"A consult involves words, you need to give a person time to say those words" is the best slam I've heard in a word. (And can also be applied to patient meetings!)
This is so accurate!!!!!! I'm an echocardiographer and I can't tell you how many times I've sensed heavy breathing behind me in the ICU and gotten scared to death by a cardiologist who doesn't want to wait until the pictures load into the viewing system. I still love them though! And it's cute when I find something they actually get excited about. "What do you mean we have an outpatient who says he had a Ross procedure in the 90s and has a bioprosthetic PULMONIC VALVE???? I'll be right there and I'm bringing everyone I see in the hall on the way!!" 😅
I scanned a Ross procedure patient while I was still really early on in my internship and I was looking at it like.... Wait a minute... I don't know a lot but this looks different and weird. The patient had also had his AV replaced again so it was extra "WTF is going on here" fun stuff!
Omg they're all like this!! Mine would always conveniently have a whole bunch of interns on the days I've gotta show up and be semi-nude for the echo just so he could show off 'the worst TGA he's ever fixed'. They're incorrigible.
Fuc* these old geezers omg, that are no longer adapted to society and don't have patience for normal things cuz they don't understand how it works anymore. Dude they should put a cap at 50yo for the right to be a doc. After that ur just a nuisance.
@@radumeirosu6251 wait until u hear about how long doctor's training are. Depending on what country u're from, a cardiologist might get their title when they're 30-40ish. Not to mention skills come from experience
Except for large animal vets- because you can actually hear them... OK, the small animal vet is going to walk away now...because they don't care either BTW, great videos!
@@gilangignasraharjo6138 oh sorry about that- wasn't trying to disrespect LA vets- you guys rock! Just graduated a short while ago and was told that S3 and S4 are mainly horse (and cow) concerns. My bad. Happy holidays!
Thank you for watching. Together we can make cardiology less scary. Like and subscribe and let me know if you want to see more specialties go to therapy.
Definitely! Would be fun to have the psychiatrist go to therapy. But I'd really like to see the neurosurgeon, the ortho, the ER doc, and BILL sit down for a session.
I didn't mean as group therapy, which I realize that sounds like. But that makes me think maybe the nephrologist and the cardiac doc could have a session together to try to work out their differences. Although maybe that's a hopeless cause...
My son is a cardiologist. This cracked me up, so I shared it with him. He got a kick out of it. I very much recognize the eyeroll, heavy sigh and the "sure" responses from his teen years! LOL!
Thank you for validating my existence: when I was an RN student, cardiology always made me feel incompetent with the EKG strip question: “what do you see here?” I finally learned to say, “Well, that there is a normal QRS complex, and that over there is bad” He really only wanted to make us feel incompetent so the sooner you got to that point the happier he was.
@@SlimThrull trust me, it makes rounds easier. They just wanna boost their ego by crushing everyone so the sooner they can do it, the faster the rounds and everyone will be happy. lol
I showed this to my mom, who was a cardiovascular ICU nurse for 20 years, and she about fell out of her chair laughing, and shouting, "Yes! Yes! We need to do this!"
I don’t know the culture among psychiatrists in the USA, but where I live, mental health professionals that don’t go to therapy regularly are seen with some mistrust. Therapists and psychiatrists are supposed to have a high degree of awareness about themselves so that our own issues don’t affect the patients. We don’t see going to therapy as stigmatizing.
@@ludmilamaiolini6811 yes but we aren't saying the pych doc character needs therapy, but rather we want to see Doc Glaucomflecken present a comedic situation between two pych doc characters so that we get an insight into the difficulties of being a pych doc in his special and very funny way.
the "what do you see" thing is so universal, it transcends borders and cultures. A cardiologist, no matter the nationality/ethnicity/school of training will shove an EKG at someone's face and asks them to decipher it like a sci-fi movie mad scientist.
I was told in late middle age that I have a tricuspid aortic valve. I thought it was just a curious anatomical variation and no one said anything further to me about it for several years. When I learned that this commonly results in surgery, I asked if I could talk to a cardiologist before that becomes imminent. My primary told me she was sure that none of the cardiac valve specialists at the major hospital I would be served by would have no interest in seeing me until I need surgery. So much for patient-centered care.
@@nancylindsay4255I'm so sorry but you may have been misinformed! The normal configuration of the aortic valve is tricuspid (having 3 cusps) so that would be perfectly normal. If you have a bicuspid aortic valve (2 cusps), which is one of the more common anatomical variants, your valve will be more prone to developing stenosis, which COULD eventually require surgery. However, this will cause a murmur that your PCP should be able to hear with a stethoscope long before it becomes an operable issue. In the mean time they may order an echo to check on the status of the valve every few years if they are concerned about it. Hope this helps!
First, thank you for being wonderful and caring! I misspoke, prompted by Dr. G's mention of a tricuspid valve. My abnormality is indeed a bicuspid aortic valve. I do have an echo every three years, so am not overly concerned. The reported attitude of the cardiologists does seem a bit aloof, though.
I once had a pediatrician that would quiz me to death every time he saw patients in my unit. He'd ask me all kinds of questions about pediatric issues that had nothing to do with the patient, including ventilator settings, EKGs, etc. I would actually study things as a nurse that had nothing to do with my job just so he couldn't ask me gotcha questions that I couldn't answer. After one particularly grueling session, I muttered, "Asshole!" under my breath as he left, and another doc in the area heard me. I knew it would get back to him, so I went to his office right away, so I could confess before he heard it through the grapevine. When I told him he asked why I was upset. I explained that I felt he unfairly asked me things he never asked the other nurses because he wanted to embarrass me in front of them. He then said, "I ask you those questions because I know you can answer them. I do it so the other nurses and doctors can see how advanced you are in your practice. I don't ask the other nurses because they wouldn't be able to answer them. I use you to show them, that they need to up their game. Usually if I ask you a question it's something I just asked the intern on the other ward that they got wrong. It lights a fire under them when they hear you get it right." Never had a doc make me cry by being nice, by being mean before that.
I can relate to the pediatrician. I’m much the same way with my consultant (I’m not in medicine, but in a different science profession; just lurking here to understand my friends’ discipline). I mean, if I leave them be and work *around* them, it means I don’t think they can improve or at least my effort is better spent in different ways to improve the overall team. If I put them through their paces and make them up their game, it means I know they can do far better than they know to, and it’s worth my while to supply them the missing guidance.
Kinda still sounds like he was being an ass though. You may have absolutely been on your game, but it sounds like he was doing it to everyone and expecting the same excessive comprehension from everyone.
I'm a therapist myself, and all I could think was how being behaviorally-based with cardiology and other medicines is a great idea because if you go the cognitive route they'll just argue why they;re right and then it's an argument not a session, so just being firm and making him roleplay will hopefully produce results!
Perfect gift for cardiologists: a huge roll of pathologic EKGs with easy tear every 10cm so that they can give random pieces to people and ask them to diagnose the hypothetical patient
I think the cardiologist is going to need several sessions for sure! Also, so glad to finally meet the real Dr. G! And glad to have you on RUclips. Welcome! "Nobody cares. Not a single person cares." 🤣🤣🤣
Oh my gosh, I know. I actually had a tear leak out from laughing so hard. This guy is top notch medical comedy gold. "No, it's too late now, the medical student is already crying!"
This is such a great series. I can't wait for when the emergency doc goes to therapy. I'm thinking of other series ideas: 1)Doctors at a party with either other doctors or perhaps the general public 2) Subspecialty doctors at a medical emergency in the community. Can Bill be a unsung hero that saves someones life? 3) doctors applying to the hospital director to fund a department improvement e.g ED wants a coffee fountain or a CT scanner at the entrance of the hospital and only way in is for the pt to crawl through the scanner, or candy machine outfront the spits out paracetamol and tells the patient to see their GP 4) doctors on a first date
"Point of maximal imuplse..." That's one of the things that has been permanently burned into my memory and I feel proud about that. (What I'm not so proud about was the time I fell asleep during the cardiology lecture in class. The professor told us to close our eyes and listen closely to the recordings of S1, S2, S3 and S4. When I opened my eyes again, my classmates were packing their things)
Omg. This took me straight back to the past. And yes, i'm one of those interns that sobbed like a baby in front of the entire ward staff and patients. Had to change my glassea and wear an extra mask for the next few days to save me from atleast a lil bit of embarrassment.
OMG this killed me! I am so glad my cardiologist is the most down to earth and funny doctor I could have asked for. I shared your video with him at my visit today and he laughed so hard he cried and then sent it to his wife a psychiatrist. 🤣
This is so true. Even as the attending calling the consult I often feel I am getting pimped like I was the MS3. When I was a resident we had a cards fellow who was too full of himself over his knowledge of trials (and their acronyms) that even the cards attendings couldn’t stand it. So we all agreed the following morning to present a case that clearly met the criteria for a made up cards trial (the HIPPIE trial). The intern presented it as their plan and the attending sagely nodded and agreed this was the prototypic patient for hippie. Then asked the fellow’s opinion, he stammered for a bit and finally admitted he didn’t know the trial, the attending expressed disappointment that someone at his level would be missing such a seminal trial. Eventually the room couldn’t hold a straight face and we told him. The attending muttered to him that maybe he should go easier on the house staff about cards trivia; I will note he was way easier to deal with later.
My father is a Cardiologist and everyone he works with thinks the world of him and describe him as "caring, kind and understanding". As his son, that is not the man I knew, my dad acted like your character; dismissive, insulting, and intellectually aggressive often towards his family, others rarely saw it. He also wouldn't be caught dead in a therapy session that wasn't mandatory, he was a psychology major...
I'm so sorry. I suspect people at work did see his bad side sometimes, but people feel this need to compliment others to their family. I found that so bewildering as a kid, like I was making up the version of my mom I saw. Now I'm realizing other people saw it too, at least sometimes. They just didn't say anything. Also, I am so infuriated by psychology majors who wouldn't be caught dead in a therapy session. At least it sounds like he didn't go on to practice psychology, but there are some therapists like that, and I view it as so dangerous. If you don't know what's going on with you, you have 0 business telling me what's going on with me.
This is accurate. Not just as med student, even as a GP in emergency unit, I still hesitate to consult my cardiologist before all laboratory and ecg examination are completed. It doesn't help that my cardiologist was also my teacher in med school.
I'm a neurology resident. The best lesson about cardiology consults that a neurologist once taught me: the most important reason to consider possible endocarditis, is if the cardiologist says it's definitely not endocarditis.
I asked my cardiologist to see my EKG. He plopped it on my lap and after a few seconds scrutinizing I announced "The leads were reversed". He quickly replied "We're the only two people on the planet who care."
This couldn't be more true. Just two days after watching this video i started my cardiology rotatio. In the first three minutes, after just asking me for my name, i was already handed and EKG..
Both of my parents have worked in cardiology for over 30 years each. My mother is a CNS with her masters in nursing, with a speciality in cardiology and my father is a perfusionist. They both about passed out laughing at this video's level of accuracy 😂 and I've known a lot of the cardiologists and CT surgeons they've worked with over the years. Can confirm, many of them have been just like this lmao 😂
As a future med student with oncology focus, these videos make my day.....especially as a non-traditional student who comes from the world of tech. Funny how parallel personalities can be in different roles. Keep up the amazing videos!
@@xoxjelloxox Had a life changing moment, nothing tragic more mental, and realized the last time I was happy was when I was helping others. It was that simple and enrolled in university, now I'm walking the path. I would encourage anyone to follow their dreams and don't hesitate, it's very rewarding.
@@aremedyproject9569 Feel I'm made for it, shadowing in hospice at the moment and I see so much that is missing. I can only hope to bring new energy to the field, especially with the palliative need.
how do you know you wanna be a clinical oncologist? my ideas of what specialty i wanted to pursue have changed so much so much throughout medschool, how can you be so sure?
I work for a private cardiology clinic with EIGHT doctors in NW IN ourside of Chicago. We see aprx 200 people a day between clinic, Ultrasound, Nuc stress, pace clinic, and Protime. But thankfully all Eight are great....but yes, the interrupting is most definitely a thing.
My dad is an interventional cardiologist (I'm a pathologist trainee but almost did cardio bc I've been trained in my entire life) anyways hearing him answer the phone on call is always like this. He gets called for everything though! Cardiologists are wonderful. Obviously I'm biased. :P
I am a RN and on a hospital unit I used to work at, when a cardiologist is consulted by the attending, he/she comes straight to the Nurse and ask why, the results of labs and imaging that were already completed. Over the years, those encounters have strengthen my nursing skills.
I have a very rare CHD that requires I go to a pediatric cardiologist. Being older than the med student in the room and watching my sweet old cardiologist with the panda bear on his stethoscope suddenly turn into a terrorist is kind of soothing. Being in the hospital for something else and having the hospital cardiologist bring EVERYONE HE'S EVER MET into the room to gawk is not.
As a RN of 36 years (eek!), I have worked with every one of your personalities. You basically have nailed each specialty and the med students/interns who always ask the nurse before they ask their attending (we raise them right in the ICU). The first rule in our hospital's Guides for ICU Residents was "when your ICU nurse tells you there is something wrong with the patient, there is something wrong with the patient." Second rule was, "always be nice/listen to the ICU RN because she is going to save your behind at least once, maybe multiple times". July 1 (first day of residency for new medical school graduates), always struck terror in our hearts as we tried to protect our patients from interns who think they know everything and really know nothing. It was fun to watch them grow as physicians over the years and the best ones were the ones who were not afraid to ask and/or take advice. If that ophthalmology thing doesn't work out for you, you definitely have a future on RUclips. PS, you must have been very observant in your residency because opthamologist don't spend a lot of time with specialists (except maybe at parties. :)
List of things that people outside of cardiology don't care about: "S3, S4, point of maximal impulse, tricuspid valve..." Damn, the rest of medicine feels attacked 😂
My grandfather, Dr. Prescott Jordan Jr. was one of the first heart surgeons to successfully perform an open heart surgery on a child. He and his partner, Dr. Jacob Jacobson. He’s in the book, “King of Hearts.” He’s been gone since 2006, at the ripe ol age of 92. I’m sure he would have really enjoyed your videos.
I'd love a sketch about NICU and PICU cares and how they treat the kids, calculate medications by weight, etc. instead of adults ICU. When we (pediatricians) have to visit adult's ICU for whatever reason we feel like entering a troglodyte cavern xD
You're unfortunately not too far off a lot of times though. I know personally from being on both sides, also as a severe Crohn's Disease patient since early childhood. I'm 35 now, but still only 4'11 and never more than 100 lbs. I always oversee, check on, and advocate my own case, because I have had a terrible history of being both under and over prescribed medications, causing multiple problems. Which is an extra serious issue when I stay on dangerous medications like biologics, antiemetics like Phenergan, pain medication, high dose steroids, ect, on top of the occasional ones, including experimental sometimes. I just love having medical charting apps like MyChart. I often get the results before my doctor does. 😆 At least I know my TPN is always right. Thank you Pharmacy! I make anesthesiologists nervous because of my size, yet I have a long surgical/medication history that makes me very tolerant, on top of the dreaded red head genes. Numbing agents just refuse to work and they, plus pain meds, will wear off quickly or even suddenly. So I have a long history of the meds wearing off, and suddenly feeling everything or waking up. To the point I can actually remember waking up trying to scream while trached. It totally ruined my birthing scenarios via C sections, as they always ended up having to go full knockout on me. Ugh. Definitely not what I wanted. Me: "Ow, ow, that really hurts!" 😲 Surgeon: "Are you sure you feel that and not pressure? Tell me when you feel it."🤨 Me: "Yeah, I'm sure, it's definitely not my first rodeo." 😳 Surgeon: 🤔 *poke* *poke* *poke* Me: "Ow! Oh dang! Damnit! It's getting worse fast!" 😬😨 Surgeon: *silently and stealthily starts test cutting* 🤫😶 *Vigorous loud screaming* 😱 😭 Surgeon: "Oh yeah, she definitely feels it! Sorry about that! Juice her up." 😯🙃 Me: 😵😴 Then it took me way too long to wake up because of the overcompensation. You can give a fully intricate and well documented history rundown, and some people still won't take heed until they see it for themselves. 🤷♀️
@@ItsAllAboutPerspective375 you: "hey that uh really fucking hurts" Doctor: "ok lol" *cut* You: 🤬🗣️ "OW" Doctor: *shocked Pikachu face, like you literally didn't just tell him you could feel it* This is my enterpretation of the end of your story, feel free to let me know if I'm wrong tho lol. Also, big mood on the redhead genes part, I'm getting eyeball surgery next month with only local anesthetic, and the idea of that medication wearing off while they're knee deep in my eyeball is super freaky
Fantastic. Can you please make one with the neurologist in therapy? We need better coping mechanisms and our superiority complex needs your psychoanalysis. - Sincerely, a neurologist in need.
S3 and S4 killed me. Like yesterday I was trying to remember what those were related to then I gave up and thought "whatever, if I hear some I'm just gonna call a cardiologist"
So this is worldwide, I guess. I'm a sonographer who do the echo and EST for them in Thailand. Cardiologist is like a grumpy gramp for med student but they're so kind to cardiotech like us.
I had an ex-cardiology surgeon who was my GP because he could no longer do surgery. But this is exactly how he was every visit. He was brilliant, which is why I loved him. But if you EVER told him what you thought, it was going to be bad.
I'm so impressed with how accurate your cardiology face and mannerisms are. I used to be an echo tech and watching this made me miss my docs! 3 cheers for the tricuspid valve!
Lol! I can empathize deeply with Psychiatry trying not to lose patience while helping someone that could be a bit more serious about receiving the help & making an effort to change.
Haha so accurate, the reversed leads happened to me twice, the eyebrow the asking for the echo in the middle of you presenting the patient so bloody accurate I love it!
Omg I HAD TO COME BACK TO THIS…I was over hearing a medical student talking to the cardiologist. He asked her a question and before she got to the second word he’s talking over her. “What does the echo show?” “The mitral- “Yes the mitral valve has a …. What’s EF?” “EF is- “It’s too high.” I was outside the room holding my laughter. “This really does happen.”
I’m a 15 year who loves your videos and hopes to become a cardiologist one day. Doctors like you are my inspiration.thanx for making my day as always love Your fan
I only ever seem to feel this way when referring to neurosurg. Cardiology at the hospitals Ive been at has always been lovely. I also come at it from the ED perspective, so most of the time we call the cardio reg/consultant its less for advice and more for specific admission questions or cath lab timing etc. I think it also helps that we tend to admit CCF and the like under gen med unless its new onset. Cardio just can't handle all those other organs a failing heart is neglecting 😜
One of the cardiologists walked in my work room today and I was terrified he was looking for me, but he wanted my coworker instead and I breathed a sigh of relief. (Not all of them are like this the other 17 cardiologists are fine this one in particular scares the sh*t out of me)
I've spent some time in cardiology, surgery, PACU, ICU, nursing etc. as a patient getting a bovine tricuspid valve put in... (Part man, part bull, MOO!🐮) ...so this video is pertinent to my interests! I LOVE these videos! After being in hospital so long you get to pick up snippets from so many specialities. Hence my appreciation for these videos. Even though I'm half a planet away, hospital humour transcends all boundaries! I notice you've tamed it down about 99% though. If you let unadulterated hospital staff humour out on the streets you'd have gammons fainting in the streets, clutching their pearls & writing stiff letters to the Times everywhere! If you're in hospital long enough and they realise you're "safe" then you may be lucky enough to have the curtain lifted just a little so you can see what's going on behind them. 'Twas a real honour & as FAF! These little scenes whisk me back to those times. But I'm going to need a catheter please! 🤣😆🤣😆🤣😆💦 Oops!
My attending in cardiology made me do my cardiac OSCE on a patient with dextrocardia WITHOUT TELLING ME the patient's heart is flipped. I could not hear the heart at all and completely freaked out
"What do you see here?", the question I always expect after saying hello to a cardiologist. Never thought they actually need some kind of consent for that...
Making my day... again. Thank you so much for the smile on my face. Looking forward to the next one (pediatrics perhaps?). In the meantime wishing you, your family and everyone who's here a beautiful and loving Thanksgiving. 😘😘🤗, 💖💖💖🐶 🇾🇪
“It’s too late, the med student is already crying” OMG this takes me back to med school and doing these consults while being scared I might 😂
LoL
Will this end doc? 😢😢
You might….
@@aliefr2984 it does! Gets much easier as you progress 😊
Ezz
"A consult involves words, you need to give a person time to say those words" is the best slam I've heard in a word. (And can also be applied to patient meetings!)
Yes they never give me enough time and i get stressed and forget how to speak :')
I'm using this line next time lmao
@@knightstormbringer we hope you have time to use the words.😅😅😅😅😅😅😅😅
Applies to patient meetings too. That is something my gynecologist did with my very first fckng pregnancy.
I got this so much working retail during lockdown. They'd get upset when the answer to what they wanted was at the end of my sentence.
At least cardio was humble enough to submit himself to therapy, this is a great start.
May be he was "encouraged" to seek therapy. 🤣
Doubt it was voluntary lol
@@Knittingdoc2000 yup, by the board or the hospital’s risk mgmt dept lmao
I have no experience and I reached the exact same conclusion: he was forced lol
Humble 🤣🤣🤣
Forced is much more likely.
This is so accurate!!!!!! I'm an echocardiographer and I can't tell you how many times I've sensed heavy breathing behind me in the ICU and gotten scared to death by a cardiologist who doesn't want to wait until the pictures load into the viewing system. I still love them though! And it's cute when I find something they actually get excited about. "What do you mean we have an outpatient who says he had a Ross procedure in the 90s and has a bioprosthetic PULMONIC VALVE???? I'll be right there and I'm bringing everyone I see in the hall on the way!!" 😅
I scanned a Ross procedure patient while I was still really early on in my internship and I was looking at it like.... Wait a minute... I don't know a lot but this looks different and weird. The patient had also had his AV replaced again so it was extra "WTF is going on here" fun stuff!
Omg they're all like this!! Mine would always conveniently have a whole bunch of interns on the days I've gotta show up and be semi-nude for the echo just so he could show off 'the worst TGA he's ever fixed'. They're incorrigible.
Fuc* these old geezers omg, that are no longer adapted to society and don't have patience for normal things cuz they don't understand how it works anymore. Dude they should put a cap at 50yo for the right to be a doc. After that ur just a nuisance.
@@radumeirosu6251 ok, boomer
@@radumeirosu6251 wait until u hear about how long doctor's training are. Depending on what country u're from, a cardiologist might get their title when they're 30-40ish. Not to mention skills come from experience
“Not a single person cares.” I love it.
Nobody. Not a soul.
Except for large animal vets- because you can actually hear them...
OK, the small animal vet is going to walk away now...because they don't care either
BTW, great videos!
We don't lmao
@@gilangignasraharjo6138 oh sorry about that- wasn't trying to disrespect LA vets- you guys rock! Just graduated a short while ago and was told that S3 and S4 are mainly horse (and cow) concerns. My bad. Happy holidays!
@@DGlaucomflecken 🤣🤣🤣🤣 So true. I am a Rehab Medicine Consultant, and really S1, S2 & "Murmur 😵💫😵💫" is all I care about !!
"No it's too late! The med student is already crying."
I felt this on a personal level.
Oh dear! Here's a hug for you then. 🤗❤️
Thank you for watching. Together we can make cardiology less scary. Like and subscribe and let me know if you want to see more specialties go to therapy.
Definitely! Would be fun to have the psychiatrist go to therapy. But I'd really like to see the neurosurgeon, the ortho, the ER doc, and BILL sit down for a session.
I didn't mean as group therapy, which I realize that sounds like. But that makes me think maybe the nephrologist and the cardiac doc could have a session together to try to work out their differences. Although maybe that's a hopeless cause...
@@laras678 that would be awesome !
I’d love to see ortho go to therapy
Surgery of course…..
My son is a cardiologist. This cracked me up, so I shared it with him. He got a kick out of it. I very much recognize the eyeroll, heavy sigh and the "sure" responses from his teen years! LOL!
Sounds like he was made for the job then!
Thank you for validating my existence: when I was an RN student, cardiology always made me feel incompetent with the EKG strip question: “what do you see here?” I finally learned to say, “Well, that there is a normal QRS complex, and that over there is bad” He really only wanted to make us feel incompetent so the sooner you got to that point the happier he was.
"It looks like a child drew the waves. That is bad."
"What do you see here?"
"Squiggly lines!"
@@SlimThrull trust me, it makes rounds easier. They just wanna boost their ego by crushing everyone so the sooner they can do it, the faster the rounds and everyone will be happy. lol
*holds EKG strip up to ear* "Ooh, waves! I can hear the ocean!"
i would have said, why are you asking me a question you already know doc
I showed this to my mom, who was a cardiovascular ICU nurse for 20 years, and she about fell out of her chair laughing, and shouting, "Yes! Yes! We need to do this!"
This definitely happened.
that poor therapist is gonna need therapy if he's seeing all the specialists...
Yo psych going to therapy would be an amazing vid
@@antongunther3977 battle of the CBTs 😂
Agreed
I don’t know the culture among psychiatrists in the USA, but where I live, mental health professionals that don’t go to therapy regularly are seen with some mistrust. Therapists and psychiatrists are supposed to have a high degree of awareness about themselves so that our own issues don’t affect the patients. We don’t see going to therapy as stigmatizing.
@@ludmilamaiolini6811 yes but we aren't saying the pych doc character needs therapy, but rather we want to see Doc Glaucomflecken present a comedic situation between two pych doc characters so that we get an insight into the difficulties of being a pych doc in his special and very funny way.
“We’ve talked about this cardiology! You can’t just hand someone a ECG without their consent!!!!” 😂😂😂
I'm a cardiology resident. And the eyebrow is so accurate. I had to get my eyebrow down, thank you for the therapy.
Get some botox injection, your eyebrows will not move so no face expression Doc.😅😁
"Its too late the med student is already crying" best line of the skit🤣
the "what do you see" thing is so universal, it transcends borders and cultures. A cardiologist, no matter the nationality/ethnicity/school of training will shove an EKG at someone's face and asks them to decipher it like a sci-fi movie mad scientist.
The cut at the tricuspid valve was GOLD🤣
I was told in late middle age that I have a tricuspid aortic valve. I thought it was just a curious anatomical variation and no one said anything further to me about it for several years. When I learned that this commonly results in surgery, I asked if I could talk to a cardiologist before that becomes imminent. My primary told me she was sure that none of the cardiac valve specialists at the major hospital I would be served by would have no interest in seeing me until I need surgery.
So much for patient-centered care.
@@nancylindsay4255I'm so sorry but you may have been misinformed! The normal configuration of the aortic valve is tricuspid (having 3 cusps) so that would be perfectly normal. If you have a bicuspid aortic valve (2 cusps), which is one of the more common anatomical variants, your valve will be more prone to developing stenosis, which COULD eventually require surgery. However, this will cause a murmur that your PCP should be able to hear with a stethoscope long before it becomes an operable issue. In the mean time they may order an echo to check on the status of the valve every few years if they are concerned about it. Hope this helps!
First, thank you for being wonderful and caring! I misspoke, prompted by Dr. G's mention of a tricuspid valve. My abnormality is indeed a bicuspid aortic valve. I do have an echo every three years, so am not overly concerned. The reported attitude of the cardiologists does seem a bit aloof, though.
I once had a pediatrician that would quiz me to death every time he saw patients in my unit. He'd ask me all kinds of questions about pediatric issues that had nothing to do with the patient, including ventilator settings, EKGs, etc. I would actually study things as a nurse that had nothing to do with my job just so he couldn't ask me gotcha questions that I couldn't answer. After one particularly grueling session, I muttered, "Asshole!" under my breath as he left, and another doc in the area heard me. I knew it would get back to him, so I went to his office right away, so I could confess before he heard it through the grapevine. When I told him he asked why I was upset. I explained that I felt he unfairly asked me things he never asked the other nurses because he wanted to embarrass me in front of them. He then said, "I ask you those questions because I know you can answer them. I do it so the other nurses and doctors can see how advanced you are in your practice. I don't ask the other nurses because they wouldn't be able to answer them. I use you to show them, that they need to up their game. Usually if I ask you a question it's something I just asked the intern on the other ward that they got wrong. It lights a fire under them when they hear you get it right." Never had a doc make me cry by being nice, by being mean before that.
I can relate to the pediatrician. I’m much the same way with my consultant (I’m not in medicine, but in a different science profession; just lurking here to understand my friends’ discipline). I mean, if I leave them be and work *around* them, it means I don’t think they can improve or at least my effort is better spent in different ways to improve the overall team. If I put them through their paces and make them up their game, it means I know they can do far better than they know to, and it’s worth my while to supply them the missing guidance.
Sure doc. Suuuurrreeeeeee. Totally not saving your butt back there.
What a great ending to that story! Wasn’t expecting it
Kinda still sounds like he was being an ass though. You may have absolutely been on your game, but it sounds like he was doing it to everyone and expecting the same excessive comprehension from everyone.
Nah it was too much. Pretty patronizing as well.
I'm a therapist myself, and all I could think was how being behaviorally-based with cardiology and other medicines is a great idea because if you go the cognitive route they'll just argue why they;re right and then it's an argument not a session, so just being firm and making him roleplay will hopefully produce results!
or he'll game you and skedaddle
Perfect gift for cardiologists: a huge roll of pathologic EKGs with easy tear every 10cm so that they can give random pieces to people and ask them to diagnose the hypothetical patient
maybe do one in a toilet roll format
@@narre71 that’s nephro’s ideal gift. A toilet roll made of ECGs
I think the cardiologist is going to need several sessions for sure!
Also, so glad to finally meet the real Dr. G! And glad to have you on RUclips. Welcome!
"Nobody cares. Not a single person cares." 🤣🤣🤣
Oh my gosh, I know. I actually had a tear leak out from laughing so hard. This guy is top notch medical comedy gold.
"No, it's too late now, the medical student is already crying!"
I have rewatched this one multiple times just to hear that line!!
This is such a great series. I can't wait for when the emergency doc goes to therapy.
I'm thinking of other series ideas:
1)Doctors at a party with either other doctors or perhaps the general public
2) Subspecialty doctors at a medical emergency in the community. Can Bill be a unsung hero that saves someones life?
3) doctors applying to the hospital director to fund a department improvement e.g ED wants a coffee fountain or a CT scanner at the entrance of the hospital and only way in is for the pt to crawl through the scanner, or candy machine outfront the spits out paracetamol and tells the patient to see their GP
4) doctors on a first date
These are all great ideas! I like the ideas of the mundane stuff in hospitals, or doctors in non medical settings
I wish he would do more EM stuff. We're hilarious.
I was an army Doc and we had a candy machine that dispensed ibuprofen 800s. We stole the idea off a meme on a military page.
As someone who has a doctor in their extended family that I only see at parties I'd really really like to see his spin on 1
#3 😂
I can still hear the S3 S4 in my head whenever someone brings up the word Kentucky or Tennessee.
"Point of maximal imuplse..."
That's one of the things that has been permanently burned into my memory and I feel proud about that.
(What I'm not so proud about was the time I fell asleep during the cardiology lecture in class. The professor told us to close our eyes and listen closely to the recordings of S1, S2, S3 and S4. When I opened my eyes again, my classmates were packing their things)
Omg. This took me straight back to the past.
And yes, i'm one of those interns that sobbed like a baby in front of the entire ward staff and patients. Had to change my glassea and wear an extra mask for the next few days to save me from atleast a lil bit of embarrassment.
Are we the same person?
OMG this killed me! I am so glad my cardiologist is the most down to earth and funny doctor I could have asked for. I shared your video with him at my visit today and he laughed so hard he cried and then sent it to his wife a psychiatrist. 🤣
So his wife loads him up on happy pills?
Omg that freaking hilarious!!!
I'm a therapist and I need more of these videos in my life.
The list of things nobody but cardiologists care about is gold😂😂😂😂
Those eyebrows so high they're looking like ST elevation on an EKG ♥️🫀⚡
This is so true. Even as the attending calling the consult I often feel I am getting pimped like I was the MS3. When I was a resident we had a cards fellow who was too full of himself over his knowledge of trials (and their acronyms) that even the cards attendings couldn’t stand it. So we all agreed the following morning to present a case that clearly met the criteria for a made up cards trial (the HIPPIE trial). The intern presented it as their plan and the attending sagely nodded and agreed this was the prototypic patient for hippie. Then asked the fellow’s opinion, he stammered for a bit and finally admitted he didn’t know the trial, the attending expressed disappointment that someone at his level would be missing such a seminal trial. Eventually the room couldn’t hold a straight face and we told him. The attending muttered to him that maybe he should go easier on the house staff about cards trivia; I will note he was way easier to deal with later.
My father is a Cardiologist and everyone he works with thinks the world of him and describe him as "caring, kind and understanding". As his son, that is not the man I knew, my dad acted like your character; dismissive, insulting, and intellectually aggressive often towards his family, others rarely saw it. He also wouldn't be caught dead in a therapy session that wasn't mandatory, he was a psychology major...
I'm so sorry. I suspect people at work did see his bad side sometimes, but people feel this need to compliment others to their family. I found that so bewildering as a kid, like I was making up the version of my mom I saw. Now I'm realizing other people saw it too, at least sometimes. They just didn't say anything.
Also, I am so infuriated by psychology majors who wouldn't be caught dead in a therapy session. At least it sounds like he didn't go on to practice psychology, but there are some therapists like that, and I view it as so dangerous. If you don't know what's going on with you, you have 0 business telling me what's going on with me.
As a med student doing my internship, your videos console me so much. It's good knowing that me not knowing things is normal and I am not dumb 😂
When is nephrology and cardiology going to attend a therapy session together?
Love this idea!
like a couple therapy! 😆
Probably never 🤣
Lol, and they may get into a physical fight over giving or not giving Lasix at the end ....
@@drtannazebrahimiadib that would be hilarious 😂
awesome idea!!!!!!
This is accurate.
Not just as med student, even as a GP in emergency unit, I still hesitate to consult my cardiologist before all laboratory and ecg examination are completed.
It doesn't help that my cardiologist was also my teacher in med school.
Are you from UK?
@@aperture0 No, I'm from South East Asia.
@@keroro407 👍
I'm a neurology resident. The best lesson about cardiology consults that a neurologist once taught me: the most important reason to consider possible endocarditis, is if the cardiologist says it's definitely not endocarditis.
I’m working Neuro ICU right now and why is this so accurate 😂😭😂
hold on PLZ elaborate this sounds rly fun. im still a med student so i dont understand why u guys are saying that
I’m cardiologist and thank you very much for making me laugh as hard.
Dr. Cardiology needs to sit in those empathy classes that we med students also take🤣
I asked my cardiologist to see my EKG. He plopped it on my lap and after a few seconds scrutinizing I announced "The leads were reversed". He quickly replied "We're the only two people on the planet who care."
This couldn't be more true. Just two days after watching this video i started my cardiology rotatio. In the first three minutes, after just asking me for my name, i was already handed and EKG..
I'm not even a med student or a doctor but I'm here for the content
As a cardiology nurse, this is too spot on. I know these cardiologists XD
Tricuspid valve being under the list of what nobody except cardiology cares for clears up why I've never seen a full cardio exam this far
these make my therapy sessions seem less hopeless
Dr. G's "concerned therapist" persona and voice are so perfect!
Both of my parents have worked in cardiology for over 30 years each. My mother is a CNS with her masters in nursing, with a speciality in cardiology and my father is a perfusionist. They both about passed out laughing at this video's level of accuracy 😂 and I've known a lot of the cardiologists and CT surgeons they've worked with over the years. Can confirm, many of them have been just like this lmao 😂
Keep this series going 😂😂
Let's go 😍😍
Psychiatry might need to visit a therapist after all these sessions
lol
Nailed it again!!! I practice in Korea and I guess this is universal!!!
The Littmann over the shoulder is right on. 👌😃
Therapist: _"Get_ those eyebrows down."
Also therapist: _*raises eyebrows_
I am an interventional cardiologist and have 25 pts in the office tomorrow on top of being on ER call. You have inspired me to get a Jonathan.
As a future med student with oncology focus, these videos make my day.....especially as a non-traditional student who comes from the world of tech. Funny how parallel personalities can be in different roles. Keep up the amazing videos!
How d you make that leap? Was it always your plan?
@Scott Oncology is a special specialty. It takes a good soul to do it. It’s tough and very deep too. Hope you go for it.
@@xoxjelloxox Had a life changing moment, nothing tragic more mental, and realized the last time I was happy was when I was helping others. It was that simple and enrolled in university, now I'm walking the path. I would encourage anyone to follow their dreams and don't hesitate, it's very rewarding.
@@aremedyproject9569 Feel I'm made for it, shadowing in hospice at the moment and I see so much that is missing. I can only hope to bring new energy to the field, especially with the palliative need.
how do you know you wanna be a clinical oncologist? my ideas of what specialty i wanted to pursue have changed so much so much throughout medschool, how can you be so sure?
As an ICU pharmacist, this so on point. The look of dismay and anxiousness is a common look on med students.
I work for a private cardiology clinic with EIGHT doctors in NW IN ourside of Chicago. We see aprx 200 people a day between clinic, Ultrasound, Nuc stress, pace clinic, and Protime. But thankfully all Eight are great....but yes, the interrupting is most definitely a thing.
My dad is an interventional cardiologist (I'm a pathologist trainee but almost did cardio bc I've been trained in my entire life) anyways hearing him answer the phone on call is always like this. He gets called for everything though! Cardiologists are wonderful. Obviously I'm biased. :P
I am a RN and on a hospital unit I used to work at, when a cardiologist is consulted by the attending, he/she comes straight to the Nurse and ask why, the results of labs and imaging that were already completed. Over the years, those encounters have strengthen my nursing skills.
This bring back so many memories
I have a very rare CHD that requires I go to a pediatric cardiologist. Being older than the med student in the room and watching my sweet old cardiologist with the panda bear on his stethoscope suddenly turn into a terrorist is kind of soothing. Being in the hospital for something else and having the hospital cardiologist bring EVERYONE HE'S EVER MET into the room to gawk is not.
The therapy sessions are my favorite.
As a RN of 36 years (eek!), I have worked with every one of your personalities. You basically have nailed each specialty and the med students/interns who always ask the nurse before they ask their attending (we raise them right in the ICU). The first rule in our hospital's Guides for ICU Residents was "when your ICU nurse tells you there is something wrong with the patient, there is something wrong with the patient." Second rule was, "always be nice/listen to the ICU RN because she is going to save your behind at least once, maybe multiple times". July 1 (first day of residency for new medical school graduates), always struck terror in our hearts as we tried to protect our patients from interns who think they know everything and really know nothing. It was fun to watch them grow as physicians over the years and the best ones were the ones who were not afraid to ask and/or take advice. If that ophthalmology thing doesn't work out for you, you definitely have a future on RUclips. PS, you must have been very observant in your residency because opthamologist don't spend a lot of time with specialists (except maybe at parties. :)
List of things that people outside of cardiology don't care about:
"S3, S4, point of maximal impulse, tricuspid valve..."
Damn, the rest of medicine feels attacked 😂
My grandfather, Dr. Prescott Jordan Jr. was one of the first heart surgeons to successfully perform an open heart surgery on a child. He and his partner, Dr. Jacob Jacobson. He’s in the book, “King of Hearts.” He’s been gone since 2006, at the ripe ol age of 92. I’m sure he would have really enjoyed your videos.
Well, compared to the cardiologist at our hospital, this guy is a saint.
The real joke is that the psychiatrist can do decent therapy without being condescending themselves.
I'm a psychologist Please Do More of these!!! Omg I vote ortho surgeon and neuro no piece of cake on the therapy couch or plastics please!
I'd love a sketch about NICU and PICU cares and how they treat the kids, calculate medications by weight, etc. instead of adults ICU. When we (pediatricians) have to visit adult's ICU for whatever reason we feel like entering a troglodyte cavern xD
troglodyte cavern, I need to remember this
You're unfortunately not too far off a lot of times though. I know personally from being on both sides, also as a severe Crohn's Disease patient since early childhood. I'm 35 now, but still only 4'11 and never more than 100 lbs. I always oversee, check on, and advocate my own case, because I have had a terrible history of being both under and over prescribed medications, causing multiple problems. Which is an extra serious issue when I stay on dangerous medications like biologics, antiemetics like Phenergan, pain medication, high dose steroids, ect, on top of the occasional ones, including experimental sometimes. I just love having medical charting apps like MyChart. I often get the results before my doctor does. 😆 At least I know my TPN is always right. Thank you Pharmacy!
I make anesthesiologists nervous because of my size, yet I have a long surgical/medication history that makes me very tolerant, on top of the dreaded red head genes. Numbing agents just refuse to work and they, plus pain meds, will wear off quickly or even suddenly. So I have a long history of the meds wearing off, and suddenly feeling everything or waking up. To the point I can actually remember waking up trying to scream while trached. It totally ruined my birthing scenarios via C sections, as they always ended up having to go full knockout on me. Ugh. Definitely not what I wanted.
Me: "Ow, ow, that really hurts!" 😲
Surgeon: "Are you sure you feel that and not pressure? Tell me when you feel it."🤨
Me: "Yeah, I'm sure, it's definitely not my first rodeo." 😳
Surgeon: 🤔 *poke* *poke* *poke*
Me: "Ow! Oh dang! Damnit! It's getting worse fast!" 😬😨
Surgeon: *silently and stealthily starts test cutting* 🤫😶
*Vigorous loud screaming* 😱 😭
Surgeon: "Oh yeah, she definitely feels it! Sorry about that! Juice her up." 😯🙃
Me: 😵😴
Then it took me way too long to wake up because of the overcompensation. You can give a fully intricate and well documented history rundown, and some people still won't take heed until they see it for themselves. 🤷♀️
The little tubes and little equipments are so cute
@@ItsAllAboutPerspective375 you should consider joining med school, you already seem to be way ahead on a lot of the practical aspects.
@@ItsAllAboutPerspective375 you: "hey that uh really fucking hurts"
Doctor: "ok lol" *cut*
You: 🤬🗣️ "OW"
Doctor: *shocked Pikachu face, like you literally didn't just tell him you could feel it*
This is my enterpretation of the end of your story, feel free to let me know if I'm wrong tho lol. Also, big mood on the redhead genes part, I'm getting eyeball surgery next month with only local anesthetic, and the idea of that medication wearing off while they're knee deep in my eyeball is super freaky
Brought back such memories of going to cardiology and getting quizzed on random EKGs. One time I had yell that I was the Surgery resident to be spared
More therapy videos please! I literally feel tension fade away as though I had therapy when I watch these!! Nothing like belly laughs!
Fantastic. Can you please make one with the neurologist in therapy? We need better coping mechanisms and our superiority complex needs your psychoanalysis. - Sincerely, a neurologist in need.
The tricuspid valve was the one that got me.
"read aloud from the list of things nobody outside of cardiology cares about" .... I'm rolling haha.
S3 and S4 killed me. Like yesterday I was trying to remember what those were related to then I gave up and thought "whatever, if I hear some I'm just gonna call a cardiologist"
This is insanely accurate and funny! This guy is a freaking genius! He knows how exactly each specialty works!
I'd love to see more videos involving pathology! I think the only one is when the med student is asked to go look at slides at the path lab
So this is worldwide, I guess. I'm a sonographer who do the echo and EST for them in Thailand. Cardiologist is like a grumpy gramp for med student but they're so kind to cardiotech like us.
Another great video. Loving this series.
Waiting for Neurosurgery to visit Psychiatry 😂😀
I had an ex-cardiology surgeon who was my GP because he could no longer do surgery. But this is exactly how he was every visit. He was brilliant, which is why I loved him. But if you EVER told him what you thought, it was going to be bad.
I'm so impressed with how accurate your cardiology face and mannerisms are. I used to be an echo tech and watching this made me miss my docs! 3 cheers for the tricuspid valve!
0:50 that straight face is just priceless.
I lost it at the "get your eyebrow down" part 🤣 genius
Lol! I can empathize deeply with Psychiatry trying not to lose patience while helping someone that could be a bit more serious about receiving the help & making an effort to change.
"it's too late, the med student is already crying" lmao
"The med student is already crying." I feel this on the pre-clinical visceral level.
I'd rather deal with clinicals.
Where is Medlife Crisis? He needs to be winning this comment section for the cardiologists
The "eyebrow up" expression reminded me of MedLife Crisis, somehow 😆
Haha so accurate, the reversed leads happened to me twice, the eyebrow the asking for the echo in the middle of you presenting the patient so bloody accurate I love it!
Omg I HAD TO COME BACK TO THIS…I was over hearing a medical student talking to the cardiologist. He asked her a question and before she got to the second word he’s talking over her.
“What does the echo show?”
“The mitral-
“Yes the mitral valve has a …. What’s EF?”
“EF is-
“It’s too high.”
I was outside the room holding my laughter. “This really does happen.”
I’m a 15 year who loves your videos and hopes to become a cardiologist one day. Doctors like you are my inspiration.thanx for making my day as always
love
Your fan
No one:
Not a single med student:
Cardiology: what do you see on this EKG readout? 😏
I only ever seem to feel this way when referring to neurosurg. Cardiology at the hospitals Ive been at has always been lovely. I also come at it from the ED perspective, so most of the time we call the cardio reg/consultant its less for advice and more for specific admission questions or cath lab timing etc. I think it also helps that we tend to admit CCF and the like under gen med unless its new onset. Cardio just can't handle all those other organs a failing heart is neglecting 😜
Nurses go through similar cr*p from other nurses, so as we get more experienced we learn to give 'speed' reports. Love your channel, Dr. G!
One of the cardiologists walked in my work room today and I was terrified he was looking for me, but he wanted my coworker instead and I breathed a sigh of relief. (Not all of them are like this the other 17 cardiologists are fine this one in particular scares the sh*t out of me)
I've spent some time in cardiology, surgery, PACU, ICU, nursing etc. as a patient getting a bovine tricuspid valve put in...
(Part man, part bull, MOO!🐮)
...so this video is pertinent to my interests!
I LOVE these videos! After being in hospital so long you get to pick up snippets from so many specialities. Hence my appreciation for these videos. Even though I'm half a planet away, hospital humour transcends all boundaries!
I notice you've tamed it down about 99% though. If you let unadulterated hospital staff humour out on the streets you'd have gammons fainting in the streets, clutching their pearls & writing stiff letters to the Times everywhere!
If you're in hospital long enough and they realise you're "safe" then you may be lucky enough to have the curtain lifted just a little so you can see what's going on behind them.
'Twas a real honour & as FAF!
These little scenes whisk me back to those times.
But I'm going to need a catheter please! 🤣😆🤣😆🤣😆💦 Oops!
My attending in cardiology made me do my cardiac OSCE on a patient with dextrocardia WITHOUT TELLING ME the patient's heart is flipped. I could not hear the heart at all and completely freaked out
"What do you see here?", the question I always expect after saying hello to a cardiologist. Never thought they actually need some kind of consent for that...
The accuracy is on point!
Making my day... again. Thank you so much for the smile on my face.
Looking forward to the next one (pediatrics perhaps?).
In the meantime wishing you, your family and everyone who's here a beautiful and loving Thanksgiving.
😘😘🤗,
💖💖💖🐶
🇾🇪
Please make one video where the therapist goes to supervision. That would be epic!!!
Oh my God, I need to see EVERY specialty go to therapy, PLEASE!
Lol this is the perfect content that we all are looking for!
Your videos are awesome and hilarious.