The "Doctor" will see you now.

[Horace]

It's another way of saying chronic fatigue syndrome.

[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.

[Copper]

@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.

[George K]

[LuFins Dad]

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?

[Horace]

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.

[Aqua Letifer]

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

[George K]

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/

[LuFins Dad]

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.

[LuFins Dad]

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.

[LuFins Dad]

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

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/

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 K]

@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

[George K]

[Mik]

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

[George K]

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

[Mik]

Actually I think they just have me seeing a PA.

[George K]

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).

[89th]

@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.

[jon-nyc]

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.