@@clarewhite3004 I like vent bro. That's new to me. I've heard vent jockey, booger buster, neb jockey, RT ninjas, sputum patrol, tank jockey, O2 pushers. I'm sure there's more. We know where all the potlucks are.
@@dr.floridamanphd Good point. I’m old and forget about the new dangled stuff. I actually old enough to remember when butt huts were first appeared and when restaurants asked if you wanted smoking or nonsmoking section
@@Jen39x I’ll be 42 on Monday. I remember smoking sections in restaurants but not at schools or other places. I know some movie theaters still had smoking balconies in the 80s but they weren’t in my area.
Sent this immediately to my dad who is a critical care pulmonologist and does sleep medicine. He called me back about 3 minutes after I sent it laughing and saying this was “very perceptive”
The resporatory therapist gag is ON POINT! These guys can be a bit hard to find, but the moment you really need one, they magically appear out of thin air. Or at least that how things were during my ICU rotation
As an ICU nurse, good god almighty I love our RT’s. They are ventilation wizards and their vents are magical cauldrons that I am only allowed to touch one button. O2 SUCTION!
@@taylorwrigley829 when I was doing my icu rotation, I happened to see a doctor that touched the settings for a vent. 5 second later, there's a terrified 6 foot tall male doctor being pressed into the wall by the 5 foot tall female RT who's reading him the riot act
We're usually hard to find because there are so few of us compared to everyone else, and depending on the hospital we're covering multiple wards/ICUs each
One of my residents back in the "older" vent days (like 10 years ago!) used to say the noise the vent alarm made was it saying "Get your a$$ in here." ! (anyone working with the older vents will know what I mean...)
@@DangerSquiggles As a non-medical person, but a patient of 71 years . . . no. ENTs seem to have more than enough to deal with well. It seems best to confine them to upper respiratory.
I have probably had sleep apnea my entire life. But I didn't get diagnosed with it until about 1997 with a really severe case of it. The doctor was a Pulmonologist and the company sent a Respiratory Therapist out to my house to do the set-up. The machines were a lot less sophisticated than they are today and wwwwwaaaayyy louder! The masks were a lot harder TOO and hurt my face. There was just no way I could use it, so I told them to come and take it back. I ended up losing a lot of weight and having a submucous resection of my inferior turbinates with a ENT surgeon. Then, I got transferred over to Neurology where they found that I didn't have any REM stage of sleep at ALL! ( This is over decades) The Sleep medicine doctor advised me to switch psychiatric medications and I went back on CPAP treatment again. Then, I found out from my Dentist that I have Bruxism and have ground my teeth almost flat! NOW I'm currently wearing a night guard and using nasal pillows for my CPAP treatment. WHEW, what a long strange trip it's been! I'm currently about 159 lb. Down from my highest weight of 387 lb. And still hoping to continue towards a better way to keep breathing, sleeping and living! Thanks to ALL those who have helped me and those who are training to help others in these kinds of situations! Never give up on people no matter how long or what difficulties they might be facing! Warmest regards from Greensboro, NC USA.
You're reminding me so much of when my wonderful critical care pulmo hit burn out and ended up a sleep doctor at another hospital. I loved, loved, loved that man. He was the first one to think I had mastocytosis instead of crazy. Finally got testing and a diagnosis.
We have to be. I've gotten too many calls from panicked RNs/Residents/Attendings along the lines of "I tried fiddling with the settings and now it's alarming, the patient's sats are dropping, and I don't know what I did"
As a former RRT, you are spot on Dr. G. And if any interns/new residents are reading this - don’t touch the vent. No matter what. Seriously. You could lose a finger. 😂
Attendings are allowed to LOOK at the vent, just don't touch it!! And if the alarm goes off, even if you didn't do anything, RT appears and you are definitely in trouble!!
Respiratory therapists are awesome! It was a respiratory therapist that saved my mom’s life in the ER 16 months ago. My sister (an OBGyn resident) was with my mom in the ER and she managed to flagged down an RT because she was very worried. It was the RT that identified how critical my mom was and shortly after she was intubated and on her way to the ICU. ❤
When I worked in NICU many moons ago, a resident told me to wean my premie to 19%. I told him to get out of my nursery and not come back without his attending.
I am a 40 year old female with Cystic Fibrosis and I love this video! 😁 I am so grateful for my CF Dr.’s and especially the RT’s when I am in the hospital. 🥰
When I became an RT in 1980, the average lifespan for CF was 12. To see you posting your age brought tears to my eyes. We have come a long way. Bless you.
Our ER got a full ICU and a Intermediate Care Unit. They always make fun of us ED Nurses, but we have to do ICU Care in every specialty not just in a few like the ICU Floors do.
My critical care anesthesia ventilator settings were always different than the pulmonology/ICU doc's settings. Fortunately I had most of the respiratory therapists on my side.
Oh, gods, the boarding in the ER! Too accurate... I'm a rad tech, but for some reason my hospital system puts us in the same scrub colors as respiratory/cardio, and our dept managers often cover for each other. So I end up working pretty closely with them. These jokes mirror their complaints too well, lol!
I love your stuff Dr G. As an OD with a Jonathan I really appreciate the ophthalmologist, but you capture all the different docs so well. Thank you for what you do.
My mom died from COPD issues. I have a lot of experience with pulmonologist doctors. Cool dudes. Great senses of humor. And oddly all of them did acting in plays as hobbies
I'm a critical care paramedic that frequently transports ventilated pts and for some reason the RTs are THE BEST. Always happy to help and/or strangle you with a circuit depending on what you do.
Welp, as a 32-year-old Cystic Fibrosis patient, I'm humbly reminded to always be incredibly patient and understanding of my apparently very burnt-out doctors and team. And here I thought I just clicked on this to laugh.
The fun thing about pulm/crit care as a med student is that you're always planning to be there for one and end up doing more than you wanted of the other.
Dr G you hit one out of the park again! Rings true with everything I learned about ICU respiratory medicine as a patient with pneumonia. I was never intubated mercifully but one of my favorite games became fiddling with the high flow bipap just to mess with the RT's. They would blame the nurses however as I recall...
I am no medical doctor but I do love watching you. You do it almost to the level I can understand and it is soooo funny. All of my doctor visits I have I ask for they know of you. A few months ago I had shoulder surgery and I showed the ortho surgeon a few of your orthopedic skits and he almost fell on the floor laughing. You are very talented and lucky to have such a understanding wife
Respiratory therapists really are the rarest breed among ancillary medical professionals. They literally appear out of thin air as soon as a ventilator so much as wheezes then vanish as soon as they finish being passive-aggressively annoyed that you summoned them into existence
You are a genius. Please never stop making videos! I am an ER doc in India and I am always awestruck how your take on the different branches are accurate across the globe! 🙌🏻
I see that RT is putting their selective hearing to good use. Here's a sampling of words you can use to summon your own Respiratory Therapist: PEEP, BIPAP, CPAP, ventilator, nebulizer, "I can intubate," "I'm going to turn your oxygen down/up/off," and "Your O2 is ..."
I feel like the pulmonologist has such extreme burnout from icu that we don't even notice like we do with family medicine, they've evolved past burnout
Correct you have no idea ! Many of these patients are so sick with so many complications! Burn out is an under statement. Seems to always be understaffed.
Just reminds me doing a radiography placement and being warned about touching the ECMO patients. I believe multiple specialties would've murdered us if we touched them in the name of a chest x-ray 😬
In Canada back in the ‘80s, we had only 1 RT for the whole hospital. RNs did all vent changes, treatments, Trach care etc. Fast forward I moved to the US and worked in a trauma ICU. new vent settings were ordered so I changed the settings. RT was upset and asked who touched his vent. I told him new orders were placed so I changed them and after explaining RNs manage their own vents because we only have one RT at night did he calm down. That was when I learned the US has 1 RT for each ICU plus floor RTs.
IT's every doctor's responsibiliy to be irrationally angry at the other specialities for doing their own speciality wrong. And do I ever excel at that XD
We dont have respiratory therapists in Australia, the RN does it all. Regardless, I feel mimicking the Drager vent alarm sound with your mouth will summon either of them relatively quickly.
You were AMAZING at American Thoracic Society today. Would have loved to meet you!! Thank you so much for your phenomenal and touching keynote speech!!!
Oh my gosh!!! If there is something more explosive than LOL that was me. "They become sleep medicine doctors" I couldn't even finish the video, too funny, lol.
I love how he said that he leaves the critical care pulmonology patients in the ER for 87hrs and then complains that they did it all wrong! That's so true! Poor ER nurses who once were primadonnas are now having to be treated like all the other nurses! They fled from floor nursing and ICU to ER to avoid this kind of dump on you treatment! Welcome back to the trenches!
@@DangerSquiggles No it’s not condescending but the truth. The ER nurses just treat and street, or transfer or admit. Now they are having to care for patients for hours sometimes days as a floor nurse along with their ER duties because rooms are hard to get at times. Sucks for all! Doctors, nurses, patients, pharmacy, housekeeping.
I was an ICU nurse for 30yrs and a night shift House Supervisor for 12yrs where I had to fill in as a triage nurse when ER was too busy or the floor when understaffed. I was also the one to staff the house and to go to all Code Blues, pharmacist, engineer, security, dietary, problem solver, and had to take, get, and to report going off. Often to my immediate boss. I had to take incoming calls from other institutions and determine whether we could accept another patient. When there was a complaint I had to handle those and when someone died I had to call the Organ Donation line and the ME along with the added paperwork! I know what I’m talking about!
I just love how if you make certain sounds or noises in a hospital, certain pple will just show up, drop the words "code blue" and suddenly every ER and heart doc is right there!! 😁😁
I once told an RN that I adjusted her propofol, and as she was getting her hackles up, then I said "Don't touch my vent and I won't touch your meds." In my state, only RTs are licensed to touch ventilators, including docs.
