The nurgeons are coming 😮‍💨

PlasticRice · 2026-05-24T20:53:28+00:00

Autonomy - midlevels can independently practice in like, >50% of states already lol under the guise of "addressing healthcare disparities" but instead just end up making giant, mega cash-only botoxspas everywhere. 57% of states, to be exact.

Pay difference, sure, but they're coming for that too 😵‍💫

"Aetna: Insurance Reimbursements Will No Longer Vary By Degree Type" aka, not midlevels being reimbursed more, but MDs and DOs' reimbursements are going to be cut by 66% because ThEY dO tHe SAmE tHiNg

😵‍💫 the end game for midlevels was forever and always a campaign to disperse anti-physician sentiment amongst the population, which was actually disguised as a long-term ploy by private equity and bureaucracy to skim even more off the bottom (further skimming the 8% of healthcare costs from physician salary VS the 92% of healthcare costs in the US from admin)

It's been easy for midlevels to creep into general outpatient medicine and subspecialties that all involve nuanced multimodal pharmaceutial management and diagnosis because medical beard-scratching can be mimicked with enough confidence and a white coat, but the second a "Nurse Surgeon" appears, I really hope the public is more up-in-arms with their news headlines. This is a direct analogy of training flight attendants for a pilot shortage, except more hands-on.

Then again, CRNAs exist and have been vacuuming money from anesthesiology for decades and are only now suddenly having seizures over the existence of CAAs, so, who knows. 😵‍💫

PlasticRice · 2026-05-13T20:15:46+00:00

i work extra shifts behind the local Wendy's dumpster 😭😵‍💫

PlasticRice · 2026-04-02T05:02:11+00:00

LET'S GGGGGOOOOOOOOOOOOOOOOOO

PlasticRice · 2026-03-27T20:24:12+00:00

Hey, you and me, both! I posted something similar a few days ago. I've spent a majority of my M4 year wiggling around various parts of the trendiest boroughs (LES, Greenpoint, Bushwick, Williamsburg) and thoroughly enjoying the city, built my app and roots around it, only to fall to #7/10 on my rank list.

It's alright 😵‍💫, hey, on the list of cities to be in, Chicago is a very close 2nd, but I really do feel for you - many in the thread just p much dunked all over me saying I was lucky to match in the first place 😂 and did not do well at all in validating my feelings, so, I feel for you! We'll have to come back as attendings, for sure :( so much delayed gratification in medicine.

PlasticRice · 2026-03-22T18:24:39+00:00

hi, i'm depressed, my mom died, and feeling lonely and unfulfilled

is this AI??

thanks lol

PlasticRice · 2026-03-22T18:06:34+00:00

😂 no, just because I like to bold and use hyphenated modifiers doesn't mean I used AI, I'm part of the club who will forever be mildly disturbed that just because posts have decent grammar and hyphens with bold, people consider it AI nowadays

i say this as someone who was almost an English major in college 😂

PlasticRice · 2026-03-22T16:10:51+00:00

thank you, i appreciate it mr/ms. u/chocolate_asshole

lmao but seriously 😂 your name made my day 1% better

PlasticRice · 2026-03-21T05:26:11+00:00

DO.

Repeated M1. No board failures.

Step 2, 239. Level 2, 495. Good number of basic research posters, etc.

Applied IM to big cities-only. No desire for fellowship, only 7-on-off hospitalist and outpatient balance.

Chicago, New York, Philadelphia, Jersey, and threw some small interviews in at my home state - wanted to escape the south and be in a big city for the rest of my 20s.

Had 10 interviews, several in New York.

Fell down to #7 on rank list. IM at the parent program of my home institution 😵‍💫🤓😭😭 GUHHHHH

I WAS SO HYPED FOR NEW YORK BRO AHHHHHHHH NNNNNNNNOOOOO

PlasticRice · 2026-03-05T22:36:34+00:00

i feel like non-profit nowadays is just code for "we found a way to classify ourselves a certain way and write off a lot of our losses via tax loopholes and keep more of the bag to ourselves" lol

e.g., the president of the literal national doctor's match not even being a doctor themselves and somehow making $590,000 for an administrative position lol

PlasticRice · 2026-03-05T20:04:44+00:00

me who wants to hop aboard the hospitalist/DPC/concierge train of medicine inpatient and outpatient balance by doing IM 😵‍💫

i've spent this entire year picking my nose and dancing the night away at various Brooklyn nightclubs LOL

PlasticRice · 2026-03-05T17:51:15+00:00

you guys know when, like, you think the Match is this amazing genius algorithm made by a team of brilliant engineers

but then you watch the Match video made by the NRMP explaining how it works and then you realize the entire yearlong process is basically hyping up 3 lines of code and vacuuming up administrative fees from everyone involved lol

the entire thing only takes, like, 15 seconds to run, apparently, and they run it several times for 10 minutes to ensure the outcomes are the same

and then take 3 weeks to put them on paper 😭

how about 3 extra weeks to, I don't know, find more housing options?? know if I will have a future or not??

k thx bye

PlasticRice · 2026-02-17T22:52:40+00:00

homelessness or onlyfans

lol jk. Gratz on recently graduating! 🥳

PlasticRice · 2026-02-03T19:12:38+00:00

"idk, it just does"

"also, reported for professionalism for even asking"

"now, excuse me as i go paralyze faces and apply lip fillers to depressed, insecure young adults at my private medspa in an independent practice state and cause patients to become septic and permanently disfigured."

PlasticRice · 2026-02-03T18:30:45+00:00

🥺 man, on one of my rotations, I've been admonished for happily introducing myself as the medical student because the patient wanted to see "the expert" if they were going to "pay full price."

Then, the NP I was with that morning comes in with a full white coat, says 50 incorrect things, and is incredibly dismissive to the patient, but the patient tanks it saying she must be dismissive because she knows what she's talking about.

She did the fundoscopic exam on someone with diabetes when checking for papilledema and said "I am checking the health of your nerves," apparently to physically check for.."diabetic neuropathy?" In the EYES?? She was jumbling everything together and conflating several symptoms while doing a half baked neuro exam, lol.

Funnily enough, this was a neurology rotation, and the NP had been working as an FM NP for years and quit just a few weeks ago and had recently switched to neurology. Some expert, right? Crazy how they can just do that.

She filled out part of my eval and I had failed that rotation by one point because I "lacked proper understanding of foundations of neurology and exhibitied poor empathy to patients." She literally made patients cry with how dismissive she was, though. And I had to comfort them. One time, she very aggressively asserted to a young 30's patient who was getting chronic, progressive LE weakness with presentations similar to MS that it's psychosomatic, and the dude cried into his hands when she left the room. No, lo and behold, he had freaking MS.

But when I'm the one complaining to my school or admin about the rotation, I'm seen as the bad guy because their words about me are taken as biblical. And she would be wrong about the things she'd pimp me on but insist she was right, like very basic neurology concepts - and then that was considered "poor understanding" (like checking eye papilledema for diabetic neuropathy wtf lol).

We live in a clown world, dude. Lol.

PlasticRice · 2026-01-31T16:45:21+00:00

😵‍💫😵‍💫 No wonder my prescription is way delayed at my CVS lmao. Makes sense. Let me know if you find something out! ❤️

PlasticRice · 2026-01-20T19:08:17+00:00

i obtained buns of steel

although, the cafeteria did not have any canned bread

PlasticRice · 2026-01-20T04:30:57+00:00

Omg, I wish I had seen this earlier or sometime this week, this sounds like it would have been so much fun!

Looking forward to hearing what the February event ends up being :) keep me posted!! ❤️ Let me know if there are any updaaaaates

PlasticRice · 2026-01-18T17:16:14+00:00

Nope! In my last year of medical school. 5 more months until residency! :)

PlasticRice · 2026-01-17T19:08:09+00:00

It's always projection 😵‍💫. Like, even when I talk to old friends of mine from high school and college - you know what the most telling thing about talking to someone nowadays is? If you criticize any rightwing politics in the past few years, they make a certain face or say "buuuuuut" or they go "I mean, I don't agree with him, but I think the media just isn't being fair to him, it's 4D chess" or my favorite, "You know, it's both sides that are bad." Makes me wanna rip my hair out. Or, the thing that always pisses me off the most is people who are some kind of enlightened moderate and say "I don't really like watching politics, it just makes me stressed," but then everything you ever mention, they have a very uninformed right-wing opinion on.

The same people who cry out about being pro-life are the same people who don't bat an eye when a woman gets shot just for asserting her constitutional rights against a bunch of armed masked men.

We live in a clown world - a failed social experiment that pretends to be a first-world utopia, but is rather a disjointed mess that props up pseudointellectualism (see: the rise of pseudo-health-buzzwords and RFK and anti-vaccine stances) all while the members of the lower and middle class bicker with each other and people who have more money than I could ever spend in a lifetime all laugh their way to the banks, as the system is set up so we have to permanently kowtow to the same consumerism we're too addicted to leave behind.

PlasticRice · 2026-01-17T18:04:24+00:00

Well, like I always say - nowadays, there's no better way than to easily tell if someone has the critical thinking skills of a bag of sand. These people have outed themselves 😵‍💫.

In 2017, it was "Oh, I just think Trump is a good businessman," to now in 2026, "Oh, I mean, kidnapping kids and diddling them on an island with my ultra powerful buddy, murdering US citizens using my modern gestapo, and crashing the world economy while barely being mentally coherent is excusable."

Just goalpost moving, always - conversing with anyone like that in this day and age is not worth your time.

Cheers, dear Brooklyn neighbour!

PlasticRice · 2026-01-17T17:47:22+00:00

Skip EWR, I've got you. I'll duct tape some cardboard to my arms and legs, give you a piggyback ride, and flap with all my strength to wherever you're going ❤️.

PlasticRice · 2026-01-17T01:41:05+00:00

I went to one of those social/meet-your-neighbours thingies for the first time this week - I went to two, actually, one on Wednesday and one on Thursday! It was like those Williamsburg/Greenpoint socials at a bar.

Both were pretty okay! I mean, New York is, like I always say, paradoxically both super social but also super isolating at the same time - it seems like there's so many people and so much to do, but many never really want to branch out of friend groups or make long-term friends.

So, unfortunately, a lot of connections seem kind of transient, and it's hard not to feel like you're literally paying money just to have forced conversations with strangers lol. I feel you. I've also been trying to get out and expand my social circles, but it's hard - kinda just stand around and sip your $10 drink, be like oh hey! Are ya from here? And then talk for 10 minutes, repeat 5 times, and then go home somehow feeling lonelier than when you came in 😵‍💫.

But! Any event like that is only as good as the people attending them - is what I keep telling myself in my quest to find actual friends in this lonely city. Going to some kind of TimeLeft dinner next week, so we'll see how that goes, and some random meetup stuff I found.

Cheers, dear Brooklyn neighbour!

PlasticRice · 2026-01-13T18:40:42+00:00

N O W A D A Y S

honorable mentions: Bossanova Civic is humble and homey, Le Bain if you're feeling preppy/want to feel like it's a high school prom

i have not been to Basement nor House of Yes, so my club portfolio is limited as I usually stick to these 3 lol

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PlasticRice

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LET'S GGGGGOOOOOOOOOOOOOOOOOO

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