This is based on a very true and very frustrating story. This is why I have trust issue with ophthalmologists. Check out the DocSwag Doc Schmidt merch presale here! www.merchbucke...
@@satvindermudan5006 There's being helpful and there's getting taking advantage off cause someone is trying to go home early/doesn't want to deal with paperwork/or doesn't want to be responsible for a dying or critical pt and trying to get someone else to take the liability by admitting the pt into their service.
How you gonna do an Ophthalmology vid without Dr Glaucomflecken?! You two really need to do a collab, you guys are both absolutely hilarious and even though I'm not a Nurse or a Doctor (just a lowly EMT who now doesn't even transport to the hospital since I drag hoses for a living now lol), I love both of your guys videos and can't get enough!
As dental resident who works in hospital and under what is considered the “department of surgery”, we also do not have admitting privileges and so begging any other specialty to pls take a patient from us is my greatest fear in life 😂😖😭
I usually just get anxiety when one person is so seriously inept/ trying to pass the buck I can’t even find it funny but you always find a way to make a facepalm🤦🏻♀️ completely hysterical. I REALLY think the use of the wig does it! 😆 as always love your channel 💗💗💗
I don’t blame her. She doesn’t want to get punished or fired for doing something she’s not supposed to do or get sued for malpractice so she has to follow her boss’s guidelines to a T. The only thing for him to do is go up the chain and track the ophthalmologist attending down.
Thank goodness we don't have this problem in Australia. My dad had to fly 700kms to be treated for a eye problem though. It was quite a week and my mum ended up in hospital too as she got a UTI and becamme delirious. She was accompanying him as carer.
Hahaha love this! I work in surgical day care and The ophthalmologists get so confused on how to put in orders, and they have some complicated timed eye drops they need done pre op and get so mad when it’s not done perfectly. They also make the most of all the surgeons too, so crazy. I was even contemplating going back to school to be an ophthalmologist but I hate eyes.
I’ve had GPs call the ER because they think an acutely confused patient is having a stroke. And then say they were going to have the patient walk across the busy street to get to the hospital. 😳
🤣 Isn't it amazing how many times we find ourselves in a catch 22 situation and we still have to KEEP TALKING on the phone to actually get somewhere?!! Procedures you carry out doesn't drain you as much as phone calls...😁
OMG this could totally have been the conversation between my son’s ophthalmologist & BMT team. However, at least there is a (very long, eerie) tunnel between Casey Eye Institute and OHSU. According to my son, it was especially long while being transported in pain on a stretcher.
Well. We did admit patients in my college. They were mostly acute angle closure glaucoma patients . Or patients about to undergo Cataract operation and were a high risk group. But no one stayed more than a day. And we had 8 to 10 patients admitted a week. For reference we admit more than that many each day in Internal Medicine.
I am a healthcare professional and I totally get this type of procedural tricky situation in healthcare. I know policy and procedures are placed to facilitate the practice, but sometimes, make simple things complicated.
I worked for UPMC years ago. This wasn’t an uncommon occurrence with these teams without admitting privileges. On another note, wig game is on point, sir!
I'm literally laughing so hard. When I read at hopkins, I got yelled at by dermatology cause it was 1... I called for a consult and they were like DO YOU KNOW WHAT TIME IT IS?? yes?? 1? .... (Silence between us). I see.
YES!!! OMG! Sometimes in the health field you wonder if you are working together or not?! It seems more in "not my job" or "we are closing so..." All to trick you to do the work or somehow blame your office. Irritating.
As a Hospitalist I stopped really caring about BS admissions being pawned off to me where I do nothing for the case *cough ortho admits *cough. But I do pause for any chance there’s a brain bleed, trauma, or need for gen surg
The can't see part reminded me of when I needed to be transferred to specialist care when my leg was shattered (not even splinted!) and I had a concussion and they asked my family to help me off the bed so I didn't have to take an ambulance. How about no.
NO QUESTION this is true. I worked as a transfer coordinator for a Level 3 hospital. What a bunch of malarkey this all is. But don't single out opthamology! This surreal scenario spans the galaxy of specialties.
I work as a General practitioner vet and I got a call from an ophthalmologist at a specialty hospital asking me if we would admit our shared patient who was showing signs of diabetic ketoacidosis to which I responded that we typically refer Diabetic ketoacidosis patients to their hospital's internal med or emergency services for overnight care.
Oh my story is better. While on Bone Marrow, I got a call from the ER wanting to admit to Bone Marrow Transplant because patient had a long bone fracture. I said: call ortho. But they still wanted my opinion because get this: the long bone marrow was disrupted in the fracture.
What a hassle having to deal with these type of people at work. You would think they understand/know but want others to take of their patient by using an excuse as to why they can’t admit the pt.
Utilization manager here. Opthalmologist is correct. Per CMS, the attending physician of the admitting service or his/her designee must place the order/cosign the order. You aren't supposed to place an admission order for an admission you have no intention of staffing when you write the order.
She seems perfect for a government position: short hours, lack of empathy, lack of effort, willing to let other suffer. Definitely belongs in the court system or dmv.
I don't understand so if ophthalmologists don't have admission privileges how do they perform surgeries? Not all ophthalmological surgeries are day care surgeries. Also what about conservative management of all the different diseases that need the patient to be admitted for ease of care like this one? Don't they have ophthalmology wards in USA?
I had a pregnant patient who got glass in her eye after her boyfriend smashed the car window. She was leaking vitreous humor and the opthalmologist came in to do her eye surgery in the main OR at 10 pm. Sadly, the globe collapsed and she ended up losing the eye.
Depends on the hospital. Ophtho has their own admitting service and pts at my place. If there are any active somewhat complex medicine issues, we will usually have medicine admit and function as a consultant.
That sounds like everyone who works at my ophthalmologist's office besides the ophthalmologists. If you're gonna work at the front desk then you should be able to schedule a patient! Don't tell me the girl who does that is at lunch.
*taps screen* idk why this content is in my life y’all I just joined vet medicine and all these vids are in my recs I follow so many nurses and doctors now Any vet medicine TikTok people around? I feel like a charloton
I don't do anything against the rules to make someone else's life easier. Dude you going to pay my bills when I get fired? BTW the wig makes that character.
As a dental resident in a hospital, our service also doesn’t admit. I also have no idea what I’m doing because dental school did not prepare me for this. Please just take the patient.
Doctors can be real asses at the end of the day. My dad went to urgent care for a bit of metal grinding debris under his eyelid. They gave it a quick look, said it was already gone, and sent him on his way. He could feel it still in there, so my parents called me (I’m not in any medical field). It was obvious his eye was seriously distressed. I looked under his eyelid and snatched the little black speck out with a saline soaked Q-tip on the second try. Those lazy bastards! How could they leave a patient like that? That thing was scoring his eyeball every time his eye moved.
Please do an ophthalmology crossover with Dr Glaucomflecken!
He did one about two weeks ago. It would be awesome to do another one though. 😀
@@melissaconnellyjones2622 oh shoot how did I miss that?!
@@fp1912 just go watch it NOW!! I watched ten times
@@fp1912 it was 3 weeks ago. Med Student’s First Day with GI was the title, I believe.
Yes!
This resident is tooooo nice. I would have told them to just call my attending and I don't have accepting privileges.
🤣🤣😩😩😩 accepting privileges... lmaooooo
What happened to being helpful to colleagues ?
@@satvindermudan5006 There's being helpful and there's getting taking advantage off cause someone is trying to go home early/doesn't want to deal with paperwork/or doesn't want to be responsible for a dying or critical pt and trying to get someone else to take the liability by admitting the pt into their service.
How you gonna do an Ophthalmology vid without Dr Glaucomflecken?! You two really need to do a collab, you guys are both absolutely hilarious and even though I'm not a Nurse or a Doctor (just a lowly EMT who now doesn't even transport to the hospital since I drag hoses for a living now lol), I love both of your guys videos and can't get enough!
They did one 3 weeks ago. It was called Med Student’s First Day with GI was the title, I believe. It’s here on YT.
Never just...
@@garlicgirl3149 what
@@angrybear86 Said "just" a lowly EMT...EMTs do a lot of work...never "just"
@@garlicgirl3149 oh course they do. God bless emts
Acted so well I got second-hand anxiety and frustration 😆
As dental resident who works in hospital and under what is considered the “department of surgery”, we also do not have admitting privileges and so begging any other specialty to pls take a patient from us is my greatest fear in life 😂😖😭
DDS = Doctor of dental ....what?
Like he said:’’admit to____specialty.’’ Not that complicated.
Meanwhile, the patients eye fell out rolled across the floor and someone stepped on it.
Now, they can be admitted.
I usually just get anxiety when one person is so seriously inept/ trying to pass the buck I can’t even find it funny but you always find a way to make a facepalm🤦🏻♀️ completely hysterical. I REALLY think the use of the wig does it! 😆 as always love your channel 💗💗💗
Ooooo a Schmidt ❤️!! Awesome thanks for that and all the laughs, doctor!!
that was pretty uncomfortable to watch
I don’t blame her. She doesn’t want to get punished or fired for doing something she’s not supposed to do or get sued for malpractice so she has to follow her boss’s guidelines to a T. The only thing for him to do is go up the chain and track the ophthalmologist attending down.
I just noticed the amazing level of eye contact you give your characters, that makes it feel so much more real!
Thank goodness we don't have this problem in Australia. My dad had to fly 700kms to be treated for a eye problem though. It was quite a week and my mum ended up in hospital too as she got a UTI and becamme delirious. She was accompanying him as carer.
Aww. I hope they are in good health now. That's really far to travel for an eye problem!
Hahaha love this! I work in surgical day care and The ophthalmologists get so confused on how to put in orders, and they have some complicated timed eye drops they need done pre op and get so mad when it’s not done perfectly. They also make the most of all the surgeons too, so crazy. I was even contemplating going back to school to be an ophthalmologist but I hate eyes.
"Okay, I'll just have the patient walk over to the hospital now. Wait, didn't you say the patient can't see!" 😭
OMG, as a former medical worker, I totally get that. It's like "are you serious? You......you.....wtf".
Sometimes the ophthalmologist is in the hospital, but yeah having him walk over while blind is still not a great idea...
I’ve had GPs call the ER because they think an acutely confused patient is having a stroke. And then say they were going to have the patient walk across the busy street to get to the hospital. 😳
I'm that horrible patient who is always insisting they can walk/bike/crawl over themselves.
@@rainbowtheythemshe1115 SAME. Then the few times I ask for a chair they don’t take me seriously even though I have AFOs and am a cane user.
Doc, you bring joy into my life.Thanks.
"Wait, didn't you just say he can't see?" Dear. God.
Might be worth it to just write the order anyway, to avoid even the remote possibility of a code royal blue.
Code royal blue?
Royal blue 😂 Yeay, other Dr.Glaucomflecken fans!!
Nah, those are rare,LOL.
🤣 Isn't it amazing how many times we find ourselves in a catch 22 situation and we still have to KEEP TALKING on the phone to actually get somewhere?!!
Procedures you carry out doesn't drain you as much as phone calls...😁
Right!!!
Your videos are so funny and so true. I’m an RN, please do more RN communicated with whichever specialty please! Maybe even night shift related!!
OMG this could totally have been the conversation between my son’s ophthalmologist & BMT team. However, at least there is a (very long, eerie) tunnel between Casey Eye Institute and OHSU. According to my son, it was especially long while being transported in pain on a stretcher.
This needs to be attending to attending discussion. 😎
Well. We did admit patients in my college. They were mostly acute angle closure glaucoma patients . Or patients about to undergo Cataract operation and were a high risk group.
But no one stayed more than a day. And we had 8 to 10 patients admitted a week. For reference we admit more than that many each day in Internal Medicine.
I am a healthcare professional and I totally get this type of procedural tricky situation in healthcare. I know policy and procedures are placed to facilitate the practice, but sometimes, make simple things complicated.
I’m a retired PICU/NICU nurse. I find you so funny. You are great and just so right on.
I worked for UPMC years ago. This wasn’t an uncommon occurrence with these teams without admitting privileges. On another note, wig game is on point, sir!
I'm literally laughing so hard. When I read at hopkins, I got yelled at by dermatology cause it was 1... I called for a consult and they were like DO YOU KNOW WHAT TIME IT IS?? yes?? 1? .... (Silence between us). I see.
Was working
Yes, Stacy from Ophthalmology did say the blind patient would walk to the hospital.
Hahahahaha it is good you make us see what happens behind the curtain while we are waiting for doctors to come see us 😀😂.
“I’m not trying to trick you” 😂😂😂
As a gen medicine resident myself. This is painful to watch n totally relatable.
She wasn’t worried he’d trick her, she was worried that she’d fail to trick him!
In my old hospital, nephrology didn’t have admitting privileges. Imagine that one! We had to jump thru hoops to get ppl admitted. I don’t miss that!!
YES!!! OMG! Sometimes in the health field you wonder if you are working together or not?! It seems more in "not my job" or "we are closing so..." All to trick you to do the work or somehow blame your office. Irritating.
Dr Glaucomflecken: I feel attacked. Also, yes.
Funny and frightening at the same time.
As a Hospitalist I stopped really caring about BS admissions being pawned off to me where I do nothing for the case *cough ortho admits *cough. But I do pause for any chance there’s a brain bleed, trauma, or need for gen surg
The can't see part reminded me of when I needed to be transferred to specialist care when my leg was shattered (not even splinted!) and I had a concussion and they asked my family to help me off the bed so I didn't have to take an ambulance. How about no.
O mylanta!! This is hysterical!!
We have our own ward and we have admission order on our own ... This is still funny though. From an ophthalmology resident from Nepal
NO QUESTION this is true. I worked as a transfer coordinator for a Level 3 hospital. What a bunch of malarkey this all is. But don't single out opthamology! This surreal scenario spans the galaxy of specialties.
🤯 Seriously!!! I wish I had You as a my GI specialist.
I work as a General practitioner vet and I got a call from an ophthalmologist at a specialty hospital asking me if we would admit our shared patient who was showing signs of diabetic ketoacidosis to which I responded that we typically refer Diabetic ketoacidosis patients to their hospital's internal med or emergency services for overnight care.
Oh my story is better. While on Bone Marrow, I got a call from the ER wanting to admit to Bone Marrow Transplant because patient had a long bone fracture. I said: call ortho. But they still wanted my opinion because get this: the long bone marrow was disrupted in the fracture.
About to close at 3:45 lol! They have that good schedule!
i wish! i was an eye nurse for many years. clinics could drag on until late into the afternoon despite the last appointment being 16.30!
I'm loving your channel 🤩
"Hello? HELLO?!"
[audible thump comes from street outside]
Q1hour eye drops… it’s actually a thing… wow!
Probably just easier to have the patient that can't see fill in the form, and the info is more likely to be correct.
Blessings to all!
Ur too good to be JUST a doctor! I’ve got an idea. Let’s make u the host of The Doctors! The show would be so much more interesting.
What a hassle having to deal with these type of people at work. You would think they understand/know but want others to take of their patient by using an excuse as to why they can’t admit the pt.
This video legitimately ticked me off... wtf LOL
Utilization manager here. Opthalmologist is correct. Per CMS, the attending physician of the admitting service or his/her designee must place the order/cosign the order. You aren't supposed to place an admission order for an admission you have no intention of staffing when you write the order.
I dont think it’s transition orders. It’s just a bed request. Totally doable by optho
"Hey this is Jonathan with ophthalmology"
She seems perfect for a government position: short hours, lack of empathy, lack of effort, willing to let other suffer. Definitely belongs in the court system or dmv.
I need to know if the patient successfully walked there with their impaired vision or not.
He did! (his wife came too)
Anyone secretly hoping the individual that made this phone call is a fan and watched this video, or am I just a horrible person?
This is hilarious....from an ophthalmologist....can't stop laughing 😂
My biggest mistake in life: Declining that ophthalmology residency offer. Thanks for reminding me! 😒
More opthomalogist videos 😂😂
I'd be taking a walk!
Reason doc wanted other to put i in admitting order is liability and wants more supporting backup. No one wants to be liable anymore.
Dr. Glaucomflecken needs to watch this
Is she even going to send notes with the patient?
Always respect the ophthalmology creed - hours: 10 to 4, M-Th
I don't understand so if ophthalmologists don't have admission privileges how do they perform surgeries? Not all ophthalmological surgeries are day care surgeries. Also what about conservative management of all the different diseases that need the patient to be admitted for ease of care like this one? Don't they have ophthalmology wards in USA?
They would just be a consultant on the case if their patient had to be admitted
I had a pregnant patient who got glass in her eye after her boyfriend smashed the car window. She was leaking vitreous humor and the opthalmologist came in to do her eye surgery in the main OR at 10 pm. Sadly, the globe collapsed and she ended up losing the eye.
Depends on the hospital. Ophtho has their own admitting service and pts at my place. If there are any active somewhat complex medicine issues, we will usually have medicine admit and function as a consultant.
@@alexandradaniele That pregnant patient sounds like has even more serious problems than her eye. That boyfriend sounds strange.
Where is Glaucomflecken?
Reliving my residency years from some decades back isn't it time for some revisions to "Dumping Syndrome"?
That sounds like everyone who works at my ophthalmologist's office besides the ophthalmologists. If you're gonna work at the front desk then you should be able to schedule a patient! Don't tell me the girl who does that is at lunch.
All of us (other clinicians) got scammed) we should have done ophthalmology so that we can get decent family time with our loved ones!😎
The clinic closing dump... Seen nightly at an urgent care or specialty clinic near you!
Please collab with Dr. Glaucomflecken!
Bamboozled again lol. As medical registrar for Gen Med, this frequently happens to me from emergency.
Answer is no.
Admit the patient and call administration
OMG 🤣🤣🤣🤣🤣🤣 Hes gonna walk over?! 😭😭😭
*taps screen* idk why this content is in my life y’all
I just joined vet medicine and all these vids are in my recs
I follow so many nurses and doctors now
Any vet medicine TikTok people around? I feel like a charloton
Crossover with Dr. Glaucomflecken!!
This is more therapy than comedy...
So, did the patient actually walk across the street?
I don't do anything against the rules to make someone else's life easier. Dude you going to pay my bills when I get fired?
BTW the wig makes that character.
I bet that attending was Dr. Glaucomflecken :p
The last part killed me.
and people ask why anyone would give up on becoming a doctor
How would you contact dentists or oral surgeons?
Aaaaaah what!? That’s awful! Why wouldn’t that person just ask the eye doctor instead of fight this. So lame.
Bmt does not have Gvhd clinic!!!!???
3:45 👌thats why im an ophthalmologist! 😉
Truth
Horrifying.
Wow exhausting😄
Omg me too Walk? He cant see well
Oh no did he make it?
Clearly, these guys just needed a Jonathan.
As a dental resident in a hospital, our service also doesn’t admit. I also have no idea what I’m doing because dental school did not prepare me for this. Please just take the patient.
Oh, this is disturbing that this really goes on. What the hell?
Wow
Doctors can be real asses at the end of the day. My dad went to urgent care for a bit of metal grinding debris under his eyelid. They gave it a quick look, said it was already gone, and sent him on his way. He could feel it still in there, so my parents called me (I’m not in any medical field). It was obvious his eye was seriously distressed. I looked under his eyelid and snatched the little black speck out with a saline soaked Q-tip on the second try. Those lazy bastards! How could they leave a patient like that? That thing was scoring his eyeball every time his eye moved.
Omg globally relatable 💀💀
Ok... blind ppl walking is concerning, but if they are in walking distance, why not write an order to put in...
0:53
that confusion actually does make it understanding... fucking dumb (i’m a first year intern )