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Every industry has its hidden side that may be unappealing. It’s akin to visiting the kitchen of your favorite restaurant and seeing how grimy and untidy it actually is from behind the scenes. 

Much of this insider information remained concealed until someone posted this question on Reddit: “What’s the dark secret about your profession that the general public doesn’t know?”

People didn’t hesitate to respond, revealing what happens behind closed doors among lawyers, healthcare workers, educators, and service industry employees, to name a few. 

Many of these answers may shock you and make you question the fabric of society. But if you want to read about juicy industry secrets, scroll through this list.

#1

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Former heavy machinery worker. Everything from in facility work to road and construction work.

Every single guy...I mean every guy, that operates a backhoe or asphalt roller or bulldozer absolutely LOVES and gets a kick when we see kids watching and being interested in what we are doing. We all want to stop and let them on the machine and allow them to run it, but are only forced to not to because of rules and insurance.

When we get together for lunch we aren't talking about the women we saw. We're talking about the little boy in the red hoodie who clapped when we dumped a shovel. And not one guy teases you for thinking it was great, because otherwise the job is just grinding and our bosses suck.

I figured we needed a bit of positivity on this thread.

killbillydeluxe , IslandHopper X/Pexels (not the actual photo) Report

#2

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) It is entirely possible that your veterinarian will kiss your kitten's belly when you are not looking.

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Erdot
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I love vets that love my pet and are kind and sweet to them. Please, do kiss them each time you can.

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#3

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) The number of completely incompetent employees working in health care settings is appalling.

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cecilia kilian
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Elder care in memory care units is a disgrace in the US. The employees don't care because they are paid peanuts. The residents cannot complain because they no longer have the capacities to do so. Meanwhile the families are paying the price of a small car every month for "care", and the facilities' owners are reaping the profits.

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#4

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) I used to be a police officer: There were a lot of unspoken rules about making sure we had a high number of arrests. Demonstrating high arrest numbers meant we got federal/state grant money. This kept the prosecutor employed along with the entire court system and showed the town/city we needed a larger budget because of all the arrests. The entire criminal justice system is literally a giant business which [profits] off the backs of the public

T-Rat93 , Rosemary Ketchum/Pexels (not the actual photo) Report

#5

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Economist here. The dirty secret is that economists do actually know what they're doing, politicians and pundits just ignore us and do whatever they want to make more money for the rich. Oh and all conservative economic theory is a made up scam. Trickle down is a scam.

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Ray Ceeya (RayCeeYa)
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Some economists know what they are doing. Enough of them supported Reaganomics to screw this country hard in the 80s. At least most of them are clever enough to oppose Trump's TARIFFS TARIFFS TARIFFS strategy.

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#6

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Security guard: In an active shooter event, we're not going to protect your a*s. We're heading to the nearest safe exit and calling the cops.

HeyTuesdayPigInAPoke , YuriArcursPeopleimages/Envato (not the actual photo) Report

#7

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) 80% of women with developmental disabilities will experience SA. The statistics are already horrible for neuro typical women but most people outside the field have no idea it's so high. It is horrific.

wylderpixie , Becca Correia/Pexels (not the actual photo) Report

#8

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Funeral Director/Embalmer here. I don’t know that this is a particularly “dark” secret, but despite the rising popularity, the lack of understand around what cremation really is always shocks me. You do not get “ashes” back. You get back bone fragments. In school we had it drilled into us to never use them term “ashes” because it is so inaccurate and only perpetuates this misunderstanding. Your body is not reduced to a fine, powdery ash that will float off in the wind/water when scattered. It is reduced to large chunks of bone which are then processed to try to attain a fairly uniform consistency. Much more like a heavy sand.

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Nathaniel He/Him Cis-Het
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I loved making sandcastles with my grandad. But then my mum would tell me to put grandads ashes back in the urn.

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#9

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Book editor. Unless you have a massive social media following/built-in audience already, chances are very small you'll get published by a major house. Chances are even smaller that you'll make any money from your book. Just self-publish if you really want to get your work out there: the publishing industry is 95% about making money and 5% about publishing decent books.

ergo_slump , Claudia Uriarte Laya/Pexels (not the actual photo) Report

#10

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) I work in the gas pipeline industry and there's been massive accidents and terror attacks people have no idea about and were never reported nor ever will be. All over the world.

LuciusSweetsCrown , DeLuca G/Pexels (not the actual photo) Report

#11

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) When they make a pain cream, they put in ingredients to make you "feel" something, like menthol, because it's associated with "doing something" or "working". Simple not feeling anything (or less pain) is not associated with effecacy.

ThePainCream , Karolina Kaboompics/Pexels (not the actual photo) Report

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ZGutr
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

That's also true for toothpaste. The tingling feeling is actually your gums being irritated a little. It's giving us a feeling of 'fresh' and motivates the brushing.

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#12

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) A boutique hotel I worked at didn’t wash comforters unless they had to. And even then you really had to push. I was pulled to help with housekeeping fairly regularly in the busy season, found a quilt with blood on it - sent it to laundry. It was sent back 5 mins for being “clean enough” 🤢🤮

My housekeepers told me it was normal. I was horrified. I cringe staying at hotels and take a blanket when I can.

allthecrazything , Engin Akyurt/Pexels (not the actual photo) Report

#13

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Professors are regularly pressured into passing failing students to keep up graduation levels. I even had the registrar go into the system and change grades. Let’s just say I have seen my fair share of students who failed my science course but were passed by admins who are now building your bridges, interstates, buildings,levees, and multi-level parking lots.

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Cathy
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I work at a university in Europe and I can tell you we take grading very seriously.

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#14

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Persuasive design is unbelievably effective on websites.

A little scarcity message there, a little was/now pricing, a big ol' prominent "buy now" button in just the right place, badly designed filters that limit your ability to see the cheapest products.

Lots of websites are utterly garbage, and some might *look* garbage and have obviously annoying experiences (Amazon anyone?) but it's like that because you spend more money, and cost the company less money - not to make it good for you.

We know how long you spend on a page, what you look at, what will make you buy, and how to keep you engaged for as long as possible. We know you are using an iPhone - the newest, largest model - and are likely a wealthier prospect, so will tailor our messaging and pricing to squeeze every cent out of you that we can.

These experiments are conducted on you without your knowledge in order to make you part with your money.

bugbugladybug , Canva Studio/Pexels (not the actual photo) Report

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#15

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) The US public school system is on the brink of collapse.

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Ray Ceeya (RayCeeYa)
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2 months ago

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#16

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Food service, 20 years in the industry. Even surrounded by all of that food you barely have an opportunity to eat or drink anything. A lot of food service work is part time unless you're a manager, and if you're a salaried manager forget ever having a life outside of work, you are on call 24/7/365, even on your days off. You're on your feet from the moment you start your shift until you clock out. You barely have a chance to sit down unless you're using the bathroom. If you're waiting tables, you earn $2.13 per hour, and all of it is taken in taxes, so you're living on customer's tips. You have to balance a heavy tray of food and drinks on one hand while dodging coworkers and customers and trying not to spill anything. Then you have the customers with entitled attitudes who want their food fast, fresh and hot but don't want to wait for it and refuse to pay their server by tipping them for doing their job. There's a lot of prep work that goes on before the restaurant opens in order to get your meal out in a timely manner. If your restaurant serves breakfast you are awake when your customers are asleep, yep, you're clocking in at 3 am. And we wake up every day to do it for you. So treat restaurant workers well!

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Stephanie Did It
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Cue the flood of comments from all of the countries that pay food service workers a living wage, and who do not have to endure the entitled jerks to stay in business

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#17

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Professor. We are totally invested in helping you to make amazing work, we stick up for students all the time. We take the responsibility of helping you win very seriously. The only dark thing is that many people see it the other way around.

treetopalarmist_1 , RDNE Stock project/Pexels (not the actual photo) Report

#18

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) I work in laboratory support for a life sciences department at a mid-size university, and the amount of plastic waste we generate is astounding. .

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Becky Samuel
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This is unfortunately true, but at the moment absolutely necessary. We have learned some lessons from things like prion diseases (cannot be destroyed by normal heat sterilisation procedures). Although this waste problem will have to be tackled at some stage, it is absolutely dwarfed by the plastic consumed by the food industry, so making changes to that supply line first is the most important.

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#19

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) During an autopsy, we will not take care with your organs and stuff them back in any old how so they fit back in your chest cavity.

PathosMai , RF._.studio/Pexels (not the actual photo) Report

#20

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) No so much a dark secret, but authors make pennies on the dollar. Even mid-to-high level authors have to work a day job.

MicahCastle , Suzy Hazelwood/Pexels (not the actual photo) Report

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Jrog
Community Member
2 months ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

The average royalty rate is in the 8-10% for traditional publishing, and up to 15% for affirmed authors. Electronic distribution has much higher rates, up to double. An average book that got picked up by a major editor may sell 3-5000 copies at an average price of 15$. So, except for a few blockbusters an author earns a 5-10k/yr. The real money comes later with licensing and "long tail" commerce, with the book generating small revenues for longer time, compounding with the success of further books.

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#21

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Dental Hygienist here: Not sure if ppl are aware that a RDH only requires an associates degree in science (2 1/2 yr program), medium salary is approx. 70k, 4 day work week most offices, good hours (no nights), free dental care and usually discounted for family. It’s a pretty good career and if you work at a private practice it’s pretty easy because you’re seeing patients who return every 6 months and have good home care. I have friends graduating from a 4 year college and deep in debt getting 25k job offers. It’s not a bad gig.

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John Mosley
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

It's the whole "sticking my fingers into people's mouths" thing I wouldn't be able to handle.

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#22

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) 50% of our entire financial and banking system runs on legacy cobol code written prior to 1980.

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FlamingoPanda
Community Member
2 months ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

For those wondering how bad this is: if the code stops working or someone somewhere makes a seemingly small change then the whole system comes down. Globally. We have seen this on smaller scales with various internet outages most notably when someone took a vital javascript library (the internet runs on javascript) off github (place that coders often use to store their code safely) for reasons and suddenly half the internet was unusable. And the people who know Cobol are retiring currently with minimal new talent coming in. If you want to make yourself indispensable to society learn Cobol.

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#23

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) I worked at a mental health facility. They were all about image and money. Very few clients were ever discharged. They were far more interested in the money than actually helping people.

jlverno , Alex Green/Pexels (not the actual photo) Report

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#24

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) For anyone that didn't serve in the military, it's an absolute s**t show. Just another corporation with fancy names for managers and employees.

I don't know how the govt functions after having served lol.

demesm , Specna Arms/Pexels (not the actual photo) Report

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ZGutr
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2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

And I quote: "I know you have nothing to do!!! I don't care, just look busy!!!"

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#25

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Some farm stands and farmers market booths have fruits and vegetables from Costco repackaged into cardboard pints to make it look "home grown".

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sdorph
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2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This is pretty obvious just from the wide variety of fruit and vegetables they sell

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#26

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) I work in medical delivery strictly to hospice patients. As you can imagine they die frequently. We pick the equipment up to be returned to the warehouse and sanitized it for redelivery to other patients. It’s a shoe string industry with tiny profit margins. Every single company out there is picking up mattress, slapping a disposable cover on them and putting them back out at the next stop. Logistically there is no possible way everyone in the industry isn’t doing it. I personally refuse to do it. I’ve had a regional vp b***h at me about it and say we were in business to make money not to deliver clean equipment to someone that was going to die the next day. Even if you don’t account for urine and fecal matter there’s still roaches and bed bugs getting moved around all the time.

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Jrog
Community Member
2 months ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

"It’s a shoe string industry with tiny profit margins". You know what? You should not have "margins" at all. You should not even be deemed an "industry". Margins are resources taken out of your core activities. If you give people "in business to make money" any decision power you are creating an environmental push to degrade the quality of service in favor of their profits. Medicine should be a socialized business, with fees -as well as operational standards- decided by the single-payer caregiver, and close scrutiny on expenses.

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#27

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Vets in the US have a high s**cide rate. High debt, relatively low income relative to that debt and their level of schooling, a lot of client abuse and depressing cases, and access to euthanasia d***s.. and like we're taught the gold standard medicine but a lot of clients can't afford the gold standard, so you've got this frustration where you want to help but can't, and then you're accused of being heartless or just in it for the money. I left clinical medicine after two years for a series of non-clinical roles.

And the turnover rate on vet techs (the nurses in the vet hospital) is fairly high, estimated at about 30-35% with an average time in the industry of just 5-10 years.. and that's for your licensed techs that went to school for it. The school I used to teach at had similar findings in our own post-grad surveys, where a lot of our graduates would either leave the field entirely or leave clinical medicine for things like reference lab work, pet insurance, or pharmaceutical rep work after just a couple years.

daabilge , International Fund for Animal Welfare/Pexels (not the actual photo) Report

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TribbleThinking
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Just imagine a caring child who gets into this field because they want to help animals. Then they find that through their career, they spend a good amount of time putting down animals when it's simply the most humane thing to do. Talk about mental torture.

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#28

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) I'm a game developer who used to work on mobile games before moving to PC development. Mobile game developers know exactly how much you've spent on the game and when so they can target you with a pop-up at just the right time to get your money. This is a fairly automatic process though not someone sitting in a room watching you. A lot of people know this so I'll throw in a bonus secret - with regional pricing people in second and third world countries are paying a tiny fraction of what you pay for the same MTX. In first world countries it's all about finding the whale who will spend BIG on a game but in second/third countries they just try to maximise volumes of sale. Remember, an MTX usually cost about a day or less than that's work to implement but from then on costs the company exactly £0. You are buying thin air or worse yet just the opportunity to keep playing the game.

Super bonus third secret that I'm sure isn't much of a secret - mobile gaming ads are downright lies honestly. It's never the primary gameplay loop. It'll be in the game somewhere but limited access and never as good as it looks in the ad.

I just straight up don't recommend mobile gaming to people any more. There may be some good games out there but the majority are quite exploitative. Gambling but without the part where the company ever pays you any money. You just get a shiny hat or some bs.

NoMarsupial159 , Alexander Kovalev/Pexels (not the actual photo) Report

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Becky Samuel
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

What the heck is an "MTX"? I wish people wouldn't assume that we all understand their industry slang and acronyms.

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#29

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) IT guy, I Google or reddit half my problems. Your computers I buy from a place you could buy them from also I just mark them up 35% or more. I could care less if you look at p**n at work until I'm told to care. We talk about end users like they have the intelligence of a rock and we judge you on your technical skills. More techs than you want to know about will search your personal device for nudes given then chance.

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arthbach
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

It is so common in lots of professional jobs to look up information. You are not expected to have all of the information in your head. Instead, you are expected to be able to use the tools at your disposal, your experience, and your knowledge to find solutions to problems. An IT person looking up information is the equivalent of a GP (family doctor) looking up the correct dosage for a certain type of medication for their patient. It's not a secret, it's how it works.

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#30

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Pilot. I don't actually give a s**t if it's turbulent or you're uncomfortable back there. .

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Kristy Marion
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Wow. I’ve been a flight attendant 17 years and have heard about pilots like this but luckily never come across them. At my airline, the safety of their passengers (and crew) are their #1 priority. They all admit the flight deck is a lot smoother ride than down the back, and if we have any concerns to call them immediately. Let alone the fact that a good pilot would be avoiding turbulence as much as possible in the first place. You only have a job as a commercial pilot thanks to the passengers you arrogant tw*t!

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#31

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Journalists for the most part barely make minimum wage. They aren’t playing 3D chess with political messaging. They’re trying to file stories and photos from their phones after a 10-hour weeknight shift covering high school sports and city council meetings.

someoldbroad , Mido Makasardi ©️/Pexels (not the actual photo) Report

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cecilia kilian
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

It is a "many are called, few are chosen" situation. It takes talent, stamina, personality, and determination, as well as passion and curiosity to rise to the top. Two of my good friends are award-winning journalists who have enviable lifestyles, but they went through a lot to get where they are.

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#32

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) If you have a cardiac arrest, chances are more than likely that you will stay dead. Unless you have that cardiac arrest in a medical facility and they can correct which of the 8 (ISH) things that are reversible causes.

If you die you'll most likely stay dead, at worst you'll be rescued and become a vegetable for your family to make a tough decision over.

amboandy , Pavel Danilyuk/Pexels (not the actual photo) Report

#33

Not a dark secret but I've been trained on how to escort kindergarteners through hallways in the event of an active shooter. The one thing that haunted me was when they told us to instruct our students to run in a zig zag pattern if there was nothing to hide behind. That was a dark and depressing in-service.

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arthbach
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Everything to do with 'active shooter' drills, and governments refusing to tackle the problem of children dying from guns is so incredibly dark. In the USA, the leading cause of death in children is guns. "In 2020 and 2021, firearms contributed to the deaths of more children ages 1-17 years in the U.S. than any other type of injury or illness.... On a per capita basis, the firearm death rate among children and teens (ages 1-19) in the U.S. is over 9.5 times the firearm death rate of Canadian children and teens (ages 1-19). Canada is the country with the second-highest child and teen firearm death rate among similarly large and wealthy nations."

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#34

When we go to check the back, we’re only doing it to get you off our back, we aren’t really looking for the product you need.

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Stephanie Did It
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I've actually experienced that golden moment when the employee brought me the thing I asked for--from the back! (Choir sings)

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#35

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Accounting has a very high addiction/alcoholism rate. There is a very high chance your accountant was drunk or high while prepping your return.

That_Weird_Girl_107 , rolina Kaboompics/Pexels (not the actual photo) Report

#36

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Physician here.

If you go to a large academic medical center, most of your orders will be put in by overworked doctors that sometimes haven't slept for 24 hours and sometimes get paid less than minimum wage. But you can be guaranteed that there will be a doctor on 24/7 able to come to bedside if needed. Why is the system like this? Hospitals love cheap labor. Hiring more physicians would be expensive.

The alternative, of course, is to go to a smaller medical center, where there won't even be a doctor on site at night sometimes.

So to alleviate this shortage, many states are passing bills which would allow foreign physicians who haven't even done a residency in the US to come and work. That includes the physician who may have no idea about how the US healthcare system works, and yes, it's as bad as it sounds.

Why not train more physicians in the US you ask? Simple, the bottleneck is residency, for which meeting ACGME requirements to run a residency is...actually really hard (since there are many requirements to ensure that the graduating resident won't go out and k*ll people). Your local small hospital likely won't be able to set one up, so residency training spots are pretty much already saturated. Fixes to this problem will be much more difficult.

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Nils Skirnir
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

The AMA controls/strongly influences the number of med school slots in the US. This is as much to keep salaries high, as any other reason

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#37

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) I was a perfume sniper for a very high end store that may no longer be in business. Well, that was part of the job.


We had a quota of bottles to use up each shift.  Our manager would check behind the counter to make sure we weren't spraying into the trash can.


If we wanted to push a particular brand (more profit/commission) we'd dilute the competition's testers.


Our mantra:  we spray so you'll pay today.

Free-Bird-199- , Karolina Kaboompics/Pexels (not the actual photo) Report

#38

Retired person here. I swore I would never clog up stores or offices by coming in after-hours or on weekends, because people who are still working deserve priority. But sometimes I forget. Sorry.

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Fiona Bell
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2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

You are just as important, don't resign yourself to quiet times.

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#39

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) In pharma, your medicines are very safe. There are lots of checks and balances. The actual ingredients, including the active, are often pretty cheap, although the newer biologics are not. The finished pharma, the thing you actually take, has an enormous mark up but not to feed greedy rich men. The mark up pays for the next blockbuster, for advertising and for liability.

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#40

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Psychiatry: Newer antidepressant presented no more advancements in terms of efficacy than cheap-a*s 1980s Fluoxetine (Prozac). As a result, most of the current guidelines just tells you to prescribe whatever you like.

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FlamingoPanda
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2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Currently on Fluoxetine (not prozac though, different name brand) and for me it works well. But for many it does not. Depression is a tough nut to crack and nobody really knows why some people get depressed and others do not.

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#41

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) I'm a lawyer: 1/3 of us are active alcoholics, 1/3 of us are in recovery, and the last third have a drinking problem. There is something about being on call 24/7, being expected to close a deal in days, efficiently, without making a single mistake in documentation. I'm getting sh*t from a client for a messed up schedule. Yes, we made a mistake, but bro, you gave us a term sheet 8 days before you needed to close. The whole team was billing 16-20 hours daily on that deal. There are going to be mistakes

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Upstaged75
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2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

There are MANY different kinds of law to practice, and not all of them deal with crazy criminals. Most don't even involve going to court. My father was a patent attorney who worked with pharmaceuticals. If you've ever taken Mucinex you have him to thank for it. :)

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#42

Pharmacy (US-specific)

From the mid 90s or so, pharmacists were in high demand and salaries began to increase as a result of normal market forces in such a situation. The demand was compounded (hah!) in the mid-oughts when Medicare D went live, which also roughly coincided with the requirement that all future pharmacists must have a PharmD to get licensed.

Brief sidebar: PharmD is a 4-year doctorate similar to an MD in terms of structure (NOT particularly similar in challenge or rigor, especially these days, which I'll get to shortly) and cost. The degree had existed before, but was more of an advanced designation for pharmacists looking to get into clinical practice or teaching. The BPharm, a 5 year bachelor's degree had been the standard to practice in a community/retail setting prior to 2005 or so.

So anyway, huge demand continued to push salaries, and now the requirement for a fancier degree meant that a lot of new schools were opening up to help meet the demand, and also make money hand over fist by charging grad school rates for what used to be an advanced undergraduate profession.

Because pharmacy has no organization to monitor or control the number of schools opening, they rather overshot the target in terms of actual output of new RPhs needed, and we started to have a situation where there were too many pharmacists for not enough jobs. This resulted in retail chains pushing worse and worse working conditions, scheduling fewer hours to save money, and pharmacists would just take it because they were needing to borrow increasingly insane sums of money just to get the degree to get into the profession. Meanwhile the retail chains were also in a race to the bottom with each other for insurance reimbursements, doing anything to compete and meanwhile pushing reimbursement standards so low as to bankrupt many/most independent pharmacies.

While all this was going on, schools continued to open and attempt to fill all the seats in their classes, but the increasing costs, falling or stagnant pay, and progressively worse working conditions were driving prospective students away from the profession entirely. To remain profitable, schools started taking lower and lower quality students, and even do away with the requirement for the PCAT (an entrance exam sort of like a pharmacy version of the MCAT, but again much much easier; I have taken both and can say this with great confidence). The NAPLEX, the clinical licensing exam, is supposed to be a minimum competency text, meaning that if you finished a PharmD program you should be able to just walk in and pass it. Nevertheless, a growing number of schools are seeing first-time pass rates for their graduates below 90%, 70%, and even 60%.

So where this is all headed is there are way too many pharmacists, they are coming from an increasingly less selective pool of applicants, and working conditions are so poor that most of us know people who have just walked out of their job and the entire profession on a whim because the possibility of homelessness was preferable to another day working for CVS or Walgreens.

I struggle to believe that this situation hasn't resulted in direct patient harm thousands of times in the past year alone, and will continue to do so until something improves.

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Child of the Stars
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2 months ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

A bit of a side note: pharmacists are a severely underutilized resource in healthcare! My doctor may know what my condition is and what medication to prescribe, but the pharmacist is infinitely more knowledgeable on dosage, side effects, and interactions. I learned to use the pharmacist when my children were infants in order to treat things like fevers and teething pain pain because the pharmacist always had that information on hand. Since then, I ALWAYS go to my pharmacist before the doctor when my questions involve my medications.

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#43

I'm a lawyer and I think people would be surprised at the generally poor level of lawyer work and how most actual work is done by stressed out, overworked and underpaid 20-somethings. I don't know, maybe I'm a crotchety old guy or maybe I'm experienced enough to stop worrying about myself as much and pay more attention to everyone else's fuckups. I know Belichick said most football games were lost rather than won.

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dayngerkat
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2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

When I first started dealing with attorneys daily, I was surprised at how many are incompetent

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#44

There is so much extra b******t that it can be hard to do your actual job like you want to. You’re too busy clicking all the useless boxes so management stays off your a*s. This leads to burnout, stress, missing important things, and constant worry that you aren’t good enough. 

I probably googled or youtubed something right before doing it if it’s been a while. It’s fine. 

I have seen some questionable, dangerous, and borderline negligent stuff happen, and there are usually no consequences. Everything doesn’t need to be punitive, but there are definitely times when big things are swept away, especially depending on who did it.  

I’m about 99.9% dead inside, but I can fake it for eight hours a day. It is rare that anyone is seeing the real me at work. My performance could win an award. It is draining.  

 This list probably applies to so many jobs. .

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#45

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) Surgeon here. More of a positive secret. Sometimes I add in an extra organ for my favorite patients during surgeries. Tell me you like to drink and seem like a nice person? I just might graft in an extra kidney and maybe a spare liver lobe for you if I have one handy. You’re welcome! Our secret.

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David Morgan
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This is obviously a joke, everyone. Relax. Organ replacement is an incredibly involved process and it cannot possibly be done on a whim - if it was even attempted, any of the other five or so people in the room would intervene if only so they don't all go to jail. Whoever wrote this is just messing with you.

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#46

There really is no sex in the champagne room. I should know.... Part of my job is to watch an entire bank of cameras aimed at both the lap dance room and the champagne rooms. It's also my job to call a 'code p***s' which is when I see a guy in the champagne room trying to unzip his pants. Security goes to the room and there are no second chances, you're out!


Yet we still get people asking. LOL.

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Savahax
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

"What is a champagne room? A champagne room is a private space within a bar or club where guests can enjoy an intimate and lavish experience. These rooms are exquisitely designed, offering a secluded setting for celebrating special occasions or simply indulging in the grandeur of champagne." ---what?

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#47

Software development. I barely know what I'm doing, and my projects are built on a house of cards of legacy code. The guy i learned from sometimes knows less than me. Someone asked if my API is REST, and i was like "no. Wait..." looked it up. "Oh. Yes, yes it is. "

An app i made on a whim to help manage some things internally is about to be sold to the UN to monitor equipment for a considerable sum. I'm just winging it here!

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Ace
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2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Nothing wrong with "legacy code". The fact that it's been working well for years also implies that there's nothing wrong with it. The only problem is if you don't maintain the skillset to maintain or upgrade it.

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#48

“What’s The Dark Secret About Your Profession That The General Public Doesn’t Know?” (30 Answers) I work for a roofing supply company. Both in the warehouse and on the truck making deliveries. The amount of damaged materials we send out to peoples houses, simply just to get it out of our inventory, is astronomical.

This causes a few issues for everyone that isn’t us. To list a few, it could cause leaks in your roof, shingles to simply fly off in the wind, vents to clog. Or the most common issue, which is the customer has to buy “Better material”. Which isn’t taken off the original ticket order and comes out of pocket. Meaning sometimes people pay 150% to 175% more for a roof than what it would normally cost. So a 20k roof turns into a 33k roof. If not way more.

All of that simply so our material looks better to the eye when you come in to order stuff. And most of that goes into the salesman’s pocket via commission, so they won’t do much about throwing away anything or sending out better material. Unless a bigger company lines his pockets prior.

My advice, don’t get a roof redone unless insurance covers every bit of it.

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Jrog
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Trust me, it's more of an issue with your s****y company than an industry-wide thing.

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#49

Everyone is more than likely living with harmful mold in their walls and ceilings .

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#50

HVAC.
Most companies are being bought up by private Equity firms. They have no idea how to run an HVAC company, what it entails, or anything about equipment quality, life expectancy or maintenance requirements. They continually push to replace good equipment that may only be seven or eight years old. Regularly use high pressure sales tactics, but never call it that.

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Geoffrey Scott
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Yeah, had a tech tell me our furnace, which we had for 15 years, was junk. "ok, just fix the damn problem Billy". Worked fine another 5 years until my wife reminded me it was 20 years old, this during the pandemic. Guess where one of our stimulus checks went?

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#51

Carpenter here. I don't know how secret it is, but the waste we generate is unbelievable. 10-15% of what we buy gets thrown away as an industry standard, but I've had times where I have to get rid of 30-40% of my materials from a job (if, for example, I need a bunch of plywood pieces cut at 5' x 4', that means I have an equal number of 3' x 4' cutoffs from the 8' x 4' sheet) because I just don't have anywhere to store it all.

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Reset Game
Community Member
2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Why not donate to agencies that provide camping materials to homeless people with nearby free campgrounds? A lot of homeless people who go to those campgrounds use the campfires to cook.

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#52

Just how much time and effort it takes for a store to be clean and well organized. Time we don't always have if the store is busy. .

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Myoviridae
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2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This is why I apologized profusely the one time I broke something in a store (the pickle jar I was selecting brought the adjoining pickle jar with it and it crashed on the floor!). I started trying to pick up the pieces of the jar (because there were kids nearby) and an employee came over and told me to stop while I was cleaning. He did make me feel much better by saying he had broken a bottle of olive oil and that was a much bigger mess!

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#53

Railway. We get k*lled all the time. 3x a year in Canada alone, and that doesn't include life changing injuries.

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Apatheist Account2
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2 months ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

The OP does not personally get killed three times a year. I'm not sure what this is supposed to be saying. 3 deaths a year over the entire rail network? Sad, but not enormous.

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#54

That I spend most of my days at work during summer, either reading or surfing the webb, without getting any scoldings only a "Nothing to to I guess, sorry but I don't have anything to tell you to do right now" from my coworkers.

I work in a warehouse. Nothing happens during summer when everyone in every country in Europe goes on a two to three months vacation season.

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#55

I'm a hand hygiene reviewer for the healthcare facility I work in, not my only responsibility but it's one of them. In the province I'm in there are 4 moments to perform hand hygiene in a healthcare setting: before contacting the patient or the patient's environment, before an aseptic procedure or accessing clean supplies (includes gloves, clean linens, medical instruments, food, food utensils), after a risk of contacting or contacting bodily fluids, and after contacting the patient or the patient's environment. I'm one of many reviewers that records how often hand hygiene is being performed for these 4 moments. If they don't perform hand hygiene for one of these moments it's recorded as a miss and is deducted from the overall score of the facility. Not sure if this is standard everywhere in Canada or other countries.

I have access to all hand hygiene reviews from every healthcare facility in the city that has had one done, including EMS, for the last decade.

The scores are percentages, to pass you need at least 90%. The scores for some of these places are great, above 95%, but in other places the scores are abysmal.

One hospital in my city had a score in the low 60s.

I went to a doctor recently to look at a rash on my face, the score I would've given was 25%. He missed everything except using hand sanitizer when he came in. Put on gloves, touched the rash which had pus coming out, didn't even take the gloves off when typing on the computer, opened the door for me with gloves still on, took the gloves off incorrectly by touching the outside of the gloves, then I noticed him follow me out of the room without santizing his hands, and go to do paperwork or something, and he misdiagnosed me anyway to top it all off.

Ended up being shingles, he could've given chickenpox to the patient after me.

Not all places get reviews done on a regular basis either. The one hospital that had a score in the 60s last had a review done in 2015. Many places aren't even on the list, meaning they haven't had a hand hygiene review in at least 10 years, or there is such little data that they don't even have a score.

The kicker is that I need to announce that I'm doing a review, as with all other reviewers. So of course the people I'm reviewing are going to do their best to be perfect when they know someone is watching. But once I'm gone they'll likely go back to their old habits.

What that means is that the scores I see are likely 15%-20% worse than they actually are.

EMS had a perfect score, another hospital had 98% which is the best score for all the hospitals in the city, and my facility has one of the best scores in the city, last month we got 96%. Most places have at least 80%. So it's not all bad.

Edit: some words added.

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