Day in the Life of a Doctor: Cardiology (ft. chest pain)
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- Опубликовано: 17 окт 2024
- Join me for a day in the hospital - I'll be vlogging behind the scenes, assessing patients with chest pain and shortness of breath, and going through a very interesting physical exam finding with you!
Thank you Mackenna for appearing in the video and for her awesome nursing skills!
This video is made for educational purposes only and should not be viewed as medical advice. Speak to your doctor if you have any concerns about your health.
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Instagram: / violin.md
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Mail: PO Box 1, 119 Spadina Ave, Toronto ON, Canada, M5T2T2
See you in the next video!
~ Siobhan (Violin MD) ~
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📚 References:
CMAJ case of tricuspid regurgitation:
www.cmaj.ca/content/190/1/e17
Mayo Clinic - heart attack symptoms
www.mayoclinic.org/diseases-conditions/heart-attack/symptoms-causes/syc-20373106
To learn about how we treat a heart attack step by step, and see inside an active cardiac cath lab, check out this video next: ruclips.net/video/EXc2jU_d_K0/видео.html
Another great video. Thank you. I would love to see more videos on heart disease.
As would I 😊 Born With TOF and Still Kicking 47 Years. Only had the 1 Surgery and know the Potential for Future Operations.Appreciate The Content as I have a Better Understanding and Communication for the Future.
Great video thank you
I had an NSTEMI a few years ago. For most of the night, I was convinced I was either having acid reflux or gas pains, and kept taking antacid and anti-gas with no real effect. It wasn't until morning and the addition of more symptoms that I ended up calling an ambulance and finding out I was having a heart attack. So for a long time after that, when I WOULD have acid reflux or gas pains, it always made me very nervous. Still can at times. As a side note, I'm grateful they were able to go through my wrist to do the stent and didn't need to go up from my groin. :-) Oh, and the good news - no serious heart damage!
Is it common for subspecialists in Canada to have to cover IM service and be the most responsible physician? In the US, it is very rare for subspecialists to cover medicine service and act as the most responsible physician (we say primary). It is a little strange for a few reasons to me. 1. From a resource standpoint it would be inefficient to use subspecialists on more general work as usually the bottleneck is for consultants. 2. I think a lot of subspecialists prefer to see their niche than manage all the aspects of IM (ex. GI would prefer to handle a GI bleed than manage a new-onset afib RVR case). 3. A lot of subspecialists prefer not handling a lot of disposition stuff you have to do as the most responsible physician.
You did mention that you are doing locum shifts, so is it just for the extra cash you are covering the IM list? Granted, I still don't know very many subspecialists who pick up general medicine shifts either though.
Great video BTW, love your content!
You are possibly the most positive person on RUclips! You always brighten my day.
Happy you made the point about women experiencing heart attacks differently than men typically do. I had uncharacteristic shortness of breath with very little exertion. I called the nurse, explaining that what was happening was weird for me! I will be forever grateful to her for listening to me, and sending me to the ER. Troponin levels slightly elevated. A stent placed the following morning opened a 99% blockage. Ladies, if something isn't right *for you* please get checked. It might save your life.
I Absolutely LOVE Seeing All The LOVE from your Fans For The Both Of You In The Comments! ❤ I learn so much in here. Makes me reflect on my heath and those who I love too. I also love the networking with other Doctors and Nurses that you work with too. Great Tee Shirt that Nurse Mackenna was wearing..."Mental Health Matters"! Amen...Awesome to see you both rocking The Marathons! My Mom was a 55 year Nurse Volunteer and she really enjoyed her "International Coffee's" that she always had with here on her shifts to share with her co-workers too! This channel is like sitting at the kitchen table with Family and getting caught up on the previous week! Cheers From COW-lumbus, Ohio MOO 👋
Her eyes so twinkle twinkle little star,full of kindness and smart woman
I loved seeing the therapy dog in your video! I am a therapy dog handler for a hospital in a suburb of Chicago and we love what we do! Mona was so accurate…my dog, Freya, gets so excited when she sees me put on my blue shirt. She knows it go time!!
I love dogs so so much, but therapy and wellness dogs are some of my favourites because you can tell they just LOVE what they do! The ones my uni would bring in were so funny, you'd have like five people petting a dog and they'd just lay on their back with the goofiest smiles, tongues hanging out, receiving all of the belly rubs and attention haha I still remember Cappuccino, a frequent visitor and my favourite of them all!
If i was stuck in a hospital having a doggo come visit would make my week
Love you Both! What amazing Dr’s you both are. I have been watching you forever and I’m not in the medical field but I am a patient with so many traumas is the neck and severe abdominal injuries. I absolutely Love how you truly care for your patients. I never miss an episode-you and your husband are such a beautiful blessing. Thank You for all you do.
PeaceAndLove
Lori
I've gone to the ER for severe chest pain (after using albuterol for a week), arm pain/burning and tight, and armpit pain/burning and when the ambulance got to the hospital, the nurse assumed it was anxiety and put me in a psychiatric hold room (even though many regular rooms were open). The only thing they did was blood work (cardiac enzymes and whatever else). I was hooked ot a heart monitor, but not for long. Eventually they moved me to a regular room, and the DR said I could continue taking the albuterol.
I wanted to prove a point, that the albuterol was the cause of the chest pain, and if I continued it, there might be a more serious problem, but I wasn't about to risk my life doing it.
Jsut sucks when the DR calls the ambulance from their office, you go to the ER, and they say, "It's probably just anxiety," when I wasn't experiencing anxiety (no signs of it). I do have anxiety, but have never been to the hospital for just anxiety before. DRs need to believe people with mental health problems just like they do people without them, because they can have the same medical problems as people without mental illness. So to the DRs out there, take all your patients seriously.
That’s the Main reason an individual would Not seek care. Thats a Separate Topic.
Albuterol is known to cause tacycardia and sometimes strokes. I'm sorry they dismissed you.
@@P0RTAL_DARKO Thank you!
@melissawingfield8666 You're welcome ! It happend to me year's ago. My heart rate spiked to 160 in a blink.of an eye. The nurse didn't listen to me when I told her I have IST " Innappropriate Sinus Tacycardia " a heart issue smh .
I went to the ER a bunch of times for chest discomfort. Enzymes normal, echo normal, elevated pulse, normal rhythm. Diagnosed with anxiety, but no matter the treatment, the episodes kept coming back. Except once, they found a-fib on the traces, and just before the doctor was going to shock me it converted back. Now I take a rate limiter and my anxiety attacks magically went away. I suspect my panic attacks over the years was short periods of a-fib or maybe SVT.
Yes please a video on marathon training and how marathons affect the body. 👍I can relate to the 2 pen and quiet corner section. Well done on the marathons🤗
A nice way to take a break from studying, watching the amazing Violin MD!
Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.
Thank you for making these videos. I love your energy and how compassionate you are when talking about your patients. Also you seem so validating and respectful to your patients. I cannot even tell you how much peace validation brings to a chronic illness patient, especially someone with past medical trauma. I’ve been watching your videos for years and they’ve gotten me through a ton of pain, surgeries and long hospital stays. I have ehlers-danlos syndrome, used to be an EMT and I’ve been trying to get well enough to finish my pre-med and go onto med school. I’m 30, and I’m worried about the progression of things, but I’m never going to give up. Thank you so much. ❤
You are the most caring compassionate Dr I’ve ever seen. I suffer from Lupus and RH. I give myself weekly shots of methotrexate and I get monthly IV infusions of ORCENIA.
As a cardiologist working in Japan, I always enjoy your videos. Thank you!
Thank you for the video! It's been a while since I've watched your content, and can I just say your growth is pretty inspiring! I was always happy to see a look into my own country's healthcare training and day-to-day. Also great to see other nurses and healthcare staff getting involved! It was such a surreal feeling to hear you introduce yourself as an internal medicine and rheumatology specialist- I started watching when it was siobhan, a second year medical resident! It makes me so happy to see the confidence with which you present yourself, but you don't seem to have lost the compassion that drew me to you in the first place. It isn't uncommon to see healthcare professionals who get a bit cold or walled-off after a while, although its understandable. But I hope you know how much of a difference kind doctors (and other healthcare professionals too!!) make. I love the way you present the cases you're seeing in a way that protects patient privacy, and I really appreciated the demos and resources you edited into the videos. It's clear you put a lot of effort into the content you make, which is crazy because doctors (at least in bc) are notoriously busy people! Anyways, I hope you're doing well and taking care of yourself
Thank you for your series I enjoy it immensely and as a layman learning to say some new medical terms is pretty cool as well keep it up.
I would also like to share a condensed version of my heart attack I have several years ago.
I had a heart attack in 2015 and I never had the classic signs of heart attack. No chest pain, no numbness or tingling, no sweating or shortness of breath, my only symptom was point tenderness about the size of a dime on my left shoulder that did not affect my ability to do my job. The day of my heart attack I felt fine was doing my job as per normal and my coworkers stated that I suddenly lost all colour in my face and I collapsed and then my left arm went tingly and stayed that way until I got to the hospital where it cleared up and when the ambulance crew showed up and hooked me up the EKG showed a few abnormalities but nothing eye popping to the ambulance crew and fire fighters and even at the hospital the EKG nothing really popped until I had blood work down and was informed that I would be a guest of the medical system for awhile until I could be flown to Vancouver for angiogram and stent surgery. I had one stent placed.
My son had a long hospital admission on the PICU ward and the therapy dog came to visit him and us, it really was helpful for recovery but also such a treat. I have some great photos, even though it wasn't such a great memory of him being so ill at that time the therapy dog was so uplifting for everyone.
You and hubby should move to NB - we need amazing docs like you both!
I love your videos so much! Been watching you for years and so so happy for all the success!!
As someone with severe chest pain - thanks for taking us seriously. Grats on the two marathons!
I got my dx and unfortunately there's no real helping me. I got hyper-focused on this to figure out what was going on and my doctor was fully behind me on this.
If you're interested in the puzzle (I'll post what my doctor's diagnosis is in a comment)- Investigations investigations into the chest pain the two EKGs I got showed nothing abnormal. One while not in pain, and the other while in pain at my GP. CBC shows elevated wbc, like my body is fighting an infection.
CRP is elevated. ANA negative and immunoglobulins normal. (Wanted to make sure it wasn't autoimmune).
Symptoms: Fatigue and brain symptoms like memory issues, and inability to focus. Pain: Joint pain in my elbows, legs, chest pain, and various assortments of musculoskeletal pain.
p.s. i (probably) have fibromyalgia.
Mona and Marvin are amazing!! Thanks for volunteering!!
Im a social worker and I love seeing animals supporting the healing and growth of humans in so many ways. There is a program near me that uses dogs to teach emotional regulation skills to kids. Its so cool to see animals being utilised in this way. I know from having pets that they are magical and can teach us do much, so its really cool to see that being supported in different settings.
Having a horribly anxious day and this is making things melt away! Thank you for uploading!
Good to hear. I've had quite a relaxed day, but this made me a bit anxious. Fascinating as they are, I know I need to avoid watching too many medical videos.
My grandfather has been admitted to the Sault hospital a number of times in recent months. I am so thankful there are caring doctors like you both that are willing to come up North.
Congrats on the marathon/half marathon finishes!
I’ve done 30-some marathons and a number of ultra-marathons (up to 100 miles) - it is a great activity, a terrific way to stay in shape, and a wonderful community.
you got that from family guy
@@ToddyTornado what in the world are you babbling about?
I used to watch your youtube videos about 5-6 years ago and loved your content and personality. I stopped watching youtube for a bit and you randomly came across my FYP on tik tok and it brought me back to 2018. You inspired me back then to pursue a career in medicine as a woman and i've been a registered nurse for about 7 months now. I'm so happy I found you again !
Thank you for posting! I always love your videos. I am really interested in the medical science of the body, so just walking through your cases, is perfect for me, I love that.
Such a lovely attitude; just the right mindset, for confronting new obstacles. Really emotionally helpful, to see that so well modeled. Thank you, so much.
I'd very much appreciate, if you did a special episode on the biology & safety of extreme physical sport endurance, like marathons. My dad was a marathon runner, & I've considered it, but not understanding the biology of what it does in the body, has absolutely held me back from pursuing it further. You'd probably help a lot of people (way more than just the ones who would comment about it), over that hurtle, if you walked through the biology on that one, in a digestible format for the average viewer.
That would be so wonderful, it's a great idea, please do!
This is incredible! i have been watching since your very 1st year and to see your now specializing in internal medicine and rheumatology is PHENOMENAL!! incredible work so proud! 👏👏👏we need more doctors like you!
This was an awesome video! Your enthusiam for you work is contagious. This was super fun to watch! :) A video on what happens to the body during marathons is a great idea!!
Greetings from an Austrian living in Spain 😎
I love this type of videos. Its such a good mix of everything. Personnal life/vloging/study cases. Thank you for taking the time to do videos. ❤
As a marathoner I would love to see a video on what the body goes through. Fantastic job to the both of you!❤🎉 love all of your videos and have enjoyed seeing your journey.
Therapy Doggie Marvin is gorgeously black 🐈⬛
When my wife got chemo for breast cancer, therapy dogs would visit the infusion center. I cannot overstate how the mood of the patients lifted when those dogs came in. It was wonderful.
As an Australian Long Covid patient who has developed POTS amongst other conditions, I would love to see your insight into these conditions. It isn't talked about enough. I'm also male which is unusual for these conditions. Great video as always, love your work. Your smile and infectious positivity always makes me happy.
Thank you for sharing your, daily life events and also your down time desires😊 ♥️ That you stay in good shape.
Loved this one! Special gusts and day in the life are my favorites and you gave me both! 🎉
The joy I have for you and your husband is so high! Not even knowing you guys but I’m so proud of you two. Definitely a power couple you a dr him an anesthesiologist pulling in around 600k before taxes everyone’s dream! And still having time to share your knowledge with all of us!
As an unapologetic tea hoarder/lover, I enjoyed seeing your tea choices. I have a little pouch in my purse at all times because I have Sjogren's and drink a LOT of liquids overall. That lemon with ginger is one of my favorites that is always in the traveling tea assortment.
Interesting about heart attacks presenting differently, based on the patient's co-existing health issues. Watching this after experiencing heat exhaustion today for the first time in about 30 years. Thankfully, I had my husband and son with me, I knew what was going on due to having it multiple times in the past, and was in a situation where I still had to walk over a mile to get to our car.
Thinking about it, that's be a good topic for you to cover someday - heat exhaustion and heat stroke!
I love all your videos, have been watching for years! But the little snippet of Marvin and learning what he needed to pass to become a therapy dog was so cute 😅
Thanks for this video Siobahn! It is very true that heart attacks don't always show themselves with chest pain, (something your grandfather learned the hard way. Hope he is ok now!) Women especially often show atypical symptoms and sometimes they will be straight up dismissed by their physicians when they go to the ER. Definitely grinds my gears when I hear that, especially if they pass away from a heart attack that could have easily been dealt with if their symptoms were taken seriously.
I was also a little sad to hear that you seem to have repeat patients whenever you're working in the Sault, but I know you mentioned in a previous video that there is a lack of permanent doctors living up there, but I know this scenario is becoming far too common in Canada as a whole with less and less medical students deciding to pursue family medicine as their specialty due to the high stress it brings to their own health.
Congrats on you and Mark completing your full and half marathons! My dad who is a school bus driver took on a charter job at the Toronto Marathon which you showed transporting the participants to the starting line and bringing the participants who were staying in a hotel (can't remember which one) when the races were completed. I would love a video on what marathons do to the body both pros and cons!
You and Mark are so adorable. Love the peek into your 1/2 marathons & marathons.
gosh i can feel the canadian in your whole spirit. proud
Thank you for educating us. You are an angel.
I would love to learn more about the pros and coins! Really hope you do a video about that.
Love your content! So calming and interesting 😍
❤You’re awesome! Love seeing this kind of video from you both again.❤️
Please do the marathon video! I have done a couple and always wondered about the potential benefits versus harms of all that training on the body! In particular, looking at both males/females and the differences there would be really interesting! Thanks for your videos, you always inspire me to be a better person/professional - from an emergency RN in Australia x
Obsessed with your videos. Also thank you these videos are so educational and I am glad you are able to film and talk much more freely (of course respecting patient confidentiality) than we are in the UK!!
YAYY! Another day in the life! These videos are so fun and informative!
Thank you for these amazing videos! Love from Lithuania❤❤
You and the rest of your colleagues are great and brilliant and so amazingly brilliant and your are the best of the rest BRILLIANT xxx
I’d love a video on over exercising and the heart. Love the videos!
I have absolutely missed these vlogs
proud of both of you on your marathon
Only doctor I watch! I love your explanations and vids! ❤😊
I wish our hospital could have caring doctors such as you and your husband, and behold, there you are in Sault Ste Marie. Thank you♥️.
This is a really amazing blog to talk about a lot of the medical research 🔬 going on in the hospital a very mesmerizing in the way! Thank you ☺️
Medical question: Why can some heart attacks kill you immediately and some you can be having for 7 days and not know it? My friend had a heart attack and died instantly, and my dad was having one for almost a full week before he finally went to the hospital. My dads heart attack was considered massive too.
I would love the answer to this question as well.
following
I am not a physician so take what I say with a grain of salt but sometimes the time it takes for the artery to become fully infarcted can be random or there was just a somewhat larger amount of plaque that could have helped clog the artery faster.
Still waiting for the Doc to reply first but as a respiratory therapist I can say it depends on the level of occlusion and how rapid it became occluded.
2 examples for you:
Older man, terrible diet, developing atherosclerosis from plaque in the heart and eventually after a while it closes off this slow closing is the safest heart attack because the heart starts to adapt all the way to the point of fully occluded
Now another example:
You were on a long flight and got a blood clot to form in your leg and when you get off the flight it breaks off and travels to your heart or lungs now this is a rapid occlusion and it's going to kill you faster because your heart wasn't adapting and wasn't prepared for it
@ChrisRRT my friend had an undiagnosed enlarged heart and was having breathing issues for years before the heart attack. He had diabetes, was morbidly obese, and had a severe drug addiction when he was in his mid to late 20s (died in his mid-30s). My dad isn't a picture of health with his diet, but he didn't have any major health issues. I'm sure all of those factors played a massive part in how the heart attack effected them both differently.
Thank you Mona! ❤❤❤
Can you do more work vlogs , it's nice to see you again , you and your husband look great . ❤
Happy Saturday!!!! 🎉🎉🎉
You too Lizzy!!
I loveee watching your videos! I always look forward for them ❤
Her video came, ohh Yuss, is a treat to watch😊
It's incredible that drs of your level can take on marathon training on top of your work schedule. training for my 3rd marathon and an ultra 50k a short few weeks after. I'd love to see a video from medical professionals on the positives and negatives of that level of training.
Oh wow moving into the world of ultras! Impressive!
Glad to hear there’s interest in that video
Marvin!! 😭😭
I love him already so much!
Me tooooo!!!
Hello, I live in Texas and I really enjoy watching your Day in the life vlogs, very interesting. Can't wait to see more of them 😊
I've been away so catching up now in the middle of the night here in Sweden ( Sunday almost 1.30 am). Love seeing you both Violin MDs in the videos. The stomach burn that doesn't get better after nitro spray tells me that it's stomach related and not heart related (I know it can feel like it's heart related, dad went to hospital for it). Will watch to the end to find out.
YES! Please do a video about marathons. It's something I've wanted to try for so long but everyone around me says how bad it is on your body. Would love to hear your perspectives.
I really like the tea choice segments! That was a fun bit
. :)
Every video you make is so interesting! I would love to hear about marathon training’s effect on the body.
Great job on the Marathons and Half Marathons. Of course, you also, do a great job of diagnosing the difficult medical issues.
love seeing you and Mark back on rounds!! ❤❤
Hi. I’m so glad you have a new video. Also keep up the great videos.
Was waiting for your next upload ❤
❤❤❤ from Harare Zimbabwe
As a massage therapist I always thought that while running looks healthy and has some heart benefits ,it is hard on the body and can cause repetitive damage to the ligaments and joints. Plus sunscreen is likely to melt off your skin with a lot of heat and heavy exertion increasing prolonged sun exposure . For exercise I like dancing or callisthenic drills that incorporates a variety of invigorating movements as opposed to just one repetitive movement for a sustained period of time .
Great to see you guys again!
Violin MD: Instantly knows correct drugs and dose to prescribe in every emergency, but vacillates interminably over which tea and how much caffine to ingest! 😅
Yay new vlog! 😁
Doggo is star ⭐
i just interviewed for sterile process tech and im so excited to be the person to provide clean supplies to drs and surgeons
Omg! I'm not the only weirdo with a baggy of teas in my bag haha!
Excellent choices btw, RIP the Twinings English breakfast with honey and vanilla. It was gorgeous, but well discontinued. You will not be forgotten.
I was actually recently diagnosed in the last 30 days for an enlarged heart myself. Some major symptom is heart rate of about 135 resting and with brisk walk and go up to 165. In the next 2 weeks I'm actually getting the follow-up appointment for treatment
Please make the video about what happens in the body when you run!! I love your videos
I love Marvin (Therapy pup) 😁
yay ur back
Sorry Siobhan for stalking you ! Keep Stalking!
I love watching your RUclips channel
I appreciate you and thank you for making content.
Thank you for all you do
I would be really interested in learning about what a marathon does to the body. Please do a video about that! Also, I love Marvin and Mona! 🥰
You two make a great duo :)
So happy to see you!!
I actually visited Toronto (and Canada) for the first time earlier this year. Did not run in any marathons while I was there, but I did walk on top of the CN tower.
I think you would be a great teacher because I am learning stuff when I don’t need to because I am not going to work at the hospital
Lancisi sign it’s an interesting medical case to study. It’s really fascinating to hear more about this, especially within the research of this.❤
Love seeing your puzzling cases on Med Page 👍🏼
Come to the Nijmeegse Vierdaagse in Nijmege in the Netherlands. It's walking. But 4 days in a row for 30, 40 or 50 kilometres. People from all over the world are doing it.
Love from badlapur ❤❤❤
Ive watched you for years siobhan and was so happy to see this video! I'm an irish OT. Wondered if you've ever discussed why you've an irish name?😊
Love anytime you upload!!
You're the 2nd Siobhan that I follow. The other one is Siobhan Haughey. Love both of you. p.s. you both have freckles 😄
Siobhan, I have a question related to the STEMI case you were on: You mention in the video that you ordered a troponin test after the stent was placed in order to detect if there's still a blockage (because the patient was still reporting chest pain.) Would the test not be accurate/potentially skewed and give false results due to the stress previously caused on the heart during the STEMI? Would it make sense to order a D-Dimer? Thank you and I love your case reviews so much. You give incredible insight into a day in the life and we're so lucky to see stuff like this from someone like you! Much love to you and Mark