DIFFICULT Patient Encounter | What I Could Do Better...
ฝัง
- เผยแพร่เมื่อ 19 พ.ย. 2019
- Audiobook Title: How To Have Impossible Conversations: A Very Practical Guide
Being a doctor can be a struggle sometimes but I enjoy sharing those difficult moments with you so you can tag along on my journey in becoming a better doc and human. If you have a story you'd like to share down below about a difficult visit please do as I love to see your feedback!
If you have an idea of something you want me to cover in-depth, please let me know because I take your requests seriously. We will be back with more Medical Drama Review/Responding to comments Series in a couple of weeks, so please submit more names of shows/questions you'd like for me to watch/answer. Love you all!
- Doctor Mike Varshavski
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional **
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Sounds like she was actually looking for a therapist
Megana 258350
Exactly this. I think dr mike missed that she may be in a very abusive relationship and the weight gain and pain could be a byproduct of mental health rather than physical health.
Megana 258350 This is where Health Psychology could have come in handy. I’m taking that class right now and her case is very similar to a few we’ve gone over in class.
Not necessarily. I've gone to the doctor plenty of times and talked through difficult things with my primary doctor. We have an agreement that if he says it's out of his comfort level or he feels I need someone else I'll go without question.
I would much rather see my primary doctor and talk to someone I know and trust. Sometimes people just need to talk to someone that will listen. And that day Mike was that person for her.
As for her relationship I'm not going to assume anything without knowing the full extent of the comments made.
It might have done her some good to talk to the hospital's social worker, needing to vent to a (non-psych) doctor suggests she doesn't have many friends or a good support network in general
Maybe suggest it as a way to investigate how environmental factors are worsening her pain?
Actually at work I need a doctor referral to get covered for a therapist.. so I have unloaded my mental health issues on my doctor.
When Dr. Mike wears his glasses he looks like a total Dad.
He doesn't have a dad bod though. 😄
DILF
Sexy dad
Justin Scheerer yea.. a DILF 🥴
-dy
Dr Mike: I’m afraid you have cancer. Beeee Whoop!!
Laughed way too loud at this lmao
😂😂
This is too hilarious not to laugh at haha
Beeewoooooo------
Time of death: 4:20.
😂😂😂😂😂🤣🤣🤣🤣🤣🤣 I'm DEAD
When a patient rolls their eyes as I walk in, I know it’s gonna get interesting
😂
@@justthatgirl-ct4jo wtf
@@juanmanuelc6644 yeah I deleted. That was kind of a creepy thing to say lol
@@justthatgirl-ct4jo It's okay.
Lol
I went to a doctor when I was 12 years(9 years ago) old. I had a head fungus, and my hair was falling out. I was terrified. I took a book with me, because there is often a wait. When the doctor came into the room, he must have realised that I was scared because he made a point of talking about my book before he so much as glanced at my head. I sensed immediately that this was no big deal and it would get better. I think what he did was more reassuring than telling me "it's going to be ok" would have been.
Derrick K yes
Beautifully said! There is an art to medicine that more doctors need to practice.
@@ffn2163, I'm really not objective because of my 30 years as a healthcare provider, but I much prefer a competent doctor with a crappy bedside manner to an ignorant friendly doctor. Of course, the majority are somewhere in the middle.
@@bcaye I prefer a competent doctor with great bedside manner. Kind of like OPs doctor :) wtf was your point again?
@@bcaye my doctor was very well known but dude was over confident and rude, injected my iv wrong so I start spazzing out but I'm being put under so I'm out in like 20 sec. I wake up and guess what I do, spazz out. Like 5 doctors had to hold me down and they had to run and get my mom. Dude was plain rude and made me uncomfortable and bc of this he ended up making mistakes. I'd rather have a competent doctor with decent people skills, don't be a know it all
“Doctor reacts to non US medical systems”?
Yes!
YESSSS as a medical student in north Africa i really want to see the difference
Ikr NHS needs to be checked out
Yes!! Australia is whole new different ball game, Medicare is so convoluted and explaining to patient is a near impossible task (receptionist over here)
Yep
"A book I just listened to"
A strange new world we live in.
lol you know sometimes you mix up words. You have something different in mind but you say something dumb. Once I was telling a group of friends (about 8 of them) a new song I loved and I pronounced it wrong and they all laughed... I was mortified XD not that I hold that against them tho
Alex Luukkonen some people pick up information better orally 🤷🏻♀️ nothing wrong with that
It's not so strange to me....however I know our perspectives vary.
I had a hard time in school with reading because I'm dyslexic. My mother would read me my lessons and books for fun. I gain a lot more information from an auditory source.
Years later, my mother became legally blind (around 2003). So, the association for the blind sent her a book reader (it's a tape deck that reads four sided cassette tapes). We spent a lot of time listening to books together.
I enjoy reading fun books. But if I want to gain any real knowledge, I have to find the audio version. My favorites are biographies read by the writer.
So, not so strange from my perspective. :-)
Ok boomer
Alex Luukkonen 😂😂
I feel so bad for Doctor Mike, he feels peer pressured to wear looser shirts, because people make fun of his tight shirts. You can wear whatever you want Doctor Mike! Awesome video for medical students like myself.
Oh I just thought that he liked that shirt and wanted to wear it. I’m not really a type of person to notice stuff like that.
He probably just likes them like that x
I notice it. I just don’t really care about it. 😆
He can wear whatever he wants. I’ll just think he looks good in what he wears, but I’m more intrigued by what he’s saying, and sharing. 😊
How If we make him shirtless..... c’mon photoshop squad
That's quite a presumption.
I love how he thinks about self revision to make someone else’s experience better
gwendolyn jackson the mark of a wise person
That's what we're taught to do but it sucks that theory and practice don't match in many aspects
Wish more people did this (even not in healthcare)
i hope to encounter doctor like him so reflective
I least he knows what he did wrong and right that makes mike a really good 😌 doctor
Imagine how awkward it would be if a patient has no clue who he is, then is scrolling through TH-cam and finds this video is about them😂
Nathan Harvey I’m betting it was a man, not a knee maybe elbow or ankle, wife nagging at home maybe in his 60’s.... this could of been any patient 😂
That's why he changed some details.
@@addie-eileenpaige6460 or all details ;)
😂 ur right!
*whenever Docter Mike has his glasses on, you know it’s going to be a serious video.*
Not all the time...
*Doctor
I read this comment literally as he said "duh."
She came to the wrong kind of doctor. She needed emotional counselling...then diet and lifestyle counselling...then marriage counselling.
The knee pain was only a symptom.
@Murasaki Kujaku girlfriend in this case isn't referring to a romantic relationship; it's referring to friendship
As a frequent patient with chronic pain, I know that's often the case
I would say about 30-40% of patients in the clinic I work (family doctor) are exactly those kind of patients
@@onenessesor9017 nah, it's bot with the friends, it's with the husband
@@rafaeterna1081 someone mentioned a comment about whether it was a romantic relationship btw her and the girlfriend...seems they deleted it
I feel like this is how he vents his feelings lol...
I'm ok with it if it helps him.
Shae Welch lol same
Hey at least he's not revenge killing patients lol
yup
@@randallN-sw6ee ok how did we get from sharing work stories online to serial killer?
*Watching doctor mike increases my brain cells that were killed off in school*
Edit: THANK U ALL FOR 1K
Exactly
Dr. Mike explained that, you don't increase the number of your brain cells but rather increase their connection to each other
Shreya Raj same
Just drop out problem solved
Shreya Raj oof that’s ruff I’m homeschooled
I know this video is somewhat older, however I hope to maybe offer a slightly different perspective of the situation as someone who is not a medical professional, but someone who works with survivors of domestic violence. The way you explained how this conversation went with the patient raised alarm bells in my head right away. I often have clients that mentioned to a medical professional in passing about the abuse occurring in their relationship, but as many do, downplayed it. I can only guess as to what her motives were here, but the fact that she did not seem at all interested in helping her knee pain and wanted to only talk about her trauma, past and current, makes me very concerned this visit was a cry for help, subconsciously or otherwise. I always encourage community professionals to know local resources like domestic violence agencies, and it sounds like this patient needed help but didn't know where to turn or who to talk to. I also have concerns that perhaps her knee pain was a result of an injury sustained from her partner, potentially why she did not want to show her leg to you or undress. Medical professionals cannot be expected to know how to handle these situations or pick up on small things their patients say that are outside of the realm of what they normally deal with. I would encourage, any time a patient even hints at or mentions domestic violence, to please give them either the National hotline number or the phone number for the local DV agency.
I felt the same way when I listened the story
I’m so happy i found this, Caitlin. This makes me even more thankful for my neurologist and my PCP, who referred me to my social worker after my sister told them both about domestic violence problems that needed to be said for years. I love both of them, they are wonderful professionals, and this makes me happier that we’re not alone! 😄
Yes. I kind of felt that too. Like she just wanted a therapy session, not a doctor visit.
I hope he sees this comment
The second the dr thought there might be abuse he should have referred pt to domestic abuse hotline.
The second you mentioned her unhealthy relationship with her husband I figured that she wanted to talk about that more than anything. People in abusive relationships usually don't think straight when it comes to issues :((
I felt personally attacked when he said rice and beans weren’t healthy.
kayla fernandez as an asian
Same
Roseanne Rosè as a hispanic 😭
As a african american
The Hondureña in me refuses to acknowledge that part
But beans are good for your heart😢 (the more you eat, the more you fart)
I have had so many bad interactions with doctors, I’m so glad there are people Iike Dr. Mike out there. He’s the positive influence into my premed decision- the bad experiences are reasons to want to change the system. Thanks, Dr. Mike and like physicians!
Same! Dr. Mike has increased my faith in doctors by a lot! My mom actually has a mild fear of doctors (she doesn't trust them) but by showing her stuff from Dr. Mike I've gotten her to actually go to the doctor again!
Same here
Same here. When I was having a legit have issue and needed a crutch to walk, I was asked if I took anything, since they don't want to hurt you of course. I told them I did smoke some stuff to help and id occasionally take an opiate if it got unbearable. They proceeded to berate me for making terrible decisions and possibly ruining my life.
I'm just like...dude I smoked a j and took a 5mg perc, chill son.
Thank GOD for Urgent Care. I can actually afford good treatment and no longer need to go the cheap street route to take the pain away.
@@h.plovecat4307 About going to "urgent care" clinics: unlike ERs they are not required to treat everyone who shows up. Once I took my grandson to one because he was having a severe asthma attack. The receptionist didn't like his insurance (Medicaid). She called his regular doctor, got him an appointment for a couple hours later and kicked us out. We went straight to the nearest hospital, which treated him in the ER and kept him in the ICU for three days because he was so sick.
"Urgent Care" is fine for minor, non-emergency problems, but if not being treated immediately could be dangerous, don't risk it.
I've had horrible experiences with doctors and nurses too, and I'm a nurse. When you're in pain or have a new diagnosis, any lack of tact or diplomacy (care) amplifies 100 times. It's horrendous when those happen. They are human beings but the really need to know what to say and what not to say and put their personalities aside.
Everytime dr.mike talks about a patient encounter, he humbly admits his downfalls and the fact that he wanted to do more and actually help even more, you Can see how much he actually Cares about his patients, giving them all the Time they need to explain their situation, if all doctors acted like this, everyone will be treated the best way possible.
Where did he get pee woop from lol
Don’t ask lol
@@DoctorMike why "pee"?
His editor wanted something to mark transitions and topic changes. So used peeewooop.
@@kathystein411 hehe!
dr mike is so convincing with that ad it's like he read the book or something
Probably more likely he read the book and that made him recall a patient encounter and the book provoked him to reframe the experience and analyze it in a different way.
And that became the inspiration for this week's video topic.
r/woooosh
WolfyIsACat YT I think your being wooooshed.
doctors like to read books
He listened it. In audibles.
Our good doctor loves a pink shirt. The pink shirts love him back.
They hug him back too!
Its not pink its "faded salmon"
carmeenamack OBG😭
T shirt?
Gacha Whiticorn no, his buttons are still struggling......
Dr. mike: she thought eating lots of rice and beans is healthy
me, as a brazilian, eating rice and beans everyday since I was a sperm: 👁️👄👁️
Dave Ramsey has entered the chat.
Lol its a staple of Latin America culture. My baby daddy eats it daily and try to get me to eat it now that I am 5 months pregnant. He pushes cause as an American I eat alot of meat and he sees it as unhealthy. I have low iron though so the meat really helps me
pera arroz e feijão NÃO é saudável???
Rice and beans are healthy in moderation more or less depending on exercise level my plate I use the beans as a serving of fruit I do not like sugar. I would be quite ill without beans and carbs especially running. That doctor was very nice.
She went and divorced her husband and started getting healthy AF and now she’s living her best life. Thanks Doctor Mike just for listening.
Is this story about you?
Is this about you
That would be awesome
How do you know? Or is this the person Mike is talking about in video?
That is actually my mom, you can’t change someone’s mind . She just ignores her health but just talks about her problems
That's the worst, I cannot stand a passive whiner! I'm sure you still love her dearly though.
Shar Roon of course I mean mike isn’t talking about her because I live in Ohio but she puts her health on the back burner , because she decides to put other things before her health
@@stephanielynn7714 I realize it wasn't actually your mom.
Lol I actually thought your mom was who we was talking about in the video, my bad😂
Tiger 1001 wouldn’t that be funny 😂😂😂
Doctor Mike: Are you listening to me?
Me: Yep.
Doctor Mike: You're just looking at my biceps.
Me: Sounds good.
I can multitask (Dr.Mike, I need a gay version of you ❤)
In my defense, I was also looking at the outline of his pecs.
Hahahaha
i'd be looking at his thighs if i saw them
as a nurse, I can confidently say I was looking at his neck veins and wondering what needle gauge I could hit them with, blindfolded 🤣
I too felt like Dr. Mike dropped the ball in picking up on the Domestic Abuse. For someone who has been through it, the signs are a bit more apparent. This is where additional questions should have been asked and she gave you clues that these were here her real needs were.
I went to see a specialist for the first time and we spent the first 5 minutes of the appointment talking about my major in school, what I’m studying and the neighborhood that the hospital was in. I didn’t notice at the time, but it made a big difference in my comfort level during the appointment.
Waiting for the day I accidentally bump into Dr. Mike in Jersey or Manhattan... 😅
Jenny Paola Same! Everyday, I be praying to accidentally bump into him somewhere in Manhattan
Ashley Padgett the struggle 😩
Same... but I live on the other side of the U.S
Jenny Paola IKR I’m just like we both live in Manhattan so it has to happen at some point
Ashley Padgett I dunno Manhattan is pretty big
The woman sounded like she just needed to talk to someone which is something we all need from time to time.
I hardly ever feel the need to talk to someone LMAO.. I Mean I will hang out with a friend or something.
@@JwilliamsAssociates not everyone has friends or family so hanging out with a friend does count.
@@Ana-ef4io true
That's what therapists and psychiatrists are for. It's grossly selfish to waist a medical doctor's time with your personal issues, when there are people who actually need treatment and are willing to accept it.
@@duowest642 A visit with a family medicine doctor is cheaper than therapy. There are many people who need therapy and aren't going to therapists simply because they can't afford it.
the fact that the woman walked in not to get medical help, but to literally vent and talk about her life and let out her emotions is- amaaaazing...;-;
“On Wednesdays we wear pink” He got the memo!
Dr. Mike is a Mean Girl.
Why? He is wearing pink on Wednesday.
Keishla Peters he is a Mean Guy😂😂😂😂💖💖💖
Keishla Peters
Omg Karen is quaking
So Fetch!
Not everyone will understand this comment, but if you do, YESS
@@troodlesconnor🥂 Stop trying to make "fetch" happen! 🤣
So refreshing to see someone on TH-cam address if they feel they’ve done something wrong and try and grow from it.
Beauty gurus: *reeeeeeeeeeee*
I remember when I ended up in the hospital for suspected pancreatitis (it turned out to be gallbladder-related in the end) and, as someone with crippling social anxiety, I stayed focused on the book I had. The doctor came in and, knowing my mental history, talked to me calmly and said that he loved the author of the book I was reading. I appreciated that more than the physical treatments for my pain. I'm glad Doctor Mike promotes understanding a patient as a person and not just a body.
Love that you decided to learn from that patient visit. It seems like professionals (in many fields, not only medicine) sometimes have difficulty realizing that their approach might not have been the best, much less trying to learn how it could be better. Kicking yourself won't help, learning will.
This probably varies from one field to the next, to be honest. Sure, you'll find less self-critical people in every profession, but there are certain professions which actively cultivate this skill.
If you listen carefully, you can hear his shirt sleeves screaming for help from being torn by those biceps.
Sunako Nakahara KSLSMDKS 😂😂😂😂😂😂😂😂
Stop omg 😂
He needs a bigger shirt doesn’t fit his chest either
Devin Wofford wtf you talking about? It fits exactly as it should 😍
I find his voice very soothing. Dr Mike should do audiobooks!
Jodie Evans yes I would listen to thoseeee!!!! 🙌🏽
@Juan Cortez Muro please stfu
Legit
I'm in
As a person who works on a crisis hotline, I find these episodes help me the most ♡ thanks
For once dr.mike’s shirt is not giving him chest compressions 😂
Édit: thanks for thé likes
{ ς ü թ ç ɑ ƙ ē } 🤣🤣🤣
just arm compressions
🤣🤣
His arms are tho
@Megan Manthei chest compressions chest compressions chest compressions
Sounds like she wanted a therapist more than anything. Not your fault
Most need one so I am sure you are right.
I thought the story was gonna end with her trying to score opoid painkillers. Today I learned I shouldn't be so cynical. Thanks, Dr. Mike!
Charles Gibby same!
Sometimes people are in real pain and want/need pain meds. Too many docs are refusing to prescribe it's sad. Not talking about Mike just saying in general might be more to this epidemic and just might be that some people go to the streets when they cant get relief.
Same, though!
Charles Gibby this is the same cynical mindset of medical professionals too often to the detriment of real patients. I have a heart problem that causes my heart rate to drop dangerously low and high at random intervals. My heart actually stopped 2x in September. I got my medical records after because I have a DNR/DNI that was violated and I wanted to know why and by whom. Come to find out they have me THREE DOSES of narcan because OBVIOUSLY I had od’d and therefore my DNR/DNI could be violated. After the 3rd dose did nothing they began CPR and intubated me but ignored my port and tried to gain IV access which they never did. The nurses in the ER finally accessed my port and continued on with ACLS treatment despite the DNR until my tox screen came back negative. I woke up in ICU with a tube down my throat and supremely pissed. So automatically assuming it’s about narcotics isn’t always right and sometimes can be downright dangerous and WRONG
@@mloaolm13 Is it not allowed to sue doctors or why do I hear so many stories about Doctors making dangerous mistakes because of their incompetence but never heard of them being sued?
Being a pre-med, there's so much to learn from you Dr.Mike! A kind of person, anyone would love as their biology mentor.
Doctor mike is one of the very few people who explains complicated medical stuff in a way that everyday people are also able to understand! Love your channel doc❤️
Doctor Mike could you please bring on a physician assistant??? I'm struggling to decide between being a PA or a Doctor.
Grumpy Pandy Same here!!! I’m still deciding between the two
Same here!!! Though for me it's either PA in Sport medicine or PT.
Nurse Practitioner is another choice.
@@yinyanng1818 I'm also looking into sports medicine
@@grumpypandy8123 Are you looking at non-surgical or surgical?
Her REAL emotional pain she experiences with her husband, is on her mind much more than her knee pain. She truly needs help with that.
And emotional pain can manifest as physical pain.
@@Ami_E_Bowen exactly
It's amazing how he keeps learning from his mistakes. He is so damn humble.
She felt better after speaking with you, so you probably helped her in so many ways just by listening to her and validating her feelings
Is anyone gonna talk about the fact that Dr.Mike kinda made up the the woah when he says “Peeewooop”
Oh wow....that's woke
Huh?
Erin S he moves his arms In a sorta woah movement
That peeeeewooop noise gets on my nerves! 😮
I like that open-ended question. I’ll have to use that one.
Wow, it's so refreshing to see a doctor be so reflective in their practice and using books to work on personal and professional development. 😊👏❤️
You're speaking about bullying into conversations is exceptionally salient for me right now as a patient advocate. Thanks, Mike.
I wish the family doctor I had as a kid/teen had been as understanding as Doctor Mike! 😭
"I asked the family doctor just what I had..." 😁
I don't know why but I had this line playing in my head while reading through the comments, especially yours lol
I’d love to hear your thoughts on the studies around weight bias in healthcare - with one statistic being that obese patients are nearly twice as likely to be under diagnosed and treated.
Because a lot of times they're just assumed to be lazy fat asses who can't be bothered to eat properly. My best friend just had emergency surgery for appendicitis after being turned away for 4 days regarding her pain. The first day her doctor said her pain was probably weight related.
Although yes, weight can be a contributing factor to health issues, not everything is because of weight. Other potential issues should be ruled out first.
Hey you should check out Dr Joshua Wolrich on insta! He addresses this a lot and is trying to destigmatize and bring light to the different treatment standards that overweight patients deal with.
Yes! It seems like, when you are overweight, anytime you go to the doctor for a problem, the cause is always your weight.
Me: My hand hurts.
Provider: You need to lose weight.
Me: Well, I did slam it in a car door an hour ago.
Perhaps they are under diagnosed because they have more comorbities due to the fact that they’re obese? More comorbidities= more possibilities to miss certain diagnosis
@@ecb1979 Well said, especially if that weight gain is a result of some underline issue like hormonal imbalance, PCOS and/or Hypothyroidism.
Those things you took from this book are basically what my psychology professor teaches us about the patient/therapist relationship and how to properly carry out a consultation
Hey Mike, you've been such a role model for me that I wanted to write my college essay about you. Thanks for doing what you do!
I do love how you chose to see things in a different light. I gained alot of weight after my injury at the gym and prior that I had actually lost alot of weight and gained muscle, but I didn't feel good about myself for two years because of multiple reasons including my partner making small comments about my weight and other stresses. When I finally met up with multiple drs, they'd just say I'm too heavy and I needed to lose weight for my back pain to go away. Even tho I knew my weight could've contributed to the pain, it did not help hearing that was the sole reason when it wasn't, and I felt like my mental stress came from everyone who would make comments about my weight. Fast forward, I got the mental help I needed and got referred to a proper physio to find out I had a herniated disc. Now in a healthy mental state I was able to work towards fixing the pain and losing weight with a healthy mind set.
Reflection is good medical practise! Good emphasis on communications skills learnt in medical school 😀
Dr. Nosa practice* C’mon Doc
@@metlife2835 in the UK, we tend to use practise! lol
Dr. Nosa oh ok
I love the fact that Dr Mike looks at situations like this and sees what he can do better, instead of being grumpy and blaming the patient and criticizing them. He is such an amazing person and so incredibly professional and kind, and I can tell that he is definitely in the right field.
You're putting so much work into being a better person and a better doctor,it's very nice to learn from.
Great job,doctor Mike!
When you get the notification but dont want to watch it until you can watch it and scroll through the funny comments...
I really like doctors like Doctor Mike, it's nice when you can tell a doctor genuinely cares.
This is exactly what I needed to hear. Extremely useful. I’m a dental hygienist and daily patients argue why they need an extensive cleaning and usually want their “basic” cleaning and that’s it.
I’m always looking for ways of improving communication with my patients. Loved this
This is a sign of both maturity and humility in a doctor, and I commend you for being this way.
The fact that you kept recommending or mentioning treatments, the patient brushing them off without hearing you out, and then you keep it calm and explain your point if view to the patient. In my honest opinion I feel like you did everything you could, but then you go on to think you did something wrong, which honestly a lot of people wouldnt do. I respect you so much for this and I would have my doctor replaced with you any day.
The constant self analyzing in your behaviour is what all doctors should have to lead to better and more professional health care, you're as good a doctor as they come Mike, keep this stuff going!
If i go to a doctor here in Finland, and they start asking about the weather, i'll assume they're having a stroke.
Stella Annie I have had doctors ask me this...but in the beginning (when there walking in) and it does sometimes help to just break the ice...takes away some of the awkward energy bc I have severe anxiety
@@maryfrail2292 In Finland?? On the public sector?? o__0
Stella Annie no I’m in the USA...not sure what you mean by public sector?? I don’t know what that is??
@@maryfrail2292 We have universal health care here in Finland, that's the "public sector". And my whole point was that these doctors are usually very busy and come off as very cold. Very matter of fact and straight to the point; otherwise we're wasting time. And that's why they're not chatting about the weather, and that's why it would feel very odd.
@@stellannie86 yeah but i dont think in general US doctors are like dr Mike anyway
"I use it in my day to day life with my friends, family, and loved ones"
Mike: "No Bear, you already ate all your food, you aren't starving to death"
Bear: *splaying dramatically by his bowl, whining and behaving pitifully as though he is indeed starving to death*
As a therapist I really appreciated and related to this, thank you. Xx plus it can be hard to own up to mistakes publicly so kudos to you!
Building rapport is so important. I’m a nursing student and a LOT of what we do is communicate and try to persuade the patient that we are there for them and to trust us with... well their life. Love your videos
I think that she just wanted to be heard and you gave her what she needed at that time. Yiu can't always make people do what you want them to. Sometimes you just need to listen to them likz you did
Mike’s Friend: What Size Are Your Shirts?
Mike: Yes
King_Trapper03 I don’t get it
Ali S If You Been Subbed For A While Now You Will Know Lol
@@Judo593 Dr. Mike's shirt looks tight on him, and we're just making fun of it.
It should be something like . . .
Tailor: "How tight do you want your shirts to be?"
Dr Mike: "Yes."
Nicholas Lawrence Umm No Maybe Next Time
Round of applause for the way he handled the situation but even more for his reflection and staying in the process of working to improve future outcomes. Thanks sharing!
Thanks for that mike. I’m a results coach and conversations are the way I do my healing. It’s awesome to hear some better things to try next time and do more to improve myself
It sounds like she is the victim of a long train of abuse. Anxiety with physical contact, emotional barrage when the wrong topic is raised, a general need to be heard... Honestly I wish you had given her a pamphlet or phone number to call to get some help out of her situation. That was likely the correct "plan" for her to recover.
I agree and maybe she had bruises or scars and marks from said abuse and didn’t feel comfortable showing her skin like that and used the it’s to hard excuse.
Yea but he’s a doctor not a psychologist
Brooke Goins all doctors do a round of psychology before specializing. Also mental health and physical health go together since and even more so since he’s a family medical dr. So he treats the entire body including the mind.
It absolutely is his job to recognize that mental trauma might be present and hindering care for physical ailments. While not treating the mental issue persay but at least recognizing them and how to work with them to give the best possible care is important and a part of complete physical health.
Hell even I learned and trained for that as a medical assistant working for doctors.
SweetTea Stephens well all I’m saying is who are we to judge. We weren’t put in the same situation as he.
Brooke Goins what do you mean who are we judge. He’s a dr and talked about being a dr. We have every right to speak on the actions of health care providers! And he asked for feedback. Gtfoh
I really appreciate these kinds of videos. My boyfriend is a doctor and he is always reading countless books about improving and building better patient relationships so I'm definitely recommending him this book! Thanks Dr. Mike, you're doing an amazing job!
I’m glad he does. I’m a nurse and been also a orthopaedic patient for many years. I have one across some terrible doctors. The patient Dr relationship is everything. If we do not trust someone or we get a bad vide from a person then we are not going to open up to the Dr, things get missed and the patient comes out feeling unheard and helpless. We don’t always want answers we just want to be heard sometimes.
This happens ALL the time. Many patients just want to vent.
This is an old video, but wanted to post to raise some awareness. It sounds like the patient in the video may have been experiencing domestic violence, if she reported her husband was "dominating" her. People experiencing abuse often need support - an outlet, someone to talk to, etc. The right thing to do in that circumstance as a medical professional is to call in a specialist like a domestic violence advocate (or explore whether the patient wants to speak to someone from the local shelter if an advocate is not available). Many people forget abuse is not just physical, or don't realize emotional abuse is something you can get support for. Most doctors are great at what they do, but they're usually not experts on abuse. An advocate would have a lot more time to connect with the patient, help her with safety planning, and help her access any resources she might need. (Doctors and other medical professionals should also routinely screen for abuse, but that's another story.)
Dr Mike takes a look at Ireland and it’s culture, for the craic
Whose readinh the conments while the video is playing
I can't. I honestly can't concentrate on both so I pause or wait til the end to read them
@@heathermiller6046 I'm the complete opposite if videos have no comments or they're disabled I find it so hard to keep watching 😂
Hiya Doctor,
your story reminded me a lot of one a friend (a GP) once told me when she worked surgeries/clinics. She’d come to the end of her appointments, and as is probably the case in the US those appointments are very short -10-15 mins - and a woman came in, complaining of something mild - cold and flu symptoms, something like that. My friend had had a tough day and was looking forward to going home, so asked the patient when the symptoms had begun. The patient then explained when everything had begun and mentioned seemingly offhand that her mother was very ill and in hospital in the high-dependency unit. This caught my friend’s attention. She knew how to treat the symptoms, and she considered, for just a second, prescribing what was needed and sending the woman on her way; after all she was nearly done. But she thought about it and then asked the patient about her mother. According to her, the conversation that followed was tearful, but clearly very needed and the patient was thankful for the chance to talk about her mother to someone who would listen. Bear in mind, it was the end of her day so she was eating into nobody’s time but my friend’s.
My memories of the story after that are hazy; I can’t remember if they circled back to the supposed main reason she was there or not, but I know that both women left that surgery feeling better; the patient left in a way that sounds quite similar to your patient - needing to talk - and the doctor felt like she’d done the right thing by staying a little past her allotted time and probing a little more.
Point being, this may have been a difficult visit, but I’m sure it was, at least for a time, effective.
Although I agree with some of posters here that her bad relationship with her husband is something with which she needs help and support. I hope she found it somehow, and thanks for sharing.
IB students when he said “the theory of knowledge”:
ACTUALLY there’s 8 areas of knowledge and 8 ways of knowing and-
Ella N OMG HELLO FELLOW IB KID (im at the end of my first year)
Haven’t been in high school for 6 years and I still throw my tok knowledge around every once in a while 😂
This spoke to me on a spiritual level lmfao
Ella N omg that was me
Lori Papong IB (International Baccalaureate) is a school curriculum based on creating a global citizen in which we are referring to DP or (Diploma Program) which are the final two years of the IB syllabus, in which we are referring to the subject TOK or theory of knowledge, which is a subject based on understanding the nature of knowledge and learning
I appreciate that you're constantly reflecting on situations with the objective to learn and grow. The outcome was "good" because the patient left happy, but there's always room for improvement and you recognize that and also recognize that this also possibly could have been the best outcome for this patient as well.
when he said that it reminded him of a book. I knew he was gonna plug audible.
It shows a lot about you as a doctor that she felt so comfortable to open up to you like that so quickly. I know some people feel like they can confide in anyone, but personally I can't imagine venting like that to a doctor I had just met that day. Even though you feel there are things you could have done better, you did make her feel like she could trust you, and that's great.
Dr. Mike, I think you are one of the best doctors out there. I also want to be a doctor when I grow up, and I you are someone who inspires me to help others through my profession. Thank you
People need doctors to listen to them. That is the single most important thing a doctor can do, period. It's almost like patients want to be treated as equals. How strange.
This right here! Me over here trying to explain my weight gain happened AFTER my back injury and pain, not before 😭 lovely doctor telling me I have developed osteoarthritis in the lumbar spine and giving me special anti inflammatories, and then another doctor in the same practice with the same medical info saying 'they aren't good for your liver, you shouldn't take them'.
Potassuim_Cation and Lisa Morey - you are singing the song of my people!
Talk about LASIK and PRK and their connection to depression and suicide. It is really important !
What?!
@@adeshkantha7034 they are two type of laser eye surgery.
I’m sooo glad you made this video. We just talked about palliative care last week and this video is very applicable to that topic but also all care. Thanks Dr. Mike!
Wow this was super eye opening!!
As a nurse myself I could def use all these strategies at work. Thanks for sharing this, loved it!
Dr. Mike: and huuuuge reminder here!
What I expected him to say: Chest compressions, chest compressions, chest compressions!!
I really liked this style of video! Especially including your learnings from the audio book, it's really interesting and I learnt a lot through you too that I can incorporate into my own day to day life
Very much appreciate his humility and obvious care.
you’re really good at engaging a younger audience. i’m 14 and i have trouble paying attention with med classes in school but you make it so fun to learn about and easier to understand
“uploaded 6 minutes ago”
wut is my life
"Mike reads his own Wikipedia page and makes sure everything is correct"
😆
Thank you for sharing. I’m a dental hygienist, and I encounter this problem all the time. Some patients just don’t want to hear what they are doing wrong, they get defensive, annoyed, even tho it’s not my intention to make them feel bad about themselves. I then have to take the time to explain things, educate them. Sometimes I just don’t have time to get to everything because they have a lot going on, which make me feel like I’m doing a disservice to them, and I give myself a hard time about. So I really needed to hear this and this book sounds like something I need to read!! Thank you doc mike!
Wow, you really put things in perspective in having conversations with a medical professional ( from my view as a patient). Will keep these in mind at my next dr. visit.
I think she doesn't have any friends and just wanted to talk about her life to someone.
Dr.Mike: She sorta brushes that off.
In my head: Has a hair brush and starts brushing the nonexistent dust off of her dominant arm.
Dr. Mike - Some people just need someone to listen to them. Not everyone will want someone to offer help. What you did was the right thing. I'm in college to be a Mental Health Therapist.
Oh I feel your pain. Thank you for sharing this