Doctor On Call: Vlogging in Hospital (medical resident vlog)


Morning guys. I’m Siobhan, a first year medicine resident. Today is Saturday morning and I just got back from a wonderful vacation in San Francisco. Today of course I’m on call, so I’m gonna be bringing you guys along to see a full day and night in hospital with me. And I figured we could do something a little bit different today and I’m gonna try my best to give you the chance to see what it’s like answering pages what kind of issues we get called about and maybe I can even give you some insight into the types of patients we see overnight. My first and number-one priority has to be patient confidentiality, so there may be some choppy editing and you know, I won’t be able to give a lot of details, but let’s see how it goes. It’ll be an experiment and let me know below in the comments what you think and if it’s something that you like. Alright, so it’s 8:50 now. So we got here right on time and now I’m just about to start my Saturday call shift. So I just finished getting handover on the list of patients and because I’ve been away on vacation for a week, there are a lot of people I don’t know. It’s a little bit stressful, because I’ve got to see just about half or more of the patients today. Because it’s the weekend we don’t have as big of a team, so here we go. Hi, this is Siobhan from team A, returning a page. I’m sorry, where is he located? Alright, well you can let them know that someone will be coming by in a little bit to talk with them. Okay, thank you. Bye. So it’s a family that just came to hospital and is looking for an update. Weekends are such a challenge. You just have so many patients to see, you don’t have as many staff, medical students, doctors here. So right now, it’s 12:30 or so, I actually haven’t eaten breakfast or lunch. I just got back from vacation yesterday and so there was no food in the fridge. I thought I would get to work and be able to get a breakfast sandwich or something, but there’s just been so much to do that I haven’t had a chance. And I’ve got two patients who can go home once I get their paperwork done, so I just don’t want to keep them waiting while I go and eat, I just feel too guilty about that. This morning has just been pretty crazy, I’ve only seen maybe four patients this entire morning, but the issue is that one of the patients was getting really sick. And we found free air underneath the diaphragm and that’s a big sign if you’ve got air in your abdomen, you start to worry: Where is the air coming from? So we had to get general surgery involved, which takes up a lot of time to consult different teams and hear back from them, getting tests and then checking on the same patient over and over just to make sure they’re not getting sicker as we go along. Hi, this is Siobhan from team A. Okay. Sorry, how high was the sugar? Okay, and how much insulin is she normally on at home? Oh I see, and she’s been getting it today? Okay. Well you know what, I’m heading up. Yeah, I’m heading up just to see another patient anyway, so I’ll stop by and we can give her some more insulin. Okay, great. Thanks, bye. 12:53, my stomach is growling. It never happens to me where I’m so unprepared. I always have snacks and granola bars and stuff in my bag, but because I’ve been on vacation I haven’t been grocery shopping. Anyway, so one more patient to discharge and then I’m gonna go get some really good food, or at least at Tim Hortons. I just ran into my senior medical resident and he’s so nice. He saw that I had so much on my plate and actually just decided to do this discharge, a dictation for me. So I’m gonna quickly run and grab a bit of food. It’s 1 p.m. now, so I can’t wait. And then I still have another… Actually I’m not sure, maybe 3 or 4 patients to go. So yeah, alright. It’s doable. I’ve got a one-track mind right now, all my updates are about food. So the latest is the Tim Hortons line was so long, I just couldn’t do it. So I decided to go and see another couple patients. I went and found this little convenience store inside hospital and I got a banana, so this will help me. And I will go see a couple. Alright, now it’s 2:30 p.m., one patient left to see. Still haven’t had my lunch, but I figured I might as well just finish off everything and then to go have a proper meal, like a big meal. And I just got handover from a different team, so now I’ve got all three pagers as you can see, now things are stacked. Stacked for tonight. So hopefully everyone will be nice, hopefully nice teams. But anyway, so now I’ll have extra patients. Oh and in case it wasn’t clear, different teams have different pagers. So patients are organized into groups, so that we can figure out which doctor is covering that team and nursing and anyone else who needs to get in touch can do so. So now I’m covering teams A and B, As well as my personal pager, so that’s where the three pagers come from. Okay it’s happening, I’m going to buy some real food now before I get the next page. And I’m just gonna run and get as much food as I can. A very very happy me gets to actually eat some food. Hmm… I feel so much better now. Okay, I just got a message that I need to go and meet my senior medical resident, but luckily I can keep eating while I’m chatting with him. So it’s 4:15 now and honestly the day has just flown by. I don’t understand how the time went by so quickly, I feel like I haven’t had any time to rest and it’s almost 5:00 p.m., when we start getting called to do consults in the emergency department. Usually I like to take a little bit of time just to relax a bit, maybe even put your feet up in a call room before the night starts. So it doesn’t look like I’m gonna have that luxury today, but we’ll see… Maybe it’ll happen. It’s 7:45 p.m. and I just got called downstairs by my senior medical resident for a consult, so I did have a bit of a chance to hang out in my call room. So here I go, we’ll see what consult is waiting for me. So it’s 9:30 p.m. right now. I was just in the middle of doing a consult, I was actually just in the middle of talking to a patient. And all of a sudden there’s a code blue that was called up ahead and we respond to that. So internal medicine, our team, we go running throughout the hospital to a patient. And a code blue means that someone’s heart has stopped, they’ve stopped breathing or they’ve gotten really sick really quickly and someone wants back up. So I just went to that. Unfortunately it was actually a patient who had passed away and after people got there, we realized that she had never wanted to have CPR and luckily that was not started. So it was something where we pronounced her and then we go on with our night, which is sad, strange. So it’s now 12:48, just got back to my call room. It feels nice to sit down and basically, it’s been one sort of sick patient after another right now and more like just really complicated people. This one consult that I saw in the emergency department, I think almost every single organ system for this guy had something wrong with it. He came in because of a stroke, but then when you look back in his notes, he’s got so many different things going on that… That’s really the job of internal medicine, it’s to try and dig through that and figure what’s going on, put all the pieces together. So it takes a long time, it takes a lot of thinking and I’m just grateful that I got this consult earlier in the night and not at 4:00 or 5:00 in the morning. So yeah, it’s one of these guys that I’m gonna be going in, popping down to check on, frequently calling down to talk to the nurses. Just to make sure we’re watching him closely, because he could potentially get quite sick. So now I’m gonna actually take this moment to try to get a little bit of a nap before I get paged again or before I get another consult. It’s 4:00 a.m. now, I just got paged to go down to the emergency department and do another consult. And then just the way it worked out. I’ve got another page right after that from the ward about another patient who is not doing as well and so I’m gonna pop down on one patient while I’m heading down to the emergency department. Man, but honestly when that pager went off, my body just wanted to push snooze. Like I felt so asleep that I think I was just like: ”Oh, I don’t want to get up. I don’t want to deal with this.” But now I’m up and let’s see, let’s see what happens. Just that moment from going from that sleeping to awake is still tough. Like I feel like my eyes are like cotton balls, but I think I’ll feel just better once I start walking downstairs. Six and a half hours later. so it’s now 10:45, so way later than I usually actually get out post call, but fair enough. I’m just happy to be outside and heading home now to get some rest. So hope you enjoyed following me around for the day. It’s actually nice reflecting on what’s going on and being able to take a moment to chat with you guys. So yeah… Subscribe if you haven’t already, comment below, let me know what you’re thinking and I’m gonna go to sleep, but I’ll chat with you guys later.

100 thoughts on “Doctor On Call: Vlogging in Hospital (medical resident vlog)

  1. I have been a hospital nurse for over 14 years. I am not going to waste time calling a resident or even an attending who spent five minutes with the patient to give families an update. If the nurse does know the plan then they are not taking care of their business. Think of all the sleep you could have got.

  2. No thanks. Can’t do it. It takes better men(and women) than me to do this job. I only care about making money and making money work for me. I’d rather be the business man that hires his own doctor than be a doctor `geTTinG a paycheck from the businessman who owns the hospital.

  3. instead of focusing on pt care to maybe save a life she uses utube to build her ego – typical millineal dumbed down resident

  4. I have a question: What do you do if you’re in the middle of taking care of a patient, and another patient has a code blue?

  5. Thanks for these videos Doc.

    This gives many of us perspective into what goes on inside a hospital, much respect for Physicians!

  6. You do a really great job of staying positive, at least on video, but I imagine if you can do that for YT that has to be you at work. Super impressive, I’ve done a lot of 24 hour duty in the military (not looking forward to doing it again once I get to where you are lol) but to be so positive and smiling, I commend you! I can tell you’re a great doctor. Keep it up!

  7. How do you deal with a patients death? If I was in your position, I would be heavily affected by it. How do stay positive after?

  8. Your a huge inspiration to me💗 I just discovered your vlog this morning while getting ready for work. And I'm truly inspired to do something more, watching you makes me want to go back to school and finish my degree. Good luck and I will be following your journey.

  9. My experience when paged while asleep: heart rate 150 beats per minute, then confusion, followed closely by profanity

  10. when she took the page about the patient with high blood sugar i was like "i know this!!!!" i'm a type one diabetic and i actually never have been to hospital for high blood sugar, only low.

  11. So this is why doctors take so long to come they are vlogging 😂😂😂 (I'm kidding I love these videos lol)

  12. Ok so your positivity is a medication on its own self… Can't quench my thirst of learning from you! Actually you are my dopamine

  13. Hi, i really love your videos <3 i have one question for you: Can you explain how you treat patients? like what's the name of the disease and what you would give to treat that condition. I know that the relationship between you and the patient is confidential but you don't have to give specific names .. I am a medical student (2nd year) and i would love to know how you cope with such a big responsibility on your hands. You are very sure on what you have to do and i admire you for that! Have a nice day!

  14. Your vlogs are amazing. I have watched a few of your vlogs and I've seen you get a few code blues, but I was just wondering if you get any MET calls?

  15. Everytime I hear the ding go off when she puts a fun fact pop up on the screen I look for my phone bc that’s the same ding my phone has for text messages, lol 😂😂😂To only realize I’m watching this on my phone🙄🙄🙄

  16. I enjoy your blogs a lot! Thanks so much ! I am an RN… formerly an ER nurse and then a jail nurse and now I am a mental health nurse. Keep up your good work, you can def tell you care about your patients …, you bring positivity!

  17. My father is a captain firefighter and has a similar schedule and hours as you. I have to say you are doing amazing and I could never deal with the amount of sleep you get on these call days lol. I wonder how my dad copes even though he gets way more sleep. Major props 🤗

  18. Are you the only resident in the hospital? I see in alot of you vlogs you're handling calls from more than one pager and that blows my mind. Is that typical of a resident?

  19. I'm not in the medical profession, but I've spent my fair share of time in the hospital. Its nice to see "the other side".

  20. Please make educational videos for premed students and the resources you used! Thanks!! You videos are the best!!

  21. Love watching these vlogs. I was just thinking they should have a little lunch room for doctors and nurses with snacks etc you can just grab! Look after yourself

  22. So busy! I have so much more patience when I’m in the ER or a waiting lobby now that I’m watching you starve to not keep patients waiting. You’re awesome! 💪🏼

  23. https://www.alibaba.com/product-detail/ward-nursing-equipment-nurse-call-system_60770396964.html?spm=a271v.8028082.0.0.53433e5fxUnHCV

  24. Im a nurse working in mental health. I just started watching your videos and I'm enjoying them. We rely so much on the on call doctors at nights and weekends!

  25. The DNR really messes with my head. My mom notified me that she signed one and its really upsetting to think about the fact that if she ever falls into a situation like that, there would be no CPR to try and save her, even if its due to something that could be potentially treatable. I can't imagine what it's like to be there with the ability to try and resuscitate the patient but not being allowed.

  26. I'll be doing my GCSEs next year and I know for certain I want to be some kind of doctor. These types of videos are just making me even more motivated to go for this career path. Keep it up!! 🙂

  27. You’re honestly such an amazing person! You seem so genuine and intelligent and humble and like a really good doctor!

  28. Thank God I finished my reaidency
    I like your inhospital vlogs , they remind me of myself when I was a residant and was enthusiastic, interested, curious and just happy to do on calls and see all these interesting cases

  29. You're so smart, bubbly, happy, energetic, caring, positive, passionate and everything most of us wish we were, and you are saving lives!!

    You have so many amazing attributes that so many of us aspire for, thank you for sharing your journey with us and for using your talents to do good in the world!

  30. Thank you doctor. You shared something that make my eyes open how hardworking doctor routine. It seems simple but I don’t think so its simple. You deal with patients and disease to cure. Keep moving forward doctor♥️

  31. I love your mug in the beginning of the vlog I think that everyone should get to do something they love at least one time in their life

  32. I am starting my dietetic internship clinical rotation Monday and i’ve been binge watching your videos to get refreshed on medical information, and also hospital job outfit inspo 😂

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