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.

Naturopathic Doctors: Primary Care?

I understand I will take flack for the picture depicting a fake doctor with the title of the blog/article referencing Naturopathic doctors (1)?  I write this blog because I care what is happening in health care today, and I’m proud to be an MD. I understand those earning a doctorate can use the title in academic settings,…

Misdiagnosing Patient MRIs

A lawsuit was brought by 2 former employees alleging ProScan of using lower-paid physician assistants to “ghost read” MRI images resulting in frequent misdiagnoses and missed diagnoses (1). The result were misreadings, misdiagnoses, and “grave concerns” by experts in the field. The article used the example of a misdiagnosis of a horse race jockey which originally resulted with…

GeneSight

GeneSight (1): A Brief Critical Read on the Impact of pharmacogenomics on clinical outcomes in major depressive disorder in the GUIDED trial: A large, patient- and rater-blinded, randomized, controlled study (2)  (https://www.sciencedirect.com/science/article/pii/S0022395618310069) Gene Simmons, Gene&Tonic, GeneSight (1): What’s all the Hype? BLUF (bottom line up front): Study has limitations that limit the usefulness of the Genesight testing…

Forget Mary Jane and Her Cousin CBD

A counter argument on their use for PTSD (Interactive effects of PTSD and substance use on suicidal ideation and behavior in military personnel: Increased risk from marijuana use) “Results suggest marijuana, especially for military personnel experiencing elevated PTSD symptoms may negatively impact suicidal thoughts and behavior. These results are relevant to suggestions that medical marijuana…

Agonist Antagonist: Vitriol & Civility Two Novel Drugs Seeking FDA Approval in Healthcare (A Satire on the article: M.D. vs. N.P. – Let’s Put Egos Aside And Patients First)

“When all members can come together and agree – or agree to disagree – on the best way forward in a patient’s care, the population thrives. When voices and opinions are given respectfully – and respected – an effective healthcare team is made (1).”             Within the Limbic System, a new receptor called the Emotional Reactionary Receptor…

A Musical Note From a Former APRN: A Take on Ethics

            I wish the disservice being done to my former profession, as an APRN, would stop. It’s no wonder why physicians are more and more inclined to view APRN’s negatively.  Introducing oneself as a “nurse anesthesiologist” could be construed as violating the Code of Ethics for the Certified Registered Nurse Anesthetist (2). My purpose here is not to engage in a…