I respect doctors and medical students so much I almost want to be one but I could totally never handle the responsibility (also I absolutely dread going to my current 1000 level science classes😂) so I think I'll stick with early childhood studies, but hats off to you!!💖
Just watching this video was a little terrifying! Definitely have lots of respect for doctors and medical students! But I also really respect early childhood educators too- in some ways you need many of the same skills- to stay calm in crazy situations.
Yeah seizures are scary. I had one when I was young and it is still the scariest day of my parents life. I have so much respect for doctors in the ICU.
I am so grateful to be in a time where I can watch other residents experiences online! My goal is to become a doctor in the near future, so having people to look up to and "talk to me" about their experiences online is very nice. Thank you so much for taking the time to upload videos while being extremely busy! I appreciate you!
Hi Shantel! 🤗 Great to hear from you, and thank you for such a thoughtful comment! Best of luck on your journey to becoming a doctor, let me know if there are any burning questions you have that I can try to answer!
I got dropped in the deep end during my initial EMT training. On my first day we ran a cardiac arrest call and probably because it's the "easiest" task on such a call, my partner assigned the compression part to me. But then we get there and there is a policeman lying on the floor, his partner standing over him and trying to get a reaction, but the man is visibly gasping for air. I froze for about 5 seconds, the emergency doctor shouted at me "It's just agonal, start already!!!" and then I snapped back into a kind of automation only training can provide. We managed to stabilize the patient and get him to the ER with a steady and strong pulse, but I don't know about his one-year-outcome... I do however second that sentiment about (a) the first situation where you have to make decisions being SCARY and (b) good training getting you through it.
Thanks Cee Q - i'm definitely trying to keep it as real as possible so I'm glad it's coming across! it's not always the glamorous lifestyle you see online haha
Here is a tip. Between book learning and actually doing a procedure lies visualization. Vividly imagine yourself doing something, step by step, maybe even making the movements with your body and hands. You'll move much more smoothly and decisively when the actual situation arises. Here is one description: www.keytostudy.com/train-like-navy-seal-visualization-goal-setting/ Another useful technique might be called scenario rehearsal. Imagine situations that might arise when you're on duty: "What would I do if...." Figure out what you'd do, and then visualize yourself responding properly. Do that with enough scenarios, and you'll find that you're also conditioning yourself to stay calm and think even in situations you've never thought about before. You're building up a stimulus-response that when tense situations develop, your learned response is to think clearly rather than panic. You'll become one of those fortunate people that the greater the stress, the calmer they become. Also with those stored scenarios, you'll building up a library of possible responses, including perhaps one that could be adapted to a new and unanticipated situation. I had that happen to me mountain climbing. ------ Finally, if you find your emotions spiraling out of control, turn to tactical breathing. It's simple enough you can use it when you're responding to an emergency. Just remember the number four. 1. Slowly breathe in for four seconds. 2. Hold your breath for four seconds. 3. Slowly exhale for four seconds. 4. Hold your empty breath for four seconds. Do that until you feel your body calming down, perhaps after four repetitions. What you're doing is forcing you body to act as if all is calm, and it will respond by settling down that pounding heart and rapid breathing allowing your mind to clear up. In a hospital, that "run from a hungry bear" response won't do you any good. ---- Getting down these scenarios and seeing them work in practice feels marvelous. When I cared for teens with leukemia, I was walking past a girl's room when I heard a peculiar cough that in our circumstances indicated she might have air going in her central line, mere inches from her heart and brain. Five seconds after that first cough, I was completing the last of the protective procedure I'd been taught. I rushed in, confirmed the air. At the same instant I turned off her IV pump, pulled the pillow from under her head, and asked her to roll on her left side. All that remained was to elevate the foot of her bed. Afterward, it occurred to me that it was physically impossible for me to have responded any faster. I thought and acted as fast as anyone could. That felt good, particularly given the complications that could have resulted. And yes there was a reason I moved so quickly. This was the 1980s. Dr. Hickman himself was on our staff and we'd become the first pediatric hospital in the world to use his line routinely for children with cancer. I'd worked on the Hem-Onc unit when we'd adopted the line, so I knew it well. Unfortunately, as those lines spread through the hospital, the training that nurses needed hadn't kept up with the lines. This was the fourth time I'd caught that particular nursing error. It'd taken that many times to turn a procedure into a learned reflex. When I heard that cough, I thought "Air!" and all that followed was automatic. Air in a central line is bad. But knowing how to respond quickly and decisively feels very good. All this and more will be in the book that I'm currently writing. You've gotten a sample. It'll adapt stress management techniques used by Navy SEALs and others to a health care context. I'll be blending SEAL principles with my own hospital experience and my adventures mountain climbing. It should prove useful. You can check out Amazon for the books I have already written, including one on how to handle the embarrassing situations that healthcare brings. --Michael W. Perry, medical writer
Michael W. Perry that was incredible to read, and can't wait to get my hands on a copy of your book! I'm still in my final preclinical year (so halfway through med school) and I'm constantly worried about panicking in certain circumstances and freaking out the patient as I have some anxiety issues. I learned some great tips from you today, many thanks!!
Your voice,laugh, and smile are so soothing to me for some weird reason lol. Just came across your channel randomly and I’m so happy I did! You should make more videos like this! Subscribed😊😊
My boyfriend has epilepsy and I remember the first time he ever had a seizure in front of me (it was a grand mal) It was so scary everything happened so fast! Greatful for you and other doctors that are always there to help ❤️
This is such a great video. I love how down to earth you are and how conscious you are of the possibility of making a mistake. I am an OB Nursing student getting ready to start the program and both as a student and a patient myself, I really appreciate when doctors are a little more human and less “cowboy”. I have been diagnosed with very serious diseases only to receive testing back as negative. It’s very hard as a patient to accept the fate of a terrible illness only to find out days later that it was a misdiagnosis that was told to me with what seemed like 100% certainty. There is such a huge need for sensible empathic doctors in the world we live in. That’s the kind of nurse I strive to be. It looks like you also find importance in that. :)
5 years ago I ended up with an endocarditious infection ( drs still don’t know how I got it) I ended up very septic with a 107.2 fever and my doctors decided to fly in a total artificial heart to have on standby for the surgery they planned to do to try and repair the damage done to my heart but when they went to put me under anesthesia my heart stopped and they could not recessitate me so they put me onECMO and talked to my parents and husband and every one decided to remove my heart and try the total artificial heart machine while I waited for a transplant. I was on the total artificial heart ( Jarvik, cardio west. Whatever name you are familiar with) and I waited only 3 weeks for my heart transplant. I am now 5 years out and 28 years old with no rejection so far. My infection had spread to my kidneys lungs and spleen but That was resolved with 6 weeks of at home iv antibiotics through a picc line. I had had a previous heart surgery 3 years prior to this to get an aortic graph to repair my anuerismal aorta due to Marfan Syndrome so I had a pacemaker and artificial stuff in my heart so they feel that’s why they infection traveled there and why it was so bad. so I still obviously have Marfan and have backs and feet problems from that but so thankful to my drs for knowing exactly what to do to keep me alive. Love ur channel and find it fascinating ❤️Danielle from Wisconsin USA
Hi Danielle - wow I'm truly amazed and humbled by your story. All the steps that led to you being alive today is incredible. Thank you so so much for sharing your story. I am really sorry that you have been through so much at such a young age. You are an inspiration to us all. I am honoured to have you part of this community ❤️
I'm a nursing student and I came across your videos and I love watching them! You sharing your experiences makes me super nervous and excited about clinicals next semester. Just subscribed to you. :)
I've always wanted to be a doctor! I LOVE ALL THINGS THAT DEAL WITH MEDICINE! Sadly I was diagnosed with Chiari Malformation with brainstem compression and have survived 2 brain surgeries. So I have to live with being on this side of medicine and live Vie curiously through others. I'm so thankful that I've found your channel! Good luck on all your endeavors!
All your videos are great but I think this one is officially my favorite! I remember at one point on my first clinical rotation someone said, "Hey, respiratory, what do you want to do?" I looked around for a second until I was like, Oh yeah, they're talking to me! lol
I've started to love your channel as I am a nurse myself. This gives me a little perspective on what really goes on the other side of my job (not like the one's from grey's anatomy. Though i freaking love that show. lol) I just wished you've stated what was the interventions done on each of the scenario so if one time it happens on my shift i would be at least prepared. hehe
New favorite UA-cam channel. I am a DPT student in a hospital in the US and a longtime UA-cam fan and love getting to hear about your perspective ! Thanks for sharing 😊
Hi Ann Marie! Thanks so much, I'm so glad you are enjoying the videos! I really appreciate what you do for patients as a physiotherapist... so incredibly important for good outcomes!!
I’m currently in my first year in university, i’m majoring in Biology and my goal is to be a doctor, i’ve played the flute for nine years so I feel like I relate to you so much on so many levels haha! Lately school has been so hard on me and i’ve been so stressed and there are some days I feel like I cant do it anymore :/ but your channel gives me so much hope. Thank you so much for your positive energy and videos 🙏🏽 they have such a big impact on me.
Hi Daniella! wow we do have so much in common! I have felt those tough days as well, just try to remember why you want to go down this path... what's your passion, your motivation? Keep it up!
I love your intro! You are a super interesting person, you love medicine but also have a passion for music and life in general (sounds cheesy, i know, but I love to see people like you exist)
I’ve always wanted to be a doctor but I don’t have the stomach for blood and all that good stuff. Sometimes it just makes me sad to think I could have been in Med school but this has stopped me. Decided to peruse a career in education instead and I’m on my way to become a principal.
Hi Charlie! great to hear you have found a passion in education and are doing so well, it's such a critical role and shapes so so many people! thanks for sharing ☺️
I love your videos 😍. I am doing pharmaceutical undergraduate course but my ultimate goal is to get into medical school. Watching your videos boosts my love for medicine.
Hi Ayaan! 🤗 So glad you found the channel and that it has had such a positive impact on you - tha's so motivating for me to hear! Let me know if you have any questions on your way to med school!!
I got very sick suddenly 4 years ago. We are still trying desperately to figure out what’s wrong with my stomach, but I’ve been diagnosed with postural orthostatic tachycardia syndrome, severe mast cell activation disorder, elhers danlos syndrome, fibromyalgia, median arcuate ligament syndrome and more... I’ve spent over 200 days in the hospital just in 2016. Seeing the doctors side of things is very interesting to me! It’s easy to forget how hard you guys work when waiting for meds or a question answered! Thanks for showing us what the other side of hospital is like!
Have you been tested for gastroparesis, chronic intestinal pseudo-obstruction and/or colonic inertia? I have EDS and autonomic failure with all the lovely motility disorders that come along with it :) Major empathy with the hospitalizations...that's where I'm at right now haha. I hope you can get things figured out and under control. Sending you love!
LS Kath yes I have. My GES came back negative at my local hospital and in the middle of it we got a call that mayo had an opening if we were there at 8 am the next day. We live in Texas, it was 4pm and we needed to drop and run to get to Minnesota. I only add that because I had a second GES done two days later because mayo wanted their own and needed results right away. The local one was normal, but the one two days later was so severely slow that they tried to convince me to do it again for research by paying me $400. I said no because the pain and sickness it caused me weren’t worth any money. I had a third one done that showed some delay, but not very bad. All of that to say that they kind of gave up on Gastroparesis and we dropped that diagnosis. We believe my mast cells have a lot to do with my stomach issues along with nerve issues, etc. it’s so hard to explain things in text. Sorry if I left out a lot. I’m just worn out and trying to keep it short!
+Ashruz6 _ oh yeah, no problem girl I totally get ya. Sorry I know you've probably heard about motility disorders a million times at this point. I'm very fortunate not to have the mast cell side of things...I know that complicates the already very complicated lol. I went up to Mayo from AR a couple of years ago and I wasn't very impressed. I hope you got something positive out of the trip though! I'll be thinking about you and sending you extra spoons ❤️
Hi Siobhan! I'm currently studying to be a nurse and maybe in a future a doctor! I played the violin for 4 years and to find someone who loves playing the violin and shares my love for medicine its amazing! you inspire me SOOO much!! I think about you when I'm in lectures! ( not a creepy way but inspirational way) but yes the blood vomit sounds so scary! but experiences make the experts :] hope to see many more videos! keep doing saving lifes doctor! :D
This video is the best. You always take the time to explain your experiences and to tell those of us who are just starting in the medical field what had occurred. Great job and keep the videos coming. Take care.
Being a doctor is literally my dream job but I can’t do it because I’m mentally not strong enough I feel too bad for people who are sick and in pain I would cry all day everyday ! So much respect for you and your job 🙏🏼
Seizures scare the heck out of me. My best friend had one right in front of me when we were younger.. My mom because she blood pressure was really high..(she was going through chemo) And my daughter has had two due to high fever caused by ear infections! I absolutely love your videos! You are so real!!
I’ve been the unfortunate recipient of 3 spinal taps in my life; one of which was performed by an observed resident. I remember he was so earnestly solemn, perfectly confident yet clearly very nervous. I don’t think he even drew a breath the entire time he was bedside other than a quick gasp that startled my mother. It was painful they all were but honestly not as bad as some injections it’s really the psychological and circumstantial factors (if you need a LP you’re likely not feeling well to begin with) it all heightens the dysphoria. His sincere carefulness left a memorable impression and made me realize that the residents are probably the most careful clinicians in the hospital.
I love this video, if you ever do another one could you explain some of the things you had to do to help these patients? I am so curious! Thanks for making these awesome videos!!
I love your channel! You have a great personality. It is really interesting listening to you demystify medicine. I an scientifically inclined and work in a parallel field and I'm fascinated by medicine. Thank you so much for your channel and your genuineness!
Dr.Siobhan, as I listened when you described your first procedure removing fluids from a patient abdomen, it made me remember my first night shift alone in an international airport control tower in northern Brazil in 1990; a wild horse had entered on the single runway ( impossible to see at night and a pilot who was about to land went around and reported the horse ( maybe horses I can't remember exactly) then the radio DC transformer fuse blew exactly as I keyed the microphone so the radio died and the area control center from Manaus called to inform that an airliner would call me already starting descent and I had to negotiate a high enough flight level for a holding pattern in the terminal area under my jurisdiction, while at the same time checking for the endurance people on board of the small airplane that spotted the horse on the runway and also I removed the fuse from the transformer that feeded the light gun in order to see if the radio to contact the fire fighters to get the runway unimpeded again...as you said, the training kicks in, I know how you felt!
I remember having a paracentesis done on me ...drained 3 liters of "old blood" from my stomach. Didn't really hurt, actually had a convo with the people that were doing the procedure....soooo thankful for doctors/nurses (I have stories of throwing up blood that aren't so pleasant but I'll save that for another time haha)
I know what you mean, the first time i had a person having a seizure i was a student and the nurse walks up to me and say "here watch them." they then proceeded to run off for some medication whilst i was there worried out of my mind that i havent done anything even though i was there purely to time the seizure. I found that having a moment to debrief about this allowed me to sort out the entire range emotions, like even briefly mentioning this helps. i am glad im not the only one going in to healthcare that feels worried they will mess up or that they don't take the right moves.
I'm in the middle of watching Grey's Anatomy and yes I know it's just a show, but after watching the show on Netflix I get on my bed and watch your videos. I must say because of you and your videos it inspires me to continue my my Medical Field. I pray that my resident resembles your character.
I'm still a medical student but the most immediate priority would be to secure the patient's ABC (airway, breathing, circulation). Meaning, put the patient in stable lateral position (this prevents the blood from going into the lungs) and monitor their blood pressure. If the patient still can't breathe you might have to intubate. Low blood pressure and high heart frequency would indicate siginificant blood loss (low blood pressure because less volume is in the vessels and the hearts react to this by beating faster); In this case the patient would most commonly recieve fluids (i.v. ringer solution) to compensate (this is almost always viable but may not always be the most beneficial course of action, for example if the patient shows other symptoms such as hepatogenic ascites he/she could recieve albumin instead). Also, send a blood sample for crossmatching in case the patient requires a transfusion and send a blood sample to the lab to confirm cause/the patient's current status/best course of action. Furthermore, give the patient a proton pump inhibitor (pantoprazole) because his/her symptoms correspond with a hemorrhage in the upper gastrointestinal tract, you should do this even before you confirm the diagnosis because pantoprazole has little to no side effects and can immediately help the aggregation in the acidic milieu of the stomache! Blood turns dark if it's been digested or if it comes in contact with HCl (stomache acid) so it's unlikely he/she's bleeding out of esophageal varies which is a good thing (because the blood is originating further aborally)! Also, a good idea would be to secure an i.v. so that medicaiton can be given quickly and easily even if you don't want to give the patient anything right now. Those are the most immediate steps, so you were still just stabilizing the patient. Afterwards, an EGD (esophagogastroduodenoscopy) must also take place, to confirm the diagnosis and effectively stop the bleeding.
This video content is so great! Never before had the chance to hear about real doctors scary moments.....continue your good work!!!!! (I mean doing these videos too)
Wow ur scary story’s are amazing! Your so transparent and honest! I love your videos! Girl I don’t have a colon a rectum an appendix a gallbladder my spleen and half my pancreas! Oh and they removed my teeth! I’d love to talk to u about that sometime! Keep up the good work!!! Much respect, Shawn Lonkert
Just wanted to send you a quick comment and let you know that I think that you will be a fantastic doctor senior resident all of that good stuff and I'm thinking about you praying for you doing this pandemic please stay safe God bless you take care
Wow.. just found your channel and LOVE it. Love how honest and how well you explain everything.. Im nit a medical student but just love to hear about medicine. Great job. I appreciate what you do. ❤ sending lots of love from Mexico.
Hi and aloha from Hawaii. I enjoy watching your videos. For this particular video where you shared scary experiences as a junior doctor, it would have been interesting if you shared what you did to resolve these medical situations and help your patients to get better. You have a great personality and seem so sweet and personable too. I am sure you are a blessing to all your patients! BTW- I love that you also play the violin. I play the piano.😀
Likely closely monitor vitals - changes in pulse (compensate and usually up) and blood pressure (low from the volume loss) - help to guide both fluid replacement and blood loss. Depending on how this fit with the clinical picture, maybe investigations into ulcers or other abnormalities along the GI tract.. Indicating an EGD - cameras down the esophagus to investigate upper GI. Blood work to look for electrolyte changes too.. that's just the basics
I used to watch the show “the Real ER”, or something, and she brought this to mind. As a show it was intense and had me crying at times - something I never do watching regular TV.
Very cool info, I am so grateful to learn about the reality of your Journey. Thanks for being so transparent and open. Would be cool to know what caused these symptoms, for example, what cause the person to be throwing up blood?
Hello, It was nice to saw your video, I'm from Colombia ( South america) , I'm G.P. but I want to do my residence in Pediatrics, here in Colombia, so is very important to me practice English, I hope i can see more from your videos. :) :) :)
I am about to graduate from med school in 2 weeks, and going to start residency in 6 months or so, but I have no idea what would you do when you were talking about the pt that was vomitting blood, what steps are you suppose to do? and what did you do with the pt that was seizing, did you give him anticonvulsants?
Hi my name is Trent. I’m RN I love watching your video. I seen some first year come and go you are the most amazing person. I seen in a long time, I Ben doing this for seven years Now you know how to Headle it well. Forgot me it sounds weird I’m working a double tonight. I have had no sleep in 2 days. This my sounds weird but can you show a video how to put on surgery gloves the correct way. Thank you so I can show my first year resident. Thank you again Trent RN
I like the video. It is great that you also admit what is or was scary for you. This helps young doctors. Did you ever experiene a medical procedure where you in the past used to say to patients "it won't hurt", but when you were a patient, then you suddenly realize it hurts? Just curious because once I shared a hospital room with a nurse (then patient) who one day said "Gosh, I used to say to patients that this does not hurt, but now I feel that it hurts." My comment is not to be taken negatively. After all you have to comfort the patient somehow.
I once supervised (as a senior resident) my intern for an abdominal paracentesis. About 10 L of fluid was drained. Patient developed abdominal pain after the procedure and CT abdomen showed hemopneumoperitoneum due to the procedure! I couldn't sleep for almost 2 nights. Surprisingly though, the patient actually did fine and was discharged after a few days!!! It's a horror story that I'll never forget in my life!!!
I love these kinds of videos! But I wish you would have gone more in depth as to how you assessed these situations bc I was curious about the vomiting blood story lol
I have learned so much from Siobhan. Can you please let me know if you have dealt with other consults. How are you so enthusiastic and chill after a 26 hour call shift I have been also been wondering how you know what the signs of a siezure. Hopefully that gentleman that suffered the siezure is okay? Can you do me a favor and explain everything you know about epilepsy and how you handle it. Good luck Siobhan
When you're talking about cases you've just attended, for those interested in medicine could you go deeper in to what interventions you performed and what drugs you've administered and why? Would be fantastic and love your videos!
Seizures...pffft. My mother is an epileptic and being the oldest, I would snap to action whenever she had a seizure, pretty much from when I was born. In fact by primary school I had timed her seizures down pat, and refused to leave for school if she didn't have one that morning. I was attending her neurologist appoints from about 7 years old! I probably should have become a doctor too....
Hi Becster! wow you really had to be incredibly responsive at such a young age! haha it sounds like you could have been running things on the ward when you were 7!!!
I remember last year I was waiting with my friend in the A&E department. There was a little boy next to us who’d hurt his head and his dad went to reception and suddenly collapsed 😨 it was wild! Thankfully everything was ok but trying to look after a strangers child whilst they were ill out of nowhere was a panicky moment!
About the second “scary” thing (seizure). The same exact thing as you describe happened to a friend earlier this summer. We we’re just gathered and having fun post-exams. We received some shocking and horrific news that one our other friends had passed away. 10 minutes later this guy started having jerky movements, his eyes rolled back into his head and he fell. It was terrifying.
Your videos are excellent and very informative! Could you tell me how bad the "gross" factor is as a medical student/ resident? Do you get used to it, or is it just bad?
I think we just shut our inner eyes towards the gross factor since at that moment there would be a bigger issue to handle.. I ll just site an eg:.. I was an intern then..A man was brought to the ER..he was passed out by the road.. Seemed to be a homeless person..we were all checking his vitals..sugars..setting up IV line..setting up for ecg.. After that i was asked to catheterize the patient..i was cleaning up the man and was almost done with the catheterization when the man started passing loose stools..i dont remember how it ended up on my hands.. But i still remember how warm it was..not warm warm.. But u know.. Warm..grossly warm... And i was so scared it would touch some of my bare forearms.. And yeah.. I was more worried if he had/ was having a seizure or something at that moment..looking back.. I realize that the medical profession is indeed a noble profession.. Even as a doctor we are able to look at natural processes as it is rather than thinking of it as gross.. I have also been hit by a schizophrenic patient after he was unconscious after an ECT..i was monitoring his BP as an intern when he in his post ictal phase just hit me..he was a big man.. And im a girl.. There was no one else in the room i could share the moment with.. Or laugh at it..we just get over it..
Oh I see. Your work must indeed be very noble to persevere through that. Do you think it was worth being a doctor? If you could do it again, would you?
I’m Taylor I’m 13 and I really want to be a nurse or doctor when I get older I want to work in the hospital and er and I love watching your videos pls do some more in hospital on call videos I love them!!
just found your videos and I'm hooked! Just curious though, when a patient vomits blood, would you come up with a quick differential first to address the underlying problem or stop the bleed?
You should give a brief description of what you do in those situations... just out of curiosity and an opportunity for learning ☺️
Hi Sarah - good idea! I can try to incorporate that in future videos... thanks! ☺️
@BrandonFortin great job
@#Out.Abovehow do you know so much?
Sarah Baker hi. How are you doing today,,
Top Ten Tricks and hacks could be just research, or they’re a med student or doctor
She’s a third year now 🤗 I’m so proud of her omg
Sweetest doctor ever !
I respect doctors and medical students so much I almost want to be one but I could totally never handle the responsibility (also I absolutely dread going to my current 1000 level science classes😂) so I think I'll stick with early childhood studies, but hats off to you!!💖
wouldn't be surprised if one day you decide to join medicine. this is how it started for so many
Just watching this video was a little terrifying! Definitely have lots of respect for doctors and medical students! But I also really respect early childhood educators too- in some ways you need many of the same skills- to stay calm in crazy situations.
Yeah seizures are scary. I had one when I was young and it is still the scariest day of my parents life. I have so much respect for doctors in the ICU.
What does ICU stand for?
@@thefuturefrontierpilot75 Intensive Care Unit
I am so grateful to be in a time where I can watch other residents experiences online! My goal is to become a doctor in the near future, so having people to look up to and "talk to me" about their experiences online is very nice. Thank you so much for taking the time to upload videos while being extremely busy! I appreciate you!
Hi Shantel! 🤗 Great to hear from you, and thank you for such a thoughtful comment! Best of luck on your journey to becoming a doctor, let me know if there are any burning questions you have that I can try to answer!
Absolutely love how honest you are. As a nurse, real scenarios educate people as to how hard our jobs are.
Yes absolutely - thanks for reaching out Sophie!
Being a resident seems terrifying . . . I can't wait!
Haha that’s totally the way I felt!! 😂
Same!
How’s it going being a resident?.? @drsen57
Remember being in the ambulance with a MI. It was my first time, and I was having all the symptoms instead of him !!
hahah that actually made me laugh out loud!! amazing... yes so true!! 😂
Elias D Reyes m
Lolllll so funny
:D
I got dropped in the deep end during my initial EMT training. On my first day we ran a cardiac arrest call and probably because it's the "easiest" task on such a call, my partner assigned the compression part to me. But then we get there and there is a policeman lying on the floor, his partner standing over him and trying to get a reaction, but the man is visibly gasping for air. I froze for about 5 seconds, the emergency doctor shouted at me "It's just agonal, start already!!!" and then I snapped back into a kind of automation only training can provide. We managed to stabilize the patient and get him to the ER with a steady and strong pulse, but I don't know about his one-year-outcome... I do however second that sentiment about (a) the first situation where you have to make decisions being SCARY and (b) good training getting you through it.
you described it so vividly it was super "real". unlike all the tv shows that try to portray the reality of life as a resident. fascinating 👍😊
Thanks Cee Q - i'm definitely trying to keep it as real as possible so I'm glad it's coming across! it's not always the glamorous lifestyle you see online haha
Hi! I’m 14 and I really want to be a doctor when I’m older and your videos are such an inspiration to me Xx
Thank you so much Libby!!
you will one day study hard❤️
Here is a tip. Between book learning and actually doing a procedure lies visualization. Vividly imagine yourself doing something, step by step, maybe even making the movements with your body and hands. You'll move much more smoothly and decisively when the actual situation arises. Here is one description:
www.keytostudy.com/train-like-navy-seal-visualization-goal-setting/
Another useful technique might be called scenario rehearsal. Imagine situations that might arise when you're on duty: "What would I do if...." Figure out what you'd do, and then visualize yourself responding properly.
Do that with enough scenarios, and you'll find that you're also conditioning yourself to stay calm and think even in situations you've never thought about before. You're building up a stimulus-response that when tense situations develop, your learned response is to think clearly rather than panic. You'll become one of those fortunate people that the greater the stress, the calmer they become.
Also with those stored scenarios, you'll building up a library of possible responses, including perhaps one that could be adapted to a new and unanticipated situation. I had that happen to me mountain climbing.
------
Finally, if you find your emotions spiraling out of control, turn to tactical breathing. It's simple enough you can use it when you're responding to an emergency. Just remember the number four.
1. Slowly breathe in for four seconds.
2. Hold your breath for four seconds.
3. Slowly exhale for four seconds.
4. Hold your empty breath for four seconds.
Do that until you feel your body calming down, perhaps after four repetitions. What you're doing is forcing you body to act as if all is calm, and it will respond by settling down that pounding heart and rapid breathing allowing your mind to clear up. In a hospital, that "run from a hungry bear" response won't do you any good.
----
Getting down these scenarios and seeing them work in practice feels marvelous. When I cared for teens with leukemia, I was walking past a girl's room when I heard a peculiar cough that in our circumstances indicated she might have air going in her central line, mere inches from her heart and brain. Five seconds after that first cough, I was completing the last of the protective procedure I'd been taught. I rushed in, confirmed the air. At the same instant I turned off her IV pump, pulled the pillow from under her head, and asked her to roll on her left side. All that remained was to elevate the foot of her bed. Afterward, it occurred to me that it was physically impossible for me to have responded any faster. I thought and acted as fast as anyone could. That felt good, particularly given the complications that could have resulted.
And yes there was a reason I moved so quickly. This was the 1980s. Dr. Hickman himself was on our staff and we'd become the first pediatric hospital in the world to use his line routinely for children with cancer. I'd worked on the Hem-Onc unit when we'd adopted the line, so I knew it well. Unfortunately, as those lines spread through the hospital, the training that nurses needed hadn't kept up with the lines. This was the fourth time I'd caught that particular nursing error. It'd taken that many times to turn a procedure into a learned reflex. When I heard that cough, I thought "Air!" and all that followed was automatic. Air in a central line is bad. But knowing how to respond quickly and decisively feels very good.
All this and more will be in the book that I'm currently writing. You've gotten a sample. It'll adapt stress management techniques used by Navy SEALs and others to a health care context. I'll be blending SEAL principles with my own hospital experience and my adventures mountain climbing. It should prove useful. You can check out Amazon for the books I have already written, including one on how to handle the embarrassing situations that healthcare brings.
--Michael W. Perry, medical writer
Michael W. Perry that was incredible to read, and can't wait to get my hands on a copy of your book! I'm still in my final preclinical year (so halfway through med school) and I'm constantly worried about panicking in certain circumstances and freaking out the patient as I have some anxiety issues. I learned some great tips from you today, many thanks!!
Your voice,laugh, and smile are so soothing to me for some weird reason lol. Just came across your channel randomly and I’m so happy I did! You should make more videos like this! Subscribed😊😊
Thanks Brianna!!
Me too! As an RN, I’d love to work with her!
My boyfriend has epilepsy and I remember the first time he ever had a seizure in front of me (it was a grand mal) It was so scary everything happened so fast! Greatful for you and other doctors that are always there to help ❤️
This is such a great video. I love how down to earth you are and how conscious you are of the possibility of making a mistake. I am an OB Nursing student getting ready to start the program and both as a student and a patient myself, I really appreciate when doctors are a little more human and less “cowboy”. I have been diagnosed with very serious diseases only to receive testing back as negative. It’s very hard as a patient to accept the fate of a terrible illness only to find out days later that it was a misdiagnosis that was told to me with what seemed like 100% certainty. There is such a huge need for sensible empathic doctors in the world we live in. That’s the kind of nurse I strive to be. It looks like you also find importance in that. :)
5 years ago I ended up with an endocarditious infection ( drs still don’t know how I got it) I ended up very septic with a 107.2 fever and my doctors decided to fly in a total artificial heart to have on standby for the surgery they planned to do to try and repair the damage done to my heart but when they went to put me under anesthesia my heart stopped and they could not recessitate me so they put me onECMO and talked to my parents and husband and every one decided to remove my heart and try the total artificial heart machine while I waited for a transplant. I was on the total artificial heart ( Jarvik, cardio west. Whatever name you are familiar with) and I waited only 3 weeks for my heart transplant. I am now 5 years out and 28 years old with no rejection so far. My infection had spread to my kidneys lungs and spleen but That was resolved with 6 weeks of at home iv antibiotics through a picc line. I had had a previous heart surgery 3 years prior to this to get an aortic graph to repair my anuerismal aorta due to Marfan Syndrome so I had a pacemaker and artificial stuff in my heart so they feel that’s why they infection traveled there and why it was so bad. so I still obviously have Marfan and have backs and feet problems from that but so thankful to my drs for knowing exactly what to do to keep me alive. Love ur channel and find it fascinating ❤️Danielle from Wisconsin USA
Hi Danielle - wow I'm truly amazed and humbled by your story. All the steps that led to you being alive today is incredible. Thank you so so much for sharing your story. I am really sorry that you have been through so much at such a young age. You are an inspiration to us all. I am honoured to have you part of this community ❤️
I'm a nursing student and I came across your videos and I love watching them! You sharing your experiences makes me super nervous and excited about clinicals next semester. Just subscribed to you. :)
I've always wanted to be a doctor! I LOVE ALL THINGS THAT DEAL WITH MEDICINE! Sadly I was diagnosed with Chiari Malformation with brainstem compression and have survived 2 brain surgeries. So I have to live with being on this side of medicine and live Vie curiously through others. I'm so thankful that I've found your channel!
Good luck on all your endeavors!
All your videos are great but I think this one is officially my favorite!
I remember at one point on my first clinical rotation someone said, "Hey, respiratory, what do you want to do?" I looked around for a second until I was like, Oh yeah, they're talking to me! lol
Thanks Aimee!! hahah yeah that's such a REAL moment and I think that's when you really grow into your role!
lol...
I've started to love your channel as I am a nurse myself. This gives me a little perspective on what really goes on the other side of my job (not like the one's from grey's anatomy. Though i freaking love that show. lol) I just wished you've stated what was the interventions done on each of the scenario so if one time it happens on my shift i would be at least prepared. hehe
thanks for the suggestion Mariel!
New favorite UA-cam channel. I am a DPT student in a hospital in the US and a longtime UA-cam fan and love getting to hear about your perspective ! Thanks for sharing 😊
Hi Ann Marie! Thanks so much, I'm so glad you are enjoying the videos! I really appreciate what you do for patients as a physiotherapist... so incredibly important for good outcomes!!
I’m currently in my first year in university, i’m majoring in Biology and my goal is to be a doctor, i’ve played the flute for nine years so I feel like I relate to you so much on so many levels haha! Lately school has been so hard on me and i’ve been so stressed and there are some days I feel like I cant do it anymore :/ but your channel gives me so much hope. Thank you so much for your positive energy and videos 🙏🏽 they have such a big impact on me.
Hi Daniella! wow we do have so much in common! I have felt those tough days as well, just try to remember why you want to go down this path... what's your passion, your motivation? Keep it up!
I'm 15 and I have just done grade 7 violin. U have my dream job and my dream life basically😂 u are my inspiration never stop making videos !
@lovestuff
Same I am going to turn 13 on feb 27th this year and I also have the dream to become a doctor in the future
I love your intro! You are a super interesting person, you love medicine but also have a passion for music and life in general (sounds cheesy, i know, but I love to see people like you exist)
I’ve always wanted to be a doctor but I don’t have the stomach for blood and all that good stuff. Sometimes it just makes me sad to think I could have been in Med school but this has stopped me. Decided to peruse a career in education instead and I’m on my way to become a principal.
Hi Charlie! great to hear you have found a passion in education and are doing so well, it's such a critical role and shapes so so many people! thanks for sharing ☺️
You look just like Sutton Foster! Congrats on all your accomplishments too!
I love your videos 😍. I am doing pharmaceutical undergraduate course but my ultimate goal is to get into medical school. Watching your videos boosts my love for medicine.
Hi Ayaan! 🤗 So glad you found the channel and that it has had such a positive impact on you - tha's so motivating for me to hear! Let me know if you have any questions on your way to med school!!
Thank you for making these videos. I'm a premed student and I love seeing what it actually is like to be a doctor in reality.
I got very sick suddenly 4 years ago. We are still trying desperately to figure out what’s wrong with my stomach, but I’ve been diagnosed with postural orthostatic tachycardia syndrome, severe mast cell activation disorder, elhers danlos syndrome, fibromyalgia, median arcuate ligament syndrome and more... I’ve spent over 200 days in the hospital just in 2016. Seeing the doctors side of things is very interesting to me! It’s easy to forget how hard you guys work when waiting for meds or a question answered! Thanks for showing us what the other side of hospital is like!
I have EDS and POTS! I have been spending a lot of time in hospital latelt
Have you been tested for gastroparesis, chronic intestinal pseudo-obstruction and/or colonic inertia? I have EDS and autonomic failure with all the lovely motility disorders that come along with it :) Major empathy with the hospitalizations...that's where I'm at right now haha. I hope you can get things figured out and under control. Sending you love!
LS Kath yes I have. My GES came back negative at my local hospital and in the middle of it we got a call that mayo had an opening if we were there at 8 am the next day. We live in Texas, it was 4pm and we needed to drop and run to get to Minnesota. I only add that because I had a second GES done two days later because mayo wanted their own and needed results right away. The local one was normal, but the one two days later was so severely slow that they tried to convince me to do it again for research by paying me $400. I said no because the pain and sickness it caused me weren’t worth any money. I had a third one done that showed some delay, but not very bad. All of that to say that they kind of gave up on Gastroparesis and we dropped that diagnosis. We believe my mast cells have a lot to do with my stomach issues along with nerve issues, etc. it’s so hard to explain things in text. Sorry if I left out a lot. I’m just worn out and trying to keep it short!
+Ashruz6 _ oh yeah, no problem girl I totally get ya. Sorry I know you've probably heard about motility disorders a million times at this point. I'm very fortunate not to have the mast cell side of things...I know that complicates the already very complicated lol. I went up to Mayo from AR a couple of years ago and I wasn't very impressed. I hope you got something positive out of the trip though! I'll be thinking about you and sending you extra spoons ❤️
I have POTS and EDS and fibromyalgia too!!
I LOVE your energy. Been binge watching your videos each night.
I loved your perspective. There is nothing better than to have a job that makes you just a bit scared and gives you a rush.
Hi Siobhan! I'm currently studying to be a nurse and maybe in a future a doctor! I played the violin for 4 years and to find someone who loves playing the violin and shares my love for medicine its amazing! you inspire me SOOO much!! I think about you when I'm in lectures! ( not a creepy way but inspirational way) but yes the blood vomit sounds so scary! but experiences make the experts :] hope to see many more videos! keep doing saving lifes doctor! :D
Thanks for sharing Siobahn! I agree wih Sarah, I think you should quickly go over what you have to do in these situations!
I've wanted to be a doctor and you've fully inspired me, I'm going to get a job as a doctor when I'm older! Thanks for existing.
you will one day study hard❤️
This video is the best. You always take the time to explain your experiences and to tell those of us who are just starting in the medical field what had occurred. Great job and keep the videos coming. Take care.
Being a doctor is literally my dream job but I can’t do it because I’m mentally not strong enough I feel too bad for people who are sick and in pain I would cry all day everyday ! So much respect for you and your job 🙏🏼
Seizures scare the heck out of me. My best friend had one right in front of me when we were younger..
My mom because she blood pressure was really high..(she was going through chemo)
And my daughter has had two due to high fever caused by ear infections!
I absolutely love your videos! You are so real!!
I’ve had a seizure before. I was 2 yrs old. I’m fine now, I don’t have epilepsy or anything. It was just from brain surgery I had just had.
I would love to hear more of these scary moments, it lets us know more about the reality of the job 😊
Hey, I love your videos..... I'm an Australian nurse...... U are so easy to listen to, and have even learnt some stuff from watching you!
I’ve been the unfortunate recipient of 3 spinal taps in my life; one of which was performed by an observed resident. I remember he was so earnestly solemn, perfectly confident yet clearly very nervous. I don’t think he even drew a breath the entire time he was bedside other than a quick gasp that startled my mother. It was painful they all were but honestly not as bad as some injections it’s really the psychological and circumstantial factors (if you need a LP you’re likely not feeling well to begin with) it all heightens the dysphoria. His sincere carefulness left a memorable impression and made me realize that the residents are probably the most careful clinicians in the hospital.
Love your videos. You are so adorbs! More videos like this please. BTW I'm a new subbie.
I love your videos. They give me the inspiration i need to continue studying and for that, i thank you.
I love this video, if you ever do another one could you explain some of the things you had to do to help these patients? I am so curious! Thanks for making these awesome videos!!
I love your channel! You have a great personality. It is really interesting listening to you demystify medicine. I an scientifically inclined and work in a parallel field and I'm fascinated by medicine. Thank you so much for your channel and your genuineness!
Dr.Siobhan, as I listened when you described your first procedure removing fluids from a patient abdomen, it made me remember my first night shift alone in an international airport control tower in northern Brazil in 1990; a wild horse had entered on the single runway ( impossible to see at night and a pilot who was about to land went around and reported the horse ( maybe horses I can't remember exactly) then the radio DC transformer fuse blew exactly as I keyed the microphone so the radio died and the area control center from Manaus called to inform that an airliner would call me already starting descent and I had to negotiate a high enough flight level for a holding pattern in the terminal area under my jurisdiction, while at the same time checking for the endurance people on board of the small airplane that spotted the horse on the runway and also I removed the fuse from the transformer that feeded the light gun in order to see if the radio to contact the fire fighters to get the runway unimpeded again...as you said, the training kicks in, I know how you felt!
I remember having a paracentesis done on me ...drained 3 liters of "old blood" from my stomach. Didn't really hurt, actually had a convo with the people that were doing the procedure....soooo thankful for doctors/nurses
(I have stories of throwing up blood that aren't so pleasant but I'll save that for another time haha)
I know what you mean, the first time i had a person having a seizure i was a student and the nurse walks up to me and say "here watch them." they then proceeded to run off for some medication whilst i was there worried out of my mind that i havent done anything even though i was there purely to time the seizure. I found that having a moment to debrief about this allowed me to sort out the entire range emotions, like even briefly mentioning this helps. i am glad im not the only one going in to healthcare that feels worried they will mess up or that they don't take the right moves.
You are going to be a violin 🎻 master one day!! ❤️❤️❤️❤️ BEST VIDEOS EVER!
I'm in the middle of watching Grey's Anatomy and yes I know it's just a show, but after watching the show on Netflix I get on my bed and watch your videos. I must say because of you and your videos it inspires me to continue my my Medical Field. I pray that my resident resembles your character.
Catherine McKee same
my fav video so far.. and please make more video about your activities when you on-call.. thanks :)
Hi Dr. Siobhan, I'm thrilled to know about your Scary moments as a Doctor, but you were able to face them all very successfully Siobhan
“The scary part is that we gain experience and learn on real people.” MAN that resonated with me. It’s terrifying at times!
Can i ask what did u do when u saw the patient vomiting blood? just wanted to know the immediate step u took?
I'm still a medical student but the most immediate priority would be to secure the patient's ABC (airway, breathing, circulation). Meaning, put the patient in stable lateral position (this prevents the blood from going into the lungs) and monitor their blood pressure. If the patient still can't breathe you might have to intubate.
Low blood pressure and high heart frequency would indicate siginificant blood loss (low blood pressure because less volume is in the vessels and the hearts react to this by beating faster); In this case the patient would most commonly recieve fluids (i.v. ringer solution) to compensate (this is almost always viable but may not always be the most beneficial course of action, for example if the patient shows other symptoms such as hepatogenic ascites he/she could recieve albumin instead). Also, send a blood sample for crossmatching in case the patient requires a transfusion and send a blood sample to the lab to confirm cause/the patient's current status/best course of action.
Furthermore, give the patient a proton pump inhibitor (pantoprazole) because his/her symptoms correspond with a hemorrhage in the upper gastrointestinal tract, you should do this even before you confirm the diagnosis because pantoprazole has little to no side effects and can immediately help the aggregation in the acidic milieu of the stomache! Blood turns dark if it's been digested or if it comes in contact with HCl (stomache acid) so it's unlikely he/she's bleeding out of esophageal varies which is a good thing (because the blood is originating further aborally)!
Also, a good idea would be to secure an i.v. so that medicaiton can be given quickly and easily even if you don't want to give the patient anything right now.
Those are the most immediate steps, so you were still just stabilizing the patient. Afterwards, an EGD (esophagogastroduodenoscopy) must also take place, to confirm the diagnosis and effectively stop the bleeding.
This video content is so great! Never before had the chance to hear about real doctors scary moments.....continue your good work!!!!! (I mean doing these videos too)
Wow ur scary story’s are amazing! Your so transparent and honest! I love your videos! Girl I don’t have a colon a rectum an appendix a gallbladder my spleen and half my pancreas! Oh and they removed my teeth! I’d love to talk to u about that sometime! Keep up the good work!!! Much respect, Shawn Lonkert
Just wanted to send you a quick comment and let you know that I think that you will be a fantastic doctor senior resident all of that good stuff and I'm thinking about you praying for you doing this pandemic please stay safe God bless you take care
Wow.. just found your channel and LOVE it. Love how honest and how well you explain everything.. Im nit a medical student but just love to hear about medicine. Great job. I appreciate what you do. ❤ sending lots of love from Mexico.
Hi and aloha from Hawaii.
I enjoy watching your videos.
For this particular video where you shared scary experiences as a junior doctor, it would have been interesting if you shared what you did to resolve these medical situations and help your patients to get better.
You have a great personality and seem so sweet and personable too.
I am sure you are a blessing to all your patients!
BTW- I love that you also play the violin.
I play the piano.😀
thank you for making these I really enjoy all of them.
Definitely give us a brief idea of what you do in these scenarios!
Can you explain what you did for the patient who was vomiting blood?
Likely closely monitor vitals - changes in pulse (compensate and usually up) and blood pressure (low from the volume loss) - help to guide both fluid replacement and blood loss. Depending on how this fit with the clinical picture, maybe investigations into ulcers or other abnormalities along the GI tract.. Indicating an EGD - cameras down the esophagus to investigate upper GI. Blood work to look for electrolyte changes too.. that's just the basics
I love your videos , I myself are wanting to be doctor next year . I honestly am so happy that I found your videos . Love it
I used to watch the show “the Real ER”, or something, and she brought this to mind. As a show it was intense and had me crying at times - something I never do watching regular TV.
Siobhan, this is fantastic!
Very cool info, I am so grateful to learn about the reality of your Journey. Thanks for being so transparent and open. Would be cool to know what caused these symptoms, for example, what cause the person to be throwing up blood?
I have always wanted to work in medicine I'm 32 years old but watching your videos makes me feel like I can do it it's not to late
Hello, It was nice to saw your video, I'm from Colombia ( South america) , I'm G.P. but I want to do my residence in Pediatrics, here in Colombia, so is very important to me practice English, I hope i can see more from your videos. :) :) :)
Hi Silvia! Great to hear from you - best of luck with your journey towards a Pediatrics residency!
you are really so beautiful inside and out, your beautiful soul radiates through you and shines in your positive attitude!!
I am about to graduate from med school in 2 weeks, and going to start residency in 6 months or so, but I have no idea what would you do when you were talking about the pt that was vomitting blood, what steps are you suppose to do? and what did you do with the pt that was seizing, did you give him anticonvulsants?
I’m hoping to go to med school. Your videos help me build self confidence so I can reach that goal. and I love scary doctor stories!😁
Just subscribed. I LOVE your channel :) Nearly watched all of your videos already! Keep up the good work Doc :)
Most amazing dr... N most amazing frnd... Dr I have ever met... Lots of love from INDIA 🇮🇳🇮🇳🇮🇳
I want to wish you luck with your studies Siobhan, as you requested 😉, .. Your videos are very interesting even if they become 3 years old.
I like that you tell us about what every thing is !
My little brother has seizures too and it is very scary
Hi my name is Trent. I’m RN I love watching your video. I seen some first year come and go you are the most amazing person. I seen in a long time, I Ben doing this for seven years Now you know how to Headle it well. Forgot me it sounds weird I’m working a double tonight. I have had no sleep in 2 days. This my sounds weird but can you show a video how to put on surgery gloves the correct way. Thank you so I can show my first year resident. Thank you again Trent RN
I like the video. It is great that you also admit what is or was scary for you. This helps young doctors.
Did you ever experiene a medical procedure where you in the past used to say to patients "it won't hurt", but when you were a patient, then you suddenly realize it hurts?
Just curious because once I shared a hospital room with a nurse (then patient) who one day said "Gosh, I used to say to patients that this does not hurt, but now I feel that it hurts." My comment is not to be taken negatively. After all you have to comfort the patient somehow.
I once supervised (as a senior resident) my intern for an abdominal paracentesis. About 10 L of fluid was drained. Patient developed abdominal pain after the procedure and CT abdomen showed hemopneumoperitoneum due to the procedure! I couldn't sleep for almost 2 nights. Surprisingly though, the patient actually did fine and was discharged after a few days!!! It's a horror story that I'll never forget in my life!!!
I love these kinds of videos! But I wish you would have gone more in depth as to how you assessed these situations bc I was curious about the vomiting blood story lol
Sorry I can't deal with people throwing up 😬 but it's a good video!
When I heard the word “ eyes rolled back” I got panicky and my hands went weak, because Im epileptic and just the feeling of seizures scares me
I was wonder if you can do a video on how doctors take care of mentally disabled patients in the hospital that are there for other reasons?
I’d love to hear about scary experiences like these that you have gone through and what you did step by step to address and solve the issue at hand!
This video is perfect! I would love to see more like this :)
I have learned so much from Siobhan. Can you please let me know if you have dealt with other consults. How are you so enthusiastic and chill after a 26 hour call shift
I have been also been wondering how you know what the signs of a siezure. Hopefully that gentleman that suffered the siezure is okay? Can you do me a favor and explain everything you know about epilepsy and how you handle it. Good luck Siobhan
Q and A question: What university did you go to?
You are the best!
I loved listening to you here; you're so cool!! &Good Luck
When you're talking about cases you've just attended, for those interested in medicine could you go deeper in to what interventions you performed and what drugs you've administered and why? Would be fantastic and love your videos!
Your videos are really amazing I'm currently in school to become a pediatric nurse I'm so excited to get into the medical field
Seizures...pffft. My mother is an epileptic and being the oldest, I would snap to action whenever she had a seizure, pretty much from when I was born. In fact by primary school I had timed her seizures down pat, and refused to leave for school if she didn't have one that morning. I was attending her neurologist appoints from about 7 years old! I probably should have become a doctor too....
Hi Becster! wow you really had to be incredibly responsive at such a young age! haha it sounds like you could have been running things on the ward when you were 7!!!
I remember last year I was waiting with my friend in the A&E department. There was a little boy next to us who’d hurt his head and his dad went to reception and suddenly collapsed 😨 it was wild! Thankfully everything was ok but trying to look after a strangers child whilst they were ill out of nowhere was a panicky moment!
About the second “scary” thing (seizure). The same exact thing as you describe happened to a friend earlier this summer. We we’re just gathered and having fun post-exams. We received some shocking and horrific news that one our other friends had passed away. 10 minutes later this guy started having jerky movements, his eyes rolled back into his head and he fell. It was terrifying.
I'm in love with your channel!
Hi Hanisah! Thank you so much!! 🤗
It ll be really nice if you could also tell how you treated those patients :) loving your vlogs.
Your videos are excellent and very informative! Could you tell me how bad the "gross" factor is as a medical student/ resident? Do you get used to it, or is it just bad?
haha I love this question Sashi! I'll answer it in a future Q&A for sure
Thanks!
I think we just shut our inner eyes towards the gross factor since at that moment there would be a bigger issue to handle..
I ll just site an eg:.. I was an intern then..A man was brought to the ER..he was passed out by the road.. Seemed to be a homeless person..we were all checking his vitals..sugars..setting up IV line..setting up for ecg.. After that i was asked to catheterize the patient..i was cleaning up the man and was almost done with the catheterization when the man started passing loose stools..i dont remember how it ended up on my hands.. But i still remember how warm it was..not warm warm.. But u know.. Warm..grossly warm... And i was so scared it would touch some of my bare forearms.. And yeah.. I was more worried if he had/ was having a seizure or something at that moment..looking back.. I realize that the medical profession is indeed a noble profession.. Even as a doctor we are able to look at natural processes as it is rather than thinking of it as gross..
I have also been hit by a schizophrenic patient after he was unconscious after an ECT..i was monitoring his BP as an intern when he in his post ictal phase just hit me..he was a big man.. And im a girl.. There was no one else in the room i could share the moment with.. Or laugh at it..we just get over it..
Oh I see. Your work must indeed be very noble to persevere through that. Do you think it was worth being a doctor? If you could do it again, would you?
Siobhan, the type of doctor to make you feel safe while dying.
I’m Taylor I’m 13 and I really want to be a nurse or doctor when I get older I want to work in the hospital and er and I love watching your videos pls do some more in hospital on call videos I love them!!
just found your videos and I'm hooked! Just curious though, when a patient vomits blood, would you come up with a quick differential first to address the underlying problem or stop the bleed?