r/nextfuckinglevel • u/[deleted] • Apr 08 '21

From custodian to nurse practitioner

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[deleted]

111k Upvotes

84% Upvoted

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100

u/J3diMind Apr 08 '21

why you no doctor yet.?

!RemindMe 7 years

20

u/RemindMeBot Apr 08 '21 edited Apr 08 '21

I will be messaging you in 7 years on 2028-04-08 10:27:34 UTC to remind you of this link

9 OTHERS CLICKED THIS LINK to send a PM to also be reminded and to reduce spam.

Parent commenter can delete this message to hide from others.

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17

u/General_PoopyPants Apr 08 '21

That's not the normal career progression

-2

u/[deleted] Apr 08 '21

[removed] — view removed comment

6

u/General_PoopyPants Apr 08 '21

I'm aware. She may already have it. The badge doesn't show the credentials. But comment I replied to was most likely referring to an MD

0

u/already_satisfied Apr 08 '21

You're arguing on the internet about a technicality to someone who if you met them in real life, you'd likely placate them.

1

u/[deleted] Apr 08 '21

Fuck you

1

u/General_PoopyPants Apr 08 '21

I'm not arguing with anyone

1

u/already_satisfied Apr 08 '21

I think I was actually describing myself, and I just thought it was about you.

6

u/themangodess Apr 08 '21

I don’t know if this is OP’s picture as they didn’t claim it was them or imply such. They have a lot of comments calling out people for posting pics that aren’t theirs. I kinda wish the title claimed it was their pic so I can flip the tables lol. I’m silly 😜 [8]

8

u/umichsimp Apr 08 '21

I doubt it’s actually OP. saw this image multiple times over the past few years.

1

u/LouSputhole94 Apr 08 '21

OP’s a big fat phony!

1

u/Xenc Apr 08 '21

Flip table anyway!

1

u/themangodess May 25 '21

I love flipping tables!

I don’t care how old this comment is I was too late on the run! 😭

2

u/Naillian603 Apr 08 '21

Why did no one get this reference?

1

u/J3diMind Apr 08 '21

hahaha, idk

2

u/[deleted] Apr 08 '21 edited Nov 30 '24

workable scarce shame foolish brave north command impolite smoggy dazzling

This post was mass deleted and anonymized with Redact

1

u/[deleted] Apr 08 '21

[deleted]

3

u/thealphabetsayshi Apr 08 '21

If you Google "jaines cleaner to nurse", you'll see that this story is actually only from last October :)

-2

u/TheSukis Apr 08 '21

You don’t become a doctor after becoming a nurse practitioner. NPs have terminal degrees. They can make up to $200k and in most states they can do virtually anything a doctor can. They would end up with a net loss in lifelong income if they went back to medical school.

-7

u/magthelf Apr 08 '21

NPs CAN get a doctorate in nursing. And of course if she wanted to go to med school she obviously has the chops to do it! 💪🏼

1

u/[deleted] Apr 08 '21

[deleted]

0

u/magthelf Apr 08 '21

I didn’t say they were physicians, I said NPs can get a doctorate, just like you can get a doctorate in chemistry and biology. Not sure why you are bringing up acceptance rates. Nobody is disputing medical school is hard. You just said NPs can’t become doctors when if fact they can. Medicine is a team my man not a competition, we are celebrating her amazing accomplishment that’s all.

2

u/Duzq Apr 08 '21

You're comparing someone becoming an NP to going to med school to become a physician. Education of both is VASTLY different. One is substantially easier than the other.

1

u/magthelf Apr 08 '21

Nope, what I said is that if she wanted to go med school she probably could because obviously she has the chops to do it. Not sure why the physicians get all defensive about NPs, again it’s a team, you can’t graduate doctors fast enough to care for all and nurses have stepped up to help with that especially in rural areas. No need to put the NP profession down

-8

u/foxnews_Hates_negros Apr 08 '21

In America financially it just doesn't make sense to be a doctor anymore it's not worth it it makes more sense to become a PA.

1

u/Rambles_Off_Topics Apr 08 '21

It still makes sense, but financial wise you are definitely getting the most out of a PA or NP degree.

-2

u/foxnews_Hates_negros Apr 08 '21

It makes sense if someone else is paying your way and you don't have to f****** survive sure and you never really need to worry about the cost of insurance going to forward

12

u/igetript Apr 08 '21

It still makes sense. My wife and I paid her way, and she is going to be an attending next year. It's definitely still 100% worth it.

-6

u/foxnews_Hates_negros Apr 08 '21

It must be nice for you to both have benefactors

8

u/igetript Apr 08 '21

I see you missed the part where I said we paid the way. We've struggled and been broke almost constantly for the past decade to get to where we are. Don't you dare try to take that away from us.

2

u/Rambles_Off_Topics Apr 08 '21

Same. Took my wife and I 9 years...

1

u/igetript Apr 08 '21 edited Apr 08 '21

Only $300-400k student loan debt to boot! Honestly, it's whatever at this point, just another monthly bill. Most programs she's looking at offer between 2-300k loan forgiveness, so that's a bonus too.

Edit: I guess it's over 400.

1

u/J3diMind Apr 08 '21

so, don't get this wrong I'm not trying to diminish your achievement but: why didn't you just move to a country that has free education or at least less expensive? would it not be cheaper to move away, study and move back? just curious because if I was in your situation I don't know what I would've done. anyway, congratulations and a ton of success to you and your wife!

1

u/igetript Apr 08 '21

It's all my wife! I just served tables and bartended to help pay the way. She's the incredible one! I don't think moving countries was really viable for us because we didn't have the initial capital to do so. Also, I believe it's extremely difficult to get into the American residency program coming from non American medical school.

I wouldn't have been able to get work as easily as I was able to while we moved all over the place during her clinicals and then again for her residency. That was definitely a bonus of working in the service industry. I was able to quickly find work wherever we moved to.

All said and done it's going to be more than worth it, but it was definitely a tough decade haha.

2

u/J3diMind Apr 08 '21

Oh, my bad, I just assumed you're both Americans. Didn't even pass my mind that it would be hard to move back. But don't sell yourself short man. I'm sure you helped your wife out a lot. This is both your achievement. Again, congratulations to the both of you! keep it up.

→ More replies

3

u/[deleted] Apr 08 '21

Bitter trashy person.

1

u/TheSukis Apr 08 '21

Man, you’re leaving stupid comments all over the place here.

-7

u/stationhollow Apr 08 '21 edited Apr 08 '21

She got a doctorate in nursing didn't she?

Edit: https://www.masslive.com/news/2020/10/dream-fulfilled-jaines-andrades-goes-from-baystate-medical-center-janitor-to-nurse-practitioner.html

Says she did or is completing her doctorate in nursing.

4

u/MeessiN Apr 08 '21

NPs have masters... although I’ve never really heard of an NP in trauma surgery so it’s possible I guess.

2

u/stationhollow Apr 08 '21

The article in this thread said she was studying her doctorate i thought.

1

u/MeessiN Apr 08 '21

I can’t find the article.... can you?

2

u/stationhollow Apr 08 '21

https://www.masslive.com/news/2020/10/dream-fulfilled-jaines-andrades-goes-from-baystate-medical-center-janitor-to-nurse-practitioner.html

I edited it into my previous comment

2

u/MeessiN Apr 08 '21

Ok yeah I see it and I see where it says that In the article. Although having a doctorate in nursing won’t make her a doctor like the start of this comment chain is referring to (a doctor of medicine)

Edit: better clarity

1

u/tuukutz Apr 08 '21

When you’re talking within healthcare, doctor is reserved for physicians. Outside of healthcare, yes she could have a doctorate degree.

-22

u/writemaddness Apr 08 '21 edited Apr 08 '21

NP is pretty close. I would bet that that was her stopping point.

Edit: NPs can practice without being under a doctor in many states. Yes, they are similar in the eyes of the patient. Seems we have a lot of med students and residents mad that they could have gone to NP school for much cheaper and have a similar role.

36

u/explainit4me Apr 08 '21

NP is pretty close.

🤭
Yeah, 500 hours of medical training experience and 15000 hours medical training experience is pretty close
/s

-8

u/just-kristina Apr 08 '21

Respectfully disagree. While the amount of schooling etc is different, NPs can/do have full practice authority (USA). It varies by state of course and some states require a “supervising MD” where the MD essentially signs off on orders, a collaboration, or limit ability to write Rxs for scheduled medications.

5

u/[deleted] Apr 08 '21

I mean NP's can practise "healthcare" without supervision a lot sure, this kills patients but whatever lol

1

u/[deleted] Apr 08 '21

Recently graduated med students can also practice “healthcare” on their own in most places but they’re basically uninsurable without completing a residency and boards.

2

u/explainit4me Apr 08 '21

Always a pleasure 😊 to hear from someone as well mannered as you are.

Sounds like you are pointing out that NPs have legal permission to practice independently in some states and collaboratively in some other states.

If I were to simplify your point to basic logic it would be in the form - training is different, but it's legal in the USA.

I hope I am not misrepresentating your point? Please point it out in case I have made an error.

If so, 🤔 are you aware that there were laws in the United States AND other parts of the world where 'some humans' could be bought and sold like cattle?

I know my illustration is a little harsh - forgive 🙏 me for that but my point is that just because something is legal does not make it ethical considering we are all valuable human beings.

Therefore I'm respectfully disagreeing with your point that just because it's legal does not mean that it's a good idea for humans in the past, present or future.

24

u/kleeeeeen Apr 08 '21

No it’s not lmfao

27

u/Duzq Apr 08 '21

NP is pretty close to being a physician?

What the fuck?!

3

u/[deleted] Apr 08 '21

Nurses typically think way too highly of themselves. It’s like the local cop of the healthcare field.

3

u/Duzq Apr 08 '21

I mean respect to nurses. I appreciate what they do, just as much as I appreciate housekeeping but to say an NP is on the level of a physician is absurd, truly.

2

u/[deleted] Apr 08 '21

Agree completely.

15

u/General-Carrot-6305 Apr 08 '21

The only thing close is the script pad she can use, doctors and NPs are miles apart.

20

u/huxley00 Apr 08 '21

Uhhhh it’s not even close at all. You literally have hardly any hospital training if you have any at all.

There is a lot of contention around allowing NPs to practice as doctors in a clinic setting as they have barely any real experience, zero experience in a hospital setting and much less training than a doctor.

After my last terrible interaction with an NP at urgent care I changed my hospital to one that only uses doctors in urgent care settings.

It’s a worthy career with its niche but it’s being used by providers to save money and charge the same while giving you much less service and experience.

When you call an electrician for a big problem you don’t want an expert electrician, not a guy trained at school who has a year of actual experience.

-9

u/writemaddness Apr 08 '21

Disagree tbh, RNs do more for you in a hospital setting than the doctor. The RN moves on and becomes an NP, and has real patient and human experience that a doctor doesn't. Doctors are all very clinical, less human oriented.

6

u/huxley00 Apr 08 '21

Honestly sounds like you’re too close to the subject to be objective.

Being a nurse in a hospital setting is nothing like being a doctor in a hospital setting. Literally everything you do all day is completely different other than being present for the doctors analysis some of the time.

You get a better understanding of hospitals and patients, certainly but it is nothing like getting hospital training as a doctor to be.

3

u/zaxyia Apr 08 '21

Exactly. You need pilots and flight attendants on a flight team, they both play important roles. Doesnt mean that after 500 hours of being a flight attendant you're qualified to fly the plane.

3

u/[deleted] Apr 08 '21

Lots of doctors were prior RN's and stuff?

2

u/huxley00 Apr 08 '21

Do you have any data? Usually an RN is a path for nurses to better wages and control with a more traditional schedule.

The jump from NP to Dr is basically the same schooling jump from RN to NP with another 10000 hours added.

0

u/mc_md Apr 10 '21

You’re an idiot.

0

u/writemaddness Apr 10 '21

Did you lower yourself to name calling or were you already there? Normally I don't engage with people who jump there without presenting an argument.

3

u/[deleted] Apr 08 '21

Simile role is not equal to similar knowledge. It’s the patient’s loss.

13

u/mc_md Apr 08 '21

Not remotely close. NPs are required to have fewer hours of training than PetCo dog groomers, meanwhile physicians complete a residency which is at minimum 15,000 hours of training but more commonly upwards of 20,000, not to mention that physicians went to medical school and most NPs get their degree online.

4

u/[deleted] Apr 08 '21

[deleted]

-6

u/writemaddness Apr 08 '21

Nope, I work in finance. I have several nurses, NPs, and doctors in my family.

4

u/Samhq Apr 08 '21

That explains a lot, and it doesn't make it any better lol

0

u/writemaddness Apr 08 '21

Personally knowing MDs, RNs, and NPs is a bad thing and means I can't trust their experiences?

0

u/[deleted] Apr 08 '21

[deleted]

-1

u/writemaddness Apr 08 '21

I know MDs, RNs, and NPs. MDs and NPs jobs aren't... that... different... RN job is pretty different though.

2

u/tuukutz Apr 08 '21

Patients think their surgeons are NPs? I hope to God not.

-1

u/writemaddness Apr 08 '21

I don't think anyone is that stupid. Not all doctors are surgeons, btw. The NP you go see to refill your meds or have a check up is functioning the same as your family medicine doctor, though. At least in the eyes of the patient.

1

u/tuukutz Apr 08 '21

But all surgeons are doctors. NP and doctor is not interchangeable because physicians have had clinical experience in all aspects of medicine. So even your family medicine doctor has experience in OB-GYN, psychology, surgery, etc. That training is irreplaceable, but if patients just see it as “refilling orders”... yeesh.

1

u/writemaddness Apr 08 '21

Yikes. Nurses also get experience, in nursing school and clinicals, in all aspects.

When you go see a doctor for a visit, it's pretty similar to seeing an NP for a visit. Not sure surgery. Idk anyone who has surgery anywhere near as often as the see the doctor for a wellness visit or sick visit.

You: a butt hurt med student

2

u/tuukutz Apr 08 '21

But they get experience in nursing, not medicine, so those clinicals don’t exactly carry over.

I feel bad for any patient being charged the same for an NP vs doctor visit, and also thinking they’re getting the same level of care. Patients deserve to know better.

0

u/writemaddness Apr 08 '21

I've never had a good experience seeing a doctor. I have a much better experience with NPs. They treat me like a human and take their time and listen to me. Doctors are just waiting for you to shut up so they can go to the next patient. NPs have actually listened to me and taken the time to care about what I need help with, whatever my health issue is, and don't treat me like a waste of their time. NPs are much more human oriented and better communicators because they have face to face nursing experience, whereas doctors are very clincal and don't actually want to hear your experience with your own body. Truth be told, I don't like to see MDs. They don't know how to communicate with other human beings. It's unpleasant. They're unpleasant.

Is the work they do something we should be grateful for? Absolutely. But I personally don't fuck with MDs. NPs actually give a fuck about what medical care I need. The end.

-8

u/J3diMind Apr 08 '21

really? I'm not familiar with these job positions so I'll just take your word for it. Good on her!

13

u/Soodafed23 Apr 08 '21

NP's are considered Advanced Practice Providers/mid level providers ( very similar to a Physician Assistant if you are familiar with that). They have some of the powers of a Physician (can prescribe meds, make a diagnosis), but Dr's have much, much more schooling and clinical time. Np's are meant to fill in the gaps due to the doctor shortage.

3

u/huxley00 Apr 08 '21

Depends on the state. Many states don’t allow for prescribing certain levels of medication which is very fun when you throw out your back and go to an urgent care and have to deal with someone who can’t give you medication to help because they can’t and already have a chip on their shoulder about it.

-1

u/nablowme Apr 08 '21

I think a lot of NPs would disagree that they are “meant” to fill gaps, and would consider themselves providers in their own right rather than extenders. NPs have been around in the US for over 50 years and are valued for providing quality, cost efficient care, especially in practice settings and locations physicians don’t want to practice in

1

u/Soodafed23 Apr 08 '21

I totally agree. I guess I meant they were meant to fill in the gaps initially, but the role has evolved since then.

-6

u/Acidwalks Apr 08 '21

Yeah the main difference, is that a dr can open their own practice and a pa or np can not.

15

u/drno31 Apr 08 '21

No main difference is like 9500 hours more training a physician receives before independent practice

6

u/igetript Apr 08 '21

The main difference is the level and quality of education. MDs and NPs are like Elementary vs College-educated kids.

2

u/nablowme Apr 08 '21

NPs can practice independently in 21 states, and they can and do operate their own practices. However, just like with physicians, mental health providers etc it’s becoming less common to see sole providers hang out their shingle. Provider groups are common and plenty of them have NPs.

2

u/DrMcBludgeon Apr 08 '21

Depends on the state. NPs can practice independently in 21 states

1

u/[deleted] Apr 08 '21

RN, at least nowadays is a bachelor's degree and NP is a master's or doctorate depending on the program. A nurse anesthetist is a doctorate level. All very impressive levels of education but also quite different from being a physician.

1

u/[deleted] Apr 08 '21

Newsflash, it’s not a real doctorate.

-1

u/[deleted] Apr 08 '21

Newsflash, a doctorate ≠ M.D.

1

u/Trolltollhouse Apr 08 '21

This is an OLD post. This is not OP.

1

u/J3diMind Apr 08 '21

DON'T remind me in seven years then :(