My LAST Call Night as a GI Fellow EVER (going through each call I got) 

As a veterinarian’s wife, I was thinking I’m sure his wife is looking forward to undisturbed nights as well. My spouse graduated in 1991 and was employed by a large mixed animal practice in a time before cellphones were as common as they are now. “Being on-call” meant that I had to be home at 5:00 pm until the office opened again at 7:00 am, because if my spouse was out on a farm looking at a cow, he couldn’t answer the phone. 1 night a week, 1 weekend out of 6. We later moved to a smaller, large animal only, practice. Every 3rd weekend, and I forget how the week nights were assigned. He is now a solo practitioner doing nearly 100% swine only. Very few after hours exams. 😊

Same, like do I want to put my life in the hands of someone who is sleep deprived? No thank you. Unfortunately we don't have a choice.

Currently limping my way home post call and appreciating this sentiment.😊 Lol. We do our best despite not being necessarily at our best. Things are changing but it's slow.

@@Auric-BraiNerd doing your best is all anyone could ask for. Most people appreciate the dedication of healthcare workers, but the loud minority likes to complain.

Getting through med school is really hard so there's not enough people to staff ideally. Much of medical school (especially for surgeons) is also repetition so that you can do what you need to do from muscle memory when you're exhausted

@@stephenchurch1784exactly!! all of the data is that the only thing that benefits from that repetition Is surgical procedures And even then you just need to get a certain number of each kind and then the benefit to further experience plateaus. Then the argument about exposure improving with more time working has been also studied and experience with rare presentations or outcomes goes up but retention of those events goes down when tired. So you're not actually remembering the interesting cases anyway. The amount of textbook reading done by the average residence goes up with more free time and opportunity to sleep. There was actually a study that correlated the number of missed important family/friend events with worst performance on subject matter exams. I.e. Being able to attend your sister's wedding helps you be a better doctor. The other thing is that medical school is a bottleneck but it's not the biggest one at the moment. Insufficient residency spots is currently more of a problem because there are plenty of great medical students who are not getting residencies. Since residencies are subsidized by congressional funds they need to approve more money to allow for more spots. That would allow happier healthier training physicians as the workload would be split. When you're on service you still learn a lot from your co-residents cases during rounds. Sharing the burden does not really prevent you from getting experience

Your place of employment was OK with you being taken into work with your mom? Even at night? No judgment, but we had a retail manager where I worked who would bring her young son into work overnight with her. It's not the same situation, granted, but still. She got monitored by child services for a few months and was forced to go to a workaholic's anonymous group for a while. Not judging at all, just curious. Also, my doctor from about 20 years ago who was a single mom also brought her young kids into the er when she worked shifts there. People were surprised, but she wasn't reprimanded. I was a single mom as well, so I understand the challenges. Luckily, my mom was always available to help, as we lived together. I know I was lucky to have a mom like that who lived with me!

​@@michelelein9094 babysitters sadly don't work on an on-call basis. When my mom got called in, she'd drop me off with a friend if it was a reasonable hour or drop me off with pediatrics if it wasn't

I appreciate all the support!

Thank you!

yes, I assume your wife had been able to care for ya'lls baby or that it was someone else's baby 😆 I love this video too very interesting

oh, and I assume most hospitals in the USA have 3 shifts of laboratory workers!?!

Good luck!

Well in a GI context, a PPI is normally a proton pump inhibitor if you’re talking about a medication. It works by preventing your stomach cells from pumping the stomach acid out of the cells and into the space that is your stomach. That raises your pH of the stomach acid, which means it’s less acidic, so it’s a more serious way of treating something like heart burn or stomach acid that’s too acidic than just taking some over the counter antacid tablets.

You learn the most by being on call so it’s helpful to start off with it. And older fellows don’t want to have to do it anymore haha. An attending has to be available to supervise regardless so that’s honestly not a huge factor

Still have 2 months of fellowship without call unfortunately. But I’ll be off in July!

Definitely! Stay tuned for that

Gotta talk fast so it can be compressed into a short 1 min clip for later if need be.

@@loganleroy8622 Dr Schimdt is a moniker then.... Just asking- Have any idea who the CHIPMUNKS were... "ALVIN!!!!!" ? Tho they were popular in the 60s the frenetic pace of their speech drove me nuts! So many videos like this now. Do humans really need to 'reset' their speech to the speed of court reporters?

@@lynnodonnell4764 If a clip is under a minute in length, then it can be placed on Instagram Reels, RU-vid Shorts, or TikTok. This increases his marketability. But I'm pretty sure his name actually is Dr. Benjamin Schmidt. Yes, I do know about Alvin and the Chipmunks, they made a reboot movie in the late 2000s.