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We have failed as human beings 11 year old kid walking in with 2 sliding mitts, a leg guard, elbow guard, leg guard, 4 batts, a sleeve, and Yeezy slides all on his bag. Obliterate.

The medical profession kills hundreds of thousands of patients every year through sheer incompetence. You're damn fucking right I'll question your judgment. If an airline had your record they'd be obliterated in lawsuits.

NEW: Spencer Pratt fires back at reporter after he was asked about his plan for the homeless, says they will all end up in Seattle. Reporter: "What are your plans for the over 40,000 homeless in Los Angeles?" Pratt: "Well, they're not homeless, they're drug addicts... These people have been bused in by scam rehabs, scam NGOs, scam homeless nonprofits." "These people, when I unplug them ... they're all going to Seattle, where the mayor will welcome them."

It is truly fascinating to watch someone spend twelve years in a profession only to completely internalize the condescending "permanent assistant" mindset of corporate medicine. I am glad you found a cozy spot in your comfortable little bubble, but your personal choice to remain a professional subordinate shouldn't be projected onto an entire field that has completely outgrown your 2014-era perspective. First of all, let’s completely dismantle your nostalgic obsession with classroom walls. The idea that digital learning somehow dilutes medical theory is an ancient talking point that ignores how modern clinical education actually works across the board. The vast majority of medical schools in the United States have transitioned their foundational pre-clinical didactics to online and hybrid structures. Streaming a lecture on advanced pharmacology or pathophysiology from a laptop doesn't change the science; passing rigorous, national, psychometrically validated board certification exams is what proves competence. Second, your three-year "onboarding residency" where a physician had to hold your hand and re-assess every single emergency patient isn't a badge of honor—it sounds like a complete failure of your "solid" program to actually prepare you for independent clinical decision-making. Advanced practice clinicians who enter high-acuity environments like the Emergency Department don't need a three-year chaperone to do their jobs. In fact, an Emergency Nurse Practitioner (ENP) possesses deep, focused, acute-care and resuscitation mastery that a generalist Family Practice physician simply cannot match. I have lost count of how many times I have watched clinic-based FP doctors wander into a high-stakes ER, completely freeze up, panic, and literally kill patients because they lacked specific, advanced acute-care training. Yet, because of institutional protectionism and the "good old boys" club of medicine, they hide behind their initials with zero consequences. If advanced practice clinicians actually required a physician chaperone to keep patients alive, the data from the more than 30 states, four U.S. territories, and the entire federal Veterans Health Administration operating under Full Practice Authority (FPA) would show a public health emergency. Instead, decades of independent, peer-reviewed research consistently prove that patient outcomes for independent nurse practitioners are completely equal to—and often better than—those of physicians. If you are content letting physicians pat you on the head, tell you how "lucky" you are, and remind you of your "limitations" while they collect a corporate paycheck for your labor, that is your business. But the legal and clinical landscape of 2026 has already moved past this submissive mindset. Advanced practice clinicians are delivering independent, top-tier, lifesaving care every single day without needing permission or a chaperone.