Good morning guys, I’m Siobhan a first-year medical resident. It’s Saturday morning, and I just got to the hospital and today I’m gonna be bringing you on a call shift So we’ll be staying with me all day while I’m seeing patients on the ward and all night long seeing patients in the emergency department Every day has its own adventure, so let’s go and let’s see what today brings All right, so we just divided up the list I’ve got 13 patients to see and different prior to the hospital So first thing I do is I sort of look at the list figure out where the patients are and then after that I sort of prioritize things based on if anyone’s sick, so if anyone’s not doing well I’ll go and see them first then second priority is anyone who needs to get discharged so at this time No one’s particularly ill people are all stable knocking wood. Hopefully it stays that way so first thing I’m gonna do is go and see if a patient can get discharged it all depends whether her hemoglobins were a red blood cell count Has stayed stable. Making sure she hasn’t been bleeding for a couple of days, and then she can she can get going Oh man, discharge is always take way longer than you expect So I’m just gonna be making some follow-up appointments for this patient, and then dictating a discharge summary Which goes to the family doctor. And she’s got a scene infectious disease doctor and northpia surgeons so making sure everyone knows. What’s been going on Wow this day is going by so quickly so of those 13 patients I had to see I still have like four of them left, so Gotta head downstairs See some more Wow, this is truly the most busy day. I’ve had. I think ever this is pretty crazy I It’s now uh 5:15 and I’m being called down to go to the emergency department actually called me about 30 minutes ago And I still have to finish up seen patients so I’m finally done seeing my 13 patients and dealing with all the stuff that came up during the day and Apparently they’ve already been 9 consults down in the emergency department that’s nine people came in that internal medicine had had to go and already see and bring it to hospital today, so Now let’s see see how many are waiting when I get down there now 5:30 and I’ve already had 19 pages crazy, maybe that means that all the pages will be done for the night So I was just at a code blue, we’re doing CPR and it was a patient that was in droplet precautions so it was a really really tight mask and you can see how red my Face is and that’s actually from the pressure of the mask and it’s really hard work, so I really worked up a sweat anyway amazingly the patient pulled through and To be honest most codes that I think to where patients heart stopped or they stopped breathing most of them Don’t come back. So this was a really amazing thing to see and to be a part of so now I’ve got to head back down to the emergency department because that code blue sort of interrupted the consult So I’ve got to get back down there see this patient admit them That’s me okay water break time. I always manage to get super dehydrated by the time i’m post-call So anyway one consult done, and I think I’m just gonna see if there’s another one pending before I go upstairs. Oh Man guys I’m getting really tired you can always tell I’m getting tired because there’s no more stairs. It’s all about the elevators I’ve done the second consult And actually able to just grab some sleep right now Before get paged about the next one So this is the key box where we get our call room keys basically just swipe our badges here And then it asked me to remove key, and I get to put in the key number that I want What no more keys allowed, okay wait let me just try a different one ah No more keys allowed Okay, that doesn’t bode well for tonight. What’s so fast security just came and hopefully fixed it, so let’s try it now right machine. It’s just you and me grant me some access Okay Ah amazing Target acquired. Let’s check it out So 125 Okay, so pretty classic room Chair, bed Desk Coat hanger all you really need 4:30 a.m.. Heading down for consult number 3 just trying to try to wake up right now Feel like I could just lie down on one of these So far I’ve had 29 pages It’s 6:15 now I just had the second code blue of the night, so there’s a second patient whose heart stopped And she’s heading down to the ICU, and it’s very strange because now that job is done And I’m just heading back to the emergency department Can hear my pager going so? Gotta go It’s now 10am I just met up with all the different teams that I was covering tonight and where I admitted patients And now I’m gonna go back to my call room grab my stuff and then freedom! I’m gonna go home and have a really long nap So in minutes, and we do a lot of debriefing so let’s debrief so during the day I saw 13 patients busy And then overnight admitted three patients One of them came in and had was really decreased level of consciousness Wasn’t waking up turns out a bad infection So we’re treating that the second one ended up having a pulmonary embolism Nothing when a clot travels and gets stuck in their lung And then you can develop a lot of shortness of breath As a result which is what brought this patient in and then the third patient that I saw Had a stroke and came in with a lot of weakness on one side of their body And then as you know there were two code blues overnight I will definitely be telling you guys lots more about these types of emergencies in the next Month or two because I’ll be doing rotations in the intensive care unit and dealing with this all the time So I’ll tell you more about it later But before going home. We’ve got the featured question of the day, and we’re gonna be answering Daniella’s question And she’s asking about getting paged at home as a doctor So I would say there’s sort of three main reasons that you might get paged at home First is if you’re on home call which basically you’re on home You’re supposed to be at home, and if you’re needed in the hospital. You’ll get paid you’ll come in the second reason would be if Say you discharge a patient And one of the community pharmacists this might have a question about the dough so the medication change that you’ve done So I’ll page you and maybe you’re at home at that time Maybe it’s a Saturday morning who knows then you just call the pharmacist back and make a clarification it’s pretty simple the third reason that could happen sometimes happens to me and that’s when I just happened to leave my pager on and some from the hospital might think that I’m still in the hospital or They don’t realize that I’ve gone home because I was on call the day before and I get paid sort of by accident I know some of my friends actually turn off the pager But I’m too scared that I’m gonna forget to turn it back on so I just leave it on all the time Anyway, I hope that answering this question didn’t just jinx things because I’m gonna go home now And I hope that my pager does not go off so knock on wood

100 thoughts on “Day in the Life of a DOCTOR: MEDICAL EMERGENCIES

  1. I have a number of chronic illnesses so the hospital is practically my second home. It’s really cool to see what it’s like from a doctors perspective!! Please please do a video about what it’s like interacting with all the patients! Is it stressful? Fun? Or do a video of what its like on pediatrics floor!! (If your hospital doesn’t have one, what it’s like working with pediatric patients)!!

  2. So, what do you do if you dream about your pager going off? You said that when you’re on call, and that happens, you don’t know what’s real.

  3. When is it not a hippa violation, can you not say the name or can you still say the conditions of the patient and no name

  4. Oh my goodness… I am glad I didn't know that tidbit most codes not making it through. My daughter coded at birth and we didn't know if she made it or not until 3 hours later (she was whisked away to the NICU)

  5. You are inspiring! I would love love love love to work along side you as a nurse. you're so respectful of everyone and that is so wonderful. You'll stand out

  6. There's a lot of drama going on in my class and I really needed to take my mind off things to keep doing homework, I was looking for some videos here on YouTube and saw this, as someone who's going to be a doctor, it's really nice to watch these videos. Thank you so much for making them

  7. Hi i just wanted to ask i really want to become a doctor but my grades anit great due to medical reasons so is it worth me trying to become a phycisian asscoisate

  8. Hi only 14 and I decided I wanted to be a pediatrician, what medical doctor are you in residence for and can you go to medical school or even college during the summer to speed up the process?

  9. There is 4th thing which you forgot. It's all hands on deck call. Some big emergency happens and all staff are needed.

  10. CAN SLIPPING RIB syndrome cause u to have a very sharp pain in my chest near heart and if so is it bad cause I no Medical insurance

  11. You’re so sweet!! I love watching these videos. I’m premed and I volunteer/shadow in a university hospital. I love seeing what’s in store the future as a doctor 🤪❤️ thank you for posting these!

  12. What about if there is a large emergency like if there are many patients would they call you in for just extra hands

  13. What happens when your pager is left at home while you're out shopping or something and a nurse pages you asking about a patient or their medicine dosage and you don't answer it until way later on when you get home ??

  14. i love your positivity despite how tired you are at work.. you still have enthusiasm and obviously you love your job!! BIG THUMBS UP DOC! btw im a nurse from philippines..

  15. I used to work at a clinic attached to the local hospital. Some nights we had no doctors in the ER after 8 pm, so if there was an emergency, they would page the oncall doctor to come from home.

  16. I recently subscribed because of your upbeat and positive attitude. I enjoyed watching your videos. As a first responder myself, I commend you for your service, dedication, and passion as a public servant. The city residents are fortunate and grateful to have you as their Doctor.

  17. You are a great doctor. I don't care what ppl say…if a doctor isn't nice and has a poor bed side manner he or she is not a good doctor. You have both and you are always smiling. I wish more doctors out there was like you

  18. How do I know if I have a heart attack or a stroke, when top call the ambulance
    Also how do I know if its serious or just muslce pain

  19. You can really tell when you’re getting exhausted because your hand holding the camera starts shaking (its not super noticeable, but ig i picked up on it bc i can totally relate to that kind of stress and tiredness)

  20. I have a weird question. If a doctor gets sick ( let’s say the flu) are they allowed to go to work? Or do they have to stay home to prevent infecting patients.

  21. I'm happy to hear you're dictating! Been an acute care medical transcriptionist for 30 years! Unfortunately, my job is slowly going away because of EMR. Did you know some doctors dictate while driving, while eating or chewing gum, while yelling at their kids, in the OR with metal instruments clanging/echoing, at the nurse's station (always a party I swear), at their kid's baseball game, at home with dogs barking/kids screaming, using speaker phone is always a favorite, in the bathroom, etc.? Always fun is the surgeon who rattles off an entire operative note in one breath or the doctor that wants a copy sent to "Dr. Brown" but doesn't say WHICH Dr. Brown. 🙂 Thankfully, most doctors are good and considerate dictators. I love what I do and have so much respect for doctors. I'm so glad I found your channel! Best of luck to you.

  22. Hi Siobhan,
    I may need to get surgery on my ankle to correct it and I hope at the hospital there are doctors like you. Your so nice and awesome and positive!!! I am freaking out if anyone has any tips please help!!! I’m glad it’s a children’s hospital so hopefully they’re amazing!!

  23. I really recommend a the morning burst face wash from clean and clear. It really wakes you up and makes me feel energetic so if you're ever tired on call you can use the face wash

  24. I just found your account and I love it! I want to be a docter and it's really cool to see what you days, and nights are like thanks you

  25. I’ve been binge watching your videos. I discovered your channel this morning I love it!! I’m a nurse but learning so much from your awesome videos.

  26. Have been binging your videos like crazy for the past couple hours, it’s always so interesting to see stuff like this! I just had a question, when you go into a sleep room if someone had sleep apnea and required a mask to sleep in case they stopped breathing while resting would someone be able to bring their mask with them? I understand about being on call but I’m curious if someone with sleep apnea would be able to bring their mask with them or not

  27. I’m new here just found a video of yours and I am IN LOVE with your intro. Sorry i know it’s random but…

  28. I remember when I was in the hospital when I was five (I’m ten now) My nurse that did my heart and blood pressure stuff would call me a flamingo cause I was either standing on one foot or had my butt in the air. He was my second favorite my favorite made silly faces made animal and do you take care of any children also your my favorite YouTuber as well but I’m not allowed to sub but I am mentally oki

  29. I cant believe your sleep rooms don't have windows!!! 🙁 I can't sleep at night without fresh air and a cool breeze. Even in winter i have my window open.

  30. My sister is a nurse and she is on a PIC team. My brother is a pain doctor my dad was an MD and my mom was a nurse. All of them worked for Maine medical center.

  31. her videos are just so satisfying to watch. Like, although i know nothing about the medical thing or doctors etc… but here, i learned alot!

  32. Hey Siobhan my name is Lucas I would just like to tell you a little about myself I am 23 years old and I help out part time at a nursing home called Tarrace Lodge I do call shifts to on my goodness I’m ready to jump in the action once the sun rises good luck

  33. It’s people like you that inspire me to start a YouTube channel maybe not on the same content but

    Violin MD I want you to know you inspire me…

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