And here I am, stiff and dead tired after 3 back to back 12 hour shifts as a nurse (which are never just 12, they’re more like 14s 😩), while you truck through 7 days of it. I tip my scrub cap to you, doc! Now get some rest, eat good food, and prepare your soul for the next week ahead. Thank you for all you do!
Don’t forget how much you do on your shifts though! We come see the patients for a few mins here and there as needed and when paged, you’re literally attached to your patients at the hip for 12-14 hours during your shift doing every single little thing for them (and for us). Yeah we work long and crazy hours and they’re terrible 😋 but don’t discount all you do too!!
Dr. Adam Hotchkiss you are awesome, thank you for your kind words! I’m a firm believer that we’re all apart of an important healthcare team, from hospital sanitation workers to CNAs all the way up the ladder to you guys, the MDs. When we all work together, we truly work for the betterment of the patient and the work environment. Thank you again for this kind and gentle reminder! I had a rough week last week and my 3 12s start back up tomorrow, but I’m a bit more ready to get back into the race now. Thanks again, doc. Good health to you! 😊
lalalynnsey completely agree!! I can’t do surgery if the housekeeping team didn’t clean the OR.. so they’re just as important in the process! We’re all just one big team! And nurses save my butt everyday and have since I was a student 😋 Go crush that next shift!! Best of luck to you!! And thank you for all that you do!!!
If only all drs were like you! I use to be a scrub nurse and we had a brilliant surgeon (he used to be a nurse tho) who would help clean and mop up after cases I remember another surgeon coming in the look on her face was hilarious she even asked him what the hell are you doing? Like yourself he just said we are all one big team and should help each other out no matter what your job role is!
If only all drs were like you! I use to be a scrub nurse and we had a brilliant surgeon (he used to be a nurse tho) who would help clean and mop up after cases I remember another surgeon coming in the look on her face was hilarious she even asked him what the hell are you doing? Like yourself he just said we are all one big team and should help each other out no matter what your job role is!
This should never be allowed to occur in any workplace. Especially a medical profession. This is why doctors have issues with mental health. Yet no one wants to change anything.
The people who could change it, care more about saving money. And some of the older doctors think if they had to go through it, the younger residents should go through it too.
I have much respect for you, but I am wondering if it's dangerous not only for your health in long term but for errors while giving diagnostic due to extreme fatigue?
@@Em98762 I’m sorry that that’s ever happened to you! You’re so right! No “just” anything. I was literally just talking about in my last video how you’re not “just a janitor” the surgery can’t happen until the OR is cleaned, so with that, the janitor is as important at the surgeon. And there’s absolutely NO such thing as just a nurse haha. Nurses do SO much for the patient and are a massive part of the team. Can’t even say how many times nurses have saved my butt haha. Thank you all for everything you do!!
@@Em98762 I‘m pre-med too, but as my father always said (he‘s a urologist): A motivated nurse knows more than any young doctor. Maybe not on the scientific side of things but certainly in terms of diagnoses, procedures and treatments.
You can literally see the progression throughout the week. I served in the military and long hours with calls in the middle of the night and walking into the middle of situations is all too familiar. Gotta do what you gotta do. It’s just the nature of it all. You’re covered by the grace of God at that point to still even greet coworkers and really explain things to others.
there was a nurse in my state that killed her patient by administering the wrong medication to him while he was admitted because she had no sleep for 3 days straight I can't imagine how you feel
Just remembering my 12 hour shifts on call with a busy OR board during my time as an anaesthetic registrar (in your case fellowship) and how broken I was post call. My mind is just boggled at how your hospital administrators would think doing 168 hours straight is safe for both you and the patients you treat.
• Cellini’s call week: o Day 1 Monday: 7a - 11p. Full night’s sleep. 16 hours worked. o Day 2 Tuesday: 6a - 11p. Interrupted Sleep. 20 hours worked. o Day 3 Wednesday: 8a - 8p and up all night. 23 hours worked. o Day 4 Thursday: 8a - 6p having only drank a little bit of PowerAde, no sleep from getting paged all night. 23 hours worked. o Day 5 Friday: 7a - 10p (after his fourth consecutive 15 hour procedure day in a row being on his feet) Not much sleep (insanity - doing cases all day long and getting paged all night). Hasn’t had a full night’s sleep since Monday. 20 hours worked. o Day 6 Saturday: 7a - 6p. was falling asleep at 6. o Day 7 Sunday: Gets called in for an emergency: 12am - 7am doing a procedure; finally going home. 2pm - 6pm 11 hours worked. 16+20+23+23+20+11+11 = 124 hours of work in 1 week (maybe even more)...that is literally insane
With that said, I can't thank docs and fellows enough. Had an upper endoscopy done last weekend. I haven't seen my insurance bill yet haha but regardless I can't thank y'all enough.
Well, just finished watching the vid... you looked absolutely knackered mid way through, I do not know where you summon the energy from! I'm guessing your usual morning routine aids the support here and helps you get into some kind of "regular" back to back routine for these types of weeks. Was interesting to watch, keep up the great work!
I’m a last year med student in Belgium , the busiest internship week I’ve had in the ER is 80 hours and I was dead by the end of it. I don’t know how it’s humanly possible or even allowed. I’ve never heard about such a thing here. 😱 All the best to you 😊
I finally got the chance to watch your vlog...**Whew**...I'm never, I mean N*E*V*E*R going to complain about being tired again! Seriously, I just said a prayer asking God to give you strength, the kind that only He can give. #HeadUpShouldersBack✨✨
I would honestly feel like a burden to the doctor if I’m the reason he had to get out of bed at 2 am to diagnose and treat me. I mean, I want to be a doctor eventually, but I feel like the hardest part of the job is the burnout and exhaustion.
J L i was interested in being a doctor until i found out about the crazy hours and overall being in school for a 10+ years until you get a salary (residents do get one but by then you’re already working crazy hours that its not really worth it). Its crazy what people go through to become a doctor.
I was exhausted seeing you exhausted from your 7 days on. I don’t know how you can do that and be nice! Hope you got R&R on your 7 days off. Tell Andriana she needs a UA-cam channel or IG page for fashion & makeup!
You are a rockstar for making it through! It seriously is all worth it in the end - that’s what I keep telling myself. I just graduated undergrad and will be applying to med school next summer!
Does anyone perceive doctors as Gods?! Most of them have my upmost respect! Think of a world without doctors! I am in awe how they are able to not only function but save lives on no sleep?! I watched Dr Cellini’s vlog on dealing with no sleep but still it puzzles me they must be superhuman 🦸♀️! 👍Thank you for taking us along on your week Dr Cellini❣️
No. That's blasphemous to God which I'm sure you don't mean. Men are just that... men. Their not Gods. But God definitely uses them in a special way❤️ and I also respect them for their dedication and compassion. Special people in the world.
Dr. C , this type video was good. I got to see how your mood changed from the beginning of the call to the end. I can see that you do indeed love your job. You were just tired but not upset or annoyed. I hope to be in the same exact position as you in a few years. Rads is where it’s at. Thanks for the vids
The amount of respect that I have for you is insane. You don't freak out, don't think too far ahead on "what ifs" damn wish I had your temperament....think about how many people cannot deal with that schedule and crisis life....never mind, the darn SKILL you posses in the first place. I am in AWE
Hello Doc... You made me laugh when in minute 4:37 you mention that " misery loves company" (as you both share the same dreadful working routine...)...
I didn’t realize being In fellowship that you would still have to be on call and work these crazy hours that you did during your residency. This was very interesting I would love to see more.
Hey Michael, Hi I know I urged you to do this but holy moly it made me tired just to watch. Thank you for all you do, God Bless and rest when you can. This is insane.. Thank you! once again Deleen from Birmingham, Alabama.
Ha, that monitor beep was ingrained in my head because our youngest daughter was born at 27 wks she was in the NICU for 59 days so I would go home and jump because I would hear it even though I wasn't in the hospital with her ha! (she's 7 yrs old now and even now when I still hear that sound I still get that same feeling!) FYI THANK YOU for what you do! I live in NY so seeing all that has happened w/Covid #NYSTRONG Hope you got that well-deserved rest!
I like these kindve videos. It would be dope if at the end of the week you gave us the best emergent case you worked on during call and explain what said procedure entails.
Hi! It was interesting to follow you on this crazy week. I work in Sweden as a nurse and we have laws that don't allow these kind of long shifts. What about in the US? I am curious to know if there is any policy that takes into account the fact that people get extremely tired and worn out on these shifts. Thank you :)
Enjoy your rest, you sure deserve it. That sounded way too hard. As an interventional neuroradiology trainee I understand the feeling of not knowing when you'll get some sleep over these on-call periods, but I have only done 60 hour shifts... Can't even imagine going for a whole week. Stay safe!
Am curious on how this type of culture in the medical field is in the best intrest of its customer... (the patients). Seems dangerous and almost unethicalvthat you could even be allowed to work this much and be operating on people.
So that's a good question and there are many factors that go into this. But first for the generalities, this is a very rare case and it usually only happens to either interns or medical fellows who go into very advance medical specialties (he's mentioned very hard cases, most advanced procedures, serious procedures, etc). Also, to note is that we are in a pandemic so everyone is on edge however I do find 168 hours on call very shocking but it can happen given the conditions. So let's start with intern year, it's usually about 80+ hours a week which is considered to be the most hardest in every Doctor's training (it is), because medical school just gives you the MD and you learn how to teat diseases but they did not train you to be specialized thus, that's when residency training comes in. Now, why the increased hours for doctors in residency? There's many factors but the main ones are (1) We have a doctor shortage in many specialties (especially primary care and other types of specialties too) thus, we need to produce as many new licensed + board certified physicians as we can (2) because med schools do not specialize doctors, the job of residency to expose the resident/intern to as many aspects of their intended specialty as much as possible (you can only do this via experience at the bed side and seeing every possible case that you will see in practice so when you graduate from residency you'll be prepared for whatever). (3) So why the long hours? Why can't we allocate and share the hard cases with other residents or attendings? Well, they actually do it's just again they need to be on that case plus there's a lot of other legalities concerning this. One reason is that if you are given the patient, you need to follow through with that patient till their very end (whether positive or negative/death) and it's just been shown that when the same doctor who takes over the patient through and through it's usually always more comfortable for that patient because they know the doctor for long periods of time, and vice versa the residency knows them too. Depending on the hospital/state some do perform hands offs to different doctors but there is some concern with this, the most common one is that the new docotr comes in and is not fully aware of how the patient was when they first came in thus, sometimes medical mistakes are made (rare but it can happen). Because seeing the patient first and following them through versus giving them away to a new doctor is just different. By the time the first doctor gives away the patient, they would already know the patient's trends in labs, meds, prognosis etc, more than the new one. So it's a bit of a compromise: Yes, if the hand off system was more common, that would mean the residents will have less hours than 80+ but then there's a chance medical mistakes can be made. Hopefully, in the future we improve residency lifestyle-balance for everyone. But yes the most common on call hours i see is 24 and 36 hours. The most I saw were 48 but never 168 so this is a first. I just don't want people to be discouraged to not pursue medicine, usually after residency you get much more better hours and pay. I also think it's the culture that accumulated over the years in medicine: you know doctors studying long hours, then working long hours, sleeping for 30 mins in the on call room, etc. and everyone is told that's the life, we do it for the sake of the patient, but I feel that it's hypocritical that we tell patients to sleep more, it's good for your health and lowers stress yet the system does this haha.
@@brixlagao3380 My son is premed, and his uncle is a urologist, so we get a little inside information. Nevertheless, I never understood the "SEAL Team- BUDS school," training for physicians, or why it continues into 2020. thanks for the information and clarification.
My fiancé works for the railroad and I thought them not sleeping for 48 hours straight was bad! I can't imagine him being on call for a week! Thankfully he gets mandatory 8 hour rest when he gets to his destination but there have been times where they bent the rules and just sent him back home on a train (after being on the road for 18+ hours already) I have MAD respect for doctors /all medical professionals! 🤗
How is it even humanly possible for you to be on call for that many hours, and be able to do such strenuous surgeries on people? Cognitively is that even possible? Is it healthy for you? And is it healthy for your patients?
Lmao yes but no. Residents legit work 100+ hours. Even though programs aren’t supposed to do that, they get away with it by making the residents under report their work hours or they face retaliation by administrators.
@@TheMaleNurse777 residents only get paid about $61k per year. That is not a lot considering the insane cost of schooling and the major health risks down the line related to such lengthy shifts and lack of sleep.
Nosotros aca en México hacemos una semana completa de literalmente VIVIR en el hospital, tienes un cuarto y vices ahi. No se puede salir en una semana, no tenemos este sistema de ON CALL, si estas de guardia te quedas toda la semana en el hospital, esto es una semana al mes
I’m doing a psych rotation right now, the attending I’m with is fresh out of residency, she told me that in her residency she didn’t have wards based internal med as an intern (that’s where we do a lot of these types of shifts). She did an out patients clinic, I was so jealous
Alanna Renae DM me on my IG if you have one and I’ll tell you where she went! I just don’t want to talk on here about too many specifics, my work has crazy rules about talking about each other 😋 it’s super weird I know haha (@dr.aehotchkiss)
I want to be a surgical technologist when I’m older. I have decided if possible, cause I have researched and you can go on call as one. That I would probably spread out the on call nights. Just for the safety of patients. Going basically a whole week without proper sleep is terrifying especially if you are a patient waiting to be operated on. Edit: I just want to say, I have researched some places and have talked to some surgical technologists. Some have said they are able to choose on call schedules. Some are given one, but I would prefer to choose when I go on call tbh.
This was awesome. I’m looking to go into neuro/trauma surgeon and I just had a quick question. When you go on call like so , do you ask to do such thing, do you receive a bonus, or is it mandatory by the hospital to be on call, and when you’re done with the week did you receive a few days off or do you go back to your regular routine immediately?
How often do you have to do these long ON CALL shifts during this residency? This isn't the way it's going to be once your completely finished is it? And I don't see how you do it all AND share with us at the same time! Thank you, I really enjoy seeing your world.
Well, this does stink; however, this is NYC for you. NYC is notorious for running their residents into the ground, including duty hours violations, in many different medical specialties. Essentially getting everything they can out of the residents at their cheap "resident" pricetag. Just the name of the game. Personally, NYC "allure" is not enough to make me want to ever go anywhere near there for residency or fellowship if I was a medical student, but proximity to home for many students keeps them coming back im sure.
I wish I was fortunate an had your great health. I have inflammatory bowel disease, and low immunoglobluin levels. I would be chronically sick and in constant brain fog
Great insight into doctor life. Are the emergency patients stabalized by other staff and waiting for you to do the procedures? It would be nice if you went into detail of what the scenerios look like as you're rushing back and forth. Do you ever feel like your patients would be better off if just slept at the hospital or given the situations it wouldn't make too much of a difference. Also, How often do you need to be on call like this?
Emergency staff usually stabilizes as that’s the point of the ED. There’s also beds for us at hospitals but I bet Dr Cellini and all others would agree that if you live close enough, your bed will always be better. Resident rooms suck. You get a tiny little cot, you still hear all the codes going off over head, if your room is next to other resident rooms you hear them getting paged, running in and out of the room. I could never get sleep in there. Ugh I hated that 😫
But you know what, I'm sure after you've survived this torture, you came out the other side feeling soo accomplished, feeling elevated in your IR competency levels.
How do the schedule the fellows in terms of how your on call, when your in call and for how long and then how does your daily schedule fit into that? That would be an interesting video to see how works through your residency and fellowship.
hello I am a junior radiology resident. Your videos have been good company for me while I am on my overnight duty. I can relate to a lot of things even though I am not an interventionist. Canceling out the beeping in the operating room was the best part hehe :) I hope you keep up the good work and stay healthy! Btw, why do you get calls for a stool softener?
Ling Lee ugh I hate you guys hahaha I’m kidding, but very envious. Also probably hundreds of thousands of less debt too 🤦🏼♂️ its a good thing I truly couldn’t imagine doing anything different
Legend has it he’s still on call
Lol
He's called the Stig.
Residents should make way more money for the ridiculous amount of hours they work
I agree with this statement!
Couldn’t agree more!!
There's no profit motive that had done a sufficient enough job. Need to change a lot of things.. Fundamentally
Couldn't agree more.
Lloyd B jinx
And here I am, stiff and dead tired after 3 back to back 12 hour shifts as a nurse (which are never just 12, they’re more like 14s 😩), while you truck through 7 days of it. I tip my scrub cap to you, doc! Now get some rest, eat good food, and prepare your soul for the next week ahead. Thank you for all you do!
Don’t forget how much you do on your shifts though! We come see the patients for a few mins here and there as needed and when paged, you’re literally attached to your patients at the hip for 12-14 hours during your shift doing every single little thing for them (and for us). Yeah we work long and crazy hours and they’re terrible 😋 but don’t discount all you do too!!
Dr. Adam Hotchkiss you are awesome, thank you for your kind words! I’m a firm believer that we’re all apart of an important healthcare team, from hospital sanitation workers to CNAs all the way up the ladder to you guys, the MDs. When we all work together, we truly work for the betterment of the patient and the work environment. Thank you again for this kind and gentle reminder! I had a rough week last week and my 3 12s start back up tomorrow, but I’m a bit more ready to get back into the race now. Thanks again, doc. Good health to you! 😊
lalalynnsey completely agree!! I can’t do surgery if the housekeeping team didn’t clean the OR.. so they’re just as important in the process! We’re all just one big team! And nurses save my butt everyday and have since I was a student 😋 Go crush that next shift!! Best of luck to you!! And thank you for all that you do!!!
If only all drs were like you! I use to be a scrub nurse and we had a brilliant surgeon (he used to be a nurse tho) who would help clean and mop up after cases I remember another surgeon coming in the look on her face was hilarious she even asked him what the hell are you doing? Like yourself he just said we are all one big team and should help each other out no matter what your job role is!
If only all drs were like you! I use to be a scrub nurse and we had a brilliant surgeon (he used to be a nurse tho) who would help clean and mop up after cases I remember another surgeon coming in the look on her face was hilarious she even asked him what the hell are you doing? Like yourself he just said we are all one big team and should help each other out no matter what your job role is!
Wow that’s a lot. It is evident that you’re a dedicated doctor!!
This should never be allowed to occur in any workplace. Especially a medical profession. This is why doctors have issues with mental health. Yet no one wants to change anything.
The people who could change it, care more about saving money. And some of the older doctors think if they had to go through it, the younger residents should go through it too.
I couldn't agree more. This is so distressing :(
and i thought a ten hour school day was hard
Lol
I have much respect for you, but I am wondering if it's dangerous not only for your health in long term but for errors while giving diagnostic due to extreme fatigue?
When we say be kind to doctors this is why. We go through so much and stress a lot just to make sure u recover.
Even though I’m just a pre med, I’m getting a bartender set to master the cocktails for the future
James Boone haha definitely not a bad idea
🤣❤️
Please never say or think you are “just a pre med” or anything.. all of your insight is WORTH IT! Have been told many times that I am “just a nurse”.
@@Em98762 I’m sorry that that’s ever happened to you! You’re so right! No “just” anything. I was literally just talking about in my last video how you’re not “just a janitor” the surgery can’t happen until the OR is cleaned, so with that, the janitor is as important at the surgeon. And there’s absolutely NO such thing as just a nurse haha. Nurses do SO much for the patient and are a massive part of the team. Can’t even say how many times nurses have saved my butt haha. Thank you all for everything you do!!
@@Em98762 I‘m pre-med too, but as my father always said (he‘s a urologist): A motivated nurse knows more than any young doctor. Maybe not on the scientific side of things but certainly in terms of diagnoses, procedures and treatments.
You can literally see the progression throughout the week. I served in the military and long hours with calls in the middle of the night and walking into the middle of situations is all too familiar. Gotta do what you gotta do. It’s just the nature of it all. You’re covered by the grace of God at that point to still even greet coworkers and really explain things to others.
there was a nurse in my state that killed her patient by administering the wrong medication to him while he was admitted because she had no sleep for 3 days straight I can't imagine how you feel
Just remembering my 12 hour shifts on call with a busy OR board during my time as an anaesthetic registrar (in your case fellowship) and how broken I was post call. My mind is just boggled at how your hospital administrators would think doing 168 hours straight is safe for both you and the patients you treat.
Seems a bit dangerous.
adrenaline
@@SK-mr6ov Many die in accidents when they drive home after the adrenaline wears off.
Earth Angel very true, I was addressing the surgery part but you are right.
WookieonCrack he ubers. A lot Of doctors at our hospital if they know they have been working long hours and are exhausted they Uber home and back.
Lara Ward you don’t think being tired makes practicing medicine dangerous as well?
I can never again complain of having a busy week after watching this! Thank you for your hard work and looking after those in need!
• Cellini’s call week:
o Day 1 Monday: 7a - 11p. Full night’s sleep. 16 hours worked.
o Day 2 Tuesday: 6a - 11p. Interrupted Sleep. 20 hours worked.
o Day 3 Wednesday: 8a - 8p and up all night. 23 hours worked.
o Day 4 Thursday: 8a - 6p having only drank a little bit of PowerAde, no sleep from getting paged all night. 23 hours worked.
o Day 5 Friday: 7a - 10p (after his fourth consecutive 15 hour procedure day in a row being on his feet) Not much sleep (insanity - doing cases all day long and getting paged all night). Hasn’t had a full night’s sleep since Monday. 20 hours worked.
o Day 6 Saturday: 7a - 6p. was falling asleep at 6.
o Day 7 Sunday: Gets called in for an emergency: 12am - 7am doing a procedure; finally going home. 2pm - 6pm 11 hours worked.
16+20+23+23+20+11+11 = 124 hours
of work in 1 week (maybe even more)...that is literally insane
With that said, I can't thank docs and fellows enough. Had an upper endoscopy done last weekend. I haven't seen my insurance bill yet haha but regardless I can't thank y'all enough.
Very well outlined~Thank you, Bryan☆☆:)
Well, just finished watching the vid... you looked absolutely knackered mid way through, I do not know where you summon the energy from! I'm guessing your usual morning routine aids the support here and helps you get into some kind of "regular" back to back routine for these types of weeks. Was interesting to watch, keep up the great work!
It takes a good 3-4 days to get back to normal lol
I’m a last year med student in Belgium , the busiest internship week I’ve had in the ER is 80 hours and I was dead by the end of it. I don’t know how it’s humanly possible or even allowed. I’ve never heard about such a thing here. 😱
All the best to you 😊
Unbelievable. Should be prohibited
I finally got the chance to watch your vlog...**Whew**...I'm never, I mean N*E*V*E*R going to complain about being tired again!
Seriously, I just said a prayer asking God to give you strength, the kind that only He can give.
#HeadUpShouldersBack✨✨
How often do you have to do a 7 day call? It’s insane! Can’t be good for your health, and I imagine it takes days to feel normal again
These videos make me so effing grateful I work in Australia!! We're never on call this long without relief. Good on you!
No offense. Do not want to be an emergency patient when you, or any doc, has no good sleep for 7 days. Ridiculous
sue kirsh if it was me, I wouldn’t go to the ER unless it was an emergency. Hospital bills are too expensive for me.
sue kirsh no fucking way
I would honestly feel like a burden to the doctor if I’m the reason he had to get out of bed at 2 am to diagnose and treat me. I mean, I want to be a doctor eventually, but I feel like the hardest part of the job is the burnout and exhaustion.
exactly and that is why we need more doctors!! But the trend only shows it getting worse!
J L i was interested in being a doctor until i found out about the crazy hours and overall being in school for a 10+ years until you get a salary (residents do get one but by then you’re already working crazy hours that its not really worth it). Its crazy what people go through to become a doctor.
“It’s kinda surprising how much your body can run on no sleep” -
me as a mom of four 7 and under nods in agreement
I was exhausted seeing you exhausted from your 7 days on. I don’t know how you can do that and be nice! Hope you got R&R on your 7 days off. Tell Andriana she needs a UA-cam channel or IG page
for fashion & makeup!
You are a rockstar for making it through! It seriously is all worth it in the end - that’s what I keep telling myself. I just graduated undergrad and will be applying to med school next summer!
Does anyone perceive doctors as Gods?! Most of them have my upmost respect! Think of a world without doctors! I am in awe how they are able to not only function but save lives on no sleep?! I watched Dr Cellini’s vlog on dealing with no sleep but still it puzzles me they must be superhuman 🦸♀️! 👍Thank you for taking us along on your week Dr Cellini❣️
No. That's blasphemous to God which I'm sure you don't mean. Men are just that... men. Their not Gods. But God definitely uses them in a special way❤️ and I also respect them for their dedication and compassion. Special people in the world.
Dr. C , this type video was good. I got to see how your mood changed from the beginning of the call to the end. I can see that you do indeed love your job. You were just tired but not upset or annoyed. I hope to be in the same exact position as you in a few years. Rads is where it’s at. Thanks for the vids
Current R1 integrated IR here. Huge fan of your videos. So much to look forward to! Thanks, Dr. Cellini!
After i work anything over 90hrs i just stop replying on my phone so props to you for sticking with the vlogging!
The amount of respect that I have for you is insane. You don't freak out, don't think too far ahead on "what ifs" damn wish I had your temperament....think about how many people cannot deal with that schedule and crisis life....never mind, the darn SKILL you posses in the first place. I am in AWE
Hello Doc... You made me laugh when in minute 4:37 you mention that " misery loves company" (as you both share the same dreadful working routine...)...
Oh the joys of call! Crushing it man
168 hours in a row! Woah - *grabs popcorn* :D
I love your content man.😍
Eradicator 44 I literally just got off the same shift yesterday. Hated every minute haha
ibucos sparkles mine or Dr Cellini’s? Hopefully both 😋
I didn’t realize being In fellowship that you would still have to be on call and work these crazy hours that you did during your residency. This was very interesting I would love to see more.
Last year to soak up all we can!
Thanks for sharing! All this call makes me not feel so bad about my current nights on diagnostic radiology!
It gets better...then worse for a short year...then way better lol
That was insane and how is that allowed. I would be nervous doing procedures on so little sleep. You are a rock star. Hope you got some good sleep. 🤗🥱
Sneaker game on point as always Doc!
Hey Michael, Hi I know I urged you to do this but holy moly it made me tired just to watch. Thank you for all you do, God Bless and rest when you can. This is insane.. Thank you! once again Deleen from Birmingham, Alabama.
Ha, that monitor beep was ingrained in my head because our youngest daughter was born at 27 wks she was in the NICU for 59 days so I would go home and jump because I would hear it even though I wasn't in the hospital with her ha! (she's 7 yrs old now and even now when I still hear that sound I still get that same feeling!) FYI THANK YOU for what you do! I live in NY so seeing all that has happened w/Covid #NYSTRONG Hope you got that well-deserved rest!
WOW! I’m exhausted just watching this! I don’t know how you do this!
Enjoyed watching what it is really like! How long do you have off after such a week?
I like these kindve videos. It would be dope if at the end of the week you gave us the best emergent case you worked on during call and explain what said procedure entails.
The first 30 seconds reminded me of why I didn’t go in to medicine but dentistry 😂 your a amazing doctor though 🙌🇬🇧✌🏼
Thinkin about healthcare... do you know if there is any healthcare professions with sports?
@@gooregonducks4088 it’s called sports medicine
Hi! It was interesting to follow you on this crazy week. I work in Sweden as a nurse and we have laws that don't allow these kind of long shifts. What about in the US? I am curious to know if there is any policy that takes into account the fact that people get extremely tired and worn out on these shifts. Thank you :)
Been waiting for this!! And pls keep safe :))
Enjoy your rest, you sure deserve it. That sounded way too hard. As an interventional neuroradiology trainee I understand the feeling of not knowing when you'll get some sleep over these on-call periods, but I have only done 60 hour shifts... Can't even imagine going for a whole week. Stay safe!
Am curious on how this type of culture in the medical field is in the best intrest of its customer... (the patients). Seems dangerous and almost unethicalvthat you could even be allowed to work this much and be operating on people.
💯
A comment questioning the ethics of the work environment whilst calling the patients "customers", gotta love the irony.
So that's a good question and there are many factors that go into this. But first for the generalities, this is a very rare case and it usually only happens to either interns or medical fellows who go into very advance medical specialties (he's mentioned very hard cases, most advanced procedures, serious procedures, etc). Also, to note is that we are in a pandemic so everyone is on edge however I do find 168 hours on call very shocking but it can happen given the conditions. So let's start with intern year, it's usually about 80+ hours a week which is considered to be the most hardest in every Doctor's training (it is), because medical school just gives you the MD and you learn how to teat diseases but they did not train you to be specialized thus, that's when residency training comes in. Now, why the increased hours for doctors in residency? There's many factors but the main ones are (1) We have a doctor shortage in many specialties (especially primary care and other types of specialties too) thus, we need to produce as many new licensed + board certified physicians as we can (2) because med schools do not specialize doctors, the job of residency to expose the resident/intern to as many aspects of their intended specialty as much as possible (you can only do this via experience at the bed side and seeing every possible case that you will see in practice so when you graduate from residency you'll be prepared for whatever). (3) So why the long hours? Why can't we allocate and share the hard cases with other residents or attendings? Well, they actually do it's just again they need to be on that case plus there's a lot of other legalities concerning this. One reason is that if you are given the patient, you need to follow through with that patient till their very end (whether positive or negative/death) and it's just been shown that when the same doctor who takes over the patient through and through it's usually always more comfortable for that patient because they know the doctor for long periods of time, and vice versa the residency knows them too. Depending on the hospital/state some do perform hands offs to different doctors but there is some concern with this, the most common one is that the new docotr comes in and is not fully aware of how the patient was when they first came in thus, sometimes medical mistakes are made (rare but it can happen). Because seeing the patient first and following them through versus giving them away to a new doctor is just different. By the time the first doctor gives away the patient, they would already know the patient's trends in labs, meds, prognosis etc, more than the new one. So it's a bit of a compromise: Yes, if the hand off system was more common, that would mean the residents will have less hours than 80+ but then there's a chance medical mistakes can be made. Hopefully, in the future we improve residency lifestyle-balance for everyone. But yes the most common on call hours i see is 24 and 36 hours. The most I saw were 48 but never 168 so this is a first. I just don't want people to be discouraged to not pursue medicine, usually after residency you get much more better hours and pay. I also think it's the culture that accumulated over the years in medicine: you know doctors studying long hours, then working long hours, sleeping for 30 mins in the on call room, etc. and everyone is told that's the life, we do it for the sake of the patient, but I feel that it's hypocritical that we tell patients to sleep more, it's good for your health and lowers stress yet the system does this haha.
@@brixlagao3380 My son is premed, and his uncle is a urologist, so we get a little inside information. Nevertheless, I never understood the "SEAL Team- BUDS school," training for physicians, or why it continues into 2020. thanks for the information and clarification.
@@NiaziFarooq It was intended as a shot at the industry. Is it not obvious that is how people are viewed by many health centers??
crazy how even your voice changed as the week went by.. You are a trooper Dr. Cellini!
Insane 96 hours on call! My goodness and you still made an awesome video ♥️♥️♥️
My fiancé works for the railroad and I thought them not sleeping for 48 hours straight was bad! I can't imagine him being on call for a week! Thankfully he gets mandatory 8 hour rest when he gets to his destination but there have been times where they bent the rules and just sent him back home on a train (after being on the road for 18+ hours already) I have MAD respect for doctors /all medical professionals! 🤗
I wanna know how this guy makes amazing content and has one of the best jobs ever?!
How is it even humanly possible for you to be on call for that many hours, and be able to do such strenuous surgeries on people? Cognitively is that even possible? Is it healthy for you? And is it healthy for your patients?
That’s what I’m thinking. They passed law few years ago about it
Not the least bit healthy for patients, several studies done have shown that sleep deprived surgeons make significantly more mistakes.
arent there laws against working this much?
Lmao yes but no. Residents legit work 100+ hours. Even though programs aren’t supposed to do that, they get away with it by making the residents under report their work hours or they face retaliation by administrators.
FOR $500K A YEAR--ITS NOT LOL
@@TheMaleNurse777 residents only get paid about $61k per year. That is not a lot considering the insane cost of schooling and the major health risks down the line related to such lengthy shifts and lack of sleep.
woww.... you're just amazing... please take care of your health and stay safe!
Nosotros aca en México hacemos una semana completa de literalmente VIVIR en el hospital, tienes un cuarto y vices ahi. No se puede salir en una semana, no tenemos este sistema de ON CALL, si estas de guardia te quedas toda la semana en el hospital, esto es una semana al mes
Mad respect! You are always an inspiration and a role model! Push on!
Crushed it doc! Strong work. Way to push through!
First time seeing your vlog; enjoyed it! I would like to see more medical procedures and info in the future! I love learning about medicine!
This is intense! Maybe some cocktails could help 😂. Good vid BTW Doc!
Always need a post-call week cocktail!
Loved the video and I hope you can now get some good sleep take care Doctor Cellini.
wow awesome video! you don't get to see this perspective ever! what a rough week
Are you crazy I hope you’re doing good man you deserve some rest ! You’re awesome keep up the great work
And I thought busy season in accounting was brutal... lmfao. You are an inspiration.
what specialty doesn't require this ? Im trying to live a normal life 9-5
Lol this is just in training. Once your done, very few docs do this
Lmfaooooooooooooo
I’m doing a psych rotation right now, the attending I’m with is fresh out of residency, she told me that in her residency she didn’t have wards based internal med as an intern (that’s where we do a lot of these types of shifts). She did an out patients clinic, I was so jealous
Dr. Adam Hotchkiss I’m going into Psych - how did she manage to do that!
Alanna Renae DM me on my IG if you have one and I’ll tell you where she went! I just don’t want to talk on here about too many specifics, my work has crazy rules about talking about each other 😋 it’s super weird I know haha (@dr.aehotchkiss)
How is this safe? Who wants to be a surgery patient with a surgeon who didn't get sleep the night before?
I want to be a surgical technologist when I’m older. I have decided if possible, cause I have researched and you can go on call as one. That I would probably spread out the on call nights. Just for the safety of patients. Going basically a whole week without proper sleep is terrifying especially if you are a patient waiting to be operated on.
Edit: I just want to say, I have researched some places and have talked to some surgical technologists. Some have said they are able to choose on call schedules. Some are given one, but I would prefer to choose when I go on call tbh.
As a rad student, that noise never gets old
Dr. Cellini I love your channel! Please do a Collab with Dr. Mike. You both are great young doctors that the UA-cam community look up to
This was awesome. I’m looking to go into neuro/trauma surgeon and I just had a quick question. When you go on call like so , do you ask to do such thing, do you receive a bonus, or is it mandatory by the hospital to be on call, and when you’re done with the week did you receive a few days off or do you go back to your regular routine immediately?
Great video Dr. Cellini! & here I am complaining when I'm off work on the weekends and can't sleep in 😝
That street view is making made me miss NYC. I went to HS at Hunter
Much respect for Rads. Kudos
How often do you have to do these long ON CALL shifts during this residency? This isn't the way it's going to be once your completely finished is it? And I don't see how you do it all AND share with us at the same time! Thank you, I really enjoy seeing your world.
Poor guy :( I can't imagine being that exhausted and still having to work.
Well, this does stink; however, this is NYC for you. NYC is notorious for running their residents into the ground, including duty hours violations, in many different medical specialties. Essentially getting everything they can out of the residents at their cheap "resident" pricetag. Just the name of the game. Personally, NYC "allure" is not enough to make me want to ever go anywhere near there for residency or fellowship if I was a medical student, but proximity to home for many students keeps them coming back im sure.
Your work ethic is inspiring!
Your a great doctor. Thank you so much
Goodness! So much respect.
Please please do this next time your on call. Super cool to follow along with you.
Why do they even have these long on-call marathons? Does it affect the quality of care? Should patients be freaked out they have a fried doc?
welcome to the american healthcare system
His evident mood change sunday compared to the begining of the video lol
Dr. C you are the best. That blank facial expression.
This is why you should be an NP or PA. And this is why most moved that way in the U.S.
Patient care and procedures/surgeries on no sleep. Isn’t that scary when you think about it.
Video was awesome please keep doing these.
I wish I was fortunate an had your great health. I have inflammatory bowel disease, and low immunoglobluin levels. I would be chronically sick and in constant brain fog
Great insight into doctor life. Are the emergency patients stabalized by other staff and waiting for you to do the procedures? It would be nice if you went into detail of what the scenerios look like as you're rushing back and forth. Do you ever feel like your patients would be better off if just slept at the hospital or given the situations it wouldn't make too much of a difference. Also, How often do you need to be on call like this?
Emergency staff usually stabilizes as that’s the point of the ED. There’s also beds for us at hospitals but I bet Dr Cellini and all others would agree that if you live close enough, your bed will always be better. Resident rooms suck. You get a tiny little cot, you still hear all the codes going off over head, if your room is next to other resident rooms you hear them getting paged, running in and out of the room. I could never get sleep in there. Ugh I hated that 😫
Loved this- would love to see a video like this again.
But you know what, I'm sure after you've survived this torture, you came out the other side feeling soo accomplished, feeling elevated in your IR competency levels.
That sound at 13:10 would drive me insane when I’m trying to relax, probably would tune it out when I’m busy though 😂
Loving the vids, keep doing what your doing, ❤
Thx!
@@DrCellini Np 😇
Great video love to see more of this
How do the schedule the fellows in terms of how your on call, when your in call and for how long and then how does your daily schedule fit into that? That would be an interesting video to see how works through your residency and fellowship.
hello I am a junior radiology resident. Your videos have been good company for me while I am on my overnight duty. I can relate to a lot of things even though I am not an interventionist. Canceling out the beeping in the operating room was the best part hehe :) I hope you keep up the good work and stay healthy! Btw, why do you get calls for a stool softener?
omg salute to u Dr. Cellini, bless you
What would your typical work week look like when you are finished with this part of your training and are officially a fully practicing radiologist?
Nothing like this lol
You’re a king for this
As I am sat in my comfy office at the hedge fund, I am glad I never did medicine. Same salary and little stress
Ling Lee ugh I hate you guys hahaha I’m kidding, but very envious. Also probably hundreds of thousands of less debt too 🤦🏼♂️ its a good thing I truly couldn’t imagine doing anything different
Praying for you 🤲🏼
I'm scared to ask this question BUT, I googled it and couldn't find it. How many days do you get "off" after these long on-call shifts?
Love your vids ❤️❤️
Omg your eye circles just kept getting darker and darker by the day, aww