What’s SURPRISED me most in my 1st month as a GI Doctor

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I’m one month into my new job at Esse Health and it’s been great! One aspect of the new job that I didn't anticipate is quite how many new people I'd be meeting at all the new locations where I am practicing! I'm thankful to have so many people on my team to help me do my job
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Опубликовано:

12 сен 2023

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Комментарии : 43

@sharaax5355 8 месяцев назад

To becoming acquainted with your medical coding and billing teams, I say: YES! They will provide great support through your years in practice.

@BornToSneeze 8 месяцев назад

Someone should say hello to this guy.

@wholeNwon 8 месяцев назад

Congrats! Been there; done that. It's a great time in life.

@anonfourtyfive 8 месяцев назад

> People don't lie on the internet.

@Plasmod1um 8 месяцев назад

As a new RT : NAME TAGS YES.

@staceynguyen1876 8 месяцев назад

Did GI scheduling and auths. Learned alot from the nurses and doctors re disease progression. Education and knowledge is great tool to have when dealing with insurance companies.

@adamdavila 7 месяцев назад

“Change in salary” = “I’m loaded now”

@ferretyluv 8 месяцев назад

I know how that feels. I work in lots of different schools, a different one every day. I have to learn 30 different names every day.

@anonfourtyfive 8 месяцев назад

exactly the kind of person this channel need. most school teacher I knew in my life didn't have this problem, or didn't care this much. Your constant trouble thinking is perfectly match for this channel to be abuse by this guy psychological trick on your mind. Leave or stay, it is your choice.

@patriciabennett1819 8 месяцев назад

Congratulations Dr.Schmit, you are a remarkable person. I wish you the best. Your job will consist of so much and you are coping really well. It will be busy and interesting at same time. Thank you so very much.Kindest regards from England.

@antaresthetall 8 месяцев назад

Thank you for mentioning the billers and other insurance folks. It's an important job, but also one that's usually hidden in the background.

@katiedickinson7866 7 месяцев назад

Congrats🎉glad you’re enjoying it!!

@BonJoviBeatlesLedZep 8 месяцев назад

When I was referred to my urologist from my primary care doctor, he said go URGENTLY. He'd seen me before at the hospital but I never saw him in his office (he also has an office at that hospital). We had to track him down to this TINY medical clinic we'd never heard of in a mall we drive by all the time. I had my metastatic cancer diagnosis in a mall in a tiny room right next to the street next to where I took piano lessons. It was bizarre.

@jodil1209 8 месяцев назад

Congratulations!!

@anonfourtyfive 8 месяцев назад

btw, Internet is pretty bad, it doesn't let people forget... there's always a bad little sheep somewhere who keep traces of everything, like someone forcing by coercion an experimental injection on financially struggled people.... Just saying.

@Bronco46tube 6 месяцев назад

I'm a retired ER RN who worked at a large hospital on the east side of Detroit. Before that, I spent years working in CVICU, CCU, MICU, and burn unit. And your stories take me right back to those days. I see nothing has changed in the last 20 years. I didn't really expect it would. While in school I read "the House of God" and thought, that can't be the way it is. I was wrong. Good luck with your specialty. I know you'll be very busy.

@rayyt5566 8 месяцев назад

Doc Schmidt left out the best thing about being an attending: you get to boss everyone around XD

@orderfirst8907 7 месяцев назад

What provider group, network, or hospital system are you with?

@michaeldefiore5 6 месяцев назад

Congratulations your all done with school I myself always dreamed of becoming a doctor but can’t thanks to my grandma not letting me use her address the last year of school because my parents and I become homeless from one of those rent to own homes

@Khadgar07 8 месяцев назад

How come when you get hemorrhoids and anal fissures, you never get blood poisoning from the next time you pass stool and it goes into the open bleeding wound?

@SingZeon48 7 месяцев назад

Dear Dr Schmidt, Congratulations on the milestone. I bet all the other staff are delighted to have you in their facility. May I point out some reservations I have regarding your phrasing of your position, though? Your video thumbnail reads ‘1 Month as a Doctor’; at 0:30 you reference ‘any doctor starting their first job’; at 0:47 you mention ‘first week of work’. These phrases, to me at least, would refer to someone fresh out of medical school. I believe in the American system that would be known as intern year? But of course, you are referring to your first job as an attending physician (which you did mention early in this video too). Perhaps this is not as much of an issue in America, but in England there is some controversy regarding doctors’ titles and identities. You are probably aware that doctors have been on strike since half a year ago. Specifically, these are ‘junior doctors’ - the official term used to describe any doctor that is below the rank of a consultant (attending). Yet, particularly at the start, there was a sizeable number of general public not knowing what that meant. They took it to mean the most rookie of doctors (PGY1 / 2 perhaps), not realising that a registrar (PGY5, senior resident in American terms) would also be classed as ‘junior’. As a result there was contempt for these ‘junior’ doctors, calling them ‘naïve’ due to their perceived ‘junior’-ness. Some even mistook ‘junior doctors’ to mean medical students, and were even more indignant. ‘How dare these people strike when they have not even graduated!’ This misperception was exacerbated by the term ‘trainee’ (for residents), which is another official term (within the field). Compounding this issue is the gradual increase in roles such as physician associates, advanced care practitioners etc. To be fair most of them do not claim to be doctors; but sometimes the public is just clueless. As a result, there have been anecdotes where patients seen by a ‘surgical trainee’ think they haven’t seen a doctor, only a medical student. Later on when they are seen by a ‘surgical ACP’ they think that is the doctor instead. Going back to your phrasings, they therefore seem to imply that all the training you’ve had in the past few years were ‘just training’ and that you’re ‘not a doctor’, until now. Of course, I know what you mean - you are referring to the fully independent practice as an attending physician. But I wonder if the general public does? If you see this, I’d be keen to hear your thoughts on this issue, particularly from an American perspective.

@Mail144 8 месяцев назад

Welcome to meeting your ED RN. I WILL fuck with you purely because I can for my enjoyment, be sarcastic, have all the info you need, and efficiently do whatever you reasonably order that I can't pass off to the floor RN. You're welcome.

@ttuurrttlle 8 месяцев назад

Is there really nobody overseeing your medical decisions when health insurers micromanage what doctors can essentially prescribe since people won't get healthcare they refuse to cover?

@muhsalihu 8 месяцев назад

You mean those crooks that are allowed to practice Medicine without a licence? Quite sad.

@TonyYarusso 8 месяцев назад

“Overseeing” implies expertise in the subject and actually caring about doing it right. The word for insurers is “obstructing” his medical decisions.

@umairkhan8598 8 месяцев назад

can you make video on MD IN US after pharm D FROM PAKISTAN PLEASE

@emmanuelboakye1124 8 месяцев назад

👍👍

@keen8271 8 месяцев назад

Hey doc, not sure if you have any suggestions for me or not, but I love your channel and respect your opinions. I have been having mild-ish heartburn for 10+ years, but just take Tums normally. Every once in a while it causes me to have a chronic cough. I had to fight with my PCP (a RN, who is no longer my PCP because of the way she was treating me) to get a referral to a GI specialist. In January this year I had an endoscopy and they said they saw things that were concerning and did biopsies. They also dilated some "ring" in my esophagus (dr never uses laymans terms and i cant understand her. i ask her to explain but she just repeats herself like im stupid). I was fine just taking tums every once in a while then, up until July. I ended up going to the ER because of extreme chest tightness, what i can only describe as "feeling like my diaphragm is contracting and spasming." couldnt hardly breath because i could not inhale. as soon as they heard i have heartburn sometimes, they blew me off. i made another appointment with a different GI specialist to follow up. had another episode like the one that sent me to the ER just beforehand. but that one lasted from about 9pm to 6am the following day. i didnt sleep the entire night. its worse than childbirth. so i go to this appointment, and she suggested that perhaps the hiatal hernia could be bothering me. i'm sorry, what? she said it's in my records as having been found during my endoscopy in january, potentially triggered by the two months of chronic cough that i had before i got the referral. i read up on it and it does indeed sound like the issue. she said she wanted me to do another endoscopy. so i go back to the first place for the procedure, where the same doc is in. she insists that i have nothing in my medical history that suggests that i have reflux. which makes zero sense and she refused to explain. she didnt tell me why she never told me about the hernia. she did more biopsies but its been a week since the results have come in and she still hasnt even "gotten around to looking at them." i dont know what to do. i am autistic and i do not know how to stand up for myself to be sure i am being heard here. i was treated very poorly at this last appointment by the anesthesiologist who is apparently very ablest. she kept pointing out and questioning all of my aids (ear plugs, sunglasses, wheelchair because i have POTS, etc.) and being really condescending. i really dont know how to talk to people like this.

@gibraanjan3764 8 месяцев назад

Hey buddy to be honest I dont think he will answer (not because he is like way too uptight or something, but because of legal reasons he cant give advice). So here an average answer from ChatGPT. Hope it helps! ( I think the consulting another Specialist part is especially important) I'm truly sorry to hear about your frustrating experiences with healthcare professionals. It's essential to advocate for your health, and I'm here to help you understand your situation and provide some guidance. Firstly, it's concerning that you've been experiencing heartburn and other related symptoms for so long. The fact that you've had an endoscopy and there are concerns regarding findings like the hiatal hernia is significant. Let's break down the situation and discuss some steps you can consider: Understanding Hiatal Hernia: A hiatal hernia occurs when a portion of the stomach pushes through the diaphragm into the chest cavity. It can lead to symptoms like heartburn, chest tightness, and difficulty swallowing, among others. Review Your Medical Records: It's crucial to review your medical records, especially from your initial endoscopy in January. If a hiatal hernia was indeed found, that could be a significant contributor to your symptoms. Consult Another Specialist: Since you're not comfortable with your current GI specialist's approach, consider seeking a second opinion from a different specialist who can provide clear explanations and a more empathetic approach to your concerns. Communication: When consulting with healthcare professionals, it's important to communicate clearly. You might want to prepare a list of questions and concerns before your appointment. Don't hesitate to ask for explanations and request layman's terms if needed. Patient Advocacy: If you feel uncomfortable during your appointments, you may want to bring someone you trust, like a family member or friend, to provide support and help ensure your concerns are addressed. Document Your Symptoms: Keep a journal of your symptoms, their frequency, and any patterns you notice. This can be helpful in discussions with your healthcare provider. Emergency Care: If you experience severe symptoms like the extreme chest tightness you described, don't hesitate to seek immediate medical attention, even if it means going to the ER. Remember that your health is a priority, and you have the right to receive proper care and explanations from your healthcare providers. If you feel that your concerns are not being addressed, seeking a second opinion is a reasonable step to consider. Ultimately, finding a healthcare team that listens to your needs and provides clear guidance is crucial in managing your condition effectively.

@keen8271 8 месяцев назад

@@gibraanjan3764 thanks for your comment. I wasn't asking for medical advice as I know he cannot give that. I was asking for help on how to advocate for myself with a doctor who behaves in this way.

@gibraanjan3764 8 месяцев назад

@@keen8271 ohh thanks for clearing it up! Well I guess chatgpt beside. I myself would suggest going to other doctors and getting a second opinion. Those doctors you talked about were being assholes without a reason tbh.I am sorry you had such an experience with medical "professionals"!

@Park0urSanta 8 месяцев назад

I'm really curious, because this seems like a really not great way to run a healthcare system? I don't know if it's the same thing, but this seems like a way for a location to bring in a physician that is out of network while stating that the location itself is in-network. That whole issue there. I've dealt with this so many times. But also just the issue of overworking these physicians. You have to change your workplace every day, sometimes twice a day? Seems like there should be a better way. Is it necessary just because of a lack of physicians? Do you prefer this for any reason?

@nardo218 8 месяцев назад

serious question, as someone who's got chronic ibs: why'd you decide to become a poop doctor? you realize the day we see you is like the worst day of our year?

@Alex-vl1mk 8 месяцев назад

Iirc, he answered the question in another video. Afaik he really enjoys the variety that being a GI doctor brings, he gets to work on a lot of different cases, and being a GI doctor allows him to work on a wider range of the human body. I think he also mentioned that there's some decent work life balance with it.

@Alex-vl1mk 8 месяцев назад

I think he also mentioned that he was originally considering psychology and neurology, but he decided against neurology because a lot of neurological disorders just don't currently have viable treatment options, so he'd be able to diagnose something, yet be unable do anything about it.

@BonJoviBeatlesLedZep 8 месяцев назад

@@Alex-vl1mkyou mean psychiatry right? Or did he want to go into like mental health counselling and stuff as well?

@SingZeon48 7 месяцев назад

In many specialties, doctors see patients at their worst too. Urologists and gynaecologists see patients with all sorts of (abnormal) discharge / growths in or around their reproductive organs. Dermatologists see patients with their skin blistering and peeling off. Plastic surgeons see patients with severe burns. Trauma surgeons see all sorts of penetrating injuries. General surgeons may open an abdomen to find rotting bowel. Vascular surgeons see rotting toes. The list goes on!