(1) Remain empathetic → avoid sarcasm and insensitivity (2) Dementia patients who have obvious cognitive impairment → reorient them to reality and remain empathetic (3) Empathetic → avoid parental advice or judgmental responses (4) Contemplation → patient thinking about change but needs that push through motivation or education
I've never commented on any video before but after watching all your videos on biostats, communication and ethics in a row ( haven't done anything like that before as it usually gets boring after an hour of listening someone talk) I decided to comment and praise all your hard work you've put in there to make things simpler and topics that are boring as hell bearable! Also the connection you have with your subscribers is amazing!! I have never seen anything like that on any channel before which goes to show that you are one kind of a person! Also I have my exam in 2 months!
These are great way to go over the material in an interactive way. Thank you! The only problem Im not sure about is the one related to dementia. I have seen questions which state that while you should reorient patient to time and place,etc. You should avoid correcting the patient because it can be distressing to repeatedly suddenly realize "oh my husband is dead?!" Also you should avoid any statements that may be seen as argumentative. Based on that, I would have went with D.
How is it that a older person with possible dementia will gain trust in us by us telling them their husband is passed? Especially when alot of the times dementia patients only remember their past but have very little memory of recent events and even if one tends to remind them or reorient them, they will relapse within minutes and not understand what you are trying to tell them? I have difficulty understanding how question number two would have answer A.
These questions are about picking the least worst answer, so if you eliminate the really bad choices, you're left with A & D. From there, you have to tune out literally all human logic and focus on the point of the question and what the answers represent. The question is testing the version of ethics they want you to know. If you apply that, you're never supposed to lie or deceive the patient like in choice D. A is the only answer choice that is completely truthful. (I think D is closer to what might be done in real life to keep the patient calm without overtly lying, so they're tripping you up with what seems practical. You just have to remember that they're never testing practicality. So, even though D is more practical, A encompasses the ethics that the question is testing.)
Thank you very much, this is really helpful for approaching the answer options because a lot of them can seem very similar. This has always tripped me up but I think this will help a lot going forward.
Thank you! It's really helpful. After the 11th of November, the range of social science in Step 2 CK will increase. I would be very grateful if you post videos about the changes in Step 2 CK.
Hello dr Randy, your videos are amazing, as an IMG I still feel there are lots of communication skills situations that it's hard for me to master, can I request another video like this one to cover most of the challenging ethics questions.
Love your videos! I wanted to know, in the first question, the question stem states that the patient reports feeling overwhelmed.. won't asking her again about how that makes her feel come across as if the physician wasn't listening in the first place?
Regarding the 2nd Q, for dementia/Alzheimer’s pts, are we supposed to correct them? As it’s hard to actually orient them back to reality & contradicting them can cause further paranoia. Thank you for all that you do dr. Neil. Please post more videos on Kaplan Meier curve & Bradford hill criteria.
Thank you for all your efforts You really made this hard way more easier Appreciate your awesome explanation Can you please make a video on motivation skills
Hello! I wonder if it wouldn't be harmful for the patient with dementia (second case) to know about her husband's death and then just discuss her current situation? I know she might feel lost all the time, and reorientation is very important, but wouldn't that hurt her unnecessarily? Thank you so much in advance!
You solved a question on dementia and marked A as the correct choice. If we do it in actual practice is there a possibility that the patient may get agitated too ?
@@RandyNeilMD hahahaha it's a very confusing topic for me ...never clearly understood the hormones changes in the various enzyme deficiencies or the histopaths
Thank you Dr Neil for your work! However, I have a question regarding the first example. As the patient had already reported that she felt overwhelmed, do we still have to understand her feeling again instead of focusing on the next step? Thank you again.
Thank you for this sir! So helpful. Can you tell me what specific book or resource your getting the concepts and questions from? Thanks again for the great work!
(1) Remain empathetic → avoid sarcasm and insensitivity
(2) Dementia patients who have obvious cognitive impairment → reorient them to reality and remain empathetic
(3) Empathetic → avoid parental advice or judgmental responses
(4) Contemplation → patient thinking about change but needs that push through motivation or education
I've never commented on any video before but after watching all your videos on biostats, communication and ethics in a row ( haven't done anything like that before as it usually gets boring after an hour of listening someone talk) I decided to comment and praise all your hard work you've put in there to make things simpler and topics that are boring as hell bearable!
Also the connection you have with your subscribers is amazing!! I have never seen anything like that on any channel before which goes to show that you are one kind of a person!
Also I have my exam in 2 months!
Yousha, I appreciate the kind comment. Just remember that CONFIDENCE is the KEY. STAY FOCUSED... STAY STRONG...!! Keep me posted on your progress.
These series of videos are awesome! Please doctor Keep going. They are insanely helpful!
Aya, I appreciate your comment. Glad it was helpful.
Thank you Dr
It’s really generous of you to share your knowledge for free. You are the best teacher Ever
Thank you Arghavan. Appreciate the kind words...
Dr randy we are growing as a family and my day starts with your video :)
KEEP MOVING FORWARD!!
Great video! It’s really helpful! Thank you very much Dr. Neil. One of the BEST USMLE channels.
Princess Z, Thank you for your kind words..as always.
These are great way to go over the material in an interactive way. Thank you! The only problem Im not sure about is the one related to dementia. I have seen questions which state that while you should reorient patient to time and place,etc. You should avoid correcting the patient because it can be distressing to repeatedly suddenly realize "oh my husband is dead?!" Also you should avoid any statements that may be seen as argumentative. Based on that, I would have went with D.
precisely i agree. it is D in my opinion - A would be too distressing.
How is it that a older person with possible dementia will gain trust in us by us telling them their husband is passed? Especially when alot of the times dementia patients only remember their past but have very little memory of recent events and even if one tends to remind them or reorient them, they will relapse within minutes and not understand what you are trying to tell them? I have difficulty understanding how question number two would have answer A.
These questions are about picking the least worst answer, so if you eliminate the really bad choices, you're left with A & D. From there, you have to tune out literally all human logic and focus on the point of the question and what the answers represent. The question is testing the version of ethics they want you to know. If you apply that, you're never supposed to lie or deceive the patient like in choice D. A is the only answer choice that is completely truthful. (I think D is closer to what might be done in real life to keep the patient calm without overtly lying, so they're tripping you up with what seems practical. You just have to remember that they're never testing practicality. So, even though D is more practical, A encompasses the ethics that the question is testing.)
right??? i was shocked it wasnt d…
We have give her a reality on every visit
Thank you very much, this is really helpful for approaching the answer options because a lot of them can seem very similar. This has always tripped me up but I think this will help a lot going forward.
Alexander, Glad it was helpful.
I am learning a lot from your teachings, precise and focused study material. Excellent Job!!!
Afaq, Thank you for the feedback. Glad it has been helpful.
So happy to find your videos. It is different not seeing the flag behind you. Congrats on your move back to Florida!
Jennifer, HA.. Great memory... I have the flag now on the TAG to my car... much warmer down here... I hope your studies are going well!!
Very comprehensive and high-Yield ! Thank you , Dr. Randy 😊
Maya, Glad it was helpful!!
Thank you! It's really helpful.
After the 11th of November, the range of social science in Step 2 CK will increase. I would be very grateful if you post videos about the changes in Step 2 CK.
I'll have to look at the updated standards... Thanks for the tip.
thank you Dr Randy, for this amazing series.
Hazazi, You are most welcome.
Hello dr Randy, your videos are amazing, as an IMG I still feel there are lots of communication skills situations that it's hard for me to master, can I request another video like this one to cover most of the challenging ethics questions.
Dawod, Let me review the test outline and see if I can come up with something.
Thanks a lot Dr Randy for your efforts, it's definitely appreciated and it's paying off
Best dr ever
Humbled.
Love your videos! I wanted to know, in the first question, the question stem states that the patient reports feeling overwhelmed.. won't asking her again about how that makes her feel come across as if the physician wasn't listening in the first place?
I will trust your floating head forever! Thank you!
Yeah... I need some new colored shirts... Black and grey sometimes can not look well.. ha
Thank u from Perú. Love your videos. Keep going.
Thank you Linda
What a great teacher. Thank you so much
Glad it was helpful.
Thnx doc , I wish u can focus more on step 2 CK communication or ethics , military questions .
There are like 20% of them in the actual exam !
Regarding the 2nd Q, for dementia/Alzheimer’s pts, are we supposed to correct them? As it’s hard to actually orient them back to reality & contradicting them can cause further paranoia.
Thank you for all that you do dr. Neil.
Please post more videos on Kaplan Meier curve & Bradford hill criteria.
Still planning to make a child neuro/tumors video? Your videos are the best!
Melissa, I will.
Very good explanation..
Appreciate you commenting...
Great explanation doctor
Thanks alot 💓.make more videos on communication 🙏🙏
Pottabathini, Thank you for the feedback and taking time to comment.
Thank you for all your efforts
You really made this hard way more easier
Appreciate your awesome explanation
Can you please make a video on motivation skills
Thanks for the comment. I'll see what i can come up with...
THANK YOU, GRACIAS , MERCI BEAUCOUP ...
Abali, You are most welcome. Thank you for taking time to comment.
Hello! I wonder if it wouldn't be harmful for the patient with dementia (second case) to know about her husband's death and then just discuss her current situation? I know she might feel lost all the time, and reorientation is very important, but wouldn't that hurt her unnecessarily? Thank you so much in advance!
I had the same thought!
i though E could be the right one
Another great video!
Sergio, Thank you for commenting.
Amazing, thanks
You are welcome.
You solved a question on dementia and marked A as the correct choice. If we do it in actual practice is there a possibility that the patient may get agitated too ?
Thank you so much.
Arizona Blossom, You are most welcome. Thank you for taking time to comment.
Thank you Doc
You are most welcome.
Thanks sir!
Xaaboo, You are MOST welcome.
Thank you so much for these amazing videos ... would be great to have a few on reproductive pathology
Vinay... you are putting me to work...
@@RandyNeilMD hahahaha it's a very confusing topic for me ...never clearly understood the hormones changes in the various enzyme deficiencies or the histopaths
Thank you!!
You are most welcome.
Thank you Dr Neil for your work! However, I have a question regarding the first example. As the patient had already reported that she felt overwhelmed, do we still have to understand her feeling again instead of focusing on the next step? Thank you again.
Women take come to doctors ask about exercise what we choice preparation or action?
Thank you for this sir! So helpful. Can you tell me what specific book or resource your getting the concepts and questions from? Thanks again for the great work!
Hello Dr.Randy Neil
i sent a mail to the email on your website requesting for the link to download your cheat sheet.Pls how do i get them.Thanks
nneji, The website should be updated.
There was a video before this?
Yeah
sir , thank you so much✨
Priya, You are most welcome.
You always splifize every topic, to be honest with you, alot of review courses hesitate these kind of topic.
Thank you Musawair for always being supportive
Ty