DOCTOR VLOGGING IN HOSPITAL: 24 Hour Shift


Morning guys. I’m Siobhan, a first year medical resident. Just got to the hospital, picked out my clinic room for the day and now this morning I’ll be doing a hematology clinic. So these are the blood specialists. It can be things like your blood’s count ar too high, too low, if you’ve been clotting or bleeding. So we’ll see what comes, I have no idea what’s heading my way this morning. So you can imagine in a hematology clinic, we’re looking at a lot of blood work. And so often when patients come in to their clinic appointment, we get them to draw some blood. And let me show you how it actually gets sent off to the lab, it’s pretty cool. First you load the blood work into a tube like this, then you choose a location and then it travels through tubing in the hospital by compressed air to its location. Cool, right?! So just finished up in the clinic, I saw about five patients. It was an interesting range between patients in their 30’s, some in their 90’s. So I always like that kind of variation. So just have to see four patients today on the ward, which is really not bad at all. I kind of like that I can organize my time the way I want to when I’m seeing patients on the unit. If I want to spend more time talking to one, if I want to dig into their file, I have that flexibility compared to in clinic, when you’re on a timeline and I just really notice the difference. Anyway, so now I’m heading to the obstetric unit, because we’ve got a patient in there. 5 p.m., I’m no longer on the hematology service. I’m now internal medicine on call, so I just had hand over and got my two pagers of the teams that I’m gonna be covering overnight. And now there’s actually a consult I already need to see in the emergency department, so I’m gonna go down see this patient. And then I’m gonna change into scrubs, so hopefully nothing messy or anything happens before then. So now I’m bringing all my stuff, trekking up to my call room and then I’m finally gonna get changed into scrubs. Oh man, I am so happy. I got my favorite call room. You get your own bathroom, window, bed and computer, best part of the whole thing. Alright, now for the transformation hematology and on call. I blame this corniness on being exhausted. So as you guys know, I used to go around with a side bag when I was on call and keep all my stuff in it. And I’ve started to switch it up, so now I take my my patient list, this Resident Survival Guide and I just put them in the side pocket of my scrubs. Okay, yeah, sure I’ll be right there. Okay, I was just called about a patient whose oxygen levels are really low, so I’m going down to assess the patient right away and they might need to be intubated. When I arrived, I immediately assessed the patient, spoke to the nurses and found out what happened. We put him on a higher level of oxygen and these colorful caps connect the oxygen tubes to the mask and control what percentage of oxygen is given to the patient. We also had the code blue crash cart nearby in case things got a lot worse. I ordered a bunch of bloodwork and a chest x-ray, which showed pulmonary edema, basically fluid around the lungs. We treated him with some medications and kept a really close eye on him for about an hour. Okay, crisis averted. I actually ended up calling the respiratory therapist and got the senior medical resident to come up after I, you know, ordered chest X-ray, did some blood work and in the end he’s actually recovered. So it’s really nice to see someone in a matter of an hour go from not responding at all to sitting up, talking, that’s a really rewarding part of the job. Back in my call room, get to take my shoes off, get to sit in bed and have some food. I remember getting a question asking if I sleep in scrubs or if you kind of change for bed. No no, definitely that’s the beauty of scrubs is basically you just get into bed, and so then if you have to get up in a moment’s notice, you’re just ready to go. I do take my shoes off, I’ve heard of people who sleep with their shoes on, but that kind of seems weird to me. It takes me two seconds to put shoes on, so it’s not a big barrier. So it’s 11:20 now. I only just have been in bed for like 20-30 minutes and just got called down for another consult. It sounds like there’s someone with a really really high blood pressure that’s affecting their kidneys, so I’m gonna go check that out now. So as I’m walking to see this patient, I’m thinking about what questions I want to ask them, what they are concerned about, what things I don’t want to miss, so I’m kind of making a game plan as I’m heading over there. It’s about 1:30 now, just finished up with that consult. Just admitted the patient and now I’m gonna get to head back up to my call room. I feel like phase one of getting tired overnight is this kind of like squinty feeling of your eyes. And I’ve definitely started to get that right now, so perfect time to go to sleep. Just got woken up to hear about a patient whose blood sugars are really high, so luckily I was able to manage that over the phone. And now I’m heading back to sleep. Just got paged to clarify an order. That’s always so frustrating, because I know that the nurses have to call to clarify, but you think ”I just fell asleep.” Anyways, so I was able to clarify it, but I might actually need to get up to go to the computer to do that, so then I can head back to sleep. So it’s 8 a.m. now, having a quick snack and heading to meet the team. Just got home. I’m actually feeling pretty good, like I’m awake, alert. I feel like I can take on the day, but if I don’t sleep, I know I’m gonna crash super early, so I’m gonna go and take a nap. But then I can actually enjoy the day, so I’m looking forward to it. Hit that subscribe button if you haven’t already, so you can see the rest of my journey as a junior doctor and check out Instagram, because that’s where I’m answering a lot of your questions now. So otherwise I’ll be chatting with you guys next week. So bye for now.

100 thoughts on “DOCTOR VLOGGING IN HOSPITAL: 24 Hour Shift

  1. I really liked that you were able to explain a little more about the issues you dealt with with the patient, like the oxygen and things, very interesting!

  2. I am thinking of becoming a doctor but i am not exactly sure what i want to do. this might be a dumb question but while in residency do you have to work as an on call? or is that only in a specific field?

  3. You have such a nice Residents-Life 👌…seems it might be a myth after-all that "Residency is the hardest and most stressful time in someones Medical career! This is very encouraging…Thank you!

  4. QUESTION! I would like to know how you feel about this situation and what would you do, Recently my parent went to the ER middle of the night, mid morning around 4, there were absolutly no other patients waiting to see the doctor on call, when my parent checked in with the Nurse who checks his vitals ETC then the nurse exclaimed "what are you doing here, dont you sleep at night" went on to say that she is refusing to wake the doctor on call, they just finished their shift and have a right to sleep (the doctor) … and that my parent would have to wait till the new shift comes in at 8… how do you feel about such situations and what would you do with such, obvisouly it was the nurse who was in the wrong and not the doctor right

  5. Welcome back! Some medical students at our hospital recently did a speed test on our tube system, and they go around at 27 mph! I was impressed. I work on a peds unit and the kids LOVE to watch the tubes fly in. Sometimes we send goodies amongst floors and the kids think “hospital elves” are delivering them presents 😂

  6. Doctors and nurses are two of the most misunderstood professions. I appreciate the hard work both of these medical angels do.

  7. You’re such a positive and happy person you really brighten up my day when I watch your videos! I love that you smile even after long shifts! ☺️

  8. Do you feel as thought it's safe to be working such long shifts? Have you ever worried that your judgement might be impaired due to tiredness? I for one definitely couldn't perform at my best for 24 hours with only a few hours of broken sleep. It has always seemed so odd to me that it's the norm in medicine, especially considering that so many of your decisions and judgements could be life or death. Thanks for the video – I really enjoy watching 🙂 x

  9. Hey Siobhan! I had a quick question for you. I’ve noticed your lanyard multiple times in almost all your on call shifts and all your shifts in the hospital. When I do my hospital rotations, the nurses and such recommend me to not wear a lanyard because it can be used to choke you if a patient grabs at it. Is your lanyard really easily removable if a patient tries to grab at it? Love your videos! ❤️

  10. I loooove these video! so grateful that you are able to make these day in the life videos, seriously please keep making them!

  11. Do the nurses get call rooms like doctors or do they stay up all night? If they stay up all night, do they work shorter shifts?

  12. Surely a stupid question but I always wondered why the hospital uses pagers and not something more current like smartphones or tablets, etc.

  13. I love watching these vlogs – I never thought I’d be this interested in these kinds of videos especially considering it’s so far from my career path but I can’t stop watching your vlogs!

    But I have a question – how an earth do you hear the pager? I would sleep right through it!!!

  14. What would happen if you sleep for lets say 30 or 40 minutes, you just hit a deep-sleep phase and don't wake up when the pager is ringing? Does that even happen? 😀

  15. I just binge watched all your videos & you are absolutely stunning oh my goodness.
    I love your positive energy, all the work you put into helping other people, & I totally don't have a crush on you ^_^

  16. I don’t know why but your videos are so comforting. Anytime I’m anxious or can’t fall asleep I turn to your videos.

  17. love these videos! im not sure if it’s something you’re interested in but just curious if you know if you’ll ever do a psych rotation? that’d be cool to see 🙂

  18. THANK YOU!!!! For including Respiratory!! I know I've said this before but I love watching your videos!

  19. Here’s a question for you – where did my anti e (little e) come from – was discovered during one of my 5th pregnancy (wasn’t there before and I’ve not had a blood transfusions)

  20. Is there a rhyme or reason on when you decide to get “dressed” and when you stay in scrubs and tennis shoes? I feel like I’d never get dressed. Lol!

  21. I am a pharmacist and work long hours but I cannot fathom how you residents do this. Aren't they concerned about your decision making being up for over 24 hours. It's like they just keep this "on call" routine for tradition sake or is there no better way to do it?

  22. Q: what do you want to major in and I would love to become a surgeon in the near future but i don't know if i can make it to that which if i could It would be a dream come true.

  23. I just found your channel and think your videos are amazing and super informative! I noticed you wearing a McMaster University lanyard and was wondering if you went there for your undergrad(if so what program) or for med school?

  24. i hope u can maintain your coolness down the road like maybe 10-20 yrs as a doctor. some of the doctors i work with in the hospital r grumpy/mean/rude and unprofessional… but then they're the older generation doctors hahah

  25. I don't understand why your shifts are so long? They say driving tired is just as bad as
    driving drunk. Wouldn't the hospital want their staff to feel their best and well rested?

  26. could you show your study room at home on another video?and can you study or read something about medicine when you are on-call?

  27. hey! i’ve always had really bad health anxiety & i have always been terrified of visiting hospitals, but your videos have helped me to not be so scared & realise that they are not all bad! it’s great to know there are doctors like you! thank you for the content ☺️💕

  28. Oh my gosh! I get the same thing with the squinty eye's when i'm working a night shift. Absolutely LOVE your videos!!

  29. Hey Siobhan, I have been watching your videos from the first day of your internship and you have grown tremendously over the past one year, I am a fourth year medical student myself and you really inspire me, watching your videos makes me feel less anxious about my journey ahead. Thank you so much for sharing your life with us on YouTube.

  30. Great channel and content! Question – when it comes to primary care, what is the difference between the internal medicine and family medicine specialties and as a single guy in my 20s, which should I choose for my primary care physician?

  31. Hi! I had a question for you. I'm an aspiring doctor. It would be great if I could speak to you. I would love to speak with someone who is becoming a doctor (especially in Canada. Feel free to contact me 🙂

  32. woah you must be very brave and patient to handle patients that come in for emergencies like the ones you encountered in this video.

  33. I wish we had more young docters like yourself 🙂 I wouldnt hate going to the hosp[ital so much ! 🙂

  34. Do you worry about all the germs while walking around in socks in your on-call room? As well as sleeping in your scrubs etc

  35. I love your videos! These are informative and very exciting. You can really tell how much passion you have for the practice. I'm going to share this with my colleagues to show our students with interest in the medical field. You're literally the perfect resource to see a glimpse of doctor life!

  36. Weird question: Do you practice talking? Did you take speech or a class? I ask because you just draw me in to your videos with your tone and everything. Basically I enjoy your videos

  37. I am a Jordanian doctor and I see about 40 patients on clinic duty. Numbers might hit 200 if I was doing an 8-hour ER shift. Also, our on-calls are 36 hours long.
    I wish I was in a hospital like yours.

  38. In my military service (Air Force), when we were on QRA5 (Quick Reaction Alert, in less than 5 minutes they must be airborne), basically scramble the fighter jets we used to sleep with the shoes on, just to save few seconds, but on longer QRAs (15+) we didn't.

  39. I have a question and I'm new to your channel ☺️ Have you ever had a patient come in with several seemingly random symptoms…one of those patients that doesn't fit into the "medical box"? (Think that show "Mystery Diagnosis"). I hope you see this.

  40. Do you mind me asking how the pt w/ pulmonary edema was treated? perhaps bipap & diuretics? I'm an RT in the making :>

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