Day in the Life of a DOCTOR: EMERGENCY PAGER!

Hey guys. I’m Siobhan, a first year medical resident. I just got to the hospital and it’s Saturday morning. I’m starting a 24-hour call shift. So I’ve been getting questions around who actually pages me, what is that like, or what they keep paging about. So I’ll try to address that during the day today, when I’m seeing patients. And then who knows, we’ll see what comes up in the evening and I’ll bring you along for that too. So let’s start out by wiping the slate clean and deleting all the old messages. So this morning I’m responsible for seeing nine patients. And then I’m carrying the pager and fueling any questions for the thirty patients in our team. It tells me the number I need to call back and it also tells me the location and the time it was sent. Hi, this is Siobhan from team B medicine. Oh yeah, team E. Yeah, you know, I actually haven’t been told who I’m carrying but I’m happy to get handover and carry team E if you’d like. Yeah, yeah, I’m on B3. So yeah, we can come here and we can hand over. Thanks. Okay, so that was the staff from team E medicine. So I guess I’ll be getting handover and then carrying that team for the rest of the day and night. So this one doesn’t actually say the location. Still waiting… Guess cuz people page and sometimes they walk away from the phone, so there’s no one there. So still waiting… Ok, I mean they’ll call back if it’s urgent. This one’s from the emergency department. Hi, this is Siobhan from team B medicine. Hi, Erica. Yeah. Oh… Okay, fair enough. Okay I’m glad it’s taken care of. Great, thanks. Okay, bye. Ok, so that was just a patient with a high sugar but it turns out they actually are going to be transferred to the critical care unit right now. So they were sort of paging the wrong team about that. Ah… Another one while I’m still sitting here, it’s so hard to actually write my note Okay, so when it rains it pours because earlier today I had no calls until about 11:00 a.m. and now we get all of these. Okay, you’ve got the number and the second number after here is just saying the priority, so it’s a 1 through 3 scale. So priority 2 is sort of medium priority. Hi, this is Siobhan from team B returning a page. Oh, what does it look like? Oh okay. Yeah, you know what? That’s another name for spironolacton. Yeah, yeah. Okay, perfect. Okay. Thanks. That’s actually pretty funny. That was a nurse calling to ask, because they couldn’t read the handwriting of the staff physician who saw the patient. So luckily I had actually already seen those orders earlier today when I was looking through the chart. So I knew what it actually said so I could help out, but often I would actually have to go up to the ward and try to figure it out. And it’s kind of like sleuth work. Not great for patient safety when you can’t read handwriting. So we try to be really careful, even though mine still isn’t great. 3:00 p.m. Now, I’m just discharging a patient. I haven’t eaten yet today. I do not recommend that, that is not my medical opinion. So I’m gonna go grab some food very shortly. So no time to eat yet. I just got paged about a patient who’s having extreme amount of abdominal pain. So I’m gonna go and see them and see what we need to do. If we need to order an abdominal x-ray, if we need to order any fluids or medications at this point. So I think the abdominal pain is more likely something like reflux. So I’m gonna give a medication to help with that. I don’t think it’s like a surgical emergency. I don’t think it’s to do with chest pain or anything, so I’m a little bit reassured by that. Anyway, it’s coming up on four o’clock now and I still have a couple of notes just to finish up from this morning. So I’m gonna do that before I grab food. Mostly because I just don’t want to get behind and then I’ll bring you along for some food. All right, so it’s just after 5:00 p.m. now. So we’re just entering into the evening time, where it kind of feels like everything changes, anything could happen, you never know. And I’ve actually got a medical student on with me tonight. So I’m just gonna go and find him, his name is Sedad and he’s a great medical student. And he’s actually gonna be carrying the team pager tonight, so we’ll find him now. Hey Sedad. Alright, so tonight we are kind of working as a team and so we’re covering a team of what?! Like thirty patients, maybe even a little bit more. Yeah, so anything that happens… Sedad is going to be carrying the pager and nurses will get in touch with him. So this is kind like the moment of truth. Have you carried the pager yet? Yes, I have once. I was on call two days ago. Man, on your first call shift. They got you to carry it? Yeah, yeah. Oh this guy’s like experienced now. Okay, so it’ll probably be like when you do it last time. Ehm, any kind of pages you get from like from nurses or whatever. You’ll just text me to keep me in the loop. If I get a couple of blissful minutes of sleep, that may not wake me up. So feel free to page me if I need to call or go up to the ward. Yeah. If you’re worried about anyone, just like call me right away and I’ll meet you to see the patient. And if you can’t get in touch, even page me. Okay, so don’t worry, you can always find me. Sounds a good plan. Okay, awesome. Are you good with it? Yeah. Yeah. Yeah moment of truth. Okay, the pager is being passed. Now it is your responsibility. So much responsibility. Well the first page already, two seconds after I give it to him. Poor guy. Okay, so now I’m heading to go and get a call room and be able to have some food, relax for a little bit before I get my first consult. So when I’m in a call room, I typically just kind of want to rearrange it a little bit. So I grab the phone, that’s hard with one hand. So I grab the phone and I basically take it and put it beside the bed here. You can imagine that in the middle of the night, it’s a lot easier when the phone rings to just be able to pick it up like this. So I’m finally in my call room, gonna be able to settle in and have some food. So I’ll show you what I packed. So I’ve bought some black bean soup. It’s just actually pre-made from a jar, but I think is really tasty. I’ve got my cucumbers and I also got myself some kombucha. I’ve already had some of it today and I love that stuff. Oh my gosh, I’m not sure if you guys can hear that, but I can hear another pager from the other room. It just reminds me that mine is about to go off. You just know it. So now I actually have a rare moment where I could just put my feet up, take my shoes off and just kind of just relax as if I were at home. So I’m gonna watch some Netflix of course. I do have my pager right beside me, so it doesn’t really feel as relaxing, but it’s still a nice way to break up the Saturday call shift. Just a test code blue, so they tested just to make sure that it’s working on all the different pagers. So I just need a call back and let them know that I did receive the test. You don’t have to go running. Alright, yeah, thanks for calling me. So what’s up? So basically this patient is like super short of breath, lots of edema. Maybe you might need to give her some Lasix. So I think if we can go up and take a look at her together. Yeah, yeah, it sounds like a good plan. When we arrived our patient was sitting up in bed feeling very short of breath. We could hear crackles at the bases of her lungs and her legs were very swollen. I completely agreed with Sedad’s impression and we gave her IV diuretics. So a water pill to help her pee out the extra fluid. So it’s about 1 a.m. now. A lot has actually happened since I chatted with you guys. So it’s really hard to vlog when you’re in the emergency department and stuff is going on. So kind of have to catch you up. So I did a consult on a patient who had seizures and I actually did a lumbar puncture, which means that I stuck a needle into the person’s back and then took out spinal fluid and we’re going to be testing for bacteria, viruses, anything that could be causing these seizures. So we’ll be waiting and we’ll get some of those results back tonight, which will be pretty interesting to see. So now finally heading back up to the emergency department. I mean back up to my call room, you can tell already getting confused. Okay, not even ten minutes later. I’m getting that page. I kind of knew it was coming. Not a consult, but actually a patient in the emergency department’s condition has changed really rapidly and they’re apparently looking very unwell, they can’t get a blood pressure on him. So I’m heading down right now. Okay, did not end up being that urgent in the end. Turns out the patient was having rigor. So they were shaking so much from a fever. So looks like more of an infectious picture. And so… you know, dealt with that. Sent off blood culture, gave some antibiotics and some tylenol and it looks like they’re doing a lot better. So back up to bed. I think that’s the emergency department. So it’s now 4:45 in the morning, and I just got called for another consult for a patient with a really really low heart rate. Oh, I’m just trying to wake up right now, It’s always the toughest time for me, when I find like the 4 a.m. 5 a.m. time to wake up. So alright, head down to the emerge. So as I’m heading to the emerge, I’m just thinking about what could cause such a low heart rate. So this patient has a heart rate of 30. You can imagine, normal heart rate is between sixty and a hundred. So that’s a pretty significant. So kind of racking my brain, make sure I got a plan by the time I get down there. It would be a little bit more efficient. Alright so it’s now the morning. I handed over my patients to the different teams. This most recent consult that I had in the emergency department, so this patient had such a low heart rate that we’re certainly going to be referring to cardiology to look at getting a pacemaker, but yeah… it was an interesting consult. Anyway, I’m meeting up with a couple of the other residents who were on call and we’re gonna grab breakfast together before going home. Hey guys! Post call Party breakfast. This is the best part. Oh yeah, totally agree. This is my choice here. Oh yeah, breakfast with the best team. Team best. Team breakfast. Thanks so much for watching guys. I also want to say thanks to Sedad for being an awesome medical student and for being part of the video. So by the time you guys are watching this, I’m actually gonna be on vacation in Greece and heading to Norway. So I’ve got two weeks off and I’m so excited for it. The week after I may or may not be able to post a video. But either way I look forward to hearing from your comments. I hope you subscribe if you like the channel. And otherwise, I’ll be chatting with you guys soon. So bye for now!

100 thoughts on “Day in the Life of a DOCTOR: EMERGENCY PAGER!

  1. So what did you major in in college and what exactly are you just an ER doctor I really wanna do surgery but I feel like this would be right for me

  2. How does time off work on a weekly/monthly basis? Once you work one of these long shifts do you get a certain amount of time off before starting another one?

  3. I know this is an old video so the chances of you seeing this are slim, but regardless I have a question. If spironolactone is a water pill why do doctors give it for acne? I’ve been prescribed it when my birth control wasn’t helping my face problems because of the hormone level I assume. Just a random question, I’m so curious! Love your videos!

  4. How do you sleep at night knowing there could be an emergency? Or that someone might need you? Because you might be in such a heavy sleep that you can’t answer the phone?

  5. Just found this channel … my new favorite perspective on life! Keep on keeping on! Thank you for all you do!

  6. Coming from a Nurse who works with many doctors who are very Serious with no humor should we say, it makes me happy to see that their are doctors like you who are so attentive, and outgoing. Please dont ever change that! Love all your videos, and am learning quite a bit from them as well 🙂

  7. I'm confused. So why do you get called for consults or to help with a patient in the ER. Is it bc they are busy and need help or not enough staff or is your job to help wherever?

  8. You my fine lady are a Boss! You will become and remain a wonderful physician with God's special grace covering you!

  9. I was so nervous the first time I paged a doctor. Let's say the number was '12345'. I paged him '123'… '125'… '2'… '2'… '12345'. He said it gave him the laugh he needed that day.

  10. I used to have a dream where i said to myself that one day I’ll be a Doctor when I’m still in primary school but now I’m studying for law 😂 oh god. Btw, i love your channel! 💖

  11. In MineCraft I am building a hospital and remembered this channel and watched this video so now I know what rooms to add and because i'm a private mod maker i'll make pagers and other hospital equipment

  12. As an internal med, do you guy do the procedures to? Like i&d and stuff or do you just prescribe med? Thnx

  13. You really inspire me to be more happy with my life even if I'm not having the best day. You got up at 4 in the morning and you were still smiling. I don't know how you go it honestly but it really inspires me to be more happy. Thank you for being an amazing inspiration❤️

  14. I came here to look at modern uses for pagers. I ended up being intrigued by your work and your charismatic personality is very outstanding.

  15. My mum had 9 lumber putchers when she was in hospital and they kept doing it wrong. She was in alot of pain and I wasn't aloud to see her even tho my stepdad did 😒

  16. Thanks for being so pleasant when you call the nurses back. Surgeons can be so mean but then others can be so dang nice. Such a weird spectrum lol anyways, cool video 🙂

  17. Question: Whenever an alarm wakes me up in the middle of the night (I’m not a doctor btw), I’m still in that drowsy state and I turn it off and go back to sleep lol. How do you answer a page when you first wake up without turning it off subconsciously?

  18. Hi Shevon, sorry if I am spelling it wrong, my name in Ahmed and I am a fourth year medical student from Libya and I got only one question for you, is it really worth to study medicine in this war condition in my country? Is’t really worth to study and give effort for medicine? I am really frustrated from all of the things going on with me and around me, just need a good pip talk if u may, thanks for such wonderful videos that I really love because I love medicine so much and hope for u the best😊.

  19. As a fellow doctor, I just admire so much your personality and how nice you seem to be! Keep it up, congratulations!

  20. I'm gonna use that phone near the bed trick when I'm in the on call room great idea and I can't believe I never thought of it.

  21. I’m going to here that pager in my nightmares lmao, bless your heart that you can deal with all of this! XoxoX

  22. Love you I hope to get you if something happens to me when I visit canda because you seem so nice and very knowledgeable

  23. saw this in explore- and you work at mcmaster? or did you just go to mcmaster? either way seeing canadian youtubers (espicallly doctors) is so rare!! you’re my new favourite channel

  24. Hi Violin Doctor:

    be careful when you shoot the video inside the hospital because it may violate the HIPPA and your hospital social media policy the lead you to loose your job and your MD license even your career!

    And it is NOT acceptable to hold the camera when you run to a code blue or share your shift report and your patient information in front of the camera and post on YouTube ! In addition to violating HIPPA, holding a camera will distract you from your patients and your clinical tasks! Remember: you are a Doctor facing the vulnerable lives but the actress facing the eye-grabbing cameras!

    Meanwhile, You put yourself, your patients, your co- workers, your leaderships as well as your hospital in a vulnerable position by shooting and publishing the real world videos! They suppose to stop this violating behavior right away as our patient advocates! As a professional Doctor, You need to focus on your patients but the camera during your work ! These sharing probably make a lot fun for your audiences but NO FUN at all for a medial professional and any Heath organizations !! !

    As a professional RN with 22years clinical experiences and patient advocate, I urge you to delete all your work related videos ASAP and stop violating our patient rights by shooting videos during your work! I will keep checking your channel and make official report to your licenses board as well as YouTube media platform if you won’t take my advices seriously ! 09/13/2019 4:56pm

  25. Hey there new subscriber here. Idk if this is a dumb request but Can you do a video on what Call is? Some people go home some people stay at work. Like what is going on? Are there different types of call??

  26. Why couldnt I have pulled my head out of my ass and got into this type of work, or had a really good job and married someone like this,

  27. yeah I mean what is there really to say brilliant talented driven and most of all my GOD lets get pogs in the chat boys

  28. Im gonna try the phone numbers that she used
    And hey I'm here just for some tips
    My dream job is to become doctor

  29. I’m looking forward to heading into the medical field and I wanted to ask, How long have you been in medical school ?

  30. really love you and doctor mike I like how you edit your videos and overall quality tried to watch other doctors but couldn't find their content engaging enough.

  31. I have been really loving your videos!! So interesting to see the various expectations and documentation of a 24 hour emergency. I was wondering if you were in touch with any Neurologists? I am really interested in that field and want to begin my studies on it next year in January. I would love to see what their day/week looks like. Would be amazing to see their professional perspective as well documented like this. You’re awesome! Love the content and your love for your field.

  32. Not sure if you will get this. I have a seizure disorder and did multiple EEG and met with Nuerology but never a lumbar puncture. Why is that?

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