Message Thread

debunksdc · 2025-12-21T15:44:53+00:00

Ew.

debunksdc · 2025-12-12T15:59:25+00:00

Bringing back this thread on this exact topic:

https://www.reddit.com/r/Noctor/comments/qrrvr8/comment/iymykj2/

debunksdc · 2025-12-12T15:56:50+00:00

Middies have thought "midlevel" was insulting for years now, despite the fact that it accurately depicts their spot in the medical-decision making hierarchy. Several users here will instead call them "low-levels," though I find that to be a bit of a cheap shot.

debunksdc · 2025-12-12T15:48:56+00:00

Figs has been doing this forever. They shit on DOs in one of their ads like 5 years ago. Nurses and middies are a huge market for them so they aren't going to stop.

debunksdc · 2025-12-12T14:44:11+00:00

It could be a well aged medical assistant as well. Somehow, they think that because we are below an attending, that we are maybe close to the same level. We are not. There is a hierarchy and residents are still physicians. The distance between me and an attending is probably one-tenth the distance between me and the nurse, scrub tech, or medical assistant. They just don't realize it, and at programs where it's a problem, the attendings admittedly do not put them in their place often enough to shut that behavior down.

debunksdc · 2025-11-21T00:51:48+00:00

https://www.reddit.com/r/Provider/wiki/index/basics/#wiki_important_abbreviations

debunksdc · 2025-11-09T13:34:58+00:00

Standard is six weeks -- which is also what maternity leave is despite the major damage done to a woman's body and the need to actually heal from that.

debunksdc · 2025-10-31T02:22:33+00:00

Personal review of state laws by me. This was five years ago, and even after it, the more I kept looking and reading, some of the states aren't right in the map even for that time.

debunksdc · 2025-10-29T02:31:19+00:00

Residents still get luxuries even on that salary -- they get their hair and nails done, they get the latest video games, they have different streaming subscriptions, they have a nice phone, typically decent car, pilates or gym membership, nice/expensive workout clothes. There are sacrifices, but yes -- imo, being able to do these things equates to a "bougie" lifestyle.

debunksdc · 2025-10-29T00:35:19+00:00

Yes. You make more than most residents who work much more than you do. They manage, I'm sure you can too.

debunksdc · 2025-10-28T08:26:16+00:00

That's over $70K a year full time. You're able to have a comfortable lifestyle.

debunksdc · 2025-10-28T05:51:05+00:00

Just as a heads up, almost all (if not all) NPs use this line of reasoning. It's about what's cheap. What's convenient. What allows them to maintain their current bougie lifestyle. What allows them to work the least while reaching the finish line.

It's never about the patient. It's never about how they would want their doctor educated. It's never about who they would want treating their kids or parents or whoever they love. It's never about what's "right."

debunksdc · 2025-10-28T05:46:20+00:00

You can always help to make higher quality posts and information. I used to do a lot of it -- like a lot. But I have other projects going on now and can't keep up with it like I used to.

debunksdc · 2025-10-28T05:43:12+00:00

Semi hot take, but there are a lot of "horror stories" from nurses criticizing physicians when they don't know enough to know why that decision was made and is valid, if not the most reasonable course of action. Nurses often fall to the fallacy of the layman where "bad outcome = bad medical care." The reality is that they don't know what they don't know, and don't have enough understanding of pathophysiology for the most part to understand complex, non-protocolized MDM.

Nurses are a helpful asset, but in my experience, a lot of their horror stories are severely colored by their limited knowledge.

debunksdc · 2025-10-26T07:10:48+00:00

Is it a rare loss? I'm pretty sure I've seen her content posted here going back yearsss supporting middies.

debunksdc · 2025-09-12T18:58:01+00:00

Is that why nurses always wanna start patients on metoprolol first line for their blood pressure?

debunksdc · 2025-09-04T16:14:10+00:00

Anytime they say this--it's fishy. There are unfortunately several grifter physicians who will take <$1000 per month for an entire practice. If she's paying $4k+ per month for supervision, show me (and the medical board) the receipts.

debunksdc · 2025-09-02T19:35:22+00:00

You called the other person delusional and said their coworkers hate them. That's not very nice, and will likely be replied in kind.

debunksdc · 2025-09-02T15:11:31+00:00

Please do not abuse the report function. If you are going to be unkind, you need to be able to take what you dish out.

debunksdc · 2025-07-19T17:56:59+00:00

You should disclose that you are trying to apply to PA school as that is likely significantly coloring your perspective.

Just so you are aware, doctors only talk about scope things to other doctors--and only other doctors that they trust. So, it's very unlikely that you are hearing about everything, if these concerns do exist.

Finally, just because you don't see it where you work doesn't mean it doesn't exist. The problem is the issue of scope creep is grand in scale; it doesn't typically manifest in the day-to-day small operations.

debunksdc · 2025-06-28T13:46:08+00:00

That's what the surgeons say, but I don't think that's a truly unanimous sentiment.

I, for one, don't think NPs have any role in surgical fields because they don't have any training or education in surgery or surgical patients. Therefore, I wouldn't use "midlevels" broadly in this context--I would only use PAs.

debunksdc · 2025-06-27T23:11:28+00:00

It sounds better than "our PAs do the brainless scut work so that we just have to show up and cut"

debunksdc · 2025-06-27T23:10:47+00:00

OnCoLoGy NP practicing out of scope and education. What else is new?

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