There is nothing, NOTHING, like a good nurse, and a caring one. God knows, I learned from some of the best, and decades later, I proud to say that I told them just how good they were and how grateful I was to have been able to work with them. A lot of lives have been saved by those women and men who held my hand and taught me what I needed to know!
My dad was an ICU nurse and he would say stuff like this all the time. Basically "Doc, you just sit there, look pretty, and do everything we tell you to do. Some of us are trying to work."
@Snarl_Marx All they are there for is to sign their name on all the orders the ICU RN's tell them to.They learn to be very grateful to the RN's! We teach them not their seniors.😁
As a nurse at a teaching hospital, I love new docs ♥️ They’re the ones who ask about my opinion and genuinely listen, and if I have a question on something and they don’t know either, we learn together
Last year while in the hospital I was given Compazine for nausea. Slowly over the next couple hours all my muscles started to tighten up, eventually locking me pretty much in place for over 4 hours as it left my system, all they could do was up my dose of pain meds to make it bearable. They called it something but I cannot for the life of me remember what the name of that reaction was that happened to me. Do you know?
@@Skenjin Sounds like you had an acute dystonic reaction, which is a side effect of compazine and other antipsychotics/antiemetics like haldol. They should have given you IV/IM Benadryl to reverse it.
Ms West, I doubt if we have ever met, but thank you. People like you helped mold me into the physician I am today. I could never have made it without people like you. Well, I could have, but it was so much easier with folks like you on my side.
When I started working as a doctor, nurses were there to help me and offer support in difficult times. My clinical knowledge is thanks to them and if anyone says that nurses dont know medicine, yall mad wrong. Most of great doctors out there had really good nurses who taught them how to do their job. Respect them and cherish them.
Thank you for this. I grew up with nursing parents. My mom is currently getting her PhD in Nursing. She has done everything. Flight nurse, running ICU and ER. Was even a professor in a college for a while. My dad was a night nursing supervisor for a whole hospital. I practically grew up in that hospital going to work with him. I would hang out at the nurses' stations while he did his rounds. It can be a strangely fun place.😂 One ward I could never really stand to be in is the burn ward. I have a sensitive nose, I grew used to the smell of a hospital, but there is something about the smells in a burn ward I could never get over. The nursery was my favorite. I never held the newborns, of course, but seeing those little babies always made my night. They used to play a little lullaby over the speakers when babies were born. They stopped at night to help patients sleep. I used to know what all the codes meant over the PA system. I miss those days. He is currently a home health nurse.
Respect is essential, but so is qualification. Whatever “know medicine” in this context means, a nurse is not a doctor. You could also make a video about how some (only some!) nurses get mad hostile once you quickly outgrow them in knowledge after a year in residency (ignoring the vastly more theoretical knowledge you already had to begin with). For some reason, writing this is controversial. Imagine a doctor would storm in and act like they are Nursy mcNurse expert. Wouldn’t be okay. Why am I writing this? Because the US healthcare machinery is an utter mess, and mid level creep is an actual problem poisoning it further; for everyone: For good doctors, good nurses and especially for overwhelmingly most patients who have no clue about what’s going on.
@@TomJakobWAs a former RN, I concur. I cringe every time someone says “Nurses know as much/more than doctors.” No, they don’t. Helping a new doc is not the same as practicing medicine. This is no slight to nurses. It’s simply acknowledging that these are two distinct professions. Occasional overlap doesn’t erase that.
@nom3nnescio To 'save my bacon' means to rescue someone from danger or a difficult situation.' It probably comes from the same time period as the saying 'bringing home the bacon.' That saying means to 'earn money needed to live.' Bacon it seems was such a valuable commodity at some point in time that we have numerous sayings about it. Hope that helps. 😊
I admire doctors, all the studying, years of schooling, and then, trying to remember what to do with all the different illnesses people have when they finally get into the real world of “practicing.” I’d be like “😦.”
@@markeviouslipscomb3460 I've worked in a CTICU 3 years and never seen anything but a 12 lead. Do the extra 3 leads really help decrease patient mortality?
@@vashusan1984 I remember when I was in an apprenticeship with a medic when I was in school and we done one. It only confirmed the STEMI we saw in the 12-lead. Most medics don't even bother with a 15-lead. At least not in my neighboring counties.
Yes, facts. Just wait till your baby gets its first virus - I cried every time I tried to leave the crib to sleep, ended up just sitting by her for hours. 🥺
@@ValaRed mine just had his first fever and we snuck into his nursery after he fell asleep just so we could turn the nanny cam back on we were so paranoid 💀
@@homairabarez6988 Same though, I accidentally fell asleep for less than ten minutes a few days ago and mine shut himself in the bathroom immediately, started bawling, and I rushed over to get him and bonked his head on the door which made him cry harder. Parenting fail, and I will never sleep again :(
Holy shit this is me with every new intern ever. I was a charge nurse (I'm now an NP) and they would always send the new kids to me. This is exactly how it would go.
@V O Talking to my uncle who recently retired, you'd think he ran the entire hospital alone as an intern. Although I'm sure without duty hours and restrictions, residents literally lived in the hospital until their training was done.
We used to have first year interns and med students shadow nurses for a couple of days. Most of them said they learned more from shadowing nurses than working with another MD. It also fostered more understanding, cooperation, and a better work environment.
@@mmc8539 I love teaching interns when they want to actually learn something specific to my specialty. I know they are getting thrown into lots of new stuff every couple of weeks, but it is cool when someone wants to get a little more in depth about the rotation they are on.
Not the ICU, but when I was really little I would sometimes go with my dad when he would do overnight rotation in the ER an weekends. Little pigtailed me with my bagged dinner and snacks proclaiming i'd stay up all night with my dad. It's a nice memory and it was a way for me to get to see him and spend some time.
@@sugoish9461 that's beautiful! I don't even think they really know the impact these times had on us. I tell him though. I try to do things like that with my kids now.
@@MSANTHR0P3 Same! I'm turning 19 today (well... When I wake up) so I'm not out of education yet, but I'm taking programming classes now! It's really fun, and now that he shows me the programs he uses it's amazing because I can finally understand parts of it! In the same way, him reading old folktales to my sister has made her absolutely love and choose to study languages. These things really do impact us!
@@sugoish9461 wow! I'm so much older than you. I wish you the best. I have a brother in IT and one in programming. I know it can get daunting, but just keep pushing through! I believe in you. ❤
ive had many interns just tell me, "Just tell me what to order and i'll put it in". I respect them for it. it's like I know they know stuff, they know I know stuff. SO we just both know, yah know?
As a nurse, the best thing is when a new intern actually sucks it up and asks us to guide care. Lives are saved when docs and nurses work together. When we don't, new docs die :)
The subtle cheek redness at "you can't kill a patient with a little potassium" this man needs an Oscar. He brought me there. That was a real, very real moment...
Honestly, the "you just tell me what to order" presumably to the nurses was the best choice. They know best! Just be nice and they'll help you along! :P
My first day as an intern a senior colleague I had been shadowing as a student called me aside and said "if you butter up the nurses and be respectful, they will teach you more than even the doctors within the first couple of weeks and you will not get into any trouble with your superiors" it was the best piece of advise I ever received
I cannot tell you the number of times, as a nurse, I’ve been asked what I think they should order for a particular issue. Lol. As long as you have a seasoned nurse you’ll be fine.
@A R near as I can tell as a chronic illness patient, the lazy and bad nurses simply just don't bother so you don't end up getting anything which honestly is sometimes better. In my case I now know what and how to ask for something and because I have had my illness for a while now they just do what I ask most of the time lol
@Jeff Lopez I always give the interns a chance make decisions and affect patient care, even if I hear a lot of "let me talk to the fellow". Ironically many of us experienced RN's are on first name basis with all the fellows and attendings. A little compassion for a new doc in a busy ICU goes a long way to help good delivery of appropriate patient care.
This was 100% me as a 4th year medical student on my ICU rotation. I had a terrifying level of responsibility that I would now never give to a medical student. Thankfully, I did something right with the amiodarone and now to everyone's relief I'm an Ob/Gyn
Literally me also but as a 3rd year medical student. Like why do I have so much responsibility when my only exposure to medicine is my board exams?! Pray for my sanity.
I can relate. As a newly minted paramedic my first night consisted of me forgetting everything I had learned up to that point. Even my common sense failed me. My brain was the consistency of overcooked oatmeal. 😬
I start my first day As A Real Doctor (intern) tomorrow, and I feel so much better reading this. Because I'm pretty sure that's going to be me tomorrow 😅
Don't forget -- u can always ask the pharmacists on duty about medications, proper doses, and labs. That's what their specialty is, & most of them will be happy to answer your questions! You're not completely alone out there! They also have a crap ton of clinical knowledge outside of just medicine. So if u r the only doctor on call that night and u have a question the nurse can't answer, give the pharmacist a call!
@Michala1998 Damn, that's sad. Pharmacists are so under utilised. There should always be one on call. At least over in my part of the world, it's standard practice to have an on call pharmacist. Hope it's a practice that gradually spreads further. Gives pharmacy students some hope too of a life outside of retail hell 😝
@@michelemiktus2312man how small is the hospital you work at? Our hospital always has 3 night pharmacists and at least 6 pharm techs in the main pharmacy through the night
Y'know... Being sleep deprived for even a slight amount is enough of a justification to bar people from working in machine shops, constructions sites, and operating heavy machinery. It but being able to make life and death decisions in a high pressure situation where you need to consider many variable, for many people at the same time. Nah... Being sleep deprived and tired is just alright! If you read up about effect of lack of sleep to the human brain. You'd start to wonder why the fuck do we allow people to be even slightly sleep deprived. Seriously, human brains gets all loopy and ability to even understand the reality around you suffers quickly. But y'know... Medical profession is a calling - right?
Thing is, patient care is not scalable, the quantity of medical personnel required increases linearly with the number of patients. And it's a job that requires a long and difficulty training. And the population is aging in most first world countries. Doctors and nurses are always scarce, and a sleep deprived doctor is still better than no doctor
@@MrPaPaYa86 they're scarce because the system is so grueling people can't get through the education system because it is needlessly hard. It's not weeding out the weak, it's weeding out everyone who isn't lucky
I worked as an ICU pharmacist for a long time and couldn’t figure why they worked them so hard like this until I saw a 65 year old heart surgeon work for 3 days straight (being the only heart surgeon at the hospital for the week since the others were out of town) as cases kept coming in, short naps in between. It is life and death and these patients don’t wait for someone to get rest. That’s the training. If you can’t do it, go find something else to do.
As I read this comment and those who commented in response I remember, nurses do not get overtime pay. Which is so freakin stupid. If anyone in the world should receive OT pay it is most definitely nurses. They know their patients so well and are able to help sleep deprived docs, from newbies on up.
I have this fond memory of a newly graduate doctor, it was her first day in the ICU. One of our patients needs intubation, and was going into code. She jumped up amd down, asking the nurses what to do. Good thing she was sweet and kind, so we all helped. The patient survived. The doctor is now an excellent cardiologist.
I had another RN do that to me. I was at the nurses station and she came running out jumping up and down “the patient is dead, the patient is dead”. We had to sit down w/her after and explain again what the red flip button was for on the wall🤦🏻♀️ Thankfully the patient was in a room closer to the station vs at the end of the hall.
As a new resident, I strongly recommend you ask nurses what they think you should do… it’s really helpful when you’re starting out and some are great resources!
I actually appreciate new doctors asking the nurses when there's something they're not sure of, instead of some who pretends they know everything and insists they're always right.
A friend of mine somehow had that done in the middle of the night by a patient who went delirious after surgery. She told me that there were bloody handprints everywhere across the ward 😂
A few years back they introduced an electronic system to "make things easier". Then one summer I had to fill in patients papers, of course double checked by the doctor, I have never been met with a more infuriating, convoluted, system in my life. I would much rather just have physical papers and some segregators filled with them and labeled. Having to dig through 20 tabs to get what I want, deciphering patient sheets, took me hours to do.
@@the4thsteve27 It never really is. I work in IT and the service manager tool I use in office is crap. When I do work the all the server names are basically kept in a spread sheet. The spread sheets hosted on Share Point are even more horrible than on a normal spread sheet. When working for a very large company the guys on the bottom of the food chain, has no say. I can see why someone would rather have paper. But there is a limit on how much paper you can store. Paper files can easily get lost. I can imagine a large hospital who sees hundreds of patients a day would want a digital system. Just don’t expect it to be good. It will make you want to pull hairs out lol
Idk I’m young but I personally love EHRs. The ability to see someone’s vitals from 12 hours ago, see their EKG results from a day ago, their imaging studies, outside hospital records prior to arrival, exactly what meds the ED did or didn’t give, all the specialty notes.. all from one spot. Rather than having to dig through files and walk around the unit or call people up just for them not to answer. Takes a lot of guesswork out, esp inpatient
@@JasonB808 At this point im of the opinion that there should be small scanners where doctors put in papers that are scanned and put into the system, of course legibly. Then simply have several folders as you would for papers and everyone knows where to find anything they need. thats just my rudimentary idea, might be even more impossible. But at this point flipping through 20 tabs, having to decipher what was put in what, having these odd places for scales. the biggest issue is perscribing an investigation or sending them somewhere for example for a head and neck TK (poland is where I am at) and the system doesnt have Head and neck but Head, and then seperately neck. Issue is if you perscribe them this investigation this way they will be given two dates for these two exams... or worse yet it will cause a system issue in the radiology departament because they are trying to input things when they technically shouldnt be able to or put things together. It causes an issue. When this was all on paper oddly enough things were far more dynamic, far more efficient, I have no idea how they managed to mess it up this bad.
Worked in the ICU and i swear this happens to new doctors 🤣 i love them though especially those who are willing to learn and not snobbish cuz im "just a nurse"
OMG, you brought me back to my first July 1st as an RN on a Cardiac Step Down unit. I asked the intern for some Tylenol because my patient had a headache from nitroglycerin. 28 years later and I remember the look of panic on his face. That and him looking up Tylenol in his PDR book. Ha ha! He actually turned into a great doctor after his first moments of panic.
That's so strange to me. Why would they give the whole ICU to an intern? I'm an intern and there's usually an attending physician around to guide me here. People's lives are at stake, I don't see how an intern would be able to handle a full ICU.
@@greatarabia8091 There is always an attending physician, and probably a fellow, and maybe a resident, on duty. Residents always work under supervision. Dr. G’s point was that the intern is the peon responsible for doing the history and physical, writing the admission and discharge notes and orders on every patient. The intern’s work is checked by senior physicians but keeping up with the workload is daunting and it is a sudden shock after being responsible for only a small number of patients during a medical school rotation.
@@gerardacronin334 Now I get what you mean. Yeah that's the way it is here. 100-200 patients a day in our emergency department. I handled 50 with my colleague at one point. We take turns.
@@greatarabia8091 I remember the night on Internal Medicine when I did 13 admissions. I didn’t get to the last one till 5 am and the nurses insisted that I wait for her to wake up. My senior resident was no help at all.
So, so true. "If you were entering this order what would you do?" I remember that feeling. My oncology attending told us first day as a student "fear is good" it builds character and saves patients.
That apprehensive & resigned feeling with a dash of dread at all of the ‘shit, that’s me/my job’ is palpable & too relatable (even if you’re not a doctor).
ICU nurses learn a ton from really good seasoned intensivists, and the proximity is the game changer for that. Anywhere else in a hospital you typically have to page a doc and wait 30+ min for a stressed response with no teaching. 90% of ICU physicians love teaching and sharing their information which just makes the whole unit better.
That's exactly how it goes🤣 can't recall how many times an intern was guided by nursing staff on how to order meds, suggested diagnostic tests, and implied basic titrations🤣. Don't get me started on them running a code...aww, GOOD TIMES!
Yep, that’s how it went on my first day as well, only I ended up weeping in front of the senior resident because I felt I was incompetent not knowing how to place orders.
Oh I remember this like yesterday from 8 years ago... I was shitting bricks during my first ICU month in residency. Not an easy learning curve, and very scary dealing with critically ill patients and not knowing anything. Thankfully my experience was so much better after that year and my subsequent ICU months in the following years after getting the hang of it and actually knowing what to do! Good luck to all those newbies, it will get better! The nurses will definitely help you out!
@@drprabhatkumar8213 no one really introduces themselves as "aspiring [blank]" unless they have the degree of said profession. If you're an aspiring doc, you are a doc at the beginning of your career. Not someone in highschool who wants to be a doc in the future. I'm not trying to be rude, but it is the definition
I remember the first time I called a new resident with a low K. His response was just like this. I only let him struggle for five seconds before telling him we have a house protocol. I liked working with new residents. We learned a lot from each other.
this is actually comforting because i always feel like a dummy when i'm with experienced professionals that i sometimes forget they also went through this stage of anxiety when they were starting out lol
I was the patient with 80/35 blood pressure in the ER. The nurse was discharging me when I collapsed. 🤣 “How are you not dead?” from the brand new doctor was hilarious. I laughed hysterically.
So that’s what happens when BP is low. Seen the machine measuring blood pressure yell at my mom a couple of times for being “low” around 90s/40s but the nurses and doctors weren’t terribly worried. In short, they said as long as top number is above 90, patient looks fine, and patient feels fine, its all fine. Some people just have lower than average blood pressure as their baseline without issues.
"page the doctor- oh wait that's me" has the same energy as "find an adult. An adultier adult"
We all need an adultier adult every now and then
A more doctory doctor lol
How I feel most of the time haha
Did you mean an adulterer??
"What lunatic put me in charge of this?? I don't know anything!"
At this point in an intern’s life, nurses are their biggest heroes.
There is nothing, NOTHING, like a good nurse, and a caring one. God knows, I learned from some of the best, and decades later, I proud to say that I told them just how good they were and how grateful I was to have been able to work with them. A lot of lives have been saved by those women and men who held my hand and taught me what I needed to know!
amen! God I love nurses, they save me in my darkest and stressful nights of my watch
Honestly!!!!!! Nurses are the best!
And every patient's hero
Scrubs told the truth!
"If I sleep, people will die."
Yeah, that's a mood right there.
That’s why lack of sleep is so widespread in the military.
Although this same issue with doctors is even more pressing and important.
It's reality, unfortunately.
Putting interns on ICU is such a specific and devious form of torture.
Investors 🎉
True, but does seem to be good learning for em
First night and he learned how to keep the ICU nurses happy.... 'I'll just sit here and order whatever you tell me." 🤣
My dad was an ICU nurse and he would say stuff like this all the time. Basically "Doc, you just sit there, look pretty, and do everything we tell you to do. Some of us are trying to work."
I mean that’s the most important lesson a resident can learn!!!
@@Snarl_Marx😂 I love that
He'll do just fine if he works WITH the nurses like this instead of bossing them around.
@Snarl_Marx All they are there for is to sign their name on all the orders the ICU RN's tell them to.They learn to be very grateful to the RN's! We teach them not their seniors.😁
“You can’t kill a patient with a little potassium, right?”
*Cardiac Arrest has entered the ICU*
There goes the heart.
Calcium and albuterol, stat!
Just give them all the kayexalate its fine 🤣
Hey look! Prolonged PR intervals!
A little anything can kill SOMEONE… and most of those someones are in the ICU.
Seems like Bill's origin story.
Hahaha true
I was thinking the exact same thing.
Bill, the prequel:
I've heard attending physicians are really hard on new residents. *Anyone know if that's true these days?* 🤔
Isn't this after?
This is comedy gold, the "can is say no to an admission? No, alright, thank you" had me laughing out loud
Sounds like a legitimate thing to ask, especially if you’re overwhelmed lol
"understandable have a nice day"
Lol same🤣
Me too, i felt that one. 😂
@@alexacosta2140 exactly it can be too much for the first day
As a nurse at a teaching hospital, I love new docs ♥️ They’re the ones who ask about my opinion and genuinely listen, and if I have a question on something and they don’t know either, we learn together
Last year while in the hospital I was given Compazine for nausea. Slowly over the next couple hours all my muscles started to tighten up, eventually locking me pretty much in place for over 4 hours as it left my system, all they could do was up my dose of pain meds to make it bearable.
They called it something but I cannot for the life of me remember what the name of that reaction was that happened to me. Do you know?
@@Skenjin Sounds like you had an acute dystonic reaction, which is a side effect of compazine and other antipsychotics/antiemetics like haldol. They should have given you IV/IM Benadryl to reverse it.
@@petelancaster6715 Thank You!
Take care of yourself. Doctors retire when they want to, nurses retire due to repetitive injury disability. You= Rock Star
Ms West, I doubt if we have ever met, but thank you. People like you helped mold me into the physician I am today. I could never have made it without people like you. Well, I could have, but it was so much easier with folks like you on my side.
Honestly, "just tell me exactly what you want me to order for the rest of the night" can be music to an RN's ears. Thanks doc!
"you can't kill a patient with a little potassium.... right?" Lmfao
ORRR, now bear with me here, that's how we in the US CHOOSE to kill those on death row. . .but don't worry about it. . .
*enter chubbyemu*
😆 🤣 😂 😹 😆 🤣
Yes, you absolutely can!
@@nalignmentwlifehealinglife yeah that was kind of the joke.
Well, depends what you mean be a little really.
"80 over 40. page the doctor! Wait that's me". pure gold
He was so used to tell his findings to doctor 😂 that "Wait i am the doctor" moment was perfect
This line was my favorite. But all the video is pure gold.
80/40 is a corpse.
@@Skeptical_Numbat Not in ICU!
@@Skeptical_Numbat if we're talking blood pressure I had 35/15 and was still conscious one time lol
"Yeah I can order that no problem! How do I order that?"
So real.
Like Every time in every rotation 💔😂😂
Yes, this happens sometimes.
Can you explain that to me? Undortunately Im not native :(
Nurses are terribly underrated. WE APPRECIATE YOU NURSES!!! ❤❤❤
When I started working as a doctor, nurses were there to help me and offer support in difficult times. My clinical knowledge is thanks to them and if anyone says that nurses dont know medicine, yall mad wrong. Most of great doctors out there had really good nurses who taught them how to do their job. Respect them and cherish them.
Thank you for this man
Thank you for this. I grew up with nursing parents. My mom is currently getting her PhD in Nursing. She has done everything. Flight nurse, running ICU and ER. Was even a professor in a college for a while. My dad was a night nursing supervisor for a whole hospital. I practically grew up in that hospital going to work with him. I would hang out at the nurses' stations while he did his rounds. It can be a strangely fun place.😂 One ward I could never really stand to be in is the burn ward. I have a sensitive nose, I grew used to the smell of a hospital, but there is something about the smells in a burn ward I could never get over. The nursery was my favorite. I never held the newborns, of course, but seeing those little babies always made my night. They used to play a little lullaby over the speakers when babies were born. They stopped at night to help patients sleep. I used to know what all the codes meant over the PA system. I miss those days. He is currently a home health nurse.
Respect is essential, but so is qualification. Whatever “know medicine” in this context means, a nurse is not a doctor. You could also make a video about how some (only some!) nurses get mad hostile once you quickly outgrow them in knowledge after a year in residency (ignoring the vastly more theoretical knowledge you already had to begin with). For some reason, writing this is controversial. Imagine a doctor would storm in and act like they are Nursy mcNurse expert. Wouldn’t be okay.
Why am I writing this? Because the US healthcare machinery is an utter mess, and mid level creep is an actual problem poisoning it further; for everyone: For good doctors, good nurses and especially for overwhelmingly most patients who have no clue about what’s going on.
@@TomJakobWAs a former RN, I concur. I cringe every time someone says “Nurses know as much/more than doctors.” No, they don’t. Helping a new doc is not the same as practicing medicine.
This is no slight to nurses. It’s simply acknowledging that these are two distinct professions. Occasional overlap doesn’t erase that.
Thank you to all the ICU nurses who saved my bacon 15 years ago when I did this. If not for them, I would have quit on that first day.
Congrats to you for making it through!!
Thank you for being humble enough to know you needed the nurses to get through the night!
Bacon?
@nom3nnescio To 'save my bacon' means to rescue someone from danger or a difficult situation.' It probably comes from the same time period as the saying 'bringing home the bacon.' That saying means to 'earn money needed to live.' Bacon it seems was such a valuable commodity at some point in time that we have numerous sayings about it. Hope that helps. 😊
You’re welcome
*_"That's you, you dummy!"_* Said by my female senior resident when I asked the name of the doctor taking care of all the newborns at the nursery 😂
She should've fired you right then
Oh god I know the feeling, don’t worry bud, we’re all there our first day as the senior adult XD
@@darkstudios001 - tell me you're not a hospital nurse or doctor without actually saying it out loud 😂
@@_Furry.exe_ - I've always asked new nurses and docs that I've met if they've experienced something similar... and they all bust out laughing 😂
There is a Chicago Med scene pretty like that th-cam.com/video/g0lP6IW12rA/w-d-xo.html
I admire doctors, all the studying, years of schooling, and then, trying to remember what to do with all the different illnesses people have when they finally get into the real world of “practicing.”
I’d be like “😦.”
And then people don’t get the vaccine… I would quit
@@Acrophobia2 I legit am thinking of quitting with all the sh*t, I'm dealing with.
And its not just people not getting vaccinated.
Cuz almost none of our schooling prepares us for actually being a doctor :/
@@nihitkhunteta6137 man I’m sorry to hear that. Best of luck to you and thank you for your service!
Oh, we are “😦” (and 😵💫,😴,😫) quite often. It’s worse in the beginning. Then it’s mostly 🤬 and 😴
Exactly how my ICU nights went as an intern. So grateful for the nurses and technician staff for getting me through
As a nurse of 38 years, this made me laugh so hard. Bless the new docs who come and the kind nurses who help them until they find their feet!
"You can't kill a patient with a little potassium right? "
Looks like someone wasn't paying attention in cardiology. 🤣
Don't worry I'm sure they remember which way the leads are connected.
@@zadinal God forbid he be asked to do a 15-lead
@@markeviouslipscomb3460 I've worked in a CTICU 3 years and never seen anything but a 12 lead. Do the extra 3 leads really help decrease patient mortality?
@@vashusan1984 I remember when I was in an apprenticeship with a medic when I was in school and we done one. It only confirmed the STEMI we saw in the 12-lead. Most medics don't even bother with a 15-lead. At least not in my neighboring counties.
That or Nephrology!
"If I sleep, people will die"
Why do I have a feeling that most moms have had a similar thought at least once while raising us? Hmm...
Me when I’m exhausted and a little nap during the day would help and everyone is sleeping and it is so quiet but my 1 year old is still roaming around
Yes, facts. Just wait till your baby gets its first virus - I cried every time I tried to leave the crib to sleep, ended up just sitting by her for hours. 🥺
@@ValaRed mine just had his first fever and we snuck into his nursery after he fell asleep just so we could turn the nanny cam back on we were so paranoid 💀
@@homairabarez6988 Same though, I accidentally fell asleep for less than ten minutes a few days ago and mine shut himself in the bathroom immediately, started bawling, and I rushed over to get him and bonked his head on the door which made him cry harder. Parenting fail, and I will never sleep again :(
@@TenThousandDoors 🫂
Holy shit this is me with every new intern ever. I was a charge nurse (I'm now an NP) and they would always send the new kids to me. This is exactly how it would go.
Poor baby, come here and get a hug. Greetings from a nurse. We’re a team here.
"Page the doctor... oh wait that's me"
I dread the day that arrives for me. Nobody to lean on anymore
@V O Talking to my uncle who recently retired, you'd think he ran the entire hospital alone as an intern. Although I'm sure without duty hours and restrictions, residents literally lived in the hospital until their training was done.
@V O some residents will guide you, others will just bash you and treat you like crap.
@@nstorm2415 The entire world is like that
We used to have first year interns and med students shadow nurses for a couple of days. Most of them said they learned more from shadowing nurses than working with another MD. It also fostered more understanding, cooperation, and a better work environment.
@@mmc8539 I love teaching interns when they want to actually learn something specific to my specialty. I know they are getting thrown into lots of new stuff every couple of weeks, but it is cool when someone wants to get a little more in depth about the rotation they are on.
Not the ICU, but when I was really little I would sometimes go with my dad when he would do overnight rotation in the ER an weekends. Little pigtailed me with my bagged dinner and snacks proclaiming i'd stay up all night with my dad. It's a nice memory and it was a way for me to get to see him and spend some time.
Awww that's so cute :'( !!
@@sugoish9461 that's beautiful! I don't even think they really know the impact these times had on us. I tell him though. I try to do things like that with my kids now.
@@MSANTHR0P3 Same! I'm turning 19 today (well... When I wake up) so I'm not out of education yet, but I'm taking programming classes now! It's really fun, and now that he shows me the programs he uses it's amazing because I can finally understand parts of it! In the same way, him reading old folktales to my sister has made her absolutely love and choose to study languages. These things really do impact us!
@@sugoish9461 wow! I'm so much older than you. I wish you the best. I have a brother in IT and one in programming. I know it can get daunting, but just keep pushing through! I believe in you. ❤
@@MSANTHR0P3 Thank you! Wish you the best too!
ive had many interns just tell me, "Just tell me what to order and i'll put it in". I respect them for it. it's like I know they know stuff, they know I know stuff. SO we just both know, yah know?
As a nurse, I would like to be on record as saying I am always kind in July!!
Most of us get it! 😊
😂
As a nurse, the best thing is when a new intern actually sucks it up and asks us to guide care. Lives are saved when docs and nurses work together. When we don't, new docs die :)
I'm so happy it's not me the patient. Nurses are gold and deserve the world ❤
The subtle cheek redness at "you can't kill a patient with a little potassium" this man needs an Oscar. He brought me there. That was a real, very real moment...
Honestly, the "you just tell me what to order" presumably to the nurses was the best choice. They know best! Just be nice and they'll help you along! :P
My first day as an intern a senior colleague I had been shadowing as a student called me aside and said "if you butter up the nurses and be respectful, they will teach you more than even the doctors within the first couple of weeks and you will not get into any trouble with your superiors" it was the best piece of advise I ever received
I cannot tell you the number of times, as a nurse, I’ve been asked what I think they should order for a particular issue. Lol. As long as you have a seasoned nurse you’ll be fine.
@A R near as I can tell as a chronic illness patient, the lazy and bad nurses simply just don't bother so you don't end up getting anything which honestly is sometimes better. In my case I now know what and how to ask for something and because I have had my illness for a while now they just do what I ask most of the time lol
@Jeff Lopez I always give the interns a chance make decisions and affect patient care, even if I hear a lot of "let me talk to the fellow". Ironically many of us experienced RN's are on first name basis with all the fellows and attendings. A little compassion for a new doc in a busy ICU goes a long way to help good delivery of appropriate patient care.
Nurse:"Uuhhh this is my first night here"
This was 100% me as a 4th year medical student on my ICU rotation. I had a terrifying level of responsibility that I would now never give to a medical student. Thankfully, I did something right with the amiodarone and now to everyone's relief I'm an Ob/Gyn
Literally me also but as a 3rd year medical student. Like why do I have so much responsibility when my only exposure to medicine is my board exams?! Pray for my sanity.
@@mb-mw6yz nothings gonna happen
OMG, why from a nurse's perspective is this doctor's questions so on point lol
I can relate. As a newly minted paramedic my first night consisted of me forgetting everything I had learned up to that point. Even my common sense failed me. My brain was the consistency of overcooked oatmeal. 😬
😂😂😂
I start my first day As A Real Doctor (intern) tomorrow, and I feel so much better reading this.
Because I'm pretty sure that's going to be me tomorrow 😅
Don't forget -- u can always ask the pharmacists on duty about medications, proper doses, and labs. That's what their specialty is, & most of them will be happy to answer your questions! You're not completely alone out there!
They also have a crap ton of clinical knowledge outside of just medicine. So if u r the only doctor on call that night and u have a question the nurse can't answer, give the pharmacist a call!
@Michala1998 Damn, that's sad. Pharmacists are so under utilised.
There should always be one on call. At least over in my part of the world, it's standard practice to have an on call pharmacist. Hope it's a practice that gradually spreads further. Gives pharmacy students some hope too of a life outside of retail hell 😝
My hospital didn’t have a pharmacist on nights. If anything was needed the nursing supervisor got it out of pharmacy for staff.
@@painted_k9 Sounds like we could fix the pharmacist saturation if hospitals hired more pharmacists.
Why 🚫 NOT just ask the nurse on the floor that you're working beside
@@michelemiktus2312man how small is the hospital you work at? Our hospital always has 3 night pharmacists and at least 6 pharm techs in the main pharmacy through the night
Y'know... Being sleep deprived for even a slight amount is enough of a justification to bar people from working in machine shops, constructions sites, and operating heavy machinery. It but being able to make life and death decisions in a high pressure situation where you need to consider many variable, for many people at the same time. Nah... Being sleep deprived and tired is just alright!
If you read up about effect of lack of sleep to the human brain. You'd start to wonder why the fuck do we allow people to be even slightly sleep deprived. Seriously, human brains gets all loopy and ability to even understand the reality around you suffers quickly.
But y'know... Medical profession is a calling - right?
Thing is, patient care is not scalable, the quantity of medical personnel required increases linearly with the number of patients. And it's a job that requires a long and difficulty training. And the population is aging in most first world countries. Doctors and nurses are always scarce, and a sleep deprived doctor is still better than no doctor
@@MrPaPaYa86 they're scarce because the system is so grueling people can't get through the education system because it is needlessly hard. It's not weeding out the weak, it's weeding out everyone who isn't lucky
Preach 👏
I worked as an ICU pharmacist for a long time and couldn’t figure why they worked them so hard like this until I saw a 65 year old heart surgeon work for 3 days straight (being the only heart surgeon at the hospital for the week since the others were out of town) as cases kept coming in, short naps in between. It is life and death and these patients don’t wait for someone to get rest. That’s the training. If you can’t do it, go find something else to do.
As I read this comment and those who commented in response I remember, nurses do not get overtime pay. Which is so freakin stupid. If anyone in the world should receive OT pay it is most definitely nurses. They know their patients so well and are able to help sleep deprived docs, from newbies on up.
I have this fond memory of a newly graduate doctor, it was her first day in the ICU. One of our patients needs intubation, and was going into code. She jumped up amd down, asking the nurses what to do. Good thing she was sweet and kind, so we all helped. The patient survived. The doctor is now an excellent cardiologist.
I had another RN do that to me. I was at the nurses station and she came running out jumping up and down “the patient is dead, the patient is dead”. We had to sit down w/her after and explain again what the red flip button was for on the wall🤦🏻♀️ Thankfully the patient was in a room closer to the station vs at the end of the hall.
Sorry for the weird point but I'm wondering what would you so if she was not sweet or kind?
@@jd3377 Let the patient die, obviously
(I don't think they thought through their wording on that one lol)
_cardiology_
*_salt shaking in the distance_*
When he said,"Just tell me what to order." Thhhhaaatsss a gooood resident.
As an ICU nurse I agree to that.
I was in the ICU 2 days ago and they took care of me so gently! Thank you ER care team ♥️
Keep doing what you do ,I'm a med student from romania and i love your videos
bravo frate!
bazat
Med student in France ✋❤
As a new resident, I strongly recommend you ask nurses what they think you should do… it’s really helpful when you’re starting out and some are great resources!
what was your mcat
I actually appreciate new doctors asking the nurses when there's something they're not sure of, instead of some who pretends they know everything and insists they're always right.
Agreed, a know-it-all is dangerous.
“I tell you what, I’ll just sit right here and you tell me exactly what to order for the rest of the night.” 🤣🤣🤣🤣🤣🤣🤣🤣 I’m 💀.
"If i sleep people die " hits so true , even though I'm barely doing anything alone , the second and third year sleeps peaceful and I just can't
My first day as intern, went to start blood transfusion at night in surgery ward and tore the blood bag to everyone's horror..
A friend of mine somehow had that done in the middle of the night by a patient who went delirious after surgery. She told me that there were bloody handprints everywhere across the ward 😂
@@HateMySpitznamenxD 😅
I would have paid to see that mess. Must have been impressive. 😂
Probably looked like a crime scene!
How.....? I'm impressed in a weird way😦 how? ..
"can i say no" 😂😂
I burst out on that one 😂😂
A few years back they introduced an electronic system to "make things easier". Then one summer I had to fill in patients papers, of course double checked by the doctor, I have never been met with a more infuriating, convoluted, system in my life. I would much rather just have physical papers and some segregators filled with them and labeled. Having to dig through 20 tabs to get what I want, deciphering patient sheets, took me hours to do.
That's just bad ui/ux. If it was well designed the electronic system would have potential to be much more versatile than paper
@@the4thsteve27
It never really is. I work in IT and the service manager tool I use in office is crap. When I do work the all the server names are basically kept in a spread sheet. The spread sheets hosted on Share Point are even more horrible than on a normal spread sheet. When working for a very large company the guys on the bottom of the food chain, has no say. I can see why someone would rather have paper. But there is a limit on how much paper you can store. Paper files can easily get lost. I can imagine a large hospital who sees hundreds of patients a day would want a digital system. Just don’t expect it to be good. It will make you want to pull hairs out lol
@@JasonB808 again, bad ui/ux. _no_ software, _ever_, should be using a spreadsheet
Idk I’m young but I personally love EHRs. The ability to see someone’s vitals from 12 hours ago, see their EKG results from a day ago, their imaging studies, outside hospital records prior to arrival, exactly what meds the ED did or didn’t give, all the specialty notes.. all from one spot. Rather than having to dig through files and walk around the unit or call people up just for them not to answer. Takes a lot of guesswork out, esp inpatient
@@JasonB808 At this point im of the opinion that there should be small scanners where doctors put in papers that are scanned and put into the system, of course legibly. Then simply have several folders as you would for papers and everyone knows where to find anything they need.
thats just my rudimentary idea, might be even more impossible. But at this point flipping through 20 tabs, having to decipher what was put in what, having these odd places for scales.
the biggest issue is perscribing an investigation or sending them somewhere for example for a head and neck TK (poland is where I am at) and the system doesnt have Head and neck but Head, and then seperately neck. Issue is if you perscribe them this investigation this way they will be given two dates for these two exams... or worse yet it will cause a system issue in the radiology departament because they are trying to input things when they technically shouldnt be able to or put things together. It causes an issue.
When this was all on paper oddly enough things were far more dynamic, far more efficient, I have no idea how they managed to mess it up this bad.
Be nice to senior nurses and they will take care of you 😊
Worked in the ICU and i swear this happens to new doctors 🤣 i love them though especially those who are willing to learn and not snobbish cuz im "just a nurse"
Oh my god...am an icu doctor...this was me a year ago..the accuracy is terrifying 👏👏😅😅😅
How quickly did you catch up to speed? It seems like you guys don't get the 'new person' window that other jobs do, definitely curious 😮
@@feliciahartyful a few dead bodies, law suits and general luck you will get there eventually
This was me in 1988, the wounds are still fresh. I suspect that everyone won when I chose psychiatry!
💯 true. Been there done that. Just listen to the nurses and everyone makes it to the morning. Its pretty simple.
One of my favourites! “Nope, if I sleep, people will die.”
Me spending most of the night looking for the resident....
OMG, you brought me back to my first July 1st as an RN on a Cardiac Step Down unit. I asked the intern for some Tylenol because my patient had a headache from nitroglycerin. 28 years later and I remember the look of panic on his face. That and him looking up Tylenol in his PDR book. Ha ha!
He actually turned into a great doctor after his first moments of panic.
How are all of your videos like EXACTLY spot on to my life??! They (and you) are so talented! I think I have said every single one of those things.
This is dark humor. Cause it's so true and everyone in that field has to go through some variation of it.
I started intern year in the ICU...6 months ago lol. This was so relatable!
They threw you in at the deep end, eh?
That's so strange to me. Why would they give the whole ICU to an intern?
I'm an intern and there's usually an attending physician around to guide me here.
People's lives are at stake, I don't see how an intern would be able to handle a full ICU.
@@greatarabia8091 There is always an attending physician, and probably a fellow, and maybe a resident, on duty. Residents always work under supervision. Dr. G’s point was that the intern is the peon responsible for doing the history and physical, writing the admission and discharge notes and orders on every patient. The intern’s work is checked by senior physicians but keeping up with the workload is daunting and it is a sudden shock after being responsible for only a small number of patients during a medical school rotation.
@@gerardacronin334 Now I get what you mean.
Yeah that's the way it is here.
100-200 patients a day in our emergency department.
I handled 50 with my colleague at one point.
We take turns.
@@greatarabia8091 I remember the night on Internal Medicine when I did 13 admissions. I didn’t get to the last one till 5 am and the nurses insisted that I wait for her to wake up. My senior resident was no help at all.
god bless these people
"you can't kill a patient with a little potassium. Right?" 😂😂😂
So, so true. "If you were entering this order what would you do?" I remember that feeling. My oncology attending told us first day as a student "fear is good" it builds character and saves patients.
This gave me anxiety. I absolutely hate that feeling of being new somewhere.
My anxiety went up with every statement! You couldn't pay me enough to take this on. God bless them and keep them going! 🥰🙏
"Uhh page the doctor...ohh wait that's me🙁"
Gotta love his confidence 😂😂😂
This was literally my first rotation in internal medicine residency. All the feels as this brings back memories. So accurate is scary.
Congratulation to our med student! Finally graduated and got accepted into residency!
That apprehensive & resigned feeling with a dash of dread at all of the ‘shit, that’s me/my job’ is palpable & too relatable (even if you’re not a doctor).
Oh yes, my thoughts have been like this always-"if i sleep, ppl will die" even today after 5 yrs of experience. I still feel worried abt my patients.
ICU nurses learn a ton from really good seasoned intensivists, and the proximity is the game changer for that. Anywhere else in a hospital you typically have to page a doc and wait 30+ min for a stressed response with no teaching. 90% of ICU physicians love teaching and sharing their information which just makes the whole unit better.
We all know this feeling. This is why nurses are the bomb. Would never have survived anything as an intern without them. ❤
That's exactly how it goes🤣 can't recall how many times an intern was guided by nursing staff on how to order meds, suggested diagnostic tests, and implied basic titrations🤣. Don't get me started on them running a code...aww, GOOD TIMES!
Yep, that’s how it went on my first day as well, only I ended up weeping in front of the senior resident because I felt I was incompetent not knowing how to place orders.
♥️♥️♥️
Love these videos! As a Med student I look out for them especially
"Cant kill someone with a little potassium " 😂 hahaha *The Heart* has left the building.
Oh no 😩😭 poor thing said "oh all of these are mine ..oh...ok..."😭😂😭😂
"You can't kill a patient with a little potassium" LMAO
“If you were putting that order in, how would you order it?” 😂😂😂
I literally had my first day as a doctor this week. What a timing!
me too :)
How'd it go for both of you? Hopefully better than this :-)
Thank you for your service :)
@@tejoned Yeah... let's just say that I related way too much to some of them 😄
Congratulations you guys ❤️🎉
"Can I say no?" lmao 🤣
I am not a doctor, but bringing the nurses snacks and then just doing whatever they say seems like a good move.
Oh I remember this like yesterday from 8 years ago... I was shitting bricks during my first ICU month in residency. Not an easy learning curve, and very scary dealing with critically ill patients and not knowing anything. Thankfully my experience was so much better after that year and my subsequent ICU months in the following years after getting the hang of it and actually knowing what to do! Good luck to all those newbies, it will get better! The nurses will definitely help you out!
i’m an aspiring doctor, hopefully i’ll get into med school this year! your videos motivate me to study harder :”) love from India
Your dedication is already showing!! ❤️
How are you a doctor if you're not in med school yet?
@@johncena-nd9jx she mentioned 'Aspiring'.
@@drprabhatkumar8213 no one really introduces themselves as "aspiring [blank]" unless they have the degree of said profession. If you're an aspiring doc, you are a doc at the beginning of your career. Not someone in highschool who wants to be a doc in the future. I'm not trying to be rude, but it is the definition
@@johncena-nd9jx …😃
I remember the first time I called a new resident with a low K. His response was just like this. I only let him struggle for five seconds before telling him we have a house protocol.
I liked working with new residents. We learned a lot from each other.
The ending was brilliant 😅 Doc , you are so awesome!!
July is a fun time for the new residents. Can’t imagine starting in icu or ER the floor is hard enough for them!
"if I sleep people will die" .... That feeling never really goes away on Nightshift! 😂😂
That’s exactly how my first night on call as an intern went………In 1980. 👀
Omg this is literally me 🤣🤣
"page the doctor, oh wait that me!" is so spot on that it's not even funny 😩
And this's why you are always nice to your nurse 😁😇
this is actually comforting because i always feel like a dummy when i'm with experienced professionals that i sometimes forget they also went through this stage of anxiety when they were starting out lol
He needs a hug
My first day as an intern actually starts in 3days and this already feels like me😅🥺
So how was the first day? A little potassium is good for the heart, don't forget. 😂
Good luck! Hope things are going well!
Babeeeeeeeeeee!!!!!!!!!😅❤️❤️❤️❤️
Shout-out to all the NICU nurses who told me what to do on my first day because I had no idea
"How do I order that?"
That's me on the first day of every new posting of internship.
LMAO! This is perfect. As a PICU nurse I have had residents & interns ask me the best way to put in orders for certain things
The last line, simply great 👍
I was the patient with 80/35 blood pressure in the ER. The nurse was discharging me when I collapsed. 🤣 “How are you not dead?” from the brand new doctor was hilarious. I laughed hysterically.
So that’s what happens when BP is low. Seen the machine measuring blood pressure yell at my mom a couple of times for being “low” around 90s/40s but the nurses and doctors weren’t terribly worried. In short, they said as long as top number is above 90, patient looks fine, and patient feels fine, its all fine. Some people just have lower than average blood pressure as their baseline without issues.
Plot twist: This guy became the future Emergency attending.
"Can't kill somebody with a little potassium, right?"
Death row injections: "Are we a joke to you!?"
Not necessarily the amount, but how fast....AMIRIGHT?
Omgosh, this was just . . . . Amazing. Busted out laughing Tyty!
Get along with the nurses working there if they know you are new and you’re willing to work as a team trust me they will help you and got your back.
“Can i say No?” 😭😭😭