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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. The "Doctor" will see you now.

The "Doctor" will see you now.

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  • HoraceH Offline
    HoraceH Offline
    Horace
    wrote on last edited by
    #10

    It's another way of saying chronic fatigue syndrome.

    Education is extremely important.

    1 Reply Last reply
    • RenaudaR Renauda

      Fibromyalgia

      Is there even such a thing?

      Anyone I’ve ever met who said they “suffered” from it and maintained it was “chronic”’also hated their jobs and maximised any sickness and short and long term disability benefits they had. At the same time they all complained that their doctors couldn’t find anything physically wrong with them after exhaustive tests. Some MDs even told them it was all in their heads and sent them on their way.

      George KG Offline
      George KG Offline
      George K
      wrote on last edited by
      #11

      @Renauda said in The "Doctor" will see you now.:

      Fibromyalgia

      Is there even such a thing?

      Anyone I’ve ever met who said they “suffered” from it and maintained it was “chronic”’also hated their jobs and maximised any sickness and short and long term disability benefits they had. At the same time they all complained that their doctors couldn’t find anything physically wrong with them after exhaustive tests. Some MDs even told them it was all in their heads and sent them on their way.

      We'd see at least one fibromyalgia sufferer come to the OR every two months.

      Common features:

      • Age - late 20s to mid 40s.
      • Gender - XX chromosome carriers (yeah, I said that)
      • Marital status - married
      • Suburban - almost never saw this when I worked downtown
      • Generally a "miserable-looking" person.

      I've seen some work that suggests that fibromyalgia has an organic cause - but these studies are sporadic and never verifiable.

      "Now look here, you Baltic gas passer... " - Mik, 6/14/08

      The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

      CopperC 1 Reply Last reply
      • George KG George K

        @Renauda said in The "Doctor" will see you now.:

        Fibromyalgia

        Is there even such a thing?

        Anyone I’ve ever met who said they “suffered” from it and maintained it was “chronic”’also hated their jobs and maximised any sickness and short and long term disability benefits they had. At the same time they all complained that their doctors couldn’t find anything physically wrong with them after exhaustive tests. Some MDs even told them it was all in their heads and sent them on their way.

        We'd see at least one fibromyalgia sufferer come to the OR every two months.

        Common features:

        • Age - late 20s to mid 40s.
        • Gender - XX chromosome carriers (yeah, I said that)
        • Marital status - married
        • Suburban - almost never saw this when I worked downtown
        • Generally a "miserable-looking" person.

        I've seen some work that suggests that fibromyalgia has an organic cause - but these studies are sporadic and never verifiable.

        CopperC Offline
        CopperC Offline
        Copper
        wrote on last edited by
        #12

        @George-K said in The "Doctor" will see you now.:

        Gender - XX chromosome carriers

        Fibromyalgia syndrome (FMS) is a chronic musculoskeletal disorder of unknown etiology that affects up to 5.0% of the world population. It has a high female predominance, between 80 and 96%. Due to the low number of diagnosed men, research work has focused mainly on women.

        https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9859454/#:~:text=Fibromyalgia syndrome (FMS) is a,has focused mainly on women.

        1 Reply Last reply
        • George KG Offline
          George KG Offline
          George K
          wrote on last edited by
          #13

          Screenshot 2024-04-11 at 8.27.02 AM.png

          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

          1 Reply Last reply
          • LuFins DadL Offline
            LuFins DadL Offline
            LuFins Dad
            wrote on last edited by
            #14

            How long is the FNP program and what kind of work happens during it? There might only be 6 days of classroom instruction but is there a mentorship program working with physicians in their current workplace?

            The Brad

            1 Reply Last reply
            • HoraceH Offline
              HoraceH Offline
              Horace
              wrote on last edited by Horace
              #15

              I’ve seen two NPs lately. I’m more concerned with their experience and general cognitive ability than their formal education. On average, NPs might be less than MDs in those areas, but any given NP might be good.

              Education is extremely important.

              1 Reply Last reply
              • Aqua LetiferA Offline
                Aqua LetiferA Offline
                Aqua Letifer
                wrote on last edited by
                #16

                My NP is a shitload better than all the doctors at the practice.

                Please love yourself.

                89th8 1 Reply Last reply
                • George KG Offline
                  George KG Offline
                  George K
                  wrote on last edited by
                  #17

                  image.jpeg

                  I can't find the page that links this image, but here's a screenshot that I did find.

                  https://nursing.georgetown.edu/degree-programs/masters/fnp-online/

                  Screenshot 2024-04-11 at 9.36.10 AM.png

                  "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                  The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                  LuFins DadL 1 Reply Last reply
                  • LuFins DadL Offline
                    LuFins DadL Offline
                    LuFins Dad
                    wrote on last edited by
                    #18

                    I think there’s a very important place for NPs. As our knowledge grows in so many fields of medicine, there’s been a greater need for specialization. As that continues to grow, so has the need to have more skilled service providers between the traditional nurse and specialist, but more and more autonomy and responsibility is being thrust upon these roles without subsequent education and training requirements.

                    The Brad

                    1 Reply Last reply
                    • LuFins DadL Offline
                      LuFins DadL Offline
                      LuFins Dad
                      wrote on last edited by
                      #19

                      I also worry that while NPs get a lot of the technical training necessary for the roles, they receive less of the ethical and moral training that comes with the years of schooling.

                      The Brad

                      1 Reply Last reply
                      • George KG George K

                        image.jpeg

                        I can't find the page that links this image, but here's a screenshot that I did find.

                        https://nursing.georgetown.edu/degree-programs/masters/fnp-online/

                        Screenshot 2024-04-11 at 9.36.10 AM.png

                        LuFins DadL Offline
                        LuFins DadL Offline
                        LuFins Dad
                        wrote on last edited by
                        #20

                        @George-K said in The "Doctor" will see you now.:

                        image.jpeg

                        I can't find the page that links this image, but here's a screenshot that I did find.

                        https://nursing.georgetown.edu/degree-programs/masters/fnp-online/

                        Screenshot 2024-04-11 at 9.36.10 AM.png

                        44 credits… to become a practicing physician requires 150 postgrad credits, no? 1 semester of medical ethics course. How does that compare with medical school?

                        The Brad

                        George KG 1 Reply Last reply
                        • LuFins DadL LuFins Dad

                          @George-K said in The "Doctor" will see you now.:

                          image.jpeg

                          I can't find the page that links this image, but here's a screenshot that I did find.

                          https://nursing.georgetown.edu/degree-programs/masters/fnp-online/

                          Screenshot 2024-04-11 at 9.36.10 AM.png

                          44 credits… to become a practicing physician requires 150 postgrad credits, no? 1 semester of medical ethics course. How does that compare with medical school?

                          George KG Offline
                          George KG Offline
                          George K
                          wrote on last edited by
                          #21

                          @LuFins-Dad said in The "Doctor" will see you now.:

                          44 credits… to become a practicing physician requires 150 postgrad credits, no? 1 semester of medical ethics course. How does that compare with medical school?

                          No idea what it's like now.

                          But, I can tell you my curriculum from the dark ages.

                          Gross Anatomy: 3 quarters.
                          Neuro Anatomy: 1 quarter
                          Biochemistry: 2 quarter
                          Micro Anatomy (Histology): 2 quarters
                          Pharmacology: 2 quarters
                          Anatomy Lab (cadaver): 3 Quarters
                          Physiology: 3 Quarters
                          Psychology: 1 Quarter
                          Physical Diagnosis: 1 quarter

                          And then...you got to touch patients.

                          Physical Diagnosis on real people: 2 quarters.

                          And then you got to work in a hospital.

                          Internal Medicine: 1 quarter (12 weeks) - you 'shadow' an intern
                          Neurology: 6 weeks
                          Psychiatry: 6 weeks
                          Surgery: 12 weeks (1 week to anesthesiology)
                          OB/GYN: 6 weeks
                          Pets: 6 weeks.

                          Then, you go to do electives, and internal medicine as a senior was required.
                          I did 12 weeks of anesthesiology.

                          I may have missed something, but that's the gist of it.

                          I don't feel like wading through the current curriculum, but here it is:

                          https://www.feinberg.northwestern.edu/md-education/curriculum/phases/index.html

                          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                          1 Reply Last reply
                          • George KG Offline
                            George KG Offline
                            George K
                            wrote on last edited by
                            #22

                            image.jpeg

                            "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                            The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                            1 Reply Last reply
                            • MikM Offline
                              MikM Offline
                              Mik
                              wrote on last edited by
                              #23

                              I’ll be seeing an NP at 4. Three weeks for this cough and drainage. Ugh.

                              “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                              1 Reply Last reply
                              • George KG Offline
                                George KG Offline
                                George K
                                wrote on last edited by
                                #24

                                Hopefully s/he has more than 500 hours of training.

                                "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                1 Reply Last reply
                                • MikM Offline
                                  MikM Offline
                                  Mik
                                  wrote on last edited by
                                  #25

                                  Actually I think they just have me seeing a PA.

                                  “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                                  1 Reply Last reply
                                  • George KG Offline
                                    George KG Offline
                                    George K
                                    wrote on last edited by
                                    #26

                                    In the comments -

                                    • 750 is 15 hrs/week for 1 year.
                                    • 500 hours is 6 weeks of residency (probably more like 8 weeks, but still).

                                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                    1 Reply Last reply
                                    • Aqua LetiferA Aqua Letifer

                                      My NP is a shitload better than all the doctors at the practice.

                                      89th8 Offline
                                      89th8 Offline
                                      89th
                                      wrote on last edited by
                                      #27

                                      @Aqua-Letifer said in The "Doctor" will see you now.:

                                      My NP is a shitload better than all the doctors at the practice.

                                      Which is concerning since the doctors were proctologists.

                                      1 Reply Last reply
                                      • jon-nycJ Online
                                        jon-nycJ Online
                                        jon-nyc
                                        wrote on last edited by jon-nyc
                                        #28

                                        It never bothers me that much. I see specialists for serious things, if I go to a clinic it’s usually for something basic that I’d self-treat but for the need to prescribe drugs or imaging.

                                        They’ll end up, after a lot of drama, with the same formula they use every time they have a trifecta: take away health care and food assistance from low income families and use the money to fund tax cuts for their donors.

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