Internal Medicine Rounds 

Do you have any idea how hard it is to condense 8 hours of rounding into 2 minutes?

as an IM resident, It would not be inaccurate to say with a high likelihood that this most likely represents and could potentially be consistent with Internal medicine rounds.

As an FYI: the chief of the FDA, Robert Califf, enjoys dropping references to your videos during internal meetings. You have fans in high places!

I had an internal medicine doc as my PCP and he would occasionally say “I’m 95% sure it’s (x). We can do expensive and intrusive tests and get to 97% or you can take my word for it.”

You make 14 years of schooling and residency worth it to understand the brevity and joy of these skits

Internal Medicine truly loves his job. His gleeful reactions are priceless.

The "great question, why don't you present that tomorrow" is so true and shuts up med students really quick. However, I did know a guy in med school that made up presentations in advance and then "set himself up" by asking questions. The next day he would have this perfectly put together talk for the attending.

Must have been 10am on the 3rd Tuesday of the month for him to have found Rheumatology in the corridor

"Would you mind if 8 students come in here and examine you awkwardly?" Had this with a GI exam for my (diagnosed and managed) crohn's disease. And, like that time, I will always welcome such things. It might be awkward, it might be intrusive, but helping the next generation of doctors learn their trade is too important to let my discomfort get in the way.

Hear that... it sounds like a tuning fork. There is a Neurologist nearby! Thomas, curbside him.

Infectious disease's restraining order level patient history will always come and save the day!

I've shadowed a Rheumatologist before, internal medicine running after Rheum is spot on 😂

Notable that IM is one of the few characters that smiles

As a pharmacist I'd kill to have physicians using generic names vs brand names for meds, especially antibiotics 😂

This can be considered sufficient mockery. I wouldn't say it is insufficient, but I need more studies to make a conclusion

I was the medical unicorn for the dermatology students once. Had a crazy allergic reaction opportunistic fungal infection combination on my tattoo. Must have had every student come through to look at it. I think they all became convinced to never get a tattoo admirer it.

Feeling this in my soul while on IM now. Patient triggered a 15 minute discussion on heart block by causing rapid response when he took his telemetry leads off.

After spending over a month in the hospital due to a cocktail of uncommon disorders and complications from major emergency surgery, it brings me some comfort knowing that I might have at least made an internal medicine doctor Very exited.

When I was a medical student there was a General Physician whose nickname was 'Shifting dullness', because of the exciting quality and length of their rounds!😀

I got roasted by my attending on 4-hour IM bedside rounds today, thank you for delivering this gem!

You've nailed the mental marathon of IM residency, my friend. That was 14 yrs ago for me. The unending joy of pre-rounds, morning report, rounds, noon conference, post-round rounds, and running the list was nothing short of sadomasochism.

Ahhh... the unique (not to mention clinging) smell of C. Diff. Runs a close second to its friend, Pseudmonas 😂

The patient getting discharged even before the reports of 'urgent' investigations are available is the trust thing ever😂

🤣8 med students coming in for an interesting patient got me! Happened after my emergency c-section and I had an infection spreading. Me surrounded by teams of drs and students talking over me as I awkwardly attempted to breastfeed. Oh, good times. Well, I hope at least someone learned something that day!

RIP To the poor student who has to consult Cardiology without an echo

I'm not a doctor or anything close. I used to work housekeeping and laundry in long term care facilities, and the "(sniff) oh no, C diff" hit ME hard

I saw the title and wondered if I'd have time to watch the whole video before dropping my kids off at school tomorrow 😂

"I love taking the stairs" produced a flashback of my entire internal medicine rotation. Thanks for the stroll down memory lane

It never fails. It never fails. Whenever I see a Glaucomfleken skit on internal medicine rounds, I automatically smile and simultaneously get ptsd from my memories of grand rounds back when I was in PA school. Thanks Dr. G for the diversion and trip through memory lane.

Thanks to Dr. G. For sitting through enough Internal Medicine Grand Rounds to give us this!

Can’t click a notification from RU-vid faster than this 😂. Edit 1: Just finished the video. Internal Medicine seems good teacher like he tries to explain everything despite a little too detailed.

I absolutely adore how happy he is about all of this.

1:17 😂 This happened to me when I was admitted for my grade II pineal parenchymal tumor of intermediate differentiation. I had at least 2 fellows and/or med students (could have been more while I was sleeping lol) show up in my ICU room, because they were fascinated, because of the rarity of said tumor. One guy actually said to me, "Oh wow, you know, this is one of those tumors you only ever hear about in med school, but you never actually see it!" I was very torn between wanting to laugh, and being irritated at being a spectacle 😂. It was definitely an experience. Things like that though, are pretty funny to look back on.

You forgot to mention anti gravity rounds are only suggested by the attending when they are the attending who refuses to take elevators in a 11 floor hospital

I like the part where the patient was treated in a timely and efficient manner. 🙃

As someone who was forced to hang out with c. diff for a while after clindamycin nuked my digestive system, I agree... anything but c diff 😥

Since I’m not in an academic setting so I don’t round at the hospital and I haven’t had students recently I tended to think I was closer to Family Medicine than Internal Medicine but somehow this really hit home. Not that I got really excited about hearing a regularly irregular heartbeat and tried to show my medical assistant how the patient had atrial flutter varying from 4:1 to 5:1 or anything. And I certainly don’t agonize over whether a potassium of 5.3 needs a work-up. So what if my patient’s problem list has 48 items? I just picked up an alpha thalassemia trait (2 deletions) in a patient who has never been told she has anything wrong! ( Seriously though, I have made it my life’s mission to get people with hemoglobinopathies off unnecessary iron-for example a 17 year old male who has been on iron for 5 years who had Beta thalassemia minor, along with his father and two brothers). Thanks for reminding me that I am still an Internist at heart.

Anyone who has smelled C. diff will never forget it. Never ever.

After finishing third year of med school I can’t even laugh at this anymore. I get palpitations thinking about it.

This is a shining example of why to go into surgery instead. There, the beatings don't last all day. Uh, I meant meetings... same thing when you really get down to it.

I'm exhausted by watching this 😅

The hatred for brand names spoke to me as 4th year pharm student

as someone with a few uncommon & chronic medical conditions, the "8 med students examining you awkwardly" bit is SO real

I started medical school this week! I don’t get all the jokes yet but they make me laugh anyway, which is much needed after the past 3 days 💀

As an Infectologist: that *sniff* it's C. Diff got to me. You know you're in deep when you diagnose it via smell

Great job!!! These are basically all of my ADHD hyper-fixations in 1 skit, too!

We need one with your Ortho Bro meeting OUR Ortho Bro… Orthodontist. I can hear them comparing drills, wires, and metal already 😬❤😂

I need to thank you, Doctor, and I have a story. I was seeing my doctor for a really bizarre constellation of symptoms that were seemingly disconnected. Salt deficiency, constipation, night sweats, urinary problems, liver issues. Growing brain fog over years. One of your videos with Infectious Diseases made me wonder if they were all connected. So I started to look at everything and find out how they were connected. I had a weird bruise-like Tiger striping on my back, with salt issues, water retention to the point of edema, exhaustion, etc. I figured it might all be connected to a period I spent on an antidepressant that crashed my immune system. An MRI without contrast, two ultrasounds, a few x-rays, some weird labs, nothing conclusive. But because my doctor watches your videos, he was willing to throw the dice- doxycycline on a ten day course. If it was nothing, it would be diagnostic at least. Two hours after my first dose, I felt better than I had in two years. I thought it might just be placebo effect, so I looked it up; doxycycline can really act that fast. By the end of the term days, I was doing better than I had in years. YEARS. I felt mentally more like myself. Physically capable (but in poor condition after being so sick for so long). Four days off doxycycline and I had resumed my horrible condition, so he put me on a month long course. I sincerely thank you (and Texaco Mike) for giving me the courage to lay out my argument and push for unorthodox diagnostics. My children, and my wife thank you as well, because you gave them their Dad/husband back.

As a surgeon I wanted to scream “HELP!” watching this. 😂

as an intern in Pakistan ,🇵🇰who had worked in medicine wards i can 110% confirm the accuracy of this, once our attending had a possible rheumatic fever pt and he spend 3hrs on bedside listening the murmers and discussing it with fellow residents and interns😂 Round ing is the holy grail of internal medicine

As someone who has absolutely _no_ medical training, I don’t know why I enjoy these so much, but I do.

oh god, i LOVE it when we get the med students looking at me! it means the primary doctor *ACTUALLY PAID ATTENTION and didnt just blow me off with "anxiety" (me and all my zebra friends)

We in IM oftentimes do get carried away with what other doctors consider the minutiae of medicine… but I love it!

Wonderful! Made me love my job even more! Our students will be back next week, can’t wait to take them on our rounds!

Lol how many famous triads have been named after someone's ego

Okay but as someone in pharmacy, I agree on the brand name thing! Sometimes we swap brands and I'd rather people were using the generic name so the switch was smooth, rather than everyone treating it like a new drug!

I was waiting for neurology to walk in and start shaming on all of them. That would be a great part II

As an internist…this was my internal med rotations in medical school and my entire…residency 🤣🤣🤣🤣😩😩😩

This whole video makes itchy AF. That's how I know I'm Emergency Medicine for life. Treat 'em and yeet 'em, that's our motto.

Once had the attending round with us on call night to knock some work off the list. Started at 8 pm. I recall he was checking orthostatic vitals on some poor dude at 2:30 am that night.

Just wanted to thank you. About to graduate with my BSN and your videos have helped push me to start looking into NP schools. Thanks for all you do and keep up the good work.

So many amazing and accurate bits - and that's coming from Vet Med!

I ride a bike everywhere and almost put on sunglasses today but then I thought… ooooooo I don’t wanna go full ortho yet I still want to be rural medicine ripping it up on Texaco Mike’s fan boat

And then, of course, there's the 40 minute digression on My Personal Philosophy of Teaching, complete with at least one patient vignette from 20 years ago.

As an Internal Medicine physician I can say that this truly represent us 😂😂😂.....sometimes is frustrating though 😢😢😢......

🤣THIS explains why my Internist gleefully told me he remembered me after being out of physical rehab for YEARS! I'm a convoluted, overlapping mess of medical issues! So glad to tickle your brains, Docs!

The eight med students hit way too hard. Granted, it was an overexcited resident, but I do wish I’d been a bit more willing to stand up for myself, but I was still a bit post-I gal. (Yes, that’s a cafe au lait spot. It feels like SKIN because that’s what it is.) Granted, the good doctors will let med students know that there is a time and place for questions, which is usually not in front of the patient.

Hilarious and relatable as always! Thanks for the video, I love Internal Medicine

Consulting Cardiologist without an ECHO😂. Thats brutal

As an academic hospitalist, I lost it when you asked for the whiteboard.

The comments are just as hilarious as the skits

Omg this brings me back to medicine rounds as a med student. It takes a special person to be enthusiastic after 8 hours of rounding.

I'm so tickled that gravity rounds and a love of taking the stairs are so universal on IM rounds

Perfect timing. I’m taking step 1 tomorrow and I needed some laughs before bed :)

Auscultating a murmur correctly and having your attending agree with you gives you the biggest confidence boost

Psychiatry: where you get to forget everything you learned and pick medications out of a hat

"The Potassium jumped from 4.2 to 4.3 over 3 months!! Get the lab on the phone to check for hemolysis and get me a creatinine, procalcitonin and 2 sets of blood cultures STAT!"

In small animal veterinary medicine, the line is, “sniff…PARVO”

I WILL be showing this to the entire IM team tomorrow after morning report. Will update on their response 🫡 Update: received many polite chuckles

For graduation I had to take two exams: 1 on internal medicine and 1 on surgery, each exam consisted of examining n interviewing a patient then presenting and defending my diagnosis, treatment strategies, as well as answering extra questions from a council of 5 doctors. Now, for surgery, I got an ortho patient and their medical history was just “at X hour, fell on hard floor, hit left knee, conscious after accident, couldn’t move (L) leg, no first aid…” and my diagnosis was just as straight forward. Meanwhile I got a suspected sepsis patient (blood culture was negative but they fitted SIRS, and PCT was extremely high) for my internal medicine exam. So the history was *thrice* as long and defending my diagnosis took 20 minutes because I had to examine the patient head to bottom to find possible source of infection + explained why I thought it wasn’t Dengue (very tropical where I live n it’s in season), wasn’t UTI, etc… and the **prescription**, antibiotics, hypertension medicine, diabetes medicine… and yes, I did get asked why the patient’s sodium was *slightly* lower than the LLN (can’t remember the exact number) I graduated! And preparing to take resident exam. I think I will hit the gym and become an ortho… 😂

our on call IM professor came in because of a case at midnight and decided to see all the new admissions (at midnight). a patient complained the next morning about not getting enough sleep during grand rounds. and he...asked us to explain how insomnia could fit into the pathogenesis of his working diagnosis

Consulting cardiology without an echo... a truly terrifying threat!

And this, my dear friends, is why I'm a surgeon.

Thank you for another gem!

“Shifting dullness.” The DeGowin brothers would be so proud of you.

My adult grandson was a medical unicorn when he developed an abcessed Meckel's diverticulum. The rounding students were ecstatic!

As a medical student doing clinical rotations in surgery, we actually had a pheochromocytoma patient, whose pheochromocytoma was discovered by a medical student who got very appropriate praise. I was fortunate to be able to scrub in and hold “idiot, sticks“ and I was even allowed to help close. I had practiced very hard on my best, Plastic Surgery imitation and had a great time closing!

I feel personally attacked. But in a good way 😂

As a patient who has seen many of specialists from ophthalmologists to GI to radiologists to oncologist I love your videos. Keep up the good work. Oh did I mention that I've been seeing specialist since the age of two and I'm now 46.

I'm howling laughing. I'm a veterinary internal medicine specialist in a university. We're the exact same!!!! Rounds all day, talk in dept about a condition the patient doesn't have, and we LOVE pheochromocytomas!!!! 😂😂😂

I’m about to be an IM resident in a month and this vid got me excited. Oh all the exam findings, paper reviews, “zebras”… Love it.

Throwback to that time my doctor asked a bunch of students/residents (idk) to come in, and I didn’t realize she was asking *them* when she said “do you know what these lines are?” I said “yeah, those are stretch marks!” I was like 15 and had grown so fast I had stretch marks on my back. Probably frustrated my doc quite a bit to have that teaching opportunity taken away. Moral of the story, if a bunch of medical noobs are in the room, and your own doc asks a question, it probably isn’t one addressed to you

“This could be a pheochromocytoma, finally” 😂😂😂

Hey doc, being an anaesthesia Medical officer in Sri Lanka I totally get this... and its so true how Int. medical people are enthusiastic about these things.

Ha the med students coming in to examine hits so hard. When I was a kid, I was testing out an invention and a med student tried it out on me (when asked, I said yes but my face/body language said no because I felt pressured). The student failed to do it properly, I had to redo it for him 😂.

After a couple of weeks of ID consult rounds, I long for the sweet brevity of IM rounds.

Great as always❤

Hahaha so damn accurate i had 9 years of academic medical training those 2 mins sums up all the pain endured all along (im out of it for good)

"Would you mind if 8 students came in here and examined you awkwardly?" Well at least the patient was asked. I was woken up once with a room full of nursing students wanting to see my belly after it was pockmarked from an MRSA infection. Granted it was grotesquely inpressive but still, not the best way to be woken up from a dilaudid induced rest.

I remember that on IM rounds, the med students were warned not to lock our knees when fatigue set in. I’m just wondering how many fainted in the fourth hour, to make this a blanket warning.