Med Students Try to be Doctors (ft MedSchoolBoiz)
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- Опубліковано 14 жов 2024
- Transitioning from the classroom to the hospital is never easy...
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When medical students simultaneously know too much and not enough
Exactly knowledge and skill a very separate things. I know theoretically how to build a car. But I have zero skills for that
Got the book knowledge with 0 application and case study knowledge
😂😂
@@thor498good analogy
they know too much book knowledge and not enough problem solving or critical thinking skills😭😭
Everything is a pheo until someone teaches you that nothing is a pheo
First week of gen med as a student, was told I would never see a pheo. Saw 2 new ones, 2 old ones, and one paraganglionoma in the next 2 weeks. Never seen one since lol. Never jinx it
🤣I was show and tell with my lovely pheo!
I did actually see a pheo. But you are right, it's never a pheo even when it is a pheo. It's much more likely to be lupus.
@@kaboomsihal1164 Gregory House would disagree
I have a genetic disorder that can cause pheos. Doctors must be secretly disappointed when I don't have them. 🤔
Med students are like the human incarnation of Google's symptom diagnoses lol
You sure these ones aren't worse lol
Could go with WebMD: it's cancer.
Network connectivity errors are the worst.
@@LenjaStar That's exactly what they did too. MEN 2b is Thyroid cancer
Lol
a colonoscopy is only a "breeze" when the patient has gas.
HHAHAHAHAGAGAGA
😂
Lmao 😂😂😂🤣
🤣🤣🤣🤣🤣
Please 💀💀💀
This is honestly pretty close to how it feels like first today. Everything is a zebra
It is to me-I’m a zebra 🦓
@@KiKiQuiQuiKiKi me too
Zebras do exist - smas and eds and so much more. When the issues don’t connect, think connective tissues
Zebra here! The docs have to always think Zebra with me, my body’s kinda backwards lol 😉
Zebra? Like the people with striped bodies under UV?
I love this stage, when they’re still intellectually curious and want to solve patients’ medical issues. I wish that wasn’t murdered out of them before they get into their own practices.
Meanwhile patient is dying of CCF....
....and when they become resl Drs all they do is the paperwork
@@pennymitchell8523 If you’re lucky. Sometimes they go on autopilot and fabricate the visit.
@@classicambo9781 .....my ddx was PE lol
"The carcass of their former selves...." 😂
Haha I wish I had gone into clinics with 10% of these students' confidence! I went in freaking out that I felt like I knew nothing. I've gotten a little less anxious with every rotation I complete, but I could never, before or now, utter the phrase "clinics are a breeze." Absolutely fake news, they're hard as sh*t, at least in vet med.
You’ve got a good mindset. Clinicals aren’t supposed to be easy, they’re supposed to challenge you & expose every weakness you have so that you know where you need to improve before you’re practicing independently. If you think they’re a breeze you’re stagnating & not learning anything. Keep it up, you sound like you’ve got a good head on your shoulders & we need more of that around here.
What a cute pair! So young and fresh and so naïve.😊
Bright future ahead!
@@Doc_Schmidt yes, most likely. Arrogance can be curbed easily without the standard put down from Senior doctors. It can absolutely come with time.
@@Doc_Schmidt is the answer CCF causing pulmonary oedema and a need for diuretics?
@mandibailey9104 yeah, why did they need to abuse tf out of us. Whats wrong with "I'm afraid that's wrong, the answer is pulmonary oedema from CCF" instead of:
"NO WHAT IS WRONG WITH YOU THIS IS BASIC MEDICINE. DID YOU EVEN PAY ATTENTION IN MEDICAL SCHOOL? YOU NEED TO GO AND REREAD EVERYTHING NOW BEFORE YOU KILL SOMEONE YOU IDIOTS. ARE YOU EVEN DOCTORS???"
Well they won't have time for 3 hours of video games for a long long time.
They said “howdy” and I immediately checked to see if they were from A&M 😂😂
Ha, i did the same thing!
Lol Me 2!! I have lived outside of Texas for sooooo long I was beginning to forget about "howdy"
😕 And gigem.
They actually say that in real life? I thought it was just in movies lol.
Whoop! Med school class of 87!
Yeah I heard that and looked for the embroidery so fast lol
We're talking possible CHF/COPD/Pulmonary Edema/Kidney probs but my man's assuming the patient's dying of cancer😂😂
That's what I was thinking, haha. Heart failure.
Don’t forget PE on the differential. That’s a bad one to miss.
@@jacobcolombo3158 it's on the comment pulmonary embo
@@jacobcolombo3158 Doesn't have chest pain though. Dragon is spot on, kidney problems are on the ddx because of metabolic acidosis which causes sob.
If only the teaching doctor was this polite
Krebs cycle ...... Never used it again in med school after my exam lmao
Even Calvin Benson cycle , at least up till now
I have an exam tomorrow and I have to know it. Learning it knowing it was useless was extremely painful.
@@technopop5781 Never heard of that one. So it’s the plant equivalent of the Krebs cycle?
I've completely forgotten it 3 years after the exam. I just remember that it produces energy.
@@arona6692 ah yes the true spirit of learning the krebs cycle
As a final year med student I had mixed feelings and was highly confused about how a classic presentation cardiac failure could possibly bring about a differential that far out, and then I started crying.
My inner nurse was screaming "Lasix!! FFS just order the damned 40mg of Lasix!!". Then I cried too.
Omg I was just studying Krebs cycle and then I saw this I cant stop laughing 😂😂😂😂😂😂😂😂
“I play three hours of video games a day, so this is going to be a breeze”, I’m dead 😂
They remind me of Jd and Turk from Scrubs.
But that patient might have chf or pulm hypertension/edema.
Excellent assessment 😁
how do you have a square picture next to your name
i was thinking more PE secondary to DVT 🤔🤔
@@kingjoong5625 if you become a member of my channel then that’s one of the perks! (Instructions are in the video description at the very end)
@@Doc_Schmidt thanks for letting me know!
I feel like such guys are unusually peppy and confident in their rotations until a mean chief comes to rounds and roasts them to a mean crisp. Which will satisfy the other ppl of their batch (I've been one of the other ppl in my life😅)
Do Med students do the same as some Nursing students and freak out thinking they have every disease they are studying?? Lol I remember at least half, if not more of us would panic once in awhile thinking...omg i have 3 of those symptoms >>>> and they say 1 is fatal...i gotta get to the Dr!! Lol
Oh yeah. I went through several lymphomas, melanoma and many more. I limit myself to thinking that I have them. I don't want to waste the time of real mds to check if I have them, I'd rather panic some of the time and then read about it more and think that well, this is NOT it lol. Then on to the next one and the cycle begins.
It's called 2nd year syndrome
@@mobby30 I too thought I had lymphoma as a pharmacy student 😅
Yes, definitely. Went through a few metabolic disorders myself 😅
Medical student syndrome is a scam! Lol.
Please make more videos highlighting how much unneeded stuff we learn in med school.
My first rotation was surgery and I basically said (paraphrasing here) "Hi so this is my first rotation and all my "hands on" experience was on Zoom so I have no idea what I'm doing or how to do anything." Thank God the attending surgeon that precepted me was super kind and laid-back and supportive.
It may be DVT leading to plumonary embolism 🤔
Love your vids doc ,love all the way from india
Or cardiac failure
I was thinking the same
@@vivekvs1992 how would pulmonary embolism cause leg swelling?
@@abdullahhussain9589 if the primary cause is a dvt.. Leg swelling can be a sign and pulmonary embolism can be the complication.. That said, dvt causing leg swelling isn't very prominent because of superficial veins helping out.. Now if you have a malignant tumor pressing on the pelvic veins then you can have oedema and pulmonary embolus.. Now this is just a scenario that I just mentioned..
more likely fluid overload due cardiac failure causing edema and SOB. Dvt more likely if theyre post surgery or extremely immobile
I love those two cutties ! Make more videos together Doc !
As a patient this is hilarious. Watching two med students come back down to earth.
The part where they responded 'Final electron acceptor!' with confidence absolutely sent me. Reminded me of how many times my AP Biology teacher said that...
Can't forget the good ol days of AP bio😂
OMG!! I have had conversations like this with residents. Sadly, some chief residents and 2 attendings in my time on a medical/pulmonary ICU 😒
The one you go over every single science you ever taken at the university. Every single science class!
I'm thinking congestive heart failure.
Either that or thrombosis and pulmonary embolism.
Same, girl, same 🤣
Me too and Im not even a doctor
Same !
Could be pulmonary edema or hypertension as well
This teaches an amazing point. Always start with BLS and work your way up from there
Ah the old pheochromocytoma…. I’ve actually been tested for a pheo…. Shock shock I didn’t have one. Turned out the face sweats that lead to the testing for pheo were a side effect of one of my meds.
Dad's face sweats were diagnosed as rosacea for 30 years. Was carcinoid the VA failed to mention
The patient is likely to have a Pulmonary embolism from a possible dislodged thrombus from the DVT of the swollen leg. It could also be CHF with a bipedal oedema
Lovely! Just had first day introductions with the last batch of med students. They’re so enthusiastic! Great to work with!
Not me spending the video trying to figure out what may be wrong with the patient, rewatching it’s to think of some causes
Rewatches are encouraged 😁
My first impression is that it could be CHF or kindey related if it was chornic or DVT/PE if this developed while the patient is admitted.
@@ColorFun95 Usually PE by itself won't cause leg swelling. BUT something else that LEADS to a PE can cause leg swelling...
Not a doctor here, But was a Lead Auto Tech for 20+ years before retiring & the same thing can be said for training new technician! The new techs would jump to the most of the wall diagnosis without actually diagnosing the problem! Most times it was a pretty simple cure!
Considering the difficulty in recognizing mitochondrial disorders, maybe we could use docs with more than a passing reference to the chemistry of biology. Especially since digestion and nutrition are kind of important. Knowing more about bodily function is a good thing. Sometimes zebras hide in there.
You don’t work in healthcare do you
@@korbinkirton5827 No. I have a disabling chronic condition that means I spend a LOT of time in doctor's offices and a lot of time flummoxed that basic nutrition and chemistry are not considered. I have a friend who is a chemical engineer who became ill. She had more and more pain but couldn't find any doctor who could figure out why. Finally, she took short-term disability and went through the chemical reactions from her medications. She finally found a drug interaction that caused the pain and was able to switch to different medications.
What I find most frustrating is the weirdly consistent anger expressed to patients who 'refuse' to get better and similarly when a patient points out a mistake. I don't mind a mistake, but I mind very much when I am blamed and belittled for pointing something out that was a mistake.
Doctors seem so isolated from other professionals in health care and I think it is to their detriment to do so. I have found nutritionists and physical therapists more familiar with bodily function. Maybe it is a function of my education in agriculture. We calculate feed ratios and can tell nutritional needs for species including micro vitamins and minerals. It's all very applied, of course, because we have to show input and outcome in terms of dollars and cents. That training is probably closer to that of a physical therapist or a nutritionist. But why are doctors so insistent on keeping other professionals at a distance?
This is very accurate, we all thought during our clinical rotation what we studied those for.
I just remembered my first round, everything was vague and you feel you have a lot on ur shoulder to read and learn 🌚💔
Took me a real understanding to get CHF as first differential
Leg swelling and low oxygen sounds like congestive heart failure.
That was my first instinct lol
STOP YOU REALLY JUST GAVE ME FLASH BACKS OF LIVING ENVIRONMENT- THE KREBS CYCLE, ELECTRON TRANSPORT CHAIN IM LITERALLY CRYING
I was spacing out cross eyed as soon as I heard the words "clinical rotations"
The frickin Krebs cycle!! Damn it🤣🤣🤣 I'm currently preparing for my medical entrance exams and we got that shit in our syllabus, so this was so relatable lmao
It's like me trying to adult.
Everyone: it's tax season don't forget to do those!
Me: THE MITOCONDRIA IS THE POWER HOUSE OF THE CELL
Jesus the patience it takes to deal with these students
Well that explains the student I had once who was left alone with patient for the first time. 😂 I think I taught him more questions to ask than he asked me. That doc loved putting students in with me.
Hahaha! Throwing in the colonoscopy/video game link is hilarious.
The most surprising aspect of this video is them saying "howdy doc!"😂
Our high school teachers went wayyy over board in our second year ad we had to have a test on osmosis, krebs and electron transport chain all at once. With neoglucogenesis, beta oxidation etc included as well. Hardest but most interesting thing ive studied. Was 17.
I loved how the guy on right proud of his friend's answer!peaceful time indeed.🤣
Give them 4 or more yrs,they will be giving different answers and spending time arguing.
I actually just got out of the hospital for this exact thing, around 85 oxygen and both legs swelling. Had multiple blood clots in my heart and legs.
Damn, I just took my Metabolism final. I totally forgot the krebs cycle runs twice. Where was this video yesterday morning?
Could possibly be Congestive heart failure or kidney failure,blood work would give more clarity.
Yeah creatinine, urea, tgp tgo, glycemia CK , Sodium Potassium ca mg fe and hemogram. I thought of kidney failure leading to heart and lung failure but it could also be a snake bite 😄 with only these details.
Could also be DVT leading to pulmonary embolism
I would check the CRP first, to exclude any lung infection and maybe a thorax x-ray.
But suspect no. 1 for me, would be a HEART issue due to the low oxidation, along with the swelling of the legs.
Pneumonia doesn't make your legs swell.
Colonoscopies are like old school dungeon crawl RPGs where the treasures are very, very bad.
Have some freakin respect
“…Is the final electron acceptor in the ETC” LMAO this is how I imagine some of my pre-med classmates now
I'm a mechanic but I've heard, "Just because you hear hoof beats, doesn't necessarily mean it's a Zebra."
This is so accurate. I always wondered why I had to learn that because I never heard doctors say that 😂
I can absolutely relate. I’m was absolutely the two newbies when I first started emergency triage so many years ago. This stuff translates. 😂
Did an internship in family medicine and there was a patient with pain around the orbita. I got asked what it might be and the first thing that came to mind was an orbital rhabdomyosarcoma. Med school does that to you.
I just learned about Krebs cycle in my bio here in college 😂😂 I’m a business student and hate every second of that class, why the fuck am I forced to take it??? 😀😀😀
My guess would have been congestive heart failure causing edema in his legs the possible low oxygen levels but I’d have to know more information. Also yeah … sometimes students get cocky…
Having to look at notes on the material you studied all night to learn describes med students perfectly.
That's why doctors level are going down in US. Went to an Asian Dr because I was having some ear pain, She cleaned the ear and asked you ok now.
When knowledge gets in the way of knowing.
yells “IT’S A DVT” at the screen
Not a medical professional (or in med school), but the implication of the low oxygen and shortness of breath is that the thrombus has migrated from the leg and caused a pulmonary embolism, right?
Maybe lets check his d-dimer and chest xray first. ?decomp heart failure vs PE. Has he had an echo done previously?
If these medstudents mastered the basic sciences then they could derive important differentials from disturbances in the Starling Forces that likely explain the patients leg edema and dyspnea.
Just how important teaching basic biomedical sciences is in building the foundation for clinical practice.
They could start by discussing the hydrostatic and oncotic pressure gradients that are at play in this scenario quickly to start.
Bilateral or unilateral swelling? Red/hot or pitting edema?
I have a hunch that it's a pulmonary embolism from DVT.
@@anaafrida634 consider lung sounds. I say APE but he didnt say what the sounds are
Kidney failure or CHF
Swelling in legs & difficulty in breathing with low Oxygen saturation (pulmonary edema) may be due to CHF (Congestive Heart Failure)
O2 being the final electron acceptor 😂😂😂😂😂🤣🤣🤣🤣 I’m dead hahahah
APO from exacerbation of CCF would be my first thought
Congestive heart failure possibility but wasn’t paying attention to him and focused on med studies as they are hillaious! 😂😂
Same with new school counselors. They want to talk about which theory to use. I'm avoiding flying objects while explaining we have 5 minutes until lunch duty, so time to triage.
Could be endocarditis, pulmonary edema, congestive heart failure… the list goes on. We need more information!
"The what?"
Maaaaan, I felt that!! 🤣😂🤣😂
Could be disconnected. Low O2 is respiratory, patent may have history of smoking, or could be out of breath due to stress. Swelling of the leg could be a drainage-problem, possibly a staph infection.
Same vibe as doing software development with data structure
That's what happens when instead of seeing the forest your busy looking at tree bark through a microscope.
This is giving me flashbacks.
in undergrad i literally failed biochem twice before i figured out the fucking krebs cycle and electron transport chain. i’m still in school for healthcare but if i never have to delve into that again i’d be happy
Adorable little Aggie doctors! Gig ‘em yall.
Undergrad 84, Med school 87
Gig em! Good to see fellow aggies
When I went to shadow my GI, I also expected colonoscopies to be like a video game. But honestly it's more like fly-fishing
Yes, oxygen is the final electron acceptor, which is why low blood oxygen can lead to one type of metabolic acidosis.
😂 this is hilarious as a lab tech turned lab manager who‘s final exam was on the Krebs cycle… never needed it and don’t remember anything. 🙈
CCF patient my explain the shortness of breath and leg swelling
Or PE
Oh my god!!!! This was hilarious!!!!! My entire life in under 60 seconds
The Kreb Cycle is the worst but knowing it is also kinda useless 😂
This is the classic National Registry of EMTs exam question, "best answer" is CHF, put in CPAP isn't it because of please let it be. They drilled that one in our brains. LMAO!
Residents spent the night studying the Krebs cycle and STILL had to look at notes to tell you what it produced. Let that sink in.
I’d love to hear your thoughts on the Radonda case!! ♥️
Fluid overload from CHF. Let's check that creat and k+ level, and give him some lasix! Let's add in 2g 2L restriction and maybe add a foley (please add a foley, for everyone's sake)
I would get a CBC, EKG, and order an ultrasound of my patient's heart to rule out cardiomyopathy. But, it's probably cardiomyopathy. And, I'm not a doctor, but I did stay at a Holiday Inn Express last night.
Copd and diabetes with either asthma and or obesity related airway blockage. Or they could be having an allergic reaction. Or it could be swelling caused by any number of autoimmune diseases. Regardless, steroids, and if condition doesn’t improve you can rule all of that out. Also a patient history helps when conducting hypothetical ddx(s).
Everything is pheochromopsytoma until nothing is
Lol this helped me study the Krebs cycle for my microbiology exam today
Eeeey some Aggies 😊🤠 that new med school building is nice!
They sound like they're reading straight from WebMD
HF HF HF HF.... That's what I'm shooting in my mind lol.
But super funny lol.... Keep up the lovely content. God bless.
According to his age and history ..
It could be caused by pulmonary HTN causes or right sided heart failure.. and of course his Clinical examination and x ray can help allot
Check the swollen leg for insect or spider bites or stings
We’ve got some CHF or fluid overload on our hands, but kreb cycle!
We just had the cycle in biology class, which makes this even funnier for me lol
photosynthesis application on leg swelling