this post was submitted on 06 Apr 2026
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A Boring Dystopia
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It's probably staffed by Nurse Practitioners. They do a lot of stuff that used to be handled by doctors, even my primary care provider is a NP and not a Dr.
For 1/5 of the pay.
More like dr make twice the pay than np because dr requires 10x more hours to be certified over a np. Also the family will be sueing the dr not the np for medical malpractice here.
Oh, not that a doctors pay isn't justified (and still too less, for the requirements). But this here seems a saving money on the cost of quality, only the patient suffers from case.
You consider that you may be getting fucked, then?
The best experience I’ve had with a family practice doctor was the few years that I had a nurse practitioner, much more thorough and attentive.
I am getting fucked tho, but it's not the NP's fault. It's the goddamn admins that decided patients should only get fifteen minutes for a yearly physical, including pap smear.
They've turned primary care into a referral machine, but there's nobody to coordinate care or collate results. I've got a stack of diagnoses from multiple specialists, but they give out conflicting advice. Like, I've got an EDS diagnosis from a rheumatologist who told me to take ibuprofen for my joint pain because tylenol doesn't help with inflammation, but I've also got intestinal ulcers that my gastroenterologist says comes from taking NSAIDs, and I should take tylenol instead. Fucking kill me.
That’s insane, a fifteen minute visit is a joke.
Neither of them was wrong, really. The best option was ibuprofen, since it's pain relief and anti-inflammatory. But because you developed ulcers that ibuprofen can irritate, the best option is just pain management with something like Tylenol.
I mean the answers are out there but they include ridiculously expensive biologics that no insurance wants to cover.
No, the rheumatologist should have known that nsaids cause gastro ulcers and not to prescribe them. They committed malpractice.
Lol. You fucking idiot, it doesn't do that to everyone. "Malpractice for prescribing ibuprofen" hahaha
And this is why you're not in medicine.
How do you know I'm not ;-)
Also, you can hop right on the mayo clinics website and look up eds. Go to treatments and look right there. IBUPROFEN. Not everything is rocket science. You just can't be too stupid. It's also blasted all over the rest of the internet, but the mayo clinic is one of the most trusted sources around.
go ahead and look up gastro disease. nsaids are contraindicated for all of them. use cleveland clinic since they are better than mayo for anything GI.
if you are wondering how i know you're not in medicine, it's the fact that you didn't know the above fact. or, if you are in medicine, you really should find some other field. fucking 80% of practitioners are idiots anyways.
I think you might be the idiot, yourself. Go re+read faythofdragons post a couple of times and then try to explain where you got the idea that they had any sort of gastro disease or stomach ulcers before they started taking ibuprofen.
Since they literally and specifically say in it that their ulcers (according to the specialist) were caused from the ibuprofen they were taking.
Since you want to argue this, instructing a patient to use nsaids to the point of ulcers is what they call in medicine malpractice.
Is it? The Ehlers Danlos plus a car accident has caused bone spurs to form in my neck, and NSAIDS are the first-line treatment for that too, because the swelling does put more pressure on my spinal cord. I've switched to tylenol, but the dizziness has gotten worse so maybe the rheum was right.
The ulcers happened after a period of intense stress. My stepfather, both grandparents, and cat all died within a year and a half, then I got fired because my work started to slip. The gastro pain also came with nausea/vomiting, loss of appetite, tachycardia, post-exertional malaise, and shortness of breath. I went from doing 20k steps at work to not being able to walk around the grocery store without feeling faint. I don't feel safe driving any more. I sweat and get shivering chills when I gotta poo. Since quitting NSAIDs, the nausea has resolved, but not the rest of it, and my gastro says they can't do anything more.
My cardiologist has determined that there's nothing physically wrong with my heart. It's just randomly jumping from 70 to 180 for a short amount of time before going back to normal. Beta blockers make my resting heart rate too low, and the PSVT isn't dangerous, so there's nothing the cardio can do.
My neuro thinks that my vagus nerve is also trapped in the disc osteophyte complex, plus they've found a glioma in my thalamus and a hemangioma in my T9 vertebrae, and those can also cause my symptoms. But the only thing they can do about it is pass me up the chain to a different specialist.
The autonomic function clinic finally has an opening for me this summer, so maybe they can do something. If not, I'm jumping off a bridge.
There is more going on, but this is what I mean when I complain that I've got an assorted list of diagnoses, with no coordinated care. My functionality has slowly been getting worse since the car accident in 2018, it sped up after the funerals and getting fired in 2024, and nobody has been able to actually help me. The only advice I've gotten so far is "Go see this other person", "take ibuprofen", and "don't take ibuprofen".
Jesus, that's a lot to deal with. Sorry for all your troubles.
You're making a metric fuck ton of invisible leaps based on information this person never provided here. Lol. You don't have to be a doctor to figure this out, but you probably need at least the reading comprehension level of a ten year old.
Not American nor am I lacking my own doctor but I generally choose to see a specific NP at my clinic over my doctor since she's able to do everything I'd need my doctor for as well as actually caring to look into my health issues. I went over a decade with crippling digestive issues that I complained about constantly to my doctor but it was always dismissed as anxiety related. It was only the NP who actually cared to get me checked for celiac disease
Not exactly that related of a tangent but just wanted to say bless nurse practitioners 🫡