Day in the Life - ICU Doctor [Ep. 6]
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- Опубліковано 4 вер 2018
- Learn how to become the doctor you've always dreamed of at medschoolinsiders.com.
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This is A Day in the Life of a Doctor - ICU Edition! Dr. Amit Pandey is a third year internal medicine resident at UC San Diego. He graduated from UCLA for undergrad and went to UC San Diego for medical school. You can learn more about his story as well as read his insightful blog posts at medschoolinsiders.com/our-blog/
Dr. Pandey goes over what a day in the life is like in residency while on ICU - one of the toughest rotations in residency. He goes over the call rooms in the hospital and how they perform and practice central lines - a critical skill in the ICU.
ICU patients are some of the sickest, and things don't always end well. This can weigh heavily on family, but also the physician and care providers. Dr. Pandey elaborates on this in his excellent blog post titled "Life and Death in the ICU: A reflection". You can read it here medschoolinsiders.com/medical...
Dr. Amit Pandey's Twitter: / amitpandeymd
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Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. and Med School Insiders LLC will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death.
#doctorvlog #icu #dayinthlife
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0:00 I use the same default apple alarm sound, induced stress due to conditioned response lol
Haha me too!
I change mine every month.
I hate that alarm. Jolts me awake
I have the “digital” alarm sound, nothing else works for me
I have the same reaction to the default amazon echo alarm. If I had my phone in my room I’d never sleep so I’d best leave it out.
Wakes up before 5:05 to set up camera
Or sets it up before going to bed..
Nikita Artemev and lets it record all night? lmao
"Unlike surgeons, we use our hands and our brains" LMAOOO i'm dead xD
@sebatian Until you screw up big-time! Getting into a comfortable routine is how intra-op complications happen (or worse, wrong surgery). I think good surgeons really prepare for success. Of course you could take the easy route and just refer complex patients to more experienced surgeons.
The REAL McDreamy 👍🏼😂😂😂
I really want to be a trauma surgeon and am currently in 9th grade, I’m inexperienced but very dedicated to become a surgeon. I am young and have little to no experience in the emergency room, but through countless research, watching trauma surgeons through screens, and having 1 observation opportunity I feel somewhat ok with giving me viewpoint in this situation. Personally I feel as though when patients come rolling in to the ER with serious medical problems ( some unconscious and unable to tell you the situation ) it is imperative you have a diagnosis and can operate before it is to late for the patient to probably recover. And the ICU ( intensive care unit ) is a place where many patients are sent after being diagnosed and had gone through surgery in order to be stabilized (although this is VERY important). It’s not just ICU doctors/surgeons that use their brains, but also surgeons in every field. In Trauma and ICU you must think quick and efficiently to save the patient in any way possible. While other professions ( such as neurosurgery and many others ) have to think more throughly about the situation given to them. While their procedures may be easier for them to accomplish through experience, NOTHING is guaranteed. You must use your experience in the profession to overcome obstacles you may encounter during surgery. This could be anything to blood clots, infection, and many other problems that may occur. For this reason it is crucial that we have surgeons in every medical field, because without these surgeons who DO use their brains to overcome challenges it would be devastating. Again, I don’t have experience as a surgeon or doctor at all. I just have my viewpoint on what my research form the past 4 years has shown me. Of course if you disagree with me at all, I would LOVE to learn from your viewpoint as well. 😁👍
That's general surgeon. Neurosurgeons and CT surgeons have to think constantly due to extremely difficult surgeries
تىناةنتا
🤗😎😶⚽️🐺تت
The way he pronounced his surname really cracked me up
Devanshu Sharma I had to rewind to make sure I heard it right 🤣
Lol same
Yupp😅
Devanshu Sharma LoL i didn’t realise that......I rewinded the video 6 mins back to hear it then again replay to make sure I didn’t hear “PanTy” 😅😅😅😆😆😆🤣😂😂😂😂😂😂
Lol
The alarm gave me severe ptsd
Hi Kevin, I'm an anesthesist-in-training from Europe. At my last work review I was described as motivated, but inefficient. They said I spent too much time preparing patients preoperatively, which made me stay at the hospital too late. They were right in a way. This was due to two factors: my perfectionism (I find other's preoperative evaluations often incomplete or simply containing wrong information, thus lazy) and my uncertainty (I have a big case of imposter syndrome and don't want to make mistakes). I'm currently working in ICU and here I find the same thing happening, but worse: you manage 3-4 patients at a time, but with constant interruptions: telephones ring none stop, nurses come to ask stuff, other staff want to chat,... I find myself kind of overwhelmed and spot that when others have already completed their patients files, I'm still busy managing them. You can't focus on one thing for 5 seconds. Being on call in weekends is even worse. So, which book would guide me best in my quest for efficiency at work (and while studying at home)? Thank you!
Being an ICU nurse, you can feel the happiness when patient youre taking care off trans out and recover but also, the sadness when some of them expires. Its really hard because they are mostly dependent but you need to be tough enough.
I really appreciate a doctor's challenging life! Thanks for all you do, but also look after yourself :)
I find it very concerning that doctors are working overnight, doing procedures on patients and not getting any rest.
Then they wonder why they are burnt out 😒
it doesn’t take 12 hours to do a procedure on a patient. The doctors are given sleep rooms or have nighttime advanced providers and come only when critical. For hospitals that employ interns they take the role of the advanced provider. It’s not crazy every single night and there is always time for rest unless the person decides not to take the rest. The doctor actually gets MORE rest than the nurse at the bedside with barely a minute even to sit and chart.
@@mamaci910 Nurses as a whole do not work as long as physicians. They typically work 36 to 40 hours per week. Most physicians work between 40 and 60 hours per week, but nearly one-quarter of physicians work between 61 and 80 hours per week. Also, physicians have to fill out paper work for each patient, with write ups, diagnoses, medications, treatments, etc. Idk who's telling you they get more rest -- especially the 80 hour work weeks in residency nurses don't face. Why the hell do you think there is a bed in there? There's quite a few reasons why physicians have the highest suicide rate and burnout rate.
@@mamaci910 there are surgeries that can last for 12hrs u obviously dont know what the fuck ur talking abt stay out the medical field and if ur in it QUIT.
Amanda L. Wow, feel better now? Also, the physician in this video is not a surgeon, so pretty sure he’s not doing many 12 hour long surgeries.
If they decide not to burn out someones gonna die
“Every Pts different, which is why everyday is different” so true!
I’m an EMT trying to be a medic and I agree cardiology is fascinating
This is the one I've been waiting to see. Thanks Kevin!
I’m an old ICU social worker. Attendings were great fun. Young. Good steady medical interventions.
ICU is tiring but very fulfilling, I really enjoyed that rotation and the complexities of each patient.
My moms an ICU nurse, she always has great jokes about the internal med residents. All in good fun of course 😂😂
Thank you for this video, this is my dream I want to be an intensivist. And you know what? He is right when he says that they need to know about physiology, pathophysiology and of course pharmacology, and those are my favorites fields in medicine.
Love these videos, can not stand those centra lines 😔 my son had one in the PICU, I could never do it, i tried to volunteer at ICU and I broke down just thinking about it my PTSD still hasn't went away. Well done to anybody who is able to do that job
Our break rooms were really gorgeous. Problem was that we NEVER got to use them! Actually I got to use the shower once and that was it.
My dream is to become a doctor. Save lives, help people, and make my life worth it all. It’s going to be a tough path, expensive, stressful, and requires a lot of diligence. I hope to one day have my name, DR. Sally Zhou
Yessss queen do it 💙💙💙💙💙💙
K
What you dream is what you become! Am wishing you the best. Am still in the same path though school of pharmacy
All the best buddy I have the same dream and I know how it feels
Let me know when you become a doctor and what location of the hospital where you'll be doing internship at, so I can injure myself and hopefully meet you there. 😎😊😂🤣
That UC San Diego Patagonia jacket is tuff!!
Nitty gritty indeed.... love the insights and sharing of their processes, inspirations and motivations. Thanks for having these young meds record their views : - )
Im finking of going into cardiology and been told I can work in the cardiac icu and this video is useful.
My dream is to go to UC San Diego for medical school. Studying for the MCAT now. I can do it! Thanks for the video
How'd it go
Docs are awesome!!🎊🎉🎇
Internal medicine residency at UCSD, thats amazing.
Hope you are doing well bro ! Love seeing young , hungry lions
3:40. Looked like an interview for a school project. Lol. It was helpful though.
My oldest brother is having alot of medical issues now. He had triple bypass at 37 and has been taking 9 different medications since then. He suffers from fuild buld up in the legs, liver problems and kidneys. Who knows how much longer he has. I'm just preparing for when "that day" comes. He has 4 daughters and a grand daughter.
VWGTI prayers up. It’s not easy.
God bless
My brother passed away on January 28th. I will miss him until the day we meet again. 🙏 Valla con Dios mi hermano.
@@VWGTI2013 Im so sorry bro. May God give you strenght
@Mislav Matišić Thank you. My faith in God is what's keeping me going. I truly believe that one day we'll see each other again.
Great content
Thank you.
UCSD!! I'm there as an undergrad. It's great to see the life of a resident here.
Great vids, thanks, I'm an IMG who practiced Pediatrics in my home country. can you make one Day in the Life of a Pediatrician..
I'm not sure if there's already one that you made.
One day hoping to be pulmonologist I would love the feeling of helping someone in need and making someone healthier
Did u make it??
@@beingbees5158 I’m an electrical engineer now… still love doctors and medicine though!
Could you please make a day in the life of a cardiothoracic surgeon or cardiologist...it will be highly appreciated
Every time I hear a medical student/resident/physician answer the question why they wanted to be a doctor, they bring up points that one could say about being a nurse too (learning about the body, interpersonal relations, helping people, etc.) - what should one consider if trying to decide between becoming a physician or nurse? Thank you!
Make more money, power, respect, prestige. The ability to spend more time in school, the ability to spend more money on school/the ability to tolerate going into debt. That's about it.
Lol to the other response, but I think the major difference is to actually constantly be present with your patients and take care of them holistically. Just like you and I go to the dr., it’s usually the nurse we see the most and has the most impact (in the hospital) so that’s what to consider! I had the same dilemma and I went with nursing 😊
@@jacobhellman9181 lol what. nurses can't perform the same procedures doctors can and always have to be under supervision. Nurses are great and is a great field but Physicians have a bigger impact on pt care.
Francesca Raffaella you must be a new nurse 😂😂
You have an ego problem (this is coming from a med school hopeful)
Dr J. Please make a video on ENT too
I love this serie!! Keep going, please!!
Very good video
Well said, 4:26 is also the reason i want to choose internalmed
never met a resident who wears a stethoscope round his neck while driving to work...
🤣
Christopher Hancock I’ve never met a resident who even carried a stethoscope to begin with
@@kevinjubbalmd yyuAobxigswt7qvzst0iv
any recommendation for medical students in ICU in terms of system based presentation?
i'm a pre-med at UCSD right now! currently procrastinating but at least its still informative lol
Considering your comment is four years old, how’s it been going dude?
Love the videos! just took my MCAT and am looking for Lecture videos for Internal Medicine. I was wondering if you had any suggestions/links for free med school youtube lectures @MedSchoolInsiders
Online med Ed
That alarm made me anxious 😂
New Subscriber here! Love your content
Do you have to be on the phone all day and night even after work?
Dr. Jubbal, how much overlap is there between what you do in plastic surgery and the other specialties that you've been exploring (such as internal medicine and psych)? I would love to get a closer look at what you do as a plastics resident. Great work as always!
Plastics will be a solid mixture of clinic days where you are seeing patients to evaluate if they need surgery and then you will have surgery days where you are in the OR performing the procedures. It's a lot less broad than internal medicine as you can imagine, but you still have to know quite a bit of pharmacology, physiology and of course surgical technique.
hand and....BRAINS omg lmaaaao
EEEEEEEEEEEY
Do you get there already in your scrubs?
Currently third year internal medicine resident in nyc , i agree. Icu rotation is challenging !
What is the difference between central lines and pic lines (I’m 13 and I’ve been in hospitals since I’ve been 8)
the location of insertion. PICC stands for peripherally inserted central catheter. the end in central veins (in/near the superior or inferior vena cava). "central lines" are inserted in a vein in the neck, groin, or under the collar bone. PICC lines are usually inserted in the upper arm in a "peripheral vein" but they are long enough to reach the central veins
8:40 Flexing Lilly in the background!
What types of central lines can be inserted? What’s the difference between single lumen double lumen triple lumen practically speaking?
Lumens are essentislly how much access you need. Triple lumens are usually standard because you get 3 points of access. There are different types of catheters though.
That..alarm...
Wow, there call room is actually less than "the basics". :D
R u from utttarakhand? Ur vlogs are amazing 🔥❤
Can you do a radiologist or rad resident next?
On it!
Just turn the lights off in your room and stare at your computer screen
He is Indian 🇮🇳 doctor 👍
Dr, can you keep ur eyes on the road while driving? Please. So you can save more life.
Great vlog, but for the safety of others doc, keep your eyes on the road please.
LOL "we actually use our hands and our brains"
Y is the stethoscope not in a case? Why is he walking arround outside of the hospital with the scrubs?
Does he have his own youtube channel? If not, he should start one!
haha I'll let him know!
I can’t get over how he pronounced his own last name.
DO you become an ICU doctor after 3 years of residency or further training is required?
You usually do a 3 year residency in Internal Medicine, and then complete a fellowship in either Critical Care or a Critical Care Pulmonology. If you want you can train in Surgery or anesthesiology residency, and move in to a critical care fellowship after as well
@@calamityaj7318 thanks 🙏 I’m not that far still trying to pass biochemistry alive
doctor what treatment is recommended for pain in my joints weakness tired
Dr. You gotta get the philips dawn simulator alarm clock. It will change your wake ups for the better!
Totally agree! I personally use Philips hue smart lights that have an IFTTT trigger to simulate sunrise.
What college degree did you take
Unlike surgeons, we actually use our hands and brains.
Surgeons: TRIGGERED!!! LOL
What North Face jacket are you wearing?
The intro to this vid gives me PTSD
My nigga PANDAYY!
Couldn't deal with the sound quality :(
And do you guys sedate people or kids to intubate
Maryjane Cortezz there usually isn’t time for that. Depending on the reason they need intubating. Like, Allergic reaction and their throat is closing, their unconscious and not breathing after trying resuscitation & need to go into surgery. We usually don’t intubate people unless they have difficulty breathing or something along those lines.
Jiss is that hospital..
Doesnt seem very hygenic to wear work scrubs on your way to work. Or to even have them at home.
Can yall show video of seizure with disabled people
Pan-dee!! I thought it’s Pan-Dey
of course his dad is a doctor
you just murdered the pronunciation of your last name
Where do these med.students or res. find any time to just relax their brains for a few minutes .
Healthcare is lifelong learning
Do residents get paid?
Tamara Reyes yes
They get payed, but not as much as an independent doctor
You should look up Dr Dhir. You two sound exactly the same way and tbh, I see a slight resemblance visually. :)
Lily Pathophysiology boom detected 🤪
No breakfast?!
Haha I think he had banana and granola bar
@@kevinjubbalmd thank you😁
Doctor, I sometimes have pain in my chest. Should I b worried?
Ellen chattergirl I'm not a doctor (yet 😉), but there are many reasons why your chest could be hurting. Definitely get it checked out with a doctor.
It’s hard to determine from just chest pain, it’s something you should get checked out!
Ellen chattergirl you’re in love 😎🤣
Do y’all think MD-PhD is a good choice?
One of my friends is pursuing this path at the moment. It’s very competitive and rigorous. You should just be sure that you love research and have a lot of research under your belt before undergrad is over
Patagonia > Northface
Depends
I have a couple of questions. First one about medical pants. Is it normal in your clinic in emergency room with sterile conditions use the same pants that you are wearing in car and street. Why in your blogs you can't show us emergency room and patients. I wanna see how you set a central lines with comments. You can blur a faces. Isn't it?
John Ivanov back to ur question. Its called PPE whenever u need to have sterile cloths for certain procedures. And about "showing patients" it's called HIPAA Laws. Please don't ask any stupid questions. :/
@@awma4795 I don't think so, they can demonstrate only operation zone or make individual agreement with patient to do the same. It's important to see how it's work in real life.
John Ivanov that would take a lot of paper work. And for it to get approved it would take weeks if not months for a SINGLE video. But yes potentially with patients permission.
@@awma4795 thank you very much for your answer. I guess it is good for patient hipaa and stuff. In my country physicians always breaks laws and rules like hipaa. It is kinda bad. But also many doctors can give you difficult manipulations like intubation, spinal anesthesia and other when you study in !!!med school.
Ain't no way he's putting in CVCs once he's outta school
india me kam kar
You are Amit Paan-day. Wtf is Pandi? 🤣🤣🤣
Whisy. Are. School. And. This. Love. To yes.
F91w
This is not how you pronounce pandey, it goes like paan + day not pandy
He's shady...😂😂
Why doctor does not practice hygiene with bear mustach . Big risks to the patients and ICU areas
Your last name is PAAN-DAY not Pende
i cannot believe he is wearing his stethoscope while his driving...