Nurse practitioner delusion / "Noctors" / "Midlevel staff" - Nurses get a 1 year degree and start thinking they are better than doctors

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Can they even tell if it's the antipsychotics that are shortening their life or if the more severe people that are more likely to die are more likely to be on them?
More likely the latter. Haloperidol is the one that's been studied the most in geriatric patients with dementia. Those patients will sometimes go full Mortal Kombat if they're in pain or have an infection and haloperidol is first line for sedating them enough so you can treat them.

So if grandma's wilding out because of her burgeoning case of urosepsis it's not looking great for her to start with.
 
Lol at the example given in the OP, mirrors my only experience with a(very rude, stressed out Philippine) NP, who I was led to belive was a GP at the local clinic.
I went there for heart palpitations, she took the most painful blood draw I have ever experienced, where she kept the tourniquet on til my arm went past purple and nearly black, I was past the point of begging and just removed it myself.
Then didn't have much idea why me heart was doing what it was doing, so prescribed me propranolol. Lol. Which I obviously didn't bother take.

Ever since then I have double checked the fact I won't be seen by one and I will see an actual Dr.
I had some idea that their qualifications were at least a little better than that though. Because nursing is (or used to be) a science heavy course. Before they made it a normal structure degree, anyway. And working on wards was part of the training
 
I went there for heart palpitations, she took the most painful blood draw I have ever experienced, where she kept the tourniquet on til my arm went past purple and nearly black, I was past the point of begging and just removed it myself.
Did you ever get an answer as to what was going on?

What the fuck was the dumb bitch doing that she didn't take off the tourniquet??
 
I went there for heart palpitations, she took the most painful blood draw I have ever experienced, where she kept the tourniquet on til my arm went past purple and nearly black, I was past the point of begging and just removed it myself.
And then everybody clapped.

If you want to make up fake bullshit there's a site called reddit dot com you might want to use.
 
[Did you ever get an answer as to what was going on?

What the fuck was the dumb bitch doing that she didn't take off the tourniquet??
Nah, never. I have gross weird thundering pulsing all over my body, random extreme pain in my fingers and arms, that I'm sure is blood clots that are one day gonna get dislodged.

Thought I was having a heart attack the other day and had a blood draw immediately after to see if anythings there, of course nothing was.
Which is irritating and happened in the middle of the night and they had no suggestions.

Closest thing I can come up with is maybe, maybe, my vagus nerve is under pressure before my back is totally fucked and twisted, and that can mimic a lot of heart symptoms.
.

I've had to come up with that on my own tho as its less worrying then the idea of having a stroke and being a vegetable.


Also lol yeah the tourniquet thing was insane, and painful as shit. I used to inject drugs so I know how you need to not fuck about with them and it can be dangerous to mess with the vein when the arm is fucking purple black.
A few medical people see shit like that on your record and hate you from the get go. Most are fine but it does effect things with some providers forever

The problem is the medical system is all over the place, and the department who (just withdrew any further attempt at dealing with my back, and directed me to the pain clinic) , are totally sepereate to anything else. The whole body never gets looked at and it's syphoned off into specialities.

I will say that I reckon the nurse practitioners in the UK are probably a lot better than the US degree mill ones in the OP, as they have to at least be a qualified nurse prior, and that is no small achievement here where everything is firmly run by one board basically. I just happened to have a horrible experience but that was likely due to the woman. I have had loads of and experiences with Philippino nurses and they have a terrible rep and I feel bad to have to agree with it.
My mother was a nurse, she reckons it's a cultural difference cos while in the west nursing is seen as a noble job, in some places in Asia it's seen as kind of lowly and dirty as you have to wipe arses from time to time, so people come to the west to be able to make a lot of money but sometimes don't have the same attitude towards the job.

Insert your own not-alls, a friend of mine has a Philippine colleauge on the wards and says she's lovely.

@std::string is someone doing a bad blood draw so jaw droppingly out of this world that it is both unbelievable and something that someone would post expecting applause?

You've either never had much to do with nurses, or you've been spending a bit too long on aforementioned reddit dot com, picking up shitty phrases to crowbar in, that you've seen other people use and for some reason repeat.
Think up your own lines that haven't been run into the ground by other retards for never anything less than five years.
 
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doing a bad blood draw
The issue was not that you had a bad blood draw, but as you described it; your whole arm turned purple and black.

I don't think you realize what kind of trauma had to have occurred this to happen. How long that tourniquet had to be left on your arm.

I could believe you may have had a bad blood draw. I can believe you got a hematoma probably. I bet there was a little pinch you were warned about and I bet you have tough veins so maybe it took longer.

what I can't believe is your arm being purple and black.
 
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I know a lot of Psychiatrists are strapped for cash right now, so I wanted to share this great opportunity to make a whopping $2,400 (!!!) per year. All you have to do is risk your licence on a daily basis and rubber stamp everything this brand new NP says.
Those mean old medical regulators in Oklahoma demand that patients receive psychiatric care with an actual doctor's approval (rude right?). So all you need to do is just glance over what the NP prescribes to pacify them. Striving to simply pacify medical regulators on your very first job in the medical field is a great mindset to have.

Also, please remember that you are only collaborating with the NP, not supervising. There is an important distinction, you are no better than the new NP (Please ignore the terminology used by the pesky Oklahoma medical board (OAC 435:10-13-2))
 
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I know a lot of Psychiatrists are strapped for cash right now, so I wanted to share this great opportunity to make a whopping $2,400 (!!!) per year. All you have to do is risk your licence on a daily basis and rubber stamp everything this brand new NP says.
This is probably real, but man, such a huge Poe's Law. The NP really made sure to mention that their schooling was "(online only)." Or maybe that they're treating people "online only?" Either way, amazing; cramming any more own goals in would look suspicious.
 
I know a lot of Psychiatrists are strapped for cash right now, so I wanted to share this great opportunity to make a whopping $2,400 (!!!) per year. All you have to do is risk your licence on a daily basis and rubber stamp everything this brand new NP says.
Those mean old medical regulators in Oklahoma demand that patients receive psychiatric care with an actual doctor's approval (rude right?). So all you need to do is just glance over what the NP prescribes to pacify them. Striving to simply pacify medical regulators on your very first job in the medical field is a great mindset to have.

Not only that, but a search for 'Simply Calm Oklahoma' reveals a budding young NP with a brand spanking new website (archive) and an apparent contempt for psychiatrists in general, who are just a bunch of old-fuddy-duddies who have been misdiagnosing people for, like, ever amirite? Behold as he over-massages the English language to produce this sometimes puzzling spiel, ostensibly about bi-polar diagnoses but pretty clearly a vehicle for its most important theme: everyone is stupid but me. Enjoy. (Archive)

Hidden Bipolar Struggle: The Catastrophic Era of Misdiagnosis​



The bipolar spectrum
Within the intricate tapestry of the human mind, mental health conditions remain a complex puzzle, often shrouded in uncertainty and misinterpretation. One such enigma is bipolar spectrum disorder, a condition characterized by extreme mood swings, ranging from euphoric highs to desolate lows and often suicidality.

Astonishingly, recent studies have unveiled a disheartening reality – bipolar disorder remains undiagnosed in approximately half of all mental health clients, leading to misguided and unsuccessful prescription recommendations written by well-meaning clinicians. As an absolutely cataclysmic and devastating result, unnecessary prolonged suffering and disrupted lives of millions of people have as many times continued unimpeded by breakthroughs in research and the tools to diagnose accurately.

As we delve into the depths of this pressing concern, it becomes evident that an accurate diagnosis and subsequent treatment are pivotal in the journey to mental well-being. A glimmer of hope may be found in producing mental health professionals who are adept at the utilization of crucial evidence-based assessments, history examination, diagnostic testing, careful decision-making, and state-of-the-art treatment algorithms. Only such clinicians truly endeavor to reshape the landscape of the bipolar phenomenon. All others may contribute to the old problem.

The Elusive Bipolar Diagnosis Dilemma
Bipolar disorder, with its confusing interplay of dysfunctional emotionality of mania, depression, and everything in between, presents a unique diagnostic challenge. New studies have illuminated a startling reality – the arduous journey to an accurate diagnosis often spans a staggering 10 painful years for clients and loved ones. This disheartening statistic showcases the dire need to solicit the assistance of an expert who knows the gold standard approach to diagnosing and treating the infamous condition.

In the realm of mental health, misdiagnosis can be as detrimental as silence itself. Misdiagnosed or underdiagnosed bipolar spectrum disorder can lead to inappropriate treatments, either doing nothing for the patient or even worse–exacerbating the dangerous symptoms of mania and ultimately delaying the path to recovery.

The earth-shattering consequences of such lazy avoidable assessments ripple through a person’s family, professional, and social spheres, fostering a sense of helplessness for all involved. Furthermore, left untreated or unsuccessfully abated, the bipolar spectrum can present some extremely ugly characteristics such as psychosis, self-destructive behaviors, violence, risky situations, and even suicidal ideas.

Illuminating the Solution to Bipolar Recovery
At the heart of the mental health revolution in America and beyond, a beacon of hope presents itself for those warily navigating the tumultuous waters of bipolar disorder. Both in-person and online therapy and prescription consultations for conditions such as depression, anxiety, PTSD, and bipolar mania have made it easier and more affordable than ever for countless people to receive convenient access to mental wellness services.

However, one should be vigilant in finding a reputable and prudent mental health professional who can be trusted to take to careful measure, utilizing all pertinent diagnostic criteria and guidelines to reassure the client of a serious commitment to precision and personalized results.

They must diligently gather and correctly calculate all they can about the client’s life including the presenting symptoms such as mood and affect (a funny word for are they smiling or frowning or neither), history of the illness, genetics (including whether a family member has bipolar), social activities, and personal experiences and weigh them against all applicable possibilities to result in the most probable diagnosis. But, sadly this has not been happening for bipolar patients.

To their credit and possible misfortune and definitely, not requested, primary care (family) clinicians have stood in for a very long time as the pseudo-psychiatrist for an ungodly amount of people around the world, including here in the U.S. And, especially for the historical lack of a decent education on how to treat psychiatric patients from the point of view of a family doctor or practitioner, they have done a very highly respectable job with what they were given.
But you can’t anticipate a clinician to deftly navigate the intricacies of psychiatric disorders without proper training. That would be like expecting a skilled violinist to compose a symphony without a single note of sheet music. Just as a masterful musician requires the right notes to craft their masterpiece, a clinician needs the precise knowledge and tools to traverse the complex landscape of mental health. Otherwise, the result can only be a dissonant melody.

But the buck stops with mental health professionals. If they were or are still rampantly getting psychiatric diagnoses wrong, then something has really gone awry. This is completely unacceptable and it is the field’s responsibility to their patients to take their time and be present with their clients to examine all the possibilities for categorizing their symptoms, history, and presentation.

A Glimpse of Tomorrow’s bipolar: Embracing Mental Wellness
The journey to mental wellness is not a solitary endeavor; it is a collective commitment to doing better for psychiatric clients and their families. The old tired, careless, and misfortunate approach beckons the latest generation of clinicians to correct the historical pathway of mistakes and misdiagnoses that equated to suboptimal treatment and worse outcomes. And, the newest strategies and insights into our former way, if followed consciously and thoughtfully, shine a light on the path to bipolar understanding, recognition, precise treatments, and renewal of faith in the mental health field.

Conclusion
Bipolar disorder’s grip on untold countless unsuspecting lives and loved ones throughout the centuries before us and to the present day underscores the extreme urgency for a positive change in the mental healthcare landscape as well as stricter reliance on what research tells us, proven decision trees, and proper methods in order to out-strategize this manic maze.

The prolonged quest for accurate diagnosis and effective treatment has birthed a modern era of suffering and despair which we all seek to reshape. But through evidence-based diagnostic testing, careful symptom consideration, personalized treatment algorithms, and the unwavering support of empathetic professionals, only so many psychiatric providers emerge as a catalyst for this transformation to diagnostic accuracy.

The road to recovery need not be paved with an unnecessary extra decade of uncertainty, distress, loss, and frustration due to careless mistakes and overlooked characteristics. We invite you to embark on a journey toward mental well-being defined by precision, compassion, and hope. Your story, your struggles, and your triumphs deserve the best care possible, and that is precisely what we offer at SimplyCalm through online therapy and psychiatric medication management.

It wasn't difficult to find this fool, as he registered the business to his home address.
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Meet Steven. (Archive is being fucky-wucky)

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How do NP compare to CRNA from a social perspective?
Not really sure what you mean by "social." Anesthesia has their own domain; if you're a patient, you're not likely to see a CRNA other than in their pre-op assessment and right before the procedure.

CRNA programs require a BSN and a minimum of one year full-time ICU experience, before acceptance. Some schools require more experience.

The programs vary in whether they end in masters or doctorates--but just for now. By 2025 CRNA schools are required to only graduate doctorate students, so the last class who'll able to get out with a master's has already matriculated.

There are no online-only CRNA programs.

I couldn't say if the NPs are catty to/about the CRNAs on social media (or vice versa) but it'd probably be funny.

If you ask me, that's the way to go for midlevels: they have a national standard, focused clinical education and a narrow scope of practice. I don't work in OR so I don't have the deets on if the average CRNA is more beneficial than the average NP. I'd think a surgical group would have the awareness and the clout to boot a bad CRNA more than a hospital's budget-minded executives could/would do anything about a bad NP, but that's guesswork.
 
My wife hasn't seen her doctor in like 4 years, it's always a stupid fucking NP who then refers her to someone else and I am sick of it. Thats all, that's the rant.
 
My wife hasn't seen her doctor in like 4 years, it's always a stupid fucking NP who then refers her to someone else and I am sick of it. Thats all, that's the rant.
I had to explicitly ask for a doctor last time I went to the doctor's office and when I did everyone acted like I was inconveniencing them.
Feels bad, man.
 
Not an NP, but the closest thread for it:

I know a dude who has "Name, RN, MBA" on his nametag. Not even in management, just a supervisor.

1. that's the wrong order of credentials.
2. one of the CNAs has a BA in Philosophy and I am trying to convince them to get it on their nametag too as an homage
 
Not an NP, but the closest thread for it:

I know a dude who has "Name, RN, MBA" on his nametag. Not even in management, just a supervisor.

1. that's the wrong order of credentials.
2. one of the CNAs has a BA in Philosophy and I am trying to convince them to get it on their nametag too as an homage
Who is that even for? Are there any patients in the world who think "oh good, my nurse has an MBA! Phew!"?
 
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