You are easily one of my FAVORITE MD’s to follow, and watch. I’m a social worker at a hospital,looking into medicine. love getting to better understand the overall perspective of medicine.
Love your videos. Thank you so much for sharing your journey and for all your hard work to become the best doctor! I’m 31 but when I was 24 I got endocarditis from a central line (port) used to treat another illness. When admitted to the ICU, I was in septic shock, had double pneumonia, pulmonary embolisms in both lungs, was put on a CRRT dialysis machine, and had end stage organ failure from the massive infection. They found a plum sized mass of staph infection in my heart. In a year and a half, I had 7 heart surgeries including 2 open heart surgeries. I now have congestive heart failure and am 100% dependent on my pacemaker due to 3rd degree heart block from my first open heart surgery. I will need many more surgeries and maybe a heart transplant down the road. I am so grateful to my incredible doctors who worked so hard to save my life. You are such a caring guy who will be such a great anesthesiologist. I can’t imagine how hard residency is but hang in there, you’re doing great!
When I was younger I worked super long shifts and felt mentally and physically exhausted after being on my feet, but it was fun and I recovered quickly. But the most exhausted I have ever been in my life was as a patient in a hospital.
One trick that is helpful is having notes on google keep or somewhere else for emergencies or other critical conditions. Sounds like no one went into a cardiac arrest. The one condition that did scare me the most was seing an acute GI bleed on my last night of intern year.
We have a little book of surgery survival guide that is basically collecting all the emergency Google sheets from residents over the years into one book!
serious question, what is the purpose of these shifts? they seem like a risk for a lot of reasons, no? props to all doctors and thank-you sincerely for your service . We need you.
How many 24hrs shifts did you do per your month on surgical onc? How frequent are these shifts and do you get your normal day off once a week (not including post call day)?
it was only around 5 because the rotation was a little shorter than usual being the first one. the frequency depends on how many residents are in the call pool though and thankfully we had 5 interns so it wasn't weighing heavy on any of us. you get a post call day and weekends off unless you are on call on a saturday or sunday
Great video but quick question! Andy i remember on one of your videos , you mentioned you wanna work in the pediatric area of Anesthesia. When you get trained currently, do you go straight forward and work with kids or is that a fellowship opportunity?
im really curious about residency in the US. as a first year resident do you get to put in orders?(prescriptions etc) and are you learning about prescriptions placements in residency or are you taught in med school?
yes you are a full licensed physician able to place orders, prescriptions, and perform procedures under attending supervision. a lot of prescription placing and orders are occasionally taught in passing throughout med school rotations, however experience varies between institutions and residency is where everyone learns more of the orders, just because you are interacting with that part of the process a lot more than a med student (e.g. as a med student you can suggest what orders to place, but usually won't be actually placing them.)
not too much, particularly as an off service intern. for anesthesia, it is not time efficient to try to learn anesthesia during your intern year by reading textbooks. in fact many faculty recommend not even attempting at all because it will not be relevant to being a useful member of the care team when you are constantly jumping between different services. likewise, you can try to study a specialty specific textbook during your rotation (e.g. a surgery one when you're on a surgery service), but many find it is a very time consuming and inefficient use of energy as an intern compared to a senior resident. The priorities change and your ability to consume textbook information changes as you progress in training, but intern year is not usually the time to be in textbooks
Dude imagine if we were to ever rotate on surgery together 😢
man that would be the safest service in the whole world
Don’t cheat on deepal
“I’m so tired…” me all throughout residency. ❤ that room looks like five star compared to other hospitals.
You are easily one of my FAVORITE MD’s to follow, and watch. I’m a social worker at a hospital,looking into medicine. love getting to better understand the overall perspective of medicine.
Thank you :)
Love your videos. Thank you so much for sharing your journey and for all your hard work to become the best doctor! I’m 31 but when I was 24 I got endocarditis from a central line (port) used to treat another illness. When admitted to the ICU, I was in septic shock, had double pneumonia, pulmonary embolisms in both lungs, was put on a CRRT dialysis machine, and had end stage organ failure from the massive infection. They found a plum sized mass of staph infection in my heart. In a year and a half, I had 7 heart surgeries including 2 open heart surgeries. I now have congestive heart failure and am 100% dependent on my pacemaker due to 3rd degree heart block from my first open heart surgery. I will need many more surgeries and maybe a heart transplant down the road. I am so grateful to my incredible doctors who worked so hard to save my life. You are such a caring guy who will be such a great anesthesiologist. I can’t imagine how hard residency is but hang in there, you’re doing great!
I've worked 12 hour shifts as a server. But I can't imagine working a 24 hour shift! Hope your confidence grows as you keep treading.
When I was younger I worked super long shifts and felt mentally and physically exhausted after being on my feet, but it was fun and I recovered quickly. But the most exhausted I have ever been in my life was as a patient in a hospital.
love that PA love and excited to become that kind of PA :)))
definitely love the synergy between the PAs and residents :) yall the best
We work 36-72 hrs shift with less or no breaks in india
Yep, post call day is the most confusing of them all😂.
you wake up and you have no idea what year it is, where you are, or who you are
@@NDMD exactly😂😂
One trick that is helpful is having notes on google keep or somewhere else for emergencies or other critical conditions. Sounds like no one went into a cardiac arrest. The one condition that did scare me the most was seing an acute GI bleed on my last night of intern year.
We have a little book of surgery survival guide that is basically collecting all the emergency Google sheets from residents over the years into one book!
the 8:44 transition was hilarious
serious question, what is the purpose of these shifts? they seem like a risk for a lot of reasons, no? props to all doctors and thank-you sincerely for your service . We need you.
How many 24hrs shifts did you do per your month on surgical onc? How frequent are these shifts and do you get your normal day off once a week (not including post call day)?
it was only around 5 because the rotation was a little shorter than usual being the first one. the frequency depends on how many residents are in the call pool though and thankfully we had 5 interns so it wasn't weighing heavy on any of us. you get a post call day and weekends off unless you are on call on a saturday or sunday
Nice video! I need that T-Shirt!
Great video but quick question!
Andy i remember on one of your videos , you mentioned you wanna work in the pediatric area of Anesthesia. When you get trained currently, do you go straight forward and work with kids or is that a fellowship opportunity?
Unfortunately pediatric specific training is limited to just a single rotations in CA1-CA3 years or elective time during those years before fellowship
im really curious about residency in the US. as a first year resident do you get to put in orders?(prescriptions etc) and are you learning about prescriptions placements in residency or are you taught in med school?
yes you are a full licensed physician able to place orders, prescriptions, and perform procedures under attending supervision. a lot of prescription placing and orders are occasionally taught in passing throughout med school rotations, however experience varies between institutions and residency is where everyone learns more of the orders, just because you are interacting with that part of the process a lot more than a med student (e.g. as a med student you can suggest what orders to place, but usually won't be actually placing them.)
Not too long ago we would go in at 6 am Saturday and go home 10 pm Monday. Surgery power weekends
Argentina mentioned 🇦🇷🇦🇷🇦🇷🇦🇶
Bro cooked with GAS on this one 💪
Man I miss gas
How much of your time is dedicated to study your specialty textbooks during residency?
not too much, particularly as an off service intern. for anesthesia, it is not time efficient to try to learn anesthesia during your intern year by reading textbooks. in fact many faculty recommend not even attempting at all because it will not be relevant to being a useful member of the care team when you are constantly jumping between different services. likewise, you can try to study a specialty specific textbook during your rotation (e.g. a surgery one when you're on a surgery service), but many find it is a very time consuming and inefficient use of energy as an intern compared to a senior resident. The priorities change and your ability to consume textbook information changes as you progress in training, but intern year is not usually the time to be in textbooks
BUCEES!!!!!!!!
I don’t remember if you said this but how often did you have to do 24s
depends on how many residents are in the call pool, there were 5 for my rotation so it was only every 4-5 days
Is your watch a two-tone DJ?
Two tone date just homage by seiko
Ahhh 24 hour shifts are the worst! Hopefully you don’t have too many 🥲
just a few, but they build character