Instructions clear: Don't give internal medicine doctors any options
@vektracaslermd74315 күн бұрын
It may be reasonable to consider reducing the number of options internal medicine is exposed to.
@frederickheard202215 күн бұрын
Emergency Medicine just had two caffeinated protein bars while dictating notes on three cases.
@sammiller663115 күн бұрын
@@frederickheard2022 caffeinated protein bars? I thought Emergency Medicine was more of a Soylent drinker for lunch.
@jonathanbelfire15 күн бұрын
Now that's an interesting idea. We may want to run a controlled study to determine the efficacy of this approach vs an approach where internal medicine does rounds on all the nearby food locations.
@YRO.15 күн бұрын
@@jonathanbelfireI reckon we'd conclude that one approach significantly reduces the period preceeding the instant in which the food is ordered. Can't say which for sure. We need to put them to trial.
@tuckerprice966316 күн бұрын
As an IM intern, “that’s not unreasonable” is just becoming a reflex response to everything.
@emrebozlak251016 күн бұрын
Most likely a reflex response
@masterofdesaster815 күн бұрын
Secondary to post-graduate medical education?
@talithasuya890815 күн бұрын
@@masterofdesaster8 LOL
@roberthunter505915 күн бұрын
But what about when it IS unreasonable?
@newengland812615 күн бұрын
Not unexpected.
@uuytk16 күн бұрын
I'm sure Texaco Mike has all the food they may need, tacos, Thai, Italian, you name it
@HisameArtwork16 күн бұрын
and with what ever meat they could possibly imagine.
@KK-ef1ow16 күн бұрын
He has Thai Italian Tacos
@dr.floridamanphd16 күн бұрын
But he’s 150 miles away from the Glaucomflecken General so not really an option.
@peternicol343916 күн бұрын
@@dr.floridamanphd With his Swamp Boat he can deliver anywhere
@NoIngNames16 күн бұрын
It's only reasonable to use his MRI/Cat scanner's heat exhaust as a cooking device
@Blackwoodcwc15 күн бұрын
The randomized controlled trial is actually the best suggestion there. Because it declares that you are going to try all of those options over multiple days thus deciding multiple weeks worth of lunch all at the same time.
@mustang820615 күн бұрын
Smart man
@pillinjer15 күн бұрын
Sadly for it to be a true control, you need an unbiased sample. So another department tests all the food. Now which department to choose as a sample is an interesting problem…
@tankerkiller12515 күн бұрын
@@pillinjer All of them, screw the hospital shareholders, they can pay for lunch for everyone over the course of a few weeks for a bit.
@BrunoHenrique-bg8kj15 күн бұрын
@@pillinjer The only rule for the control group: They can't admit in the IM department or loses food privileges
@johnyarbrough50215 күн бұрын
Pretty sure there should be a multiple regression analysis of the trial results before we make any decision. Better not to be too hasty.
@andrecarpenter243215 күн бұрын
“I don’t eat” “Im buying” “I love food” felt that one
@waffles362915 күн бұрын
Same lol 😂
@TansyBlue8 күн бұрын
Yeah that one made me sad ;-;
@chrisschanno757215 күн бұрын
Insurance company response: Your preauthorization for Thai food has been declined. Our "best practices" protocols indicate that the covered Vending Machine sandwiches are sufficient meeting the caloric needs of individual.
@BrunoHenrique-bg8kj15 күн бұрын
Hey Doc, the Insurance company needs a better report for the food order....
@Jason-ix1yn15 күн бұрын
Sorry, they only cover generic soda.
@ferisera15 күн бұрын
Whoa whoa whoa-sandwiches? When those peanut butter crackers are available, and will offer just as much nutritional value, and more protein?!
@kkirsch358315 күн бұрын
@@Jason-ix1ynthat would be tap water!
@SabrinaPhynn15 күн бұрын
Shakes fist- UNITED!!
@pablorosada978815 күн бұрын
Ortho comes from around the corner: "Med bros! I brought a bunch of food from that new Thai place! Here, have some!............ So I have this patient-"
@SabrinaPhynn15 күн бұрын
Ortho would probably get his admissions all taken care of that way- and consider it a good investment. 😉
@robertr9119 күн бұрын
Ortho makes 5x the salary of IM so prob would "buy" consults like this every day!
@jennymckenzie530415 күн бұрын
I wonder how IM proposed to Mrs IM. "I would say it is not unreasonable to consider marriage." "I agree, it would not be completely unreasonable to consider matrimony." "A gentle proposal. As tolerated." "It would not be unreasonable to consider this proposal as a potential life path." 2 hour conversation on one knee with a ring.
@dragons776415 күн бұрын
😆🤣😂😄
@talithasuya890815 күн бұрын
😄
@taliag0915 күн бұрын
As tolerated lmao
@belacickekl757915 күн бұрын
And then it takes them 8 years to weigh all the possible alternatives for wedding planning! 😂
@BrunoHenrique-bg8kj15 күн бұрын
Dont start the proposal without the outpatient care plan and knowing previous diseases
@yochva16 күн бұрын
_OMG IT'S EXECUTIVE DYSFUNCTION IN ACTION._ The neurodivergent resonance is strong with this one.
@T3hXinro16 күн бұрын
Eventually it's been 16 hours, all of the restaurants are closed, and they wind up eating the sandwich they left in the breakroom yesterday, just like me.
@yochva15 күн бұрын
@@T3hXinro You can see Green Scrubs already did that. **lolsob**
@MsVilecat15 күн бұрын
I feel so called out
@JDrapic15 күн бұрын
My family eventually went with an elimination method. Is there anything someone doesn't want? And then start narrowing down from the remaining options. It's sometimes easier to nix things that we don't want instead of trying to figure out what we do lol
@taliag0915 күн бұрын
And I end up just being the med student
@PWLfr15 күн бұрын
The med student "not really eating" until the attending buys it
@dragons776415 күн бұрын
Attending: "You sure? I'm buyin-" Med Student: "OK!! ... I - I love food!!" 🤣😆
@raphaellavictoria015 күн бұрын
When I was doing the IM rotation in med school, I learned to eat so fast that it remains a problem to this day. I have to carefully pace myself if I eat with others. 15 years later 😅
@anonymoosewastaken16 күн бұрын
and thus the cycle begins anew. godspeed, phil.
@tractorlawnmower16 күн бұрын
Ah yes, someone else is buying, the great hunger maler
@icecreamheadache16 күн бұрын
In the background: the intern paralyzed by considering all the possible consequences of eating the food she's eaten a thousand times before
@JvA_MM_191016 күн бұрын
The doctor learned his lesson and packed a lunch 😂
@AstralFireIX15 күн бұрын
This channel has taught me that if I ever go to med school, there is a not-insignificant chance that I would plausibly make a reasonable candidate to go into Internal Medicine or a related field.
@cristiangdc61815 күн бұрын
Internal medicine is just superior to other specialties in every single way. We’ll love to see you here. Most likely. I’d not refute so easily.
@BrunoHenrique-bg8kj15 күн бұрын
Say with me "the clinic is sovereign"
@Liriq15 күн бұрын
as tolerated
@oceanfox095316 күн бұрын
Ah yes the turkey sandwich that got Bill comes back again
@frederickheard202215 күн бұрын
“Most likely secondary to caloric deficit” 😂😂😂
@KayPrescesky15 күн бұрын
I cracked up laughing because that sounds like me when I haven't eaten in two days or have the munchies because my med finally kicked in and I want to eat half my kitchen, pantry shelves included. lol
@Andra572916 күн бұрын
By the time the decision is made, it will be time for dinner😂. Love these videos!
@SBRS4715 күн бұрын
Fortunately, it's not unreasonable to consider that decision as an option for dinner! However, it must be considered against all other reasonable alternatives.
@suzibaileystone240215 күн бұрын
Durga, an Indian goddess has 8-10 arms…she must be the goddess of Internal Medicine….”on one hand….on the other hand…..on the other hand….”
@Marewig15 күн бұрын
"...on the third hand....on the fourth hand....on the fifth hand...."
@Sap3r3Aud315 күн бұрын
Meanwhile, me and the other surgical resident on call: - I’m hungry! - Sushi? - Sushi.
@Woodshadow15 күн бұрын
Bill would never talk back like that. Way to go Phil
@Peppysgirl15 күн бұрын
Apparently I missed my calling as an internal medicine doctor because this is me trying to decide lunch for myself
@anthonyhamline103015 күн бұрын
I retired from engineering as a mechanical designer. If you ever asked a couple (or three) different engineers for advanced calculations for a given problem their answers would be all over the place. Their butt covering when asked about the differences in answers was always "I had to make some assumptions".
@jamesmatthews29115 күн бұрын
And if you ask a physicist, their covering phrase, hidden away somewhere, is "...modelled as spherical [whatever] in a vacuum..."
@dylutant15 күн бұрын
@@jamesmatthews291 I mean, as a physicist, that's because people usually ask either the simplest case or have no idea of the difficulties in a real-world scenario. Finding the trajectory of a metal ball (approximated as point mass) thrown by a person (force/energy given on the point mass small enough to render air drag as unnecessary complication) is a kinematics problem that barely needs trig. Finding a trajectory of a realistic bullet in air (drag proportional to velocity squared, momentum of rotating bullet) with wind from the side (force over bullet's side silhouette expressed as pressure)... that's college-level mechanics problem involving a differential equation that will almost certainly invoke special functions. But to people who don't do STEM, it's often "basically the same question."
@jerryc305016 күн бұрын
lolol, this was me ordering lunch with my professors during grad school!🤣Great job, Dr. Glaucomflecken. Sent me down memory lane. 👍
@rlee02416 күн бұрын
don't forget the ethics approval!
@frankwest538816 күн бұрын
The ethics committee has declined the request to order pizza, due to time related concerns
@ferretyluv15 күн бұрын
And IRB!
@captainsavem15 күн бұрын
Med student: hey im good with anything, bbq, tacos, Thai food **hunger intensifies**
@hiltonian_126016 күн бұрын
But Thai and Tacos both start with T! How are we going to assign letters to the variables? We’ll have to establish a variable assignment committee.
@maurmi16 күн бұрын
Yes, that too with 5 different arms!
@cdub4215 күн бұрын
Thai gets theta, tacos gets tau. Time to eat. Sincerely, Neurosurgery
@SuzReag15 күн бұрын
The doctors I know, let's get a nurse to order for us
@infin1ty85016 күн бұрын
I have no experience with the work dynamics of the medical industry, but I definitely had this exact same exchange when I was a data warehouse developer and the boss would suggest a team lunch.
@thewhitewolf5815 күн бұрын
My mother does this. She proposes what we should get and after we agree she works her ass off to argue that we do not like it and should get something else. Then tells us that she does not like "being shut up" when we tell her just to take her win. Worrying can really wear a family down especially when it is worrying for the sake of worrying.
@I1like1wood1ash12 күн бұрын
Saying this as someone who can be like that: she sounds incredibly high strung, wow. I hope she finds an avenue to improve her anxiety.
@wolfs668616 күн бұрын
I just don't make any decisions for which there are no RCTs as a basis
@sunirmaladak88913 күн бұрын
This reminds me of what my senior said: " In internal medicine,there are no wrong answers."
@MJ-9815 күн бұрын
The med student dialogue is so accurate it's dangerous. Don't give us away Dr. G! "Most likely secondary to caloric deficit"
@Fizzgigzig15 күн бұрын
The junior docs just need to stand near the nurses looking forlorn and hungry.
@privacyvalued413415 күн бұрын
Why not just let Jonathon decide for everyone for a whole month and have him send a group poll right before ordering to determine how many people want lunch that day? People can suggest options but he is Jonathon and knows what is best for them.
@PhrontDoor15 күн бұрын
Reminded me (strongly) of Doug Adams HHG with "we are philosophers, though we MAY not be"...
@toldt15 күн бұрын
I heard they finally decided on Thai, but by then the restaurant was closed.
@shansbo21714 күн бұрын
The way he just started eating his sandwich 🥪 is priceless. 😂
@PrimitiveFuturologist_YTC12 күн бұрын
… I always knew you were Impressive Dr. G. I… damn. I never knew how much. All of y’all need to fall down the rabbit hole I did and learn about this man’s life, attitude, how much he’s given. Thank you, sir. WF FTW
@MrDoenyon15 күн бұрын
At this point I think if IM were to be asked to choose between two options at gunpoint, they'd still argue about it.
@NexusGamingRadical16 күн бұрын
I love how through your previous videos. I totally get this now.
@krystlehsu13315 күн бұрын
Planning and Ordering lunch was the highlight of my morning rounds. The best is when the secretary called the attending that there’s catered drug rep lunch today and the attending speeding up rounds.
@MatchaCocoaDog11 күн бұрын
"We all have hunger, most likely secondary to caloric deficit!" 🤣🤣🤣🤣🤣🤣🤣
@justavideodiary11 күн бұрын
I work at a university and this is essentially all our meetings
@kevinmurphy550616 күн бұрын
Thanks Doc. It was needed at a time like this.
@Dino1434515 күн бұрын
I work with engineers. We have a lunch spreadsheet. You can either get what you got last time or edit the sheet. Restaurant is picked by whoever is presenting that day
@janharris867215 күн бұрын
As an engineer, I approve this method.
@savvaspapadopoulos721415 күн бұрын
As a surgeon, one of my favorite pastimes is to needle my fellow IM friends, but sadly I must admit that this is not a phenomenon exclusive to them. That's also what happens when you ask your friends at a gathering "what should we order?" More options, more indecision, because nobody wants to impose but nobody is totally happy with the other's choice. Twenty minutes later, no order has been placed and everybody is hungry and grumpy. Voting on 2-3 specific options is usually the best tactic.
@paullambert584316 күн бұрын
The sandwich is a metaphor for [insert medical practice you don't like]
@ferretyluv15 күн бұрын
Phil is a hospitalist.
@Insaneman2215 күн бұрын
Then they spent the next 12 hours discussing all food options.
@ruankane47553 күн бұрын
"most likely secondary to caloric deficit" got me good lol
@keith_558415 күн бұрын
You cant just jump to Lupus, I mean BBQ.
@timothyburrows962215 күн бұрын
While Phil is the new medicine whipping boy I hope that Bill comes back in August for fellowship.
@RiotRabit14 күн бұрын
The difference between intelligence and 'smart'. Internal medicine: intelligent. Guy at the end who had a sandwich on-hand: smart.
@sweaner899413 күн бұрын
I was expecting Phil to pull out a can of diet Shasta like a real resident would
@absolutetuber15 күн бұрын
people often wonder how i can just go all day without bothering to eat. "are you hungry?" they ask. "are you on a diet?" they ask. I tell them, "no, residency just permanently numbed me to hunger" I can go all morning and afternoon without even realizing i haven't stopped to eat.
@laurensplompen15 күн бұрын
The way the guy in charge IMMEDIATELY answers a sentence that contains the turn of phrase "I don't disagree it may be possible" with "continue" is such a good indicator of how their communication is in sync. It would take a regular person at least a beat to parse that.
@KerryLuckett12 күн бұрын
Yep, I’m chomping on my packed lunch while everyone else “figures it out.”
@bjgould8315 күн бұрын
As a doc w 34 yrs experience, your videos are very relatable, irreverent and hilarious. Keep up the great work!
@wordsfindme14 күн бұрын
The most unrealistic part is the attending saying "I'll buy".
@jimpartridge963415 күн бұрын
My PB&J titer is dangerously high from residency
@osmosisjones100116 күн бұрын
I feel personally attacked 😂😂😂😂😂
@T12345678815 күн бұрын
As a transfusion medicine doc, i literally jumped a little every time you said TACO.
@WrenStanchen15 күн бұрын
😂😂😂😂😂😂 "Hunger secondary to" got me.
@dineshveliath16 күн бұрын
for ortho its clear : either vodka or brandy
@spectroxis641812 күн бұрын
I feel personally attacked by this video; it hits too close to home 🤣🤣🤣
@SuiLagadema15 күн бұрын
Somebody should do a documentary on internal medicine. Sadly they'll debate for 7 years before coming with a suggestion.
@Tanpossible15 күн бұрын
Did a WR with a GIM consultant. After ruling out potential causes, and careful consideration of so many drugs, he decided to monitor the patient!!
@mfd199315 күн бұрын
The interns and residents rom Glaucomverse could definitely benefit from seeing CGPGrey videos of voting, notably the "Quick and Easy Voting for Normal People".
@ballisticus115 күн бұрын
If Texaco Mike doesn't have chicken on a stick, I will be very disappointed
@WasabiSniffer15 күн бұрын
lol oh Phil, he's only just begun his descent into madness
@flockofone921414 күн бұрын
At our hospital, Ortho always wanted Korean (Pho), Peds always wanted Panera and IM would eat bagels at morning report then pray to have enough time to eat again in the next 24 hours.
@Ceibhfhionn9 күн бұрын
Of topic, but pho is Vietnamese.
@ItsJennNotJenny14 күн бұрын
This is just my daily internal dialog 😂. Too many options! 😅
@DavidEason-ui5ty12 күн бұрын
All I know was a patient who ended up in the hospital for 3 days because of a kidney stone thank for for you interal medicine docs you saved my life
@bigidea12110 күн бұрын
Is that Bill Bill? He upgraded from a raw potato to a sandwich. 😆
@pauldegregorio643212 күн бұрын
That internists could agree to leave a burning building would be shocking.
@5911Faraar14 күн бұрын
In IM, you never go wrong with RCTs! 😂😂
@annbreen191015 күн бұрын
God bless you all, able to bear hunger. I woulda been out the door & running to get ANY FOOD.😂.😅
@1AlexanderCole15 күн бұрын
This is how my internal dialogue is for every meal until I get so hungry I have cereal again.
@MAli-rw8ko15 күн бұрын
😆 yep that’s me when discussing with my family what to order for dinner 🥹
@Paul-mx8sf12 күн бұрын
Aaaannd that is why I found a Internal Medicine internship that didn't do teaching (dick around, learn nothing, do nothing) rounds. Spot on as always!
@robt51015 күн бұрын
Another potential alternative… Texaco Mike’s 2 star Michelin restaurant / gas station! Just walk by the MRI that he’s got in the back and write it off as a business lunch. 🤓🤣
@Ceibhfhionn9 күн бұрын
The excess heat of the CT-MRI machine makes its top a great griddle unless I've gotten my lore mixed up and he's already figured out a way to harness the thermal energy.
@jacobleven92414 күн бұрын
So true. Attending buying lunch = 3:30 PM lunch.
@ebubechiibegbula596815 күн бұрын
And that ladies and gentle men is internal medicine...
@perryh.-r.44198 күн бұрын
If i had become a doctor i think i would have gotten along well with internal medicine
@Marmalard15 күн бұрын
Now you see why surgeons grumble about talking to medicine
@lancedicker85812 күн бұрын
I hate to admit it, but I definitely use some of those phrases in my notes. 😂
@clplusp876215 күн бұрын
That sounds so spot on😂! Coming from an IM background, I recognize how we can sometimes communicate with partial ambiguity.. 🤦🏻♂️did I just do it again?
@MeatBunFul14 күн бұрын
Ah yes the fulfilling breadbread
@Verity2true15 күн бұрын
Good to see Phil still has not become completely defeated yet
@CircleOLove15 күн бұрын
This leaves me speechless -- and hungry!
@bootsmade4walking15 күн бұрын
If we do the randomized control trial, does that mean all our meals can be funded 👀👀 *starts grant application *
@RiverkeeperEmberStar15 күн бұрын
Well PB&J it is! Or PB&J honey and banana with cinnamon cuz you're fancy! ❤❤❤😂
@kaushalsuvarna515615 күн бұрын
I knew exactly where this was going 😂
@notagiraffe822815 күн бұрын
Unsurprisingly, when i Johnathaned for Emergency, they never took this long deciding. Or any time really.
@Swanke14 күн бұрын
Phil is just over them LOL
@SabrinaPhynn15 күн бұрын
Meanwhile Phil the resident is gonna pass out from fluid and caloric deficits...
@user-vu8nd7bs6g6 күн бұрын
As a internal medicine doctor of south korea, i can understand this interesting lunch conference 100%.
@muzzammilsuleiman711815 күн бұрын
Okay I love how at this point, without labelling I know who the attending internist and his colleague is, the resident standing in for bill and the med/student or intern 😂😂😂