Depressing. It's like we are losing control of different subsystems of Jurassic Park every single day :(
Report: 90% of nurses considering leaving the profession in the next year
141–150 of 1001 posts
Re: Report: 90% of nurses considering leaving the profession in the next year
#142Cynicism and complaint is our zeitgeist. Answer me how many actually left in year prior if you want my attention.
Lots of considering leaving a profession, also considering losing fat on Jan 1, and saving for retirement.
When people are surveyed there is a big difference between why they say and why they actually are doing the action. For example "Yeah, covid has been tough... and those insurance companies though... And doctors really dont respect my profession... Oh my [pregnancy/parental leave/dream of being a DJ]? yeah that has nothing to do with it."
These kinds of opinion surveys are just barely "science" .
Re: Report: 90% of nurses considering leaving the profession in the next year
#143Earlier quoted context omitted.
If they can't throw some medication with pharma kickbacks at you, they probably won't do much at all. My 6 month old son was put on topical steroids for a small rash on his back and the doctors solution when this turned into a progressive issue was more and stronger topical steroids. Eventually I learned about topical steroid withdrawal, and after a hellish withdrawal period, my son has no real skin conditions. https…
Steroids are so commonplace and old, I really doubt anyone was getting pharma kickbacks in the case of your son. There's just a large range in quality amongst doctors. What you're calling "willful blinders" or "true embodiment of evil" is more likely just a failure to adapt out of a simple paradigm: {Inflammation}->{Treatment = steroids}. And a failure to recognize when that was causing a loop. Maybe they forgot abou…
> Maybe they forgot about steroid withdrawal.
As I mentioned in my comment I mentioned steroid withdrawal to many doctors when my son was literally only sleeping an hour or so a night from itching and I was dismissed out of hand.
If its not kickbacks, then its such a terrible arrogance as to be evil.
How can a dermatologist not know of my son's condition? Particularly seeing as steroids have been around for a while as you've mentioned. Even when I brought the idea to the dermatologist, after a bit of head nodding his solution was another two weeks of a yet stronger steroid to `calm it down`, and then to taper.
There's a nonprofit trying to get doctors to properly acknowledge the condition.
There's as I linked above about a million videos of people recovering from TSW as well.
There's even a study out of Autstralia that followed 10 children with what was called bad eczema, but after a withdrawal period every child at max had pruritis on elbows or knees.
https://www.medicaljournals.se/acta/content_files/files/pdf/...
If my job were skin, and topical steroids was one of the main things I used as a tool, how could I not know about these issues? You'd have to be such a hack that nobody would consider you a professional, yet the same dermatologist that offered yet another round of steroids had his office on the penthouse suite of a downtown building with a showcase displaying awards.
It may seem hyperbolic to you, but you didn't live through this like I did. You didn't see your young child in complete misery due to medical authorities you thought you could trust misguiding you. It's evil of some form.
Re: Report: 90% of nurses considering leaving the profession in the next year
#144While it's anecdote, every single peer in bedside medical care I know without exception has either left the field, or has immediate plans to as soon as student loan debt is repaid. The few older medical professionals in my family are simply sticking out the last few years until they can retire early. This was generally the case prior to pandemic due to how poor the work environment has become, but the pandemic seems…
I'm friends with quite a few nurses, primarily travel nurses, and not a single one is considering a change in career that I am aware of. Simply an anecdotal counterpoint and nothing more.
A lot of nurses are becoming travel nurses because they will get paid market rate
Re: Report: 90% of nurses considering leaving the profession in the next year
#145I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…
> 2. Patients in COVID have become downright mean. Add this to the problems nurses have management and doctors (who are often rude and arrogant) and it's a poor culture. The quality of the environment, from a mental health standpoint, is on the decline. Mean customers, and rude coworkers? I sympathize, but this is a reality in a lot of industries. I have no reason to believe that healthcare here is worse than average…
I've spoken with nurses who've had a variety of other jobs at other types of places. They are consistent in telling me that working as a nurse is a worse environment in the way they are treated.
The example stories they have shared are the type of thing I can't relate to and I've worked in software, general engineering, food service, construction, and tech support (I answered calls for 3 years).
Re: Report: 90% of nurses considering leaving the profession in the next year
#146Earlier quoted context omitted.
Insurance companies. Everything is controlled by insurance companies. You can’t do anything unless it’s exactly how insurance wants and only for what insurance will pay. It limits everything, including how every profession can be compensated simply because you can’t easily hire somebody for more than what insurance will pay for their services. You can, but the funds have to come from somewhere.
Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…
> I strongly believe that only physicians should be running hospitals.
This is how it is for other professional industries. As an attorney, you can lose your license for sharing any profits with someone who isn't a lawyer. I believe states typically require accounting and engineering firms to either be wholly or two-thirds owned by such professionals as well.
Re: Report: 90% of nurses considering leaving the profession in the next year
#147I’m going to offer a counter point, anecdotally of course. My daughter is in university right now. She’s a in pre-nursing. She says most of the people in her major this year switched to nursing from other majors during the pandemic because they saw it as the most economically viable major compared to their previous major. In a nutshell the pandemic scared people into being pragmatic about their degree plan.
So hospital administration will have a fresh crop of graduates, new to the system, to abuse. The cycle will continue unabated.
Re: Report: 90% of nurses considering leaving the profession in the next year
#148Hard profession but one of the last things to be automated imo, guaranteed income for next 30-40 years. Don't think you can say the same about certain types of doctors for instance.
A friend who is an anesthesiologist said that he was retiring because the new machines were so good that no one wanted to pay for an anesthesiologist anymore. They were happy with a nurse. So you're right.
There are tons of openings for anesthesiologists paying 400k+. https://www.gaswork.com/search/Anesthesiologist/Job/All
Re: Report: 90% of nurses considering leaving the profession in the next year
#149Earlier quoted context omitted.
I doubt that it's as simple as that. Nurses are also leaving in Canada and we don't have insurance breathing down their neck.
But they have zero autonomy there too I assume?
Sample size of 1, but my gf blames forced overtime. Being legally obliged to stay for an 8 hours shift after finishing one has a way to drive you to depression.
Re: Report: 90% of nurses considering leaving the profession in the next year
#150Earlier quoted context omitted.
Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…
re: "Medical decisions need to be made outside of cost considerations." In the end, labor hours of professionals are finite. Even if you don't need to pay doctors, you only have so many, they can only work so many hours, you will need to prioritize who to help in what way, which procedures to do. Same with all the other personnel, the consumable stuff, the devices/scanners/equipment, etc. So someone is going to have…
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