Robert Duprey MD

Robert is a 2nd career physician (MD); a combat Veteran with the US Army; a former psychiatric nurse practitioner; an independent researcher; a medical writer; and now having passed USMLE Steps 1, 2CK, 2CS, and 3, is a residency applicant.

Are You Freaking Serious? Debate ensues over San Francisco providing alcohol, drugs to homeless in hotels

            What on Earth kind of idiots are you electing California?  This article reports: Department of Public Health officials in San Francisco assure the public that a program providing homeless, recovering drug addicts– housed in hotels during the pandemic–with methadone, alcohol and marijuana, comes at no cost to taxpayers.             Never mind costs, or the politics of it,…

Opportunistic Infection: How to expand the APP role in a crisis

So, this article pops up on social media recently (1).  It is disappointing that my former profession is using this coronavirus pandemic crisis to manipulate into expanded roles that may be out of bounds of their education and scope of practice.  Before the pandemic crisis, evaluation visits by the advanced practice provider (APP) would have been…

Let’s Talk About it: Dr. Leigh Sundem Dies by Suicide

Here is the reference article for this quote: Even though she had 16 academic awards, 6 professional leadership positions, 5 research projects, 8 scientific publications, 9 scientific presentations, 10 years of teaching experience, and membership in 12 professional organizations, Leigh was left unemployable due to discrimination WITHIN medicine………… Wow!! To be unmatched for 3 years…

Health Care Hero (It’s Not What You Think)

I work in healthcare. I work on the front lines. I work on the COVID positive unit in my organization. I had my own bout with the coronavirus. I AIN’T NO HERO!! Don’t call me one either.   My favorite all-time band Metallica has a song called “Hero of the Day.” In this song, the lyrics go…

A Summary of Opioid Prescribing by Primary Care Providers: A Cross-Sectional Analysis of Nurse Practitioner, Physician Assistant, and Physician Prescribing Patterns

            Pills, pills, pills. It’s a mad world out there these days. This article has been floating around social media in recent days. This study looks at prescribing patterns of primary care physicians, nurse practitioners (NPs), and physician assistants (PAs) to identify overprescribing. This retrospective, cross sectional analysis compared prescribing patterns of physicians, NPs, and PAs…

Better call the whaaaaaambulance: Amid coronavirus, Missouri nurse practitioners want more autonomy

Better call the whaaaaaambulance when you don’t get your way.  I’m ashamed of my former profession for trying to take advantage of this pandemic to advance an agenda. This is selfish, manipulative, and unethical. This article has to do with resulting frustration among some groups that Missouri, by relaxing some restrictions, still requires nurse practitioner-physician collaboration.…