26-HOUR CALL SHIFT: DAY IN THE LIFE OF A DOCTOR


Morning guys. I’m Siobhan, a second year medical resident. It’s a gorgeous, snowy morning and I wish I could spend it outside. But today I am going into work to do a 24-hour call shift, so here we go! I’ve actually given up on the sidewalks, it’s so incredibly snowy there. Okay, just got to the hospital. Step one is meeting up with team who’s here overnight and finding out what issues there were, hearing about the new patients who were admitted to the team. Then I’m heading down to the emergency department and I’m responsible for admitting all the patients to the internal medicine team during the day. Hey, the team. Good morning guys, how’s it going? It is a lot of scrubs. This tells me there is a lot of people on call. The whole team. Okay, here we go! Okay, so why don’t we start with some of the night issues, you can tell us what happened with the team. So you can see some of the signs from last night. The old pizza boxes, looks like someone was doing some teaching on the board over there, but overall it looks like it wasn’t too busy of a night. I think that’s because there was a big snowstorm last night and patients probably didn’t want to come in, unless it was really urgent. The question is: Does that mean today is gonna be super busy? So let’s see what happens. I don’t know, I’m just gonna check out the board in the emergency room and see how many are probably coming our way for admission. Oh, here we go. Hi, this is Siobhan, the SMR. Yep. Yeah, do you mind just getting another repeat ECG and I’ll be in to see them in just a little bit. Perfect. Great. Thanks very much. Okay. Okay, bye. So before going to see a patient, what I typically do as long as they’re stable, meaning their vitals are within normal range and I’m not concerned that things are progressing very quickly in which case I go and see them right away, I’ll often just take a look at previous notes, get a sense of their past medical history and write it down, look at their home medications and look at the lab work that’s been done by the emergency physicians. That already frames in my mind some concerns, so that when I go and see the patient, I can tailor my history and my physical exam to these issues. And then if something might flag my concerns, I have a better sense of their history as a context I suppose. Okay, just saw that patient with the chest pain and I’m thinking it’s probably something called pericarditis. That’s the thing I’m most likely concerned about. That’s actually when you get inflammation around the sac of the heart called the pericardium and it can get irritated, so painful. It tends to be painful that when people sit forward, it feels better and it’s worse when they’re lying down and that’s pretty classic. So there are lots of things that can cause it: medications, infections, cancers, autoimmune conditions, so I’m gonna send off a whole bunch of blood work and probably most of these won’t come back until tomorrow or the next day and we’ll try to figure out what’s going on. All right. Hi, this is Siobhan, the SMR returning a page. Oh hey, I didn’t know you were on today. Yeah, I’m good, I’m good, not too busy. Sure. Okay. Yeah, no problem, no problem. Is the patient stable, their vitals? Perfect! Thanks. So that was a resident from psychiatry and they’ve admitted a patient who’s now having some electrolyte abnormalities. So they’re hoping we can review the electrolytes. They’ll take care of the mental health side, we’ll take care of more the physical medicine and together hopefully we’ll make the patient feel a lot better. And it’s so nice, because I actually know this resident from medical school. It’s just… It’s nice when you know people around the hospital. Okay, so just got a third consult and this is the patient who’s incredibly dizzy and apparently vomiting a whole lot. So I finished the first consult. Second consult I’ve got the orders in, but I haven’t finished a note. And I should probably go and see this patient first before finishing that note and then hopefully there’ll be a chance to finish up all the typing and documenting. So I just saw this patient with vertigo, so the feeling of the whole room spinning and patient looks so much better than when they first came in. And I’m sort of wondering if they can just go home and don’t need to be admitted to the hospital. That being said, as a resident I don’t have the power to send someone home. I have to run it by my staff, so I’m gonna give him a call and see if they agree with appropriate follow-up to have this patient go home now. Just got called by one of the residents. It turns out one of the patients pulled out their feeding tube and so we’re just gonna have to go and put that in now. Otherwise they can’t get their medications overnight. Just got called about a patient who’s extremely short of breath. So I’m just heading up to re-assess them right now. Okay, so I think this patient aspirated, meaning they sort of inhaled either some food or maybe it was just saliva and went down the wrong way and that made it a lot more difficult to breathe and you can see this on the x-ray. So this patient is gonna be going to a more monitored setting, meaning they can monitor their heart rate, their oxygen levels and there’s just more nursing to patient ratio, because this patient is sicker. So they’re being transferred there now and I’ll go in and follow-up and see how they’re doing in a couple of hours. Back to the emergency department now. Okay, just got two more consults. And now that it’s 4:30, I think I’ll just recruit some more help from the other residents that are here today. They should be done with their patients up on the ward, so I’m gonna page one of them to come down and see one of the patients? Hi, can you please page team B medicine? Yep, three seven zero three seven. Thanks. Okay, bye. Okay, so we’ll just wait for them to page back. Hi Siobhan. Oh hey. Oh my gosh, I can’t believe it’s 5 pm already. Me neither. It’s nice to have you back on. Alright, I have to take the pager. How’s the day? Busy? It’s been… It’s been not too bad. I feel like it’s just been steady, been able to catch up, there’s nothing pending. And the emerge, I don’t know. It’s kinda steady, but it’s not super busy right now. Not too busy, okay. Let’s not jinx it. Yeah exactly. I don’t wanna say anything. Knock on wood. Okay perfect, I’ll call you. Sounds good, thanks. So since a second SMR, senior medical resident, joined me at 5 p.m. there are two of us on and the emerge actually isn’t too too busy. We’ve decided to divide the night. So right now I’m actually heading up to my call room at 8 p.m. Wait 9 p.m, totally unheard of! Ehm… So maybe I’ll get a little bit of sleep and then I’ll go down around 4 a.m to take over and do some consults at that point, but of course he’ll call me if things get busy at any point or if they get overloaded and I’ll just go down a little bit early, that’s no problem at all. But it’s so nice to get some sleep. It’s a good room, but it’s freezing! Man, what temperature is it? Oh no, it’s set here, but it’s here. I fear that it actually might be broken. Oh no. We have to crank it. Now I’m gonna wake up boiling. So now the priority is food, having some stir-fry and then take a nap for as long as I can. All right, it’s 4 o’clock. Apparently, we just got 3 new consults and they look on the sicker side in terms of breathing and eh…. So I’m just gonna head down to the emerge now and help out doing some of these consults. Man, it’s so cold in here. Just finished my last note, five minutes to spare. Tim Hortons is now open, so a breakfast sandwiches in my very near future. It’s just about 10 a.m., leaving the hospital now. Wow, so we admitted 20 consults overall overnight. So, I don’t know… Like a busy, steady sort of night. Not really all that unusual. So we didn’t really get slammed after the storm. So if you want to see more videos about what it’s really like to be on call in the hospital as a doctor, don’t forget to subscribe and then like this video. And here are a couple other ones that you can check out that you might enjoy. Otherwise, I’ll be chatting with you guys next week. So bye for now!

100 thoughts on “26-HOUR CALL SHIFT: DAY IN THE LIFE OF A DOCTOR

  1. I don't know how I got here on YouTube, nor do I know how people like this lady exist. I've got chip crumbs in my chest hair and she's managing to live at least two people's best lives.

  2. We get it, you're smart. Between the violin intro, the pop ups with the definitions of words, and pretty much this entire vlog, it just comes off as pretentious as hell.

  3. Thanks for sharing what your work life is like. I have a lot of respect for the hard work and sacrifices you make to take care of us πŸ™‚

  4. Health care system in this country is terrible and impersonal. Had more than a few run-ins with various operations. Just my opinion.

  5. I respect your ability to stay so upbeat.. it's something I can't do.

    Has to be a hard job, doctors don't get enough respect.

  6. Just imagine if Warren had it her way with government sponsored Medicare for all.
    You would be paid a third of what your making for working the same amount!!!

  7. When my friend started in OR, he didn't like it. There's a lot of ego trippin among the doctors. So he went on as just family practice.

  8. When she said that she was eyeing a patient that was short of breath , she must be short of breath from running up and down those stairs

  9. She's about to pay off those student loans with this channel.

    Becomes a doctor
    Makes vids about being a doctor
    Success on youtube
    Realest hustle

  10. 26 hours but you get paid well. When you do over 100 hours of physical work and less than 8 hours of sleep in 5 days, that's kinda rough. And also making only $5 a day.

  11. You are soooo sexy, and you're in Hamilton… that is about 2 hours from where I am currently living. Do I see wedding bells in our future? hahaha wink wink!

  12. Real doctors do not have time to make videos like this, they are to busy working! The Vanity runs deep with her!

  13. FYI, as a locksmith, let me give you the following advice: You show a key on video, anyone with knowledge of locks & keys can replicate it, so you're giving it out. Show a key of a master keyed system (any key, even just for a broom closet) and I can derive 32 keys from it, one of which is guaranteed to be the master key for the whole system….

    Don't show keys on video!

  14. how do you not make a mistake/accident? whoever is making you work over 12 hours should to responsible for anything/mistake you make after 12 hours.

  15. Because, a sleep deprived doctor is the person we all want us deal with our health issues… Lady, you're not just unprofessional, you're reckless and potentially dangerous. Go get a job as a janitor, and work overtime doing that.

    Do no harm… this lady invites it.

  16. Who cares most doctors are minorities from other countries try working a double shift in a factory like my father for low wages.

  17. When I saw the violin intro and its her playing all the parts I figure she is only in medicine to achieve her over-achieverness. But does it matter? Are doctors who really do it to help people better doctors?

  18. You sort of glossed over that patient who self extubated. I’ve seen that, it’s not cute. That said though, I’d love to have you as my on-call. Lots of MDs are A-holes.

  19. 26 hours?!! THAT'S BULLSHIT. 😟😡. This has made me extremely thankful about my office hour art gallery job lol.

  20. I wish i could be as bright and driven as people like this. I dont htink ive had a disposition of this sort since high school.

  21. Honestly, if you're becoming a Doctor because of a true love for people's wellbeing, then ok, but I don't understand why else. They don't make that much money compared to certain entrepreneurs and, in my opinion, the title of Doctor doesn't carry as much prestige as people think.

  22. What a shit show. Bunch of near adolescents doing +24h shifts, clearly nobody in management cares for them to be in mental state to do serious work and take care of patients.

  23. I'm surprised she's even able to vlog in a hospital. I do security for one and pictures/video recordings inside the hospital, especially patient areas, are strictly prohibited. Good content though

  24. With all the doctors talking about how sleep is critical at functioning well in the workplace, you'd think hospitals wouldn't have 24 hour shifts.
    And we wonder why they cut the wrong limbs off.

  25. as an RN, these residents work their freaking assess off and are so awesome to us at my hospital. Huge props to you all! Makes my job way easier being available to us.

  26. I thank all doctors and nurses in the world you saved my mum from being paralysed thank you so much β€πŸ§‘πŸ’›πŸ’šπŸ’™πŸ’œ

  27. You guys do realize these people make around two to three hundred thousand a year right? they work that much because most of them can retired in their 50's.

  28. Could tell from the first few seconds and throughout the video! She works at the hospital I was born in! How cool for a random video that was just recommended to me! πŸ˜€

  29. 4:55 In case anyone was wondering what she typed: thsijsdljfJEFFREYlkjsdj sdEPSTEINf sadktghDIDN'Tjsdf l;kjsd KILLhtjks asdfjHIMSELFkfinlsdfjaspoiren

    You're welcome πŸ‘

  30. If I was getting paid $100+ an hour I'd work 72 hours two times a week, EVERY week. I'd like to see a doctor do these hours on a regular basis for $12 per hour. Iv'e seen prison/ correctional officers do these kind of hours with NO SLEEP and their in real danger – all for $18 per hour. It's a wonderful life, isn't it?

  31. your eye are very scary, if i was there i would be on high alert!!!!!! also your tone is very unpleasant, it just makes you feel uneasy….. just saying.

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