Hey, friends! Hope you enjoyed today's video about "Why I Left Hospital Medicine [My Experience]". Take advantage of all my favorite med school tips and tricks in this free guide here! (themdjourney.com/med-school-success-handbook/)
Hospitalist for 20 years and no regrets. I have the perfect job for seeing a variety of cases, meeting and seeing interesting people, and flexibility of my personal life. Part of job satisfaction is not only picking the right career, but making sure you are in the right situation.
@@TheMDJourney I will add that in my situation that I’m lucky as I get to work with a bunch of friends who happen to be my colleagues as well. Being in academic in environment, I’m continuously learning and when you are around students and residents, it makes me feel youthful and full of energy.
Great video Doc. College pre med student rn interested in/torn between ophthalmology, oncology, and IM. I know I have a lot of time, but this helped me gain some more perspective. Thanks.
I am an RT student and I found your video very interesting as to what the hospitalist does. Don't forget about amyloidosis as it's rare and my brother in law was misdiagnosed for almost 2 years seeing top cardiologists here in Los Angeles who didn't check for that. Fortunately when he was on deaths door one doctor recognized the symptoms and he went to the mayo clinic and it was confirmed. He coded several times, was on bi-vad and ECMO and 5 months later after chemo he got a heart and kidney transplant and 10 years later he is still alive. So on behalf of those who fall victim to this disease please check even though it is considered very rare.
Thanks for this. My wife was recently Dx'ed with this disease. It's tricky because it mimicks so many other diseases. I hope and pray she will live longer. We're both in our 50s and, have "empty nester" plans after our 4 kids finish school. Being a hospitalist PA, has enabled me to make enough to support our family and attend her hospital visits. Thanks for sharing YOUR experience! BTW, you RTs great! 😊 Our RTs taught me so MUCH about vents!
@@OmarAbdulMalikDHEdMPASPACPAPro Ironically my older sister was just diagnosed with this disease. She didn't have the typical symptoms. She was referred to Stanford and saw a hematologist and I went with her and specially asked that he test for amyloidosis (based on my experience with my brother-in-law) and he casually said, yes I can test her for that and bam her light chains were off the charts. Her local hematologist was clearly upset that he didn't catch it sooner saying she didn't have the typical symptoms. My sister's PA that she sees was "like a dog with a bone" saying this is not normal. Her persistence paid off and my sister is most grateful to her for referring her out. So PA's are important for screening! I wish your wife a good result from treatment. There are many out there now so stay hopeful!
I really appreciate you sharing your experience in such an objective way. It makes your experience a lot more thoughtful for others. I’m glad you are now in a place of medicine where you are satisfied with your scope of practice and physician oversight. Personally a-lot of the cons you listed are honestly pros for me. Thanks to hospitalist patients spend less time in hospitals and are less likely to return. If you interest in disease management then being a specialist is probably more of your cup of tea. I like going through a meticulous list of events that are required before discharge. I always felt like the downfall of inpatient adult medicine as well as our patient medicine is that we don’t look at the time with the physician and the patient as being patient focused. When you’re on the floor/step down icu you are very involved in your treatment. One could argue that if you’re not sick enough, obviously you will be involved in your own care, but a better perspective is that being more involved in your care prevents you from becoming sicker. I like the multi disciplinary aspect of a discharge as well. Which departments all the medical departments, physical therapy, social work, pharmacy, etc. To me hospitalist medicine is great if you like primary care but not the hours and prior authorizations and if you like emergency medicine but don’t like dealing with people who don’t like dealing with people who don’t know what urgent care is and dealing with emerging/emergent acuities at the same time. You could think of the floor as purgatory, the icu as hell, and the emergency room as “The Good Place”
I enjoyed the true medicine behind hospitalist medicine but hated the non-medicine aspects of it (discharge, social work, politics). I considered going into IM and eventually going into GI, but didn’t want to go through the rat race of trying to be competitive for matching fellowship (like med school but worse!).
Cardiology is research driven but also algorithm driven , even treatment wise. Most cardiac pts are a fib with rvr , nstemi , stemi , CHF exacerbation , cabg evals, arrhythmias to name a few. It’s very very repetitive as well but you’ll eventually get zebras ( once in a while ) .
Hey Dr Lakshya I hope you're doing fine I just wanted to remind you of the fact that you are a decent ,respected ,honest man I really appreciate your videos and I really enjoy each one of them watching you is kinda of a constant reminder of hope and success in a world full of failure and disasters Im an IMG who just graduated from medical school and I'm currently in my second month of internship and Im studying and preparing for step 1 exam so that one day my dream comes true I hope to meet up with you someday and chat over a cup of coffee (invitation on me haha) best luck with your fellowship
is it that easy to switch to cardio? from what i know is that if you wanna go cardio its almost necessary to be in a institution that has IM and cardio (in-house) if this isnt the case can u please make a video on how u did join cardio sharing your tips etc... thanks
"You feel more like a coordinator"...that a VERY good point. "Ownership" and ,"a discharge-based system", can be dissuaders about hospitalist medicine. Do you feel that you have a better work-life balance (especially time with your wife and baby)?
![Life As A Cardio Fellow [First 4 Months]](http://i.ytimg.com/vi/s3yL9W4U2wo/mqdefault.jpg)
Hey, friends! Hope you enjoyed today's video about "Why I Left Hospital Medicine [My Experience]". Take advantage of all my favorite med school tips and tricks in this free guide here! (themdjourney.com/med-school-success-handbook/)
Hospitalist for 20 years and no regrets. I have the perfect job for seeing a variety of cases, meeting and seeing interesting people, and flexibility of my personal life. Part of job satisfaction is not only picking the right career, but making sure you are in the right situation.
Love to hear from someone who loves the field as a contrast!
@@TheMDJourneyI love the variety. Work is never boring
@@TheMDJourney I will add that in my situation that I’m lucky as I get to work with a bunch of friends who happen to be my colleagues as well. Being in academic in environment, I’m continuously learning and when you are around students and residents, it makes me feel youthful and full of energy.
Great video Doc. College pre med student rn interested in/torn between ophthalmology, oncology, and IM. I know I have a lot of time, but this helped me gain some more perspective. Thanks.
I am an RT student and I found your video very interesting as to what the hospitalist does. Don't forget about amyloidosis as it's rare and my brother in law was misdiagnosed for almost 2 years seeing top cardiologists here in Los Angeles who didn't check for that. Fortunately when he was on deaths door one doctor recognized the symptoms and he went to the mayo clinic and it was confirmed. He coded several times, was on bi-vad and ECMO and 5 months later after chemo he got a heart and kidney transplant and 10 years later he is still alive. So on behalf of those who fall victim to this disease please check even though it is considered very rare.
Thanks for this. My wife was recently Dx'ed with this disease. It's tricky because it mimicks so many other diseases. I hope and pray she will live longer. We're both in our 50s and, have "empty nester" plans after our 4 kids finish school. Being a hospitalist PA, has enabled me to make enough to support our family and attend her hospital visits. Thanks for sharing YOUR experience! BTW, you RTs great! 😊 Our RTs taught me so MUCH about vents!
@@OmarAbdulMalikDHEdMPASPACPAPro Ironically my older sister was just diagnosed with this disease. She didn't have the typical symptoms. She was referred to Stanford and saw a hematologist and I went with her and specially asked that he test for amyloidosis (based on my experience with my brother-in-law) and he casually said, yes I can test her for that and bam her light chains were off the charts. Her local hematologist was clearly upset that he didn't catch it sooner saying she didn't have the typical symptoms. My sister's PA that she sees was "like a dog with a bone" saying this is not normal. Her persistence paid off and my sister is most grateful to her for referring her out. So PA's are important for screening! I wish your wife a good result from treatment. There are many out there now so stay hopeful!
I really appreciate you sharing your experience in such an objective way. It makes your experience a lot more thoughtful for others. I’m glad you are now in a place of medicine where you are satisfied with your scope of practice and physician oversight. Personally a-lot of the cons you listed are honestly pros for me. Thanks to hospitalist patients spend less time in hospitals and are less likely to return. If you interest in disease management then being a specialist is probably more of your cup of tea. I like going through a meticulous list of events that are required before discharge. I always felt like the downfall of inpatient adult medicine as well as our patient medicine is that we don’t look at the time with the physician and the patient as being patient focused. When you’re on the floor/step down icu you are very involved in your treatment. One could argue that if you’re not sick enough, obviously you will be involved in your own care, but a better perspective is that being more involved in your care prevents you from becoming sicker. I like the multi disciplinary aspect of a discharge as well. Which departments all the medical departments, physical therapy, social work, pharmacy, etc. To me hospitalist medicine is great if you like primary care but not the hours and prior authorizations and if you like emergency medicine but don’t like dealing with people who don’t like dealing with people who don’t know what urgent care is and dealing with emerging/emergent acuities at the same time. You could think of the floor as purgatory, the icu as hell, and the emergency room as “The Good Place”
I am interested in becoming a hospitalist. Can you please make a video explaining the different compensation structures when joining a group/hospital?
I enjoyed the true medicine behind hospitalist medicine but hated the non-medicine aspects of it (discharge, social work, politics). I considered going into IM and eventually going into GI, but didn’t want to go through the rat race of trying to be competitive for matching fellowship (like med school but worse!).
Cardiology is research driven but also algorithm driven , even treatment wise.
Most cardiac pts are a fib with rvr , nstemi , stemi , CHF exacerbation , cabg evals, arrhythmias to name a few. It’s very very repetitive as well but you’ll eventually get zebras ( once in a while ) .
Hey Dr Lakshya
I hope you're doing fine
I just wanted to remind you of the fact that you are a decent ,respected ,honest man
I really appreciate your videos and I really enjoy each one of them
watching you is kinda of a constant reminder of hope and success in a world full of failure and disasters
Im an IMG who just graduated from medical school and I'm currently in my second month of internship and Im studying and preparing for step 1 exam so that one day my dream comes true
I hope to meet up with you someday and chat over a cup of coffee (invitation on me haha)
best luck with your fellowship
I love this video so much insight!
Thanks for the nice comment! Glad you liked it :)
Great video!
Glad you liked it!
Thank you so much
is it that easy to switch to cardio? from what i know is that if you wanna go cardio its almost necessary to be in a institution that has IM and cardio (in-house)
if this isnt the case can u please make a video on how u did join cardio sharing your tips etc...
thanks
Not easy - cardiology fellowship is competitive. I shared the process here
th-cam.com/video/jwsWrUbiuNo/w-d-xo.htmlsi=PVm2xaG9yMGm3tx5
could you share us why you didn't join general surgery?
What are the requirements for an IMG Indian to get into surgical residency spots in US?
Could you please elaborate on this..
Is this same for FM?
Please do surgery
Hii how do you have such an amazing American accent being an Indian? Did you take any course for it ..? Pls let me know
Nope - just grew up here in the US from a very young age.
"You feel more like a coordinator"...that a VERY good point. "Ownership" and ,"a discharge-based system", can be dissuaders about hospitalist medicine.
Do you feel that you have a better work-life balance (especially time with your wife and baby)?
In my hospital the consultant can not place order, its the role of primary. And that should be the norm
Your hairline is going away. Get some Rogaine. Great video
I'm good thanks! Glad you enjoyed the video.
Out of pocket 💀
This person clearly has priorities in order😏