(Speaking of which, I just placed an order for a doormat that says, "Ring the Bell and Let Me Sing You the Song of my People." It's signed, "The Dog.")
I don't want an amplified stethoscope. The reason for this is that I'm pretty sure that it will make me hear things I've never heard before, and then I'll have to think about what to do with all those extra splishes and splashes and noises and squeaks. Given that ignorance has long been my bliss, I'm convinced the amplified stethoscope will give me too much information, most of which I ahve no idea what to do with once I know it. While I can think deeply when pressed to do so, I',m porne to be intellectually lazy, and there are lots of things in this world that I jsut don't want to know. It's kind of like thinking of your parents not as the paterfamilias they've become, but as the young and hormYou know you're a product of their coupling, but you have no desire to know any of the whys and wherefores and certainly none of the how. It's simply too much information, and painful to boot.
Here's another example of how screwed up banks have become. Remember the crash of 2008, mostly fueled because banks were giving home loans to people who couldn't afford their mortgages or had poor credit? Two months ago I went to finance a home purchase. I felt pretty good about the financing, especially because I had heard about "physician loans" that would allow you to purchase with only 5%, or even 0% down. What a deal, right? But as I called around to banks, it turns out those loans were available only for doctors just out of residency or in the first 10 years of their practice.
I am an absolute advocate for collaborative Physician/Nurse Practitioner care. (I feel the same way about working with Physician Assistants). I think these models feature the best of both worlds. Nurses tend to look at psychosocial things doctors don't and can extend the reach of a clinical practice into underserved areas in a cost-effective manner. Physicians represent built-in consultants for management of more complex or problematic patients. Personally, I value the the nurse practitioner as a colleague to discuss problems and ideas from a different point of view. When I'm asked questions by mid-level providers about my diagnostic approach, treatment plans, or simply physiology, it helps keep me focused on the job at hand. (And selfishly, nurse practitioners are able to do those longer procedures, such as suturing, that otherwise take me out of the flow of the ED.)