What better place to speculate than X? CK has been a controversial figure since he began Turning Point. Been speaking publicly forever. He gets murdered and the suspect ends up being, to no one's surprise, a white male, faux Christian conservative. Why all the fanfare over 2)CK? He was a layperson. A podcaster with strong opinions. Nothing else. Alan Berg was a shock jock in the 80's who was murdered by white supremacists. Nobody flew a flag at half-mast for him or suggested he have a statue placed in the Rotunda. The overreaction of so many

Sigh....I really dread these posts, because the scope creep s**t is never ending. Even though patients continue to be injured, such as the victim in this case. RN in Tennessee performs Botox injection on a patient in a medspa owned by a layperson. 2)RNs are not independent practitioners-ANYWHERE in the U.S. Nevertheless, the RN may not require supervision-just depends on state law. So the victim complains to the TN BON who doesn't do jack s**t and closes the case. RN is now a "highly-skilled", online-trained NP with a

With the fiasco happening around UK PAs, I am compelled to once again introduce logic into the conversation, considering the U.S. has the same s**t with NPs/PAs(NPPs). Back in the day, NPs/PAs were aka "physician extenders". They remained under physician supervision but gained 2)autonomy as relationships were long-term and trust was developed. However, these PROFESSIONAL NPPs knew their SOPs and limitations-well. If there was a question, they errored on the side of caution and transferred care of the patient to the physician. Why? Because the care &

midlevel.wtf/pa-consults-fa… 2)When I started on this journey to oppose anyone who is not a physician practicing medicine w/o a medical license, it began with NPs/PAs. The PAs whined that they shouldn't be lumped in with NPs. My counter was that their leadership did that s**t when they decided to follow the

Sooo..the American Academy of Physician Assistants(AAPA) wants a truce so the AMA will stop opposing their attempts to have "broader clinical rights" aka the unsupervised practice of medicine aka practicing medicine w/o a license. Because it's "divisive".
medpagetoday.com/special-report… 2)What is divisive is the AAPA pushing the agenda that they can practice medicine w/o going through the appropriate training. Let's not forget it was the AAPA who wanted to cut docs completely out of the picture with Optimal Team Practice(OTP). The PAEA president at the time

FINALLY! A series exposing NP substandard education and how patients are being affected by this nonsense. I have been waiting 8 f***ing years for this to happen. For a spotlight to be shined on this s**t.
bloomberg.com/news/features/… 2)Included in the articles are John Canion, NP, a long-time advocate for improvement and standardization in NP education and Rayne Thoman, RN, who spoke out about the lousy NP education and sued her NP program for not providing the education promised. Somebody finally listened

As long as I have been on Twitter pontificating about the scope creep issue, it should be evident by now that the claim by NPs that they wanted FPA(aka the unsupervised practice of medicine) so they could "improve access" to care in rural & underserved areas was a bald-faced lie. 2)The intent, which began with the Future of Nursing Campaign in 2009, was always to expand their scope by legislation-not education. FOR ONE REASON ONLY. To dabble in lucrative medical areas in which they are not properly trained. Pay close attention to the s**t below.

This is rich. The AZ board of nursing has issued a position statement that NPs can supervise PAs, amongst other HCPs. Arizona, the wild west that allows NPs(including CRNAs) & PAs to practice unsupervised. I'm sure the Arizona State Association of PAs would take issue with this.
2)Even more absurd is that PAs have their own academic programs, exams and licensing/regulatory boards. They are not nurses and have no business being supervised by nurses. They are trained by physicians and other PAs. Unless a NP is also a PA, they don't know jack about

People, it is imperative to understand that this is not ok. This is not "modernization", this is some 5th world kind of s**t. I want the public to understand that this is not how medicine/surgery works. Some 100+ years ago standardized medical training became a necessity because

https://twitter.com/BBCNews/status/1789032464435839482

2)the sloppy, haphazard, subjective, apprenticeship type model that existed at the time did not bode well for patients. What has been exposed in this article is the regression, not the progression of medicine. This surgical dept and/or team arbitrarily decided that this SCP,

I've been involved in the scope creep fiasco for a long time. I am astute at identifying bulls**t when I see it. Two very common strategies used to legitimize the illegitimate are false advertising and gaslighting. Below is false advertising. One cannot claim a UK PA is a 2)"highly skilled & qualified expert" if they possess none of the credentials to make those claims. How can that be if they don't possess a license, the equivalent of a board certification in that specialty, have no SOP and are unregulated? It can't be. This trust is FOS.

Specialties that don't have a scope creep issue yet..be wary. You will. It is a common marketing ploy by current NP leadership & corporate medicine to claim that there is a "projected shortage" in some medical specialties & that the answer is to use nurses to fill that shortage.

https://twitter.com/DigiaimoRon/status/1748779951099167217

2)It is important to delve deeper to determine what the real issue is and that should not come from people who don't know jack about medicine. The shortage in Rad Onc is staffing shortages. They need RNs in RadOnc, now that is a position they should seek as it aligns w/ their

In 2020, myself and other colleagues in PPP vigorously opposed AB 890, the bill granting NPs unsupervised practice in CA. It unfortunately passed and was enacted in Jan 2023. One of the most dangerous parts of the legislation is the removal of standardized procedures. 2)By removing this regulation, Jim Wood, the sponsor of the bill, & sycophantic legislators effectively granted NPs the right to practice medicine w/o a medical license. I had warned that there were NPs, prior to introduction of the bill, that were using their sham s**t DNP

One more time...there are no accredited Dermatology programs for NPs/PAs. Period. There are only NPs/PAs who work in Derm. That qualifier in the red circle doesn't mean jack to a PA or degree mill NP w/ no ethics & who is a fan of scope creep.

2)Because it doesn't prevent them from claiming to be "experts" in Derm/Dermatopath after completing this online module course. The docs teaching this course are enablers & expediters of scope creep, whether or not they mean to be.

@Cigna doing what they do best. Denying s**t. 3 mo old baby in respiratory distress-s/p open heart surgery 2 months before. Baby gets intubated at local ED & doc makes decision to transfer to a higher level of care emergently & arranges for air ambulance.
kffhealthnews.org/news/article/m… 2)Unsurprisingly, air ambulance is out-of-network. Mom and Dad get $97K bill. Cigna believes the pt could have gone by ground ambulance & whines that no records show that ground ambulance “would impede timely and appropriate medical care.” If a doc is transferring a patient

Appears the NP who didn't recognize shingles(from my earlier post) was advised, by crowdsourcing, that the patient has shingles. One would think that would be enough. Nope. Now she asks how to treat. She has no idea how Acyclovir is metabolized(hint: it's not the liver) or how

https://twitter.com/Suburbanbella/status/1763842280006521176

2)it's dosed. I will keep ridiculing this nonsense until dimwitted legislators stop enabling scope creep & nursing does something about it's trashy NP education. Improved access, but the quality of care sucks. No access is better than this s**t. midlevel.wtf/elite-np-would…

This is what bulls**t looks like. Lip service to appear important-but no receipts so the public can understand. Contrary to popular belief, PA school is not med school on steroids. Allow me to interpret the BS. If one is REQUIRED to apply to a med school, there is no "IF". 2)"If" implies the individual either does not know what the f**k they are talking or they are straight up lying through their f**king teeth. In the scope creep issue, it is both. "Regardless" is equivalent to "Anyway"...with an attitude. And no receipts.

What a move by the RCP. Totally antithetical to their core mission. Sellouts. PAs have been in the UK since 2005. Unregulated. Suddenly, regulation and prescribing rights are of the utmost importance. Let me say that as an EM doc, I have to be very familiar with pharmacology so

2)that I can intervene expeditiously in patients suffering from various toxidromes, in addition to "routine" medical management. Can't rush through learning that s**t. Ask a pharmacist. But a college that represents physicians is sanctioning expediting prescribing rights for a

Some of you may recall the NP in California who impersonated a doctor online and in-person by not clarifying that she was a NP-as required by state law(Nursing Act). $20,000 fine by the San Luis Obispo DA. She had an "independent" medical practice(NPPs 2)cannot own medical practices in CA), writing prescriptions for everything under the sun w/o a protocol in place(also a violation of the law) & only notional supervision. Her "supervising" doc worked in Massachusetts. Welp, the doc has been fined $25K for failing to supervise.

Listen, I have to get this s**t off my chest. Who the f**k actually believes it is acceptable to allow a so-called "health profession" to have access to patients, to do whatever the f**k they want, yet have no regulations or guidelines(so the public is not protected), 2)no CLEARLY defined scope of practice and NO LICENSE requirement?!! UK PAs, I'm looking at you👀. People, for the love of God, this is unethical as f**k. I cannot believe the commentary by physicians, who represent one of the most regulated, overly licensed & certified

This is the future folks...Hellcare. Read this on Reddit..breaks my heart. What follows is my perspective on what I believe is happening in countries like the U.S. and the UK and why. I'm going hard and may seem paranoid..I don't give a f**k. Long thread.
reddit.com/r/Noctor/comme…




2)"Healthcare" is big business-actual health care is not. Venture capitalists figured this out years ago. It's why the U.S. system is pretty much owned by private equity. The money is in prolonging illness, not improving health. Insurance execs desire healthy people because

Colleagues in the UK, as you fight this ridiculous scope creep battle, I would like to offer a few caveats/quotes for support. Be warned that you will be gaslighted & sealioned to death. You will be asked to prove a negative(ie: that PAs don't measure up to docs). Don't fall for 2)it.
Caveat #1: "The practice of medicine is the gold standard by which all other disciplines of health provision are measured. The onus is on them to prove, with VALID evidence of sound quality and unquestionable standards and methodology, that their discipline measures up."