Making Rounds: Medical Education Documentary Film
Вставка
- Опубліковано 21 кві 2015
- Leading cardiologists Valentin Fuster, MD, PhD, Director of Mount Sinai Heart and Herschel Sklaroff, MD, Clinical Professor of Medicine, Cardiology at Mount Sinai Heart were filmed for one-month for the “Making Rounds” documentary film as they cared for critically-ill heart patients in the Cardiac Care Unit at The Mount Sinai Hospital.
Watch Mount Sinai Heart doctors, fellows, residents, and nurses in action and saving lives demonstrating how simply listening to patients at the bedside remains medicine’s most indispensable tool over any technology.
In this film Mount Sinai Heart helps preserve the disappearing art and science of how to examine and diagnose patients at the bedside for future generations of physicians.
**This film was made possible by the generous support
of the McInerney Family.**
Copyright 2015 Middlemarch Films, Inc
I'm a cardiologist who learned old school clinical cardiology, my teachers are almost all gone. Couldn't stop remembering when I was an insecure cardiology resident and my teachers taught me with patience and care to examinate the patient, they used to took my hand and place it on the patient chest and explained me what I was feeling, put the stethoscope on my ears and explained me what I was listening, patiently explained me electrical vectors in every patient on the ECG, when DrFuster said "most of you learned from every particular patient is at the bedside not by machines" I started crying because of nostalgia. In spanish their named MAESTRO. It's so sad in order to look in fashion the art of clinical cardiology will disappear. As health profesionals we became arrogant and stop caring about the patient, the human warm of holding their arms when we check out their pulse(very important in many cardiology diagnosis) and give them comfort give them hope of everythings going to be all right.
Julian, I am a retired ER doc with a general surgery background, and I can’t agree with you more. Nobody is even touching patients these days. They either sit at a desk or stand at the end of the bed asking a few questions and then order labs and Xrays. How is it even possible to charge patients for a telemedicine visit???
My teacher never thought me like this ...
@@kapil_j777 im sorry to read it, at the Hospital i studied actually doesnt happen anymore, my teachers got retired either passed away a couple years ago. At the Hospital Juarez de Mexico in Cardiology department they still teach like that as far as ive heard. Cardipediatrics at the Hospital Infantil de Mexico also teach like that.
Strongly agree.
L. Mmm nml. The m. K ml mm. M m ml m. Mm
I think there is really something otherworldly about doctors like this, with so much experience and intelligence, you can tell they were meant to do what they're doing.
Smiles
that´s the objective, mate!
Yeah! Gifted AND disciplined!😊
Because it's from their heart, and they are true servants. They are dying breed. Doctors are not being taught like this so much, any more.
And not all about the money
“A ‘non-compliant’ patient requires an obsessive physician” I love how his statement reinforces the fact that we and our patients should work as a team!
I’m from a rural town USA and I’m 72 years old. Two of our original doctors when I was a kid are still here. One is still practicing. They diagnosed just like the doctors in this show do, seldom got it wrong and they did it without all the bells and whistles. They delivered my babies, took out gall bladders, treated heart attacks, did all the emergency room repairs and everything else and seldom lost a patient. They found time for church and hobbies. What a lost art and a forgotten generation.
For real??.... At what ages??
Just watched this movie for the third time now. When I wached it the first time I was still in high school. Now I'm a second year medical student. It's safe to say that this movie inspired me and that it's one of the main reasons I am where I am today. Thank you Dr. Fuster and Dr. Sklaroff it would be my biggest honor to one day maybe be able to meet you. Greetings from Switzerland
@Kenneth Jones who are you? Agro much?
Dr. Fuster and Dr. Sklaroff
hallo us luzern
This also my 3rd time and I am still in highschool
@@D13fs Mister in UK
Wow. I'm a retired nurse; I've met a few doctors like these in the last 45 years. To those 2 men, medicine is both a science and an art. These residents, fellows, and students are getting a fantastic education. I hope they're really listening.
Kathy Jaynes…good morning how are you doing?
i am seeing no interaction , just 2 old dude talking
Bgffyytttrttttt
RIP to Marcedes Diamond Jenkins. Such a beautiful young lady, she fought to the very end for her heart and in the end she just didn't make it. RiP baby 💎 Buffalo, NY!! We L.O.v.E yhu 4L.
#MsMountSinai.
Peace be with you 💚
We Invite You To Join The Religion of Islam, as you may find peace. Islam is the latest Revelation from Allmighty God (Allah) for All the Human & Jinn kinds WorldWide. Our suggestion just Study all Religions including Islam, then you're welcome to convert to the religion of Islam in order to successfully pass this Test of Life and be saved from everlasting Punishment of the HellFire. We wish All the Best 🕊🌷
“Technology is available but your heads should be also available” 🙌🏼🙌🏼🙌🏼 wow that was good
80
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😅😅😅 it's Serious what he said
I love how these old school doctors are schooling these techno-obsessed Millenial docs 😅😅
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This!
I've been a nurse for more than half my life. I've cared for a lot of dying patients. I wept when I read that Louis F. died.
God bless these good physicians for the excellent work they do. Doctors like these were the reason people held doctors in such high esteem years ago.
Me too, 25 years as an RN and 35 years in a caring role. The doctors of today are not trained in this way anymore and it is such a worry. We know as nurses that by talking with a patient, asking the right questions, and assessing the top to toe physical appearance of a patient is essential. I have unfortunately been on the other side as a patient after an accident, which has seen me have multiple spinal surgeries, multiple specialist and Dr appointments and I have been so disheartened by the way these professionals have treated me. They really have no idea and the empathy and compassion seems to be a thing of the past. If we can not rely and trust our doctors to do their job properly, then where do we turn. I have lost a lot of faith in the medical profession it’s sad.
Kitty - does this mean you cease holding me in high esteem?
you "wept"? really?
Peace be with you 💚
We Invite You To Join The Religion of Islam, as you may find peace. Islam is the latest Revelation from Allmighty God (Allah) for All the Human & Jinn kinds WorldWide. Our suggestion just Study all Religions including Islam, then you're welcome to convert to the religion of Islam in order to successfully pass this Test of Life and be saved from everlasting Punishment of the HellFire. We wish All the Best 🕊🌷
I think I was most amazed at how he picked up Marfan's so effortlessly. Show's that he scans the whole patient flawlessly and in such a short period of time.
Actually I am not a doctor but I work in health...I thought she looked Marfanish the minute I saw her. (I have a BSc with a lot of genetics papers)
9
IMHO the third patients diagnosis just looking at the ECG and X ray leading to him zeroing down on to his Asthana, emphysema along tobacco smoking is more amazing.
That’s blew my mind…
Mt Sinai Saved my life. The care I recieved there inspired me to become a physician.
Wow! That's an inspirational story Paul! Go you!!!!
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@@maryboyle2812 You are insane.
@@maryboyle2812 profound
@@maryboyle2812 What was all that about, please?
15:45 A jaw dropping moment for me and everyone watching this.
He simply picked up the medicine (Sprinolactone) simply by physical exam. Analysis of Venous Pressure.
Only a well informed physician can do such a miracle.
He must be very well versed and experienced for sure
@@brianrose8085 Exactly, it needs a lot of experience. Ward rounds, physical examination and taking history are the prerequisites of being a good physician.
To all men and women who wish to go into medicine : please remember your patients arent merely cases - they are people. Show them kindness and gentleness, have a sense of humor. People tend to hold doctors and nurses in high opinion. Ive had a doctor abuse me and i reported him. I have serious health problems. Now ive got a wonderful team looking after me. Remember you are not better than your patient. Please,we depend upon you for our lives. BE CONSIDERATE.
Amen!
I agree. Always LISTEN to your patients. They hold the clues, the provider's job is to listen with great care and respect. The only diagnosis you will fail to make is because of the questions you fail to ask.
Respectfully,
Dr. L. L.
Yes, please!!
1 bbbs1bbdbb to
not really possible with 20 patients to round, then rounds, but before you finish admin you got a emergency from your pager, after 1,3 hours with that case u havent finished ur notes from the rounds, oh a pager again, consult, takes 45 minutes. Time is now 2pm and no lunch. U finish ur notes and calls relatives, time is now 4pm and no breaks or lunch. Time for rounds again! and repeat. so no with current situation in the hospital u cant
Two great doctors showing med students how to show compassion and attention to patients. No computer or robot can ever replace that human element....compassion and inference. These doctors' personal experience is invaluable, of course. The clinical work is where these med students can really apply their knowledge from all the books they've read and lectures they've attended. This is the real work and the stuff that counts.
They are actually doctors (aka residents or junior doctors) not students . But i agree with all you said , great lessons for med students and beyound
Exactly 👏👏👏
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@@MaryamaAmina .
@@MaryamaAmina llllllllll as x
I've watched this twice. Drs Fuster and Sklaroff are brilliant clinicians.
I wish more doctors were like this. This is such an old school way. Actually spending time with patients and talking with them and truly getting to know their patient vs in and out of the room. My grandpa had a kidney removed about 10 years ago, due to cancer, and his dr came out to his house to look at him and visit with him. These men are drs who are drs for the right reasons and because they truly want to heal patients because they know their patients are people too and not another buck in the bank.
Hospitals don't allow you to do this . Doctors are paneled 20-30 pt per day . Unless you are at a teaching hospital
@@protectork9831 depends on your hospital I suppose. Drs could do this more. Some are just in and out because it’s more about money than bedside care. Many don’t like to be bothered when they’re on call either. You don’t have to be at a teaching hospital to truly care for a patient.
@@dhall75608 doctors are not in for the money. My wife is a hospitality she gets off officially at 8 but never leaves hospital till 9pm and still would have to do some notes . 75 percent of time is paperwork . Making 200k a year is not much considering amount of time and dedication. Truck drivers can make 200-300k a year easy. Same goes for numerous other professions . So not for the money
@@protectork9831 again, depends on the dr. Many of them are very in and out and not personable. My Grandpa’s kidney dr was old school. Even came out to his house to check on him after a surgery. Drs used to treat a patient yet still realize they are also a person. A lot of the younger drs are not like that. I work around many of them. It’s about quantity of patients in and out not the quality of the oath they took.
@@dhall75608 how does that make sense? The doctors can't just say no I can't take care of 30 patients today, I need to visit 6 patients in their homes and spend time with them, sorry! Does not work like that. If doctors had more time with each patient they would, but they aren't able to.
These men remind me of my father. He used to take me on his patient rounds as a girl. He still says, “Listen to the patient!” I always have, and the patient usually tells me their diagnosis. I care deeply for my patients. Now Daddy and I work together, and we love our patients at NYU. Please consider organ donation. We can’t use them when we’re gone.
Your father is so right, about listening to the patient, the doctor that listens is the doctor that learns
This is off topic but as someone who has lost their father at 20, cherish every moment you have with your father. He sounds like a wonderful person and parent. You sound like a wonderful person as well.
Xxxxmk k ll x@@bernadettehynes-cafferkey3917
Lorelei Lee I’m an organ donor
You are right. We cannot use anything from our body when we would die. Organ and body donation give us the last chance to live usefully 😛😍
They need to make a reality show of this i'd watch it
That first 10 minutes is already mindblowing. A man goes for multiple MRIs, multiple complete GI workups, all likely costing hundreds of thousands of dollars and a provider who knows what he is doing makes a diagnosis with a bedside assessment, a $20 chest Xray, and having a guy breathe on his hand. We have lost so much in our modern healthcare field...
Blablabla
No
To say this would be taken out of context. Different diagnoses require different diagnostics. In a youtube video is not enough information provided to evaluate the hypothetical reasoning that led to the diagnostics in the medical history of this patient. Such documentaries have to be taken with a grain of salt. Still, the main statement that the importance of a proper anamnesis and examination can not be overvalued is true. Only with this it is possible to determine the next steps correctly and whether some information gaps need to be filled with advanced diagnostics.
@@PinkTurnsBlue11000 The American medical system is run largely by the insurance companies who are for-profit and only care about getting as much money from you as possible.
@@PinkTurnsBlue11000.
I'm a retired family doc. Back in med school, one of the most important texts I used was, "Bedside Diagnostic Examination", by DeGowin. A careful exam by an observant doc is worth all the lab tests available. We were also taught that 80% of your diagnoses should be made simply by talking to the patient (taking a proper history). If you're relying on the lab and medical imaging, you're not doing your job properly.
It's rare that I see a UA-cam comment and think so positively of it. I appreciate your experience and have found the 10th edition of your mentioned book and have begun reading it - although I was taken aback by how many pages it is. Thank you for the idea, sincerely. I look forward to finishing this
You remind me of my GP I just lost - he moved to another state so his wife could attend med school!! He was fabulous, patient and so thorough. I miss him terribly. He actually came to my home to see my father when my father was on hospice and couldn't come to his office - this was in 2020!! He diagnosed me with diverticulitis and PVC just by talking to me and listening to my body. Dr. Hall, you are a fabulous doctor!!!
@@xo2quilt I really respect the manner Americans deal with their Patients.
This bedside manner from the old school must be copied by the new generation of Doctors coming out since the 2010s you know,
@@xo2quilt May Dr Hall Rest in Peace as a Christian Believer.
@@jamesbedukodjograham5508 He didn't die, he moved to another state so his wife could go to med school!
I got teary-eyed when Dr. Sklaroff said that the accountant patient wanted to live. Real doctors!
Dr Fuster is one of the most renowned cardiologist in the world. His achievements and awards would need 10 pages lol
Hes Spanish dude
@@victoriae1933 And ?
@@Kymv8382 nothing bro dont eat me
@@victoriae1933 You're a weirdo.
Is this Dr still practicing
Emergency medicine sometimes makes you feel, you are the most best expert, nothing could happen, you will manage it. After 20 years in clinical medicine, I think the most important thing is authentic humanity in contact with our patients. Treat them as you would wish, your mother should be treated.
Thanks.
Exactly it really hurt me to see how nurses recorded normal temperatures when my mother was burning hot,never in my practice will I do to people what I saw them do to my mother
@@rachealkapembwa2791 --- many nurses today are very apathetic --- they only collect a paycheck and don't give a damn about making people better
@@lukebuchwald9252 I see the issue with lack of personell and time. Many nurses would like to be more compassionate but simply can't. I''m a Nurse too, worked for a long time as a Mobile nurse with a lot of time pressure, you get a sheet of paper with the amounts of time you can take. eg. 3 Minutes for brushing teeth etc. and i personally have never met a nurse that was all about the paycheck .. seriously.. health care jobs are so underpaid that you are better off doing something else! Especially with how much hard work the job is and how demanding it is on the body, I'm sitting here with two fused vertebrae's and a disc implant in my neck because of being a nurse and i can't work as one anymore because of it and i miss it every day, yes i don't miss the paycheck, i miss the work and the people! So please don't talk bullshit online, just because you assume things. Thank you!
Old is really GOLD. I love the way these two Legends in Medicine diagnose their patients....time and patience for the Patient is key. GOD bless you, Dr. Valentin and Dr. Sklaroff
Doctors please listen to your patients. I beg you!
These residents are fortunate to have these mentors. Bedside assessment has become a lost art. May we all maintain an open heart for our patients who depend on us to learn as much as possible and find the clues!
Hi there hope you’re doing fine ???
It's amazing watching the older docs work. The questions they ask and the way they interact with patients is amazing. I loved how they emphasized that technology is great but don't rely on it and you should be able to diagnose based on your skills.
Hi there hope you’re doing fine ???
RIP to Marcedes Diamond Jenkins. Such a beautiful young lady, she fought to the very end for her heart and in the end she just didn't make it. RiP baby 💎 Buffalo, NY!! We L.O.v.E yhu 4L.
#MsMountSinai.
But this is exactly how even resident docs and above do it in India. This is what a normal round looks like.
Peace be with you 💚
We Invite You To Join The Religion of Islam, as you may find peace. Islam is the latest Revelation from Allmighty God (Allah) for All the Human & Jinn kinds WorldWide. Our suggestion just Study all Religions including Islam, then you're welcome to convert to the religion of Islam in order to successfully pass this Test of Life and be saved from everlasting Punishment of the HellFire. We wish All the Best 🕊🌷
Very interesting. I'm an RN and I cared for a retired cardiologist who eventually passed away. He came in multiple times, was an elderly man and he was so kind, had so much knowledge and wisdom. I will never forget him.
Hi there hope you’re doing fine ???
"Listen to the patient, they are telling you the diagnosis..." and
'Justas important are the reasons of admission, is the discharge..."
Genius!
Had recently been required to spend a week in their psych ward due to history of self abuse. Until now I've had very low faith in hospitals because it had always felt rushed and like no one actually cared. The doctors and nursing staff that I've had great pleasure in meeting were genuine and professional my entire stay there. It's been a very uplifting and motivational experience, which in grateful to them for.
Okay know it’s been a year and because I struggle with mental illness I understand where you’re coming from. How are you holding up?
@@marcwhilden5517 ❤ praying for you both don't give up ever!!!
Seeing this new video is the cleanest best pleasure.
You never visited India then, india is way more rushed than American hospitals and doctors do diagnosis like very quickly like this doctor
cuz they get paid so much and have so little patients
When I was a child in the sixties our doctor used to draw with his pen my intestins on my belly. my stomach, bowl, liver, appendix, longs. He gave me confidence. Thank you dr. Uyttenbroeck. And I even remember my mother didn't have to pay for his visit at home...
He said 20% of illnesses are caused by medication😳. That says everything. Thanks Doctors. We need more like you guys!
the two guys are true doctors that cares for their patients .
Best 1 hour I have spent on youtube. I learned so many things. What brilliant doctors those two are.
ua-cam.com/channels/FLdcqGAHEo5VRVCv96l8Ag.html?view_as=subscriber?sub_confirmation=1
I was in critical care in Truro hospital, Cornwall England. In a real bad state with double pneumonia. There was no hope for me, until two young Dr's from some medical university said that they could help. They started taking the piss out of each other, like a couple of guys in the local. But after they visited, they gave me a course of meds, I was out of ICU and in a ward within 8 days. They were brilliant, they are about, guess I was one of the lucky ones.
Kevin Prima so true.
Am really grateful and thankful for what
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How interesting. I always tell my students " Always listen to your patient and their family"
Excellent point!!
Isn't that Histopathology?
Rachel Demain what is?
The brilliance in the senior doctors and science is so soothing and beautiful.
My ❤, for so long i have been judged for my addiction...i am crying. Although i am in recovery, as soon as they hear, HISTORY OF DRUG ABUSE, I AM JUDGED. These doctors LITERALLY make no judgment....this is MEDICAL HELP AT ITS FINEST. THESE MEN HAVE A PLACE IN THEIR RESPECTIVE HEAVENS.
The world needs many more Doctors like these. Thanks for the video :)
Amen!!!! I don't know why but I've had bad experiences with doctors! My daughter & hubby has watched and agree. A lot of it is because they didn't listen to me. They were high & mighty, I was just a number vs human. I have damage & constant pain to my back & my left hand because the doctors would not listen. The back doctor lied and said I didn't know what I was talking about. I had to get rude telling him I still hurt. He finally did xray, came back to room and said yes you have another bad disc but its a completely different one than one he operated on. No. I had 3 bad disc to start out, he iperated on only 1. He kept changing his info & so did his nurse to cover up his mistake that he knew he did but wouldn't admit to it, of course. Please listen to your patients....they know their body. Bedside manners in doctors have become ridiculously out of this world!!
"You have technology available. Your head should also be available!"
They do not teach medicine like this anymore. When I was in hospital and the younger consultant did the ward round with the doctors (not sure if they were students, and by the way one wore extremely short skirts and dresses) he just asked me questions. He did not address the other more junior doctors that were with him. The more elderly consultants however discussed my case and were in depth in their questioning and discussions with their peers about my condition. Sad to see a lot of the patience did not have their diagnosis picked up earlier.
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I don't know if I would really be comfortable discouraging the use of technology. Can we really say that trying to get doctors to move away from technology is better for patients? In fact, there is a pretty strong argument against this. There is a documented correlation between life expectancy and technology use. You can look back to the 1970s and see that right around the time that medicine started using computers, life expectancy in the US got a fairly substantial boost which has continued ever since. I suppose it could be argued that moving away from technology would be helpful for bedside manner, but nuances of doctor/patient interaction are pretty moot if you can't treat the patient.
I hate technology ,,,it start bother me and take my job,
@6:10 No gloves...not using head. #contaimination @14:25 gloves used
I graduated from a rather arrogant U.S. medical school. I never received this type of compassionate and masterful instruction. After watching this, I feel cheated.
these aren't medical students, they're residents and fellows! they'll obviously get more thorough instruction at that stage, as will you. but yes, i agree that would be nice to get this level instruction in medical school
The best thing about these documentaries is that you actually feel like you're there as well.
I wish there were more doctors like those two. They’re amazing.
I had the privilege to work with two Dr's just like these two. Both retired and I cried my heart out. They taught me so much. Honestly I looked at them and had genuine feelings for them like my grandfather. I loved them both. The generation of doctors like this are dieing out.
Luckily, they do still exist. I jad the luck to be treated by doctors and nurses who really cared and didn*t just see me as another case. It gives one hope for the humanity and helps with the recovery more than one thinks.
@@potocatepetl p
As a second year medical student, I have to say this is an amazing film. Definitely learned a lot as I get ready for Step 1 and the wards this coming summer. I definitely agree that that more videos like these should come about to us during our medical training, with an early on exposure.
There is a book by Dr. Herbert Ho Ping Kong from Ontario Canada (one of the best there is) called "The Art of Medicine: Healing and the Limits of Technology" that emphasizes the same concept presented in this video! The great Canadian physician, Sir William Osler once quoted "Taking a lady’s hand gives her confidence in her physician.” Good luck with your Step 1 exam!!
Any chance we can get an update on how your time hands on has been so far? I'm just starting with medical courses so I'm all ears!
hey Tapport. I took my USMLE Step 1 on June 6, 2016. It was a very tough exam man. The best advice I can give you going into medical school is never fall behind in class. I never went to lecture because our lectures were recorded so I watched them at my paced and studied them daily. Then 2 weeks out from an exam block I started studying each lecture again very throughly. Then the night before the an exam I quickly skimmed each lecture. Medical school isn't crazy hard because of the material but what makes it harder is that there is a crap load of material and so little time. Thats why the best advice is to stay on top of lectures, study hard, but also remember to take breaks and plan breaks/things to do. Many people freak out and never study and then they breakdown or go into depression, and even worse, some are so depressed by the medical school atmosphere that they commit suicide. It is an epidemic in the medical training professions so aways remember to take time for you. It will be hard and everyone is super competitive as realistically, you are in school with the top 2-3% of every undergrad around the country. nevertheless, challenge yourself but don't go to crazy on grades. The goal of the first two years is to learn as much as you can, to understand concepts and basis if diseases. Learn it in the first two years so that when you go prepare for Step 1 you will be prepared. Remember, you future patients don't care about any excuse or if things are hard, they care that you are capable of learning and understanding/solving problems in regards to their healthcare. Lastly, never loose your human touch. Sometimes holding a patients' hand, or just by sitting at eye level and listening to their feelings and concerns can go longs way. Feel free to message me at any point if you ever have any questions If you have time I write a blog at my med school, you are welcome to read it and find some interesting tips as I share my experience in this journey: blogs.medicine.iu.edu/paul-salazar/ stay blessed!
Thank you so much! Passed Step 1 and now I am doing my clerkships. I have used a lot of the things I saw in this video and have read the book you suggested. It makes such a difference on a daily basis! Thanks so much and God bless
Paul Andres Salazar Thank you for the response! I never really end up having as much time is I like to keep up with blogs but I'll bookmark this and check in whenever I have time. I also want to clarify as not to take anyone's hard earned credit but I'm not starting medical school yet, just taking an EMT course and preparing for a nursing course after just to make sure I'm actually as passionate as I think I am. But some day I think I'll be there because it really just feels like I need to be.
Thanks for the reply and good luck in your future!
My husband and I are both Cardiologists. My husband for 38 years and myself for 23 years. We will always do our rounds in this manner. It’s human beings we’re dealing with. Their feelings matter, as does their comfort. We learn more about what’s happening with the patient as well.
Deep, deep respect for these two doctors. The people living and thriving because of their compassion for the person, not just the patient, must be too many to count. God bless them.
I love how that doctor goes around and pats his patients on the head haha
+Vietals Me too!
+Vietals agreed! Feels so much like a family! it's awesome!
like at 9:30
was gonna say the same thing
That was mind reading technique no doubt.
This is a great documentary. As a medical student, I wish I had seen videos like this earlier in my career. It really shows great communication between doctor and patients and shows some of the thought processes behind diagnosis. Hopefully more hospitals can make documentaries like these for students and residents.
+Derrick Wade How is medical school going for you?
You are lucky to be there. There are very few good physicians today. God Bless.
They call these rounds sometimes.. but some hospitals have stopped all that .. No more public ones in the auditorium either.. We all went to them.. all the staff who were interested in the specific problem patient being discussed...Very good stuff. Do you have rounds still? The smaller ones do not. x0x
Derrick Wade
Hi Mary, interesting you say that. Are you a nurse, physician , PA, NP?
I am a Pre Med student, one of the best video ever. I want to be a doctor and surgeon who is attentive and caring of my patients. I also was a phlebotomist in the hospital and I truly enjoyed it-the good and bad. Bed side manner and physical work up is so important, I wish to be even half the doctor as those two!
As a nurse this is definitely what we see in hospitals. Physicians come in for a few minutes and barely talk to their patients. Some even just take a peak through the doorway. This is one of the best medical documentaries I’ve ever seen and it teaches doctors such an important component of health care. Technology is not everything
Bedside diagnoses are common place in many third world countries (for the most part) because of the lack of technology in most hospitals. I would encourage as many medical students and doctors to go to these countries for a clinical rotation or two because of the tremendous learning opportunities, especially in learning to manage patients with very few resources available.
these are incredible clinicians that is why they got to make the video
Over here we already have the technology but patients don't love a doctor who uses software aimed at coming up with possible diagnosis.
I've used some technology developed by a team from the US and I discovered I can only rely on it as a road map. I have to come up with my possibilities after consultation and observations, history and stuff. Then as I go through the software, I will check out if it has similar diagnoses.
But I will recommend using your knowledge (which you should expand everyday) and technology advancements.
I agree
As a physician in Ghana you rely on ward rounds and bedside diagnoses 99% of the time in other to administer proper patient care.
Sri Lankan hospitals are going to be quite interesting to dabble in. Thanks for shedding light on this.
Oh yeah! Come to India!
Wow is all I can say!!! Those Drs were incredible. The years of experience they brought to those students was priceless. I am a 42 year old EMT going through the process right now of becoming a Dr, and I hope when I make it I have mentors with knowledge like they showed in this documentary. Awesome!!!
Hi there hope you’re doing fine ???
My god how I wish more doctors were like this.
“Technology is available, but your heads should also be available.” So much wisdom. Glad I clicked on this UA-cam!
I was once told by an old Dr named Dr.Skom who worked for NWH in Chicago, IL. That docs should always treat pts and not labs or test results. These docs here in the film was a perfect example of that. It's always good to listen to your pt.
When my Dad was in medical school back in the 80's this was one of the things they had to do, to get to know their patients. He doesn't seem to think about retirement any time soon as he sees a lot of young physicians doing the five check and move on to the next and let the new technician do all the diagnostic, not even nurses are there to observe because they are given extra other tasks and patients. It has become a rushed environment rather than a patient environment.
All about the $$$ now. As profits go up, quality goes down. Short term thinking is the problem. Same reason Boeing had two airplanes crash and kill 300+ people.=
These older doctors are totally amazing!!! I had no idea that you could tell anything about our hearts by looking at our hands!!! I learned so much from them!!!
Hi there hope you’re doing fine ????
Half a million misdiagnosed patients a year,wow!! thanks to Doctors like these they can proceed to teach the new with the old ways! keep up the good work and teach away!!
i start working as an RN at the mount sinai hospital ER this wednesday. i am so excited to work for a hospital like this, filled with brilliant minds--capable of seeing the unseen, and hearing the unheard. i plan on taking so many parts of this documentary to work on wednesday and every day after.
I loved the young lady's part.. I just turned 22 today. I can't imagine how she feels being the same age with a physically weak heart.. She's a fighter for sure.
What a wonderful world if these two were available in every hospital 💙
funny. I feel this video should be circulated in every hospital
There's a reason why computers. Humans misdiagnosis at a 76% rate and kills alot of people. That's why the computer system is there. While I commend them that's not feasible in the everyday world guessing patients illnesses.
Also, RIP to Marcedes Diamond Jenkins. Such a beautiful young lady, she fought to the very end for her heart and in the end she just didn't make it. RiP baby 💎 Buffalo, NY!! We L.O.v.E yhu 4L.
#MsMountSinai.
These doctors are amazing! Thorough, attentive, compassionate...why is this becoming a rarity in medicine??? This should be the norm
umm idk which doctors u go to, but in my experience it isn’t becoming rare at all?
All Doctors should take a lesson people from these docs it be a perfect life
@@opinionation571 where are you from?
@@aventuscreed sadly...every doc I go to is just trying to bill my insurance
L hr ur
I have never enjoyed a video more in my life.
The Doctor is absolutely amazing! His bedside manner is impeccable. You can tell he really cares for his patients. What a sweet man.
These doctors are so valuable, the experience they have is incredible and it’s great to see how they are trying to share there wisdom with the next generation
Full history is the key to diagnose a patient, even without diagnosed machine...
First year medical student, very good video! This is how rounds should be like. Very educational.
3rd year here!! 😊
I wish you good luck... It will be a very long journey....
😉
So do I call you doctor now.
"you have the technology available, but you also have a head available...LOL" I love this guy.
I’m a retired nurse with that said I think these type of videos should be required in schooling. Bedside is best imo. You need to be a investigator and able to notice the little things that you can see physically and hear the patient.
I am just shocked to see the diagnostic skills, amazing!
I am proud to say that this is kind of medicine that we learn here in Serbian on Belgrade school of medicine and I can say that it is a real honor and satisfaction to learn and do this kind of Art. Learn propedeutics. Many greetings from Serbia 🌺
Every primary care should watch this
Dr. Fuster has an air about him that touches my soul. Oh to be able to meet him.
If these two doctors lived forever.......
They would save more lives than you can imagine.
It’s not that they are only doing their job incredibly but what makes this greater is passing on their knowledge to future doctors who will carry on what they’ve did (resulting in saving more lives), and the cycle repeats and improves by time.
They (doctors) have to listen to people when they come to the emergency, not think that people are liars.
“,…
I am thankful to doctors who feels their patients... Not just a 7min stethoscope touch eventually prescription hand out. I got huge respect n faith to doctors who spend their time listening to the one in pain...kudos to old fashioned healers!
I hope and pray that if I ever get sick, I will have doctors like these to save my life!
Doris sharp…hello good morning how are you doing?
"I make a living on stopping medicines". Lol
Great video. Learnt a lot
I especially liked that also!
These two doctors are amazing. God Bless them.....
These two doctors are G’s, absolute G’s. A generation of DaVinci’s. What a beauty in how they describe prescribing diuretics. What a beautiful interaction in how these two doctors interact with patients and do a bedside PE and diagnosis. These guys are doctors, and the system hates these doctors as they practice real medicine and not over and unnecessarily test their patients.
These medical students are so fortunate to have preceptors such as these 2 doctors. What a great documentary.
These guys have forgotten more than most will ever know .
I'm Medic from Ecuador, and actually working in Spain, I can say that these two doctors remind me of some very good professors that I have in my university, back in, Ecuador, if we talk with the patient everything is less traumatic even for him, and clearer for us.
Thumbs up for the patients not giving up on their lives which made both of us stronger. Very touching ending.
This is how medicine should be practiced! These doctors are in a whole different league. They are not only intellectually superior, but most importantly they are compassionate and empathetic. They look at the whole person and don't talk over their patients. If only all doctors had their attitude.
These residents/interns are very lucky to learn from real old school doctors!
What an inspiration!! I'm a med student planning on going into internal medicine. I hope to have mentors as great as these guys! The history and physical and the doctor-patient relationship are the keys to getting the diagnosis right and helping the patient. Thank-you for sharing this video. :-)
Hey how are things going for you now?
I am a young doctor and I watch these doctors with admiration. I aspire to practice like this. My seniors are nothing like this unfortunately.
I love the way that professor talks to patients, examines them and raises the problems. That is why old doctors are always better than young doctors. 😊
I wish I could look in to these doctors minds as they're examining the patient and see how their wise minds click.
@Ryann Neuhart I started Nursing School a year after this comment. So I'm a half a step closer ahah
@@joshuarios1031 Nurses aren't doctors
@@josephs3169 Thank god for that! 18 years in a row as the most trusted profession. I chose the right profession. :)
@@joshuarios1031 Certainly not paid as well as an MD though
@@josephs3169 Luckily for me, money isn't everything.
-"This is a 102 year old female. She never had gone to the doctor"
-"That's why she's 102.."
👍
🤣🤣
I loved the video. The doctors are brilliant!! My father had a same approach to his patients..it is the bedside thorough patient assessment that draws the diagnosis and confirmed by other studies.
“She got there by herself. Let’s not do too much.” 🤣
My Dad never went to the Doctor and he Died at the age of 57 on 5/5/2020
@@meaganmoore1120 I am so very sorry for your loss.
Bless him!!
Bless your Dad!!
These kind of human are rare. I cry for no reason because their way when threat their patients and juniors is full of dedication. 😢
I'm a nursing student, and watching the assessment these physicians do is incredible! I'm so used to watching these horribly acted videos and it's nice to see a more natural way health care workers take history and perform their assessments! It felt very helpful.
I love this type of documentary. As a RN, I hope in a future to be able to make a impact in people life, be able to see people as a whole, no just treating diseases, but view them in a holistic way.
Cardiologists are so smart and have such a distinct personality, love them!
Daaraofthegesert Internal medicine Doctor’s are generally skilled. Cardiology is just a speciality of it.
Dr.Varsha Scooby exactly I wd say the internal medicine specialist are the super doctors who can connect with all specialities easier than an organ specialist .. but of course everyone has his opinion , neurologist are quite special too ... in my opinion .., then last but not least MEDICINE SCHOOLS DO NOT CARE ABOUT NUTRITION !! Very very interesting scientific mindset !!!’
The doctors are old school. Their years of experience are so valuable to their students. Wonder how everyone in the documentary are doing now. How are the patients?
They’re dead 💀 they’re waiting for you
These 2 physicians are really sharp minded and compassionate.
I like the way he does body examination, it reminds me of some old expert who gets their skills without modern technology. Today's young doctors are over-dependent on modern lab test.
48:52 you can see the mother react immediately when she hears the word "marfanoid", so you can probably guess it's the first time she's heard that word regarding her daughter. Absolutely amazing what these Docs are doing.
I adore Dr. Sklaroff! He is so kind. You can tell he truly cares about each patient he talks to.
These two AMAZING Drs should be teaching as many students as possible!!! Great men!!! 👍👍
Dr. Sklaroff was adorable! You can see the sparkle in his eye when he is with patients and discussing patient care.