Why do I watch these videos? I'm not a doctor, nurse, med student or even work in health care. I don't understand any of the medical terms but I still find these videos hilarious and can't stop watching them. Keep up the good work!
@@Taniere its a procedure in which a tube with a camera on the end is inserted into your body. Basically into any hole butt, nose, mouth, urethra, or even a hole made on purpose into say your knee. Then looking at a monitor showing whats at the end of the tube they can either just do nothing maybe theyre looking for something thats bleeding and nothing is bleeding. Or they cam insert tools down the tube which pop out the other end and let them do things like a little pincher could be used to grab hold of material or a little blade could cut off tissue and then a little burner could sear to stop bleeding. Either way there is always a heirarchy of diagnostics and labor at a hospital doesnt matter what your job is when someone asks you to pick up another patient you end up with more work. Not just for you today but for your service or group for the night, days, maybe even weeks. Which is bad for you but also stuff gets done that maybe doesnt need to get done. Like you dont get to eat and you drink a bunch of laxitive and crap for a day to get GI to knock you out and stick a tube up your butt to look for something but they havent done maybe a CT or Xray. So now you got GI involved inconvenienced the patient and now GI has to come check on you daily too. But maybe the first doctor who asked for the consult had a reason to ask. But maybe they were being lazy or maybe they were trying to clear their service. Whole drama. Medical TV misses out on so much.
@@susanbazinet9664 Clearly, his brilliant mind needs more to chew on! Maybe he always needs to do more than one thing at a time, sort of a cross-fertilization for his creativity?
I've been a nurse for over 25 years, and your videos are so spot on! Many will just enjoy the humorous presentation, but some of us can truly relate. Thanks for doing these.
Lmfao!! This is true! At my hospital one night the resident ordered Dapto and Vanc on the same pt. Naturally, when the pharmacist saw this he called the resident to clarify. The resident responded, "that's what my attending wanted me to order!" The pharmacist just hung up and called the attending. Haha!
Also works great with pharmacy when you want to start a home med for the patient in the hospital but its nonformulary. When pharmacy calls to ask you why you didn't order whats on formulary, say "My attending wanted it". Just kidding! We're onto you. We're going to call your attending. Love, pharmacy.
“They hung up, saw the patient and put in one of the most passive-aggressive consult notes I’ve ever seen!” I always thought of them as kinda smart-assy consult notes. This is funnier. :)
I just love that you’re wearing one of those isolation covid stethoscopes. We had to beg our administrators to give us a real stethoscope and not a child’s play toy... you know... since a nurse assessment is also important 😂
I fucking HATE those Toys R Us stethoscopes. They don’t work! There is a reason we all purchase the Littman ones and it isn’t because we just love to part with money. You can’t hear out of those pieces of excrement!
As a unit clerk who gets the pleasure of calling or secure texting physician consults, I ALWAYS lead with which physician requested the consult, especially if they put in the order but not a note yet to give me any information as to why I'm notifying the consult in the middle of the night.
This was the first time I yelled at a doctor. I was a sheepish nurse. The ortho doc kept yelling at me because I was “ruining his father day” with calling him about a consult. It usually went to a voicemail or something. But it went straight to his cell. He was the one I was supposed to call. He wouldn’t say “yes I will take it”. So after being yelled at for 5 min, I finally yelled back “at least you have your kids to celebrate with!!!! My dad is in Missouri and I am all alone. Listen. I don’t want to call you. But I have to. This man has 8 broken bones. You gonna take the consult or not! I need a yes or no answer and I can get out of your life forever.” I hung up after he said yes. Without saying anything. The whole unit clapped at me. Idc who you are. You treat people with respect.
@@deo3367 I guess I never thought of asking if they'd take a consult. If they're on call, I'm notifying them they HAVE a consult. There have been a few times where the call schedule hadn't been updated when docs traded call, and once where the doc asked what the requesting doc expected them to do in a situation they didn't see a reason for them to be involved with. In the latter case I gave the consulting doc the requesting doc's cell number so they could talk doctor talk to each other like grownups. For everyone else, once I confirm they have been notified (either spoken to doc, their answering service, or got a reply via secure text service) I add them to pts list of providers.
@@Momshouseofchaos …. I had a hospitalist vent about a cardiologist not dc’ing lovenox and prescribing eliquis for the pt to be dc’d. At the end of his rant I asked.. “so what you want me to do?” Good thing the cardiologist messed up. The universe had something different planned for this pt. Ended up going into multi organ failure within a day. Was about to go around hospitalist until he finally caved and reconsulted the specialties. Guess all he had was D/C on the brain.
Literally yesterday put in an occupational therapy refferal for query mobility aids even tho phyio had discharged them bc aids would improve quality of life and my note literally said 'patient has no Internet access so organising it for themselves is challenging' nothing came of it sadly but I told the patient to bring it up with their pharmacy and GP to see what local resources there are
I think using this phrase in Sweden conveys the following message to the consult: apparently the doctor in charge doesn't know what he's/she's doing, so even the intern finds this consult a waste of time and wants to make a point of not being the one who took the initiative for this.
The only thing missing from this was during the consult pitching anywhere from 2 to 5 completely unrelated diagnoses as possible reasons for the consult. For me it's "pls evaluate for acute angle closure vs central vein/artery occlusion vs cataract vs retinal detachment"
On the other hand we've got a batch of new baby house officers at the moment and the ward round note said - continue withholding [med] - increase dose of [same med] AND Impression [issue that that med would make worse] Most confused page I've sent to the docs Luckily it's minorish
My husband is your patient in all of these medical problems. He been in the hospital at least once a month through the e.r. for the last 2 1/2 years. Getting 2 to 3 units of blood each time. Plus so many endoscopies, colonoscopies, 4 endo capsules. Dialysis twice a week drains him even worse. Blood doesn’t rejuvenate fast enough but bone marrow aspirations found nothing.
Shoot. The hospitals I’ve worked in in Pennsylvania consult for every little thing: history of blood pressure? Cardiology consult. Constipation? GI. It’s endless
@@susandunn7207 That is terrifying. I have so far been very lucky. I have insurance. I still pay out a lot a year. I have a chronic illness. If you don't have insurance. I have seen the bills. They are mind-boggling. I would recommend people who have insurance take a very close look at the explanation of benefits and this is not a bill statements.
So every time there is a consult that new office also bills the patient? Holy shit! I will avoid residents then if it seems attendings love to suggest unnecessary consults! (I'm pretty sure he's not in Canada.)
Funny, of course, but every doc should continually remind himself that he's creating a permanent legal record that can only be altered at extreme peril. Choose your words carefully.
