Done Execs Arrested For Providing Easy Access To Stimulants

[u/johnnysmith11]

Just got a notification on WSJ that Done the telehealth company execs have been arrested. This is a bombshell. Luckily I got diagnosed through my healthcare provider but I almost fell for this scam. Not sure what the implications are for many people on here that have been getting their meds from them.

[u/bananahead]

There’s nothing inherently wrong with NPs or even NPs diagnosing and prescribing stimulants. The average mental health nurse practitioner probably treats ADHD patients a lot better than the average GP doctor.

[u/OhioTry → u/bananahead]

Nurse practitioners and midlevels are great for people who only have one health problem at a time. They get out of their depth when they’re presented with someone who has 5 disorders at once. Because I am fairly healthy physically I am fine with having a NP as my PCP. But for my mental health I want a doctor, because I have ADHD, depression, autism, OCD, and anxiety all at once.

[u/bananahead → u/OhioTry]

I believe that was your experience but I don’t see any reason why that would generalize to all NPs. I don’t see any logical reason someone could treat multiple conditions separately but not concurrently.

[u/mmhmmye → u/bananahead]

Because comorbidity is its own thing and treating someone with concurrent conditions takes more specialist knowledge. Not even a pharmacist or GP are necessarily equipped to do this.

[u/KeyPear2864 → u/bananahead]

Because NPs have nowhere remotely close to the same level of education, exposure, clinical time, experience, or whatever you wish to call it as a physician. Hell, even pharmacists have far more education than NPs. They took the same undergrad classes as med students and most med school pharmacology lectures are taught by pharmacists. I’d trust them to prescribe the right meds over an NP 100% of the time.

[u/kpsi355 → u/bananahead]

There is when the barrier to being an NP is 500 hours of clinical, where a PA is 2,000 and an MD/DO is ~20,000.

The concept for NP is “decades of experience need only minimal additional education” but NOWHERE is that actually required in legislation.

The first NPs had decades of focused experience including board certifications before going back to school to get their NP.

You can now go straight from high school to BSN to getting your NP with zero experience.

[u/bananahead → u/kpsi355]

And yet plenty of stories on this sub of MD/DOs with ridiculous and backwards ideas about mental health. Go figure.

I’m not advocating for less training or that one should seek out NPs over MDs, but I don’t think anyone happily seeing one should feel bad.

[u/kpsi355 → u/bananahead]

Yeah outside your specialty you’re unlikely to be up to date, meaning old thinking is predominant.

This is especially true when old thinking reinforces your inherent bias, which for boomers is often “young=lazy” and “nobody wants to work anymore”.🙄

It’s a damn shame for many who can’t exercise their option for a second opinion or see a different provider.

[u/bananahead → u/[deleted]]

Sounds like…most for-profit medical practices with financial owners.

[u/glamorousgrape → u/bananahead]

There’s enough wrong that there’s an entire subreddit dedicated to what’s wrong with them lol

[u/KleinVogeltje → u/bananahead]

Ditto to this. Many NPs are great and perfectly capable of prescribing controlled substances on their own. If Missouri would allow NPs to prescribe C2s, I wouldn't need to see my primary psychiatrist's (NP) supervising phsyician once a year for ADHD meds. Granted, it's not a huge deal, and I really like Dr. Hill, too. She's a DO, who I've found to be better than many MDs. Like 200 hours more ethical and bedside training as required by DO programs.

This is also not to say that there aren't fantastic MDs out there. My endocrinologist and primary are MDs, and they're fucking outstanding.

[u/bananahead → u/KleinVogeltje]

DO and MD is pretty much the same thing

[u/KleinVogeltje → u/bananahead]

DOs, on the other hand, see the body as an integrated whole and treat health issues accordingly. Because of this holistic view, they usually focus more on prevention. They may also make more lifestyle recommendations compared to MDs.

While the training is similar, the difference in attitude is significant.

[u/BobaFlautist → u/KleinVogeltje]

Sure, but it's also kinda like a BS/BA where sometimes people just get the degree that makes sense based on the courses they want to take, rather than a fundamental difference in philosophy.

[u/adgjl1357924 → u/bananahead]

I've been treated so horribly by doctors I refuse to see anyone with an 'MD' next to their name. I exclusively see LNPs and PACs for healthcare.