My mother-in-law has never had any major illnesses. She had one colonoscopy at 70 and was over 90 when she tripped over her dog and broke her femur; I don’t know what all tests they did before or during surgery, but she wouldn’t know what they were, it’s not the kind of thing she remembers. She’s 98.
My dad found out I'm his early 60's. He had acute pancreatitis. The doctors were too busy trying to keep him alive to worry about the rash he got after the CT scan. When it happened again after another CT scan, months later, they figured it out. Luckily he didn't have an anaphylactic reaction, just a severe rash. I had my first CT scan when I was 45. I was worried, but no reaction thankfully.
NPO = nothing by mouth Give her food that she may potentially vomit up later and get stuck in her repertory tract? NO THANK YOU! Kind of why you need to help them understand. She's not getting dinner, and might not get breakfast either, good thing she's got nutrients in her IV.
Ummm kind of. 😂 they need education as to what’s *actually* going on and what’s happening to their family member. The anaphylactic reaction is key and they’ll need to know for the future their family member is deathly allergic to contrast.
@@i.am.heather I was so scared to ask what was going on with my dad because I didn’t want to seem like a fool or be put on the spot And in my line of work is better if I don’t say anything at all then say something stupid which I do 70% of the time
@@brandondavis8584 lol this is so me. I was admitted to the hospital and I had to stay there for 4-5 days and I still don t know what was wrong with me. I m all better now so it s fine
@Leah613 I keep saying to myself, I would’ve totally understood everything so I can explain it to my dad and easy to understand way, but you know what I’m a fucking coward, despite the coincidence that every Thursday I went over there and the doctor would come every single time that I would go there by pure coincidence, and it was up to me to give information to my grandmother, which my dad didn’t like because it caused her worry, or so he said, but of course every time that I call her after my visit she said she wasn’t worried at all. And it just becomes a vicious cycle. Despite all that I try to be like a good student and pay attention to every single thing that the instructor says but I can only process so much information. Especially when stress is involved, and when my father is on the line you have no idea of the amount of stress but I have to translate all of that stress into a basic message that’s easy to understand and has no emotional boundaries, I felt like a dirty fucking sink filter, and there is no way that I can ever clean all of that out, and to top it all off, I can’t even think straight with my inheritance situation, which I’m still in the middle of so it’s not like I can say anything there. I can’t even fucking represent myself because I’m too scared of everything. I thought about ending my life like seven times exactly I’ve counted, because every single time that I thought of killing myself I think of my father. And I just go back into the vicious daemonic cycle of depression. And there is no way out. Therapy is too fucking expensive, and I completely understand why. Medicine doesn’t work. I miss my fucking father. I just wanna lay in my fucking room and die of heart attack, it’s a little bit more common than the way my dad died, I won’t be accomplishing my dreams or anything like that, as if that meant anything, but at least i’ll have given a bit of love in the world, and I have a good life, so at least I’ll die with a little bit love
I understood the family's version reasonably well, and the doctor's perfectly - but for years, I was my family's "translator". How my translation would have gone: Mom was having some difficulty breathing, so we took her to the ER. The doctor was concerned that she had a blood clot in her lungs, so he sent us for a cat scan to see if there was one. To get a good image, they inject a dye that makes a clearer image, but she had a very bad reaction to it. She was having more trouble with breathing than ever and that dye can damage kidneys. So now we're giving her oxygen and lots of IV fluids to keep her blood pressure from getting too low and to flush out her kidneys. They also started her on a blood thinner because they think she probably does has a blood clot, even though we didn't see it because the cat scan wasn't finished. Right now she's stable, but Dr. Schmidt tells us that we need to be ready to hook her up to a breathing machine if she deteriorates any more - so she can't eat or drink in case we have to do that. Good thing, since she hates hospital food so much! We're giving her ice chips to keep her comfortable and rubbing her feet. I have her medical power of attorney and advanced directives, so I'll stay with her tonight and do updates via the family text group.
Could you teach my husband how to do that??!! I implore him to just use his phone to record what the doctor says after I have a procedure, but he refuses. Then he has little to no idea what the doctor said. I have no kids or parents to do it for him either and literally all my friends live out of town.
As a Healthcare provider, given the medical-speak by this doctor, I think the family member interpreted the situation, at a basic level, very well. This is why it's important for us to explain medical situations to patients and families at an elementary level of understanding. But great content.
pain that its two years ago, but the idea is that the doctor simplified it using analogies (or a nurse did) for the patient. The doctor is giving us an update as if we are another doctor or something, as evidenced by his use of "a patient". Was not very clear in the video but from his other content (which probably didn't exist when you posted this), I think my interpretation was correct.
My favorite part of being an ICU nurse, is explaining/educating patients and their families on what the hell is happening. It usually takes about 4 times as long as it took the dr to say what’s happening but the looks of comprehension and relief or resolve are worth it to stay late an hour doing all my charting after my shift ended.
Alicia Long - This paragraph that you wrote makes me fall in love with you! Thank you for caring for the patient and the family too. Patients in the ICU, when intubated or sedated may be in no mental distress at all, but their families on the other hand are in great mental distress.
What about the family trauma version translation….yeah, we can’t have these family members around or don’t call these. Or if they do come, expect court papers.
Future doctor here. Can you make more of this specific type of video? Like what the patient says and what the doctor ACTUALLY said? I enjoy hearing the comparison and as weird as it may sound…..deciphering what you said brings me joy and it’s like a mini quiz😂
Effective communication with pts. and families is very important. Jotting down the important points helps a lot. I used to use colored paper so it would be more difficult for them to lose.
If that was actually how it was explained to the family member then it sounds like she did a pretty good job of trying to explain what the doctor told her. You can’t really expect the average individual to follow all of that. I followed most of it but that’s only because I’ve worked as a medical receptionist in the past.
Lots of complaints on here that the family wouldn’t understand the doctor’s explanation, but I thought it was pretty clear that part isn’t directed at the family? Or else he wouldn’t have started with “an 83 year old woman presented to the hospital” Anyway really good video. This was exactly how I felt last week when grandma went to the hospital and I tried to get info from family. Still trying to piece together what actually happened unfortunately...
When i worked in acite care, one of my favorite activitied was adking a patient or family if they understood what the doctor was talking about, when the doctor was still in the room. Then translate. The good doctors learn pretty quickly.
I wasn’t able to guess that it was a pulmonary embolism. Family member made it sound like it was gall stones or something. But everything else sounded about right.
Reminds me of a conversation I had yesterday with my moms friend. She said her cousin was in the hospital for high blood pressure, her blood pressure was greater than 500. My response: don’t you mean high blood sugar because she would be dead with a blood pressure reading that high lol. She was adamant that no it was high blood pressure, but “my cousin is getting better because now her readings are in the 200’s”. I just said: “oh ok.”
Yeah, that's like when people describe hearig loss in percentage. The problem is that hearing loss is not measured in percentage. So I just smile, nod, & interpret the information. Then the HCW thinks the interpreter misunderstood something...
Short videos more likely to get higher amount of views. Lots of ppl out there have Short attention spans and won't click on videos that you may not think are long at all
I'm a sleep technologist....and you'd be shocked how many times people say their heart stopped 🤦♀️ I have to correct them but it's still an insane # of times ugh
We love you Doc! PS-- this is why I write things down and ask questions. I'll ask what something is called 3 times to make sure I'm getting proper information
Bedside shift report on one of my patients. “So his creatinine and BUN are a little elevated so we’re watching that.” The patient “WHAAAT?! I’m going to be on dialysis the rest of my life! I knew it! I knew it because I barely peed today!!”
Agreed..... you could make your clips 10x longer !! You're hysterical and SPOT ON! I NEED MORE LAUGHTER IN MY LIFE & so happy I found your channel! XOXOXO
COVID and visitor policies have made this all the more interesting. I do scheduling for an eye clinic and naturally many (if not most) of our patients are on the older side. Sometimes the patients have to come in on their own. And so for a lot of them it basically turns into a game of telephone, where they completely mishear/misunderstand the doctor and then relay what they THINK the doctor said to their families, and then three days later the family calls like "WHY ARE YOU TRYING TO CUT OUT MY MOM'S EYEBALLS" and we're like "... the doctor just wanted to know if she was interested in cataract surgery"
Hahaha!! Hehege I'm going in for cataract surgery in 2 weeks. So yes, what's said, what I heard no doubt 2 different things. I'll just show up on time with a screwdriver. I'm not sure why I need to bring them a screwdriver. But I'll bring it anyways. Not sure how a screwdriver will also help me get home. But something along that said several times. Lolol I'm playing with you. A driver. I did write it all down, repeating things 2 times. Its all new to me.
Then again, not using medical jargon is how you end up with family explaining they got tie dye injected. Just a lose-lose situation no matter what. Just gotta try your best lol
Yes, that happens, but we cannot blame patients and family members for not understanding medical jargon. It is not their fault. Slowing down and using layman's terms can make a huge difference in reducing fear and increasing understanding the first time. An extra 2 minutes of explanation can save a 10 minute conversation later.
I understand exactly what you’re saying since I was a nurse back in the day. I think you are an amazing doc, comedian, and actor ~~ I’m sure you wouldn’t have explained their Mom’s condition like this this, tho.
Perfectly clear and precise. But then I am a doctor. I’m also a pt. With apical hypertrophic cardiomyopathy and frequent episodes of atrial fibrillation requiring electrical cardioversion. My discussions with the ER physicians are pretty to the point.
I’m not a part of the medical field but I grew up watching medical shows (the real crime stuff - not Grey’s Anatomy (never seen it) - so I understand the doctor better. The patient interpretation would be how I would have to explain it to my family. 😅
Ha. I am an admission nurse for hospice in the community. I spend a lot of my admission visit trying to decipher the family's stories to figure out what actually happened as well as guessing what the pill they were taking before actually was based on some pretty vague information- usually "it was a small white pill".
My first night in a nursing home, they gave me my meds...plus a small white pill. I asked what it was "Magnesium, It's good for your heart, and muscles, and stuff." For one thing, I'm a cardiac patient with a very complex diagnosis, and somebody randomly adding treatment was a little suspicious, especially the "and stuff". I told them I better ask my cardiologist if it was okay, since I definitely didn't see it on my hospital discharge pharmacy list. I asked him, and he said my bloodwork showed normal magnesium levels, so I didn't really need it. Obviously, I denied it....about 3 or 4 nights, before they finally quit offering it.
This is an update to a family member or to a colleague...? I think someone who doesn't understand these terms would be very confused and anxious. I used to work in patient service and many people come to me asking what certain things mean. I really wish some Drs can make these explanations more layman. Obviously, the family member can go home and google these but that's a whole load of terms to remember. There are many elderly people who don't understand what is happening and end up being resentful.
The latter in this video would be handoff report, based on how it started with her age and presentation and such, and not how a doctor or anyone else would explain a situation to a patient. I think the video is more about the difference in understanding of the situation from a medical vs family perspective than it is "this is what the doctor said vs what was heard by the family," if that makes sense; I don't think that's meant to be the video concept.
@@SuturesandStuffies I agree but the topic/ nature of the video seems to imply he would detail synonymous versions of the same statement i.e. what was really said vs what the family interpreted. I think any family would know Dr.'s speak jargon amongst ourselves, but we should know better than to use the same lingo among family.
doc schmidt! i see loyola on your white coat. would love a video about your experience there as i hope to go there for med school some day. thanks for the funny vids :)
Oh MY GOODNESS! I was all the way confused. Yup you are so right this is exactly what they hear. Even when you break it down so a child can understand....I realize more and more children are better students than adults they actually LISTEN
My mom worked in a hospital as a ward secretary (no idea if that's a thing anymore), and we learned from a relatively early age to listen to the medical professionals and learn to dial in on the important things. Doctors will feed a TON of information, and much of it is ancillary and mostly out of control of the patient and family (presuming that they don't decline treatment). Important questions are: How much bleeding is there, and is it controlled? Are the numbers stable, and where are they compared to normal? What are the likely outcomes, and what are the potential outcomes (within a fair degree of likelihood)? What is the likelihood of extraordinary measures being required to extend life? For certain conditions, what is the life expectancy? For family, much of what you can do anything about is patient comfort. Can we see them? Can we bring them anything (including pillows, pictures, books, and other non-medical things)? When and (more importantly) what can they eat and drink? A sometimes more touchy subject is second opinions. Doctors may not especially like second opinions, but they don't really reject them. On the other hand, insurance may not cover them. But sometimes, the cash out of pocket is worth it, even if just to verify what the attending is already saying.
Growing up with a mom in the hospital often, I would need to take some notes but I'd be able to relay the info reliably. I've heard my uncle try to relay medical info about my grandpa and I'm just like... That literally makes zero sense and I hope your wife never has medical issues.
A personal favorite true story: Elderly patient is hospitalized. Doc dx'd bowel blockage on the right side. Patient's family said that was fine - 'cause the left side was still working.
Well, jargon should be explained and avoided if it is too much. Doctors should remember that patients and their families are already distressed and in pain. Be respectful and human.
That’s on the doctor for not explaining things in a way that family understand and following up with written notes because you only retain a small amount of what’s said in a distressed situation
And this is why I always ask an irritating amount of questions. If I didn't go to med school but the doctor did (hopefully). I will pick your brain just to better understand a situation.
The family's version had me trying to logic their explanation around into something medically accurate. The actual doctor's update just had me smug because I got SOME things right lol. But still...when is she going to have her dinner?
I understand the medical jargon.. bc it take years to learn it. We just have to meet the family where they are at. Maybe break it down in smaller parts and ask the nurses to help. Nurses help breakdown the medical jargon too! We can use whiteboard and markers to draw the kidneys and we can print handouts.. and so on. Teamwork!
It’s hard for both sides at times. Sometimes more so than others with medical terminology and how severe the situation is. Been in pharmacy for years and based off the drugs named I know it’s not good a situation for the patient.
I'm a receptionist at a nursing facility. I memorized the kitchen extension in a week, and it's took me 3 weeks to memorized the other extensions. Can you guess why?
I thought this was going to be about those family-members that is in denile. I work in an ICU and I had a family-member that was in bad denile. The doctors had tried to convey how ill the patient was (as in he were most likely going to die any day) in a nice way. Maybe they weren't clear enough because when the family-member came to see the patient she was talking about if it could be possible for another family-member to come and visit once a week and that it was a good thing that it was only the lungs that was seriously ill (this patient had around 85% oxygen and was saturating at 88%). When I told the doctor this he just shook his head. Luckly the family-member were there to have a conversation with the doctor about the state of the patient. The patient passed away the day after with his family around.
Doctor: Avoids giving the deal straight by throwing medical terms and abbreviations to stall the family and win him some time to get his shit together and actually see if the patient is still alive while the nurses are doing the things he said to do. Family: It's rough.
I like the concept but I assume most doctors wouldn't actually explain it like that, with all the medical jargon that the family wouldn't understand. I'd love if you did a version like the title!
I once told my patient that I won't give his blood pressure medication because his blood pressure is low. I explained what the medication is and how it works. I kept checking throughout my shift to make sure it doesn't go too low. Patient end up refusing all nursing care because he though his heart is gone for good and there is no point in living anymore.
I know this is a medical channel and they're making fun of the family. But many doctors actually talk to lay people like that and expect them to understand. I honestly think it's the doctor here who's in the wrong, he needs to realize he's talking to a lay person and not use terms like "PE" and "NPO" among others. How about something more like this: "Your mom is having a lot of trouble breathing, we think there might be a blockage in the blood vessels that feed the lungs. We did try to confirm this with a scan, but she had an allergic reaction to the dye that we use to better see these blood vessels. We've given her medicine to fix that, however it's looking like we're going to have to breathe for her through a tube for a little while, her kidneys are also affected by the reaction, so we may need to use a machine to help filter her blood as well. Although the test wasn't complete, we still believe that the blockage in the blood vessels feeding the lungs is the most likely cause of her problems, so we're starting her on medication to treat that. I know you're concerned about her dinner, however at this time we just can't give her any solid food as it would further complicate her condition, but we are providing her with fluids through her IV which will help to treat the allergic reaction, as well as help to sustain her until we are able to feed her normally again." I know a lot of medical professionals who take pride in using as much and as complicated jargon as they can. It's not something to be proud of. They think it makes them look smart, it really makes them look like jerks (I also know some who use more jargon than they actually know, and then they really end up looking stupid when it turns out they were using some of it wrong!). When I'm talking to a patient, and to some extent even other medical professionals, I try to use plain language as much as possible. Even within the medical community I've had people comment how they never would have phrased something like that, but that it was refreshing, and still perfectly clear as to what was going on.
Wow , I have no idea how someone could confuse that information. Me now telling people what went on "she had an allergic reaction to p.e. so she's breathless, no more p .e
I’m in an emergency at this moment. Was here two days ago, but at night. I’m finding that teaching hospitals have sweet spot times and days. It’s overwhelmingly busy. I am trapped for the next 8 hours before I can see a anyone. And I can’t find an outlet to use. Send help
