As a patient with multiple multisystemic autoimmune issues "hey this patient is really sick but we're pretty sure it has nothing to do with our specialty. Good luck figuring it out." Is literally _every_ appointment.
Jones. How is that guy even still alive? I would just say "Jones? Oh, he survives anything. He's like the Energizer Bunny. Just do whatever you think is best." 😂 (Seriously, poor Jones. And all of us, patients AND staff, frankly). 😳😭
Behavior like this starts in internship (its actually fascinating/frustrating watching these people in their element , they are very slippery nothing sticks to them and they manage to pass off everything to someone else ) when they finally get to become consultants they have already transcended boss level .
Yep, you spend all of med school learning minute details about every possible EKG aspect and when you finally become an intern and meet those real life EKGs, best you can do is "ummm.... patient heart sick, yesh". I don't even know how you get from point A to point B but the struggle is real
When my consultant asks me to call another hspital in another city to get patients records and I have to spend 45 mins with an automated caller tune waiting for the hospital operator to pick up only to transfer me to a line that rings for 20 mins and then rings out
The most accurate display of a GI doctor ever!!. I'm telling you someone with literal broken guts the only time I see GIs is for endoscopy or colonoscopy.
LMBO! As someone who scribes with ED docs, the one thing that really “grinds their gears” is when a consulting physician passes the baton back. Then I’m left writing this in the ED course, “case discussed with Dr. ___, who states that the patient is not fit for their service.” Lmbooo!
This happened to me when multiple organs weren't operating correctly at the same time needing GI, internal medicine with a specialty in infectious diseases, ENT, hematology and a respiratory therapist 🤦 we couldn't do X before Y but Z had to happen before Y could which may not be possible without X intervention. Total mess. Miracle I survived. Never knew you could rack up thousands of dollars just in IVs before that lol
As someone who’s chronically ill with multiple associated conditions to mt genetic disability I lowkey feel like this is every single doctor who sees me….
@@landrewmackinnon4888 Linguistic non-judgmentalism is the new trendy pedantry, get with the times. You're* not helping anyone and are perpetuating an elitism that actually (as an overarching social Thing) hurts people.
Ok but being serious for a moment, the 1 pediatric GI I ever saw was the FIRST PERSON to say "this probably all has to do with the same systemic issue. But whatever that thing is, I have no clue. It probably causes your constipation, your swallowing issues. Maybe even your diabetes." He was 100% correct. He retired before I could see him again. It wasn't til I was 18 that i finally met another doctor that thought the same way. He was a rheumatologist. He retired not long after I met him as well. Next time I went there, it ended up being one of those ending connection appointments when it was supposed to be a follow up to continue care. The guy was the type of doc that kept u waiting cuz he cared so much. U booked an appointment about an hr before u needed to actually get there cuz he typically spent an extra hr with his patients. And u always finished the appointment with some sort of plan. He sent me down for blood tests when we were done. He wanted to find out if I possibly had a rare blood disorder that caused inflammation flares in my hands and the anemia i've had on and off for the majority of my life. Tests were negative and i'm pretty sure I didn't get to talk with him about that further. My memory sucks tho so idk. What I do know is, the best docs tend to retire or find a better job opportunity not long after meeting me. I mean, my nutritionist lasted I think 2 yrs before she, without any warning whatsoever, left her practice for another one nearby, and never sent me info about a way to start as her patient again. Idk what happened but that was an awful experience even tho she was the person I absolutely loved going to appointments for. Annnnyway, general medical past aside, I love GI lol. My current GI is great. He actually found a newish constipation med for me to try earlier this yr since no constipation meds solved the issue. (i also have Gerd and take omeprazol for it at its highest dose so ik that effects my constipation. My swallowing issues r due to dry mouth which is due to both my general dehydration issue and my SFN which causes dry mouth. I'm sure the acid from the gerd doesn't help much either lol). And no dietary changes tailored to constipation were helpful either. My body malfunctions in every way it can without making me stay in the hospital. Most of it is due to SFN and its MANY effects on the body, that r still being discovered cuz it's such a new diagnosis. Idr y I started this comment. I've been making a lot of comments today lol.
This is how you transfer a patient out of your care. It's simple, just find something that doesn't belong in GI, make your notes of recommendations and ship them off. Easiest consult you can have and quick too 🤣. And you get paid for doing so. It's a win-win!
Family always asks the consult residents general care questions and despite educating the family on how they are just a consult team the family repeats the same questions.
I once had an attending tell me he consults for everything for each of his patients so he doesn’t have to make any decisions. I’m still trying to figure out if that was genius, laziness or incompetence
It's sad that this is true A doctor should be doing everything possible to help a patient. And yes, there absolutely are some doctors who go the extra mile to help others, while some go the extra mile to do as little as possible.
I was recently hospitalized and I have this weird condition where I forget to breathe when I am asleep. At home, I have a BiPAP machine that forces air into my lungs as I sleep, but in the hospital, I kept falling asleep without wearing it since the mask is annoying to wear and it is impossible to get a good night's sleep in a hospital so I'm stuck taking multiple little naps throughout the day. The consequence of this is that my pulse oximeter was saying that my O2 levels were fine when awake (93-97) but would drop down into the low 70s when I fell asleep. The easiest way to make nurses panic is to have someone who is admitted for an infected wound on his leg suddenly stop breathing, only to wake up when you rush in and be perfectly fine.
Why does his heart need fixed before a colonoscopy? He might be OK with not having sedation. I get regular endoscopies and while I understand that they aren't going up my arse, I have had sedated and not sedated and I prefer not.
Everyone in the comments is worried about Jones. My theory is that the hospital is in Wales. I’m sure half my school teachers were called Jones. Well that and Davies. Once we has a Davies teacher marry a jones teacher so we had an extra Jones, but don’t worry, then a Jones teacher married a Davies teacher so it equalled back out!
Someone please tell me how to break this cycle as a patient advocate. This was eerily similar to how my elderly family member's care routinely goes, and meanwhile his overall health gets worse.
Me as a resident forced to work in the ER with limited EKG knowledge, calling an IM doctor for consult: “this EKG doesn’t look… right. Can you give me your phone number so I can send you a photo of the EKG?”
I once had a GP tell me I should check with my gastro consultant about getting the hormonal coil. Like, pal, come on, this person specialises in acute gastro medicine, I don't think she gives two shits about me getting the hormonal coil, as long as you look up whether it is safe with cirrhosis. Which I already did. Anyway, i could tell I was being fobbed off, asked a different GP and she booked me in for the next available appt.
Actually, we as GI doctors are also internists by heart so I think this tiktok is a bit unrealistic and exaggerated. For example, we DO know how to read an EKG! We DO know when it's safe to stop a blood thinner for an endoscopy procedure and when it's not! We have a set of guidelines for every possible scenario...
I know this is supposed to be funny, and it really is, but at the same time it just adds to my white hot rage against the medical profession as a whole. Although I admit there are amazing and conscientious individual practitioners out there. Sorry, I’m really in a mood today 😂
Need doctors who are the General Contractor of the ‘trades’ … (trades = Specialties) … someone who sees the big picture. Otherwise, it is Parable of the blind guys and the elephant 🐘 The doctors only see their narrow specialty; when in reality, all diseases have symptoms all over the body.
No. It would have been courtesy and good practice to include the colonoscopy reports WITH the referral. The PCP should have them on the system. The GI would need to find out which hospitals, which dates, source the relevant consent for the release of information forms, patient needs to sign them all and then they get sent off. A lot of work and relying on the patient’s memory of where and when.
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As a patient with multiple multisystemic autoimmune issues "hey this patient is really sick but we're pretty sure it has nothing to do with our specialty. Good luck figuring it out." Is literally _every_ appointment.
Yup, every time.
Every. Damn. Time.
Yes, yes, yes. As a person with illness that affects many organs in unpredictable way it rings so true to my ear!
Oh, lord, YES.
I came here to say this, hehe. It gets so discouraging.
“Pulmonary embolism, ok.... well we want you to stop it, can you figure out if that’s safe?” I WHEEZED-
You continued breathing????😱👍
I couldn't 👻
WELL WE WANT YOU TO STOP IT 🤣🤣
Uk your breathing 🤣🤣
You wheezed? My heart had a murmur!
SAME
I was hollering laughing 😅🤣😂
Passing the buck while appearing to do your job. This transcends occupations.
Yep, and usually in the higher ranks of employees! 😂
As long as report ends with "thank you for this interesting consult"... lol
"Thank you for the pleasure of participating in Mr. Jones' care."
When he turned the EKG 90 degrees is when I lost it! 😄
Jones. How is that guy even still alive? I would just say "Jones? Oh, he survives anything. He's like the Energizer Bunny. Just do whatever you think is best." 😂 (Seriously, poor Jones. And all of us, patients AND staff, frankly). 😳😭
the guy must have amazing insurance considering how often he's in the hospital... sheesh they may as well reserve a patient bed for him in advance
@@aamirrazak3467 yeah - a permanent room. 😁
He's still alive
I think
@@romainsavioz5466 yeah last I heard he was discharged earlier today hopefully he gets a good long break from the hospital
That's the luxury of consultation... you work hard enough to get through all those years of fellowship to dump it on someone else.
hahahaha! Sad, but true...
That's why I prefer the model of care where consultants actually do a lot of work. It's a lot more fair.
PLEASE do a video about doctors using the term "consider." It covers MANY sins.
Behavior like this starts in internship (its actually fascinating/frustrating watching these people in their element , they are very slippery nothing sticks to them and they manage to pass off everything to someone else ) when they finally get to become consultants they have already transcended boss level .
Yep, you spend all of med school learning minute details about every possible EKG aspect and when you finally become an intern and meet those real life EKGs, best you can do is "ummm.... patient heart sick, yesh". I don't even know how you get from point A to point B but the struggle is real
When my consultant asks me to call another hspital in another city to get patients records and I have to spend 45 mins with an automated caller tune waiting for the hospital operator to pick up only to transfer me to a line that rings for 20 mins and then rings out
I feel this pain.
Yes honestly if consultants want records they should just get it themselves.
"call us back when breathing is fixed.." I almost choked, hilarious!
The most accurate display of a GI doctor ever!!.
I'm telling you someone with literal broken guts the only time I see GIs is for endoscopy or colonoscopy.
Management taking responsibility in a nutshell
It’s the Oprah effect. Sharing the wealth with each specialty. And you get to bill and you get to bill and you get to bill!
Turf-N-Block...well done Doctor.
People asking how is jones surviving.....lol he just took tips from Bill.
Bringing the two worlds together. I love it! 😆
Having Crohn's disease it sucks and I can see now why my care sucks so badly
LMBO! As someone who scribes with ED docs, the one thing that really “grinds their gears” is when a consulting physician passes the baton back. Then I’m left writing this in the ED course, “case discussed with Dr. ___, who states that the patient is not fit for their service.” Lmbooo!
This happened to me when multiple organs weren't operating correctly at the same time needing GI, internal medicine with a specialty in infectious diseases, ENT, hematology and a respiratory therapist 🤦 we couldn't do X before Y but Z had to happen before Y could which may not be possible without X intervention. Total mess. Miracle I survived. Never knew you could rack up thousands of dollars just in IVs before that lol
Whats lmbooo?
@@Ananymous386 Laughing my butt off. It’s the cleaner version of Lmao
@@tatandure47 lmao😂
@@tatandure47 I don't see how it's any cleaner tbh
Damn that last consult at the end was brutal. Good luck figuring it out? How encouraging
Sarcasm...
I hope patient Jones gets better soon
Oh my God it's the ping-pong of Specialists and records and nobody can really do anything without each other and no one knows who to call
AMS……defer to palliative care…..and social work! 😂😂😂
"Could you figure out if that's safe and then get back to us?"
Lol looking at *one* EKG…in different directions. This is gold.
As someone who’s chronically ill with multiple associated conditions to mt genetic disability I lowkey feel like this is every single doctor who sees me….
"It looks irregular... I think" 🤣🤣💀
Just know your amazing!
You're
@@landrewmackinnon4888 Hurtful. ;(
@@landrewmackinnon4888 Linguistic non-judgmentalism is the new trendy pedantry, get with the times. You're* not helping anyone and are perpetuating an elitism that actually (as an overarching social Thing) hurts people.
“Altered mental status” Oh we trolling Neuro now. 🤣
Being a consultant is the best!
ABT: Always be turfing. Dumping your patients problems on another physician, just to have it dumped back to you.
Congratulations your subscribers keep going up and up by the minute!!!! Love it!!! 👏🏾👏🏾👏🏾
Well, I don't know whether to consider mr. Jones as a lucky or unlucky guy.
Your stuff is gold. I'm soo glad I found this channel :D
oh so *this* is why i can never get an answer when my doctor says she’s gonna call for a consultation.
The last one sums it up.lol
Love Doc. Schmidt
🤣🤣🤣🤣 Love it! Best part of being a sub specialist!
Think your content by the way is very entertaining and very funny while keeping everything with his truthful smile
That's some ortho level ECG reading
Whoa 10k views and it's not even been a day. Well done!
Ok but being serious for a moment, the 1 pediatric GI I ever saw was the FIRST PERSON to say "this probably all has to do with the same systemic issue. But whatever that thing is, I have no clue. It probably causes your constipation, your swallowing issues. Maybe even your diabetes." He was 100% correct. He retired before I could see him again. It wasn't til I was 18 that i finally met another doctor that thought the same way. He was a rheumatologist. He retired not long after I met him as well. Next time I went there, it ended up being one of those ending connection appointments when it was supposed to be a follow up to continue care. The guy was the type of doc that kept u waiting cuz he cared so much. U booked an appointment about an hr before u needed to actually get there cuz he typically spent an extra hr with his patients. And u always finished the appointment with some sort of plan. He sent me down for blood tests when we were done. He wanted to find out if I possibly had a rare blood disorder that caused inflammation flares in my hands and the anemia i've had on and off for the majority of my life. Tests were negative and i'm pretty sure I didn't get to talk with him about that further. My memory sucks tho so idk. What I do know is, the best docs tend to retire or find a better job opportunity not long after meeting me. I mean, my nutritionist lasted I think 2 yrs before she, without any warning whatsoever, left her practice for another one nearby, and never sent me info about a way to start as her patient again. Idk what happened but that was an awful experience even tho she was the person I absolutely loved going to appointments for.
Annnnyway, general medical past aside, I love GI lol. My current GI is great. He actually found a newish constipation med for me to try earlier this yr since no constipation meds solved the issue. (i also have Gerd and take omeprazol for it at its highest dose so ik that effects my constipation. My swallowing issues r due to dry mouth which is due to both my general dehydration issue and my SFN which causes dry mouth. I'm sure the acid from the gerd doesn't help much either lol). And no dietary changes tailored to constipation were helpful either. My body malfunctions in every way it can without making me stay in the hospital. Most of it is due to SFN and its MANY effects on the body, that r still being discovered cuz it's such a new diagnosis. Idr y I started this comment. I've been making a lot of comments today lol.
Mr Jones is the constant. 🐱
The PE one was too relatable 🤣
This is how you transfer a patient out of your care. It's simple, just find something that doesn't belong in GI, make your notes of recommendations and ship them off. Easiest consult you can have and quick too 🤣. And you get paid for doing so. It's a win-win!
I know it's sarcasm, but it makes me sad
Would love to see some radiology vids if you can think of any!
Mr Jones is going off the deep end!! Yo!!! Yikes!!! Hopefully they can land this fella somehow.
Family always asks the consult residents general care questions and despite educating the family on how they are just a consult team the family repeats the same questions.
hope your all okay and gets well soon
And the cardiologist won't treat until they're certain the patient won't GI bleed on the table during angio hahahahaha
Relatable
Love your videos Dr Ben!
Thank you!
This is too real 😀😀😀. Stopping blood thinner is risky. Airway, breathing, cardiac. Back to basics🤓
So accurate!!
I once had an attending tell me he consults for everything for each of his patients so he doesn’t have to make any decisions. I’m still trying to figure out if that was genius, laziness or incompetence
So true!!!!!
It's sad that this is true
A doctor should be doing everything possible to help a patient. And yes, there absolutely are some doctors who go the extra mile to help others, while some go the extra mile to do as little as possible.
I was recently hospitalized and I have this weird condition where I forget to breathe when I am asleep. At home, I have a BiPAP machine that forces air into my lungs as I sleep, but in the hospital, I kept falling asleep without wearing it since the mask is annoying to wear and it is impossible to get a good night's sleep in a hospital so I'm stuck taking multiple little naps throughout the day. The consequence of this is that my pulse oximeter was saying that my O2 levels were fine when awake (93-97) but would drop down into the low 70s when I fell asleep. The easiest way to make nurses panic is to have someone who is admitted for an infected wound on his leg suddenly stop breathing, only to wake up when you rush in and be perfectly fine.
Like when psych says consult neuro and neuro says consult psych in their notes lol
Good luck figuring it out 😂
Pulmonary embolism?
Well we want you to STOP it
So basically yes to working in GI
love it. you are super funny
Please fix mr. Jones
Did I hear... Altered Mental State?
Why does his heart need fixed before a colonoscopy? He might be OK with not having sedation. I get regular endoscopies and while I understand that they aren't going up my arse, I have had sedated and not sedated and I prefer not.
Your videos have been what I've looked forward to the last week, as I haven't subscribed until today, TH-cam wants you on my feed
Thanks for subscribing!
so good
Good Luck Figuring it out! LOL!!!! Yep!
It’s true!!!😂
Passing the buck
Everyone in the comments is worried about Jones. My theory is that the hospital is in Wales. I’m sure half my school teachers were called Jones. Well that and Davies. Once we has a Davies teacher marry a jones teacher so we had an extra Jones, but don’t worry, then a Jones teacher married a Davies teacher so it equalled back out!
Someone please tell me how to break this cycle as a patient advocate. This was eerily similar to how my elderly family member's care routinely goes, and meanwhile his overall health gets worse.
The big problem in medicine today. Lots of people with medical degrees but no Doctors.
This is the experience I have had with GI.
GI. Forever finding a way not to scope an inpatient. Lol
I hope to get away with not being able to accurately read an EKG one day... lol. Probably not going to be a cardiologist.
Lol so funny! I get a kick out of your videos!
Nothing like functional medicine 🥺
The master solution: colonoscopy
Me as a resident forced to work in the ER with limited EKG knowledge, calling an IM doctor for consult: “this EKG doesn’t look… right. Can you give me your phone number so I can send you a photo of the EKG?”
Stop the blood thinner when treating PE. Hahahahaha.
And how would you rate this consult?
Would you say it was....interesting??
I once had a GP tell me I should check with my gastro consultant about getting the hormonal coil. Like, pal, come on, this person specialises in acute gastro medicine, I don't think she gives two shits about me getting the hormonal coil, as long as you look up whether it is safe with cirrhosis. Which I already did.
Anyway, i could tell I was being fobbed off, asked a different GP and she booked me in for the next available appt.
Can someone explain please?
Nobody ever wants to see
"GOOD LUCK FIGURING IT OUT"
Actually, we as GI doctors are also internists by heart so I think this tiktok is a bit unrealistic and exaggerated. For example, we DO know how to read an EKG! We DO know when it's safe to stop a blood thinner for an endoscopy procedure and when it's not! We have a set of guidelines for every possible scenario...
Ok but is Mr. Jones ok?
I know this is supposed to be funny, and it really is, but at the same time it just adds to my white hot rage against the medical profession as a whole. Although I admit there are amazing and conscientious individual practitioners out there. Sorry, I’m really in a mood today 😂
So, to be a Consulting Doctor you... consult?
Need doctors who are the General Contractor of the ‘trades’ … (trades = Specialties) … someone who sees the big picture.
Otherwise, it is Parable of the blind guys and the elephant 🐘
The doctors only see their narrow specialty; when in reality, all diseases have symptoms all over the body.
This EKG ain't right, consult cards (cards consult #20 for PVC)
LOL
I don’t know
Yep .....call pulmonary .the buck always stops there .
Classic GI...any excuse to turf
haha
Yup. And all the patients who flat lie to you.
Shouldn’t the GI doctor figure out the scopes from Texas????????
No. It would have been courtesy and good practice to include the colonoscopy reports WITH the referral. The PCP should have them on the system. The GI would need to find out which hospitals, which dates, source the relevant consent for the release of information forms, patient needs to sign them all and then they get sent off. A lot of work and relying on the patient’s memory of where and when.
E