The Most Straightforward Medical Case Ever?
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- Опубликовано: 26 июл 2022
- This is when you know you've been at an academic tertiary care center for too long...
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i- uh, I'm not a doctor,, but I feel like maybe we should've started with the coding patient? 😳😅😂
But then the skit wouldn't have been as funny.
Details, details
No.. Not before the attending has his morning coffee.. The resident value his life that much
The coding case is actually not that urgent from a GI perspective... if you can't ROSC then there's nothing GI can do anyway. He's not stable enough for an EGD.
@@Katzie7 who's gonna stabilize the patient? ER doctors ;)
"Aaaaannndddd we're back"
That got me
😁
Same. 😂
Same! Instantly cracked up! 😂
I gave your comment a like to get the count to 666.
Yep
The weirdest part is that you'll be thinking of the straight forward PT for the rest of your life. It could be years later and you'll wake up in cold sweat convinced you missed something cause nothing that good to be true.
Always that moment where you rethink.. THERE MUST BE SOMETHING IT CANT BE PERFECT. I think it's called fuckening or something
H Pylori though is a very simple and clear problem though. Occam's razor of the simplest solution would come in here.
@@KinDiedYesterdaygotta hate when you wake up in a cold sweat from the fuckening
That's how my doctors always feel about the fact my heart's basically underclocked by half and my blood pressure's so low it's more like blood suggestion.
@@superslash7254🤣 blood suggestion
Me while listening to the end: "Damn. Sounds like dude is about to code."
Doc: "He's actively coding."
Me: "Nailed it." 🤣😂🤣😂
What’s coding?
@@0gamesessed224
"Code" is a term we use in medicine, almost like a slang of sorts, to refer to a patient who's heart has stopped beating for whatever reason.
When a person's heart has stopped, we call that Cardiac Arrest. There is an algorithm of sorts that we (I'm a Paramedic, but this applies to all of us) utilize to treat a patient in cardiac arrest. We learn this algorithm in a class called ACLS (Advanced Cardiac Life Support). And the "Final test" of that course is called a "Mega Code." So we use the second term as a shorthand or slang when treating a cardiac arrest.
So a patient coding basically means that a patient is in cardiac arrest and we are treating it using ACLS.
(Also in hospitals specifically, they have a lot of different type of Codes. Code Pink, Code Blue, Code Red, etc., etc. Code Blue is also cardiac arrest. So the term "code" or "coding" can also be considered shorthand for Code Blue as well.)
@@BrotherKnowledge. oh so not a programmer joke lol
@@BrotherKnowledge. What a detailed response! You are awesome! Thank youuuu
@@user-mw2sk7pi5x
😁 You're welcome! 😁
The second patient has also brought a signed religious objection to transfusion and their preacher.
What a nightmare! LOL
🤣
“Save my life but, like, not. Thank you!”
RIP stupid person I guess.
Why did they bring a preacher? They need a funeral home director.
The fun starts when hemoglobin is lower than INR 😅
That's called death.... yeah, that's called death alright
@@valerianaranjocruz25 hopefully just supratherapeutic INR 😭
That moment when the INR = haemoglobin = potassium = bicarb = pCO2 = lactates...
@@MayuraVyamsaka oh lord
Who said it was quiet on the floor? We tar and feather them at shift change.
Quite often I've been that patient that's super straight forward- recently broke my nose twice without damaging my septum whatsoever- and the surgeons were like, ".... Nice. You can go." 😂😂
Your videos are helping me enter and enjoy my 50’s! I used to see A doctor maybe twice a year and now I see SEVERAL doctors at least 3 times a month! And I’m trying to calm myself and prepare for my endoscopy and colonoscopy combo next month!
You’re going to do great!
You're going to do great🤣🤣
Isn't a colonoscopy a type of endoscopy? What's the other type you're having? Gastroscopy?
I’ve had both and they aren’t scary at all. The colonoscopy and the pooping all day does suck but it doesn’t hurt. This is coming from the most panicky person ever😅
You’ll have no problem with the colonoscopy. Like everyone says, “You’ll do great!” You’ll be asleep (and hopefully won’t wake up until after they yank out the pipe…some people aren’t so lucky).
What they DON’T mention is the prep. Yeah. You’ll need to take off work the day-before. And try to look now for gatorades that do not contain red. We went everywhere trying to find some.
Oh! Get an instant pot and learn how to make bone broth! You can drink clear bone broth, and home made is the BEST!!
Have fun! [edit: on learning to make bone broth, I mean]
That´s like me writing a patients cancer history and seeing that there are no secondary diagnoses and no very old examination results hinting at cancer. With the programm we use they take forever to type in ^^*
There's always that one guy who absorbs all the good symptoms... And kills the people around him... Like a vampire
the last line just let me burst into laughter. Fking hilarious 😂😂😂😂
Ugh... This reminds me of my childhood.. dinner table.. and my doctor family starts talking about poo of a patient and how it looked.. reason why i became an engineer.
My mom is a retired RN. She worked at the county hospital in Houston which had a jail ward. Dinner time was full of stories like that, too. So I became a nurse, too. Took my husband a while to get used to that kind of talk. Lol
@@KristenRowenPliske that's amazing. I wish I had that kind of motivation too. But i just fell in love with Tech so much, couldn't get myself back to my heritage.
Thank you for your amazing work.
Im an RN and my bf wont even poo or fart in the same room..im working on it lol i broke the brown ice 😘
@@dana102083 LoL...
I sometimes feel bad for my kids. My mom, stepmom, ex-wife & I are all nurses. Don't think any of my kiddos will end up in the medical field.
Simple start with a complex finish!
As somebody dealing with some of those GI issues, thanks for reminding me that there's not necessarily a completely catastrophic, hard to treat reason. I'll face my upcoming tests with less dread now!
Yeah GI bleeds suck. I do have liver and kidney failure caused by alcohol.
The first time I had one it was a blood bath. Thank God I was in the bathroom. Like someone turned on a faucet of blood though, and didn't shut it off.
Think I had like 6 transfusions the first night.
One thing about me that drives medical nuts is my blood pressure. I can get down to like 64/40 or something like that. Low sixties for the number, and be completely coherent.
What sucks when that happens is they will send basically a SWAT team of doctors and nurses into your room, and surround your bed. Then the doctor will talk to you like you are insane asking simple questions.
I get it, but it is like I haven't slept in days. Maybe my BP will go up if you let me get some, or let me walk around the hospital.
Yeah 99% of the time it’s something that’s gonna go away on its own, be treatable with medication, or worst case require some simple outpatient fix that’ll only have you miss one day of work and probly get some fun meds out of it.
Finally something I've heard of.
Hemophilia, the Royal disease
Yes
First time I've heard someone refer to hemophilia as the one thing in a list they ARE familiar with lol
🏅
@@JohnDoe-pe3itit is used as an example to teach 12th grade bio direction students hereditary diseases in my country, so many know of it
The proper response upon hearing about the second patient is , “Oh, sh*t.”
You know you’re probably not gonna get a lunch break with this guy.
Lol "he's actively coding right now"
Priorities :D
I still watch this even tho i don't understand any of this 😂
"He's actively coding."
"And we're back."
Casually saying he's actively coding reminds me if walking casually with a dr friend up to medical and walking in just as the nurses were defibing a patient 😅
Ahhh nurses are like that. If no one has kicked off by early afternoon, we like to start shocking patients just to make the day go faster.
@@orangew3988Hey! You have something in common with my husband…before he retired! He was a cop.
I can see why the second guy is coding and hemoglobin of 2.4 holy hell
Lmaooo the "aaaand we're back" 😂 he's like uhhh maybe start with that one next time 😂😂
Simple straightforward H.Pylori, almost always resistant to the typical treatment courses. And "good" b/p of 100/62 in a pt with baseline HTN. 😂
Huh. So that's what my students feel like when i start rambling
I chuckled out loud at the punch line case 🤣🤣🤣
I love you guys, I can only imagine my husbands doctors had several conversations like this. He had NASH, has several EGD's, several blood transfusions, liver and kidney transplant . He live 2 years post transplant.
"Aaaaaaaand we're back."
My stomach hurts lol.
I had the most straightforward case ever. During my intern year i was doing a triage shift in emergency room. Patient came and told me that she has chest pain. And also added that she had pneumothorax couple of years ago and the pain is pretty similar. Her vitals were stable so I sent her to xray immediately. Guess what? She had a subtle pneumothorax. Easiest case ever.
Good for you for trusting your patient's words. 🙏💕
Hey doc, I recently had to go to a GI doctor for cannabinoid hyperemesis syndrome (thankfully dropped the cannabis and I'm doing very well) and your videos helped me understand what they were looking for and be more comfortable being open and honest with my doctor about all my symptoms, even the ones that are hard to talk about. Thank you for making such great content!
It must always be a breath of fresh air when you have a straightforward case. And then you take in that deep inhale of smaug as you get back into the swing of things.
ROFLMAO. This sounds like a recent conversation I had with my collaborating MD in clinic except the crashing cirrhotic pt came in under his own power. Sent straight to ED after quick assessment. Hgb 4.8. It’s amazing people walk around like that.
I love medicine! These short skits are great! 😁❤️👋🏽👨🏾⚕️
Okay, I've got one more reason to why I wanna be an RN:
So I can better comprehend / relate to these conversations and nursing jokes 😂
My mother had a severe gastrointestinal bleed/ulcer (in duodenum) and the hospital could not figure out the cause.
Negative for H. Pylori, no NSAIDs or blood thinners for countless years.
Doctors were stumped. The closest we got to figuring it out was suspecting Zollinger-Ellison Syndrome. But that was quickly ruled out when her gastrin levels were tested and looked average.
She does have very low iron and low hemoglobin normally. The charts suggested severe malnutrition in many nutrients (especially electrolytes), exceptionally high blood sugar, and faster-than-average clotting (blood type O-).
The gastroenterologist she saw repeatedly accused her of alcoholism and I believe liver tests indicated moderate liver damage. The kicker is my mother hasn't drunk alcohol in 20+ years.
Additionally, when I was born, I had considerable overlap with fetal alcohol syndrome despite again, my mother never drinking.
Members of my mother's family spontaneously died due to sudden gastointestinal bleeding and we still do not know what causes it or how to prevent it
Honestly a little desperate for even a subtle nudge into a direction we haven't considered if any of you can think of potential causes. We can then explore said suggested potential causes with her doctor
LMAO 🤣🤣
Please make some educational Not short videos about GI desease; specially IBDs. Learning and laughing go well together.
My hemoglobin was at 2.4 last year. This was a couple months after I was diagnosed with ulcerative colitis. My gastro was very blase about my Dx so when I was still losing blood and couldn't walk very far and was in pain all the time I just thought I was being a baby. I did tell her about all this but she just shrugged it off. My SO finally convinced me to go to the ER and they immediately admitted me
Love the koala 🐨 surgical cap! Probably has a great future in a pediatric specialty skit in the near future….. 🤔❤️
The first patient was basically House's nightmare. A patient with nothing? Get it out of my sight
Variceal bleed. Yep, recognize that one. A year ago my husband developed stage 2 cirrhosis due to a vaccine he had to take (guess which). He does not drink. He got to throwing up and was bleeding. 4 days in ICU, 5 units of blood, 2 of plasma, another week in regular room. He's got an artificial heart valve so he's on Warfarin. It was scary as heck. So yeah, I totally understood what they were saying.
As a recovering addict i just wanted to say i really appreciate the part where his only concern is cirrhosis, not sht talking the patient. It's so important for us to be honest about that stuff so we can be treated correctly medically. But often results in attitude, judgment, talking behind our backs and more. And for some that can be deadly bc they then avoid getting care when they need it
😂😂😂 that ending! Oof!
I also let out an involuntary OOF and cringed 😬😬😬
This is the first I've heard anyone mention Zollinger Ellison syndrome since my grandmother was diagnosed with it a decade ago. I'm so glad someone is at least bringing recognition to it ❤️ it took years till they finally diagnosed my grandmother with this and she suffered horribly.
Watching this over, pausing to read the medical terms I missed verbally,....that guy must be the luckiest dude with that condition ever
felt weird when the nurses called me "boring," but now i understand why they were smiling as they said that...
The only thing better than being medically textbook is being medically boring.
My grandfather in law just left the hospital. Went in for severe hallucinations. History of heart attack. Diabetic. Severe anemia with regular transfusion. He had run out of his meds and was severely dehydrated but he wouldn't improve they found two blood clots in his lungs. A hole in his gut and a hole in his large intestine.
We were terrified
"I like your funny words magic man"
When you walk into that room as a nurse and just know... I smell a code coming on
It would interesting if you cover Zollinger Ellison syndrome more and other multiple endocrine neoplasia related gastrointestinal issues
Hemophilia!!! My family members have hemophilia and it's great to hear it getting covered.
Wish my doctors were this good
I love how calmly he said " he is actively coding
Hey Doc, I’ve been going through a tough GI time and will be getting an endoscopy tomorrow. I’ve been freaking out as it has impacted all aspects of my life and part of me believes I’ll never get better. But this video made me believe that it might be a simple and straight forward fix and it’s gonna get me through the night. Thank you so much.
Hope youre doing ok today for your procedure. Let us know how youre doing 🙏💕🤗
The casual tone of “he’s actively coding” killed me 💀😂🤣
This is exactly why Doctor have 100% of my respect
Gold. Emotional rollercoaster
The way I CACKLED because I am definitely the one thinking the worse case scenario on everything but hoping for the best case scenario 😂😂😂
Me as a nurse switching from being an ICU for the past 7 years and a Covid icu nurse for the last 2 to a med surge nurse again. “Wait… what do you mean he observation? For… wait he is here for BACK PAIN?!? Just a strained muscle!? WTF…. You guys do that down here!?”
Yeah when a case is just TOO straightforward and easy I always panic over missing something.
Few years ago my Hgb was 3.4 and HCT was 11%. Lol I felt like a freak because I'd been living that way for awhile and everyone came to look at me in the ER because they didn't understand how i walked in. 1st unit of blood brought me to 6.2 (still super low)and I felt like I could run a marathon after that. Alot happened after that but we never found what caused that. Now everytime I feel tired I panic. Lol
Even without the use of the Q word, the natural balance eventually restored itself.
Quiet! You don’t want to ruin it for everyone!
I watched this entire thing while not understanding a word yet I'm so intrigued.
I'm a straight A studen, hoping & studying to become a doctor (specifically cardiologist, my aunt is one too) in the future, and though most times there are some things I don't get in these type of videos, I try to go ahead and understand what I didn't get before, I always laugh at these videos and really enjoy them:) keep up the good work ❤
Epitome of "got some good news, and some bad news" 😂😂
“…and we’re back” 😂😂😂
During one of my nursing clinicals I had a report like this. Easiest patient ever! I was like dang is super straightforward and easy.
This just made me realize how seldom ER and urgent care staff get to see the “winners” 🙁
My daughter is in her last year of med school. I feel like i just witnessed a small minute of her day.
That second patient has everything!
This is so true, one second you think a patient is fine but the next is having something urgent. This was way funny and I did not see this coming, very funny indeed. Kind of remind me having a cigarette outside and talking to another therapist at our Institute years back who was smoking a pipe. His case was all over the place but mostly stable. Yes,, it is looked down upon but a lot of people smoke at our Institute). Mine was a psychotic hallucinating mess with a major undiagnosed OCD AND some weird mood issues no one could diagnose (many have tried). Years ago, now I'm just a lazy medical translator who still performs group sessions when we're understaffed (all the time). Thank you for this video from the bottom of my heart. This will be my favorite medical joke not just this week. Peace out.
"Oh great not too bad!"
"Weeeeeeeeellllll 😅"
8 yrs ago, I lost my husband to a variceal bleed in his esophagus that may have been fixed had cardiology taken him off blood thinners for a week. Gastro couldn't cauterize the veins, and he projectile vomited blood until he died. Battling clinics are the worst.
“Aaannnd we’re back”
Me an ER Tech when I see one of the “Frequent Flyers” on the board and they were assholes last time I saw them.
I have hemophilia *-* I'm so happy it's existence is being acknowledged 😄
It's like living so much with bad news that hearing even a slight amount of good news is startling.... 🤷♀️🤷♀️😁😁
That’s my aunt right there. Binges 6+ bottles of vadka on the reg for like 45 years, only just last month had her first medical emergency… it was a root canal.
RIP to the second guy.
First guy is me. My new PCP saw my labs and saw years of high WBC. She was like "oh shit, I'm gonna refer you to hematology." I get there and meet with the specialist and she says "I don't think you have cancer." I said "Me neither."
Turns out my WBC and platelets are just in the range outside the range that labs use. No clotting disorder, no neoplasia, nothing crazy, nothing rare.
As someone that cleans at my local hospital, I heard “GI bleed” and thought “Oh boy, that’s gonna stink up half of the floor they’re on!” I do NOT envy the person that will have to go in and clean up that mess
No idea what was said, but that shows how good the comedy is. I still laughed!
"And we're back!"😂
It's like they have their own language :)
%100
Lead with the most serious cases first!!
Its skits like this that make me feel a big part of being a doctor is on par with detective work.
Yeah I just had the worst variceal bleed case in forever a few days ago. Dude dropped from a Hb 8.4 to 3 in 30 minutes. ICU barely got to put a Blakemore in. I've never seen such a torrential bleed in my life.
I have hemophilia and I can't stress how important it is for providers to be educated!
I only understood most of that because my recent gi related hospital visit. Thanks doc
Aaannndddd were back.... I felt that in my soul
Cirrhotic patients are like riding a rollercoaster backwards really, really fast. And you don’t know if they’ve ever done any maintenance on the ride. WoOoOoO!
Im not a medical proffessional but i am impressed with myself for understanding a chunk of those words.
THIS IS WHY WE LOVE OUR DOCTORS!!!!❤
That was great. I can actually relate. I have hemophilia and understand the conversation.
“I like your funny words magic man”
At 75 years old, I had a gastric bleed. I was on blood thinners and also took Aleve for pain. Started vomiting in the hospital and my blood went down to 4.6.. Had surgery to repair the bleed.
Was in hospital for 10 days. Came home @ 5.0. FYI: rehab centers won't take you below 7.0.
Within a month I was at 1 2. 0.
No blood transfusion. By the way, I do have heart failure. But I only take Tylenol now. 😂❤🎉
That ending! Lol
the way i started cracking up laughing is insane
,,he's acively coding. "
Me, imagining the patient on a computer writing a program:
ahh yes the flashbacks of surgical receiving unit and foundation core skills years with the senior surgeons always expecting the worst (UK) at handover😫🤣
Lol. Video idea: trying to guess consult notes because the resident's hand writing is awful.
Attendings can have even worse writing!
They're hand written in the states?
H Pyroli was a fucking nightmare to deal with.
God I hope to find such a kind, knowledgeable doctor to monitor my MVP.
I have a connective tissue disorder, EDS and MVP are common..I'm saying this just in case you have other issues that connect your dysfunctional dots, so to speak. I'm still looking for a good neurologist...good luck out there. 🙏🤗
EQUILIBRATE!!! ♥️
Yes, thanks for ordering a pack of RBC for a hemoglobin of 11.5 🙄🤷🏻♀️