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MD & ex-RN leaking healthcare’s bitter truths. Rants, laughs & juicy medical tea. Join the #MedBitter madness.

The Hospital
Joined April 2022
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Bitter
Describe yourself in one word.
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Why are medicine and the patient experience deteriorating? 1👉Loss of physician autonomy 2👉Unpaid administrative burden 3👉Theft of services 4👉Erosion of patient trust 5👉Declining reimbursement 6👉Corporate consolidation What am I missing?
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In office, blood pressure measurements are as close to useless as makes no difference. A doctor checking your blood pressure is mostly just theatre. You need multiple measurements in the community.
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Dx: Insomnia 2/2 Spiritualpenia DDx: Bipolar Tx: Spiritual awakening
I had chronic insomnia for 5 years. During that time, I saw every type of doctor imaginable — general practitioners, sleep specialists, endocrinologists, psychiatrists, psychologists. Not one helped. The pills made my sleep worse, the endocrinologist invented and diagnosed me with a bipolar-adjacent disorder, and the CBT therapist literally told me to “try to feel tired.” In the end, the insomnia was spiritual in origin (manifesting physically) and no medical treatment could have touched it. Yet every one of these “experts” was certain they had the solution. That experience taught me that credentials, titles, and the societal “pat on the back” don’t equal wisdom. Many who are called “professionals” are well-trained (and well-brainwashed) in a narrow system of assumptions. Like the majority of people, even your experts can be ignorant — but they think they can’t. True wisdom isn’t found in institutions. It’s found in people who are humble, open, and guided by something deeper than ego. I’d rather take advice from a schizo on Twitter with an open heart and real insight than from the guy in this screenshot.
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“root cause” “show me your peer-reviewed sources”
Doctors are now openly mocking how patients are asking about the “Root Cause” of diseases instead of just taking the pills
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🤔
Here’s a fun party trick: ask ten Americans whether we have “free market healthcare” and watch nine confidently say yes. Then show them this: - Employer Coverage: 160M Americans - Medicare: 67M (seniors + disabled) - Medicaid / CHIP: 72M (low-income + kids) - ACA Marketplace: 21M enrolled - Military / VA: 9M - Uninsured / Other: 25M I know what you’re thinking: “But Dutch, employer coverage is private!” Is it though? Last I checked, employers receive a massive tax deduction for buying your health insurance, a subsidy so large that if we removed it tomorrow, the entire system would collapse by next Wednesday. The government mandates companies to buy insurance on your behalf, and then we call it “the free market” because the check gets routed through Aetna. It’s the health policy equivalent of calling a taxi “public transport” because the government subsidizes the fare. Here’s the bit nobody wants to admit: We already have socialized healthcare. We’ve designed it to feel private by adding expensive intermediaries, baroque complexity, and enough paperwork to kill a forest. Medicare? Government program. Medicaid? Government program. Employer plans? Tax-subsidized and federally regulated. Marketplace plans? Wouldn’t exist without subsidies; most people pay a fraction of the actual premium. We’ve built the world’s most elaborate Rube Goldberg machine to avoid admitting we don’t actually trust markets with healthcare. We say we want competition, then we: - Let employers choose the government-approved insurers (that’s not a market—you have zero choice) - Mandate coverage levels - Subsidize premiums - Cap profits - Regulate networks Then lawmakers are shocked when premiums rise, innovation crawls, and doctors become data-entry clerks for UnitedHealthcare. The problem isn’t that markets don’t work in healthcare. The problem is we never tried them. We built a state-managed cartel, spray-painted “free market” on the side, and then spent sixty years wondering why it drives like a Soviet tractor. It’s not an ideology problem. It’s a *category error.* And once you see it, you can’t unsee it. —Dutch Rojas
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We were all warned in 1995, but no one listened.
It's weird that we can all clearly see how AI is about to wipe out millions of jobs all at once, destroy every artistic field, make it impossible for us to discern reality from fiction, and destroy human civilization as we know it, and yet not one single thing is being done to stop it. We aren't putting up any fight whatsoever.
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If Trey Reeds 2nd autopsy is deemed a suicide, will any lessons be learned here? Im seeing calls for violence, riots, and revenge all over the internet - based off a rumor. I fear the future given the power of the internet rumor.
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Next time you think REAL doctors are evil. Someone has paid for these bots to brainwash you. Remember that. You are being programmed. Who is investing in murder and the spread of disease?
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I cannot believe that doctors ever rawdog stuck a needle so close to the brainstem, but this was 1920. Know all the other risks?
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As a doctor, this video had me in tears.
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Perfect example of how patients don’t always know what’s best….
Replying to @OGdukeneurosurg
How germy are those scrubs? In the office, I would like a doctor to wear a shirt with a collar and a tie.
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Patient hostility towards doctors is former President JOE BIDEN’s fault. And President Trump dumped gasoline on that fire.
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Large hospital systems will bombard you with hundreds of worthless emails every day, so it's impossible to keep track of the 1% that are actually important. Then they'll send you a red-alert email that your yearly compliance must be done by end-of-day today or else they'll cut off your computer access. Hope you didn't have any family time planned that evening. They make compliance impossible. Every physician is breaking some rule or another, which makes it very convenient when they want to get rid of you.
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Replying to @DrDiGiorgio
Hubs got a work email on Doctor’s Day that said the CMO had sent a gift card to celebrate. He clicks on the “gift card,” and a pop up tells him he failed the IT dept “phishing scam test.” He was then penalized with 3 bullshit modules on cybersecurity. True story.
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A man in his 40s opens up about one of the hardest truths…
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Serious question. Why would anyone create and sell a pharmaceutical drug? Risks are discovered when mass produced longterm. And then it backfires. Why bother? We live in a world that expects 100% guarantees
Ozempic Lawsuit Explodes 2 billion dollar bombshell 🤔.
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Nothing like getting woken up by an ingrown hair (wish I was joking)
Little-known secret of the ER: You’d be shocked at the giant percentage of problems that are caused by what is fundamentally an ingrown hair.
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Psychiatry consult please 🫠
This is what happens when you never tell your kids NO! Legend has it that she is still screaming to this day... 🤦‍♀️ Good Lord cops do not get paid enough!
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meet Ralph
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Just got off the phone with a doctor in Texas who dropped this bombshell, “No one tries to get patients better.” No malice—just indifference. Patients sick for weeks. Plans unchanged. Some on pressors AND antihypertensives. Its autopilot medicine. No steering towards recovery.
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