@@skyhappy other specialties absolutely love dumping agitated or delirious patients on psych when it’s completely unnecessary. The patient doesn’t have a new onset psychosis or a new onset depression - they have delirium, and whatever cause it’s secondary to is NOT psych’s problem.
You're legitimately too talented at this to continue with a career in medicine. So is the guy on the keyboard. Yalls faces and voices are fucking perfect.
You laugh, but ID knows that a tie made damp by the ICU attending's frothing saliva as they yell at everyone is a major vector for Acinetobacter and Pseudomonas transmission
I worked as an ER Tech for awhile, it was like watching an MMA fight seeing all the different attendings argue with each other during a major trauma code. No one could agree on anything, meanwhile the ER attending is just like "get them out of the ER Idk"
Man during my last rotation the vibe between surgery and ICU was so backwards hahah it felt like an alternate universe hahah surgery would be worried, would beg for an abdominal CT-scan. ICU would say no, I’m not worried about his abdomen hahahahaahhaha
Me describing (badly) a post op scar: a gapping 1x1cm at the distal part of the op scar My surgeon: apex Me : what My surgeon: at the apex of the.. The wound: a literal straight line
This happens so many times... When ur a med student and u r presenting a case some of them don't listen to whatever you were saying and in the end they are like... U didn't say that ... Next time you present make sure to add the lung sounds 🥲
ID saying “why don’t you put on some PPE?” to the ICU doc is very on brand. ICU docs give 0 fucks lol I watched one palpate around an open abdomen pt w/ enhanced precautions no gloves, no PPE ….also I still don’t understand how oncotic pressure works and I’m too scared to ask at this point
Patient is oozing fluid out of his skin and has an ef of 30% but we gotta keep those maintenance fluids going. Something something, insensible loses. (I am currently applying for critical care fellowship lol)
I’m a med student and I made a recommendation for fluid overload to do albumin bolus plus lasix purely based on this video and my resident ended up doing it and was impressed
Literature Loving Attending is why everyone trynna to go to med school should work food service in undergrad. Abuse won’t even register on your radar anymore 😂
Problem is that the patient has leaky capillaries. Albumin will leak into the interstitium and cause more edema long-term. Patient has significant weight gain (2 lbs in 24 hrs) and blood pressure is elevated. There is no reason to give albumin. Lasix will lower intravascular volume, but that change in fluid gradient will pull fluid from the interstitial space in to the intravascular space.
Oh good gosh, I hope when you come up and are the attending, you will recall all this. And while some of what was said may have been important, it was delivered with a level of brutality that was utterly unnecessary. Medicine needs to change because people ate valuable.
@@nicholasbyram296 give albumin to stop the hypoproteinemia.. secondary to a tanked liver. Then use spironolactone and furosemide to zap the edema. Pt is probably a cirrhotic. We do that all the time for Hepatic Encephalopathy.
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The immediate psych consult slayed me
It's so fucking true too hahaha
@@mirzahadzizukic1915 could you explain
@@skyhappy other specialties absolutely love dumping agitated or delirious patients on psych when it’s completely unnecessary. The patient doesn’t have a new onset psychosis or a new onset depression - they have delirium, and whatever cause it’s secondary to is NOT psych’s problem.
Slayed?
Had me crackling at the end 😂
Did the ID doctor just throw away his bow tie and open a new one? 😂😂😂
😅😅😅😅
Did you think he would allow himself to be a vector? No SIR!
You're legitimately too talented at this to continue with a career in medicine. So is the guy on the keyboard. Yalls faces and voices are fucking perfect.
Are you saying people who are not talented at other things go to medicine?
@@sarah37452 um no
@@sarah37452you are the only one saying this
I just noticed the ID doc throwing away his fucking bowtie like it was PPE and taking a new one out of packaging. Holy crap this is amazing
The disposable bow tie lmaooooo
You laugh, but ID knows that a tie made damp by the ICU attending's frothing saliva as they yell at everyone is a major vector for Acinetobacter and Pseudomonas transmission
"make sure to include lung sounds in the physical exam findings next time" LMFAO so it's not just me 😂
So classic 😂😂😂
The Albumin-Lasix chaser is fucking gold
As a current ICU fellow this is perfection in cinema
As a current ICU nurse this is perfection
As a current fart farmer this video is perfection.
“Talk like a fucking doctor” hit me😂 rads attending definitely hit me with that before
Oh god … this how my dad would talk to me when he was trying to “help” with my homework during my school
Years … terrible memories 😢
The ID attending and the ICU attending going at it - classic. I used to see the Surgeons and the ICU attendings screaming at each other too lol
I worked as an ER Tech for awhile, it was like watching an MMA fight seeing all the different attendings argue with each other during a major trauma code. No one could agree on anything, meanwhile the ER attending is just like "get them out of the ER Idk"
Man during my last rotation the vibe between surgery and ICU was so backwards hahah it felt like an alternate universe hahah surgery would be worried, would beg for an abdominal CT-scan. ICU would say no, I’m not worried about his abdomen hahahahaahhaha
Your ability in all these videos to sound like the pissed off attending is incredible and perfectly on point
"what is fludrocortisone do you even know?"
"it's a mineralocorticoid"
"no it's a *steroid* "
😐
same thing hahah
I heard that and I was like "Yeah, that was *sooooo* helpful thank you"
the dead eyed stare the guy has afterwards is perfect
that was the joke yes, so glad you guys all are here to clear it up
@@manfrommars340 lol
Me describing (badly) a post op scar: a gapping 1x1cm at the distal part of the op scar
My surgeon: apex
Me : what
My surgeon: at the apex of the..
The wound: a literal straight line
As a critical care resident I watch this every once in a while and make sure every resident I’ve met watched this masterpiece too
"Go and put in a psych consult" lol
"What's A stand for?"
"Airway"
Not a bad answer
The trauma is palpable.
I love that you have a WoW at home
Ikr genuinely impressed
Kyna weird actually
“Blood?” 🥺
“BONES!” 😡
This actually hurt to watch. Very well done.
This happens so many times... When ur a med student and u r presenting a case some of them don't listen to whatever you were saying and in the end they are like... U didn't say that ... Next time you present make sure to add the lung sounds 🥲
Yikes, I didn’t realize how nice my ICU rotation attendings were compared to the norm 😂
1:40 i felt that
I'm doing a SICU rotation and I just learned to nod along through any nonsense till the day is over.
Welcome to healthcare
As a current psych intern currently on a busy consult service, this hurt me at the end..😅honestly brilliant
Watching your videos ist 50% loving the medical humor and 50% simping over you tbh
the nonstop 'read my mind' questions and the 'talk like you're a doctor' oml this is giving me traumatic flashbacks
Some ICU doc are great, some have an ego problem worse than neurosurgery.
I don't work in healthcare, so I legit clicked on this video thinking, "They're gonna talk about Pride and Prejudice?" 😅😅😅😅
I’m a simple guy. Anything with lungs + question about the letter A = Airway
the monitor and vent sounds in the background... this is high quality stuff
ahhh you nailed my cticu experience from the nurse perspective
ID saying “why don’t you put on some PPE?” to the ICU doc is very on brand. ICU docs give 0 fucks lol I watched one palpate around an open abdomen pt w/ enhanced precautions no gloves, no PPE
….also I still don’t understand how oncotic pressure works and I’m too scared to ask at this point
This guy is hilarious; his parodies are spot on.
Omg how stressful 😂 the “next time mention the crackles 🤦♀️ I lost it at the steroids - I felt that look so hard 😒
the patient is agitated🤣🤣🤣
This actually stressed me the f out
As a SICU attending, I feel personally attacked, I’ve done 95% of that stuff 😅
Patient is oozing fluid out of his skin and has an ef of 30% but we gotta keep those maintenance fluids going. Something something, insensible loses. (I am currently applying for critical care fellowship lol)
I’m a med student and I made a recommendation for fluid overload to do albumin bolus plus lasix purely based on this video and my resident ended up doing it and was impressed
Brb gonna recommend the albumin w/ lasix chaser tmrw.
Dude idk how the fuck I just found you but your content is by far the best medical student/resident content out there
Your videos are too good lol
Love the Surgeon Simulator on the TV
The doctor opening "let me tell you a little bit about it..."... is Doc talk of a smackdown for sure.
It’s the attitude for me 😁
I have war flashbacks watching this 😂
I CANT stop watching these lol
The new Glaucomflecken
nah they need to team up, be twice as good
Literature Loving Attending is why everyone trynna to go to med school should work food service in undergrad. Abuse won’t even register on your radar anymore 😂
so accurate---the albumin..."hit him hard and hit him fast".......
The albumin shortage 😂 he gained 2 pounds! 😂😂😂
you had me at "BONESSS!"
This is too accurate 😂
Why don’t the listen when we speak when they prompted us to speak
spot on !!! lawd how do we get confident when we face this for rounds
“What is fluidrocortisone, do you even know?” “A mineralocorticoid” “no it’s a steroid” That killed me.
I work in CVOR and the "need a ladder so the blood bank can crawl out of my ass" is amazing 😂😂
I wish I knew the name of the guy behind the computer bc I’d tell him not to Jim the camera.
1:49 GIMME GIMME SOME TIME TO THINK, I'M IN THE BATHROOM LOOKING AT ME
"Talk like you're a fuckin doctor" lmfao
OMG that last thing is literally our ward lol😳
😂😂😂 This is hilarious.
I watch this everyday
bro 1:16 gets me everytime
Anecdote based medicine
Process of reading cxr, ptsd
"its a mineralocorticoid".. "its a steroid" lmao
I always said blood too 🤣🤣
100% this is SICU
I love your stuff, new fan, curious what specialty you are in?
He’s psychiatry I think (I’m also a new fan)
toxic attending 101
So... how does the oncotic pressure works?
Problem is that the patient has leaky capillaries. Albumin will leak into the interstitium and cause more edema long-term. Patient has significant weight gain (2 lbs in 24 hrs) and blood pressure is elevated. There is no reason to give albumin. Lasix will lower intravascular volume, but that change in fluid gradient will pull fluid from the interstitial space in to the intravascular space.
@@moo3oo3oo3 My guy here curbsiding in the comments
So much funnier than dr glaucomflecken. You are a comedic genius.
😂😂😂😂 do you even know how oncotic pressure works!?😂😂😂😂
I'm going to die of laughter this video is so spot on
Oh good gosh, I hope when you come up and are the attending, you will recall all this. And while some of what was said may have been important, it was delivered with a level of brutality that was utterly unnecessary. Medicine needs to change because people ate valuable.
wait im so confused i was expecting literature in here T_T is it just a stereotype that they're cocky or whatever?
relatable as a grad nurse with CNE'S
was the suck in it before peeing it out talking about mannitol?
Albumin i think
Mannitol for cerebral edema, albumin + furosemide for peripheral edema?
@@nicholasbyram296 give albumin to stop the hypoproteinemia.. secondary to a tanked liver. Then use spironolactone and furosemide to zap the edema.
Pt is probably a cirrhotic. We do that all the time for Hepatic Encephalopathy.
I hate this doctor