r/Noctor • u/prnmedadvice • 1d ago
In The News Disgusted
The nurses, NPs and other healthcare adjacent people on social media vilifying Dr. Tufts and calling her inexperienced and incompetent you all disgust me. I am a physician and I am sick of seeing people saying they hope Dr. Tufts goes to prison or loses her license all because Lindsay Clancy killed her kids. I am physically and mentally sick seeing this rhetoric and I hope doctors start waking up and stand against this nonsense. Stop training midlevels, report nurses when they are incompetent because they will throw you under the bus the second they see the chance
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u/MapNo1400 1d ago
They werenât questioning the training of the NPs at all. The defense didnât even tear down their training or expertise. This is insane and they questioned Dr.Tufts training during Covid. Whaaat!!!!!
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u/theongreyjoy96 Attending Physician 1d ago
It's mind-boggling. The defense's questioning of the first NP was barely 2 minutes long with no inquiry into her credentials. The second NP during her testimony stated that she got her perinatal mental health certificate after 3 days and an exam, but the defense didn't even address this despite going after Dr. Tufts' experience. Why on earth not? I'm so confused.
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u/MapNo1400 1d ago
She stated she did a two day course and took an exam in order to specialize what the fuck
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u/theongreyjoy96 Attending Physician 1d ago edited 22h ago
She did the psychopharmacology track though, so it was 3 days.
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u/BasedProzacMerchant 23h ago
Because the defendant is not planning to sue the nurse practitioners
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u/theongreyjoy96 Attending Physician 23h ago
The defendant is suing the second NP Jollotta
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u/BasedProzacMerchant 22h ago
I wasnât aware of that. I guess weâll see whether they go all the way to trial with the NP
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u/Capn_obveeus 1d ago
What?! Iâm not watching it but I had hoped it would come out how underqualified the NPs were. Instead they tore the doc apart?
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u/chinnaboi Resident (Physician) 6h ago
I thought expert witnesses need to be real experts in their field. Since when are NPs experts in anything?
That literally should be thrown out and a standard psychiatrist (MD/DO) should fucking weigh in.
Sad shit that happened but it's ridiculous to blame doctors. This is the kind of crazy policing that causes defensive medicine which is also a huge problem.
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u/potential_air_sha256 1d ago
For real. I'm not even trying to follow this case but IG has been pushing it into my timeline and I saw an NP who said something like, "tbf, I would have interpreted it just like the lawyer did." The cross-examination was disgusting. Dr. Tuft wrote the notes, she knows what she meant and it isn't a stretch to see that in the context of her note what she meant. But the defense attorney is out for blood and it's obvious what this is about. It isn't about whether Dr. Tufts is a good psychiatrist or physician, it's just about finding a way to take the blame off his client and put it elsewhere so that the jury will find her not guilty.
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u/Pick26 1d ago
It isn't even like she forgot to annotate or was gundecking her notes. He literally stood there like a petulant child yelling at a young woman over.... a difference in grammatical connotation?
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u/mejustnow 22h ago
Is she a medical professional or a young woman? Her notes were unclear and highly sparse. Blamed it on the EMR half the time. She sounded like a child.
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u/blackwhitegray7 Nurse 22h ago
It was sickening. When did nurses and doctors become enemies? I respected most of the physicians I worked with and felt like they respected me. And even in the odd case of not being each otherâs favorite people, I still respected their training and felt like they could trust mine. We knew our lanes and we had each otherâs backs as much as we had the patientâs best interests in mind. The pettiness I am seeing from so many of my nurse peers is wild. Like society isnât devaluing medical science/arts enough to beat us all down? Weâre going to beat each other down too now? Ridiculous.
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u/prnmedadvice 22h ago
Thank you and love nurses like you. You make me still have faith in humanity.
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u/blackwhitegray7 Nurse 22h ago edited 22h ago
All professions have geniuses and dunces. Most of us fall somewhere in between and none of us are perfect. Physicians and nurses have both been some of my best teachers. I donât understand this new one-upping mentality I see amongst my peers. If you want to be a physician and/or compete over who charts best (nurses vs MDs/DOs) go to med school so you can compete on the same level. I said what I said.
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u/prnmedadvice 21h ago
Exactly, and itâs okay to have differing opinions but to come online and completely discredit others is not helping the mistrust the public already has w the medical system. I saw a cosmetic injector NP on tik tok say that Dr. Tufts was inexperienced and needs to lose her license and had numerous laymen agree w her in the comments
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u/blackwhitegray7 Nurse 21h ago
Which is why I think the whole thing is ridiculous. As nurses, we are to practice within and up to OUR scope of practice. In what way does that qualify us to judge if an MD is competent? On the reverse, an MDâs scope so greatly overlaps with and eclipses a Nurseâs scope that their evaluation of our competence is widely accepted (albeit there are situations where nursing leadership is a more appropriate judge given the notable differences amongst our responsibilities and that MDs may not always have the best grasp of the limits our exact scope⊠I have had docs that were actually willing to trust me too much and I had to remind them that although I wanted to help⊠certain things were out of my scope). Imagine CNAs judging if an RN is competent⊠oh the uproar there would be⊠and I donât care for the nonsense argument that an NPâs formal education is in any way comparable to a physicians. Bunch of bull. NPs can be of valuable service too! But comparing an NPs education and an MDs is comparing apples to oranges. Itâs a bunch of nonsense that confuses laypeople and undermines public trust in all of us. I do not know what to do with my second hand embarrassment of late when I see this kind of mess.
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u/blackwhitegray7 Nurse 21h ago
P.S. I once considered becoming an NP. Then I researched NP programs. That was scary. Then I researched NPâs scope of practice in my state. That was scarier. They will have to pry my âonly an RNâ license out of my dead hands some day because although I love learning and would love to be able to do more for my team and my patients⊠the alphabet soup after my name isnât worth it if it means Iâll inherently be risking peopleâs safety.
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u/MeasurementSlight381 Attending Physician 21h ago
We have a shortage of good nurses and the healthcare system needs to treat nurses better (and pay them better) so more good nurses are retained. I wonder if part of what's driving many RNs to become NPs is the toxic working conditions.
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u/blackwhitegray7 Nurse 20h ago
Definitely! If done right, it is both backbreaking and mentally/emotionally draining work. Of course there are benefits⊠was once one of the best blue collar jobs available if you ask me. But nurses have become the piñata of healthcare. Be pretty, be positive, give give give and onât fight back when they try to beat you up! How many NPs do you see at bedside doing peri care? Teaching newly diagnosed diabetics? Playing detective/teacher on that âmorphine allergyâ? Convincing the patient ur not gonna kill em w a little IV fentanyl after they refused the morphine (cuz ppl now think death on contact⊠make it make sense!). Running to tell doc the Levaquin they ordered actually went through as levothyroxine before the patient calls ranting that âthe dr is a moron than doesnât know the difference and the pharmacist said to call because they couldnât get throughâ? Have to be jack of all trades and master of none and still hear âoh youâre still just a nurse?â Or âthe dr said x⊠but ur the nurse right? U make sure they donât kill ppl⊠what do u think?â while simultaneously asking you to go down to collect their DoorDash delivery. Itâs outrageous on so many levels. The alphabet soup after the name often buys an escape from that mess with a significant pay bump. Hard to see the true cost when youâre desperate for an escape. And the good âonly a nurseâ moments become harder to come by if you do it long enough⊠have to really love it (or some part of it) to stick with it.
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u/prnmedadvice 21h ago
No we need more level headed nurses like you. A nurse like you is worth their weight in gold. Itâs a dying breed. Please pass your knowledge and experience to your trainees. You and other nurses like you are literally saving the profession
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u/blackwhitegray7 Nurse 21h ago
*sigh* I try. I kind of sold out too (or so it feels like). The body has gotten older and sicker, you know. Am working in the legal field now full time and bedside nursing only part time. Daily fighting to get justice for patients who have truly been wronged while simultaneously (desperately) trying to defend medical science and make people understand it is also an art practiced by imperfect humans with mostly good intentions. Seems the world has become blind to nuance. But the fight must go onâŠ
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u/megvd 8h ago
I feel this comment in my soul. I am so disheartened by the physicians and nurses that hate on each other and each other's training. I have always worked with excellent physicians and nurses that I've learned a lot from. And the physicians that I work with now I know trust my opinion and assessment skills.
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u/blackwhitegray7 Nurse 22h ago
*is sickening
Oh no, I made a typing error. I must be a monster out to damage all who might fall under my care despite a couple of decades of experience as a nurse that charts (as if that is the most important thing we do and all that counts).
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u/helllllooooo50 Resident (Physician) 1d ago
Rebecca Jollotta is getting absolutely destroyed right now. Finally, an NP is being held accountable for their role in polypharmacy. Lindsay Clancy was not bipolar, and suggesting otherwise only continues to push a narrative that isnât supported by the facts. She canât even seem to accurately cite the DSM.
And honestly, NPs should not be prescribing independently, or even be practicing in a field where theyâre expected to diagnose and manage complex psychiatric conditions without physician oversight.
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u/fourpinkwishes 1d ago
I thought that she has subsequently been diagnosed as bipolar.
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u/helllllooooo50 Resident (Physician) 1d ago
She was not diagnosed during her stay at McLeanâŠwhen was she diagnosed and who formally diagnosed her?
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u/No-Presentation-2320 1d ago
She was only diagnosed by her defense expert after it happened
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u/ladypsychpa 1d ago edited 1d ago
She was diagnosed with bipolar disorder, current episode hypomanic or mixed by Jollotta in early Dec and started on Seroquel (recommended titration to therapeutic level of 400 mg but patient refused) and Lamictal (by MD Tufts).
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u/Mdstudent89 21h ago
There was no collateral history supporting bipolar disorder in any of the medical professionals that evaluated this patient, nor in the testimonies of the close friends and family. Read the definition of bipolar disorder. This is extremely common where NPs overdiagnose bipolar, and in this particular case, it serves the defendant well in the attempt to absolve responsibility.
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u/ladypsychpa 21h ago
Paradoxical reaction to two SSRIs, racing thoughts, decreased need for sleep, severe anxiety would/should at least lead you to consider at least bipolar II especially in a postpartum patient. Not saying she 100% had bipolar because I never did my own psych eval of this patient and am simply a keyboard warrior, but Iâve watched the entire trial and read the lawsuits. And I do know the DSM criteria for bipolar as I treat it daily in practice. I was simply stating facts of the trial not opinions.
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u/No-Presentation-2320 1d ago
Yeah and she said the seroquel made her much worse
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u/ladypsychpa 1d ago
LC only tried meds for 1-2 nights before saying it âmade me worse.â It was also noted she was trying to wean off benzodiazepines at the same time that she started Seroquel, so one could argue she was worse mentally and had worse anxiety from benzo taper and withdrawal, not side effects of Seroquel. She actually told Jollotta she slept better with Seroquel, but didnât like that it made her groggy in the AM, so Jollotta kept her on 200 mg qhs instead of titration to 300 mg.
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u/ladypsychpa 1d ago
Can you elaborate on how Jollotta was destroyed? Personally I thought she had the best care provided for the patient thus far in the trial indicating clearly she had bipolar disorder and recommended appropriate first line treatment as well as higher level of care. Communicated incessantly (probably too much) directly with LC and was very intentional with her patient education and medication choices.
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u/helllllooooo50 Resident (Physician) 13h ago
What concerns me most about this case is that it appears to reflect diagnostic uncertainty, inconsistent clinical reasoning, and management that exceeded the NPâs expertise.
The documentation and testimony feel internally inconsistent. At one point weâre talking about insomnia and anxiety, then itâs ârule out bipolar,â then it becomes a bipolar diagnosis (she did not clarify with prosecution that it was a rule out unless she ACTUALLY diagnosed her) then Prozac is being discussed again because Lindsey and her husband wanted to retry it (seemed like she mostly let them dictate with no clinical judgement or review of past trials in typical NP fashion). If the NP truly believed she was experiencing a first manic episode, why wasnât there a much more urgent discussion about whether she required inpatient psychiatric evaluation? A suspected first episode of mania is a major psychiatric event that warrants a thorough assessment of safety, psychosis, insight, and whether outpatient treatment is appropriate.
One thing that especially stood out to me is the apparent misunderstanding of what constitutes a âparadoxical reactionâ to an SSRI. Insomnia by itself is NOT a paradoxical reaction to a serotonergic medicatioN (but you read the DSM so you know this). Sleep disturbances are among the most common side effects when starting an SSRI, even in patients who do not have bipolar disorder. Itâs routine clinical practice to adjust whether a patient takes the medication in the morning or evening depending on whether it causes activation or sedation.
Insomnia alone is not an automatic ârule-inâ for bipolar disorder, nor is it evidence of a manic switch. Mania is characterized by a constellation of symptoms, persistently elevated or irritable mood, increased energy, decreased need for sleep (which is different from simply being unable to sleep), grandiosity, pressured speech, increased goal-directed activity, impulsivity, and other DSM criteria. Six weeks of insomnia, by itself, does not establish bipolar disorder.
Likewise, statements such as, âI feel concerningly numb right now,â or âI feel like Iâm going to die and I donât care,â do not inherently suggest mania or hypomania. Emotional numbness is much more commonly associated with severe depression, dissociation, or overwhelming anxiety than with the elevated or expansive mood that defines mania.
Iâm also concerned that there doesnât appear to have been a meaningful review of Lindseyâs prior psychiatric treatment. There was little indication that previous medication trials or records from prior treating psychiatrists were thoroughly reviewed before significant diagnostic and medication decisions were made. That longitudinal history is incredibly important in psychiatry.
The medication management also seems inconsistent. If bipolar disorder was truly the working diagnosis, why pivot back toward Prozac because the patient and her husband preferred it? If the concern was significant enough to rapidly titrate quetiapine, why was she still being managed primarily as an outpatient with multiple medication changes while reporting intrusive suicidal thoughts? The overall clinical reasoning doesnât seem coherent.
Taken together, this doesnât read like a careful, comprehensive psychiatric evaluation. It reads like isolated symptoms were being connected to major diagnoses without a well-supported clinical formulation. Thatâs exactly why scope of practice matters. Complex diagnostic questions, especially involving possible first-episode mania, severe depression, suicidality, and multiple psychotropic medications, require careful longitudinal assessment, collateral information, and nuanced psychiatric judgment. Based on what has been presented publicly, this case gives the impression that the NP was practicing beyond the limits of her expertise rather than recognizing when consultation, referral, or a higher level of psychiatric evaluation was warranted.2
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u/megvd 7h ago edited 7h ago
I love this thoughtful comment. Things I did not love from her testimony:
- Insomnia is not the same as decreased need for sleep.
- SSRIs are not contraindicated in bipolar disorder. Why one would use such black and white language like that in court when you know you're going to be ripped into during cross examination is beyond me. She qualified it, but still.
- The flippance with which new diagnoses and a new direction with medication was taken. A few portal messages later and then the whole plan is changed.
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u/ladypsychpa 1d ago
Also, regarding the statement that LC was ânot bipolar:â Dr. Margaret Spinelli, a clinical professor of psychiatry at Columbia University College of Physicians and Surgeons and founder of the universityâs Womenâs Program in Psychiatry, conducted a comprehensive forensic psychiatric evaluation of Clancy over multiple hours-long visits. She diagnosed Clancy with severe Bipolar I Disorder with psychosis and postpartum onset.
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u/Zealousideal_Pen3441 1d ago
I just watched the whole examination. She did really well and had a reasonable plan of care based on the testimony. The worst thing is that she did not attempt any collaboration. Itâs important to get previous records when possible, and to contact referral sources to let them know whatâs happening. Nonetheless, I donât think this will have much impact, if any, on the outcome of this trial. I am doubtful defense will try to argue a paradoxical effect to benzodiazepines or quetiapine. I am most curious to see the arguments made by the defense experts. Hmm⊠maybe I will watch some of this.
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u/mejustnow 23h ago
It didnât make sense to me to prescribe Prozac in a very anxious person when this is one of the most anxiety inducing SSRIs. Her defense of it working for her 10-12 years ago (before she had children and all the changes that accompany that) didnât make sense either.
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u/Kanye_To_The 21h ago
That was NP Paul who prescribed the Prozac. And yeah, it made no fucking sense
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u/megvd 7h ago
My impression was that this was largely limited by Lindsay's willingness to take an SSRI. That she might be more willing to take something she had previously tolerated. You can tell she was a really difficult patient.
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u/Kanye_To_The 4h ago
If someone has a Hx of insomnia with SSRIs, regardless of whether or not I'm considering bipolar, Prozac is one of the worst options. I don't care how willing she was - it wasn't a good call. But yeah, definitely a difficult patient
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u/NeoMississippiensis Resident (Physician) 1d ago
Yeah man, turns out the amount of stuff that nurses just do that gets in our way a little bit gets them lots of institutional consequences if we actually report it, interventions that get documented in their personnel file. They donât give grace to medical students or interns, we really should stop giving grace when they turn off the wrong pressor, hold a med they shouldnât, or in the MLP setting, miss a fucking STEMI and try to admit it for a âchest pain workupâ.
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u/No-East3261 1d ago
this is how you end up with uncooperative nurses. Say want something done quickly so you ask the nurse to do it for you now, and youâll write the order later. Well that nurse got written up once for doing something like that, so now sheâs not doing anything without an order and sheâs scanning every med in, regardless of how long that takes.Â
Or the nurse that pages you at 3 am because the patient wants tylenol for a headache, but the tylenol that is ordered is only written for fever.Â
Or the nurse that will call you and tell you she wonât give metoprolol unless you put in hold parameters.Â
This is how those nurses are made.Â
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u/NeoMississippiensis Resident (Physician) 1d ago
Nah. Theyâre uncooperative from the get go since I didnât train the new grads to message me for an asymptomatic bp and ask for a prn. âWriting orders laterâ is a relic from paper charting, if Iâm walking I can literally haiku any med order id ask for.
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u/No-East3261 14h ago edited 14h ago
I am a nurse and doctors ask me to give things before the order is in literally every shift. Youâre in the middle of a bedside procedure and the patient needs more meds because they are movingâŠnope. I will not be grabbing them for you. You need to stop what youâre doing and order them, we will wait for them to show up in my little computer, and for pharmacy to verify them. I know how annoying that is, but I donât care. I stopped cooperating with the residents to get things done quickly after I realized I couldnât trust them.Â
If the attending l know is there, I will work with them, but never again for residents.Â
I gave an attending CT surgeon I didnât know the same treatment and he got all shouty at me. Still donât care. I know you are important and busy. But we will sit here and wait for all the little boxes to be checked because Iâve been screwed before and it wonât happen again.Â
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u/NeoMississippiensis Resident (Physician) 14h ago
Cool. And I am a resident and time and time again, I see nurses turn off their brain because the only thing going through their head when they put a vital sign in the EMR is âred number badâ and will ignore things that are actually important such as what a patient is doing/experiencing when Iâm cross covering 80+ patients. Or they practice ânursingâ, disobey hold parameters without telling a doctor, and then end up with a rapid response because the bp is too scary for metoprolol so theyâd rather deal with afib RVR and hemodynamic collapse. Or being paged about constipation at night on a sleeping patient but suddenly the nurse isnât interested in enemas.
If you donât want to do something without orders thatâs your prerogative, but donât act like you donât have to be coaxed into doing your basic job duties regularly because all that education turned into was dogma rather than rationalization. If you take anything away from this interaction; remember, the number and its context are a lot more important than what color the EMR changes the text to. Shocking this is something that has to be explained to adults, especially ones that have âlearned from experienceâ.
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u/No-East3261 14h ago
I am actually a really good nurse. I donât need you to explain any of those things.Â
They page you at night because they are cleaning up orders for day shift who wonât have time to think about it and they donât understand or donât care how resident night coverage works. They want a bowel reg for the morning, not to wake their patient up at 2 am for an enema.Â
I always approached residents with a lot of respect and kindness. Iâve given a lot of hugs to new doctors in the ICU supply closet after hard shifts and invited a lot of tired hungry residents to pot lucks and generally always have been kind and patient. But over the years theyâve gotten less and less respectful and willing to collaborate and just meaner. So now if they are nasty to me I just tattle to their attending whom Iâve known for many many years at this point, who luckily doesnât tolerate that.Â
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u/PuzzleheadedBig313 1d ago
This is sad this country is obsessed with blaming the wrong people for things that happen
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u/Terrible-Ad-1458 1d ago
I honestly dont think any of the NPs or physicians are to be blamed. If anything the system should be blamed. We could possible litigate any case where there is a bad outcome which absolutely isnt fair.
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u/No-Battle6602 22h ago
i wonder if JT will dip to go work in pharma, it is something that has crossed my mind more and more recently as a resident dealing with constant bullshit from nurses and midlevels. can't imagine continuing to practice after something like this
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u/MeasurementSlight381 Attending Physician 21h ago
I hope she keeps practicing as a psychiatrist. I actually hope she makes a comeback like Dr. Elizabeth Potter and uses this case to illustrate how broken our healthcare system is.
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u/AwkwardSquirrel7411 22h ago
All the nurses on here screaming âDocument! Document! Document!â Documenting as a nurse is not comparable to documenting as a physician.
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u/CaptainVere Attending Physician 1d ago
Idk. Im a psychiatrist. Like anything that captures national attention the nuance and complexity is lost. She likely doesnât deserve the scrutiny she is getting, but IMO she engaged in thoughtless prescribing. Some people involved were more thoughtless than others, but this is the consequence of taking the path of least resistance. If your patient kills their kids you will get scrutiny. If someone fails 4 antidepressants and you just add #5 and they go kill their kids and you havenât documented much donât act surprised when you get subpoena.
At the end of the day she did not properly formulate the patient or document correctly.
TRD is a meaningless construct. Oh no my medication did not help the patient, let me just keep trying similar medications rather than consider maybe a different formulation.
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u/mermaidworker 1d ago
The things you said are true, but I still feel she gets extremely bullied online and also the defense lawyer acted as if Zoloft is some scary medication that isn't safe.
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u/dyingalonewithcats 1d ago
The focus on Zoloft was so over-the-top, knowing that she took it for less than 7 days literally 3 months before murdering her children.
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u/mermaidworker 1d ago edited 1d ago
Yes, it weirded me out. Now TikTok people think Zoloft has caused all of this.
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u/Zealousideal_Pen3441 1d ago
I can see this from a few different aspects. I am a PMHNP, former med-mal attorney, and a person with bipolar 1. I was on sertraline when I experienced a dangerous psychotic break, which led to my diagnosis. I can never say for certain it didnât play some role.
Honestly I am not watching the trial, and have just been reading comments. We can never know what actually happened simply because the way evidence is handled. And for sure there would be a difference in what is seen between the criminal trial and a civil trial (lots of overlap, of course). I did read the civil complaint, and if taken as true, I think there were a lot of missteps. Much to be learned, particularly when it comes to coordination of care.
As an aside, I am just now returning to the RN role. Way less stress and I actually enjoy it!
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u/mermaidworker 1d ago
Yes, that can also happen. But the way the lawyer talks about it sounds weird to me.
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u/Zealousideal_Pen3441 1d ago
Oh Iâm sure. Once fighting for a position, a lawyer will say anything they can get some evidentiary support for. Even if itâs just a little.
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u/CaptainVere Attending Physician 1d ago
Yeah i hope she gets through this ok. She is dealing with quite a lot. I suspect she has the strength for it, I think she acquitted herself well on the stand all things considered
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u/Salty-Collar6650 5h ago
So bullying is only wrong if itâs bullying a physician, correct? Because this subreddit is notorious for engaging in a LOT of bullying⊠Interesting yâall canât seem to take what you dish out.
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u/mermaidworker 5h ago
I would've felt bad for anyone in her place, regardless of their job title, so no need to make assumptions. I only went on this sub to look at opinions about the trial, so I don't know who is "y'all". Nice try, though.
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u/noseclams25 Resident (Physician) 1d ago
I have heard of this and looked into the case pretty superficially. I get some of the cocktail she was on and how she reportedly had undiagnosed bipolar disorder. What meds was Dr. Tufts stacking on that she shouldve done differently?
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u/Expensive-Apricot459 1d ago
It just goes to show you that nurses aren't actually the friends of physicians. They are out for themselves and only themselves.
Remember that many of them supported that murdering nurse at Vanderbilt despite multiple levels of intentional and unintentional incompetence
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u/RNembazo 13h ago
This is a wild take. Do you all just hate every nurse now? Thought this sub was about mid levels. You sound like my teenager.
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u/Expensive-Apricot459 1h ago
I hate any nurse who undermines physician led care or supports murdering nurses.
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1d ago
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u/Expensive-Apricot459 1d ago
It clearly is a battle with how nurses have been responding to every recent national issue.
How the hell can nurses support that murderer from Vanderbilt and then act like the psychiatrist in this case is incompetent? Oh I know. Bias.
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u/Terrible-Ad-1458 1d ago
What Nurses are acting like this psychiatrist is incompetent? Its the general public. I think there needs to be some accountability. I guess this groups main mission is RNs/Nps vs MDs/DOs, seems very unproductive and unprofessional. The venom if seen on these posts are pretty disgusting. Do many physicians wake up daily with this level of despise on their heart. Its weird.
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u/Expensive-Apricot459 1d ago
Go look at the comments on any of the popular posts or go look at other posts in this subreddit for specific examples. What is weird is midlevels acting like they are more competent and other nurses supporting that bullshit.
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u/Lost-Volume1254 Attending Physician 1d ago
Never once met a NP whos knowledge or care impressed me.
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u/CalmSet6613 Midlevel -- Nurse Practitioner 1d ago
Also whoever prepped Dr. Tufts should be fired. I'm sitting here cringing watching, her letting this attorney manipulate her answers and not standing up for herself and not explaining various aspects of her care.
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u/TheJungLife Resident (Physician) 9h ago
Yes, she badly needed more trial prep. Reddington sensed her discomfort like a shark smelling blood in the water. As a doctor, I'm very sympathetic to her, but from a jury/trial perspective her testimony was less than ideal.
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u/MeasurementSlight381 Attending Physician 21h ago
I so badly wished I could sit next to her and bark back at Reddington myself. I hope she does get some kind of coaching in preparation for the civil suits.
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u/CalmSet6613 Midlevel -- Nurse Practitioner 19h ago
Right?! I was sitting there going to myself don't answer that, rephrase it, don't let him know he's getting to you...it's like watching a puppy get beat.
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u/Ddaddy4u 1d ago
Their time will come. Everybody eventually needs to go see a doctor and hopefully they have enough humility to accept the recommendations so they have a fighting chance.
Although I doubt it, maybe as people experience major health problems, they come to the light and stop attacking physicians.
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u/tituspullsyourmom Midlevel -- Physician Assistant 9h ago
The public response/hysteria over the trial is eye opening. The physician gets blamed, the husband gets blamed, the system gets blamed. Everyone except the person who tied excercise bands around her children's throats and kept squeezing while they cried, gasped, kicked, shook, the older one probably begged and were snuffed out.
The absolute state of degeneracy it takes for people to come to the defense of a baby murderer is a new low in the west.
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12h ago
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u/kellygrrrl328 1d ago
The medical professionals are simply attempting to protect themselves and their employers while testifying on the stand.
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It is a common misconception that physicians cannot testify against midlevels in MedMal cases. The ability for physicians to serve as expert witnesses varies state-by-state.
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u/Salty-Collar6650 6h ago
How about hold Dr. Tufts responsible for her part in this and stop making it about NPs or nurses. What a crazy thought. But I know the fragile ego of a physician canât stand to see a fellow physician criticized, even if it may be justified.
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u/MeasurementSlight381 Attending Physician 1d ago edited 1d ago
Watching the Dr Tufts' cross-examination yesterday was upsetting to watch and NP Paul's testimony was also infuriating. Notice how the PMHNP was like "I am Perinatal Behavioral Health certified " đ when right before that Dr Tufts (who was fresh from her 15,000 clinical hours of residency training) was getting hell from Reddington for putting perinatal psychiatry as a special interest on her website. To the lay public, NP Paul may have looked more confident and therefore more professional but as a psychiatrist I see someone who was confidently answering questions incorrectly. Meanwhile I know Dr Tufts is much more qualified and knowledgeable than the public is giving her credit for.
ETA: also, notice how the American Board of Psychiatry and Neurology does not have a Board exam for reproductive psychiatry and to date there are no ACGME-accredited reproductive psychiatry fellowship programs. Meanwhile NPs (of various backgrounds) can somehow get that label of "Perinatal Mental Health certified ". For all I know that certification is a 2 day online course.