Same! It's like experiencing the "first day" shorts all over again except someone is calling them out on it! I'm pharmacy, so I wonder how we'll go, but I'm really curious about nephrology (you can't always rely on kidneys). WAIT. No. Infectious disease with their meticulous notes! It'll probably end up with ID having some sort of "history" about the psych.
@@elainechan7155 When a medical provider "curbsides" another medical provider, it references a curbside consultation, where they're informally and randomly pulling another provider aside to "pick their brain"/ get insight on a case or to randomly talk shop on particulars of a case or disease. The discussion usually covers likely causes of a patient's illness or condition, the natural history of the disease/ condition, possible interventions, remedies, or treatments, etc. It can be a time suck for the other medical provider if they didn't anticipate being pulled for such a discussion.
I appreciate you. Hey everyone, would you rather have the doctor that fixates on determining preciesly what is wrong, or the doctor that fills the checkboxes on a protocol?
This is my former internal medicine doctor who saved my life twenty years ago. He passed away at 56 before he retired because he worked too hard. So all you internal docs remember to make time to have a life.
One of my med bosses did the same. The junior docs loved it, but our registrar (senior resident) hated it because it happened too fast for them to know everything that was going on lol
Just watching this made the internist in me start a frantic lit search to justify why he should’ve started carvedilol instead (with its additional alpha 1 blocking)
I'm a pharmacist and literally debated pros and cons of each of these with my student this week (bid carvedilol vs easier qd with succinate vs carvedilol ER which might be more expensive or require a pharmacy drop ship)
@@reut0094 Were you really going to order Carvedilol CR? I'm assuming it's non-formulary. Or does your hospital give you more flexibility than ours? Also, what did you come up with?
@@katalystkatapatheticalyssa5987 I'm outpatient MTM, I have a collaborative practice agreement with the docs in my clinic to help with chronic disease management. The patient wanted to keep pill burden down and didn't have far to move to get to goal so we did succinate.
On the ward round seeing the overnight admissions the consultant (attending) asked the night team which breed of dog is most susceptible to gout. After years learning 6 causes of a saddle nose deformity, 21 causes of a raised anion gap metabolic acidosis and every possible thing that sodium can do to a human body you can then get ambushed by questions about dogs after a night shift. The answer was Dalmatian by the way…
I'm a veterinarian, and that's not even true, btw. Dalmatians have a breed-predisposition for hereditary uric acid metabolism deficits, which lead to production of urate calculi. They don't get articular gout. Now, exotics species like certain lizards and birds, absolutely get articular gout. Get your facts straight, medicine, before quizzing others!
I had a trauma surgeon ask me (anesthesia/ICU resident) how we treat hypernatremia. "We just give them 0.45% saline. Why, what do you guys use?" He told me "We don't have that. We use 5% dextrose and insulin."
Medicine is no fool. Metoprolol for hypertension, whilst not necessarily wrong, certainly warrants a discussion. So many anti-hypertensive trials...two hours can just fly by. Love your work Dr G, thank you for bringing a smile to so many when there is so much relentless bad news. 👍
As an overworked, burned out hospitalist who works way too long and has far too little down time, I have to say… why not lisinopril? We don’t even know his heart rate or past medical history that could suggest a better option!
True because you don't know what the tests show. ECG could indicate AFib so metoprolol is the best choice yet if someone is hypertensive then an ACE Inhibitor is the best choice. They should've tossed that into the reason for the 2 hour discussion. It would've made the therapist grab his temple for the headache internal medicine just caused him
As a Pediatrician I barely handle hypertension, but I was thinking that the reason why he spent two hours discussing Metoprolol was because he wanted to start an ACE-inhibitor, an ARB or even a CCB. When that didn’t happen, I came to the comments to see if anybody else thought like me.
@@statixlaw5675 do you have anything to back that statement up? Science/research and psycology has proven that homosexuality is NOT a mental health issue. Homosexuality is a naturally occurring mating selection throughout many different species. The reason why homosexuality was seen as 'deviant' was due to societal/cultural/ religious beliefs. The reason why people who are queer were suffering mentally is because of this sociatal/cultural and belief structures that shamed them for being themselves. That is why it was removed from the DSM. Homosexuality is NOT a mental illness. It was not removed due to some 'popularism' without research as you have implied.
As an internist just heading out to take rounds, I will keep this in mind. Just pray its not pottasium... it gets.. long if there is any potassium in rounds. Wish me luck doc.
but they do save doctors from making terrible medication decisions, so I would imagine in therapy the pharmacist would walk in with an ego the size of a small moon
@David Carroll No. We're bottom of the totem pull and are basically the punching bag. This goes for retail and hospital. In hospitals most are tucked away out of sight, and mine is next to the garbage cans. We just expect abuse.
I can picture that skit: therapist has to turn down the lights to get the radiologist to even come in; radiologist criticizes other doctors for ordering x-rays when they really need CT or MRI; radiologist complains about rheumatology ordering several dozen x-rays on a 95-year-old to ascertain if they have arthritis; the complaints make the therapist ask if the radiologist has talked to the other doctors about this and it comes out that the radiologist hasn't talked to anybody in person or seen the sun this year.
Ugh. I hate metoprolol. During my first week on it, I went to the pharmacy around the corner to buy some razors. I was so light-headed I had to lean against a pole while I tried and tried and tried to divide $10 by 3 razors. Eventually, I just gave up and went home. At the one-month consulation, the doctor asked if I'd encountered any adverse symptoms. 'Nothing I can recall', I told her. I ended up staying on that medication for a whole year. My car is a 2012 model and every visible dent and scratch on it is from the year I was on metoprolol. My memory was trash and I couldn't do my job properly. I'm *so glad* I happened to figure out the root cause and got myself off of that stuff.
Honestly I feel comforted that people would go the extra mile to make sure what they're doing for ones health is efficient and as correct as they can do it
Every single time my phone gives me that notification " Dr. Glaucomflecken aploaded " it just gives me a highlight for my day . Thx for you great videos. And congrats you almost reached your next goal.
Love your work but I especially love the therapy series! I know you don't do these often, but can you please do one on ObGyn? God knows we need therapy 🥲
Oh. My. Goodness. He's amazing on his own and acts every part brilliantly, but can you imagine if he wrote one and collabed with Mama Doctor Jones on it? That'd be hysterical
As an IM doctor, “we have to explain that” as good ad it gets in describing my workdays. Yeah we can correct sodium, but what if it’s a pseudo deficit, what if the patient is going to have a DKA, ecc… A good diagnosis in 90% of the work done and it’s the most enjoyable part of my work by far
... as you confirm with me that I actually do want to be an internist not a family physician like intended... 🙃 What's the difference? 15 minutes (family) vs 1.5 hours (im). How well can you do your job if you're rushed and understaffed? I know family medicine needs more ppl, but the pay will barely cover student loans and until then you need to see as many patients as possible (to bill either the government, the insurance company, or the patient directly for those in the USA). Internists seem to have the opposite problem lol. The complaints are about how drawn out and thorough everything is lol. Aka: Internists: go help family medicine for 1 week and you'll be grateful for the "excessive" deep dives in rounds. Family medicine: go help the Internists for 1 week, and you'll be grateful for being able to make your own decisions, having normal- ish hours, and being able to do "paperwork" from home lol. No specialty is perfect (ophthalmology & dermatology, shhhhhh), they all have pros and cons. The grass only seems greener from where you're standing lol. So stop admiring their grass, and start feeling grateful for what you do have. If it's a good fit for you, you'll be tired but still love it if you release some of the pressure on yourself lol.
@@mrsamandabernier lololl I know this comment is a year old, but you reminded me why I will forever regret mocing away from the district of my old PCP.... He had multiple specializations next to his PCP degree, one of them is internal medicine. Best PCP ever. What a superhero. Never got out of his practice under an hour. Plus hours of waiting time. But! Also I always got a correct diagnosis. He first sent me to like 3 different specialists at least before saying anything remotely resembling a diagnosis. All my other PCPs feel like trash since, they just throw diagnoses at me after 5 mins of conversation, no diagnostics whatsoever, no consultation besides their online database. They just say a random diagnosis based on probability. The diagnosis has nothing to do with my reality, it's all based on statistics of the total population or whatever. So yay for internal medicine and whoever decides to do family medicine/PCP business after getting some other medical degrees.
Just seeing this. As an internist, I find myself answering any and all questions with: well, it depends. But I love the deep dive. Humans are the best puzzle ever!
Did the opthalmologist go to therapy? His dependence on Jonathan in every small detail is a point of concern, you know what I need to see Jonathan in therapy 😂 I think he needs to talk to someone 🥺
Did... Did you film all of the therapists lines... Then get a haircut, then do internal medicine? The lengths you go to to differentiate all of these characters are amazing
That is meeee, I can't help it. As an internist I am ALWAYS examining people... Even those I'm shooting the breeze with.. this is so accurate...IMs can't chill because... Everything is centered around internal medicine.. who has time to sit .. I never have time to eat.. or pee. It's shameful
I just learned your backstory from a video someone else posted, Doc. You have a phenomenal wife and support system. If the same thing had happened to me, I'd have been a statistic.
IM resident here... metoprolol for HTN? We need to examine the ALLHAT trial and ACCOMPLISH trials firstly to see what initial BP meds to start, assuming there are none already. What is the kidney function? Additionally, metoprolol has no alpha activity and if maxed out on the other options, may benefit from carvedilol instead. Do we have an echo? - is lower extremity swelling present? How do the lungs sound? I want to ask more, but I also need to round soon. Bye!
Lol this is funny! I can’t wait to see a family medicine one, As a former family medicine scribe I know for a fact there’s so much to unpack and many funny angles to take.
I can remember as an intern having the General Med ward round not even finishing by home time 🤦♀️🤦♀️ By mid-afternoon the Registrars would take it in turns to check on the remaining patients and guide the Consultant to those they felt needed his input. Crazy trying to get stuff ordered for the patients before the end of the day 😬
Hahahaha! When I was in nursing school, an internal medicine attending was reciting a rap that he made about Medicine to his interns. He also liked to make us, the nursing students, give him a play by play of the patient's complete history, labs, and trends...only to ask (we nursing students) what should be done about it. Nobody ever put me on the spot in such a crucial way. LOVE that guy! My only regret to going into neuro, is missing out on him.
One cute thing is that over here psychiatry is a part of internal medicine.... so this doctor going to therapy is very meta 😂 The way they go over the fine details of every symptom.
you forgot that after 4 hour rounds ,reviewing every available piece of literature and discussing every possible therapy , the patient is always started on steroids.
I think I made a wrong career choice. My brain works like internal medicine. It goes through everything, even if it isn't necessary. Normal to slightly less normal. How do we measure tolerance? I'm with you there. Let me know when you find answers doc.
As a pet owner who wants to understand every detail of what's happening with my pets, and to have an informed opinion about treatment plans, I would love if all vets were like this.
I'd love to see an ER/ICU nurse's therapy session... "How would you describe your mood today? - GCS 15, sedation 5, in dire need of PRNs as per delirium protocol. - Did something happen today? - At triage a patient requested to be admitted to check their blood type."
Can we also add internal medicine RN in there? "How was your last shift?" -We have 6 confused jumpers on the unit and none of their sitters are covered. Haldol actually made it worse and we have no order for any other PRN, or restrains. All of their bed alarm went off when my new admission patient came in with a fever of 102F.
@@vivaciousom5347 Jumpers=confused patient that like to get out of bed, most are elderly with dementia or encephalopathy, the fragile grandpa and granny that one single fall can cause multiple bone fracture or brain hematoma. Sitters: 1 to 1 observer, a physical staff stay in the room with patient the entire shift making sure they don't hurt themselves. Commonly ordered for suicidal risk patient, confused patient that already had a fall or pulled lines, and patient with IV drug abuse history.
@@vivaciousom5347 I will tell you having six confused elderly on a 24-bed unit is already pretty low, the worst we had was 13 rooms of confused patients that needs 1 to 1 monitor or video monitor. The whole unit looks more like psychiatric unit rather than internal medicine.
I swear I saw a raised JVP! Can we get cardio in here ? Also. I swear I saw an IM round where the fellow talked about half an hour or more on how to cover your ass when patient is likely to be lying. Then another hour before that about Manchunsen.
Literally so true, looking at lab values like sodium or minute changes in hemoglobin and discussing all the possible reasons meanwhile it's all within standard error of the lab
Hey thanks for watching. Please remember to like and subscribe before you start rounds.
Do anesthesia next
Almost to your next goal!! I’m sure we will hit 144k before next what the hell Wednesday! You got dis, Dr. Glauc!
@@jacobrichardson611 How about Pharmacy? Or Otolaryngology?
Me tooo
Ortho next
By the way, I know some of you like before watching the videos. I’m writing all of you into my will
Me with everyone single one of your vids!!!!
Like first, watch after because they're all masterpieces
Can I inherit Jonathan?
We have no doubt that it will be hysterical. Why waste steps? The button is right there.
Well of course. We know it's always going to be a good one LOL
It's Pavlovian. I can't help it.
I am dying to see the therapist in his own therapy session!!! Given his patients I don't see how else he can cope.
They drink scotch.
There may be an occasional g&t outlier, but scotch.
Ew. Some of us like wine.
u mean supervision
@@elizabethclaiborne6461 I can vouch scotch works across different specialties, so you are probably right!
I think that would be awesome 👏🏼
I am obsessed with this therapist series. I need it all!!
Me too!!
Same! It's like experiencing the "first day" shorts all over again except someone is calling them out on it!
I'm pharmacy, so I wonder how we'll go, but I'm really curious about nephrology (you can't always rely on kidneys).
WAIT. No. Infectious disease with their meticulous notes!
It'll probably end up with ID having some sort of "history" about the psych.
Eagerly awaiting the psychiatrist sees the psychiatrist!!
Me too!!!! LOL and the one on orders
Me too
“Do not curbside your psychiatrist” 🤣
After consulting the group chat. I can confirm this will be a new recurring joke in our friend group.
What does it mean though? >
@@elainechan7155
When a medical provider "curbsides" another medical provider, it references a curbside consultation, where they're informally and randomly pulling another provider aside to "pick their brain"/ get insight on a case or to randomly talk shop on particulars of a case or disease.
The discussion usually covers likely causes of a patient's illness or condition, the natural history of the disease/ condition, possible interventions, remedies, or treatments, etc. It can be a time suck for the other medical provider if they didn't anticipate being pulled for such a discussion.
@@kasa9884 Well thank you
"Please do not curbside your psychiatrist"
He's assertive of boundaries, and polite about it. 😂
As an internist, I totally can relate to this. I believe I spent an hour trying to figure out a hemoglobin drop on one of my patients today,
I appreciate you. Hey everyone, would you rather have the doctor that fixates on determining preciesly what is wrong, or the doctor that fills the checkboxes on a protocol?
SO WHAT WAS THE CONCLUSION?!?
@@samuelpolen a really extensive evaluation which I don’t have all results as of yet 🤣
@@mcolumbusm hahaha of course. Was there really any other answer? 😆
As a patient, I appreciate it when internist deep dive.
Dr. G. displays shocking knowledge of body medicine.
I try
as an ophthalmologist, Dr. G sees all
@@Mediocritical hehe
Haha
He’s found a way to make use of all that tuition money he doesn’t use on his normal job
This is my former internal medicine doctor who saved my life twenty years ago. He passed away at 56 before he retired because he worked too hard. So all you internal docs remember to make time to have a life.
@mustafahussein5599 search Karoshi
Yes they need a life!! 😢🙏 my condolences that is horrible!
@mustafahussein5599yes actually
One of my neuro attendings did table rounds so we could all sit, and then quickly saw patients in person afterwards. Honestly life changing
300 IQ move
Med tele does this at our hospital. Totally different dynamic. Mind blown.
One of my med bosses did the same.
The junior docs loved it, but our registrar (senior resident) hated it because it happened too fast for them to know everything that was going on lol
Same with my IM attendings. Made the rotation incredible.
That's how all rounds are in Sweden.
Just watching this made the internist in me start a frantic lit search to justify why he should’ve started carvedilol instead (with its additional alpha 1 blocking)
Matt, might I interest you in a therapy appointment
I'm a pharmacist and literally debated pros and cons of each of these with my student this week (bid carvedilol vs easier qd with succinate vs carvedilol ER which might be more expensive or require a pharmacy drop ship)
@@reut0094 Were you really going to order Carvedilol CR? I'm assuming it's non-formulary.
Or does your hospital give you more flexibility than ours?
Also, what did you come up with?
@@katalystkatapatheticalyssa5987 I'm outpatient MTM, I have a collaborative practice agreement with the docs in my clinic to help with chronic disease management. The patient wanted to keep pill burden down and didn't have far to move to get to goal so we did succinate.
Ah crap, I think I want to be an internist 😱
On the ward round seeing the overnight admissions the consultant (attending) asked the night team which breed of dog is most susceptible to gout. After years learning 6 causes of a saddle nose deformity, 21 causes of a raised anion gap metabolic acidosis and every possible thing that sodium can do to a human body you can then get ambushed by questions about dogs after a night shift. The answer was Dalmatian by the way…
I'm a veterinarian, and that's not even true, btw. Dalmatians have a breed-predisposition for hereditary uric acid metabolism deficits, which lead to production of urate calculi. They don't get articular gout. Now, exotics species like certain lizards and birds, absolutely get articular gout. Get your facts straight, medicine, before quizzing others!
@@MRDF I love this! 😂 Also, I have a Dalmatian mix so this information could come in handy...
@@MRDF I was about to comment this as well :)))
The internist that I am LOVED that answer!
I had a trauma surgeon ask me (anesthesia/ICU resident) how we treat hypernatremia.
"We just give them 0.45% saline. Why, what do you guys use?"
He told me "We don't have that. We use 5% dextrose and insulin."
Medicine is no fool. Metoprolol for hypertension, whilst not necessarily wrong, certainly warrants a discussion. So many anti-hypertensive trials...two hours can just fly by.
Love your work Dr G, thank you for bringing a smile to so many when there is so much relentless bad news.
👍
Man has a plan from A to Z , but goes with Plan A anyways, Bless this Internist
"Have you been taking your... medicine?"
I expected internal medicine to break out into a journal club regarding whatever it was he was prescribed.
As an overworked, burned out hospitalist who works way too long and has far too little down time, I have to say… why not lisinopril? We don’t even know his heart rate or past medical history that could suggest a better option!
True because you don't know what the tests show. ECG could indicate AFib so metoprolol is the best choice yet if someone is hypertensive then an ACE Inhibitor is the best choice. They should've tossed that into the reason for the 2 hour discussion. It would've made the therapist grab his temple for the headache internal medicine just caused him
As a Pediatrician I barely handle hypertension, but I was thinking that the reason why he spent two hours discussing Metoprolol was because he wanted to start an ACE-inhibitor, an ARB or even a CCB. When that didn’t happen, I came to the comments to see if anybody else thought like me.
I would just try blood letting.
Maybe there was impending failure? Pt had raised BNP?
@@chefinwhitecoat leeches could work.
I'm an actual therapist and I can confirm this is how it goes 😂
@Constantine Constans Just like when they took out homosexuality from dsmV. It wasn't taken out due to any research, it was just to appease people
@@statixlaw5675 do you have anything to back that statement up? Science/research and psycology has proven that homosexuality is NOT a mental health issue. Homosexuality is a naturally occurring mating selection throughout many different species. The reason why homosexuality was seen as 'deviant' was due to societal/cultural/ religious beliefs. The reason why people who are queer were suffering mentally is because of this sociatal/cultural and belief structures that shamed them for being themselves. That is why it was removed from the DSM. Homosexuality is NOT a mental illness. It was not removed due to some 'popularism' without research as you have implied.
@@statixlaw5675 please set the research that prompted people to put it in. Make sure you read it thoroughly to see that is scientifically rigorous
As an internist just heading out to take rounds, I will keep this in mind. Just pray its not pottasium... it gets.. long if there is any potassium in rounds. Wish me luck doc.
And calcium, and sodium....ESR, ANA, LFT,.... we are doomed bro!
@@n.sh.42 Don't forget Magnesium!!! 😵😵😵
Can you make those potassium pills any smaller?
Oh no. You just gave me flashbacks from my days back in my IM internship.
You nailed it. One our attending was notorious for his 6 hrs rounds mostly covering social issues, add that to 2-3 hrs pre-round. Ineffieciency 101
"Please...do not curbside your psychiatrist."
When will we see the psychiatrist go to therapy? Lol 😆 🤣 poor guy has it ROUGH!
He is STRUGGLING
@@DGlaucomflecken He is always so well composed though!
He will go to the physiatrist
@@jessicac.9324 idk he got pretty snappy here lol
@@TheEmmakathryn I wouldn't want someone examining my neck veins either! Lol
As a budding psych student I would LOVE to have a "do not curbside your psychiatrist" sticker for my laptop 😂
I know they're not "doctors" but I REALLY need the pharmacist in therapy
Why are you calling us out? We've done nothing wrong.
but they do save doctors from making terrible medication decisions, so I would imagine in therapy the pharmacist would walk in with an ego the size of a small moon
@David Carroll No. We're bottom of the totem pull and are basically the punching bag. This goes for retail and hospital.
In hospitals most are tucked away out of sight, and mine is next to the garbage cans.
We just expect abuse.
This whole video made me take a hard look in the mirror as an internal medicine pharmacist tbh. No wonder I’m so inefficient, but so good at drug info
They could show us always counting things out being able to read very small print.
Eternal medicine! Eternal rounds! That's why I became a Radiologist! Please do one on rads!
He did! ua-cam.com/video/bjzyXSS0oy4/v-deo.html&ab_channel=Dr.Glaucomflecken
I can picture that skit: therapist has to turn down the lights to get the radiologist to even come in; radiologist criticizes other doctors for ordering x-rays when they really need CT or MRI; radiologist complains about rheumatology ordering several dozen x-rays on a 95-year-old to ascertain if they have arthritis; the complaints make the therapist ask if the radiologist has talked to the other doctors about this and it comes out that the radiologist hasn't talked to anybody in person or seen the sun this year.
Ugh. I hate metoprolol.
During my first week on it, I went to the pharmacy around the corner to buy some razors. I was so light-headed I had to lean against a pole while I tried and tried and tried to divide $10 by 3 razors. Eventually, I just gave up and went home.
At the one-month consulation, the doctor asked if I'd encountered any adverse symptoms. 'Nothing I can recall', I told her.
I ended up staying on that medication for a whole year. My car is a 2012 model and every visible dent and scratch on it is from the year I was on metoprolol. My memory was trash and I couldn't do my job properly. I'm *so glad* I happened to figure out the root cause and got myself off of that stuff.
Next up: The Therapist Goes To Therapy
Honestly I feel comforted that people would go the extra mile to make sure what they're doing for ones health is efficient and as correct as they can do it
love this series dr G. cant wait till psych goes to therapy himself.
He's a very irritable therapist!
Every single time my phone gives me that notification " Dr. Glaucomflecken aploaded " it just gives me a highlight for my day . Thx for you great videos. And congrats you almost reached your next goal.
Love your work but I especially love the therapy series! I know you don't do these often, but can you please do one on ObGyn? God knows we need therapy 🥲
Oh. My. Goodness. He's amazing on his own and acts every part brilliantly, but can you imagine if he wrote one and collabed with Mama Doctor Jones on it? That'd be hysterical
As an IM doctor, “we have to explain that” as good ad it gets in describing my workdays.
Yeah we can correct sodium, but what if it’s a pseudo deficit, what if the patient is going to have a DKA, ecc…
A good diagnosis in 90% of the work done and it’s the most enjoyable part of my work by far
... as you confirm with me that I actually do want to be an internist not a family physician like intended... 🙃
What's the difference? 15 minutes (family) vs 1.5 hours (im). How well can you do your job if you're rushed and understaffed? I know family medicine needs more ppl, but the pay will barely cover student loans and until then you need to see as many patients as possible (to bill either the government, the insurance company, or the patient directly for those in the USA).
Internists seem to have the opposite problem lol. The complaints are about how drawn out and thorough everything is lol.
Aka: Internists: go help family medicine for 1 week and you'll be grateful for the "excessive" deep dives in rounds. Family medicine: go help the Internists for 1 week, and you'll be grateful for being able to make your own decisions, having normal- ish hours, and being able to do "paperwork" from home lol. No specialty is perfect (ophthalmology & dermatology, shhhhhh), they all have pros and cons. The grass only seems greener from where you're standing lol. So stop admiring their grass, and start feeling grateful for what you do have. If it's a good fit for you, you'll be tired but still love it if you release some of the pressure on yourself lol.
@@mrsamandabernier lololl I know this comment is a year old, but you reminded me why I will forever regret mocing away from the district of my old PCP.... He had multiple specializations next to his PCP degree, one of them is internal medicine. Best PCP ever. What a superhero.
Never got out of his practice under an hour. Plus hours of waiting time. But! Also I always got a correct diagnosis. He first sent me to like 3 different specialists at least before saying anything remotely resembling a diagnosis.
All my other PCPs feel like trash since, they just throw diagnoses at me after 5 mins of conversation, no diagnostics whatsoever, no consultation besides their online database. They just say a random diagnosis based on probability. The diagnosis has nothing to do with my reality, it's all based on statistics of the total population or whatever.
So yay for internal medicine and whoever decides to do family medicine/PCP business after getting some other medical degrees.
Just seeing this. As an internist, I find myself answering any and all questions with: well, it depends. But I love the deep dive. Humans are the best puzzle ever!
This man is a GENIUS. As simple as that.
We love you doc. ❤️
Refreshingly funny videos! I can relate to your stories. Nurse of 35 years here from Kentucky
I'm so glad UA-cam's algorithm found you for me! You're probably my favorite (next to cat videos)!
Haha! It’s a close tie for me.
Did the opthalmologist go to therapy? His dependence on Jonathan in every small detail is a point of concern, you know what I need to see Jonathan in therapy 😂 I think he needs to talk to someone 🥺
When is Jonathan going to therapy?
Did... Did you film all of the therapists lines... Then get a haircut, then do internal medicine?
The lengths you go to to differentiate all of these characters are amazing
This was hilarious! Keep up the good work. 👍
“No, no! Do not examine my neck veins while I’m speaking!”
I lost it 😂
That is meeee, I can't help it. As an internist I am ALWAYS examining people... Even those I'm shooting the breeze with.. this is so accurate...IMs can't chill because... Everything is centered around internal medicine.. who has time to sit .. I never have time to eat.. or pee. It's shameful
I just learned your backstory from a video someone else posted, Doc. You have a phenomenal wife and support system. If the same thing had happened to me, I'd have been a statistic.
IM resident here... metoprolol for HTN? We need to examine the ALLHAT trial and ACCOMPLISH trials firstly to see what initial BP meds to start, assuming there are none already. What is the kidney function? Additionally, metoprolol has no alpha activity and if maxed out on the other options, may benefit from carvedilol instead. Do we have an echo? - is lower extremity swelling present? How do the lungs sound? I want to ask more, but I also need to round soon. Bye!
🤣🤣🤣
That sodium gets them every time!😂👍
Lol this is funny! I can’t wait to see a family medicine one, As a former family medicine scribe I know for a fact there’s so much to unpack and many funny angles to take.
I have an Internal Medicine doc as my Primary. Would love to show him these. Love you, Dr. G!
“Please do not curbside your psychiatrist” 🤣🤣😂 the accuracy of this entire video! Lmaooo
I keep rewinding to see the camera cut up to Internal Medicine looming over him lmao
Always cheers me up to see a new vid from you, doc! Thank you for creating all these and putting a smile on all our faces!
the growing aggressiveness in therapist's insistence on enforcing healthy behavior is great
18k to go… no problem making it by Christmas!
I’ve been waiting for one with internal medicine. Sodium, standing, and neck veins, you have us!
This is one of your best ones yet. Incredible! Thanks Dr. Glauc :)
Yessssssss I love this series, keep em coming!
I can remember as an intern having the General Med ward round not even finishing by home time 🤦♀️🤦♀️ By mid-afternoon the Registrars would take it in turns to check on the remaining patients and guide the Consultant to those they felt needed his input. Crazy trying to get stuff ordered for the patients before the end of the day 😬
LMAO!!
I love everything you do! Your amazing! Thank you again!…
Hahahaha! When I was in nursing school, an internal medicine attending was reciting a rap that he made about Medicine to his interns. He also liked to make us, the nursing students, give him a play by play of the patient's complete history, labs, and trends...only to ask (we nursing students) what should be done about it. Nobody ever put me on the spot in such a crucial way. LOVE that guy!
My only regret to going into neuro, is missing out on him.
Lmaooo these therapy videos are my favorite!! This is how my uncle must feel
as a psychiatrist 😂
😂IM OBSESSED WITH THIS THERAPIST!!!!!😝💪🏻
"Do not examine my neck veins while i am speaking!" 🤣
When is the anesthesiologist going for therapy?
130k subscribers! You are rocking youtube doc! ❤️
Aahahahahaha, this suddenly brings all my memories back of my rotations in medicine. Such accuracy 💯 👌 🤣
I was examining neck waves while watching this videos. Just being thorough 🤣
I have so much empathy for my doctors after watching these videos.
Do not examine my neck veins while I'm speaking 😂😂😂😂😂😂😂😂😂😂😂
“Medicine. You have an efficiency problem.”
Truer words have never been spoken.
Hahahaha this was the funniest one yet. Love this series!! Keep it going!!
Love that internal medicine has an edge a mile long! Barely under the surface rage. Lol
Gotta spend _some_ part of the day discussing sodium!
One cute thing is that over here psychiatry is a part of internal medicine.... so this doctor going to therapy is very meta 😂 The way they go over the fine details of every symptom.
I for one would LOVE to have a dr like this!
Oh boy.. neurology is coming .. I can feel it
you forgot that after 4 hour rounds ,reviewing every available piece of literature and discussing every possible therapy , the patient is always started on steroids.
I think I made a wrong career choice. My brain works like internal medicine. It goes through everything, even if it isn't necessary.
Normal to slightly less normal.
How do we measure tolerance?
I'm with you there. Let me know when you find answers doc.
Haha - I love the random funny clips that turn up in my recommended :D
Yes please continue! These are great
Awesome as always, greetings from the lowlands ☺️
This is fascinating! I love it!!
Today I learned that even though I am an equine veterinarian specializing in internal medicine, I am a walking cliché. :))))
As a pet owner who wants to understand every detail of what's happening with my pets, and to have an informed opinion about treatment plans, I would love if all vets were like this.
I love Body Medicine & Ophthalmology, I wish there was a speciality like IM/Ophthalmology , just diagnosis & management without Surgery!
I need to see the therapist going to a therapist and just the two down over analyzing each other
1:19 there is a spot on his glasses oh wait it’s not a spot it’s the screw that holds on the lens
I think this was the best one so far!
I'm a veterinary internal medicine specialist. Same. Rounds and journal club 👍🏻🤣🤣
Coming across this video again after two months and the line "PLEASE do not curbside your psychiatrist" still got me GOOD
I’m a little disappointed that the internist didn’t fall asleep as soon as he sat down and psych just…. Let him sleep 😴
At this point - I live for his videos. Cracks me up everytime! 🤣
Omg I love this series!! I expect the series finale to be the Psychiatrist going to the Psychiatrist 😂😂
I'd love to see an ER/ICU nurse's therapy session...
"How would you describe your mood today?
- GCS 15, sedation 5, in dire need of PRNs as per delirium protocol.
- Did something happen today?
- At triage a patient requested to be admitted to check their blood type."
Can we also add internal medicine RN in there?
"How was your last shift?"
-We have 6 confused jumpers on the unit and none of their sitters are covered. Haldol actually made it worse and we have no order for any other PRN, or restrains. All of their bed alarm went off when my new admission patient came in with a fever of 102F.
@@wwlcat What are jumpers and sitters in this context?
@@vivaciousom5347 Jumpers=confused patient that like to get out of bed, most are elderly with dementia or encephalopathy, the fragile grandpa and granny that one single fall can cause multiple bone fracture or brain hematoma.
Sitters: 1 to 1 observer, a physical staff stay in the room with patient the entire shift making sure they don't hurt themselves. Commonly ordered for suicidal risk patient, confused patient that already had a fall or pulled lines, and patient with IV drug abuse history.
@@wwlcat Thank you very much for your reply. I thought jumpers might be people who had attempted suicide but having six at one time made no sense.
@@vivaciousom5347 I will tell you having six confused elderly on a 24-bed unit is already pretty low, the worst we had was 13 rooms of confused patients that needs 1 to 1 monitor or video monitor. The whole unit looks more like psychiatric unit rather than internal medicine.
I love this doc.
Please make a therapy episode on cardiothoracic surgeons!
God loves you and he wants to save everyone 🙏🏾❤️
As a hospitalist, you are my spirit animal and my inner monologue 😂
How can you know so well ALL our type of colleagues?? 🤣🤣 fantastic
I swear I saw a raised JVP! Can we get cardio in here ? Also. I swear I saw an IM round where the fellow talked about half an hour or more on how to cover your ass when patient is likely to be lying. Then another hour before that about Manchunsen.
Do radiation oncology pleeeaaase!! Matching into RadOnc in 2022 woot woot woot
“Please do not curbside your psychiatrist.” 😂 The delivery was so so perfect!!🤣
I think I just found my specialty of choice XD, thank you Dr Glaucomflecken!
As as former internal medicine resident... this hurt. Thankfully I have evolved to Endocrinology
4 and a half hours for rounds? Those are rookie numbers around here
Literally so true, looking at lab values like sodium or minute changes in hemoglobin and discussing all the possible reasons meanwhile it's all within standard error of the lab
2-hour discussion to start the initially proposed tx. This sounds as legitimate as it can get.
You’re a genius! Laughed so much!!
The therapist is gonna need a therapist.