I work for an Infectious Disease doctor and since I’ve showed him this video, he had me play it for all his students as part of his “orientation “ 😂😂😂😂 he loves you!
My husband is in the hospital and thank God for the infectious disease doctor because he's THE ONLY doctor out of a dozen who actually listened to my husband and finally found out what was wrong with him. It was staph on his heart valve and it has to be replaced.
Same exact thing is happening to me as we speak. They were the only doctors that listened to me and ran all the necessary tests and found the problem. ❤ hopefully your husband is recovering well
And also because House literally sends his people to break into his patients' homes to look for clues behind their diagnoses...which would never happen IRL lmao@@asmerX100
The Apgar score is a quick way for doctors to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. It was originally developed in 1952 by an anesthesiologist at Columbia University, Dr. Virginia Apgar, as way to address the need for a standardized way to evaluate infants shortly after birth.
So true!! Have to be thorough on infectious disease. 😂 An ID attending told me me he had a pediatric patient that he couldn’t figure out. He kept asking the family if they had any pets at home. He asked them multiple times and they said no. He later discovered that they had a cat home. When he asked about the cat, they responded “Oh she’s not a pet. She’s family.” ☠️
This explains why my doctor asked me if I ever had an abortion after I just told him I had never been pregnant before. At first I was offended by such a stupid question but then I realized some of his other patients are probably idiots.
@@skribulz7 as a medical assistant for Pm+R I can tell you that while we DON’T take history’s the same way, patients are just as stupid. Why do you ask me the same questions over and over again. Nothing changes. Proceeds to ask questions and then prove to them that their answers changed….. You don’t need my med list again, I gave it to you last time! Yeah well I still want you to be able to verify it. Next appointment scheduled as procedure. OH YEAH I forgot about that NEW blood thinner….. 🤦 🤦♀️ 🤦♂️
one time during my infectious disease rotation, i found myself asking "so you have chickens in your compound? how many are they? do they go inside the house? what are their names?" the last bit was me being half-asleep.
On the first appointment I had with the ID doctor, he spent over an hour just taking history. The next visits he still took at least 15min to just take the history since the last visit. I was also keeping symptom diaries (for fever, pain and anything I thought relevant). He had a whole folder on me by the time we figured out what I had. Once, he literally called me at 10pm because he was home revising it and suddenly remembered some disease he needed to check for. Never met such a dedicated doctor, but I think he ended up working himself to exhaustion a few years later.
If I had a doctor that took such through notes on me future generations could theoretically break me down, and built back up a replicas of me that were either perfect or flawless. I would nominate him for any aware I could... and probably drop any potential law suits that might come from being that indepth.
My Primary Care physician was like that; by three years in, I was more worried about her health than my own! She finally had to take a leave and get her health back, and she still works with the same degree of concern but shorter hours. I want her to vet all hiring and handle recruiting at my hospital!
@@SioxGreyWolf Nah, I don't think that would work for a "flawless replica" 😂 That history held a lot more about my defects and damage than it did about the stuff that was fine.
This is so true. The most thorough ones are from the I.D. docs. They need to know things they've been exposed to, changes in activities, places they've been, and other items. Public Health relies on infectious disease to determine if there are things spreading in communities.
Lmao as a radiographer i love getting requests from doctors who tell me in the justification for the request what they do for a living , whether they’re married, how many kids and pets and all of their medical history as if i need to know any of that to perform a chest xray. Seriously - once i got 3 paragraphs of this patient’s gynae history (and it was rather gruesome at that) and then “sudden onset chest pains, worse on exertion. Rule out pathology” lmao
OMG! I will NEVER forget my rotation in ID. I seriously learned so much, how to be more compassionate, how much I needed to fight for my patients. When I finished I was so exhausted and empty, but had a profound respect for my patients.
I do want to commend you! Some aren't taught this important lesson and the patient will not trust. Trust helps "cure" and disbelief will probably result in a letter from the Board. I say this "tongue in cheek", but listening is a skill and compassion is part of the treatment! Thanks and best wishes!
So true. I love my ID docs so much that I made one of them my dad's PCP and another one my PCP. Had another take care of me in the hospital. And even the other day, I emailed one of them to ask a question about TB. One of many times over the years I had question about tough cases. Always approachable, compassionate, and generally awesome.
My dad is an ID specialist and this is EXACTLY him. He even corrects his students and interns wordings individually. They’re soooo passionate about histories!
Has somebody with chronic illness battling to get a lupus diagnosis I can tell you it matters. I'm still fighting to get a bunch of erroneous incorrect medical information out of my medical file. They were put there by lazy people who didn't want to take 2 seconds to look at my situation.
You fill out that form where it says family history, takes you an hour to fill it out and then they ask, with the chart in front of them, any family history of diseases (me, closes eyes, holds breath)
I feel this **Writes out all 12 medications I'm on, dosages, and times of day I take them on a chart** The nurse that just took my chart: "So, what medications are you taking currently?"
You'd be amazed how often we get two completely different answers, though. To most patients it's annoying, but there's plenty other patients that will suddenly remember something after being directly asked. Just being thorough!
@@jbaker3381 when all it says is "Adopted" like my mother's said, she had no known history, just her own, ONE WORD. Here we go "any known history?" WTF! It was insult to injury for my mother till she died! So when my mother's side of the family history comes up it says "mother adopted" worse was when my Mom died suddenly out of nowhere at 60 they refused to do an autopsy, so I'm still stuck. How did she die? F'k if I know!
I went on a first date with an ID fellow, and when I said my sister was a 7th grade teacher his response was "Yeah, like your grandpa, right." My grandpa had been dead for 10 years, and I had no idea what grade he'd taught. This guy had pre-screened me so thoroughly that he'd read a 10 year old obituary.
“I’m gonna break you down and build you back up.” That’s exactly what I feel like medical school is doing to me, and I know it will be worth it. Thanks for inspiring us all with your entertaining videos! 💫
My ID doc is gonna get a kick out of this. Can’t wait to show her. 😂❤ *EDIT* So un-ironically I ended up spending two months in the hospital & acute care rehab literally a week after seeing this video. Then another month on home healthcare. And why….pray tell? I contracted necrotizing fasciitis in my upper, right thigh. Almost died. Was flown to a trauma center and put on a ventilator…after they drilled a hole into my other leg and inserted an I/O, then I had three operations in three days and spent most of that time unconscious. They removed about 1/2 of my upper thigh and I had a plethora of other procedures to gain access to a central line, to have a catheter inserted, for a pain pump and a few other things that I just cannot even remember right now. Spent 10 days in ICU, 10 days in CCU and 10 days on the med-surg floor, then off to a month of rehabilitation to learn how to walk again (with severe nerve damage) and to build up my strength. You lose a whole lot of strength and muscle when you’re bed bound for 15 days and when you haven’t been able to take in proper sustenance. So….I was extremely thankful for how thorough my ID doc was during this entire horrible situation. ✌🏻😊
Dr. Virginia Apgar developed her score in 1952. That’s ….. let’s see …… 70 years ago. So Bill will be a long time looking for that Apgar score on his 90 year old patient! Signed, a neonatologist. 🤣
We had a morning conference at pediatrics and the night shift said that there is a new patient with some fever and conjunctivitis, among other things By chance, a infectious disease was there. Her first question “Does this kid go to a swimming pool?” and then started explaining that some of the symptoms can be explained by some bacteria commonly found in swimming pool Room was full of doctors and everyone were just shocked by her knowledge 😅
Oh we knew that. Summer pedi admissions for mysterious infections skyrocketed every summer for our regional hospital. It all came drone one surrounding town. (Mine btw, and no kid in town was spared)It took me years to convince enough parents to pressure the town to glean it up and do regular testing.
Love my infections disease guy! He finally figured out I have RA. My Rheumatoid Factor was 620+ and he was the only one who figured me out and sent me to a rheumatologist before I dropped. Love this! 🤣😂🤣😂🤣😂
taking this as note because something is wrong and it no longer feels like just fibromyalgia sleeping 24-30 hours at a time even with fibromyalgia and adhd still isn't normal i just got out the hospital for sepsis from cellulitis, my bruises don't heal which no one seems alarmed by, i don't drink or do drugs except my take my epilepsy and fibro meds drink nothing but water and eat Huel mostly because i don't have energy to cook i'm 34 and at 27 had shingles and once a RA told me my labs looked good for lupus but that he was sure I didn't have lupus?!?! wtf ugh i just want be able to stay awake longer than 3-4 hours at a time.
This is so accurate. People if you have some random illness nobody can figure out get yourself an I D doc. It will take forever but he will figure it out
"My histories take so long, the cultures wait on ME to finish" is going to be my new catch phrase, but that's just because I'm slow. Slow, but thorough. I do catch things in charts that no one else notices, and sometimes it pays off well. Even as an ER scribe before PA school, I tracked down the insanely in-depth complicated admission that a patient had had a couple months before at a different hospital, which the hospitalist team we were trying to admit her to said she made up because "She gave us the same story a couple weeks ago when we admitted her and we found no such record, she's making the whole thing up, send her home" and refused her admission and called her a liar to her face. As a new grad now, I fear that wherever I get a job, they will just want me to see patients faster and faster.
@@amiesparkle00 Basically, she had the name of the hospital she insisted she was admitted to (across the country, where she was visiting) slightly wrong. Everyone was calling her a liar saying "we checked that hospital, they have zero records for her." I believed her though, so I looked up that hospital (she knew the city for sure) and then looked around on Google maps for other hospitals in the area by panning around, and found another one that had a similar name. I asked her if that could be it and she said "Yes, yes, that's right, that's the one, I was saying it wrong!" So we reached out to that one, and 20 minutes later they faxed us a massive pile of the records from her lengthy and very complex admission. So we called the hospitalist team back down, and I told them everything she said was true except she had the name slightly wrong, and handed them the pile, while the ER doc I was with that day had a big smile on his face standing behind them. They begrudgingly admitted her and apologized for not believing her story, including when she was admitted there the week before (but then discharged when they thought she was lying about her issues).
@@grumbles we could use your sleuthing skills! We had a patient a few months ago who had a colonic transit study xray on the Wednesday and was supposed to come back on the friday for repeat imaging. The patient insists she attended and was xrayed by a “young girl”, but nowhere is there a record if her being in the hospital, being booked into xray, being on our daylist, no images, no events on any of the machines under her name… we didnt call her a liar or say she made it up but there is literally 0 evidence this woman came that day
Omg I can relate to this so much as a research coordinator … I have patients with a chart as thick as a textbook and have to note down every single thing for the studies 😭😭😭
I can totally relate to this hahaha The history I had to investigate in ID went as far as to ask the patient how they arrived in France, by which means, what they went through along the way, etc etc never ending I say, but I learned a lot
Psych Fellow in AUS here. My personal experience with ID team as psych registrar has always been the same whereever I worked. A bunch of professional experts with no BS ego. But gotta say when I saw their progress notes, I usually skipped them and called them directly. They knew I didn't read them but were still nice about it.
"I am gonna break you down and build you back up" I just wish my teachers were this committed to reaching me. Usually they do the first part due to their arrogance and excess doses of his wife cheating on him, then I proceed to build myself back up, but usually doesn't come out as good as it was before breaking.
@@pballfan I do therapy, regular exercise and have great support from family and friends. I am not in a bad spot, but that does not change the lack of responsibility my teachers have towards their students. Their abusive behaviour is an institutional flaw that has no consequence towards them, but perpetuates high suicide rates in my university for decades.
@@Yujideluca you don’t have to be in a bad spot to see a therapist. People need to understand that mental health should be treated more similarly to physical health (ie: routine checkups). Sure, I’m glad you’re showing motivation to keep a healthy head but it sounds like you haven’t quite opened up (no judging, there could be a number of things that could interfere) to your therapist appropriately yet due to the fact that you just shunned therapy as a knee-jerk reaction. Either way, good luck!
Just remember nothing builds back up as quickly and easily as it got broken down, but the good thing is that YOU have control of the rebuilding and, therefore, the sky is the limit as to show strong you rebuild yourself. Much like a building that got destroyed from a hurricane, you had no control over the hurricane or its destruction, but you do have control over how you are going to rebuild that building to withstand the force of hurricanes in the future, while also making it beautiful. Hang in there!!!
I absolutely LOVE doctors who take a GOOD history. Who get me to remember things I never considered a symptom. Only had two like that ever. Out of dozens.
I remember watching this vid for the first time like a year ago. I want to be an ID doctor so I took it personally, and now when I write SOAPs and don’t have a time limit I make them into novellas 😂
If someone in the medical field says they're going to teach you something, always accept. In this way you can either learn something, or have a good laugh out of someone who thinks they know your job better than you do. If I'm not asked for my credentials I will not state them (unless someone's life is on the line), this has lead me to multiple situations where someone tried to explain something really basic to me only to be shocked a few minutes later by seeing me perform an advanced procedure, or being greeted like an old friend by a higher up. But please don't be cocky about it, these people usually just want to be accepted in the new environment. I've found this tactic very useful to humble new, cocky, know-it-all people. We don't have those little cards showing our credentials and names over here in Germany. I hope this was understandable as English is not my first language.
God the arrogant ones… i once had to talk to a doc because she requested an abdo xray for query perf. I told her thats a chest xray and i stood there for ten goddamn minutes while she explained about how the air rises in the abdomen before i was like so… it rises into the chest, yes that is connected to the abdomen, you’re gonna need a chest xray lol
It may be weird but I really like taking patient histories and reviewing chart notes from other disciplines before going in to see them. I have coworkers that will go in for an evaluation with barely a glance at their chart which seems too strange to me. I also like to write detailed notes. They are probably more detailed than they need to be, however I can't count the times it's saved my butt in down the road. I was able to remember a patient I saw a few years ago because of the little blurb I wrote about him throwing up barium on me. Little things like that can help jog your memory pretty quick. I also received a letter of recognition during chart audits for my detailed notes on the selected patient. So you can believe by the time I'm done with you I've been all up in your past history and will write a lovely detailed note to pass on to the next medical professional.
I had a doctor ask me about my recent weight gain. I said I haven't gained any weight. She's looking at the laptop, says yes you have, you're 145 up from 130. I said they just took my weight, it's 125. She looks straight at me, says no it's not, you weigh 145 pounds. I say I didn't even hit 145 when I was pregnant, I've never been 145 pounds, I'm 5'1." I raise my arms like, "look at me." She looks at the computer and says, "oh, I'm looking at the wrong chart.". Would you write that in your notes? 😇
Me-and my stem cell transplant patient friend and roomie (Multiple Myeloma/ASCT)- would like to THANK YOU for that! And encourage you to continue. 👍 Sometimes there are SO many things going on with one single patient, and so many different providers in different fields on a "team"-that detailed notes make ALL the difference! It's MOST helpful when they read each others' notes BEFORE entering the room. It can easily be the one thing that solves a medical mystery, improves quality of life (for caregivers too ;) ... and can have the added bonus of saving a life on occasion. You GO.👊
As a patient, thank you for this. Not everyone has a cut and dried medical issue and the details matter in piecing an eventual accurate diagnosis together and for coordinating care.
The only reason I have the amazing doctors that have saved my life a few times is by getting rid of doctors who never glanced at my recent history. I have lupus and take blood thinners. I can’t risk another doctor who doesn’t pay attention. It nearly costed my life.
ID at JHH found my daughter's Adrenal Insufficiency. All the other docs just wanted to pull her port. After the first two times of being septic with bacteremia, we really, really became even more anal about aseptic techniques. So why did she go septic 9 days after stopping antibiotics so many times?! Her body couldn't mount a response because she couldn't respond to any insult to her body at all. ID is who ordered the cortisol levels- which were critical. She gets IV hydrocortisone three times a day now. Now if she can get the use of her legs back...
Oh. My. God. I laughed sooooo hard at this!!! I have had my own ID doctor for the past year or so. I LOVE him!! He IS so thorough.....the Apgar score cracked me up, because my doc does ask things about way back!! I'm in process of getting a dx, and am so grateful to have him! I feel like he would love this clip too!! I've seen a few of yours, and I laugh out loud every time. Thx for making the world a funnier, lighter, happier place!! ❤
I was recently in hospital. From the ER to the first rotation of docs, all said that I would be there 2 or 3 days at most. The ID comes in and says, "Oh, I'll be seeing you later this week. 7 days, at least." I loved her! All the docs sent pics to the dermatologist, and I was out the next day with Clobetasol to take home. Except for the pain and itching, it was an amazing experience, and the docs and nurses were fabulous! We all learned so much with my severe contact dermatitis and cellulitis.
As a incipient hypochondriac, this would be my favourite doctor! I've dictated a Dostoïevski novel to some poor assistants a couple of times, when all they wanted was my temperature, blood pressure and weight.
@@amityislandchum it doesn't have to be a serious infection. It can just be an illness that can't be diagnosed and they send in ID after all the other Docs have tried and failed, HAHA! Usually they get the job done and get a proper diagnosis, but sometimes even the mighty Infectious Disease doesn't find the answer....as was my case.
