POV: your first patient presentation

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  • Опубликовано: 23 май 2024
  • the throws of delivering your first internal medicine presentation.
  • РазвлеченияРазвлечения

Комментарии • 109

  • @bootsmade4walking
    @bootsmade4walking 2 месяца назад +432

    WOW THE BETRAYAL!!! Literally threw her under the bus, the train, the tram, and the trolly!

  • @austininmedford
    @austininmedford 2 месяца назад +246

    My god he even got the impatient attending breathing to relax themselves over the extraneous information in the presentation LMAO well done

  • @collinmackey2391
    @collinmackey2391 2 месяца назад +84

    most accurate thing I've every seen.
    "his legs look swollen.... to us."

  • @ZacharyBerry-vv3ws
    @ZacharyBerry-vv3ws 2 месяца назад +239

    “We’ve actually been doing some teaching” sent me

  • @lamp-senpai2414
    @lamp-senpai2414 2 месяца назад +189

    I can't explain how sweaty my armpits and hands are while watching this video, reallllyyyyy brings me back lol

    • @jfat4
      @jfat4 2 месяца назад +10

      For real. I'm sitting at home playing a video game on vacation and it's making me anxious.

    • @fulltimeslackerii8229
      @fulltimeslackerii8229 2 месяца назад +9

      “Is your axilla moist?”

  • @DennisBolanos
    @DennisBolanos 2 месяца назад +144

    0:44 “Because weird is not precise language.”
    Not sure why I laughed so hard at this.

  • @jamescharles5907
    @jamescharles5907 2 месяца назад +116

    this is like being in a warzone and watching violent war movies

  • @ellemenop11253
    @ellemenop11253 2 месяца назад +203

    The cuts to the attending being painfully stoic 💀💀💀😂
    EDIT: I just noticed he went back to reading his kindle HAHA

    • @ppdashing
      @ppdashing 2 месяца назад

      Yea very accurate

    • @MD-tp5zy
      @MD-tp5zy 2 месяца назад

      squid?

  • @chubbs8697
    @chubbs8697 2 месяца назад +152

    The next Glaucomflecken. This guy can not miss

  • @williammackenzie2103
    @williammackenzie2103 2 месяца назад +58

    The attending staring into the void be true lol

  • @szxnv
    @szxnv 2 месяца назад +178

    premature med school trauma is what I didn't know I needed today

  • @m136dalie
    @m136dalie 2 месяца назад +70

    The moist axilla is neat reference to a study finding that a dry axilla was a very sensitive finding for dehydration.
    Glad to see the subtle medical references still make it into these videos!

    • @misteratoz
      @misteratoz 2 месяца назад +2

      Didn't know that

    • @rusinoe8364
      @rusinoe8364 2 месяца назад +4

      Nice, I was wondering about that

    • @Thatsprettiemuchit
      @Thatsprettiemuchit 2 месяца назад +1

      Axilla is armpit for the laypeople

  • @Kesu123
    @Kesu123 2 месяца назад +33

    LMAO the patient codes immediately

  • @kickboxing3728
    @kickboxing3728 2 месяца назад +58

    My attending told me not to believe everything he says and especially not everything a resident says because a lot of the time, "they are just making shit up" (actual quote btw)

    • @lachyt5247
      @lachyt5247 2 месяца назад

      So much of medical practice is a perpetual chain of clinical decision making based on what you learned from your seniors, which they learned from their seniors and so on. If you follow the chain back far enough, you'll find most of it is just based on an attending who made it the fuck up one day not to look stupid.

    • @annahernandez3690
      @annahernandez3690 2 месяца назад +3

      I’ve heard a bunch of bullshit from attendings, so… yeah 🤣

  • @vcostello712
    @vcostello712 2 месяца назад +83

    The cool thing about being an EMT is I don't need to worry about this because no one cares about my report even if it's perfect

    • @A432Hz
      @A432Hz 2 месяца назад +18

      “We have a 62 year old male, chief complaint of chest pain-“
      “Yeah yeah cool ok where do I sign”

  • @alligatrix
    @alligatrix 2 месяца назад +37

    i have both given and received that "is the patient sick or not sick?" advice approximately a million times 😭 preston i'm sending you my therapy bills for setting off these flashbacks

  • @jimjamesjimothy
    @jimjamesjimothy 2 месяца назад +18

    Reactivation of my fight or flight response was exactly what I needed at 7:19am this morning to really get the blood pumping. Takes me back

  • @misteratoz
    @misteratoz 2 месяца назад +37

    Hospitalist here, this slaps

  • @TOD560
    @TOD560 2 месяца назад +18

    This attending is nicer than any of the attendings I’ve presented to. In my final year of med school whilst presenting, my supervisor (a Surgeon) ripped into it so hard he threatened to fail me on that rotation just for the presentation alone

  • @THOOODAI
    @THOOODAI 2 месяца назад +26

    This shit is straight PTSD

  • @levone8958
    @levone8958 2 месяца назад +50

    Code status? Yeah probably not that important... until it is

  • @soundescape5413
    @soundescape5413 2 месяца назад +28

    Peds. So traumatic. Outpatient clinic, first day with a Resident, gave me the chance to present said the attending was nice....She was not. Presented, I got stage fright and fumbled. Attending just stops me and looks at the resident and went, "Really? You're a 3rd year resident and you didn't teach him anything." I want to retract my body into my scrubs like a turtle.

    • @jamescharles5907
      @jamescharles5907 2 месяца назад +6

      wow had a really shitty day two weeks ago where an attending took a picture of my notes to show to the head of clinical medicine "you're not in trouble" and ig this is a reminder to me that it can get worse i guess

    • @abd-animation-22
      @abd-animation-22 2 месяца назад +2

      Oh boy i am starting peds rotation in 2 Months from now
      I am soooo excited

  • @dddelve
    @dddelve 2 месяца назад +16

    depending on the accuracy of this i can safely say that working as tech in the ED and speaking with doctors every day has at least mildly prepared me for presentations in med school

  • @hnbli
    @hnbli 2 месяца назад +5

    His palms are sweaty, knees weak, arms are of heavy….
    Entrance music for every med student. Man this was too accurate

  • @lichh64
    @lichh64 2 месяца назад +19

    I haven't done this yet but I don't understand why everything in med school has to be so stressful and judgy, why can't we just discuss without pressure of being ridiculed by more senior peers.

    • @ArunKumarMalaysia
      @ArunKumarMalaysia 2 месяца назад +11

      Mosf of the time is the high workoad, low resources and even less time to complete it all.. Every second counts, so people overtimes change their personality to this even if they don't want to... This the sad reality of medicine throughout the world..

    • @ppdashing
      @ppdashing 2 месяца назад +6

      ​@@ArunKumarMalaysia that doesn't explain it at all. I think it has to do it doctors needing to know stuff otherwise it might lead to severe repercussions not found in other careers. People don't take kindly to doctors making mistakes due to lack of knowledge

  • @josephstephen2010
    @josephstephen2010 2 месяца назад +6

    I was so second-hand nervous I could barely watch lol

  • @horikita3464
    @horikita3464 2 месяца назад +6

    Very accurate, yes the resident betrayal is not that uncommon in the exact same kind of settings

  • @hammy7gag734
    @hammy7gag734 2 месяца назад +18

    hurts to the core😢😂

  • @aidancurran4399
    @aidancurran4399 2 месяца назад +8

    Nightmare fuel fr, great video

  • @caseyr1
    @caseyr1 15 дней назад

    “Yeah so why do you want to diurese him ?” Oh man so true.

  • @ArunKumarMalaysia
    @ArunKumarMalaysia 2 месяца назад +1

    oh God i'm getting flashbacks to internship times when we needed to present cases directly to the specialist :X

  • @mikeE997
    @mikeE997 2 месяца назад +1

    The GDMT bit here was fantastic!

  • @Zm4rf
    @Zm4rf 2 месяца назад +3

    the 0.5x lens ain't treating you well and may be worse than reopening the wounds of med school ESPECIALLY THE RESIDENT THROWING ME UNDER THE BUS OH MY GOOOOOOD

  • @julian-jh8mp
    @julian-jh8mp Месяц назад

    Oof, even the trembling in the voice, made me anxious how realistic that was

  • @roxonbenoit7951
    @roxonbenoit7951 2 месяца назад +4

    1:28 TOP 10 ANIME BETRAYALS

  • @liamhurlburt9794
    @liamhurlburt9794 2 месяца назад +3

    "what's his code status....??" immediately codes

  • @jjjjjjjyang
    @jjjjjjjyang 26 дней назад

    Idk how u do it but these skits make me feel like a m3 again

  • @stoneleachman9647
    @stoneleachman9647 2 месяца назад

    Once an attending randomly asked for a hemoglobin on a patient from like 6 months ago and I didn’t have that prepared and I said I don’t know and he’s like well find it out right now before we keep talking and I had to go in the EMR and it took forever and he just sat there in silence just waiting for me. He was an incredibly nice attending but that, that was painful. I will never forget it. There will be more to come

  • @airlion1205
    @airlion1205 2 месяца назад +1

    As someone about to get into 3rd year, I feel my anxiety going up lol

  • @user-bv7jc
    @user-bv7jc 2 месяца назад +1

    the code status LMAOOOOOOO "yo actually I think we need to- "

  • @literalantifaterrorist4673
    @literalantifaterrorist4673 2 месяца назад +5

    Oh my god this is so real as an EMT giving your first patient report

  • @tofreedom__4891
    @tofreedom__4891 2 месяца назад +2

    Pleaseeeee I just finished my IM rotation and this was traumatic to watch 😂😂😂😂

  • @Kelpsicle
    @Kelpsicle 2 месяца назад +4

    Perfect video

  • @therambler3713
    @therambler3713 2 месяца назад

    The only thing missing was an assignment that has to presented the next day for diuretics what they're used for.

  • @entrop1e7
    @entrop1e7 Месяц назад

    Exactly how I felt during medschool..😮

  • @Innieminnie
    @Innieminnie 2 месяца назад

    I saw the thumbnail and I knew it was gonna be a painful watch

  • @thomasharrington463
    @thomasharrington463 2 месяца назад +1

    Ur on that VA-cation lol

  • @moo3oo3oo3
    @moo3oo3oo3 2 месяца назад +4

    Why was the attending asking about hyperhidrosis?

    • @m136dalie
      @m136dalie 2 месяца назад +8

      Not hyperhidrosis but the axilla in particular. There was a study analysing different markers of fluid status that found a dry axilla was very sensitive for dehydration. The joke is that this is very niche and in day to day practice nobody does this.

  • @KernelGhost
    @KernelGhost 2 месяца назад +1

    Another banger video 🔥

  • @zacharytavallaee5916
    @zacharytavallaee5916 2 месяца назад +1

    This content slaps

  • @Griffiana
    @Griffiana 2 месяца назад

    Any medical professional can watch this for immediate psychic damage. Truly, one of the few irl memetic hazards in circulation.

  • @fulltimeslackerii8229
    @fulltimeslackerii8229 2 месяца назад +1

    I start rotations as a 3rd year in 1 month. And it’s psych. Any advice for me? I’m kinda nervous about psych being my first rotation

    • @lamp-senpai2414
      @lamp-senpai2414 2 месяца назад +3

      psych is usually more chill but just keep organized notes so presenting is easier (and rehearse if you have time!)

    • @QuidamEU
      @QuidamEU 2 месяца назад +2

      Don't stress too much, you're not meant to be good at it on your first rotation. If it was easy we wouldn't have to learn how to do it! Just throw yourself at it, accept that it'll feel really awkward to begin with, and you'll get better with time. Avoiding it is the only way to stay bad at presenting.

    • @m136dalie
      @m136dalie 2 месяца назад +1

      Psychiatrists are generally very nice and welcoming.
      If they want you to write notes, just write down basically everything that's said. Then completely forget that when you do a surgery rotation.

    • @fulltimeslackerii8229
      @fulltimeslackerii8229 2 месяца назад +1

      @@QuidamEUmy biggest worry isn’t that I’ll be dumb, but that since I’ve never talked to patients before that I don’t have the “social skills” for something as socially nuanced as psych. Any advice on that end?

    • @QuidamEU
      @QuidamEU 2 месяца назад

      @@fulltimeslackerii8229 I think again that's basically asking "how do I become experienced?" - the answer is that you need to allow yourself to be awkward and clumsy, that's how you learn. In my experience, patients were remarkably understanding of my, and my fellow students', clumsiness - even in psych.
      It really only takes a couple of patient consultations to lose the anxiety of a new situation and start becoming more comfortable with the topic. You've made it this far, have some confidence in your ability to adapt!

  • @fulltimeslackerii8229
    @fulltimeslackerii8229 2 месяца назад +3

    Uhhhh how could it be his dry weight if he’s showing signs of 3rd spacing 🤓🤓🤓

  • @JUANReyes-xj2sk
    @JUANReyes-xj2sk 2 месяца назад +2

    I dont understand why americans have the lasix as the number one option for any oedema?

  • @Aglahad
    @Aglahad Месяц назад

    I felt this. Fucking senior

  • @Liface
    @Liface 2 месяца назад

    Can we please not close caption videos if the subtitles are going to be wrong?

  • @kp74952
    @kp74952 2 месяца назад +2

    Gold

  • @zacharytavallaee5916
    @zacharytavallaee5916 2 месяца назад +1

    Actually why I didn’t go into IM

  • @ERdoctorMike
    @ERdoctorMike 2 месяца назад

    🤣 soooo true!

  • @HuevoBendito
    @HuevoBendito 2 месяца назад +1

    FACTS

  • @jamescharles5907
    @jamescharles5907 2 месяца назад +2

    didnt know moist axilla was a thing ???

    • @ppdashing
      @ppdashing 2 месяца назад +1

      It's a good place to check for dehydration especially in older patients

  • @patrickl1371
    @patrickl1371 2 месяца назад

    hell yes

  • @dres4801c
    @dres4801c 2 месяца назад

    I got insanely triggered watching this (not me also applying IM this cycle lolz)

  • @HairRival
    @HairRival 2 месяца назад

    I vomited in my mouth a little. It's just like the real thing! All that was missing somebody correcting "goal" to "guideline" in true IM fashion.

  • @FantasyPNTM
    @FantasyPNTM 2 месяца назад +1

    This is so triggering i hate it

  • @abd-animation-22
    @abd-animation-22 2 месяца назад +1

    The sudden cuts is confusing between the two scenes of med stu and resid
    With
    All three of them

    • @A432Hz
      @A432Hz 2 месяца назад +1

      It’s about the juxtaposition of the resident supposedly helping/teaching you vs the resident throwing you under the bus when with the attending. The change of behavior is supposed to feel as jarring as the video cuts which adds to the sense of disconnect.

  • @Arwenisawesome
    @Arwenisawesome 2 месяца назад

    Thanks, I hate it :,)

  • @fulltimeslackerii8229
    @fulltimeslackerii8229 2 месяца назад +1

    “Why would you diurese this person at his dry weight?
    “We should continue his diabetes osmotic diuretic cuz it’s protective in heart failure”
    God pls tell me stuff like this is fake

    • @itspresro
      @itspresro  2 месяца назад +4

      No dude this is as real as it gets

    • @fulltimeslackerii8229
      @fulltimeslackerii8229 2 месяца назад +1

      @@itspresroa literal catch 22. Were being set up to fail

    • @fulltimeslackerii8229
      @fulltimeslackerii8229 2 месяца назад

      @@merelymaterialIdk. I’m still a second year 😭😭. I’m gonna guess no based on how you asked

  • @harrisonzhu3300
    @harrisonzhu3300 2 месяца назад +2

    This is the most horrible video I’ve ever seen in my life

  • @lalawoohooo
    @lalawoohooo 2 месяца назад

    Post about palestine!!!

    • @itspresro
      @itspresro  2 месяца назад +11

      Dude I have two videos on it (here) with over 1.4 million views on my other platforms. I’ve raised 150k for families to pay for passage through to Egypt.
      Stop
      Stop using my comments section to blast your political objectives. Find another way to support your cause

    • @lalawoohooo
      @lalawoohooo 2 месяца назад

      @@itspresro Ok thank you!!!