oh man i really don't know how you fit the time in for making a video and editing it. i hope that there will be times when you can get all the sleep you need! thanks for the vlog it was a great insight :D
America has the exact same issue, our ER’s are flooded with mentally ill patients because like the UK we ignore them and push them aside and then they feel so low and alone they hurt themselves. It’s really a humanity issue really.
Another issue in the USA is that there are so many with chronic medical conditions going into the ER for medications, flare ups and care when it gets super bad because they have no insurance and can't afford to pay cash for a PC doctor. So all of these cases that a Family Doctor or specialist would normally be managing go into the ER instead. I was one of them off and on for years. I still have no GP nor insurance, but I found a specialist that manages the worst of my problems. The same thing goes for dental issues, too. People don't have insurance and can't afford thousands of dollars out of pocket for dental care, so their teeth crumble away until something really severe happens. I know that national healthcare/government provided healthcare comes with it's own set of challenges, but honestly I don't know how much worse the US system can get. Even where people have insurance, there's no guarantee they won't have to pay $100s-$1000s for their medications. Something had got to give here. Our people are severely underserved, hospitals overburdened and people go bankrupt from one illness. One. And the mental health Care is non-existent. That's a bunch of good luck, there. If you have lots of money you can get help and that's about the only way.
It is really an issue. Especially with the cost and travel required to see mental health professionals. I have to drive 45 minutes to an hour to see my therapist.
Some NHS trusts had mental health crisis teams which as a mental health patient I can attest were brilliant. Some trusts like Cambridgeshire actually abolished these and replaced them with NHS 111 (option 2) which as I and a GP who once phoned it on speaker phone to ask about some specific health issues and risks pertaining to me was answered by a (seemingly) unqualified inexperienced young person who didn't understand anything that either I or the GP who was concerned about me said. This phone operator said only "oh that's sad" and " why don't you put photos of your family up around your house". Which was unhelpful for at least two reasons including (and we told her this) I was temporarily homeless and something else you may infer about that photo idea that made a mild panic attack at the time worse (the GP was excellent in all this btw). Even the people on NHS 111 (option 1 aka all health issues) are more suited and competent at dealing with mental health crises than the supposed specialist workings on NHS 111 (option 2). Actually I can't name a single time NHS 111 (option 1) has ever let me down. It's an excellent service that has relieved A&E of a few otherwise unnecessary visits, and it has also got me there very quickly a couple of times I wasn't inclined to go but needed to. I can probably speak for a few mental health patients that we often would much rather not be in A&E and not be adding further pressure to the nurses, doctors, HCAs and administrators. There are many places I'd rather spend 6 hours waiting. But this is where the false economy of NHS reforms becomes apparent. The NHS may have saved some money getting rid of the crisis teams - but the consequence is with no viable alternative those very conscious of our mental health symptoms and the potential consequences (notably dysphoric hypomania) end up in A&E. I'm don't know the figures but I'm fairly confident it costs the NHS vastly more over time to treat us in A&E than they ever saved getting rid of the crisis teams. Another potential false economy in the NHS reforms is the NHS has a big marketing campaign dissuading people from visiting their GP because of the 80 or so pounds the NHS tells us it costs them. To some degree I understand the point. If it's textbook hay fever OTC antihistamines will do the job. BUT if someone is dissuaded from visiting a GP and their symptoms are not investigated and get worse (or they later have a panic attack about what they thing is wrong with them) and as a result end up in A&E - this is *much* more expensive to the NHS than the £80 GP visit ever was. So I doubt this potential burden shifting is actually saving much money. For me it's much better for a doctor in 3 minutes to do a quick examination and say "you're fine" (I've got great GPs and once they say that I stop worrying) then for me to put off going to the doctor and wake up at 3 in the morning a day or two later convinced those symptoms are worse and something is wrong with me (often will turn out to be a panic attack). The Drs, nurses, HCAs et al are absolute superstars and have my utmost respect. They are the best thing about the NHS and I find it genuinely impressive that they continue to do such great work and put on a smile while under such pressure with an obvious lack of resources and support. They are let down my the policy and resourcing framework imposed from above. I'm not so courageous - if I was a Dr I would have left for the private sector or another country years back. So my thank you to them for sticking around to help people because they care.
I loved this. Thank you so much for uploading. I've been dealing with some serious depression in the past week or so, and this video made me forget about everything for a moment. I'm so glad this channel exists, and that I found it.
Hi! Just wanted to say, I also enjoyed the hospitality of an NHS hospital a couple of months ago and the thing about discharging patients? That's a communications problem if nothing else. I waited half a day in my SINGLE ROOM (!!!) after getting a green light from the doctor for somebody to wrap up things with me (take out the IV, do some paperwork, and just generally tell me to go) and I would probably have ended up staying a second night, too, if I hadn't walked up to the reception desk on the ward and asked repeatedly whether I was being discharged or not until they finally checked back with the doctor and sent me on my way. It seemed like they just forgot about me while the house-keeping staff kept bringing me meals and snacks and water etc. I was part of the furniture, but I was feeling so bad about occupying a bed while essentially healthy that I just pushed for them to tell me the next step.
You did right! It was the same for my late dad when he got discharged for the first time. He was all dressed and ready to go but was left waiting due to papers and arranging his pills. Now that wouldn't have been too bad if he was waiting on a taxi to be arranged but he wasn't, I was taking him home. Anyway it wasn't until later that day we got discharged and bless his heart, about an hour in the journey home (some 50 miles away from the hospital) he bawled his heart out. I won't forget that journey back home for as long as I live! So yes, Hospital staff are great but occasionally they need a boot up the arse.
Thank you for the video, I have considered doctors efforts in the past when I have been to A&E and avoided going at time I probably should have. I have suffered with mental health for quite a long time and always feel (saner minds prevail when i am in a good position in regrads to my mental health) that my self inflicted injuries are so much more less important than other patients that have injuries or conditions that are not self inflicted should come first. I know this isn't the right way to look at it. Either way though I have always had respect for doctors and the work they do it was great to see it from your point of view please keep up the great work in and out of you "scrubs" it is much appreciated even if it's not always shown while you are at work.
Luke mate, what a super comment. We have a long way to go with addressing mental health, I feel we are letting people down way before they get to A&E. Hope you are in good health, and enjoying the summer; I heard it's coming home :) Ed
You look pretty good for someone off a night shift! Definitely get the "hungover" feeling post-night shift. Thanks so much for letting us in and giving us a sneak peek into your work as a doctor! I enjoyed listening to your reflections. Also a nice peek into NHS, which from an outsiders perspective (Canadian here) seems like a pretty good system. Keep in mind that especially when things are busier than usual, it's rare that things are going to go completely perfectly. Be confident in your skills, ask for help when you're unsure and just keep going! This is coming from a nurse who often works 12-hr night shifts, on a surgical unit. Keep up the good work!
That was a great, informative video. How you find the time and energy to do your demanding job, and film and edit videos for us is quite amazing! Couldn't agree with you more about the widespread under-funding issues here in the UK. The NHS needs far more funds being pumped into and the only reason it is barely coping at the moment is down to the incredible hard work that you and all the other medical professionals continue to put in. Keep up the amazing work you do, I definitely feel I speak for everyone when I say we all appreciate it :D
I don't want to say I'm "glad" to know that the US isn't the only country in the world with a healthcare system that's virtually on life support, but... I suppose the struggle is real everywhere! 😊... keep up the good work, Doc!... and get some sleep!... byeyas! 🤗
Med student here: In the hospital attached to my university, usually, mon-thursday the nightshift is DEAD. Nothing happening, no patients, everything sorted out. Students doing our practices, interns, residents, doctors all just drinking mate (look up uruguayan Mate) eating, gossiping, etc. Friday-sunday night from 2-4 dead, 4 to 7 am is bussy, clubbing related injuries, fights, ODs, etc. And yes... Each ER day has like a staple, and i'm not kidding, one day 80% of the cases will be saw mill injuries, another day 80% will be cardiac related, another day 80% will be Gynaecology and so on... it never fails
Awesome video! Thanks for sharing, I have rare illnesses and love junior doctors as they seem so compassionate and caring like you but also want to learn and ask lots of questions, have to admit I'm never letting another junior try to put a cannula in though lol. I'm a counsellor and find the lack of mental health support really concerning and saddening, I agree that A&E isn't the best place but there aren't really places for these individuals to go. I wonder if a mental health A&E would ever become a reality, such as mental health hospitals having their own ER for this patient group where all staff are trained and there are nurses,doctors, support workers, counsellors and psychologists
in canada the ERs are always 4-5 hour waits, its really the gate keeper: does it hurt enough to go wait in a room for 5 hours with a bunch of sick people? also if you move from where you were born, the wait for a family doctor is always years (i just moved and cant even find a doctor taking on new patients) so its the walk in clinics as your only option aside from the ER and those are 3 hour waits with doctors that rush the visit (they get paid by the visit) and just prescribe a random drug that might make the problem go away for a bit (probably get paid for that too).
The lack of access to mental health care is probably just as bad in the US, with many states having only one or two inpatient mental health facilities for the whole state, and a severe lack of access to outpatient counseling services A lot of our patients also end up having to come to the ER to be observed as well
What hospital do you work At? 😁😁 thank you. Also I know about the emergency and mental health problems. Having an anxiety disorder and being admitted. For you to just try your best, be your best, you're helping so many people. Thank you !!!!!👍❤❤👏
How accurate is Casualty?? I mean I'm in the UK, I'm interested in working in an A&E department and want to know how accurate it is?? (Getting those grade 7s at GCSE so I think I make the cut for medicine)
I feel bad for the British people seeking for medical assistance, and how hard is for the Health system to sustain their needs laking the proper funding... I come from a 3rd world country where public hospitals are constantly overwhelmed, where there is little to no treatment to patients with mental health issues... It's a heartbreaking scene. I wonder, how come is so difficult for governments to figure out an effective solution to the Public Health crisis? in this day and age ..
Emmy - I'm glad this video is being received in the right way and people not thinking I'm just complaining, I know things are many times harder in other countries. I love my job, we just all want to do the best job we can. You give a good perspective, we are so so lucky to have the healthcare we have in UK for so many years and we just want to secure it for the future. With all the injustices in the world, healthcare should be a right. Thank you for your comment.
Puts as first words in title, 'day in the life,' then puts 'nightshift' as the last thing in title. You're kind of contradicting yourself. Lmao, but nice video!
Hey Dr. Hope. I understand you have a very busy job, and I look up to you. If you are in need of an editor who can edit your videos, I’ll do it for free. Trying new styles or matching your current style precisely. Just DM me.
Dr Hope's Sick Notes Dr Hope's Sick Notes I followed you on Instagram under the name ‘Connorlxz’, if you want to use a different platform to talk that’s perfectly fine with me! :)
Love the vids Dr. Hope. I'm an American MD student, would you ever consider doing a video on being a doc in the UK vs US? I think it would be a super interesting video if you collabed with on of the popular US youtubers like Violin MD, Dr. Buck Parker, Dr. Mike, or Dr. Andre Pinesett.
Recently found this channel and it's amazing how passionate and warm you are. I think it shows that after a brief scroll in your comment section I didn't find a single negative one. Really informative video and I have nothing but respect for yourself and your colleagues
I knew this all along, but watching this kind of videos just reinforces the thought: I do NOT have the backbone required to be a doctor. And just as I strengthen this realization, I understand the kind of job Doctors actually do, which is quite often overlooked, and sometimes even underappreciated. You, Dr. Hope, are probably nuts for choosing Medicine for your life career, but I'm sure your patients are glad you did. Keep up the good work, and see you on the next video!
I am 14 right now and since I was little I dreamed of becoming a doctor. I never played with toys, I just loved to read about the human body and I love to help others. Last year I have learned Dutch Sign Language to help deaf people and I'm about to learn American Sign Language as well. I was searching a long time to find more videos on subjects I might get to learn when I'm in college. When I found your channel I immediately subscribed and I love it to bits! Thank you so much for all the hard work you put into making these videos :) Please keep up the good work!!
I have Cystic Fibrosis and I live in California but I lived in England when I was diagnosed and for much of when I was a small child. I’m 22 and was diagnosed at 5 and so I can say so many positive things about the NHS. When I was admitted the time I was diagnosed I had a terrible lung infection and nearly aquired sepsis. Even though I was so sick and had to continually see many different specialists and stay in the hospital many times it barely cost my family anything. After living now both in NYC and San-Francisco and there are things I love here about the medical system, especially the relationship I’ve been able to build with my doctors. However the flaws in the American Healthcare System are broad and apparent, the insurance discrimination that still takes place every day, and the huge disparity of funding of both hospitals and specialties. I have no clue what my point is just thought I’d share my thoughts especially since I’m currently in the hospital with a lung infection and have been since early January.
Thanks for sharing this; I'm sorry to hear you are in hospital at the moment. Cystic Fibrosis is not a good thing to live with. The British are very proud of the NHS and the equality it brings. Donald Trump was right this week to say it's 'going broke and not working', but the reason for this is our government is not investing in it's future. Swift recovery Larissa. Ed
Thank you for talking more about mental health and raising awareness. We also have a similar lack of funding in Australia, and it seems to keep reducing in the preventative areas as well. Here's hoping that our governments wake up soon.
You really are the type of doctor I want to be in future. Kind, compassionate and caring - not only to patients, but also to colleagues. Your patients are lucky to have someone like yourself looking after them, and your students are fortunate to have a great teacher with so much wisdom to share!
Hi Dr Hope. I’m a medical student from South Africa and I just want to say thank you! Med school has been particularly tough recently, and your videos really do inspire me, they remind me what medicine is about and why I started this journey. Thank you so much.
You caring that patients have to wait shows a degree of care that I often don't see in ERs here in the US. Half the ER doctors I'm seen by don't even say "sorry you've had to wait." Little things like that that really diffuse stress that patients carry into an exam room and instill a level of trust between patient and doctor. When you talked about mental illness and how you wish funding wasn't cut so people could get better care...so many doctors would just talk about how mental illness is something that shouldn't be treated in the ER. While you did said that you're not the best to treat mental illness, I could tell that you really felt bad that people hurt so bad that they would harm themselves. It's refreshing to hear someone speak with such empathy, and to know that they're in a position to help people. I think any patient is lucky to have you as their doctor. If you keep yourself grounded and continue to, at your core of practice, care about taking care of and helping people, no matter what field/specialty you end up in, you will do so much good! I look forward to learning more from you!
Thanks for your hardwork! Btw, how do you keep up with this ER fast pace work? What do you usually do to keep healty (a doctor should be healty and fine all time right?😞), what do you and your coworker do when there is a spare time to take a breath after you guys work hard taking care of patiences? Maybe having yoga together? And what is your biggest obstacle in ER?
I do enjoy the fast pace of the ER; we need every type of personality in medicine, so you find something that suits you. For example I enjoy acutely stressful situations, but I do not like long term stress (like big deadlines, and having lots of things planned) so ER works for me quite well. I'm glad you asked me about being healthy. I find it really difficult to exercise and eat well! Partly because of the shift pattern. I think the public perception of doctors as a group is that we have everything worked out in our lives, but actually we are more likely to have drinking problems, stress problems and mental health problems, although the one good thing is we're less likely to smoke! So I won't be doing a fitness DVD anytime soon :)
Dr Hope's Sick Notes I really wonder how Doctor Mike here on YT has managed to find time to work out throughout medical school, residency, & his current work. He’s super fit & I really don’t get it lol I don’t even get how you find time to edit!
Brittany Rose I would also be severely depressed if I had to fix peoples rotten teeth just because they want to eat and drink whatever they want to. Mouths are disgusting.
Brittany Rose I was just joking.. I read that they feel isolated and confined in a small room. That they have enormous economic presure. They need to cut their costs to make it affordable for everyone to see a dentist. And then they are also some of the extreme protectionists I have ever seen in my life. They also have the highest rate in cardiovascular problems due to stress. And then eye problems because they look at one place the entire day without really exercising their eyes. That can lead to headaches etc. It's a stressful job. And I can imagine sitting in one place for more than an hour with a stubborn root canal doesn't make your back feel so great. All this.. If your body doesn't feel good, you don't feel good.
Brittany Rose Exactly. And I think they don't get recognised enough as DOCTORS by medical doctors. I think they get side eyed by GP MD's and surgeons when they talk about their stress that they feel ignored or not as important. It's quite sad.
Right, so after watching a load of your videos I can only say this, you are incredible. Your knowledge and passion for what you do is admirable but also your ability to talk about mental health as regular as you would another illness is such a big thing for me. After a tough time with mental health it's easy to find people thinking it's not as large an issue as it is purely because it's one of those illnesses people try hide as much as possible. I love the videos and I think you are spectacular! Big Love
Really liked the video and the updates, it's interesting to see how differently you appear and speak before a shift and after. I'd be really interested in hearing your thoughts on meeting someone in the ER who has self harmed and kind of your feelings around it, if that's something you'd be comfortable talking about. I know some feel it's a touchy subject and would rather stay kind of neutral. I've been to the ER several times myself due to self harming and it would be interesting to hear someone on the other side of the situation, like a doctor, and their view on it. I've had both really good doctors handling the situation and I've also had really bad doctors that has practically shamed me for what I'm doing, without acknowledging the real issue behind the act of self harm. And as you said, doctors at the ER aren't really trained to deal with the mental side of it, so I'm curious as to how you deal with patients that self harm/your thoughts on it (not necessarily self harm in it self, but more of how it feels for a doctor to see something like that.)
Appreciate all the support, it's great, particularly because haven't done a vlog style video before. Although you can't please everyone so someone is gonna ruin the party :)
Hey :) Really interesting video! If possible could you do a video on your med school journey? I'm thinking about applying for graduate entry medicine so it would be really helpful!
Excellent video ,your a great guy.Night shifts are a real drag ,did 38 years of them and even a good one is bad.Keep up the good work,at work and on here.Cheers Mal.
I'm not a doctor, only a chronic patient. I think GP would be the hardest, though being a doctor at all seems way too difficult to me. My GP is responsible for all of my paperwork and although all doctors have some responsibility to keep an eye on it, and I only use one pharmacist so they can keep an eye on it too, my GP has primary responsibility to watch over potential interactions for any treatments.
LOL! The *perks* of being your own low budget, single person, camera, production, etcetera crew! Half the time angles and production quality is shit and so even *live* you have to take a moment and wait for things to "buffer"! LOL! XD!
What kind of worsening do you advise pt’s of when discharged? Do you advise see local Dr, or only come back if worsening or do you include come back if no improvement and can’t see Dr ie over weekends or into the evening or night? I speak with lots of people who have left GP or ED or even d/c from wards and aren’t clear on worsening, particularly if it’s not worse then when presented but it’s not improving, obviously there would be some general advice that is then more tailored to each specific case
What kind of worsening do you advise pt’s of when discharged? Depends on the illness, they'd be specific worsening signs to look out for e.g. chest pain or late symptoms of head injury (drowsiness / confusion / visual / hearing / vomiting) it would be return to hospital. Other things, for example ongoing rash (not worse but won't go) than GP. Some symptoms like a cough post-chest infection can take a time to resolve. Do you advise see local Dr, or only come back if worsening or do you include come back if no improvement and can’t see Dr ie over weekends or into the evening or night? Yes all of these are tools that can be used to help get follow-up and safety-net. So many different permutations though, and you have to adapt given the circumstances of the patient and also the day of the week and the services running. My advice to the people you speak with is to ask the doctor what the plan is, in the UK in A&E we have information leaflets for common things and any hospital stay we give individual discharge summaries. It is the doctors duty to make a plan with you to manage the illness, but also your duty to question that plan with them if you are unsure of what to do in what circumstance. Hope that answers the question!
(I wish I was well enough/less ASC to be a medic but views are from patient experience/read Lancet etc) I think in regards to majors and mh patients there must be frustration/friction between liason psych and A&E because many patients who have DSH aren't getting the care they need/being admitted/capacity excuse and so are frequently attending A&E consequently you get discompassion particularly with those with the diagnosis EUPD. Same Presentation, same intelligence different attitude when I say ASC (think good doctor). Actually in females looks very similar hence why I have both diagnoses. Funding in mh must improve to improve patient care. Patient whose OD and in majors or resus even if physically now fine shouldn't be in general be discharged with just the crisis team number but this is so frequent. It must feel defeating? As someone who is 'high functioning' I receive no social care and so when this results in admission I'm put on a general psych ward which cannot understand me/accomadate me because it's ASC related not MH and wards that deal with ASC only accept people with intellectual disability (one unit for men with aspergers). What I'm saying is I find your attitude towards mh patients really positive. As someone
I wish you made this before my acute care placement. That pep talk you had at the beginning about prepping, putting yourself in the right perspective to set yourself our for success I would have watched that on repeat before the start of the day. Speaking of mental health, governments have a knack for not seeing upstream consequences - its really something we ought to bring up to those working in policy. That and remember we need to take care of ourselves and our mental health as medical practitioners too. (those suicide rates are scary high.)
Found this channel about a week ago and I’m absolutely obsessed with it. Your videos are so intriguing and your genuine attitude and warmth is something I rarely see. Absolutely love the channel. Please keep making videos.
Does your hospital have an ER Fast Track? Many of the hospitals where I live in Philadelphia have the Fast Track to cut down on wait times. It's usually not a life or death situation for some people who use the ER. Some people just need antibiotics for an infect. In America we don't have universal healthcare so many people have to use the ER like it's their GP just to get meds or minor injuries examined. Sorry for the rant. Your videos are great btw. I'm applying for PA school next year.
I just stumbled across your videos and I'm working my way back through them. Great material! I'm not sure if you're a podcast guy but you might want to check out Sawbones. It's along the lines of your vampire video. Thanks again for the great content!
I love your videos, Ed! I'd really enjoy another one of these vlogs, please consider making another one! 💓 I love how you're trying to be kind and calm with everyone, even if they are stressed out, I try to do that too, in general. I think it's making the world a little bit better every time someone responds with kindness instead of with aggression
It's awesome how positive you stay even under stress. I'm in college right now and my sleep is kinda weird and have a part-time, so I sleep in the morning on alternating days and sleep really late in the day on weekends before work. I'm actually up right now( it 4:20am in California) and I'm taking a 25 min break from studying to watch this. And I'll study for about another hour or so then take roughly an hour nap before I have to get up at 7 am to get ready for my classes that and won't be home till arounf 7pm tonight
Last time I was in the Emergency department, I had enough pain killers in me I introduced co-works to each other. "Chris this is Chris. Chris do you know Chris." lol
Need more beds to move them along through the system and make room. You are very thoughtful in your care. :) There's that balance of giving treatment and moving on to the next one. :)
“NHS is under pressure”, “NHS is underfunded” is what comes on whenever I Google “NHS UK”. Isn’t any ministry of health equivalent in the world always understaffed, underfunded and under pressure? Sure is, but we always hear about the NHS.
Dr. Hope Before shift: stethoscope ear pieces on right shoulder. Clean uniform. Dr. Hope After shift: stethoscope ear piece on left shoulder. Clean uniform. Dr Hope: "I wonder if you can tell how different I look."
I've had some very positive experiences in NHS A&E which is a credit to the doctors and nurses who are clearly under intense pressure with a lack of resources. One question I often get as a patient when the doctor is speaking to me is along the lines of "So what did you want to get done today". It's kinda puzzling and kinda annoying as it often comes at the end of the questions after the doctor has done a brilliant job ascertaining my symptoms, and so forth. The doctors seem at this point to clearly understand my fears, worries and symptoms and by the sound of the questions seems to have a pretty good idea what is going wrong. So I just don't get the subsequent "What do you want?" question. I would have thought "to be fixed, or assured these symptoms don't require urgent investigations or treatment" would be obvious by now. Such a question might make me think they haven't been listening (but I know they have and they get it). So what is the purpose of this question?
One tip from my personal experience for those who come in with any level of mental health problems is make them feel like they are taken seriously and you really do wanna help them, because that is what makes them come back to you when they need to. I have seen a lot of people stop treatment and looking for help because they felt health care professionals didn't want to help them or weren't capable of helping them.
Could do with a second opinion on my MRI of the knee if you or a colleague has time. If you want it as a resource although I am sure you see plenty let me know.
Thumbs up! Couldn't spoil your streak! 😆 Great video... down to earth... not trying to show off like a lot of docs (and med student doc wannabes) on TH-cam.
The NHC is dieing I nead my meds for my mental health that there is no one to give it to me because they have left to work in another field to fill in for someone who died and now i have panic atacks all the timeeeeeeeeeeee
Another thing I also hate the fact that people don't take care of themselves and don't see a physician until they are almost dead. A lot of them have no insurance. I see this constantly in my night ER rotations. I've seen many pts who have had MIs and don't seek treatment code then get picked up by EMS and show up to the ER don't make it. In East Texas we don't have many options we have 3 clinics and they are always booked with wait times for almost a month. It's difficult situation that I wish I could resolve myself.
Please review veterinarians and veterinary technicians. I'm a registered veterinary technician in the United States. I do parts of a nurse job but also radiology, advanced imaging like CT/MRI, anesthesia, phlebotomy, physical therapy, and much more. In comparison to the human versions of our jobs we only get paid a very small fraction. Plus we were on multiple species. I'd LOVE to know your understanding of veterinarians and veterinary technicians.
I'll never forget my first time at the hospital in Inverness. Never in my life have I felt so reassured even when I was scared that I'd never find the ICU that my late father was in. Thank you Raigmore staff for giving me my dad for one last year.
The GP thing is interesting. I've seen good and bad over the years. A wise doctor once said to me "Your GP should be the same gender and roughly the same age as you" and I've found that really helpful. I pass that on and people seem to find it helpful. It might just be them taking a step to break unhealthy relationships. You're good at humanising medicine and I guess that's why I thought of it. The NHS is struggling, I guess after Brexit we can use those 340 million quids a week to fix it up, but I'm sure I remember a select committee meeting where some doubt was cast over this projection... Take care :)
In the video where you watch house you say it's not normal to wear a white coat as a doctor. But i've noticed that you wear your working clothes to home. I'm a nursing student in the Netherlands and over here it is normal (at least for nurses) to come to work in your normal clothes. Then change at work and put on your own clothes when you go home. What do you think about wearing the clothes home? Isn't that a infection risks you shouldn't be taking? Btw i'm sorry if my English isn't good or the sentences seem weird. And i love your videos keep it up! 😊
Good question. When you work in surgery, Obs and Gynae, ICU and other specialities you get changed at work. In A&E the scrubs are mainly to protect you from spillages, so you just wear a clean set to work every day. In either of the above scenarios If you are exposed to anyone who has a high chance of infection or get your clothes visibly dirty you change scrubs at the time.
OMG I don't know how people can do night shifts, lol. I would just be walking around like a zombie! You seem like such a kind, caring person, I'm sure you're very comforting in stressful, scary medical situations. I'd gladly wait 4 hours to see you :)
Thanks for your video, it's very interesting. I'm a spanish GP and the Spanish NHS is also underfunded. I have run into people from the BritishNHS here in Spain trying to recruit spanish doctors and after watching your video I can guess why there's a lack of doctors in England . Where are you based?
I have several medical disorders that are uncommon and rare and I do plan on one day going into the medical field as I get older (I’m only 17). I love learning about the human body and how it works and other disorders or syndromes or illnesses. I’m unsure if you know what Ehlers Danlos Syndrome (collagen connectivity disorder) and POTS (postural orthostatic tachycardia Syndrome) but those are my 2 main disorders that are commonly misdiagnosed because they are so rare and uncommon so I love to educate any doctor I can in hopes of saving someone like me all the trouble I went through. Thank you to anyone who read this
Big respect for emergency....I had to go to Hospital with what felt like my heart was about to burst out of my chest and the fantastic doctors and nurses quickly diagnosed it as dKa from undiagnosed type 1 diabetes. I was lucky i went to emergency as I could've fallen in a coma if left long enough. So major respect for yours and nurses work under what is probably an extreme amount of duress.
I volunteer at a hospital in a behind the role. One day we talked about making the patient experience better. The #1 thing patients appreciate is compassion, empathy, sympathy & really being heard. On another note, I have a rare genetic illness called glycogen storage disease. Wonder if you've ever come across it? We get low blood sugar but unlike diabetics, glucagon will harm us. When I tell medical staff about it they usually say oh I've never heard of it, lol!
Idk if you always hear this but i'm just going to state that you look very charming, especially the eyes! And when you were trying to fix the cam at the end part just uwu my heart cant take this.😂❤ love everything about you from your passionate heart to your curly hair! And thank you for the hard work that you're doing all the time and the advices and experiences that you share in your vids.🙆 i will definitely keep em in my mind so I too, can be just like you; kind and everything else!
Thank you. I was really resisting watching any of your vlogs, kept getting them in my recommendations. My first video was accidental . I was trying to delete. But now I am hooked. I have subscribed to you and through your operation collaboration with Ali, I have also subscribed to him. Your videos are informative without being too technically nerdy. It's easy for me as a non medical person to understand and enjoy. Yes I actually enjoy your vlogs. You have actually made me rethink my attitude to hospital doctors. When we go into A&E we see what we assume are doctors and nurses just standing around for hours chatting while we are in pain. Would it be possible to do a your point of view on what is actually happening. You could do a walkabout of various sections and then afterward break them into tiny segments I'e. We are actually consulting and trying to come up with a diagnosis , treatment for this patient and in reall life it's takes hours to do this or we have to fill in hundreds of tick boxes for each person seen by each station crew etc. I am sure it could be a valuable teaching tool or even an informative video for people waiting to be seen. I am sure a workable solution could come up with management so that security and data confidentiality can be maintained. Lastly how about playing your vlogs in the waiting room tv,s. So much better . My grammar and spelling is very poor so forgive me, and again thank you
How often do ER doctors get sick and is there anything you do to prevent illness? You are constantly exposed to every kind of germ! Also, thank you for your service. ER docs really are the superheroes of medicine. You all have really saved my life several times ❤️
I have a question. My husband used to live in the UK and said that there were often ambulances downtown on weekends to take care of the black out drunks. (Not the case elsewhere in Europe that we've lived) How do you feel about charging people for these services if they are often in a self induced emergency? Are you annoyed about otherwise young healthy people clogging up these services through recreational drug use or binge drinking?
oh man i really don't know how you fit the time in for making a video and editing it. i hope that there will be times when you can get all the sleep you need! thanks for the vlog it was a great insight :D
America has the exact same issue, our ER’s are flooded with mentally ill patients because like the UK we ignore them and push them aside and then they feel so low and alone they hurt themselves. It’s really a humanity issue really.
yes. yes. yes.
Another issue in the USA is that there are so many with chronic medical conditions going into the ER for medications, flare ups and care when it gets super bad because they have no insurance and can't afford to pay cash for a PC doctor. So all of these cases that a Family Doctor or specialist would normally be managing go into the ER instead. I was one of them off and on for years. I still have no GP nor insurance, but I found a specialist that manages the worst of my problems.
The same thing goes for dental issues, too. People don't have insurance and can't afford thousands of dollars out of pocket for dental care, so their teeth crumble away until something really severe happens. I know that national healthcare/government provided healthcare comes with it's own set of challenges, but honestly I don't know how much worse the US system can get. Even where people have insurance, there's no guarantee they won't have to pay $100s-$1000s for their medications. Something had got to give here. Our people are severely underserved, hospitals overburdened and people go bankrupt from one illness. One.
And the mental health Care is non-existent. That's a bunch of good luck, there. If you have lots of money you can get help and that's about the only way.
It is really an issue. Especially with the cost and travel required to see mental health professionals. I have to drive 45 minutes to an hour to see my therapist.
Some NHS trusts had mental health crisis teams which as a mental health patient I can attest were brilliant.
Some trusts like Cambridgeshire actually abolished these and replaced them with NHS 111 (option 2) which as I and a GP who once phoned it on speaker phone to ask about some specific health issues and risks pertaining to me was answered by a (seemingly) unqualified inexperienced young person who didn't understand anything that either I or the GP who was concerned about me said. This phone operator said only "oh that's sad" and " why don't you put photos of your family up around your house". Which was unhelpful for at least two reasons including (and we told her this) I was temporarily homeless and something else you may infer about that photo idea that made a mild panic attack at the time worse (the GP was excellent in all this btw).
Even the people on NHS 111 (option 1 aka all health issues) are more suited and competent at dealing with mental health crises than the supposed specialist workings on NHS 111 (option 2). Actually I can't name a single time NHS 111 (option 1) has ever let me down. It's an excellent service that has relieved A&E of a few otherwise unnecessary visits, and it has also got me there very quickly a couple of times I wasn't inclined to go but needed to.
I can probably speak for a few mental health patients that we often would much rather not be in A&E and not be adding further pressure to the nurses, doctors, HCAs and administrators. There are many places I'd rather spend 6 hours waiting. But this is where the false economy of NHS reforms becomes apparent. The NHS may have saved some money getting rid of the crisis teams - but the consequence is with no viable alternative those very conscious of our mental health symptoms and the potential consequences (notably dysphoric hypomania) end up in A&E. I'm don't know the figures but I'm fairly confident it costs the NHS vastly more over time to treat us in A&E than they ever saved getting rid of the crisis teams.
Another potential false economy in the NHS reforms is the NHS has a big marketing campaign dissuading people from visiting their GP because of the 80 or so pounds the NHS tells us it costs them. To some degree I understand the point. If it's textbook hay fever OTC antihistamines will do the job. BUT if someone is dissuaded from visiting a GP and their symptoms are not investigated and get worse (or they later have a panic attack about what they thing is wrong with them) and as a result end up in A&E - this is *much* more expensive to the NHS than the £80 GP visit ever was. So I doubt this potential burden shifting is actually saving much money. For me it's much better for a doctor in 3 minutes to do a quick examination and say "you're fine" (I've got great GPs and once they say that I stop worrying) then for me to put off going to the doctor and wake up at 3 in the morning a day or two later convinced those symptoms are worse and something is wrong with me (often will turn out to be a panic attack).
The Drs, nurses, HCAs et al are absolute superstars and have my utmost respect. They are the best thing about the NHS and I find it genuinely impressive that they continue to do such great work and put on a smile while under such pressure with an obvious lack of resources and support. They are let down my the policy and resourcing framework imposed from above. I'm not so courageous - if I was a Dr I would have left for the private sector or another country years back. So my thank you to them for sticking around to help people because they care.
@@savannam.7048 Move to the UK! We have our problems, but all care general and specialist is absolutely free.
I loved this. Thank you so much for uploading. I've been dealing with some serious depression in the past week or so, and this video made me forget about everything for a moment. I'm so glad this channel exists, and that I found it.
Keep going Bethany. X
I also find your videos very calming, Ed.
All the best to you, Bethany! I hope everything is going to be okay for you! 💕
Good luck Bethany! Hope you’re well!
Great vid! I’d love a video on your journey through school and education to become an a&e doctor and the decisions you made along the way.
I didn't take a very traditional route! But happy to share this - I'll add it to my list
I love your channel! I would very much like to hear about your rather untraditional rote into medicine. Keep up the fantastic work!
Hi! Just wanted to say, I also enjoyed the hospitality of an NHS hospital a couple of months ago and the thing about discharging patients? That's a communications problem if nothing else. I waited half a day in my SINGLE ROOM (!!!) after getting a green light from the doctor for somebody to wrap up things with me (take out the IV, do some paperwork, and just generally tell me to go) and I would probably have ended up staying a second night, too, if I hadn't walked up to the reception desk on the ward and asked repeatedly whether I was being discharged or not until they finally checked back with the doctor and sent me on my way. It seemed like they just forgot about me while the house-keeping staff kept bringing me meals and snacks and water etc. I was part of the furniture, but I was feeling so bad about occupying a bed while essentially healthy that I just pushed for them to tell me the next step.
You did right! It was the same for my late dad when he got discharged for the first time. He was all dressed and ready to go but was left waiting due to papers and arranging his pills. Now that wouldn't have been too bad if he was waiting on a taxi to be arranged but he wasn't, I was taking him home. Anyway it wasn't until later that day we got discharged and bless his heart, about an hour in the journey home (some 50 miles away from the hospital) he bawled his heart out.
I won't forget that journey back home for as long as I live! So yes, Hospital staff are great but occasionally they need a boot up the arse.
Thank you for the video, I have considered doctors efforts in the past when I have been to A&E and avoided going at time I probably should have. I have suffered with mental health for quite a long time and always feel (saner minds prevail when i am in a good position in regrads to my mental health) that my self inflicted injuries are so much more less important than other patients that have injuries or conditions that are not self inflicted should come first. I know this isn't the right way to look at it. Either way though I have always had respect for doctors and the work they do it was great to see it from your point of view please keep up the great work in and out of you "scrubs" it is much appreciated even if it's not always shown while you are at work.
Luke mate, what a super comment. We have a long way to go with addressing mental health, I feel we are letting people down way before they get to A&E. Hope you are in good health, and enjoying the summer; I heard it's coming home :) Ed
You look pretty good for someone off a night shift! Definitely get the "hungover" feeling post-night shift. Thanks so much for letting us in and giving us a sneak peek into your work as a doctor! I enjoyed listening to your reflections. Also a nice peek into NHS, which from an outsiders perspective (Canadian here) seems like a pretty good system. Keep in mind that especially when things are busier than usual, it's rare that things are going to go completely perfectly. Be confident in your skills, ask for help when you're unsure and just keep going! This is coming from a nurse who often works 12-hr night shifts, on a surgical unit. Keep up the good work!
You should do a collaboration with Dr. Aaron Carroll from Healthcare Triage comparing the American healthcare system & the UK one! :)
Such an awesome idea I loveee him
He's the top search in my IG haha
That would be very interesting. Or comparison with other countries like Germany, Switzerland, Spain
That was a great, informative video. How you find the time and energy to do your demanding job, and film and edit videos for us is quite amazing! Couldn't agree with you more about the widespread under-funding issues here in the UK. The NHS needs far more funds being pumped into and the only reason it is barely coping at the moment is down to the incredible hard work that you and all the other medical professionals continue to put in. Keep up the amazing work you do, I definitely feel I speak for everyone when I say we all appreciate it :D
I don't want to say I'm "glad" to know that the US isn't the only country in the world with a healthcare system that's virtually on life support, but... I suppose the struggle is real everywhere! 😊... keep up the good work, Doc!... and get some sleep!... byeyas! 🤗
Med student here:
In the hospital attached to my university, usually, mon-thursday the nightshift is DEAD. Nothing happening, no patients, everything sorted out. Students doing our practices, interns, residents, doctors all just drinking mate (look up uruguayan Mate) eating, gossiping, etc.
Friday-sunday night from 2-4 dead, 4 to 7 am is bussy, clubbing related injuries, fights, ODs, etc.
And yes... Each ER day has like a staple, and i'm not kidding, one day 80% of the cases will be saw mill injuries, another day 80% will be cardiac related, another day 80% will be Gynaecology and so on... it never fails
you are awesome dr hope!
Awesome video! Thanks for sharing, I have rare illnesses and love junior doctors as they seem so compassionate and caring like you but also want to learn and ask lots of questions, have to admit I'm never letting another junior try to put a cannula in though lol. I'm a counsellor and find the lack of mental health support really concerning and saddening, I agree that A&E isn't the best place but there aren't really places for these individuals to go. I wonder if a mental health A&E would ever become a reality, such as mental health hospitals having their own ER for this patient group where all staff are trained and there are nurses,doctors, support workers, counsellors and psychologists
in canada the ERs are always 4-5 hour waits, its really the gate keeper: does it hurt enough to go wait in a room for 5 hours with a bunch of sick people? also if you move from where you were born, the wait for a family doctor is always years (i just moved and cant even find a doctor taking on new patients) so its the walk in clinics as your only option aside from the ER and those are 3 hour waits with doctors that rush the visit (they get paid by the visit) and just prescribe a random drug that might make the problem go away for a bit (probably get paid for that too).
The lack of access to mental health care is probably just as bad in the US, with many states having only one or two inpatient mental health facilities for the whole state, and a severe lack of access to outpatient counseling services
A lot of our patients also end up having to come to the ER to be observed as well
Really interesting stuff, thanks for sharing!
What hospital do you work At? 😁😁 thank you.
Also I know about the emergency and mental health problems. Having an anxiety disorder and being admitted. For you to just try your best, be your best, you're helping so many people. Thank you !!!!!👍❤❤👏
Love your videos mate
Thank you! I really appreciate taking time to say so - makes me want to keep creating
Thank you! This is helpful 👌
not sure if ur aloud to say but what hospital do u work at
A and E majors is the equivalent of our Trama, correct? Have you ever considered, or would you ever consider working in a different country?
Hi! Loved this video, want to collaborate? The NHS is wonderful.
Great video
I love the red ones hanging on your neck 😊
How accurate is Casualty?? I mean I'm in the UK, I'm interested in working in an A&E department and want to know how accurate it is?? (Getting those grade 7s at GCSE so I think I make the cut for medicine)
I feel bad for the British people seeking for medical assistance, and how hard is for the Health system to sustain their needs laking the proper funding... I come from a 3rd world country where public hospitals are constantly overwhelmed, where there is little to no treatment to patients with mental health issues... It's a heartbreaking scene. I wonder, how come is so difficult for governments to figure out an effective solution to the Public Health crisis? in this day and age ..
Emmy - I'm glad this video is being received in the right way and people not thinking I'm just complaining, I know things are many times harder in other countries. I love my job, we just all want to do the best job we can.
You give a good perspective, we are so so lucky to have the healthcare we have in UK for so many years and we just want to secure it for the future. With all the injustices in the world, healthcare should be a right. Thank you for your comment.
Puts as first words in title, 'day in the life,' then puts 'nightshift' as the last thing in title. You're kind of contradicting yourself. Lmao, but nice video!
here comes the most important question! is the good doctor single? :)
Hey Dr. Hope. I understand you have a very busy job, and I look up to you. If you are in need of an editor who can edit your videos, I’ll do it for free. Trying new styles or matching your current style precisely. Just DM me.
Thanks Connor - let's keep in touch, I can't DM you from your profile on YT so find me on Twitter / Insta / FB and let me know. Cheers Ed
Dr Hope's Sick Notes Dr Hope's Sick Notes I followed you on Instagram under the name ‘Connorlxz’, if you want to use a different platform to talk that’s perfectly fine with me! :)
Even the doctors in Britain get British teeth.
Love the vids Dr. Hope. I'm an American MD student, would you ever consider doing a video on being a doc in the UK vs US? I think it would be a super interesting video if you collabed with on of the popular US youtubers like Violin MD, Dr. Buck Parker, Dr. Mike, or Dr. Andre Pinesett.
Super idea!
Violin MD is canadian🍁
LexxIsNotNormal But doesn’t she practice in the US?
I'd enjoy that.
Prasad Akula she's Canadian and practices in Canada :)
Recently found this channel and it's amazing how passionate and warm you are. I think it shows that after a brief scroll in your comment section I didn't find a single negative one. Really informative video and I have nothing but respect for yourself and your colleagues
What a nice comment, thank you.
I knew this all along, but watching this kind of videos just reinforces the thought: I do NOT have the backbone required to be a doctor.
And just as I strengthen this realization, I understand the kind of job Doctors actually do, which is quite often overlooked, and sometimes even underappreciated.
You, Dr. Hope, are probably nuts for choosing Medicine for your life career, but I'm sure your patients are glad you did. Keep up the good work, and see you on the next video!
I am 14 right now and since I was little I dreamed of becoming a doctor. I never played with toys, I just loved to read about the human body and I love to help others. Last year I have learned Dutch Sign Language to help deaf people and I'm about to learn American Sign Language as well. I was searching a long time to find more videos on subjects I might get to learn when I'm in college. When I found your channel I immediately subscribed and I love it to bits! Thank you so much for all the hard work you put into making these videos :) Please keep up the good work!!
Lavita Werner any idea what you'd like to specialize in?
Good for you for learning one Sign language and wanting to learn another. Communication is so important. Which you already know :)
I have Cystic Fibrosis and I live in California but I lived in England when I was diagnosed and for much of when I was a small child. I’m 22 and was diagnosed at 5 and so I can say so many positive things about the NHS. When I was admitted the time I was diagnosed I had a terrible lung infection and nearly aquired sepsis. Even though I was so sick and had to continually see many different specialists and stay in the hospital many times it barely cost my family anything. After living now both in NYC and San-Francisco and there are things I love here about the medical system, especially the relationship I’ve been able to build with my doctors. However the flaws in the American Healthcare System are broad and apparent, the insurance discrimination that still takes place every day, and the huge disparity of funding of both hospitals and specialties. I have no clue what my point is just thought I’d share my thoughts especially since I’m currently in the hospital with a lung infection and have been since early January.
Thanks for sharing this; I'm sorry to hear you are in hospital at the moment. Cystic Fibrosis is not a good thing to live with.
The British are very proud of the NHS and the equality it brings. Donald Trump was right this week to say it's 'going broke and not working', but the reason for this is our government is not investing in it's future.
Swift recovery Larissa. Ed
I know I’m late but are you good now
Thank you for talking more about mental health and raising awareness. We also have a similar lack of funding in Australia, and it seems to keep reducing in the preventative areas as well. Here's hoping that our governments wake up soon.
Rebecca Kerr Same in South Africa.
I think it's a global issue. Humanity has a loooong way to go in breaking the stigmas around mental health
You really are the type of doctor I want to be in future. Kind, compassionate and caring - not only to patients, but also to colleagues. Your patients are lucky to have someone like yourself looking after them, and your students are fortunate to have a great teacher with so much wisdom to share!
Hi Dr Hope. I’m a medical student from South Africa and I just want to say thank you! Med school has been particularly tough recently, and your videos really do inspire me, they remind me what medicine is about and why I started this journey. Thank you so much.
You caring that patients have to wait shows a degree of care that I often don't see in ERs here in the US. Half the ER doctors I'm seen by don't even say "sorry you've had to wait." Little things like that that really diffuse stress that patients carry into an exam room and instill a level of trust between patient and doctor. When you talked about mental illness and how you wish funding wasn't cut so people could get better care...so many doctors would just talk about how mental illness is something that shouldn't be treated in the ER. While you did said that you're not the best to treat mental illness, I could tell that you really felt bad that people hurt so bad that they would harm themselves. It's refreshing to hear someone speak with such empathy, and to know that they're in a position to help people. I think any patient is lucky to have you as their doctor. If you keep yourself grounded and continue to, at your core of practice, care about taking care of and helping people, no matter what field/specialty you end up in, you will do so much good! I look forward to learning more from you!
Thanks for your hardwork! Btw, how do you keep up with this ER fast pace work? What do you usually do to keep healty (a doctor should be healty and fine all time right?😞), what do you and your coworker do when there is a spare time to take a breath after you guys work hard taking care of patiences? Maybe having yoga together? And what is your biggest obstacle in ER?
I do enjoy the fast pace of the ER; we need every type of personality in medicine, so you find something that suits you. For example I enjoy acutely stressful situations, but I do not like long term stress (like big deadlines, and having lots of things planned) so ER works for me quite well.
I'm glad you asked me about being healthy. I find it really difficult to exercise and eat well! Partly because of the shift pattern. I think the public perception of doctors as a group is that we have everything worked out in our lives, but actually we are more likely to have drinking problems, stress problems and mental health problems, although the one good thing is we're less likely to smoke!
So I won't be doing a fitness DVD anytime soon :)
Dr Hope's Sick Notes
I really wonder how Doctor Mike here on YT has managed to find time to work out throughout medical school, residency, & his current work.
He’s super fit & I really don’t get it lol
I don’t even get how you find time to edit!
Brittany Rose I would also be severely depressed if I had to fix peoples rotten teeth just because they want to eat and drink whatever they want to. Mouths are disgusting.
Brittany Rose I was just joking.. I read that they feel isolated and confined in a small room. That they have enormous economic presure. They need to cut their costs to make it affordable for everyone to see a dentist. And then they are also some of the extreme protectionists I have ever seen in my life. They also have the highest rate in cardiovascular problems due to stress. And then eye problems because they look at one place the entire day without really exercising their eyes. That can lead to headaches etc. It's a stressful job. And I can imagine sitting in one place for more than an hour with a stubborn root canal doesn't make your back feel so great. All this.. If your body doesn't feel good, you don't feel good.
Brittany Rose Exactly. And I think they don't get recognised enough as DOCTORS by medical doctors. I think they get side eyed by GP MD's and surgeons when they talk about their stress that they feel ignored or not as important. It's quite sad.
Right, so after watching a load of your videos I can only say this, you are incredible. Your knowledge and passion for what you do is admirable but also your ability to talk about mental health as regular as you would another illness is such a big thing for me. After a tough time with mental health it's easy to find people thinking it's not as large an issue as it is purely because it's one of those illnesses people try hide as much as possible. I love the videos and I think you are spectacular! Big Love
You're articulate and don't look tired at all :) It's a pleasure watching your videos and listening to you, you seem very empathic and nice.
I'm applying for FY1 next year, it's cool to see your viewpoint on things, especially while you're on the job. Thank you :)
Thank you for showing more of real med !
I just found your channel! I’m very intrigued! You seem very different than EM doctors in the US! Keep up the great work!
Really liked the video and the updates, it's interesting to see how differently you appear and speak before a shift and after. I'd be really interested in hearing your thoughts on meeting someone in the ER who has self harmed and kind of your feelings around it, if that's something you'd be comfortable talking about. I know some feel it's a touchy subject and would rather stay kind of neutral.
I've been to the ER several times myself due to self harming and it would be interesting to hear someone on the other side of the situation, like a doctor, and their view on it. I've had both really good doctors handling the situation and I've also had really bad doctors that has practically shamed me for what I'm doing, without acknowledging the real issue behind the act of self harm. And as you said, doctors at the ER aren't really trained to deal with the mental side of it, so I'm curious as to how you deal with patients that self harm/your thoughts on it (not necessarily self harm in it self, but more of how it feels for a doctor to see something like that.)
Andrea Yaaassssss
I work ED over here in the US. High five!
233 likes, 0 dislikes. This is the best ratio I've seen in ages!
Appreciate all the support, it's great, particularly because haven't done a vlog style video before. Although you can't please everyone so someone is gonna ruin the party :)
Hot Dr alert!
in that section when he was in the 3:30am break his voice was the softest thing ever, it was actually really calming i loved it
Hey :) Really interesting video! If possible could you do a video on your med school journey? I'm thinking about applying for graduate entry medicine so it would be really helpful!
I'll add it to me list!
Excellent video ,your a great guy.Night shifts are a real drag ,did 38 years of them and even a good one is bad.Keep up the good work,at work and on here.Cheers Mal.
I'm not a doctor, only a chronic patient. I think GP would be the hardest, though being a doctor at all seems way too difficult to me. My GP is responsible for all of my paperwork and although all doctors have some responsibility to keep an eye on it, and I only use one pharmacist so they can keep an eye on it too, my GP has primary responsibility to watch over potential interactions for any treatments.
at the start of the video I was like, wait... is this legal? And then it cuts to the break room, oh, that makes a lot of sense
LOL! The *perks* of being your own low budget, single person, camera, production, etcetera crew! Half the time angles and production quality is shit and so even *live* you have to take a moment and wait for things to "buffer"! LOL! XD!
What kind of worsening do you advise pt’s of when discharged? Do you advise see local Dr, or only come back if worsening or do you include come back if no improvement and can’t see Dr ie over weekends or into the evening or night? I speak with lots of people who have left GP or ED or even d/c from wards and aren’t clear on worsening, particularly if it’s not worse then when presented but it’s not improving, obviously there would be some general advice that is then more tailored to each specific case
What kind of worsening do you advise pt’s of when discharged? Depends on the illness, they'd be specific worsening signs to look out for e.g. chest pain or late symptoms of head injury (drowsiness / confusion / visual / hearing / vomiting) it would be return to hospital. Other things, for example ongoing rash (not worse but won't go) than GP. Some symptoms like a cough post-chest infection can take a time to resolve.
Do you advise see local Dr, or only come back if worsening or do you include come back if no improvement and can’t see Dr ie over weekends or into the evening or night? Yes all of these are tools that can be used to help get follow-up and safety-net. So many different permutations though, and you have to adapt given the circumstances of the patient and also the day of the week and the services running.
My advice to the people you speak with is to ask the doctor what the plan is, in the UK in A&E we have information leaflets for common things and any hospital stay we give individual discharge summaries. It is the doctors duty to make a plan with you to manage the illness, but also your duty to question that plan with them if you are unsure of what to do in what circumstance.
Hope that answers the question!
Thanks for the interesting videos and for sharing your insights! Keep going :)
(I wish I was well enough/less ASC to be a medic but views are from patient experience/read Lancet etc)
I think in regards to majors and mh patients there must be frustration/friction between liason psych and A&E because many patients who have DSH aren't getting the care they need/being admitted/capacity excuse and so are frequently attending A&E consequently you get discompassion particularly with those with the diagnosis EUPD.
Same Presentation, same intelligence different attitude when I say ASC (think good doctor). Actually in females looks very similar hence why I have both diagnoses.
Funding in mh must improve to improve patient care. Patient whose OD and in majors or resus even if physically now fine shouldn't be in general be discharged with just the crisis team number but this is so frequent. It must feel defeating?
As someone who is 'high functioning' I receive no social care and so when this results in admission I'm put on a general psych ward which cannot understand me/accomadate me because it's ASC related not MH and wards that deal with ASC only accept people with intellectual disability (one unit for men with aspergers).
What I'm saying is I find your attitude towards mh patients really positive.
As someone
I wish you made this before my acute care placement. That pep talk you had at the beginning about prepping, putting yourself in the right perspective to set yourself our for success I would have watched that on repeat before the start of the day. Speaking of mental health, governments have a knack for not seeing upstream consequences - its really something we ought to bring up to those working in policy. That and remember we need to take care of ourselves and our mental health as medical practitioners too. (those suicide rates are scary high.)
Found this channel about a week ago and I’m absolutely obsessed with it. Your videos are so intriguing and your genuine attitude and warmth is something I rarely see. Absolutely love the channel. Please keep making videos.
Are you single?
Does your hospital have an ER Fast Track? Many of the hospitals where I live in Philadelphia have the Fast Track to cut down on wait times. It's usually not a life or death situation for some people who use the ER. Some people just need antibiotics for an infect. In America we don't have universal healthcare so many people have to use the ER like it's their GP just to get meds or minor injuries examined. Sorry for the rant. Your videos are great btw. I'm applying for PA school next year.
Nice vlog! How do you adapt to changing sleep schedules?
I just stumbled across your videos and I'm working my way back through them. Great material! I'm not sure if you're a podcast guy but you might want to check out Sawbones. It's along the lines of your vampire video.
Thanks again for the great content!
I love your videos, Ed! I'd really enjoy another one of these vlogs, please consider making another one! 💓
I love how you're trying to be kind and calm with everyone, even if they are stressed out, I try to do that too, in general. I think it's making the world a little bit better every time someone responds with kindness instead of with aggression
Dr. Ed Hope? Dr. Add Hope
It's awesome how positive you stay even under stress. I'm in college right now and my sleep is kinda weird and have a part-time, so I sleep in the morning on alternating days and sleep really late in the day on weekends before work. I'm actually up right now( it 4:20am in California) and I'm taking a 25 min break from studying to watch this. And I'll study for about another hour or so then take roughly an hour nap before I have to get up at 7 am to get ready for my classes that and won't be home till arounf 7pm tonight
Last time I was in the Emergency department, I had enough pain killers in me I introduced co-works to each other. "Chris this is Chris. Chris do you know Chris." lol
Need more beds to move them along through the system and make room. You are very thoughtful in your care. :) There's that balance of giving treatment and moving on to the next one. :)
I thought you couldn't wear your scrubs until you get to the hospital cause of how hygienic they are?
“NHS is under pressure”, “NHS is underfunded” is what comes on whenever I Google “NHS UK”.
Isn’t any ministry of health equivalent in the world always understaffed, underfunded and under pressure? Sure is, but we always hear about the NHS.
Dr. Hope Before shift: stethoscope ear pieces on right shoulder. Clean uniform.
Dr. Hope After shift: stethoscope ear piece on left shoulder. Clean uniform.
Dr Hope: "I wonder if you can tell how different I look."
I've had some very positive experiences in NHS A&E which is a credit to the doctors and nurses who are clearly under intense pressure with a lack of resources. One question I often get as a patient when the doctor is speaking to me is along the lines of "So what did you want to get done today". It's kinda puzzling and kinda annoying as it often comes at the end of the questions after the doctor has done a brilliant job ascertaining my symptoms, and so forth. The doctors seem at this point to clearly understand my fears, worries and symptoms and by the sound of the questions seems to have a pretty good idea what is going wrong. So I just don't get the subsequent "What do you want?" question. I would have thought "to be fixed, or assured these symptoms don't require urgent investigations or treatment" would be obvious by now. Such a question might make me think they haven't been listening (but I know they have and they get it). So what is the purpose of this question?
love this concept!
Incredibly inspiring mate! So much insight and wisdom. Got an ED placement coming up soon. Really hyped now!
One tip from my personal experience for those who come in with any level of mental health problems is make them feel like they are taken seriously and you really do wanna help them, because that is what makes them come back to you when they need to. I have seen a lot of people stop treatment and looking for help because they felt health care professionals didn't want to help them or weren't capable of helping them.
your empathy in the middle was not something I accepted and touched my heart
Could do with a second opinion on my MRI of the knee if you or a colleague has time. If you want it as a resource although I am sure you see plenty let me know.
thanks for making the time for this video
Thumbs up! Couldn't spoil your streak! 😆
Great video... down to earth... not trying to show off like a lot of docs (and med student doc wannabes) on TH-cam.
Well done
The NHC is dieing
I nead my meds for my mental health that there is no one to give it to me because they have left to work in another field to fill in for someone who died and now i have panic atacks all the timeeeeeeeeeeee
I just discovered this channel and I’m already loving it! It’s great, keep doing your work amazing:)
Thanks - welcome on board!
I went to AnE for a panic attack...it was worst...i thought i wil die!
ibro khan :'(
Another thing I also hate the fact that people don't take care of themselves and don't see a physician until they are almost dead. A lot of them have no insurance. I see this constantly in my night ER rotations. I've seen many pts who have had MIs and don't seek treatment code then get picked up by EMS and show up to the ER don't make it. In East Texas we don't have many options we have 3 clinics and they are always booked with wait times for almost a month. It's difficult situation that I wish I could resolve myself.
This is my dream job 😍 I’m from Australia and I was wondering if you have qualifications in Australia could you get this job in the uk?
Please review veterinarians and veterinary technicians. I'm a registered veterinary technician in the United States. I do parts of a nurse job but also radiology, advanced imaging like CT/MRI, anesthesia, phlebotomy, physical therapy, and much more. In comparison to the human versions of our jobs we only get paid a very small fraction. Plus we were on multiple species. I'd LOVE to know your understanding of veterinarians and veterinary technicians.
I'll never forget my first time at the hospital in Inverness. Never in my life have I felt so reassured even when I was scared that I'd never find the ICU that my late father was in.
Thank you Raigmore staff for giving me my dad for one last year.
How do u look better at the end of ur shift than before?
The GP thing is interesting. I've seen good and bad over the years. A wise doctor once said to me "Your GP should be the same gender and roughly the same age as you" and I've found that really helpful. I pass that on and people seem to find it helpful. It might just be them taking a step to break unhealthy relationships. You're good at humanising medicine and I guess that's why I thought of it.
The NHS is struggling, I guess after Brexit we can use those 340 million quids a week to fix it up, but I'm sure I remember a select committee meeting where some doubt was cast over this projection...
Take care :)
In the video where you watch house you say it's not normal to wear a white coat as a doctor. But i've noticed that you wear your working clothes to home. I'm a nursing student in the Netherlands and over here it is normal (at least for nurses) to come to work in your normal clothes. Then change at work and put on your own clothes when you go home. What do you think about wearing the clothes home? Isn't that a infection risks you shouldn't be taking?
Btw i'm sorry if my English isn't good or the sentences seem weird. And i love your videos keep it up! 😊
Good question. When you work in surgery, Obs and Gynae, ICU and other specialities you get changed at work. In A&E the scrubs are mainly to protect you from spillages, so you just wear a clean set to work every day. In either of the above scenarios If you are exposed to anyone who has a high chance of infection or get your clothes visibly dirty you change scrubs at the time.
OMG I don't know how people can do night shifts, lol. I would just be walking around like a zombie! You seem like such a kind, caring person, I'm sure you're very comforting in stressful, scary medical situations. I'd gladly wait 4 hours to see you :)
Mental health needs more attention everywhere 😔
Thanks for your video, it's very interesting. I'm a spanish GP and the Spanish NHS is also underfunded. I have run into people from the BritishNHS here in Spain trying to recruit spanish doctors and after watching your video I can guess why there's a lack of doctors in England . Where are you based?
I have several medical disorders that are uncommon and rare and I do plan on one day going into the medical field as I get older (I’m only 17). I love learning about the human body and how it works and other disorders or syndromes or illnesses. I’m unsure if you know what Ehlers Danlos Syndrome (collagen connectivity disorder) and POTS (postural orthostatic tachycardia Syndrome) but those are my 2 main disorders that are commonly misdiagnosed because they are so rare and uncommon so I love to educate any doctor I can in hopes of saving someone like me all the trouble I went through. Thank you to anyone who read this
Big respect for emergency....I had to go to Hospital with what felt like my heart was about to burst out of my chest and the fantastic doctors and nurses quickly diagnosed it as dKa from undiagnosed type 1 diabetes. I was lucky i went to emergency as I could've fallen in a coma if left long enough. So major respect for yours and nurses work under what is probably an extreme amount of duress.
I volunteer at a hospital in a behind the role. One day we talked about making the patient experience better. The #1 thing patients appreciate is compassion, empathy, sympathy & really being heard. On another note, I have a rare genetic illness called glycogen storage disease. Wonder if you've ever come across it? We get low blood sugar but unlike diabetics, glucagon will harm us. When I tell medical staff about it they usually say oh I've never heard of it, lol!
Idk if you always hear this but i'm just going to state that you look very charming, especially the eyes! And when you were trying to fix the cam at the end part just uwu my heart cant take this.😂❤ love everything about you from your passionate heart to your curly hair! And thank you for the hard work that you're doing all the time and the advices and experiences that you share in your vids.🙆 i will definitely keep em in my mind so I too, can be just like you; kind and everything else!
Thank you. I was really resisting watching any of your vlogs, kept getting them in my recommendations. My first video was accidental . I was trying to delete. But now I am hooked. I have subscribed to you and through your operation collaboration with Ali, I have also subscribed to him.
Your videos are informative without being too technically nerdy. It's easy for me as a non medical person to understand and enjoy. Yes I actually enjoy your vlogs. You have actually made me rethink my attitude to hospital doctors.
When we go into A&E we see what we assume are doctors and nurses just standing around for hours chatting while we are in pain. Would it be possible to do a your point of view on what is actually happening. You could do a walkabout of various sections and then afterward break them into tiny segments I'e. We are actually consulting and trying to come up with a diagnosis , treatment for this patient and in reall life it's takes hours to do this or we have to fill in hundreds of tick boxes for each person seen by each station crew etc.
I am sure it could be a valuable teaching tool or even an informative video for people waiting to be seen. I am sure a workable solution could come up with management so that security and data confidentiality can be maintained.
Lastly how about playing your vlogs in the waiting room tv,s. So much better .
My grammar and spelling is very poor so forgive me, and again thank you
How often do ER doctors get sick and is there anything you do to prevent illness? You are constantly exposed to every kind of germ! Also, thank you for your service. ER docs really are the superheroes of medicine. You all have really saved my life several times ❤️
I have a question. My husband used to live in the UK and said that there were often ambulances downtown on weekends to take care of the black out drunks. (Not the case elsewhere in Europe that we've lived) How do you feel about charging people for these services if they are often in a self induced emergency? Are you annoyed about otherwise young healthy people clogging up these services through recreational drug use or binge drinking?