When Dr. Strong covers a topic, rest assured it is covered perfectly. I personally love it when you go for an overkill in a topic, so much that your video becomes a reference of its own.
Thank you dr for your limitless and tireless contributions . This is extremely helpful video, and make more as far as you can dr. I am abdilahi greeting you from Somalia
Thank you for finally acknowledging what I said from the beginning. I don't drink alcoholic beverages or smoke, don't do drugs, don't drink soda, am not overweight, have no STI's, no STD'S, no HIV, no AIDS and no diabetes or Cancer and no COVID-19. It's now 2023 and I still don't have COVID-19. I figured you'd figure it out eventually. Thanks so much. 11-28-2023.
Thank you for the detailed sharing now how to perform a better physical examination. I was wondering if you could share any tips on examining dementia/bedridden/comatose patients, where some communications and specific maneuvers can be hard to execute. Thanks!
i would advise against having a family member as chaperone because if there's any complaint they have a personal interest in siding with the patient. An impartial healthcare professional is a far better choice. Not to mention this avoids the rather uncomfortable situation of "niece seeing grandma getting a rectal exam" for example.
Thank you for bringing this up. A family member is definitely not as good an option as a healthcare professional, and if a colleague is available and the patient has no objection, you should definitely use another healthcare professional. Unfortunately, the reality is that in some clinical settings, a colleague isn't always available to chaperone. I've also had the occasional patient who actually prefers their family member stay in the room for the exam (almost always a mother and adult daughter). Depending on the situation, I think that is sometimes an acceptable, though less desirable, option. Or, if there was a particularly sensitive situation, there could be both a family member and a second healthcare worker in the room, so everyone is as protected as possible.
Thank you for the video! One small thing I am missing is how to do a lung exam on an elderly patient who is unable to sit up. I often find it difficult to do a proper auscultation and have seen many clinicians only do it on the patient's side of the chest while the patient is still lying on their back, which I find not good enough.
i need to commend you dr strong, the depth and level of details to cover all different cultures is not something easy but well covered, thank you for putting out a course as good as this one
what if the patient is comatose in the ER for example or in the ICU how would you ensure the privacy for him/her ? should i need Chaperone or not ? and what about the examination of the areas like the Genitals ?
I would approach it similarly to if the patient was not comatose: If you are a part of the treatment team, and you need to perform a breast, pelvic, or rectal exam - for purposes directly related to patient care and not just your own education - then you should use a chaperone. If you are a part of the treatment team, and you need to perform another part of the exam, you do not need a chaperone, with the caveat that you do need to consider the patient's cultural norms/expectations here, balanced with gathering data in a timely fashion. And if you are not a part of the treatment team, or if the exam would only be for your educational benefit, then you should not perform any exam, unless the family has consented to it.
As in non-binary individuals and individuals who identify as a man, but who have feminine secondary sex characteristics. The preferred terminology may be different in other parts of the world, but in the US this is consistent with general principles of inclusive language.
strong work
You are a gift of god for our medical students sir, appreciate a lot sir
Timestamps:
0:00 introduction
1:30 Optimising the environment
7:40 Communication
9:58 Patient comfort
11:25 Draping
15:20 Obese or disabled patients
When Dr. Strong covers a topic, rest assured it is covered perfectly. I personally love it when you go for an overkill in a topic, so much that your video becomes a reference of its own.
Thank you so much. I've just finished my medical course, and no one showed me how to examine a patient in a respectful way.
So hyped for this series!
CCM fellow here ! you remain one of my biggest influences , thank you!
Thank you Dr. Strong.
Thank you dr for your limitless and tireless contributions . This is extremely helpful video, and make more as far as you can dr.
I am abdilahi greeting you from Somalia
Waa lagu salamey
Thank you to everyone involved in this series!
Thank you for finally acknowledging what I said from the beginning. I don't drink alcoholic beverages or smoke, don't do drugs, don't drink soda, am not overweight, have no STI's, no STD'S, no HIV, no AIDS and no diabetes or Cancer and no COVID-19. It's now 2023 and I still don't have COVID-19. I figured you'd figure it out eventually. Thanks so much. 11-28-2023.
I m really grateful to have access to this astonishing knowledge; thank u a lot ❤🎉
Thank you Dr. 🙏
thank you sir, the best teacher ever
Been looking forward to this for a long time since I finished intern crash course series. Any plans for more guides in the future? Those are gold!!!!
By "guides" are you referring to entries for the intern crash course series? If so, there's nothing specific on the shortlist at the moment.
@@StrongMed yep! the crash course was amazing and was great foundational content for residency.
Thank you for the detailed sharing now how to perform a better physical examination. I was wondering if you could share any tips on examining dementia/bedridden/comatose patients, where some communications and specific maneuvers can be hard to execute. Thanks!
Amazing work
i would advise against having a family member as chaperone because if there's any complaint they have a personal interest in siding with the patient. An impartial healthcare professional is a far better choice. Not to mention this avoids the rather uncomfortable situation of "niece seeing grandma getting a rectal exam" for example.
Thank you for bringing this up. A family member is definitely not as good an option as a healthcare professional, and if a colleague is available and the patient has no objection, you should definitely use another healthcare professional. Unfortunately, the reality is that in some clinical settings, a colleague isn't always available to chaperone. I've also had the occasional patient who actually prefers their family member stay in the room for the exam (almost always a mother and adult daughter). Depending on the situation, I think that is sometimes an acceptable, though less desirable, option. Or, if there was a particularly sensitive situation, there could be both a family member and a second healthcare worker in the room, so everyone is as protected as possible.
Much respect Dr. Strong
Following you from Afghanistan. You are doing great job. Keep the good work 👍 up
you're a star, doc. thank you so much
Thank you ❤
Fantastic advice. Thank you
Thank you for the video! One small thing I am missing is how to do a lung exam on an elderly patient who is unable to sit up. I often find it difficult to do a proper auscultation and have seen many clinicians only do it on the patient's side of the chest while the patient is still lying on their back, which I find not good enough.
Thank you Dr Strong. Very good lecture , cover all aspects
Strongly appreciated
Thank you,great work 🙏
Thank you so much!
i need to commend you dr strong, the depth and level of details to cover all different cultures is not something easy but well covered, thank you for putting out a course as good as this one
Thank you 🙏
Amazing!! :)
can anyone do time-stamps please
❤
You've been long time gone. I am mad!
Might want to add using a chaperone with patient who accuses staff of sexual abuse. This is common in psych!
what if the patient is comatose in the ER for example or in the ICU how would you ensure the privacy for him/her ?
should i need Chaperone or not ?
and what about the examination of the areas like the Genitals ?
I would approach it similarly to if the patient was not comatose:
If you are a part of the treatment team, and you need to perform a breast, pelvic, or rectal exam - for purposes directly related to patient care and not just your own education - then you should use a chaperone.
If you are a part of the treatment team, and you need to perform another part of the exam, you do not need a chaperone, with the caveat that you do need to consider the patient's cultural norms/expectations here, balanced with gathering data in a timely fashion.
And if you are not a part of the treatment team, or if the exam would only be for your educational benefit, then you should not perform any exam, unless the family has consented to it.
@@StrongMed thank you for that 🙏
"A woman and others with breasts"?? 🤨
As in non-binary individuals and individuals who identify as a man, but who have feminine secondary sex characteristics. The preferred terminology may be different in other parts of the world, but in the US this is consistent with general principles of inclusive language.
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