Friday Funny: Brains and Hearts.
Really? How insulting is this? Well, it looks like someone tried to fix this:
TGIF.
6 thoughts on “Friday Funny: Brains and Hearts.”
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Entertaining, Educating, and Criticizing Our Broken Healthcare System for 22 Years
Well, I guess they have the brain of a doctor, given as we all have the same structural brain.
Training, experience, judgement, education, is another matter.
Efffffff them to H#ll and I can’t say anymore vulgarities without being screened out. The N.P.’s I worked with really knew what practicing was like. The could take care of run-of-the-mill stuff but if a patient was in deep kimchee they’d grab me and talk. Most likely they were a direct admit to the hospital that I’d have to take care of. No big deal as that was how I made my living. Most of them were like a 2nd year residents and could present a patient in detail and since I wasn’t like an attending a-hole in a university setting, I could question them further in a non threatening manner and we’d get the patient taken care of. I found the N.P.’s I worked with
“I found the N.P.’s I worked with” very intelligent and helpful though that meant I ended up with the “tougher” patients to deal with. It was a good relationship and hope the N.P./collaborating Doctor relationship is not totally dissed here. Like I said, many N.P.’s said to me that no way in H#ll they would want to operate without a collaborating physician nearby. In my case her exam rooms were next to mine. She was good and would pick up on some “bad stuff” I’d have to go though the rigamarole of a direct admit.
It took a time but the rural hospital finally didn’t dink at me on “direct admits” as these people were “effffing” sick in the office. Used to bit#h at me about “criteria of admission” but they eventually realized if I sent somebody over, they were in deep trouble and needed to be admitted. Maybe they were bitched off they didn’t go through the E.R. to make more money but I did a pile of direct admits when I practiced. I had a great professional relationship with my collaborating N.P. I think the deal is that an N.P. has a doc to work with. If that’s not the case, that’s a bad situation. Kurt Savegnago, M.D. (retired)
Three cheers for allied health professionals of whatever stripe, but the real deal is still the only real deal.
Now that the media has turned everything into a Punch’n’Judy show of Goodies v. Baddies, we should look at this particular issue – The Nurse Practitioner.
Whenever you see any movement cartoon-ized to make it saleable to the public, it is just one other example of advertising, and the Nurse Practioner Model is just another sales job. Don’t get me wrong – these “movements” can be founded on good questions, and it’s not the fault of the individuals who initially proposed them. But they are quickly turned into Tom & Jerry cartoon movements, for the purpose of somebody making money off the squabble.
Follow The Money. We’ve known all along that many of the “Medical Industry” have figured out how to make a buck off the Nurse Practitioner. They think of NP’s as MD’s with half the salary, and since an MBA teaches you nothing about what a healthcare provider actually DOES, they view each side with contempt, as though a bunch of losers getting away with shaking down the public. Go from quacks to quackettes.
The cohort of MD’s versus NP’s DOES have a gender balance difference, much smaller than before due to active manipulation of the line workers – the point of contacts, the salesclerks…what do we call them again? Providers. Whenever you hear of liberation of a class of workers to include more women, you know that someone’s gearing up to take the Pink Discount – the 30% less pay to female employees, and let the female MD’s and NP’s fight each other as the salaries race to the bottom.
Two other movements which have been recently co-opted over the last ten years are the Free Cannabis! movement, and the Transgender Sensitive! movements. Remember that each started with a small number of people intent on remedying genuinely unfair policies; but each was taken over by the Big Boys muscling into the arena.
In my state, there are heavily-taxed “dispensaries” which sell dope to the public, and nobody will question whether doing dope is good for everyone. Like in the retail gun industry, there is nobody considered unfit for dope smoking, or gun ownership. It’s a fundamental right, administered by the government and corporation leaders to perfect a profit and marketing model. In my state, where cannabis grows wild, a simple law could have been passed stating “growth, possession and distribution of C. sativa and related plants by adults is without criminal or civil offense; but the use of C. sativa products shall be limited by existing regulations regarding alcohol use.” Bang for bhang. But this is far different than the law on the books, which is a windfall tax and profit for agencies and corporations.
Another? The Transgender Movement. If you’ve been in practice for some time, like I have, you have a few transgender patients, and if you’re a decent physician, you approach them the same as any other patient, with openness, courtesy, and a general attitude of mutual human decency. I doubt any physician has been rendered woke, who wasn’t woke before.
But the money behind the co-opting of the Transgender Movement is fairly vile. Notice how the transgender persons shown in the media are all smashingly beautiful (or ruggedly handsome?) It’s just the Playboy Model movement of fifty years ago, which made cis-women insecure about their looks, now applied to trans-women and men. Some women grow up looking like Natalie Wood and Elizabeth Taylor. Most don’t. You can make a hella lot of money making XX women insecure about their beauty; now you can make a hella lot more making XY women insecure. That’s all there is to the big money gig. They don’t care about “he” or “she” or “it” – they care about the green green cash, baby.
These movements start with people who just want to be human, and suffer predatory cooptation by money-grabbers. It’s what’s behind the “NP vs MD” struggle, and many others. Our society is riven between passionate advocacy or denunciation of so many groups at each other’s throats for poorly recognized reasons. Let’s stop this, cut it at the root.
This is of a piece with that insufferable fashion from thirty years ago, when nurses started referring to themselves as “patient advocates” … implying that doctors were somehow “patient opponents.”
Screw all these touchy-geeky, emoting frauds. They exploit a stupid, cowardly society, and make everything the touch worse, including patients.