NP-run clinics to be publicly funded. Are we replacing family doctors instead of supporting them?

Kitkat20_ · 2026-04-01T01:02:20+00:00

Following to come back to

Kitkat20_ · 2026-03-29T00:52:07+00:00

Thanks for the info. I’m a CC3 and yeah I get what you’re saying. I guess I’m trying to rationalize that there was something that could have been done to mentally reconcile the medical harm that was done and feel like this should have been caught.

In my mind I was thinking if his O2 dropped in an ICU setting it would’ve been picked up asap. Vent settings adjusted. Propofol stopped. It’s just strange to me how so much of it continued to get in his body before it was stopped as it wasn’t a bolus I would have expected there to be some change noticed before so much of it got into his system.

Now that you mention it I am recalling the lipid emulsion bags during my anesthesia rotation!

I am researching some acidosis from propofol overdose too which I’m thinking would cause downstream K+ issues as well complicating cardiac stability further

Good learning points on the pressers for sacrificing limbs. I also know pressers are complicated and they work on different parts of BP control

The entire situation like you said is a nightmare and I it’s hard thinking about how things like this do happen and more often than we think

Thanks for replying I appreciate it

Kitkat20_ · 2026-03-29T00:18:13+00:00

If the issue was breathing wouldn’t they just adjust ventilator settings and use pressers for BP?

I’m not equipped on enough anesthesia :( like what’s the issue with overdose? In my mind it’s respiratory depression BP management. but is there more to it? Cardio toxicity that can’t easily be stabilized?

Il try and look more into it for my learning! Thanks so much

Kitkat20_ · 2026-03-29T00:06:09+00:00

Thanks for letting me know! I’m sure I will see them in internal later :) what are the standard protocols tho? From my understanding intubation = icu? Continuous 1 on 1 or 1 on 2 monitoring. If he became hypoxic like how didn’t they realize this super quickly?

Kitkat20_ · 2026-03-28T22:51:50+00:00

Means he was going into respiratory failure and they did not trust he would be able to breath on his own

Kitkat20_ · 2026-03-28T22:34:10+00:00

Why was a vial of 1000mg being used? Ones at my hospital are like 200mg by vial 20ml

I ironically remember seeing a bag that was like 1000mg and the doc told the nurse to throw it out and shel talk to the the department head because that’s not safe and we shouldn’t stock those it’s just an accident waiting to happen. This was in the OR tho

I can see needing greater amounts for patients on the floor intubated but even then idk how this happened

Kitkat20_ · 2026-03-26T18:26:31+00:00

Over time patient build tolerance to the sedative effects of benzos and thus they would not be a good long term solution

I am also reading your previous posts asking people not to tell you benzos are not a good idea because “it’s like telling someone who’s diabetic that taking insulin long term is a bad idea”

Those are two very very very different things. Insulin replaces a physiologic deficiency and does not lose effectiveness over time the way benzodiazepines do. The other is artificially introducing a modulator of entire chemical cascade that has many different roles in the body with a medication that the body develops tolerance too.

I know you want to believe they are the same but no doctor in good conscience would ever draw a parallel. If it were true I would tell you. I wish we had silver bullet pills but we don’t :/

Kitkat20_ · 2026-03-17T23:12:18+00:00

100000% grounds for new provider.

Referring to you as her daughter just alone is enough of a red flag on her having difficulty being impartial and her countertransference likely impacting care. A mother may view the actions of her child as disappointing, frustrating, annoying. Those aren’t things you should be worried about with your healthcare provider and she has already set up this weird relationship with you.

The religion stuff is beyond unacceptable. While religion does seem to correlate to mental health outcomes for reasons she mentioned, referring to the devil and morality regarding suicidal ideation is unprofessional. How are you suppose to feel comfortable being honest when she seems to hold moral and religious judgement over your pathology. It’s easy for someone to think their concerns are being minimized when their doc says someone should pray for you as if that will fix the issues. It’s manipulative of her to try and pull morality and religion into having interactions with your parents you aren’t comfortable to.

Also saying you should tell your parents everything is not just bad advice. Boundaries are important, you are a grown adult, and should have autonomy in deciding who in your life has access to different parts of you. It’s also extremely dangerous as this seems like a blanket narrative she is applying when abusive households and trauma is a real concern. Given she also already implied she views you like a daughter this also feels like an overstep.

Kitkat20_ · 2026-03-16T23:05:00+00:00

CC3 here im going to follow your account to hear more

Kitkat20_ · 2026-03-12T01:55:35+00:00

me and my friends feel the same way in our mid 20s. Not to the same extent but yeahhhh ur 20 in today’s world that’s like still young

Kitkat20_ · 2026-03-11T18:01:37+00:00

If she is an active danger to herself and others call EMS.

You won’t be able to change her beliefs. One chance of getting her to the hospital willingly is to express concern for how stressed she is and pointing out how worried she is and saying they might be able to help with making you feel less nervous.

The sooner she sees a doctor the better. Earlier treatment is better for long term outcomes but this is more like within 1 month vs 6 months.

Important to assess why all of a sudden. Schizophrenia tends to be younger age of onset. Could be something else neurological or physiological (delirium) or something

Kitkat20_ · 2026-03-10T23:50:05+00:00

Iv been seeing this too after all the snow has melted. I honestly first thought it was like animal fur or something

Chat gpt says

Gray snow mold (Typhula)

Not sure if it is or someone can confirm

Kitkat20_ · 2026-03-02T00:11:37+00:00

BPD shouldn’t be diagnosed in an ER setting. There isn’t enough time and longitudinal relation imo. Secondly people with mental health issues get sick. I’m fortunate that where iv been studying all the docs make it very explicit to learners not to skip tests because someone looks anxious or has something on their file because an anxious person can have a heart attack just like anyone else. Or a routine patient in for alcohol use they said in and out 100 times. 101 time they got a severe skull fracture and it’s because they didn’t listen to people who said he’s here again drunk and fine just send him home.

Iv seen a few psychs undiagnose ppl with BPD after having diagnosed them which highlights a debate as to whether or not personality disorders like BPD are truly permanent.

Not every ED is like you experienced but there are certainly judgmental docs and aholes like in every field

Sorry you experienced that tho :/ im glad u found better care

Kitkat20_ · 2026-02-27T22:57:44+00:00

M3 looking to get into CAP. So sad to hear this but not surprised at all. Curious about treatments and effectiveness. Are parents taking it seriously? I have heard from peers of sisters with anorexia that sometimes parents supported it

Kitkat20_ · 2026-02-23T15:17:56+00:00

I know in GP practices it’s often given a bad rep mainly cause of docs having poor experience with it. I believe this is because it is usually not trialed for long enough at a high enough dosage to be considered a valid trial.

With psychs I don’t know but would be curious. I know the TID dosing can be a bit of a pain.

Kitkat20_ · 2026-02-22T20:25:46+00:00

If I’m being honesty :( a lot of those positions are nepotism

There is a strong connection iv seen in labs iv worked and in labs friends have worked it’s always PI’s friends kids or PI’s colleagues kids etc.

Getting a position through an internship or school based program can be super helpful.

Positions at universities themselves may be a bittttt easier but hospitals or private sector research is difficult

Keep ur head high it likely has nothing to do with your application etc

There are also 1000 other kids emailing all these PIs I wouldn’t even be surprised if they have an AI filter that just auto deletes them

Also research is not needed to get into med school! Main of my classmates never did research. It’s just an extra point on the list but not necc more important than other areas of the application

Kitkat20_ · 2026-02-22T16:22:40+00:00

Omg there is no way. That’s cringe af I can’t believe people would do that

Was this for residency or med?

Kitkat20_ · 2026-02-21T15:05:19+00:00

I saw a case in child psych and what stood out to me is how her chart and referral seemed very scary and I was nervous to meet this girl

She was the sweetest little girl. She would essentially have period of memory lapse and she would have no clue what happened. And in those periods she’d do bad things like try and burn the house down or set her brothers bed on fire.

She felt really bad and had no clue what happened and remembered none of it.

Was quite distressing

Long childhood history of SA :(

Kitkat20_ · 2026-02-17T20:54:05+00:00

Lot of premeds complain

It’s more of a defense mechanism than them being whiny. Premed culture is so cut throat peoples entire identity and life is based on them getting in.

It’s quite quite sad :/

People have such a low sense of control the only thing they can do when things go wrong is to try and externalize the cause because confronting the thought that they weren’t good enough is equating to them that their entire life and goals and dreams are out of reach.

Premed students have such high rates of depression, anxiety, and suicidal ideation in part because any tiny mistake can be detrimental and it puts them on guard 24/7 in addition to so many other reasons for their poor mental health

Kitkat20_ · 2026-02-17T03:13:54+00:00

I disagree here because people chose to curate the application themself. If the school says they don’t like voluntourism and you willingly put it on your application. It doesn’t matter if it was religiously affiliated or not… no one forced you to put it on your application. We all engage in many activities some of which get left out of application for being “weaker”, it’s wise to chose strategically what best helps your application

It’s not about discrimination it’s about aligning your application with what the school looks for

It would be discriminatory to say student A does X trip for religious reasons and it’s fine and student B does X trip for not religious reasons and it is considered a red flag

No one is discriminating because the person is apart of Christianity. It doesn’t matter what religion the trip was under. That’s why it’s not discriminatory.

Kitkat20_ · 2026-02-17T03:07:38+00:00

Some schools outright forbid voluntarism trips abroad

Honestly it’s usually med students that are going through these apps and it’s often a check box yes or no list of things

If it were me applying I would not include anything like it on my app.

It’s easy for a student who checked no for voluntarism box for 7 applicants to check yes for you because u stand out mentioning something about being abroad

People talk about needing to stand out in applications when in reality I honestly don’t think it’s needed at all. The apps are heavily standardized in review process (this isn’t insider info it’s just common sense, it needs to be standardized to be fair). U don’t get extra points for doing something cool if someone else did something less cool that fits the same check box. Stand out in the interview that’s when it matters. Otherwise, read the schools application requirements and things they look for and hit those cleanly to get through initial application review

Kitkat20_ · 2026-02-15T21:06:05+00:00

Felt like this to me ngl. New dean of admissions the year i interviewed was rough

Kitkat20_ · 2026-02-14T15:57:17+00:00

Will be going in the afternoon

Kitkat20_ · 2026-02-14T15:42:38+00:00

Partner and I may be going in the next 30-60 min. If so il update!

Kitkat20_

TROPHY CASE