Critical Care Medicine Physician/Intensivist: What my Day Looks Like.

A video where I, a critical care medicine doctor, describe what my typical day looks like and some advice on how to run your day efficiently.
My website: www.eddyjoemd.com
Instagram: eddyjoemd
Twitter: eddyjoemd
Facebook: edyjoemd
My Amazon store for resources you may find helpful: www.amazon.com/shop/eddyjoemd
Books I recommend for ICU Beginners.
Marino's The ICU Book: amzn.to/2M2oFVm
The Washington Manual of Critical Care: amzn.to/2MfmDR4
The Ventilator Book: Second Edition: amzn.to/2BYbyhK
The Advanced Ventilator Book: amzn.to/2nhvyTY
Essentials of Mechanical Ventilation: amzn.to/2vqQAnF
@eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com

[@eddyjoemd]

Thank you for checking out my video. Follow me on Twitter and Instagram @eddyjoemd Twitter: twitter.com/eddyjoemd Instagram: instagram.com/eddyjoemd Books I recommend for ICU Beginners. Marino's The ICU Book: amzn.to/2M2oFVm The Washington Manual of Critical Care: amzn.to/2MfmDR4 The Ventilator Book: Second Edition: amzn.to/2BYbyhK The Advanced Ventilator Book: amzn.to/2nhvyTY Essentials of Mechanical Ventilation: amzn.to/2vqQAnF @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com I haven't been making as many videos as of late because I've been using my time to learn more about how to invest my money myself. I have found the following books very helpful along the way. These are affiliate links and I will make a small commission if you buy something from Amazon after you click on a link listed below. Rule #1: The Simple Strategy for Successful Investing in Only 15 Minutes a Week! by Phil Town amzn.to/2Ql27kW Invested: How Warren Buffett and Charlie Munger Taught Me to Master My Mind, My Emotions, and My Money (with a Little Help from My Dad) by Danielle Town amzn.to/2Usevy9 Payback Time: Eight Steps to Outsmarting the System That Failed You and Getting Your Investments Back on Track by Phil Town amzn.to/2UvGb56 The Dhandho Investor: The Low-Risk Value Method to High Returns by Mohnish Pabrai amzn.to/2EoYRi2 The Education of a Value Investor: My Transformative Quest for Wealth, Wisdom, and Enlightenment by Guy Spier amzn.to/2EoYSCC The Little Book That Still Beats the Market by Joel Greenblatt amzn.to/2QtLaVO One Up on Wall Street by Peter Lynch amzn.to/2XsqNrA Invest Like a Guru: How to Generate Higher Returns At Reduced Risk With Value Investing by Charlie Tian amzn.to/2ED7dBu

[@SeanTheShadySheep]

I have such an appreciation for intensivists who value what the nurses see and do.

[@eddyjoemd]

If there's an intensivist who doesn't value his/her nurses, then they're in the wrong business. We're at the bedside a fraction of the time while they're there THE WHOLE DAY.

[@Mels.mini.library]

@@eddyjoemd this is so refreshing to hear. We aren’t used to hearing stuff like this

Eddie, as far as I know, this is the *one and ONLY* video of its kind on KZbin (a day in the life of an intensivist). As a recent college grad aspiring to become a critical care physican, your channel is an invaluable resource. While there's plenty of FOAM material on critical care out there (I'm a longtime emcrit fan), there's pretty much *nothing* like your channel on KZbin. I can't thank you enough for these videos!

[@owen9943]

Im a RN that just joined the CVICU team and I really enjoyed hearing your mindset.

[@eddyjoemd]

Welcome to the CVICU! I love caring for those pts. It's a lot of fun resuscitating those pts after CABG, taking care of impella's, all the pressors fighting vasoplegia/cardiogenic shock, fluids, extubating. Glad you found your way onto my channel. Hopefully I'll present you with some more stuff that will be helpful along the way.

[@SaurabhSharma-fr1qs]

very honest perspective. This is exactly how a day is for me as an intern. It sucks to get pimped on rounds but he is right on being thorough because people are veryyy sick. Also Eddie please make a video on Mechanical Ventilation/Vent Settings !

[@andrewmorris6629]

Wow, I am so glad I found your channel. I am wrapping up my 2nd year as pre med. I am a tech in the ICU at my local hospital and I love it. I know working in the ICU is what I want to do. Thank you for offering your insight on this career, this really makes me exited to whats ahead with a career as an intensivist!

[@eddyjoemd]

I'm glad you found then channel. Let me know about any questions you have regarding the career. I have a number of other questions people have asked and I'm writing a Q and A style video.

[@tpw3422]

I really appreciate you doing these videos. Thank you and please keep it up!!

[@eddyjoemd]

My pleasure! Thanks for watching!

[@armandosoto2267]

Wow 😮 😍 Super Excited for my future. Working with patients, and speaking to families is what excites me the most about medicine. Thanks for the info handsome

[@eddyjoemd]

No problem! 👍🏼

[@alexandertataryn3660]

Thanks, Doc for the review. Well done and honest perspective.

[@eddyjoemd]

My pleasure, Alexander. Thanks for checking out my video and my channel. Best of luck.

[@andreferrer9350]

Thank you for this. i am thinking about becoming a Intensivist, and your cleared some of my doubts

[@eddyjoemd]

My pleasure! Let me know what other doubts you may have and I’ll try to help if I can 👍🏼

[@ItsMe-ox8lm]

Hey, I jut find your channel and I love it, because this is exactly the specialty I want.

[@eddyjoemd]

I'm glad you found it. If you need any help along the way, let me know!

[@MHSMagicLuver]

Wow! You mentioned PA's and I just thank you for that. I graduate in 11 days from PA school. I actually start my final rotation tomorrow (yes, I only get a week thanks to COVID) in the PICU. I will be following a PA and I know everywhere differs but I wanted to get an idea of what exactly goes on. Thank you! Also, my fiances sister is actually an ICU travel nurse. :)

[@ojwhittle4960]

Great stuff Doc! Bright future ahead

[@eddyjoemd]

Thanks!

[@ameerab3451]

Your videos are so helpful! Thank you.

[@eddyjoemd]

Thanks for watching! 👍🏼

[@hockeydude471]

Hey eddie, im a second year US IMG and really interested in critical care, this channel is exactly what I was looking for. Please keep up the great work😊

[@eddyjoemd]

+Ahmed Abbasi that's great to hear! I have a couple videos planned that should help you out. Good luck in your journey

[@hockeydude471]

eddyjoemd Looking forward to it! Thank you😊

[@sparklypinkleopard26]

WOW amazing video!!! THANK YOU! so informative!

[@eddyjoemd]

Glad I was able to help!

[@okidokidoc]

Wow! Your job is amazing!!! 👏😍

[@gracie.078]

I am trying to figure out how to not only be a good nurse for my ICU patients but how to be efficient for my intensivist. But as I see how attentive you are on your rounds I feel like my docs, one in particular is just an ass. lol Keep up the good work. Id be thrilled to work with someone so dedicated to the job.

[@arizonarn001]

Being a retired RN who worked almost 10 yrs in Critical Care appreciate your vlog. I remember watching for all the docs to come in with my patient needs ready to talk about. I loved Critical Care.

[@eddyjoemd]

Thank you for all your years of hard work, Laura. Can you come back to work? We need more of you badly.

[@arizonarn001]

Thanks. I am done. I wish I had kept a journal to write a book. So many experiences with patients, families, hospital staff including doctors. I treasure all of it. Good luck with your monetization.

[@mystrybehindchemistry]

Hey Eddie, it’s good to hear you Keep making more videos on technicality of ICU like ECG, X-ray, 2Decho atleast we should know how to interpret these Thank you

[@eddyjoemd]

Parth, thank you for your suggestions. I’ll look into how to make some of these feasible. I’m definitely not an expert at these topics so perhaps it’ll push me to be better.

[@alejandrocanas6744]

Hey Eddy, I enjoyed watching your video. I'm currently a 5th year undergraduate student. I'm taking my MCAT soon and have become very interested in becoming an Intensivist since volunteering in the ICU at my local hospital. Thanks!

[@eddyjoemd]

My pleasure! It's a long road but definitely worth it! Best of luck. Let me know if you need any help along the way.

[@aaronjoseph7635]

Watched this video in 2017 when I was graduating hs. I’m now a 3rd year at Johns Hopkins and I know Pulm/crit is my route. This video helped and has always stayed in the back of my mind

[@eddyjoemd]

You’ve come so far! I’m proud of you. 💪🏼💪🏼💪🏼

[@debolinaroy3123]

Thanku for ur appreciation for nurses

[@KhiliAsabi]

Thank you a bunch!!!

[@eddyjoemd]

My pleasure!

[@jenifad9959]

Great info! Intensivists Rock...

[@eddyjoemd]

Thanks, Jeni!

[@chriswood6333]

Great content

[@achdicu]

Hi Eddie! I'm a colleague of yours. Thank you very much for sharing your experience and promoting our awesome specialty. It's so surprising to see how much our typical day looks the same! I agree with all the advice you gave in your video. Keep up the great work! Cheers, Diego

[@eddyjoemd]

Diego, it seems as if we all meet somewhere in the middle as Intensivists. Most of us just dive head first into our day as opposed to other specialties where I've seen meetings and administrative duties occupy the first couple hours of the day. Glad to see I'm not totally insane with how I work then! Cheers!

[@Bnelen]

1.5 speed confirmed.

[@eddyjoemd]

I agree. I watch everything on KZbin at 1.5x. I can’t even stand to listen to myself when I edit these videos bc it’s so slow. I leave them at their recorded speed most of the time bc KZbin pays more for videos >10 minutes and also because much of my audience is outside the US and have commented that I speak too fast.

[@nnekaa.4591]

U r an excellent doc

[@eddyjoemd]

Thank you!

[@nnekaa.4591]

✌🏾✌🏾

[@ericap251]

Finally a doctor who appreciates his nursing team. Sad the attitudes and abuse physicians have towards us. Was NICU nurse for 10 years and NNP for 8 years finally had enough.

[@eddyjoemd]

I hate hearing that you had to work with such bad personalities. I saw a bunch of those in my formative years and lost respect for them immediately. 🤬

[@wendyroofe1658]

I am a Pulmonary/Critical Care Recruiter! Great Video

[@eddyjoemd]

Thanks Wendy!

[@Madalina189]

Hello! Thank you for your advices. I am 6th year medical student and i consider Intensive care as my future speciality. The other one is cardiology. I have a very mathematic thinking in general and I would particulary like to have the clinical and interventional part in my daily job. Night shifts and extra working hours is not something i can't handle. Which do you consider that are the best things that happen in this speciality as a daily basis? Thank you!

[@hraza2222]

This is a great video and I love how you take notice and reply to everyone's comments. I'm waiting for the upcoming match, and have a strong interest in Critical Care. So much that I've been doing research in Critical Care, trying to get as many papers out that I can before starting residency. How important do you feel having research papers in credible Critical Care journals is towards getting a prestigious Critical Care fellowship?

[@eddyjoemd]

Thanks, Hassan. Hopefully you're going to match into a shop where they have a strong Pulm/Crit program or Critical Care program. Like that they'll get to know you quite well during the course of your residency where you absolutely need to kick some serious butt. Make them NEED to take you as a fellow. In my opinion, that's much more important than having papers published. I have one paper published. One. I got into the fellowship by carrying a reputation of working hard and having good bedside manner. The place where I did my residency didn't have an in-house PCCM nor CCM program so I had to go elsewhere. In my case, and I will say I'm more of the exception rather than the rule, it would've been much better to have those papers under my belt. If I was a program director looking for candidates for my Critical Care fellowship, having those published papers would definitely be attractive to me, but you need to have the clinical acumen underneath your belt, too. If I were you, I'd keep working towards more publications, not just because they're helping you get in somewhere, but honestly our field needs more people doing that. There's a ton of work to be done with regards to trials and other studies. Best of luck in the match! It's less than a month away. Let me know where you get in.

[@hraza2222]

@@eddyjoemd Wow, I don't know how I missed this response. I actually did match into a program with a great pulmonary/critical care fellowship program in-house (NewYork-Presbyterian Queens). I've already spoken to the group and made my interest known. I will be working in the MICU for the first time next week and I'm really excited! I see what you mean. I actually heard that it's harder in general to get into a CCM only program compared to PCCM, is that true? Did you do a medicine residency or something else? Because I've also heard that medicine residents are best suited for PCCM over CCM only, and that anesthesia/surgery residents are better suited towards CCM given the higher exposure to the SICU and neuro ICU. What do you think?

[@jaypark7207]

God bless anyone that wants to do all that

[@eddyjoemd]

It's the life we chose. Wouldn't want to be doing anything else. Except maybe racing in formula one. 🤣🏁🏎

[@jaypark7207]

eddyjoemd Amen to that brother!

[@josecandidoferraz562]

Great vid and awesome channel! +1 sub

[@eddyjoemd]

Thanks, Jose! Appreciate it 👍🏼

[@gregoryokhifun4948]

Thanks for this information doc. I am in my 6th year post-medical school in Nigeria, been into GP private practice. I feel very drawn to critical care and all high acuity stuff...But I'm torn between Critical care medicine and critical care surgery. I know its kind of my decision to make, but any advice for me? Thanks.

[@ethanmillan3048]

I'm thinking of changing my career I was wondering if there is anything you can recommend course wise

[@ankur1679]

Thnx sir

[@eddyjoemd]

My pleasure!

[@hashbazwaya]

hi, thanks for the video but i want to know if possible for intensivist work in other places not icu only such internal medicine or anywhere, outpatient clinc .

[@eddyjoemd]

I'm not saying it can't be done, but it would be quite difficult to master and you would have to jump through numerous hoops with regards to finding a hospital system/group (if you're in the US) to hire you to do all those things. Ultimately, I don't think I'm sufficiently intelligent to master those three disciplines to the level where I'd like to be for one. You also need to think about call schedules and patients calling you from your outpatient clinic with backache while you're taking care of a critically ill patient who is actively crashing in your ICU. It's quite difficult, at least in my opinion. Hopefully you can pull it off, though.

[@makeitaleapyear6062]

Collab with dr.buck parker your channel will grow! Your awesome! Doc goals!

[@eddyjoemd]

+#makeitaleap year ha! It's funny bc I've been in touch with him and we're both interested in working together. Thanks for watching!

[@obriantomlinson2776]

How would you say your work and life balance outside of work is being an ICU doctor? Like time for yourself , family, etc...

[@eddyjoemd]

I made a video titled "Free Time as an Intensivist" that hopefully answers your question 👍🏼. Thanks for checking out my videos!

[@dr.mohibbul7460]

How is compensation for intensivist? Is it less comparatively? I am a resident in pulmonary and critical care medicine, I am always disheartened when I hear that we are paid very less. And intensivist life is very hectic

[@mohgawsih6958]

HI, I am anesthetist . . . I am moving to another country where I will have to do ICU shifts . . . which book I should read . . . I need a concise to the point and better portable book . . . any videos channels or audio will help too . . . thanks

[@eddyjoemd]

Subscribe to UpToDate. It's basically google for most things medicine and it helps me out. The Washington Manual is decent, pocket sized: www.amazon.com/gp/product/1496328515/ref=as_li_qf_asin_il_tl?ie=UTF8&tag=eddyjoe-20&creative=9325&linkCode=as2&creativeASIN=1496328515&linkId=3828b591323930ee5502bd897955a8c2 Marino's ICU Book is reasonably good but double the size of the Wash Manual: www.amazon.com/gp/product/1451121180/ref=as_li_qf_asin_il_tl?ie=UTF8&tag=eddyjoe-20&creative=9325&linkCode=as2&creativeASIN=1451121180&linkId=212db69f4c35a00c8306bd11e88b1afa I don't know how updated you are with ventilators, but I see a lot of post-op people come up on 10-12cc/kg of ideal body weight from the OR. This is unacceptable. I recommend this book for basic management of the vent. It's inexpensive, very easy to read. www.amazon.com/gp/product/098529650X/ref=as_li_qf_asin_il_tl?ie=UTF8&tag=eddyjoe-20&creative=9325&linkCode=as2&creativeASIN=098529650X&linkId=4ed89f590debef8cf4a7d1ace3f813e8 If you want to get a bit fancier with your vents, Will Owens wrote a more advanced book which is good, too. www.amazon.com/gp/product/0985296526/ref=as_li_qf_asin_il_tl?ie=UTF8&tag=eddyjoe-20&creative=9325&linkCode=as2&creativeASIN=0985296526&linkId=be1760b6e2c1c7ac3728cf96e87e6180 Hope this helps! -EJ

[@folumb]

Whenever you respond to a code blue outside the ICU, how do you set yourself up/get everyone to follow your lead and what information (if any) do you try to gather to help resuscitate the patient? I am also a med student, have been in a few code situations and still don't feel like I could ever lead a code like I've seen even interns do.

[@eddyjoemd]

+folumb practice. Whenever I get to a room where people don't know me (which rarely happens anymore) I take command of the room by politely but assertively introducing myself and getting a quick update on the patient. While someone is talking I'm looking at the patient and doing my CAB for ACLS. You don't need the whole scoop in that first minute. Just get compressions rolling and the rest will fall into place.

[@sirexeters]

How long does it take (school, residency, fellowship) to become an Intensivist and what are the best and worst parts about those years?

[@eddyjoemd]

I have various videos that touch up on all these components 👍🏼. Thanks for checking out my channel!

[@SuperNinjaTurtle7272]

what is the best way you give/ like receiving report?

[@eddyjoemd]

I work at a non-academic setting and my attention span is 💩. I prefer to get straight to the point.

[@oliviamarsh2673]

I really want to persue this career however I'm stuck on what I actually need to do in order to get there...

[@arimontejjo2733]

Olivia Marsh omg same

[@MedicCamba]

Hello Eddie. I am a second year med student and would love to hear what your days/time is outside of the hospital. I am really interested in this field but wanted to know how your free time is (lots of on call, shift work, moonlighting or teaching opportunities, family time, etc.). Thank you for the great video!

[@eddyjoemd]

I'll try to make this video for you tomorrow! Thanks for checking out my channel, Sergio. Good luck!

[@MedicCamba]

Thank you! like the other recent comments have said, not many videos from a working intensivist so really appreciate your videos.

[@eddyjoemd]

My video response was recorded a week ago but I finally had the chance to edit it and upload it today. Hope it helps!

[@IK-fg4gw]

Hey doc!...just want to know more about you😊

[@ferdigregorio6215]

Could you make a video about tips for residency? Thx!

[@eddyjoemd]

Unfortunately, I do not have time at the moment to do so. I'll add it to my list of videos. Just try to have as much fun as possible. Residency was definitely a highlight of my life.

[@ferdigregorio6215]

@@eddyjoemd I take the advice, thank you very much!

[@eddyjoemd]

My pleasuee

[@mbo1523]

Hi Eddy, im a Med Intern very interested in critical care and i really liked this video! I have a question for you, How does a Critical Care physician schedule work? Do you have 12 hours day shifts everyday? How often do you have night shifts? Thank you for your videos again!

[@eddyjoemd]

It varies but I have a 7on-7off type of schedule. 20-30% of my shifts are at night. Best of luck!

[@eddyjoemd]

I didn't answer the other parts of your post but my days are 10 hour day shifts and 14 hour night shifts. It could get longer as that is just the nature of the beast. That's the way that they had been doing it in my group bc the 10 hour shifts make it easy to take kids to school and to be able to eat dinner at home with ones family.

[@mbo1523]

Nice, i really like that 10 hours shift part to make family life easier... My goal in life is to be able to work in Critical Care and also have good family life, thank you for your answer!

[@mohanadsaleh5338]

Can you tell me the brand name of your scrubs? :)

[@eddyjoemd]

They're Figs. Extremely soft and comfortable.

[@rosepeterson3124]

Isn't intensivists doctors are anesthetists as well? I wonder, because in Europe the whole specialty is called Anesthesiology and Critical Care Doctor

[@eddyjoemd]

In the US, the short answer is no. I can't speak for other countries, though. You can be an anesthesiologist and an intensivist with an extra year of training. You could also be an internist and then an intensivist with additional training. Does that answer your question?

[@christinareji26]

Hello Dr. Joe, Thank you for great advice. I just matched into a community program, but I would still like to match into critical care. What advice would you give me to turn by next few years into the best preparatory years?

[@eddyjoemd]

I also did my residency at a community program. Best thing ever for me to not have fellows around. It allowed me to grow exponentially. Try to do as many ICU Rotations as possible and then some. Try to do an away rotation where you would like to do your fellowship. I had a ton of intubations, lines, and other procedures under my belt when I completed my training. It also allowed me to work closely with the ED docs and they would call me for their procedures.

[@christinareji26]

@@eddyjoemd Thank you for replying to me. Is there a great emphasis on research for fellowships, or should the main focus always be, be really good clinically. I enjoyed watching a few of your videos. For someone interested in Critical care: your channel is gold!

[@eddyjoemd]

You should absolutely try to get some sort of research done in residency. It only helps, especially if it's a ICU type of project. Sometimes the ICU docs are motivated to get some research done but want ambitous interns and residents to carry the studies forward. We all have tons of research ideas in our minds.

[@christinareji26]

@@eddyjoemd Thank you. I will keep that in mind going forward.

[@eddyjoemd]

Residency is a grind and you're going to be an underdog, as I was, coming out of a community program. Use that opportunity and grit to push harder than anyone else and be the absolute force that you can be. It'll be worthwhile when you get into your fellowship and your attendings are going to celebrate you. Best of luck. Let me know if you need anything else along the way.

[@purple.fantasy]

How are the working hours?

[@germanivansanchezagustin3578]

HOW often do you do night shifts?

[@eddyjoemd]

Depends on the job. I do about 25% nights.

[@geraldnsofor]

Hello Eddie. I am a first year intern interested in critical care medicine but really confused on what to do or how to go about pursuing this goal. Any input or insight to this from your own experience will be highly appreciated. Thanks for all the work you doing.

[@eddyjoemd]

+Gerald Nsofor I've already written that video! Just need to film it. You've motivated me to just shoot it already. 👍🏼 Thanks for watching!

[@Saadrbutt]

looking forward to it!

[@TheWalterHWhite]

I.... and I mean with a capital I.... Include your nurses in the plan of care. Listen to their insight, their fears, their questions, and so on. They have a wealth of knowledge and information about the patient. Treat the patient and not the computer. The patient is the family, the RN, the RT, the dietary staff, the wound nurse, and anybody else who has direct care of that patient. Lastly, truer words have never been spoken about concise, subjective, and informational notes. It will save your area and perhaps the patient. RN's dig through those to have a better picture of what's going on. This piggy backs off of including them. It may save you a page later anyway.

[@Metalfreak327]

Hey Eddy, please make a video on what your intern year was like and how you synced in with the learning curve and honestly what does the intern/residency learning curve looks like. You are very accomplished and fluid with your daily tasks, I am curious to know what the process is like for a clueless med grad who enters a program and climbs the ladder.

[@eddyjoemd]

Exponential. That's one word I can use to describe the learning curve. The first 6 months are a mind blowing extravaganza of learning, especially if you put your passion into it and have a great attitude about it. I was also clueless, but clueless with work ethic. It started leveling out towards the end of first year when you become a (pretend) know it all. Then you become a second year and it all happens again with the learning curve bc you're going to have some (hopefully) smart interns asking you a million questions which will disappoint you when you don't know the answers. That'll motivate you to study even more bc you're competitive deep inside with yourself. Once you get the hang of it, you'll start working on your flow, your efficiency, your own style. It may not come quickly but once you get there, it'll all fall into place. You'll achieve that fluidity you mentioned that I have midway through your third year of residency. Just enough time to realize you're kinda cocky until you start studying for your boards. Then you'll realize you don't know anything again. Once you take and pass your boards you'll have a good feeling about yourself again, that is, until you get into some issues with patients where you're dumbfounded and start looking around for an attending only to find you're there by yourself. No video necessary. That's residency in a nutshell. Don't forget to eat, sleep, and enjoy yourself along the way.

[@Metalfreak327]

eddyjoemd Woh now that's the level of honesty I was hoping for, I always knew in the back of my mind that it will be this sort of a self sufficing process , I just wonder why this is not talked about in the mainstream conversation about med residency. Or perhaps we re inventing that conversation right now, the more you dissect and make videos on your experiences.

[@georgenash153]

Do you think an intensivist would have time for a dog

[@eddyjoemd]

On your weeks off, absolutely. When you're on, however, it may be a bit challenging for them :(

[@jagleaso]

Writing notes on paper is a waste of time. Elevate your game.

[@eddyjoemd]

Elevate my game to whose standards? Yours? Explain how I can get better because I will never pretend to be the best or know everything like you seem to be displaying. Teach me.