Yea, you see more demographic information about patients from medicine (and t's basically essential when it's psych). Also the joke is kind of a nod to the fact that medicine reports are rife with information that surgeons often find non-relevent. Living with nurse had worked in the OR for ages-- he's always like-- it's great when patients are honest-- but they're almost always stretching the truth or just flat out lying (under reporting or not report substance use, or lying fasting, forgetting to mention they took NSAIDs yesterday) and they have wing-it or end the case & reschedule. What is considered essential info is different. You'll notice both said a lot of the same stuff but in a different order (different priorities) and the medicine report had way more additional info, recommendations about where the what direction plan of care was heading
To be fair, the rented flat could have hidden mold issues, having a dog puts him at risk of several infectious diseases, living with a wife and 3 daughters means he might be able to head home before he's 100% functional (as with 4 other people in the house they can likely work it out so that there's always at least 1 around). All relevant.
Shut up!! 🤣🤣😂 I'm literally in that year of med school and the memes of the living situation with patients have me like 🤡 but tbh semio is really important 😅
Internal Medicine turned me into an overly analytical detail oriented talkative and reflects in even my style of conversing with anyone and even my text messages which are paragraphs long. 🤦🏾♂️
No, we surgeons would mention his electrolytes, bowel sounds, NGT output. Also, our orders would be to ask IM to follow his blood sugar and nephro to ask how much fluids to give and whether we need to adjust any doses. Come on! We are not that stupid.
Surgery: gave fluids and blood. So basically, we will boost up the numbers so we can transfer to Medicine. Medicine: we will investigate and overthink everything, but won't touch the bandage because it's yucky. Yup. Nailed it.
I had a patient whose discharge was postponed as neither medicine or surgical teams wanted to sort out. Not while I'm in charge though...called surgeon on his mobile and patient was able to leave within 2 hours.
Yup! This happened before I transitioned from surgery to ICU. The best response I had from a surgeon for his post-op patient’s known HTN. He said, “medicine consult for High BP. I am surgeon I don’t know how to fix BP.” True story!
@@johannageisel5390thats what they did in the good old days. Of course you had to bleed very sick folk so many times the died from blood loss. You cant win 'em all. 😅
I have No training in medicine- but i enjoy listening and watching your videos. It's Like listening to a person speak in an interestingly foreign tongue.
😂😂😂 we once had a patient who was disturbing us somewhat, it was during a medical round, then the registrar presented the case in high medical lingo, and suddenly "what are you guys talking about? What language are you speaking?" So, I understand, during our first days at the wards, that's our general experience too😂
Well, the surgeon ordered a blood transfusion & the medical doc ordered all the lab work to check for another reason outside of surgery. They’ll try everything else & run every test they can think of before taking the patient back to surgery & cut him open again to look for a possible bleed. Not cuz they don’t want to surgery again but they don’t want to do an unnecessary surgery & put the patient under even more risk for complications.
I am seven weeks post opt from left TKR and Achilles tendon release. Knee scar looks great. Achilles incision not closing and requiring wound care. Long story short. The ankle surgeon was out of the office week before last. When my wound took a turn for the worst. During a phone consult with ortho nurse, she suggested that I see my primary care physician. I was like are you serious...my PCP is not about to attempt to treat a infected surgical wound. This video was spot on.
That's really interesting, because whilst I agree that GPs in the UK would be hesitant of doing too much with surgical post op care that should be got from a specialist, here district nurses and treatment room nurses often redress and assess surgical wounds in patients after leaving the hospital. So if there was evidence of infection it would be the GP they would refer their concerns to for further investigation, rather than the surgeon. It's also the community nurses (district or treatment room) who would remove staples or stitches post surgery in many cases, so it's them who would identify delayed wound healing or make decisions about leaving stitches in for longer, etc. Just interesting how it's different in different countries.
@catlinboy Spot on. I've worked for years as a practice manager and lost count of the amount of times a frazzled doctor runs into the nurses office, asking what to do with a wound. I trust nurses with wound healing over doctors.
They gave Iv fluids to a patient on dialysis, as well as a whole unit of blood. Like, i'd assume it was a well thought our best of two bad options except they didn't even mention he was a dialysis patient!!
I mean considering his surgery he was most likely bowel rest so perhaps NPO or cl liquids at most. Patient probably had a fluid volume deficit. Patient was probably also anemic at baseline being a dialysis patient and if he were going to dialysis they could give him the blood there.
@@TheMCFARTPANTS we can do some fluid removal in dialysis and give epo, but we need to stabilize that low BP first, but did we try the leg raise trick, give their scheduled midodrine at 0600, and used an appropriate sized cuff to ensure the most accurate BP? also the bed wasn’t zeroed so Mr Jones’ wet weight is completely inaccurate. Don’t worry; I can always get Jones on the scale before a treatment ;)
@@ekekekekk doc stated that after the iv fluids were given the blood pressure stabilized. Pull off necessary fluid during dialysis with the administration of blood and perhaps erythropoietin.
So Doc, what you’re trying to tell me is you just fluid overloaded my dialysis patient that now nephrology is going to call me in to do emergent dialysis because he can’t breathe!
@@Doc_Schmidt I am a urologist🇬🇧. Absolutely tremendous material. Just goes to show how universal our practice is no matter where you work in the world. Please keep producing your incredible material. Always instantly relatable to every doctor. Joys, rewards, frustrations the works. Insuperable, ineffable, irrecusable. I am all out of superlatives. 🎉🍾🌶🤓🛍🥂💐🎊🎶👍🏾🤗😎😂
I was working in ICU here in okc. I had a patient that I called the on-call for. It was a teaching hospital. I told the doctor pt needed Lasix. He said "ok give 20mg iv" I said "really?" He said "I don't know, I'm OB/Gyn, that's how much we normally give. How much do you think?" I said "like 80mg, this guy is drowning!" He goes, "give him what you think, I'll sign the order" ..... lol. He was scared to death!
Wait, how come a male patient needed an OB GYN? Lol!! But yes that’s as bad as when you have a confused/delirious agitated pt who is starting to swing and the doctor says to give them 6.25mg lo seroquel….ummm good luck getting that in them and it has legit no effect
Back in the days before hospitalists I was on call and got a call from the Ob/Gyn on call who said he had a 20 year old patient who had just had a septic miscarriage. Her pressure was 60/0 and her temperature was 102 and he was like, I gave her some fluids. Can you consult and help? I basically told him to call the ICU to get her transferred ASAP and I would call them from my car. She actually did great. We had her intubated on a couple of pressors and broad spectrum antibiotics for about 24 hours and then she bounced right back and was out of the ICU within 48 hours. (Just to note-I am a general internist, and not critical care but it was 3 AM and pulmonary/critical care wasn't going to be there before 7). Come to think of it, I had another patient call a couple of days ago saying she was pregnant and had Covid and she called her Ob/Gyn who told her to call me to deal with it. Pregnant patients are like post-op wounds. I try not to deal with them if possible.Every prescription comes with a message to ask their Ob if they can take it. Finally, in my favorite moment from training, a past-cardiac cath patient went into atrial fibrillation. We called his cardiologist who had done the cath and he asked "Why are you calling me? You need to consult arrythmia. I am a coronary flow specialist!"
Unfortunately I understand most of what he said. My husband has been in ICU for over 2 months. I love watching his videos bc I need to find laughter during this crisis.
@@Cyblps I am truly sorry for all your Husband is going through, Yun💝~ Can only imagine how difficult a time this is for you, while supporting his recovery...Sending many PRAYers today from Arizona to you BOTH🙏🌠!!
I like how they both cover the patients conditions, both doing what they know best, and well, and still miss that an anemic patient who is normally hypertensive is now hypotensive after a surgery and noone is addressing it...
@@AkaiAzul lol they would've confirmed the GI bleed and chucked them back to surgery AGAIN after giving them more units if they were still even stable at that point.
I’m a CDI (clinical documentation integrity) nurse and this is accurate. ESPECIALLY the “some kind of abdominal surgery” from the hospitalist…you can’t count on their notes for accuracy about the exact procedure. Meanwhile, query a surgeon about any chronic medical condition and they are never sure. However, their pre-op H&P always mentions the chronic dxs…go figure. God bless the PAs…😂
Very true. All of the surgeons I used to work with, when presented with a medical problem, would consult a medical doctor & wash their hands of the problem. Wasn’t their area of expertise, so they did not chime in. And vice versa, unless it was ID. The most they’d do was order their home meds. Patients with lots of issues usually came with a medical consult anyway.
If the patient is over 65, call geriatric medicine. As the CNS for the gerictric team I'd be chasing the surgeon or internal medicine saying...but if you look at their lab values u can filter sudden post op confusion, he wasn't demented pre op, and he likely isn't now. Sigh.
YEP I never understand any of what they say. So I’ve learned to just ask “ is my elderly father gonna live?? And what do I need to do when I take him home? 😜
I Looooove thiiis hahahaha so relatable hahah and then, in my country as a family doctor, I get complete medical records after patient's check out from hospital, and have to take care of both those - surgical and internal medicine things
Meanwhile the Emergency Department send down blood sciences requests to the clinical laboratory services with clinical details such as: “headache”, “gen unwell” and “pyrexia”. Thank you ED, our clinical scientists enjoy this level of detail (sarcasm).
My dad has prostate cancer and this exactly what I hear……. 💩💩💩💩🤔🤔🤔🤔💩💩🤔🤔 Dad who is hard of hearing looks to me for translation Me? 🤯🤷♀️🤯🤷♀️🤯🤷♀️ Dad let’s just pray. Because the doctors are speaking to us in a foreign language. Also looking down at us because they know we don’t understand. 😢😔😢😔😢
Infectious disease: Add swish and swallow Nystatin for Fungal coverage. One time dose of Zosyn and flagyl start scheduled Tylenol 650 q4 and CRRT for the fevers, confirm downtrending wbc on the next AM labs and discontinue all antibiotics.... sign off like a stewardship boss. 72 hours later with an elevated lactate, On the reconsult. Surgical and medical team should establish source control, consider exploratory washout 😂 then and start amoxicillin.
Surgery refering to a case: y'know, the pertrochanteric which was hard to nail? Internal medicine: This 90 yo patient, known for [starts list of comorbidity for 3min...
What insurance do you need for doctors to care this much about you? Normally all I get is them saying "Hi, so you say you're experiencing X,Y,Z... yeeeaaahh I don't think that's it. Let's check your temperature and blood pressure, very good aaaand you're all done, do you have any questions?" and they run out the door. I get that boomers are falling apart but it's no wonder when this is how they treat young people.
As an internist who was pulled out of a general surgery residency by the USAF, I can tell you, this happens way too often. Almost nothing the internist wants to do is justified here. Do ya think those stools are going to be guaiac positive in a patient that just had a gastrectomy? Fortunately, the GI docs may cancel 100% of the "work up"
*Lab enters the chat* ummm a BMP and CBC might be fine because of the recent transfusion…butwhatdoiknowimjustreportingresults okay bye and the A1C might be a send out but I’ll get back to you on that 👀
After repeatedly seeing so many times, All I understood is that theres a mistake of word "hypothesize" instead it shud be "hypotensive",although u called it..
vet med pretty similar during rounds except we get to say things like “patient does NOT like chicken. we have tried pilling with peanut butter and that seems to work”
Wow you guys use antibiotics left right and investigate so much? Here in India we barely do any investigations 😂 I mean cos dieting patient affordability etc so yeah…
You forgot the "He lives in a rented flat with his wife and his three daughters and their dog" during the medical presentation.
Is there a joke I’m missing here? Sorry not a med school insider
Yea, you see more demographic information about patients from medicine (and t's basically essential when it's psych). Also the joke is kind of a nod to the fact that medicine reports are rife with information that surgeons often find non-relevent. Living with nurse had worked in the OR for ages-- he's always like-- it's great when patients are honest-- but they're almost always stretching the truth or just flat out lying (under reporting or not report substance use, or lying fasting, forgetting to mention they took NSAIDs yesterday) and they have wing-it or end the case & reschedule. What is considered essential info is different. You'll notice both said a lot of the same stuff but in a different order (different priorities) and the medicine report had way more additional info, recommendations about where the what direction plan of care was heading
To be fair, the rented flat could have hidden mold issues, having a dog puts him at risk of several infectious diseases, living with a wife and 3 daughters means he might be able to head home before he's 100% functional (as with 4 other people in the house they can likely work it out so that there's always at least 1 around). All relevant.
Shut up!! 🤣🤣😂 I'm literally in that year of med school and the memes of the living situation with patients have me like 🤡 but tbh semio is really important 😅
Thats the med students job 🤣🤣
Internal Medicine turned me into an overly analytical detail oriented talkative and reflects in even my style of conversing with anyone and even my text messages which are paragraphs long. 🤦🏾♂️
Nice to know I'm not alone!😂
Lmao same!
even your comments are paragraph long
It shows🤣🤣🤣
This is my personality. 😂 I thought I was a weirdo. But I haven’t yet studied medicine,I can’t imagine when I do.
Ah, the joy of being a med student and giving a med-type presentation on your first day in surgery.
Yea my surg attending would have interrupted me less than halfway through that
@@clarisaxpianistsame
😂
I love how neither of their presentations were wrong.. just different ☺️☺️
Nailed it. Especially with the medical consultant wearing glasses
A surgeon: knows nothing, can do everything.
A internal doctor: knows everything, can do nothing.
A orthopedist: knows nothing, can do nothing.
Can I just say like 3 years ago I would've had no idea what they were talking about but now I can keep up
The fact that I'm so chronically ill that I fully understood all the medical verbiage.😂
Man I run all those tests. Scarry how short staff we are so no one is getting their results in a timely manner
No, we surgeons would mention his electrolytes, bowel sounds, NGT output. Also, our orders would be to ask IM to follow his blood sugar and nephro to ask how much fluids to give and whether we need to adjust any doses. Come on! We are not that stupid.
As a surgical nurse, I'd say it depends on how many years you've got under your belt. Some of the fresh residents running the show overnight....ehh...
@@starkeclipse ughh. As a premed hoping to become a surgeon someday, I hope I get down with good quality care earlier than those residents.
@@josephdahdouh2725 You've got this! Keep your ears open to what your nurses say. We often catch a lot of the errors that slip thru. 🙂
This reminds me how much I don’t miss my hospital years. 😂
Omg this is so accurate! Lol
Surgery: gave fluids and blood. So basically, we will boost up the numbers so we can transfer to Medicine.
Medicine: we will investigate and overthink everything, but won't touch the bandage because it's yucky.
Yup. Nailed it.
As a former transcriptionist I was sobbing
Have you ever heard a surgeon say anything other than, “Went great!”
Seriously? They say all is going as expected no matter what happens!
I like your funny words medicine man
Wow!
All I understood was that you think the guy had a fungal infection and you are concerned about the surgical site
Bullseye!! Nailed it!!
Ironically its opposite in my experience. IM handles everything. Surgery just focuses in intraop and postop wounds
all in a day's work. so relatable 😁😁
This is perfect ! 🤣🔥
As an IM resident, accurate
Yeah. Keep him alive no matter how much pain he has to endure. Capitalize on his fear of death. Tap that insurance to the hilt.
So true
He was a bit hypothesize 😂
Cortisol deficiency had me loling
Why was this my IM in Med-Peds residency exactly?!
This is the best
ED Handover be like: 70 yr old gent, presented with abdo pain, bloods deranged, blah blah, for surgeons.
Anesthesia: LOL .. Stop the post-op bleed. Don't transfuse.
I understood the Medicine guy better ^^
This is so so true :D
👍
My impression: even though surgeon and med are both doctors, are they actually Communicating with each other? 🙄💙
“No acute events overnight” 😂😂 and “gen surg following appreciate recs”
How long before the nursing home plugs the J tube?
Aannnnndddddd hence why I still wanna do surgery :)
Big words make me feel big brained when words wiggle my ears 🤓
'Some kind of abdominal surgery...'
Lol... did this Doc ever get curious enough to find out what kind of abdo surgery? 😅
I had a patient whose discharge was postponed as neither medicine or surgical teams wanted to sort out. Not while I'm in charge though...called surgeon on his mobile and patient was able to leave within 2 hours.
I hate that I know it's feeding tube. I went from NG to G tube
What's the difference????
Some kind of abdominal surgery, yeah...and we don't want to touch that bandage!!! Nailed it!!!
lol agreed !
Lol agreed!!!!!
Yeah, and no shower until next week! Unless his bowel movement backs up to his bandage!
I was just about to write this but saw u did it first 😂
agrees
the surgical presentation was 10 seconds too long
Agreed
Passing flatus and had a bowel movement? Ok advance diet. Surgically stable for discharge 🙂
I came here to say that.
Me presenting a patient: That's Johnes. He's sick.
Lmao
Lol same
you are ortho?
@@sidragulzar7081Sounds likely. Could be ophthalmology, dermatology, or psychiatry though.
Surg: I hope it's not a bleed!
IM: It could be so many other things!
Radiologist: Maybe we could... you know... check?
Literally had this happen during my nightshift yesterday 😂😂
Correlate clinically.
@@samsonchan1488 lmfao
Never have I witnessed Radiology volunteering any checking 🤣🤣🤣
LOL. Fantastic!
Yup! This happened before I transitioned from surgery to ICU. The best response I had from a surgeon for his post-op patient’s known HTN. He said, “medicine consult for High BP. I am surgeon I don’t know how to fix BP.” True story!
lol lol lol
Oh, but it’s true. We surgeons treat high BP like medicine treat the surgical dressing. We don’t want to mess with that.
@@Alalalalala11 But you could simply open a vein, let some blood out and then sew it up again! There, done.
Where's anesthesia when you need them
@@johannageisel5390thats what they did in the good old days. Of course you had to bleed very sick folk so many times the died from blood loss. You cant win 'em all. 😅
Medicine and surgery are two completely different worlds, aren't they?😂😂
More like two different professions 😂
Yes
It's like yin and yang. Two complete opposites that are both vital in caring for the patient.
urologist: HA!
@@littlesecretion4586 😂😂👍
I have No training in medicine- but i enjoy listening and watching your videos. It's Like listening to a person speak in an interestingly foreign tongue.
I have training in medicine and I watch them for the same reason
😂😂😂 we once had a patient who was disturbing us somewhat, it was during a medical round, then the registrar presented the case in high medical lingo, and suddenly "what are you guys talking about? What language are you speaking?"
So, I understand, during our first days at the wards, that's our general experience too😂
And between them no one is investigating his potential post op bleed - hypotension in a normally hypertensive pt with resistant anaemia.
Possibly the most accurate part 🤣
I agree
Thats what nurses are for. We are the ones who usually notice vital sign trends and differences from baseline.
And neither team wants to deal with it. They say "call the other doctor"
Well, the surgeon ordered a blood transfusion & the medical doc ordered all the lab work to check for another reason outside of surgery. They’ll try everything else & run every test they can think of before taking the patient back to surgery & cut him open again to look for a possible bleed. Not cuz they don’t want to surgery again but they don’t want to do an unnecessary surgery & put the patient under even more risk for complications.
I'm howling. 😆 Love how surgical blows pass the ESRD and the uncontrolled diabetes.
Good god this may be your best yet 😂
DITTO!!
I am seven weeks post opt from left TKR and Achilles tendon release. Knee scar looks great. Achilles incision not closing and requiring wound care. Long story short. The ankle surgeon was out of the office week before last. When my wound took a turn for the worst. During a phone consult with ortho nurse, she suggested that I see my primary care physician. I was like are you serious...my PCP is not about to attempt to treat a infected surgical wound.
This video was spot on.
That's really interesting, because whilst I agree that GPs in the UK would be hesitant of doing too much with surgical post op care that should be got from a specialist, here district nurses and treatment room nurses often redress and assess surgical wounds in patients after leaving the hospital. So if there was evidence of infection it would be the GP they would refer their concerns to for further investigation, rather than the surgeon. It's also the community nurses (district or treatment room) who would remove staples or stitches post surgery in many cases, so it's them who would identify delayed wound healing or make decisions about leaving stitches in for longer, etc.
Just interesting how it's different in different countries.
I hope you are healing well now!
@@tanyad7894 Thank you.
@catlinboy Spot on. I've worked for years as a practice manager and lost count of the amount of times a frazzled doctor runs into the nurses office, asking what to do with a wound. I trust nurses with wound healing over doctors.
They gave Iv fluids to a patient on dialysis, as well as a whole unit of blood. Like, i'd assume it was a well thought our best of two bad options except they didn't even mention he was a dialysis patient!!
I mean considering his surgery he was most likely bowel rest so perhaps NPO or cl liquids at most. Patient probably had a fluid volume deficit. Patient was probably also anemic at baseline being a dialysis patient and if he were going to dialysis they could give him the blood there.
@@TheMCFARTPANTS we can do some fluid removal in dialysis and give epo, but we need to stabilize that low BP first, but did we try the leg raise trick, give their scheduled midodrine at 0600, and used an appropriate sized cuff to ensure the most accurate BP? also the bed wasn’t zeroed so Mr Jones’ wet weight is completely inaccurate. Don’t worry; I can always get Jones on the scale before a treatment ;)
@@ekekekekk doc stated that after the iv fluids were given the blood pressure stabilized. Pull off necessary fluid during dialysis with the administration of blood and perhaps erythropoietin.
@@ekekekekk possibly could have done blood cultures, but abx have already been started for fever
Yeah. It’s not a surgeon’s area. Usually they’d have a renal doc
So Doc, what you’re trying to tell me is you just fluid overloaded my dialysis patient that now nephrology is going to call me in to do emergent dialysis because he can’t breathe!
Respiratory will bring the bipap 🤗
lol
At 3 am with a leaky portable. Don't ask me how I know. Lol
Hello beautiful
Gosh I miss working in the hospital! RN for 25 years and I had to retire early to take care of my mother. I really miss it! This video is awesome!
i know what you mean - hospital can be pretty entertaining :) - fellow RN here :)
Your mum is lucky she has a child like you🤗
@@aformula4198 lol, true :)
One main principle of medicine. Don't open can of worms you don't want to smell.
lol
Lmao, those medicine workups and “fungal coverage” after one night of fever😂😂😂😂😂 I can’t
😂
Meanwhile the dietitian is like “how do you want me to feed this patient?!”
The fact there is no mention of nutrition seems pretty accurate
This guy is just absolutely awesome. Quite right! Everyone stick to what they do best 😂🌶😂
thanks!
@@Doc_Schmidt I am a urologist🇬🇧. Absolutely tremendous material. Just goes to show how universal our practice is no matter where you work in the world. Please keep producing your incredible material. Always instantly relatable to every doctor. Joys, rewards, frustrations the works. Insuperable, ineffable, irrecusable. I am all out of superlatives. 🎉🍾🌶🤓🛍🥂💐🎊🎶👍🏾🤗😎😂
Me a nurse in the corner watching this like: “can someone please put in a diet order it’s POD4” 👀
Surgery didn’t talk about the incision site 😂
Me, a first year med student: ah yes, sick person who recently had surgery and is being treated for... stuff
Yep....sounds like a typical report on my usually 2 pts in ICU...... ICU RN....40yrs
Doc Schmidt is GOATed! I’m a med student and love watching these!
I was working in ICU here in okc. I had a patient that I called the on-call for. It was a teaching hospital. I told the doctor pt needed Lasix. He said "ok give 20mg iv" I said "really?" He said "I don't know, I'm OB/Gyn, that's how much we normally give. How much do you think?" I said "like 80mg, this guy is drowning!" He goes, "give him what you think, I'll sign the order" ..... lol. He was scared to death!
Omg!!!!! This is awful.
20mg? That's practically a homeopathic dose.
Wait, how come a male patient needed an OB GYN? Lol!! But yes that’s as bad as when you have a confused/delirious agitated pt who is starting to swing and the doctor says to give them 6.25mg lo seroquel….ummm good luck getting that in them and it has legit no effect
Good team work.
Back in the days before hospitalists I was on call and got a call from the Ob/Gyn on call who said he had a 20 year old patient who had just had a septic miscarriage. Her pressure was 60/0 and her temperature was 102 and he was like, I gave her some fluids. Can you consult and help? I basically told him to call the ICU to get her transferred ASAP and I would call them from my car. She actually did great. We had her intubated on a couple of pressors and broad spectrum antibiotics for about 24 hours and then she bounced right back and was out of the ICU within 48 hours. (Just to note-I am a general internist, and not critical care but it was 3 AM and pulmonary/critical care wasn't going to be there before 7). Come to think of it, I had another patient call a couple of days ago saying she was pregnant and had Covid and she called her Ob/Gyn who told her to call me to deal with it. Pregnant patients are like post-op wounds. I try not to deal with them if possible.Every prescription comes with a message to ask their Ob if they can take it.
Finally, in my favorite moment from training, a past-cardiac cath patient went into atrial fibrillation. We called his cardiologist who had done the cath and he asked "Why are you calling me? You need to consult arrythmia. I am a coronary flow specialist!"
Eff the workup for anemia, we're just going to give him new blood. Problem solved. 👍
"Some kind of abdominal surgery earlier this week", I felt that one.
I understood all of this 😂 thanks IBS!
Unfortunately I understand most of what he said. My husband has been in ICU for over 2 months. I love watching his videos bc I need to find laughter during this crisis.
@@Cyblps I am truly sorry for all your Husband is going through, Yun💝~
Can only imagine how difficult a time this is for you, while supporting his recovery...Sending many PRAYers today from Arizona to you BOTH🙏🌠!!
Hello
I like how they both cover the patients conditions, both doing what they know best, and well, and still miss that an anemic patient who is normally hypertensive is now hypotensive after a surgery and noone is addressing it...
let along he has ESRD
Isn't that what the IV fluids and blood transfusion is for?
@@AkaiAzul that only fixes the symptoms, it does not treat the underlying condition causing them. EG, an internal bleed.
@@ButtcheekOnaStick That is a good point. I suppose that's why they ordered lab work and rectal exam to confirm a GI bleed.
@@AkaiAzul lol they would've confirmed the GI bleed and chucked them back to surgery AGAIN after giving them more units if they were still even stable at that point.
I’m a CDI (clinical documentation integrity) nurse and this is accurate. ESPECIALLY the “some kind of abdominal surgery” from the hospitalist…you can’t count on their notes for accuracy about the exact procedure. Meanwhile, query a surgeon about any chronic medical condition and they are never sure. However, their pre-op H&P always mentions the chronic dxs…go figure. God bless the PAs…😂
Brother, who was in internal medicine, spent quality time grumbling that surgeons just know how to cut 😆
He probably has an infection or an intra abdominal abscess given his medical history. I would pump him with antibiotics.
Very true. All of the surgeons I used to work with, when presented with a medical problem, would consult a medical doctor & wash their hands of the problem. Wasn’t their area of expertise, so they did not chime in. And vice versa, unless it was ID. The most they’d do was order their home meds. Patients with lots of issues usually came with a medical consult anyway.
If the patient is over 65, call geriatric medicine. As the CNS for the gerictric team I'd be chasing the surgeon or internal medicine saying...but if you look at their lab values u can filter sudden post op confusion, he wasn't demented pre op, and he likely isn't now. Sigh.
YEP I never understand any of what they say. So I’ve learned to just ask “ is my elderly father gonna live?? And what do I need to do when I take him home? 😜
Anyone else hear gibberish? No just me? Alright…
And his teeth are missing are they are going to SUE! 😬😬😬
CHECKING FOR CORTISOL DEFICIENCY!👏🏼thank you from the adrenal insufficiency folks!
Funny how me being a law student and not understanding more than half of what is being said here yet I love watching him😂😂😂
I Looooove thiiis hahahaha so relatable hahah and then, in my country as a family doctor, I get complete medical records after patient's check out from hospital, and have to take care of both those - surgical and internal medicine things
"Yeah, English is my first language. Why? Did you need me to translate something?"
Yep, THIS is how it is!😅❤️👍🏾👋🏽👨🏽⚕️
Meanwhile the Emergency Department send down blood sciences requests to the clinical laboratory services with clinical details such as: “headache”, “gen unwell” and “pyrexia”.
Thank you ED, our clinical scientists enjoy this level of detail (sarcasm).
My dad has prostate cancer and this exactly what I hear……. 💩💩💩💩🤔🤔🤔🤔💩💩🤔🤔 Dad who is hard of hearing looks to me for translation Me? 🤯🤷♀️🤯🤷♀️🤯🤷♀️ Dad let’s just pray. Because the doctors are speaking to us in a foreign language. Also looking down at us because they know we don’t understand. 😢😔😢😔😢
Infectious disease: Add swish and swallow Nystatin for Fungal coverage. One time dose of Zosyn and flagyl start scheduled Tylenol 650 q4 and CRRT for the fevers, confirm downtrending wbc on the next AM labs and discontinue all antibiotics.... sign off like a stewardship boss. 72 hours later with an elevated lactate, On the reconsult. Surgical and medical team should establish source control, consider exploratory washout 😂 then and start amoxicillin.
Yes again brilliant. I read both prospectives daily. Fun stuff.
Surgery refering to a case: y'know, the pertrochanteric which was hard to nail?
Internal medicine: This 90 yo patient, known for [starts list of comorbidity for 3min...
What insurance do you need for doctors to care this much about you?
Normally all I get is them saying "Hi, so you say you're experiencing X,Y,Z... yeeeaaahh I don't think that's it. Let's check your temperature and blood pressure, very good aaaand you're all done, do you have any questions?" and they run out the door.
I get that boomers are falling apart but it's no wonder when this is how they treat young people.
And that’s why I like medicine so much better than surgery. We cover so much more and I like being super thorough.
As an internist who was pulled out of a general surgery residency by the USAF, I can tell you, this happens way too often. Almost nothing the internist wants to do is justified here. Do ya think those stools are going to be guaiac positive in a patient that just had a gastrectomy? Fortunately, the GI docs may cancel 100% of the "work up"
*Lab enters the chat* ummm a BMP and CBC might be fine because of the recent transfusion…butwhatdoiknowimjustreportingresults okay bye and the A1C might be a send out but I’ll get back to you on that 👀
After repeatedly seeing so many times, All I understood is that theres a mistake of word "hypothesize" instead it shud be "hypotensive",although u called it..
vet med pretty similar during rounds except we get to say things like “patient does NOT like chicken. we have tried pilling with peanut butter and that seems to work”
You forgot to mention that you ordered IS and Q4 duonebs because obviously "the fever is due to post-op atelectasis"...
Wait a second, a hormone workup? How do you come by this magical thing because all my doctors ever check is my gotdang TSH
Wow you guys use antibiotics left right and investigate so much? Here in India we barely do any investigations 😂 I mean cos dieting patient affordability etc so yeah…
Yes ofcourse, i also speak medicine yes. I do understand much much. Diabetes, hypertension something something yes yes
Well no. As an internist, this is completely bizarre. Your specialty must be RUclips-medicine.
Can someone please explain the joke to me? I want to understand this sooo badly🙏🏻💜💜💜💜