The moist axilla is neat reference to a study finding that a dry axilla was a very sensitive finding for dehydration. Glad to see the subtle medical references still make it into these videos!
My attending told me not to believe everything he says and especially not everything a resident says because a lot of the time, "they are just making shit up" (actual quote btw)
So much of medical practice is a perpetual chain of clinical decision making based on what you learned from your seniors, which they learned from their seniors and so on. If you follow the chain back far enough, you'll find most of it is just based on an attending who made it the fuck up one day not to look stupid.
i have both given and received that "is the patient sick or not sick?" advice approximately a million times 😭 preston i'm sending you my therapy bills for setting off these flashbacks
Peds. So traumatic. Outpatient clinic, first day with a Resident, gave me the chance to present said the attending was nice....She was not. Presented, I got stage fright and fumbled. Attending just stops me and looks at the resident and went, "Really? You're a 3rd year resident and you didn't teach him anything." I want to retract my body into my scrubs like a turtle.
wow had a really shitty day two weeks ago where an attending took a picture of my notes to show to the head of clinical medicine "you're not in trouble" and ig this is a reminder to me that it can get worse i guess
This attending is nicer than any of the attendings I’ve presented to. In my final year of med school whilst presenting, my supervisor (a Surgeon) ripped into it so hard he threatened to fail me on that rotation just for the presentation alone
I haven't done this yet but I don't understand why everything in med school has to be so stressful and judgy, why can't we just discuss without pressure of being ridiculed by more senior peers.
Mosf of the time is the high workoad, low resources and even less time to complete it all.. Every second counts, so people overtimes change their personality to this even if they don't want to... This the sad reality of medicine throughout the world..
@@ArunKumarMalaysia that doesn't explain it at all. I think it has to do it doctors needing to know stuff otherwise it might lead to severe repercussions not found in other careers. People don't take kindly to doctors making mistakes due to lack of knowledge
Once an attending randomly asked for a hemoglobin on a patient from like 6 months ago and I didn’t have that prepared and I said I don’t know and he’s like well find it out right now before we keep talking and I had to go in the EMR and it took forever and he just sat there in silence just waiting for me. He was an incredibly nice attending but that, that was painful. I will never forget it. There will be more to come
the 0.5x lens ain't treating you well and may be worse than reopening the wounds of med school ESPECIALLY THE RESIDENT THROWING ME UNDER THE BUS OH MY GOOOOOOD
depending on the accuracy of this i can safely say that working as tech in the ED and speaking with doctors every day has at least mildly prepared me for presentations in med school
Don't stress too much, you're not meant to be good at it on your first rotation. If it was easy we wouldn't have to learn how to do it! Just throw yourself at it, accept that it'll feel really awkward to begin with, and you'll get better with time. Avoiding it is the only way to stay bad at presenting.
Psychiatrists are generally very nice and welcoming. If they want you to write notes, just write down basically everything that's said. Then completely forget that when you do a surgery rotation.
@@QuidamEUmy biggest worry isn’t that I’ll be dumb, but that since I’ve never talked to patients before that I don’t have the “social skills” for something as socially nuanced as psych. Any advice on that end?
@@fulltimeslackerii8229 I think again that's basically asking "how do I become experienced?" - the answer is that you need to allow yourself to be awkward and clumsy, that's how you learn. In my experience, patients were remarkably understanding of my, and my fellow students', clumsiness - even in psych. It really only takes a couple of patient consultations to lose the anxiety of a new situation and start becoming more comfortable with the topic. You've made it this far, have some confidence in your ability to adapt!
Not hyperhidrosis but the axilla in particular. There was a study analysing different markers of fluid status that found a dry axilla was very sensitive for dehydration. The joke is that this is very niche and in day to day practice nobody does this.
It’s about the juxtaposition of the resident supposedly helping/teaching you vs the resident throwing you under the bus when with the attending. The change of behavior is supposed to feel as jarring as the video cuts which adds to the sense of disconnect.
“Why would you diurese this person at his dry weight? “We should continue his diabetes osmotic diuretic cuz it’s protective in heart failure” God pls tell me stuff like this is fake
Dude I have two videos on it (here) with over 1.4 million views on my other platforms. I’ve raised 150k for families to pay for passage through to Egypt. Stop Stop using my comments section to blast your political objectives. Find another way to support your cause
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WOW THE BETRAYAL!!! Literally threw her under the bus, the train, the tram, and the trolly!
most accurate thing I've every seen.
"his legs look swollen.... to us."
My god he even got the impatient attending breathing to relax themselves over the extraneous information in the presentation LMAO well done
“We’ve actually been doing some teaching” sent me
0:44 “Because weird is not precise language.”
Not sure why I laughed so hard at this.
The moist axilla is neat reference to a study finding that a dry axilla was a very sensitive finding for dehydration.
Glad to see the subtle medical references still make it into these videos!
Didn't know that
Nice, I was wondering about that
Axilla is armpit for the laypeople
I can't explain how sweaty my armpits and hands are while watching this video, reallllyyyyy brings me back lol
For real. I'm sitting at home playing a video game on vacation and it's making me anxious.
“Is your axilla moist?”
this is like being in a warzone and watching violent war movies
The next Glaucomflecken. This guy can not miss
The cool thing about being an EMT is I don't need to worry about this because no one cares about my report even if it's perfect
“We have a 62 year old male, chief complaint of chest pain-“
“Yeah yeah cool ok where do I sign”
premature med school trauma is what I didn't know I needed today
LMAO the patient codes immediately
The attending staring into the void be true lol
The cuts to the attending being painfully stoic 💀💀💀😂
EDIT: I just noticed he went back to reading his kindle HAHA
Yea very accurate
squid?
Reactivation of my fight or flight response was exactly what I needed at 7:19am this morning to really get the blood pumping. Takes me back
My attending told me not to believe everything he says and especially not everything a resident says because a lot of the time, "they are just making shit up" (actual quote btw)
So much of medical practice is a perpetual chain of clinical decision making based on what you learned from your seniors, which they learned from their seniors and so on. If you follow the chain back far enough, you'll find most of it is just based on an attending who made it the fuck up one day not to look stupid.
I’ve heard a bunch of bullshit from attendings, so… yeah 🤣
i have both given and received that "is the patient sick or not sick?" advice approximately a million times 😭 preston i'm sending you my therapy bills for setting off these flashbacks
Peds. So traumatic. Outpatient clinic, first day with a Resident, gave me the chance to present said the attending was nice....She was not. Presented, I got stage fright and fumbled. Attending just stops me and looks at the resident and went, "Really? You're a 3rd year resident and you didn't teach him anything." I want to retract my body into my scrubs like a turtle.
wow had a really shitty day two weeks ago where an attending took a picture of my notes to show to the head of clinical medicine "you're not in trouble" and ig this is a reminder to me that it can get worse i guess
Oh boy i am starting peds rotation in 2 Months from now
I am soooo excited
This attending is nicer than any of the attendings I’ve presented to. In my final year of med school whilst presenting, my supervisor (a Surgeon) ripped into it so hard he threatened to fail me on that rotation just for the presentation alone
What the fuck
This shit is straight PTSD
Nightmare fuel fr, great video
Thanks dude
Code status? Yeah probably not that important... until it is
The GDMT bit here was fantastic!
Very accurate, yes the resident betrayal is not that uncommon in the exact same kind of settings
I haven't done this yet but I don't understand why everything in med school has to be so stressful and judgy, why can't we just discuss without pressure of being ridiculed by more senior peers.
Mosf of the time is the high workoad, low resources and even less time to complete it all.. Every second counts, so people overtimes change their personality to this even if they don't want to... This the sad reality of medicine throughout the world..
@@ArunKumarMalaysia that doesn't explain it at all. I think it has to do it doctors needing to know stuff otherwise it might lead to severe repercussions not found in other careers. People don't take kindly to doctors making mistakes due to lack of knowledge
THIS IS SO ACCURATE. Sometimes they are on your side mostly they are on THEIR SIDE. YOU ARE THE FODDER
His palms are sweaty, knees weak, arms are of heavy….
Entrance music for every med student. Man this was too accurate
I was so second-hand nervous I could barely watch lol
Hospitalist here, this slaps
hurts to the core😢😂
oh God i'm getting flashbacks to internship times when we needed to present cases directly to the specialist :X
Oof, even the trembling in the voice, made me anxious how realistic that was
1:28 TOP 10 ANIME BETRAYALS
Once an attending randomly asked for a hemoglobin on a patient from like 6 months ago and I didn’t have that prepared and I said I don’t know and he’s like well find it out right now before we keep talking and I had to go in the EMR and it took forever and he just sat there in silence just waiting for me. He was an incredibly nice attending but that, that was painful. I will never forget it. There will be more to come
"what's his code status....??" immediately codes
the 0.5x lens ain't treating you well and may be worse than reopening the wounds of med school ESPECIALLY THE RESIDENT THROWING ME UNDER THE BUS OH MY GOOOOOOD
As someone about to get into 3rd year, I feel my anxiety going up lol
the code status LMAOOOOOOO "yo actually I think we need to- "
depending on the accuracy of this i can safely say that working as tech in the ED and speaking with doctors every day has at least mildly prepared me for presentations in med school
It's very accurate.
Idk how u do it but these skits make me feel like a m3 again
“Yeah so why do you want to diurese him ?” Oh man so true.
Pleaseeeee I just finished my IM rotation and this was traumatic to watch 😂😂😂😂
Exactly how I felt during medschool..😮
This was too real lol. Damn
Perfect video
Another banger video 🔥
I start rotations as a 3rd year in 1 month. And it’s psych. Any advice for me? I’m kinda nervous about psych being my first rotation
psych is usually more chill but just keep organized notes so presenting is easier (and rehearse if you have time!)
Don't stress too much, you're not meant to be good at it on your first rotation. If it was easy we wouldn't have to learn how to do it! Just throw yourself at it, accept that it'll feel really awkward to begin with, and you'll get better with time. Avoiding it is the only way to stay bad at presenting.
Psychiatrists are generally very nice and welcoming.
If they want you to write notes, just write down basically everything that's said. Then completely forget that when you do a surgery rotation.
@@QuidamEUmy biggest worry isn’t that I’ll be dumb, but that since I’ve never talked to patients before that I don’t have the “social skills” for something as socially nuanced as psych. Any advice on that end?
@@fulltimeslackerii8229 I think again that's basically asking "how do I become experienced?" - the answer is that you need to allow yourself to be awkward and clumsy, that's how you learn. In my experience, patients were remarkably understanding of my, and my fellow students', clumsiness - even in psych.
It really only takes a couple of patient consultations to lose the anxiety of a new situation and start becoming more comfortable with the topic. You've made it this far, have some confidence in your ability to adapt!
Why was the attending asking about hyperhidrosis?
Not hyperhidrosis but the axilla in particular. There was a study analysing different markers of fluid status that found a dry axilla was very sensitive for dehydration. The joke is that this is very niche and in day to day practice nobody does this.
Oh my god this is so real as an EMT giving your first patient report
Can we please not close caption videos if the subtitles are going to be wrong?
I felt this. Fucking senior
This content slaps
Actually why I didn’t go into IM
I dont understand why americans have the lasix as the number one option for any oedema?
Sorry
Lol
Ur on that VA-cation lol
I saw the thumbnail and I knew it was gonna be a painful watch
As a current student this gave me angina
Uhhhh how could it be his dry weight if he’s showing signs of 3rd spacing 🤓🤓🤓
🤣 soooo true!
Gold
God. I absolutely hate presenting patients. It’s a nightmare especially for those with adhd.
FACTS
hell yes
didnt know moist axilla was a thing ???
It's a good place to check for dehydration especially in older patients
I got insanely triggered watching this (not me also applying IM this cycle lolz)
I vomited in my mouth a little. It's just like the real thing! All that was missing somebody correcting "goal" to "guideline" in true IM fashion.
This is so triggering i hate it
Thanks, I hate it :,)
Any medical professional can watch this for immediate psychic damage. Truly, one of the few irl memetic hazards in circulation.
The sudden cuts is confusing between the two scenes of med stu and resid
With
All three of them
It’s about the juxtaposition of the resident supposedly helping/teaching you vs the resident throwing you under the bus when with the attending. The change of behavior is supposed to feel as jarring as the video cuts which adds to the sense of disconnect.
This is the most horrible video I’ve ever seen in my life
Why?
@@chillie000 Too close to home
@@phantoka1997 ahh
“Why would you diurese this person at his dry weight?
“We should continue his diabetes osmotic diuretic cuz it’s protective in heart failure”
God pls tell me stuff like this is fake
No dude this is as real as it gets
@@itspresroa literal catch 22. Were being set up to fail
@@merelymaterialIdk. I’m still a second year 😭😭. I’m gonna guess no based on how you asked
You understand that his current dose of diuretic may be the only reason he's managing to maintain his dry weight right?
Post about palestine!!!
Dude I have two videos on it (here) with over 1.4 million views on my other platforms. I’ve raised 150k for families to pay for passage through to Egypt.
Stop
Stop using my comments section to blast your political objectives. Find another way to support your cause
@@itspresro Ok thank you!!!