It is highly likely that this is good quality content, however, I think we should wait for a robust clinical trial to confirm this. Literature search only revealed some expert opinions in favour of recommending this channel. I think we need to extensively discuss this further before committing to enjoying it.
@@poro3246I've extensively discussed Dr. Glaucomflecken's videos with my Orthopedic Surgeon, an Ortho student, Family Medicine resident and General Practitioner. They're all in agreement that his videos are simultaneously more relaxing than any tranquilizer yet as invigorating as a stimulant. Is that extensive enough?
"It's normal for people to go to their homes when they finish work." "You sure?" "Yeah, Jonathan told me the ophthalmologist said that. Admittedly he said it at 2:30 PM."
I'm fairly certain that this is highly improbable, if only because of the discharge planning bit. The day a patient is discharged as planned without any last-minute changes from them, SW, Pharm, or a consulting department is the day my attending eats his stethoscope.
Umm, SW is the one finding the placement, not the provider. Any changes from them are patient, family, or insurance based (from and 20+ year medical MSW 😀).
I was discharged on time post heart surgery in 2018. But I’m in Canada where hospital beds are in short supply so it is in the Dr best interest not to hold up the process.
Based on the efficiency of the team this must have occurred in June right before the medical students move on, interns become second years, and the senior residents move on to fellowship and attending life
Hey Doc! Finally managed to get into med school this year after 2 years of fighting for it. Thanks for always reminding me how amazing medicine can be. Your sketches kept me going. This sketch was fun to watch as someone who still has a long way ahead, whereas this med student was finally done with internal medicine😂 Thanks for being here, Doc❤
As an RN with 52 years of being a nurse, may I give you some advice? NEVER allow the current medical system to discourage you!!! Never lose the belief that you can make a positive difference in your patients' lives. No matter how many of your colleagues are just "putting in their time" with their patients, always be the one who is willing to fight for what is right, and for what your patient needs. Since I'm also a Pastor, I think about the texts in Matthew 25 which talk about those who will go to Heaven on Judgement Day. These verses are quoting Christ, and say: “Then these righteous ones will reply, ‘Lord, when did we ever see you hungry and feed you? Or thirsty and give you something to drink? Or a stranger and show you hospitality? Or naked and give you clothing? When did we ever see you sick or in prison and visit you?’ And the King will say, ‘I tell you the truth, when you did it to one of the least of these my brothers and sisters, you were doing it to me.'" Amen!!! I'm praying for you to keep the positive, caring outlook which you have now, for the rest of your career. 🙏❤️🙂
I'm not a doctor and I don't understand 90% of what is being said most the time but even I know that if you get the opportunity to go home early, you don't question it. You just go!!! Don't ask questions. Don't look back. Just go because if you hesitate, you are lost. They will capture you and you will not be able to get out of there for another 10 hours.
It’s partly the fear of having missed something vital that will endanger the patient and/or make you have to come back in or work even more to compensate
It's always a very particular kind of special seeing off a med student from a rotation, very well knowing they will be back in a couple of months/year, as a resident. There's a certain "you just know" about it when it comes to how they handle themselves during the last couple of days of the rotation that tells you they have found their special place.
Yes.. I agree. I was a coordinator for the first year clinical students and I felt happy but sad seeing them leave. Happy cause they caused me great distress but sad because I had grown to like them lol
As a Med student, it is a magical experience. The closest example I could get would be when Harry Potter finds his wand…you just…know. The only bummer is having to slog through your required clerkships to get back to that magic. But it only furthers your perspective that you’ve made the right choice 😊finding “your people” is *chefs kiss*
@@YeshuaKingMessiah what do you mean? There are multiple licensing exams we must take. Step 1, step 2, step 3, specialty specific licensing, etc. I would say the majority pass these on first go, but not always.
One day he'll get a mild case of laryngitis from some non-contagious malady, go into work anyway and since he can't interrogate patients properly, will be asked to make notes for someone. It's an ophthalmologist. The eye doctor asks if he's OK with the arrangement. The scribe smiles and nods.
The confusion on the attending's face as all work is done and he now has time for a life. This isn't enough to balance out his work-life balance though 😅
I'm laughing (mainly at air tagging neurology and never discharging to home) as I sit at home on a Saturday evening typing notes I didn't finish yesterday. *sigh*
Oh my God, my rotation in internal medicine was exactly like this. One of the bosses was pissed off because I discharged patients so easily when he was on leave after being on call the day before. xDDD
As a nurse on a surgical stepdown I love floating to medicine floors. Because we’re primarily under surgeons it can be kinda like the Wild West out here, especially on nights/weekends. Medicine doctors are so responsive, it’s great.
Happy New Year Internal Medicine. I know you probably forgot where home is, but please do remember to pick up dinner... By the time your mind is made up, it'll be time for work again.
@@dirtbagdeaconYep. Where I work, my hospital network had an old hotel converted into a "Continuing Care" facility, which is basically a stepping stone for pts who need LTC placement to transition out of the hospital. So it's basically a temporary LTC. They were going to close it down after the pandemic ended but surprise surprise, our population is still aging with increased care needs so it's still open.
Oh my god med student's last day is amazing. Calling it now, April first will be a reupload of Neurosurgery when he runs away back to Palliative Care. You're wonderful Dr. G, hope you and yours have a great new year!
WHY does it take so long to discharge a patient? I have waited hours and hours to be discharged from the hospital after being told I would be sent home. It took so long that I had to request another meal or two. Once it was after being kept an additional night without any information from the attending about why I couldn't leave until the next day (which I certainly could not afford). Even the nurses had no idea, and the doctor couldn't be reached. I should have asked Dr Glaucomflecken for intervention!
You can leave against medical advice. Contrary to popular myth, I believe oyour insurance won’t refuse to pay. Google it. Once you announce your intentions and start walking, it’s amazing how fast they decide to do paperwork for discharge
I really appreciate these videos, makes me feel like I can still "participate" in medicine after being rejected for my 6th and final time (I got to the wait list last year and wasn't invited to enroll). Thanks Dr. G.
Awww.... Hope you are okay with the rejection? As an internist myself, I think you may consider another career - or another country? Just putting it out there in case it was never considered On the other hand, there are many career options that are in healthcare that doesn't necessarily require a medical degree
@@sarahszss Thanks, still doing some processing. For myself (Canadian), I didn't think it made sense to drag my wife along with me to rack up a lot in educational debt and have a hard time practicing back home. I've already got a science PhD (which makes it frustrating that I was rejected), so I should be able to do some gainful employment. Just trying to figure out how to stay involved in medicine without feeling like I've missed out.
More than likely, the problem is medicine, not you. There is a lot of toxicity in the profession, and I'm not convinced that those who get through selection processes are necessarily the best choices. Whatever happens from here, I wish you a fulfilling career without regrets 💜
I was skeptical when a Med student saw a jvp but when he had arranged 5 placements I saw what has truly happened. They have finally worked internal medicine so hard that he has retreated into a fantasy reality as a pathological defence mechanism. Has anyone else got the joy of working both Christmas and new year on internal medicine this December?
Listen, the student just wanted to get honors and a good recommendation so he is more attractive for his ortho residency…where he abruptly forgets everything he learned about medicine and begins to memorize classification systems
As an anaesthesiologist who shares the ICU with internists, I can only say this: We round a maximum of about 30 minutes for all surgical/post-operative patients, the internists take about 3 to 5 hours for their patients usually. This is for a 14 bed ICU with each faculty managing roughly half of the beds... Admittedly, the junior internists aren't the problem, their attendings is who drag out the process infinitely, thus making us worry if we can accommodate all postoperative patients of the day. Internal medicine is weird, as if they operate in another dimension of time entirely.
As an internist, I attest that this comment is most likely accurate, and I generally agree with the anesthesiologists documentation and assessment of internists as written. I have assessed the HPI, past medical history, past surgical history, social history, family history, allergies, med reconciliation, code status, vaccinations, diet, vitals, physical examination, labs, imaging (including all prior imaging in the EMR), EKG, ancillary documentation, all available documentation in the EMR, and the ED workup/management/response at great length. I have discussed this with every subspecialist and consult service necessary. I have discussed this with nursing, social work, case management, PT, OT, ST, dietitian, and pharmacist. I have performed extensive academic discussion with the medical students, interns, and residents, and I have presented the anesthesiologists supposition on grand rounds to which all internists have agreed the supposition is most likely an accurate representation of our field
Can Bill catch a break in 2024? PUH-leeeeeeese! I don't know what I loved more, the geo-tagging, Neorology actually _fleeing_ , or the look on Internal Medicine's face at the idea of going home - at _all_ , let alone 'early!' 😂😂😂
My father, an internist, used to go home when he "finished work". He would take charts with him and make calls to patients and the pharmacy in the evening. He passed away five months ago, so he probably no longer has on-call evenings.
lol! The more I watch you the more frightened I get about American (I assume) medicine people. I've been in hospital (not the US) twice in 5 months with pancreatitis. Had blood drawn at 5:30am so they'd have results for rounds, somewhere between 9-10am. As soon as my vitals and bloods were satisfactory, around day 4-5, they'd declare I'm going home without much consultation. They'd be anything between 3 to who-knows-how-many docs during rounds. One would say 'home' and that'd be it. Around 2pm I'd get my papers. After they finally yanked my gallbladder out they wanted to send me home the next day but I refused because I knew I couldn't cope alone yet but the next day it was 'wahooo!' and home time.
As a resident in Internal Medicine I say that. never. happens. As far as you discharge 5 Patients, 5 others come right away and you have your hands full 🤷🏻♀️
And now the circle was complete. The Student had risen and became the Master. Not in the practice of course, that was still years away. This was the dark and unexplored field of "Going home after work... Mostly on time", previously believed to be forbidden domain of those who have Johnathan.
Bill got stuck there after the attending and student went home. In a string of bad luck that seems never-ending bill gets met with ten new patients after returning from retrieving neuro.
Reminded me of the nightmare being a med student and during residency. After almost 30 years in private practice as an internist, I definitely advise both of my sons against being a physician. For the amount of time invested and sacrifices, not worth it.
the most likely is why i love internal medicine and why i miss living in the district of my former GP who was also an internal medicine specialist (and emergency medicine)
