Being an intern is terrible, but since you've just started no one really expects anything from you. What terrifies me now is the day when the new interns come and I become responsible for me and them!!
@@mrobject9113 literally saw this today. This culture needs to stop. I don't think it makes for better clinicians, just burnt out ones quicker. The job is hard enough without it coming from people you should be supported by
@@arcaine3907 it's probably the same concept, but I'm not sure if it'd be called the same thing. "This person in this position does it this way, so I will even though to hated it and dislike it immensely"
This is far too accurate 😂 Senior residents (registrars in the UK) have so much responsibility, serious respect to all the amazing ones I've worked with!
Question Doc, if you dont mind. If "poor R wave progression" is on an EKG, does that mean you need to worry about another anteroseptal MI in that same spot.
@@chrism6904 Hi i believe that if there is already poor r wave progression present then the myocardium anteroseptal is already dead. However if you are worried about a new acute infarct/ischemia then you should look at your st segments (if there elevated or depressed then you should probably worry about it and get the patient an angiogram). Hope this helps
@chrism6904 please never get medical advice from someone in the youtube comments purely because they said "haha I'm a reg this is so accurate" I mean they probably are but for all you know, they're an ED reg and their knowledge of r wave progression is "send them to cardiology and give them ACS meds" best case
This is painfully accurate. As an experienced nurse of 30+ years, sadly, not much has changed. The very worst of the pecking order. I understand pressure under fire, but seriously?!
Why do we tolerate this institutionalised abuse of those junior to us? It brings everyone down. So infantile. And it certainly does not help patients (which is why we are meant to exist). Unfortunately some are attracted to the power they should not have but does exist (it's the same here in Australia). Shame on those who cooperate with this role playing.
@@anotheronlineperson more like being a total cunt all the time. So not hitting people but just constantly having unrealistic expectations that the person asking should know in the first place but then they treat you like shit for not knowing the same thing they don't know even though they have worked there for like 30 years. It's wack as fuck trust me
I never made it to senior resident. I did doctors without borders and contracted some "friends" that spawned a brsin tumor. Sad face. The senior residents always had it going on. We all preferred going to them. MEMORIES...THANK YOU!🥰🥰🥰
As a pediatric patient (at the time) rounds was terrifying when like 20 people were surrounding me. I understand rounds are important but maybe ask the teen patient if they're ok with it.
@@johnrivers69 Says the man whining about things on the internet. Are you triggered by that poor, poor person's words??? it sounds like you should stop whining about it like a lil girl.
@@johnrivers69well your mom should have aborted you but we missed that chance so now you’re whining on the internet like a 14 year old whose mom didn’t buy mcdonalds and you just refuse to even sit in the presence of leftovers
Even practicing medicine in a another country... it's all the same... hilarious... it's truly a culture on it's own 🤣 and yes I do know there is much that needs to be upgraded about our culture...but one can laugh ...thanks doc S
Oh my so much to remember and all those instructions. How do you begin to come to grips. Listening so intently comes to mind. Unreasonable questions gets me. I respect everyone who works in hospitals. These guys in power should have a more kinder approach!!!!! Does this happen often.Respect for you Dr. Schmit for all you show is. Thank you so very much. Kindest regards from England.
Does it happen often?🤣😂😅more than you could imagine... I'm a Dr in Australia who graduated a looooong time ago and very little has changed... although we are working on it😬
@@sevincolcer6967 Respectfor you Doctor. Always amazed how higher the position , more power and is not better for those guys to be respectful as they were there maybe at one time. Thank you so very much for your service. Wishing you and your family the very best. Kindest regards from England.
Feels good having done junior residency in internal medicine (and depending on the various senior residents there) and then moving onto radiation oncology...where no junior residents are present 😁
Labetalol can help decrease heart rate (since the patient was tachycardic). Hydralazine, while efficient at lowering blood pressure, can potentially increase heart rate (which would be undesirable for an already tachycardic patient)
I know we need them but why the hell does anyone want to be a doctor? You earn a lot of money but for what? You're never home to enjoy it. Your marriages hardly ever work and you die early because you work yourself to death. Your kids don't even know who you are most of the time. So again why does anyone become a doctor? And don't say it's because they care about helping people because I've been around ALOT of doctors in my life and only one gave a shit about actually helping people and he was an eye doctor
I think this is one of the first videos that I actually knew a drug that you referenced to. I feel just a little smarter now. Lol thank you for you skits and uploads
OMG “i will need you to lead the way like I’m a small child that doesn’t know the way around but will be extremely upset when you won’t take the most efficient route possible “ I died
When I was a med student I had a surgery attending got mad I took the stairs up ONE FLIGHT instead of the elevator because we "couldn't discuss patients." Did he tell me this? No, he bitched about it to the resident on with me who kindly let me know 🤦🤷
Teaching is like this too. Lesson plans for college teaching classes intended ONLY to be read by college professors in teaching must be written as if they have never seen a classroom before.
@@sophfro Considering that you shouldn't be discussing pts in the elevator anyway, particularly if other people get on or off, that's extra rude to you.
Do you live in the US or Europe? Don't worry, then. you'll be fine. They go on 80 hour weeks, barely know how to use a stethoscope, and see less than 30 patients a day.
OMG I could just reach out and hug you for putting into video so many behaviors I witnessed in my lifetime as a nurse in ICU! Most of the time I never sat down and asked anyone," did this really happen?" " Did she really ask me this?"
Fwiw, after her stroke, my mom cycled through alternating periods of 2-3 days of delusion and 1-2 days of lucidity for 2 months until I finally coaxed them to discontinue the only med she hadn't been on prior to the stroke: Hydralazine. The cycles make sense when you think about it: hypertension->Hydralazine->delusion->no food or water->dehydration->hypotension->temp suspension of Hydralazine->lucidity->eat and drink->back to hypertension->.... Unfortunately, her doctors DIDN'T think about it. Don't know whether it was the Hydralazine by itself (a gerontology textbook implicated it) or it was just the anticholinergic straw that broke the camel's back, but she was never again delusional.
As someone who has unfortunately been the victim or co-victim of 5AM rounds I can definitely see this happening! I would have like 5 questions to ask but unless I wrote them down I would never remember!! I was just woken up!! I think they do this on purpose!! Nah.....😜
My favorite is all the Dr's who call me in I.T. and ask me how to log in and where tabs are lol. I don't mind helping with log ins, but tabs and stuff catch me up. I do epic and cerner, hospital and patient, and every department. Remembering where a specific item in the chart is for a specific job title is a bit difficult. Normally I just remote in and start clicking random things until we find it or give up lol. (I always make sure their charts are saved before I do this haha).
"I'll need you to lead me around like I'm a child who's never been in this hospital before, but I'll still get upset if you don't take the most efficient route possible"
it tip: if a website doesn't "work on the phone" you can switch to the desktop view from your browser's menu and see the computer version of the website
I'm assuming it's not a website, but specific software only accessable on computers in the hospital due to HIPPA reasons? I'm not IT, but I don't think it's that simple as switching to desktop view on your phone..
Watching your videos in a new light after needing emergency surgery recently and just got out of the hospital, tried really hard to make it easy for the nurses but god I just wanted to hibernate in a cave
When i was an intern i wasn't that knowledgeable. I didn't even know what Hydralazine is used for. It is rarely used for hypertension. So this guy is very good for an intern. I am dumb.
I go into the hospital on March 7 for surgery. My diagnosis is Stenosis of the Cervical Spine With Myelopathy, my surgery is a Cervical Spine Laminectomy Decompression Surgery. My surgeon is really great, but the next day, he comes in with a group of students after many of my surgeries, it never fails, lol this will make 4 out of 5 surgeries so far......they have to learn some how!!!! This dude in the video is hilarious!!!! 👍🏻😁🏥🚑😷🤒
Sounds like a residency at large teaching hospital, that also does research . Staff Doctor: Smith by the way have a research paper Tomorrow by 17:00 hours on the kidney functions on a molecture level and follow - up with string theory too . Resident : Ok ? ( Freaking out . Teaching hospitals, where staff Doctors are responsible to produce research , don't play games . Some hospitals spoil residents, but major teaching hospitals push hard . Residents do 48 hour call in hospital . Staffmen 1 in 3 call . You really want to learn thinking on your feet . Apply to do your residency at Cook County in Chicago . Just do 1 year and you will learn a lot .😊
"Wildly specific, but ultimately irrelevant and meaningless, questions..." Word for word how one of my best friends explained every attending he had to interact with.
Intern you can forgive. They need Guidance Attending is lazy and a poor human being. Instead of being a leader by showing initiative knowledge and empathy he is hiding behind bluff and bullying.
In my daughter's first week as a final year med student her supervisor was a brand new F1 due to my daughter intercalating they were actually from the same class back in 4th year. The two of them were covering nights on the ward. Apparently it was a mess of the two of them deciding together what to do, both as clueless as the other. It went ok but yeah never be in hospital in August and September in UK or if you are be sick enough to be on HDU or higher.
so funny, the RN i was training asked me about giving hydralazine for high blood pressure and I said the exact thing to give labetolol instead because heart rate was elevated too
You think being senior resident is bad? Try being chief resident. But it does have its perks though. Nothing is all good and all bad. We deal with human lives so there is a strictness to it, and to the process. It’s all for the patient at the end of the day.
you've singlehandedly fixed it so that I know where going on behind the scenes in a hospital and also fixed it so that I will never stay in one even if it's to save my life 🧬
Being an intern is terrible, but since you've just started no one really expects anything from you. What terrifies me now is the day when the new interns come and I become responsible for me and them!!
I miss the days of being an intern, so many responsibility’s now lol.
Being a resident seems tough. Until you become an attending and the patient's life and ultimate choice of management is up to you.
@@itsgonnabeanaurfromme by then your quite experienced, and if you're not sure then you best believe no one is
@@mohammadrayyan7851 yeah that’s why it’s terrifying!
That's the secret, cap. It's ALL terrible
It's like all attendings went to some conference to learn how to treat their residents like this! haha
Like weren't they in training once before? Does a day come where they brain wipe them?
They do those because it's cyclical, they were treated this way so they treat the next ones down the line the same way.
@@mrobject9113 literally saw this today. This culture needs to stop. I don't think it makes for better clinicians, just burnt out ones quicker. The job is hard enough without it coming from people you should be supported by
@@mrobject9113 if I'm not mistaken it is called generational abuse? it went morbid very quick.
@@arcaine3907 it's probably the same concept, but I'm not sure if it'd be called the same thing. "This person in this position does it this way, so I will even though to hated it and dislike it immensely"
This is far too accurate 😂 Senior residents (registrars in the UK) have so much responsibility, serious respect to all the amazing ones I've worked with!
Registrars here in Aus too and yes the aaaccccuuurrraaacccyyyy 👍🏻😂😂
In Anglophone West Africa, they are called "Senior Registrars". Registrars are the junior residents.
Question Doc, if you dont mind. If "poor R wave progression" is on an EKG, does that mean you need to worry about another anteroseptal MI in that same spot.
@@chrism6904 Hi i believe that if there is already poor r wave progression present then the myocardium anteroseptal is already dead. However if you are worried about a new acute infarct/ischemia then you should look at your st segments (if there elevated or depressed then you should probably worry about it and get the patient an angiogram).
Hope this helps
@chrism6904 please never get medical advice from someone in the youtube comments purely because they said "haha I'm a reg this is so accurate"
I mean they probably are but for all you know, they're an ED reg and their knowledge of r wave progression is "send them to cardiology and give them ACS meds" best case
This is painfully accurate. As an experienced nurse of 30+ years, sadly, not much has changed. The very worst of the pecking order. I understand pressure under fire, but seriously?!
Why do we tolerate this institutionalised abuse of those junior to us? It brings everyone down. So infantile. And it certainly does not help patients (which is why we are meant to exist). Unfortunately some are attracted to the power they should not have but does exist (it's the same here in Australia). Shame on those who cooperate with this role playing.
Abuse is a gross exaggeration. It’s basically training these residents to be in leadership positions.
@@N4Evar06 tell me you don’t work in healthcare without telling me you don’t work in healthcare
@@N4Evar06 you clearly don't work in the health care field 🙄 🤣
@@anotheronlineperson more like being a total cunt all the time. So not hitting people but just constantly having unrealistic expectations that the person asking should know in the first place but then they treat you like shit for not knowing the same thing they don't know even though they have worked there for like 30 years. It's wack as fuck trust me
@@caseydavis6137 I'm a Rad resident now. I still remember doing the house/intern jobs
I never made it to senior resident. I did doctors without borders and contracted some "friends" that spawned a brsin tumor. Sad face. The senior residents always had it going on. We all preferred going to them. MEMORIES...THANK YOU!🥰🥰🥰
As a pediatric patient (at the time) rounds was terrifying when like 20 people were surrounding me. I understand rounds are important but maybe ask the teen patient if they're ok with it.
should have said something then instead of whining about it now on the internet like a lil girl
@@johnrivers69 bruh, why did you come here just to comment that?
@@johnrivers69 Says the man whining about things on the internet. Are you triggered by that poor, poor person's words??? it sounds like you should stop whining about it like a lil girl.
@@johnrivers69well your mom should have aborted you but we missed that chance so now you’re whining on the internet like a 14 year old whose mom didn’t buy mcdonalds and you just refuse to even sit in the presence of leftovers
When I was 16 20 pediatrician residents gave me a physical so 40 fingers under my testicles telling me to cough
Even practicing medicine in a another country... it's all the same... hilarious... it's truly a culture on it's own 🤣 and yes I do know there is much that needs to be upgraded about our culture...but one can laugh ...thanks doc S
Oh my so much to remember and all those instructions. How do you begin to come to grips. Listening so intently comes to mind. Unreasonable questions gets me. I respect everyone who works in hospitals. These guys in power should have a more kinder approach!!!!! Does this happen often.Respect for you Dr. Schmit for all you show is. Thank you so very much. Kindest regards from England.
Does it happen often?🤣😂😅more than you could imagine... I'm a Dr in Australia who graduated a looooong time ago and very little has changed... although we are working on it😬
@@sevincolcer6967 Respectfor you Doctor. Always amazed how higher the position , more power and is not better for those guys to be respectful as they were there maybe at one time. Thank you so very much for your service. Wishing you and your family the very best. Kindest regards from England.
So true...
As an attending....grateful for senior residents!!! 😆
Congratulations to all senior residents 🎉
These skits are the best. Pls keep them coming 🙏
😂 Herding cats is one of my all-time favourite expressions! Another great one Doc! ty :)
Thanks 😁
i remember there was even a commercial where real cats were running..and cowboys on horses. What was the ad for? (it is like herding cats)
My mum heard this and laughed at the end, I looked at her and she's like 'it's so true' she used to be a nurse (now a paramedic)
That’s residency one a nutshell. You nailed it.
😁
At least the attending laid it all out for ya! No punches pulled, he said exactly how it was going to work.
Sounds about right.
Doc Schmidt looks like Dougmar! 😎
Okay but that Stacy wig is nice! Where's it from???
200 alternate for postgrads: Listing Theory and Fractal Pathing.
I see this in vet med too...poor residents have to do everything.
Feels good having done junior residency in internal medicine (and depending on the various senior residents there) and then moving onto radiation oncology...where no junior residents are present 😁
It amazes me how medical staff get to know the hospital. I often find hospitals to be like labrynths!! I guess they are built that on purpose? 😱
I literally watch this happen one too many times 😭😭😭😭😭
Lol the fact that this is so accurate is sad 😭😅
No matter what you do, you'll never be as good as Scrubs.
Ah yes... The fun that awaits me! I'm gonna get wrecked during M3 pimping but I'm looking forward to the challenge!
looks like someone's a senior resident
The attending’s tone is so real 🤣🤣🤣
Everybody chill until 411 is part of the equation
Its the last part, the very very irrelevant questions to try to assert dominance
this video makes me... miss scrubs :(
Looks like Scrubs may have really been a documentary. LOL
I’d be the doc hitting the laughing gas with the anesthesiologist in the supply room at the start of our shift to get us through the day
Imagine being so smart that it irritates u to answer simple questions
so true
The correct answer to this situation is "Aye sir!" and do your very best.
OMG😌😇
LOL
An attending showing up before the intern returns? That's odd
Yuck! Don’t miss these days
Wait their page doesn't work on mobile? I can fix that
🤣🤣🤣🤣
why labetalol instead of carvedilol?
Little more expensive but better tolerated and pretty similar in overall effect from what I recall but I'm sure someone knows more than I do.
Labetalol can help decrease heart rate (since the patient was tachycardic). Hydralazine, while efficient at lowering blood pressure, can potentially increase heart rate (which would be undesirable for an already tachycardic patient)
or you just push urapidil
Ugh
In this day and age since you got people who think they can identify as whatever they want, you didn't need to wear a wig.
Only two genders.
I know we need them but why the hell does anyone want to be a doctor? You earn a lot of money but for what? You're never home to enjoy it. Your marriages hardly ever work and you die early because you work yourself to death. Your kids don't even know who you are most of the time. So again why does anyone become a doctor? And don't say it's because they care about helping people because I've been around ALOT of doctors in my life and only one gave a shit about actually helping people and he was an eye doctor
My first day as a senior resident. Bull’s eye! You are basically sandwiched between your consultant and your juniors!😑
As a senior resident: far to accurate 😅
*too
Yeah something tells me you ain’t that.
Maybe English isn’t his first language, easy mistake 👍🏻
I think this is one of the first videos that I actually knew a drug that you referenced to. I feel just a little smarter now. Lol thank you for you skits and uploads
OMG “i will need you to lead the way like I’m a small child that doesn’t know the way around but will be extremely upset when you won’t take the most efficient route possible “ I died
When I was a med student I had a surgery attending got mad I took the stairs up ONE FLIGHT instead of the elevator because we "couldn't discuss patients." Did he tell me this? No, he bitched about it to the resident on with me who kindly let me know 🤦🤷
Teaching is like this too. Lesson plans for college teaching classes intended ONLY to be read by college professors in teaching must be written as if they have never seen a classroom before.
@@sophfro Considering that you shouldn't be discussing pts in the elevator anyway, particularly if other people get on or off, that's extra rude to you.
These videos low key make me concerned about becoming a doctor in the future
Do you live in the US or Europe? Don't worry, then. you'll be fine. They go on 80 hour weeks, barely know how to use a stethoscope, and see less than 30 patients a day.
If it's the NHS, don't. For £14/hr there are better ways to spend your time.
OMG I could just reach out and hug you for putting into video so many behaviors I witnessed in my lifetime as a nurse in ICU! Most of the time I never sat down and asked anyone," did this really happen?" " Did she really ask me this?"
The part where people ask really irrelevant and very specific questions I think is a coping mechanism for being disoriented and unskilled
This!!!
Multitasking should be an Olympic sport.
If only they actually gave such a detailed warning lol
Fwiw, after her stroke, my mom cycled through alternating periods of 2-3 days of delusion and 1-2 days of lucidity for 2 months until I finally coaxed them to discontinue the only med she hadn't been on prior to the stroke: Hydralazine.
The cycles make sense when you think about it: hypertension->Hydralazine->delusion->no food or water->dehydration->hypotension->temp suspension of Hydralazine->lucidity->eat and drink->back to hypertension->....
Unfortunately, her doctors DIDN'T think about it.
Don't know whether it was the Hydralazine by itself (a gerontology textbook implicated it) or it was just the anticholinergic straw that broke the camel's back, but she was never again delusional.
As someone who has unfortunately been the victim or co-victim of 5AM rounds I can definitely see this happening! I would have like 5 questions to ask but unless I wrote them down I would never remember!! I was just woken up!! I think they do this on purpose!! Nah.....😜
… don’t think I have EVER ordered hydralazine haha
My favorite is all the Dr's who call me in I.T. and ask me how to log in and where tabs are lol. I don't mind helping with log ins, but tabs and stuff catch me up. I do epic and cerner, hospital and patient, and every department. Remembering where a specific item in the chart is for a specific job title is a bit difficult.
Normally I just remote in and start clicking random things until we find it or give up lol. (I always make sure their charts are saved before I do this haha).
Do you all talk so fast to each other oh my God how does anybody understand each other😂😂😂😂😂😂😂
"I'll need you to lead me around like I'm a child who's never been in this hospital before, but I'll still get upset if you don't take the most efficient route possible"
it tip: if a website doesn't "work on the phone" you can switch to the desktop view from your browser's menu and see the computer version of the website
I'm assuming it's not a website, but specific software only accessable on computers in the hospital due to HIPPA reasons? I'm not IT, but I don't think it's that simple as switching to desktop view on your phone..
The way I slowly put my phone down and walked away when the doctor started listing of demands
I'm glad I never joined the army became a doctor a priest or married!
I ❤️ senior residents & hope they do well.
Poor man's Dr. Glaucomflecken 😅
Better the devil you know than the devil you don't, hey-oh! The attending who gives you fair warning is the one you want to keep around! 😂😂😂
Touché 😋
Watching your videos in a new light after needing emergency surgery recently and just got out of the hospital, tried really hard to make it easy for the nurses but god I just wanted to hibernate in a cave
Let's get the "a new attending" video!
When i was an intern i wasn't that knowledgeable. I didn't even know what Hydralazine is used for. It is rarely used for hypertension. So this guy is very good for an intern. I am dumb.
I go into the hospital on March 7 for surgery. My diagnosis is Stenosis of the Cervical Spine With Myelopathy, my surgery is a Cervical Spine Laminectomy Decompression Surgery. My surgeon is really great, but the next day, he comes in with a group of students after many of my surgeries, it never fails, lol this will make 4 out of 5 surgeries so far......they have to learn some how!!!! This dude in the video is hilarious!!!! 👍🏻😁🏥🚑😷🤒
Sounds like a residency at large teaching hospital, that also does research . Staff Doctor: Smith by the way have a research paper Tomorrow by 17:00 hours on the kidney functions on a molecture level and follow - up with string theory too . Resident : Ok ? ( Freaking out . Teaching hospitals, where staff Doctors are responsible to produce research , don't play games . Some hospitals spoil residents, but major teaching hospitals push hard . Residents do 48 hour call in hospital . Staffmen 1 in 3 call . You really want to learn thinking on your feet . Apply to do your residency at Cook County in Chicago . Just do 1 year and you will learn a lot .😊
"Wildly specific, but ultimately irrelevant and meaningless, questions..."
Word for word how one of my best friends explained every attending he had to interact with.
Bless the residents and interns! 😆
I’m being deadass. My heart rate has been on average 120bpm for the last 4 days. Not sure what to do.
Intern you can forgive. They need Guidance Attending is lazy and a poor human being. Instead of being a leader by showing initiative knowledge and empathy he is hiding behind bluff and bullying.
In my daughter's first week as a final year med student her supervisor was a brand new F1 due to my daughter intercalating they were actually from the same class back in 4th year. The two of them were covering nights on the ward. Apparently it was a mess of the two of them deciding together what to do, both as clueless as the other. It went ok but yeah never be in hospital in August and September in UK or if you are be sick enough to be on HDU or higher.
I walked too fast once on rounds and left my old attending behind by accident oops.
so funny, the RN i was training asked me about giving hydralazine for high blood pressure and I said the exact thing to give labetolol instead because heart rate was elevated too
You think being senior resident is bad? Try being chief resident. But it does have its perks though. Nothing is all good and all bad. We deal with human lives so there is a strictness to it, and to the process. It’s all for the patient at the end of the day.
Whew 😰 he talks as fast as my son. He’s not in the medical field. He’s degree is aviation technology.✈️
Why did he order labetalol which is non selective 3rd gen beta blocker shouldnt we be going for a drug which is much more cardioselective?
Hopefully our medical system doesn't stay broken as fuck when I need it.
AND THIS RIGHT HERE... IS WHAT THE FU_K IS WRONG IN ANY HEALTHCARE SYSTEM... REGARDLESS OF WHERE YOU EXIST.
So middle management is like this everywhere, huh
There are innumerable reasons I didn't go into medicine, and I s2g I find new ones daily via doctube
you've singlehandedly fixed it so that I know where going on behind the scenes in a hospital and also fixed it so that I will never stay in one even if it's to save my life 🧬
I don’t work directly in the medical field, but all of this is way too specific not to be true. 🤣 lol
I found a turkey sandwich on the bus. Why wasn't there mayo on it?!?
When my mother was an intern, an attending asked the names of admirals in the Pacific in WWII and the definition of onomatopoeia
Sounds about right for middle management. 😬
As a senior resident in a 3rd world country, I am so relieved that it's the same in every country. That you so much for this
It’s like “flipping a coin “on what to do to the patients-( hate to be a patient).( all doctors )
So forgive me for being an idiot but what are residents exactly?
…do doctors use iPhone 3G and 3GS’s??? Damn that’s old
Caught between a rock and a hard place lol
4/11 is my birthday and now Im concerned
Room 411. Is Mr. Jones finally going to be able to go home?
Hold up, is that a first gen iPhone?!