u/UseNecessary4706

How Did You Start Watching The Yard?

How Did You Start Watching The Yard?

I started off watching Ludwig. Then one day I got a clip about Aiden's friend getting arrested at the age of 19 for having sex with a horse for the SECOND TIME. Still one of the funniest clips I've seen from the show and had me dying laughing. I ended up going through all of the Yard Clips channel and then binging the Yard. Have been watching every week ever since.

Curious what got you folks into the Yard? Was it a certain clip or bit that got you hooked?

u/UseNecessary4706 — 5 days ago

Anyone Else Wondering Where Aiden's Friend Who Slept With A Horse Is Now?

Like I know he went to jail for a bit - but I wonder where he is in life now or what he's doing.

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u/UseNecessary4706 — 5 days ago

AI Exposure for Radiation Oncology

What is the level of concern here around AI in radiation oncology?

There have been a number of reports that radiation oncology is at a level of saturation, although this may be overblown.

My prediction is that AI may offer some efficiency gains to radiation oncologists. It will take away from the boring tasks - contouring, documentation, and image review. It may also benefit in treatment planning. Given a lot of the work is software heavy in rad onc with a good amount of procolization I'd argue radiation oncology is likely to benefit from efficiency gains more than other specialties.

With more efficiency, I suspect radiation oncologists will earn be able to see more patients and earn more. However, as a single rad onc becomes able to see more patients, we will also likely need fewer radiation oncologists.

Wanted to ask the group - what do you think will happen with AI in this field? Will it be a net positive for radiation oncologists? How will this impact the job market in the field?

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u/UseNecessary4706 — 6 days ago

What’s one thing the world (especially Europe) gets completely wrong about Israel post-Oct 7 that frustrates you the most? And what would actually need to happen for them to 'get it'?

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u/UseNecessary4706 — 6 days ago

When is Ludwig going to pay for everyone’s parking in LA?

like no way bro couldn’t do this for a video

also it would go super viral? like imagine the media attention? that alone would be worth it for him imo even if he did part of LA

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u/UseNecessary4706 — 6 days ago

Ludwig Content Getting Better Over Time?

anyone else noticing a dramatic uptick on the quality of the Lud content we’re getting lately? Like it’s been pretty consistent bangers for a minute now

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u/UseNecessary4706 — 6 days ago

Is Aiden Actually Going To Leave?

They keep saying he’s going to Sweden but what does this mean for the yard?

Like is the yard going to end? Are they going to replace him?

I’m not sure what else I’m going to listen to on my drive to work.

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u/UseNecessary4706 — 6 days ago

Do Israelis Believe Most Everyday Palestinians Are Terrorists or Hamas?

I'm a bit confused. The news media has always shown me that the average Israeli is sympathetic to Palestinians and do not agree with everything the government is doing in Gaza.

However, I've had a few people tell me now that they feel Palestinians are essentially all equivalent to Hamas or that Gaza holds collective responsibility?

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u/UseNecessary4706 — 6 days ago

Why is Israel suing The New York Times for reporting on sexual crimes against Palestinians, but shielding the people who actually did them?

Saw on r/allthequestions which may not be the most reliable. Thought this was a more appropriate place for this question to be answered.

Israel says it will sue New York Times over article on sexual abuse of Palestinian prisoners 

https://www.nytimes.com/2026/05/11/opinion/israel-palestinians-sexual-violence.html 

https://www.theguardian.com/world/2026/may/14/israel-sue-new-york-times-sexual-abuse-palestinian-prisoners

u/UseNecessary4706 — 7 days ago

What are your opinions on Family Practice Nurses (FPNs)

A model of care that appears to be substituting nurse practitioner level training with less educated nurses. The idea is that they do the "simple visits" so the NP doesn't have to.

Seems to be making RNs take NP level decisions while being less knowledgable nurses. The NP is still liable as the supervising authority.

NP never sees a lot of these patients. To make medication decisions, seems like they just get a task in their inbox (as if there needed to be more) and lean on whatever the FPN documented. But really seems like a headache since you can probably glean more info yourself and you know what to ask?

Seems like another way PE and big corporations are trying to reduce costs. The argument seems to be that it "saves the NP time" but really probably more work as an NP and the patients you do see are sicker and sicker.

Saw an NP discussing this on r/medicine and thought there may be some good insights here.

https://www.reddit.com/r/medicine/comments/1tdvg27/fpns/?utm_source=share&utm_medium=web3x&utm_name=web3xcss&utm_term=1&utm_content=share_button

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u/UseNecessary4706 — 7 days ago

Is there any reason we have opened up the ability to practice anesthesia to so many different groups? Ultimately does this benefit patients more than producing more anesthesiologists?

I feel like the cap on residency spots will ultimately never go away. There's no reason to produce more physicians when you can replace them entirely with a non-physician group which is cheaper to hire.

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u/UseNecessary4706 — 9 days ago
▲ 328 r/hospitalist+2 crossposts

The Bigger Issue - Corporatization of Healthcare and AI

I've posted quite a bit about midlevels on this subreddit. I think there are things that should be done to protect the field. You can become involved in scope protection by looking at upcoming legislation and contacting your representatives/encouraging your colleagues to reach out to their representatives using this link: https://www.physiciansforpatientprotection.org/2026-legislative-sessions-calling-for-awareness-education-in-key-states/

The reality is individual midlevels are not the issue. These are generally well meaning people who just want to help patients. The laws written by these professional organizations and our corporations enable this scope creep to happen and cause the problems for our field. These laws must be amended.

The bigger problem ultimately is corporatization of care. Companies are incentivized to bring down costs by paying psychiatrists less and substituting them with cheaper alternatives. They push for the laws that enable creep. Patients don't see the effects of substitution on their bills, but the companies see it on their bottom line.

The other issue that is inevitable is AI. The CEO of the US's biggest public hospital said he is ready to replace radiologists with AI. Utah is letting AI prescribe psychiatric medications. Many psychiatry visits are "simple" follow ups with re-assessment and prescription of medications. As the US relaxes legislation and enables this corporate creep of AI into psychiatry, this may pose an existential issue for the field. We will need fewer psychiatrists, NPs, PAs, psychologists, etc. I'm not entirely convinced regarding the idea AI can provide the same quality of care as any of these professionals in such a relationship oriented field with such difficult assessment.

u/UseNecessary4706 — 9 days ago

https://preview.redd.it/lj905nl3hlzg1.png?width=1380&format=png&auto=webp&s=5fdbde6529920c75149488748ce80c5eeda7f5f2

Link

This is likely of no surprise to most people given the supersaturation of the field with midlevel providers, with there already being almost as many PMHNPs as psychiatrists.

This issue will continue to get worse with there being an over 26% oversupply of NPs relative to the demand by 2028 and an oversupply of over 75% by 2038.

There will continue to be substitution effects. This issue has not even fully reached half of US states yet worsens every year with expansion of full practice authority. It is time to act. Join the AMA, APA and Physicians for Patient Protection if you have not already. Raise your voice about these things to your representatives, your State Psychiatric Society, and the APA.

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u/UseNecessary4706 — 16 days ago

The statistics I keep seeing suggest average psychiatry compensation is going up every year.

Why is psychiatry compensation going up? Does this average increase in compensation match the reality on the ground? Is it likely to continue to increase - or will psychiatry compensation likely plummet in coming years as we see substitution with lower cost, less rigorous education models as opposed to collaborative care?

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u/UseNecessary4706 — 16 days ago

Thoughts on this?

"On December 20, Mrs H met with Ms N, a nurse practitioner assigned to her case. Ms N worked under a supervising physician, Dr P, but the nurse practitioner saw and treated her own patients. After speaking with the patient about her depression symptoms, Ms N decided to prescribe lamotrigine for the patient. "

"Ms N gave the patient a prescription for 25mg tablets of lamotrigine, with instructions to take one 25mg tablet per day for the first week, followed by two 25mg tablets per day for the next 3 weeks, meaning that during the second week, Mrs H would be taking double the manufacturer’s recommended dosage. Ms N did not convey any warning of potential side effects to the patient."

"On January 6^(th), less than 3 weeks after her previous appointment, Mrs H returned to the clinic for another appointment with Ms N. At this appointment, Ms N advised the patient to increase her daily dose of lamotrigine to 100mg starting the next day. "

"The manufacturer’s recommendation is that the dosage be started low and increased over time; 25mg per day for the first 2 weeks, 50mg per day for weeks 3 and 4, and 100mg per day for week 5."

"By January 18, Mrs H was in the intensive care unit, intubated, and fighting for her life. She was diagnosed with Stevens Johnson syndrome and toxic epidermal necrolysis. The following day she was transferred to a larger hospital where she remained for 6 weeks."

"Mrs H required multiple surgeries, permanently lost her fingernails and toenails, and her hair did not grow back due to scarring. She developed severe vision problems and sensitivity to light."

u/UseNecessary4706 — 18 days ago