26 HOUR CALL SHIFT on NEW YEARS EVE: Day in the Life of a DOCTOR

Morning guys. I’m Siobhan, a 3rd-year medical resident. I just got to the hospital, it’s New Years Eve and I’m starting a 26 hour call shift. So… Last week I was on vacation. I had 5 days off over Christmas, which is why now I work 5 days over New Year’s. So you kind of get to choose: Christmas or New Year’s off. And it was so nice to be able to spend time with family. Usually New Year’s Day gets I think a little bit busier, because people often come home over Christmas and they realize like ”’Grandma or grandpa are not really doing as well as they were last year.’ I haven’t seen them in a year.” So they bring them to the hospital. So we’ll probably be seeing quite a lot of that. Uhm, but you know… I actually kinda like it. It’s a good team spirit over the holidays. The first thing we do is meet with the resident who was on call overnight, so they can actually get home and go to sleep. And then we divide up the work for the day. Deciding who’s gonna see which patients and just sort of make a general plan for each of them. But the day never really seems to go exactly as planned, especially when you’re carrying the team pager. Hi, this is Siobhan from team A returning a page. Okay. Yeah yeah. I’ll pass along to the team and we might change up the antibiotic actually. Yeah, okay. Thanks for letting me know. Okay, bye. Okay, so uhm, I was just called letting me know that one of the patient’s blood cultures came back showing that there is a bacteria in the patient’s blood that we actually didn’t expect. So we’re gonna be starting an extra antibiotic to cover that and I’m also going to tell the team, just so that they’re aware, because I wasn’t seeing the patient today. Hi, this is Siobhan from team A returning a page. Oh that’s great. Yes, oh thank you for letting me know. You know, I’ve been trying to catch them now for a couple of days now, so that’s incredibly helpful. Yeah, I’ll just be right over in a couple minutes. Yeah, great. Awesome! Okay, this is so helpful. We got a patient that we’ve been seeing now for a couple of days who doesn’t speak English. And so I have been trying to call the family and couldn’t reach them, so it’s been such a struggle. And apparently the family is by the bedside, so I want to chat with them and actually get to the bottom of some of the symptoms now. I still have some notes to do, but I wanna quickly run downstairs and get a call room key to get like one of the good rooms. It’s become competitive to get one of the good call rooms. An excellent room: computer, bed, light and most importantly… Washroom! Personally I think the biggest concern is that some of the rooms don’t have good like heat regulation and so some of them are freezing or super hot. And the ones on these floors tend to be a bit better, so I’m very pleased with this and I’m optimistic that I’m gonna get a little bit sleep tonight. I think this is the exact same call room that I filmed my early vlogs and it makes me really happy to see this. It’s kind of like full circle after a couple of years, it’s kind of cool. For safekeeping, so I don’t lose my call room key. Next I need to pick up the team G pager. That’s another team of patients that I’m covering tonight now that the daytime team has left. And now I’m really hungry. This is like one of these moments, I gotta refuel. Residency has been a disaster for cooking, so I’m trying to make an effort. It’s actually going to be my New Year’s resolution is to cook more and have like meals prepared for work. I did that to start the year right. Hi, this is Siobhan from team A returning a page. Oh great! Yeah, I didn’t even expect that until tomorrow. So that’s a bonus. Sure. Yeah, I’ll take a look at the electrolytes. And do you want some tomorrow morning too? Okay, sounds good. Thanks. Okay, bye. Okay, so that was the dietitian who just has some TPN. So it’s like nutrition that comes in a bag that can go into a patient’s IV. It’s not like a long-term solution if someone’s not eating, but it helps to get nutrition to people who can’t eat for a little while while they’re really sick anyway. Some people use it long term, but it’s not… It’s not the best solution. Oh hi, this is Siobhan from team A medicine. Yeah, yeah no problem. I’ll be right down. Yeah, I’m not busy. Okay, see you soon. Okay, bye. Okay, so it looks like we’ve got a whole bunch of consults coming in from the emergency department now. But before going down to actually see the patient, I just want to look them up on the computer. Look at their blood work, see what’s going on. Just so I have a bit of background information. Okay, so from what I can see here. This is a patient with diabetes, who is coming in with a really painful leg and it looks like a skin infection, a cellulitis. So the emergency department is giving them some IV fluids and starts some antibiotics, which is very reasonable. And yeah, it seems pretty straightforward. So we’ll go down and probably need to admit them. Especially if they can’t walk or if they’re looking pretty sick. Walking into the room I see a middle-aged man lying in bed clearly in pain. His left shin is really red and when I look closer, I can see that there’s a black line drawn midway up his shin by the emergency doctors to demarcate where the redness stopped when they saw him. Now the redness has spread up to his knee and as I examine his leg, he jumps in pain with even just the slightest touch and I can feel that there’s crepitus. So there’s air under the skin, which is extremely concerning for a rapidly spreading infection like necrotizing fasciitis or what people call flesh-eating disease. I’m really worried about this infection. I’m actually gonna give orthopedic surgery a call right now. Oh hi, this is Siobhan, one of the internal medicine residents. Thanks for getting back to me. I’m hoping to talk to you about a patient that I have seen in the emergency department and I’m very concerned that this could be necrotizing fasciitis and I’m hoping you guys can come to a consult. In the meantime I’m gonna broaden his antibiotic coverage, give them more IV fluids and call my attending physician at home to discuss the case. If I’m right about this, the infection can move extremely quickly and he could lose his leg, if not worse. I’m heading back to check on him again. His heart rate is still up, he’s still in a lot of pain. But his nurse tells me that the orthopedic surgeons just scheduled him for the OR as a priority 1 emergency surgery to try to remove the infected tissue. I’m actually so relieved to hear this, because this is really the only defensive treatment. Aha…. The dream team right here! Okay, excellent. The new year’s team. We’ve got like what?! 3 Seniors and a junior. We’re all medicine residents, that can be pretty sweet. It’s gonna be a good night. Is it gonna be busy? What do you guys think? We’ll see, we’ll see. I don’t even think about giving my opinion. Good point, good point. I’ve made that critical mistake before. So just got a text from one of my friends, apparently the food has arrived. Oh wait, we’ve got 20 minutes to midnight. I’m gonna head upstairs about to check up on 1 patient really quickly and then I actually bought some like hats and fun things to surprise the other resident, so we can have like a mini celebration even though we were in the hospital. I better get down in time though. Earlier one of the residents like jokingly said like ”Oh, I hope there’s no code blue right at midnight.” I really hope that they haven’t jinxed us. Like as soon as she said it I’m like ”Oh my gosh!” Okay, so this is the assortment and depending what a given person chooses, this is gonna represent their new year. But I don’t know what that means… Okay, it’s 4 minutes. Are we gonna like put on a channel? Is there gonna be like a countdown? What’s happening? The room is like completely quiet. We need some hype here! Yeah, youtube. Why didn’t we think of Youtube?! Okay, we found our hype. Is this hype enough? Does the hat choose the man or does the man choose the hat?! Hahahahahaha Okay, this is great. Just the 4 of us. 5, 4, 3, 2, 1, woohoooooo. There we go. This is the new luck. Yes, the class of medicine, we need to have coffee represented. Happy 2020 Okay, mildly like anti-climactic. Literally these guys are immediately talking about patient care again. These are the doctors that you want, this is good. Lots of patients already to see in 2020. A young person with a drug overdose, a middle-aged person with pancreatitis from heavy alcohol use over the holidays, a man with cardiac chest pain. Then a woman with cardiac chest pain and a few people with pneumonia. Oh and I just found out that the patient with the leg infection just came out of the operating room is now in the ICU and is doing a lot better. I think I’ve hit the wall. I’ve hit the wall of fatigue. I’m so tired right now. I mean, I know we just have so much more work to do. Okay, and there’s no like coffee shops or anything open in the hospital right now. So I think I’m just gonna go for like some cold water. I know that does help. Just gotta get myself up and do that. What a crazy night. So much for having a good call room, I never actually made it there. Oh man, I’m gonna be tired. I cannot believe that I didn’t get any sleep. Not even a minute, not even putting my head down. You know, I had this weird expectation that because it was New Year’s that we were gonna like celebrate at midnight and then I was gonna sleep the rest of the night. Foolish, but I like to still keep hope in my days. Anyways… Okay, I’m gonna pack up my stuff and then hand over to the team in the morning. Tell them everything that happened, tell them about the new patients and then I get to go home. Wow, what a night! Kind of a mix between excitement, fun, stress. Maybe that’s like a sign of what’s to come for 2020?! I don’t know. But I’m looking forward to sharing those videos with you. So if you have any questions, make sure you leave it in the comments below. And otherwise, I’ll be seeing you in the next video. So bye for now!

100 thoughts on “26 HOUR CALL SHIFT on NEW YEARS EVE: Day in the Life of a DOCTOR

  1. Happy new year!!!! Looking forward to all your new adventures and vlogs in the new year. Thank you so much for sharing 💖

  2. How do you find time to edit YouTube videos, posting on insta and even replying to the comments? I truly wanna know. Especially with the new year, it would be nice to see/learn some real life and actionable tips from someone so productive yet still so positive. That last part is crucial because I don't want to be busy and resent my life for being run down with to-do's. Hope you'd consider making a dedicated video about this, instead of just thru Q&A. Happy new year and thank you so much for being you!

  3. Unfortunately had a fair few patients come through A&E with an overdose over new years. I work in the path lab (biochemistry) and like to watch your vids to experience what it's like in other sectors- I'm so behind the scenes I don't have much patient interaction, but I do see all the clinical details and blood tests.

  4. Why would a hospital allow you to YouTube off of people’s suffering? You are sick! Please stop this nonsense. Work, work, work? No, it’s not a job. Damn are you ignorant. Please stop this channel, I see lawsuit in near future. You are a person that is very smart that wants the white coat. We call doctors like you “paper lions” because your knowledge is completely dependent on what a report says. You have a patient with bacterial infection that could be the flesh eating variety and you leave? I would fire you ass on the spot. This is sad.

  5. I have no desire to ever become a doctor, I came across you’re channel, one day I was curious as to what a day in the life of a doctor in emergency department would look like and I saw your video, I’m so hooked on you’re videos it’s not even funny, you’re voice is so sweet and you have so much compassion when you answer the phones, you’re such an amazing doctor and I love you’re videos so much! Please make more!

  6. It was so heart warming to see you smile through such a tiring new year. You really make me want to become a good doctor like you

  7. i like your vedios there great but have a question did ever watch life in the er it tv show in early 2000's and i learn a lor real case's too and find on youtube and live q and a sometime my is eddie kellar i have cerebral palsy and we learn from each other here my e mail [email protected] i talk about vedios you can post

  8. I love your videos! You make them so interesting and informative, I always look forward to when you post another one. I’m really interested in nursing and the medical field in general and you inspire me to learn more about it as well as to really work towards my goals, so thank you! X

  9. Happy New Year to you and your husband! Anyway, I would like to know where you get your background music from? I hope that 2020 is better than 2019 was for you. I know what it feels like to have Cellultis, it SUCKS! I have been in the hospital 3 times for it.

  10. Flesh eating bacteria is terrible. My dad got it a couple months ago and ended up losing his right leg and left toes. 😭

  11. New Year's Eve is (along with Saint Patrick's Day) is one of the times that all the "amateur drunks" come out – people who only get drunk once or twice a year, and really don't know how to handle themselves, so they hurt themselves worse than "habitual drunkards" who get plenty of practice. (I used to have a friend who was an EMT, but he's gone now.)

  12. You have a special place in my heart, your videos and attitude are so inspiring I wish I could be so positive and hopeful like you all the time. You deserve the world truly

  13. When she said she ginna broaden antibiotic covered for px with necro fascitis, anyone know what is the antibiotics? I just see KCL there? Thank u

  14. correct me if i'm wrong, but it seems like to be a great doctor you have to love stress lol. i think you're a great doctor!

  15. You are the sweetest and most optimistic person. 😊 Happy 2020!! It's weird how I get invested in the patients you tell us about. I was glad to hear the man with the infection was doing better!

  16. As a doctor do you get sick often? I'm a CNA and I just started working in a facility a few days ago and I'm currently in bed, left my shift early bc I have norovirus 😔 i'm in so much pain and i'm afraid this will be a common occurrence

  17. I have to tell you , my six year old son is a absolute fan!! If he becomes a doctor in the future it is because of you !!!

  18. random note:does anyone notice that her freckles become more pronounced when shes exhausted or is it just me lol? Happy new year doc. Thanks for serving as my inspiration to continue my journey towards med school.

  19. I wish I wasn’t a medical mystery with medication allergies because when I go to the hospital my blood works okay and there’s not much they can give me so they send me home, even though I have horrific fainting a bunch of other crazy symptoms and have been bed bound for 2 months now. I have to see specialists for it but hospitals are useless for people like me. I hate it. (And I cant just go to another hospital because it’s a 4 hour drive away and the wait time at any hospital is 6+ hours due to people going in for minor issues that a general doctor at ur local practice can fix).
    I used to be a normal person and had never fainted in my life now it’s a minimum of 3+ times a day, I told them I have numbs and cuts all over my head and arms because of it and they wouldn’t do any general tests because I had a CT scan (without ink) 3 years ago and that was fine. Like it’s ridiculous. Not only that I can’t walk very far, I have weakness, I am dizzy all the time, spacy, my heart rate goes ballistic when I stand up, i get numbness and tingling everywhere no matter what i do, I can barely eat, and when I do it all comes up and if it doesn’t my stomach hurts like crazy , not to mention my hair loss and that’s not even half of it – I have to use a walker to get around my house and a wheelchair to get to appointments. I’m 17.
    My blood work is fine, blood pressure is fine, my EEG is fine. Like what’s happening to me

    I’m so glad you seem like an amazing doctor and actually take people seriously, i wish we had more people like you where I lived.

  20. jesus christ lol. That was a bit intense for me to hear that you ended up clocking out the next day. Unbelievable but hey at least you didnt die. lol.

  21. I absolutely love all your videos! I especially love the day in the life videos. Those are my favourite! Please keep making this amazing content 💜

  22. I’m not a doctor by any means, but NYE is an exhausting night for all! Hope you got a good sleep after, and Happy New Year

  23. Hii doctor I am a big fan of your work and I also need some help regarding something if you can I took lsd several years ago and it just still going in my mind actually I have taken it with some friends and some unknown friends and the day I took it was the worst day it breaks me from inside my confidence is very low I am not telling the whole truth but reality is my friends trying to made joke or fun of me or they even abuses me trying to made my whole trip worst or may be I am thinking that way i MA very much afraid after that incident it turns very unhealthy and unsafe trip for me I still hallucinates it in my life and thinks that people are talking about me I am very much negative what should I do I even go to Psychiatrist which is not of much help please help me to find solution to maintain my stability towards life and peoples I want to be stable in my life thankyou

  24. Happy New Year, Siobhan. Love your channel, your energy and all that you do. I agree with the other comments that we need more knowledgable and good energy providers like you in the medical community. Blessings for you in 2020!

  25. Doctor I also worked New Year 🎉 Eve I work at a Maternal hospital here in Houston TX Medical Center we a pretty good 🌃 I'm a unit secretary. I love your videos

  26. I Freaking Love you!!!!!!!! Watch all you videos love your energy, watching you is one of the highlights of my day , except for when I’m with my husband lol.

  27. Happy new year! I had the same experience last year!
    Hope you get to sleep the rest of your shifts in 2020 :)))

  28. Glad to see you all have fun from time to time in the hospital! Crazy too think I’ve been here since “I’m 1st year Medical resident”

    Keep up the great work and serving those who can’t help themselves!

  29. Why on Earth there isn’t coffee places for Doctors and Nurses that work nightshifts?? Obviously, they need it. I would bring my own if I worked nights.

  30. Hey whenever you move into rheumatology I wonder if you'll have my dad as a patient. Hes a super interesting case you might love to hear about.

  31. I’ve loved your videos for a long time but recently had a hard time watching them since watching my dad die in the hospital this summer. I finally decided to start watching again and I’m so grateful for what you do. Thank you for being there to save lives. One of your last clips looked exactly like the room my dad died in so I don’t think I’m quite ready to watch yet, but I’ll keep tuning in to listen ❤️ happy new year 🥳

  32. I was born on December 30, 1969. Back in the days before they kicked you out 30 minutes after your baby was born, so mom was still in the hospital the following day, along with all the other new mothers. Around 9 the nurse came in, gave everyone their meds then, not long after the party broke up well before midnight, and they all slept through new years 1969/70.

  33. First, I want to say that you’re such an inspiration to me! I am currently Pre-Med but watching your videos makes me really excited for med school and after.
    My question is, when a patient is in pain from physical touch, do you proceed with the physical exam without touching them at all?
    Thank you again, love your videos!

  34. The same thing happened to my left leg when I was 15!! And I had to get surgery as well. It’s interesting because I’ve never met anyone else who’s been diagnosed with the same thing, on the same spot!

  35. How do you handle filming and working in such a high pressure time sensitive working environment? I wouldn’t be allowed to film at my work and that’s quite a basic job so I’m always surprised to see how much filming you do during work hours

  36. Siobhan your such a great role model to me and to a lot of people that wants to become a nurse or a doctor. I really love watching all your videos your such an inspiration. I look up to you and I’m wanting to become a nurse

  37. i went to the hospital on the 30th and new year’s day for meningitis and no one was this happy lmao off you go with antibiotics🤣

  38. Hi Doctor! It seems that you are starting out the new year strong and in a positive mindset!💪🏼 I don’t know if you’ve ever done a “day of self-care” video in the past where you share some products and nutrition tips that you like throughout the day but that would be a fun video sometime this year🧡🧡🧡

  39. My mom had that flesh eating disease in July and ended up loosing her left leg. She is doing better now. She’s already got her prosthetic

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