I'm a physical therapist. I once had a patient presenting for evaluation of back pain. I took a thorough history, and she assured me there was nothing else noteworthy in her medical history. Upon physical examination, she flinched when I palpated a certain region in her thorax. I asked what was wrong, and she said, "Oh, it's fine. That's just my gunshot wound." Excuse me? You're having pain sufficient to cause you to seek medical care, and you forgot to mention that you have a gunshot wound?!
Thats a true story. You have to examine the patient, the whole body. Fresh GSWs have been found on patients who only give the history of a ground level fall. The ground level fall occured as they were running away after being shot.
I tell my doctors and nurses everything!!! My rheumatologist said to me the very first time I saw him that while we have the different specialties, all the systems of the body work together, so you cant always just treat one of them. As it is, my rheumatologist treats my arthritis and my psoriasis because a lot of the medications work for both issues.
Some of these gave me a chuckle. I, on the other hand, have been the patient that gives too much information, just to be safe. If I'm not sure if something could pertain to whatever the situation is, I still tell the doctor.
Wonder if there are WTF stories the other way around? For example, when I went in for back surgery, there was a person in the bed next to me in the pre surgery area. Her anesthesiologist came in and explained everything soup to nuts. A while later the anesthesiologist for my case comes in, barely audible, says his name, asks me to open my mouth and say “ahh”, then knocks me out. Thank goodness I heard what that other patients doctor said, otherwise I wouldn’t have been prepared for the sore throat for the next few days.
Related to #3. I have some issues (that were and r still being investigated) with my heart. And when I went to the dentist (new) for the first time in a while (due to a broken tooth as well as just a regular check up/cleaning) I had to first get a medical clearance from my regular doctor.
2007 - the wrost year of my life. Diagnosed mercury poisoning and MASSIVE anxiety. NO doctor I went (11 total) could figure it out. They would do their little blood tests and said I was perfect, yet evreyday from 2007 to 2010 I woke up feeling like I had the flu. Problem was low body temp, but I had an appetite. Contempleted offing myself 100 times. Finally I got to a doc who put me on Zoloft. I was about to go out of my mind. After 6 months symptoms subsided. Lost my career, my girlfriend, almost my sanity. Never again. Hell Ill diagnose myself.
Don't feel small for patients not telling you their entire histories. I'm one of those patients and my reasoning is, I don't want to have to repeat myself over and over again in general but also when you tell multiple people the same thing, I've found out it's like the game of telephone and it can be distorted by the end of it. For example I was involved in a rear end car accident while pregnant pregnant while at the emergency room after the accident I had told the nurse that I was having back pain, however my biggest concern was making sure my baby was okay. But somehow by the time the doctor came in to see me, and the nurses had changed hands, there was no mention of my back pain at all so I left still in pain and when I went to my primary care doctor the next day to get help I found out I had a broken rib.
I am guilty of number 18 sometimes 😬this is why i have a medical alert bracelet that scans and brings up my medical profile. Then I just have to remember to update that profile when things happen (which reminds me, i need to update it, new diagnoses and meds as of thursday!). In my defense, chronic illness life... I take over a dozen pills at night and forgetfulness is one of the symptoms of one of my many diagnoses.
I went to the ER with a ruptured esophagus from a sexual encounter. I was worried about it and told them the truth. They treated me at the front desk like I was some dumb girl with a sore throat exaggerating. Turns out I was rapidly bleeding and taking air into my chest cavity. Almost died. Ended up on a feeding tube thru my stomach for a couple months after. Giant throat scar. I tell people the stomach scar is my “gunshot wound” and my neck was a run in with a dinosaur…it’s usually enough to end the conversation. Lol Forever thankful to the surgeon who saved my life and put “sports injury” on my medical paperwork 😂😂
I think you hit on some very important points. Patients don't know what they should be communicating is a big one. You also mentioned the alcoholic drinking a case of beer. He considered that "as not much alcohol". That was not much according to him, so perspective and context is important in conversation. Many patients withhold information because of shame or fear of being judged. All of these factors create big gaps in communication and understanding. As nurses(myself), doctors and other healthcare professionals we have to take all of this and more into consideration and keep improving our interviewing skills. Bias stigma and judgment are huge barriers that patients face concerning some but not limited to illnesses like addiction and mental illness. Education and training for ALL healthcare professionals is desperately needed to overcome and understand this in order to better care for our patients.
Good points, but the greatest problem in US health care is corporate ownership, health care for profit, lots and lots and lots of profit. They squeeze everybody in health care to the maximum and the quality plummets while the costs skyrocket.
My cousin's daughter had somehow broken her collar bone when she was about 1yr old. For like a month this kid had a broken collar bone and nobody knew! She never cried or anything. They went to the dr. For some other reason and figured it out. She could move her arms and everything. It caused some drama though.
We did an intake, on the form he said no family hx of heart disease. We asked him verbally again. So we started a stress test, he went into Vtach and SOB, we immediately stopped the test and he started recovering. Near the end of his recovery we started chatting and he says I had a twin brother who died of MI at 48.
I later asked him if it was an identical twin. He looked at me confused and he said "yea he was my twin brother". And I'm quietly thinking to myself...you do realize not all twins are identical.
I fell apart after my Husband passed on 6-1-2013. I started with breathing problems after total knee replacement. Every time I turned around I wasn’t able to breathe even with oxygen. My lungs were always blamed. At times I coughed up blood. Many hospital stays, heart unit, icu n medical floor. Tests to check my heart showed everything was ok. Finally, they found that I had mitral regurgitation. Had tests to see how it was. I had 2 TEEs that showed it was mild. Sent to surgeon n he wanted to cancel because my heart condition was mild. I couldn’t walk 16 steps from my bed to the toilet without heavy, heavy breathing. They called back n said head on up. My surgeon is excellent. He told my Daughter that it was a miracle that I was alive. He said blood was going everywhere. I had to have a blood transfusion. Open heart surgery was 9-23-18. My heart is perfect now. Other illnesses n things happened to me. I carry 3 sheets of paper with me, medications n pharmacy info., diagnosis n surgeries n physicians full names n phone numbers. They love the organization, I laugh n say I have to have lists because I’ll forget half of it lol😂. I’m fairly new to your you tube. I’ve learned from them. Plus very informative. Keep it up. ❤ They did a case study on my heart surgery.
Patients have way better wtf moments. I have almost died because doctors don't understand my issues. I have EDS and have had two dissections. And every single time I needed to push for imaging. I had an EMT who also decided I wasn't having heart problems then just dumped me in the ER, but I was having a heart attack so when my partner drove me to another ER they had to clean up the mess. The amount of times I've been dismissed when I did have something going on is so high I question how this system doesn't end in early death for someone. My last dissection, it took 2 trips to the ER before someone would listen. And I knew exactly what it was That's the thing as I already had the first dissection. Just needed the CT and pain meds.
Ehlers-Danlos Syndrome? What symptoms did you have? I mean that disease is synonymous with heart attacks and aortic rupture and dissection as it’s a connective tissues disorder. Definitely not good if a doctor is ignoring that.
I'm sure there are quite a few people have died due to this messed up system. On the bright side insurance companies are raking in record profits. Money over human lives every f*cking time.
When I was in nursing school, I was assigned to care for a pregnant lady over a period of weeks. Turned out that her husband was in Iraq so the baby wasn’t his. She never told me this even when she developed postpartum depression. My OB-GYN instructor got mad at me because I didn’t know this detail of her history. She wasn’t obligated to tell me or her MD of this detail. All the medical personnel could have intervened more effectively had she told us the whole story , but I was not an interrogator only a Student Nurse trying to complete my assignment so I was really upset since this situation nearly caused me to fail this part of my clinical rotations. GRRR.
Former hygienist here. I can relate to both these hygienists' comments. Any changes in your health? Nothing to do with my teeth. Then there are those who always "forget" to take their premed, hoping we'll have pills around the office so they can get it for free.
I walked on a torn atfl torn peroneus brevis both peroneal tendons were out of place and a microtrabecular fracture of the cuboid for 4½ months prior to surgery. I did 5 weeks of physical therapy before the MRI was authorized revealing the damage at 3½ months after the injury. Worked retail everyday up to the day before surgery. Everyone except the orthos and physical therapists thought I was playing up a sprain jokes on them. I've been out since October 24th I'm hoping the X-rays come back good on Thursday so I can start easing back into work.
I worked in the ER. An old time OB/GYN once told me that the mindset you have to incorporate into daily practice is to determine pregnancy status. The question is often asked is, “are you pregnant?” There are only two answers, “Yes and I don’t know”
@@d-meth BS back. The onus is on the provider to determine if the patient is pregnant before proceeding with ANY procedure or treatment that could be detrimental. For a variety of reasons a patient history may be unreliable. It’s ultimately the provider who has to appropriately determine pregnancy status.
@@pnwester2697 so in your scenario it's the provider answering the "are you pregnant?" question? Because a patient can totally be 100% sure they aren't, after all you need to be having sex with a male for that to be possible.
@@d-meth Yes, the provider needs to answer the question for a number of medical legal reasons. A huge majority of patients will give an accurate, honest and rock solid history and you can believe them when they say there’s no chance of pregnancy. Even if you do believe them, most providers will still await a pregnancy test result before doing a CT scan of the pelvis for example. Consider another scenario where a 15 year old girl is asked if there’s any chance she’s pregnant. In many cases she’ll be blindsided by the question and there’s a good likelihood her answer is incorrect. Consider also a person who has a substance abuse history, mental health history or just plain isn’t all that medically savvy. They may tell you they can’t get pregnant, that they’ve had a tubal or a hyster when in fact that history is wrong for whatever reason. How many times have you read the story of a patient going into labor that had no clue they were pregnant? Or their partner has had a vasectomy and we know that vasectomies never fail. Or a patient is in the room with their partner who has had a vasectomy so there is no chance she could be pregnant but she’s having an affair…. So yes, the onus is on the provider.
That is correct. Ligation fail, and there are tumors that can exist that make the body pump out pregnancy hormones (even, rarely, in biological men...rare tumor). That they did the test means they were gathering all possible information to deduce an answer, ruling out more than mere pregnancy. To not have done that test would have been iffy. Medicine (and the wonders of the human body) is fascinating!
As doctors, you need to ask the questions because I can rant forever about every detail I've noticed about my body and it will probably be a big waste of time. Of course patients don't know exactly what to mention. heck, some people know absolutely nothing about what happens in the OR except that there's an insicion made! You are a doctor. You know what is relevant. I'm a patient. I have no idea what's going on.
Dental hygienist, had the exact same thing happen with the heart attack. People don’t realize how serious it is and how everything is connected, things could have gone south quickly. Please tell us any medical updates!
I went to the doctor complaining of not feeling well couldn’t figure it out I do have HP he said I don’t know what’s wrong and sent me home saw my cardiologist a wk later did echo and a stress test waiting on results. My grandmother went to doctor on Friday went to bed and never woke up she was 49. Scary
I was admitting a pt on home care service with dx of recent 40 lb wt loss. When doing the skin check, yup. New Bilat amp. Which did not make the discharge dx list. Thought this was a Urban myth. But no, happened to me. I quickly put on my," I expected this” face and moved on. However, needed further review before I kept him on Hospice.
I have hyper mobility EDS, gastroparesis, Spincter of odi and as of two weeks ago have had a NJ feed (two placements in radiology both times talking about you, first time they didn’t know you, second time they even mentioned your brother being a VET :). Anyway with my history I am so complicated I take forever! Ps I’m in Australia!
Yup, happens to nurses too. Patient tells us one thing, we chart that one thing, then patient tells the MD completely different story. 🙄 I don't pry when a patient doesn't want to talk. I just enter "personal problem" and let the MD handle it.
In the linked article, #17 was about a person who received a spinal block for a c-section and still felt burning pain at the incision site. Later the anesthesiologist asked her about any prior oral surgeries, and when he saw her mouth full of silver fillings had an aha moment. What's the connection there?
It's hard to give a doctor accurate medical history when you get only 7 minutes with them. I took Cipro for a UTI in 2010 and it caused multiple tendon and ligament ruptures and damage to my spine. Last week I had my 31st surgery since 2010. Most of them have been for my joints and spine. The patient history only lets you enter 15 surgeries and then the virtual chart doesn't let you enter any more. I couldn't even list the other 16 major surgeries in their system. The medical system just isn't set up to allow in depth history to be given and I struggle with prioritizing what needs to be shared in the 7-15 minute appointment with a new doc. Also, a doc's face glazes over about 3 minutes into explaining that this is all due to having taken a Fluoroquinolone antibiotic; despite extensive warnings published by the FDA.
A lot of patient unhappiness with the US health system is due to costs. That's their priority, not stellar patient care. It's frustrating for providers since they're expected to see x number of patients, regardless of how complicated they are. HMO's and hospitals are always looking for ways to save money- 'maybe listen to your staff- they can give you plenty of ways to do that.' Communication is key. Some patients don't go to reliable sources to get medical information, some look too much for just for the worst case scenario. So they end up up asking for meds that are advertised on TV ( that really needs to go away) which won't be approved by their insurance, or ask for tests that are very expensive and unnecessary.
With adherence to prescribed meds so high and so many patients lying about getting their meds (they don’t know about Epic), I’m surprised you believe anyone!
Apparently, about a third of the US population is just like this, no notion of critical thinking so completely vulnerable to conspiracy theories and lies. How this has happened is beyond me. Mass psychosis?
My husband fell painting and had a concussion but refused to go to ER, two days later he all of a sudden couldn’t speak, he was a a verbal seizure. Turns out he had an aracnoid cyst 1/4 size if his brain….(forgive my spelling). He did have it drained by came back, no symptoms, but anytime he had a head ct for his ears or such dr would freak out!
Also, a lot of doctors feel information about your health is none of your business. I was specifically told by the administrative staff that I was only allowed to know my cholesterol results from the blood tests I had had. IT IS NONE OF YOUR BUSINESS. this was at a University system. I was able to get the rest of the results by going to the medical records office for the hospital and getting it from them.
What jobs would you recommend in the healthcare field for those not interested in becoming a provider but who still want to work in a hospital environment as support staff?
Patient Care Tech (PCT)/Advanced PCT/CNA/scrub/surgical tech for entry level If you like the work, the pace, and rhythm, and want more responsibility, I'd recommend then pursuing LPN/RN school or med school depending on your specific goals, academic skill, and history. I'm currently pursuing my RN and eventually flight nursing, and had I not fucked around in college my first time around, I realized I'd be happiest being a doctor, but I've shifted my long term career goals to being an NP instead. However, I wouldn't have known that being apart of the healthcare provider team (Doctor's/PAs/NPs) was what I really wanted in the end without being a PCT first and being in nursing school
Also, I recommend starting on a medical-surgical floor, you'll get a decent cross-section of a variety of patients and then try and get onto a float pool (pool of staff that can be sent to work different departments like the ED/Cardiac/ICU/Oncology/OB/GYN, etc) so you can feel what different departments are like and what fits you best!
Ultrasound Tech. With overtime you can make 6 figures. I know a radiology tech who went to medical school in his 40's to become a radiologist. Knows all of the terms, can make sense of images, etc. Brilliant.
Oh okey maybe i should discuss if i didnt had ruptured ovarian cyst when i was bleeding as hell at university and something weird came out .... (I keep asking if i could have PCOS and obgyn is like nah ...)
I never found the right balance between what to tell nurses or not. But everytime i would share my complete medical history i got tired of being told "thats not relevant" so i just share what i deem important like my 1 surgery and history of crohns and if the doctor asks me about anything else ilk tell them
Ps I love Med students I always give them it all :). Many a student has been sent from my professor of GI to take my history as I have had over 70 surgeries in my 41 years :(
But also, as a radiology tech, person of childbearing age and status either gets a pregnancy test or is at least asked. That one is on the tech and not the patient.
I worked in the ER. An old time OB/GYN once told me that the mindset you have to incorporate into daily practice is to determine pregnancy status. The question is often asked is, “are you pregnant?” There are only two answers, “Yes and I don’t know”
I'm in just one minute of this video and I have to comment! You make an appointment and you are asked what it's about so you state something as briefly as possible. You arrive and the nurse asks you all about why you are there and you tell your story. Then the doctor comes in and you assume the nurse has relayed your information to them. He asks again so you, not feeling well, go through it a third time and leave out something thinking you have told them because you already told two other people. Why the hell do you medical people do this?! If I knew what questions the doctor wants answered I'd be better prepared to answer. I don't know what's important or not. And we are rushed all the time so I feel like I shouldn't be taking up so much of the doctor's time. Do not put the blame on the patient for not having a medical education! And don't expect us to have complete and hurried recall the instant you ask for information. It's all such poor communication when communication is so vital. It's your fault, not ours.
Tip for this! Write down symptoms you've had, and ask to speak to the doctor. Give the nurse an idea of it, but just tell them you'd prefer to ask the provider questions instead. Doesn't offend anyone and you can keep your list of important questions/information to remind you of everything
@@mydogisoscarthegrouch I write a complete narrative, printed out with copies for the nurse and doctor each time I see a doctor in order to keep them from rushing me and to make clear as much information as I can guess is relevant and more. They seem to get annoyed when I include something that is not important. I do this mostly defensively, not to help the doctor, but to force him or her to hear me and remember what I wrote. How many times do patients say that they feel their doctor is not listening to them? I've had doctors get it wrong, maybe confusing me with other patients (forgivable) or wanting to simply put me in a common category in order to dismiss me; I tell them to read my previous and current narratives.
@@virginiamoss7045 most people won't read that, as again, it won't be organized for health providers to be able to access/understand clearly. Writing it down is for you* to remember what to tell them. I work in health care and if someone hands me a whole paper, I'll skim it and type some stuff into the note, but you have to switch providers if you're being ignored, and communicate that you feel dismissed. Insurance companies only give enough money to practices for maxing out patients in the least amount of time. It's not the doctors (usually) it's sucky healthcare structures
@@mydogisoscarthegrouch My narratives are carefully crafted, super concise and to the point, far better than my rambling and aging memory could ever be in person. Most of them read it or at least skim it, even make notes directly on it. I fully understand that both patients and doctors and all providers are victims of corporate medicine/corporate greed. The whole system is a horrible mess, but what power do patients have? They are sick or injured and at a disadvantage. Providers are in a better position to do something about it; they are smarter and have more money as well as know the system far better than patients. Please do something!
As a PNP so often parents tell you the history for what they think the problem is, but not everything. Then when leaving they mention what you needed in the beginning Like it is allergies, ok then they had a fever for 3 days, that is not allergies. Some days I just want to say minD reading is not my specialty!
It's your fault for rushing and not asking the right questions. Why would you assume a patient would know that a fever means it's not an allergy? Is it arrogance?
My reaction whennnn: Patient: I keep getting UTI’s idk why Me: you use int caths Patient: yeah I just lick them, get them nice and wet and it goes right in! Me:…….
So if they got a bone break and fracture are their meals too fractured as in not enough of the right nutrients. Milk, bread, fruit, yeast, carbs, etc This is very true of northern states because they're not tropical state and dont eat malanga, yame, yucca and those roots that also help extend life like pasteles and alcapurria. True story Wall Street had Kiosks all year round that sold not only hot dog and sausage and ice cream but Pasteles and alcapurrias etc. These I think are now sold frozen and precooked. Are dieticians assigned to each school where you live. It's a must to insure kids eat a normal meal at school versus bologna sandwich sponsored by the local Jails with mayo and ketchup and mustard.
The thing that gets me is when patients tell me stories using generic pronouns. like "Oh then they decided I needed surgery and he started me on a cholesterol medication." and I'm like, "Maam, who is "they"? "and they say "the hospital" and I'm like "Which one??" "Oh, the hospital X that my cardiothoracic surgeon dr. So and So works at" and then I have a whole slew of follow-up questions. If you haven't mentioned their name or the context of how you know them I don't know what you're talking about ha ha
I got a 90 year old lady from the ER for L Spine MR, thé daughter told thé ERnurse she had a pacemaker but the nurse told her don't worry the MR is of her back. I almost killed that lady. Thanks to the sign on the door of Mr room and the fact that the daughter came to MR to translate and mention it to me. I have done the localizer already. The ER nurse was an idiot. 😉 😜
i understand what you mean but if you're able to, I'd encourage you to tell the student as well. sometimes it's their job to tell the doctor and the doctor will decide whether to see you or not based on what they find out from the student. this can mean that if you don't mention everything that's wrong, you may not get the treatment you need and end up worse off.
Oh, no! If you get a random thumbs down, it may have been from me. I didn't mean it and changed it right away, but.. I was listening to the video on my treadmill...faulty aim with the like button. Sorry!
Our patients here in Florida may be sooner in Media and Communications. "There have been 61 deaths associated to the Ian Hurricane Storme...the other 10 thousand now live in Mexico Exotic living their best Reincarnate Life, Ole', Ole'. It's like the Cementary Mummy Floods in Lousianna where casquets float into the Yuckata, Eeackatan Peninsula. The tourist zone speaks fluent English and many other languages just be ready to haggle and lose, they've lost their Disney Culture. Lose at all costs. We have not lost, we are strong, 61 have chosen to stay..wait leave. The others well may need spiritual guidance, a crystal ball, a tarot reader, a divinity leader, incense, a dark room, long velvet curtains, bandanas that style and stones for jewelry, post journey intervention, cheerios, Ghost Busters or a safer means of transportation.
Because they want to say "fine" but they feel weird saying that because you know they're not fine, so they just say "not so good" instead. Most people don't think of "how are you feeling" as a medical question but rather as part of the greeting.
Jesus died for you was buried and rose again on the third day according to scriptures. If you confess with your mouth Jesus is lord and believe in your heart that God raised him from the dead you will be saved. Please repent of your sins and accept Jesus Christ as your lord and savior.
I try to tell doctors about my body and they claiming I'm a hypochondriac person who lies about things like I'm attracted to the fact that I'm talking about the stomach bug 🐛 I'm not sure if I can get a better understanding.
Sonogram tech here situs versus is actually really cool something you rarely see most people don’t know they have it especially if they come from another country but the people that know they always warn me lol
I'm a physical therapist. I once had a patient presenting for evaluation of back pain. I took a thorough history, and she assured me there was nothing else noteworthy in her medical history. Upon physical examination, she flinched when I palpated a certain region in her thorax. I asked what was wrong, and she said, "Oh, it's fine. That's just my gunshot wound." Excuse me? You're having pain sufficient to cause you to seek medical care, and you forgot to mention that you have a gunshot wound?!
Thats a true story. You have to examine the patient, the whole body. Fresh GSWs have been found on patients who only give the history of a ground level fall. The ground level fall occured as they were running away after being shot.
Definitely important information
@@pnwester2697ah yes, one of those extra violent “falls” always hate it when I get shot when I trip over my own feet 😂
Kind of important
Taking a hospital admission we’re required to ask “ do you drink alcohol? “
If a patient says just one drink a day. I ask “ how big is the glass? “ 😂
I tell my doctors and nurses everything!!! My rheumatologist said to me the very first time I saw him that while we have the different specialties, all the systems of the body work together, so you cant always just treat one of them. As it is, my rheumatologist treats my arthritis and my psoriasis because a lot of the medications work for both issues.
Some of these gave me a chuckle. I, on the other hand, have been the patient that gives too much information, just to be safe. If I'm not sure if something could pertain to whatever the situation is, I still tell the doctor.
Wonder if there are WTF stories the other way around? For example, when I went in for back surgery, there was a person in the bed next to me in the pre surgery area. Her anesthesiologist came in and explained everything soup to nuts. A while later the anesthesiologist for my case comes in, barely audible, says his name, asks me to open my mouth and say “ahh”, then knocks me out.
Thank goodness I heard what that other patients doctor said, otherwise I wouldn’t have been prepared for the sore throat for the next few days.
You didn't know they'd intubate you for surgery?
Great topics Dr Cellini. Certainly important enough to discuss.
Related to #3.
I have some issues (that were and r still being investigated) with my heart.
And when I went to the dentist (new) for the first time in a while (due to a broken tooth as well as just a regular check up/cleaning) I had to first get a medical clearance from my regular doctor.
2007 - the wrost year of my life. Diagnosed mercury poisoning and MASSIVE anxiety. NO doctor I went (11 total) could figure it out. They would do their little blood tests and said I was perfect, yet evreyday from 2007 to 2010 I woke up feeling like I had the flu. Problem was low body temp, but I had an appetite. Contempleted offing myself 100 times. Finally I got to a doc who put me on Zoloft. I was about to go out of my mind. After 6 months symptoms subsided. Lost my career, my girlfriend, almost my sanity. Never again. Hell Ill diagnose myself.
"The eyes are the window to the soul " 🤣
Don't feel small for patients not telling you their entire histories. I'm one of those patients and my reasoning is, I don't want to have to repeat myself over and over again in general but also when you tell multiple people the same thing, I've found out it's like the game of telephone and it can be distorted by the end of it. For example I was involved in a rear end car accident while pregnant pregnant while at the emergency room after the accident I had told the nurse that I was having back pain, however my biggest concern was making sure my baby was okay. But somehow by the time the doctor came in to see me, and the nurses had changed hands, there was no mention of my back pain at all so I left still in pain and when I went to my primary care doctor the next day to get help I found out I had a broken rib.
I am guilty of number 18 sometimes 😬this is why i have a medical alert bracelet that scans and brings up my medical profile. Then I just have to remember to update that profile when things happen (which reminds me, i need to update it, new diagnoses and meds as of thursday!). In my defense, chronic illness life... I take over a dozen pills at night and forgetfulness is one of the symptoms of one of my many diagnoses.
I went to the ER with a ruptured esophagus from a sexual encounter. I was worried about it and told them the truth. They treated me at the front desk like I was some dumb girl with a sore throat exaggerating. Turns out I was rapidly bleeding and taking air into my chest cavity. Almost died. Ended up on a feeding tube thru my stomach for a couple months after. Giant throat scar. I tell people the stomach scar is my “gunshot wound” and my neck was a run in with a dinosaur…it’s usually enough to end the conversation. Lol Forever thankful to the surgeon who saved my life and put “sports injury” on my medical paperwork 😂😂
That Doc is a brilliant Saint!
Damn🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣I'm glad you're ok but what a story.
I think you hit on some very important points. Patients don't know what they should be communicating is a big one. You also mentioned the alcoholic drinking a case of beer. He considered that "as not much alcohol". That was not much according to him, so perspective and context is important in conversation. Many patients withhold information because of shame or fear of being judged. All of these factors create big gaps in communication and understanding. As nurses(myself), doctors and other healthcare professionals we have to take all of this and more into consideration and keep improving our interviewing skills. Bias stigma and judgment are huge barriers that patients face concerning some but not limited to illnesses like addiction and mental illness. Education and training for ALL healthcare professionals is desperately needed to overcome and understand this in order to better care for our patients.
Amen sister!
Good points, but the greatest problem in US health care is corporate ownership, health care for profit, lots and lots and lots of profit. They squeeze everybody in health care to the maximum and the quality plummets while the costs skyrocket.
@@virginiamoss7045 I stated in my remarks that I am a Registered Nurse. You are not telling me anything I don't already know.
@@andreabaldwinporter6901 I'm telling all readers of your comment that truth, not you.
I was one of those patients who had ongoing headaches and migraines and turned out to have a brain tumour 😬
My cousin's daughter had somehow broken her collar bone when she was about 1yr old. For like a month this kid had a broken collar bone and nobody knew! She never cried or anything. They went to the dr. For some other reason and figured it out. She could move her arms and everything. It caused some drama though.
We did an intake, on the form he said no family hx of heart disease. We asked him verbally again. So we started a stress test, he went into Vtach and SOB, we immediately stopped the test and he started recovering. Near the end of his recovery we started chatting and he says I had a twin brother who died of MI at 48.
I later asked him if it was an identical twin. He looked at me confused and he said "yea he was my twin brother". And I'm quietly thinking to myself...you do realize not all twins are identical.
I fell apart after my Husband passed on 6-1-2013. I started with breathing problems after total knee replacement. Every time I turned around I wasn’t able to breathe even with oxygen. My lungs were always blamed. At times I coughed up blood. Many hospital stays, heart unit, icu n medical floor. Tests to check my heart showed everything was ok. Finally, they found that I had mitral regurgitation. Had tests to see how it was. I had 2 TEEs that showed it was mild. Sent to surgeon n he wanted to cancel because my heart condition was mild. I couldn’t walk 16 steps from my bed to the toilet without heavy, heavy breathing. They called back n said head on up. My surgeon is excellent. He told my Daughter that it was a miracle that I was alive. He said blood was going everywhere. I had to have a blood transfusion. Open heart surgery was 9-23-18. My heart is perfect now. Other illnesses n things happened to me. I carry 3 sheets of paper with me, medications n pharmacy info., diagnosis n surgeries n physicians full names n phone numbers. They love the organization, I laugh n say I have to have lists because I’ll forget half of it lol😂. I’m fairly new to your you tube. I’ve learned from them. Plus very informative. Keep it up. ❤ They did a case study on my heart surgery.
Patients have way better wtf moments. I have almost died because doctors don't understand my issues. I have EDS and have had two dissections. And every single time I needed to push for imaging. I had an EMT who also decided I wasn't having heart problems then just dumped me in the ER, but I was having a heart attack so when my partner drove me to another ER they had to clean up the mess. The amount of times I've been dismissed when I did have something going on is so high I question how this system doesn't end in early death for someone. My last dissection, it took 2 trips to the ER before someone would listen. And I knew exactly what it was That's the thing as I already had the first dissection. Just needed the CT and pain meds.
Ehlers-Danlos Syndrome? What symptoms did you have? I mean that disease is synonymous with heart attacks and aortic rupture and dissection as it’s a connective tissues disorder. Definitely not good if a doctor is ignoring that.
I also have it, but it's usually the other way for me. Doctors think everything I'm having is a dissection.
I'm sure there are quite a few people have died due to this messed up system. On the bright side insurance companies are raking in record profits. Money over human lives every f*cking time.
When I was in nursing school, I was assigned to care for a pregnant lady over a period of weeks. Turned out that her husband was in Iraq so the baby wasn’t his. She never told me this even when she developed postpartum depression.
My OB-GYN instructor got mad at me because I didn’t know this detail of her history. She wasn’t obligated to tell me or her MD of this detail. All the medical personnel could have intervened more effectively had she told us the whole story , but I was not an interrogator only a Student Nurse trying to complete my assignment so I was really upset since this situation nearly caused me to fail this part of my clinical rotations. GRRR.
I'm all grrr'd up for you too!
Former hygienist here. I can relate to both these hygienists' comments.
Any changes in your health?
Nothing to do with my teeth.
Then there are those who always "forget" to take their premed, hoping we'll have pills around the office so they can get it for free.
I walked on a torn atfl torn peroneus brevis both peroneal tendons were out of place and a microtrabecular fracture of the cuboid for 4½ months prior to surgery. I did 5 weeks of physical therapy before the MRI was authorized revealing the damage at 3½ months after the injury. Worked retail everyday up to the day before surgery. Everyone except the orthos and physical therapists thought I was playing up a sprain jokes on them. I've been out since October 24th I'm hoping the X-rays come back good on Thursday so I can start easing back into work.
I worked in the ER. An old time OB/GYN once told me that the mindset you have to incorporate into daily practice is to determine pregnancy status. The question is often asked is, “are you pregnant?” There are only two answers, “Yes and I don’t know”
BS, people can know that they are definitely not pregnant
@@d-meth BS back. The onus is on the provider to determine if the patient is pregnant before proceeding with ANY procedure or treatment that could be detrimental. For a variety of reasons a patient history may be unreliable. It’s ultimately the provider who has to appropriately determine pregnancy status.
“Bahahahahah. AKA. i am a good girl, but there was a toilet seat…….. Love this
@@pnwester2697 so in your scenario it's the provider answering the "are you pregnant?" question?
Because a patient can totally be 100% sure they aren't, after all you need to be having sex with a male for that to be possible.
@@d-meth Yes, the provider needs to answer the question for a number of medical legal reasons. A huge majority of patients will give an accurate, honest and rock solid history and you can believe them when they say there’s no chance of pregnancy. Even if you do believe them, most providers will still await a pregnancy test result before doing a CT scan of the pelvis for example. Consider another scenario where a 15 year old girl is asked if there’s any chance she’s pregnant. In many cases she’ll be blindsided by the question and there’s a good likelihood her answer is incorrect. Consider also a person who has a substance abuse history, mental health history or just plain isn’t all that medically savvy. They may tell you they can’t get pregnant, that they’ve had a tubal or a hyster when in fact that history is wrong for whatever reason. How many times have you read the story of a patient going into labor that had no clue they were pregnant? Or their partner has had a vasectomy and we know that vasectomies never fail. Or a patient is in the room with their partner who has had a vasectomy so there is no chance she could be pregnant but she’s having an affair…. So yes, the onus is on the provider.
What the heck…I had a ruptured ectopic and I’m so paranoid about getting another one that I might panic if I sneeze too hard.
The last time I went to ER and they needed to to a CT SCAN they did a pregnancy test on me even though my tubes are tied and I'm not sexual active.
That is correct. Ligation fail, and there are tumors that can exist that make the body pump out pregnancy hormones (even, rarely, in biological men...rare tumor). That they did the test means they were gathering all possible information to deduce an answer, ruling out more than mere pregnancy. To not have done that test would have been iffy. Medicine (and the wonders of the human body) is fascinating!
Thanks I'm seeing a new doctor and now I know how to conduct that first meeting.
As doctors, you need to ask the questions because I can rant forever about every detail I've noticed about my body and it will probably be a big waste of time. Of course patients don't know exactly what to mention. heck, some people know absolutely nothing about what happens in the OR except that there's an insicion made!
You are a doctor. You know what is relevant. I'm a patient. I have no idea what's going on.
Dental hygienist, had the exact same thing happen with the heart attack. People don’t realize how serious it is and how everything is connected, things could have gone south quickly. Please tell us any medical updates!
"Eyes are the window to the soul".
I went to the doctor complaining of not feeling well couldn’t figure it out I do have HP he said I don’t know what’s wrong and sent me home saw my cardiologist a wk later did echo and a stress test waiting on results. My grandmother went to doctor on Friday went to bed and never woke up she was 49. Scary
I was admitting a pt on home care service with dx of recent 40 lb wt loss. When doing the skin check, yup. New Bilat amp. Which did not make the discharge dx list. Thought this was a Urban myth. But no, happened to me. I quickly put on my," I expected this” face and moved on. However, needed further review before I kept him on Hospice.
I love these! Keep them coming!
I have hyper mobility EDS, gastroparesis, Spincter of odi and as of two weeks ago have had a NJ feed (two placements in radiology both times talking about you, first time they didn’t know you, second time they even mentioned your brother being a VET :). Anyway with my history I am so complicated I take forever!
Ps I’m in Australia!
Hi Michael! I enjoyed this video! :)
Thanks so much
The last one, that happens to me CONSTANTLY 😂
"The eyes are the window to the soul."
Medical assistant, the last one happens to me all the time.
Yup, happens to nurses too. Patient tells us one thing, we chart that one thing, then patient tells the MD completely different story. 🙄 I don't pry when a patient doesn't want to talk. I just enter "personal problem" and let the MD handle it.
In the linked article, #17 was about a person who received a spinal block for a c-section and still felt burning pain at the incision site. Later the anesthesiologist asked her about any prior oral surgeries, and when he saw her mouth full of silver fillings had an aha moment. What's the connection there?
A redhead!
Silver fillings are not oral surgery.
It's hard to give a doctor accurate medical history when you get only 7 minutes with them. I took Cipro for a UTI in 2010 and it caused multiple tendon and ligament ruptures and damage to my spine. Last week I had my 31st surgery since 2010. Most of them have been for my joints and spine. The patient history only lets you enter 15 surgeries and then the virtual chart doesn't let you enter any more. I couldn't even list the other 16 major surgeries in their system. The medical system just isn't set up to allow in depth history to be given and I struggle with prioritizing what needs to be shared in the 7-15 minute appointment with a new doc. Also, a doc's face glazes over about 3 minutes into explaining that this is all due to having taken a Fluoroquinolone antibiotic; despite extensive warnings published by the FDA.
A lot of patient unhappiness with the US health system is due to costs. That's their priority, not stellar patient care. It's frustrating for providers since they're expected to see x number of patients, regardless of how complicated they are. HMO's and hospitals are always looking for ways to save money- 'maybe listen to your staff- they can give you plenty of ways to do that.'
Communication is key. Some patients don't go to reliable sources to get medical information, some look too much for just for the worst case scenario. So they end up up asking for meds that are advertised on TV ( that really needs to go away) which won't be approved by their insurance, or ask for tests that are very expensive and unnecessary.
Eyes are a window to the Soul.
What about the Dr’s who dismiss significant issues?!
With adherence to prescribed meds so high and so many patients lying about getting their meds (they don’t know about Epic), I’m surprised you believe anyone!
Took care of a patient who inhaled Lysol at home to treat his Covid. Gave himself a nice chemical pneumonitis. I had no words.
Oh my god how stupid it could have killed them
Apparently, about a third of the US population is just like this, no notion of critical thinking so completely vulnerable to conspiracy theories and lies. How this has happened is beyond me. Mass psychosis?
My husband fell painting and had a concussion but refused to go to ER, two days later he all of a sudden couldn’t speak, he was a a verbal seizure. Turns out he had an aracnoid cyst 1/4 size if his brain….(forgive my spelling). He did have it drained by came back, no symptoms, but anytime he had a head ct for his ears or such dr would freak out!
Also, a lot of doctors feel information about your health is none of your business. I was specifically told by the administrative staff that I was only allowed to know my cholesterol results from the blood tests I had had. IT IS NONE OF YOUR BUSINESS. this was at a University system. I was able to get the rest of the results by going to the medical records office for the hospital and getting it from them.
You own your medical record. It’s yours. It’s been that way for a long time.
What jobs would you recommend in the healthcare field for those not interested in becoming a provider but who still want to work in a hospital environment as support staff?
Surgical tech
Patient coordinator if you don’t want to do anything medical but work with doctors
Patient Care Tech (PCT)/Advanced PCT/CNA/scrub/surgical tech for entry level
If you like the work, the pace, and rhythm, and want more responsibility, I'd recommend then pursuing LPN/RN school or med school depending on your specific goals, academic skill, and history. I'm currently pursuing my RN and eventually flight nursing, and had I not fucked around in college my first time around, I realized I'd be happiest being a doctor, but I've shifted my long term career goals to being an NP instead. However, I wouldn't have known that being apart of the healthcare provider team (Doctor's/PAs/NPs) was what I really wanted in the end without being a PCT first and being in nursing school
Also, I recommend starting on a medical-surgical floor, you'll get a decent cross-section of a variety of patients and then try and get onto a float pool (pool of staff that can be sent to work different departments like the ED/Cardiac/ICU/Oncology/OB/GYN, etc) so you can feel what different departments are like and what fits you best!
Ultrasound Tech. With overtime you can make 6 figures.
I know a radiology tech who went to medical school in his 40's to become a radiologist. Knows all of the terms, can make sense of images, etc.
Brilliant.
Oh okey maybe i should discuss if i didnt had ruptured ovarian cyst when i was bleeding as hell at university and something weird came out .... (I keep asking if i could have PCOS and obgyn is like nah ...)
The eyes are the window to the soul Doctor C.
Hey doc - what are your favorite PACS and voice dictation systems you've worked with?
Do you think Doctors could be more specific when talking with patients (who are your customers?) Being in a patient can be very stressful.
The eyes are the windows to the soul
At the risk of repeating: “The eyes are the windows to the soul”. 😉
I never found the right balance between what to tell nurses or not. But everytime i would share my complete medical history i got tired of being told "thats not relevant" so i just share what i deem important like my 1 surgery and history of crohns and if the doctor asks me about anything else ilk tell them
We keep information because it ours. The moment we tell you something it becomes your record about us and we lose control over it.
What about when your physicial does not want to hear you whole symptom list?
Ultrasound Tech: Ms Smith, how long have you had this abdominal pain?
Patient: A minute...
Ultrasound Tech: 🙄
I’m very guilty of the last one
Ps I love
Med students I always give them it all :). Many a student has been sent from my professor of GI to take my history as I have had over 70 surgeries in my 41 years :(
Yikes!
But also, as a radiology tech, person of childbearing age and status either gets a pregnancy test or is at least asked. That one is on the tech and not the patient.
I worked in the ER. An old time OB/GYN once told me that the mindset you have to incorporate into daily practice is to determine pregnancy status. The question is often asked is, “are you pregnant?” There are only two answers, “Yes and I don’t know”
@@pnwester2697 honestly, being that I'm dealing with radiation, I don't even ask. I wait for the pregnancy tests. Those lie a lot less than people do.
@@Absbabs88 I agree. Some people in this comment thread, think that it is invasion of their privacy.
The eyes are the windows to the soul 8:37
I'm in just one minute of this video and I have to comment! You make an appointment and you are asked what it's about so you state something as briefly as possible. You arrive and the nurse asks you all about why you are there and you tell your story. Then the doctor comes in and you assume the nurse has relayed your information to them. He asks again so you, not feeling well, go through it a third time and leave out something thinking you have told them because you already told two other people. Why the hell do you medical people do this?! If I knew what questions the doctor wants answered I'd be better prepared to answer. I don't know what's important or not. And we are rushed all the time so I feel like I shouldn't be taking up so much of the doctor's time. Do not put the blame on the patient for not having a medical education! And don't expect us to have complete and hurried recall the instant you ask for information. It's all such poor communication when communication is so vital. It's your fault, not ours.
Tip for this! Write down symptoms you've had, and ask to speak to the doctor. Give the nurse an idea of it, but just tell them you'd prefer to ask the provider questions instead. Doesn't offend anyone and you can keep your list of important questions/information to remind you of everything
@@mydogisoscarthegrouch I write a complete narrative, printed out with copies for the nurse and doctor each time I see a doctor in order to keep them from rushing me and to make clear as much information as I can guess is relevant and more. They seem to get annoyed when I include something that is not important. I do this mostly defensively, not to help the doctor, but to force him or her to hear me and remember what I wrote. How many times do patients say that they feel their doctor is not listening to them? I've had doctors get it wrong, maybe confusing me with other patients (forgivable) or wanting to simply put me in a common category in order to dismiss me; I tell them to read my previous and current narratives.
@@virginiamoss7045 most people won't read that, as again, it won't be organized for health providers to be able to access/understand clearly. Writing it down is for you* to remember what to tell them. I work in health care and if someone hands me a whole paper, I'll skim it and type some stuff into the note, but you have to switch providers if you're being ignored, and communicate that you feel dismissed. Insurance companies only give enough money to practices for maxing out patients in the least amount of time. It's not the doctors (usually) it's sucky healthcare structures
@@mydogisoscarthegrouch My narratives are carefully crafted, super concise and to the point, far better than my rambling and aging memory could ever be in person. Most of them read it or at least skim it, even make notes directly on it. I fully understand that both patients and doctors and all providers are victims of corporate medicine/corporate greed. The whole system is a horrible mess, but what power do patients have? They are sick or injured and at a disadvantage. Providers are in a better position to do something about it; they are smarter and have more money as well as know the system far better than patients. Please do something!
@@virginiamoss7045 you're right. We have to vote against lobbying " healthcare insurance" companies in Congress. That's what everyone has to do
As a PNP so often parents tell you the history for what they think the problem is, but not everything. Then when leaving they mention what you needed in the beginning Like it is allergies, ok then they had a fever for 3 days, that is not allergies. Some days I just want to say minD reading is not my specialty!
It's your fault for rushing and not asking the right questions. Why would you assume a patient would know that a fever means it's not an allergy? Is it arrogance?
Eyes are the windows to the soul. You probably don't really care. Lol
2nd shift rad sec'y here. So true......all of it. I see
Every patient in UK is asked if it's possible they are pregnant before an Xray or scan.
My reaction whennnn:
Patient: I keep getting UTI’s idk why
Me: you use int caths
Patient: yeah I just lick them, get them nice and wet and it goes right in!
Me:…….
lol
So if they got a bone break and fracture are their meals too fractured as in not enough of the right nutrients. Milk, bread, fruit, yeast, carbs, etc This is very true of northern states because they're not tropical state and dont eat malanga, yame, yucca and those roots that also help extend life like pasteles and alcapurria. True story Wall Street had Kiosks all year round that sold not only hot dog and sausage and ice cream but Pasteles and alcapurrias etc. These I think are now sold frozen and precooked. Are dieticians assigned to each school where you live. It's a must to insure kids eat a normal meal at school versus bologna sandwich sponsored by the local Jails with mayo and ketchup and mustard.
I always tell everything because the doctor needs to know my history.
The thing that gets me is when patients tell me stories using generic pronouns. like "Oh then they decided I needed surgery and he started me on a cholesterol medication." and I'm like, "Maam, who is "they"? "and they say "the hospital" and I'm like "Which one??" "Oh, the hospital X that my cardiothoracic surgeon dr. So and So works at" and then I have a whole slew of follow-up questions. If you haven't mentioned their name or the context of how you know them I don't know what you're talking about ha ha
My nephew's rare brain cancer w a s found at as routine eye exam.
I got a 90 year old lady from the ER for L Spine MR, thé daughter told thé ERnurse she had a pacemaker but the nurse told her don't worry the MR is of her back. I almost killed that lady. Thanks to the sign on the door of Mr room and the fact that the daughter came to MR to translate and mention it to me. I have done the localizer already. The ER nurse was an idiot. 😉 😜
Wow!
Do y'all not require MRI clearance forms?
@@Absbabs88 should, it’s basic. AND, if a pacemaker patient has an MR it’s very unlikely it will cause death.
Doc, you rule. Can I put you on retainer ? As my number 1 go to?
The eyes are the window to the soul. That was the saying you were thinking of,
Oops. I've withheld information before. This video told me not to do that anymore. 😅
I'm guilty of not telling the student my full story. If I'm sick i don't feel like saying my entire situation twice sorry 😭😭
i understand what you mean but if you're able to, I'd encourage you to tell the student as well. sometimes it's their job to tell the doctor and the doctor will decide whether to see you or not based on what they find out from the student. this can mean that if you don't mention everything that's wrong, you may not get the treatment you need and end up worse off.
Support legislation in NJ A4122 and NY S8351 to BAN Court Ordered Rape !
Have you ever tasered patients ?
Oh, no! If you get a random thumbs down, it may have been from me. I didn't mean it and changed it right away, but.. I was listening to the video on my treadmill...faulty aim with the like button. Sorry!
Our patients here in Florida may be sooner in Media and Communications. "There have been 61 deaths associated to the Ian Hurricane Storme...the other 10 thousand now live in Mexico Exotic living their best Reincarnate Life, Ole', Ole'. It's like the Cementary Mummy Floods in Lousianna where casquets float into the Yuckata, Eeackatan Peninsula. The tourist zone speaks fluent English and many other languages just be ready to haggle and lose, they've lost their Disney Culture. Lose at all costs. We have not lost, we are strong, 61 have chosen to stay..wait leave. The others well may need spiritual guidance, a crystal ball, a tarot reader, a divinity leader, incense, a dark room, long velvet curtains, bandanas that style and stones for jewelry, post journey intervention, cheerios, Ghost Busters or a safer means of transportation.
Sir how much student loans do you have? Plz reply. Thanks a lot.
I’ve mentioned it on many prior videos…
Why, are you going to pay them for him?
Hello.
Please just look at more than my name on the chart. That's all I'm asking.
The ending was laughable, at that point.
dental hygienist: do you have any changes to your medical history?
me: ......do kidney stones count
How about the patient that just replies to how are you feeling question with well not so good but no other details.
Classic
Because they want to say "fine" but they feel weird saying that because you know they're not fine, so they just say "not so good" instead. Most people don't think of "how are you feeling" as a medical question but rather as part of the greeting.
1:45 people? You mean women.
Jesus died for you was buried and rose again on the third day according to scriptures.
If you confess with your mouth Jesus is lord and believe in your heart that God raised him from the dead you will be saved. Please repent of your sins and accept Jesus Christ as your lord and savior.
You need help and not from Jesus or from medical people.
I try to tell doctors about my body and they claiming I'm a hypochondriac person who lies about things like I'm attracted to the fact that I'm talking about the stomach bug 🐛 I'm not sure if I can get a better understanding.
AKA hot docto,🤤✨🤍✨✌️🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆
Sonogram tech here situs versus is actually really cool something you rarely see most people don’t know they have it especially if they come from another country but the people that know they always warn me lol