Inpatient Consults: Not Helpful

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  • Опубликовано: 7 сен 2024
  • Sometimes inpatient consults aren’t as helpful as we hope

Комментарии • 190

  • @danielkim5477
    @danielkim5477 3 года назад +587

    As an oncology nurse, infectious disease is by far the most helpful specialty. This video is soooo accurate.

    • @Liuhuayue
      @Liuhuayue 2 года назад +5

      Yet they get paid so little.

    • @FunkyDumpsterKitty
      @FunkyDumpsterKitty 2 года назад +3

      Fellow Oncology RN here, and I agree! We already have the Onc consult. :)

    • @Erenmir
      @Erenmir Год назад +2

      As an I.D. doctor, thank you. Yet we almost never get called in our hospital for consults...

  • @Asnlvl2
    @Asnlvl2 3 года назад +700

    As a nurse who reads many MD notes, this is 100%

    • @lubystkaolamonola529
      @lubystkaolamonola529 3 года назад +15

      In nursing homes
      1) neurology: neuro check, CT
      2) pulmonology: chest X ray, robitussin
      3) GI: bm (bowel movement)
      4) cardiology: VS, bp meds up or down
      5) infectious disease: urine culture
      6) dermatology : nystatin
      7) ophthalmology: eye drops, glasses
      8) audiology: hearning aid
      9) psychiatry/psychology: involuntary petition, behavior monitoring
      10) orthopedics X ray
      11) hepatology/hematology: cbc, cmp, UA/CS
      12) oncology: DNR
      13) infection: keflex
      14) wound: bacitracin

    • @CC-ty6hn
      @CC-ty6hn 3 года назад +9

      @@lubystkaolamonola529 oncology: DNR 😭😭

    • @voicingsomeopinions7006
      @voicingsomeopinions7006 2 года назад

      @@lubystkaolamonola529 I'm an SLP but not in a hospital or SNF. However, based on what I've heard,
      SLP: the resident who's had pneumonia multiple times is coughing while eating? Order a barium swallow study. Oh, the resident isn't coughing while eating? Order a barium swallow study anyway.

  • @madadivad1986
    @madadivad1986 Год назад +19

    Some of the most beautiful literature in human history is the consult notes written by infectious disease

  • @leahgodson2319
    @leahgodson2319 3 года назад +394

    Psychiatry: It’s delirium, not for us
    Psychology: Call Psychiatry
    😄

    • @patricthime8000
      @patricthime8000 3 года назад +17

      Psych here.How many times have I been called to the ER for someone wgo's "Just not right".....

    • @brasschick4214
      @brasschick4214 3 года назад +24

      Psych: Hi I’m from psychiatry and I’m here to see Mrs X the 86 yo woman that was seeing spiders crawling up the walls. Have you done the septic screen I suggested?
      Med: Errr yeah urinalysis was positive.
      Psych: 😒

  • @xochitlyellow9140
    @xochitlyellow9140 3 года назад +42

    I’m not even a frickin medical professional, I’m just a scheduler for specialty MDs and I see about a hundred chart notes a day legit, can confirm the accuracy. I love this guy 😍

  • @Kookyxmnstr
    @Kookyxmnstr 3 года назад +245

    I'm a nurse and this is the most true thing I have heard loll especially stop checking the trops 🤣🤣

    • @JohnJohn-nt9mf
      @JohnJohn-nt9mf 3 года назад +23

      I had a patient... 3 troponin checks showed that levels are trending down from being high. and this new IM RESIDENT ordered for a 4th troponin check just to make sure. when the 4th one result came, it started to go up and was higher than the 3rd check.
      She told me, "We shouldn't have checked it the 4th time." 😂😂

  • @sailboatrn7372
    @sailboatrn7372 3 года назад +211

    My very first code was a 87 yo f in ESRD, had had dialysis that day. Her kidney Doc wanted a surgical consult DURING the code! The poor surgical resident who I called asked if this was a joke. I had to tell him “No”. He came down during the code stood at the door way and said, “She is NOT a surgical candidate.” I wrote that he said exactly that. After coding the pt. for 45 minutes, the attending neph doc showed up and said he would call the patients family and tell them we did everything we could. I have never forgot that code nor the neph doc. He was on my LIST for the next two years. You know what I mean. 😂

    • @LucasdaMatta
      @LucasdaMatta 3 года назад +5

      hahah this is golden

    • @catladyfromky4142
      @catladyfromky4142 3 года назад +32

      I am an inpatient dialysis RN, and this is so true. One nephrologist I work with was telling the family of a 32 y.o. patient with liver failure and AKI (drug use) that the intensivist would work her up for a double transplant and to keep hope alive. We dialyzed her every day (sometimes 2x) for over a week until the intensivist decided it was enough. Don't forget all the FFP, platelets, and albumin we were running in her daily. It was horrible.

    • @NatG2019
      @NatG2019 3 года назад +10

      Maybe it was a rough sue happy family or he’s had a bad experience and trying to cover his bases. I get it but maybe there was something more to his crazy request.

    • @Cookie-mg8im
      @Cookie-mg8im 3 года назад +31

      Most of our kidney docs are great but we do have one who has a hero complex. It is NOT appropriate to start dialysis on a 90 year old with cancer and dementia. The extra stress on their body killed them faster than what they had going on

    • @sheenawinfrey3133
      @sheenawinfrey3133 3 года назад +4

      Wow! Just wow! Lol!! And, yes, I know the list well...lol!!

  • @rachelm4051
    @rachelm4051 3 года назад +72

    This is literally the hospital every day. Bravo👏👏👏

  • @maggiewright9224
    @maggiewright9224 3 года назад +39

    I get auths and read medical notes all day. This is so accurate. I die a little inside when I can't get info from clinic notes and have to go to the IP consults. I stumbled on your video about calling to get info from nursing homes (I swear I have had the same conversation verbatim) and have now fallen down rabbit hole. You crack me up.

  • @kristincarr4248
    @kristincarr4248 Год назад +8

    As an ID doctor, this is pretty true. Usually people reach out to our team when they get the above answers from other consultants, even for non-infectious cases. Rheumatology and Neurology also are helpful for the mystery cases. However, most of the time we are consulted so we can write their discharge summary or review records for a patient transfer.

    • @cameronno6039
      @cameronno6039 Год назад +4

      😂This is the very sad cheat code. I recall being advised about consulting ID for summaries on complex patients. It's tragic. With that said, ID is always among the most respected medicine specialties I've worked with. Truly special people to undergo more education for less pay.

  • @FacundoMD
    @FacundoMD 3 года назад +39

    SO funny ! ER doctor here ! jaja Very Accurate ! I can predict each one !

  • @nicolehessabi5116
    @nicolehessabi5116 3 года назад +76

    ID Consult for the win!!

  • @radon.19
    @radon.19 3 года назад +37

    Yesterday I had case which I was discussing to refer to ortho spine or neuro spine, but offcourse we get to irradiate it first.

  • @theclawsoncrew13
    @theclawsoncrew13 3 года назад +64

    As a neurology nurse who attends consults with my MD this is 💯 accurate..... especially neurosurgery

  • @horschiday9449
    @horschiday9449 3 года назад +38

    “Cardiology: stop checking troponin”... 100% true 😂😂

    • @whatausernamethisis8893
      @whatausernamethisis8893 Год назад

      I don't get it. Explain?

    • @juliafelicione2667
      @juliafelicione2667 Год назад +2

      @@whatausernamethisis8893 if it’s high it’s goons stay high for awhile. Tracking it leads to useless notifications and doesn’t help ID cause or help prescribe treatment or indicate if the patients improving or worsening

  • @interconnectedlsa3266
    @interconnectedlsa3266 3 года назад +11

    This is so accurate. I read all the consult notes and it’s like a well played ping pong match 😆. Specially the patients that are chronically ill and have every medical condition know to man.

  • @Missing_Xindi
    @Missing_Xindi 2 года назад +5

    I've been there as a patient. Spot on with infectious disease. Well done.

  • @lekeAchgeketum
    @lekeAchgeketum 2 года назад +3

    Totally true!! I find the most help comes from the healthcare providers who follow the patient: primary care provider, social work, case management, home nursing, & nursing assistants who interact the most frequently with them.
    Acute care inpatient providers just don't have time and keep rotating their patients, making it difficult to provide appropriate care so much of the time.

  • @KristenRowenPliske
    @KristenRowenPliske 3 года назад +7

    So accurate! There was an MD at the hospital where I worked that consulted EVERYONE whenever he had a patient. He rarely did anything for his patients, made rounds at 3am & sometimes didn’t even go into his patient’s room. Despite having a private practice & who knows how many years of residency, he still had to have a supervising MD to make sure he did what he was supposed to do. The nurses all knew he was useless & sexist. The docs knew it, too, but the guy never got disciplined as far as I know.

    • @considerthelilies91
      @considerthelilies91 2 года назад +5

      Did anyone actually see him attend medical school?

    • @amyill9280
      @amyill9280 2 года назад +3

      Oh man. We have a hospitalist who consults everyone too. The dietitians dread the days he works because 95% of his consults are inappropriate inpatient "weight management" consults just because someone's BMI is high. Like, sorry, it isn't appropriate to give weight loss advice to a sedated dementia patient on a ventilator in the ICU. Not a good time. That same doctor also often admits patients as inpatients, and the other hospitalists who later take on the patient are confused as to why the patient was even admitted in the first place.

  • @fbbWaddell
    @fbbWaddell 3 года назад +14

    When I had viral meningitis and my doc called neurology, he actually gave a diagnosis. But you know, it happens.

  • @julieromley
    @julieromley 3 года назад +12

    Haha this is gold. Everyday when I read these MD notes this is in it...

  • @mindymorgan8479
    @mindymorgan8479 Год назад +1

    Yes! Spot on. In the hospital currently but most specialties want to "see as outpatient" so annoying since there is no other copay on the procedures while admitted. Like literally most of the patients don't show back up because they can't pay the additional 3k for an outpatient scope! And as a nurse. I love when we consult ID! They are always spot on and their notes are crazy good!

  • @trangcao4927
    @trangcao4927 3 года назад +12

    As a nurse working on general medicine floor, this is 100% accurate 🤣🤣🤣🤣

  • @vikk838
    @vikk838 3 года назад +2

    Doc Schmidt your videos ring true when it comes to hospital setting in my country. I guess everywhere it's the same.

  • @jrmckim
    @jrmckim 3 года назад +4

    As a former RN and patient with chronic illnesses... very accurate!

  • @daisycocoa2557
    @daisycocoa2557 3 года назад +1

    Wow! You just answered the question as to why they always refuse to send in a consult on my father when he goes into the hospital! Thanks!

  • @juliaspoonie3627
    @juliaspoonie3627 3 года назад +135

    Is it concerning that we -the patients - see that as well? 😂 it’s a Ping-Pong game and we‘re the ball, unfortunately sometimes we get just as frustrated as you. Hugs

    • @noctusowl
      @noctusowl 3 года назад +26

      99% of the times the original clinician is right but they don't want to act and take responsibility because it's not their specialty. Then the other specialist might have an opinion but has no experience with the "baseline" problem so does not want to get too involved.

    • @lachyt5247
      @lachyt5247 3 года назад +34

      Blame the overly litigious system, take responsibility for something that could be construed as 'outside your lane' and it goes wrong; welcome to the hell of malpractice suits.

    • @bhuiyadip
      @bhuiyadip 3 года назад +9

      @@lachyt5247 That's the REAL truth of modern medicine even in India

    • @jazmeen04
      @jazmeen04 3 года назад +3

      noctusowl I used to think it was so the patient will get the best care

    • @Pipsquacky
      @Pipsquacky 2 года назад +5

      Ping pong that the patient pays for.

  • @DocTami
    @DocTami 2 года назад +14

    As a vascular neurologist, I second that wholeheartedly - but remember, reason our recommendations are useless is coz the question we're asked is often pure BS, something that's not our specialty & often most basic medical knowledge that makes rounding students roll their eyes. Every time a hospitalist sends an "altered mental status" consult for a patient with an acute changed BUN of 80, I have to try REALLY hard not to ask if they bought their MD degree online. What med school on the planet allows their grads to leave school this clueless? I had one call me last night asking what she should do for a pt with headache with SBP 255...
    I'd love to know what thought process (if any) makes a fully trained medicine MD call the specialist/subspecialist with such confoundingly basic questions.

    • @simplystreeptacular
      @simplystreeptacular 2 года назад +5

      The thought process is probably lawyers.

    • @DocTami
      @DocTami 2 года назад +7

      @@simplystreeptacular I'd buy that IF their question was above and beyond their level of training; for a medicine MD to ask anyone else how to treat symptomatic BP...well, that's exactly what a lawyer would pounce on i.e. why they don't even know their OWN job

    • @cameronno6039
      @cameronno6039 Год назад

      ​@DocTami The patient wasn't FMD or RAS with treatment refractory disease, eh?😅 I'm just curious because that is wicked high. Cocaine?

  • @runnerrunner2169
    @runnerrunner2169 2 года назад +2

    Legit 100% nailed it. The ID team is where it's at. And the neuro spine debate... yup.

  • @JimMorgan
    @JimMorgan Год назад +1

    My wife loved this one. She's a doc and would like to request a tox consult sometime

  • @susanbazinet9664
    @susanbazinet9664 3 года назад +2

    I'm laughing so hard!!!!# Dr. Schmidt also has a great voice. Love this guy.

  • @medic2807
    @medic2807 3 года назад +6

    Infectious disease: No change in current antimicrobial therapy recommended. Unless my patient vacationed on Cameroon recently, I usually just break out the Sanford guide.

    • @AD-oy8nm
      @AD-oy8nm Год назад +1

      Sanford + Uptodate = an infectious disease specialist in the hand lol

  • @kathyt2108
    @kathyt2108 Год назад +1

    Transcription here. Even I could tell you what their recommendations would be. Spot on about ID though

    • @wholeNwon
      @wholeNwon Год назад

      I feel very sorry for hospital transcriptionists. I've heard operative procedure dictations that were completely unintelligible. And I knew precisely what they were trying to say. I received a thank-you note from one of them for spelling unusual terms that they were unlikely to have encountered before.

  • @catlinboy
    @catlinboy 3 года назад +7

    'Where's patient from room 2?'
    'He went over to surgical.'
    'Really?!'

  • @MD-bf2ce
    @MD-bf2ce 2 года назад +4

    Toxic-metabolic encephalopathy is a result of infections, toxins, or organ failure. When the electrolytes, hormones, or other chemicals in the body are off their normal balance, they can impact the brain's function. This can also include the presence of an infection in the body or presence of toxic chemicals.
    Ya learn something new everyday

  • @RiDawg333
    @RiDawg333 3 года назад +3

    "Stop checking troponins" is what got me

  • @patchyxx
    @patchyxx 3 года назад +5

    I always know when certain ED docs are in because of the number of consults to my department!!!!

  • @zanazui
    @zanazui 3 года назад +3

    Documentation Improvement Specialists approve this message.

  • @sapnam1984
    @sapnam1984 3 года назад +6

    As a fellow nurse this is exactly what the doctor’s notes say 😂🤣😂🤣

  • @kridswonderhowell4541
    @kridswonderhowell4541 3 года назад

    ID ..... YUP ..... NAILED THAT ONE TOO..... they'll surely give insight and some useful direction!

  • @folumb
    @folumb 3 года назад +9

    Corollary: This is what you get when you call any consult on a weekend or after 5pm

  • @shirleymadden9859
    @shirleymadden9859 3 года назад +2

    I love these. So true!

  • @daolieu4261
    @daolieu4261 2 года назад

    Seriously… spot on. So true!

  • @midwestgirlinabigcity2550
    @midwestgirlinabigcity2550 3 года назад +1

    I'm a new grad RN and Omg doc, this is sooooo true

  • @doc6
    @doc6 3 года назад +1

    These videos are relatable all over the world

  • @robb8234
    @robb8234 2 года назад

    hahahahahaahaha, I'm so glad your channel was recommended to me.. love your humour.. thankyou..

  • @doubleu1017
    @doubleu1017 3 года назад +6

    Flomax and outpatient follow up... 🙋🏾‍♀️

    • @Judo593
      @Judo593 3 года назад +2

      with a voiding trial

  • @kathybrady4033
    @kathybrady4033 3 года назад +4

    Agree, ID docs are the smartest; next to pathology 😄

  • @cardiyansane1414
    @cardiyansane1414 3 года назад +9

    Hahaha usually the poor nurse and patient are caught in between this mess

  • @mybabynicky
    @mybabynicky 3 года назад +5

    This was very funny and accurate xD

  • @dominic5065
    @dominic5065 Год назад +1

    This makes me love the fact I'm ID

  • @katherineg9396
    @katherineg9396 Год назад

    I LOVE when they say no more trop levels.

  • @Masrafi
    @Masrafi Год назад +1

    annoyingly accurate. maybe it was the culture at my hospital, but i feel like there was no ownership of patients or even a semblance of an attempt to treat or think about things before consulting. any hint of an AKI->nephro c/s who is inevitably going to say IVF, avoid nephrotoxins because its just a mild to moderate AKI w normal lytes. ID consult with no culture results or sensitivities on day 1 of admission is just going to result in agree with empiric coverage. ophtho is never going to do anything ever because the hospital doesnt have any of the specialized equipment or staff needed to diagnose or laser or operate on anyone. and the bumped trops in the guy with florid sepsis or multiorgan failure is always going to be demand ischemia. and if we havent done any sort of workup yet for AMS, guess what neuro is going to say? MRI+/-MRV MRA LP EEG probably toxic met enceph /rant

  • @drelizaanam
    @drelizaanam 2 года назад +1

    So true about infectious diseases.

    • @wholeNwon
      @wholeNwon Год назад

      I always love it when half the staff has touched a skin lesion before ID has consulted!!!!

  • @Meganmama
    @Meganmama 2 года назад +1

    The accuracy is painful. Kudos to ID.

  • @wholeNwon
    @wholeNwon Год назад

    As one of those consultants, pretty close to reality.

  • @kimboxdorfer7010
    @kimboxdorfer7010 3 года назад +4

    And the patient gets charged $2500 a pop

  • @amysenchuk369
    @amysenchuk369 3 года назад +1

    Im a nurse, this is so accurate

  • @superpramey
    @superpramey 3 года назад +2

    I think consults are often less about opinions and more about cya

  • @critterwatcher8009
    @critterwatcher8009 3 года назад +1

    You must be the next generation's Samuel Shem. I see so much "House of God" in these.

  • @AnthonyRaynor
    @AnthonyRaynor 3 года назад +1

    Oh so true, oh so true.

  • @bodyofhope
    @bodyofhope 3 года назад +16

    Wrong! Neuro would order at least 3 more tests 🙄😂

    • @naciamaj
      @naciamaj 3 года назад +3

      EEG, CT head lol

  • @MaximillianTiberius
    @MaximillianTiberius 2 года назад

    Oh man, you are cracking me up :D

  • @h7mody7
    @h7mody7 3 года назад

    💯% accurate

  • @HeavyProfessor
    @HeavyProfessor 3 года назад +1

    Awesome

  • @SN-hg6bx
    @SN-hg6bx Год назад

    Turfing left and right 🤣😂. ID..ouuuuhhhhh

  • @kbo8029
    @kbo8029 3 года назад

    Yep... Sounds about right.

  • @ideasmatter4737
    @ideasmatter4737 Год назад

    Except GI almost always has to do an EGD for patients in my unit! Why do we get all the bleeders?!

    • @wholeNwon
      @wholeNwon Год назад

      Why not? Have something better to do?

  • @kridswonderhowell4541
    @kridswonderhowell4541 3 года назад

    Flomax..... baaaahaaaahaaaa Baaaahaaaahaaaa ..... nailed it

  • @gk.8541
    @gk.8541 3 года назад

    Urology ➡️ Flomax.
    Yes. Every single time!

  • @kimmcintyre935
    @kimmcintyre935 2 года назад

    😁 Your Freaking Funni, Doc Shimit 🧐🤣👍

  • @collinsanderson4970
    @collinsanderson4970 Год назад +1

    Should have ended with:
    Infectious Disease: "Stop the vancomycin"

  • @000JayDub
    @000JayDub 3 года назад +9

    You forgot nutrition: is he pooping? Ok then let him eat some food. And stop checking residuals.- Sincerely, all RDNs

    • @AshLee-tm7fl
      @AshLee-tm7fl 3 года назад +5

      *And stop holding his feeds for 100ml residuals - Another RD

    • @voicingsomeopinions7006
      @voicingsomeopinions7006 2 года назад +1

      SLP: that's a nutrition question, call nutrition.
      OR
      SLP: a thin liquid doesn't stop being a thin liquid if you eat it with a spoon. Thicken the damn soup.
      OR
      SLP: no, really, swallowing is in our scope of practice. Please listen to me on this.
      Disclaimer: I don't work in a hospital setting.

  • @dr.eseosaighodaromdphd8662
    @dr.eseosaighodaromdphd8662 3 года назад

    I love this!

  • @elisarose5159
    @elisarose5159 3 года назад +1

    100% accurate 🤣

  • @Lucky-ff9pd
    @Lucky-ff9pd 3 года назад +1

    so so so true

  • @catdogmom155
    @catdogmom155 3 года назад

    Spot on

  • @paty2216
    @paty2216 Год назад

    Genius

  • @BeLoud13
    @BeLoud13 3 года назад +1

    Cardiology: STOP CHECKING TROPONINS! HAHA

  • @MascarasAndMixers
    @MascarasAndMixers 3 года назад

    Haha. GI here. Either scope here or outpatient

  • @DomNom69
    @DomNom69 Год назад

    Yea ID is the best usually

  • @mays_alpha
    @mays_alpha 3 года назад +1

    Countries Around the World
    Please don’t forget to research your own resources to help, as well as other countries, and check out other informative and helpful content! For the videos, there are resources in the description as well as in the comments section.
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    Resource for Iraq 🇮🇶 :
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    Resource for Rohingya:
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    Resource for Uighur Muslims:
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    Resource for Kashmir:
    www.islamichelp.org.uk/emergencies/kashmir-emergency/
    Share The Meal is a great system where the UN donates 3 meals to every child for just 80 cents US. You can donate from wherever, whenever, and there’s an app:
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    Freedom Bakeries works hard to free people from hunger, and focuses on places like Pakistan, Gaza, and Yemen:
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    May Allah AZW grant help and relief to all these countries and free them from all injustice and corruption, and grant them peace and relief forever, Ameen 🤲🏼✨🌙
    دول حول العالم
    من فضلك لا تنس البحث في الموارد الخاصة بك للمساعدة ، وكذلك البلدان الأخرى ، والاطلاع على محتوى إعلامي ومفيد آخر! لمقاطع الفيديو ، هناك موارد في الوصف وكذلك في قسم التعليقات.
    مجانًا 🇮🇶 🇾🇪 🇸🇾 🇮🇳 🇨🇴 🇵🇰 (علم الأويغور)
    إليك مقطع فيديو بواسطة Jay Palfrey يتحدث عن عدة بلدان وماذا يحدث هناك 🇮🇳🇨🇴 إلخ.:
    ‏ ruclips.net/video/raUvalGDKVc/видео.html
    هنا مرجع للأزمة الطبية في باكستان 🇵🇰:
    ‏ indushospital.org.pk/donate/
    إليكم قصة محددة عن طبيب معين في باكستان توضح لك الحالة المروعة وإلحاح الموقف: ruclips.net/video/k51kJhaSkE4/видео.html (🚨⚠️ * تحذير !!! *: هناك صورة بيانية لقطع متعددة من القماش / الإسفنج التي تم إخراجها من جسم المريض ، فهي ملطخة بالدماء وجميعها معًا في كرة واحدة)
    هذا مصدر للأزمة الإنسانية في اليمن 🇾🇪:
    ‏www.islamic-relief.org.uk/yemen-emergency-appeal/
    المورد لسوريا 🇸🇾:
    ‏ www.islamic-relief.org/category/appeals/emergencies/syria-crisis-appeal/
    المورد للعراق 🇮🇶:
    ‏ www.islamic-relief.org/category/appeals/emergencies/iraq-em Emergency-appeal/
    الموارد للروهينغيا:
    ‏ irusa.org/asia/myanmar/
    مورد لمسلمي الأويغور:
    ‏ www.saveuighur.org/donate/
    الموارد لكشمير:
    ‏ www.islamichelp.org.uk/emergencies/kashmir-emergency/
    ‏ Share The Meal هو نظام رائع حيث تتبرع الأمم المتحدة بثلاث وجبات لكل طفل مقابل 80 سنتًا فقط من الولايات المتحدة. يمكنك التبرع من أي مكان وفي أي وقت وهناك تطبيق:
    ‏ sharethemeal.org/en/index.html
    تعمل مخابز الحرية جاهدة لتحرير الناس من الجوع ، وتركز على أماكن مثل باكستان وغزة واليمن:
    ‏ freedombakeries.org
    وفق الله عز وجل العون والإغاثة لجميع هذه البلدان ، وحررها من كل ظلم وفساد ، وسلمها وعونها إلى الأبد ، آمين 🤲🏼✨🌙
    .

    • @jrmckim
      @jrmckim 3 года назад +1

      That was 1 long comment.

  • @FilipeFBarbosa
    @FilipeFBarbosa 3 года назад +3

    Consults are about defensive medicine

    • @wholeNwon
      @wholeNwon Год назад

      And "defensive medicine" means being certain that all the i's are dotted and all the t's crossed in a case (i.e. nothing has been overlooked by anyone) so that the pt. has had the benefits of the best possible diagnostic and therapeutic efforts. Doing it right and doing it well are the best defenses, if defense is ever needed.

  • @Tawny593
    @Tawny593 3 года назад

    Hilariously accurate.

  • @mateo_7641
    @mateo_7641 3 года назад +2

    They’re forgot ENT, oh never mind outpatient consult

  • @checkedoutdoc2750
    @checkedoutdoc2750 3 года назад

    so good

  • @Nealetony
    @Nealetony 3 года назад

    Mmmm Flomax for kidney stones sucks when I work 14 hour shifts

  • @virgomyst9
    @virgomyst9 3 года назад

    Always call ID!!!

  • @OrthodogAllen
    @OrthodogAllen 3 года назад +2

    this is poggers

  • @blancan918
    @blancan918 Год назад

    Cardio here: I FEEL SEEN

  • @theresetugade5909
    @theresetugade5909 3 года назад

    Infectious disease!!! We love them!! Lol

  • @alvashoemaker8536
    @alvashoemaker8536 2 года назад

    “DOC”, THIS is encouraging to anyone who reads this…??!! 😃🤣😂🩴👣

  • @mckayblazian9224
    @mckayblazian9224 2 года назад

    Honestly, dead on 😂

  • @o.o7120
    @o.o7120 3 года назад +2

    🤣 so true

  • @alona270
    @alona270 2 года назад

    Ahhhh…yes…the Sherlock Holmes of medicine hahahahaha

  • @nicolewilliams7508
    @nicolewilliams7508 2 года назад

    boom!

  • @MoOutdoorsandReviews
    @MoOutdoorsandReviews Год назад

    wont accept this patient until you call several consults, (every internist I have ever talked to)

  • @goodenurseV
    @goodenurseV 2 года назад

    Gah. Most. Accurate thing. Ever.

  • @amartummapudi6656
    @amartummapudi6656 3 года назад +1

    Means Infectious Diseases is the best?😅

  • @HeavyProfessor
    @HeavyProfessor 3 года назад +2

    You forgot rheumatology, they are the best

    • @tonyw.3210
      @tonyw.3210 3 года назад +1

      Steroids 😝

    • @HeavyProfessor
      @HeavyProfessor 3 года назад +1

      @@tonyw.3210 Yes, even in 90 year year old for pseudogout

    • @wholeNwon
      @wholeNwon Год назад +1

      "Cannot definitely exclude lupus."