First Day of Pulmonology

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  • Опубліковано 31 січ 2025
  • Don’t touch the vent!

КОМЕНТАРІ • 495

  • @GabrielDesmond
    @GabrielDesmond 8 місяців тому +1830

    If you ever hear a concerned "What up, vent bro?", you know who's getting admitted next.

    • @PathomanTony
      @PathomanTony 8 місяців тому +48

      omg fat embolism’s the worst🤮

    • @tomdunham4209
      @tomdunham4209 8 місяців тому +33

      as an RT I don't see or interact with the Ortho bros unless it's waiting in line at the cafeteria.
      They probably mistake Anesthesia for RTs too😋

    • @clarewhite3004
      @clarewhite3004 8 місяців тому +16

      Nahhh, vent bro isn't pulmonology, vent bro is RT. Pulmonology usually knows better than to play with RT's machines.

    • @Rickettsia505
      @Rickettsia505 8 місяців тому +8

      @@clarewhite3004 I like vent bro. That's new to me. I've heard vent jockey, booger buster, neb jockey, RT ninjas, sputum patrol, tank jockey, O2 pushers. I'm sure there's more. We know where all the potlucks are.

  • @RainbowMeltedCrayons
    @RainbowMeltedCrayons 8 місяців тому +621

    Sent this immediately to my dad who is a critical care pulmonologist and does sleep medicine. He called me back about 3 minutes after I sent it laughing and saying this was “very perceptive”

    • @sebastianheine378
      @sebastianheine378 8 місяців тому +11

      Did he calculate your STOP BANG score yet?

    • @RainbowMeltedCrayons
      @RainbowMeltedCrayons 8 місяців тому +10

      @@sebastianheine378 haha probably, but only mentally. I’m currently at low risk for OSA.

    • @RSmytheFreed
      @RSmytheFreed 8 місяців тому

      I came here to say that! 😇

    • @sammiller6631
      @sammiller6631 8 місяців тому

      @@RainbowMeltedCrayons low risk for the Office of Special Affairs?

  • @dr.floridamanphd
    @dr.floridamanphd 8 місяців тому +1810

    Oddly enough, that respiratory therapist is probably on a cigarette break 😂

    • @Jen39x
      @Jen39x 8 місяців тому +50

      Not as much as they used to be though

    • @dr.floridamanphd
      @dr.floridamanphd 8 місяців тому +99

      @@Jen39x duh! They vape now 😂

    • @Jen39x
      @Jen39x 8 місяців тому +31

      @@dr.floridamanphd Good point. I’m old and forget about the new dangled stuff. I actually old enough to remember when butt huts were first appeared and when restaurants asked if you wanted smoking or nonsmoking section

    • @dr.floridamanphd
      @dr.floridamanphd 8 місяців тому +11

      @@Jen39x I’ll be 42 on Monday. I remember smoking sections in restaurants but not at schools or other places. I know some movie theaters still had smoking balconies in the 80s but they weren’t in my area.

    • @suzannetitkemeyernlq
      @suzannetitkemeyernlq 8 місяців тому +24

      @@dr.floridamanphd I'm in my sixties and I can sadly confirm that back in the day people smoked willynilly! We even had a smoking lounge at my high school. People smoked on planes, just everywhere. It was crazy in retrospect

  • @tyrant-den884
    @tyrant-den884 8 місяців тому +343

    Family Medicine: "Just two? That sounds nice."

    • @kennysboat4432
      @kennysboat4432 5 місяців тому +27

      Rural medicine: "What does it mean to specialize?"

  • @TIBYCOLLINS
    @TIBYCOLLINS 8 місяців тому +820

    Anesthesia's cope towel never fails to make me laugh :D

    • @norman_james455
      @norman_james455 8 місяців тому +27

      I wonder if Linus Van Pelt eventually became an anesthesiologist when he grew up.

    • @LexYeen
      @LexYeen 8 місяців тому +4

      the laugh i made was _inhuman_ when that happened

    • @nancylindsay4255
      @nancylindsay4255 8 місяців тому +10

      Hitchhiker's Guide to the Galaxy: "Always know where your towel is."

    • @jslferrell
      @jslferrell 8 місяців тому +7

      Their emotional support drape

    • @geekburger11
      @geekburger11 8 місяців тому

      Cope towel 😂

  • @danielsoto7734
    @danielsoto7734 8 місяців тому +788

    Waiting for the pulmonologists to come in and say, “actually it’s pulmonary, not pulmonology”

    • @mattender8323
      @mattender8323 8 місяців тому +31

      It’s Pulmonary medicine AND phtiseology

    • @Lucasp110
      @Lucasp110 8 місяців тому +16

      My professors and preceptors were Pneumologists

    • @natalietremblay4373
      @natalietremblay4373 8 місяців тому +18

      I think English speaking Canada is the only place in the world that calls it respirology.

    • @ercwst
      @ercwst 8 місяців тому +8

      Respiratory and Sleep Medicine in my neck of the woods.

    • @ienybu759
      @ienybu759 8 місяців тому

      🤓👆

  • @deepakrajendra8019
    @deepakrajendra8019 8 місяців тому +187

    The measurement of the FEV1 by pretending to laugh at a joke was brilliant!

  • @dude-e
    @dude-e 8 місяців тому +404

    The resporatory therapist gag is ON POINT! These guys can be a bit hard to find, but the moment you really need one, they magically appear out of thin air. Or at least that how things were during my ICU rotation

    • @taylorwrigley829
      @taylorwrigley829 8 місяців тому +38

      As an ICU nurse, good god almighty I love our RT’s. They are ventilation wizards and their vents are magical cauldrons that I am only allowed to touch one button. O2 SUCTION!

    • @Fermentum
      @Fermentum 8 місяців тому

      ​@@taylorwrigley829 when I was doing my icu rotation, I happened to see a doctor that touched the settings for a vent. 5 second later, there's a terrified 6 foot tall male doctor being pressed into the wall by the 5 foot tall female RT who's reading him the riot act

    • @lauralake7430
      @lauralake7430 8 місяців тому +15

      Or, you can think about changing the vent settings, and they roar into the room…

    • @fisher15g
      @fisher15g 8 місяців тому +21

      We're usually hard to find because there are so few of us compared to everyone else, and depending on the hospital we're covering multiple wards/ICUs each

    • @brotherofweasel
      @brotherofweasel 8 місяців тому +4

      ​In my corner of the woods there are no RTs. The ventilators are managed by intensivists (who also do anaesthesia) or emergency medicine physicians.

  • @dianeharris6695
    @dianeharris6695 8 місяців тому +114

    RT here. Thanks for the shout out. We do respond to a good loud PEEP. 😅

    • @Whitecroc
      @Whitecroc Місяць тому +1

      I have no idea what an RT does but I love that the one in the skit has the mannerisms of a bird that spotted something potentially alarming.

    • @ShahadQu
      @ShahadQu Місяць тому

      @@Whitecroc
      We care about everything related to the lung especially intubation/Ventilators/resuscitation and how to transport ventilated patients and these stuff in the ICU. We can work in wards as well or pulmonary function test which is related to the functional residual capacity and FEV1 joke that was mentioned in the beginning and other areas. If there is a lung there is a RT around !

  • @hi.rayaaa
    @hi.rayaaa 8 місяців тому +665

    babe wake up new dr glaucomflecken video just dropped

    • @rhabeldibabeldi6812
      @rhabeldibabeldi6812 8 місяців тому +7

      Thank you for waking me up to such good news 😁 Didn't know we call each other names like that but I'll roll with it babe 😘

    • @cookingwitharek9099
      @cookingwitharek9099 8 місяців тому +5

      ​@@rhabeldibabeldi6812 and thus the greatest love story begun

    • @markallman418
      @markallman418 8 місяців тому +2

      And with new characters!

    • @tejaswoman
      @tejaswoman 8 місяців тому +1

      If you keep waking them up every time a new video drops, at some point they're definitely going to need that sleep medicine doc.

    • @hi.rayaaa
      @hi.rayaaa 8 місяців тому +1

      @@tejaswoman i have a chip implanted to my head that notifys if a new video drops and releases adrenaline

  • @ShahadQu
    @ShahadQu 8 місяців тому +222

    As a respiratory care student I am extremely happy to be finally mentioned in your videos. That PEEP was hilarious 😂😂😂

    • @DrEsky914
      @DrEsky914 8 місяців тому +8

      One of my residents back in the "older" vent days (like 10 years ago!) used to say the noise the vent alarm made was it saying "Get your a$$ in here." ! (anyone working with the older vents will know what I mean...)

  • @KxNOxUTA
    @KxNOxUTA 8 місяців тому +171

    "Peep" 😂😅😂😅 that did it for me. Oh goodness!

    • @matteparent2468
      @matteparent2468 8 місяців тому +7

      english isn't my first language ... what does it mean ?

    • @satakrionkryptomortis
      @satakrionkryptomortis 8 місяців тому +4

      @@matteparent2468 there are ways to find out..change a digital thermostat, vent control, oven settings in a professional kitchen.

    • @johnkim6447
      @johnkim6447 8 місяців тому +38

      @@matteparent2468positive end expiratory pressure

  • @JMag1
    @JMag1 8 місяців тому +36

    I'm an ED nurse and the part about critical care patients in the ED for 87 hours was so on point!

  • @User-laiejwo5381
    @User-laiejwo5381 8 місяців тому +380

    Hey can we make sure Phil's last name is Prescription and middle name with Adam?
    So his name will be 🤣🤣🤣

    • @KxNOxUTA
      @KxNOxUTA 8 місяців тому +22

      This is brilliant 😂

    • @donnaleeah5075
      @donnaleeah5075 8 місяців тому +9

      Lololol TY

    • @luckypenny4263
      @luckypenny4263 8 місяців тому +9

      This is the best site love the laughs make my stressful day brighter ❤

    • @henriquelaydner4080
      @henriquelaydner4080 8 місяців тому +11

      I thought the joke was intended to be “Phil A dam Prescription”.

    • @User-laiejwo5381
      @User-laiejwo5381 8 місяців тому +4

      @@henriquelaydner4080joke not intended, but nice catch!

  • @amandamiller6995
    @amandamiller6995 8 місяців тому +52

    I have probably had sleep apnea my entire life. But I didn't get diagnosed with it until about 1997 with a really severe case of it. The doctor was a Pulmonologist and the company sent a Respiratory Therapist out to my house to do the set-up. The machines were a lot less sophisticated than they are today and wwwwwaaaayyy louder! The masks were a lot harder TOO and hurt my face. There was just no way I could use it, so I told them to come and take it back. I ended up losing a lot of weight and having a submucous resection of my inferior turbinates with a ENT surgeon. Then, I got transferred over to Neurology where they found that I didn't have any REM stage of sleep at ALL! ( This is over decades) The Sleep medicine doctor advised me to switch psychiatric medications and I went back on CPAP treatment again. Then, I found out from my Dentist that I have Bruxism and have ground my teeth almost flat! NOW I'm currently wearing a night guard and using nasal pillows for my CPAP treatment. WHEW, what a long strange trip it's been! I'm currently about 159 lb. Down from my highest weight of 387 lb. And still hoping to continue towards a better way to keep breathing, sleeping and living! Thanks to ALL those who have helped me and those who are training to help others in these kinds of situations! Never give up on people no matter how long or what difficulties they might be facing! Warmest regards from Greensboro, NC USA.

  • @suzannetitkemeyernlq
    @suzannetitkemeyernlq 8 місяців тому +110

    You're reminding me so much of when my wonderful critical care pulmo hit burn out and ended up a sleep doctor at another hospital. I loved, loved, loved that man. He was the first one to think I had mastocytosis instead of crazy. Finally got testing and a diagnosis.

  • @Viladin
    @Viladin 8 місяців тому +21

    I’m a respiratory therapist, and nothing will make me perk up my ears more than hearing a nurse or intensivist mentioning PEEP.

  • @darklucida
    @darklucida 8 місяців тому +176

    LMAO this makes sense as to why the 2 sleep doctors working near me are both coincidentally pulmonologist

    • @TheLocomono9
      @TheLocomono9 8 місяців тому +7

      Just email this video to them

    • @mattender8323
      @mattender8323 8 місяців тому +12

      Given that OSAS is pretty significant respiratory diagnosis it’s rather sensible

    • @DangerSquiggles
      @DangerSquiggles 8 місяців тому +3

      @@mattender8323 To be fair, anatomically it is ENT territory.

    • @nancylindsay4255
      @nancylindsay4255 8 місяців тому +1

      @@DangerSquiggles As a non-medical person, but a patient of 71 years . . . no. ENTs seem to have more than enough to deal with well. It seems best to confine them to upper respiratory.

    • @sonnlich
      @sonnlich 8 місяців тому

      I don't think that's a coincidence, I'm pretty sure it's a subspecialty

  • @sldenn5303
    @sldenn5303 8 місяців тому +98

    When he said board the patients in the ED for 86 hours until a bed opens up- I felt that! So true!

  • @gkd1982
    @gkd1982 8 місяців тому +240

    I was waiting for the rules of the ICU: Air goes in and out, blood goes round and round. Don't touch the vents and don't touch the pumps.

    • @jamesmatthews291
      @jamesmatthews291 8 місяців тому +41

      "Keep the heart full of blood, keep the lung full of air"

    • @DangerSquiggles
      @DangerSquiggles 8 місяців тому

      who, may I ask, gets to touch the vents and pumps?

    • @gkd1982
      @gkd1982 8 місяців тому +26

      @@DangerSquiggles Respiratory therapists and the nurses.

    • @MrApiiinr
      @MrApiiinr 8 місяців тому +1

      @@gkd1982that part

    • @kerasrc6230
      @kerasrc6230 8 місяців тому +5

      I just made up a whole song in my head from this comment, lolol

  • @leslie6569
    @leslie6569 8 місяців тому +40

    You captured my dad’s entire career trajectory beautifully, well done

  • @caravictoria
    @caravictoria 8 місяців тому +116

    Respiratory therapists are so overwhelmed and undervalued.

  • @GregorCaliber
    @GregorCaliber 8 місяців тому +11

    I'm a critical care paramedic that frequently transports ventilated pts and for some reason the RTs are THE BEST. Always happy to help and/or strangle you with a circuit depending on what you do.

  • @carlyar5281
    @carlyar5281 8 місяців тому +16

    Respiratory therapists are awesome!
    It was a respiratory therapist that saved my mom’s life in the ER 16 months ago. My sister (an OBGyn resident) was with my mom in the ER and she managed to flagged down an RT because she was very worried. It was the RT that identified how critical my mom was and shortly after she was intubated and on her way to the ICU. ❤

  • @malathiamobley2907
    @malathiamobley2907 8 місяців тому +24

    I love your videos. When the respiratory therapist responds to PEEP. I’m crying. 😂

  • @Ec11223
    @Ec11223 8 місяців тому +91

    We should introduce otolaryngology - just so that we can learn to pronounce otolaryngology. bonus if the character hates being called ENT

    • @tomgleeson-hammerton2060
      @tomgleeson-hammerton2060 8 місяців тому +10

      Don't forget the rhino!

    • @TasteOfButterflies
      @TasteOfButterflies 8 місяців тому +6

      Otolaryngologist in future video [probably]: can you name another specialty that's in charge of FIVE holes? [awkward silence] Didn't think so.

    • @IronFistGamingCSGO
      @IronFistGamingCSGO 5 місяців тому +2

      otorhinolaryngopulmonoidgafologist

  • @ScubaFanatic60
    @ScubaFanatic60 8 місяців тому +23

    I love your stuff Dr G. As an OD with a Jonathan I really appreciate the ophthalmologist, but you capture all the different docs so well. Thank you for what you do.

  • @christinelewcz8072
    @christinelewcz8072 8 місяців тому +88

    As a former RRT, you are spot on Dr. G. And if any interns/new residents are reading this - don’t touch the vent. No matter what. Seriously. You could lose a finger. 😂

    • @JPINFV
      @JPINFV 8 місяців тому

      ::quietly switches from VC to VC+/PRVC::

    • @emmasmom60
      @emmasmom60 8 місяців тому +6

      Don't even stand on the same side of the bed as the vent! They'll tackle you to the floor.

    • @drhandle4498
      @drhandle4498 8 місяців тому +14

      Presumably they are permitted to admire it from a distance, provided appropriate reverence is maintained.

    • @DrEsky914
      @DrEsky914 8 місяців тому +8

      Attendings are allowed to LOOK at the vent, just don't touch it!! And if the alarm goes off, even if you didn't do anything, RT appears and you are definitely in trouble!!

    • @Rickettsia505
      @Rickettsia505 8 місяців тому

      Exactly.

  • @purpletetrisdragon
    @purpletetrisdragon 8 місяців тому +8

    I am a 40 year old female with Cystic Fibrosis and I love this video! 😁 I am so grateful for my CF Dr.’s and especially the RT’s when I am in the hospital. 🥰

    • @Rickettsia505
      @Rickettsia505 8 місяців тому +4

      When I became an RT in 1980, the average lifespan for CF was 12. To see you posting your age brought tears to my eyes. We have come a long way. Bless you.

  • @Mike-zf7lo
    @Mike-zf7lo 8 місяців тому +34

    0:42 "okay". Every student on every rotation just wanting to go home and sleep.

  • @michaeldeloatch7461
    @michaeldeloatch7461 8 місяців тому +3

    Dr G you hit one out of the park again! Rings true with everything I learned about ICU respiratory medicine as a patient with pneumonia. I was never intubated mercifully but one of my favorite games became fiddling with the high flow bipap just to mess with the RT's. They would blame the nurses however as I recall...

  • @jerrycox4435
    @jerrycox4435 8 місяців тому +4

    I am no medical doctor but I do love watching you. You do it almost to the level I can understand and it is soooo funny. All of my doctor visits I have I ask for they know of you. A few months ago I had shoulder surgery and I showed the ortho surgeon a few of your orthopedic skits and he almost fell on the floor laughing. You are very talented and lucky to have such a understanding wife

  • @elizabethmende4191
    @elizabethmende4191 8 місяців тому +9

    When I worked in NICU many moons ago, a resident told me to wean my premie to 19%. I told him to get out of my nursery and not come back without his attending.

    • @Rickettsia505
      @Rickettsia505 8 місяців тому +5

      Good for you. It is surprising how many other medical professionals skipped class on O2 day.

  • @kaushikiraman30
    @kaushikiraman30 8 місяців тому +2

    You are a genius. Please never stop making videos! I am an ER doc in India and I am always awestruck how your take on the different branches are accurate across the globe! 🙌🏻

  • @liberalsockpuppet4772
    @liberalsockpuppet4772 8 місяців тому +8

    I love my pulmonologist. Thanks for giving this specialty some love.

  • @PhoenixRoseYT
    @PhoenixRoseYT 8 місяців тому +13

    Dr. Glauc I just graduated med school today!!! I’m about to be a real Dr. Bill Bill!

  • @luckypenny4263
    @luckypenny4263 8 місяців тому +1

    You and your wife are such GEMs ❤❤thank you for making us laugh and providing us education. Please know your followers love you

  • @vanntooot
    @vanntooot 8 місяців тому +5

    Respiratory therapists really are the rarest breed among ancillary medical professionals. They literally appear out of thin air as soon as a ventilator so much as wheezes then vanish as soon as they finish being passive-aggressively annoyed that you summoned them into existence

    • @Rickettsia505
      @Rickettsia505 8 місяців тому +1

      We are in short supply nationally, for many reasons.

    • @briesky2475
      @briesky2475 8 місяців тому +2

      🤣🤣🤣🤣 the accuracy!

    • @Rickettsia505
      @Rickettsia505 8 місяців тому +1

      Passive? Nope. Aggressive? Yep. Speaking only personally.
      I also have the laser mom eyes. Make you jump outta your Danskos.

  • @dianechaniewski293
    @dianechaniewski293 8 місяців тому +8

    First time I'm ever early to a video. ^_^ I love these Dr. G!! Thank you!!! (I'm not in any medical field whatsoever, but I love these vids!!)

  • @brianl830
    @brianl830 8 місяців тому +11

    I am pulm/CC/sleep med. he’s spot on as usual. And never touch the vent!

  • @SanahSaysHello
    @SanahSaysHello 8 місяців тому +1

    You were AMAZING at American Thoracic Society today. Would have loved to meet you!! Thank you so much for your phenomenal and touching keynote speech!!!

  • @joephysics5469
    @joephysics5469 8 місяців тому +11

    My critical care anesthesia ventilator settings were always different than the pulmonology/ICU doc's settings. Fortunately I had most of the respiratory therapists on my side.

  • @WelcomeApathy
    @WelcomeApathy 8 місяців тому +3

    Oh, gods, the boarding in the ER! Too accurate...
    I'm a rad tech, but for some reason my hospital system puts us in the same scrub colors as respiratory/cardio, and our dept managers often cover for each other. So I end up working pretty closely with them. These jokes mirror their complaints too well, lol!

  • @BrandonPeterson-eh2tf
    @BrandonPeterson-eh2tf 8 місяців тому +31

    Don’t forget Anatomic and Clinical Pathology, two very different specialties that just get collectively called “the lab.”

  • @IronFistGamingCSGO
    @IronFistGamingCSGO 5 місяців тому +1

    Maaaaaannnn I must say.... you are a genius!!!

  • @dirtbagdeacon
    @dirtbagdeacon 8 місяців тому +26

    I thought instantly of hem/onc the moment he said two specialties.
    'Then we become sleep medicine doctors.' ROFLMAO

  • @honeybrew5063
    @honeybrew5063 8 місяців тому +22

    Our ER got a full ICU and a Intermediate Care Unit. They always make fun of us ED Nurses, but we have to do ICU Care in every specialty not just in a few like the ICU Floors do.

  • @arixtra3048
    @arixtra3048 8 місяців тому

    Great keynote speech at the ATS opening ceremony! One of my favorites and I was so lucky to see you in person!

  • @haythamkenway13
    @haythamkenway13 6 місяців тому

    A respiratory therapist gave the best mechanical ventilation lecture i had when i was in IM residency. Those guys are geniouses

  • @matthewhendrickson5089
    @matthewhendrickson5089 8 місяців тому +8

    Respiratory Therapist hear and I approve of this message.

  • @callabeth258
    @callabeth258 8 місяців тому +11

    You posted this right as i started having an asthma flare!

  • @lifeinflight7778
    @lifeinflight7778 8 місяців тому +5

    Finally we meet the Pulmonologist!! Thank you

  • @adamgilmor1098
    @adamgilmor1098 8 місяців тому +1

    Oh my gosh!!! If there is something more explosive than LOL that was me. "They become sleep medicine doctors" I couldn't even finish the video, too funny, lol.

  • @fearreavers
    @fearreavers 8 місяців тому +10

    My mom died from COPD issues. I have a lot of experience with pulmonologist doctors. Cool dudes. Great senses of humor. And oddly all of them did acting in plays as hobbies

  • @MrPiyawka
    @MrPiyawka 7 місяців тому

    Gosh, I've been waiting for the pulmonary video for so long! Thank you and make some more!

  • @KyleRayner12
    @KyleRayner12 8 місяців тому +7

    The fun thing about pulm/crit care as a med student is that you're always planning to be there for one and end up doing more than you wanted of the other.

  • @simonthecuddlyteddy
    @simonthecuddlyteddy 8 місяців тому +3

    Finally! Been waiting for the respiratory guy to turn up.

  • @abdulrehmansiddiqui1734
    @abdulrehmansiddiqui1734 8 місяців тому +147

    Can confirm. Respiratory therapists can be as protective as NICU nurses

    • @ernielightning3218
      @ernielightning3218 8 місяців тому +2

      💯

    • @fisher15g
      @fisher15g 8 місяців тому +16

      We have to be. I've gotten too many calls from panicked RNs/Residents/Attendings along the lines of "I tried fiddling with the settings and now it's alarming, the patient's sats are dropping, and I don't know what I did"

  • @kendragilbertson3447
    @kendragilbertson3447 8 місяців тому +1

    My mom just got home after 6 months in the hospital on/off/on/off/on/off vent, pneumothorax, and C diff. Thank you Stanford Pulmonology!

  • @isaacjamestea9652
    @isaacjamestea9652 8 місяців тому +2

    The fact that you know the RTs are hard to find and they will murder you if you touch the ventilator, that's gold!

  • @NovaReason
    @NovaReason 8 місяців тому +45

    As an ICU RN, I have soooo many people I now need to show this to!

  • @kerasrc6230
    @kerasrc6230 8 місяців тому +3

    I love how the Pulmonologist didn't even try to make a good ventilator alarm at the end 😂😂😂

  • @Jennwitch666
    @Jennwitch666 8 місяців тому +9

    As an ICU nurse I can infact confirm that respiratory therapists will murder you if you adjust vent setting 😂

  • @ninjason57
    @ninjason57 8 місяців тому

    I was waiting for the ER nod and im glad you didnt disappoint

  • @br6480
    @br6480 8 місяців тому +2

    In Canada back in the ‘80s, we had only 1 RT for the whole hospital. RNs did all vent changes, treatments, Trach care etc. Fast forward I moved to the US and worked in a trauma ICU. new vent settings were ordered so I changed the settings. RT was upset and asked who touched his vent. I told him new orders were placed so I changed them and after explaining RNs manage their own vents because we only have one RT at night did he calm down. That was when I learned the US has 1 RT for each ICU plus floor RTs.

  • @Bluepaintrider
    @Bluepaintrider 7 місяців тому +1

    I can’t believe how accurate this is.

  • @lifeinflight7778
    @lifeinflight7778 8 місяців тому +4

    He should do a video where hospital staff are eating the Easter Peep candies and keep saying PEEP and it attracts all the respiratory therapists. 😂

  • @anonydun82fgoog35
    @anonydun82fgoog35 7 місяців тому +2

    I enjoyed my pulmonary medicine rotation. I learned to treat asthma correctly, among other useful things.

  • @antrumkfpsalatschleuder8768
    @antrumkfpsalatschleuder8768 8 місяців тому +17

    My dad is a pulmologist he mostly treads tuberculosis in a specialist tuberculosis clinic

    • @lifeinflight7778
      @lifeinflight7778 6 місяців тому +2

      Pharmacist here, Please thank your Dad for his hard work! When I hear of outbreaks multi drug resistant TB, it is terrifying. One day, unless mor drug research is done, there may be no drugs left to treat TB. (TB isn't a money maker so that's why sadly there isn't research going into new meds). Anyone that helps treat TB has my utmost respect, it is a beast.

  • @michaeljewett6883
    @michaeljewett6883 8 місяців тому +43

    As a respiratory therapist this is the funniest one yet. Dont touch my vents!

    • @mustang8206
      @mustang8206 6 місяців тому

      Gotta love an RT with an associates degree thinking they know more than the board certified pulmonologist

    • @michaeljewett6883
      @michaeljewett6883 6 місяців тому

      @@mustang8206 when i can find a pulmonologist who can properly explain all the modes as opposed to just VC and PC ill concede that point. The argument isnt who knows more medicine its who knows the equipment

    • @seanhicks4073
      @seanhicks4073 2 місяці тому

      @@mustang8206when I comes to manipulating the ventilator, they do know more

  • @ashli3471
    @ashli3471 8 місяців тому +102

    lol the therapist’s name is peep
    For those who don’t know it stands for Positive end-expiratory pressure

    • @whoyawith9494
      @whoyawith9494 8 місяців тому +8

      This was the answer I came here to find. 😂

    • @nancylindsay4255
      @nancylindsay4255 8 місяців тому +5

      Also could be taken to refer to the "beep" alarm that warns that a ventilator patient is in trouble!

    • @diyeana
      @diyeana 8 місяців тому +7

      Or because RT, using selective hearing, heard "PEEP" and quickly popped up because they were needed.

  • @Wawagirl17
    @Wawagirl17 8 місяців тому +50

    Welp, as a 32-year-old Cystic Fibrosis patient, I'm humbly reminded to always be incredibly patient and understanding of my apparently very burnt-out doctors and team.
    And here I thought I just clicked on this to laugh.

    • @le13579
      @le13579 8 місяців тому +19

      Congratulations on reaching 32!. I hope the newer CF drugs help you have many, many more years.

    • @nancylindsay4255
      @nancylindsay4255 8 місяців тому +1

      Laughing -- therapeutic as heck! (Best wishes to you!)

    • @maryrorick6129
      @maryrorick6129 8 місяців тому +1

      Ditto

  • @moseleych
    @moseleych 8 місяців тому +32

    Shots fired at anesthesia!

    • @rcranes2227
      @rcranes2227 8 місяців тому +1

      No worries, it's not inaccurate, and we generally like our jobs so whatevs.

    • @moseleych
      @moseleych 8 місяців тому

      @@rcranes2227 Oh I know, I'm a CRNA. Anesthesia is god tier.

  • @jeffhart4361
    @jeffhart4361 8 місяців тому +4

    As an RT, yes, we will... don't touch the vent

  • @luckypenny4263
    @luckypenny4263 8 місяців тому +1

    This was perfect lol!! 😂😂😂😂 I was hoping to see the pulmonary bit !!

  • @Brineytoes
    @Brineytoes 8 місяців тому

    Deep respect here. One recently saved life. Tampa genius! ❤🥰

  • @matthewhelsley2840
    @matthewhelsley2840 8 місяців тому

    People often laugh at callbacks in comedy routines but I can't recall humor where a laugh itself is the whole callback. Nicely done!

  • @katherineg9396
    @katherineg9396 8 місяців тому +14

    How about when the pulmonologist changes the vent settings and doesnt tell anyone?

    • @Rickettsia505
      @Rickettsia505 8 місяців тому +2

      Doesn't write orders or ABG's then gets angry when RT changes it back or calls them out.

  • @squiggedpig
    @squiggedpig 8 місяців тому +4

    As a CVICU nurse I can’t wait for the CTS doc appearance. 😂 And let’s not forget cardiology vs interventional vs CTS…..

  • @timsentsov7282
    @timsentsov7282 7 місяців тому +2

    As a Respiratory Therapist, I approve this message 😅

  • @ru2118
    @ru2118 8 місяців тому +1

    Pulm/crit was a service of extremes, we were either baby-sitting pulm toilets or seeing soft consults that would be better served outpatient or someone was actively dying or the classic 'run a code on someone who was about to be discharged' scenario.

  • @mixiearmadillo7452
    @mixiearmadillo7452 8 місяців тому +24

    Brb spamming this link to every RT I know. (Neuro/covid pcu nurse here, they're my heroes)

    • @Plasmod1um
      @Plasmod1um 8 місяців тому +4

      I'm an RT and the peep joke was *chef's kiss*

  • @clarewhite3004
    @clarewhite3004 8 місяців тому +4

    Ahhhhhhhhhhhh we finally made our appearance!!! SAY MY NAME! You might think we're hard to find, but just say "my patient isn't looking good" and we're already there. Don't touch my vent, don't order vest therapy for pleural effusions, don't order Q4 duonebs for asthma and CHF, and for the love of breathing PUT AN END DATE ON THE MUCOMYST ORDER, and we'll get along great.
    *Why no duonebs for asthma? Ipatroprium bromide is not indicated after the ER unless they've also got emphysema. Albuterol and ICS, please and thank you. NOT EVERYONE NEEDS DUONEBS.

  • @margaretanncarno4014
    @margaretanncarno4014 8 місяців тому +1

    Loved your presentation at ATS

  • @Black13lade
    @Black13lade 8 місяців тому +1

    As a Respiratory therapist myself, I will in fact...be quite upset if you touch my ventilator ;) Thank you Dr. G for acknowledging RT's :)

  • @TheHawk-dy4cl
    @TheHawk-dy4cl 8 місяців тому +1

    Finally, Dr. G is giving pulmonologists some love!

  • @GENERALTIM21
    @GENERALTIM21 8 місяців тому +2

    We dont have respiratory therapists in Australia, the RN does it all.
    Regardless, I feel mimicking the Drager vent alarm sound with your mouth will summon either of them relatively quickly.

  • @kimjay6725
    @kimjay6725 8 місяців тому +11

    What up, vent bro!

  • @diyeana
    @diyeana 8 місяців тому +3

    I see that RT is putting their selective hearing to good use. Here's a sampling of words you can use to summon your own Respiratory Therapist: PEEP, BIPAP, CPAP, ventilator, nebulizer, "I can intubate," "I'm going to turn your oxygen down/up/off," and "Your O2 is ..."

  • @sciencebunny
    @sciencebunny 8 місяців тому +3

    A friend is a respiratory therapist in the ICU and all I ever hear about are ventilators

  • @rickharvey4727
    @rickharvey4727 8 місяців тому

    This reverberated through my soul.

  • @Sherubiiii
    @Sherubiiii 8 місяців тому +2

    Just reminds me doing a radiography placement and being warned about touching the ECMO patients. I believe multiple specialties would've murdered us if we touched them in the name of a chest x-ray 😬

  • @alexanderakers4049
    @alexanderakers4049 8 місяців тому +3

    I will forever and always yell PEEP when I see respiratory now

  • @benzles8492
    @benzles8492 8 місяців тому +1

    I just love how if you make certain sounds or noises in a hospital, certain pple will just show up, drop the words "code blue" and suddenly every ER and heart doc is right there!! 😁😁

  • @ASquareGranny
    @ASquareGranny 8 місяців тому +4

    Why do I LOVE these vids?!?! RN for 30 yrs….thats it! 😂

    • @DameGarbo
      @DameGarbo 8 місяців тому

      Yep, RN 40 yrs here. These skits feed my soul.

  • @sophiathore3538
    @sophiathore3538 8 місяців тому +4

    IT's every doctor's responsibiliy to be irrationally angry at the other specialities for doing their own speciality wrong. And do I ever excel at that XD

  • @CircleOLove
    @CircleOLove 8 місяців тому

    Another excellent addition to The Lore !

  • @Miss_Dis
    @Miss_Dis 8 місяців тому +32

    I feel like the pulmonologist has such extreme burnout from icu that we don't even notice like we do with family medicine, they've evolved past burnout

    • @luckypenny4263
      @luckypenny4263 8 місяців тому +3

      Correct you have no idea ! Many of these patients are so sick with so many complications! Burn out is an under statement. Seems to always be understaffed.

  • @Gerkins1313
    @Gerkins1313 8 місяців тому +2

    Damn straight, don't touch the ventilator! -RRT

  • @christopherhickie4194
    @christopherhickie4194 8 місяців тому +2

    Laughed past my fvc for this one.