▲ 172 r/Noctor

What is going on in the US with mid-level professionals?

I have now seen multiple videos of NPs and PAs claiming that they are part of very tough programs that are basically accelerated med-school and they diagnose and treat patients independently and also prescribe medications. Plus that they are no ones assistant. How is that actually possible?
Are they actually allowed to do all these things independently? And if yes, why??
There is no way that these people are qualified to do that after a 2-3 year program.

This comes specifically because of theekieralee‘s video in which she talks about that one girl faking being in PA school.
She goes on to say that she is no ones assistant and says that PA school is very tough because it is med school sped up to two times speed. Like please.

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u/Pretty_Count_4708 — 10 days ago
▲ 24 r/wien

Hat die Stadt Wien überhaupt vor Klimaanlagen in Krankenhäusern oder Schulen zu bauen?

Wie kann es sein, dass uns Leute wegen sowas absterben? Tut mir leid aber wer ist für die Planung unserer Infrastruktur zuständig? Wahrscheinlich kein Mensch mit sonderlich viel Hirn.

Die Krankenhäuser sind nicht klimatisiert und es scheint auch als gäbe es keine Pläne dafür, dass sich das in den kommenden Jahren ändert. Öffis oft nicht klimatisiert. Einkaufszentren einfach ohne Klima.

Wie kann es sein, dass Stationen, wo schon kardial schwache Patienten liegen nicht gekühlt werden?
Es ist asozial den Patienten und dem Personal gegenüber.

Selbes gilt für die Schulen. Scheint echt so als wären gesellschaftliche vulnerable Gruppen einfach egal.
Wie können solche Zustände in einem so reichen, westlichen Land vorkommen?

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u/Pretty_Count_4708 — 2 months ago
▲ 7 r/XTEINK

I ordered my Xteink a week ago and it still has not been dispatched. Live in Austria. Is that normal?

I wont be at home from the 10th of August. How long doe sit usually take to arrive :/

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u/Pretty_Count_4708 — 3 months ago
▲ 29 r/medizin

Welche Fachrichtungen sind die besten wenn man nach Amerika, Australien oder generell auswandern möchte?

Kann mir gut vorstellen, dass Derma sich dafür nicht eigentlich weil man in den USA dafür kaum einen Platz kriegen würde.

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u/Pretty_Count_4708 — 3 months ago

Can I change my mid life completely in the span of 1 year as a perfectionist?

F27 - My backstory is similar to that of many people in this community. Was a gifted child when I was younger, always brought in stellar grades but I am from a lower middle class family so there was not much financial support. Plus I was bullied and ostracized in school.
I live in Europe though and got into medschool but due to long covid, mental issues and anxiety I wasted 3 years.

I am going to graduate in 2 years and the past few years I got ahead in my degree pretty well (used to be the best in class etc), also worked two jobs (not fulltime) but never managed to invest or save much despite living at home and also got fat. I will graduate without debt though but the jobmarket for doctors is not that great right now.

Now all these things in my life are kinda fine but not great.
I am in medschool but not excelling. I am fat (like 160 lbs at 5‘4) but not obese. I am a little depressed and definitely unsatisfied with my life but not completely low. I am neither in the stratosphere nor rock bottom. I have deleted social media now because it just annoys me seeing how everyone else around me is enjoying life. Yes I had less privileges than them (difficult family when younger etc) but still I could’ve done better with my life. I see my friends and people my age building families, relationships and just being adults and feel bad about myself. I never thought that my life would be this shitty at this age. I had higher hopes for myself.

But I feel this urge to be better. Cause I know that I can be. I want a better life for myself.
I want to be fit, have a good income, be disciplined, be hot and find a partner too maybe.
I have all this potential inside me.
From my starting point in one years time I want to lose the weight, become fit, become disciplined, have a higher income and start actually saving and investing.
Is one year a good and realistic timeline to achieve this if I truly lock in?

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u/Pretty_Count_4708 — 3 months ago

Verbaue ich mir die Chancen in einem anderen Fach wenn bisher alles in meinem Lebenslauf auf die Derma zugerichtet war?

Arbeite seit dem ersten Studienjahr in einer Dermaordi. War dann in 3 Forschungsgruppen tätig und parallel auch in 2 Derma-praxen. Habe meine Diplomarbeit auf der Derma geschrieben und auch 3 Famulaturen (noch extra freiwillig) sowie das KPJ auf der Derma gemacht. Zusätzlich auch alles nur in der Derma publiziert.

Ich hätte womöglich nicht so schlechte Chancen aber weiß nicht mehr ob ich noch Derma machen will.
Wirkt sich aber all das negativ auf Bewerbungen in anderen Fachrichtungen aus, weil man sich denkt, dass die Person vielleicht einen verlassen würde oder ohnehin nur auf einen Platz in der Derma wartet?

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u/Pretty_Count_4708 — 3 months ago
▲ 14 r/medizin

Was ist eure Einschätzung der Entwicklung des Gesundheitssystems in Österreich in den nächsten 2 Jahren?

Freunde von mir sind dieses Jahr fertig und die frühesten Basisausbildungsplätze kriegt man für Sommer 2027. Und auch da wird man nur auf die offizielle Warteliste gesetzt.
Ich bin in 2 Jahren auch mit dem Studium fertig und habe nun Angst die falsche Berufswahl getroffen zu haben.

Von allen Seiten wirkt es so als wäre eine Schwemme an Ärzten vorhanden die einen Arbeitgebermarkt verstärkt und für neue Absolventen/Assistenzärzte eine katastrophale Zukunft mitbringt.

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u/Pretty_Count_4708 — 3 months ago

Will the discomfort and feeling of being „less“ around white men or men in general go away once I have lost weight and had a glow-up?

I have the potential to look really good, my issue is that for the past years my weight has always been in the midsized range.

Growing up I was ostracized in school and never really had friends. Young boys were usually the meanest in that regard and now after growing up and going to college I feel overlooked very often and kinda have an inferiority-complex.
It is actually underestimated how much being skinny matters in terms of looks. I see a lot of girls, white girls that don’t even come close to my looks facially getting a lot more attention simply because they are skinny.

I notice this the most at the law, business and economics faculty of my university, because those aggregate the most goodlooking people. And they are the ones I feel less than now. Those polo-shirts wearing, lake-house having, rich kids. I know I cannot match them financially yet because I come from a lower middle-class family but if I had put in the work I would definitely have better looks than them. And that is another source of self hatred.

I know that I could look a looot better once I lose weight and it would improve all areas of my life.
Does anyone who had a glow-up give me some input? Did you automatically become more confident post glow-up or is that something you needed to actively work towards.

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u/Pretty_Count_4708 — 3 months ago

I am thankful that this sub exists.

As and NRI that grew up abroad this basically confirms my wishes of never marrying an Indian guy no matter what happens.

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u/Pretty_Count_4708 — 3 months ago

It is absolutely fine to be extremely selective when it comes to dating.

The partner you choose will determine your quality of life in the years to come.
You have no responsibility to sacrifice just because there are people out there that have a hard time dating.
It is not your problem.

I would for instance never date someone that makes too little, is unfit, does drugs/smokes and so on. Why? Cause it affects my quality of life.

People try to make you feel bad about any standards you have by calling you shallow or what not. But I would rather be shallow and with a person I actually want than the other way around.

You are not only choosing the most important relationship of your life but (if you want kids) you are also choosing theirs.

So do yourself the favor and be as selective as you can afford to be and don’t care about who ends up alone. It is not your burden to carry.

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u/Pretty_Count_4708 — 3 months ago

Do we have the stereotype of being fat attached to us?

My weight fluctuates depending on exam season and it is surprising to me how differently I am perceived.

When I am skinnier and more athletic people tend to guess that I am Latina, Arab or from Turkey. Upon telling them that I am from India, they are always extremely surprised.

When I am bigger though, they directly guess Indian.
For context, I live in Europe.

Why is that?

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u/Pretty_Count_4708 — 3 months ago

Lupita stands out from the crowd.

First I find the hate that woman got absolutely absurd.

But purely from a story-telling and filmmaking standpoint she is an excellent choice.

I know people wanted some blonde woman to play Helen but even then beauty is subjective. She is supposed to be the most alluring woman on the planet.
Could you truly say that Diane Kruger was the most eye-catching woman in Troy? More than Rose Bryne who played Briseis?
Certainly not. She is undoubtedly beautiful but in the film your eyes wander from her.

The same cannot be said about Lupita. Every frame she is in, your eyes directly land on her. That in my eyes embodies Helen way better.

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u/Pretty_Count_4708 — 3 months ago
▲ 199 r/medizin

Ist der Lebensstil als Arzt in den letzten 20 Jahren wirklich so stark gefallen?

Mein Hausarzt hat ein eigenes Haus, arbeitet 30h/Woche, finanziert seinem Ü30 jährigen Sohn, der jetzt im Ausland Medizin studiert, das ganze Leben und der lebt jetzt nicht gerade sparsam. Dieser hat auch eine eigene Wohnung in beiden Städten.

Selbes gilt für meine Kommilitonen, welche aus Ärztefamilien kommen. Alle reden von teueren Urlauben, haben Häuser am Land aber auch in der Stadt und so weiter.

Und jetzt höre ich oft die Diskussionen von Jungmedizinern und Fragen ob sie sich jemals ein Eigenheim leisten werden können.

Was hat sich in den letzten 20 Jahren bitte so massiv verändert?
Klar, mir war bewusst, dass man als Arzt keinen Labo fährt aber, dachte schon, dass Eigentum, teure Urlaube, ein Mercedes usw drinnen wären.

Langsam denke ich echt ich hätte während Corona einfach dumme Tänze auf social media machen sollen und wäre jetzt besser aufgestellt.

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u/Pretty_Count_4708 — 3 months ago
▲ 13 r/self

Should I lie to my parents regarding my boyfriend or just be up-front?

I am of Indian origin but live and grew up in Europe. Growing up my parents used to be more strict but they have gotten more lax over the years. Still, I know that they would not react particularly positively when it comes to being intimate before marriage, staying over at eachothers place and so on.

My boyfriend is white and we have been dating for six months now. I want the regular and completely normal dating experience and stay over at his place without lying.
At the same time I do not want to cause trouble at home that is unnecessary and have them deny me these basic rights.

Desi parents can be very nonsensical in that regard.
What would yall suggest? I also want to go on vacation with him and don’t like to keep him a secret like that. It is kinda exhausting.

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u/Pretty_Count_4708 — 3 months ago

Should I lie to my parents regarding my boyfriend or just be up-front?

I live and grew up in Europe. Growing up my parents used to be more strict but they have gotten more lax over the years. Still, I know that they would not react particularly positively when it comes to being intimate before marriage, staying over at eachothers place and so on.

My boyfriend is white and we have been dating for six months now. I want the regular and completely normal dating experience and stay over at his place without lying.
At the same time I do not want to cause trouble at home that is unnecessary and have them deny me these basic rights.

Desi parents can be very nonsensical in that regard.
What would yall suggest? I also want to go on vacation with him and don’t like to keep him a secret like that. It is kinda exhausting.

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u/Pretty_Count_4708 — 3 months ago
▲ 45 r/medizin

Mir kommt es so vor als würde man die Derma in diesem Sub unnötig runterreden?

Vielleicht um Konkurrenz abzuschalten, ka.
Aber diese ganzen Aussagen wie: Derma ist tot. Die goldenen Tage der Derma sind vorbei,…. lassen mich einfach nur denken, dass die Leute die Konkurrenz senken wollen.

Wieso sollte ein Fach, von dem es vor allem ländlich massiven Mangel gibt, jetzt plötzlich aussterben?

Auch das Argument der KI kann ich nicht nachvollziehen. Klar, es sind großteils Blickdiagnosen aber wer wird für diese haften? Und der Tag an dem ganze Fachrichtungen von der KI ersetzt werden, bleibt der Rest der Ärzteschaft auch nicht sicher.

Dann kommt noch die Aussage, dass ja jeder Ästhetik machen kann und die chirurgische Eingriffe der Dermatologie ja auch durch jeden übernommen werden können.
Auch da sehe ich keinen Grund für die Panik. Wieso soll ein Patient zu einem Neurologen gehen um sich Filler spritzen zu lassen wenn er genauso gut zu einem Plastiker oder Dermatologen gehen kann?
Klar das Angebot ist da aber ich glaube viele Überschätzen einfach wie attraktiv/kompetent ihr Fach für die Ästhetik wahrgenommen wird.

Und zu den Eingriffen: wieso soll ein Viszeralchirurg oder gefühlt jedes andere chirurgische Fach sich die kleineren, weniger Geld bringenden Eingriffe, antun wenn er/sie die Kompetenz für was anderes hat das definitiv lukrativer ist?

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u/Pretty_Count_4708 — 3 months ago

Is dating in the West truly worse if you are an Indian woman?

Like the question asks.
And I don’t mean in Asia etc but Central or Northern Europe, North America, South America, Austrialia etc.

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u/Pretty_Count_4708 — 3 months ago

The stereotypes associated with brown people are the most demeaning and often strengthened by too many people.

I can’t think of more damaging, demeaning and disgusting stereotypes than those against brown people.
Smelly, unhygienic, shit outside, rampant gangrapes, ugly, scammers,… These are all things that cause shame when they are brought up against you. Latinos working physical jobs? You can frame it as them working hard. Black people being more prone to crime? You can frame it as the result of slavery and the underprivileged status. Brown people being smelly and gangrapes? How will you frame that? No good counter comes to mind even.

Now in most cases this would just be an online phenomenon. But with the influx of low quality labor using Universities to escape to the west, not assimilating and sometimes even proving these stereotypes (it is mostly men who do that), they get strengthened even more.

This is also the case in countries where historically brown people have had positive stereotypes associated with them.

I can’t lie, that it doesn’t affect me mentally. I find myself dressing, cleaning and just acting even more properly, just in order to compensate for them. It is unfortunately the case that you represent everyone that looks like you when you go to a different country. But clearly a lot of people have not received that memo.

Just the position of Indians worldwide seems to be a pathetic one. One of servitude, no soft power, positive identity. And that is such a shame because I often see a lot of potential which is just lost.

Traditionalist and backward mindsets cause this. The times of highly skilled labor moving to the west is replaced by low skilled people trying to escape the country through the means of university scams.
You already had a lot of hatred against Indians in Canada and Australia because of that. But now they are doing it in Germany as well. And unfortunately the countries are truly worse for it. Most of the immigrants are people not willing to assimilate, hold backward views and with their numbers also cause a backshift when it comes to culture in the already established communities.

Honestly, it feels like a lost cause because the hate against Indians will only rise here too now. And the „it does not exist irl but only online“ argument is a cope. It certainly does exist outside of the internet too. How could it not? The internet forms culture. Culture is translated to real life experience.

And yes this also affects your dating chances. Maybe not with the low quality dudes, that no one else wants and who are just desperate for any woman to give them the time of the day. Which is a type of charity that our brown sisters seem to do quite a lot with white dudes. But the truly desirable guys, that come from a wealthier background, are educated, look good and are overall a desired choice, might not give you the time of day because of it. Even if you are attractive and fit other criteria. Who wants a partner from a culture associated with such stereotypes (if they become even more rampant that is)?

I am curious to see how it develops but it truly does not look good.

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u/Pretty_Count_4708 — 3 months ago