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My response to the response to AMA Episode 014.

BLACK BOX WARNING: May Contain Severe Ranting and Language That Would Make Andrew Dice Clay Code. Watch the original “offending” video. Then watch the Facebook Live video and lend your voice in the comments!

Jon Haidt’s conception of the “Elephant” and the “Rider” summarized for dummies like me.

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7 Responses to “We Don’t Respect Each Other In Healthcare”

  1. Jeff Worst

    THE best incident report I’ve ever seen. Insanely real. You’re poking the hornets nest, pissing them off and getting them to think about shit they don’t like to think about. Like talking about both politics and religion at the family Thanksgiving dinner.

  2. Kinoons

    This video brings me back to my most favorite statement in your last video. “What we will never respect are people do not strive to do the best they can within their level of training.” (Or something very close to that). As an EMT become paramedic turned RN and now FNP this is what drives me the most crazy. I’ve done several jobs along the way in my medical career. I know what is expected in each of those jobs. Those who half ass their job are the ones who are insecure in their jobs. Anyone who busts their ass in their job will stand proudly by those results. As an aside, as an FNP in the ER I am accustom to taking care of patients who fit within the usual presentations for their expected complaints. RUQ abdominal patients have bad gallbladders or pancreatitis. Patients with Dysuria have STDs or UTI. However when the results from the evaluation and testing do not match the complaint of the patient it is time to accept my limitations and ask my attending physician for assistance. Along those lines, FNPs can do a great job at primary care for 80-90% of the population. The imporntant part is to recognize the patients who not fit the expected disease pattern and get more help. Also just to set the record straight, at the risk of seeming butthurt, Associate RN go to school for 2.5-3 years. A BSN takes 4 years. A nurse practitioner has a masters degree that is 2.75-3 years long. DNP programs take 3.5-4 years. My FNP program had 720 hours of clinicals along with 36 hours a week of my regular RN job. Even if we go with the bare minimum hours by the time a person graduated from my FNP program I’ve been touching patients for 36 hours a week for 4 years plus 720 hours of clinicals. This doesn’t include clinicals during my BSN. If you start with an ADN you can add another two years of working experience between earning you ADN and BSN. That 11,232 hours of experience plus 720 of clinicals equals nearly 12000 hours of clinical experience. As I’ve said many times there are more than enough patients to go around for all of us to take care of at the top of our licensure, just like Zdogg says.

    • William Wright

      Litany against butt-hurt…

      “I must not butt-hurt.
      Butt-hurt is the meme-killer.
      Butt-hurt is the little-death that brings total obliteration.
      I will face my butt-hurt.
      I will permit it to pass over me and through me.
      And when it has gone past I will turn the inner eye to see its path.
      Where the butt-hurt has gone there will be nothing. Only I will remain.”

  3. Patty Travels

    Don’t stop what you’re doing and thank you for keeping it real.

  4. Sarah Fredriksson

    Love this show! I’m so glad to hear someone talking about humans’ emotional reactions, so much evidence now about emotional decision making rather than our previously thought “logical” decisions. I also greatly respect you for talking about things no one wants to talk about, and wanting to do it in a civil manner. Although I do think (and obviously I’m biased as an Advanced Practice Nurse – CRNA) that nurses as a group are dying to talk about it, since nurses often feel that physicians have always had the most powerful voice (both within the hospital and also society/government) as the top of the hierarchy, and nurses have had little to none. And it’s my guess that this is the reason for nurses bullying interns – because nurses are bullied so much by both physicians and administrators (can we say pay cuts anytime the budget is suffering?) that they bully interns because they can. Shit always rolls downhill. And it’s interesting that it was in the “To Err is Human” IOM report that one of the most significant causes of medical errors was nurses being afraid to speak up, but I don’t see The Joint Commission EVER addressing that with hospitals for patient safety. They just focus on cloth scrub hats and call it good.

  5. mikemackinnon

    Hey ZD.

    I’d love to be apart of your show to represent mutual respect and understanding. I’m a EMT -> RN > CRNA / FNP. I’ve been and seen many attacks against my profession and myself by some medical organizations. If the organization is attacking us what are its members supposed to think?! It never works out well.

    Working independently in a rural underserved area and being an owner in my own anestheisa group that is all CRNA’s makes me a target for attack. They do not seem to care that if not for people like me there would be no anestheisa or pain services where I am. The arguments and attacks quickly become clearly about money and control not access or patients. It’s frustrating.

    The nature of organsized medicines attacks on practices like mine come down to one salient quote by upton Sinclair;

    “It is hard to convince a man of something when his salary depends on him NOT being convinced of it.”

    You however, are a refreshing change from the acrimonious norm!


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