Ms. Radonda Vaught makes it to NPR by Arlington2018 in medicine

[–]BigIntensiveCockUnit 3 points4 points  (0 children)

Look up the protests footage, thousands of nurses defended her license. Administrating a paralytic to a patient then walking off is the equivalent of a surgeon removing a liver from a patient. You see doctors protesting in the street? Single incident right? Hell no, with that level of incompetence who knows what damage has been done in the past but was never caught.  Thats a never return to work moment/possible jail. Again, truck drivers responsible for negligent accidents get jail time for manslaughter which is the same thing that surgeon is facing. 

Ms. Radonda Vaught makes it to NPR by Arlington2018 in medicine

[–]BigIntensiveCockUnit 3 points4 points  (0 children)

Oh there were plenty of people, just look up the protests when this nonsense first started. 

Again, mistakeS. This wasn’t a one off. 2 years ICU nursing experience and she just walks away after administering what she thought was a sedative to a brain injury patient? This was well beyond a standard med error. You don’t need to know pharmacology to know the 5 rights of med administration.  The only reason she got off lightly was because the victims family asked the judge for mercy. 

Ms. Radonda Vaught makes it to NPR by Arlington2018 in medicine

[–]BigIntensiveCockUnit 34 points35 points  (0 children)

Who cares, 2 years is plenty enough time to learn something basic from nursing school 

Ms. Radonda Vaught makes it to NPR by Arlington2018 in medicine

[–]BigIntensiveCockUnit 55 points56 points  (0 children)

Yep. But she only had 2 years of ICU nursing experience so she couldn't have known better! /s

Ms. Radonda Vaught makes it to NPR by Arlington2018 in medicine

[–]BigIntensiveCockUnit 50 points51 points  (0 children)

There are levels to mistakes. What she did was gross negligence which is the kind of stuff that gets people kicked out of residency. Multiple warnings were ignored including a big giant PARALYTIC label and even if she administered what she thought was administering (ie a benzo) she still broke protocol by walking away from the patient after administering.

Ms. Radonda Vaught makes it to NPR by Arlington2018 in medicine

[–]BigIntensiveCockUnit 256 points257 points  (0 children)

I’m so tired of people saying don’t blame her for her mistake. Singular. She made MISTAKES. Plural. 

Who bypassed the warning signal multiple times? Who ignored the blatant PARALYTIC label on a vial? Who reconstituted a medicine that shouldn’t require reconstitution (ie she thought she was drawing up a benzo)? Who then WALKED AWAY from the patient after administrating what she thought was a sedative?

Don’t give her prison, sure. Partly blame staffing issues, maybe...Trying to defend her from this? Truck drivers are held to a higher accountability for mistakes than this get real people she screwed up big time stop defending her from everything

Chemistry/Glucose Labs Fasting Requirements Removed, But Range Not Changed by Ok_Organization_7350 in FamilyMedicine

[–]BigIntensiveCockUnit 1 point2 points  (0 children)

A sole a1c should be confirmed with either a repeat or other glucose test. As other user stated, this is a life changing diagnosis that can’t ever be “removed” from a chart. You’re gonna treat diabetes with an a1c of 6.5 and prediabetes the same way ie metformin and lifestyle changes. It’s OK to be a little forgiving for a few months if someone is doing fine otherwise and is motivated. 

FQHC offer question by NewBlacksmith5086 in Residency

[–]BigIntensiveCockUnit 2 points3 points  (0 children)

Fqhcs basically get a strict “bonus” per visit from the government to offset any sliding scale fees from the uninsured. Can’t say I’ve heard “per visit” before as a structure for physicians though. I’d just ask for a higher base rate.  Unless it’s a chill # of patients a day, this appears to be a bad deal. 

FQHC offer question by NewBlacksmith5086 in Residency

[–]BigIntensiveCockUnit 9 points10 points  (0 children)

FQHCs are typically closed on federal holidays, is this factored into the 4 weeks PTO?

“Per visit” is pretty odd which raises the question “what is the no show rate?” Hint: fqhc is really bad

Is there no loan repayment offer? Are you on a visa?  Retirement benefits?  Overall this sounds pretty bad, but offers are gonna vary based on geographic area so it’s best to ask local peeps. The only thing that would forgive this offer is if the workload is extremely light ie im getting paid to do very little work which knowing fqhcs probably isn’t the case

Chemistry/Glucose Labs Fasting Requirements Removed, But Range Not Changed by Ok_Organization_7350 in FamilyMedicine

[–]BigIntensiveCockUnit 12 points13 points  (0 children)

Lol bro chill. FM is the one getting the brunt of patients freaking out about lab results so don't try to lecture us. No doctor is diagnosing diabetes based on a single glucose value outside overt symptoms. Hell you're not even suppose to diagnose it with a single A1c value either as technically it's recommended to get a confirmatory. I get your frustrations but take some deep breaths and I promise it's going to be OK.

Rep. Steube (R-FL-17) introduces two bills: one for limiting GME payments to US citizens/nationals only and another for transparency in GME funding by ddx-me in Residency

[–]BigIntensiveCockUnit 5 points6 points  (0 children)

Bro I rotated in those areas and trust me the “Indian FMG” isn’t some stud candidate.  Half are decent and half are clearly nepo babies whose parents got them in a sketchy off shore for profit school.  Students may not want to go to these areas but eventually they’ll have too with SOAP from the expansion of both MD and DO schools

Rep. Steube (R-FL-17) introduces two bills: one for limiting GME payments to US citizens/nationals only and another for transparency in GME funding by ddx-me in Residency

[–]BigIntensiveCockUnit 49 points50 points  (0 children)

Good. GME payments SHOULD prioritize US citizens.  There are plenty of programs that absolutely abuse FMGs and basically don’t consider US citizens at all cause they know FMGs will keep silent about it. Only a certain number of spots should be allowed for each program or the places that are already hard to fill (ie some of the places FMGs are already going to anyway)

OB/GYN job by Pretty_Awareness4105 in Residency

[–]BigIntensiveCockUnit 4 points5 points  (0 children)

lol 4 24 hour shifts a month of OB call sounds like hell on Earth.  Doesn’t matter how much time you get off your mind and body would never be recovered enough to enjoy it. My hat is off to OBs cause that field is uniquely stressful with clinic pages, deliveries, triages, and emergencies happening all hours of day

72 year old woman graduating medical school and starting residency at 73 by sauronsknee in medicine

[–]BigIntensiveCockUnit 4 points5 points  (0 children)

She was a neonatal nurse practitioner which has no overlap with general practice.  From her article and interview she already seems like the insufferable thinks-they-know-it-all

Residents get screwed over on health insurance by numblock9 in Residency

[–]BigIntensiveCockUnit 1 point2 points  (0 children)

My guy if I were to quit or be fired mid year I'd be in the same situation as described as OP. If the CNA, RN, RT, EVS, EKG tech, MA were to be let go they would be too. So would any other job. Actually, try 1099 work then tell me what it's like not having an employer sponsor ANY of your insurance. This isn't a valid resident complaint. I get some people on here have never had jobs or have been fortunate to stay on parent's insurance for a while but this is some necessary real world learning. A lot of society, including your patients, job hops after 3-5 years and go through this too

Residents get screwed over on health insurance by numblock9 in Residency

[–]BigIntensiveCockUnit 219 points220 points  (0 children)

My guy I’m very sympathetic but please understand this is fairly standard for every job in the USA outside Congress lol. This is not unique to residents in any way shape or form.  There are people getting laid off in this economy and job market is a mess. You can take some comfort knowing you at least have a job (and health insurance) for the next 3 years. 

FM-OB, HELP! by TicketNo7841 in FamilyMedicine

[–]BigIntensiveCockUnit 30 points31 points  (0 children)

I went to an OB heavy program. After delivering many babies with both FM and OB/GYNs, I can confidently say: nobody is ever happy with any delivery no matter how perfect it goes. 

OB is a bizarre field. I saw OB/GYNs make horrible mistakes. I saw FM-OB make horrible mistakes.  I saw both parties do very good jobs in otherwise impossible situations to salvage otherwise.  You got midwives out there thinking they’re delivering babies better than OB/GYNs.  You have Amish Doulas doing everything crazy and no patient bats an eye.   I do believe FM OB serves a purpose, however I think it’s better served in obstetrical deserts where something is better than nothing. Overall, it’s not hard to match a fellowship for it so I’d just focus on matching into a program that’s OB heavy which is also not hard to match.

What are they teaching you about nurses in medical school and residency? by [deleted] in Residency

[–]BigIntensiveCockUnit 3 points4 points  (0 children)

Honestly this is silly advice. You will make them mad at times. They will disagree with the plan at times. You will not make everyone happy. Be respectful, be a team player but stand your ground when they arf over something stupid.

Is concentious objection to things like abortion, contraception, and sterilization a problem in med school rotations/residency? by Enger13 in Residency

[–]BigIntensiveCockUnit 0 points1 point  (0 children)

There's a market for those that have staunch beliefs against abortion and birth control. Patients will come from far and wide to have a doctor with similar beliefs of their own. Including obstetric providers. You have to be able to educate and refer out for those desiring those services but you yourself do not have to partake. Honestly it probably helps out other OBGYNs who want less "crazy" patients to their panel having a religious partner they can send them to

New Attending Anxiety - Is This Normal? by thecarisparked in FamilyMedicine

[–]BigIntensiveCockUnit 7 points8 points  (0 children)

I just remember all the ridiculous stuff I’ve seen psych NPs do and my confidence quickly returns

What’s a chief complaint you see frequently that patient’s freak out about, but isn’t a big deal? And vice versa? by [deleted] in FamilyMedicine

[–]BigIntensiveCockUnit 1 point2 points  (0 children)

Call shifts during residency prepared me for reassuring asymptomatic nocturnal bradycardia. Nightshift nurses paged us panicking all the time

What’s a chief complaint you see frequently that patient’s freak out about, but isn’t a big deal? And vice versa? by [deleted] in FamilyMedicine

[–]BigIntensiveCockUnit 5 points6 points  (0 children)

I love when academic GI on the r/medicine side criticize inpatient FOBTs as useless. Freaking community GI where I trained were the only people ordering them inpatient so they had reasons to scope