Doctors are remarkably busy people. Now imagine just how many of them see patients who waste their time by faking illnesses.
Today's burning question came from Redditor kblimey2, who asked the online community: "Doctors of reddit, how often do you know that a patient is faking an illness?"
Some of these are infuriating.
"One of the stronger narcotic pain meds..."
One of the stronger narcotic pain meds we have is called "Dilaudid".
People love that sh*t.
Sickle cell patients usually know exactly what works for them, and also have a known history at the hospital. When they come in we just ask what they need and give it to them, we know them, we trust them.
One day this random John Doe comes in listing textbook sickle cell symptoms without much detail (red flag). He's got no record in the hospital (red flag). He's got "allergies" (red flag). He says:
"I'm allergic to Tylenol, Motrin, aspirin, morphine, lidocaine, capsaicin, ketorlac, fentanyl patch, Aleve. I can't remember what they gave me last time, it was the only thing that worked. It started with a "D" and rhymed with "bilaudid"".
Bruh, get out of my ED.
"I worked inpatient Neuro..."
I worked inpatient Neuro and this lady called like 3 of her outpatient providers saying she needed a refill on her prescribed benzos AND narcotics because, and I quote, she "flushed them down the toilet because she was going to the hospital and didn't want anyone to steal them," except that makes zero sense and, also, YOU'RE IN THE HOSPITAL. We literally have your med list and give them to you while you're there. It's not a hotel or something. You don't need to bring your own stuff.
Obviously she was livid when nobody would fill her script 2.5 weeks early and said we were trying to torture her. She also s*it on the floor in protest several times and even once in her only pair of PJs from home. She was very unpleasant. We have a huge drug issue around my area so we see this stuff often.
"The look on her face..."
Had a patient fake having a stroke. Even received the clotbuster drug, went through all the CTs and MRIs, the whole shebang. Faked the one-sided weakness, severe speech and language deficits. Didn't help that her speech/language errors were grossly inconsistent. And that she kept forgetting which side was supposed to be her weaker side when working with PT/OT. Or that she was caught Googling aphasia symptoms on her phone (despite being completely unable to read simple words at eval.) She was trying to get on disability. And wouldn't you know it, as soon as she was told workman's comp won't pay and that she would not be able to drive for an indefinite amount of time (after just having such a severe stroke, after all) the next day her speech and language symptoms were completely resolved. A goddamn Christmas miracle in July.
A couple years later, I see a woman for the exact same thing. Literally talking on the phone, chatting it up with family present but as soon as I come in her language falls apart. Even the elderly mother comments "It's so strange how she was just talking to us just fine but you have her try to read or say a couple words aloud and it's impossible! Why is that?"
"...I'll be right back."
I check her chart and pull up old notes. My old notes. It's the same woman as before. I tell the physician about her faking and he's on the same page as me.
The best part was walking back into the room and having her ask "so when can I get outta here and start driving again?"
"Oh dear, no!" I wave the wasted time of a fake evaluation I just had to complete with her. "From the deficits I saw on your eval, as well as PT/OT documenting fluctuating vision issues, there's no way any doctor will let you on the road for quite a while without some rehab prior!"
The look on her face when I said that made it almost worth all the time I had to waste on her jerking me around with her malingering.
I'm sure symptoms magically resolved the next day.
"I'm a paramedic."
I'm a paramedic. It's pretty easy to tell, but you always treat them by the book anyways just in case you're wrong.
Some people fake unconsciousness for attention, you can sternal rub them and pinch the nail bed with no response. I'll squirt a bit of saline at their face without warning to see if they flinch, or hold their hand above their face and let go to watch it magically fall to the side.
Those people still get full vitals, cardiac monitor, and glucose check though.
"Probably what I've seen most often..."
Less often than you'd think. IMO, we doctors think we're a better judge of character than we really are.
Probably what I've seen most often as a family med resident in a heavily opioid-laden community is complaints about chronic pain, and they're often very tough to deal with, because many are real and many are not. Patients are often insulted by the fact they have to give urine drug tests and sign contracts, but I've been burned several times. I had a new patient recently come in for chronic lower back pain asking to continue his existing Rx for Oxycodone 30mg 3 times a day, and that's a TON of opioid. I was able to see that he filled a weird number of these tabs (99?) in another state just a week ago. Called the pharmacy and they told me the doc who wrote the Rx is a suspected cash doc selling scripts for money and under investigation. I pressed the issue and he started crying, admitted that he's been selling pills to get by after he lost his job. Felt bad for him but obviously I can't do anything about it. His story is unfortunately common.
If you're looking for "funny" stories, I've seen a significant amount of what we call "psychogenic non-epileptic seizures" (or, hilariously, PNES), aka pseudoseizures. Not saying these are always people actively faking seizures - in fact, they can be a symptom of serious psychiatric issues - but it's also a great way to get benzos or feed a histrionic personality. Here's some of my favorite "seizures" I've witnessed:
Old woman literally putting her hand on her forehead and fainting dramatically into her husband's arms, and then saying "Whew that was a bad one!"
Young girl resting in bed, then saying "I feel one coming on!" and then closing her eyes and running in place, curiously aborted by flushing her IV with saline (salt water).
Another young girl falling down and straight up humping the ground immediately after informing me that the only thing that keeps her seizures away is Valium.
Middle-aged woman with "arm jerking seizures" that are only treated by IV dilaudid.
Young man resting in bed and then just screams his head off for 5 minutes while bouncing up and down in bed, also immediately aborted when he thwacked his head on the bed rail and had to get stitched up.
"I have so many of these!"Giphy
I have so many of these!!
--Male patient, 18 years old, rolled in unconscious. Mom says he's been like that for the past four hours. Go to check his lungs when I hear something interesting. I place the stethoscope near his mouth and hear him breathe in normally, but then breathe out by saying 'breath'. No joke.
--Male patient, 21 years old, admitted with inability to speak for last two hours and respiratory distress. Lungs clear, but we hook him up to oxygen for a few minutes. After he's taken off, his father comes running and drags me over, saying his sons tongue refuses to go back in after receiving the oxygen. I look at the kid and he's seriously just lying there with his tongue poking out like a child. I tell them to push it back in. A few hours later the dad tells me the boy is convulsing. I go to see without making my presence known and he's lying there just fine. The moment I ask the mom how he's doing, he starts 'convulsing'. Think of an odd version of the worm, but on his back.
--Female patient, 16 years old, admitted with complaints of recurrent seizures and frothing from the mouth. I look at her and she is literally blowing spit bubbles. I check her reflexes, everything is intact. The moment I turn away to check on another patient, she suddenly becomes 'rigid' and the spitting intensifies.
--Male patient, 30 years old, unconscious and completely unresponsive for six hours. This guy was totally dedicated to his act. I initially approached it as a stroke, but when the blood pressure, ECG, reflexes, pupils, etc all are normal....I start checking pain sensation. He slowly began to open his eyes and groan as I asked him to tell me his name, but the moment his Achilles' tendon was pressed, he suddenly sat up, stated his name, and declared himself cured.
--Female patient, 17 years old, complained of respiratory distress and convulsions. Everything's normal on admission, and she's conscious but refuses to eat. Parents are worried out of their minds, and every few minutes she has a 'fit' where she would just basically shake from side to side. She let slip to a nurse that she didn't want to go to school that week, so she was faking an illness. Since she was refusing to eat, the attending wrote up an order for a nasogastric tube (which was inserted and then removed by her in a matter of minutes), and we prescribed her sugar pills because her parents wouldn't let us transfer her to psychiatry or discharge her. She finally left after four days.
"One common way..."
One common way to figure out if someone is faking abdominal pain to get opioids goes kind of like this:
"Having some belly pain?"
Groans Yeah 10/10!"
Pushes on belly
Groans louder "That really hurts! Now it's a 14/10!"
"Okay, I'm going to listen now with my stethoscope!"
Places stethoscope in same spot where I pushed and pushing with the stethoscope bell even harder than before
Learned that trick and it's interesting how many people forget that they need to start faking again because they just think I'm focusing on listening to bowel sounds.
"Here's your Rx..."
Every Doc/Nurse will tell you the same answer:
- Patient knows the exact name of the narcotic they need to help with the pain.
- They have tried every other drug and nothing helps.
- Their heart rate is 75, bp is 124/77.
Me: "Here's your Rx of Extra Strength Motrin. Have a nice day."
Patient: "I'M GOING TO F*CKING SUE YOU!"
Frequently, at my hospital. We get state funding to serve the underprivileged, so all the homeless come here. We have a lot of "frequent fliers" that will come in and fake symptoms to get food, a bed to sleep in, or drugs. Most really don't even want drugs though, they just want food.
"As soon as someone says..."
As soon as someone says they have an allergy to Tylenol or Advil. Raises all kinds of red flags...generally see this when someone is addicted to pain meds.
"Am a nurse."
Am a nurse. The fakers always say they're not faking and can put good language to their 'symptoms ' genuine sufferers are less vocal about their illness and aren't as drug seeking even though they deserve to be.
"Husband is a paramedic..."Giphy
Husband is a paramedic and he gets it a lot, like many others have stated, when the patient knows the painkiller they need by name, something is up.
Another one he says is when they refuse the green whistle. It's a fast acting temporary pain relief that paramedics use as both pain relief, but to also give the patient a distraction. If you're in legitimate pain then you suck on the whistle, you don't start up a debate on the effectiveness of IV painkillers vs painkillers you inhale.
A story he came home with once was a guy who supposedly fell down one step and was lying on the floor screaming in pain. They could hear him before they even arrived, from a street away. The second they walk over his screaming goes from "AHHHHH AHHHHHHHH" to "QUICK, BRING THE MORPHINE! THERE'S NO TIME TO LOSE!"
"I worked peds..."
Obligatory: am nurse. Pseudoseizure is our nice way of saying you're faking a seizure. It's usually pretty obvious because a seizure is really hard to fake, but you'd be shocked how many people do. Anyways, if you lift a seizing persons arm above their face and drop it, it will land on their face. They are unconscious (tonic-clonic seizure) and will not protect themselves. Funny though, if they are "pseudoseizing" their arm always manages to juuuust miss their face. I worked peds and these were the worst because the parents bought it hook line and sinker and we had to tell them their kid was a faker. I had one arrive by helicopter once.
"It's a big part of healthcare."
By experience, daily. It's a big part of healthcare. We call things conversion disorder that are malingering because we don't want to mess with lives too much, but it's a huge thing. And you know it when you see it. Then when we doubt ourselves we pull out unusual objective or semiobjective tests. When someone is faking an illness though, it usually points towards a larger problem which deserves an attempt at treatment, although it's unfortunate that resources were wasted in the meantime.
"People aren't as clever..."
People aren't as clever as they think they are. We understand both disease and human behavior as sets of patterns. If you don't know the patterns as well as we do, your desperation stands out.
"When you tell them..."
When you tell them they can't go home until XYZ, they will suddenly find a miracle and voilà.
Anecdotally, they usually assume you're faking if they find no evidence of a problem. Most endometriosis patients get accused of faking / drug seeking / being crazy for years before being taken seriously.
Being woken up suddenly is not very good for our health.
Especially for the elderly, it's not something to make a habit of. Sleep interruption can increase blood pressure, cause a worsened self image, and cause a day filled with irritation and confusion.
No one wants to be woken up, but there are definitely some reasons for being woken up that are worse than your alarm clock.
We went to Ask Reddit to find out some of the worst reasons people have been woken up.
Redditor Toothpiicxxk asked:
"What's the worst reason you woke up?"
These truly are the worst.
We love our pets, but sometimes not so much.
"My cat was throwing up right next to me."
"She brought you breakfast how cute."
"I was just about to answer that my cat threw up right on me, specifically my hair, which I had just washed..."
Some horrible news hits you.
"Being woken up to be told someone you know died certainly qualifies."
"Or when you already know, but you wake up in that ignorant bliss that lasts for about a second and then it hits you. And this goes on for a long time."
"It's been about 15 years and I still will wake up on occasion thinking I have to tell my older brother something cool that I know he'd love to hear about. Or have a vivid a** dream about how it was all an mistake and he's still here. Happens less often then it used to but oof does it ever still hurt."
"Woke up at about 3am to a cop repeatedly ringing my bell. my mom had accidentally drowned in the tub. she was really weak from chemo."
"Woke up to a phone call telling me my incredible brother-in-law had been hit and killed by a drunk & high driver, his wife was also expected to pass as her neck had been broken, and their kids were both in surgery. My husband and I were in the will to get the kids, so we needed to fly to Chicago right away. As I sat there in shock, I hung up the phone, turned to see my sleeping husband snoring away, and knowing I would now have to wake him up to tell him the worst news he would ever hear."
2018 false missile alert.
"I live in Hawaii, that time we got the missile scare."
"Oof at least it wasn't real but I would have definitely panicked if that was me."
"Damn, I slept straight through it. My mom literally woke me up, told me; and I still went back to sleep."
"What were you supposed to do? Go outside and witness your annihilation?"
"I think it's the right thing to do to inform people even if there isn't necessarily anything that can be done about it."
"Some people would appreciate being able to conduct prayers, get one last hug with their loved ones, etc."
"Cockroach walking on my lips with no shame. I brutally murdered it as soon as I yeeted it halfway across the room."
"I had a weird dream about a cockroach somehow paralyzing a friend then walking towards me in that same room. Then I awoke to find this a**hole cockroach slowly creeping on my lips."
"When I threw it away, what startled me was it did not panic AT ALL. It even slowly headed towards me!"
"I also mouth washed and brushed my teeth and even disinfected my lips with alcohol. It was a surreal experience."
"I seriously loathe roaches and there's no other way to ensure its death than a brutal one."
Screams in the night.
"One time I got woken up by a blood curdling scream in the middle of the night. I live alone and it also woke up my dog who was freaked out the rest of the night. Searched everywhere including outside and didn't find anything."
"Well that was lucky. Imagine what would have happened if you had found it..."
"Hopefully a fox, coyote, cat, or cougar."
"Being clearly asleep, and then someone wakes you to ask, 'Are you asleep?'"
"Bruh my mom be like [this]."
"The only correct answer to this question is 'yes.'"
"I woke up to my mom calling me sobbing because she thought I had died, I was 10 hours away and my blood sugar was severely low and wasn't answering any calls, that was horrifying."
"We've learned what does and doesn't work for waking me up in a medical emergency."
"Blood sugar can be a b*tch, found my mum having a really bad hypo while sleeping when I was a toddler and for years and years after would wake her up to check she was okay without realizing I was doing it for that reason. Glad you're okay!"
Something so relatable.
"My alarm rung. It's a daily struggle."
We've all been there.
If you're not a morning person, waking up in the morning can already be a challenge, but no one wants to get woken up to horrible news or an emergency.
In fact, we should be waking up naturally with our own personal sleeping patterns.
We all know that's easier said than done.
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People have a habit of excusing crap behavior - honestly because it's often easier in the short term. Long term = flaming dumpster fire.
The excuses people use to dismiss behavior range from mundane and meaningless to the sort of leaps normally reserved for kangaroos and Olympians. It's sometimes amazing that these excuses work - but they do.
Some of them work so well that they're just sort of "accepted." That, obviously, kind of sucks and is something we should avoid - so let's talk about 'em.
Can't swerve around what you don't see, ya know?
Reddit user TMTtasmachine asked:
... and away we go.
" 'That's just how they are.' "
"One of the biggest enablers for tantrum throwing, bullying, etc. is that they get treated with kid gloves to avoid dealing with them." - alexrt87
"Oh my God you hit the nail on the head. Whenever someone says 'that's just the way they are' I say:"
" 'Yes, that's the point! Glad you noticed too! Now is it okey-doke for them to be jerks they have special jerk privileges? Or maybe they are just people and should treat everyone else as such?' " - notatrumpchump
"It depends on how it's said."
"People are the way that they are, and you shouldn't be surprised when they continue to be that way."
"This, obviously, doesn't excuse it - but people also shouldn't be surprised when a bad person continues to make bad decisions. Neither should we waste space in our minds being bothered by it." - unlawfulfoxy
Harassment Isn't Humorseason 2 lol GIF by ShamelessGiphy
" 'It's just a joke, bro.' Harassing people isn't humor." - loading__99
"A guy who says/does offensive things and decides whether he was joking based on the reaction of people around him." - Eatsleeptren
"Dude, legit had someone come up to me and start shouting in my face, calling me Madison, pretending I was cheating on him. Literally the most crowded location outside a theater, everyone staring at us, looking at me like I was some horrible cheater while I was out with my then fiancé."
"I started hyperventilating, my fiancé nearly decked the dude, and then someone shouts 'CUT' like this is some big 'YOU'RE ON CANDID CAMERA' moment and everything's supposed to be okay."
"I burst into tears."
"It was the most humiliating moment of my life, and thank god my then fiancé, now husband is not the type to overreact or jump to conclusions, or be abusive. Imagine how bad that could have been for someone with an angry or abusive partner."
"Prank videos are a plague on the internet and there is a REASON so many of them are fake, or involve actors." - Darkovika
Stay Sober, Then!Drunk Drinking Beer GIFGiphy
" 'I was drunk / high / etc.' "
"Then don't drink?! Stay sober if you can't NOT be an a**hole!" - BasedBenjamin
"Alternately, I hear a lot of 'I'm a happy drunk!' "
"Yeah, according to your drunk a$s. That doesn't mean you're not an ahole. Not remembering is not an excuse either." - PepeBabinski
"I was also loud, obnoxious, and I wouldn't remember sh*t the next day."
"Quitting drinking has been one of my best choices of my life." - TTungsteNN
"Help"new girl coach GIFGiphy
" 'I'm just trying to help you' " - Miserable-Air1234
"Every time I've heard this, they're manipulating me while helping only themselves." - mykittenfarts
"My Mom to a T. Everything she does is better than anyone else's and she always gets pissed that people don't praise her for 'helping.' "
"She's now a certified (by herself) psychic and I have come to the conclusion that she's not a covert narcissist but an obvious one. I really wish I was joking." - Silent_Discussion657
Parenting ProblemsLeave Me Alone Run GIF by TLC EuropeGiphy
"Any variation of 'I'm a Mother/parent.' "
"Had some lady cut me in line at a coffee shop and she hit me with 'I'm a single Mom of 3!' as her excuse."
"Ok? And? I was still here first." - maid-for-hire
"I'm a single mom and I f*cking haaaate when other single moms/parents pull that sh*t to get special treatment."
"Last week, I was having a rough morning, my kid was being difficult, and I was running late. I was rude to a cashier over a minor inconvenience."
"Not only did I apologize for my shitty behavior, I wrote corporate to let them know how professional and patient she was while I acted like a f*cking toddler."
"Was being a parent part of the reason I was frustrated? Absolutely. Was it an excuse for that behavior? HELL no."
"I acted like a b*tch, and I called myself out, and I apologized. I still feel bad about that - I rarely let things get to me to the point I snap at others." - ClusterfckyShtshow
"Wow. I'm a Mom as well and tired but it doesn't give anyone a right to use it as some sort of ploy to get away with stuff."
"Like, mice become Moms about 12 times a year. You're not special 🤣" - SpoonLoops
Believing Your BossThe Office Monday GIF by 20th Century Fox Home EntertainmentGiphy
"I had a boss say some really racist sh*t around me one day and the next day, out of nowhere, he says:"
" 'Don't believe half the things that come out of my mouth!' "
"It was not really an excuse, more like trying to cover for himself after the fact, but still stuck with me." - sirlongbottom441
"Report them to HR. Seriously." - kokichi--ouma
"Looking past the racist stuff for a bit, that's not a very encouraging thing to hear from a boss…" - WonderfulBlackberry9
Bad Day AgainBad Day Reaction GIF by Schitt's CreekGiphy
" 'I'm having a bad day/week' "
"Okay, so you decide everybody that you interact with deserves the same fate? Get out of here, dude." - myordinaryexistence
"We all got stress, don't take it out on me. I get some people have stress bad enough for it to be passable every once and a while (family member passing, etc) but general, stress should not lead to you being a jerk to me." - willsimpforfree
"Damn, I'm definitely guilty of this. Usually I remember to apologize after but at this point I've learned to just avoid the situation in the first place by minimizing my interaction with people if I'm in a shitty mood." - nozzzrul
"Reminds me of when that White boy went on a murder rampage and killed a bunch of Asian women & that a-hole sheriff gave a press conference telling the media that the 'poor boy had a bad day.' "
"My idea of a bad day involves going home after a rough day at work and just staying in the house."
"Apparently, I should change my ethnicity from Asian to White and go on a murder rampage, see if my @ss gets a sympathetic sheriff to say on my behalf that I had 'a bad day.' " - kingkazul400
It's Not An ExcuseSeason 2 Reaction GIF by FriendsGiphy
"This won't go down well, but using depression as an excuse. As someone who suffers from it, it's still not ok to treat others like sh*t" - Rainbowwallstickers
"Could not agree enough. My partner has a 'friend' who treats everyone like sh*t all the time, has no consideration for others and openly mocks people in public."
"She gets so much grace from those around her under the guise of her 'mental health.' It's so infuriating watching an adult woman never have to take responsibility for her actions." - 34boor
"I get there are some things you can't control, but you are still responsible for keeping that sh*t in check and if you're aware of your mental illness, you should be aware of how you approach people and situations."
"I'll admit I used to be guilty of using my mental illness to be an @ss, but now I'm trying to better myself" - VeeSquibbles
Florida Gonna FloridaLooney Tunes Florida GIFGiphy
"People are letting Florida off the hook way too damn much. And I live in Florida."
"Just because it's hilarious doesn't mean it isn't still completely f*cked up." - AlphaWhiskeyOscar
"The phrase 'Florida Man' is almost always followed some heinous way a Floridian is being an a$$hole." - PepeBabinski
"I'm also originally from Florida, and that state has serious problems. We need to pay attention to it." - [Reddit]
Moment of honesty ... as a Floridian ... yeaaaah, I'm gonna have to agree with that last one.
We live in a time where we are critically re-examining how we pay workers. After a two-year-long pandemic where some low-income and "unskilled" jobs were deemed "essential," we now must put our money where our mouth is.
For too long in the world have incredibly important jobs been overlooked or else outright maligned. Teachers in the USA make some of the least money, career-wise, and have some of the hardest jobs. Dancers pay to put their bodies through hell with no guarantee of paid work after training.
So how do we fix this problem? By naming it, of course.
Redditor u/NightReader5 asked:
"What professions are severely underpaid?"
Here were some of those answers.
Our Elderly Deserve Better
"I worked as a CNA in a nursing home and I loved it. It's such hard work for such little pay and that's why I had to leave."
"Not only that but I was a rare person in that I LOVED caring for the residents. Nothing was beneath me such as changing a dirty diaper or spoon feeding."
"Everything helped their quality of life. Sucks they can't keep people that genuinely enjoy it cause I couldn't make over $10 an hour."-Dancer9d9
"Came here to say this: Emergency Medical Technicians. I will never not be just a bit salty about this."
"My husband is one of those people who does this job because it's his passion and he loves helping people."
"It would be nice if he earned more than the kid who just got hired at McDonald's this morning."-ThePotterheadHobbit
High School Bathrooms....
"The janitors at my high school. I walked in the men's bathroom there once and there was a mega-giant steaming pile of crap and diarrhea right in the middle of the floor."-satanic-sex-god
"Anyhow. Are you sure that was a high school? We're talking grades 9-12 here, right?"-VoicedVelarNasal
"Unfortunately yes. Other highlights of my oh so great high school men's bathroom that contains teenagers from 14 to as old as 20 are:"
"A dude bringing a sledgehammer to school and smashing a sink, the toilets being blown up, the toilets being frequently clogged with trash..."
"Smashed beer bottle glass covering the floor, and a centimeter of pee flooding the bathroom whenever you walk in. I hate it here."-satanic-sex-god
You know immediately YOU might not want to do this job--so why is someone else getting paid next to nothing to do it?
The More You Help Others The Less You Get Paid
"Statistically speaking, any job that provides significant social benefit to others, the less you will get paid, something that David Graeber discusses in essays and his work, Bullsh*t Jobs."
"This is so sad. I'm currently in a job that pays very well, I just dont find any meaning or fulfillment with it. I want so badly to do something where I'd be helping others- something with purpose- but I honestly dont think I can afford it."-mko0njo9
"Social workers. Dealing with negligent, abusive parents while trying to help the children while in an underfunded, low-paid system is a travesty."-ZRX1200R
"Can also confirm. I like working with my family's but I don't get paid enough to deal with their crap or most of the bureaucracy."-Altowhovian93
Minimum Wage To Go Against FIRE
"Entry level wildland firefighters. They start them at $15 an hour."-NuclearEyedSquirrel
"I live in a small town in Ohio and I think the lowest starting wage I've seen was 11."
"That's the low side and those places are having trouble hiring because there's so many places paying higher. McDonald's here starts at 13 or 14 an hour."-rjoh4459
One Kid, One Para
"Paraprofessionals. Yea, my town increased the pay rate for paraprofessionals to get more people to apply since they have a shortage but the pay increase was not that good IMO."
"For that job, I think you need to be compensated for the physical and mental demands of the job."
"It's a hard job and they should be paid for the work, the pay rate in my community for the job with 60 credits is $14.50 but I think it should be more than that."-YourQueen2Bee
The question then becomes, why won't the people who HAVE money do something to help the quality of these jobs, and make sure that these people get paid?
"Everything in veterinary medicine. Kennel technicians, Veterinary assistants, Veterinary technicians, Veterinary receptionists, and Veterinarians."-aIsiduous
"Veterinary interns/residents, too. I work 70-120hrs+ per week, am on call about half the days per month, have to pay for my own board exams and accreditation fees out of pocket, and all for ~$33,000 per year."-WyrdHarper
"It's bullsh*t. There's nothing on this planet I want to do more than be a veterinarian, but I simply cannot afford the debt. Hopefully one day we'll get the recognition deserved. Stick in there, I know you got this!"--aIsiduous
In The Classroom
"I work in a special school, I love it but I really don't think we get paid enough for all the times we get yelled at, punched, kicked, bit, spat on, cursed at, have our classrooms trashed, have things thrown at us..."
"And then we also have parents making demands and admin telling us their 'simple' solutions to all of it that we have to carry out while they have zero clue on what it's actually like to spend a day in the classroom."-Sajiri
A Morbid State Of Affairs
"Funeral directors/embalmers/funeral professionals. We didn't get days or holidays off to begin with. Now the pandemic has stretched us to working double overtime, which we are exempt from getting paid for under Florida statutes."
"And forget hazard pay for being exposed to COVID multiple times a day every day via the deceased, the deceased's family members, the general public attending funerals, and the hospital/nursing facilities we remove decedents from."-Lesscute
So why are we holding off on giving these people a raise? Their jobs involve dangerous, mentally and emotionally taxing situations, and yet, we treat them as if society could function without them. The truth is it couldn't.
And society had best learn that as soon as possible.
What causes a small town to die?
Honestly, there can be quite a few factors, but perhaps the biggest one is that small towns often lack the upward mobility opportunities that are more available in urban areas.
As a result, many towns around the United States for instance have lost tens of millions of people as their populations seek jobs and opportunities elsewhere.
And what remains of these places can be pretty sketchy.
People told us more after Redditor RadicalizedSnackWrap asked the online community,
"What's a super sketchy US city that we never hear about?"
"Daytona Beach, FL. Imagine a bunch of alcoholic high school kids who came for spring break in 1984, and never left, and never grew up."
Oh, I don't have to imagine it.
I've seen it!
I lived in a neighboring town for a while and bodies would always turn up in farmer's fields that the cartel in Yakima had dropped off there."
Sounds like Netflix needs to get its hands on Yakima, a new show to go against Ozark.
"I remember a story..."
"Guntersville, Alabama. If I were to ballpark it, over 80% of the population are meth addicts and traffickers.
I remember a story where a man walked into the Walmart, took all the supplies and equipment required to cook, and proceeded to cook meth in the bathroom."
"A run-down town..."
"Reading, PA. A run-down town that is mostly used as a central point to run drugs between New York and Philly."
I am writing this from right nearby actually, and I can smell it from here.
"Small town almost entirely..."
"Butte, Montana. Small town almost entirely comprised of violent meth heads."
"More of a town than a city..."
More of a town than a city, but it's such a weird place, bordering on Twilight Zone. You'll see a meth house right next to a youth theatre."
According to a friend I have who spent a lot of time in Arizona, this sounds about right.
"Used to have..."
"Gary, Indiana. Used to have a prosperous steel economy, but now it's just home to abandoned buildings, failing infrastructure, and lots and lots of crime. Just look up pictures."
"I always said..."
"Amityville. Yes, that Amityville.
I always said the "Amityville Horror" house is for amateurs. You want something scary, put on a nice watch or a gold chain and wander around downtown Amityville after dark."
I went there once.
I have not been back.
"It looks harmless..."
"Harrisburg PA. It looks harmless and maybe a little boring but holy hell that place is a giant puddle of corruption just waiting for someone to step in it. Not just state government, there's a bunch of layers you can use to crawl up the corruption ladder."
"Used to be..."
"Natchez, Mississippi. Use to be the headquarters for the KKK. Not much there besides crackheads, plantation homes, and European tourists. Don't own a nice place if you're black, you'll be stopped by the police and questioned."
It doesn't look any of these are changing anytime soon, and that's sad.
Have some small towns to tell us about? Feel free to tell us more in the comments below!
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