that not every RN wants to become a NP or some APN.
I get it's blowing off steam. But it is far from addressing the REAL problem, which is an economic one.
Yes, which is why I have been published. Whatever. Can you add anything of substance to a discussion here--EVER?
Perhaps you may be reading that way, b/c you choose to think that way--like a high school 10th grader--sophomoric.
The answer is you sadly are probably not going to change.
- Joined
- Jul 21, 2004
- Messages
- 35,944
- Reaction score
- 17,726
You just cued up so many bad memories of Regents exams and DBQs...
- Joined
- Jan 12, 2013
- Messages
- 511
- Reaction score
- 359
Careful, someone might go tell an admin on you.
- Joined
- Jan 12, 2013
- Messages
- 511
- Reaction score
- 359
Can you reduce your substance?
Even when you agree with someone, you write an essay and you either don't seem to notice, or you are purposely being annoying.
But back to the discussion at hand: people aren't complex. I never go see a doctor with the expectation of becoming his or her friend. I don't need emotional affirmation when I'm sick, I need a diagnosis and a prescription and/or a work excuse, because you know what makes me feel all warm and fuzzy (hint: not "wholistic care")? Being cured of my disease really makes me feel good.
- Joined
- Jul 21, 2004
- Messages
- 35,944
- Reaction score
- 17,726
how is this going unnoticed by the mods?
- Joined
- Sep 24, 2014
- Messages
- 6,005
- Reaction score
- 4,357
.
Last edited:
- Joined
- Jan 12, 2010
- Messages
- 754
- Reaction score
- 1,020
Cluster b, narcissistic tendencies. Feeling that everyone is enraptured at what they have to say.
- Joined
- May 24, 2014
- Messages
- 321
- Reaction score
- 440
Does anyone actually read these ridiculously long posts with little substance?
- Joined
- Apr 28, 2006
- Messages
- 6,133
- Reaction score
- 2,366
First did you really use the term "in short" in the longest post that there has ever been on sdn. There was nothing In short about that.
Last edited:
- Joined
- Apr 28, 2006
- Messages
- 6,133
- Reaction score
- 2,366
Secondly, are you. 15 year old girl? Next are you going to quote me some inspirational quotes? Anyone who has actually gone through some real tragedy and not crumbled will shake their head and scoff at the ridiculous drivel that just came up on sdn. It is not that people lose a sense of passion for others it is that they lose patience for bullsh:t when they realize how superficial, self-seving and histrionic the bs some people spout is.
Yes. Just like, did your really use the word, "tawdry" corrected from "taudry?" The word, regardless is irrelevant and completely nonsensical, but, you are entitled to your opinion, as also am I.
As for the other replies and so forth. . .
At any rate. Got it. It's a hate thread where perpetuating an "us vs. them" mentality is what wants to rule. Insults and ad hominem attacks abounding. Wonderful. But it doesn't address the economic realities. . .at all. Continue hating. I am sure it will solve the real issue at hand. An issue, if you noted, I empathize with overall. Yes, I think it is problematic to attempt to make midlevels or NPs equivalent to fully licensed, board certified physicans--who have gone through the rigors of GME; b/c I believe in time we will see where it will adversely affects patients. Hey, but forget that point. . .and the point about the economic dilemmas. It's enough to kick, scream, and attack others in the dark. That will solve everything. Stand proud with that.
- Joined
- Jan 2, 2014
- Messages
- 11,384
- Reaction score
- 24,014
No one is hating, you're just annoying
Rather than reporting your inane replies, yea, I am just exercising the ignore feature b/c you, like a few others, have nothing of substance to add here. What is annoying is insulting people and or liking their annoying, irrelevant comments, and not contributing substance to the thread--all while hiding behind the anonymity of a message board.
I would rather interact with productive, positive people, not people using anonymity to release their frustration, insecurities, or, well, just hate. I don't have hate, so, I'm not inclined to pick at others--hiding behind anonymity--just for kicks or whatever issues.
Wonder why people are off-topic and try to polarize and attack on message boards? It's avoidance and cowardice, b/c they can hide behind their anonymity. I doubt if you would treat someone like this face-to-face in the professional world. If you do, wow.
Regardless, your comments are inconsequential to me, and I could care less if you continue on in hate mode. If you really wanted to address the core issue and stay on topic, you would look at the economics that is driving the problem in the first place. But that is not so easily remedied, huh?
When people demonstrate that they are unwilling to have productive interactions, it's wise to just let them disappear; b/c their disrespectful opinions no longer matter.
Walk proud. Comment away in a negative tone toward me in anonymous mode. Very strong work. Either way, I care not to see it anymore.
I would rather interact with productive, positive people, not people using anonymity to release their frustration, insecurities, or, well, just hate. I don't have hate, so, I'm not inclined to pick at others--hiding behind anonymity--just for kicks or whatever issues.
Wonder why people are off-topic and try to polarize and attack on message boards? It's avoidance and cowardice, b/c they can hide behind their anonymity. I doubt if you would treat someone like this face-to-face in the professional world. If you do, wow.
Regardless, your comments are inconsequential to me, and I could care less if you continue on in hate mode. If you really wanted to address the core issue and stay on topic, you would look at the economics that is driving the problem in the first place. But that is not so easily remedied, huh?
When people demonstrate that they are unwilling to have productive interactions, it's wise to just let them disappear; b/c their disrespectful opinions no longer matter.
Walk proud. Comment away in a negative tone toward me in anonymous mode. Very strong work. Either way, I care not to see it anymore.
- Joined
- Jan 12, 2013
- Messages
- 511
- Reaction score
- 359
In the "professional" world, I would literally walk away in the second paragraph.
Bottom line, in the next 10 years, severe changes are going to occur in healthcare. Buck up, b/c sadly, whether it breeds acrimony or not, the bottom line in sheer numbers is going to reign. It sucks. I will give you that, hands down.
The issue is what to do about it on the level where the issue really is germinating. All the other angst here is BS. What to do about financial settling out is the REAL question.
The issue is what to do about it on the level where the issue really is germinating. All the other angst here is BS. What to do about financial settling out is the REAL question.
Smurfette
Gargamel always had a thing for blondes.
Staff member
Administrator
Volunteer Staff
20+ Year Member
- Joined
- Jun 7, 2001
- Messages
- 4,972
- Reaction score
- 4,384
Enough is enough.
Closing thread.
- Status
