Emergency Medicine Consults

[@Thanatat_r]

1:57 I love that he didn’t forget to flip one phone upside-down.

[@Jamie-qf5ly]

clearly it's not the first time he's done that

[@labgirl6535]

@thanatatrajatavarn3927 That was our conference calls back in Gen X days 🤣🤣

[@yasmine2224]

why do we have to flip them ?

[@caffienatedtactician]

​@yasmine2224 so that the talking half of one phone goes to the listening half of the other, otherwise they couldnt hear each other- he has Ortho-bro talking to someone in the other department, and both are on the landline phones. Not sure why he didnt just transfer the call (probably bc that wouldnt have been as funny :p)

[@yasmine2224]

@@caffienatedtactician oh yeah i am such an idiot

[@DiiceForeveroO]

0:30 "When would you prefer to yell at me?" I am adding this to my common speech, thank you.

[@ChanceNP]

Was working in ICU & had to call surgeon at 3am when there was a change in pt status. He yelled at me “what do you want me to do!?!” I said “pretend you’re a doctor and do what one of them would do.” And hung up on him. He called back and apologized before. Taking care of business.

[@docgammycat]

​@@ChanceNP GOOD FOR YOU! Excellent riposte 👍😁 🤣🤣🤣‼️

[@pipitameruje]

​@@ChanceNPfrom a General Surgery resident: I LOVE YOU❤ (I wish I could yell that at the surgeons I'm on call with)

[@ChanceNP]

@@pipitameruje Yeah, probably not the smartest move. Just lucky it worked out in the end.

[@lillianward2810]

I’m a service coordinator; this definitely describes a lot of my job.

[@thesocialjusticewitch9105]

I don't want a lot out of life, I just want this man to be every one of my doctors/nurses for the rest of my life. Yes, I'll pay for out of network.

[@handsomeman5371]

You shouldn’t pay for him out of network, you should just kidnap him and take him to Canada

[@erialhm9248]

Out of curiosity, how much is the increase of payment if you pay out of network?

[@Demonox01]

​@@erialhm9248it varies a lot, but in my case it can cost like 3x more

[@erialhm9248]

@@Demonox01 darn... That's a lot...

[@lovedreamfastener]

He is an ophthalmologist, anything other than your eyes he probably would just prefer to cut them out

[@doctorditman]

I’m now a 4 year retired family doc who was in practice for almost 40 years. This is just so unbelievably accurate and true. Glaucomflecken is definitely a genius. And yes, I could tell which specialty he was talking to on each phone call. Back in 2007 or 2008 at 5:45 pm on a Friday I had a patient with an ophthalmological problem that, while not an absolute emergency, I needed to at least touch bases with the on-call ophthalmologist to make sure my treatment plan was OK till the patient could be seen on Monday morning (I never liked being told “if only you had called me sooner we could have saved the sight in that eye”). Anyway, after 3 unanswered pages and waiting an hour (with the patient still at my office, and since the patient was female having to have a female employee stay late) I was becoming “excited.” The service told me he was at his son’s Little League game up in Chambersburg and was not to be disturbed except for “emergencies.” I asked the service to please tell him the patient and I were now in route to the ball field for his advice. He literally called me back within 3 minutes of that fourth page.

[@9094nancyj]

That's funny!

[@KarenAWard2]

Awesome tactic!

[@TisOnlyAScratch]

🤣🤣🤣 Where was his Jonathan?

[@wholeNwon]

Amusing but a pathetic excuse for an ophthalmologist (or any MD) to be on call for emergencies and yet not available.

[@EastonJackson-GMC]

Every time, every single time I've ever called the ophthalmologist listed on call, the conversation went just like that. I launch into my presentation and they go, "Wait, wait? Which hospital? Am I on call there? Really? Oh, okay. Uh, go ahead, start over."

[@veevee306]

I'm an ER nurse. Last time I worked I had 6 total nurses to run the entire ER. We had a cardiac arrest, a septic 5-year-old, a GI bleed with a hemoglobin of 5, and finally unstable a-fib we couldn't cardiovert and whose pressure was 50 over nothing. I got reported by the floor for not collecting blood cultures before I sent a perfectly stable patient upstairs. I felt this skit in my soul. It is also very true that doctors will have us order some things, and we are happy to because it's not laziness, it's because we are all drowning and everybody is dying and oh God there is yet another demented patient wandering the halls whose patient is that? And yet, we love it. Emergency medicine attracts a very specific kind of crazy that I am happy to live with/suffer from.

[@sandieserrano2425]

The demented patient..lol..I was a ward clerk in an ER and we had a patient telling us he saw pink elephants the size of Chihuahuas

[@mon6745]

I appreciate you 🤗

[@WhatKindOfNameNow]

And I, for one, am also glad people like you are that specific kind of crazy.

[@lisasharf1442]

Yeah, but isn’t that the best kind of ED? Lots of “challenges” to keep you busy? Yes, I, too have a similar kind of crazy… 😂

[@Julia-lk8jn]

Much respect to you for doing the impossible on a routine basis. Enjoy the crazy and take care of yourself!

[@FenrisZAmarok]

“Is there something going on, or is it Friday afternoon?” Way too true. The number of “my doctor said they called” we get riiiight after 6pm is nuts.

[@Cec9e13]

Twice, TWICE, I have taken my daughter to the ER and said, "I'm sorry, I just had a simple question and Telenurse sent me here because preemies scare them."

[@Julia-lk8jn]

I believe the teacher version is "But Miss [[teacher not within direct reach]] told me that I may!" And yes, that condition too can be cured by a phone call, or with a slightly smarter student, by reaching for the phone.

[@Joy21090]

​@@Julia-lk8jngrrr Staff splitting is THE Worst!

[@ossus1977]

Alternatively, "Oh snap, Full moon again already?"

[@timothyburrows9622]

For people in the future he released this video on a Friday.

[@Merumya]

I like how hes slowly fighting his caffeine addiction by diluting his energy drink with coke :D

[@Phonixfire]

You have it all wrong. That's just to hide the completly unsafe amounts of caffine consumed from the patients.

[@GiraffeFeatures]

You realise there's caffeine in diet drinks too, right?

[@mohammadsharififard1686]

@@GiraffeFeatures Lower concentration lol. I used to do the same thing back when I was doing my surgery internship but mostly with carbonated water and if that wasn't available coke zero was the 2nd line =))

[@ChristinaIgnacioDeines]

Just as much energy and focus, but less jitters and the come down is a smidge more gentle

[@tammymavery]

@@GiraffeFeatures that was the point of the comment

[@julia.goolia]

"Is there something going on? Or is it just a Friday afternoon?" As a clinic nurse, this is too accurate.😂😂😂

[@arno7163]

Why, is friday afternoon peak volume for emergencies and admissions?

[@jwrockets]

And mobile x-rays

[@FenrisZAmarok]

@@arno7163no it’s when primary care goes golfing early

[@molotovEOD]

As EMS, I can confirm the truth of this.

[@andynonymous6769]

​@@molotovEODI was thinking that too. Feeling a little vindicated that ER docs get to be sarcastic to them even though I can't :P

[@rayyt5566]

0:16 Surgery 0:37 Dermatology 0:41 Cardiology 0:48 Ophthalmology 0:52 Neurology 1:04 Urology 1:25 Ortho 1:33 Internal Medicine 1:46 Ortho 1:57 Medicine and Ortho arguing 2:01 Dentistry 2:04 Nephrology 2:13 Infectious Disease

[@souldancersbyjennifer]

0:58 should be infectious disease as well...

[@fayej6591]

1:00 I’m pretty sure is OBGYN.

[@olivenboo]

seeing emergency medicine be sarcastic is hilarious

[@christinegelabert1651]

My brother is a Senior PA in Montefiore in the Bronx and I sent him this and he loved it! He lives all your videos just so you know! I'll also show them to the nurses in my hospital. ALSO my neighbor that just moved away because he's an anesthesiologist. MY 96 yo mother is a retired RN and thinks your hysterical especially the ones when you bring the charge nurse as the threat in the room. 😉💜😉

[@romulus7739]

Pretty sure 1:09 is family med

[@Alex-rg5yb]

The sass and sarcasm Emergency Medicine has is incredible

[@MrScrofulous]

The problem is, we are rough cut, not fine cut. It’s not that serum rhubarb doesn’t matter, but it doesn’t matter to us.

[@sameerb]

Welcome to our world!!!

[@truenokill]

The most fun department by far

[@Joy21090]

​@@MrScrofulousWhat? You don't like to micromanage the scarcely abnormal values for the properties of the soft squishy part that protects the skeleton?

[@anisatajy9445]

@@Joy21090 that would be internal medicine

[@quano5409]

The pure joy on his face when he was calling the derm guy is so beautiful, you could imagine the confusion on the other side.

[@raphaellavictoria01]

When I was a medstudent on Internal Med, a dermatology resident came over at 6am to collect history from a patient. You need to know 2 things in order for this story to be believable: -it was for a case report on the rare disease of that patient -sadly, that patient had scheduled himself to no longer be provided life saving blood transfusions and thus to pass away THAT very afternoon. Because he had no quality of life left. I forget which disorder it was, or why it was relevant to Derm. But the point is, Dermatology came over at 6am that day because it was the last day of that patient's life.

[@rashidawilkinson]

As a former ER Scribe I can confirm this is precise and accurate. Right down to the Red Bull

[@1tubax]

Bro mixed redbull and coca cola 💀

[@biolumate]

As a former intern who rotated though ED, I concur.

[@timothywilliams8530]

I’m a current ER Jonathan and I can attest that things have not changed

[@MrScrofulous]

There are ER scribes ? I go my own fricken notes. I’ be just been called into my rural hospital at midnight for a constipated child. Yes, it’s midnight here in Oz.

[@timothywilliams8530]

@@MrScrofulousthere are telescribes for some hospitals, Scribe America might be able to hook you up, though I’m not sure if it wouldn’t be easier to dictate it yourself

[@Starguardianbard]

"From a doctor licensed in the US" will never not be funny to me

[@wholeNwon]

What does "Doctor" mean anymore? Should say, M.D.

[@iamnotcameron]

On this channel it almost comes across as YT saying "you believe this shit?" While I absolutely believe this shit

[@meiliodinson]

@@wholeNwon Doctor means MD or PhD, at least in my country. What else is there?

[@wholeNwon]

@@meiliodinson Lots, unfortunately.

[@eloiinvestigates]

@@meiliodinson Everyone's a doctor these days, it seems. Drs, Drs, everywhere, and not an MD to be found. Heck, the MDs are so demoralized and downtrodden that they they don't even tell people that they're doctors. But PhDs love telling people that they're doctors. That's how you know the difference between a doctor and a doctor. One (the MDs) will not call themselves a doctor, the other (PhDs) will happily call themselves a doctor. I say this as an MD, who interacts with many PhDs, many of whom are college administrators, and demand the title Dr.... Ignorance must be bliss.

[@macmedic892]

Dang it, Debbie! You were supposed to “remind” him!

[@AznJsn82091]

A new character has appeared!!

[@scottfitzgerald5423]

Debbie: "already hung the zosyn an hour ago, but ok"

[@girlboymusic]

@@scottfitzgerald5423 Well Debbie just fucked up the blood culture results

[@macmedic892]

@@girlboymusicDebbie drew the cultures BEFORE she hung the Zosyn. Duh.

[@ninjason57]

I’m an ER doc who just worked yesterday and can confirm this is all true. Esp the part about being on the phone all the time. Please, my consulting bros and gals give us some grace.

[@tahaistheboss98]

The worst part will always be admitting the patient, where it's a yelling fest and nobody wants the patient in their department

[@liahk1000]

Every hospital should have a coordinator for this! That's such a time saver

[@JamesThatcher]

My favorite one is," is there something going on? Or is it just Friday afternoon?"

[@staticmonkey8436]

“I was busy doing chest compressions.” *Dr. Mike has entered the chat, screaming with joy*

[@laukinath194]

I'm glad I'm not the only one that thought of him! :)

[@DrDeusExMachina]

On a party boat, during peak Covid with his buddies

[@masterimbecile]

The peewoop is strong with this one!

[@andrewcheng1998]

Meanwhile, Mrs. Glaucomflecken left the chat busy doing chest compression on her husband in their Bedroom 30 minutes straight.

[@cowpokeone]

Chestcompressionschestcompressionschestcompressions!

[@caz_tech2229]

'No pants' time, reserved for non-life-threatening emergencies.

[@christansdad]

David Letterman, MD...No Pants all the time.

[@positronisomer206]

Holding the phones up to eachother is next level funny…and accurate

[@DrEsky914]

Yep, see my comment! made me laugh out loud!!

[@cherylcarlson3315]

In the 70's that's honestly what we had to do. Was so glad when 3 way calling came in 80's.

[@ferretyluv]

I once saw a brand new ER attending on two phones at the same time, one on each ear.

[@87Chooky]

Some days I just wanna say "look, perhaps you guys can just have this fight directly between yourselves... I'm an emergency doctor, I don't care who admits the patient as long as someone does"

[@cherylcarlson3315]

@@ferretyluv that's normal for hospital nurses in US.

[@ryancantwell-wr1kk]

“Hey doc, your patient is here in the ED and isn’t sure why” -this is so accurate

[@SodawarsGaming]

Right up there with "hey doc, can you stop telling your patients we're holding a bed for them? That's not how an expect note works."

[@TheDillyOh]

"No, I didn't just give him 500 of IVF, there are another 2 liters running as we speak." *furiously typing in the background*

[@rayaterry5365]

“He has a history of chronic diastolic CHF so we only gave him 500cc of NSS” “Dude his blood pressure is 80/50 and he’s on 5 BP meds, none of which he took today” Sepsis protocol fluids save lives.

[@Whitecroc]

@@rayaterry5365 Hey, remember Ortho's rule of thumb: keep the top number higher than the bottom one and don't let it go to zero!

[@firstcut321]

After several years in the ER of a german hospital I can confirm that this is just plain reality. Especially medicine and Ortho fighting over phones is sag but true. Only missed radiology 😊

[@katierasburn9571]

Aye. “Did you get chance to check whether they had an xray of that already doc cause uhhh they did….” Or even better no we wont xray this patient for stupid reason 3838393 just to shut them up lmao

[@aml7481]

It would be 2 minutes of "I need a CT scan. I need a CT scan. I need a CT with contrast. I need a CT STAT. Hi I need an x-ray to make sure the patient can go to CT. I need a CT scan. Yes the creat values are coming. Can I send the patient over? I need a stat CT scan, the req is coming with the patient." There's a reason why CT is meme'd as "the Donut of Truth".

[@grumbles]

I noticed that depending on which hospitalist was on duty at the time, our ED docs would gravitate towards either "I've got a very interesting case for you, you'll like it", or "it's a very simple straightforward case, you'll like it"

[@Flow-no4kq]

" Is something going on or its just Friday afternoon?" Friday afternoon of course! 😂😂😂😂😂😂

[@chrisflynn372]

It's funny because it's true...

[@katierasburn9571]

Also works for “is it just raining outside” lol its funny but we get at least a third fewer patients if the sun is out…

[@lilbatz]

​@@chrisflynn372 more on point if it was Friday at 6pm with a 3 year old and a low key ear infection.

[@Pope_of_the_Church_of_Tea]

The "would you rather yell at me in 45 minutes, or now?" was the entire vibe every time the EM residents told me to take the lead on consults while I was doing my EM clerkship. I even spoke with folks in some departments whom I'd met at events for med students. Uniformly incredibly friendly while trying to convince me to pursue their respective specialties. Uniformly absolutely scalding when they found out the reason I had to briefly pause occasionally to look in the chart for details they wanted is that I was a med student learning to make consults. One was a neurology resident I'd had hours of conversations with as he advised me on pursuing neurology, and when I said "Oh, hi Dr. _______, we've spoken before!" he chuckled bitterly and said, "I'm guessing that's a bad thing?" Like, I know having a teddy bear personality is abnormal for potential neurologists, but I didn't think I was *that* abnormal. 😵‍💫

[@ebubechiibegbula5968]

I love how emergency medicine remains calm despite the madness 😊😂 honestly he has an awesome personality and great mental fortitude....

[@puregsr]

Nah, we're all just broken underneath and it's so hard to care about anything else in life

[@SomeDudeSomewhereOverThere]

oof...flashbacks to my time in the ER. Especially the "You told your patient to come down here to the ER because YouDidntWantToHandleItAndDoYourJobSoYouMadeItMyProblem"

[@sqwerlgirl1332]

I love the "I don't even know what that is" 😂😂😂

[@Joy21090]

I'm going to look up serum osmolality when I finish reading the comments.

[@sqwerlgirl1332]

His videos makee laugh out loud. They are so true, you just have to laugh😂

[@emrebaris8085]

I'm a doctor and that is one of the things I never really understood or could grasp, like what it actually means or is. I though I was the only but when I saw this, it made me feel soooo much better

[@Joy21090]

@@emrebaris8085 Well then, Doc, may your seum osmolality never be out of whack 'coz then you'd be compelled to learn it.

[@emrebaris8085]

@@Joy21090 haha, I know right. I definitely will. Only nephrologists know that very very well, but I'll give it a shot.

[@mbeally]

“I didn’t order a serum osmolality…I don’t even know what that is.” -Non-nephrologists: Amen. Left that behind with my internal med rotation in 3rd year. -Nephrologists: 😢

[@dr.kevinmoore8889]

That's the only thing that didn't ring true in this. We ER docs are very familiar with serum osmolality because it helps us diagnose toxic alcohols.

[@sydira8596]

Feeling for the Lab fragle who had to make that call

[@EveTater]

The amount of "people are dying I don't have time for better details" flex makes me interested in emergency

[@SSgtCalebP]

I work as an ED nurse at a level one trauma center… I think I’m biased but ER docs are the best of the lot. I think the only thing he’s missing are the ever present Hokas and Patagonia jacket!

[@sameerb]

See I never wear my Patagonia to the ER. Too much blood and poop. That’s why the hospital has scrub laundry ;)

[@TealCheetah]

I live in a mountain town where everybody wears patagonia type clothes. Is this also a mark of flat land ER docs?

[@mar10ssj1]

If you are not wearing Patagonia, can you really say you practice medicine?

[@meganofsherwood3665]

You get the patagonia in med school because it's warm, overpriced, and counts as "business professional wear" and then you never go back 😂

[@AllTheHappySquirrels]

I thought that was just the Harborview uniform?

[@Spock356]

Every single one of these is perfect. I think I have had these exact conversations (except dermatology because an on-call dermatologist is the most fantastical thing Dr G has ever come up with)

[@SgtCandy]

If it's possible, you and Fire Department Chronicles need to do a crossover/mutual cameos

[@mele4827]

An epic idea

[@t-and-p]

That would be incredible!! 🤩🤩

[@sameerb]

I WOULD PAY FOR THIS

[@rebecaanderson1935]

👍

[@lisasharf1442]

YES!!!!!!

[@ada5851]

Love seeing more of ED doc!

[@tinaedwards3566]

Oh my lord, what a fine job! As EM, let me just say you *nailed* it in every way. The red-bull into diet-coke while tossing out the snark and asking when general surgery would like to yell at you? Genius, just genius. I tell *everyone* about your videos. (Also, I'd protest the whole bike helmet/glasses/bike shirt thing, except I've shown up to work dressed exactly like that)

[@lewlavabra6811]

ER doc here, this is exactly how I spend most of my days 😂

[@somebodyelse6673]

I only regret I have but one thumbs up to give.

[@Kerryjotx]

Peds EM doc here for 31 years. This is spot on! I laughed out loud harder than I have for almost any of your other videos (as I grab my Nalgene and energy drinks to head in through a hailstorm for a night shift)

[@joshuadruery3970]

It is unbelievable how relatable this is and I work in Emergency in Australia! Thank you for the catharsis!

[@koreanforrabbit]

During undergrad, I worked at an answering service/physicians exchange. We ate, breathed, and slept call schedules, which were always a sheer delight (looking hard at y'all, Ortho Indy). The "Yes, you're on call, and no, this isn't a prank" really took me back. 📞😎🤙

[@SinanQasha]

As an ER doc, I can confirm it is very accurate and hilarious lol. I thought it happened only to rural er docs

[@c.renmark1880]

Can confirm this is 100% accurate in veterinary emergency medicine too. I’m howling with laughter and sharing it with all my coworkers tonight.

[@woodysmith2681]

"Is there something going on? Or is it just a Friday afternoon?" I work in research and this is true for us too.

[@thejudgmentalcat]

Dang I'm old enough to remember conference calls with two phones held up next to each other 😂

[@desertedham37]

"my doctor told me to come straight to the ER" "why?" "i'm not sure" "did you talk to the doctor or just the front office lady" "front office lady"

[@dude-e]

The call at 1:09 is extremely accurate. Patients are referred from clinic to ED for all sorts of reasons and often some patients show up going all 'my doc told me to come here'. Worst part is when there is no documentation from the clinic side as to why they were referred to begin with

[@ChanceNP]

I always call to give a report on the pt and what I am looking for them to do. And then I frantically finish my note so it can be pulled up in the EHR. I don’t understand not calling; it’s unprofessional.

[@craigelkington5991]

I'm a pediatric ER nurse and I'd love to see your take on a peds ER attending. I absolutely loved the "... or is it Friday afternoon?" I hate Fridays because of that.

[@SinisterMD]

As a family doc that's done inpatient critical care/hospitalist work, ER and outpatient medicine - this is incredibly accurate.

[@benoitbareau178]

how can an ophthalmologist know all this (most don't even know where their hospital's emergency room is)…so true!🤣🤣🤣

[@kmr4360]

I know…. I would feel 100% confident seeing him for all my specific health needs haha

[@birdielein9636]

When Dr. G flies into my notifications list, it's an awesome morning! Give it to me, Doc!!!!

[@kmr4360]

Saying they “even used the ultrasound” to place the foley cath, that part had me 💀💀💀 How do these videos just keep getting funnier 😂

[@absolutetuber]

this is, in every single way, as accurate as it gets. i have yet to flat out tell ortho no for a medicine consult for straight forwards patients but maybe next time i will.

[@beatricereadel645]

These are so excruciatingly close to reality. Gives me shivers

[@seanchina9902]

You could actually tell the specialty EM is calling lmao.

[@annieseaside]

My hand to God I needed an Emergency Endoscopy because I had a bolus, big piece of steak, stuck and couldn’t even swallow spit. The Dr comes in, I Should have been asleep but was not yet and scolds the Nurses because he had a Tee Time. 🙄🙄🙄

[@matthewlissett9628]

"checked the vision and did a fluorescein exam" is also my ocular exam 😂

[@garrettwagner4774]

Current ED scribe here, I have heard several of these verbatim. The rest are 100% accurate. My docs prefer bang to red bull tho.

[@babyclouddelia]

Today I had a couple of conversations with a Ped ER specialist. His speech was at the speed of light!!! NO time to spare with a non-interventional, Ped ID doc, but he was polite, understanding of my suggestions and willing to put them into place. Just have mercy of this doc with English as a second language! (Never mind that I've been around and about professionally for over 30 years.)

[@Pete680BB]

“Smiling and dialing!” Every bit of this is true and funny.😂

[@rosarioguastella4769]

As an ED doc. Mixing diet coke and Red Bull is fire. And a staple of our diet. Also entirely incredibly accurate.

[@TheLovelylights]

Yo but like a collab between ED Glock and steveioe would be hilarious

[@StefinSeattle1]

Yes! One former stand up comedian/ED doc character with one current stand up comedian/ED tech or nurse (not certain. sorry @steveioe) . Steve doing all of his ED characters \o/

[@seanSteward-bx4my]

OMG it's Friday and Im working swing. He just described my day. Except, I never call ophthalmology. Their response is" if it's bad enough for you to call me, they need to go to the university." They're usually right.

[@t-and-p]

I need to put this on loop in our ED! 😂 There are so many specialties that need to watch this as "cross-specialty education"... Doc Glauc., thank you for this 😎👍

[@ValleyOakPaper]

I first read that as "cross-species education." 😂

[@t-and-p]

@@ValleyOakPaper To be fair, there are times when that feels more accurate... 😂😂

[@tonylopez6213]

He just nails everyone of the specialties!!! :)

[@yavizsalim]

Sometimes I wonder if there's a way to maintain a continuous IV infusion of diet coke while struggling to balance the nonsense we have to hear on the phone during consults and the incessant stream of non urgent/emergent patients mixed with the real people seeking help😂 Oh, by the way, Ultrasound does wonders even in many ophthalmology cases. And, believe our gestalt/hunch when we say this patient is your even before the CT scan, you'll be shocked when the results come in.

[@MrScrofulous]

It’s not a hunch, it’s pattern recognition. There’s a paragraph on it in the “ passing your board’s handbook”

[@sharpfang]

Caffeine skin patch.

[@Joy21090]

​@@sharpfangI need that.

[@yavizsalim]

@@MrScrofulous While you're right, the ED specialist's gestalt is a proven feature even featured in some recent algorithms

[@MrScrofulous]

@@yavizsalim Sure, I live on gestalt. I establish probable diagnosis and management plan within seconds for most patients. But the gestalt is not a hunch, it's pattern recognition based on a synthesis of multiple observations about the patient in front of us, cross-referenced with every thing we know. Another way of putting it is that the gestalt is the intersection between everything we see and everything we know. It's an interesting demonstration of the quantum nature of our brain, where we don't search our memory sequentially, like a computer, but we look at all our memories simultaneously. The gestalt is where the waveform collapses.

[@GiraffeFeatures]

Loved the Ortho/Medicine back and forth

[@WLOfails]

Staff in the ED versus staff on the floors are like an entirely different type of crew

[@wholeNwon]

1000 bed hospital...medical intern and 1st yr. resident always rotating through the ER to identify the best teaching cases for IM admission. Those ER pts. were very lucky because a layer of docs who the pts. sometimes never saw were certain that the diagnoses and treatments were correct. Letting a potentially great teaching case get past them was really frowned upon their fellow house officers.

[@Metheny72]

Working in the ER I noticed I began pounding back energy drinks like crazy. I had to reassess myself and stop before I got a heart attack.

[@DrEsky914]

I actually did the hold two phones up to each other when an insurance company asked me for an ICD code for an echo so I called the Echo department and asked them to tell them the ICD code!! Never forgot that particularly frustrating moment!! I do admire my ED colleagues but sometimes their medical diagnoses do boil down to "could be pneumonia on the CXR". And please, don't call during no pants time!!

[@katierasburn9571]

I work in xray and yep. I SWEAR they give everyone a chest xray on admission just in case… and half of them had one like a couple days ago! Still prefer those the the plain stupid ones that are clearly just to tell the patient they investigated and theres nothing wrong

[@PaulCarrMusic]

I remember having a really sick Stevens Johnson in a small rural hospital and the criticall care referral agent on the phone laughed when i asked for dermatology. I had to repeat myself 3 times.

[@MrScrofulous]

And yet, I had a dislocated hip reduced within 24 mins of patient hitting bed yesterday. It’s her third go and I’m trying to break 20mins.

[@presidentress274]

As an ER nurse, "I've got a trauma coming in in 2 minutes... when would you prefer to yell at me" made me laugh WAYYY too hard 😂

[@emaniebo]

Get this man to a million subscribers! He’s a legend.

[@taebaebae5464]

Oh God, coming home from a shift as a doc in the ER to this feels cathartic. Working in the ER looks pretty much the same on the other side of the ocean. It's crazy down here and I feel like I spent half of the time on the phone.

[@TheSapientity]

I am a measly anesthesiologist who did half a year of EM (tbc), but I've had every one of these conversations. Multiple times.

[@dr.kevinmoore8889]

This has been literally my life for the past 30 years! I feel this one deep in my soul!

[@michellebobier4471]

"Is there something going on, or is it just Friday afternoon?" Simultaneously funny and scary

[@aiko3423]

So accurate....I'm an OR nurse and return ER consults for the surgeon when they're paged while scrubbed in. Just the other day the ED physician paged ortho about a patient who fell and had a tibia fracture, some lacerations to the hands from the fall. Ortho doc's response: get a CT scan (d/t a bad xray), admit to medicine.

[@neongrey333]

i love how not sorry he is about interrupting the golfing

[@sunnyg1384]

"When would you prefer to yell at me?" 😂truth

[@roguewolf7053]

I’m a paramedic/Trauma ER nurse at the only level 1 trauma hospital serving *EIGHT* massive rural counties…including a military training ground…& the “No I didn’t do a full family history…people are actually dying here” & “I was busy doing chest compressions” is 100% accurate!! I’ve never had a slow day! I’ve literally had slower shifts when I do travel nursing in downtown New Orleans!!

[@timdowney6721]

Level 1 Trauma center serving 8 rural counties. Or, An organ collection center.

[@roguewolf7053]

@@timdowney6721 To be fair…the population of each county arent that high…at least 4 are well below 20k. There ARE other hospitals…our ER is just the sole level 1. There are literally *ONLY 4* level 1 trauma centers in the *ENTIRE STATE* of Mississippi. As well as 3 level 2 & 15 level 3 trauma centers in the state. So many ERs don’t even have dedicated trauma unit.😕🤷🏻‍♀️

[@QuickdrawMcGraw360]

The Red Bull chug and crush just exudes Gigachad energy, and I don't even want to go into EM!

[@marjorietabak3104]

Husband is a pulmonary/critical care specialist for 40 years and his group would get a Friday afternoon consult from a local family practitioner who would turnaround on Monday morning and take the patient back. This happened so frequently his group referred to it as a FP special!

[@kmr4360]

Oof that had to be a bit maddening!!

[@sarahk2722]

Emergency Medicine gives such strong Gen X vibes and I love it

[@sentinelk9]

ER attending x 6 years. 100% accurate. Every single skit. Funny enough I'll go through 90% of this each shift.

[@andreateubel4726]

it's the crinkling of the red bull can for me! Love this! Especially accurate :).

[@c.renmark1880]

Veterinary medicine here, again. Just want to mention that I shared this with ophthalmology last night after asking about a case (a chronic ulcer with granulation tissue built up so thick it threw me off and I initially thought it was pannus) and she nearly died laughing. I just shared it with my coworkers (currently at our station there’s two thermoses of coffee, one of iced tea, and one of hot tea, and I’ve got a bag of loose leaf for when I finish my thermos) while waiting for surgery to come in and they also practically died laughing.

[@MaddieHatter8181]

“Is there something going on or is it just a Friday afternoon?” I FELT this 😭

[@jwrockets]

"Because it's Friday" is the reason I get so many x-ray orders.

[@MissKoemiko]

I appreciate that this was dropped on a Friday

[@antongunther3977]

This is kind of my new favorite character in the Glaucomflecken-verse

[@melissaabrego1884]

I’ve been a medical scribe for two years and this is so accurate. Especially the Friday afternoon

[@fouadboulos6686]

Emergency Department physician of 35 years; uncanny how perfectly "spot on" and accurate is this humor. How does an opthalmologist know every other speciality so well?

[@six1996]

he has a pair of good eye.

[@Docneel]

Doc from India here Omg the ortho-med not wanting to admit dance is so true. Happens all the time This is so universal

[@Gymmmy8]

My glaucomflecken senses tingled. I knew a vid just dropped

[@trym2121]

Can I learn this superpower?

[@FirstDagger]

@@trym2121 ; Watch more Glaucomflecken.

[@andreelton1948]

The accuracy of this video is truly impeccable! Can't agree more to this!

[@inimolend]

As a doctor, this is so sad actually. That's why they burn out so quickly.

[@karenk2409]

I love Emergency Doctor. Hard-core Marine aura with a heavy dash of cynicism and exasperation.

[@lukeshdoesntknow]

All of these are real but doctors sending a patient to the ED on the Friday afternoon is the realest

[@vickiepatterson1748]

I used to work for Oral Surgeons and we often received phone calls at 5 minutes to 5:00! General dentists were calling because they couldn't get a tooth out. By the time the patient arrived it was almost 5:30, they told us they had been in the dentist office for 4 hours! The dentist and patient were exhausted and the dentist wanted to go home at 5:00! We were sure the dentist could see the long roots on the x-ray and wondered why he had even attempted the extraction. The oral surgeon removed the tooth in less than 5 minutes, why didn't the patient just come to him first? The answer is two fold; the dentist thought he could extract it and the patient didn't want to pay more for the oral surgeon. And no, the dentist doesn't pay the oral surgeon, the patient does! This is why some dentist won't do extractions! But others won't stop trying! Maybe if more got stuck with the oral surgeon's bill, they would finally stop trying the impossible ones! It got to the point where no one wanted to answer the phone at 4:55! Especially on a Friday! The struggle is real on Friday, no matter the field you're in! But you can't go to the emergency room for an extraction, even if an oral surgeon is on call. The ER has no instruments to remove teeth. And it's still cheaper to go to the oral surgeon's office after 5:00! I've also worked for an answering service and had several medical offices we answered after hours. You can quickly tell from paging a doctor, just how congenial they are! I kept a list of the doctors I'd never see as well as the ones I prefer! At times I felt fortunate to talk to the special doctors who accepted being on call. One evening the on-call doctor answered my page. He had gone to a college football game (I almost expected the worst). He was the kindest man I had ever spoken to, he was calm and courteous. He accepted his responsibility with grace! This doctor was so genuine that I switched to him soon after that! Your skits are so accurate! You can't tell me you don't remember anything from medical school! You're too on the nose! 😘