I love that you think this is a joke and not how you actually admit patient that noone wants to take. Once i made semi-battle royale, ICU, Intermal and gen surgery.
@@Scheiseposter we know, but there are some patients can’t send home. We also need the beds to have very high turnover to manage the very large volume of patients. It’s the system, not the ED!
@Avocado Toast welp i better read up on my notes cause third year is coming and i don't want to look like an idiot while handling my assigned patients.
not just doctorz erm nurses it's everywhere gotta find someone lower or higher rank to ditch excess workloads or difficult problems on also their job to ditch that problem eventually you run out of time to ditch the hot potato 🥔 and you're stuck with it
@Avocado Toast I worked 6 years as an ER Tech, and was speaking to the ER that I worked at. And EKG was what I meant, stupid autocorrect to an acronym that I’ve never once used lol I was operating under the presumption that you were an ER nurse yourself, and this was meant to be playful banter
Hahaha when I was 8, I was admitted to the floor from the ER and then my body decided to kill itself in the middle of the night and I woke up in the PICU.
Lol Not sure if that’s a joke about the word “chaos” or a joke about the TV spy show with the agency “Chaos”! I now have that show theme playing in my head! 😂
I love every single one of these videos! Not sure if you'd ever consider doing one that involved a Dentist but I'd love to see an interaction between a Dentists and an ENT.
I have a Periodontal Patient Who Have no gum Now due to which the Teeth are Falling But came For Just Some OPIODs. And There was a Patient who was Apparently in the Boxing Practice got a Huge Blow And Seems the TMJ is Off the Hook. And I am an emergency Med and trauma Resident Real Life Cases Of Mine Today 😐
I’ve been begging you to do urology for my dad, then I showed him this video and he TOLD ME he has been following you on tik tok for a YEAR. Then he informed me that you have done urology videos! He’s been practicing for over 45 years and adores your videos. For him to follow you on tik tok at age 72 is a huge compliment. He said “what’s so sad is that we must be pretty predictable, everything he does is super accurate” , I thought that was adorable and had to pass it along to you!
This happened not long ago. Emergency doctor said "Vitals are still fine but this guys skin color looks weird, lets admit him asap". Floor doctor said "sudden dyspnea in stage 4 COPD? not touching that" ICU doctor said "nah, doesnt look urgent, he can wait till tomorrow". One hour later we're intubating and resuscitating the patient who was still in the emergency department waiting for admission.
Is it typical in the States to intubate patients with end stage COPD? Surely there needs to be a conversation about dying with some dignity instead of the slow uncomfortable death which is almost inevitable if you ventilate someone with such aevere lung disease.
@@heddcarden7426if the pt does not have a DNR (do not resuscitate) or a DNI (do not intubate) order, we have to do everything in our power to keep the pt alive which includes intubating a pt that we know isn’t going to make it in the long run. I’ve seen many cases of people who should have a DNR but don’t have one either because of a fear of death, or the family not wanting to let go of grandma. We just earlier this week we ran a code on an almost 90 YO female who had no viability, but we had to do our rounds of cpr and Epi until time of death was called by the Physician. I’ll tell ya, it’s not a pleasant feeling to break grandma’s ribs under my hands via chest compressions.
I was thinking it was going to be a "first come, first served" on where the patient got taken lol. And I'm starting to understand why everything takes soooo long inside the hospital!
Mind of ER Doc: "Just get the patient out to the floor or ICU, I don't care, as long as they go somewhere and out of my hair (as the ER Doc stares at the sea of patients in the ED).
It is so hard sometimes. I'm lucky to have some pretty great docs to admit to who are reasonable and mostly care about the patient but I have also had to wear consultants and hospitalists down by just saying over and over "I am worried about the patient, I think they need your help." That usually works, or if it doesn't the fact that I am gonna keep calling them in the middle of the night til they take the patient 😂
Ahh yes.. "You have open beds just admit the patient" "We need those..."- to fadeout transition just hits the spot for me... I'm pretty sure every medical hospital in the world has some version of this.
My floor opened rooms. Got report from ER about guy with bad leg cellulitis, and hospitalist hadn't even seen him yet but had ordered admit to floor. Alert and oriented, stable vital signs. Within 10 minutes of arriving to my empty room, he's coding. Code ran nearly half an hour. Guy didn't make it.
As an ER doc, this is Painfully true. You try and advocate for your patient, icu (or other admiring service) punts, then the patient’s off to progressive (maybe).
Haha. This speaks to me on a personal level.... Step down nurse here, so we get the inbetweens like your patient here. I feel like this is exactly how ED admits our patients. Thanks for the laugh.
I wish I had a way to send this to the hospitalist from the last time I had to go to hospital. He was great, freaking had me cracking up! I think he'd appreciate this humor 😄
As someone who works ICU nights this killed me. "The patient sneezed twice and looked at me funny.... they for sure need the ICU. Our nurses can't handle this level of care" LMAO
Reminds me of the time the hospital almost sent me home with bird flu and Motrin. If it weren't for the Dr coming in at the last second and spoon feeding me answers to his questions, i would've never gotten the labs approved or proper care.
This makes me sad because I lost the most important person in my life after a motorcycle accident because they moved him from the ICU to the floor too soon and he died the night he was transferred. Almost like the job makes you forget that they're real people you're dealing with.
Sorry for your loss. But this actually put the discussion into the right hands. The arguing parties have the larger picture and have come down seen the patient. Recall that the ER doctor wasn't sure where to send.
I always had to go to maternity first but once they verified my pregnancy was safe and I wasn't in labor, I was moved to the regular floor for pain management with twice daily checks down in L&D when I had a kidney stone because L&D wasn't equipped for that. A couple months later I'm back thinking another stone, nope, I'm in early labor.
I’m a floor nurse, I’ve encountered too many times when they transfer unstable patients to our floor instead of ICU. They end up coding a few minutes or upon arrival to our floor. This is not fair for the already exhausted nurses.
I've actually witnessed this in real life. I needed to be admitted. One doctor insisted that I be admitted and to see a neurologist asap first thing in the morning, but another ER doctor came back in my room, and said no. I asked why. He mentioned hospital costs and I won't see a neurologist until the morning. (it was already like 2am). I was like what???? He said his decision was final. He gave me some kind of medication in my IV drip that made me extremely jittery and I couldn't sit still then he proceeded to discharge me. I begged the nurse to please get another doctor to help me, cuz I really needed to be admitted. She left for a long time, came back. She said the doctor told her no. Honestly, she looked very young, scared, and inexperienced. I'm not sure if she really went and talked to another doctor. Then, I begged the nurse to please take out the drip. Because, whatever it was that the doctor prescribed to me, it was too much. Honestly, I think he did that on purpose. I begged him again, also the other doctor adamantly insisted that I be admitted. He said yes to the other doctor on the phone, then when he hung up, he said yes, an hour later, came back in my room, said no to me again. He was so mean, rude, and horrible to me. I was exhausted, sick, and tired, I really needed help, but I went home....even though, I should have been admitted.
@Faye Patrice Yes, absolutely, you know it... I was in the ER everyday. I had to call and call and call my primary care doctor to get me seen by a neurologist asap because they were booked up to the next 4 months. It took a lot of pestering and pushing and calling my primary care doctor's office like a maniac, and after 4 days, she got me an expedited appointment to see a neurologist within 2 weeks. ( they said that's was the fastest appointment they could get). And that all the neurologist were all booked and swamped all the time. It was in 2 weeks, so within those 2 weeks, I was in the emergency room almost every day.
And step down will always try to turf it as well. Having worked ER, ICU and Step down, ER and Step down are both typically accurate in where they should go but ICU always makes it about struggle for control barring brain death or close to it. But tbf I think the ever increasing acuity levels in our hospitals in direct opposition to ever more dangerous staff:patient/acuity ratios that are unsafe is the real culprit.
I can relate to this conversation having worked in the ICU. It not unusual to get a heads up from the charge nurse about a pt getting admitted to the ICU but later get downgraded to telemetry unit. Before the shift is over rapid response team is called to that pt and the pt ends in the ICU anyway. Lesson for the nurse: keep a close observation of new admission watching for signs and symptoms of deteriorating health condition.
Hospitalists are called “Med Regs” or Acute Medics in the UK but part from minor differences in terminology the behaviour and stereotypes are EXACTLY the same here! So spot on you are!
Hospitalist- doctor who works in the hospital wards (versus being in the ER, primary care provider etc). Floor- regular area most people think of when they think of hospital wards, patients are more stable/healthier than those in the ICU. Often divided by specialty (mostly ortho on floor 6, mostly cardio on floor 7, etc).
I can laugh at this from my position of luxury living in a first world country, but I imagine for someone living in a country such as America, wherever you get admitted to can probably greatly affect the cost.
The one time I went to the ER for an UGI bleed, I was admitted directly to the ICU after blood transfusions, imaging studies and scoping while still admitted to the ER. Since I was clinically stable, I think the only reason they admitted me to the ICU was because I am a physician. If I wasn't sedated post scope, I would have said something. The shock from the hospital bill was more alarming than my diagnosis.
I was admitted to the ER for my epilepsy. I couldn’t walk or talk and I came in in a wheelchair. Almost non-responsive, but conscious. Guess where I was put? The ER. They gave me medicine to counteract epilepsy, and after 15-20 my symptoms got way better and they were gonna send me home. The EEG results went from 9.2 earthquake to 2.6 earthquake (which is my normal, I never have normal brain waves, haven’t in 4 years). So, they start getting the discharge papers. Then I have 2-3 seizures. They admit me to the ICU, fucking finally. Because the goddamn meds they gave me didn’t work. In the ICU they gave me more meds, and I had another goddamn seizure.
I was on the receiving end of the ICU doc losing this argument in the middle of the night probably hundreds of times. Sometimes the patient didn't even need to be admitted. It was always fun to do a full admit workup at 0400 and then still be charting when the day docs discharged the patient to home the second they showed up. I think it was my favorite thing ever.
Hospitalists are much smarter than consultant specialists who are only knowledgeable in their limited scope/field and heavily reliant on PA’s and NP’s who are even less intelligent. They’re also much smarter than ER doctors who often try to punt silly admissions with half baked and pending workups and often have horrendously wrong initial impressions on patients who end up getting correctly diagnosed on the floors. Nurses have no clue either 😅. Truth hurts!!
This is definitely true. I had a resident tell me once that a patient was too sick for the ICU. I’ve also had a hospitalist tell me that a patient was too sick and needs to go to the ICU, when critical care refused the hospitalist said he could be discharged.
EM doesn't know how to do jack sht. All they do is make phone calls. They are glorified, overpaid operators. Abs o lut e du m bfu ck in ret ards. They never do anything for the patient. Their excuse? It's not an emergency. That's IM's job. Bish, 99% of emergency pts are primary care. So you sit there all day and get paid to make phone calls.
I can't wait to see emergency medicine come help rural medicine. He'll end up swapping the most disgusting stories with the locals over beers, and they'll love him so much they won't let him leave.
Happened to me i went in for flu symptoms, found out it was a thyroid storm so i was told i being admitted to the icu, then another doctor came in and said it wasnt thyroid storm and they were admitting me to lower level care unit(step below icu) then 3 more came in and said I DID HAVE IT and eventually they took me to icu then an additional 2day in the step below unit....also embarrassing side note this disease makes you poo alot so i farted and it was not a fart but poo, so i called the nurse and i just had to be the one hot male nurse on the floor who answered cause mine was busy 😂😂😂
Similar tip. If you can get one specialist on board, the rest fall like dominoes. You think think the hospitalist wants to argue with neuro if neuro wants the patient admitted? I don’t think so.
![So You Want to Be an EMERGENCY MEDICINE DOCTOR [Ep. 9]](http://i.ytimg.com/vi/RaWl6-l-t4g/mqdefault.jpg)
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Lost it the moment he starts carrying his bike 🤣🤣
Gotta get that cardio in!💪
Keep Rockn' in it
Not of it ! 🤣
Gotta pop the bike on shoulder until you get outside.
Deuces I'm out
I guarantee you he was not lost in any moment and that was an intentional decision. Source: fellow bike owner
I had an upper level resident tell me once that "emergency medicine is the art of making it internal medicine's problem".
Lol
Spot on!!
I believe this so much lol so many dump and runs!
Hey if it's IMs problem that means they didn't die in the ED. Mission accomplished, strong work team!
💯 EXACTLY
“The best kind of problems are the ones that aren’t mine.”
Best quote I’ve ever heard
Love the ER doctor creating drama then leaving because his shift probably ended! lol that's the beauty of working in an ER😆
I love that you think this is a joke and not how you actually admit patient that noone wants to take. Once i made semi-battle royale, ICU, Intermal and gen surgery.
As an EMT, I just giggle
As an emergency doc all I can do is LOLOLOLOLOLOLOLOL
@@Scheiseposter we know, but there are some patients can’t send home. We also need the beds to have very high turnover to manage the very large volume of patients. It’s the system, not the ED!
@@hershwazir2372 I know... I work in ER...
The most important skill as an ER doc is to know who to hand your case off to 🤣
@Avocado Toast except for splints, EMGs, CPR, stocking, cleaning beds, or pretty much anything they want the ER tech to do ;)
@Avocado Toast welp i better read up on my notes cause third year is coming and i don't want to look like an idiot while handling my assigned patients.
@Avocado Toast twin
not just doctorz erm nurses it's everywhere gotta find someone lower or higher rank to ditch excess workloads or difficult problems on also their job to ditch that problem eventually you run out of time to ditch the hot potato 🥔 and you're stuck with it
@Avocado Toast I worked 6 years as an ER Tech, and was speaking to the ER that I worked at. And EKG was what I meant, stupid autocorrect to an acronym that I’ve never once used lol
I was operating under the presumption that you were an ER nurse yourself, and this was meant to be playful banter
Nailed it. And maybe 50% of the time, those “non-ICU” candidates need the ICU in the next 24 hours… so it’s almost a coin flip.
When they threaten RRT upon arrival to the floor, I say, “do what you think is right.”
As a gen med nurse who’s sick of patients being admitted to the floor when they’re on the verge of requiring intubation…I feel this.
@Koqui Onefourteen definitely not true, more patients going to the floor that need upgrade than ICU needing downgrade.
There are too main reasons of ITU refusal -
Too early ( as patient is quite well )
Too late ( dying )
It rarely in between.
Hahaha when I was 8, I was admitted to the floor from the ER and then my body decided to kill itself in the middle of the night and I woke up in the PICU.
Ok, but can we take a moment to appreciate that the emergency med doctor is always so nice to Bill?
Emergency medicine is more burnt out than Bill. He knows. He knows how it is.
He deserves it. He's trying his best.
Emergency gets Bill
Who is Bill? I know & have seen the others.
@@miragenesoi7026 hes the guy with his tie crooked and glasses askew and seems like hes lost or dead due to being over worked
Ah yes, an agent of chaos
Lol Not sure if that’s a joke about the word “chaos” or a joke about the TV spy show with the agency “Chaos”! I now have that show theme playing in my head! 😂
This comment 🤣
@@jaimedornanlady7309 missed it by that much!
I love every single one of these videos! Not sure if you'd ever consider doing one that involved a Dentist but I'd love to see an interaction between a Dentists and an ENT.
Yes! Perhaps oral surgery with ENT if you'd have to choose a dental specialty.
ohh it would be a great collab with Bentist!!
Yes ! I'd love to see dentists. So much content possibilities
I have a Periodontal Patient Who Have no gum Now due to which the Teeth are Falling But came For Just Some OPIODs.
And
There was a Patient who was Apparently in the Boxing Practice got a Huge Blow And Seems the TMJ is Off the Hook.
And I am an emergency Med and trauma Resident
Real Life Cases Of Mine Today 😐
We need bentist
I’ve been begging you to do urology for my dad, then I showed him this video and he TOLD ME he has been following you on tik tok for a YEAR. Then he informed me that you have done urology videos! He’s been practicing for over 45 years and adores your videos. For him to follow you on tik tok at age 72 is a huge compliment. He said “what’s so sad is that we must be pretty predictable, everything he does is super accurate” , I thought that was adorable and had to pass it along to you!
God bless your father! Wishing him the best❤️
I guess humans really are predictable
Hey your dad sounds cool af, urologists always are though! Also tell him his daughter is pretty cute😂
@@TheMrUberR brooo plz tell me you are not hittin on a woman in yt comments, down baaaad lmao
@@GMODMV also imagine the conversion this guy is asking her to have.
"Hey dad a stranger on the internet wanted me to tell you that I'm hot af"
This happened not long ago. Emergency doctor said "Vitals are still fine but this guys skin color looks weird, lets admit him asap". Floor doctor said "sudden dyspnea in stage 4 COPD? not touching that" ICU doctor said "nah, doesnt look urgent, he can wait till tomorrow". One hour later we're intubating and resuscitating the patient who was still in the emergency department waiting for admission.
That’s heart breaking for that patient
These other specialties really like waiting till shvt hits the fan before moving their ass
Is it typical in the States to intubate patients with end stage COPD? Surely there needs to be a conversation about dying with some dignity instead of the slow uncomfortable death which is almost inevitable if you ventilate someone with such aevere lung disease.
@@heddcarden7426if the pt does not have a DNR (do not resuscitate) or a DNI (do not intubate) order, we have to do everything in our power to keep the pt alive which includes intubating a pt that we know isn’t going to make it in the long run. I’ve seen many cases of people who should have a DNR but don’t have one either because of a fear of death, or the family not wanting to let go of grandma. We just earlier this week we ran a code on an almost 90 YO female who had no viability, but we had to do our rounds of cpr and Epi until time of death was called by the Physician. I’ll tell ya, it’s not a pleasant feeling to break grandma’s ribs under my hands via chest compressions.
@@heddcarden7426they live or die. You didnt sign a do not resuscitate? We choose live as long as its possible.
Wow! As an ICU doc I’m speechless on the accuracy of this 🤣🤣🤣🤣
I was thinking it was going to be a "first come, first served" on where the patient got taken lol. And I'm starting to understand why everything takes soooo long inside the hospital!
If I need icu level of care I dotn want to Benin a gen med ward
As a Pulm/Crit physician, this is spot on accurate. Well done.
Mind of ER Doc: "Just get the patient out to the floor or ICU, I don't care, as long as they go somewhere and out of my hair (as the ER Doc stares at the sea of patients in the ED).
Do they need ICU or floor?
ED doc: "They need... care."
Truth
God forbid they would discharge anyone. That stubbed toe isn’t going to round on itself!
It is so hard sometimes. I'm lucky to have some pretty great docs to admit to who are reasonable and mostly care about the patient but I have also had to wear consultants and hospitalists down by just saying over and over "I am worried about the patient, I think they need your help." That usually works, or if it doesn't the fact that I am gonna keep calling them in the middle of the night til they take the patient 😂
probably one of the funniest videos of yours! this character and the med students series are my favs
Ahh yes.. "You have open beds just admit the patient" "We need those..."- to fadeout transition just hits the spot for me... I'm pretty sure every medical hospital in the world has some version of this.
My floor opened rooms. Got report from ER about guy with bad leg cellulitis, and hospitalist hadn't even seen him yet but had ordered admit to floor. Alert and oriented, stable vital signs. Within 10 minutes of arriving to my empty room, he's coding. Code ran nearly half an hour. Guy didn't make it.
@@esunablizzard6482 oh my god, that's horrible that could have been someone's dad, husband, best friend. Likely all three...
he’s stirring the pot then biking away 🤣🤣
As an ER doc, this is Painfully true. You try and advocate for your patient, icu (or other admiring service) punts, then the patient’s off to progressive (maybe).
Or wherever you can get the most appropriate bed the quickest!
Haha. This speaks to me on a personal level.... Step down nurse here, so we get the inbetweens like your patient here. I feel like this is exactly how ED admits our patients. Thanks for the laugh.
Haha I thought he was just going to give him to whoever showed up first
So did I 😂
Same!
I am happy to be an investor in your upcoming Netflix light-hearted drama about hospital politics
Oh I AM that patient, every time, lol. Witnessing bedside fights between specialists over my care as I go down hill in pain.
So THAT'S how you do it!
Emergency Department played them both off like a violinist from a symphony orchestra.
The boss lvl energy of fight among yourselves is insane
I am the hospital nursing supervisor. This conversation takes up 80 percent of my day! Thanks for sharing 🤣
You need to do one about Emergency Psych vs Emergency medical.
Those battles are epic!
Two weeks into EM rotation, and this is the most accurate thing I've ever seen, ever. 😂
As Ken Watanabe said in his infinite wisdom..."Let them fight!"
I wish I had a way to send this to the hospitalist from the last time I had to go to hospital. He was great, freaking had me cracking up! I think he'd appreciate this humor 😄
Chances are he already knows about Dr G's channel 😽
As someone who works ICU nights this killed me. "The patient sneezed twice and looked at me funny.... they for sure need the ICU. Our nurses can't handle this level of care" LMAO
Reminds me of the time the hospital almost sent me home with bird flu and Motrin. If it weren't for the Dr coming in at the last second and spoon feeding me answers to his questions, i would've never gotten the labs approved or proper care.
I literally heard this argument just a bit ago. "A ventilator doesn't warrant a bed on ICU, we are way too full!"
Worked on a step down. When they started talking peep in report- I'd put them on hold, get my manager, and house would then get involved.
*Laughs in A-line*
This makes me sad because I lost the most important person in my life after a motorcycle accident because they moved him from the ICU to the floor too soon and he died the night he was transferred. Almost like the job makes you forget that they're real people you're dealing with.
Sorry for your loss. But this actually put the discussion into the right hands. The arguing parties have the larger picture and have come down seen the patient. Recall that the ER doctor wasn't sure where to send.
I'm sorry to hear that and I hope you are doing okay. That must have been painful
I'm so sorry for your loss 🫂
NOT EVERY PREGNANT PATIENT NEEDS TO GO TO THE MATERITY WARD.
_Midwife in Charge December 2021_
Ha that’s literally the policy at my hospital 🤷♂️
I always had to go to maternity first but once they verified my pregnancy was safe and I wasn't in labor, I was moved to the regular floor for pain management with twice daily checks down in L&D when I had a kidney stone because L&D wasn't equipped for that. A couple months later I'm back thinking another stone, nope, I'm in early labor.
Not every pregnant patient needs an ultrasound.
Sonographer 2023
Emergency doc was smooth...🤣🤣🤣🤣
I’m a floor nurse, I’ve encountered too many times when they transfer unstable patients to our floor instead of ICU. They end up coding a few minutes or upon arrival to our floor.
This is not fair for the already exhausted nurses.
Or the patient who coded
@@BoogieDownProduction Yes, you are definitely right.
The ER doc casually putting his shades on and carrying his bike out sent me, I almost aspirated on my drink 🤣
I've actually witnessed this in real life.
I needed to be admitted.
One doctor insisted that I be admitted and to see a neurologist asap first thing in the morning, but another ER doctor came back in my room, and said no. I asked why. He mentioned hospital costs and I won't see a neurologist until the morning.
(it was already like 2am).
I was like what????
He said his decision was final.
He gave me some kind of medication in my IV drip that made me extremely jittery and I couldn't sit still then he proceeded to discharge me.
I begged the nurse to please get another doctor to help me, cuz I really needed to be admitted.
She left for a long time, came back. She said the doctor told her no. Honestly, she looked very young, scared, and inexperienced. I'm not sure if she really went and talked to another doctor.
Then, I begged the nurse to please take out the drip. Because, whatever it was that the doctor prescribed to me, it was too much.
Honestly, I think he did that on purpose.
I begged him again, also the other doctor adamantly insisted that I be admitted.
He said yes to the other doctor on the phone, then when he hung up, he said yes, an hour later, came back in my room, said no to me again.
He was so mean, rude, and horrible to me. I was exhausted, sick, and tired, I really needed help, but I went home....even though, I should have been admitted.
Not as funny. Sorry that happened
What happened after you went home? If you really needed to be admitted, I assume you would end back up in the ER.
@Faye Patrice
Yes, absolutely, you know it...
I was in the ER everyday.
I had to call and call and call my primary care doctor to get me seen by a neurologist asap because they were booked up to the next 4 months.
It took a lot of pestering and pushing and calling my primary care doctor's office like a maniac, and after 4 days, she got me an expedited appointment to see a neurologist within 2 weeks. ( they said that's was the fastest appointment they could get). And that all the neurologist were all booked and swamped all the time.
It was in 2 weeks, so within those 2 weeks, I was in the emergency room almost every day.
@@nalignmentwlifehealinglife3519 and did you die or suffer severe morbidity in the meantime?
Love your videos Dr Glaucomflecken! When am I going to see a haematology one, starting to feel very left out!!
I've been seeing so many of these shorts, but never subscribed. The end on this one. After all the laughs, you've earned it. Keep up the great content
i forking hope i'm never sick
in my prelim days, this was the daily struggle. Then they just admit the patient to stepdown😂
And step down will always try to turf it as well. Having worked ER, ICU and Step down, ER and Step down are both typically accurate in where they should go but ICU always makes it about struggle for control barring brain death or close to it. But tbf I think the ever increasing acuity levels in our hospitals in direct opposition to ever more dangerous staff:patient/acuity ratios that are unsafe is the real culprit.
You know I'm not a doctor when I first thought the floor meant the ACTUAL floor 😂
I just love how the ER doc is wearing a bike outfit. It just rings so true
I can relate to this conversation having worked in the ICU. It not unusual to get a heads up from the charge nurse about a pt getting admitted to the ICU but later get downgraded to telemetry unit. Before the shift is over rapid response team is called to that pt and the pt ends in the ICU anyway. Lesson for the nurse: keep a close observation of new admission watching for signs and symptoms of deteriorating health condition.
If I could give it two thumbs up, I would!
I'm always so happy when I see you have a new video up! Thanks for making me laugh after a difficult day :)
Like a boss.
Sets it up and walks away
Hospitalists are called “Med Regs” or Acute Medics in the UK but part from minor differences in terminology the behaviour and stereotypes are EXACTLY the same here! So spot on you are!
As somebody who *isnt* a doctor I find the phrase “admitted to the floor” hilarious. Sounds like what a nurse would say to threaten you
I finally know why my parents tell me to become a doctor now: to be able to understand these jokes
This is honestly so accurate followed by passive aggressive dispo progress notes
If it's borderline, I call the ICU first so that when they say no, hospitalists can call ICU if they are uncomfortable. One less call for me.
I love how you said so that WHEN they say no, not IF they say no 🤣
Wow Fresh morning with new video 😍😍 love from Philippines
I love how he just lights the fire and walks away.
Cool guys walk away from explosions
A friend's daughter was sent to ENT instead of ICU when she had sepsis and acute liver failure. She died a couple of hours later.
That's awful; I'm sorry.
This comment section is as empty as a hospital waiting when... um... never
More true than ever. At the moment ICU wins most of the time cause they have no free beds.
Patient gets admitted to the MEDSURG floor and shortly thereafter, “CODE BLUE!”
Checkmate! Now go pee real quick before the chair comes down and asks where you are
I wish I knew what the “floor” was in this context and also what is a hospitalist
To be honest, I first thought he was talking about choke-slamming the patient for being irritating
Hospitalist- doctor who works in the hospital wards (versus being in the ER, primary care provider etc). Floor- regular area most people think of when they think of hospital wards, patients are more stable/healthier than those in the ICU. Often divided by specialty (mostly ortho on floor 6, mostly cardio on floor 7, etc).
@@doreengreen3287 thank you :D
I can laugh at this from my position of luxury living in a first world country, but I imagine for someone living in a country such as America, wherever you get admitted to can probably greatly affect the cost.
It can. It DOES.
Soo true. I would add the nursing perspective going, "I need this pt out of here, I have 20 people in the waiting room!"
I love the ER doc persona of a cyclist. So perfect.
"Oh nevermind, he's dead"
The one time I went to the ER for an UGI bleed, I was admitted directly to the ICU after blood transfusions, imaging studies and scoping while still admitted to the ER. Since I was clinically stable, I think the only reason they admitted me to the ICU was because I am a physician. If I wasn't sedated post scope, I would have said something. The shock from the hospital bill was more alarming than my diagnosis.
The way he said "we need those beds" hahaha best line
As a PCCM I can attest : this one is GOLD 😂
They did this to my dad months ago. Moved him so many times. It was frustrating.
Plot twist critical care and the hospitalist get in a minivan and run the er doc down in his bicycle
I was admitted to the ER for my epilepsy. I couldn’t walk or talk and I came in in a wheelchair. Almost non-responsive, but conscious. Guess where I was put? The ER.
They gave me medicine to counteract epilepsy, and after 15-20 my symptoms got way better and they were gonna send me home. The EEG results went from 9.2 earthquake to 2.6 earthquake (which is my normal, I never have normal brain waves, haven’t in 4 years). So, they start getting the discharge papers.
Then I have 2-3 seizures. They admit me to the ICU, fucking finally. Because the goddamn meds they gave me didn’t work. In the ICU they gave me more meds, and I had another goddamn seizure.
Oh, wow, that is a very hard path to walk. I hope you are ok.
Lol ahh yes the wondrous fight of where am I going today/tonight in the hospital. Lol 😂
I love these debates 😂😂😂😂😂
Patient arrives to med-surg….floor nurse immediately calls Rapid Response 😂😂😂
*taking notes
I was on the receiving end of the ICU doc losing this argument in the middle of the night probably hundreds of times. Sometimes the patient didn't even need to be admitted. It was always fun to do a full admit workup at 0400 and then still be charting when the day docs discharged the patient to home the second they showed up. I think it was my favorite thing ever.
Hospitalists are much smarter than consultant specialists who are only knowledgeable in their limited scope/field and heavily reliant on PA’s and NP’s who are even less intelligent. They’re also much smarter than ER doctors who often try to punt silly admissions with half baked and pending workups and often have horrendously wrong initial impressions on patients who end up getting correctly diagnosed on the floors. Nurses have no clue either 😅. Truth hurts!!
OMG I can’t stop laughing! Hilarious
Level of nursing care not vitals should be criteria
So true it's painful.
😂😂😂😂😂😂😂 why your shorts are so hilarious and so so so on point 😅?
Oh the memories 😂
Practicing the three D's: Dictate, Delegate and Disapear.
Looooooool
This is definitely true. I had a resident tell me once that a patient was too sick for the ICU. I’ve also had a hospitalist tell me that a patient was too sick and needs to go to the ICU, when critical care refused the hospitalist said he could be discharged.
EM doesn't know how to do jack sht. All they do is make phone calls. They are glorified, overpaid operators. Abs o lut e du m bfu ck in ret ards. They never do anything for the patient. Their excuse? It's not an emergency. That's IM's job. Bish, 99% of emergency pts are primary care. So you sit there all day and get paid to make phone calls.
Puts on shades, and walks out.
"My work here is done."
That's when you get sent to the IMU
This is the best thing I’ve ever seen…😂
I can't wait to see emergency medicine come help rural medicine. He'll end up swapping the most disgusting stories with the locals over beers, and they'll love him so much they won't let him leave.
This is more entertaining than any other show rt now😂
And this is why EVERY other resident hates emergency medicine.
Almost spit out my coffee!
Choose wisely grasshopper for the wrath of the charge nurse is awesome and mighty 😅
I love that they had him with his bike helmet on😂 literally so true
Happened to me i went in for flu symptoms, found out it was a thyroid storm so i was told i being admitted to the icu, then another doctor came in and said it wasnt thyroid storm and they were admitting me to lower level care unit(step below icu) then 3 more came in and said I DID HAVE IT and eventually they took me to icu then an additional 2day in the step below unit....also embarrassing side note this disease makes you poo alot so i farted and it was not a fart but poo, so i called the nurse and i just had to be the one hot male nurse on the floor who answered cause mine was busy 😂😂😂
Nightshift ER HUC here. This is 100% accurate, can't wait to show my colleagues! 🤣
Similar tip. If you can get one specialist on board, the rest fall like dominoes. You think think the hospitalist wants to argue with neuro if neuro wants the patient admitted? I don’t think so.
How does an ophthalmologist know all the drama of hospital medicine. TO A T.