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Doctor & Nurse

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Arcadian Rises - 15 Jan 2010 13:44 GMT
What is the difference between "doctor" and "nurse"? that is the
verbs, "to doctor" and "to nurse".
James Hogg - 15 Jan 2010 13:45 GMT
> What is the difference between "doctor" and "nurse"? that is the
> verbs, "to doctor" and "to nurse".

I'd rather be nursed than doctored.

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James

Arcadian Rises - 15 Jan 2010 13:51 GMT
> > What is the difference between "doctor" and "nurse"? that is the
> > verbs, "to doctor" and "to nurse".
[quoted text clipped - 3 lines]
> --
> James

But why the verb "doctor" has a negative connotation while "nurse" is
mostly positive? Is more education perverting?
Cheryl - 15 Jan 2010 14:02 GMT
>>> What is the difference between "doctor" and "nurse"? that is the
>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 5 lines]
> But why the verb "doctor" has a negative connotation while "nurse" is
> mostly positive? Is more education perverting?

No, I think it's because "doctor" has acquired a connotation of an
amateur meddling with something in hopes of fixing it or improving it by
the addition of something (like doctoring a drink to make it more
powerfully alcoholic) and "nurse" has the connotation of treating
something slowly and cautiously.

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Cheryl

Robert Bannister - 16 Jan 2010 01:52 GMT
>>>> What is the difference between "doctor" and "nurse"? that is the
>>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 8 lines]
> powerfully alcoholic) and "nurse" has the connotation of treating
> something slowly and cautiously.

Plus "nursing" makes men think about breasts (if there were any who
weren't thinking about them already) and this puts half the population
in a very positive mood.

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Rob Bannister

Dr Peter Young - 16 Jan 2010 08:50 GMT
>>>>> What is the difference between "doctor" and "nurse"? that is the
>>>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 11 lines]
>> powerfully alcoholic) and "nurse" has the connotation of treating
>> something slowly and cautiously.

> Plus "nursing" makes men think about breasts (if there were any who
> weren't thinking about them already) and this puts half the population
> in a very positive mood.

Not often used in this sense in BrE.

With best wishes,

Peter.

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Peter Young, (BrE, RP), Consultant Anaesthetist, 1975-2004.
(US equivalent: Certified Anesthesiologist)
Cheltenham and Gloucester, UK.           Now happily retired.
http://pnyoung.orpheusweb.co.uk

Amethyst Deceiver - 16 Jan 2010 13:19 GMT
>> Plus "nursing" makes men think about breasts (if there were any who
>> weren't thinking about them already) and this puts half the population
>> in a very positive mood.
>
>Not often used in this sense in BrE.

Used quite a lot in this sense by mums who are still nursing their
children.
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Dr Peter Young - 16 Jan 2010 13:55 GMT
>>> Plus "nursing" makes men think about breasts (if there were any who
>>> weren't thinking about them already) and this puts half the population
>>> in a very positive mood.
>>
>>Not often used in this sense in BrE.

> Used quite a lot in this sense by mums who are still nursing their
> children.

A regional thing? I spent quite a lot of my professional life in and
around the obstetric department, and I don't ever remember a
Gloucestershire person using the word in this sense. I've seen it a
lot in US literature, though.

With best wishes,

Peter.

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Peter Young, (BrE, RP), Consultant Anaesthetist, 1975-2004.
(US equivalent: Certified Anesthesiologist)
Cheltenham and Gloucester, UK.           Now happily retired.
http://pnyoung.orpheusweb.co.uk

Peter Duncanson (BrE) - 16 Jan 2010 14:41 GMT
>>>> Plus "nursing" makes men think about breasts (if there were any who
>>>> weren't thinking about them already) and this puts half the population
[quoted text clipped - 9 lines]
>Gloucestershire person using the word in this sense. I've seen it a
>lot in US literature, though.

I'm nervous about coming between a doctor and a nurse in this
conversation. However ...

My understanding of the phrase "nursing mother" is that it describes a
postnatal status. A "nursing mother" is one who is in the breastfeeding
stage of caring for her baby.

I don't know when I met the phrase but I'm sure it was decades ago. I
would not have got it from US sources. It was in use in England. It is a
phrase that is in my passive vocabulary. I would understand it but not
use it. I have no idea when I last heard it.

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Peter Duncanson, UK
(in alt.usage.english)

James Hogg - 16 Jan 2010 14:53 GMT
>>>>> Plus "nursing" makes men think about breasts (if there were any who
>>>>> weren't thinking about them already) and this puts half the population
[quoted text clipped - 18 lines]
> phrase that is in my passive vocabulary. I would understand it but not
> use it. I have no idea when I last heard it.

A Google search, for what it's worth:

"nursing mothers" site:uk about 19,900
"breastfeeding mothers" site:uk about 23,700

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James

Nick Spalding - 16 Jan 2010 14:57 GMT
Peter Duncanson (BrE) wrote, in
<8si3l5p2a49sjv8iu8ijsa4qtf32g5pda9@4ax.com>
on Sat, 16 Jan 2010 14:41:02 +0000:

> >A regional thing? I spent quite a lot of my professional life in and
> >around the obstetric department, and I don't ever remember a
[quoted text clipped - 12 lines]
> phrase that is in my passive vocabulary. I would understand it but not
> use it. I have no idea when I last heard it.

My experience is the same as yours.
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Nick Spalding
BrE/IrE

Peter Duncanson (BrE) - 16 Jan 2010 15:11 GMT
>I would understand it but not
>> use it.

Usual exception: If someone introduced the phrase into a conversation I
would use it during that conversation.

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Peter Duncanson, UK
(in alt.usage.english)

Amethyst Deceiver - 16 Jan 2010 17:12 GMT
>>>> Plus "nursing" makes men think about breasts (if there were any who
>>>> weren't thinking about them already) and this puts half the population
[quoted text clipped - 9 lines]
>Gloucestershire person using the word in this sense. I've seen it a
>lot in US literature, though.

When were you last in conversation, though, with women who are
breastfeeding now? We (okay, I include myself although YB hasn't
nursed for a little over two years now) talk about "nursing to sleep"
as well as talking about both breastfeeding and nursing in the same
sentence.
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I can't control the kittens. Too many whiskers! Too many whiskers!
http://sleeptalkinman.blogspot.com/

Dr Peter Young - 16 Jan 2010 17:41 GMT
>>>>> Plus "nursing" makes men think about breasts (if there were any who
>>>>> weren't thinking about them already) and this puts half the population
[quoted text clipped - 9 lines]
>>Gloucestershire person using the word in this sense. I've seen it a
>>lot in US literature, though.

> When were you last in conversation, though, with women who are
> breastfeeding now? We (okay, I include myself although YB hasn't
> nursed for a little over two years now) talk about "nursing to sleep"
> as well as talking about both breastfeeding and nursing in the same
> sentence.

Very recently, as it happens! The granddaughter is three months old in
two days' time, and the daughter always says "breastfeeding" rather
than "nursing". Also, the cafe below the maternity unit has a notice
"You are welcome to breastfeed here". I can only repeat that I've
never, as far as I can remember, heard anyone in this part of the UK
to use nursing in the sense of breastfeeding. Regional differences
persist, I'm glad to say.

With best wishes,

Peter.

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Peter Young, (BrE, RP), Consultant Anaesthetist, 1975-2004.
(US equivalent: Certified Anesthesiologist)
Cheltenham and Gloucester, UK.           Now happily retired.
http://pnyoung.orpheusweb.co.uk

Chuck Riggs - 16 Jan 2010 15:31 GMT
>>>> What is the difference between "doctor" and "nurse"? that is the
>>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 11 lines]
>powerfully alcoholic) and "nurse" has the connotation of treating
>something slowly and cautiously.

Nurses nurse and doctors heal, so all that is left for the verb
"doctor" are negative connotations.
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Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Don Phillipson - 15 Jan 2010 14:16 GMT
> > What is the difference between "doctor" and "nurse"? that is the
> > verbs, "to doctor" and "to nurse".
. . .
> But why the verb "doctor" has a negative connotation while "nurse" is
> mostly positive? Is more education perverting?

1.  In the medical professions, only doctors are permitted to
diagnose a disease and prescribe controlled drugs.  Nursing
connotes care to promote recovery, and nurses seem more
experienced and capable in this sort of care than doctors.

2.  The negative connotation of the verb "doctor" derives
from a twice-borrowed metaphor.   Broadway slang of the
1920s coined "script doctor" for a playwright skilled in
diagnosing the faults of a new play, and rewriting it so
that it may become a hit.  In the 1980s (?) US politicians' PR
aides adopted the term "spin doctor" to mean someone
skilled in making bad news seem good.  This metaphor became
so familiar that the verbs doctor and spin acquired the secondary
meaning of misrepresentation = false advertising = lying,

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Don Phillipson
Carlsbad Springs
(Ottawa, Canada)

LFS - 15 Jan 2010 14:49 GMT
>>> What is the difference between "doctor" and "nurse"? that is the
>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 16 lines]
> so familiar that the verbs doctor and spin acquired the secondary
> meaning of misrepresentation = false advertising = lying,

OED indicates that the negative connoatation arose much earlier:

    3. fig. To treat so as to alter the appearance, flavour, or
character of; to disguise, falsify, tamper with, adulterate,
sophisticate, ‘cook’.
1774 FOOTE Cozeners III. Wks. 1799 II. 188, I wish we had time though to
doctor his face. 1820 Edin. Rev. XXXIII. 138 Directions for..doctoring
all sorts of wines. 1847 DE QUINCEY Sp. Mil. Nun xxi. (1853) 66 Modes of
doctoring dice. 1866 Pall Mall G. 3 Jan., A serious doubt arises..as to
the trustworthiness of..the narratives thus doctored. 1884 St. James's
Gaz. 5 Dec. 6/1 By a few touches of a file on the milled edge, a coin
can be so ‘doctored’ as to fall almost invariably heads or tails at will.

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Laura
(emulate St. George for email)

Percival P. Cassidy - 15 Jan 2010 16:45 GMT
>>>> What is the difference between "doctor" and "nurse"? that is the
>>>> verbs, "to doctor" and "to nurse".

>>> But why the verb "doctor" has a negative connotation while "nurse" is
>>> mostly positive? Is more education perverting?

> OED indicates that the negative connotation arose much earlier:
>
[quoted text clipped - 7 lines]
> Gaz. 5 Dec. 6/1 By a few touches of a file on the milled edge, a coin
> can be so ‘doctored’ as to fall almost invariably heads or tails at will.

All the more reason to go back to calling "doctors" "medical
practitioners" or "physicians," especially since most of them in the
British-connected world don't have doctorates, and the so-called "MD"
degrees in the US are not significantly different from the non-doctorate
medical qualifications of their counterparts in the UK, Australia, etc.
Where are their doctoral dissertations?

Perce
ke10@cam.ac.uk - 15 Jan 2010 16:51 GMT
>>>> What is the difference between "doctor" and "nurse"? that is the
>>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 14 lines]
>Gaz. 5 Dec. 6/1 By a few touches of a file on the milled edge, a coin
>can be so ‘doctored’ as to fall almost invariably heads or tails at will.

I have often (well, sometimes... well, at least once) reflected on the odd
relationship between the nouns doctor and vet, and the experience of being
doctored or vetted.  "Doctored" is sometimes used as a euphemism for various
forms of sterilisation, some of them unpleasant; vets are more likely to carry
out these procedures, and doctors are more likely (occasionally) to do things
that might be described as vetting.

Katy
Athel Cornish-Bowden - 16 Jan 2010 17:43 GMT
> [ ... ]

> I have often (well, sometimes... well, at least once) reflected on the odd
> relationship between the nouns doctor and vet, and the experience of being
> doctored or vetted.  "Doctored" is sometimes used as a euphemism for various
> forms of sterilisation, some of them unpleasant; vets are more likely to carry
> out these procedures, and doctors are more likely (occasionally) to do things
> that might be described as vetting.

At last someone has mentioned what seems to have the the _only_ way I
heard "doctor" used as a verb WIWAL. I thought no one was going to say
this. A doctored cat or dog is a castrated or spayed cat or dog.

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athel

tony cooper - 16 Jan 2010 21:38 GMT
>> [ ... ]
>
[quoted text clipped - 8 lines]
>heard "doctor" used as a verb WIWAL. I thought no one was going to say
>this. A doctored cat or dog is a castrated or spayed cat or dog.

Photographs, reports, evidence and things like that aren't doctored up
in your area?
Signature

Tony Cooper - Orlando, Florida

Athel Cornish-Bowden - 17 Jan 2010 08:05 GMT
>>> [ ... ]
>>
[quoted text clipped - 11 lines]
> Photographs, reports, evidence and things like that aren't doctored up
> in your area?

Now, yes, but I said WIWAL.

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athel

Dr Peter Young - 17 Jan 2010 08:45 GMT
>> [ ... ]

>> I have often (well, sometimes... well, at least once) reflected on the odd
>> relationship between the nouns doctor and vet, and the experience of being
[quoted text clipped - 4 lines]
>> things
>> that might be described as vetting.

> At last someone has mentioned what seems to have the the _only_ way I
> heard "doctor" used as a verb WIWAL. I thought no one was going to say
> this. A doctored cat or dog is a castrated or spayed cat or dog.

At last? I did mention this two days ago!

[quote]

> Certainly in BrE, the verb "doctor" can signify castration, which
> might just be the origin of the pejorative sense.

> Years ago, when the term "positive vetting" in the security services
> was being bandied around, a veterinary surgeon wrote a letter to The
> Times (of London) objecting to this use of the verb "vet", and
> suggesting that the Ottoman Empire had its priorities right. Instead
> of vetting their public servants, they doctored them.

[unquote]

I have found that not all messages in this group get here, so perhaps
this one didn't get to Athel?

With best wishes,

Peter.

Signature

Peter Young, (BrE, RP), Consultant Anaesthetist, 1975-2004.
(US equivalent: Certified Anesthesiologist)
Cheltenham and Gloucester, UK.           Now happily retired.
http://pnyoung.orpheusweb.co.uk

Athel Cornish-Bowden - 17 Jan 2010 10:36 GMT
>>> [ ... ]
>
[quoted text clipped - 12 lines]
>
> At last? I did mention this two days ago!

I was reading the thread in the order that my newreader listed the
messages, which meant that I read Katy's before I read yours, and by
then I'd read many that didn't mention what seemed to me the commonest
meaning. Immediately after posting I realized that you had indeed
mentioned this, but it was too late to cancel my comment. (Maybe not: I
don't know if my newreader allows me to cancel postings: it's not
something I usually want to do.)

> [quote]
>
[quoted text clipped - 15 lines]
>
> Peter.

Signature

athel

Dr Peter Young - 15 Jan 2010 14:16 GMT
>>> What is the difference between "doctor" and "nurse"? that is the
>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 3 lines]
>> --
>> James

> But why the verb "doctor" has a negative connotation while "nurse" is
> mostly positive? Is more education perverting?

Certainly in BrE, the verb "doctor" can signify castration, which
might just be the origin of the pejorative sense.

Years ago, when the term "positive vetting" in the security services
was being bandied around, a veterinary surgeon wrote a letter to The
Times (of London) objecting to this use of the verb "vet", and
suggesting that the Ottoman Empire had its priorities right. Instead
of vetting their public servants, they doctored them.

With best wishes,

Peter.

Signature

Peter Young, (BrE, RP), Consultant Anaesthetist, 1975-2004.
(US equivalent: Certified Anesthesiologist)
Cheltenham and Gloucester, UK.           Now happily retired.
http://pnyoung.orpheusweb.co.uk

James Hogg - 15 Jan 2010 14:28 GMT
>>> What is the difference between "doctor" and "nurse"? that is the
>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 4 lines]
> But why the verb "doctor" has a negative connotation while "nurse" is
>  mostly positive? Is more education perverting?

Not necessarily, but the connotations of the verb reflect the fact that a
doctor does learn the skills required to alter a person's state, which
may involve manipulation and tampering (not to mention castration).

A nurse, on the other hand, is etymologically a feeder, providing
nutrition and tender loving care. This is often necessary after the
doctor has done his bit.

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James

Hatunen - 15 Jan 2010 21:16 GMT
>> What is the difference between "doctor" and "nurse"? that is the
>> verbs, "to doctor" and "to nurse".
>
>I'd rather be nursed than doctored.

I might have said that twenty years ago....

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James Hogg - 15 Jan 2010 21:32 GMT
>>> What is the difference between "doctor" and "nurse"? that is the
>>> verbs, "to doctor" and "to nurse".
>> I'd rather be nursed than doctored.
>
> I might have said that twenty years ago....

You mean you wish you'd said it?

Another interesting difference between doctor and nurse is seen in the
disappearing comma in a film title. First came "What's Up, Doc?" That
was followed by a cheap British sex comedy called "What's Up Nurse?"

Signature

James

Leslie Danks - 15 Jan 2010 21:51 GMT
[...]

> Another interesting difference between doctor and nurse is seen in the
> disappearing comma in a film title. First came "What's Up, Doc?" That
> was followed by a cheap British sex comedy called "What's Up Nurse?"

Doc?

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Les (BrE)

Hatunen - 15 Jan 2010 22:03 GMT
>>>> What is the difference between "doctor" and "nurse"? that is the
>>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 3 lines]
>
>You mean you wish you'd said it?

I mean that twenty years ago nurses were almost always female.
Today half the nurses I run into are male.

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  ************* DAVE HATUNEN (hatunen@cox.net) *************
  *       Tucson Arizona, out where the cacti grow         *
  * My typos & mispellings are intentional copyright traps *

Hatunen - 15 Jan 2010 22:05 GMT
>>>> What is the difference between "doctor" and "nurse"? that is the
>>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 7 lines]
>disappearing comma in a film title. First came "What's Up, Doc?" That
>was followed by a cheap British sex comedy called "What's Up Nurse?"

Was "What's up, Doc?" a Bugs Bunny cartoon?

Signature

  ************* DAVE HATUNEN (hatunen@cox.net) *************
  *       Tucson Arizona, out where the cacti grow         *
  * My typos & mispellings are intentional copyright traps *

James Hogg - 15 Jan 2010 23:05 GMT
>>>>> What is the difference between "doctor" and "nurse"? that is
>>>>> the verbs, "to doctor" and "to nurse".
[quoted text clipped - 8 lines]
>
> Was "What's up, Doc?" a Bugs Bunny cartoon?

The one I meant was a Peter Bogdanovich film with Ryan O'Neal and Barbra
Streisand.

I don't think I ever saw what was up nurse. The distinguished cast
included John Le Mesurier, Graham Stark and Andrew Sachs.
The nurse was played by Felicity Devonshire.

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James

Evan Kirshenbaum - 15 Jan 2010 23:19 GMT
>>Another interesting difference between doctor and nurse is seen in
>>the disappearing comma in a film title. First came "What's Up, Doc?"
>>That was followed by a cheap British sex comedy called "What's Up
>>Nurse?"
>
> Was "What's up, Doc?" a Bugs Bunny cartoon?

Originally (1950, although the phrase, as associated with Bugs, is
older, probably back to his first appearance in 1940).  There was also
a 1972 film (one of my absolute favorites) with Barbara Streisand and
Ryan O'Neal, which showed a bit of the cartoon.  _What's Up Nurse!_ is
listed by IMDB as 1977.

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Chuck Riggs - 16 Jan 2010 15:40 GMT
<snip>

>There was also
>a 1972 film (one of my absolute favorites) with Barbara Streisand and
>Ryan O'Neal

Was it better than Gone With the Wind, Doctor Zhivago or Moby Dick?
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Evan Kirshenbaum - 16 Jan 2010 17:34 GMT
> <snip>
>
[quoted text clipped - 3 lines]
>
> Was it better than Gone With the Wind, Doctor Zhivago or Moby Dick?

Subjectively, I enjoyed it more (I haven't seen Moby Dick), but I like
comedies.  I've seen it a number of times now, and it's one of the
only movies that is guaranteed to make me laugh out loud and is likely
to leave me laughing so hard I get tears.

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Roland Hutchinson - 16 Jan 2010 20:48 GMT
>>>Another interesting difference between doctor and nurse is seen in the
>>>disappearing comma in a film title. First came "What's Up, Doc?" That
[quoted text clipped - 6 lines]
> 1972 film (one of my absolute favorites) with Barbara Streisand and Ryan
> O'Neal, which showed a bit of the cartoon.

I may have previously mentioned that I'm a sucker for films in which the
musicologist gets the girl.

The list is, for some unfathomable reason, quite short.

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Roland Hutchinson       

He calls himself "the Garden State's leading violist da gamba,"
... comparable to being ruler of an exceptionally small duchy.
--Newark (NJ) Star Ledger  ( http://tinyurl.com/RolandIsNJ )

musika - 16 Jan 2010 22:56 GMT
>>>> Another interesting difference between doctor and nurse is seen in
>>>> the disappearing comma in a film title. First came "What's Up,
[quoted text clipped - 12 lines]
>
> The list is, for some unfathomable reason, quite short.

Just like real life, eh?

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Ray
UK

Roland Hutchinson - 17 Jan 2010 04:27 GMT
>>>>> Another interesting difference between doctor and nurse is seen in
>>>>> the disappearing comma in a film title. First came "What's Up, Doc?"
[quoted text clipped - 14 lines]
>
> Just like real life, eh?

Even better than real life.  It's the movies, innit.

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Roland Hutchinson       

He calls himself "the Garden State's leading violist da gamba,"
... comparable to being ruler of an exceptionally small duchy.
--Newark (NJ) Star Ledger  ( http://tinyurl.com/RolandIsNJ )

Chuck Riggs - 16 Jan 2010 15:37 GMT
>>>>> What is the difference between "doctor" and "nurse"? that is the
>>>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 9 lines]
>
>Was "What's up, Doc?" a Bugs Bunny cartoon?

In many Bug Bunny cartoons, it was the question BB often asked of
Elmer Fudd, I think he was.
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Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Chuck Riggs - 16 Jan 2010 15:34 GMT
>>>> What is the difference between "doctor" and "nurse"? that is the
>>>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 7 lines]
>disappearing comma in a film title. First came "What's Up, Doc?" That
>was followed by a cheap British sex comedy called "What's Up Nurse?"

Without the missing comma there would be no irony in the title.
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Cheryl - 15 Jan 2010 13:59 GMT
> What is the difference between "doctor" and "nurse"? that is the
> verbs, "to doctor" and "to nurse".

A doctor diagnoses illnesses and prescribes courses of treatment. A
nurse does the day-to-day caring for the patient. So "to doctor" (a
slightly unusual term) would be to diagnose and administer treatment,
although I think I've heard it used by extension to mean to poke around
at a piece of machinery in an attempt to fix it, and also to alter
something, such as to doctor the punch by adding brandy.

"To nurse" means to care for something or someone in a more hands-on way
than either by diagnosing or fixing. You nurse a patient by giving
medications, washing, bandaging etc. You nurse your own painful ankle by
not walking on it. And of course, nursing a baby usually means
breast-feeding it, but a nurse in charge of children may, in some
contexts, be a baby-sitter and not a wet-nurse at all.

There are lots of other ways to use the words in any dictionary.

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Cheryl

tony cooper - 15 Jan 2010 15:12 GMT
>> What is the difference between "doctor" and "nurse"? that is the
>> verbs, "to doctor" and "to nurse".
>
>A doctor diagnoses illnesses and prescribes courses of treatment. A
>nurse does the day-to-day caring for the patient. So "to doctor" (a
>slightly unusual term)

Not really that unusual.  In photography we often speak of "doctored"
photos or "to doctor up" a photo with Photoshop.  

>would be to diagnose and administer treatment,
>although I think I've heard it used by extension to mean to poke around
>at a piece of machinery in an attempt to fix it, and also to alter
>something, such as to doctor the punch by adding brandy.
>
Signature

Tony Cooper - Orlando, Florida

Chuck Riggs - 16 Jan 2010 15:44 GMT
>A doctor diagnoses illnesses and prescribes courses of treatment. A
>nurse does the day-to-day caring for the patient.

Due to the doctor shortage in an ever-aging world, nurses are being
allowed to prescribe some basic, and some not-so-basic, medications in
more and more parts of the world, Ireland included.
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Percival P. Cassidy - 16 Jan 2010 16:15 GMT
>> A doctor diagnoses illnesses and prescribes courses of treatment. A
>> nurse does the day-to-day caring for the patient.

> Due to the doctor shortage in an ever-aging world, nurses are being
> allowed to prescribe some basic, and some not-so-basic, medications in
> more and more parts of the world, Ireland included.

In the USA new categories of nurse are multiplying. In addition to RN
(Registered Nurse), we now have:

LPN (Licensed Practical Nurse);
LVN (Licensed Vocational Nurse, the Texas and California version of LPN);
CNA (Certified Nurse Assistant);
NP (Nurse Practitioner, an upgrade from an RN);
and no doubt others.

And then there is the PA (Physician's Assistant)

Perce
Pat Durkin - 16 Jan 2010 16:28 GMT
>>> A doctor diagnoses illnesses and prescribes courses of treatment.
>>> A
[quoted text clipped - 16 lines]
>
> And then there is the PA (Physician's Assistant)

Yes.  NAs and PAs are allowed to prescribe.  They also do some
diagnoses, but that work is done with approval of a supervising
doctor, I believe.  That is, the doctors may give them blanket
approval to diagnose, but perhaps put limits on the scope or nature of
the ailments they can diagnose, trusting that the PAs and NAs will
seek them or other doctors for assistance in complicated cases.  In
emergent* situations, I think they are free agents, just like any Good
Samaritan.

*re our earlier threads on this emerging usage.
Skitt - 16 Jan 2010 20:11 GMT
>>>> A doctor diagnoses illnesses and prescribes courses of treatment.
>>>> A nurse does the day-to-day caring for the patient.
[quoted text clipped - 25 lines]
>
> *re our earlier threads on this emerging usage.

My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.  She
also refers her patients to specialists, when required.
Signature

Skitt (AmE)

Pat Durkin - 16 Jan 2010 20:56 GMT
>>>>> A doctor diagnoses illnesses and prescribes courses of
>>>>> treatment.
[quoted text clipped - 34 lines]
> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
> She also refers her patients to specialists, when required.

Oops!  I meant NP and PA.  My niece works in a clinic as a PA.  She
certainly relieves the workload for the doctors.  I think that, after
10 years in that clinic, she is much trusted for a high level of
responsibility.  And, of course, she has continuing education credits
up the wazoo.
Chuck Riggs - 17 Jan 2010 15:16 GMT
>>>>> A doctor diagnoses illnesses and prescribes courses of treatment.
>>>>> A nurse does the day-to-day caring for the patient.
[quoted text clipped - 27 lines]
>
>My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.

Is no doctor involved in this process?

>She also refers her patients to specialists, when required.

That "when required" is what would spook me. She hasn't received the
formal training a doctor has, after all.
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Skitt - 17 Jan 2010 19:00 GMT
> "Skitt" wrote:

>> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
>
> Is no doctor involved in this process?

Right -- no doctor.

>> She also refers her patients to specialists, when required.
>
> That "when required" is what would spook me. She hasn't received the
> formal training a doctor has, after all.

Hmm, I think her training (and experience) is quite extensive, though.
Signature

Skitt (AmE)

Chuck Riggs - 18 Jan 2010 12:19 GMT
>> "Skitt" wrote:
>
[quoted text clipped - 10 lines]
>
>Hmm, I think her training (and experience) is quite extensive, though.

I don't doubt it, but amateurs sometimes bite off more than they can
chew. She might overlook the need for a referral.
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

sjdevnull@yahoo.com - 18 Jan 2010 16:55 GMT
> >>> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
>
[quoted text clipped - 11 lines]
> I don't doubt it, but amateurs sometimes bite off more than they can
> chew. She might overlook the need for a referral.

A Nurse Practitioner is far from an amateur.  It's 3-4 times as much
training to become a NP as to become a licensed practical nurse.

A potential NP needs to complete all the RN credential and pass that
exam, then complete the BSN if their RN certification was via
associate's degree.

The the candidate has to complete postgraduate training--the minimum
used to be a Masters of Science in Nursing, but in the US a Doctor of
Nursing Practice degree or the equivalent is now required or will be
in the next few years.

Then there are both state licensing and national board certification
procedures before practice as an NP can begin.
Chuck Riggs - 19 Jan 2010 12:08 GMT
>> >>> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
>>
[quoted text clipped - 26 lines]
>Then there are both state licensing and national board certification
>procedures before practice as an NP can begin.

Yesterday, I looked at "Nurse Practitioner" and thought "Practical
Nurse". My mistake. From your explanation, above, I see there are some
major differences.
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Skitt - 18 Jan 2010 19:27 GMT
>>>> My wife's "doctor" is an NP.  She diagnoses, treats, and
>>>> prescribes.
[quoted text clipped - 13 lines]
> I don't doubt it, but amateurs sometimes bite off more than they can
> chew. She might overlook the need for a referral.

As might a GP.  

Anyway, see what "sjdevnull@yahoo.com" wrote in answer to you.
Signature

Skitt (AmE)

Peter Moylan - 18 Jan 2010 01:40 GMT
>> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
>
[quoted text clipped - 4 lines]
> That "when required" is what would spook me. She hasn't received the
> formal training a doctor has, after all.

Whenever my GP has referred me to a specialist, I've had the impression
that he picks the specialist on the basis of whether he's played golf
with him. Would a NP have the necessary golfing experience to know who
is in the old boys' club?

Signature

Peter Moylan, Newcastle, NSW, Australia.      http://www.pmoylan.org
For an e-mail address, see my web page.

Skitt - 18 Jan 2010 01:47 GMT
>>> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
>>
[quoted text clipped - 9 lines]
> played golf with him. Would a NP have the necessary golfing
> experience to know who is in the old boys' club?

Probably not, but all our activities are at an HMO facility (Kaiser
Permanente).
Signature

Skitt (AmE)

Percival P. Cassidy - 18 Jan 2010 04:18 GMT
>>> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
>>
[quoted text clipped - 4 lines]
>> That "when required" is what would spook me. She hasn't received the
>> formal training a doctor has, after all.

> Whenever my GP has referred me to a specialist, I've had the impression
> that he picks the specialist on the basis of whether he's played golf
> with him. Would a NP have the necessary golfing experience to know who
> is in the old boys' club?

Here in the good old USA, with "the best health-care system in the
world," GPs refer patients to specialists based on whether that
specialist accepts that patient's health-insurance plan.

Perce
tony cooper - 18 Jan 2010 04:49 GMT
>>>> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
>>>
[quoted text clipped - 13 lines]
>world," GPs refer patients to specialists based on whether that
>specialist accepts that patient's health-insurance plan.

That hasn't been my experience.  When I have been referred to a
specialist I've been given more than one name to choose from.  It's up
to me to check with my insurance provider to see if the doctor is on
the list.  Or, I can carry in a book provided by my insurance provider
with a list of "approved" doctors and ask my primary care provider to
pick from that list.

Signature

Tony Cooper - Orlando, Florida

the Omrud - 18 Jan 2010 09:26 GMT
>> Here in the good old USA, with "the best health-care system in the
>> world," GPs refer patients to specialists based on whether that
[quoted text clipped - 6 lines]
> with a list of "approved" doctors and ask my primary care provider to
> pick from that list.

UK health insurers don't nominate doctors - they nominate private
hospitals, where you will see a doctor who is (or has been) an NHS
Consultant (the highest grade for a UK hospital doctor).  In practice,
unless you live in London, all private hospitals are covered by most
policies.

Signature

David

Dr Peter Young - 18 Jan 2010 10:27 GMT
>>> Here in the good old USA, with "the best health-care system in the
>>> world," GPs refer patients to specialists based on whether that
[quoted text clipped - 6 lines]
>> with a list of "approved" doctors and ask my primary care provider to
>> pick from that list.

> UK health insurers don't nominate doctors - they nominate private
> hospitals, where you will see a doctor who is (or has been) an NHS
> Consultant (the highest grade for a UK hospital doctor).  In practice,
> unless you live in London, all private hospitals are covered by most
> policies.

With the proviso that there is a difference of opinion between the
medical profession and the insurance companies about the worth of the
doctor's professional skill. Increasingly there is a shortfall in the
amount the companies will pay for medical fees. In British law, the
contract is between the patient and the doctor(s), not between the
patient and the company, and many people end up out-of-pocket.

With best wishes,

Peter (who kept out of private practice as much as possible).

Signature

Peter Young, (BrE, RP), Consultant Anaesthetist, 1975-2004.
(US equivalent: Certified Anesthesiologist)
Cheltenham and Gloucester, UK.           Now happily retired.
http://pnyoung.orpheusweb.co.uk

Chuck Riggs - 18 Jan 2010 12:24 GMT
>>>> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
>>>
[quoted text clipped - 13 lines]
>world," GPs refer patients to specialists based on whether that
>specialist accepts that patient's health-insurance plan.

Life is simpler, here. (ObAUE: Did I need that comma?)
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Skitt - 18 Jan 2010 19:29 GMT
> "Percival P. Cassidy" wrote:
 
>>> Whenever my GP has referred me to a specialist, I've had the
>>> impression that he picks the specialist on the basis of whether
[quoted text clipped - 6 lines]
>
> Life is simpler, here. (ObAUE: Did I need that comma?)

About the comma -- I don't think so.
Signature

Skitt (AmE)

Chuck Riggs - 19 Jan 2010 12:20 GMT
>> "Percival P. Cassidy" wrote:
>  
[quoted text clipped - 10 lines]
>
>About the comma -- I don't think so.

I don't see why. Isn't "here" an adverb that modifies "Life", but
which has nothing to do with "simpler"?
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Skitt - 19 Jan 2010 18:16 GMT
>>>>> Whenever my GP has referred me to a specialist, I've had the
>>>>> impression that he picks the specialist on the basis of whether
[quoted text clipped - 11 lines]
> I don't see why. Isn't "here" an adverb that modifies "Life", but
> which has nothing to do with "simpler"?

To tell you the truth, I don't really analyze things very much.  I use sort
of a feeling of what is right.  To me, this is a natural sentence with no
need for separation for the "here" from the rest.  In fact, I think a comma
there is downright wrong.  As far as I can tell, the examples in M-W Online
concur.
Signature

Skitt (AmE)

Frank ess - 19 Jan 2010 20:45 GMT
>>>>>> Whenever my GP has referred me to a specialist, I've had the
>>>>>> impression that he picks the specialist on the basis of whether
[quoted text clipped - 17 lines]
> In fact, I think a comma there is downright wrong.  As far as I can
> tell, the examples in M-W Online concur.

I see two possible emphases in the sentence:
It's important that I point out life is simpler in many places, but
particularly in our location (with comma)
It's important I point out that life is simpler where we are
(comma-free)

Signature

Frank ess

Chuck Riggs - 20 Jan 2010 14:22 GMT
>>>>>>> Whenever my GP has referred me to a specialist, I've had the
>>>>>>> impression that he picks the specialist on the basis of whether
[quoted text clipped - 23 lines]
>It's important I point out that life is simpler where we are
>(comma-free)

Since I intended to convey the second of those meanings, my comma
should go, by your analysis. I'm glad you straightened things out,
Frank.
Two points for you, Skitt.
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Robert Bannister - 21 Jan 2010 00:27 GMT
>>> My wife's "doctor" is an NP.  She diagnoses, treats, and prescribes.
>> Is no doctor involved in this process?
[quoted text clipped - 7 lines]
> with him. Would a NP have the necessary golfing experience to know who
> is in the old boys' club?

Three years ago, my doctor of over 20 years retired and I had to find a
new one. I now have a female doctor. She doesn't play golf, so I'm not
at all sure how sound her selection of specialists can be.

Signature

Rob Bannister

Chuck Riggs - 17 Jan 2010 15:10 GMT
>>>> A doctor diagnoses illnesses and prescribes courses of treatment.
>>>> A
[quoted text clipped - 27 lines]
>
>*re our earlier threads on this emerging usage.

Since a diagnosis is no more than "I think the patient has such and
such", essentially every nurse does that much. But before any action
is taken on the nurse's diagnosis, a doctor's concurrence is generally
required. With the shortage of doctors, certain types of diagnoses,
followed by a doctor's treatment, without the doctor's concurrence on
the diagnosis before that treatment, are the coming trend.
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

R H Draney - 16 Jan 2010 19:32 GMT
Percival P. Cassidy filted:

>In the USA new categories of nurse are multiplying. In addition to RN
>(Registered Nurse), we now have:
[quoted text clipped - 6 lines]
>
>And then there is the PA (Physician's Assistant)

(Read as Rodney Dangerfield:)

"Boy, I tell ya, nowadays they got a nurse for everything!  No sooner do I get
checked into my room, the shot nurse comes in and gives me a shot.  Couple
minutes later the pill nurse comes in and gives me a pill.  First thing next
morning the head nurse comes in, damn near gives me a heart attack!"

....r

Signature

A pessimist sees the glass as half empty.
An optometrist asks whether you see the glass
more full like this?...or like this?

Cheryl - 16 Jan 2010 21:14 GMT
>> A doctor diagnoses illnesses and prescribes courses of treatment. A
>> nurse does the day-to-day caring for the patient.
>
> Due to the doctor shortage in an ever-aging world, nurses are being
> allowed to prescribe some basic, and some not-so-basic, medications in
> more and more parts of the world, Ireland included.

Oh, yes, we call them nurse practitioners. The ones I've heard of have
very specialized training - there's extra on top of the RN program, and
then, if they're going to work in, say, vascular surgery, they do
further training in that.

I think in some places they 'specialize' in general care, and work in
family practice settings.

They've always done that in remote areas, of course, but it's becoming
more common in urban areas.

Signature

Cheryl

Chuck Riggs - 17 Jan 2010 15:22 GMT
>>> A doctor diagnoses illnesses and prescribes courses of treatment. A
>>> nurse does the day-to-day caring for the patient.
[quoted text clipped - 13 lines]
>They've always done that in remote areas, of course, but it's becoming
>more common in urban areas.

They've always done that in what Henry Kissinger, I think it was,
called third-world countries, too, but it's becoming more common in
the developed world.
Signature


Regards,

Chuck Riggs,
An American who lives near Dublin, Ireland and usually spells in BrE

Murray Arnow - 15 Jan 2010 14:20 GMT
>What is the difference between "doctor" and "nurse"? that is the
>verbs, "to doctor" and "to nurse".

What in the dictionary definitions confuses you?
Hatunen - 15 Jan 2010 21:21 GMT
>What is the difference between "doctor" and "nurse"? that is the
>verbs, "to doctor" and "to nurse".

Keep in mind that "nurse" has a far wider meaning than just being
one of the certfied employees in the health field. It appears to
eomc from old roote meaning soething like "nutritious". There are
"nurseries" (for children or plants), wet nurses, and so on.

Signature

  ************* DAVE HATUNEN (hatunen@cox.net) *************
  *       Tucson Arizona, out where the cacti grow         *
  * My typos & mispellings are intentional copyright traps *

James Hogg - 15 Jan 2010 21:29 GMT
>> What is the difference between "doctor" and "nurse"? that is the
>> verbs, "to doctor" and "to nurse".
[quoted text clipped - 3 lines]
> from old roote meaning soething like "nutritious". There are
> "nurseries" (for children or plants), wet nurses, and so on.

Yes, it comes from Latin "nutrix" a word formed by haplology from an
earlier "nutritrix", feminine of "nutritor".

Signature

James

R H Draney - 16 Jan 2010 06:40 GMT
Arcadian Rises filted:

>What is the difference between "doctor" and "nurse"? that is the
>verbs, "to doctor" and "to nurse".

"To nurse" has reciprocal meanings (a mother nurses her baby; a baby nurses at
the breast) that "to doctor" lacks....r

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An optometrist asks whether you see the glass
more full like this?...or like this?

 
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