How to Consult Nephrology

[@ferelith-NZ]

I think the "only how many days I have left in residency" says it all...

[@natemurray02]

Felt that one in my soul 😂

[@StolenPw]

That shit made me go off

[@remiwelch6234]

@Kali Shaffer bill will never finish residency. He's looking at neuro!

[@hinicetomeetyou6429]

​@@StolenPw pp0000]pp]

[@JudyRamirez-f4p]

I worked in a hospital and they need to widen the doorways for their big ego. They forget they were in residency at one time. Glad I'm retired.

[@korhanaydemir8366]

Fun fact: An Ohio nephrologist was arrested and charged with assaulting a cardiologist at the same hospital

[@Monika-mb6jh]

Omg

[@zahraakadhem9913]

The beef runs deep

[@asmerX100]

lmao..they really do have a beef with cardiologist..i thought it was just a joke

[@livedandletdie]

Doing God's work, you mean?

[@frankastisk]

Omg!! I will trust every skit he ever makes from now on! 🤣🤣🤣

[@asdf-gh8vd]

The biggest mistake Bill made there is mention "Cardiology" in that consult. I pray for your soul, Bill.

[@itsonlyafleshwound9024]

I think mentioning cardiology was an excellent move, as it stopped nephrology from chewing out bill and rather attack his arch nemesis

[@OhNotThat]

"but Cardiology said...." it was at this moment Bill knew.... he fucked up.

[@dr.floridamanphd]

@@OhNotThat and that’s why Bill became an ophthalmologist

[@randomass-skinfromnaija]

@@dr.floridamanphd lol

[@leviathan9419]

Haha

[@JohnnyWishbone85]

Nephro may dress you down, but he doesn’t *tear* you down. I feel like he’s a good parent. Stern and strict, but never unkind.

[@DemigoDTV]

hahaha dude thats the culture of medicine right there- this guy is considered "never unkind"... to be fair i dont disagree

[@JohnnyWishbone85]

@@KatherynneF - Once in a while, we all need someone to tell us, in a firm and undeniable manner, that we have our heads where the sun never shines, because everyone ends up like that once in a while. It doesn't have to involve profanity, name-calling, or anything like that. If that's never happened to you at least once or twice, then either you're living a very boring, colorless life, or the people around you don't care about you as much as you might think.

[@nocoffeebadday695]

@@JohnnyWishbone85 BASED

[@Manhandle730]

@@nocoffeebadday695 and brought down a peg pilled.

[@delvinmallory3427]

@@JohnnyWishbone85 "It doesn't have to involve profanity or name-calling" - huh? Are we not talking about discipline here? If you've got a kid being a dumbass they need a reality check lol. No better teacher than hurt feelings. Don't like it, too bad - the real world is harsh. No wonder kids now are so damn dumb and entitled, modern parents are soft as hell

[@Born2Losenot2win]

Bill is the Jack of all trades but master of none. Specialists always criticize him, but they all love working with him. Specially with his good personality.

[@DGlaucomflecken]

Need a little more Bill action

[@Born2Losenot2win]

@@DGlaucomflecken can’t wait!

[@Born2Losenot2win]

@UC9glOFFU2pOgIYBZDgs3SJg I think Jonathan and Bill will get along quite nicely, Because they’re exactly the opposite. Jonathan excels in getting work done, while Bill is always confused and clumsy. Meanwhile Jonathan doesn’t get appreciated a lot (more like considered as a tool rather than a human) and I think Bill would be the perfect person to show him appreciation after Jonathan helps him once. It would be so wholesome to see.

[@customerreview9853]

Isn't that internal medicine in general? LOL

[@suzybabyyeah]

@@cheshire9014 If Johnathan went into medicine, what career track would he choose. If he were a nurse then I am going with cardiology, he would be labelling all those lines like a fiend

[@catherineh2252]

Echo tech here who just heard a cardiologist say “you can live without kidneys, you can’t live without a heart” lol

[@CassWhoTV]

In what world 🙄🤦

[@Monika-mb6jh]

Hellooo it’s called ECMO

[@M11TS]

Of course, it's no fun though.

[@mackenzy.mp4]

@@Monika-mb6jh it’s spell check

[@emilysenior7402]

Omg, fellow echo tech here who absolutely has heard that exact sentence come out of a cardiologist's mouth!

[@lisalulu1832]

I'm a dialysis nurse. Can confirm the accuracy of this. Especially when mentioning cardiology!

[@hood3243]

My mom is on dialysis and had a heart valve put in lasy year, her doctors argued but nephrology always won!

[@prapanthebachelorette6803]

Lol

[@ms.annthropic6341]

Why the animosity?? Do a lot of the treatments in those two fields conflict or something?

[@jackwhitbread4583]

​@@ms.annthropic6341because cardiology doctors always think they know best, vey egotistical

[@RKNancy]

At least Nephro didn't chew him like neuro. He can actually respect people.

[@ninjason57]

Truth

[@cececox6399]

Haha that's why my neurologist got ran off his bike. For being an asshole.

[@anggitadevina7277]

@@cececox6399 noo my dad is neuro 😭🤣

[@cececox6399]

@@anggitadevina7277 you must be so proud , does his face look like Wolverine face fncked him...? You should hope he's not an asshole to his patients or you might get his pay back. It's amazing how easily you can find EVERY doctors home address in barely two minutes. Because they've ALL screwed someone over. Also you do know that your dad's likely a psychopath. There's a reason why medical negligence is a top killer. That's why medicine is top choice for the literal psychopaths. They kill more people than they'll ever "cure." And heaven help them and their family's when people find out what they've done during the Carlsberg Cough. 😷 People gonna be hanging them as street decorations. Enjoy. 😘

[@DeathnoteBB]

I understand Neuro better than Nephro

[@lka17chiro95]

“The sound of every loop of Henle screaming” was pure medical comedic gold 😂

[@anwarhussin907]

"Just how many days I have left in residency" sooooo true 4 months and 11 days then I will be done :) :) :)

[@farisa1116]

Congrats brother you'll make it soon

[@mikegeo5407]

Congratulations Doc! Finish strong

[@edgardomarineros7951]

Congrats!

[@Luke-we9gj]

You got this, Doc!

[@kaseykapow8995]

So close! Congratulations!

[@noeliaortiz2974]

🤣 I just heard my nephrologist complaining one more time about how cardiologists think they know it all. I want to show him this video! He's going to love it! 😂

[@miramyth2971]

👀 What was his reaction?

[@miguelotieno3573]

So how did he react and hear on 2024

[@jayneb6053]

😂I need to know the answer

[@kathleensmith8365]

YES, my Brother!! Do that med review! Poor innocent kidneys. Quietly working away in the dark, diminishing returns unappreciated until the 11th hour. Little heroes.

[@nancylindsay4255]

Stage 3b CKD here; still waiting for doc to agree I should see a nephrologist. They just don't seem to want to bother until very late. What's up with that?

[@benisted1614]

@@nancylindsay4255 If your doctor hasn't already done so and you have stage 3 CKD, get a new doctor, tomorrow.

[@nancylindsay4255]

@@benisted1614 Thanks for that, Ben. Seeing my PCP this week, and she'll get an earful about my precious kidneys.

[@critterwatcher8009]

I remember that time of residency. The end seems too far away to start the countdown, but you can ALMOST see the light at the end and believe it's not an oncoming train.

[@noneofyourdamnbusinessstill]

What comes after residency???

[@critterwatcher8009]

@@noneofyourdamnbusinessstill Being a "partner track" attending for several more years. As low man on the totem pole feeling you can't say no to extra shifts etc thus demonstrating that you're a "team player" worthy of becoming a partner.

[@noneofyourdamnbusinessstill]

@@critterwatcher8009 ah okay thanks.

[@TheEmmakathryn]

I'm worried about Bill... WHEN IS BILL SEEING THE PSYCHIATRIST?!

[@mikegeo5407]

Dude!! That’s a must!!!

[@BankruptMonkey]

When he's finished with residency he'll have a little time for basic life functions, he might sub out sleep time for therapy

[@eagelswift]

I think I heard/saw a skit where they mentioned that doctors in the US, if they have ever sought help for their mental health, they are no longer allowed to become a doctor. Someone fact check me please!

[@alyssa7867]

Who can also prescribe nephrotoxic medications.

[@downtostandup]

​@@eagelswift American with Disabilities Act helps to prevent Dr's from being discriminated against if they have mental health issues. But many States in USA question doctors as part of their license process. Will the Boards say they denied or removed an applicant or Dr for them seeking help for mental health no. BUT we all know they do anyways, just hush hush. Shame really

[@Bow02148]

Doc, you genuinely make my life better. I look forward to these short videos every day for a laugh. Thank you for being the highlight of my day

[@DGlaucomflecken]

That’s very nice thank you

[@dynamid4540]

Same and I know nothing of medicine

[@Katie-vy5rd]

@Murdercorn... Murdercorn.. lol!

[@eviethekiwi7178]

i’m an apprentice engineer, i understand nothing of this. and yet i love every single video.

[@MissJellybean]

As someone that has to see so different specialties these make me laugh so hard because they are so true. When I see one of my doctors and they show any of these traits I giggle. I’ve been sharing these with all the different medical staff that sees me. Thank you for making not just a patient laugh, but also every single one of my doctors, nurses, and techs laugh too.

[@evastickler3298]

Poor Bill. Caught between a salt rock and a heart place. :(

[@Sarah-oj7bh]

why doesn't this comment have more likes?

[@ablanccanvas]

@@Sarah-oj7bh| Right? 🤔

[@rebeccawambua3759]

As a pharmacist we got ur back on calculations and renal dosing. ☺️☺️☺️.

[@niharsrisrimaal963]

It's the sound of every loop of henle screaming lol

[@mariamargut7063]

The best part 💯

[@MeganGraceWhite]

Lol exactly. This had me chuckling

[@donnaleeah5075]

I'm non medical, but I know these tests and numbers. I have chronic kidney disease and congestion heart failure. The battle is real.

[@hakeemfemi3367]

keep fighting, you've got this

[@Gbbb239]

How old are you?

[@anonymousanonymously5941]

“It’s the sound of every Loop of Henle screaming because cardiology thinks they know better” 😂 Shots Fired!!

[@chselvatica]

Bill it's such a good character. Everytime I watch these videos I say "omg poor bb he needs a hug" 🤣

[@Rawhite007]

arch-nemesis of Salt Bro , Cardiology , the top 10 anime battle I am actually waiting to see play out in action

[@dana102083]

Id beg to differ. Salt..aldosterone.. Controlled by endocrine. Insulin my friend.

[@narre71]

@@dana102083 you're an endocrinologist arent you

[@TisOnlyAScratch]

A cardiologist actually prescribed a higher salt diet for my teenager. At different times every year, she experiences a high resting heart rate/heart palpitations. Docs don't have an explanation except maybe stress (claims everything is fine and I try to keep home stress low), lack of exercise (is a couch potato after school), or diet (maintains a healthy diet and doesn't consume too much sugar (sugar and chocolate are the suspected culprits because it mostly happens after consuming sugar; caffine is also rare). We got her salt pills and have her take one a day since we don't keep it in the house (unless a recipe absolutely needs it).

[@SportyMabamba]

@@TisOnlyAScratch you realise that humans need _some_ salt in their diet, right? Every time you perspire you are losing Na+ ions. Even if someone doesn’t have an active lifestyle, the body perspires while we sleep to thermo-regulate.

[@TisOnlyAScratch]

@@SportyMabamba Yes...I agree but all my early life I've been taught, "Don't put salt on your food. It's already been added during the cooking process and you don't need more than that." That and seeing heart doctor here telling kidney doctor not to eat salt like he does and kidney telling heart doc it's necessary, I'm just surprised to hear a heart doc perscribe salt. It's only recently that we started having salt in the house but I never cook with it the rare times I do cook (we eat out alot or eat pre-packaged foods - I'm just now having more time to learn to cook but I can only make and expiriment with mashed potatoes and Baby Purees. As I gain more confidence in cooking, I'll add a little more to my skillset.) I prefer the natural flavors of my food without salt. I consume enough with any flavored drinks and prepared foods anyway.

[@jasoncornish2904]

I literally lol'd at the "sound of the loop of Henley screaming" bit. Gonna have to steal that one next time I get a doc trying to combine ACE/ARB, loop diuretic, and NSAID.

[@vtec369]

It's fantastic to hear all our anatomy and physiology terms put to such comedic relief! Love it

[@ilovegod0106]

“But cardiology said” 🤣😂

[@heartnurse0900]

Oops! That was his first mistake... never mention the "C" word to a nephrologist... 😃😃

[@Djegosandra]

The Henle's loop really got me. Much love goes out form me to every single one of them.

[@Pokarot]

0:15 "All I need is you to waste the critically understaffed lab's time with useless tests in order for me to pretend that you don't know that vanco has a negative effect on the kidneys while I try to pretend that it's more important than the patient not dying of septicemia." Gotcha.

[@semantik95]

Ouch. Well played.

[@carloreneeventura8714]

Found the Cardio doctor hahaha

[@semantik95]

@@carloreneeventura8714 Nah, he's worried about septicemia. Would peg internal med or ER.

[@msvulcanlogic]

As an understaffed lab tech, can we please have the floor draw your vanco troughs… at the right time… please? Because my phlebs are running in circles and they don’t know what time that last dose was given or the next dose is due, and if I have to get the 12 phone calls from pharmacy while trying to troubleshoot the chemistry analyzer, stopping every 90 seconds to clean the osmo and put in the next sample, run back to the slide stainer to get that STAT manual diff done, running a STAT Sed rate (don’t even get me started) and then call the critical high vanco trough only to have the nurse say she just gave the dose even when the result wasn’t in yet… 🤬

[@meytallara]

The soft voice that he uses to portray insecurity, the slightly open mouth at all times and the absolutely brilliant way to use his vocabulary for jokes, is exactly the right type of mix that makes me feel incredibly empathetic for all hospital doctors.

[@FacundoMD]

You are the best ! Always ! ER doc here :) ! Huge fan !!!!!!

[@kimlan2373]

We need a tv show with him representing each organ in the human body and how it tries to remain in homeostasis

[@stagehits]

"Just how many days I have left in residency" damn, that hit home.

[@Sultamicillyn]

Can we spend a minute in appreciation over how Nephro took that sass completely in stride without flipping on Bill?

[@luciar.e.203]

I dont know anything about medicine. I only know that I love the expressiveness on your eyes mister.

[@Pathologymadesimple]

I love nephrology! By far the most interesting physiology😻

[@lkhvw2042]

...the sound of every loop of Henle screaming... Holy shit 😂😂

[@theNeonFX]

I don’t understand the words but feel the emotion.

[@ryanlee8362]

I have one more year of ortho residency left, and I am counting everyday.

[@zahraakadhem9913]

Stay strong! You'll reach the light at the end of the colon eventually

[@elena0123]

Your shorts are always entertaining and make my day. Looking forward to an interaction between cardiology and nephrology

[@n3rdv10l3nc3]

"Have they seen a non-nephrololgist in the past twenty years? Then they're taking a nephrotoxic medication." I felt this in my slightly sore kidneys.

[@UKpowerunleashed]

After nausea and vomiting, nephrotoxicity is the next best choice to the question- what are the side effects of xyz medication?

[@crystalgeek78]

As the parent of a child with one kidney, EVERYTHING is nephrotoxic. But I'm triply sorry that the best cure for periods cramps is nephrotoxic.

[@DD-fh6gy]

@@crystalgeek78 and what is that?

[@JackLChen]

@@DD-fh6gy I presume its Naproxen?

[@StAmander]

I almost cried and laughed at the same time. I took care of a dialysis patient for awhile, the amount of times her nephrologist had to admonish other doctors and what not… but also her nephrologist liked me because I ask questions, was pretty good about the med list. I loved her nephrologist, such a kind and patient doctor with patients but will jump on providers… there were times before we made her, her pcp that she went ahead and ordered stuff she clearly needed but her pcp at the time didn’t want to.

[@sally8708]

The rivalry between nephrology and cardiology always makes me laugh!!

[@WashWashRevoluti0n]

Dr G can you do more cardio vs nephro? My favourite feud in the hospital!

[@harukostigger-miller3592]

I'm so happy that you doctors have it all together BEFORE you touch a patient or that you're helping the NEW doctors pull it together! I'm listening and watching; it's scary at the same time! 😄😄😄😄 😁😁😁😁

[@remijager2]

This upload time is for the nocturnal creatures of the glauc flock. And I guess all the dermatologists trying to avoid the sun.

[@saulogomez673]

Radiologist crew online!

[@andreastroud5561]

@@saulogomez673 night shift on break!

[@elishaargo3707]

Love your videos! They always make me laugh I'm part of a family of doctors and nurses and we all love ur vids ❤️

[@Hong_Kong_Ghosts]

He plays the "defeated med student" so well. 🤣

[@roxette24]

Honestly, your skits are the best medical skits. Every. Single. Time.

[@eschwarz1003]

"every Loop of Henle screaming" remembering class now

[@brianharder7714]

The way you crystallize every medical specialty stereotype is absolutely brilliant. These never get old.

[@Flow-no4kq]

Nephrotoxic medications=" has the patient seen any non -nephrology doctors in the last 20 years?"lmao

[@c.j.4014]

I love that I've watched enough of these videos by now to audibly gasp as soon as Bill mentioned the cardiologist 🤣

[@felipesobral3341]

I'm an electrical engineer. I love you content. :) (Sending your channel to my little brother that's waiting the results to see if he'll start med college this year. :P) [From Brazil! :)]

[@neadedios3106]

My dad’s a nephrologist and I showed him your channel, he likes your videos a lot😌

[@danburrito3343]

As soon as he said Cardiology, you already knew Nephro was about to pop off

[@MSG1402]

This is so real, the best advice I ever got was prep for every consult like you're talking ro nephrology and you'll be fine. Those nephrologists are on another level of pinickity.

[@thomasbeeker8145]

This is why my nephrologist is my GP. And that’s the way he wants it. 😂

[@wesleyhurd3574]

That's the way your kidneys want it too.

[@sarogers6294]

My science professor was THE Henley that the loops are named after, he discovered them in his 20's, I was in his last year of teaching before his retirement, worked well into his 70's, very cool man

[@amilyaaa9425]

“Have they seen non nephrology doctor in the past 20 years ” then they are taking nephrotoxic meds 🤣🤣🤣🤣

[@lisaellis4525]

Primary care np here. This was the best, and so true!

[@LuisXGP]

As a lawyer, I love this skits

[@amir.k8085]

This was a nice study refresher! Currently learning the GI tract. Nephro- liver , creatinine- muscle breakdown

[@oladiedoo50]

He used 'osmolality' without embarrassing himself.

[@lydialockwood8858]

You are one of the best KZbinrs out there. You make medicine hilarious and I don’t even work in medicine.

[@ilvcf]

Nephrologists are the smartest doctors in the hospital, but they don’t get enough credit

[@prapanthebachelorette6803]

I agree. They are like a safety net for the team in collaboration with pharmacist 😊

[@claire7004]

Finally one I understand 😌 I used to have to check our patients due for CTs for eGFRs and soooo many doctors just put them forward for contract CTs before making sure they would be okay 🥴

[@RendyToule]

His expressions, voices, all make this relatable though I'm not in any medical field 😅

[@scottnufer3632]

That last line was beautiful! I laughed hard that I had to explain it to my wife. I'm a DPT. Thank you college anatomy for making this joke possible

[@pleopod]

Bill’s 1000 yard stare is heart breaking. The things he’s seen.

[@mimzy2017]

Sooooooo great!!! Keep these coming......they make my day!! OMG you are HILARIOUS!!!!

[@henrykwan123]

One day Bill will have a good day D: I'm rootin' for ya!

[@disgaealikerasapOG]

I love these skits even though I don't know anything about medical school. It's like a window into a profession

[@wisdomasculture3173]

he just dissed cardiology and Big Pharma at the same time lol

[@faicotone]

this is so scarily accurate. First thing my nephrologist consultant asks whenever I call him for a consult is the urinalysis. If you don't have that nothing else you say matters.

[@123482625]

"do what you need to do, there is no point from healthy kidneys in dead man" little zen-nephrology wisdom

[@dxrbkn5145]

I know nothing about medicine but its fun learning something from your videos :)

[@bunnyrabbit778]

nephrology: d/c lasix cardiology: start lasix Those were the days

[@gregheyheyhey]

They're still the days a lot of places...

[@zajdabneeg]

Its a everyday thing. Cardiologist, see HF, fluid overload, save heart mode start Lasix to remove fluid. Nephrology...but the kidney. Tries to save kidney so Dc lasix. 💁‍♂️

[@mystearicanohr9521]

This is my cat. 😅 Kidney failure and congestive heart failure. I balance giving her Lasix for the CHF and fluids for the kidney failure. But I’m just a lay person winging this at home, not a doc/vet.

[@mikebarushok5361]

I've been that patient. CHF and PKD. Both with the furosemide and the carvedilol. It took about 2-1/2 years to get everything stable.

[@lizmullaney305]

Cardiology, pulmonology and nephrology all fighting about which orders the patient should follow through the patient, but not ever talking to each other. Poor patients get tossed back and forth like a pinball. I love the humor you pull out of the absurdity.

[@kirstiecampbell3176]

When I have nothing to do with medicine and enjoy both this and Dr Schmidt

[@ew5301]

“Have they seen any non nephrologist in the last 20 years?” “Then they’re taking nephrotoxic medications” 😂😂😂 story of my life.

[@brucedavidson9499]

I understood the last 3 of those which fills me with pride.

[@arjunkoshy777]

I'm a huge huge fan of yours Plss do " how to ace your cardiology interview ? "

[@Tartar]

Just go up to them and say: "I've been learning to echo since before I started med-school, I've been published in 7 scientific journals including JAMA, and I will ABSOLUTELY treat the heart at the detriment of every other organ in the body" Then they'll be lining up to hire you ;)

[@arjunkoshy777]

@@Tartar 😂😂😂 wow I think that'll do just fine . Thanks 😄👍👍

[@magnolia8626]

Nephro is such a complex field! Props to all nephrologists.

[@Tyranzor64]

No salt this time?

[@chocolatereigns]

This just brings me back to the days before my daughter's heart repair when we saw so many specialists every month that I couldn't remember what day it was without looking at my phone... The specialists wouldn't talk to each other and it was so exhausting 😅

[@zineguri8515]

your videos are really the most accurate representation of med. Im doing my rotations and lowkey this stuff is very real lol

[@domenicdefusco6328]

Working in card and this made my night.

[@baroquebaby1]

This is sooooo accurate. His characterisations and impersonations of each specialty are spot on. As an ID doc I can vouch for all of them including Bill😂 I was that poor guy!

[@sunsetofnemesis]

Man, i loved this one!!!! So Many memories 😂

[@heatherthedutch-american1481]

I'm in physiology and I'm so excited that I actually know some of what he is talking about. Yay the renal unit 😂

[@annb1265]

I have a four yr degree in Medical Technology and I give an electrolytes lecture. I had never heard of a FENa. Looked it up. Neat! 🤓

[@kyhair8473]

I have no background in medicine but I just love your videos. I feel like I get it ,without all the debt. I mean socially not medically.

[@mimilapin]

The tired slow blink at the end was so funny 😂😂

[@vt-yp7yq]

This was priceless. I wish I could make this my ringtone without pushback 🤣.

[@hannazaf]

Hilarious! I have been present in so many conversations as the ones you enact 😅 you have the different consults down pat..

[@janwest5627]

loved 'every loop of Henle' !!

[@jessicaroseelizabethp.7911]

😆😂😆 "every loop of henle screaming" luv it!

[@Nefariously_ignorant]

I'm a renal patient and this is what I see from my side of the consultation all the time

[@PrincessHVHHDSSS]

The loop of Henley At last... my favourite loop. 🕊🌿🍀🌲🌴🦚🍃🐢🌾🧵🧶🪡🌳🌱 Princess Holly 🕊🌿🍀🌲🌴🌳🌾

[@sallymoen7932]

I don't even know what a loop of Henle is, but I'm still cracking up!

[@essdubya5119]

That bit about "every loop of Henle screaming" had me howling in laughter.