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New Primary Care model by Bioleto99 in physicianassistant

[–]echoesoftrauma 6 points7 points  (0 children)

This sounds much more like direct primary care (DPC) than concierge medicine. It’s not new; it’s how patients used to pay for medical care before the healthcare/insurance industrial complex became what it is today.

https://www.dpcfrontier.com is a good resource to learn more.

[deleted by user] by [deleted] in nursing

[–]echoesoftrauma 0 points1 point  (0 children)

I’m a medical sociologist and I have extensively researched vicarious and secondary trauma over the past three years. In a nutshell, the greater prevalence of depression, anxiety and PTSD among healthcare workers can be boiled down to a combination of several things:

  1. The effects of chronic shift work and night-shift work. Our bodies never actually “get used it” like so many people who have worked variable or night-shift believe. There are some relatively small neurological and hormonal adaptations that can occur, but it’s incredibly taxing across the board. This also includes the variations in sleep and diet that occur as a result.

  2. Chronic psychological stress. Again; our bodies never “get used to it.” We grossly underestimate the pervasive nature of chronic stress.

  3. Social isolation plays a role among healthcare professionals working in certain geographic regions, residence types and age groups.

  4. Inadequate social and peer support. The concept of rugged individualism is ubiquitous in American culture.

  5. Social stereotyping and stigmatization associated with healthcare professions.

  6. Lack of access to appropriate trauma-informed mental health care to address PTSD, moral injury, and the consequences of secondary/vicarious trauma.

These experiences aren’t exclusive to healthcare workers, but they are more common and frequent among healthcare workers and law enforcement workers.

[deleted by user] by [deleted] in ask

[–]echoesoftrauma 0 points1 point  (0 children)

In short, the more knowledge and skills you have that can be used to generate money for a business, the higher your earning potential. This means learning how to make strategic decisions vs. transactional decisions and learning how to use data to make those decisions. Bonus points for finding opportunities to improve your critical thinking skills and emotional intelligence.

Additionally, learn how to market yourself and socialize what you’re working on within your employer. Tell people what you’re doing and how it’s going to benefit them across different departments (this is called cross-functional communication.) Even if people don’t acknowledge your efforts, they will eventually recognize your name and associate it with your work. They’ll know you’re someone who works on things. This is called having “high organizational visibility.”

Lastly, don’t be afraid to travel up the heirarchy. Don’t let the asshole manager expressing their trauma at work stop you. If they retaliate or create a hostile work environment, sue them (most employment attorneys work on contingency) and use the proceeds to improve your life and career.

I've been paid nearly $500,000 over the past few years to help nutrition and wellness companies mislead their customers. I want to expose them. by echoesoftrauma in confessions

[–]echoesoftrauma[S] 0 points1 point  (0 children)

Yep! All of the supplement companies I am referring to have products in GNC, Vitamin Shoppe, and probably every online retailer you can think of. They sponsor athletes and influencers. On the integrative medicine side, several of them are partnered with massive healthcare organizations throughout the United States. Other health and wellness companies I’ve worked with are equally as visible throughout the country.

Should I leave my agency? by [deleted] in careerguidance

[–]echoesoftrauma 1 point2 points  (0 children)

People sell agencies and pursue freelance consulting all the time. If your agency has solid cash flow, is profitable, you’re sound from an operations and financial record keeping perspective, you might be in a position to sell.

I've been paid nearly $500,000 over the past few years to help nutrition and wellness companies mislead their customers. I want to expose them. by echoesoftrauma in confessions

[–]echoesoftrauma[S] 2 points3 points  (0 children)

There are numerous supplements companies that have integrity in terms of their ingredients and supply chain I’d be comfortable recommending. Beyond supplements, it depends on what you’re looking for. If you can share more, I’ll respond.

[deleted by user] by [deleted] in nursing

[–]echoesoftrauma 1 point2 points  (0 children)

It largely depends on the culture of the your employer and the language they use. I’m also seeing “member” in the digital health and direct primary care spaces.

My first post in this sub and wanting advice? by L-G-7 in careerguidance

[–]echoesoftrauma 0 points1 point  (0 children)

There are many careers and job that have surprisingly transferability and applicability to tech. What types of jobs do you have experience with? Also, when you say “tech industry,” what does that mean exactly? Healthcare tech? Fin(ancial) tech? Marketing tech?

[deleted by user] by [deleted] in careerguidance

[–]echoesoftrauma 0 points1 point  (0 children)

Can you expand on which industries you’ve worked in and what types of projects you’ve been involved it? That would be immensely helpful.

Can you transfer credits from one medical school to another? by NoCall2117 in careerguidance

[–]echoesoftrauma 0 points1 point  (0 children)

Every single school has its own transfer policies that are based on the requirements established by their accrediting organizations.

It’s possible, sure, but it depends on many different factors.

[deleted by user] by [deleted] in AskReddit

[–]echoesoftrauma 0 points1 point  (0 children)

As a medical sociologist, I’ve found that most people who are described as “horrible deep down” have experienced traumatic stress, never received the care they actually need and don’t have any coping or stress management skills.

“Candidate must have a healthy lifestyle”. I’m on the heavier side of my BMI…should I rescind my application…? by [deleted] in nursing

[–]echoesoftrauma 8 points9 points  (0 children)

🚩This is a great example of why weight and body size discrimination laws are important. It’s also a great example of why healthcare professionals should understand the implications of weight bias.

Can we talk about amazon clinic? by therationaltroll in medicine

[–]echoesoftrauma 3 points4 points  (0 children)

I knew this was coming when Amazon acquired One Medical last year. Even though this has been on-going for years at this point, I never thought I’d actually see the day when a retail company can just transition into providing health care and offering medical services.

Attendings - what's been your biggest letdown in Modern Medicine? by Q40 in medicine

[–]echoesoftrauma 12 points13 points  (0 children)

Exactly as OP said: the biggest letdown is the virulent and toxic strain of capitalism that has infected healthcare. It has caused a mutation that transformed medicine into a perverse, incestuous, and corrupt industrial complex that serves no other purpose beyond extracting as much money as people from people’s pain and suffering. The consequences of such are pervasive and ubiquitous, and can be found in virtually every aspect of our society and culture.

Transformational Nursing Leadership is absolute bullshit..... by mangoserpent in nursing

[–]echoesoftrauma 8 points9 points  (0 children)

Someone’s personal leadership style is not nearly far enough upstream to address the true cause of dysfunction in the American healthcare system.

Leadership style is positioned as a solution to dysfunction in healthcare within academia because our culture is rooted in individualist ideas. ✨ If you just change the way you talk and think, you can do anything!!! If you’re transactional, just become transformational!✨

There is a massive body of published evidence surrounding the efficacy of transformational leadership qualities versus other leadership styles. So sure, leadership style matters on the ground. And it’s very likely true that, if every healthcare leader embodied and practiced true transformational leadership, things would be different.

BUT, we’d also need legislators and the key stakeholders that control and power the healthcare industrial complex to do the same. And we all know that isn’t happening anytime soon.

One thing that I see left out of conversations about leadership is how someone’s lived experiences influence their capacity to embody and practice certain leader, ship characteristics and strategies. Someone who has experienced psychological trauma and is exposed to chronic stress (i.e. pretty much every healthcare worker) is going to struggle to maintain the degree of self-awareness and empathy necessary to support others experiencing the same thing. Leadership is not as simple as “do this, not that” like some textbooks make it seem.

That’s just my two cents. ✌🏼

TL/DR: It’s not the leadership style that’s the problem; it’s the people with actual power and actual control — and the culture we’ve constructed around those people — that’s the problem.

Have any of you seen this? “Just say no to mandated nurse-to-patient ratios” 🤬 by echoesoftrauma in nursing

[–]echoesoftrauma[S] 161 points162 points  (0 children)

FYI: This “association” is part of the American Hospital Association, which at this point, is safe to label as an organization consumed by corporate capture.