Matched, then arrested a week later. What to do?

[Dave1980]

Why? She drunkenly beat up on a guy just trying to earn some money. Don't be a drunken jackass and you won't have any issues.

Because her entire career was sunk based on that one event. the punishment didnt fit the crime

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Members don't see this ad.

 

[dpmd]

Because her entire career was sunk based on that one event. the punishment didnt fit the crime

She lost her job due to a drunken assault. It was her own fault that the job happened to be one required for board certification in the specialty she wanted. She is practicing medicine in florida though so she didn't sink her entire career.

 

[RadaRada]

There's a copycat.

Unfortunately. I ended up disclosing. Waiting to see what my hospital will decide.

 

[Dave1980]

She lost her job due to a drunken assault. It was her own fault that the job happened to be one required for board certification in the specialty she wanted. She is practicing medicine in florida though so she didn't sink her entire career.

source? i dont think she is practicing.

we will agree to disagree here. she now has huge debt and the career she spent years working towards is gone forever because she got drunk one night and kicked an uber driver and messed up his car

 

[Mass Effect]

source? i dont think she is practicing.

we will agree to disagree here. she now has huge debt and the career she spent years working towards is gone forever because she got drunk one night and kicked an uber driver and messed up his car

Dr. Anjali Ramkissoon, MD - Neurology Specialist in Miami, FL | Healthgrades

Dr. Anjali Ramkissoon, MD is a neurology specialist in Miami, FL. She is affiliated with medical facilities HCA Florida Westside Hospital and Broward Health Coral Springs. She is accepting new patients and telehealth appointments.

www.healthgrades.com

 

[Dave1980]

Dr. Anjali Ramkissoon, MD - Neurology Specialist in Miami, FL | Healthgrades

Dr. Anjali Ramkissoon, MD is a neurology specialist in Miami, FL. She is affiliated with medical facilities HCA Florida Westside Hospital and Broward Health Coral Springs. She is accepting new patients and telehealth appointments.

www.healthgrades.com

thats a cannabis clinic in miami. hopefully she doesn't mind it and/or makes decent money. i feel bad for her. victim of the current cancel culture

 

[Mass Effect]

thats a cannabis clinic in miami. hopefully she doesn't mind it and/or makes decent money. i feel bad for her. victim of the current cancel culture

Cancel culture isn't new. She would have been fired even 20 years ago if she behaved that way and there was video footage.

 

[dpmd]

source? i dont think she is practicing.

we will agree to disagree here. she now has huge debt and the career she spent years working towards is gone forever because she got drunk one night and kicked an uber driver and messed up his car

She was a Caribbean grad who got fired from her residency for a violent assault. Her inability to get a new residency rests solidly on her own decisions. However you are absolutely incorrect about her having no career. She is actively practicing medicine in Florida and even supervises two PAs. FL DOH MQA Search Portal | Practitioner Profile

 

[Dave1980]

Cancel culture isn't new. She would have been fired even 20 years ago if she behaved that way and there was video footage.

its new in the sense that there is now video evidence of everything and in the past video footage of misbehavior was rare. so if not technically new it is exponentially increased in frequency

 

[hallowmann]

Cancel culture isn't new. She would have been fired even 20 years ago if she behaved that way and there was video footage.

Edit: Nevermind this doesn't need to be an Anjali Ramkissoon thread...

 

[smq123]

thats a cannabis clinic in miami. hopefully she doesn't mind it and/or makes decent money. i feel bad for her. victim of the current cancel culture

That’s not a cannabis clinic. Compass Health is a community mental health clinic. I’ve referred patients there for therapy.

 

[smq123]

Unfortunately. I ended up disclosing. Waiting to see what my hospital will decide.

Best of luck.

 

[Mass Effect]

its new in the sense that there is now video evidence of everything and in the past video footage of misbehavior was rare. so if not technically new it is exponentially increased in frequency

Meh, not really. We always had video of celebrities and pictures of even non-celebrities. Now that everyone carries a camera and computer in their pocket, it's more common and affects more everyday people, but there's nothing new about it.

 

[rokshana]

She was a Caribbean grad who got fired from her residency for a violent assault. Her inability to get a new residency rests solidly on her own decisions. However you are absolutely incorrect about her having no career. She is actively practicing medicine in Florida and even supervises two PAs. FL DOH MQA Search Portal | Practitioner Profile

Her being a Caribbean grad is irreverent, unless you think if she had been a US grad, they wouldn’t have fired her?

 

[VA Hopeful Dr]

Her being a Caribbean grad is irreverent, unless you think if she had been a US grad, they wouldn’t have fired her?

I'm guessing that means its harder to find a new residency than if she had been a USMD.

 

[dpmd]

Her being a Caribbean grad is irreverent, unless you think if she had been a US grad, they wouldn’t have fired her?

I'm guessing that means its harder to find a new residency than if she had been a USMD.

Va got it right. A us grad might have been able to get a new residency slot after time and some demonstrated contrition (perhaps by doing AA and anger management). Might not though. But a Carib grad I can't see getting a second chance.

 

[PikminOC]

Va got it right. A us grad might have been able to get a new residency slot after time and some demonstrated contrition (perhaps by doing AA and anger management). Might not though. But a Carib grad I can't see getting a second chance.

Didn't she get a psych residency? Otherwise how is she an attending at the mental health place?

 

[candbgirl]

Didn't she get a psych residency? Otherwise how is she an attending at the mental health place?

I think(and I do mean think) she was a resident when this happened. And actually pretty far a long in training.

 

[PikminOC]

I think(and I do mean think) she was a resident when this happened. And actually pretty far a long in training.

Yes but she lost that residency. I don't know if she got a new one

 

[dpmd]

Yes but she lost that residency. I don't know if she got a new one

You dont need to have finished residency to get a license and call yourself whatever kind of doctor you want

 

[PikminOC]

You dont need to have finished residency to get a license and call yourself whatever kind of doctor you want

Only a few states let you practice without a residency. And unsure you can call yourself whatever you want.

 

[dpmd]

Only a few states let you practice without a residency. And unsure you can call yourself whatever you want.

I said without finishing, not skipping residency entirely. Many states allow practice with just an intern year. And I haven't seen any med board cracking down on people doing cosmetic stuff without plastics residency so I doubt they will do anything to a non board eligible person doing mental health.

 

[Crayola227]

I said without finishing, not skipping residency entirely. Many states allow practice with just an intern year. And I haven't seen any med board cracking down on people doing cosmetic stuff without plastics residency so I doubt they will do anything to a non board eligible person doing mental health.

You are correct that the license to practice medicine and surgery allows very broad practice, but I am unsure if you can call yourself a psychiatrist or family medicine physician without board certification or eligibility. I just honestly don't know.

 

[RangerBob]

You are correct that the license to practice medicine and surgery allows very broad practice, but I am unsure if you can call yourself a psychiatrist or family medicine physician without board certification or eligibility. I just honestly don't know

I believe you cannot legally call yourself a family physician or psychiatrist (or any specialist) without actually finishing residency in that specialty. I could be wrong, but that's my understanding. Note the link above is healthgrades, so they're the one who called her a family physician, not necessarily the doc herself.

I believe however you can get creatively vague say you're a mental health physician, or a primary care physician, cosmetic physician, etc. If someone is a physician and is doing mental health (even with just an internship), they are accurate when they call themself a mental health physician.

Whether insurance would cover anything when seen by that provider is unclear and probably partly depends on their billing codes. But psych as a specialty is actually rated the lowest for accepting any insurance anyway, so it's probably pretty easy to just open a cash practice that charges less than the other psych docs in town, considering how much of a shortage there is.

As for why psychiatry accepts insurance at such low rates, I don't know if it's because so many are in private practice (and solo) compared to other specialties, and solo docs get pushed around by insurance companies more (as a solo doc myself I know it's take their offer or leave it--no negotiation when you're alone), or if it's because insurance won't reimburse for the psychotherapy they want to do; or if they're just profit-minded or plain unethical and don't accept insurance because then can. Topic for another forum...

 

[hallowmann]

Didn't she get a psych residency? Otherwise how is she an attending at the mental health place?

She did not. She completed >3.5 yrs of Neuro residency prior to being terminated. She then began working in "mental health" with a general practitioner license. She did not find a new residency, and her license is easily searchable/public information just like it is for every one of us.

I think(and I do mean think) she was a resident when this happened. And actually pretty far a long in training.

Like <6 mos of training left.

Only a few states let you practice without a residency. And unsure you can call yourself whatever you want.

Only 2 states allow you to practice without any residency as an "Associate/Assistant Physician". More information can be found here, although I don't know much about the validity of that website. >30 allow you to obtain a full license with only 1 year of GME and completion of the national licensing exams (USMLE/COMLEX series). Virtually all allow a full license with completion of 3 yrs of GME and completion of the licensing exam series. More information about state requirements for medical licensure can be found here.

What you can call yourself is highly variable and based on state medical boards and state-specific laws.

 

[PikminOC]

She did not. She completed >3.5 yrs of Neuro residency prior to being terminated. She then began working in "mental health" with a general practitioner license. She did not find a new residency, and her license is easily searchable/public information just like it is for every one of us.


Like <6 mos of training left.


Only 2 states allow you to practice without any residency as an "Associate/Assistant Physician". More information can be found here, although I don't know much about the validity of that website. >30 allow you to obtain a full license with only 1 year of GME and completion of the national licensing exams (USMLE/COMLEX series). Virtually all allow a full license with completion of 3 yrs of GME and completion of the licensing exam series. More information about state requirements for medical licensure can be found here.

What you can call yourself is highly variable and based on state medical boards and state-specific laws.

Which two? I think Wisconsin and Missouri. Now Florida too? I think Wisconsin requires at least one year of residency. I think Wisconsin requires people to be called gp. Her last name is Nobile now?

 

[rokshana]

I said without finishing, not skipping residency entirely. Many states allow practice with just an intern year. And I haven't seen any med board cracking down on people doing cosmetic stuff without plastics residency so I doubt they will do anything to a non board eligible person doing mental health.

She is an IMG, so more difficult to get an unrestricted license without at least 3 years of residency…I believe she was let go from her neurology residency and then later was able to get another one once things calmed down… but thought it was fm.

 

[dpmd]

She is an IMG, so more difficult to get an unrestricted license without at least 3 years of residency…I believe she was let go from her neurology residency and then later was able to get another one once things calmed down… but thought it was fm.

She was a fourth year resident whe this went down so the three year thing wasn't a problem.

 

[i-doctor]

Difficult situation!
I am a lurker on SDN here (old-timer here, as I’ve been in practice for over 25 years).
My recommendation is absolutely do NOT tell them. You have to go “by the book”. That is: You were honest in your application, and since you are not yet an employee and don’t even have a handbook of rules, you aren’t bound to any of those rules yet. So by telling them now you’re unnecessarily entering a hornet’s nest.
I agree with the poster above who said that telling them now would make it easier for them to replace you. It gives them a path of little resistance. If eventually you need to tell them (conviction, etc), do it later on when it’s almost impossible to replace you. You’ll be surprised at how accommodating they might be then!

I feel sorry for your generation. Everyone files charges, cops arrest everyone for everything, and I’ve read that something like 1/3 of all people who were born after 1990 have had a misdemeanor charge brought against them by age 25. I myself would never have become a doctor. I did all kinds of juvenile mischief. For example, I forged my birthday on my driver’s license— a potential felony—in a failed attempt (with older friends) to get into a strip club. The bouncer at the front door read me the riot act and then called my dad to inform him of what I did. No police, no arrest. That’s only one example.

 

[Mass Effect]

Difficult situation!
I am a lurker on SDN here (old-timer here, as I’ve been in practice for over 25 years).
My recommendation is absolutely do NOT tell them. You have to go “by the book”. That is: You were honest in your application, and since you are not yet an employee and don’t even have a handbook of rules, you aren’t bound to any of those rules yet. So by telling them now you’re unnecessarily entering a hornet’s nest.
I agree with the poster above who said that telling them now would make it easier for them to replace you. It gives them a path of little resistance. If eventually you need to tell them (conviction, etc), do it later on when it’s almost impossible to replace you. You’ll be surprised at how accommodating they might be then!

I feel sorry for your generation. Everyone files charges, cops arrest everyone for everything, and I’ve read that something like 1/3 of all people who were born after 1990 have had a misdemeanor charge brought against them by age 25. I myself would never have become a doctor. I did all kinds of juvenile mischief. For example, I forged my birthday on my driver’s license— a potential felony—in a failed attempt (with older friends) to get into a strip club. The bouncer at the front door read me the riot act and then called my dad to inform him of what I did. No police, no arrest. That’s only one example.

I mean, 2/3 manage to be law-abiding citizens. Somehow, most people can navigate this world without breaking the law.

 

[i-doctor]

I mean, 2/3 manage to be law-abiding citizens. Somehow, most people can navigate this world without breaking the law.

Lol true. My point is that there is practically no room for error in today’s world. And it helps to create a cohort of “flawless” new doctors who are all similar. Kind of like the Stepford Wives.

 

[Mass Effect]

Lol true. My point is that there is practically no room for error in today’s world. And it helps to create a cohort of “flawless” new doctors who are all similar. Kind of like the Stepford Wives.

Definitely not Stepford Wives. Wouldn't it be great if the default is law-abiding citizens? Being law-abiding also doesn't mean flawless which no one is.

 

[i-doctor]

Definitely not Stepford Wives. Wouldn't it be great if the default is law-abiding citizens? Being law-abiding also doesn't mean flawless which no one is.

Ok I’m sorry if I seem flippant, and obviously I have struck a nerve. It wasn’t my intention.

 

[Mass Effect]

Ok I’m sorry if I seem flippant, and obviously I have struck a nerve. It wasn’t my intention.

No nerve struck. But I don't think arguing for fewer laws just because some can't follow rules will ever win you points.

 

[Matthew9Thirtyfive]

No nerve struck. But I don't think arguing for fewer laws just because some can't follow rules will ever win you points.

It will with some crowds.

 

[Proudfather94]

I feel sorry for your generation. Everyone files charges, cops arrest everyone for everything, and I’ve read that something like 1/3 of all people who were born after 1990 have had a misdemeanor charge brought against them by age 25. I myself would never have become a doctor. I did all kinds of juvenile mischief. For example, I forged my birthday on my driver’s license— a potential felony—in a failed attempt (with older friends) to get into a strip club. The bouncer at the front door read me the riot act and then called my dad to inform him of what I did. No police, no arrest. That’s only one example.

From my experience I would say that people get away with too much crap nowadays. I had a family member that got into drugs and breaking the law since they were a teen and kept getting slapped on the wrist. Ovis without a driver's license breaking into cars to steal the stereos out of them as well as possession of drugs. Always got an extension to their probation that they never followed to begin with. This reinforced their behavior and made it worse. They got murdered before they were 30. Maybe if they were held accountable for their actions one time in their life they may have grown and have been a better person. Doubt it but I'll never know. Forging an Id to go to a strip club shouldn't end in a record but plenty of things should.

 

[hallowmann]

From my experience I would say that people get away with too much crap nowadays. I had a family member that got into drugs and breaking the law since they were a teen and kept getting slapped on the wrist. Ovis without a driver's license breaking into cars to steal the stereos out of them as well as possession of drugs. Always got an extension to their probation that they never followed to begin with. This reinforced their behavior and made it worse. They got murdered before they were 30. Maybe if they were held accountable for their actions one time in their life they may have grown and have been a better person. Doubt it but I'll never know. Forging an Id to go to a strip club shouldn't end in a record but plenty of things should.

I think one of the bigger issues with the legal system as a whole is the inherent inequity in the way in which punishment and charges are distributed, usually along racial and/or socioeconomic lines. I don't think there are necessarily "too much" or "too little" charges as much as just straight up inequity in how laws are enforced.

I mentioned this years ago on the pre-med forums, but in high school I was at a graduation party with a bunch of very wealthy (white) kids and there was tons of underage drinking and substance use there. Cops showed up due to noise, clearly saw what was going on (like no one there even tried to hide it - I was kind of shocked), and the police just joked and laughed, and said, "try to keep it down everyone" before leaving. Compare that to the numerous people that get felony charges or go to jail for low-level possession, or get pulled over for a "taillight" and are caught with a joint and charged, etc. Many people on the premed forum at the time called me a liar, in complete denial that there's any difference...

I'm not a proponent of recreational marijuana use, I don't think physicians should get a pass when it comes to breaking the law, etc. but the inequity in our legal system just makes me really question the real goals of criminalization of low level substance possession/use.

 

[dingyibvs]

She lost her job due to a drunken assault. It was her own fault that the job happened to be one required for board certification in the specialty she wanted. She is practicing medicine in florida though so she didn't sink her entire career.

Sorry to resurrect a dead thread, but I was googling to see what's up with her these days and found this thread. I don't know too much but I went to med school there when she was a resident and shared a mutual friend with her. Based on what the mutual friend told me at the time, Anjali was dealing with a lot back then. She had developed some mental health issues and was admitted to the hospital for about a month shortly before that incident.

The culture back then and even to some degrees now looks very unfavorably toward doctors with mental health issues. It might have even played a role in her firing (just my speculation), so she never divulged that part of the story. I'm not trying to paint her as a victim, as he definitely shouldn't have done what she did, but I think that should be known when people start judging her as a person (not saying that's what you're doing) based on one viral video.

I didn't know her very well, only had a few lunches with her, but she never struck me as a stuck up a-hole. While many who've seen the video only see a young, intoxicated doctor cursing out and kicking an Uber driver, from my perspective I think she just had a breakdown while going through a very tough time in her life that most of us have fortunately not gone through.

 

[hallowmann]

Sorry to resurrect a dead thread, but I was googling to see what's up with her these days and found this thread. I don't know too much but I went to med school there when she was a resident and shared a mutual friend with her. Based on what the mutual friend told me at the time, Anjali was dealing with a lot back then. She had developed some mental health issues and was admitted to the hospital for about a month shortly before that incident.

The culture back then and even to some degrees now looks very unfavorably toward doctors with mental health issues. It might have even played a role in her firing (just my speculation), so she never divulged that part of the story. I'm not trying to paint her as a victim, as he definitely shouldn't have done what she did, but I think that should be known when people start judging her as a person (not saying that's what you're doing) based on one viral video.

I didn't know her very well, only had a few lunches with her, but she never struck me as a stuck up a-hole. While many who've seen the video only see a young, intoxicated doctor cursing out and kicking an Uber driver, from my perspective I think she just had a breakdown while going through a very tough time in her life that most of us have fortunately not gone through.

The impression I had at the time was that it was well known she was struggling, had been depressed, and even had recently been through a difficult break up from a long-term relationship. While many outside of medicine may have viewed it more superficially, I would have hoped those in medicine did not, knowing the toll of training.

It doesn't absolve her of guilt or consequences though. She assaulted someone and destroyed their property publicly. Its unfortunate, but I think it would be hard to argue that she would come out of that unscathed regardless of her situation. Mental health concerns do not absolve someone of the guilt or consequences of their actions, it simply points out the importance of seeking treatment because of how devastating its effects may be on them and those around them. I also believe it should allow for people to get second chances (like she did with obtaining her medical license and continuing her career in medicine) depending on the severity of the action of course.

I will also say that the last line is a bit invalidating to a lot of physicians that have struggled less publicly or whose difficulty did not involve harming another. I've known plenty of physicians and residents that have struggled with debilitating depression, anxiety, and/or horrible grief both personally and professionally. I actually think a lot of physicians, and particularly trainees struggle like this at least once during their training.

 

[Ogbuefi]

Sorry to resurrect a dead thread, but I was googling to see what's up with her these days and found this thread. I don't know too much but I went to med school there when she was a resident and shared a mutual friend with her. Based on what the mutual friend told me at the time, Anjali was dealing with a lot back then. She had developed some mental health issues and was admitted to the hospital for about a month shortly before that incident.

The culture back then and even to some degrees now looks very unfavorably toward doctors with mental health issues. It might have even played a role in her firing (just my speculation), so she never divulged that part of the story. I'm not trying to paint her as a victim, as he definitely shouldn't have done what she did, but I think that should be known when people start judging her as a person (not saying that's what you're doing) based on one viral video.

I didn't know her very well, only had a few lunches with her, but she never struck me as a stuck up a-hole. While many who've seen the video only see a young, intoxicated doctor cursing out and kicking an Uber driver, from my perspective I think she just had a breakdown while going through a very tough time in her life that most of us have fortunately not gone through.

She seems to be doing fine. She answers something else i think. She was able to complete her training somewhere else

 

[hallowmann]

She seems to be doing fine. She answers something else i think. She was able to complete her training somewhere else

She did not complete her training. She just obtained a medical license, but she never finished residency (as I said above yrs ago). She got the license as a general practitioner who completed 3+ yrs of GME, she just didn't finish residency and as a result cannot be board certified. It really doesn't matter though, this happened 7 yrs ago, everyone involved has moved on.

 

[ak-aka-dak]

She did not complete her training. She just obtained a medical license, but she never finished residency (as I said above yrs ago). She got the license as a general practitioner who completed 3+ yrs of GME, she just didn't finish residency and as a result cannot be board certified. It really doesn't matter though, this happened 7 yrs ago, everyone involved has moved on.

She finished her last 6 months of neurology residency in 2021 at a community hospital and she did a fellowship in pain management. Click on the Education and Training tab.
FL DOH MQA Search Portal | Practitioner Profile

 

[VA Hopeful Dr]

She finished her last 6 months of neurology residency in 2021 at a community hospital and she did a fellowship in pain management. Click on the Education and Training tab.
FL DOH MQA Search Portal | Practitioner Profile

A 147 bed hospital with neurology and pain management training programs...

That said, having to be a GP for several years before going back and finishing seems a decent punishment. Bet she doesn't do this again.

 

[hallowmann]

She finished her last 6 months of neurology residency in 2021 at a community hospital and she did a fellowship in pain management. Click on the Education and Training tab.
FL DOH MQA Search Portal | Practitioner Profile

Wow, good for her I guess. 6 yrs later to do 6 mos at Larkin, a notorious training site amongst DOs. She definitely paid a price.

 

[Gonio5]

Even speeding tickets must be fought tooth and nail. In California, infractions (not even misdemeanors) that result in a $300 or more fine must be reported to the state medical board. I believe that is about 16 mph too fast so be very careful. 1-14 mph over the limit often results in less than a $300 ticket.

 

[i-doctor]

Even speeding tickets must be fought tooth and nail. In California, infractions (not even misdemeanors) that result in a $300 or more fine must be reported to the state medical board. I believe that is about 16 mph too fast so be very careful. 1-14 mph over the limit often results in less than a $300 ticket.

State Medical Boards are more strict with those applying for their initial license than those already licensed. (It’s easier for them to deny a license than to suspend one). For example, there are doctors out there with misdemeanor convictions for solicitation of prostitution, and rarely would they lose their license over that. Usually just a severe “reprimand”. But it’s harder to get an initial license with something like that on your record.

 

[dpmd]

State Medical Boards are more strict with those applying for their initial license than those already licensed. (It’s easier for them to deny a license than to suspend one). For example, there are doctors out there with misdemeanor convictions for solicitation of prostitution, and rarely would they lose their license over that. Usually just a severe “reprimand”. But it’s harder to get an initial license with something like that on your record.

I know a california doctor who traded plastic surgery for sex and he didn't lose his california license (though since completing the probation period for that he subsequently allegedly committed felony insurance fraud so they are deliberating what to do about that since 2019 or so

 

[Raryn]

State Medical Boards are more strict with those applying for their initial license than those already licensed. (It’s easier for them to deny a license than to suspend one). For example, there are doctors out there with misdemeanor convictions for solicitation of prostitution, and rarely would they lose their license over that. Usually just a severe “reprimand”. But it’s harder to get an initial license with something like that on your record.

Honestly, I don't see a reason why something that happens on the doctor's own time would lead to that sort of penalty - excepting issues with substance abuse, such as DUIs.

I will admit I had a couple speeding tickets when I got my medical CA license and it didn't lead to any issues. Just reported them and moved on.

 

[i-doctor]

Honestly, I don't see a reason why something that happens on the doctor's own time would lead to that sort of penalty - excepting issues with substance abuse, such as DUIs.

I will admit I had a couple speeding tickets when I got my medical CA license and it didn't lead to any issues. Just reported them and moved on.

It’s a gray area when it happens outside of the office. Spousal abuse, assault and battery, public indecency, embezzlement, bank robbery (!), etc. are examples of offenses which would occur on the doctor’s own time outside of the office. Do some or all of those justify losing one’s medical license? It’s all subjective .

 

[VA Hopeful Dr]

Honestly, I don't see a reason why something that happens on the doctor's own time would lead to that sort of penalty - excepting issues with substance abuse, such as DUIs.

I will admit I had a couple speeding tickets when I got my medical CA license and it didn't lead to any issues. Just reported them and moved on.

Part of it is leftover from the idea that doctors should set a moral example for the public. Part of it is basically "if your judgement was bad enough to get caught doing X is your medical judgement really that good?"