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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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  • 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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