My experiences as a psych patient OD’ing is going unconscious in the back of the ambulance and waking up in a ward with a liaison psychiatrist standing over me. Asleep through the entire ER stage, never saw the ER physician
So glad I chose psych over EM. Worst lifestyle and burnout. Patients deserve better care than the flyby 2 minute dispo from the attending while most care has been provided by others.
This couldn't be more accurate. As a med student, I probably had that exact "So what are the can't miss diagnoses here?" conversation with half the senior residents. Also, I've heard that calcium gluconate explanation word for word from a resident before.
As an ER nurse my mind goes "calcium first but in a minibag on microdrip bc I am absolutely not standing there to IVP this med, hit em with the D50, 10 of IV insulin fuck I need to find another nurse for dual sign off nvm here drink this Lokelma while I find another nurse." Gets distracted finding another nurse but remembers to get the bedside commode for the inevitable shit storm after the Lokelma/Kayexalate. Finds another nurse for insulin sign off... pt "why am I taking insulin I'm not a diabetic I don't want this!" Eye roll "sir, these are the consequences of your actions when you decided to skip dialysis all week."
Sorry, but what’s wrong with explanation? Of course mechanism of “stabilization” is quite unclear, but it is recommended to prescribe calcium in case of sever hyperkalemia with ECG changes.
@@SuperBraNTA the explanation is fine, it's just funny that med students across the country have had the same explanation given to them by EM residents specifically
The conversation with the cath lab was perfect. Initial incredulity regarding signs of progressive ischemia, then by the time the Pt. meets STEMI criteria theres already an elective/non-urgent on the table and everyones scrambling to meet the 90min angio window.
@Weather WX The cath lab (the lady thay he talked to) didn't think the initial signs of a heart attack on the EKG (the t wave inversion) were actually due to a current heart attack (there can be other causes including an old heart attack), until the very obvious, defining signs of a heart attack showed up in the EKG, but by that time there was probably an elective cath lab case on the table so people are scrambling to get the patient having a heart attack to a cath lab to remove the clot within the 90 minutes window required for better patient outcome. Hospitals also report on how they are doing following these guidelines.
@Brawnyö Yes, you'll understand everything about this situation and laugh about it too when you get towards your final semesters of medical school. The funny thing mostly is trying to meet the 90 min window when you already screwed up. Best they can do is use thrombolytics and transport because of oversight and poor planning.
What does CT stand for again? I forget. I could Google it, but the algorithm demands otherwise. I might Google it anyways, but an answer would still be cool.
@miscelanous Computerised Tomography, it used to be called a CAT scan. Its basically a lot of X-rays taken from different angles, and then computers put the images together.
It’s so incredible how personalities within specialties align SO perfectly. This is every ER Doc I’ve ever met. 😂 Is there some group on the medical board that just reads personalities then sends those folks to that group. It is WILD.
It's the opposite, some personalities or disorders types are more attracted to some areas and end up in there because one thing attracts the other, like Emergency Medicine and ADHD or Surgery and Psychopathy.
@@irresponse You are absolutely right... But then I start to think that's it's neither personalities aligning with certain specialities nor an inherent psych/mental variant sorting doctors into said specialties... Sometimes I think it's a specialty environment that nurtures an already existing tendency within any individual (although to varying degrees). A cycle that started since medicine existed and different fields emerged and archetypes were chiseled into each clinical practice... But I'm most likely talking nonsense due to USMLE prep and I need to sleep 💤 🤣🤣🤣
I worked in patient registration for 3 years in the er and I’ve never seen anything more accurate in my life 😂😂😂 The snacking the chill bro energy, the amount of caffeine
i remember as an ER scribe i asked, “how tall do the T waves need to be to be considered peaked” without fail: when it looks like it hurts to sit on them
But then you respond with the “end of watch” movie quote and say…yeah but med school has a huge ___. Every med student is “fully dilated” by the time they are practicing medicine.
As a non med person, all this is telling me is that EM people are to hospitals what kitchen staff are to hospitality. Even down to the “I think ADHD helps” comment which I’ve heard multiple cooks say in different kitchens.
The number of motherfuckers I meet that say they're "diagnosed ADHD but just manage their symptoms well"....what bullshit. No bro, the stuff that I do, that you cannot relate to, are what people with ADHD are actually like.
I think this is my sign to do emergency medicine. I'm pre med and work in food service and I definitely prefer BOH stuff and have ADHD and have definitely made this comment a million times 😂
I was in the ER on the patient side once and the doc kept swinging his body left to right, watching his stethoscope swing while he told me tests he was gonna do. I coughed up blood and he was like “woah that’s a lot” still swinging. I was fine (aspiration pneumonia after a procedure) but made me giggle
As a med student who loves shadowing in the ER and wants to go into EM this is literally every EM doc and the fact that I also carry a large water bottle with carabineer, rock climb, etc etc. it's just eerie
@@stevencooper4422 ive always loved this kind of stuff, always carried my keys or water on a carebiner, etc. Its definitely not something i took on but something i always liked. I reckon that certain types of people just naturally gravitate towards one or another specialty based on their speciality
Lmfao dude, im still a pre-med but I checked off the fanny pack, head band, shoes, and same color hydro flask, and adhd all in the same sitting. I guess I know where im headed in the near future
ADHD and EMS are a match made in heaven! 25 min attention span, ability to kick into high gear instantaneously, with a mind that subconsciously screens the environment for danger all the time. Perfect!
You can train yourself not to tremble with practice. It happens to everybody and its just about learning to calm the nerves with breathing tricks and stuff.@@HiHi-ol3hs
My father reflecting on his general surgery residency and witnessing that absolute negligence of ER docs, "rather than take me to the ER, leave me on the rode to die".
As a frequent flyer due to a chronic condition & also occasional bad luck (3 concussions in the last 1.5 years) thanks for the work that you do. We see you.
You know it's a resident because they haven't yet figured out how crap those Leatherman raptors actually are and Leatherman won't warranty or sharpen them Sincerely, an EMT who wore them out in under a year. SOG for life. When they wear out, sog sends me a new pair. Forever. It's interesting that ER docs hate psych so much. It's honestly one of my favorite patient types. One thing I'm gonna be mentioning in my personal statement this year is just how much I love the patients and jobs that burns out ED docs.
"Honestly bro, it kinda helps to be ADHD to do emergency medicine" Same man, same..... except I'm an engineer and there's no way we can pump those workloads without being high off out tits on meds the whole time.
This is my confort video. I Watch it religiously every time it pops up. Tomorrow is the results for the 6th year French exam that dictates your specialty and ER is my main objective, very fitting that the video is on my homepage, maybe the stars aligned
@@mrbeanieboy2752 In what way do Crocs risk toes more than, say, sneakers? I've had my foot run over by a stretcher while wearing Crocs and had no problem. Are we supposed to be wearing steel-toe boots in the hospital?
@@FarewellChorus have you ever tried to kill a Dansko? Those are practically steel-toes 😂 it was mainly a joke, but crocs are for sure not the best choice we deal with blood, puke, piss, literally any and all bodily fluids why would you risk that yuck in ya crocs? I mean you can hose them out easier but that’s still getting right into contact with ya feet through ya socks 😦 a foot is more likely to survive a stretcher or wheelchair impact with a dansko or a good sneaker on it than that thin a$$ croc material 🤷🏻♀️ just facts
@@mrbeanieboy2752 The Croc specialist doesn't have vents on top, so the only way fluid gets in is from standing in/walking through a deep puddle, or pouring and entire bucket at once. At that point, I'd be changing socks and washing out my clogs, and I expect it'd be a similar story for anybody who wasn't running around in rubber boots (incidentally, I did see several ED staff wearing cowboy boots). And if they do get ruined, they're 1/3 the cost of the Dansko clogs. At $16.50 an hour (in a state where In-N-Out paid $20), I was trying to make every dollar count. At the end of the day, the important thing is that you find something which works for you. I'm not going to tell you your Danskos don't work for you, and I can say that Crocs worked for me and most of the other transporters. Also, we were sleeping on copper compression socks for a long time.
He is asking guidance from psychiatry at the end, for those who don't understand. After laughing at the guy who wanted to be psych, he needs the help of psych. How ironic haha, that is usually how it is. Child psych fellow here. 😆
“Psych? Couldn’t be me.” Goes and visits his 4th suicide/ overdose / psychosis for the the hour
Me: hates everything about psych
Also me: goes into EM...🙄
I don't think it's the cases, it's probably the day-to-day life. Too slow.
My experiences as a psych patient OD’ing is going unconscious in the back of the ambulance and waking up in a ward with a liaison psychiatrist standing over me. Asleep through the entire ER stage, never saw the ER physician
@@nathanbarnes3969Glad you made it out alive and hope you are getting the help you need 🫶
So glad I chose psych over EM. Worst lifestyle and burnout. Patients deserve better care than the flyby 2 minute dispo from the attending while most care has been provided by others.
Having the med student contact the nursing home was an incredible touch
We’ve all been there! 😅
And of course, it’s always a dementia patient there for an “emergency med eval” due to “behavioral changes”
This couldn't be more accurate. As a med student, I probably had that exact "So what are the can't miss diagnoses here?" conversation with half the senior residents. Also, I've heard that calcium gluconate explanation word for word from a resident before.
As an ER nurse my mind goes "calcium first but in a minibag on microdrip bc I am absolutely not standing there to IVP this med, hit em with the D50, 10 of IV insulin fuck I need to find another nurse for dual sign off nvm here drink this Lokelma while I find another nurse." Gets distracted finding another nurse but remembers to get the bedside commode for the inevitable shit storm after the Lokelma/Kayexalate. Finds another nurse for insulin sign off... pt "why am I taking insulin I'm not a diabetic I don't want this!" Eye roll "sir, these are the consequences of your actions when you decided to skip dialysis all week."
@@AB-my5il just do emergent dialysis
Sorry, but what’s wrong with explanation? Of course mechanism of “stabilization” is quite unclear, but it is recommended to prescribe calcium in case of sever hyperkalemia with ECG changes.
@@SuperBraNTA the explanation is fine, it's just funny that med students across the country have had the same explanation given to them by EM residents specifically
@@SuperBraNTA ayy I just had this question on a test. You can also give insulin and glucose to deal with hyperkalemia right?
The conversation with the cath lab was perfect. Initial incredulity regarding signs of progressive ischemia, then by the time the Pt. meets STEMI criteria theres already an elective/non-urgent on the table and everyones scrambling to meet the 90min angio window.
... what?
Lol
@Weather WX The cath lab (the lady thay he talked to) didn't think the initial signs of a heart attack on the EKG (the t wave inversion) were actually due to a current heart attack (there can be other causes including an old heart attack), until the very obvious, defining signs of a heart attack showed up in the EKG, but by that time there was probably an elective cath lab case on the table so people are scrambling to get the patient having a heart attack to a cath lab to remove the clot within the 90 minutes window required for better patient outcome. Hospitals also report on how they are doing following these guidelines.
Currently preparing for my pre medical exams, is that really how I will start speaking once I start studying medicine?
@Brawnyö Yes, you'll understand everything about this situation and laugh about it too when you get towards your final semesters of medical school. The funny thing mostly is trying to meet the 90 min window when you already screwed up. Best they can do is use thrombolytics and transport because of oversight and poor planning.
One time in the ER I requested a CT and that doctor looked so happy lol
What does CT stand for again? I forget.
I could Google it, but the algorithm demands otherwise. I might Google it anyways, but an answer would still be cool.
@miscelanous Computerised Tomography, it used to be called a CAT scan. Its basically a lot of X-rays taken from different angles, and then computers put the images together.
ABCs... Airway, Breathing, CT Scan
@@Ananvil hhhhhhh
@@Ananvil what do you mean nathaniel?
It’s so incredible how personalities within specialties align SO perfectly. This is every ER Doc I’ve ever met. 😂
Is there some group on the medical board that just reads personalities then sends those folks to that group. It is WILD.
They actually choose thier own areas of practice. I guess certain personality just fit certain fields better.
It's the opposite, some personalities or disorders types are more attracted to some areas and end up in there because one thing attracts the other, like Emergency Medicine and ADHD or Surgery and Psychopathy.
@@irresponse You are absolutely right... But then I start to think that's it's neither personalities aligning with certain specialities nor an inherent psych/mental variant sorting doctors into said specialties... Sometimes I think it's a specialty environment that nurtures an already existing tendency within any individual (although to varying degrees).
A cycle that started since medicine existed and different fields emerged and archetypes were chiseled into each clinical practice... But I'm most likely talking nonsense due to USMLE prep and I need to sleep 💤 🤣🤣🤣
@@irresponselol bro said psychopathy for surgery specialties. That's a bit hurtful since I want to be a Trauma Surgeon.
@@irresponse I’m ADHD, and I’m trying to get into med school to do just that. 😂. Wish me luck.
I love the "irascible" continuity bit when he's talking to the psych resident at the end 😂😂
yeah that was hilarious
Not quite enough ultrasound talk but otherwise perfect
A lines and B lines AMIRITE?
Literally had a debate w/ an ED attending (who ran the ultrasound fellowship) about POCUS vs stethoscopes
I worked in patient registration for 3 years in the er and I’ve never seen anything more accurate in my life 😂😂😂 The snacking the chill bro energy, the amount of caffeine
You're the real life EM guy from Dr. Glaucomflecken. Badass.
i remember as an ER scribe i asked, “how tall do the T waves need to be to be considered peaked”
without fail: when it looks like it hurts to sit on them
Ohh so thats what hes talking about. Now i get it😂😂
lmao, love that the official answer to that is "when they look pointy"
But then you respond with the “end of watch” movie quote and say…yeah but med school has a huge ___. Every med student is “fully dilated” by the time they are practicing medicine.
They should be nice, soft hills 😌
This is far too accurate. Just had my first day in the ER last week and almost everything in this video happened in that one day!!
It feels so relieving to see someone in the medical field wearing a whole length arm tattoo, let along a cool personality.
"top 4 conifers" got me LOL
As a non med person, all this is telling me is that EM people are to hospitals what kitchen staff are to hospitality. Even down to the “I think ADHD helps” comment which I’ve heard multiple cooks say in different kitchens.
The number of motherfuckers I meet that say they're "diagnosed ADHD but just manage their symptoms well"....what bullshit. No bro, the stuff that I do, that you cannot relate to, are what people with ADHD are actually like.
I think this is my sign to do emergency medicine. I'm pre med and work in food service and I definitely prefer BOH stuff and have ADHD and have definitely made this comment a million times 😂
this word for word is me LMAO I love the chaos
I love videos like this! As an unlicensed doctor myself, its hood to hear the medical jargon in its proper context so I sound more legit!
The fidgeting and flipping of the trauma shears, I can't.
I was in the ER on the patient side once and the doc kept swinging his body left to right, watching his stethoscope swing while he told me tests he was gonna do. I coughed up blood and he was like “woah that’s a lot” still swinging. I was fine (aspiration pneumonia after a procedure) but made me giggle
I feel like personality types definitely do match their residencies because this is painfully accurate for an ER resident.
Honestly by far the coolest residents and consultants I’ve met during placement were in ED :)) I thoroughly enjoyed my ED term so much!
I can't stop watching this, I've watched it several times and I still crack up, I have so many favorite parts I can't pick one. All so accurate.
I also love the request to call, “Sun Setters Estates”!! 😂. IYKYK 😉
Damn! I wish I was smart enough to have gone into medicine. I know this is a funny video but I have so much respect for doctors.
As a med student who loves shadowing in the ER and wants to go into EM this is literally every EM doc and the fact that I also carry a large water bottle with carabineer, rock climb, etc etc. it's just eerie
I've noticed this too. Is this a persona they take on once they hit residency? Or were residency programs looking for guys like them?
@@stevencooper4422 ive always loved this kind of stuff, always carried my keys or water on a carebiner, etc. Its definitely not something i took on but something i always liked. I reckon that certain types of people just naturally gravitate towards one or another specialty based on their speciality
Do you guys know the brand of the bottle?
Its hydro flask right
Nah but forreal, having ADHD i think is really helpful in trauma
I thought the toe shows was a myth until I saw an ER doc actually wear them
Lmfao dude, im still a pre-med but I checked off the fanny pack, head band, shoes, and same color hydro flask, and adhd all in the same sitting. I guess I know where im headed in the near future
I have a head band and Fanny pack and chug monsters. It’s like an ADHD litmus test
Oh god. Was the lady on the line in on the joke? She sounded genuinely pissed. XD
That was my girlfriend. I can post bloopers/ behind the scenes
@@itspresro Please do. Also, I saw you filming in that building that day hahaha
@@itspresro yesss please do
@@itspresro Do it
Our emergency room is suffering from the Adderall shortage
i was confused why cbum was wearing scrubs until i clicked the video
now that's a compliment
but he didn't order a CT to confirm the patient wasn't pregnant
This is 100% me, especially the part where he says “ADHD helps me do this”.
The ADHD joke hit home because I’m ADHD and I’m going into EMS. My caffeine regulation is already broken.
ADHD and EMS are a match made in heaven! 25 min attention span, ability to kick into high gear instantaneously, with a mind that subconsciously screens the environment for danger all the time.
Perfect!
@@ksenijavranjevac2572 Exactly!
@@ksenijavranjevac2572bruh, my hand tremble during anxiety, can I go for EMS I have adhd but I am really good at spontaneous ideas
I'm EMS and I have ADHD too. Half of my program has it and most of my preceptors had it too. There has to be a connection there.
You can train yourself not to tremble with practice. It happens to everybody and its just about learning to calm the nerves with breathing tricks and stuff.@@HiHi-ol3hs
My father reflecting on his general surgery residency and witnessing that absolute negligence of ER docs, "rather than take me to the ER, leave me on the rode to die".
I feel this. Emerg for life. This specialty is such a beat down but I love treating sick patients.
“A lot of reasons for T-Wave inversion” like we don’t know that already 💀💀
Alot is this jargon goes over my head by the content and editing is primo
EM resident and this is literally so accurate.
I miss my ER docs they were the most chillest ones. Also the “social admit” bc they can’t walk 🤣🤣🤣🤣
As a frequent flyer due to a chronic condition & also occasional bad luck (3 concussions in the last 1.5 years) thanks for the work that you do. We see you.
You know it's a resident because they haven't yet figured out how crap those Leatherman raptors actually are and Leatherman won't warranty or sharpen them
Sincerely, an EMT who wore them out in under a year. SOG for life. When they wear out, sog sends me a new pair. Forever.
It's interesting that ER docs hate psych so much. It's honestly one of my favorite patient types. One thing I'm gonna be mentioning in my personal statement this year is just how much I love the patients and jobs that burns out ED docs.
Really? I thought they sharpened them, could’ve sworn people told me that
In the nicest possible way, how dare you make me doubt my Leatherman and and search out an SOG mutitool.
That I will probably buy 🙂.
What's SOG?
The real tips are in the comments
Nah my leatherman’s dope. Haters stay mad lol
Not the mustache trim with the shears 😂😂 for real though that was me last semester after a preceptor gave me my first pair of shears
"Honestly bro, it kinda helps to be ADHD to do emergency medicine"
Same man, same..... except I'm an engineer and there's no way we can pump those workloads without being high off out tits on meds the whole time.
As an EM attending, I feel attacked.
I HAVE PUT MONSTER IN MY WATER BOTTLE TOO LMAOOOOOOOOOO This is such a fucking funny video. The Raptor is a classic meme at this point
He can't control himself with his obsession of playing with his surgical scissors lol
The can't miss diagnoses
The metal water bottle 😂😂😂
Omg, too acurate
Did you draw a whole tattoo on yourself just for this bit??
I ordered an entire sleeve it won’t come off
@@itspresro where'd you get that apple watch band?
@@michaelegotti6439 OUHENG - here is the link a.co/d/b09lu1A
Lol the cardiologist wasn’t happy.
finding every possible excuse to use the raptors is a shared experience between EM docs and EMS lmao
all of us with ADHD are the only ones crazy enough to get into medicine
Funny thing is the ED docs gonna deal with psych patients probably 30% of the time
Holy shit he's gorgeous....
Bros gonna end up a patient with SVT if he keeps gunnin monsters 😂 hella fresh tats though...
Current EM resident. Unbelievably accurate. I keep coming back to this periodically for a laugh. Well done.
As someone going into EMS with a pine on my left arm, I feel called out.
This is my confort video. I Watch it religiously every time it pops up. Tomorrow is the results for the 6th year French exam that dictates your specialty and ER is my main objective, very fitting that the video is on my homepage, maybe the stars aligned
Good luck, I understand the French system is tough.
So uuh.. whadja get?
Puis, est-ce que les étoiles se sont alignées pour toi?
Insanely immersive, gonna go watch this in VR so I can fall asleep.
The tattoos wow. I think I fell in love
the tattoo too accurate 😂
I’m glad I’m choosing to go emergency response and not medicine… I’d never live with myself if I wore toe shoes to work every day.
It’s not all of them just the few he’s representing 😅😅😅😅
Also- the croc people in medicine 🙃 “lets just risk our toes” typa people
I don't think you could get into medicine buddy
@@mrbeanieboy2752 In what way do Crocs risk toes more than, say, sneakers? I've had my foot run over by a stretcher while wearing Crocs and had no problem. Are we supposed to be wearing steel-toe boots in the hospital?
@@FarewellChorus have you ever tried to kill a Dansko? Those are practically steel-toes 😂 it was mainly a joke, but crocs are for sure not the best choice we deal with blood, puke, piss, literally any and all bodily fluids why would you risk that yuck in ya crocs? I mean you can hose them out easier but that’s still getting right into contact with ya feet through ya socks 😦 a foot is more likely to survive a stretcher or wheelchair impact with a dansko or a good sneaker on it than that thin a$$ croc material 🤷🏻♀️ just facts
@@mrbeanieboy2752 The Croc specialist doesn't have vents on top, so the only way fluid gets in is from standing in/walking through a deep puddle, or pouring and entire bucket at once. At that point, I'd be changing socks and washing out my clogs, and I expect it'd be a similar story for anybody who wasn't running around in rubber boots (incidentally, I did see several ED staff wearing cowboy boots).
And if they do get ruined, they're 1/3 the cost of the Dansko clogs. At $16.50 an hour (in a state where In-N-Out paid $20), I was trying to make every dollar count.
At the end of the day, the important thing is that you find something which works for you. I'm not going to tell you your Danskos don't work for you, and I can say that Crocs worked for me and most of the other transporters.
Also, we were sleeping on copper compression socks for a long time.
Those Raptor multi-tool scissors are the best
Until they're stolen. That's why the more senior ED staff uses the crappy cheap ones.
Jesus christ the accuracy HAHAHAHAHAHAHHA
Docs sporting the karate kid head band. Must be a black belt in ER doctoring!
Omg I’m a plant science major premed and I picked up on ur tree tattoos so quickly 😭
ED tech here. Absolutely spot-on. So many great moments.
Dude, this is literally every single med student I deal with on a daily basis lol😂
The shoes 💀
MY PEOPLE
i swear i have met this dude in my hospital- the hair and tattoos were almost identical 😂
I have no idea why UA-cam recommended this to me. But now I know I don’t want to be an emergency medicine resident.
OBSESSED with the balisong tricks with the raptors.
Is this guy from Portland because he feels like half the people I went to school with
Lol that call with cardiology got me
As a Paramedic.....I love this video!!!
Dude, this burns but is such a good roast.
I love working with this doctor
"are you really calling me for this"
20 minutes later
"can we get this moving for 204"
hahahahaha
Okay but why is this legit me and I’m studying emergency medicine
He is asking guidance from psychiatry at the end, for those who don't understand. After laughing at the guy who wanted to be psych, he needs the help of psych. How ironic haha, that is usually how it is. Child psych fellow here. 😆
Must be Washington/Oregon. Good to know.
And he’s one of the smartest docs you know
SUNSETTERS ESTATES lmfaooo
This is like watching an episode of The Office except it’s emergency medicine
I felt like I was back on my EM rotation. :'-)
My first thought is how HOT this dude is! He is 100% my type 🥵🔥
Literally yesterday, me AND MY ATTENDING couldn't get cut off a guy's pressure bandage because the shears were too dull, we had to rip it off 🤣
Bros my spirit animal lmao
as an emt this is the most accurate shit ive ever seen hahaha
as a social worker -- NO SOCIAL ADMIT!!
Hold on wait I wanted to hear the rest of the "I think ADHD helps" explanation 😅
The scissor bump was incredible
“IDK what Irascible is, but whatever synonym you want to use just bit his IV out”😂
Legit first shift I had with an EM resident she goes "have you called a nursing home yet. You can do that for me now."
Not the conifers 😂
Underrated, this should have way more views and likes!! ❤. Made my day 😂
This video needs to blow up.
Ahhh the wonderful smells and sounds of ther ER.
I used to think ED doctors knew everything about every specialty until I worked in the ED
The scissors really got me
Hahahah!! I've watch all of your videos about 10 times and even showed them to my buddies!
PLEASE do family medicine! I'm 2nd year FM resident!