Internal Medicine Orders Lunch

They may never eat again

[@rex-guest]

Instructions clear: Don't give internal medicine doctors any options

[@vektracaslermd743]

It may be reasonable to consider reducing the number of options internal medicine is exposed to.

[@frederickheard2022]

Emergency Medicine just had two caffeinated protein bars while dictating notes on three cases.

[@sammiller6631]

@@frederickheard2022 caffeinated protein bars? I thought Emergency Medicine was more of a Soylent drinker for lunch.

[@jonathanbelfire]

Now that's an interesting idea. We may want to run a controlled study to determine the efficacy of this approach vs an approach where internal medicine does rounds on all the nearby food locations.

[@YRO.]

​@@jonathanbelfireI reckon we'd conclude that one approach significantly reduces the period preceeding the instant in which the food is ordered. Can't say which for sure. We need to put them to trial.

[@uuytk]

I'm sure Texaco Mike has all the food they may need, tacos, Thai, Italian, you name it

[@HisameArtwork]

and with what ever meat they could possibly imagine.

[@KK-ef1ow]

He has Thai Italian Tacos

[@dr.floridamanphd]

But he’s 150 miles away from the Glaucomflecken General so not really an option.

[@peternicol3439]

@@dr.floridamanphd With his Swamp Boat he can deliver anywhere

[@NoIngNames]

It's only reasonable to use his MRI/Cat scanner's heat exhaust as a cooking device

[@tuckerprice9663]

As an IM intern, “that’s not unreasonable” is just becoming a reflex response to everything.

[@emrebozlak2510]

Most likely a reflex response

[@masterofdesaster8]

Secondary to post-graduate medical education?

[@talithasuya8908]

@@masterofdesaster8 LOL

[@roberthunter5059]

But what about when it IS unreasonable?

[@newengland8126]

Not unexpected.

[@Blackwoodcwc]

The randomized controlled trial is actually the best suggestion there. Because it declares that you are going to try all of those options over multiple days thus deciding multiple weeks worth of lunch all at the same time.

[@mustang8206]

Smart man

[@pillinjer]

Sadly for it to be a true control, you need an unbiased sample. So another department tests all the food. Now which department to choose as a sample is an interesting problem…

[@tankerkiller125]

@@pillinjer All of them, screw the hospital shareholders, they can pay for lunch for everyone over the course of a few weeks for a bit.

[@BrunoHenrique-bg8kj]

@@pillinjer The only rule for the control group: They can't admit in the IM department or loses food privileges

[@johnyarbrough502]

Pretty sure there should be a multiple regression analysis of the trial results before we make any decision. Better not to be too hasty.

[@andrecarpenter2432]

“I don’t eat” “Im buying” “I love food” felt that one

[@waffles3629]

Same lol 😂

[@TansyBlue]

Yeah that one made me sad ;-;

[@chrisschanno7572]

Insurance company response: Your preauthorization for Thai food has been declined. Our "best practices" protocols indicate that the covered Vending Machine sandwiches are sufficient meeting the caloric needs of individual.

[@BrunoHenrique-bg8kj]

Hey Doc, the Insurance company needs a better report for the food order....

[@Jason-ix1yn]

Sorry, they only cover generic soda.

[@ferisera]

Whoa whoa whoa-sandwiches? When those peanut butter crackers are available, and will offer just as much nutritional value, and more protein?!

[@kkirsch3583]

@@Jason-ix1ynthat would be tap water!

[@SabrinaPhynn]

Shakes fist- UNITED!!

[@pablorosada9788]

Ortho comes from around the corner: "Med bros! I brought a bunch of food from that new Thai place! Here, have some!............ So I have this patient-"

[@SabrinaPhynn]

Ortho would probably get his admissions all taken care of that way- and consider it a good investment. 😉

[@robertr911]

Ortho makes 5x the salary of IM so prob would "buy" consults like this every day!

[@yochva]

_OMG IT'S EXECUTIVE DYSFUNCTION IN ACTION._ The neurodivergent resonance is strong with this one.

[@T3hXinro]

Eventually it's been 16 hours, all of the restaurants are closed, and they wind up eating the sandwich they left in the breakroom yesterday, just like me.

[@yochva]

@@T3hXinro You can see Green Scrubs already did that. **lolsob**

[@MsVilecat]

I feel so called out

[@JDrapic]

My family eventually went with an elimination method. Is there anything someone doesn't want? And then start narrowing down from the remaining options. It's sometimes easier to nix things that we don't want instead of trying to figure out what we do lol

[@taliag09]

And I end up just being the med student

[@jennymckenzie5304]

I wonder how IM proposed to Mrs IM. "I would say it is not unreasonable to consider marriage." "I agree, it would not be completely unreasonable to consider matrimony." "A gentle proposal. As tolerated." "It would not be unreasonable to consider this proposal as a potential life path." 2 hour conversation on one knee with a ring.

[@dragons7764]

😆🤣😂😄

[@talithasuya8908]

😄

[@taliag09]

As tolerated lmao

[@belacickekl7579]

And then it takes them 8 years to weigh all the possible alternatives for wedding planning! 😂

[@BrunoHenrique-bg8kj]

Dont start the proposal without the outpatient care plan and knowing previous diseases

[@PWLfr]

The med student "not really eating" until the attending buys it

[@dragons7764]

Attending: "You sure? I'm buyin-" Med Student: "OK!! ... I - I love food!!" 🤣😆

[@raphaellavictoria01]

When I was doing the IM rotation in med school, I learned to eat so fast that it remains a problem to this day. I have to carefully pace myself if I eat with others. 15 years later 😅

[@icecreamheadache]

In the background: the intern paralyzed by considering all the possible consequences of eating the food she's eaten a thousand times before

[@tractorlawnmower]

Ah yes, someone else is buying, the great hunger maler

[@anonymoosewastaken]

and thus the cycle begins anew. godspeed, phil.

[@JvA_MM_1910]

The doctor learned his lesson and packed a lunch 😂

[@AstralFireIX]

This channel has taught me that if I ever go to med school, there is a not-insignificant chance that I would plausibly make a reasonable candidate to go into Internal Medicine or a related field.

[@cristiangdc618]

Internal medicine is just superior to other specialties in every single way. We’ll love to see you here. Most likely. I’d not refute so easily.

[@BrunoHenrique-bg8kj]

Say with me "the clinic is sovereign"

[@Liriq]

as tolerated

[@oceanfox0953]

Ah yes the turkey sandwich that got Bill comes back again

[@frederickheard2022]

“Most likely secondary to caloric deficit” 😂😂😂

[@KayPrescesky]

I cracked up laughing because that sounds like me when I haven't eaten in two days or have the munchies because my med finally kicked in and I want to eat half my kitchen, pantry shelves included. lol

[@suzibaileystone2402]

Durga, an Indian goddess has 8-10 arms…she must be the goddess of Internal Medicine….”on one hand….on the other hand…..on the other hand….”

[@Marewig]

"...on the third hand....on the fourth hand....on the fifth hand...."

[@Sap3r3Aud3]

Meanwhile, me and the other surgical resident on call: - I’m hungry! - Sushi? - Sushi.

[@anthonyhamline1030]

I retired from engineering as a mechanical designer. If you ever asked a couple (or three) different engineers for advanced calculations for a given problem their answers would be all over the place. Their butt covering when asked about the differences in answers was always "I had to make some assumptions".

[@jamesmatthews291]

And if you ask a physicist, their covering phrase, hidden away somewhere, is "...modelled as spherical [whatever] in a vacuum..."

[@dylutant]

@@jamesmatthews291 I mean, as a physicist, that's because people usually ask either the simplest case or have no idea of the difficulties in a real-world scenario. Finding the trajectory of a metal ball (approximated as point mass) thrown by a person (force/energy given on the point mass small enough to render air drag as unnecessary complication) is a kinematics problem that barely needs trig. Finding a trajectory of a realistic bullet in air (drag proportional to velocity squared, momentum of rotating bullet) with wind from the side (force over bullet's side silhouette expressed as pressure)... that's college-level mechanics problem involving a differential equation that will almost certainly invoke special functions. But to people who don't do STEM, it's often "basically the same question."

[@Woodshadow]

Bill would never talk back like that. Way to go Phil

[@Andra5729]

By the time the decision is made, it will be time for dinner😂. Love these videos!

[@SBRS47]

Fortunately, it's not unreasonable to consider that decision as an option for dinner! However, it must be considered against all other reasonable alternatives.

[@Peppysgirl]

Apparently I missed my calling as an internal medicine doctor because this is me trying to decide lunch for myself

[@hiltonian_1260]

But Thai and Tacos both start with T! How are we going to assign letters to the variables? We’ll have to establish a variable assignment committee.

[@maurmi]

Yes, that too with 5 different arms!

[@cdub42]

Thai gets theta, tacos gets tau. Time to eat. Sincerely, Neurosurgery

[@rlee024]

don't forget the ethics approval!

[@frankwest5388]

The ethics committee has declined the request to order pizza, due to time related concerns

[@ferretyluv]

And IRB!

[@jerryc3050]

lolol, this was me ordering lunch with my professors during grad school!🤣Great job, Dr. Glaucomflecken. Sent me down memory lane. 👍

[@captainsavem]

Med student: hey im good with anything, bbq, tacos, Thai food **hunger intensifies**

[@SuzReag]

The doctors I know, let's get a nurse to order for us

[@infin1ty850]

I have no experience with the work dynamics of the medical industry, but I definitely had this exact same exchange when I was a data warehouse developer and the boss would suggest a team lunch.

[@wolfs6686]

I just don't make any decisions for which there are no RCTs as a basis

[@thewhitewolf58]

My mother does this. She proposes what we should get and after we agree she works her ass off to argue that we do not like it and should get something else. Then tells us that she does not like "being shut up" when we tell her just to take her win. Worrying can really wear a family down especially when it is worrying for the sake of worrying.

[@I1like1wood1ash]

Saying this as someone who can be like that: she sounds incredibly high strung, wow. I hope she finds an avenue to improve her anxiety.

[@sunirmaladak889]

This reminds me of what my senior said: " In internal medicine,there are no wrong answers."

[@MJ-98]

The med student dialogue is so accurate it's dangerous. Don't give us away Dr. G! "Most likely secondary to caloric deficit"

[@Fizzgigzig]

The junior docs just need to stand near the nurses looking forlorn and hungry.

[@PhrontDoor]

Reminded me (strongly) of Doug Adams HHG with "we are philosophers, though we MAY not be"...

[@privacyvalued4134]

Why not just let Jonathon decide for everyone for a whole month and have him send a group poll right before ordering to determine how many people want lunch that day? People can suggest options but he is Jonathon and knows what is best for them.

[@toldt]

I heard they finally decided on Thai, but by then the restaurant was closed.

[@shansbo217]

The way he just started eating his sandwich 🥪 is priceless. 😂

[@MrDoenyon]

At this point I think if IM were to be asked to choose between two options at gunpoint, they'd still argue about it.

[@PrimitiveFuturologist_YTC]

… I always knew you were Impressive Dr. G. I… damn. I never knew how much. All of y’all need to fall down the rabbit hole I did and learn about this man’s life, attitude, how much he’s given. Thank you, sir. WF FTW

[@krystlehsu133]

Planning and Ordering lunch was the highlight of my morning rounds. The best is when the secretary called the attending that there’s catered drug rep lunch today and the attending speeding up rounds.

[@savvaspapadopoulos7214]

As a surgeon, one of my favorite pastimes is to needle my fellow IM friends, but sadly I must admit that this is not a phenomenon exclusive to them. That's also what happens when you ask your friends at a gathering "what should we order?" More options, more indecision, because nobody wants to impose but nobody is totally happy with the other's choice. Twenty minutes later, no order has been placed and everybody is hungry and grumpy. Voting on 2-3 specific options is usually the best tactic.

[@NexusGamingRadical]

I love how through your previous videos. I totally get this now.

[@Dino14345]

I work with engineers. We have a lunch spreadsheet. You can either get what you got last time or edit the sheet. Restaurant is picked by whoever is presenting that day

[@janharris8672]

As an engineer, I approve this method.

[@absolutetuber]

people often wonder how i can just go all day without bothering to eat. "are you hungry?" they ask. "are you on a diet?" they ask. I tell them, "no, residency just permanently numbed me to hunger" I can go all morning and afternoon without even realizing i haven't stopped to eat.

[@kevinmurphy5506]

Thanks Doc. It was needed at a time like this.

[@laurensplompen]

The way the guy in charge IMMEDIATELY answers a sentence that contains the turn of phrase "I don't disagree it may be possible" with "continue" is such a good indicator of how their communication is in sync. It would take a regular person at least a beat to parse that.

[@RiotRabit]

The difference between intelligence and 'smart'. Internal medicine: intelligent. Guy at the end who had a sandwich on-hand: smart.

[@paullambert5843]

The sandwich is a metaphor for [insert medical practice you don't like]

[@ferretyluv]

Phil is a hospitalist.

[@Insaneman22]

Then they spent the next 12 hours discussing all food options.

[@MatchaCocoaDog]

"We all have hunger, most likely secondary to caloric deficit!" 🤣🤣🤣🤣🤣🤣🤣

[@justavideodiary]

I work at a university and this is essentially all our meetings

[@timothyburrows9622]

While Phil is the new medicine whipping boy I hope that Bill comes back in August for fellowship.

[@keith_5584]

You cant just jump to Lupus, I mean BBQ.

[@ruankane4755]

"most likely secondary to caloric deficit" got me good lol

[@KerryLuckett]

Yep, I’m chomping on my packed lunch while everyone else “figures it out.”

[@bjgould83]

As a doc w 34 yrs experience, your videos are very relatable, irreverent and hilarious. Keep up the great work!

[@wordsfindme]

The most unrealistic part is the attending saying "I'll buy".

[@sweaner8994]

I was expecting Phil to pull out a can of diet Shasta like a real resident would

[@Tanpossible]

Did a WR with a GIM consultant. After ruling out potential causes, and careful consideration of so many drugs, he decided to monitor the patient!!

[@dineshveliath]

for ortho its clear : either vodka or brandy

[@SuiLagadema]

Somebody should do a documentary on internal medicine. Sadly they'll debate for 7 years before coming with a suggestion.

[@mfd1993]

The interns and residents rom Glaucomverse could definitely benefit from seeing CGPGrey videos of voting, notably the "Quick and Easy Voting for Normal People".

[@T123456788]

As a transfusion medicine doc, i literally jumped a little every time you said TACO.

[@DavidEason-ui5ty]

All I know was a patient who ended up in the hospital for 3 days because of a kidney stone thank for for you interal medicine docs you saved my life

[@jimpartridge9634]

My PB&J titer is dangerously high from residency

[@flockofone9214]

At our hospital, Ortho always wanted Korean (Pho), Peds always wanted Panera and IM would eat bagels at morning report then pray to have enough time to eat again in the next 24 hours.

[@Ceibhfhionn]

Of topic, but pho is Vietnamese.

[@spectroxis6418]

I feel personally attacked by this video; it hits too close to home 🤣🤣🤣

[@WrenStanchen]

😂😂😂😂😂😂 "Hunger secondary to" got me.

[@ballisticus1]

If Texaco Mike doesn't have chicken on a stick, I will be very disappointed

[@osmosisjones1001]

I feel personally attacked 😂😂😂😂😂

[@WasabiSniffer]

lol oh Phil, he's only just begun his descent into madness

[@Paul-mx8sf]

Aaaannd that is why I found a Internal Medicine internship that didn't do teaching (dick around, learn nothing, do nothing) rounds. Spot on as always!

[@1AlexanderCole]

This is how my internal dialogue is for every meal until I get so hungry I have cereal again.

[@pauldegregorio6432]

That internists could agree to leave a burning building would be shocking.

[@MAli-rw8ko]

😆 yep that’s me when discussing with my family what to order for dinner 🥹

[@annbreen1910]

God bless you all, able to bear hunger. I woulda been out the door & running to get ANY FOOD.😂.😅

[@bigidea121]

Is that Bill Bill? He upgraded from a raw potato to a sandwich. 😆

[@ItsJennNotJenny]

This is just my daily internal dialog 😂. Too many options! 😅

[@Verity2true]

Good to see Phil still has not become completely defeated yet

[@decussatio]

And that's the reason why im a family medicine doctor. We eat when we get to. We are doing a lot of stuff internal medicine does and may operate on your toe nail aswell.

[@bootsmade4walking]

If we do the randomized control trial, does that mean all our meals can be funded 👀👀 *starts grant application *

[@jacobleven924]

So true. Attending buying lunch = 3:30 PM lunch.

[@notagiraffe8228]

Unsurprisingly, when i Johnathaned for Emergency, they never took this long deciding. Or any time really.

[@user-vu8nd7bs6g]

As a internal medicine doctor of south korea, i can understand this interesting lunch conference 100%.

[@Marmalard]

Now you see why surgeons grumble about talking to medicine

[@muzzammilsuleiman7118]

Okay I love how at this point, without labelling I know who the attending internist and his colleague is, the resident standing in for bill and the med/student or intern 😂😂😂

[@perryh.-r.4419]

If i had become a doctor i think i would have gotten along well with internal medicine

[@ClarissaRose]

That’s so crazy!!!! And the poor resident and med student who one just gave up and the other was so confused!!!!

[@robt510]

Another potential alternative… Texaco Mike’s 2 star Michelin restaurant / gas station! Just walk by the MRI that he’s got in the back and write it off as a business lunch. 🤓🤣

[@Ceibhfhionn]

The excess heat of the CT-MRI machine makes its top a great griddle unless I've gotten my lore mixed up and he's already figured out a way to harness the thermal energy.

[@VoidWalkerOblivion]

Surely, Phil should ask the nurse to advise. Then you can simply keep repeating "I believe the nurse has the clearest understanding to the need and urgency"

[@5911Faraar]

In IM, you never go wrong with RCTs! 😂😂

[@ebubechiibegbula5968]

And that ladies and gentle men is internal medicine...

[@CircleOLove]

This leaves me speechless -- and hungry!

[@lancedicker858]

I hate to admit it, but I definitely use some of those phrases in my notes. 😂

[@rachellereeve494]

They're 40% through their rounds. Ordering anything is definitely premature.

[@ferelith-NZ]

Internal medicine: if multiple, multiple choice indecision was a doctor

[@RobKinneySouthpaw]

Just do what hospitalist would do. Pull the Taco Tuesday order set without setting any individualized parameters until after yhe food is delivered.

[@michelleponzio]

When I worked IM, my doc would hand us his card and tell us to get whatever, but grab him a couple of burgers. We usually just wound up ordering McD's.

[@c0ronariu5]

When I was a student, it was my job to save the team by interrupting the round so we could attend Grand Round - via the staff cafeteria.