Reddit - Midlevel.WTF

Epilepsy patient and former phlebotomist recounts her mismanagement by a neurology NP

An unsupervised nurse practitioner's negligence results in disastrous consequences for an epilepsy patient, including loss of her job and a trip to the ER for status epilepticus.

Stories

Urgent care NP missed the diagnosis on myself, a pharmacist

A midlevel nurse practitioner's failure to recognize a classic textbook diagnosis results in unnecessary suffering for a patient.

Stories

By all means, try intubating a preemie 11 times

Sadly, the proliferation of incompetent midlevels in neonatal ICUs, particularly neonatal nurse practitioners, is all too common these days.

Physician Assistant

PA student roleplays as "medical student" on LinkedIn

Personally, we think "provider student" is a more appropriate title. NPs, PAs, physicians...they're all the same, right?

Stories

NP sends homicidal and suicidal patient home because she didn’t want to force family to take them to the hospital

Actively psychotic, suicidal, and homicidal. What could possibly go wrong when an NP is involved?

Stories

My first Noctor experience

We've cured your child of cancer, now get the hell out of the hospital.

Stories

NP students don’t know rudimentary medicine

"But holy shit, you’d think interpreting a CBC was worthy of a Nobel prize after working with these people. FPA is lethal to patients."

Physician Assistant

Neurosurgery PA bashes on physicians

Originally posted on Reddit [https://www.reddit.com/r/Residency/comments/rk25gb/rant_about_pas/]. Lightly edited for grammar and clarity. This morning I’m sitting on the Neurology floor minding my own business when I hear a Neurosurgery PA talking very loudly to a patient about how she does

Nurse Practitioner

When an NP gets mad at you for seeing a real doctor

Originally posted on Reddit by u/RandomFlamingoo [https://www.reddit.com/r/Noctor/comments/rcrofk/when_an_np_gets_mad_at_you_for_seeing_a_doctor/] . Lightly edited for grammar and clarity. Earlier this year I switched my care in my primary care's office from an NP to an actual

Nurse Practitioner

Nurse practitioner missed a fatal diagnosis

Nurse practitioner? More like death practitioner.

Nurse Practitioner

Children's Medications are Dosed in Milliliters, not Milligrams

Those advanced pharmacology classes in NP school must be outstanding.

A PA misdiagnosed my years-long battle with endometriosis as anxiety

See a midlevel, lose your ovary.

Nurse Practitioner

Full Practice Authority for Nurse Practitioners Fails to Increase Rural Healthcare

Courtesy of u/debunksdc and u/pshaffer on Reddit

Nurse Practitioner

No, it's for rate control

Originally posted on Reddit [https://www.reddit.com/r/Noctor/comments/qnul8t/cant_make_this_up/] by u/grapejewz Clinical pharmacist here. Was reviewing a patient’s chart this week and saw that the patient was recently diagnosed with AFib. Patient is on HD. Of fucking course a CRNP was

Nurse Practitioner

Wound care 101: the moron NP and her snatch-biscuit receptionist

Originally posted on Reddit [https://www.reddit.com/r/Noctor/comments/qor67f/and_this_is_why_nps_should_not_be_allowed_to/] by u/TheCrankyRunner Alright, ladies and gentlemen. Gather around because it's story time. It's a tale of unbelievable incompetence, and not only incompetence, but supreme, nauseating arrogance on

Pharmacist laments midlevel mistakes

Who would have thought that physicians make fewer mistakes than midlevels?

Stories

Genius FNP takes a novel approach to cancer diagnosis and management

Clearly, the first-line treatment for vulvar cancer is antibiotics.

Stories

Comedy of errors: a medical student's list of midlevel blunders

28 short stories of midlevels messing up, badly.

Stories

Radiologist saves a patient from midlevel mismanagement

Originally posted on Reddit [https://www.reddit.com/r/Noctor/comments/nrt73s/example_of_why_midlevels_are_dangerous_to_patient/] . Lightly edited for grammar and clarity. Radiologist here with a little anecdote of an interaction I had a while ago with a midlevel in the emergency department. I come into

Stories

Ski town NP unaware of indications for surgical referral for clavicle fracture

Originally posted on Reddit [https://www.reddit.com/r/Noctor/comments/nkshto/ski_town_np_unaware_of_indications_for_surgical/] Long before I ever was aware of the problems with mid-level education and practice, I had my own run-in with a poorly trained NP. This was back about 20 years

Stories

My experience as an M1 patient of an NP

Re-shared from Reddit [https://www.reddit.com/r/Residency/comments/my0qtt/my_experience_as_an_m1_patient_of_an_np/] This may be long, so I apologize. I just felt like I needed to tell this story and felt this page was the most appropriate. For about the past year

The Midlevel Paradoxes

Compiled from Reddit [https://www.reddit.com/r/Noctor/comments/mvnbj4/midlevel_paradoxes/] 1. The Duality of Practice Paradox NPs: “We can do everything that a doctor does. We can diagnose, prescribe, and treat. We practice medicine!” Also NPs: “Nooo, it wasn’t malpractice I swear! I wasn’t practicing

Stories

NP doesn’t understand how urine cultures work

Tell the bacteria to grow faster, or NP Karen will not be pleased!

Stories

Do NPs Really Get Enough Training?

Originally posted on Reddit [https://www.reddit.com/r/nursepractitioner/comments/d6ur73/do_nps_really_get_enough_training/] I’ve been an NP for almost 5 years and was a nurse for 5 years before that. Nearly all of my experience has been in the outpatient setting, community health centers

Stories

NPs say the darnedest things

Originally posted on Reddit [https://www.reddit.com/r/Noctor/comments/m1ac4q/nps_say_the_darndest_things/] I'm a third-year medical student and these are actual things I've heard the NPs I've worked with say over the course of the year. Bare in mind all of these people are in