Don't be depressed. Just let them die. They are grown adults and they deserve the freedom to make choices about how they wish to live. Even if those choices kill them
@@ruben1151 Physicians are expected to educate their patients and make sure they're making an informed decision. It's not enough to document that a patient refused colonscopy. You have to explain to them the dangers of not getting colonoscopy, present other options (cologuard, FIT test) and then document that the patient refused all of them. It's just annoying. Medicine is not as enjoyable as it should be.
The worst bedside rounding is when you've got the biopsy results showing new diagnosis of malignancy that the patient isn't aware of! Tfw you're desperately trying to signal to the attending beforehand but they insist on rounding in the room...
My husband was an epileptic. When I first started dating him (he told me on our first date about his epilepsy) I learned his mother had him going to a chiropractor to control his seizures instead of medication to treat the seizures. Our very first date he pulled his car over to put water in the radiator when he put the hood up while I waited in the passenger seat. It grew quiet so I got out to fund him on the ground on his back seizing. This was not the last seizure I witnessed on a date with him. Luckily the 2nd one several months later I was driving. He had grand Mal seizures. So much for the chiropractor. He eventually ended up on medication for it. The chiropractor was a quak and his mother had been horribly fooled.
@Tini Mirtasi Aye yo this is a channel for doctors and med students and people interested in medicine idk if people come here lookin to jerk off might wana spam somewhere else.
@@ConstantineIII bro these are bots, running rampant on RU-vid, they just go to any and every video. Just report for sexually inappropriate and the system will flag them down.
I don't think I would ever have had the courage to tell my attending "Don't argue with the patient - just kidding ;-) " but this is the kind of remark I would sometimes love to articulate. I'm a young cardiologist, very much like your work, you're putting an impressive amount of time into it (and your fellowship is probably as nuts as mine)
My aunt was told to ditch her antiviral hiv meds by a doctor like Dr Angela and her doctor was shocked at much she had gone downhill when she got her test on the next visit. Her t count had dropped drastically. We had no idea she was seeing a natural healer.
I had a patient burn a hole through her nose with black salve or whatever that garbage is while I was trying to get her into plastics for a Mohs procedure. Ugh.
Those charlatans should be charged with criminal endangerment for all the harm they do. On the other hand, their assistance in the Darwinian process is somewhat useful.
My late mother had COPD and congestive heart failure; had multiple heart attacks and stents put in, and was on oxygen…and still smoked…even with her oxygen on. 🤦🏻♀️ She always said she was sick from stress, not those other things. Well, “stress” killed her at age 59
RN here. We are supposed to do bedside rounds AT THE BEDSIDE even if it’s the night shift and the patient is asleep. So much for the nursing judgement we’ve accumulated over the years.
Had a patient still on sliding scale of insulin, new onset of T2DM, tell me that he felt he had used this as a 'learning experience', and had decided he would be travelling to Thailand next week, to pray and to work on his health. Therefore he would like to stop all treatment and go home now. I had to ask to the doctor to clearly explain why this was a bad idea and check his capacity before letting him sign himself out. Notes read 'explained to patient that refusing treatment will result in long term harm and increased risk of an early death. Patient understands but feels that he has learnt enough from his hospital stay and that travelling to Thailand will improve his health'. Never seen someone sign themself out so cheerfully.
Maybe because it is too aseptic and sanitized. It doesn't say "If nobody injects you with insulin you will die, probably sometime between today and the next month. Further explanation: Your pancreas is supposed to be making insulin so your cells can get nourished by what you eat, but the part of your pancreas doing that is dead and can't come back. It is your right to decline our services, but if you want to live beyond this week you will need someone to prescribe you insulin and to use it as intended."
@@jatnarivas8741 Because that would be false, I've seen plenty of T2DM live decades with their sugar out of control. You'll mention the worst case scenario of early death, but most of the time it's the high sugar will lead to permanent dmaage to their nervous system and loss of sensation in limbs, along with loss of vision,a nd ultimately limbs will have to be cut as necrosis & infections begin to set in the limbs. I've treated blinded double knee amputees who will still stuff their face with ice cream and periodically come for infections. If losing a limb & their vision won't change their ways, nothing truly will.
Somebody recently on another medical comment stated, that SUGAR FEEDS CANCER, & IF WE ALL STOPPED EATING SUGAR THERE WOULD NO CANCER, ISN'T THAT AMAZING (Irish sarcasm 😉), AND DOCTORS ARE GETTING PAID FOR USING CHEMICALS (chemo). NO SUGAR NO CANCER 😂🤣.😂 THAT MADE ME SO MAD. 🤬🤬🤬🤬🤬🤬.
@@annbreen1910 Sugar feeds cancer like any other cell, to say that no sugar = no cancer is a falsehood. Considering cancer is prevalent even in ancient records that precedes the high sugar diet of today. Any fat, carbs or proteins you eat is converted to glucose sugar in your body since that’s the main way that most cells get their energy, especially your brain . Which is why people slipped into a diabetic coma the moment their sugar level is too low to sustain their brain activity. A low sugar diet could be beneficial in combination with treatments but it’s not the silver bullet that many think it is.
I kind of liked it when I was in post-partum, it made me feel a little involved. BUT, I trust you guys to know what you're talking about and pretty much just smiled and nodded unless asked a direct question. I think I'd rage quit if I had to deal with this all day.
Bedside handover is the bane of my existence. Sometimes you get 2 handovers the sanitized version where nothing is said in front of the patient and the real handover in the hallway out of earshot
I prefer to hear what my doctors are talking about me because it helps me to understand more of what's going on. When I had an emergency CSection, I was adamant that the student wanting to be there for it had to be. Very much told the person who asked if it was ok, "yes". I love it because I know I get to be a small part of that student's learning process. My goal is to ask my current OBGYN if a student can be there to be part of the birthing process. I figure I'm getting 2 for the price of 1 PLUS an out-of-the-box perspective working with fresh, theoretically updated classroom information. In exchange, that student gains some experience and I get to hear a little about what the student is learning.....even if I don't understand it. With all the medic RU-vidrs and having things explained to me in person, I know just enough to get into and/or cause trouble but not enough to fix that same trouble.
Oh, a nice frou frou drink and a lay out on the beach is fantastic therapy. It won't do a thing for a tsh level of 12, but it will make you feel better about it. Although if you're bothered by the 30lb weight gain, you might want to visit a quieter one. Or do what I did after Covid whacked my thyroid and ruined my heart leading to a 65lb weight gain- wear comfy clothing, get a great pair of sunglasses with attitude, and ignore everyone else. Or stare back, whatever suits you at the moment. I've had people helpfully let me know that I'm fat, as though I had absolutely no idea. Usually thanking them profusely for pointing it out to you embarrasses the hell out of them- people tend to look at them like they're the jerks they are. And I've received a few thanks from other ample women for speaking up. You get one life- live it so YOU'RE happy with it. Idiots come and go. They do not matter at all. I wish I'd understood that when I was young- I would have had A LOT more fun!
In Peru, we always had bedside rounds. The Attending, Residents, Interns and Students discussing the plan in front of the patient... and the other five patients which shared the 6-people room. At least all stayed quiet.
Always gets me the folks that are like, 'I'm sick I need lots of vitamin C'. I'm like well, it won't hurt, but you do realize if you are already getting enough your body just pees the rest out. They like, "but I always heard..." I think people don't realize that you can't nutrient and vitamin away viruses and bacteria. Healthy people still feel like crap when they get sick.
When you watch an episode of Blue's Clues when you were 4 which said drinking orange juice would "make you feel better" when suffering common cold, and decided you are set for life on medical knowledge.
This happens more often than you think at the pharmacy as well. Patient comes to pick up a prescription for, eg. antihypertensives, gets shocked when I dispense it to them. "I don't have hypertension! My BP is fine!" "But your diagnosis here says hypertension." "Oh I don't have that anymore since I started trying x all-natural treatment. My therapist says that my BP is really well-controlled now!" Me, staring at today's reading of 178/94 in the computer screen: "Uh huh, sure it is."
wow, Kayla is like my alcoholic father...always paranoid, what the heck the dr want to give him...NOT believing a word the drs say about his health, THEN: leave hospital against medical advice..and go home and start drinking again...Some people you can save..some people you just cannot.
That must be so hard to live with. My son has difficulties complying because of his autism. It's not his fault but I know how hard it is to try to help someone who can't or won't be helped. Hugs
It's interesting these people are very paranoid and wary of any Western medicine, but the moment they hear about Nepal, mountains, secret scrolls, natural healing and mysteries, all of a sudden they are completely on board about whatever is going on and require 0 evidence.
Vet tech here. Believe it or not people are the exact same way with their pets. The weight gain with the poorly managed hypothyroidism hit hard 😂 There's even homeopathic vets 💀
Oh the feuds we'd get into with my great grandparents. They could not be convinced to not give a dog food anytime they asked. The only reason their cat is healthy is because I do not think my great grandfather knows cat-treats are a thing.
Don't underestimate hugs, naps or second opinions, :-) especially when offered heavy antipsychotics that may have side effects to cause more confusion. If you need them they are very important, if you don't they can cause problems. Good luck, you are worth good care.
@@zachjones6944 Agreed. I don't take them. (I actually had my ovaries out and the psychosis went away, for the most part, so I'm like Kayla mixed with Dr. House. Figured that one out for myself.)
@@zachjones6944 Many people who need antipsychotics need them long-term. What do you suggest, to just let them have a psychoses? Your advice is extremely dangerous. People should never stop taking medication without consulting a doctor, especially not psychiatric medication.
This is so true, and not funny at all when it happens regularly. My attending used to go off at me for not being the exact eye level as the patient when talking to them. So much so, that it annoyed the patient.
Eveyone : med school is so difficult! There's so much to remember! Too many drugs and procedures! Dr. Angela: "Vitamin C infusion followed by a lavender infused ginger tea and phototherapy"-ing my way through med school babyy
A majority of patients get it and try to work with the health care team. Definitely the patient needs to agree to their treatment plan, especially for big picture issues like end-of-life care or major surgeries. But a minority have egos bigger than their brains and that can get tricky.
My late mother had COPD and congestive heart failure; had multiple heart attacks and stents put in, and was on oxygen…and still smoked…even with her oxygen on. 🤦🏻♀️ She always said she was sick from stress, not those other things. Well, “stress” killed her at age 59.
Thank God I am a Geriatrician. Older people are definitely more cooperative and have more trust in classic, modern medicine. They still remember what population health and life expectancy were before antibiotics, vaccines, chemotherapy, complex surgery and they get it.
@@annshaffer3314 Hope this was a joke! Here in the UK we pride ourselves in empowering the elderly to participate in all conversations and decision making.
@@annshaffer3314 I'm making sure to visit each of my patients, that I have not seen in the hour before going home once more to tell them, what's going on tomorrow, why it's being done and to leave a sort of positive attitude, if possible. I get the impression, that especially the elderly appreciate that, because during rounds they often don't completely grasp the whole situation. The problem is, that more complex cases require a substantial amount of time - especially in "patientlingo"TM 😃
Absolutely; my first awareness was in the 1950s at age 6 with the polio vaccine. My mother died 15 years later due to a drug interaction while being treated for dehydration due to a stomach virus; her doctor had her on so many drugs for her asthma, which never helped, and other stuff. I recently had a heart ablation and then a pacemaker; 6 months later I am a new person; I tell people I have a new heart. Medical care today is really quite remarkable which does make it more expensive, but what we have is not sustainable.
My sister in-law's mother just died of breast cancer and she NEVEY WENT TO A DOCTOR. I cannot imagine being more afraid of doctors than letting cancer eat away at you like that. Women have been treated like shit by medical providers forever.
Yeah, I can see now that I might be that awkward patient... I fell over on Wednesday and hurt my side, but was really busy and on Friday was persuaded to get it checked out. I was shocked to find I’d broken my hip, and made a mess of it by using it for three days, and instead of having it pinned, I had to have it replaced with a metal one like an old person :-(
I think the patient in this video would've argued with the doctors that her hip was fine, but that some meditation and a coffee enema would fix it without any unnecessary surgery being pushed on her just to rip her off anyways! You got the surgery like a normal person so I think you're good lol 😄 Feel better soon though!
Ow! See, this is why I could never enter the medical profession because even reading that causes me to feel actual pain in sympathy. I hope you're much better soon!
I once, back in my days of severe anorexia, was in my ER due to vomiting blood. I heard the rounds allllll about the poor 83yr old woman with influenza A across the hall who was there because her husband couldn’t care for her at home, and who wouldn’t be admitted to the floor due to the flu, then when it was mine ‘oh I know the patient in 21, she’s the anorexic…’ and then the voices drifted into whispers. While I appreciate the concern for my privacy, it just made things worse as it made me feel even more shame for being there when i did not want to be there at all. Side note, things ended up okay, and I have been recovered from anorexia since 2019. I would have much rather have been gone over in a bedside round OR everyone's privacy should have been respected, like the 83yr old across the hall!
I was frequently misdiagnosed, so my records have as much incorrect as correct info. I can prove everything I'm saying, but seems like docs think I am this patient.
Whenever I'm in a hospital, I try to figure out, "how can I make my stay less stressful for the doctors and the nurses?" I want to be the most patient patient a professional ever comes across. I know how stressful it is - sometimes on both sides. I try not to add to that stress. There are a few doctors and nurses that helped me through incredibly tough times. I've had nurses go the extra mile and sit by my bed until I fell asleep (i was 22 then).There was a doctor who saw me get up from a wheelchair and take my own steps for the first time in 5 years. I hope everyone is having a good day! ❤
To be kind to the nurses: be patient when it comes time to discharge you. They have to take care of their other patients, make your appointments, and complete all the charting before they can send you home. I feel like most patients are hounding me saying "Can I leave? Can I discharge now? How about now?" I try to explain this to them and then 5 minutes later they say, "Okay my family is here to pick me up now." It gets stressful, especially when I am getting a new admission and my other patients are calling all at the same time.
The mother of a friend effectively killed herself this way by refusing to acknowledge the realities of her diabetes and following the advice of quacks.
I was a respiratory therapist and treated ER patients. The first time I met Hiawatha she was smoking and using oxygen when she came in to the ER. I explained the danger of catching her face on fire. I saw her many times after that and explained the danger each time. This went on for months. One day they brought her in because she had burned her face and arm. When she saw me come in to do her treatment she said of course it had to be you they called. I didn’t say I told you so. But my face clearly said it for me.
How about a video on attendings taking forever on morning rounds, making us miss noon didactics, and then acting surprised that we have didactics in residency. :/
There is a saying 'bedside manner' when talking about doctors.love to see you do a video on this. I had a funny but embarrassing experience when I was pregnant. I was admitted for inducing. The nurse came in and said we have a new doctor can we play a trick on him with you. I was huge shattered and wanted my baby so went along. God it was so awful. They filled in my form. Put the new doctors name as the babies father. Put me down as having lots of disease syphilis etc! Said I was planning to fly to Spain the next day to a rave. He was reading the form looking at me. Mouth open not knowing what to do then he saw the nurses heads bobbing up in the window and them giggling. He just said can you excuse me please...the next time I saw him I was pushing and head come to examine me. I ended up apologies but said they made me. It was so bad . Are your nurses as mean to new docs
Hahaha! Oh boy, there are so many quacks. More than ever before. A relative had severe abdominal pain and got acupuncture for it. After several years, it hasn't worked for her supposed Lyme disease, either.
I actually loved these kinds of patients as a med student/doc. They almost had a reason (ie past trauma) to distrust the medical establishment. If someone involved in their care can actually get through to them to find out why or even just make them feel safe and respected and dignified like all humans deserve it can really start to change their health. Of course, that isn't likely to be accomplished by an attending who refuses to be flexible in their approach and revels in their relative power. 🙄 But, then again, most of us never learn how to heal these kinds of medical traumas so I guess I can't fault the guy for trying to get the patient involved at least.
I am absolutely not someone who would ever go to an alternative practitioner, but I have a lot of fat friends and all their problems are blamed on their weight, the same goes for my trans friends and their hormones. Plus there are studies that show (and a lot of stories confirm) that women and black people will be dismissed by doctors when they will have legitimate problems. If these people will then go to, let's say, a neuropathic healer who actually listens to them, then I can see why they will trust that person over a doctor from a system that for ten (or more) years dismissed their pain (to just name something). Now, as I said, I would never go to an alternative practitioner myself, but I can really see why someone would choose to visit someone who takes the time for you and listens over someone who might have actually proven methods and medications, but who never gives them to you because they dismiss your symptoms and complains.
Honestly, especially women often don't get listened to / dismissed by doctors. I've had a recurring infection that was only taken seriously when I came in with my husband who had gotten the same infection from me. Not the only example. If you are fat (not my case), everything's blamed on your weight, if you are a mentally ill, physical symptoms are part of the mental illness to many doctors. I think post viral syndrome also affects more women than men and is often mischaracterized as a mental illness. I can totally see why some women go to alternative medicine providers even though i don't believe in them and think they are dangerous quacks. I've thankfully found a lot of female doctors in my area, they tend to listen better and have helped me a ton.
Awe!!! I found you via Dr. Flanary. You’re as hysterical as he! You’re both Oscar worthy actors! Homeopathy is SCIENCE! Burning sage does wonders for my SVT. Lavender Essential Oil, applied to the forehead, has cured my Panic Disorder w/Agoraphobia! You’re fantastically funny!!!! You and Dr. Flanary should do a short film together! ❤️❤️❤️❤️
This would be hilarious if it wasn’t so sad. I don’t even think the patient is the worst part about this, although she is a piece of work of course. The worst part is that she is getting conned by a “healer”. In my opinion those alternativ medicine quacks should be locked up for dangerous bodily harm. Being in healthcare myself, I’ve seen people literally die from trusting these frauds
This is why superiors should listen to their subordinates instead of cutting them off and ignoring their input. Even rookies have brains and often know relevant information that their boss does not.
Oh, one of those types of "healers". Yeah, I was buying some kinds of fancy teas for a friend's birthday once, and was chatting with the guy in the store where I got them. He asked about my health (hoo boy was he getting the lot), and after I mentioned Crohn's disease, he went and got a tea from the shelf and told me that would cure me. The tea cost over $100.
@@androsoctaris5967 Crohn's disease is an autoimmune condition stemming from your body's immune system misidentifying the tissue in your lower GI tract as needing annihilation. A cup of tea isn't going to fix it.
I always wondered though why these people with no trust in standard medicine go to the hospital to begin with. But after awhile I just learned to detach, accept it for what it is, and do the best I could.
