Asked a male walk in clinic doctor to refer me to a gynocologist due to chronic vaginal pain I have (on the inside). He then insists that gynos don't deal with that sort of thing and started talking to me as if I'm stupid for thinking they can help me lol. He insists that they only deal with pregnancies and such and then prescribes me an eczema cream which is meant for external skin use (it burned like a mf)
Anyways I've since gone to another doctor who immediately referred me to a gyno. It's just crazy to think some doctors don't know that chronic vaginal pain requires gyno attention??
My husband is a physician at an East Coast hospital that was hit hard by COVID-19. He works specifically in a field that has put him in close contact with COVID patients for the past three months and has volunteered an extra week of service on the COVID unit. It is not unusual for him to work 80+ hours per week. I work from home and am the primary caregiver to our three girls (6, 2, 1) with the help of a nanny for 15 hours per week, however, we had to let our nanny go in March because of the increased risk of transmission due to my husband’s job.
Despite his rigorous work schedule, my husband has many hobbies, chief among them running, baking, and reading AITA. Like many people, since COVID has led to our being home more and his occasional weeks working from home on telemedicine, his baking has begun to take an even larger role in his life (roll in his life for the pun?). He has harvested his own sourdough starter and now spends a lot of time baking various things, which I will admi... keep reading on reddit ➡
Beyond keeping your patients alive and passing the meds you order, what traits have made a nurse stick out in your mind? To you, what makes an excellent nurse vs just another nurse?
I said it before, and it's time to say it again.
Although it's not yet the great day of July 1, when the wheel of academia cycles around and everything begins anew, it's the time of year when the newly-minted interns have probably started hitting the wards. Welcome to the big white coat leagues! Keep a granola bar or two in those pockets!
Others are looking at completing residency at the end of the week, which means fellowships, new jobs, and hopefully some well-deserved time off. Next life stage! Maybe a real salary, finally, unless you're in the fellowship boat and have deferred money for endless overqualification.
And for those still in the trenches of training, you at least get to increment the PGY# flair. A change of schedule, at least, and some new rotations. And one year closer to being done!
Other medical professionals, I know much less about your educational calendar, but congratulations to those of you passing milestones as well.
Regardless of where you are and whether y... keep reading on reddit ➡
I am a big fan of this community and I have found a lot of helpful advice on many different aspects of running here.
However, for years I've been experiencing stomach pain from time to time during running, as apparently a lot of people do. I've looked through a lot of posts of people with similar symptoms, googled and also talked to friends who are experienced in running. Most of the time people attributed the pain to either a wrong breathing technique or digestion/nutrition issues. I tried everything I was advised to, but I never got rid of these occasional stomach pains. After a long time (where I almost entirely lost my motivation for running) I finally mentioned my problems to my physician, she felt my stomach but couldn't feel anything wrong, so she sent me to get an ultrasound (just to be 100% sure nothing is wrong). And surprisingly, I was diagnosed with a hernia.
So long story short, PLEASE consult a physician as soon as possible if you experience pain. I am sure that most... keep reading on reddit ➡
According to Philadelphia police dispatch records, Officer Elizabeth Skala responded to a 911 call from Key West Bar & Grille located on 207 South Juniper Street on December 22, 2002. Upon arriving at the bar, she saw Nizah Morris, a transgender woman, who was “well-known and well liked in the area” as she was a performer at a local bar named Bob and Barbara’s Lounge. Nizah was extremely intoxicated and was escorted outside the bar. According to several witnesses, Nizah was unable to stand on her own and was twice found lying on the ground at the intersection of Juniper and Chancellor Streets.
The 911 caller reported a collapsed person in need of an ambulance, which was on its way to the bar until Officer Skala cancelled it; she also told another police officer Kenneth Novak who was en route that she no longer needed assistance based on her assessment of Nizah’s condition and the fact that Nizah repeatedly asked to go home and refused to go to the hospital. Several bystanders hel... keep reading on reddit ➡
Hello all. Current USDO student. Also non-US citizen on visa.
I was wondering if you all read the recent stuff around visas and the Trump admins. If not, here is a article from The Hill regarding it.
It targets H1b and J1, which are the two visas physicians use here in the US. I was wondering how do you think this will affect future/incoming physicians (i.e., someone like me that is on a student visa, but will need one of those two next year for residency)?
EDIT: There aren't any clear exemptions right now... But a lot of us are worried. Would anyone be able to bring this up with their professional orgs? I think it would be smart to make them aware.
EDIT 2: https://www.whitehouse.gov/presidential-actions/proclamation-suspending-entry-aliens-present-risk-u-s-labor-market-following-coronavirus-outbreak/?fbclid=IwAR0-TRR7FzkXfJJptoxisI5A7IVKzNBiGZ6DdVC3LUS9lE2Cl6WeIu... keep reading on reddit ➡
So recently there's been talk of residents on this subreddit talking too much about midlével independence. A proposal has sprang up to limit all threads regarding midlévels to a weekly mega-thread. Currently the poll shows that supporters of this proposal are winning.
Just be careful what you wish for.
All movements throughout history began with mass agitation and a refusal to be silenced in the face of authority. Reddit is no exception - this may just be a sub but considering how small the population of residents is, there are probably representatives from every program who either read or post threads here. Focusing our discussions on the dangers of midlével independence spreads the word to these people, who will then bring it back to their own home programs and that way the spark can turn into a fire.
Remember that Physicians For Patient Protection got their start on this subreddit. They went from a nothing-burger organization to an advocacy group with decent clout and policy infl... keep reading on reddit ➡
I’m having a hot discussion with my female colleagues about this. One is getting married in two days and her fiancé wants her to take his name. She wants to keep her maiden name. So I’m curious as to what others have done.
In one article by ENT today, it is claimed that only 7% of the general population keeps their maiden name but over 60% of physicians do.
If you’re a physician and you’re married, what did you do and why? Would you change your decision now? Has it made a big impact on any way? (Specifically if you have kids, how did you handle this?)
EDIT: I would like to rephrase this to be inclusive for ANYONE who is married or getting married or plans to get married!
I realize that administration overstep creates frustration in almost every field, from education to anything corporate. What bothers me most about administrative overstep in healthcare? It doesn't appear to help patients get better care*, it doesn't rely on physicians,* it is one of the largest expenses in our system, and it is continuing to swell larger.^(1)
Put generally, the US Healthcare system is failing to justify its costs.
Should wealthy shareholders be profiting to such an extent that we effectively drown the US Healthcare system, or do we ignore political differences and focus on unity through our shared humanity? Here I will argue that physician de-emphasization has hurt the system, led to our current problems, and must be reversed.
How did this happen? It’s complicated. Over the past few decades, a collection of private lobbyists successfully leveraged more financial burdens onto patients and their physicians through corporate and government cost-containment strat... keep reading on reddit ➡
Dream schools are great and it's natural to aspire to be part of them. However, if they WL you or don't take you, it's not the end of your cycle. Your dream school IS the one that accepts you. They're the one that believes you'd make a great physician and want to allow you to do so. If you don't get accepted by your first-choice, don't give up, it only takes one school believing in your message and what you can bring to medicine to make you a doctor. It only takes one.
This is something I learned from my own experiences this cycle. Especially going through a significant amount of ageism and bias of non-trads in the interview for my "dream school." It definitely hurt and was a surprise, but it's all about fit. The interview is just as much about how you see that school helping you achieve your goals. You're more than some stats and ECs. You're the future of medicine. Don't let them make you feel like you're anything less.
Edit 2: Holy moly! After a long day yesterday and not havin... keep reading on reddit ➡
A very sad story - and an important one
Gender roles can be reversed of course, but I feel in many ways society (and many of us towards ourselves) still have different expectations for men/women.
I’m in primary care, so my 9-5 pays higher than my husbands’ by about 2-3x, however I know money is not everything in worthiness of a career and I want him to have a meaningful career since that is what he wants. We have a toddler and another on the way. I find myself doing 100% of the laundry, grocery shopping, managing the family’s calendar, and almost 100% of the cooking. When I ask him to do things, he will do them happily, and will tell me to tell him what to do when I’ve brought up my perceived inequality before. The issue is he doesn’t willingly do these on his own and when he does, they’re often done incorrectly and I end up spending more time to correct them - ie not picking up the right groceries, shrinking the clothes, forgetting to wash our child’s bibs/high chair tray when asked to do the dishes at night, so I then hav... keep reading on reddit ➡
>“The downstream health effects...are being massively under-estimated and under-reported. This is an order of magnitude error," according to the letter initiated by Simone Gold, M.D., an emergency medicine specialist in Los Angeles.
Interesting article about the negative impact of lockdowns on other health outcomes. The writers of this open letter especially focus on mental health, missed cancer diagnoses, and missed treatments for chronic conditions.
EDIT: This is my first post here (generally a lurker with occasional comments). I'm glad this has sparked good conversation and lots of digging deeper into the source I shared! If only the rest of the internet were as diligent about fact-finding as a community such as this... keep reading on reddit ➡
Hi I am an 84 year old female. The last two years my husband has been in and out of hospitals. Prior to was very healthy no problems whatsoever. In September 2019 I started feeling very tired, lethargic, made it difficult to walk. Pain started to spread to bones, muscles.... doctor dx (diagnoses) with fibermyalgia and prescribed prednisone 40mg. The last time my husband was in the hospital being December 2019 I especially felt it difficult to navigate the day. To walk. To breathe. Pain all over.
My arthritis results came back negative January 2020.
Upon visiting a physician he noticed that my oxygen is very very low. It was under 80. As a result the emergency the spirometer and had CT scan with contrast of my entire chest where they discovered fibrosis? In the lower lobes. Since then I have been instructed to increase my o2 intake full time. I am not feeling better - without oxygen. 2-5 minutes of breathing w/out and then pressure in chest transpires.
Now let’s discuss COVID - s... keep reading on reddit ➡
I've been seeing an increasing trend in the amount of people who are actively lobbying AGAINST doctors.
For example and reference, check out this video of some nurse accusing doctors of murder in NYC: https://youtu.be/9AvJQ3FCCAE
I don't get it. Why is everyone eager to bash doctors? What more do we have to do to show society that we are doing our best?
It's not enough that I have to hold my anger back when a patient comes into a room angry at me because the last 30 docs couldn't help her with her vague pan-negative abdominal pain, it's not enough that I get called in the middle of the night for people to bitch at me about random unimportant things, it's not enough that when I am able to fix things I get no thank you but if I can't fix things I get "you're a bad doctor!" It's not enough that I'm thousands in debt but still get treated like I owe everyone a premium because I make a "ton of money". No, none of that is enough. Now I have to listen to some random nurse on YouTube tell... keep reading on reddit ➡
Greetings r/medicine. I realize that the topic of PA and NP practice autonomy is polarizing, and generally viewed in a negative light here, and for understandable reasons. I am one of the many PAs who do not wish to practice independently, even after 6 years of practice, but feel that our profession must support practice autonomy to stay competitive in the medical field, and especially now during the coronavirus era where so many of us are being furloughed.
A user on r/physicianassistant shared an application demonstrating the inclusion of NPs and the exclusion of PAs, which I imagine is specifically due to differences in practice autonomy, and unlikely due to differences in qualifications. I wanted to share the application here in the event that some of you have never seen this exclusion in action: https://airtable.com/shr2ml1PHJWmAgEBg
The link is for a group called HeyDoctor, which is a new division of GoodRx. Under title, you will see that they indicate that they are not hiring... keep reading on reddit ➡
With all the discussions about ‘midlevels’ regarding autonomy/titles/doctorates of A-Z, I have not seen much about moving to the term physician and away from doctor. It’s not mentioned often. Wouldn’t that be one solution to many of the naming issues? I wonder why it’s not brought up as much. It seems like a simple fix. Or am I missing something?
Additionally, how do you feel about the term ‘provider’? I recently had a social worker give me a tirade about how it was my fault that a discharge was stopped because they wanted me to take off the dx of dementia from a form. This patient previously had SLUMS of 13 written all over the chart, and apparently writing the dx on the medical form threw a wrench in placement as the patient couldn’t consent to their own financial decisions. The SW didn’t identify themselves and just launched into angrily expressing that I had inappropriately undone other’s work. When I asked who they were and what department they were from, I was notified they wer... keep reading on reddit ➡
> Please read! I am posting this on behalf of the physician who wrote the following: > > "I am the physician who contacted the law group who represented the family of Alexus Ochoa. Because I believe that what the attorneys did is precedent setting. I have made it a point to become familiar with NP education and have long maintained that part of the reason NPs are permitted to practice "unsupervised" is that physicians and hospital employers are not familiar with the NPs educational model or scope of practice. They make presumptions that are incorrect and simply do not understand how narrow and limited NP practice actually is. Because of the inconsistency and non-standardization of many of their programs, it is not difficult to understand why substandard practice is predictable. How can these type of errors be caught if the oversight is poor to non-existent? Unfortunately, physicians like myself who point out these issues are accused of being bullies, territorial and greedy.... keep reading on reddit ➡
This isn’t a “mid-level” rant as this article makes it clear that “mid-levels” don’t exist:
‘There is nothing "mid" about either an APN or a PA. I think all would agree that we provide a high level of care. Our skill set, education, training, and knowledge go above and beyond what would be considered mid-level.’
In fact, you can’t even call them non-physicians:
“Let us stand together and request that the adopted terminology of mid-level, physician extender, and non-physician practitioner be abolished.”
Nowadays, everyone is a doctor and you can’t call anyone a non-physician.
Overheard an employee at a Trader Joe's talking to a coworker and the conversation went something like this:
A: "...that's why a lot of people don't like the term "mid-level." A lot of experienced PA's do the same thing as physicians."
B: "Oh, so it just creates a hierarchy?"
A: "Yeah, it just creates a hierarchy when there doesn't need to be one. In Europe, they're trying to change it to 'associate' instead, which I think is much better."
B: "Wow, that makes sense."
I don't understand. If this was the case why not just go to med school? Why not just be called doctor? What is the point of "Physician Associate"? First time hearing this sentiment in real life after working with a lot of great mid-levels through med school and residency. Hearing it in person was demoralizing and frustrating.
I really implore everyone to take these issues seriously. This has been repeated ad nauseum, but without physician engagement, advocacy, and lobbying we risk losing the trust of our patients i... keep reading on reddit ➡
I am a physician. We all know one of the problems we have is that the hospitals have had “just in time” ordering philosophies. This means we don’t have a stockpile of supplies. It saves money, but risks lives.
This isn’t going to change. The hospitals won’t do this different.
I have been telling all the docs I work with, that once the supplies are back, to start keeping a box of masks, gloves and a few gowns in their personal locker. This isn’t stealing, it is artificially increasing the inventory of the hospital. If every healthcare worker did this, the problem would be partly solved.
I'll just preface this by saying this is not a post against our brothers and sisters working on the front-lines in the hospital. I am happy that nurses and first responders are receiving some benefits, I just want them to be extended to other members (as I've noted in my email), and specifically as a doctor, I am providing a voice on behalf of my profession. I hope that if the situation was reversed, we would also stand up for nurses or EMTs being omitted from benefits.
Here is the press release:
and here is the website for those eligible to take advantage:
Doctors are not lumped into First Responders category either.
I drafted the following email:
I am writing to you in regards to the recent discounts you de
I've been reading all these articles about how physicians in Canada have to pay crazy overhead fees, insurance expenses, and high income tax.
So I want to know what do physicians really make (net)? If you feel comfortable, what is your gross salary, and what do make after over head fees as well as taxes?
Rural or urban setting? Speciality?
Feel free to pm me if you feel more comfortable
I am a 77-year-old male who has been running and racing my entire life. Also, I’ve taken glucosamine and condroitin with MSM for the last 25 years or so. Never had any joint issues whatsoever. Wondering if joint issues are more a result of improper alignment than the impact of running.
At the hospital, I join my colleagues on the frontlines of our community’s response to the COVID-19 pandemic. We see everyday how this crisis has compounded existing inequalities, and made it even harder for people in our district to get by.
I have spent my life serving my community. My dad was a dentist and my mother ran the office. Growing up, my sister and I joined them after school and in the summers, and their commitment to caring for each person who walked in the door inspired me to become a doctor. I married my husband, Ryan, in 2008 here in Massachusetts, fully recognizing the importance of equality for all.
I now work as a primary care doctor and an infectious disease specialist at Massachusetts General Hospital where I am particularly focused on those living with and at risk for HIV. This work motivated me to push for the structural change needed to care for vulnerable populations,, and establish the hospital’s Transgender Health Program. Over the past five years, I have w... keep reading on reddit ➡
I’m currently a 4th year med student and looking at how administration treats physicians in general but especially at a time like this is very discouraging seeing the profession I’ll be in in less than a year. Pay cuts while admins still take home millions, doctors being fired for speaking up about lack of ppe, endless hours with constantIy increasing administrative tasks, all with high depression, burnout, and suicide rates. And if you try to complain about any of this you get a “shut up you make a lot of money” from anyone who hears you.
The power grip is something that they start trying to ingrain into us even before medical school starts. I still remember an infuriating email we received that started off with telling us that now that we’ve entered this profession, “your time is no longer your own”. This was so ridiculous to me because yeah this is supposed to be an altruistic profession, of course, but not everyone is doing this to give 24hrs a day to it and not have any time for... keep reading on reddit ➡
Long post, so buckle up.
I posted awhile back about making some surveys so doctors can anonymously voice support for prospective unions at their hospitals. Before I did that, I wanted to speak to the UAPD spokesman myself, so that I can help walk any interested physicians through the process without having to reach out to the UAPD directly until they have something a bit more solid to show for. We talked for quite awhile and he walked me through the process, complications, and what kind of "extracurricular" work would be required to form one (spoiler: not a whole lot on an individual level). It's against sub rules to post surveys here, so I will post those only in other medical subs. Physician's that contacted me & UAPD earlier will be contacted directly by me, and once again to them especially, thanks for taking direct action to end the trend of us getting stepped on.
I will list the key findings that I think will be high-yield to actual physicians, who can form actual unions. A... keep reading on reddit ➡
Just finished my DNP. Had a family member send me a link to a forum discussing whether one should become a physician or NP. One NP responded with part of their answer being:
"I personally believe that NPs are awesome, highly capable clinicians, and study after study backs me up: NPs perform equal to or above physicians on most metrics of patient care".
This type of thinking is what contributes to putting down physicians and increasing midlevel encroachment. I am planning to go the dermatology route and I would never in my right mind assume that I would do my job better than a dermatologist. In fact, I found a study (will try to find after posting this) that showed that NPs and PAs routinely ordered significantly more biopsies than dermatologists. That is due to our lack of knowledge compared to derms. Don't get me wrong, we are smart as hell and the NP path is no cakewalk. But spewing information saying that NPs can perform even better than physicians is ridiculous. If I wanted to... keep reading on reddit ➡
As I said, I am a primary care physician and have been in practice for about 6 years. Some days I feel that literally everybody I see is depressed/anxious. Chronic back pain? no physiologic cause for pain, but obvious depression. Chest pain? No its panic attacks from anxiety. Mother worried about her kid? Mother has anxiety, kid has anxiety, no organic cause for their symptoms. out of 30 patients I see in a day, probably 15 have anxiety/depression. And so many of them have SEVERE anxiety and depression. It is incredible to me how many people have poor stress coping mechanisms. I don't know how any of these poor people can accomplish even basic activities of daily living. At least once a month someone comes into my clinic who is so anxious that they are visibly trembling. at least once a week someone comes into my clinic tearful, and can barely keep it together. Its agonizing and heartbreaking to see. And the worst part is, it is so difficult to treat, its burning me out. I dread going... keep reading on reddit ➡
Attached (click here) is what I was given to conduct the medical school interviews this year.
The students first read the "background" to the topic and then had to answer the questions. I could only discuss the scenario given to me and could NOT ask leading questions or go off the script. I introduced myself by first name only.
Every single one of these potential medical students said "NP's and PA's are equal to physicians as we are all "a team" and the old "hierarchical model" of medicine needs to be changed"
I couldn't help myself and brought up the current issue with section 5C of Trump executive order and how 24 states have allowed NP's to practice with no supervision. None of the students had an issue with it and most felt "they must be well trained as many of them take the same classes ." No issue with them having equal say and equal pay.
This is the problem- Our own medical schools, medical societies, and National Specialty Academies are pro... keep reading on reddit ➡
Ali S. Raja, MD, MBA, MPH, FACHE is the Executive Vice Chair of the Department of Emergency Medicine at Massachusetts General Hospital and an Associate Professor at Harvard Medical School. A practicing emergency physician and author of over 200 publications, his federally-funded research focuses on improving the appropriateness of resource utilization in emergency medicine.
Shuhan He MD, is an Emergency Medicine Physician at Massachusetts General Hospital. He works in both the Hospital and Urgent care setting and helps to make healthcare more accessible using technology. Proof, and please follow for updates as the situation evolves in the USA.
Note: We are collecting data from the questions in this AMA to ways to better serve the public through both research and outreach. Advice is not to establish a patient/doctor relationship, but to guide public health.
Let’s talk about
How do you get tested
What to expect whe
Hey y'all, first time posting here.
I'm trying to choose a primary care physician after finally attaining health insurance for the first time ever.
I'm a 23, F, with a history of mental health issues (depression, anxiety, ptsd/c-ptsd, etc). I really don't want a male primary care physician (I'd just be more comfortable with a woman) but there aren't any female doctors accepting new patients in my area.
My questions: Do I need to wait for a doctor to post that they're accepting New Patients on the health insurance company's website before setting up an appointment with them?
Does the doctor's specialty matter all that much? Example, can I still go to a Family Doctor if I'm just a single 23-year-old with no kids?
How do I bring up certain things I want to try and address with my doctor without being written off as self-diagnosing? Example, I'm about 89% sure I have some form of ADHD and am potentially on the A-spectrum, but I've never been properly diagnosed and I'm afraid if... keep reading on reddit ➡
I'm curious what everyone's thoughts are on casual marijuana use as a medical student/physician. I have not smoked weed since college, but the dumpster fire that is 2020 put me in a "fuck it" mental state so I decided to indulge myself with some gummies at night time to relax. I do not like drinking because even one glass of wine can make me feel like shit the next day. My THC/CBD gummies have allowed me to relax enough to go to sleep and temporarily forget about the uncertainties of my future (shout out to my fellow MS4s) and all the other fucked up things happening in the world.
I might have fucked up. I just learned I need a drug test to apply for a sub i and I cannot get a copy of the one I took in February. Obviously I am going to quit today and hope to god it gets out of my system quickly.
Is it really so wrong that I like to have gummy or 2 to unwind at night instead of a glass of wine? Obviously I would never use any substance while on call or at work, so wtf is the differe... keep reading on reddit ➡
I am trans and a premed student. I think about this a lot and wonder how my life would be different if I'd ever been able to access a physician that understood my identity. I'd love to know everyone else's thoughts.
Seriously, and if you experience ANY discomfort go STRAIGHT to the ER and get a STAT MRI. Not joking around here people, I’ve been on WebMD.
PS 9/10 docs recommend prophylactic Gu, just sayin
We’re back again on the front lines of the COVID-19 pandemic. We are seeing this quickly evolving in front of us and we want to help loop people in and answer questions. Some pertinent discussion we’d love to cover today, but certainly, feel free to ask us anything. We will do the best we can!
Note: our first AMA was here:
We’re back for updates, new questions, and discussion as the Pandemic evolves.
Note: We are collecting data from the questions in this AMA to ways to better serve the public through both research and outreach. Advice is not to establish a patient/doctor relationship, but to guide public health.
Ali S. Raja,... keep reading on reddit ➡
"The American Society of Anesthesiologists (ASA) urges Americans to protect our nation’s Veterans by asking the U.S. Department of Veterans Affairs (VA) to reverse its memorandum that dismantles the successful anesthesia care team, removes physician anesthesiologists from surgery and replaces them with nurses, lowering the standard of care for Veterans and jeopardizing their lives."
If you're concerned, here's also a campaign to contact local lawmakers concerning the issue:
Annyeonghaseyo, I’m Dr. Joong Sik Eom, infectious diseases physician and professor at the Gacheon University College of Medicine in Incheon, South Korea. I also serve as a member of the national “COVID-19 Response Academic Advisory Council” that advises the South Korean government’s ongoing rapid-response efforts. The idea for the drive-through testing sites came from our group.
At the Gil Medical Center where I practice, we are treating severe COVID-19 cases. I have a few patients under my direct care in their 70s to 90s and recently sent someone home after a full recovery.
Starting at 10am EST, I’ll do my best to answer your questions about COVID-19 in Korea, perhaps on: the public-private response, the healthcare burden, testing coordination, technology, public messaging, medical treatments, cultural factors, facemasks, and the roa... keep reading on reddit ➡