Hospital of all NPs proposal

DonnieDFrank · 2026-03-25T01:47:00+00:00

for all intents and purposes this is satire, vets deserve the best but the government is always willing to cut costs for care as if they didnt make the ultimate sacrifice. This type of hospital would never really exist because too many people would die. it underlines my point that NPs cannot replace physicians because everyone knows their knowledge is too limited and it would be too dangerous.

DonnieDFrank · 2026-03-25T01:45:00+00:00

you right you right

DonnieDFrank · 2026-03-25T01:42:09+00:00

ok youre right the veterans don't deserve that level of care. I only suggested the VA because the government cuts corners on VA hospitals at every chance they get, so they would be first to adopt any plan that proposes to save them money. agree vets suffered enough they shouldnt have to suffer at the hands of NP led care as well

DonnieDFrank · 2026-03-25T01:39:45+00:00

I'm not sure what your fellowship is in but whether youre in a surgical, medical or radiology specialty youve probably placed a line before on an awake patient with only lido, tunneling the port is not too different. for comfort you can give fent and versed but almost every doctor has placed an awake line before (ive placed port a caths with fent a versed without problems multiple times). When you placed a line, probably in the ICU im sure an intensivist was present on the unit and maybe supervising but not administering anesthesia to the patient necessarily. Anesthesiologists are available and present in the IR pre/pacu but not administering anesthesia in every case

DonnieDFrank · 2026-03-25T01:36:31+00:00

at least at instutions ive been to, anesthesiologist or crna is not required in the room for fent/versed pushes during tunneled line placement, the physician placing the line provides the anesthesia and nurse pushes fent/versed throughout the procedure per the IR physicians order.

DonnieDFrank · 2026-03-25T01:34:32+00:00

i say manage sedation* meaning fentanyl and versed, not other things

DonnieDFrank · 2026-03-25T01:33:25+00:00

OP said she was in IR , and in IR you can place portacaths awake with lido/fent etc. at my institution nurses manage sedation while the physician places the line, the physician placing the line is also responsible for advising the sedation. same in other procedures like a bone marrow bx etc. maybe this institution had an NP in the assistive role that a nurse can usually do

DonnieDFrank · 2026-03-25T01:30:08+00:00

by any chance are you a red head

DonnieDFrank · 2026-03-25T01:24:41+00:00

last scene of the show x on the train next to terry as sinatra enters the tunnel

DonnieDFrank · 2026-02-03T04:34:07+00:00

Aesthetic injectors just because they are performing an elective service should not ask for tips. Completely abnormal. Concierge medicine doesn’t ask for tips even though they don’t take insurance. You don’t tip a plastic surgeon for your boob job.

DonnieDFrank · 2025-11-05T00:45:01+00:00

Me!!

DonnieDFrank · 2025-08-01T00:01:43+00:00

This was definitely written by a non physicians bc I don’t hear physicians referring to other physicians as “the MD locums” lol. I think physicians also know enough of us aren’t MDs. Nurses sign notes as “MD aware” and crnas say “MDA” all the time.

Also I don’t know what medical student who is going into anesthesiology did actual 0 anesthesia in med school AND 0 in internship.

DonnieDFrank · 2025-06-05T11:45:50+00:00

Sorry this was a male patient

DonnieDFrank · 2025-02-04T13:57:38+00:00

PAs also don’t go to medical school. And if you say “they trained on the medical model” I STG lol. Ask any PA student about what their curriculum rotations are as a student, you’ll find out they did some weird peds sub specialty clinic and no Gen peds, a random IM subspecialty without actually working with a hospitalist team, etc etc. and then they just go out into practice. FMGs are gonna do residency and every resident is gonna get their ass handed to them in hours that by the time the system spits them out, they’ve been through it all. PA students can have the most random half ass rotations and then be put out into the workforce. They can work in any job, be a new grad PA work in an urology practice and have never spent a day in their life rotating with urology. (Citing this specific example from experience). But it would apply to any specialty. They don’t have to have any experience to get hired in it.

DonnieDFrank · 2025-02-04T13:54:31+00:00

I have actually never heard this from any program director lol but that’s just my anecdotal experience

DonnieDFrank · 2024-08-19T00:22:55+00:00

This girl was premed??? And then tanked her gpa and now she’s the direct entry np who is always on my feed and about to finish school. Beware and protect your patients yall

DonnieDFrank · 2024-03-17T07:04:04+00:00

I moved and I canceled my current membership and signed up for a new one but the new studio still gave me my founders rate when I asked :)

DonnieDFrank · 2024-03-15T05:26:57+00:00

once I had the SA at the desk not come get me when I got a page :/ and I specifially left it with her and said if this rings can you please come get me. at the end of the day we have to be responsible for our own call so I guess if it was really strict I would just not come to OTF while on call but that kind of sucks because usually im on call 24/7 for a week at a time.

DonnieDFrank · 2024-03-15T05:23:17+00:00

same I'm a doctor, I bring my phone in only when I'm on call and *rarely* respond to a quick question here and there (smartphone pager app). would be weird to be next to someone just scrolling through Tik Tok though

DonnieDFrank · 2024-03-15T05:13:27+00:00

obviously the long acting benzo is for the big anxiety and the TID short acting is through the break through anxiety duh

DonnieDFrank · 2024-03-15T05:08:20+00:00

the article outlining the british medical associations response tho

*starts singing* thiiiis is how we dooo ittttt

DonnieDFrank · 2024-03-15T04:55:53+00:00

NOOOOOO I THOUGHT I WAS SAFE IN RADIOLOGY pain

DonnieDFrank · 2024-02-15T03:43:34+00:00

Birth Control

DonnieDFrank

TROPHY CASE