Med School NEVER Prepared Me For This

Continuing with the medical Reddit thread series this episode is on things that med school didn't prepare us for. In reality medical school can't prepare us for everything but there are some suggestions I have about improving the curriculum. Responding to Reddit threads is a great way to learn and have a good time so smash that like the button to let me know you're on board!
If you have an idea of something you want me to cover in-depth, please let me know because I take your requests seriously. We will be back with more Medical Drama Review/Responding to comments Series in a couple of weeks, so please submit more names of shows/questions you'd like for me to watch/answer. Love you all!
- Doctor Mike Varshavski
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional **

[@alainajane23]

I will never forget the time my husband called from work and said, “I’m going to be home late. A patient is hitting a nurse with her prosthetic leg.”

[@Livlocalmartian]

I’m sorry but I’m laughing soooo hard oh my gosh

[@matthewsmith4647]

Omg I'm going to hell for laughing

[@porsheakim3779]

WAIT IM WHEEZING 😭😭💀

[@permafrost7493]

I'm a little bit confused, is it like flirtatious hitting or is it physically hitting?

[@taetae3329]

Paul Gabriel Balangao flirtatious hitting with a prostatic leg??😂😂😂

[@JaneteB]

I went to a doctors appointment and his door was closed so he shouted “come in” I said “I can’t” so he just kept shouting “come in!” until he finally opened the door himself and realised I was in a wheelchair not able to open an awkward door😂🤦🏻‍♀️

[@RainOn2SunnyDay]

What kind of door was it?

[@JaneteB]

Hail kspeeder manual in a tight corridor so really irritating

[@fashionovawigs]

What'd he say?

[@Jajinkah]

I feel so bad but I am laughing so hard at this

[@Sonnenanbeterin1991]

@@Jajinkah actually its ok to laugh i think..

[@A-01-T]

Doctor Mike: “I recommend you to get 7-9 hours of sleep each day Schools: 7 - 9 = (-2)

[@anselinesam5902]

I shouldn’t have laughed so hard 😂😂😂

[@Pharry_]

I agree, but tbh it is like 20% on the kids. As a student, I stay up waaaayyyyy too long. Actually f*ck that I’d rather blame schools.

[@bunga9489]

Oooof

[@claracerqueira5]

Yes 😂😂😂😂

[@MaxsFriends]

God I wish this was only a joke

[@klaasinsession]

I imagine the day Dr. Mike marries, he'll answer "ABSOLUTELY" instead of "I do" for the vows. LOL!

[@Cherry_Tart1238]

😨😭😭😭😭😭😭 She will be one lucky lady 😞

[@featuringsan]

@@RobertOrwellSandman yeah ❤️

[@doinap8329]

Funny:))

[@brucealanwilson4121]

@@RobertOrwellSandman Too small to read.

[@kimrobbins3318]

Robert Orwell 1. Dr Mike was famous 3 years before he made his KZbin channel. 2. He did reaction videos, oh yes such an original idea -_- nevermind the fact that it was actually the Fans fault as we kept BEGGING the man to do them even though he said no. He made a promise that after a set amount of views on a video he would do it. 3. The man hired an agent to monitor his business and his fame to make money, in other words he earns his check. 4. This idea set has been done by vanity fair and many others so it’s definitely not original. 5 and final point EVEN DR HOPE HAS SAID TO KEEP FOLLOWING DR MIKE AS HE STILL RESPECTS HIM. now I’m gonna sit down and be calm about this, but just remember if what your saying has nothing to do about the main comment, and your upset about something you find important there are places you can go. Dr Hope was not rude in his video about it, but that email? Rude as hell just coming out with an accusatory remark instead of asking him in a respectful way if Dr. Mike had ever heard of his channel.

[@andrewl.3382]

Science classes should show students their own unwashed hands under a microscope. That would get people washing their hands

[@funlover163]

Students at my school liked to take Petri dishes and touch one before hand sanitizer and one after so they could compare.

[@LythaWausW]

In my school, they had us wash our hands and then they showed us with a black light what crappy jobs we did. And why they won't let you wear a wedding ring!

[@ralfrudi3963]

Or make them freak out once they realise that literally every surface and even person or animal is absolutly full of all kinds of germs and stuff. Proper Hygiene is important but there is a good enough point you reach fairly quickly. It is neither feasible nor healthy to live in a sterile environment. Germaphobia can be a real issue and can effect your day to day life in a bad way. So if they manage to teach students what good enough hygiene is and not just try to aim for the "scare-factor" then go for it. But don't just try to shock people and make them freak out.

[@mushrooms9539]

We did that with our figure prints it was so gross

[@daniellesweet256]

got to see this at science camp when i was like 10. Consistent hand washer ever since

[@jhenegarvey2213]

My Biology teacher today told us that the coronavirus was in Jamaica then added "Like that good doctor on KZbin said, be alert not anxious." #alertnotanxious We'll all get through this together.

[@BB8425]

😁

[@jhenegarvey2213]

@Kavan SmithI've been waiting too, trust me.

[@jhenegarvey2213]

@Kavan Smith We'll have to recommend Dr Mike because I was an anxious one until he gathered the facts and cleared up the misinformation.

[@soltrice]

im in puerto rico and scared lmao

[@jhenegarvey2213]

@@soltrice Watch Dr. Mike's first video on the coronavirus, the second one and just be alert not anxious and check the CDC and WHO websites for updates or check your local news

[@bitcheslovecannons5769]

When I was 11, I had brain surgery, had half of my hair shaved off, and a bunch of huge staples in my tiny head. When the doctor removed the container that was gathering the fluid from the arachnoid cyst, and put a staple where it had been, I started crying because I was scared. I was 11, and I was super tiny and had just been through a traumatic experience. The doctor asked me why I was crying lol. The nurse almost killed him.

[@AegisGaming99]

1000% with the nurse with this one

[@Lyzwyzrd]

That nurse deserved a raise.

[@Athanza]

Mike: "Get 7-9 hours of sleep." Also Mike: **uploads new video** Me at 2am: 👁👄👁

[@bigtoefungusvs.friedpochun7612]

stay healthy tho

[@ariel3611]

And happy

[@claudiacheng5519]

And safe

[@luvleyytofo]

And awake-

[@TheYoosuf]

And amazing

[@beepboop4103]

Mike: "The first thing you do when you get an injury such as a needle or scalpel is....?" Me: "Chest compressions?"

[@AmoghShetHAV]

Shadow Claw4762 lmao

[@evelynw2935]

😂😂😂

[@143yaknow]

Yes!! Sameeeeeee

[@SheriElmont]

I thought the same!

[@LexaEmma]

Same!! 😂😂😂

[@monicamesecar9126]

As a person with a disability, I literally SCREAMED when you said more education about people with disabilities. Yes! Yes! Yes! Thank you!!!!

[@bruh-md9ce]

k?

[@bellaelles8658]

Same!!! THANK YOU DR MIKE

[@msguineapigsrus]

Same! I have hidden disabilities, those are important as well!

[@generichuman2044]

I think it's true of education as a whole, not just the medical field. A blind lady once approached me and asked for directions to a clothing store. I had to awkwardly ask how she'd like me to give directions and whether she would like me to walk with her. Thankfully she was very polite and respected how I asked. It was so awkward for both parties though

[@jaskier6535]

I have autism disorder

[@cheshirekat3050]

1:04 That's actually Attempted 1st-Degree Murder. I remember there was a story that made national headlines several years back, in which a man who was HIV-positive, deliberately had unprotected sex with his significant-other, in an attempt to infect her. His attempts were unfortunately successful, and when she found out what he had done, she pressed charges, and he was put on trial for Attempted 1st-Degree Murder.

[@beafoxxylady]

I still don't get how that counts as murder..maybe scam?

[@renivideht]

@@beafoxxylady because HIV has no cure and is potentially deadly especially until it is diagnosed. He clearly has plans to kill her, because why else would he infect her with a deadly disease?

[@brett8460]

There are a lot of stories of people doing that. A man in Nashville, TN was arrested and jailed for having sex with dozens of women without telling them his status and now they're trying to get in contact with every woman he's ever had sex with so they can get tested too.

[@vibevibevibemcommentedtoda5717]

There was this criminal with HIV who kept trying to spit on the policemen who were arresting him while declaring his very obvious intent to infect the dude. Saw this in a criminology book so yep there are stuff in laws for situations like that.

[@reinatr4848]

1st degree is premeditated. It depends on if the patient planned it before.

[@julianamagg3177]

The poop story got me. The number of times I asked people about their bowel movements as a nurse was astounding. We got poop on our minds (now I mostly ask people walking my dog about her poop)

[@stephenolan5539]

I saw a T-shirt online that said "I pooped today", I was tempted to buy it to wear if I visited someone in the hospital.

[@yourinnerlawyer4035]

Oh God I was on the hospital forevvvveerr last year because I literally broke my head. I got so tired of the question I always said yes if I hadn't yet. 😂

[@FJB_USA_1ST]

@@yourinnerlawyer4035 Woah. Hope you're doing much better now. Lots of love.

[@guinnevereschronicles2225]

Something similar happened to me. I had gastric bypass and went 4 days without pooping. Until on day 5 after surgery I told my parents “I’m not getting off the toilet until I poop!”. I spent 1 hour on the toilet with pain until I’ve finally pooped. I literally ran out of the bathroom and yelled “I finally pooped!” Turns out the surgeon’s assistant(who’s a great friend of my mom) was there and started laughing and said “I’m so proud of you”. It also turns out you’re supposed to poop within the week after gastric bypass, if you don’t, it causes serious issues

[@TheEevje]

Yes 🤣 always about eating, drinking, peeing and pooping. Did they eat well, did they drink well, how many urine, when did we get stool, how did it look...

[@EyesOfByes]

My dads mentor told him after a mistake: "The best way to not make any mistakes, is to do nothing at all. But then you can't help them"

[@emiliaholmberg3320]

Savage

[@poopooman6725]

SolSystem chill bro

[@dragonicbladex7574]

@@poopooman6725 .. he is

[@soltrice]

thats my motto in school. which is why i literally have no memories

[@dapperdan1017]

You're welcome for 1k lol

[@tahsinhossain1389]

I just realized how clear Dr.Mike's skin is. He needs to drop that skin care routine

[@tim8505]

Yes please

[@hanhnguyen9337]

he said in one of his videos that he only uses moisturizer and thats it

[@syntheticteapot]

@@hanhnguyen9337 God-tier genetics. So lucky...

[@abigailfaith576]

Hạnh Nguyễn he doesn’t wash his face? Just lotion?

[@grellsutclif9815]

Synthetic Teapot could be diet as well but that’s a guess

[@brucealanwilson4121]

When you hear hoofbeats, think horses, not zebras.

[@hannahfuller9795]

But also keep in the back of your mind that zebras do exist

[@anitagrafe627]

The Ehlers-Danlos society picked the zebra as a mascot for a reason. Sometimes it is a zebra.

[@tashf4071]

This is drilled into drs so much so that they don't recognise a zebra when they see one. 36 years of being a zebra and was finally diagnosed with Ehlers Danlos.

[@Asiliea]

In my opinion, it should be something like "When you hear hoofbeats, expect horses, beware zebras". Sometimes some of the zebras have some rather simple tests to rule them out, or cause reason for further tests along that diagnosis that would otherwise not work for a horse, and thus it's important to keep in mind and not dismiss. It is wonderful to see more research and awareness about some of these, like the EDS or Fibro equines for example, to help those suffering get more effective treatment and consideration that the stripes aren't just psychosomatic!

[@Whimsy3692]

I'm not even a doctor, and I've read about this line.

[@stargummy]

dr mike: “first thing you should do if you get an injury from a needle or scalpel is...” me: “chest compressions chest compressions chest-“ dr mike: “wash wash wash your hands” me: “oh”

[@lizzyjamieson2630]

He taught us well. TOO well.

[@skyzurc]

This is exactly what I thought 🙄

[@kiarabeavis3922]

Had the same thought lol

[@crochetedfromTheRose]

Love this

[@scheneli000]

This needs more likes 😂😂

[@jadenyiki]

Dr. Mike: Get 7-9 hours of sleep. School: Allow me to introduce myself.

[@puddlel1ama327]

Me, who frequently sleeps 4-6 hours due to post-trauma nightmares: First time?

[@the711devin4]

Tom Lovett Therapy: This looks like a job for me!

[@kosmaslemo]

​ah, the youth... but wtf 7 hours homework? and still some more to go? every day?

[@hushabyezw]

@@puddlel1ama327 No post-trauma nightmares for me... 3-5 hours a sleep since I was like 4y/o (total hell for my parents, people with normal sleep needings)

[@nikkiholdmeier7678]

@@faouri. I can't sleep when the sun out

[@mikaylamccay2219]

I'm a beauty therapist. Once I had a client who called and she said that she'd recently been asked to be a bridesmaid and wanted a spray tan and mentioned that she had an ostomy bag. When she came in she sat down and explained to me how nervous she was and that she hadn't been to a beauty salon in years because she felt so self conscious. I told her that I had seen so many different bodies and had even worked as a pharmacy assistant for 3 years that body stuff doesn't bother me at all. She gained a bit of confidence and I gave her some time to undress in the spray tan room and to tell me when she was comfortable for me to come in. When I entered the room she looked so embarrassed and tried to hide the bag. I continued with the spray tan as usual and once I had finished she looked in the mirror and smiled. She said she hadn't felt this beautiful in so long and she was so grateful that I wasn't bothered by the ostomy bag. She left with a huge smile on her face. These moments are why I love my job.

[@matthewsmith4647]

You are a goddess!

[@Mssalexis]

Thank you. I don’t have an ostomy but get very self conscious about my medical condition.

[@happyterian2809]

This is amazing to read. Would like to get to know our goddess Better ❤️

[@Abi-ys7yt]

Mikayla McCay we need more kind, genuine and heart warming people like you in this world! This story made me smile and really did make my day.

[@theabyssofjin3372]

What is ostomy bag?

[@missmoxie9188]

I’ll tell you what MY “they didn’t teach me this in school moment” was. A family member with NO MEDICAL TRAINING WHATSOEVER who wanted to change the ventilator settings THEMSELVES behind the staff’s back.

[@juliarunn5009]

Omigosh 🤭 I have no medical training either but I can imagine how frustrating that is to be told how to do your job by someone who doesn’t know ANYTHING 🙄🙄🙄

[@pinkie7017]

Oh god oh jesus oh no

[@Maob08]

Ah yes. Let me tell you how to do your job when I don't know the first thing about it.

[@echiko4932]

Unplug the machine thing to charge a phone ~

[@averybrungardt8075]

Y’all!! I was saved by a resident, fresh out of med school when I was seven!! I was just transferred from my home town hospital to a children’s hospital. I was seen by my family doctor, a couple days before this and she diagnosed me with strep throat. I was given antibiotics and was sent home. Days later I was covered in a horrible rash from head to toe. My tongue has red spots on it like a strawberry. I had a fever, I was vomiting, my lymph nodes were big and I was going in and out of consciousness. I had fully lost control of my bladder (super embarrassing for a tween) and I couldn’t walk. My dad said that he was really scared I wouldn’t make it because it was taking them so long to figure it out. They would try medicine and it wouldn’t work and I was just getting sicker. A team of residents came in (I was so embarrassed because I kept pooping the bed). As a Hail Mary one of them threw out the idea of it being scarlet fever. It turns out he was right! The Oregon Trail diseases. There are only 20,000 cases in the US each year and so it was rare to see something like this. I was given a well known medicine and was saved before my organs started shutting down. Now we have google and you can easily search the symptoms but luckily he had seen it in an old text book and remember it.

[@onsazouz5151]

That's a hero

[@averybrungardt8075]

@DeathByReeses lol nope, teacher

[@katiemurphy4115]

Wow luckily you got diagnosed! I actually had scarlet fever too around that age when I was a kid. I’ve never met anyone else who had it. They ended up giving me a shot in my spine of penicillin of some kind because my mom was battling cancer and the doctors were concerned I could get her sick too.

[@pandora3030]

Scarlet fever is strep, just more advanced.

[@misskirika2043]

I know this comment is almost a year old, but I’ve never met someone else who’s had scarlet fever! My family had no idea what was going on, so my mom and I were locked in a closet to my sister wouldn’t get sick (it isn’t as bad as it sounds, my sister was a baby with Lyme disease so her immune system was double compromised and my mom agreed to it). I don’t get sick often, but when I do it’s always one of these weird diseases.

[@roger_that0459]

*Dr. Mike:* You need 7 to 9 hours of sleep per day. *High-school and College students:* Allow us to introduce ourselves

[@entercreativename]

Nursing and medical school students: "What's sleep?"

[@danielabowes3465]

Lol as a doctor he knows about being in a grueling educational program.

[@aks799]

OfficerClever04 yesss

[@shen.grandus]

Need to add one more. Mom with toddler 🤣🤣🤣

[@cyberfangzed]

lol as a high schooler I get like no sleep at all, I usually get like 1-4 hours a night

[@vanessageorgieva8086]

Dr. Mike 2019: CHEST COMPRESSIONS Dr. Mike 2020: WASH YOUR HANDS Dr. Mike 2021: WASH YOUR HANDS BEFORE DOING CHEST COMPRESSIONS

[@juliherron8991]

And remember wash for the full 30 seconds. 😥🤔🙄

[@ellicooper2323]

Happy birthday to you, happy...

[@chckycrk]

Dr. Mike 2022: WASH YOUR CHEST COMPRESSIONS

[@vanessageorgieva8086]

@@chckycrk 😹😹😹

[@muneebbasit8519]

2023: Be water

[@SbiHK]

Veterinary school never prepared me for how many humans would be asking me medical advice in the middle of an examination of their pet. I’ve seen more body parts, weird rashes and things than I could ever have imagined. Go speak to your doctor!!!

[@horsechick818]

Wow! I mean I love my veterinarian, he’s so knowledgeable and skilled. We joke about human health conditions and treatments all the time but I don’t think I’d actually take his advice and only his advice for a personal problem.

[@comradesky5931]

That is what happens when healthcare is a luxury.

[@rashellelashley2455]

I've only done this once when my cat and I were sporting twin ring worm infections on our legs. When they collected my cat's fur samples I lifted my calf and was like, "Is this what ringworm looks like on a human?" And the vet was like, "Oh, yup. That's what it looks like, alright." I also used to house clean for that vet, so it wasn't like I didn't know her personally. Lol. I should have asked her, "Hey, think we could take a scraping from my leg and add it to the culture dish???" just for giggles.

[@Andreych95]

"Well you are basically a doctor sooo...." Its probably what they are thinking

[@jasonmason2471]

In the end there are some zoonosises so vets know certain symptoms on humans, too. They usually know more about transmissible deseases involving different species than human doctors, since the katzer sudy but one specie.

[@phoenixanam606]

When I'm a patient and doing well, I always make sure to tell the staff not to worry about me. I was hospitalized once during covid. The hospital was almost full and the nursing staff was running on burn out. I told them I was doing well, and if they needed to take a break and just hide for a few moments to catch their breath they were welcome to come in and just sit. I was willing to do anything I could to try and show appreciation for what they were doing.

[@Anonarchist]

I was prepared for blood, but no one said there'd be this much poop.

[@pbpb-he6gx]

sputum is the worst

[@crayolasun]

Kinda sounds like motherhood. I did NOT think there would be this much poop...or butt and crotch sniffing to detect said poop!

[@cheshirekat3050]

I've heard that a lot of pregnant women opt for delivery by caesarian-section, so as to avoid the humiliation of urinating and defecating on themselves. It's embarrassing enough as it is, having a roomful of strangers gawk and poke at your most intimate area for up to several hours at a time, without adding THAT to it.

[@vanyaserra1]

@@pbpb-he6gx SO much so, respiratory therapist I DO NOT KNOW HOW YOU DO IT.

[@meemurthelemur4811]

@@cheshirekat3050 our hospital offered women in early labor laxatives and or enemas to help ensure they were 'empty' when it came time to push.

[@misslenorelee6322]

Nurse here:- I was taught that doctors are my collages and we are all here to help a patient. It was hard moment in my career when I realised that not all doctors view you as a colleagues, and will look down on you, and that not every medical professional is there because they care

[@Burningredroses]

If a Dr. Looks down on a cna or a nurse they arent a good Dr.

[@laurenwalker137]

I wholeheartedly agree. Look after yourself 💜

[@bcaye]

You got that right. As an RT we always say no one respects us until there's a situation and then you get there and the doctors are screaming "where's RT?" And the nurses are already setting up whatever is required. Then we guide them (the docs) through the process, and deal with the outcome. Few of them ever say thanks, but it's long been my habit to thank everyone involved because we're a team. I have had docs thank me but only about 6 times in my 35 year career.

[@leonardopeixoto5162]

Gosh that's sad... I feel bad to hear that as med student. But, unfortunately there's a lot preceptors who are rude or simply do not treat nurses as colleagues. I hope to be part of a changing motion

[@85Onne]

When I started working in a hospital I said to my department nurses to call me by my first name.. they said it's not allowed. I was in shock, I mean we all work together, I call nurses by their first names, why is the doctor more important. Still bothers me when they call me dr...

[@Danka42]

I've heared of this doctor asking a nurse who was new in the hospital if she has her lunch yet when he saw she was tired, and she was like - No, I have to take care of the patients first. Doc grabbed her, looked her in the eye and goes: " *Say that again and you're fired.* You cannot hope to take good care of your patients if you don't take care of yourself first."

[@AegisGaming99]

based doctor

[@glancycorner7425]

Sounds like something from a Harlequin romance. 😆

[@chaseohara4781]

Mike: "Get 7-9 hours of sleep." Also Mike: "We often work 12-24 hour shifts." Me: *blinks*

[@EeeEee-bm5gx]

He said 24-36h shifts

[@raisa1501]

"Medicine is one of those fields you have to be very comfortable with being uncomfortable." THIS.

[@bassmunk]

Fake it till you make it! When it comes to confidence lol People freak out when you're too realistic lol

[@MegaLilJen]

New-ish-ly minted MSW, LSW therapist here. LOTS of that!

[@rkjs7615]

Dr. Mike 2019: chest compressions Dr. Mike 2020: WASH YOUR HANDS!!!!

[@franhunne8929]

I hope doctors washed their hands even in 2019. I am pretty sure that I hear that "Wash your hands" mantra each flu season. Nothing new here. It is just us laypersons who need being reminded how important it is.

[@OriginalSuper]

...

[@NrsArea420]

2021: wash your chest¿¿??

[@hekkoCZ]

Wash your hands after chest compressions, you've just touched a dead body.

[@Luverofmysoul2]

2021: don't touch your face

[@jaydenbisson2894]

As soon as you said “what were you not properly trained on?” the first thing that popped into my head was working with patients with disabilities. My school does lectures on it and simulated patients, but has a hard time finding SPs with disabilities in the community to work with. I am working on getting my school to offer home visits with individuals with disabilities like the PT school so med students can practice with them in real life situations. Our school also is working on doing an elective on this!

[@jaydenbisson2894]

Highly recommend the documentary “Crip Camp”. Our school is doing a screening of the documentary, led by one of our faculty members who is actively working on this issue. He was actually on the Disability after Dark podcast, which I also highly recommend and talked about this issue! So cool Dr. Mike is bringing attention to this issue!

[@jaydenbisson2894]

I should also mention that my school does have patients who are blind or differently abled in other ways come in and talk to us about bad interactions they’ve had with doctors and how we can do better. So in that way my school is doing good, but we definitely still need more hands-on experience opportunities before we get to clinicals! I am less than three months away from clinicals and worried about my lack of experience (My school does a 1.5 year rather than 2-year pre-clinical program)

[@kaelin8775]

something that always surprised me is that MEDICAL professionals are never taught how to treat patients with MEDICAL conditions. like... you'd think they'd be at least taught how to deal with major issues like blind/deaf/mute patients, but they arent, often times they arent taught how to deal with chronic pain patients, or chronic illness like CFS/ME etc.

[@danarasworld]

why does “wash, wash, wash you hands”. come in my head to the tune of “row, row, row your boat”?

[@aliciagates1]

oh my god. I work in a hospital and a little girl was actually singing that to that tune the other day in the bathroom. She was so excited to wash her hands because she got to sing that song. It was magical.

[@danarasworld]

AliceGoneMad aww that’s cute

[@seasonsarecool]

wash, wash, wash your hands, with soap and water! Scrub, scrub, scrub, scrub, lightly on your hands!

[@leilani7835]

Because the length of time you're supposed to wash your hands for is the same length as the row row row your boat song. You probably heard it at some point, and it stuck in your subconscious!

[@nadya2780]

@@seasonsarecool 🤣😂🤣😂🤣 Best comment ever🤣😂🤣😂🤣

[@DrJaseZandt]

My "favorite" thing is when they teach you to "lie" to patients...like, "Explain to the patient they will feel some pressure and slight discomfort" when performing a prostate exam. They should have just said, "Lie to them." LOL. I stopped using sugar-coated explanations. "This is going to hurt, but here's how to minimize that" is so much better than lying to them and having them clinch, flinch, jerk, etc. because they aren't expecting it. I've seen needles broken in peoples arms, nurses kicked in the face, patients falling out of bed or chairs, etc. all because they were told "You're going to feel a slight pinch" when the truth is something much worse.

[@WinterSPF15]

Jason Zandt That’s a really good point! I’d much rather be able to adequately prepare. Especially if it could cause a reaction that could injure someone else (like a reflexive sick or something)

[@JeNiTyYy]

Do you think this approach would be suitable for kids as well?

[@itsjusthen]

This reminds me of when I got a CT scan done and they needed to put contrast agent in my blood. The tech got the IV in and said this will sting a bit. Did a test run with saline solution then said "ok it will be like that but more pressure". The test run stung but was ok... The actual run felt like my vein was going to explode and my blood was boiling through my body 😠

[@DrJaseZandt]

@@JeNiTyYy I think lying to them will make them distrust doctors. You don't have to be as blunt with children, but it's still important to be honest about their experience.

[@jbluewind4727]

@@JeNiTyYy As a kid, I remember being scared of needles. I would tense up and fight and cry and... it was just horrible! The place they drew blood or gave me a shot left me with big sore bruises to boot. I got sick a lot, so it wasn't a rare occurrence either. I was probably in kindergarten when one day a very tired nurse sighed really loud at me and explained how shots, pain, and bruises worked. Simple terms. Explained each part as she went. Told me that tensing up would make the muscle tighter and make it harder for the needle to get in (especially if I was moving around too) and that would make it hurt more and give me a bigger bruise. She had me relax and take a deep breath in, saying that she would prick me as I blew out. Then she paused and asked how that felt and how it was different which made me take stock of the new experience and listened while she worked. She also reminded me to check my arm the next day to see how my soreness and bruise compared to what I normally hard with needles. She wasn't particularly nice or nurturing, her face practically screamed "done and tired", and she seemed annoyed by the whole thing, but what she did has a HUGE impact from then on. I went from how I was to doing okay with needles from then on. At first, I asked for her specifically, but eventually I started trusting the other nurses too (even the ones that goofed). It also changed how I approached pain in general for the rest of my life and made me curious about how the human body worked that developed into a love for the medical field when I got older. So yes. I'd say it's not only suitable for kids, it should be the go to approach. ^_^

[@ardencinnialuka]

I have had my illiostomy bag for 6 years and now I am getting it removed. I can’t wait to poop again

[@glendafreeman5271]

Lol! Good luck ☺️

[@joliebokeh1958]

Godspeed on your pooping!

[@arandompersonwelp8615]

As a Deaf person, that is aspiring to major in the medical field, yes, i wholeheartedly agree! we need more recognition!

[@Anonymous-df8it]

*deaf

[@AegisGaming99]

how do you watch videos that either dont have good captions or no captions at all? do you just not watch them?

[@LiaLaurel]

@milesjingjit, I'm half-deaf and grew up on subtitles. I'm so incredibly lucky to be able to hear some of it, and I just fill in the blanks. What's really difficult is accents going through the American-english translator, because it gets mangled. I don't think this really responded to the question, but either you don't watch it, or you fill in the blanks. :)

[@thesunnyedge]

As an ER nurse practitioner for many years, I was never taught that approximately 90% of patients that come to the emergency room AREN’T emergencies. 🤦🏼‍♀️

[@lunar4724]

TheSunnyEdge Honestly, yeah! People come to the emergency room for the littlest things.

[@jaygay6576]

I've went to the ER for a doctors note because I had cold and you're only allowed 3 sick days at a time and I'm usually sick for a week

[@gabnurse]

urgent care is a thing and it’s usually cheaper... haha

[@ChrisRobertson09]

@Deborah Shaw 100 dollar doctor visit. Or a 1000 dollar entry fee to an ER.

[@xnng]

Idk why this comment irritates the hell out of me

[@kristalrifecooper6827]

I think we so often forget that doctors are human too, when did being a doctor mean you had to be perfect.

[@emisformusic3375]

Kristal RifeCooper as soon as their responsibility became the difference between our life and death?

[@alyssat7809]

Or even potential life and death. I had an ER dr tell me I had 1 cyst on my ovary and failed to mention that I had a 2nd cyst on my other ovary, that I found out a month and a half later another dr told me about the 2nd cyst, and told me that with the kind of cyst the one I hadn't known about was the type that if it had ruptured I could of gotten sepsis and I could of died! I know drs aren't perfect but when they don't tell patients vital information about their health it's a problem that may take a potential lawsuit to really drive the lesson home

[@ianbonnar1801]

@@alyssat7809 I very much doubt it was because "he failed to mention" it. There's a possibility that it wasn't there when the first doctor checked, or if it was he could've missed it because of how small it could've been. A month and a half is a very long time for a cyst.

[@alyssat7809]

@@ianbonnar1801 both cysts were mentioned in the ER drs notes but that night I was only told about the one that didn't have the potential to possibly kill me. It took 3 drs and 4 ultrasounds and going to see a specialist to tell me about the 2nd cyst and got it removed on the 20th of February this year. There was also a CT scan the night I went to the ER, that and the ultrasound added up to over $8500 with the CT scan costing over $4500, and the ultrasound in the ER was over $1200.

[@hyperviolet1717]

I was the 100 like. Just so you know.

[@mariamalafifi6286]

As a blind girl, it warms my heart to know that a doctor, and one of my favourite youtubers, is thinking about us disabled folks. Thanks doc!!!!!!!!!!

[@AegisGaming99]

is it harder to watch videos when you're unable to see? if this is too personal i understand

[@mariamalafifi6286]

@@AegisGaming99 dw about this being too personal. Because of my vision, I don't get a lot out of medical meme, ticktock, and show reactions, unless I've watched the show beforehand. For example, I watched the Harry Potter vid, as I listen to all 7 audiobooks. After one year I stopped watching Dr. Mike but for the one vid here and there. But what I said before still applies to all other youtubers. I really like music and documentaries. Ask as many questions as you like, I don't bite XD P.S: I can't see the good looks that keeps some of his fans, but I can definitely see the personality that brings people. Sorry I rambled a lot :(

[@AegisGaming99]

@@mariamalafifi6286 thank you! i dont want to offend. do you like anime?

[@mariamalafifi6286]

@@AegisGaming99 yeah sure! Naruto and Evangelion, and I love to listen to anime osts. There are probably a few more shows I've forgotten about that I like. Only watch dub versions cause I can't read subtitles

[@AegisGaming99]

@@mariamalafifi6286 jojo?

[@argella1300]

10:26 literally “we need an adult! ...wait, I’M the adult!!!!”

[@DosagePosage]

I think the hardest part of being a doctor is trying not to say "ew"

[@Nijilove78]

And keeping a straight face to not alarm the patient

[@vabstractz910]

After browsing r/medizzy a couple times I don't say ew much anymore

[@elee2387]

I’m not a doctor, but I’m an OTR in an acute care hospital. Believe it or not, within 6 weeks you become so desensitized to everything that used to be disgusted by. I’ve got some stories that 10 years ago would have made me puke just from hearing the description of them, that I would now consider barely annoying.

[@seymournerds342]

I’m a student nurse and I’ve seen a bit already. I can affirm that I’m already desensitized through sight and smell

[@Luverofmysoul2]

@@elee2387 yh, as a one to one I get this.

[@keri-leegriffiths5116]

I loved the poop comment! After my kidney transplant, I was able to pee for the first time in almost 2 years. The nurse and I had a dance party in my room.

[@lishang2653]

That psych nurse one really got me a bit. I've been in and out of countless Psych hospitals and I've been on of the more "memorable" patients due to the fact that my self harm was so extensive that it was just pure mutilation they would tell me I was the worst they've seen and honestly that would drive me to be worse to up that standard. There where a few nurses that really stuck out to me for their concern for my safety and their beautiful gentleness. I remember the first time I went into a residential stay, They had the whole medical team come and gawk at me and I was sitting in a room half naked for hours. I have recently recovered and haven't been in a stay in 3 months which has been my longest time in years. Oh yeah and scars never stop hurting when they are severe enough.

[@yomigonzalez9870]

For disabled people, it's always good to ask them. It's ok to let them know "hey, what's your preference? Would you like me to guide you or are you good?" As for letting them know what you're doing on a blind person? Yes. Always. Tell them you're going to touch them here to do such and such. It's ok to treat each disabled person differently. I had a close friend who was in a wheelchair. She hated it when ppl would come down to speak to her. She felt like it was them treating her like a child. I know someone else who wants ppl to come down to speak to him. I know blind ppl who are ok with not being guided. I went blind due to diabetic retinopathy, while I was blind, I wanted ppl to guide me and tell me before touching me.

[@crystlesenn8901]

"As doctors we are not trained to deal with disabilities. You maybe blind, maybe deaf.." I actually find that interesting because I have been in a situation where I couldn't speak, I couldn't write or read, I could only use ASL (American Sign Language) and no one in the hospital could understand me. I had a TBI (Traumatic Brain Injury) Thank God, I had a medical alert bracelet to explain what was going on. I had a seizure & fell & hit my head really bad. I was shocked no one knew ASL, I took only a year of classes (just the basics). Basics should be thought to everyone in the medical field. Whether they are deaf or blind or neither.

[@Caitlin_Thompson]

Crystle Senn I start nursing school tomorrow, and I’m planning to learn Auslan over the next 3 years for this exact reason

[@purplenurple9812]

I absolutely agree!! I am learning BSL 😊😊

[@firmak2]

it takes a lot to finish medical school, you can say that oh it only takes a year and everyone should know it, but that can describe a lot of things, easier said than done.

[@johnlime1469]

@@firmak2 But it does sound like something that is worth incorporating into the medical education.

[@firmak2]

@@johnlime1469 i can give you a list of a dozen other things, who gets to pick and choose?

[@thatoneguy2468]

It made me feel so happy when you started talking about accommodations for disabled people! I'm autistic and very touch averse. Doctors visits are always a struggle (and I have to visit the doctor a lot because of a yet to be specified chronic illness) because they often need to touch and look at body parts and such. Some doctors just don't explain what theyre doing or don't give me time to prepare myself to be touched even when I tell them I need a minute.

[@Kaye09MNchick]

I have chronic and painful condition that are disabilities. So, it’s great to see a doctor recognize that the medical system isn’t properly prepared for certain disabilities.

[@krisskross1828]

Dr mike drinking game: Take a shot every time he says "absolutely"

[@Methylglyoxal]

Only a sith deals in absolutes

[@clairedelunefleurs]

MY LIVER IN SHAMBLES

[@ivonna.tinkle]

done.

[@route2070]

*dead*

[@brunetteviking247]

take a shot of water every time he says that

[@RWAsur]

My Dad says, "They call it a Medical *Practice* for a reason." Medicine is practice. They're always practicing.

[@sohailislam3416]

Defo

[@taylorcarmen5336]

Thank you for that point about disability Dr. Mike. I'm a wheelchair user who was trying to get pregnant. There is no disability-related reason I couldn't do this. But Most OBGYNs outright refuse to see me.

[@Delicate_Disaster]

2:28 is it just me or was Dr. Mike a little teary eyed over the anonymous patient's poop? Lol. Ngl, I got hyped for the guy. I've been in the hospital before literally just waiting for days for a BM so that we could move on to the next step lol. I can relate to his joy.

[@aonirnolaloth]

As someone with autism i have different reactions to certain things. Such as having no pain reflex, i once dropped a knife in my toe, and my biggest concern was keeping the floor clean... I can sit unflinching while second degree burns (blistering and oozing) are being salved and bandaged, it's not that i don't feel pain it just doesn't affect me. Not all doctors seem to understand my brain works differently, by the time i complain about pain go on red alert, as it is most likely severe

[@SuperMrsMar]

Thank you for sharing this. My daughter is autistic and is also hyposensitive (though a lot of "professionals" seem to think that is not a characteristic because of the more "common" hypersensitive).

[@maddigrace7071]

I thought I was the only person who dealt with this, for the last 2 years I've been walking on a broken ankle and doctors continuously accused me of faking. Never mind the MRI and the swelling

[@jessicaprokott1772]

Wow that's such a superpower! I wish I could power through pain to focus on what I need to do to fix it. For me it debilitated me

[@wiktoriakusak3280]

Thanks gór sparingu. Do you mind talking a little bit more about it? It seems really interesting to me. Tell me if I understood correctly: you are aware of the pain but you kind of •don’t react • to it? Or are you not feeling the pain at all until certain level is reached?

[@artsdragons2779]

I do not have autism but I react in a very similar way to pain. I suffered third degree burns last year and was more concerned with my hair and eyebrows than my melted skin. My husband made me go to the ER about an hour later and I had to have cadaver skin grafted to my burnt arm and hand. I was more mad about having to chop all of my hair off because it was burnt, crunchy and smelled of charcoal. It’s super hard for me to explain and describe my pain to the doctor because I don’t usually feel the pain which has resulted in several injuries being left untreated for too long. I now have several permanent injuries because of this. It’s nice to know that I’m not the only one who has this issue. But it also sucks to know that others don’t really feel pain unless it’s severe.

[@DrDerekLiao]

Med School NEVER Prepared Me For This -When I was in the internship I made a rotation in the ICU and the mechanical ventilators have a characteristic beeping sound, that sounds 24/7, so it was stuck in my mind. For that month I dreamed many times that I was working in the ICU and that beeping sound was in my dream. Sometimes even awake I had that sound stuck in my head.

[@civil_villain]

I often thought I was losing my mind when I'd *definitely* hear that sound outside the hospital. It was like Pavlov's Bell...

[@christinaatwell6338]

Patients get this too....I e been in the hospital sooooooo much, my nightmare is literally Machines beeping and nobody coming to help me.

[@detectivesnickers6176]

@@christinaatwell6338 lol same. The beeping is too much sometimes

[@mailys9475]

felt the same with the beeping sounds of the grills and fryers in mcdonalds. i think humans hate beeps

[@NadaMaher]

Same but I'm a nurse lol

[@Hakusan75]

As a nurse aide, my schooling was very short, one semester. But I was not prepared for holding the hand of an elderly lady as she died alone because her family didn't care that she was dying. I am not afraid to say that this 6'3" man left that room crying to get the head nurse. Oh, she was a DNR. That's why I sat there while she died instead of trying to keep her alive.

[@nickmoon3196]

Thank you Dr. Mike. I can’t tell you how many doctors, on learning my sister is deaf, only shouted louder at her.

[@taylorp8389]

I’ve been a CNA for a little over a year now; I’ve had nurses/doctors who have treated me like just a “glorified butt-wiper”, and, I just want to scream at them sometimes. They never taught us in school how to not take things personally. But, there have been times when the nurses aren’t sure what to do with a difficult patient/resident, and they’ve found that my day to day interaction with them gives me a certain “upper hand” in what they need. I’ve talked people out of panic attacks, I’ve helped elderly dementia patients through a scary moment of not knowing where they are...I just wish all medical staff saw us as team members and not “the help”

[@livjunqueira1131]

Taylor P ♥️

[@nursemandan]

Thank you for all you do. (From an Rn of 9 years). We do see and appreciate all you do.

[@fulmerduckworth8281]

As a nurse this post breaks my heart. I can't tell you how much I value my CNA's at my job. I find the work you do invaluable to my own job and I would be lost without the help I get from my assistants. After reading your post I want to make sure I let my CNA's at work know how much I not only appreciate them, but how much I need them.

[@Catherine.Catherine]

As a healthcare assistant (what we call CNAs here in the UK) I find that the best nurses tend to be the ones who used to be HCAs. They are the ones who will do the drug round and IVs quicker so that they can help you with the washes sooner and all the bed making

[@LBay-ko9jf]

Thank you so much for what you do !

[@Bigfoot_With_Internet_Access]

We bigfoots never even went to school at all out here in the forest

[@nosubscriberswithnovids4016]

Just Some Bigfoot With Internet Access interesting.

[@LittleLo]

I learned to read in the forest too

[@artemiselliott3239]

Wait I’ve seen you before lmao

[@anaisvictoria477]

Omg I’m a big fan of your work!

[@bort3486]

y the edit hairy man

[@Alice-lx4ml]

You should always tell the patient what you're doing and ask for permission first. I've had so many doctors just pull my gown down or put their hands on my neck without asking and it honestly isn't okay, especially as a person with a history of trauma

[@NicoleMizrahi]

Our optometry school taught us extensively about guiding blind or deaf patients and also the elderly and proper etiquette, such as offering your elbow to help them up and to lead them somewhere

[@imogengrace9904]

*Dr Mike:* you should get 7 to 9 hours of sleep *Me looking at the time and realising I have to wake up in 5 hours:* oh I knew that one

[@Yehe13]

Lol

[@meganklein4789]

Imogen Grace literally me

[@giomaghuyop6198]

Dr Mike: "Doctors, nurses, pharmacists, physical therapists... " *Medical laboratory technologist cries in the corner of the lab 😢

[@trudycolborne2371]

There, there, sweetie. Go lay down and get some rest.

[@enidmasai9384]

@@trudycolborne2371 wtf 😂😂😂😂😂

[@Jossandoval]

He was talking of the people that actually interacts with other people, patients or otherwise.

[@detectivesnickers6176]

@@Jossandoval lab techs actually do interact with patients sometimes. At least at the hospital I go to they do

[@jaimed3890]

Oh I hear ya....lab is the forgotten middle kid

[@abbycross90210]

The first time I met my current PCP she said, "Doctors don't know everything and doctors make mistakes." That's the moment I knew I had found The One. She's been my doctor for 15 years now. Best PCP I've ever had.

[@popolnocy]

In Poland we have a story about authority: Once, an old woman came to the authority: "Please, help me, my son is eating to much sugar, you need to tell him to stop!" He tought for a moment and respond: "Come to me in 2 weeks with your son!" To weeks have passed and boy was standing in front of Him: "Stop eating sugar!" He said. Then he turned to a woman and sad: "That is all" She was suprised: "Why I needed to wait two weeks?" "Because I needed to stop eating sigar myself"

[@zunayedkabir7699]

Im in first year med right now, I am planning on sending an email to the faculty asking for more disability awareness teaching

[@TherealDanielleNelson]

I hope they do it. Heck, I think a lot of professions that deal with the public should take classes on how to help people with disabilities.

[@laneyowner]

It seems like the least they could do is get a speaker to come in before they're able to implement new curriculum

[@heathermiller6046]

This has nothing to do with the video, but two Danielles in a row. What were the odds? lol ☺️

[@radicalbarrel2729]

Don’t care didn’t ask plus you’re H U M A N

[@tinyteeshirtrex1450]

@@heathermiller6046 and now two Millers lmao

[@callmejoe8594]

0:58 I'm legit surprised that med schools of all places didn't have this in their curriculum. It seems very appropriate to add that.

[@RWAsur]

Sounds typical of the American educational system, tbh

[@morganalayna4247]

CallmeJoe Everyone with a disability is different. It’s hard to teach how to deal with a blind patient for example, because they all have different degrees of sight. There is no “primary way” to deal with that. One thing I’ve learned in nursing school is sometimes you just have to ask. :)

[@callmejoe8594]

@@morganalayna4247 Well I'd imagine in-depth practice would be difficult, but it probably wouldn't hurt to atleast provide the students with some rudimentary guidelines so they'd be more conscious and aware once they go in. Just so they can expand their frame of thinking from the basic practice that's already being done on non-disabled models.

[@morganalayna4247]

CallmeJoe Yes I agree! We definitely focus on care of disabled people in nursing school, but I’m not sure how they go about it in med school.

[@shadowscall7758]

@@RWAsur Really? You do realize that US Doctors are generally considered some of the best educated in the world, right (obviously there are exceptions)?

[@robyndwyer]

i have Tourettes and when my tics first came out my family doctor told me to drink water and sit up straight at first I was like ok but then after going to her again and again with the same problem and be saying I think its tics I've done my research she still insisted nothing was wrong but referred me to a trauma surgeon at the hospital he was very confused as why I was there because I had no injuries or incidents in my entire life so I had to go back to my family doc and she didn't do anything so we went to the er after ruling out stroke and all that stuff the doctor put me on the waiting list for the pediatrician and neuro doctors I now have a diagnosis and am being treated after Xrays and MRIs and walking in a straight line over and over I now know it wasn't posture

[@Ace_AloneWolf]

A friend of mine was a trauma nurse at Vanderbilt University. She worked at a teacher and all. I think she did that for about 10 years. Then one day she transferred to the NICU. I asked her why after so long such a drastic change. Her reply "a part of my soul died doing emergency room trauma". I nearly burst into tears for her. I still get weepy over it and I can still see the loss in her eyes when she said it.

[@DrDerekLiao]

Med School NEVER Prepared Me For This -Once I had a patient with HIV and acute liver failure that was intubated and required adrenaline to maintain adequate blood pressure, she was in her early 40´s but had a very bad prognosis, she was receiving management by different specialties, but no matter what we did, every day she was getting worst and worst. That feeling of hopelessness, that no matter what you do, it´s not working, you study the case, research and every text tells you that the chances of survival are low and the only treatment that can increase here chance to survive is not available, makes you feel so impotent, and the worst is having to tell all that to her son and daughter. That is something that you can not learn no matter how many textbooks you read, it´s only something that you can experience.

[@visheshaadityarajagopal7084]

Exactly!

[@_amoopoint_1458]

Oh so sorry to hear Dr. Derek. That must be frustrating and disheartening for you.

[@transformerstrash8324]

There was one time I (med scribe) was scribing with a doctor (Emergency Medicine). Another doctor had a medical student, and he asked her a question about a patient - something to do with a differential diagnosis or the most probable cause. She kept listing off answers, but he wasn't satisfied with any of them, until his scribe spoke up and gave the correct response. He RIPPED that medical student to shreds because a scribe "knew" more than her and left her crying in the bathroom. And all I can say is: med students, it's okay to "not" know something, because in settings like emergency medicine you REALLY have to know the region (and what typically presents there), and the emergency room environment as well. It's a different beast altogether and it takes time to adapt to. You know a hundred different things, all of which are extremely valid, that could pertain to a patient. Narrowing it down can be the hardest part, and that's okay. The only reason us scribes may know is because we've worked there for 2+ years and have absorbed the "baseline" of the ER. We see all of the common stuff while you also have to also sift through what is uncommon. You're not an idiot.

[@triskalion9627]

Idk about you but i don't want a doctor that thinks "it's okay to not know" maybe u meant "it's okay that currently you don't know, learn research and them u will know more"

[@bestcity0979]

Ok ripping a student to shreds in an OR? Understandable maybe? An ER? No man

[@transformerstrash8324]

@@triskalion9627 Well yeah, that bit should have been implied. Nobody should just shrug their shoulders and stay ignorant.

[@kfitz8998]

Completely agree.... I’m a nursing student and an EMT and they are two completely different worlds..... I’ve picked up on so many things from going on calls from the hospital staff and my higher medical authorities (paramedics) by just scribing for those calls or listening and observing what they are saying and doing..... I didn’t know a lot of things as a new emt or as a nursing student and I still have a lot to learn but school only teaches you so much and you really learn so much more out in the field in time..... observe and ask questions if you aren’t comfortable or don’t understand something it’s so important to your education and to bettering yourself for your patients

[@omgtaweesa]

Can I ask, what does a med scribe do?

[@Woopwoopwoo]

I have ADHD and worked night for 2 years. My current job requers a LOT of focus or else it affects my salary. So I REALLY understand how important sleep is and how much it affects the body and mind. What people seem to forget is the it's like working out, I think it takes the body about 2 weeks to get used to a new sleep schedule IF you've been disciplined.

[@bluebeesmarple]

true but people’s natural tendencies never truly leave lol

[@icarusbinns3156]

I was one nurse’s ‘school didn’t teach this’ moment. I was brought to the ER, in such a state of dehydration and high fever that my survival was actually pretty uncertain. When I was finally lucid, 36 hours later, I asked for something to eat. Like jello or pudding. Because I’m Type 1 diabetic, I was on a controlled carb diet. Sooooo many sugar-free foods have aspartame. Which I am highly allergic to (at a fast food job, I could not refill the Equal sweetener dispenser for risk of a reaction). The nurse I asked went to get some pudding. I hear her coming back, and at the door, I hear the overnight nurse say, “She can’t have that kind. It contains aspartame.” “But this is approved by the diet.” “No, she can’t have aspartame.” Me, who hasn’t eaten in 24+ hours, “Can I have a banana, then? I’m really hungry…” I got a banana and some rice pudding. After my allergy was made very obvious in my file. Including a snazzy extra Allergy Alert bracelet for my stay (aspartame and lactose allergy, basic patient band, Fall Risk, and another I’m forgetting…)

[@laura11383]

Thank you for doing this! I have a daughter with autism and hearing loss. She’s only 4 and nonverbal. Doctors are often clueless on how to work with her.

[@laura11383]

Blazing Insanity I don’t blame primary care doctors for not being experts in her conditions - that is primarily my job as her mother and the job of her specialists. However, autism affects a large number of people, and a large percentage of those affected are nonverbal. That should not diminish the quality of care they receive from a primary care physician.

[@davidvalencia129]

*Shirt sleeves when made:* IIIIIIIIIIIIIIIII *In Dr Mikes arms:* I I I I I I I I I

[@solarsatori]

I'm not mad about it.

[@hotsand3824]

Nugget my boi

[@remesis_]

NUGGET Do you watch Game Theory by chance? I read your name and the first thing I thought of was Stephanie's Nugget voice 😂

[@nayasparrow3635]

NUGGET Can I get a nugget of friendship?

[@nasugbubatangas]

I am actually looking at the chest area 😹

[@Lin-rh6qs]

Tip from a family friend who's a nurse: to keep from gagging, hum to yourself. It really works!

[@jenniferlewis6944]

I am literally BAWLING over the patient who pooped! I was in no way involved, but feel so freaking happy and proud of this guy!!! ❤

[@easymedicinebytmd8247]

A proper course on etiquette would be real valuable! Thumbs up for this campain!

[@palacinkasmarmeladou]

In my former country where I studied, in 2nd grade of nursing school, we just started practicing in hospitals (1st year was strictly theoretical). Me and my classmate were assigned to a room of approximately 6 patents at department of Internal Medicine. There was a patient in coma and charge nurse warned us that the patient is 'ante fine' (=she's about to pass away). During morning rounds I was standing really close next to patient's bed while doctor was examine her. I remember thinking if she is still in there. Suddenly she grabbed my hand (although still in coma). She died within couple of hours. No school prepares you for that experience.

[@velvet4299]

Oh my goodness that's scary! Why did they grab your hand though? Is it just reflexes or did they wake up for a while?

[@palacinkasmarmeladou]

@@velvet4299 most likely reflex. I'd like to to think she was letting me know she's still there even when in coma ☺

[@ximenakokoro9899]

Worked at as receptionist at a vet clinic. A woman called asking how to go about scheduling a CAT scan for her cat because her insurance covered it and she wanted to check if her cat was healthy. I did, unfortunately, snort before I composed myself and had to explain to her that a CAT scan is not a scan of a feline. I semi-successfully convinced her that I had been clearing my throat due to allergies and not laughing at her. I really hope she believed me because it was really funny but I felt so bad

[@sallyfield8405]

Retired OB nurse here. Many years ago we had a patient with an underlying immune disorder who had gotten pregnant despite it. (Not necessarily a planned or deliberate pregnancy, but a very welcome one to her and her husband.) She had come in to the Labor and Delivery suite with shortness of breath, was stabilized, and sent to the ante/post partum floor. She ended up arresting while there. My charge nurse sent me and another L&D nurse up to assist as much as possible with the code, to free up the regular nurses on that floor. The patient, a lovely woman, ended up not surviving. All the various and sundry people on the code team left after her death was called. and my fellow nurse and I were left to prepare her body for transfer to the morgue. It was not something I'd done before, but absolutely part of my job, and one I was willing to do, particularly as the patient was also an employee at the hospital, whom I knew. Giving her the most respectful and reverent "send off" was the least I could do. BUT, the part that upset me horribly was how the code team handled the immediate aftermath. In the process of the code they'd basically completely uncovered her to have access to veins for IV lines, her chest for compressions, etc. It was appropriate that during the code she was essentially naked on the bed, no problem there. BUT, when they "called" the code, they all just left, leaving her lying, completely naked, on the bed. Really? They couldn't take one second to pull a sheet up over her? That was 35 years ago, and it haunts me still.

[@tallbeachyblonde5862]

"Broken ribs are worth bringing someone back to life" American Healthcare: *Hold my beer*

[@franhunne8929]

Even when you perform chest compressions - you are just holding the fort until the cavalry comes. Is it important? Very much so! But it cannot guarantee that the person will leave the hospital alive. It is just something useful you do (pumping blood so that oxygen can reach the brain) while waiting for the boys and girls with the big guns.

[@finalcountdown3210]

Cracked/Fractured. Not broken. If the bone completely breaks, it could stab vital internal organs.

[@shortweekly8465]

Fractured literally means broken

[@finalcountdown3210]

@@shortweekly8465 I guess what I mean is displaced. You don't want to displace the rib so that it stabs internal organs.

[@shortweekly8465]

Ok

[@breanna9119]

School: HERES EVERYTHING YOU WILL NEED TO KNOW EVER ABOUT ANYTHING Real Life Job: Uhhh, yeah forget all that - theres more to it!

[@Amandavg]

I accidentally got a job on a psych floor as a mental health tech. My whole job is "they never taught me this in school" lmao!

[@hannahherrmann4921]

Oh my gosh on the patients with disabilities, I demand a collab with Jessica Kellgren-Fozard!

[@alicecain4851]

Yes!

[@joshmitchell8370]

There needs to be more Bear. Seriously, Bear needs to be your Stan Lee. A cameo in every episode.

[@karstynwallace9287]

He is probably never gonna see this but I'm a thirteen year old girl who has been inspired by Dr. Mike to become doctor. I love your videos so much thank you for everything.

[@AWWx2]

If Karstyn and Mr Cardboard are legitimate, best wishes to you both, study SUPER hard in school, university, and med school. We need folks like you around in about 15 years to take care of Dr Mike and me as we get older.

[@mauricecooper9763]

He's definitely an inspiration. I wish you the very best.❤😁

[@heathermiller6046]

I have a feeling he might, you're near the top 😉 Also, good for you 👍

[@multistan1100]

16 yo want to be a doctor . let's all hope for the best

[@terodomRen]

16 years old and thinking about becoming a nurse! Good luck to all of you ❤️

[@grooorglaserdeth8823]

I've been in a psychiatric day clinic once (although as a patient). Some woman came in from the streets accusing the staff of being part of a human trafficking ring. THEY DEFINITELY DO NOT PREPARE YOU FOR THAT IN MED SCHOOL

[@taramightystar]

Thank you for the mention of disability! I have a PhD in public health and this is the whole focus of my research. The number of health problems people with disabilities experience because of a lack of care from undertrained doctors is extremely high. Also because of ableism and lack of empathy and understanding people with disabilities are four times more likely to receive mistreatment and abuse within the health care system.

[@BeccaGarner05]

I would assume that is why they call it “practicing medicine”

[@lorelei887]

They’re all like "I’ve never been so early", but none of them said anything about how informative this video is. We always tend to think that doctors are some kind of machines when in reality they’re humans. I’m a teacher, but this feeling is pretty much the same: students tend to think we’re unerring, so when we make a mistake they’re always mad. Though, thankfully, consequences aren’t as bad for us that it is for doctors. Anyway, thank you for this video!

[@TheSaxAppeal]

I think this is a two way street: there are many, MANY teachers who simply do not own up. That adds up over the years and students become very cynical towards their teachers. I was lucky enough to have a few teachers throughout the years who actually understood that we were *both* human. I wouldn't have made it through school had it not been for them

[@zemorph42]

There are also many teachers who should not be teachers, for a variety of reasons.

[@svetaivanov1344]

@@zemorph42 the same thing goes for many professions. I am a second grade teacher and one of our class mottos is that we don't do perfect, we do our best and work hardest. But so many professions have the same thing

[@AcidDotDrop]

So you decided to choose to get offended on someone else's behalf, for something that doesn't matter and only shows affection of a fan and than make it about you... now those pupil's of yours a truly to be admired

[@dubbleyou248]

@@Noooooooooooooooo420 High school I'm guessing

[@sarbear1459]

Dr. Mike, I work with individuals with developmental disabilities, and am also a master's student in health administration. I have heard so many things from doctors saying they weren't properly trained in how to work with this population. I appreciate that you believe more education is needed in this area too!

[@jennaolbermann7663]

Thank you for mentioning disabilities with patients, I work with disabled students at a special needs school. Many of our students are non verbal, non ambulatory or some other combination.

[@KateandBree]

Thank you so much for admitting you aren’t taught to work with people with disabilities. I have Autism with Sensory Processing Disorder and I have social mutism. I can always tell a doctor has never dealt with someone like me as they get a really strange look when my mom starts talking for me. It’s stressful, but I often can’t think of how else to communicate efficiently when I know my mom is there for support and also to be my second brain. What I suggest as someone disabled and who volunteered in the disabled community is to ask your patient what they would prefer! “Would you prefer if I told you what I’m about to do before I do it?” It doesn’t just work for people with disabilities, but with neurotypicals/able-bodied people too. I open up a lot faster when you explain things to me!

[@alexia3552]

KateandZena excellent suggestion

[@comradesky5931]

I feel like doctors never understand me and there is no support outside the office, so if you get sick or have a bad week, you might get a doctor's excuse or some meds, but that is all you get

[@racoonsan5137]

Aww your mother is awesome for always helping you out!! I've had mutism too and boii I'm so thankful that there are some people who were willing to speak for me whenever I can't ;;v;; thankfully I'm slowly having the ability to not freeze hahahah I hope your fam is doing well these days!! Please take care ♡♡

[@kaelin8775]

THIS THIS THIS!! im autistic and often go nonverbal, especially in medical settings, I also struggle to explain things when I am verbal anyways (like pain, what exactly is wrong, where it is, how bad etc.) and I always bring my dad and he acts as the speaker, sometimes I whisper a sentence to him because speaking to the doctor is a big nope, and then my dad has to relay that back to the doctor.

[@queenofcookie3299]

I’m socially mute and autistic too and my mom has to talk for me too thank you so much for sharing your experience it it’s alway nice to feel a little bit less alone especially because many doctors forced me to talk and while hospitalized took away all of my privileges until I would talk to them because it was better for me to not get used to “this type of behavior”it was horrifing

[@symesk]

As a disabled person, THANK YOU! Something that has impacted me is medical staff not knowing what to do about my service dog (people never know the ADA laws!) and SO many don’t know how to treat folks using wheelchairs - do NOT just assume the person wants or needs you to push them. Don’t touch my chair without consent. It’s an extension of me. Also thanks for the ostomy awareness ❤️

[@amydisanto8865]

My grandfather was deaf and it was very difficult for him when he was in the hospital. He was a great lip reader but that only helped when the Dr or nurses looked at him when they spoke to him. I completely agree that medical professionals should know how to communicate with the deaf.

[@RushFanatic87]

That last one resonated with me not as a doctor, but as a teacher. One minute I’m in college as the student studying and asking questions, the next I’m writing stuff on the board answering questions. My first day I legit had a “What the hell am I doing up here?” moment. The way he described the overnight transition from med student to resident hit the same way. I imagine there are tons of new residents walking the floor having that moment their first day.

[@reknit96]

When you included pharmacists as part of the medical team I screamed THANK YOU! As a future pharmacist I’m so excited to be a part of the team

[@Asha-dn3gh]

Same hear as a future pharamacist

[@RachelleAndrea]

ME TOO! I felt so loved!

[@thehospicemurse5924]

You pharmacists can make our break my day as an RN. I rely heavily on your knowledge and experience.

[@missnjahan]

Why wouldn't he include pharmacists? They play an important role in patient care, of course they are part of the team. :) As a med student, our school constantly reminds us that the healthcare system structure is majority built upon more people who are other things than doctors. Doctors would be nothing without the expertise of these other healthcare professionals.

[@ianbonnar1801]

Do you guys ever introduce yourselves as drug dealers? Just a curious question.

[@maximillian7926]

“a guy with a gsw wound” - Dr. Mike 2020

[@cheyennerose2571]

gun shot wound wound 😂

[@Technotoadnotafrog]

smh my head

[@katieoberst490]

As a complicated patient, I've had too many doctors tell me they can't help me. It gets tiring after a while. I don't take it personally, but it's hard because my quality of life really suffers for it.

[@jaywilliams2780]

Dr. MIke - Totally enjoy your series, especially this one. Can you explain to me why med schools perpetuate the insanity of keeping residents up to 2 or 3 days straight at a time while working at the hospital?

[@simplystreeptacular]

They don't anymore, actually. Not allowed.

[@kcoker9189]

I don't remember which video, but he stated before that there was actually a lawsuit about this because the residents were so overworked they missed a diagnosis and as a result, a little girl died. They don't have (as) crazy schedules now because of it

[@windhelmguard5295]

5:44 this goes for anyone working on saving people, doctors, fire fighters etc. your health and safety come first. if you get sick or injured we are down one helper AND up one patient, the maths don't lie.