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How Karens Are Born

Writer: Daniel Popescu, MD
Daniel Popescu, MD
6 hours ago
6 min read


Over the past few days, I've spent some time on Threads. And by that, I mean I installed the app and ignored it. If I don't look at it, surely some social media elf will magically appear and create the connections I'm looking for. Right now, I'm completely dissatisfied with social media. There's nothing social about the media we consume. Everyone just posts bullshit, and everyone keeps bombarding you with useless crap that you don't even know how to avoid getting into your head. 10 ways to leave him, 8 ways to win her back, 5 reasons why you have a small dick, 12 methods to make it bigger. The reason why you don't have friends... what everyday stress does to you, 10 tips for succeeding in business, and then we start all over again with the same bullshit.


Years ago, life meant interacting with the people around you. Having meaningful connections, having a circle of friends with whom you could learn to solve your problems. Today, we're living in an idiocracy. Our lives have become nothing more than an endless scroll in search of the next trend. It doesn't even matter what trend we're talking about anymore. Keeping up with... George! What the fuck? Life is meant for interacting with other people, not sitting on the couch scrolling through our phones. Our children's pediatrician told us a story about a group of teenagers sitting on a couch who, instead of interacting with one another, were sending each other funny things on their phones. Three or four young people sitting on the same couch, all holding their phones, laughing at things they were sharing with each other.


Like I said, social media has nothing to do with being social. It's just a piece of shit media that's delivered to you again and again, whether you want it or not. There are no social connections, no relationships between users. Everyone just posts BS in some kind of brain-frying media competition. And I haven't even touched on the whole fake social media phenomenon, where internet multimillionaires share how much they enjoy expensive things, fast cars, and $1,000 steaks. Germans have an incredibly fitting expression for this: "Klein Schwanzsyndrom," or small penis syndrome. I would argue that the smaller the penis, the more expensive the car. This is especially true among younger generations.


On Threads, I came across a comment that made me stop and think for a moment, trying to understand what the person was actually saying. Marlyna said: “When your family doctor forgets to call you back, that means the blood test results can't be that serious, right? RIGHT? Nurse: ‘Yes, your stores are low or even completely depleted. I'll let the doctor know and call you right back.’ It's already been about two hours since that ‘right back.’”


So, from this post, I understand that the doctor forgot to call her, or perhaps simply hasn't had the chance yet. However, we're starting from the assumption that the agreement was actually that the doctor would call her back. What I do notice, however, is that more and more patients seem to expect their doctors to be their personal servants. From my point of view, there are only two valid options. The patient accepts that the doctor will review the results and, if there's something that needs to be discussed, the patient will be contacted. And here there are two further possibilities: either the case is so urgent that the doctor will personally call the patient, which is also how I manage emergencies. Not necessarily because someone else couldn't do it, but rather because I'm a control freak. I want to control exactly what information I communicate to the patient so that there is no room for doubt. If, however, the situation is not an emergency, then either we discuss it at a later appointment or the nurses will contact the patient when they have the necessary time.


Lately, a new class of patients has been emerging: the excessively demanding patient. The patient who requests medically unnecessary examinations and wants the doctor to call them personally even when the results are normal. Like some kind of personal physician. If we look at Marlyna above, I wonder which stores are depleted. Her oxygen stores? She's probably referring to her iron stores. Iron depletion is never a medical emergency. It's something that can be addressed at a later date without any medical significance. Most often, such a patient would simply make another appointment one or two weeks later and receive oral iron tablets to take for six months. I fail to see the urgency that required the nurse to return her call within a few hours.


Why can any business refuse customers, but when doctors refuse patients, they're viewed with a certain stigma? Why can a banker tell you to fuck off, but if you hear that from a doctor, it's an absolute crime? Ultimately, just as patients have the right to choose their doctor, doctors also have the right, apart from emergencies, to refuse patients.


What bothered me most about her comment was the expectation that the doctor's office should contact her immediately, within just a few hours, without any consideration for the needs of other patients. It never even crossed her mind that there might have been other medical needs that had to be addressed, or other patients who might have benefited more from the doctor's attention than she would. The fact that she posted it online means she's also looking for some kind of validation, reassurance that she's not the problem. I'm convinced that if the same person urgently needed to see a doctor, she would be very upset if she couldn't get an appointment because the doctor was busy calling patients. So what exactly do we want? Do we want the entire system to be built so that we, as patients, are always at its center?


Personally, I have zero tolerance for such entitled patients. I would have no problem telling them to fuck off and find another doctor. However, I'm trying to understand what the problem is within the system... Because we're not talking about just one entitled patient here, but about many of them. Ultimately, the problem identified in these two lines is actually individualism, selfishness, the idea of taking something at any cost while believing that she is entitled to it.


So what is the problem? Why do people have increasingly high expectations of doctors? In other posts, I've noticed another trend. Everyone is talking about poverty. Social media is full of young people complaining that, despite working hard, they don't have enough money left to make ends meet. Most explain how they were already living on the edge of subsistence a few years ago, and now, in 2026, just one week after receiving their salary, they have only 100 euros left. And not because they have excessive expenses, but simply because of the cost of living. Some of them even publicly share their budgets and what they spend their money on and their expenses are actually quite modest.


From these comments, we can destroy a myth: "Young people today don't want to work!" Who the fuck said that? If young people today weren't working and didn't want to work, they wouldn't be complaining about their salaries. Young people today work harder than ever for lower wages than ever. Their purchasing power is zero, and they can see themselves trapped in an economic system. Then idiots like Trump come along and destroy the entire world just for personal profit. It's sad to read about people in their twenties struggling to buy a bottle of water.


And when we destroy society like this, when we steal everything people have, when we handcuff them to jobs they'll never escape from but in which they'll never prosper, we've achieved our master plan. Today's young people, those twenty-year-olds complaining on social media, are actually modern-day slaves. They're slaves to the elites, to the one percent of the population, or rather, to the Epstein class. What do you think happens to these people when they have nothing left to offer or lose? Some of them will turn against the constitutional rights they have, one of them being the right to healthcare.


In this way, the entire medical sector is facing new waves of dissatisfaction, frustration, selfishness, and violence that aren't actually directed at healthcare professionals personally, but at the system we live in. And when you lose the last thing, when the doctor doesn't call you or when he is ten minutes late for your appointment because they've just had to deal with an emergency, that's your moment. That's when you turn into Karen. Dr. Jekyll and Mr. Hyde.

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