Day in the Life – Pulmonary Critical Care Doctor


[Music] So, in the morning I’ll get up about
4:30 – 4:45, give my wife and kids a kiss, put my gym clothes on, put my hood over my
head and go grind it out at the gym. I think it’s important to get up in the morning
and accomplish something and I think the gym gives you a sense of accomplishment early
in your day. And then you’re going to ask yourself, you
know, “what’s next after the gym before you go to the hospital or before you go and read
and study”. So, I think it’s really important to get up
in the morning and get your gym on or get your grind on, whatever it is. Get up and do something because if you’re
not up doing something, you know that somebody else is. I’m Cedric “Jamie” Rutland and this is a day
in my life. I’m a pulmonary critical care physician which
means I take care of people with lung problems and I take care of people in the intensive
care unit. Intensive care unit is a unit that houses
people who – whose organs are failing, people who aren’t doing well, people who are dying. As a pulmonary critical care physician, traditionally
it’s thought of you either do critical care or you do pulmonary. I do both, I do it all, I do it all day long. Minute by minute, hour by hour, because I
feel like being a pulmonary critical care physician you have that unique skill to help
anyone and everyone in any way possible and for me that’s what being a doctor is all about. It’s all about helping people and it’s all
about being better today when compared to yesterday and I feel like pulmonary critical
care provides that. [Music] So, typically a day is going to be,
after I go to the gym I’ll go to clinic in the morning, I’ll go to the hospital in the
afternoon and about twice a week I’ll stay in the hospital until midnight just to help
out the ICU doc at night and then just to make my next day more efficient, being able
to go to a long-term acute care facility in the middle of the night just to check on patients,
make sure everything’s stable from that standpoint. So, really it depends on the day but I think
it’s a private practice attending, your day can be altered depending on where help is
needed. But for the most part, it’s usually clinic,
hospital, some procedures in the hospital and so on and so forth but it’s a pretty exciting
day. When you do a lot of different things, it
helps with keeping you engaged throughout the day. You want oatmeal? No. You want oatmeal? No. You don’t want oatmeal? No. What do you want? No, I need, I need this. Okay, taste it. I can’t. People think that like going from hospital
to hospital or patient to patient is the hardest part of my day. It’s the fannest part of my day but actually
the most difficult part of my day is this decision, what’s shoe am I going to wear today? Is it a Yeezy day? Is it a Jordan day? We’ve got these which are just super fire. And I wear these, I don’t care. And these shoes are made to be worn so I wear them. We’ve got the Unions here, maybe some old
school Jordan 4s here. ‘Cause usually you start pulling shoes out
and then things start to kind of come together and you’re like, “You know what, I really
want to feature these today.” We got a little bit of pink on, it might clash
with that purple but right now I’m thinking these. Blue Tints? No, not the Blue Tints. Oh, wait a second. Hold on. Maybe we got the originals Beluga 2.0s. No, I don’t think so. It’s difficult guys. Maybe the Flyknit Racers today? It’s not going to rain, it’s multicolor, springtime,
it’s May 1st, kind of a basic shoe. You kind of look at it and you’re like, “Oh,
those are in, oh, oh, those are kind of fire.” So I mean, I think that’s the kind of thing
you want to go with. I’ll go with those, I think big decision’s
made. You know what? I changed my mind. I’m not going to go with my Flyknit, I think
I’m going to go with my custom Huarache. Thing is they are at the top. So, I have to jump my ass up there grab them. Are you ready? Hold on, let me grab them with two hands. Yeah, I’m feeling these today. I’m feeling these. Lego. I have no idea. I don’t even count. Not that many though. I think there’s people with a lot more but
look at this, check this out. You guys think that I’m a sneakerhead, I want
you to look, we’re going to look over my wife’s side of the closet. She’s got some of the shoes I got. She got her little pink Jordan ones, the Crimson’s
here. You know daddy had to buy her some 11s. All right, she’s got on her Harrison Pegasus
but look at these customs I had done. She’s afraid to wear them because she says
that, “Oh, it’s Louis Vuitton and not really Louis Vuitton.” But look at these custom Vans I had made for
her. Sick with it. Look at that, ridiculous. And then she has all this stuff and we got
two pairs of shoes for her coming today. So, I kind of turned her into a little mini
sneakerhead. We’re getting there, then I got to work on
my six-year-old. So, we’re going to head to Irvine Clinic now,
a pulmonary clinic in Irvine. We’re going to see who we need to see and
what things we need to do for people to help them feel better about themselves. [Music] So, this is pulmonary clinic, this
is where I see patients on a daily basis. Where you have a line of patients who are
waiting for you, you go see them, your nurses, your assistants
put them in a room, you have objective data, x-rays, cat-scans,
lab values. You go into the room, you see the patient,
they tell you their symptoms, you determine what their data means, their symptoms, what you’re going to do about certain things,
how you’re going to manage certain things and you want to make sure that you’re making
people better or you’re not allowing them to get worse. In terms of why I selected pulmonary and critical
care, other than the inspiration behind my grandfather and the pulmonary disease that
he suffered from, which is emphysema, an entity of COPD, it was really out of just a variety
of procedures and duties that you have as a pulmonary critical care physician. We do many different things, we run intensive
care units, right? Where people are fighting for their life. We put things in people, we put things in
their chest, we put things in their mouth. We do procedures where we biopsy the lung,
we do procedures where we’re washing the lung out. We can deal with patients that have immunological
problems like asthma, like interstitial lung disease. We can deal with patients that have cancers,
we have to understand the way the immune system works, we have to understand the way the cancer
cell works. There are so many different varieties that
this specialty provides that allows you to, in my opinion, not burn out. Right? You have different things that you can do. If you want to be outpatient, work 9:00 to
5:00, you can be outpatient. If you want to be inpatient, you can be inpatient. If you want to do both like I do, you can
really have a different kind of day. Your morning will be different than your evening. So, it keeps you on your toes, it keeps you
alert, it keeps you awake, it keeps you learning and that’s what’s important. Hey Miss Jackson. I’m Dr. Rutland. I’m one of the pulmonary critical care physicians
here. I have read a little bit about you… [Music] So look, there’s a break in the day. We’ve got a few moments, we’re going to get
out our bag even if it’s only for 45 minutes, even if it’s only for 60 minutes. We’re going to get our bag out, we’re going
to open up our computer, we’re going to read some papers and we’re going to learn something
new. That’s the key with doing this whole thing
is, you always going to be learning something new when you’re a physician. When you’re a resident, attending, fellow,
whatever you are, you’re always gonna be learning something new. So, you always need to have a backpack in
your car and have books in your car because you never know when you’re going need them
to read so get it done. Living in Southern California provides you
with the opportunity to change your scene. When you change your scene and you’re in a
different environment, you also gain a new energy. Right? A new energy for studying, a new passion for
studying. One of the things that I’m looking at today
is an article on what’s called interstitial pneumonia with autoimmune features. Disease that’s caused by white blood cells
and their products attacking lungs, attacking certain parts of the lung that leads to inflammation,
the need for oxygen. We want to be able to combat that. So, what I’ve had to learn along my training
and I’m talking medical school, residency, fellowship. Medical school four years, residency three
years, fellowship three years, you learn how you learn and you learn how to make yourself
better on a daily basis. You know what articles to go after, you know
what books to read. You have to be able to do that. Iowa, University of Iowa where I attended
medical school was able to teach me and they taught me that very, very well and I owe
probably everything that I know and everything that I do on a daily basis to Iowa. And not only that, is – the medicine part
is easy, knowing where to go to get the information on diseases. After a while, the training teaches you that
but what’s hard is picking up how to run a practice, what hospitals you go to, what contracts
you have to have, who is the doctor in the area that you can refer to, all those things
you learn as well. That’s the major difference between academics
and private practice. Private practice you’re sustaining yourself,
you’re building yourself. You have to know what you get paid for doing
this procedures, seeing this patient, seeing that patient versus academics where you just
kind of work for a university system and then they worry about the billing, they worry about
the collecting. As I’ve said throughout the day, the theme
is to learn something new every day and that’s how I attack life, that’s how I attack my
days, that’s how I attack my weeks, my months and that’s definitely how I attack my career. So I think you know, a lot of times when you
are in training, when you are early on your career you know, we have a tendency to want
to impress our superiors or our colleagues, right? So, we spend all this time using this information
that we’ve collected from patients, from imaging, from labs and represent it to our superiors,
right? We try to have this great story and put it
together and get them to think what we’re thinking, but I think what gets lost is that
everything that we’re doing is actually for the person in the bed. It’s for the patient, it’s for their family
members. So, as you learn all these medical terms,
it’s your job to learn how to interpret these so you can explain it to the common person
and that’s the important lesson here. And once I learned how to do that, that’s
when my medical practice got a little bit better I noticed is once I was able to interpret
things and explain it to the patient and their family. [Music] Oh, that is… Here, you continue yours, ask your daddy yours… Watch daddy. I’m watching I’m watching, i’m right here. One, two. [chuckle] Hang on. Daddy is [00:14:02]. I can, I think crack this, yeah. See him this morning he left three types. Oh, she counts them. You know we’ve had a pretty, a pretty long
day. Today I did a few procedures, one of them
is called a pericardiocentesis, all right and that’s where – where your heart’s pumping,
you have fluid around the heart and as you guys can imagine, when your hearts pumping,
if there’s fluid around it, it can put enough pressure on the heart so the heart can’t get
rid of the blood that it’s receiving, right? And if you can’t do that, people pass out,
people’s blood pressures are low. So, what you saw was, you saw me actually
stick a needle to right outside of the heart, to the pericardial space and that’s where
I drew off that fluid. Now most people who have that, right? Who
develop fluid like that probably have a malignancy or a cancer of some kind. You’ve seen me stick needles in lungs, from
the backside going over the rib into what’s called the pleural space. That’s called a thoracentesis, where you take
a needle and a little catheter and you go right over the posterior superior aspect of
the rib. Posterior is back and you go right into that
fluid space, you draw that fluid off. You’ve seen me do bronchoscopy where I actually
take a bronchoscope and I look inside someone’s lung and there I can biopsy the lung, I can
biopsy lymph nodes, I can suction things if somebody has mucus in there. Remember the lung is a balloon so if mucus
gets caught in the lung or in the bronchial right, which is the pipe that carries air
to the lung, when mucus gets caught there your lungs essentially deflates and so you
have to go in there sometimes and suction that mucus out to allow the lung to re-expand,
all right? And when the lung wants to re-expand, people
cough because when you cough it actually closes your vocal cords and it pushes air through
the lung to allow it to re-inflate, right? So, coughing after procedures like that it’s
common. So, you know, the day was- the day was a typical
day for me, this is what I do, this is what I love, this is what I live for. People always ask about struggle and obstacle
because some people might look at my life and say, “Oh, you’re really smart.” Or, “Oh, this was really easy.” It was not easy and I was not at the top of
any class ever. I never was but I did try to be better today. In terms of struggle that I went through,
I just finished college, I took a year off of from my parents. I didn’t get into medical school the first
time around, I withdrew my application. The second time around I applied to medical
school and got a letter back from University of Iowa, which is really where I wanted to
go and I was number 104 on the out-of-state waitlist, right? And it was like June and school started in
like August. I told myself that, “What does this letter
say? It says I’m number 104.” Didn’t even say my name, just said you are
number 104. I told myself, “You know what? I’m going to call these fools every day and
let them know who I am because I don’t want to be 104. I want to be Jamie. I want to be Cedric. I want to be future Dr. Rutland. I don’t want to be 104.” So what did I do? I called those motherfuckers every single
day. I called them. I emailed. I got to know Linda in the financial aid office. I got to know Annette in the admissions office
and I started calling them by their first name. What happened next? I was number 69, I was number 53, I was number
37, I was number 21, I was number 9, I was number 8, I was number 3. And then on August of 2005, I got a phone
call and it was the financial aid person who I actually have gotten to know the best and
she said, “Hey Jamie.”, she didn’t say 104. She said, “Guess what?” And I was like, “I’m in?” And she was like, “You damn right.” And so, I think it’s a lesson of trying to
define yourself for who you are. Try to be yourself. Do not let anyone tell you that you’re just
a number because you’re more than that. I think that what’s important are advice that
I give to other people, right? So I think there are three pieces of advice
that I like to give. I always give, I always speak in threes. No more no less. Three is a number of harmony. So, the first piece of advice I would give
is, I want you to be better today when compared to yesterday. Be better today when compared to yesterday. Do a little bit more because when you wake
up the next day, it is another opportunity. Every time the sun rises it’s another opportunity
for you to be better, take advantage of that. Number two, diligence. Have diligence, work really hard. Work really hard so you get to know yourself. Work really hard so you’re forced to listen
to yourself and become self aware of not only what’s around you but what’s inside you. Work hard, that will get you further than
you think. The third thing, be nice. I’m not saying if somebody’s being an asshole
to you, to be nice. All right? But I am telling you to consider it. You never know what kind of day that person
had and if you could put a smile on someone’s face that had a shitty day that you don’t
know about, that’s what’s going to get them through the day. I’ve had people say things to me and say,
“You know, you remember that one time when you just said X?” And I was just being nice and I’m not saying
that I do this perfectly, because I’m not perfect and I don’t – and I’m not nice 100%
of the time. But I know that I should be and so that’s
why I spread that. I want you to be nice. I guarantee you, if you can do at least those
three things you’ll have a successful and accomplished life. I’m here to help you, I’m here to give advice,
I’m here to work alongside of you and I want you to know that. So, I hope you enjoyed the day and I hope
you enjoy the advice. Hey guys it’s 7:14 PM, on a nice Wednesday
night. I hope you enjoyed the day, a typical day
in my life which can be a little crazy. So, I appreciate you joining. If you guys want to see more, you guys can
follow me @drjrutland on Instagram or @drjrutland on Twitter. Please leave comments or feedback for my man
Dr. Jubbal and let us know what we can do better to improve and let us know if you like
our advice or not. Hope you guys have a good day. All right guys, so we’re just leaving the
hospital. This is what it’s like being a pulmonary critical
care physician. Hope you enjoyed the day as we went from procedure
to procedure, as we gave out a little bit of medical advice, I know it can be crazy
but it’s exciting. I’ll see you guys next time, bye guys. You guys have a good day. Are you okay with me working this hard? I’m okay with you following your dreams so
if that’s what it takes, sure. Obviously, I would like to have you around
more. But you’re okay with it? I support it, I support you. When I said in the beginning, I like to study,
I like to work hard, did that have any influence on your thought? I mean, I think the beauty about our relationship
is that we communicate and we know what to expect and I knew what I was getting into
and that the support is equal. Goes back and forth, goes both ways. All right, bye. Goodnight, bye. Okay, good day. You too. Come on doc. Time up. I’m minding my business, doing it for the
gram and he just disagreeing. It’s amazing because I’ll be like, “Man Doc
J, you looking swollen right now. Your gayz are coming.” His bottom lip. I hate compliments. You see how like bass ackwards that is? That’s a bass ackward statement. People, that is a bass awkward statement,
I hate compliments. What human hates to feel great about themselves? It’s a good point. However, I think the compliment has a sense
of achievement like I’ve done something and I feel like I haven’t done shit. So, when you think that comes from a like
a innate desire to just be better than you are but you can’t neglect already what
you’ve accomplished. Or am I wrong about that? No, you are probably right. So, we have to reward this small daily battles. We have to reward those small victories and
when I take the time to say, “Outstanding. Well done. Congratulations. I’m happy.”, I don’t waste those compliments
for no reason. [Music]

100 thoughts on “Day in the Life – Pulmonary Critical Care Doctor

  1. Big shout out to Dr. Jamie Rutland! Check out his YouTube channel and IG! Link in description.

    Want to see more day in the life videos? We have an entire playlist! https://www.youtube.com/watch?v=3fEPYSt4msE&list=PLTCN43UFAlBqtpf4MWCfaAGynmO5P3nOz

  2. You know what. Fuk that. I will not allow my own envious thoughts to negatively affect me.
    YOU ROCK MAN! Thank you for sharing positive energy brother. continue to make this world better to all of us.
    Thank you, thank you, thank you.

  3. Good Lord… I work at a hospital too, I think I need to transfer…😳 Alllllllrighttt – he's married with kids.. 😉

  4. I feel so honored to have watched your video and highly inspired! I'm currently in nursing school and plan to continue on, your story has incredible energy behind it! Thank you so much for sharing!

  5. He's a doc trying to wear a hoodie like he's hard/thugish… Ewwwwww….. Trauma/ICU Nurse here… I'm sorry but that's not what I'm looking for in a doctor. He might impress yall but if you worked critical care you'd think differently. "I was not at the top of my class ever" not exactly reassuring. Affirmative Action and medicine are a bad mix.. I've seen it up close. I want to be cared for by the Indian/Asian students/docs that graduated ahead of him and had to claw each others eyes out to get a spot in med school that was more or less handed to him. Sorry folks it hurts your ears to hear but it's true. He knows it's true also. He got where he is mostly due to hard work but also because they MADE room for him in that program. The Indians and Asians that were in that program had to work twice as hard to get there. The result might be less inspiring (who wants to hear about studious Asians and Indians) but the result is a better doc.

  6. Probably way late. But. Welcome to Iowa. Lol. In Iowa it’s not the land of the privileged. It’s the land of earning your spot. Success is not owned. It’s rented and rent is do everyday.

  7. Honestly, you're an inspiration. Even though I've been somewhat successful, I rest on my laurels too damn much. Thanks for the inspiration doc!

  8. Thank you for the boost, I'm a nurse continuing my education and it hardwork but your positive energy is helping me thank u blessings to you your wife and your children.

  9. Dr. Rutland, you've achieved something few people do, for becoming an M.D. is difficult — to the 10th power. You can be humble and still wear your crown. Toot your horn…if not you, who?

  10. Really enjoyed this video!! I am an engineer and will certainly start using these strategies with my job!! We are always learning and this has really motivated me! ! Keep it up! 💜💁🏾

  11. Awesome video man. I really enjoyed watching you save lives! Your voice is very peaceful as well. Just thought id let you know

  12. Definitely subscribed. I love to see successful men of color in medicine like myself with a personality . The ones I work with don’t talk or act like robots. #weird

  13. Man your family is beautiful. You inspire me to grind harder every morning. Currently in vet tech school. Rocking purple fly knit metcons. That sneaker collection is goals. 👍🏼

  14. professional lasix prescriber…. jk, I had to crack that joke… you guys oversee a lot of patients and its certainly hard work. nothing more stressful than trying to manage the airway. And when the RSI + N2O doesn't work thank God for ECMO. Also, mans dropped some real shit on you at 22:20– remember that

  15. I got depressed over chemistry 2 in and I was thinking about PA school for a hot second. But I watch this video and it inspired me !! For the last 3yrs I have been saying I wanted to be a pulmonologist specialist.

  16. I had a chance to shadow a pulmonary critical care doctor. They encounter some of the most dire cases in medicine. It can be emotionally taxing but it also feels very rewarding to help people who are on the edge of death, from what I observed. Props to these doctors!

  17. I just knew his wife was a going to be white. I'm not throwing any hate or anything. Love is beautiful no matter what color. But I just expected for his wife to be a white woman or non-black. &r if she is black she's at least 5 shades lighter than him. Whenever I see a successful black man I always expect his wife to not be black. Don't know if that's sad or not – but its what my brain automatically thinks.

  18. Critical care does periocardiocentesis at the bedside at this hospital? I’m used to Cards doing it in the cath lab. Unless the patient is coding I guess.

  19. You influenced me to open that Kaplan and First Aid again when I was all set to have a goodnight sleep Dr. Jamie… I want to become a better doctor with every upcoming day. This was such a great video 😊

  20. I would love to know more of his background and how he became a pulmonologist, if anyone knows if he has a video pls let me know

  21. Any unbiased advice on me – soon 40 trying to go back to school – I have baby number 3 on the way … I'm looking at respiratory therapist or dental hygienist…. What would be your pick? And any advice to stand out as these are competitive fields? DH just to give you insight… They clean teeth primarily but also use nitrous oxide and sedation and study pharmacology and do x- rays and oral screening for diseases and oral cancer screening…. I like the fact how the mouth is related to systemic diseases like heart disease, diabetes, stroke etc…. They say gum disease can lead to these and kidney and pancreatic cancer etc.. I like DH because it's preventative but it's hard they say on your back and neck and carpal tunnel and most jobs no benefits and part – time… However pay can be high 45- 60 hr and sometimes 75 hr ….

  22. Booo booo comercials 👎👎👎👎 I delete Your Channal from my playlist 👎👎👎 Greed kils the Youtube experiance!!!

  23. Wait, he leaves the hospital at midnight, and wakes up at 4:30 the next morning, how can he even do that?
    How can he go through his day with less than 4-hour sleep?

  24. I'm a Medical student who is currently getting ready to take Step 2 CK/CS and apply for residency. I'm sure you know how stressful this current time in our lives is. I'm not going to lie. I have been pretty down and out as of late from burnout/stress which is de-motivating me to study/work hard. In the ending of this video you basically gave a mini pep talk that I think I REALLY needed to hear. I understand that nobody is going to help you or motivate you but yourself but listening to you kinda of gave me some motivation and a little kick in the ass I needed. So thank you for that! 🙂

  25. Learning is never ending in medicine. I have a bag pack that I carry with me everywhere and yet people ask why am I still studying

  26. 22min – end of video. Black men supporting, inspiring, complimenting, and motivating each other. I love it. Listen to him Doc, he’s right. 💪🏽

  27. Dr Jubbal can you contact Dr. John Patton III from Stanford Anesthesiology he's a very interesting person and I would, as would other, like to see his background and day in the life as would other. Thanks

  28. You inspire me!!!!!!!!!!! I'm a college student. 26 yrs old. I've been struggling with medical issues (it's a shock because I eat healthy, swim, etc.) my weight has dropped to 100 lbs from 130. I suffer chronic pain, anxiety, depression. I didn't know why I had so much pain before. A CT scan. A rheumatologist diagnosed me with Degenerative Arthritis. Osteoarthritis. Based on imaging of my joints and a physical exam (arthritis at 26????!) . my primary is concerned with my blood pressure heart rate always being spiked high. I do get episodes of short of breath and chest discomfort. I hope to get back to my college and my manager at works getting irritated with me because I often times have to go home. Fatigue.

  29. Love the pep talk from the trainer at the end of the video. There's always something for us to learn and it can come from anyone

  30. Dude,first year college student with medical dreams for the future, I can’t even put into words how much you inspire me. Thank you for the content, keep it coming, Ross Q

  31. my mans here is going about his day saving lives, with his shoe game just dripped the fuck up. I'm amazed.

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