168 Hours ON CALL - Life of a DOCTOR 

Lol

He's called the Stig.

I agree with this statement!

Couldn’t agree more!!

There's no profit motive that had done a sufficient enough job. Need to change a lot of things.. Fundamentally

Couldn't agree more.

Lloyd B jinx

Lol

The people who could change it, care more about saving money. And some of the older doctors think if they had to go through it, the younger residents should go through it too.

I couldn't agree more. This is so distressing :(

James Boone haha definitely not a bad idea

🤣❤️

Please never say or think you are “just a pre med” or anything.. all of your insight is WORTH IT! Have been told many times that I am “just a nurse”.

@@Em98762 I’m sorry that that’s ever happened to you! You’re so right! No “just” anything. I was literally just talking about in my last video how you’re not “just a janitor” the surgery can’t happen until the OR is cleaned, so with that, the janitor is as important at the surgeon. And there’s absolutely NO such thing as just a nurse haha. Nurses do SO much for the patient and are a massive part of the team. Can’t even say how many times nurses have saved my butt haha. Thank you all for everything you do!!

@@Em98762 I‘m pre-med too, but as my father always said (he‘s a urologist): A motivated nurse knows more than any young doctor. Maybe not on the scientific side of things but certainly in terms of diagnoses, procedures and treatments.

Don’t forget how much you do on your shifts though! We come see the patients for a few mins here and there as needed and when paged, you’re literally attached to your patients at the hip for 12-14 hours during your shift doing every single little thing for them (and for us). Yeah we work long and crazy hours and they’re terrible 😋 but don’t discount all you do too!!

Dr. Adam Hotchkiss you are awesome, thank you for your kind words! I’m a firm believer that we’re all apart of an important healthcare team, from hospital sanitation workers to CNAs all the way up the ladder to you guys, the MDs. When we all work together, we truly work for the betterment of the patient and the work environment. Thank you again for this kind and gentle reminder! I had a rough week last week and my 3 12s start back up tomorrow, but I’m a bit more ready to get back into the race now. Thanks again, doc. Good health to you! 😊

lalalynnsey completely agree!! I can’t do surgery if the housekeeping team didn’t clean the OR.. so they’re just as important in the process! We’re all just one big team! And nurses save my butt everyday and have since I was a student 😋 Go crush that next shift!! Best of luck to you!! And thank you for all that you do!!!

If only all drs were like you! I use to be a scrub nurse and we had a brilliant surgeon (he used to be a nurse tho) who would help clean and mop up after cases I remember another surgeon coming in the look on her face was hilarious she even asked him what the hell are you doing? Like yourself he just said we are all one big team and should help each other out no matter what your job role is!

If only all drs were like you! I use to be a scrub nurse and we had a brilliant surgeon (he used to be a nurse tho) who would help clean and mop up after cases I remember another surgeon coming in the look on her face was hilarious she even asked him what the hell are you doing? Like yourself he just said we are all one big team and should help each other out no matter what your job role is!

sue kirsh if it was me, I wouldn’t go to the ER unless it was an emergency. Hospital bills are too expensive for me.

sue kirsh no fucking way

I would honestly feel like a burden to the doctor if I’m the reason he had to get out of bed at 2 am to diagnose and treat me. I mean, I want to be a doctor eventually, but I feel like the hardest part of the job is the burnout and exhaustion.

exactly and that is why we need more doctors!! But the trend only shows it getting worse!

J L i was interested in being a doctor until i found out about the crazy hours and overall being in school for a 10+ years until you get a salary (residents do get one but by then you’re already working crazy hours that its not really worth it). Its crazy what people go through to become a doctor.

adrenaline

@@SK-mr6ov Many die in accidents when they drive home after the adrenaline wears off.

Earth Angel very true, I was addressing the surgery part but you are right.

WookieonCrack he ubers. A lot Of doctors at our hospital if they know they have been working long hours and are exhausted they Uber home and back.

Lara Ward you don’t think being tired makes practicing medicine dangerous as well?

It takes a good 3-4 days to get back to normal lol

That’s what I’m thinking. They passed law few years ago about it

Not the least bit healthy for patients, several studies done have shown that sleep deprived surgeons make significantly more mistakes.

💯

A comment questioning the ethics of the work environment whilst calling the patients "customers", gotta love the irony.

So that's a good question and there are many factors that go into this. But first for the generalities, this is a very rare case and it usually only happens to either interns or medical fellows who go into very advance medical specialties (he's mentioned very hard cases, most advanced procedures, serious procedures, etc). Also, to note is that we are in a pandemic so everyone is on edge however I do find 168 hours on call very shocking but it can happen given the conditions. So let's start with intern year, it's usually about 80+ hours a week which is considered to be the most hardest in every Doctor's training (it is), because medical school just gives you the MD and you learn how to teat diseases but they did not train you to be specialized thus, that's when residency training comes in. Now, why the increased hours for doctors in residency? There's many factors but the main ones are (1) We have a doctor shortage in many specialties (especially primary care and other types of specialties too) thus, we need to produce as many new licensed + board certified physicians as we can (2) because med schools do not specialize doctors, the job of residency to expose the resident/intern to as many aspects of their intended specialty as much as possible (you can only do this via experience at the bed side and seeing every possible case that you will see in practice so when you graduate from residency you'll be prepared for whatever). (3) So why the long hours? Why can't we allocate and share the hard cases with other residents or attendings? Well, they actually do it's just again they need to be on that case plus there's a lot of other legalities concerning this. One reason is that if you are given the patient, you need to follow through with that patient till their very end (whether positive or negative/death) and it's just been shown that when the same doctor who takes over the patient through and through it's usually always more comfortable for that patient because they know the doctor for long periods of time, and vice versa the residency knows them too. Depending on the hospital/state some do perform hands offs to different doctors but there is some concern with this, the most common one is that the new docotr comes in and is not fully aware of how the patient was when they first came in thus, sometimes medical mistakes are made (rare but it can happen). Because seeing the patient first and following them through versus giving them away to a new doctor is just different. By the time the first doctor gives away the patient, they would already know the patient's trends in labs, meds, prognosis etc, more than the new one. So it's a bit of a compromise: Yes, if the hand off system was more common, that would mean the residents will have less hours than 80+ but then there's a chance medical mistakes can be made. Hopefully, in the future we improve residency lifestyle-balance for everyone. But yes the most common on call hours i see is 24 and 36 hours. The most I saw were 48 but never 168 so this is a first. I just don't want people to be discouraged to not pursue medicine, usually after residency you get much more better hours and pay. I also think it's the culture that accumulated over the years in medicine: you know doctors studying long hours, then working long hours, sleeping for 30 mins in the on call room, etc. and everyone is told that's the life, we do it for the sake of the patient, but I feel that it's hypocritical that we tell patients to sleep more, it's good for your health and lowers stress yet the system does this haha.

@@brixlagao3380 My son is premed, and his uncle is a urologist, so we get a little inside information. Nevertheless, I never understood the "SEAL Team- BUDS school," training for physicians, or why it continues into 2020. thanks for the information and clarification.

@@NiaziFarooq It was intended as a shot at the industry. Is it not obvious that is how people are viewed by many health centers??

Lmao yes but no. Residents legit work 100+ hours. Even though programs aren’t supposed to do that, they get away with it by making the residents under report their work hours or they face retaliation by administrators.

FOR $500K A YEAR--ITS NOT LOL

@@TheMaleNurse777 residents only get paid about $61k per year. That is not a lot considering the insane cost of schooling and the major health risks down the line related to such lengthy shifts and lack of sleep.

With that said, I can't thank docs and fellows enough. Had an upper endoscopy done last weekend. I haven't seen my insurance bill yet haha but regardless I can't thank y'all enough.

Very well outlined~Thank you, Bryan☆☆:)

Lol this is just in training. Once your done, very few docs do this

Lmfaooooooooooooo

I’m doing a psych rotation right now, the attending I’m with is fresh out of residency, she told me that in her residency she didn’t have wards based internal med as an intern (that’s where we do a lot of these types of shifts). She did an out patients clinic, I was so jealous

Dr. Adam Hotchkiss I’m going into Psych - how did she manage to do that!

Alanna Renae DM me on my IG if you have one and I’ll tell you where she went! I just don’t want to talk on here about too many specifics, my work has crazy rules about talking about each other 😋 it’s super weird I know haha (@dr.aehotchkiss)

welcome to the american healthcare system

Unbelievable. Should be prohibited

Thinkin about healthcare... do you know if there is any healthcare professions with sports?

@@gooregonducks4088 it’s called sports medicine

No. That's blasphemous to God which I'm sure you don't mean. Men are just that... men. Their not Gods. But God definitely uses them in a special way❤️ and I also respect them for their dedication and compassion. Special people in the world.

168 hours in a row! Woah - *grabs popcorn* :D

I love your content man.😍

Eradicator 44 I literally just got off the same shift yesterday. Hated every minute haha

ibucos sparkles mine or Dr Cellini’s? Hopefully both 😋

Last year to soak up all we can!

Always need a post-call week cocktail!

adrenaline

It gets better...then worse for a short year...then way better lol

EmilyFizzle I’m aware of that. However he did a lot of procedures, where a scrub tech would possibly be apart of.

great video though

&540k A YEAR FOR HIS SPECIALTY

Ling Lee ugh I hate you guys hahaha I’m kidding, but very envious. Also probably hundreds of thousands of less debt too 🤦🏼‍♂️ its a good thing I truly couldn’t imagine doing anything different

Nothing like this lol

Crush school.

Practicing doctor here. Don't do medicine.

@@Cesare92 lmaooo, you just had to kill his vibe like that?

@@gabrielaquinteros991 Just trying to save his mental and physical health

Cesare Paolino hahaha 😂😂

Definitely that’s ridiculous 😒

Emergency staff usually stabilizes as that’s the point of the ED. There’s also beds for us at hospitals but I bet Dr Cellini and all others would agree that if you live close enough, your bed will always be better. Resident rooms suck. You get a tiny little cot, you still hear all the codes going off over head, if your room is next to other resident rooms you hear them getting paged, running in and out of the room. I could never get sleep in there. Ugh I hated that 😫

He is a radiology resident. He wont be making much money.

But people say I’m on call for 7 days straight....it’s no different

Even if no one usually calls it that. It’s still 168 hours of call.