General Surgeon Reacts to Dr. Glaucomflecken's How to ace your general surgery interview

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  • Опубликовано: 14 окт 2024
  • Dr. Glaucomflecken is truly a gift to medical community. He lightly pokes at the culture of health care. In this video Dr. Hilsden reacts to Dr. Glaucomflecken's "Take down" of general surgery.
    Please check out Dr. Glaucomflecken's channel.
    / @dglaucomflecken

Комментарии • 287

  • @nanoro4831
    @nanoro4831 2 года назад +393

    Every time you said "this is pretty funny" I kept cracking up on how you weren't actually laughing at the jokes and you did a peer review his video lol. Over all very well done

    • @RichHilsden
      @RichHilsden  2 года назад +70

      Thank you. This was definitely a piece of analytical work

  • @zed3063
    @zed3063 2 года назад +717

    It’s actually hilarious how you’ve dissected this so seriously 😂

    • @pbgd3
      @pbgd3 2 года назад +20

      thats the gold with Dr. G he cuts deep but also people who arent physicians or maybe just arent jn medicine at all can feel the angst.

    • @yuviaflorez221
      @yuviaflorez221 2 года назад +1

      That's the best

    • @jeremywood1342
      @jeremywood1342 2 года назад +12

      I see what you did there!

    • @jacobmosovich
      @jacobmosovich 2 года назад +1

      Hes got those knife skills lol

    • @shauns5680
      @shauns5680 2 года назад +1

      Exactly could laugh a little !! 😂

  • @doctorditman
    @doctorditman 2 года назад +571

    There is absolutely no doubt that "Dr. G" has struck gold, especially in the medical community, with his gentle, but accurate satire of medical practice and the different "characters" who make up the culture of physicians. He is very talented and I am a huge fan. There is also no doubt in my mind that there is a "surgical personality." This was evident to me early on in my medical school experience. There were 6 of us, I believe, on third-year surgical rotation at Jefferson back in the 1970s. We were rotating through the colorectal surgical service. Dr M's mother had died and all of his surgery was cancelled for 3 days. We were all sad for Dr M's loss, but the "surgically inclined" students were very upset. Within an hour or so they had all found somewhere in the OR to scrub in and do their thing as medical students. The rest of us (inclined toward family or internal medicine) felt relief that we could all go to the library and study; something we were unable to do while holding retractors and trying not to break scrub. I also remember one weekend call as a Family Medicine resident in Allentown, PA. I had admitted a patient with a surgical emergency at about 2 am on a Sunday morning. The surgeon, who at the time seemed older to me (probably in his late 60's) came into the ER after I called him and presented the case to him on the phone. As usual, he was dressed immaculately in a three-piece suit and every hair on his head combed and in place. I looked like a horse that had been ridden hard and put away wet. After he saw the patient and directed the start of the surgical process (calling the OR, anesthesia, and speaking with the patient's family,) I spoke to him briefly and apologized for getting him up and out of bed early on a Sunday morning. He said to me, "Allen, this is what I live for!", and he meant it. I was left speechless and in awe of him. Of course, in my second year of residency, I was already in awe of him. I don't remember his name now (it was 41 years ago,) but his son was also an excellent surgeon at Sacred Heart Hospital in Allentown, PA.

    • @RichHilsden
      @RichHilsden  2 года назад +85

      Really cool story. That is definitely a different generation of surgeon. Those surgeons were something special for sure.

    • @jojokinn7142
      @jojokinn7142 2 года назад +11

      Sacred Heart! What a small world I went to the high school across the street!

    • @MrAdmiralKush
      @MrAdmiralKush 2 года назад +12

      That sounds like something out of a movie. Growing up that’s what I wanted to do because I found those types of people to be so inspiring. After getting into medical school though I honestly don’t see myself as capable with learning all the anatomy. Even in med school there is a difference between those at the top and me and it just seems disheartening that there’s a very good chance I’ll never be capable regardless of the amount of seemingly endless hours I put into studying.
      But I suppose there’s a right place for me somewhere

    • @shaydelre1898
      @shaydelre1898 2 года назад +8

      This is cool. They should make a show about this, this is all so interesting! Unlike other medical shows that depict all the residents sleeping with each other.

    • @seawatersoul333
      @seawatersoul333 2 года назад +4

      @@MrAdmiralKush i believe in you and that you'll most definitely find your tribe and discover what resonates and aligns with you most m'dear. Maybe, and i just realized your name lol...you can be a weed doctor. We honestly need more of that. Just stay true to you and fake that shit till you make that shit ....something will spark something inside of you, you just gotta listen to yourself ☆♡☆ i thought i was gonna end up a trauma/emergency doctor and ended up in a more holistic natural place too as functional doctor and am Currently taking 4 years of naturopathy. I think some day I will still end up back in trauma. Its still my sub specialty. But it definitely takes a toll on your body and mind and my body is full of autoimmune diseases (mixed connective tissue disease)

  • @grumbles
    @grumbles 2 года назад +420

    His best bit about family relationships was in his neurosurgery residency interview.
    "Are you married?"
    "For now..."
    "Do you have any kids?"
    "I don't know, you'll have to ask my wife"
    I got lucky in my gen surg rotation, my preceptor was super kind and supportive. Made sure I got to have a real lunch break every day too. I had some poor classmates who would just get literally screamed at all day and called stupid/idiot/etc. without even knowing why (and frankly they were better students than me, surg was my first rotation and I had no idea what I was doing, especially having been at "Zoom school").

    • @k8eekatt
      @k8eekatt 2 года назад +3

      So reassuring to read this🤣

    • @kayelle8005
      @kayelle8005 2 года назад +1

      So lazy to rely on screaming at people rather than actually educating them. As if anyone learns well in an environment that lacks any safety.

    • @tonyconiglio6941
      @tonyconiglio6941 Год назад +1

      Someone yelling at you is not a lack of safety, and it is definitely effective.

  • @JsForLyf23
    @JsForLyf23 2 года назад +609

    "Alright, so this is pretty funny" Stone cold expression lol 😐

    • @joe9611
      @joe9611 2 года назад +52

      This is the most hilarious thing I've ever seen. I will never forget this moment for as long as I live 😐😐😐

    • @LoveInYourMouth
      @LoveInYourMouth 2 года назад +19

      “Sub specialty is Trauma Surgery” probably seen a few things

    • @Superwoodputtie
      @Superwoodputtie 2 года назад +2

      Hahahahah

    • @lectrix8
      @lectrix8 2 года назад +4

      I thought the same!!! Man's dead inside. Jk

    • @seawatersoul333
      @seawatersoul333 2 года назад +3

      Probably all the botox

  • @CharliMorganMusic
    @CharliMorganMusic 2 года назад +445

    I need this from every specialty now.
    But real talk, why are we making the people who cut people open tired on purpose? Like, I would prefer my surgeon to not be overworked and underslept.

    • @RichHilsden
      @RichHilsden  2 года назад +168

      Hard question to answer. Most are just workaholics.

    • @BeccalaiShushushu
      @BeccalaiShushushu 2 года назад +48

      You would never get your surgery done then. There would never be enough surgeons (or other docs) to keep up with the workload. I personally blame academia for part of that

    • @SM-os6wq
      @SM-os6wq 2 года назад +31

      I think the next generation of medical students will fix that. Calling a profession a calling while overworking, it’s a great way to brainwash folks. Truth is we need many more surgeons of all kinds. But if it’s a calling, they wouldn’t mind getting paid half of what they do, just like in the UK or France?

    • @NikoBellaKhouf2
      @NikoBellaKhouf2 2 года назад +28

      @@BeccalaiShushushu Yeah we definitely have a shortage of medical professionals and that's caused by all the gatekeeping

    • @abrahamo8934
      @abrahamo8934 2 года назад +11

      They have actually done research on this and it is for training and patient care. When you are learning you really want to be present for a patient's case unfortunately from start to finish and it's just not something yet that can be made up virtually or within a book. Plus like it said already it goes along with the culture. They have actually shown unfortunately the amount of handoffs or sign out risks more mistakes. I think 36 hr was the cutoff. However being tired of some point can be equivalent to having an elevated blood alcohol level which is why some residents in training after their shift is over can be involved in car crashes.

  • @harliyana
    @harliyana 2 года назад +155

    I am in internal medicine and I know for real a surgeon who hates internal medicine with a passion. His every sentence is about hating internal medicine in every way human kind can think of. It left a large impression on me until today.

    • @RichHilsden
      @RichHilsden  2 года назад +78

      I think of internal medicine vs general surgery, very much like skiers vs snowboarders. The hate isn't actually real. At the end of the day we need each other.

    • @JohnnyWishbone85
      @JohnnyWishbone85 2 года назад +26

      @@RichHilsden -- Sometimes it is real. I've run into a handful of surgical/interventional nurses who have nothing but contempt for us on the ambulance, and they didn't care who knew it. But it's important we remember those people are a tiny minority, and that medicine is a full-contact team sport, and we need to be there for each other.

    • @deborahshallin5843
      @deborahshallin5843 2 года назад +13

      My surgeon when, I had breast cancer, was board certified in both internal medicine and surgery. My husband, who is an Internist, was also impressed by him.

  • @anellojjjlove
    @anellojjjlove 2 года назад +127

    Do more react videos from him! It’s great to hear your take. Your video was suggested to me since I subscribe to Dr. G.

    • @RichHilsden
      @RichHilsden  2 года назад +22

      That's pretty cool. I know he has some other surgery ones so I will take a look!

    • @prongs4137
      @prongs4137 2 года назад +1

      @@RichHilsden I found this video the same way and you've explained every bit so well that I'm going to watch all your other videos now.

    • @prongs4137
      @prongs4137 2 года назад +2

      @@RichHilsden Tiktok is banned in my country. Would you consider posting a COMPILATION of your videos here making another channel(I've heard from other RUclipsrs that having shorts and videos on the same channel is not good for your viewership because of how the algorithm works) and posting them as shorts here?

    • @marjieestivill
      @marjieestivill 2 года назад +2

      Am also here from Dr. G’s channel…

  • @Banferti
    @Banferti 2 года назад +4

    I just found your channel and I just wanted to say thank you for everything you do. I know its hard and grueling at times but the work you do is important for normal people like me.
    When you talk about your speciality being trauma, it hits close to home as when I was 21 my husband died in a motorcycle accident. However they tried incredibly, incredibly hard to save him. I know there's many people out there alive who did make it because of people like you, and because of you specifically. So, even though this was a whimsical video I just wanted to say, thank you so much for the work that you do. 💜

  • @SVURulez
    @SVURulez 2 года назад +7

    I feel like all these reaction videos just prove that Dr. G has got his impressions spot-on 🤣

  • @IdkIdk-pv1mx
    @IdkIdk-pv1mx 2 года назад +15

    “I’m a general surgeon” followed by the Dexter smile is a good look, bro

    • @RichHilsden
      @RichHilsden  2 года назад +2

      Ha ha, thank you. It's a well practiced smirk.

  • @saysHotdogs
    @saysHotdogs 2 года назад +32

    My favorite was the anesthesia interview where the interviewee shows that he can cheese the general surgeon by pretending to lift the table by just making the noises.

  • @rc4780
    @rc4780 2 года назад +61

    The estimating blood loss hit home. I’m a Transfusion Scientist and had an MTP called for PPH. 4 PRBC, 4 FFP thawed, 4 Cryo thawed, all ready to go out the door. Ward just wanted 1 PRBC and wasted the rest. Haematologist was furious at the ward.

    • @Boe-Temeraire
      @Boe-Temeraire 2 года назад +8

      Damn. I don’t know anything about transfusions and the science behind it but even to a member of the general public that sounds like a hell of a waste, I’d be furious too!

    • @NickanM
      @NickanM 2 года назад +5

      Ouch...
      As a blood donor for 38 years it hurt me to read this. 🥴

  • @OlaDeen2018
    @OlaDeen2018 2 года назад +3

    25 yrs as a surg tech, great respect for the general surgeons I worked with. They had ridiculous schedules which they managed to pull off daily and incredible stamina. I love Dr.Glaucomflecken's inside jokes! The blood loss estimate cracked me up, it's so true!

  • @samsula123
    @samsula123 2 года назад +69

    I like your assessment of his jokes because he’s hilarious lol. :) I will say the anger and blame part I have noticed to be more of the norm with surgeons with someone like yourself being an exception. I was a surgical assistant for a few years and ranked top in my class and surgeons are the reason I quit. I would say at least 75% were toxic and mean to everyone in the OR while operating. And this was with me working out of 3 different hospital locations. I’m glad you said that is something the industry is working on because it’s definitely needed.
    And general surgery (from the biology standpoint) was so fun because of the variety. Good video :)

    • @Mhurilo10
      @Mhurilo10 2 года назад +10

      God bless your heart!
      I'm not a doctor but I've witnessed plenty of narcissistic surgeons downplaying therapy saying things like: "it's just circle jerking weak people so they feel better about their misery".
      I can only imagine how intense things get in the OR

    • @Andrea.A00
      @Andrea.A00 2 года назад +4

      Yeah, surgeons are toxic everywhere. I'm from Argentina, and boyyyyy!!! If I had a dollar for every time a surgeon screamed at me... Uff

    • @ninjason57
      @ninjason57 2 года назад +4

      Nothing is changing in the surgical industry because the training never changes. They are all taught that behavior. I had great resident friends my first year but by my grad year I lost them to toxicity. The only ones who aren’t like that have to actively go against the grain and are typically ridiculed by their own peers.

  • @mathewgonz
    @mathewgonz 2 года назад +43

    Your reaction is so matter of fact it’s comparable to Vulcan 🖖 explaining human humor. Funny to hear your thoughts of the nuances

    • @RichHilsden
      @RichHilsden  2 года назад +8

      Probably one of my favourite comments. True though. 😛

  • @lilbatz
    @lilbatz 2 года назад +13

    WESTERN UNIVERSITY REPRESENTS! No matter how hard you try, can't hide that Ontario accent. 🇨🇦 👍💕 love the channel

    • @adamotto8513
      @adamotto8513 2 года назад

      I noticed the accent as well, especially on the vowels. I wasn't sure if it was Minnesota/ Wisconsin or possibly Canada.

  • @Boe-Temeraire
    @Boe-Temeraire 2 года назад +18

    As a member of the general public it’s really fascinating to hear about the intricacies of working in different specialties like this!!

    • @RichHilsden
      @RichHilsden  2 года назад +2

      Thanks for your thoughts. I am enjoying making these videos!

  • @SoCalRegisteredNurse
    @SoCalRegisteredNurse 2 года назад +21

    I worked at a major hospital in Seattle on the “general surgery” floor. It was anything but general surgery. We would get the lap appys but we also got new trach placements, skin flaps over cancerous areas where the CA was removed, bariatrics, chest tubes, wound care. Everything from A to Z. It was not easy. You had to know how to treat pts who underwent all types of surgery.

  • @monicamolina2221
    @monicamolina2221 2 года назад +9

    This is the most hilarious reaction I ever did see. I hope he does more reaction content. So serious , so hilarious

  • @IONATVS
    @IONATVS 2 года назад +2

    As per your comment on General Surgery being a specialization that has to be able to deal with anything and everything, and thus causing some confusion to the uninitiated on whether they ARE a specialist field there is an analogous role in my field of Engineering: Systems Engineering. Systems engineers’ jobs are to understand the entire engineering project and all the disciplines and subdisciplines involved in it, not as well as the field specialists, but enough to see problems cropping up in the project’s overall design and track down what subsystems need to be and can be redesigned to remove the problem. They’re specialists in generalism, because you wouldn’t trust an electrical guy to make their circuits mechanically stable or a mechanical guy to realize the hunk of metal they want to put in the design to increase its structural strength will block signals from the antenna the electrical guys want to put there.

  • @SM-os6wq
    @SM-os6wq 2 года назад +47

    I don’t want my surgeon tired or having a crappy family life. Am I the only one who feels like this?

    • @wayneessar7489
      @wayneessar7489 2 года назад +8

      Better than no surgeon I guess.

    • @SM-os6wq
      @SM-os6wq 2 года назад +7

      @@wayneessar7489 The way med students are rejecting and dropping out of the residency. If they don’t fix it, you’ll get less and less of them.

    • @wayneessar7489
      @wayneessar7489 2 года назад +3

      @@SM-os6wq I was a bookbinder and I was always tired and had a crappy family life.
      I am not complaining but shift work and being on call, manditory overtime, all these things are common in many trades, crafts and professions, why should medical folks have an easy go of it?
      I of course understand your wish for professionalism and competency and a dedicated and well trained person can provide this even if their work/life balance can never be normal.

    • @SM-os6wq
      @SM-os6wq 2 года назад +6

      @@wayneessar7489
      That’s fine. But I will tell you, you get the life that you are willing to put up with. Identically trained surgeons or other doctors have vastly different lives, different incomes.
      Dermatologists make $400k for 35 hours of weekly work in a metro city. More if they serve more rural areas. I’m sure there were bookbinders who made good income and had good family lives too.

    • @maryhayes7574
      @maryhayes7574 2 года назад +21

      @@wayneessar7489 people have never died because their books weren't properly bound...

  • @jonnyq2323
    @jonnyq2323 2 года назад +46

    I love how you breezed over the anger issues joke. Musta wanted to avoid that one haha

    • @mrocha3006
      @mrocha3006 2 года назад +3

      Exactly! He didn’t pick up on any of those. Which is basically the core of the video. Hahahaha

    • @yonpark6245
      @yonpark6245 2 года назад +6

      Anyone working with a general surgeon has seen him throw a tantrum in the OR. I even had one throw suction at the nurse, then PICK IT UP OFF THE GROUND and use it. I say "him" because I have never seen a woman surgeon lose her cool to that degree. He wasn't fired, btw. This is why malignancy festers.

    • @mrocha3006
      @mrocha3006 2 года назад +3

      @@yonpark6245 hahah and women are labeled temperamental… sigh… We should have been fired.

    • @mandalorian4620
      @mandalorian4620 2 года назад +1

      @@mrocha3006
      You never had to encounter a female obgyn then?

    • @jonnyq2323
      @jonnyq2323 2 года назад

      @@mandalorian4620 Also in my experience, one of the common reasons I see a general surgeon get angry is being called into a gyn’s room to bail them out. That and urology.

  • @nandisaand5287
    @nandisaand5287 2 года назад +1

    I went to Centra Care Clinic for stitches once, and noted the doctor was VERY good with the sutures. I asked him about it, he said he'd trained to do surgery but hated the extreme time commitments required, so he got the clinic job with a 40hr work week, said he was much happier.
    Funny how you keep saying "Yeah, it used to be like that, but...but...well we're getting BETTER!"

  • @draconiusultamius
    @draconiusultamius 2 года назад +25

    I just did my first week of general surgery rotation and it was amazing! I only got to see two surgeries, but both were really interesting. Surgery has always been something I would love to do, hopefully I make it!

    • @RichHilsden
      @RichHilsden  2 года назад +7

      That's awesome. There will be a lot more content you'd be interested in coming to this channel soon.

  • @Tina06019
    @Tina06019 2 года назад +7

    As an internal medicine hospitalist, we love you general surgeons. But we won’t tell you that.
    Exhaustion during my general surgery rotation in medical school made surgery a huge no-go for me, more than 30 years ago.

  • @Sachicodao
    @Sachicodao 2 года назад +10

    The clash of internal medicine and surgery is a big thing. I did my surgery internships and a lot of the patients come with abdominal pain, which is a very large chunk of possible urgent abdominal diseases that might need quick surgival attention - but since it's abdominal pain, the patients often go through gastroenterology internal doctors first. Quite often I witnessed the surgeons being really angry for getting a patient sent from gastro without a proper examination, stating they need urgent examination from surgery first. Like once the doctor got so pissed he withheld the examination file he wrote just so the gastro doctor cant copy paste it when they get the patient back so they have to "do their work properly". It was half justified.

  • @deathnotelover11
    @deathnotelover11 2 года назад +19

    I work in the ICU and once during report I was told by OR RN EBL was “not that much, maybe 10-15cc.” Once I settled the patient and had time to read the surgeon’s OR note he wrote EBL 1L. I was like lol. This is why we check a H/H post surgery.

    • @Barsuki4ever
      @Barsuki4ever 2 года назад +3

      Thats funny, because from my experience its usually the surgeon that low-balls the EBL.

    • @yonpark6245
      @yonpark6245 2 года назад

      The post-op H/H is crap because of the 10 L lactated ringers anesthesia pumped into the patient. And that IS anesthesia's fault.

  • @drkrishnap
    @drkrishnap 2 года назад +5

    During my internship i was doing 100 to 130 hours a week. Working constantly, always on foot, assisting cases, op, ward.. nurses were hostile so we had to do all dressings daily, burns, open abdomens, diabetic foots, debriding.. no offs, only coffee for bf, late lunch, mini dinner, full dinner if lucky. Up and down so many stairs.. Lost so much weight. Eyes got dark circles. Slept every free minute. Studied nothing. Got paid equivalent of 100 dollars a month. Was mandatory. This was for 3 months. Made some good friends. Saw a tonne cases.
    Chose pediatrics cz I just couldn't imagine even though every single consultant told me that I had "surgeons hands" and I really loved surgery. Just couldn't do it anymore.

    • @nanaabdulkadir3114
      @nanaabdulkadir3114 2 года назад

      What country dyou live jn if you don't mind me asking?

    • @drkrishnap
      @drkrishnap 2 года назад +1

      @@nanaabdulkadir3114 India

  • @cjandauntieyaya1446
    @cjandauntieyaya1446 2 года назад +1

    I can attest to surgeons prioritizing work over family. Dr. Kevin Sharif did my L5-S1 fuse on a Friday and Saturday night the staff were trying to figure out a pill pain med that I would accept to replace the Dilaudid that I was getting via IV. I was not agreeing with any of the nurse staff's suggestions and they got Dr. Sharif on the phone at 10pm in the EVENING (I could hear his kiddos playing in the background) and he talked to me about the options. I hate Percocet and the other opiate options and we finally agreed on a pain med alternative. Monday morning around 6am, I got myself out of bed to sit and look out at the sunrise and he comes in. I'm like, woah! Aren't you supposed to be at the clinic today? He said he wanted to come in and check on me personally to make sure I was doing OK with the new meds. I have never had a doctor take so much of their time checking up on me. I used to just get Dr's that try to get me in and out in under 15 minutes making me feel like just another patient on a conveyor belt. ACTUALLY, he's the most attentive doctor I have EVER had. When I need more spine surgery, I'll be going back to him, he's a doll.

  • @VKingMD
    @VKingMD 2 года назад +8

    I had a residency interview in the operating room. They were doing a robotic chole and the resident was on the console while the PD was interviewing me.

    • @RichHilsden
      @RichHilsden  2 года назад +3

      The biggest problem with this comment is the robotic Chole. Completely unnecessary.

    • @drewmartin9148
      @drewmartin9148 2 года назад +1

      @@RichHilsden Meh. It is a decent case to learn how to use the robot for trainees. Can be helpful out on your own too if techs/assistants aren't great retracting/driving cam. You control all three arms and the camera on the robot.

  • @blakegrubman6000
    @blakegrubman6000 2 года назад +20

    Actually came across your channel looking for Dr Glaucomflecken, thought I'd take a look, good stuff.

  • @nurseratched5537
    @nurseratched5537 2 года назад +1

    As a PACU nurse of 23 years I find his TikTok videos pretty accurate on specialty personalities. I really enjoy watching your reaction videos to him.

  • @jpgabriele9596
    @jpgabriele9596 2 года назад +8

    EBL ( estimated blood loss ) , they will ask this when you give report to the ICU or PACU.

  • @MayaKulpa
    @MayaKulpa 2 года назад +13

    Is there a loud buzzing noise that occurs when a floor nurse speaks? Cause I have spoke directly to a surgeon (admittedly, trauma) more than once and had it just slide off like water on a duck

  • @vagurl84
    @vagurl84 2 года назад +17

    I find comparing airline pilot work restrictions of physician work/call restrictions interesting. I feel that the physical demands and fine motor skills involved as a surgeon are more complex but pilots are more restricted in hours. I’m sure the mental demands are high for pilots in case of an emergency, but are even higher for physicians.

    • @javiervelasquez8002
      @javiervelasquez8002 2 года назад +3

      The federal govt just seems to be pretty good at making sure that people that could kill lots of people at once have an actual chance to rest. Like pilots and truck drivers

    • @benjaminsorenson
      @benjaminsorenson Год назад

      Far more lives are at stake at one time than just one person being operated on by a surgeon.

  • @moxylady007
    @moxylady007 2 года назад +4

    He did say general surgeons would be most likely to thrive in any sort of survival situation - especially a zombie apocalypse. So. That’s a real feather in your cap.

  • @HUrules100
    @HUrules100 2 года назад +8

    As a third year hoping to go into gen-surg --> trauma is was great to hear your thoughts on what it is to be a "general surgeon." I will use those tips for what you are looking for in med students when I am on surgery!!

  • @danieltyce7406
    @danieltyce7406 2 года назад +4

    14 years in emergency medicine and surgery was my least favorite rotation. I honestly enjoyed pharmacology more. I'm more than happy to place a chest tube but to stand hours on end laser focused is my idea of hell. I am happiest in my role of stabilizing and passing the pt. off. I find no offense in gen. surgeons And hospitalists calling us butchers.
    My patients are not brought in prepped and planned. It's chaos and stress, the fuel of my life.

  • @hollywhatley5510
    @hollywhatley5510 2 года назад +3

    You sir are a rock star. I don't say that lightly. I work closely with twelve Ortho surgeons and they are my (and I mean this with all respect, honestly) DIVA DOZEN.

  • @davidmaximous2156
    @davidmaximous2156 2 года назад +4

    If you think about it the most stressful time in an anaesthetists day is the induction + intubation which is done in a dedicated, quiet anaesthetic room that they have complete control over for that period of time. For the surgeon the most stressful time of the day is in the middle of the surgery itself which is preformed in a loud operating theatre filled with scrub nurses, scrub techs, circulating nurses, anaesthetists, Med students, etc. The human factors involved preforming these equally dangerous and complex task in 2 very different environments shouldn’t be understated. What are your thoughts to what might contribute to culture differences?

    • @benjaminsorenson
      @benjaminsorenson Год назад

      From the patient's perspective, all professions say they are the most important with the surgeon having the loudest voice out of everyone else even though everyone has an equal role but the surgeons comes out the loudest.

  • @kaein2973
    @kaein2973 2 года назад +27

    I like how you explained bit by bit but do cut down repeating what he said. We can hear perfectly fine XD it will be better if you get to point.

    • @RichHilsden
      @RichHilsden  2 года назад +9

      Hey, thanks for the tip

    • @jllb8188
      @jllb8188 2 года назад +3

      My exact thoughts other than that enjoyed this thoroughly hahaha

  • @glimpses15
    @glimpses15 2 года назад +40

    Loved how you explained every bit. Just discovered your channel today and excited to see more videos.

    • @RichHilsden
      @RichHilsden  2 года назад +5

      Thank you I appreciate your support

  • @soaringkite2673
    @soaringkite2673 Год назад

    Love Dr. G! Wish you would lighten up a bit. The man is hysterical. 😂😂

  • @xdrachel
    @xdrachel 2 года назад +4

    I'm sorry, team. We lost the joke on the operating table.

    • @RichHilsden
      @RichHilsden  2 года назад +2

      You win the comment section

  • @HWme
    @HWme 2 года назад +2

    You have a nice way to talk about things, it's soothing lol
    Btw nice looks guy :D

  • @vandanacasm
    @vandanacasm 2 года назад +3

    Your stone cold expression made this funnier lol...

  • @isaackay5887
    @isaackay5887 2 года назад +2

    So this is how I sound like explaining engineering/math jokes... 😂

  • @justmd90swy96
    @justmd90swy96 2 года назад +1

    Plan
    1) no surgical intervention
    2) for medical to take over
    3) continue medical plan

  • @rhlsy3209
    @rhlsy3209 2 года назад +1

    Your insight is incredible. It's also hilarious to me how much you don't laugh, I don't know why hahaha

    • @RichHilsden
      @RichHilsden  2 года назад +1

      I’ve loosened up a bit more recently

  • @stinkpilot
    @stinkpilot 2 года назад +1

    This video made the rivalry between the internal medicine doctor and the general surgeon in Zero no Kiseki and Ao no Kiseki make so much more sense.

  • @tillidinfactory2070
    @tillidinfactory2070 2 года назад +5

    "This was pretty funny as well"
    🗿

  • @SM-os6wq
    @SM-os6wq 2 года назад +31

    A lot of diplomatic hedging here. Just go to medical school Reddit, unanimously, applicants are told to not considers general surgery.
    The field will be its own death. Lower pay than other surgeons, worse quality of life. Sleeplessness is not just about harming the patients, you’re putting yourself into an early grave as well. Needs to be fixed by the next generation.
    You are not trained that way in other countries. Sweden general surgery training is 47 hours/week on average.

    • @RichHilsden
      @RichHilsden  2 года назад +13

      I agree with some of what you are saying. But there is no field like it. The low quality of life comes from the fact that we are performing life saving procedures emergently on call. Those who what to have that impact love general surgery

    • @SM-os6wq
      @SM-os6wq 2 года назад +16

      @@RichHilsden I appreciate the measured reply. And I’m not personally attacking you, rather, the professional culture, which as you have admitted, is exploitative and toxic, and changing slowly.
      And yes, you can have emergency surgeries which necessitates working round the clock, but you could also have more surgeons on duty so that call isn’t as intensive. In the end, you’re stuck supporting understaffed hospital systems where the admins take the money. But they also make sure you’re appreciated and say that you have followed your calling. You get stuck with extra work hours for no extra pay and while they take vacations with their families.
      RN, PA also have mentioned that healthcare is a calling, but they will answer that call with good work hours and good benefits.

    • @wrestle4life234
      @wrestle4life234 2 года назад

      I don’t think people like R Cowley or Thomas Scalea consider their lives to be of low quality. Imagine loving your work so much that 168 hours isn’t enough in a week. You ever watch “Pumping Iron” and listen to Arnold talk about his love for bodybuilding? Similar love

    • @SM-os6wq
      @SM-os6wq 2 года назад +4

      @@wrestle4life234
      The exception does not prove the rule.
      And your way of thinking of the career may not match everyone. Medicine needs leaders, it needs pioneers and independent thinkers as well as the workhorses. We have quite a few blind followers who have let the healthcare system in the US decay to the point that it is.
      But we need more of everyone. More love for the practitioner, for the patients and greater trust. It needs many more physicians and nurses and physician assistants. Love is self-sacrifice, but if your love in life is just your career, you’ve missed the point of life.

  • @gidget_
    @gidget_ 2 года назад

    I'm getting ready to have surgery to close my diaphragm alittle more. I cant remember then name of it but I have scoliosis so my diaphragm is really high and won't deflate. So complicated because of scoliosis, heart disease and defibrillator pacemaker that can get in the way. So I like having my general surgeon. He's got knowledge in all fields in knows enough to get the surgery done or at the very least keep me stable until a specialist can get in there. He is so through with what will be going on. The position they are going to have to put me in and wanted to know how far I could bend before I was in alot of pain. So thoughtful. Scared but I know I'm in good hands.

  • @executivelifehacks6747
    @executivelifehacks6747 2 года назад +5

    I've always thought that to explain a joke is like dissecting it... the joke doesn't survive the dissection process - but this was cool. There ought to be a link to a specialist explaining the joke for the non-medical people in each of his videos, as you have done.

    • @RichHilsden
      @RichHilsden  2 года назад +3

      I will keep an eye out for more general surgery content and make sure I react.

  • @jaysonmilliken1405
    @jaysonmilliken1405 6 месяцев назад

    My surgeon always says minimal blood loss. 1 time i came close to needing a transfusion, another time I had hypovolemia. 😒

  • @connielee2905
    @connielee2905 2 года назад

    Just started watching your channel and enjoy you a lot. Love the info you pass on and your calming demeanor. I have a question, and don't want to be disrespectful, maybe it is a joke I'm not in on yet being new here. You pronounce the Dr's. Name wrong is there a reason? I can hardly spell it, so I'm not trying to be a jerk, is it an inside joke ?

  • @bluefire5291
    @bluefire5291 2 года назад +8

    Hi doc. Y do i feel like you were trying to not beef with internal medicine hahahahajoke

    • @RichHilsden
      @RichHilsden  2 года назад +5

      I share my beefs with internal medicine on my TikTok XD

  • @Emilstekcor
    @Emilstekcor 2 года назад +8

    Oh cool a new channel, happy to subscribe

    • @RichHilsden
      @RichHilsden  2 года назад +4

      Thank you, it’s much appreciated

  • @Drew-qs2wk
    @Drew-qs2wk 2 года назад

    I’m new to this channel, but as an M3 (DO) hoping to apply to general surgery, do you have a video with recommendations?

  • @johannageisel5390
    @johannageisel5390 2 года назад

    Pilot: "I am not well rested. I might not be fit for flying."
    General Surgeon: "I am not well rested. I will now cut open a person."

  • @gritskennedy5007
    @gritskennedy5007 2 года назад

    Are you sharing the surgical procedure at what point would it be bad form to call out surgical instruments and ask anesthesia for sats?

  • @Velsetta
    @Velsetta 2 года назад +4

    Little feedback on the video, after every clip you repeat almost completely verbatim what the clip said. We just watched it, I would try to omit that

  • @lexslate2476
    @lexslate2476 Год назад

    It is concerning that surgeons are often very tired. I would feel better if someone tasked with putting me back together correctly were well-rested. Otherwise I would be worried that something would get left out, or reinstalled upside-down.

  • @yusufabulouz7525
    @yusufabulouz7525 15 дней назад

    The really funny part is how you reacted to this video it was veey general surgery like 😂😂😂

  • @elihg3827
    @elihg3827 2 года назад

    I wonder if surgeons would make less mistakes if the workaholic culture wasn’t glorified because they would be less tired. For most people it’s unsafe to drive on less than adequate rest, what’s more difficult driving or surgery?

  • @alvashoemaker8536
    @alvashoemaker8536 2 года назад

    THANK YOU for sharing this; it's interesting to learn more about the general surgeon's work... 👍👣

  • @ekisseka
    @ekisseka 2 года назад

    Hey Doc, loved the walk through> Thanks!

  • @critterwatcher8009
    @critterwatcher8009 2 года назад +8

    LOL "estimating blood loss" also could include time estimates :)

  • @jessves6939
    @jessves6939 2 года назад +2

    Lol he just jumps over the surgeon anger issues thing

  • @kevonmanuel
    @kevonmanuel 2 года назад +6

    I'm appalled that no one talks about the local Witch Doctor.

    • @RichHilsden
      @RichHilsden  2 года назад +7

      I tried to get the witch doctor on the show, but apparently there is a shortage of eye of newt, which is impacting their availability

    • @minqib
      @minqib 2 года назад

      My friend the witch doctor he taught me what to say
      My friend the witch doctor he taught me what to do
      I know that you'll be mine when I say this to you
      Ooo eee ooo ah ah ting tang walla walla, bing bang
      Ooo eee ooo ah ah ting tang walla walla bing bang.
      Come on, oo eee ooo ah ah ting tang walla walla bing bang
      Ooo eee ooo ah ah ting tang walla walla bing bang

  • @SandLeopard003
    @SandLeopard003 2 года назад +5

    Honestly surgery department and especially ortho, vascularsurgery are arogant and el macho culture prevails there.

  • @TheGolgaltha
    @TheGolgaltha 2 года назад +2

    Chromatic Mage is to Magic.
    As
    General Surgeon is to Scalpels.

  • @VKingMD
    @VKingMD 2 года назад +1

    The EBL is whatever was lost when anesthesia put in another IV

  • @daveszabo8150
    @daveszabo8150 2 года назад +1

    Subbed, nice to see you react to Dr G!

  • @christinerose4839
    @christinerose4839 2 года назад

    So very interesting love the Dr humor and what an amazing last name god bless you Dr”

  • @daniellaurin9566
    @daniellaurin9566 2 года назад +1

    On his wnding day, his happiest day, he might crack a smile

  • @RLaraMoore
    @RLaraMoore 2 года назад

    All this exhaustedness!
    Are our doctors safe for us?
    o.o
    I think airline pilots are required to have certain number of hours of sleep prior to flying, and certain window of time after drinking alcohol before flying.
    Do doctors have such safeguards too?🤔

  • @TheGrumbliestPuppy
    @TheGrumbliestPuppy 2 года назад +1

    This guy took 3 minutes to explain that "general" and "speciality" are different terms.

  • @aaronhooker7588
    @aaronhooker7588 2 года назад +27

    I stubbed my toe this morning, then cursed anesthesia under my breath.

  • @Jere616
    @Jere616 2 месяца назад

    Is the head General Surgeon the Surgeon General?

  • @studiogtwng1299
    @studiogtwng1299 2 года назад

    BOUNDARIES!!!!! it's all about having Gooder, cross dat, GREAT BOUNDARIES!!!!

  • @AliTahreiSh
    @AliTahreiSh 2 года назад +2

    I appreciate the honesty

  • @cerorchid
    @cerorchid Год назад +2

    True Story: When I was in nursing school (BSN) at the U of Utah teaching Hopsital in 2000, I had the opportunity to scrub in for a surgery. It was myself, a 3rd Med Student, a Resident and the Attending surgeon (all males). The Attending let me palpate the kidney inside the abd cavity so I could experience what it felt like. The A-HOLE resident spoke up and said, in a condescending, joking manner "ho, how exciting for you Nurse, because the only thing you learn in nursing school is how to differentiate hard and soft stool". I was shocked and speechless at the unprofessionalism, patronizing manner, and frankly, the immaturity of that resident. I didn't know how to respond so I stayed quiet. The Attending spoke up and said "whoa, you better watch what you say to the nurses because they can make or break you". I was so humiliated. The irony is that the Attending was quizing the Med Sudent throughout the surgery.."why are we doing this?, why is this important?, etc. The med student didn't know ANY of the answers!!! I knew ALL of the answers but didn't say them out loud because the questions weren't directed towards me. Today, I am an experienced FNP/MSN with over 20 years of critical care RN experience. Ugh. I hope that culture and ignorance has changed.

  • @tonyconiglio6941
    @tonyconiglio6941 Год назад

    I want the most "toxic" possible surgeon if I ever need emergency surgery. If possible bring back Harvey Cushing or William Hallstead back from the dead.

  • @lalanto341
    @lalanto341 2 года назад

    The performance of general surgeons will surely dramatically improve if they were not sleep deprived and tired

  • @emmeelou9539
    @emmeelou9539 2 года назад

    As a med surg ortho nurse surgeons are absolutely terrible at EBL. I will get a pt back from the OR and AM labs will show a four point loss in hgb. Lol ebl...100.

  • @FBDerringer
    @FBDerringer 2 года назад

    I have actually done a procedure with a surgeon who said, "God THINKS He's not a surgeon"! A "particular culture" is a statement that belies belief. Chill, your magnificence, he's JOKING.

  • @ingenuity168
    @ingenuity168 2 года назад

    Dr G is too hilarious.

  • @basedlukashenko5249
    @basedlukashenko5249 2 года назад +3

    Your channel will be big .👍

  • @wbwarren57
    @wbwarren57 4 месяца назад

    Certain are great people! However, based on the surgeons I’ve met I think that we desperately need to pass laws, prohibiting surgeons from ever being able to get hold of sharp objects.

  • @semievilsquirrel
    @semievilsquirrel Год назад

    Are you Canadian? Certain words you say remind me of my friend in Ontario.

    • @RichHilsden
      @RichHilsden  Год назад +1

      Yes I am Canadian. From London Ontario!

    • @semievilsquirrel
      @semievilsquirrel Год назад

      @@RichHilsden My Canadian friend would be proud! One more step up in my honorary Canadian status! Lol!

  • @lauracarrillo884
    @lauracarrillo884 2 года назад +1

    As GS resident can relate, great content 👌

  • @ProPatriaRO
    @ProPatriaRO 2 года назад +1

    Honestly being a general surgeon sound pretty niche and booring. I mean how many generals need surgery? Do you practice on NCOs to keep sharp? And how exactly does a general differ from a captain?

    • @ProPatriaRO
      @ProPatriaRO 2 года назад

      @Tomato Trees all thats fine and dandy, but do major surgeons do major surgeries? Also on the topic of major surgeons, why do minor surgeons have the right to practice medicine, aren't they like underage?

    • @ProPatriaRO
      @ProPatriaRO 2 года назад

      @Tomato Trees i thought that playing doctor usually results in minors. Practicing on pets is a bid out there and not to mention illegal. I had a cat, it left, got fed up with the shitty apartment and moved to Germany. Doctors handwriting is just a very old greek script, from Hippocrates, the first doctor. We are just too plebs to know it. I think minors have more rights than you or I, licence to sleep in, licence to freeload.

  • @NoNakersAllowed
    @NoNakersAllowed 2 года назад

    Dr's are getting younger and younger omg he's already a surgeon 😳

  • @OneKindWord
    @OneKindWord 2 года назад

    Is all surgery taught one-on-one?

  • @MarineAlli
    @MarineAlli 2 года назад

    So, Dr. Glau….. he’s a real life ophthalmologist.

  • @ancard3118
    @ancard3118 2 года назад +2

    Yep, 12 munite reaction to a 1,5 minute video, that's a general surgeon alright

    • @RichHilsden
      @RichHilsden  2 года назад +3

      We do like to have an opinion

    • @ancard3118
      @ancard3118 2 года назад

      @@RichHilsden Yes, you do. I hear them all the time on routine mental health evaluations)

  • @ngerstein
    @ngerstein 2 года назад +1

    'having good self care skills'... Ha!.. I truly don't know a single trauma or general surgeon who's managed to tick that box.

  • @thatsnothowyousaymyname
    @thatsnothowyousaymyname 2 года назад

    haha that book on his shelf says it all