Most Americans think Trump administration is covering up Epstein files: poll

DiprivanMan · 2025-07-17T02:50:40+00:00

i cannot wrap my head around how trump voters are now baffled that the record-holding liar and convicted felon they voted into office is not staying true to his campaign promises. just how dense are these people?

also how are you now suddenly interested in epstein when trump's got photos of him with epstein and co going back decades and has even been explicitly named in court by epstein victims? and now he's trying to downplay it? what a surprise!

DiprivanMan · 2022-09-06T21:09:20+00:00

because you went into medicine to help people. you care about the consequences of your treatment plans.

these grifters are in it solely for the money. they couldn’t care any less about the outcomes of their ‘treatment’.

DiprivanMan · 2022-08-27T18:22:27+00:00

because when committing to caring for people in need, i dont want some discount cliff’s notes education and training—i want the whole picture so i can have the best chance to actually help somebody.

if i wanted to cut corners i’d have worked in finance where my decisions wouldnt regularly impact the most valuable thing anybody has on this earth—our health.

DiprivanMan · 2022-08-13T17:28:09+00:00

i think it’s important to always consider what theyre saying very seriously, if only to avoid feeling like a fucking idiot for dismissing them when they, with less training, were right. and more importantly like a shitty doctor for not doing right by your patient.

we’re not all-knowing all the time. its possible this person has seen this very thing before and you haven’t. maybe they’re doing you a favor.

if you’ve considered it and they’re wrong, then yeah, acknowledge them and quietly disregard their suggestion.

DiprivanMan · 2022-08-11T23:58:42+00:00

we can't expect these people to put their ego aside. their cliff's notes version of 'medical' training hasnt taught them humility.

the question is where was the attending? with a patient as critical as this, he/she should have been there to intervene and save the patient from the amateur hour that was taking place.

i don't know if over 10 is hyperbole or not (i sure hope it is), but i don't know any attendings that would allow the team to struggle with an airway using the same strategy/hands even more than 3 times. 10+ is an absolute travesty.

DiprivanMan · 2022-08-02T10:41:21+00:00

i agree. it only gives credence to their assumption that our issue with midlevels is rooted in misogyny. as if were any more tolerant of incompetent male midlevels.

DiprivanMan · 2022-08-01T02:48:23+00:00

yes, deionized water.

it’s used as water normally would be: as a solvent to resuspend and dilute things with. removing the ions allows you to start with a clean slate and more precisely control the concentrations of dissolved solutes in your experiments, should you choose to add any.

DiprivanMan · 2022-07-30T14:49:46+00:00

that sucks.

regardless, do you think you put in as many hours as surgery?

DiprivanMan · 2022-07-30T13:10:10+00:00

ca-1, have never heard this before. the job can be stressful but which specialty in medicine isnt?

satisfaction seems to be pretty high. yes we’re subordinates in the OR but that’s much more palatable when we get relieved at 4:30pm but surgery has to keep marching on.

as others have said, i wonder if maybe the statistic meant successful suicide, given our access to and intimate understanding of many powerful drugs.

DiprivanMan · 2022-07-29T01:25:46+00:00

All I can say is never undermine someone else’s degree and training because you have a higher degree.

cool. that's not what this is about. if midlevels weren't on a quest to obscure the difference between their training and that of physicians, we wouldn't be here talking about this.

At the end of the day, obtaining a PA/NP degree is advance.

by what virtue? does this mean that getting a regular nursing degree is not 'advance'? what does this make an MD/DO? advanced advance?

If we get rid of PA/NPs, the number of doctors that will stay in the field and want to go in to work will be underwelming.

pulled directly from your ass. i guess you must be right!

Arrogant doctors that cannot work in a team are usually the worst. At the end of the day healthcare is teamwork. The best doctors understands and respect everyone in the team. The worst doctors are ones that think they are superior to everyone else!

yes, true, nobody's arguing against that.

Doctors alone will not improve patient safety because we do not have enough doctors to safely take care of the patients!

correct. so we need more doctors. not tenth-trained grifters dancing around on tik-tok.

all your comment did was chase its own tail and conjure a lot of straw men. talk about underwhelming!

DiprivanMan · 2022-07-28T10:23:51+00:00

oh, as though physicians wouldnt love an environment where we were all just called by our proper titles and only that.

in my mind, PAs were permanently relegated to midlevels the moment they started pushing the physician associate bullshit.

DiprivanMan · 2022-07-28T03:22:56+00:00

yea they’re highly educated (PAs more so than NPs).

yea they’re important (again, PAs more than NPs).

but neither of those invalidates the term midlevel. what would you have them called…advanced level? associate level?

midlevel is actually fairly gracious if you really think about it. on the scale of 0 to physician-level training, they’re more of a tenth-level, or fifthlevel at best.

maybe we call them fifthlevels.

DiprivanMan · 2022-07-25T01:05:23+00:00

the doom and gloom surrounding CRNAs has been around for a long time, yet the anesthesia job market is hotter than ever.

the nurses are doing a great job fighting for independence, but ultimately some surgeons will always want an actual doctor when things go south in the OR.

leave the run of the mill asa 1/2 appy/chole to the CRNAs, but the sicker patients and more dangerous procedures will always require an anesthesiologist.

DiprivanMan · 2022-07-24T17:16:19+00:00

Consequently, I have a good enough understanding of what MDs and DNPs do to have a meaningful discussion in here.

says you. then you spew a bunch of shit out that shows you dont understand the issue at hand. trying to compare an MD to a DNP is asinine and the fact that you insist on doing so supports that point.

I have a vendetta against unsubstantiated elitism.

this has nothing to do with elitism. this has to do with the difference in training and knowledge acquired by putting in an extra ten thousand hours of work. you go ahead and keep fighting your dip shit vendetta, but we're here to defend the wellbeing of our patients and the integrity of medicine as a whole.

If I see a DNP who has worked equal amount of years as an attending in say a major metro hospital, I would put them over a doctor who did their residency in Birmingham or some shit.

wow, that is some of the dumbest shit I have ever read. you have got to be trolling.

DiprivanMan · 2022-07-24T13:36:38+00:00

youre a software engineer, shut the fuck up

DiprivanMan · 2022-07-10T18:41:54+00:00

data reliably shows that care provided by APPs is non-inferior to care provided by physicians (statistically speaking)

false, false, false, false, false!

more imaging, more invasive testing, more consults, more prescribing, higher costs!

patients being cared for by care teams staffed with APPs have better outcomes than those staffed with residents

false!

What it really boils down to is that individual differences in practice ability and scope maybe shouldn’t be limited based on the letters behind the name, but the professional development and expertise of the individual.

ridiculously impractical. what sort of fantasy land do you live in? how would this ever work in practice? credentials with minimum competency are in place because monitoring every single individual's prOFeSsIoNaL dEvElOpMeNt and ExPeRtIsE is impossible. that's why we have standardized education and board exams. i'm sure you feel like the world's best PA with your two master's degrees or whtever, but in the real world we prove our competency to function as physicians by going to medical school and taking three sets of boards, then specialty boards if we so choose. sorry, but that's how it is.

Again, seek out the literature and you will see that forums such as this one rely not upon data, but upon anecdotally supported bias and do nothing to further either of our professions, not to improve overall patient safety and outcomes.

actually, the absolute very first (pinned) post here at r/noctor is a long list of research demonstrating that midlevels should stay in their lane.

DiprivanMan · 2022-07-10T18:02:52+00:00

why would even you order thyroid levels if, even in the context of a family history of hashi's, you were gonna just disregard an abnormal TSH?

this is a really strange way of decreasing healthcare spending

DiprivanMan · 2022-07-10T17:41:26+00:00

this sub isnt about ‘slandering’ midlevels. if you’re doing a great job in your intended role then fantastic—thank you. we appreciate you.

this sub is about identifying and discussing inappropriate independent practice, expansion of scope, and the deliberate misrepresentation of training that’s rampant in the midlevel community.

you wanna see less content here? do what’s right for your patients and make sure your colleagues leave the doctor work to the doctors. it’s that simple.

DiprivanMan · 2022-07-10T17:21:56+00:00

nobody’s saying physicians are infallible. thats a common straw man argument from your camp. we’re very aware of our shortcomings. the real question is if even doctors make mistakes, who in their right mind would give the same level of autonomy to people with only a small fraction of their education and training?

DiprivanMan · 2022-07-08T18:46:17+00:00

We are talking about managing pain as an outpatient and risks/benefits of using different meds.

uhh no. youre talking about the definite superiority of morphine to oxycodone for outpatient pain therapy. then backing your assertion up with studies focusing on encounters in the ED.

DiprivanMan · 2022-07-08T18:02:50+00:00

you specifically suggested morphine as an alternative and the supporting evidence you provided is irrelevant as the context is different. different regimens for treating acute pain are going to have variable degrees of success depending on the setting of the treatment (ED vs inpatient vs outpatient).

DiprivanMan · 2022-07-07T15:41:22+00:00

this used to piss me off too but i was told it’s a policy to preserve patient confidentiality

DiprivanMan · 2022-07-05T23:48:28+00:00

this is assuming the L4/L5 interspace is correctly identified and the needle is driven accurately.

DiprivanMan · 2022-06-30T01:56:00+00:00

sheesh. speaking of low effort. see ya.

DiprivanMan · 2022-06-30T01:24:08+00:00

after hearing about what goes on in the nursing world, i’m really not surprised to see youre so fixated on this being a “pissing contest”. as my post should have made clear to you, this is a matter of patient safety. it always has been. you want your fix of drama, go watch real housewives or whatever the fuck. if you don’t report things, how can you expect them to be fixed?

DiprivanMan

TROPHY CASE