u/Pitiful_Interest6239

“So you’re the associate physician. Oh wait you’re associate professor of cardiology oh wait you’re my cardiologist oh wait…you have a long white coat so you’re my doctor but who are you again?”

What happened to ethics in this country?
Does no politician or organization care about patient transparency?

Being a doctor in the hospital meant something. It reflected the long arduous path to get here , the blood sweat and tears that for most of us started as early as high school. It meant you always had to put in a shit ton of effort every step this marathon to get to where we are. The 10,000 hours of training, shelf exams , 9-10 hour long multi day board exams that you were prepping for 12 hours a day for weeks to months, grueling residency hours and still an anxiety and trauma induced first few years of being an attending. And even then keeping up with new literature to ensure your patients receive the best care possible.

Thats what it took to take care of patients well.

I don’t remember it being this way when I think pre-Covid.

How is it so damn stressful every single shift now?

To the bean counters, administrators, and anyone building spreadsheets from an office:

Healthcare is not an industry where you can demand year-after-year output growth forever.

Every year the expectation seems to be: see more patients, document more, discharge faster, answer more messages, reduce LOS, improve quality metrics, improve patient satisfaction, reduce readmissions, and somehow do it all with the same or fewer staff.

At some point you run into reality.

You can’t just keep squeezing another 5%, then another 5%, then another 5% out of cognitive labor indefinitely.

medicine is fundamentally a human service. A complex patient with sepsis, delirium, metastatic cancer, social barriers, and a terrified family doesn’t become 10% easier because a spreadsheet says productivity should increase.

Higher staff turnover= worse hospital metrics and eventually it falls apart. How did your mba not teach you that.

OBN issues Practice Opinion regarding bronchoscopies by APRNs

New fear unlocked

Thank God they used that title in this paper so now they can be surgeons too! The medical standards to worry about though since it’s outside of their scope.

https://x.com/ssdhall/status/2057878985498063021?s=42

As we make progress in longevity science, EVOO will be left behind.

It might be his most profitable product by margin. But it’s got no place for this.