10 Common Mistakes Young Doctors Make

[@GoodOldGamer]

Don't forget to tell them it's never lupus, and that sometimes, you have to go break into a patient's home to investigate and confirm your diagnosis.

[@Bigsauce7593]

Dr. Gregory House, is that you?

[@CJSmallz41]

But mine actually was lupus. 😢 Am I the only one? 😂😂

[@chandrasunny]

​@@CJSmallz41 nope, me too. Had the doctors super confused for a bit there.

[@KiraFriede]

​@@CJSmallz41No. Mine also was Lupus. But that's good. They suspected cancer.

[@impoisonivy88]

😂😂😂😂

[@exvocks7358]

It's honestly such a relief to have a doctor that actually looks out for and tries to help younger and new doctors, and educating them instead of bullying them for some mistakes.

[@Twillightsparkles]

Fr

[@AngelaVEdwards]

I agree.

[@Diegotheparrot]

Yes, as an RN i have a better relationship with the younger doctors i meet than the older 'traditional types'. We learn from each other and the younger doctors don't feel like they are all that. Just work together. The old ass docters mostly feel very superior which in my country is very frowned upon.

[@aliciafraser1835]

to be fair, the medical industry doesn't have much of a choice at this point but to start being that way given how short we are on doctors these days

[@smashmusique]

seems like you think most doctors are bullies?

[@swe113]

One of the best comments in the video is "it's only uncomfortable if we make it uncomfortable" that's so true and an important lesson in many areas

[@Theunicorn2012]

One of the best comments in the video is "it's only uncomfortable if we make it uncomfortable" that's so true and an important lesson in many arwas

[@enoraskye6020]

One that I notice as a patient is, sometimes they are a bit too arrogant about their knowledge and dismissive of the symptoms I try to explain. I get that they have a ton of training, but I had one young doctor who asked me what my symptoms were, he wrote as I spoke, so I thought he was taking notes (turns out he was wrapping something up on a different patient), then asked me some of the same questions I had just answered. I asked if he was listening to what I just shared, and when he said he did, I asked him to repeat what I just said. He got mad at me and told me how many years he went to school, and how much experience he had, and I shouldn't be questioning him. He asks the questions. I left and saw a doctor that doesn't act like a 5 year old.

[@MrPharmageek]

It ain't just the younguns unfortunately.

[@CDexie]

I mean, we're all human. That final reaction wasn't the best, but asking you a question when not paying 100% attention seems fine. It's not like he dismissed it, he just asked again

[@enoraskye6020]

​@@CDexie He didn't just ask again. He lied to me when he said he was paying attention (which he cleary wasn't). Then, instead of fessing up to it and apologizing for it, he got angry and pulled the "I know more than you do" card to try to cover for it. If he had said "You're right, I wasn't paying attention. I truly am sorry for that" I would have had no problems with him, but he lied instead. I don't want a person like that as my doctor.

[@diablominero]

I have a family history of pointless thyroid tests. My mom's blood pressure and body temperature tend to run low, but I don't know what was going through my doctor's head, seeing as how I was in great health when I got one of the tests.

[@Theunicorn2012]

One that I notice as a patient is, sometimes they are a bit too arrogant about their knowledge and dismissive of the symptoms I try to explain. I get that they have a ton of training, but I had one young doctor who asked me what my symptoms were, he wrote as I spoke, so I thought he was taking notes (turns out he was wrapping something up on a different patient), then asked me some of the same questions I had just answered. I asked if he was listening to what I just shared, and when he said he did, I asked him to repeat what I just said. He got mad at me and told me how many years he went to school, and how much experience he had, and I shouldn't be questioning him. He asks the questions. I left and saw a doctor that doesn't act like a 5 year old.

[@chelseaparrott8983]

I totally agree with drs not just treating numbers. I was having all the classic low thyroid symptoms and was so miserable. I went in and they ran tests and my tsh was "in the nornal range" but very low in the range. But since i was already having symptoms my dr put me on meds and i felt so much better. I've been on the meds for years now and I'm so glad he cared more about my symptoms than the exact numbers.

[@FenrirAldebrand]

Part of the problem I have is I've had a high white cell count since I was at least 12 years old. I have been tested recently and shown to have high inflammatory markers. I have symptoms of what I suspect to be Mast Cell Activation Syndrome, but no one's bothered to do whatever labs are needed to dig into if this could be true or not. Though I will say I do have a fantastic Nurse practitioner who is realistic, knows she doesn't know everything, and has actually gone out of her way to actively learn about things I tell her about that I've suspected for years, instead of just saying that "You (meaning me) don't have a formal education, therefore you can't possibly know what you're talking about". Meanwhile I've done dozens of hours of legitimate research, read studies and articles, etc. So I think it's just something I need to bring up to her again, as we do talk about a lot at our appointments when we have them.

[@joanhoffman3702]

I’ve been dealing with thyroid disease for 60 years. I’ve gone back and forth between Hashimoto’s and Graves. I cannot get doctors to understand that the readings may be at the low end of the normal range, but the levels are too low for me.

[@syriuszb8611]

Yep, I don't think doctors fully figured out thyroid already. One endocrinologist basically wrote in my card that I was demanding and something. During visit he totally ignored my issues and just looked at the labs (not even read it carefully enough to understand numbers, just checked for "out of norm" flags probably), USG, and touched my neck and said I was healthy. I complained that labs being good does not make me feel good, and I need real help, but he didn't care. He didn't order any other tests, not pointed me to other speciality that could help me, he just said that I was healthy. I was not expecting much from this visit from the start, but I ended up disappointed anyway, so I left negative review. Oh, and when I said that doctor that took my thyroid USG said it was a little small for my height, he laugh it off and said it only mattered for children. I don't know who was right, but it's a red flag for me when one doctor disrespects what other doctor says like that. After a while I went to other endocrinologist and while still suspicious, they gave me small dose of hormone meds and it made wonders. While it worked, anyway, I guess after a while my organism reduces own production and it's just somewhat helping. Sorry for long comment, but yeah, thyroid is still a mystery for endocrinologists.

[@deirenne]

Same here. For years I was bordering the edge of hypothyroidism in my labs, sometimes some of the levels would be out of range, sometimes they were within, but always it was close to the hypothyroidism end on TSH, T3 and T4. And then, finally, one doctor was actually paying attention not just to the numbers, but also my symptoms - specifically that despite being well medicated for depression, I still have fatigue, sleepiness, low stamina, low blood pressure, hair loss, higher triglycerides and cholesterol despite being vegetarian with good BF%, being cold a lot and lately even having paresthesia and some symptoms of carpal tunnel syndrome. All of that, despite technically correct lab. But my doctor was able to see I'm both out of the functional/optimal range AND I have symptoms, so he proposed I start a low dose of thyroid meds and check my labs and symptoms again in two months. So I did and not much changed, so we increased the dose - and lo and behold, I'm all of the sudden not so tired and sleepy all the time and even have more physical energy and stamina to do exercise. If my doctor only cared for the labs, I'd never know that so many of my problems could be elevated with just two tiny pills in the morning. But he cared about the patient and their symptoms first and now I'm way better.

[@lynneconklin917]

Me too. I saw a rheumatologist for possible rheumatoid arthritis but he also commented on low-ish thyroid levels and asked follow up questions, and started me on low dose of thyroid medication. I saw my primary a month or two later and ge stopped tge thyroid medication because, as he said, my numbers were low but not too low. Totally disregarded any symptoms. Then several months later, and a transfusion due to anemia, my primary reviewed new labs and put me back on the medication. While I've been with my primary foe over 10 years, I think it's time to get new primary.

[@melissamarino4129]

WHEN TO BE WORRIED! I love that you mention education as a treatment- 90% of the time when I go to the doctor it's because I recognize that what I have probably isn't serious, but I'm very worried it might be. How much vomiting is too much vomiting? When is the coughing too severe? When should I actually start worrying about that pain? Getting clear indications from a doctor on when to treat at home, when to go to the doctor, and when to go to the emergency room is SO helpful in putting the patient at ease and helping manage their symptoms.

[@t.k.touchdown6050]

As a medical student, an attending said something that remains with me even in today’s practice: There’s no such thing as a “routine” lab - only order them to either make a diagnosis or assess the disease severity. Then he proceeded to question us during bedside teaching rounds on the interpretations and the reasons behind each and every lab ordered by the residents. Made so much more sense when you become the doctor who had to think about the patient’s problems and pick the tools (AKA labs, imaging, procedures/interventions, etc.) to solve them.

[@alexlibby5087]

I do love this channel; I do want to say as a woman with chronic ailments, including a rare skull defect, my problem is my doctors doing literally the opposite of everything Dr. Mike just described. It may be that due to my ailments I have to deal with older, experienced specialists like neurologists. Due to CPTSD from various events my non-specialists are VERY judgmental. Pushing that I need to see a psych (I have, in a lapse due to insurance currently but on meds) despite disabling physical symptoms, being pushed towards STD/pregnancy/UTI tests, and even when puking blood the ER assumes drug addict & gives Covid test Seems like a such lose-lose; healthy people getting unnecessary tests and supplements while diagnosed chronically ill (mainly women) being told “anxiety”

[@whisper4379]

Another thing that cheesed me off is medical staff blowing obviously problematic symptoms as simply “the patient is simply doing this to themselves psychologically.” Until I got the POTS Syndrome diagnosis from doctors that actually did their job, I had doctors and nurses try to gaslight me and say I was just having anxiety and causing myself to pass out. I knew that was wrong. I’ve had anxiety for *decades* so I know for a fact mine doesn’t get so bad that I *just* pass out. I knew something physical was going on. They wouldn’t listen and didn’t consider history or the other symptoms I had. Meanwhile, I’m terrified of another episode of passing out. But finally found doctors that would do their job and look into it and found that I had POTS Syndrome. With that diagnosis and understanding of what it is, how it works, what’s going on, what I need to do, I don’t feel fear anymore. And with the guidance of those doctors that diagnosed me, my symptoms have improved and I know how to bounce back quicker from flare ups. Imagine if I sat there and believed the gaslighting that I was “simply psyching [myself] out.”

[@AylaMarianna]

Honestly, even if it had been due to anxiety-I love how those previous medical providers supposedly seem to think being so anxious that you regularly pass out is within the range of "normal human experience", and not a sign that something is wrong. Ludicrous.

[@lydiastormberg1075]

During my preop appointment before my open heart surgery I felt so very overwhelmed. It felt all this was coming faster than I could breathe. My doctor recognized that I was having anxiety attack and they step back and we took each thing at once rather ten things at the same time. To say doctor can’t solve everything at once is very overwhelming I’m grateful my doctor recognized my anxiety and slow down on what we did so it didn’t become so overwhelming

[@lopsided4831]

At 9:55 that's exactly what happened to me , I went to the AE for palpitations and to the GP and got told its possibly because of anxiety and stress (Panic attacks) but I told them multiple times it can't be right , last time I did go to A & E they found out I had hyperthyroidism and I'm so glad that the doctor did take her time and ordered that test

[@joeyouyang]

whats AE

[@zucchinigreen]

​@@joeyouyangAccident & Emergency?

[@S_Carol]

I'd love to see a video on the "Worst Mistakes Old Doctors Make" now 😆 (I'll point one out: When hearing hooves it's good to think horses first, but you have to consider zebras once you've ruled out the common horses. The majority of experienced doctors tend to push back / avoid / delay this shift in thinking, with serious consequences for the patient.)

[@MsAubrey]

Ugh… so right.

[@poisonedkilljoy9304]

yup. if you’re hearing hoofbeats, horses are more likely, but if it’s not horses…zebras are more likely than there not being hoofbeats!

[@R.N.42]

Doctor: "All your tests came back negative. Are you sure those hoofbeats you're hearing aren't just in your head?" 😅

[@MrMrayl]

As an inpatient wound care nurse I very much appreciate you speaking to the importance of a good physical exam in wound care (and not just what someone says about it). Thanks!

[@4RILDIGITAL]

Your points about the importance of patient-centered care, holistic approach and stepping up into leadership roles are spot on. Thanks for reminding us that reassurance and education are a part of medical treatment too.

[@NemesisFromResidentEvil]

Comment bot

[@louiseakerlof7604]

​@@NemesisFromResidentEvil would a bot have a verificationmark tho

[@NemesisFromResidentEvil]

@@louiseakerlof7604 Yes it happens all the time

[@innertuber4049]

That's the pros of a DO

[@reginafowler3517]

I love the point about being focused on numbers rather than the patient. I know you're not an eye doctor but my story involves my eye appointment from yesterday. I was diagnosed at 24 years old with Glaucoma. I used eye drops twice a day for ten years, becoming allergic to one of them along the way. Saw another eye doctor and he immediately took me off of them. I'm now 47 years old. The pressure in my eyes have always been on the high side. My pressure readings yesterday were 21 and 20. When I questioned my doctor about it, she said the numbers are high but that my nerves, blood vessels and everything else looked great. She saw no indication of glaucoma or any other problems so she wasn't concerned at all with the numbers!

[@absentsnz]

I’m 21 and this is so refreshing. I came from a big town to a small town. Been in doctors offices my whole life. My ma passed away from Breast Cancer when I was 14. I’m in the high risk category now. I’ve dealt with my share of issues. Now that I’m in a small town in the middle of nowhere, the medical field isn’t up to par. It’s hard to get help and have a doctor actually look into your issue and not just throw a hand full of pills at you. Medicine has always been a passion of mine, I’m currently in school for medical coding. I see and read about many doctors making mistakes, unprofessional practices, and negligence. I respect those educating both patients and doctors to keep the humanity in medicine, as brough out by Dr. Mike, every little action is important. Too bad we can’t clone Dr M and send him to each and every every medical facility.

[@chandrasunny]

In a similar situation myself but with autoimmunity rather than cancer. Much ad I love my rural community we are trying to move back to the suburbs so my daughter and I can have access to better medical care. I hope things get better for you where you are.

[@BrianWalkingAroundTheStudio]

Happy 21st birthday absenttsmz

[@ronaldhudson169]

At the end of a visit to my doctor, I get an "after visit summary" everything the doctor told me is also listed there. Changes to meds, recommendations for visits to specialists anything the doctor says to me is also printed on this paper (also the date and time of my next visit if I set the appointment on exit)

[@blackdew2]

What personally grinds my gears is doctors hyper-focusing on whatever their pet agenda is at that moment while failing to treat the problem you are actually seeing them for. Like a GP that i used to have that would go on a 20 minute rant about how smoking will kill me while i'm there with a swollen and extremely painful finger after hitting it with a hammer that she completely ignored.

[@patr267]

Ya but what was ur GP supposed to do about ur finger, ice it for you?? GPs mainly focus on preventative care + management of chronic conditions so they were just doing their job. But doctors should know their patients better and shouldnt preach at patients who arent ready to make changes

[@whisper4379]

Can confirm. My mom got severely dehydrated from a UTI. Her GP sent her to the hospital to get treatment for that. Instead of addressing the dehydration, the doctor there hyper focused on Covid and kept her in the hospital for 24 hours then sent her home. Without doing ANYTHING about her dehydration. She almost died from that.

[@MsAubrey]

@@patr267take / order X-rays maybe? You can break a finger which may or may not require surgery or at least something to keep it immobile and protected against further injury.

[@poisonedkilljoy9304]

@@patr267refer on for further treatment (like x rays) if needed? assess if it’s a “manage at home” injury, a “pop to the pharmacy and grab xyz” injury or send you to the hospital (a&e or minor injuries, or referral to a specialist) injury?

[@innertuber4049]

​@@whisper4379hospitals can be a nightmare with diagnosis. I've heard so many stories about a primary care doctor needing to completely reverse a hospital decision

[@NoewerrATall]

I would like to point out the opposite of focusing on trying to treat a slightly off test result when the patient has no other symptoms. This is my own personal experience. I went to the doctor because I was having some issues that were starting to interfere with my life and my job. I discussed them briefly with the doctor, then he put in an order for blood tests. Okay. I get my blood drawn, and a few days later, I get a text message saying that all my labs are "good" and I'm fine. Um. I was telling you I was having problems, so just because the numbers are "good" doesn't automatically follow that I'm "fine." Thanks for nothing, doc. I haven't been back.

[@Fixyourfatigue]

More often this is the problem!

[@SuperVancouverBC]

The thing is everybody will have at least one slightly off value at some point in their lives. The difficult thing for Doctors is to determine when that slightly off value is clinically significant.

[@BernardoWLopes]

This is very true. Especially if it's impacting your life. Sometimes symptoms are very emocionally triggered, but that doesn't mean it isn't something we shouldn't or cant address. That is a problem in itself. It's up to your doctor to provide the assurance that there isn't anything MAJOR wrong, but there is still a problem to address. Both things can happen simultaneously. Even low back pain (very common complaint) a majority of the times, can be triggered by anxiety, lack of sleep or overworking (both on a physical and emocional level) without any actual physical injury (muscle strains, herniated discs and/or nerve injury) which can have very real inflammatory or pain producing effects. And the best course of action (depending on each case) is to exclude any major problems, reassure and mantain as much activity, mobility and stress levels low, a lot of times through things like meditation, mobility exercises, yoga, strength training, making some changes to your life style or... Just talking. We know a majority of those cases will improve after 4-6 weeks and that patients shouldn't be exposed to major testing (things like CT-Scans or x rays) for a number or reasons, radiation exposure and costs being two, and we can try a more conservative approach until symptoms worsen of become more specific. But it's up to us to explain all of that and not leaving people in the dark. On a side note, what were you experiencing and what came out of it? Hope you're doing better now. Cheers!

[@ellismith2745]

i've been experiencing this for several years now. i have visible signs of hormonal imbalance, i do have a chronic illness that is associated / might be caused by hormonal imbalance, but my labs are good so i'm fine and it's psychosmatic. sure

[@fleurayz]

@@ellismith2745 I have the exact same experience and it is so frustrating.

[@DR-hc4vz]

Thanks for making the STI suggestion. My brother thought he was in a monogamous relationship...right up until he found out he was HIV positive. He was, his partner, as it turned out, was not.

[@sherylwillis3991]

According to AI: it's possible to be charged with attempted murder if you don't disclose your HIV status to a partner and they are later infected with HIV. This is known as HIV non-disclosure, and it's a criminal offense in some jurisdictions. The law can apply even if the sexual contact was consensual and involved the use of condoms.

[@sherylwillis3991]

AI said: It's possible to be charged with attempted murder if you don't disclose your HIV status to a partner and they are later infected with HIV. This is known as HIV non-disclosure, and it's a criminal offense in some jurisdictions. The law can apply even if the sexual contact was consensual and involved the use of condoms.

[@sherylwillis3991]

I knew an older man once who confessed that as a younger man he used to deliberately bite a condom to put holes in it so he could impregnate women!!! I know my former boyfriend thought it was funny to get women pregnant against their desires, even a married woman he had an affair with. He told me that after I broke up with him because he was no longer trying to win me back due to my resolve. So glad I escaped any physical consequences of dating him!

[@Stoneblade1205]

Hey Dr Mike! I'm a newly graduated nurse in New Zealand and your points have all been VERY similar to what my own instructors have been hammering into me for the entirety of my course! I am glad to see you talking about prioritizing the care of the patient through discussion and understanding and not just throwing various meds at them and hoping something sticks. Would love to have you visit New Zealand and give some of your talks here one day!

[@roo79x]

I recently had a doctor tell me to go away and search Google then come back when I can use correct and diagnosable terms. I have CP and I am having sharp burning pain in one of my fingers when I am using it. I was shocked. I only have one GP in my area

[@charlottecumming7561]

Report them

[@roo79x]

​@@charlottecumming7561 I live in a small outback town. With only one GP. We struggle to get doctors at all. It's not easy to report them. Not everywhere in Australia has that luxury. Nor can I afford to take it further. Also the GP clinic doesn't look kindly on people who report issues.

[@JanineStoryteller]

I'm sorry to hear that. As a science nerd and advocate for multiple people in my life, I actually do the deep dive research needed to be able to converse and ask questions about the subject. Not everyone likes to do what I do. It's a shame your doctor isn't working with you as a team.... It's the most frustrating thing to be dismissed. Listening to the patient/caregiver is really important for the whole picture.

[@thepinkestpigglet7529]

You have child po rn? I know you mean chronic pain but those letters don't mean that here

[@macherie1234]

I think CP means cerebral palsy. ​@@thepinkestpigglet7529

[@_Future.L]

CONGRATS on your 10 years anniversary doctor mike! thank you for keeping us educated on our body and entertaining us

[@shakthi05]

CONGRATS on your 10YRS!! Keep Inspiring Dr. Mike, We love ya' ❤❤

[@tmenke88]

I'm an xray tech and I completely agree with you about point#10. Doctors don't often factor in their own well-being, especially when it comes to xray safety. I've had to tell multiple doctors many times to keep their hands out of the primary xray beam. Whether they're assisting with stress views or using a C arm in surgery, many don't take into account the potential long-term effects. Luckily for them, I'm pretty stubborn and advocate heavily for their xray safety.

[@j.p.6932]

12:16 I was told that I accidentally hit a nurse while I was in the ER b/c. It’s a long story, but due to why in the ER, I have absolutely no memory of the event. I just woke up in critical care with wrist restraints. I had to ask again, because it is so out of character for me, and they said that I was just confused and didn’t know what was going on and accidentally made contact with her. I still feel horrible. Nurses do such wonderful and hard work, they don’t deserve any sort of hostility or abuse.

[@thehomeschoolinglibrarian]

As a person the most important for doctors to do is listen to me. A lot of doctors seem to not understand that they are part of a relationship and a team and do work with me as a person who knows their own body.

[@feminine_jelly]

HE DIDN'T SAY BEWOOP

[@liannakhaleesigealon4049]

IKR

[@sherylwillis3991]

I’m kind of glad. Personally, it’s not something I liked everytime. Maybe better in some of his more cutesy videos.

[@kkami.kkomi.h]

@@Playwell.StudioFYI it’s PEEWOOP

[@TiffanyBeat]

Don't forget to be good to the nurses!!! They know your patient better than anyone. And there's nothing wrong with taking in the consideration of a nurse as long as they have a good explanation. And yes, instead of asking us how the wound looks, LOOK at the wound/issue! Dr. Mike I need you to go around to all of these hospitals and teach 😂

[@calicat1996]

Honestly as a nurse one of the biggest mistakes is not listening to us. I know when someone is in sepsis or what is happening before the physician ever does. I have had *senior* surgeons not listen to me and other nurses and it has costed several patients lives, and on the other hand have had patients barely survive because they did listen to me when they did.

[@TiffanyBeat]

@@calicat1996 absolutely! it can be so frustrating!

[@Gloriousbobby1991]

I find you a very legitimate person. I have especially enjoyed your comments and even a video or two of you talking about mistakes you’ve made information. Accountability ❤

[@MonkeyJedi99]

I think a thing important for nearly all occupations is to continue to learn, whether it is formalized classes or reading on your own or picking up skills from coworkers. - I like the saying, "When you're done learning, you're done living."

[@rafiahmad7548]

Congratulations Dr. Mike! Thank you for speaking about this, it is really useful! Your work (and the team!) is very much appreciated, thank you for making the field of medicine fun and understanding, I have learnt lots from the channel!

[@rafiahmad7548]

Thank you so much for hearting the comment, it means so much to me that you saw the message, its made my day thank you!

[@coffeeplease7924]

I just got back from the doctor and I tested positive for strep. Funny that you talk about it in your video. I never knew why the antibiotic for strep was prescribed. Thanks for answering my question so clearly!

[@MsAubrey]

As you get older, there’s more complications that can arise too. Last time I had strep, I spiked a fever which caused me to start to black out. I had to put ice packs under my arms, take ibuprofen and Tylanol to bring my fever down. I couldn’t even see straight. The next morning, I (an adult woman) had to have my mother take me to the doctors. The doctor scolded me because it was so bad… she told me that I should’ve been in the hospital. I got a shot of penicillin in my backside before leaving the office and she also prescribed 10 days of high dose penicillin that my mother picked up for me. I was out of work for a week. It’s no joke when your body reacts that much to it. And if I would have allowed it to run its course, I’d have been hospitalized for sure.

[@UsTube.]

Ye

[@chishionotenshi]

The best care I receive is care where doctors validate that I'm not doing well, whether that be my mental health, or my physical health. Even if I and they cannot do anything about it, just being told that yes, I do obviously feel poorly, and that is not "wrong," helps out so much. And please, if you know someone is unwell, don't hesitate to write a note for their job. It's stupid that you would need to, but taking that time means a lot for a patient that otherwise would have a much more stressful and delayed recovery.

[@kedabro1957]

My theory is ... just as winning a game makes the testosterone levels of the winning team go up, receiving validation from an authority figure does the same.

[@SoraFan23]

Most Doctors I see don't even bother refill my medication. Either because they keep telling me that the insurance won't pay or telling me its "too soon". Even when I contact my insurance they keep telling me to call the Doctor to prescribe the medication and then they keep telling me to call the Pharmacy. The Pharmacy says the same thing as my insurance to "Contact the doctor" so I am just left wondering why aren't my doctors even prescribing the medications that they know I need but then they take a long time and make excuses? This is one of the most common issues I have when seein ga doctor.

[@jasonsmall5602]

Try asking your doctor why. Something doesn't make sense.

[@AzureDasher]

Sometimes finding a better provider is answer. Had former primary care provider grab my face, shake it, while yelling 'I TOLD YOU TO TAKE...!!' Seriously had ne mixed up with someone else! Never was a med they recommended to me. Also never went back. Way too much

[@residentialpsycho1075]

Prior authorizations are often the struggle in cases like this. It can take months for a medication to be approved.

[@bvelazquez11]

Dr Mike! I just discovered your channel and I have to say I’m in love with your content. Thank you so much. You are doing so much good for the world.

[@sarahmoellenberg]

Congratulations on 10 years in the field! That’s a huge accomplishment. Thank you for what you said about the need for clinicians to take on leadership roles in the field; I’ve been struggling with cognitive dissonance as my role changed to primarily clinical services supervision from full-time/full caseload therapist; there was something extremely validating about hearing what I know to be true about the importance of those of us working in the space taking on these roles to better advocate for clinicians and clients. Also, as I was watching the video, I was reminded of conversations I have with our new staff and students and the areas for opportunity to grow are very similar in the mental health sphere; clips from this video may find their way into upcoming trainings and supervision/preceptor meetings.

[@pedrostormrage]

5:47 "It's two completely different parts of my life that directly feed off of one another" That's cool to hear (synergy between two positive things is a rare thing)!

[@LokiTheFloof]

Congrats on 10 years! 🎉 love your channel!

[@SylverMage]

3:58 I'm very lucky on this front; my family doc likes me to make appointments just to check in. Sometimes I need prescription updates, sometimes I don't, but it's super reassuring to me just to know that my doc IS keeping note of my mental health, my recently-developed asthma (thanks, COVID), ongoing status of old injuries and vaccinations. It means a lot just to know she's listening. I'm a library tech at a university. And you would not believe how many people make appointments for help with writing and research and library stuff...when really all they want is reassurance. Sometimes all they want is someone to hear their worries; they already know what they're doing. They just need to hear that they do ;)

[@Rainears129]

I like my current doc, since we can have conversations like this: me: "Insurance wants me to be screened for HIV." (I'm late 20's and have never been screened) him: "Have you slept with anyone since we last spoke?" me: "No." him: "Started taking any drugs? Got any tattoos?" me: "Nope." him: "Blood transfusions?" me: "Wouldn't that be in my chart?" him: "Ideally yes, and since it isn't, we can say you most likely don't have HIV and don't need to be screened." me: "Sweet." I should note that doc knows I'm ace and have no interest in sex or drugs, and I hate having to get shots.

[@danniswrites]

Glad to hear this, especially about taking care of themselves. I'm not a doctor, I'm a patient, but I want my doctor to be comfortable while examining me. Thanks, Dr. Mike!

[@jaygrosse8365]

As a primary care doctor for 32 years I second this list. Well done Mike! I have also witnessed financial foolishness among newly minted doctors, such as not saving enough of their income or taking on excessive debt, thinking they are going to easily be able to repay whatever they borrow.

[@jamielivingston7765]

32 years ago med school was a long cheaper, no?

[@AzureDasher]

Two, one newbie covering for provider, lost interest or focus after we discussed one concern. All nice nice and definitely not there mentally. I asked for vaccines which ofc does. Ok sure walked off and no arrangements made. Scheduled a return visit for vaccines caught covid about two days later... Other ortho newbie visit. Complaint of numbness in hands. Ortho hyper focused on redness of my nail beds, referred to PT saying it's my neck without even doing any examination of neck and next to no exam of hands. Referring provider asked afterwards what the story was. My answer was I had no idea as the ortho really was not interested in explaining their thoughts. Never went back, no reason to. Communication is Sooooo important!! Thank you for all you do Dr. Mike!! 😁👋

[@nateofthewild5225]

I had pneumonia once before I had a pcp and I made a follow up appointment with one I was going to try going to. Young doctor comes in and immediately starts talking about my weight without getting to even attempt to get to know me. I was a college track and field athlete at the time and was in the best shape of my life. Caused me to not go back to any doctor for years after.

[@kelseynorman3225]

HAPPY 10 YEARS DR MIKE!!! IM SURE YOU HAVE HELPED SO MANY PEOPLE AND YOU ARE THE BEST DOCTOR SOMEONE COULD ASK FOR!!

[@everlyneawino1769]

Happy anniversary Dr Mike . continue doing the great job 🥰

[@Keegs.H]

I just wanna make it known to Mike.. he is a very large reason I am still perusing a degree in neurological studies and it the sole reason I am perusing pediatrics. Youre such an inspiration and I’m so happy I’ve been watching you for the past year or so

[@ellasummers9671]

For context I am heavier than the average person and have been tryna lose weight over the years. It’s something I’m mindful of and so is my doctor. But suddenly I lost my appetite and the ability to feel hunger for months. I was losing weight rapidly. While it felt kinda good to watch the number go down on the scale. I would be stupid if I didn’t show concern for how I was losing weight. Because it was practically an accidental starvation diet. So I went to the doctor and explained my concerned of sudden loss of hunger and rapid weight loss with no exercise. I explained my concerns. You know what he said “oh congratulations. I know you’ve been wanting to lose weight.”

[@melissaszankar7932]

Congratulations on your 10 year anniversary! I really wish that I could be treated by you as you have such an incredible view on how patients should be treated personally and amazing knowledge of how to diagnose and manage their medical issues. Not to mention you are such a sweet and friendly person. Unfortunately I live in Canada and am stuck dealing with poor healthcare providers.

[@Lau3464l]

My father was a resident at the hospital in our city’s historically “gay village” during the AIDS crisis in the 80s, early 90s. He was routinely drawing blood from the patients who came in, knowing that even if he was wearing gloves, it wouldn’t save him if his hand slipped and he infected himself. I still don’t know how he had the courage to do it, with all the men his age coming in to essentially receive a death sentence at the time. Thank you doctors for everything you do. No one is perfect, we’re all human, but even having the emotional strength to take on this profession is so commendable.

[@MsAubrey]

That must’ve been a stressful time to be in the medical field.

[@backonlazer791]

I don't really know much about all that, but what I'm most confused about is what do you mean by a death sentence?

[@MsAubrey]

@@backonlazer791 AIDS as in the sexually transmitted disease.

[@xodroid9853]

​@@backonlazer791life expectancy for aids diagnosis in the 1980s was ~ 3 years

[@backonlazer791]

@@xodroid9853 I thought that drawing blood was the death sentence, lol.

[@angryface01]

I LOVED THIS!!! Thank you so much for this!!! ❤❤❤ Still growing and learning as I wrap up my first year as a provider. Thank you for all the videos that helped me be the best I can be!!!

[@danniellesloane]

I have the issue that so many of my disorders and issues are "borderline". Cause me many symptoms, however the levels aren't "out" enough to be treated. My brain cyst isn't big enough to even talk to me about. Fibromyalgia just comes with excruciating pain, so I have to just deal with it. Etc. Sometimes the tests showing an issue correspond with the patient, but some drs are taught that those levels "won't cause symptoms" 😢

[@joynuggets]

Dr. Mike, the fact that you take the time to even make vids like this to school your young peers is just amazing. It’s so encouraging to know you are out there in the field looking out for us. THANK YOU FROM THE BOTTOM OF MY HEART FOR CARING!!!!!!!!!

[@ConejitoPequenito]

I hate when I go to the doctor and they give up immediately because they "won't find a solution anyway". I know the insurances strap them for time, but it often takes us weeks if not months to even land said appointment, and I think young doctors are more in-touch with that side of the interaction

[@matthiasarran270]

One of my therapists reminded me this was my 10 year anniversary as well! Having worked up to a directorship level, I could definitely see correlations between what you're telling your young doctors and what I'm trying to communicate to young therapists.

[@babytiger42]

Interesting! I had a young doctor working in the office of my primary doctor diagnose me with high blood pressure. She put me on a medication for it. I promptly started passing out regularly. Went back, saw my primary and he took me off of the meds. She jumped the gun. The lowest dose of the meds were dropping my blood pressure so low I was losing consciousness. I was just having a stressful day when she saw me.

[@zaklinagavrilovski1573]

Happy Anniversary Dr. Mike. I wish you a lifelong/triving practice for your future.

[@cornflakegirl4811]

Dr. Mike, honestly you are one of the few "influencers" that really deserves credit for your content on social media - deconstructing medical myths, disclosing medical malpractise and scamming and spreading facts and information that builds up common medical knowledge. I also appreciate that you simply show us that doctors are also human beings who make mistakes, even fail sometimes and are also undergoing a lifelong process of learning. Especially if you work in a "social" profession it is very important to share experiences and communicate about problematic situations that could appear in your job - no matter if you are a doctor, nurse, social worker or teacher like me. Communication and empathy is crucial to master the challenges that working with and caring for people creates every day - and you seem to be very much aware of this. Thanks for doing what you do, for your dedication and passion! PS: AND thx for having the cutest dog on this planet ... ❤ 🐶

[@ncwashington]

Great video! I’m currently in Pa school and my professor said we as the clinician are always the most awkward person in the room. And what she meant by that was we are usually the ones nervous to ask the “more uncomfortable questions.” She said if we ask the same routine questions to EVERY patient, it won’t be uncomfortable anymore and will ensure we don’t potentially miss things.

[@spidalack]

I've seen old doctors make the "focus on number" mistake. Had a doctor literally call me a liar because the tests did not give the results he expected. Then I insist, he does a different test and hey, turns out it's not as simple as he first imagined. Then I go see a specialist and he tells me the blood test the doc first did can't be used to rule out my condition, only to confirm it. (If the marker is there, problem. If it's not, might still be problem)

[@danise1856]

The fact that general guidelines aren't one-size-fits-all is something to consider as an average person looking for health info online. Also when -giving unsolicited advice- sharing what you've learned with friends and family. Thanks Doctor Mike!

[@foreverglow5685]

For me , wanting a prescription from an office was more to validate to employers that taking off was necessary

[@MsAubrey]

Yep and one time, I got a z-pack so I could board an airplane in 2009 for my honeymoon, because SARS was an issue at that time and airlines weren’t allowing people to fly if they’re sneezing, stuffy, and mild cough… if the person didn’t have a note from a doctor saying allergies or a prescription for something, no boarding. I was NOT about to abort my honeymoon when it was likely a mild cold or severe allergies. It was allergies. I never took the z-pack.

[@viharkottakota1849]

Congrats on 10 years of being a doctor Dr. MIke!!!. That is an incredible achievement and I respect you a lot because Im currently working on going into the medical field and so far its really difficult

[@raYne1527]

I believe in you!! You got this!

[@viharkottakota1849]

TYSM!!! I really needed that 🫶🏽@@raYne1527

[@wbae1340]

Hey Dr. Mike! On your channel you’ve had a wide variety of doctors, not just all MD/DOs. I think you should also highlight/invite PAs & NPs - very crucial to healthcare and I don’t think you’ve ever talked or mentioned them. You’ve done a great job with nurses, but you should also highlight these providers as well!

[@vanDKnaNL]

It’s true he had none of them on the channel yet, BUT he did mention them in some of his videos

[@gplifeau]

I’m an Australian equivalent of a FM resident and there are so many senior experienced doctors who have not yet learned these lessons! It’s just straight facts back to back. Amazing vid. I’ll definitely be sharing this with the med school class I teach :P

[@korjezilla]

Thank you for giving people happiness and saving lives for 10 years already!

[@rogertabatt7980]

Agreed, I have been a therapist for a few years now and love educating and mentoring new therapists in the field on different aspects of being the best clinician you can be.:)

[@tony-gp6do]

Mike, i want to tell you, i want to be a doctor, because of you

[@rachhazza8321]

Happy 10 year anniversery of being a doctor! You absolutely outstanding and have influenced me to become a doctor, cant wait for my journy and will be watching your videos everyday!

[@BeeWhistler]

You’re not making it any easier to trust doctors. The implication of the title is that only young doctors have these issues but I promise… some doctors carry some of these around their entire careers. It’s like most doctors can’t seem to remember they’re treating HUMANS.

[@madil2259]

Unfortunately i agree. In the past few years on doctor Mike's channel, There are more and more videos about what doctors are doing wrong and less about what issues doctors have to face and what they are doing right.

[@CameronBrownlee-bg5lo]

That’s not his fault Burh he’s tryna help

[@ketevanjaniashvili9717]

My congrats Dr. Mike! You did deserve it!👏👏🤍🤍🧬🍾🥂🎉🎊

[@SaharatOfficial]

Dr Mike. I gotta admit i hope you dont quit making videos anytime soon. I think youre gonna help a lot of doctors in medicial school do well when they get to residency. Never seen a more compassionate doctor in my life than yourself.

[@whisperingwooper1763]

Absolutely love this advice! As a young counselor in training so slightly different a lot of these still apply. Especially the safety aspect! I work in peoples homes and a lot of the times there are safety issues just from doing a visit and while traveling of course. In general I feel in healthcare our safety and well-being is highly overlooked.

[@laurenokopinski]

1:26 and also depending on insurance, if you talk about literally anything during your annual checkup that isnt "part of" an annual checkup, its no longer 100% covered. Surprise 🙄

[@kaylee_kiwi20]

just discovered this channel and i LOVE how this is increasing medical literacy for non medical professionals. this amazing! as a speech language pathology student, i hope this videos reaches millions more!

[@kaiyakershaw1028]

I wish all doctors understood these things! I’m so grateful for your work and I hope your influence and wisdom spreads throughout our healthcare system.

[@uluwehi54]

Mike, I started watching your channel when I was just starting middle school. Now, I’m approaching my second year of undergrad as a pre-med student! I started gaining experience as a CNA last year, but I believe that the quality of care I deliver, my level of awareness to different health conditions/patient demographics, and consciousness to my role as a future physician is largely dependent on your character. I truly appreciate your passion and dedication as both a physician and a public figure. Do know that you’ve influenced my life and many others with your inspiration and wisdom. I’m hoping to take the MCAT soon and am optimistic about admission into med school!

[@MsAubrey]

Please never forget why you decided to become a doctor. ❤

[@uluwehi54]

@@MsAubrey such an important reminder to always reflect on ❤️ thank you!

[@savitriekanhoye3826]

Keep up the good work and thank you for looking out for the young doctors.. and teaching them the right ways god bless you 🙏❤️👍

[@bridgetydidgety]

A lot of the things that were said apply to my job as a special education teacher. We have to make sure we are tailoring the education to each individual. We also really need more teachers with experience in the trenches advocating for changes to a broken system.

[@weloveetacoss]

omg im sooo happy Dr. Mike posted , I always look forward for your videos , keep up the great content ❤❤

[@roshnipillari6546]

I think it’s great that you only endorse sponsors that you trust and believe in! It’s very refreshing to see.

[@becksnbama]

Omg! I'm so happy to hear you say this about treating patients and labs. Listen to the patient. We all know our bodies.

[@jovanbaker9783]

Happy 10-year anniversary, I love watching you on KZbin

[@Iamhellokitty77]

Happy Anniversary 🩺 🎉👏🥳 Thank you for continuing to be a genuine and compassionate human being 🥰🙏 and for striving to treat the person as a whole, and not just the issues they present. I’m so happy you’re in this space and even happier that I’ve found you and your content ❤. You’re doing great things!!

[@Lenalovesdancing-zt3zj]

Dr. Mike, you have literally helped me with health education so much!! I have literally watched your videos for years!!!! Thank you for the amazing vids!!

[@rlrl8274]

Dr Mike you have never mislead or gaslighted anyone. I like how you take on the internet trolls idiots head on. Ray in Ottawa Canada

[@alexandrasuarez1551]

Very true Mike, good information, great that you continue making these videos so that the information reaches more people, greetings from a distance and blessings ☺️🤗🥰🙏🙏🙏

[@valeriedionne4547]

Very nice of you to form the doctors of tomorrow in this video! As a future physiotherapist, I always love and appreciate fellow healthcare workers taking good care of their posture 😊 would love to see you have a physiotherapist or occupational therapist on your channel so they could provide good advice to your viewers and show the good work we do when we all collaborate together (just as a suggestion as you’ve had many other healthcare professionals on your channel)

[@carollollol]

Take a patient serious even when you think they are overreacting. Im 100% sure my doc thinks I'm a hypochondriac, but everything I have gone in for to ask about, he said not to worry so much. And I ended up having, what I was afraid of.

[@annielynbaje7332]

Keep it up Doc ! you're doing a great job ❤ God bless You 🙏🙏🙏

[@theelizaaguilar]

Totally agree about the labs. I've had so many done, that when I see it being slightly off, I worry. My doctors know this and reassure me when it's not a big concern. On the flip side, last year, I was experiencing severe daytime drowsiness. I had a theory it was my thyroid (previously had hypothyroidism) or my b-12 levels. Labs were normal, great even! But they listened to me and refered me to a neurologist so I could get a sleep study. It took several follow up appointments but I was diagnosed with mild sleep apnea. I feel so much better now. Very grateful doctors listened to me and didn't stop when it wasn't an obvious answer.

[@alexisemo6002]

6:45 as someone who had strep a month ago (my friend went to the doctor because she had been sick for multiple weeks and found out she had strep) and didn’t go to the doctor i can confirm that i got over my mild case in like a week (i monitored my temperature everyday and barely had a fever), people who want antibiotics for every little thing and don’t understand the harm in over prescribing antibiotics are so wild to me also im very lucky and thankful to be healthy and not Immunocompromised

[@kevinconrad6156]

I started seeing my doctor when when she was a resident, she has always been a good doctor but I've seen her patient skills improve year over year, she's great. She is also training new residents now.

[@Orbixas]

Congratulations on 10 years Mike! You inspired me to enroll in med school myself. Here's to a long and fulfilling career for you!

[@TheShakedGuide]

As a patient I'm glad you get things pointed out so if I come across such doctor I can at least for my sake provide the information they might need to treat me..

[@mamaof3beasties440]

Congrats on 10 yrs Dr. Mike!! You make learning about medical info, how to advocate for ourselves, medications, how our bodies work, and making us laugh about things so easy. Please keep telling the next generation of doctors how to help us patients the best way they can and keep up the awesome work!!!

[@prettypic444]

There’s a similar problem with teachers and education administration. Most of the people writing policy at the district level haven’t been in the classroom for YEARS (if at all)!

[@nithilar6710]

Congratulation Doctor Mike!! We all are so proud of you! Also, can you please make a video on mobile phone addiction and how to reduce it? Thank you!!

[@ericap6718]

Congratulations on your 10 year anniversary!! 😁🎉Love your channel and all you do!❤