Med Student’s Last Day of Internal Medicine

[@liam_hurlburt]

kept expecting the med student to like, wake up abruptly and suddenly realize it was all a dream. This feels too good to be true!

[@thomaskilmer]

SAME!

[@CircleOLove]

Yup!

[@vickikelly3059]

I thought it was Jonathan as a med student 😂

[@amehaayidd4380]

ikr

[@rashidinusah1780]

Same, it’s mostly unlikely for med students to go a day without their intelligence and confidence undergoing a round of reflection

[@KuroiXHF]

It is with a non-zero probability that I love watching Dr. Glaucomflecken videos as tolerated.

[@Blaz-l9k]

It is not unreasonable to love watching those videos, gently watching, as tolerated of course.

[@TheBT]

My levels of enjoyment do appear to have a correlation to the watching of this video.

[@poro3246]

It is highly likely that this is good quality content, however, I think we should wait for a robust clinical trial to confirm this. Literature search only revealed some expert opinions in favour of recommending this channel. I think we need to extensively discuss this further before committing to enjoying it.

[@judew.5872]

​@@poro3246I've extensively discussed Dr. Glaucomflecken's videos with my Orthopedic Surgeon, an Ortho student, Family Medicine resident and General Practitioner. They're all in agreement that his videos are simultaneously more relaxing than any tranquilizer yet as invigorating as a stimulant. Is that extensive enough?

[@jessechristman1471]

Most likely

[@whoshotashleybabbitt4924]

“Bill. Chase him down” I feel you, Bill. I feel you.

[@kida4313]

While there is a non-zero probability that this has happened, I am still highly doubtful.

[@desidrogenase]

the neurologist's expression tells more than words 😂😂😂😂😂

[@olenickel6013]

He's gotten one too many consults for convulsive synkope.

[@Bajirkus]

"It's normal for people to go to their homes when they finish work." "You sure?" "Yeah, Jonathan told me the ophthalmologist said that. Admittedly he said it at 2:30 PM."

[@YeshuaKingMessiah]

Oh he decided to come in that day?

[@KyleRayner12]

I'm fairly certain that this is highly improbable, if only because of the discharge planning bit. The day a patient is discharged as planned without any last-minute changes from them, SW, Pharm, or a consulting department is the day my attending eats his stethoscope.

[@sammiller6631]

Would your attending like some salt for their stethoscope?

[@robz6306]

​@sammiller6631 Did the attending do time with Nephrology cause the answer is yes if so.

[@to.3245]

Umm, SW is the one finding the placement, not the provider. Any changes from them are patient, family, or insurance based (from and 20+ year medical MSW 😀).

[@zeldathomas3498]

Colorectal was happy for me to go home at 8am. Took until 5:30pm for cardiology to do their part of discharge (and drug changes)

[@alowry2002]

I was discharged on time post heart surgery in 2018. But I’m in Canada where hospital beds are in short supply so it is in the Dr best interest not to hold up the process.

[@rikksnow1070]

„Two hour discussion about changing BP medication before deciding to continue current management“ is just waay to accurate 😂

[@Mx.RumpusParable]

Geo-tagging the other doctors... LOVED it.

[@elizabethbrandon677]

Illegal.....but still funny for the skit. Tapping into the hospital's camera system to track them could also work.

[@beornthebear9023]

Based on the efficiency of the team this must have occurred in June right before the medical students move on, interns become second years, and the senior residents move on to fellowship and attending life

[@coolkaza]

Interns don't perform this well.

[@YeshuaKingMessiah]

Wouldn’t the “second years” become residents? Intern Res Sr Res

[@Jitterbuck]

*most likely* occurred in June

[@sunshinemerlot9790]

I'm not a doctor and I don't understand 90% of what is being said most the time but even I know that if you get the opportunity to go home early, you don't question it. You just go!!! Don't ask questions. Don't look back. Just go because if you hesitate, you are lost. They will capture you and you will not be able to get out of there for another 10 hours.

[@davidchappelle3212]

The only part that is missing is when they leave they have to come right back for some unforeseen emergency.

[@colincantlie1108]

But it looks like Internal Medicine doesn't want to go home, would rather be trapped at his work?

[@BigbyOShaunessy]

You're discounting the probability of someone performing a retributive geotag.

[@waterunderthebridge7950]

It’s partly the fear of having missed something vital that will endanger the patient and/or make you have to come back in or work even more to compensate

[@nepenthe281]

@@colincantlie1108 I was really waiting for him to suddenly realize he'd been there so long, he no longer knew where home was.

[@purplestareyes]

Hey Doc! Finally managed to get into med school this year after 2 years of fighting for it. Thanks for always reminding me how amazing medicine can be. Your sketches kept me going. This sketch was fun to watch as someone who still has a long way ahead, whereas this med student was finally done with internal medicine😂 Thanks for being here, Doc❤

[@supenskylesko]

As an RN with 52 years of being a nurse, may I give you some advice? NEVER allow the current medical system to discourage you!!! Never lose the belief that you can make a positive difference in your patients' lives. No matter how many of your colleagues are just "putting in their time" with their patients, always be the one who is willing to fight for what is right, and for what your patient needs. Since I'm also a Pastor, I think about the texts in Matthew 25 which talk about those who will go to Heaven on Judgement Day. These verses are quoting Christ, and say: “Then these righteous ones will reply, ‘Lord, when did we ever see you hungry and feed you? Or thirsty and give you something to drink? Or a stranger and show you hospitality? Or naked and give you clothing? When did we ever see you sick or in prison and visit you?’ And the King will say, ‘I tell you the truth, when you did it to one of the least of these my brothers and sisters, you were doing it to me.'" Amen!!! I'm praying for you to keep the positive, caring outlook which you have now, for the rest of your career. 🙏❤️🙂

[@SANGSful]

Best of luck.

[@masterimbecile]

Niiiiice dude! I struggled for years before getting in as well.

[@VidGamer123]

Godspeed, my dude! We need you!

[@Stweaner]

Congratulations future doctor!

[@dkmd9227]

Fortunately for ortho bro, the lead apron will most likely prevent the AirTag from working.

[@falconerd343]

That's Radiology

[@dr.floridamanphd]

@@falconerd343and the radiologist now works from home 😂

[@JustMe-12345]

@@falconerd343also ortho and visceral surgery. (And probably others as well)

[@purpleanarita]

I finished my Internal Medicine rotation a couple of months ago and nothing could have stopped me from going home that day. It was delightful.

[@danielsoto7734]

Making a med student’s last day series would be kinda genius

[@Liantx]

It was as if the med student was a Jonathan, he got everything done efficiently and within a timely manner

[@liadeindadani6913]

He's still evolving to end up in his final form as Jonathan

[@crazywierdgirl14]

He’s the next generation Jonathan

[@piyawatamornthatri4179]

So, this is Internal Medicine but good ending or may be it’s most likely the best ending that is possible to happen.

[@AmandaMcCarterWrites]

I was expecting Bill to come back with the Neurologist in tow, only to find everyone gone.

[@Nobutrash]

It's always a very particular kind of special seeing off a med student from a rotation, very well knowing they will be back in a couple of months/year, as a resident. There's a certain "you just know" about it when it comes to how they handle themselves during the last couple of days of the rotation that tells you they have found their special place.

[@sarahszss]

Yes.. I agree. I was a coordinator for the first year clinical students and I felt happy but sad seeing them leave. Happy cause they caused me great distress but sad because I had grown to like them lol

[@alatheiaproue4839]

As a Med student, it is a magical experience. The closest example I could get would be when Harry Potter finds his wand…you just…know. The only bummer is having to slog through your required clerkships to get back to that magic. But it only furthers your perspective that you’ve made the right choice 😊finding “your people” is *chefs kiss*

[@YeshuaKingMessiah]

Do many med students not pass the licensing exam?

[@alatheiaproue4839]

@@YeshuaKingMessiah what do you mean? There are multiple licensing exams we must take. Step 1, step 2, step 3, specialty specific licensing, etc. I would say the majority pass these on first go, but not always.

[@TheMegaross91]

People go... home? You sure? Got me

[@sophiemontanarisilva7491]

This is mostly likely a very nice surprise.

[@cphilips502]

I thought the med student was Jonathan for a while, there! Impressive stuff! The 'Poor Bill' plot arc continues nicely too. Happy New Year to you all!

[@Ushio01]

He seems happier or at least less panic stressed with Internal Medicine than with others.

[@lagomoof]

One day he'll get a mild case of laryngitis from some non-contagious malady, go into work anyway and since he can't interrogate patients properly, will be asked to make notes for someone. It's an ophthalmologist. The eye doctor asks if he's OK with the arrangement. The scribe smiles and nods.

[@WinstonSmith0824]

I can see why you'd think that. They do look similar... in a certain light.

[@msshellm8154]

Maybe one of his parents is a Jonathon?

[@WinstonSmith0824]

@@msshellm8154 I don't think Jonathans are born per se. I think they just sort of bud off a current Jonathan, asexually.

[@Joshua-b8m9x]

As a nurse on a surgical stepdown I love floating to medicine floors. Because we’re primarily under surgeons it can be kinda like the Wild West out here, especially on nights/weekends. Medicine doctors are so responsive, it’s great.

[@ada5851]

As a float nurse who floats to both medicine and surgical wards, I concur!

[@centromedicopontevedra]

Oh my God, my rotation in internal medicine was exactly like this. One of the bosses was pissed off because I discharged patients so easily when he was on leave after being on call the day before. xDDD

[@LadyAnuB]

The confusion on the attending's face as all work is done and he now has time for a life. This isn't enough to balance out his work-life balance though 😅

[@robz6306]

Happy New Year Internal Medicine. I know you probably forgot where home is, but please do remember to pick up dinner... By the time your mind is made up, it'll be time for work again.

[@echognomecal6742]

Bill & Co. were exactly what I needed to start the year right. Happy 2024 everyone! All my best to Dr. Bill!

[@wesleylance8221]

It's amazing what can be accomplished with just a single visit at Johnathan office hours.

[@Meikyo63]

AirTag, why did I never thought of that. Now I will be able to find our haematology doctors any time 😂😂😂😂

[@jennymckenzie5304]

Oh my god med student's last day is amazing. Calling it now, April first will be a reupload of Neurosurgery when he runs away back to Palliative Care. You're wonderful Dr. G, hope you and yours have a great new year!

[@dr_ari_gami]

Bill, most likely, needs to attend palliative care.

[@MelodyBellStudio]

I love how neurology looks like he rolled in on a segue.

[@cragl3yman343]

This is what Students do. They find ways to make their jobs MUCH more efficient so everyone can go home early!

[@DrEsky914]

I'm laughing (mainly at air tagging neurology and never discharging to home) as I sit at home on a Saturday evening typing notes I didn't finish yesterday. *sigh*

[@7dnein944]

You could say the med student got discharged himself

[@aconfusedazn]

As a teaching attending I just she a tear. What an amazing sight to behold.

[@desertdweller129]

As a final year student One day got a compliment of a good history presentation from a Professor.

[@robinhughes7576]

Oh my gosh, I love the slipping geo tags in the doc's pockets!!! Totally want to do this as they never carry (or turn on) their hospital phone!!

[@lechatbotte.]

I adore this. It’s always so spot on.

[@jacqueline5791]

I was waiting to hear he forgot where he lives!

[@exp2745]

When you learn how to manage the Attending over actual medical practices. Your evaluations will be glowing, your future patients not so much...

[@WestBloctonDM2]

I thought the only place you want your patients to glow was Radiology 😊

[@susanobrien3076]

Thanks for making an old doc crack up.

[@CircleOLove]

Thank you so much for continuing to add new content. I love it!

[@lynnebucher6537]

Right at the end, when he's asking if he can go home, I was expecting him to ask "Am I still married?"

[@vistastructions]

Going home is not infrequently what people most likely do s/p work

[@Whitecroc]

s/p?

[@vistastructions]

@@Whitecroc status post

[@Whitecroc]

@@vistastructions Thanks!

[@sophelet]

WHY does it take so long to discharge a patient? I have waited hours and hours to be discharged from the hospital after being told I would be sent home. It took so long that I had to request another meal or two. Once it was after being kept an additional night without any information from the attending about why I couldn't leave until the next day (which I certainly could not afford). Even the nurses had no idea, and the doctor couldn't be reached. I should have asked Dr Glaucomflecken for intervention!

[@seattlecathy]

You can leave against medical advice. Contrary to popular myth, I believe oyour insurance won’t refuse to pay. Google it. Once you announce your intentions and start walking, it’s amazing how fast they decide to do paperwork for discharge

[@seattlecathy]

Just tell them you are leaving against medical advice. They push you out and you call your own Uber.

[@kidofburden]

All the doctors need so many hugs 🫂

[@Lamefoureyes]

I really appreciate these videos, makes me feel like I can still "participate" in medicine after being rejected for my 6th and final time (I got to the wait list last year and wasn't invited to enroll). Thanks Dr. G.

[@sarahszss]

Awww.... Hope you are okay with the rejection? As an internist myself, I think you may consider another career - or another country? Just putting it out there in case it was never considered On the other hand, there are many career options that are in healthcare that doesn't necessarily require a medical degree

[@jonnya3425]

You could always be a PA. Similar work and good pay with way less on the line.

[@Lamefoureyes]

@@sarahszss Thanks, still doing some processing. For myself (Canadian), I didn't think it made sense to drag my wife along with me to rack up a lot in educational debt and have a hard time practicing back home. I've already got a science PhD (which makes it frustrating that I was rejected), so I should be able to do some gainful employment. Just trying to figure out how to stay involved in medicine without feeling like I've missed out.

[@dorkydoctorsongs]

More than likely, the problem is medicine, not you. There is a lot of toxicity in the profession, and I'm not convinced that those who get through selection processes are necessarily the best choices. Whatever happens from here, I wish you a fulfilling career without regrets 💜

[@Lamefoureyes]

@@dorkydoctorsongs thank you so much, you're very kind

[@itsneuro]

Most inaccurate part of this video is that the patients ready for discharge were already placed

[@dirtbagdeacon]

Right?! In my area the beds at SAR are always full. ☠️ Loooooooots of frail elderly folks, not enough facilities to care for them.

[@ada5851]

​@@dirtbagdeaconYep. Where I work, my hospital network had an old hotel converted into a "Continuing Care" facility, which is basically a stepping stone for pts who need LTC placement to transition out of the hospital. So it's basically a temporary LTC. They were going to close it down after the pandemic ended but surprise surprise, our population is still aging with increased care needs so it's still open.

[@qumaden]

High sensitivity troponin is the bane of my existence

[@Citiesinmotionplayer]

for a moment I thought the attending was going to ask the med student if there's anything else he can help him with

[@tscimb]

So beautiful i could cry.

[@darrelrobbins]

If all the work is done, we can finally revisit the stages of syphilis and current nomenclature for interstitial lung disease.

[@MassimoMD]

Oh dang I was really expecting the video to end with the attending filling out the students evaluation form with “Meets Expectations” for every prompt

[@MassimoMD]

@@CB73666 *offers to write you a letter of recommendation*, then later only passes you clinically (not high-pass/honors) 😅

[@8556126]

And now the circle was complete. The Student had risen and became the Master. Not in the practice of course, that was still years away. This was the dark and unexplored field of "Going home after work... Mostly on time", previously believed to be forbidden domain of those who have Johnathan.

[@msshellm8154]

Can Bill catch a break in 2024? PUH-leeeeeeese! I don't know what I loved more, the geo-tagging, Neorology actually _fleeing_ , or the look on Internal Medicine's face at the idea of going home - at _all_ , let alone 'early!' 😂😂😂

[@chettran5658]

Reminded me of the nightmare being a med student and during residency. After almost 30 years in private practice as an internist, I definitely advise both of my sons against being a physician. For the amount of time invested and sacrifices, not worth it.

[@MedEwok]

As an anaesthesiologist who shares the ICU with internists, I can only say this: We round a maximum of about 30 minutes for all surgical/post-operative patients, the internists take about 3 to 5 hours for their patients usually. This is for a 14 bed ICU with each faculty managing roughly half of the beds... Admittedly, the junior internists aren't the problem, their attendings is who drag out the process infinitely, thus making us worry if we can accommodate all postoperative patients of the day. Internal medicine is weird, as if they operate in another dimension of time entirely.

[@tehdrucifer]

As an internist, I attest that this comment is most likely accurate, and I generally agree with the anesthesiologists documentation and assessment of internists as written. I have assessed the HPI, past medical history, past surgical history, social history, family history, allergies, med reconciliation, code status, vaccinations, diet, vitals, physical examination, labs, imaging (including all prior imaging in the EMR), EKG, ancillary documentation, all available documentation in the EMR, and the ED workup/management/response at great length. I have discussed this with every subspecialist and consult service necessary. I have discussed this with nursing, social work, case management, PT, OT, ST, dietitian, and pharmacist. I have performed extensive academic discussion with the medical students, interns, and residents, and I have presented the anesthesiologists supposition on grand rounds to which all internists have agreed the supposition is most likely an accurate representation of our field

[@elizabethbrandon677]

​@@tehdrucifer Your response.....so dead on and hilarious.😂😂

[@meganofsherwood3665]

​@@tehdrucifer -slow clap-

[@carolinemeade2365]

Air tagging consultants is really smart and hilarious!

[@alowry2002]

I was expecting it to conclude with the med student saying he had a bit of help as the camera pans to Jonathan, who gives one nod.

[@erinnorwood6124]

I want one of these for every specialty!!!😊

[@jamesf456]

I've heard this term in a lot of these videos. "Curb siding?"

[@danielherman3272]

Asking a specialist for advice without submitting a formal consult.

[@BarryMJames-lv5un]

this dry-around-the-corner-humour is top notch! 😂❤

[@vhex61]

That’s an example of a good future surgical resident. Efficient and well read.

[@rcranes2227]

No no, a surgical resident would have pawned off all the work on other specialties, specifically medicine.

[@vhex61]

@@rcranes2227 not in my unit. I feel sorry for your unit.

[@someguyontheinternet4277]

Well read? Surgical propaganda

[@someguyontheinternet4277]

Well read? Surgical propaganda

[@someguyontheinternet4277]

Well read? Surgical propaganda

[@Hans293]

My father, an internist, used to go home when he "finished work". He would take charts with him and make calls to patients and the pharmacy in the evening. He passed away five months ago, so he probably no longer has on-call evenings.

[@Crystal5672cats]

That last part where he asks, “You sure?” 😢

[@arjanafarruku2167]

As a resident in Internal Medicine I say that. never. happens. As far as you discharge 5 Patients, 5 others come right away and you have your hands full 🤷🏻‍♀️

[@owenmanwiller180]

This needs a part 2 for overnight hospitalists

[@zainy_inc154]

Theres a non-zero probability that i liked this video. Ill order some more diagnostics studies to make sure

[@zundee4182]

On another level, geo tracking. May the new year bring you blessings and happiness (Nod)

[@rxmcgree]

I was skeptical when a Med student saw a jvp but when he had arranged 5 placements I saw what has truly happened. They have finally worked internal medicine so hard that he has retreated into a fantasy reality as a pathological defence mechanism. Has anyone else got the joy of working both Christmas and new year on internal medicine this December?

[@rosem6604]

lol! The more I watch you the more frightened I get about American (I assume) medicine people. I've been in hospital (not the US) twice in 5 months with pancreatitis. Had blood drawn at 5:30am so they'd have results for rounds, somewhere between 9-10am. As soon as my vitals and bloods were satisfactory, around day 4-5, they'd declare I'm going home without much consultation. They'd be anything between 3 to who-knows-how-many docs during rounds. One would say 'home' and that'd be it. Around 2pm I'd get my papers. After they finally yanked my gallbladder out they wanted to send me home the next day but I refused because I knew I couldn't cope alone yet but the next day it was 'wahooo!' and home time.

[@danshort10]

Listen, the student just wanted to get honors and a good recommendation so he is more attractive for his ortho residency…where he abruptly forgets everything he learned about medicine and begins to memorize classification systems

[@trisailor3318]

So good that I got a panic attack remembering that time in my life.

[@alifetu72]

The take about trying to adjust the antihypertensive drugs and ultimately fail had me dying😂😂

[@rtisom]

Brilliant, spot on, as always

[@neoputotyra]

somehow med student slowly becoming... JONATHAN

[@lissakaye610]

This is like watching the birth of a Jonathan.

[@fins9584]

This is most likely the funniest channel out there.

[@yooein]

the most likely is why i love internal medicine and why i miss living in the district of my former GP who was also an internal medicine specialist (and emergency medicine)

[@grumpygranny724]

Teacher here: that 'home' thing is an urban myth. I googled it.

[@samreid6010]

Just have the doctor discharge himself to home and he’ll finally be able to see his family again

[@ilajoie3]

Bill got stuck there after the attending and student went home. In a string of bad luck that seems never-ending bill gets met with ten new patients after returning from retrieving neuro.

[@chunmunsgoel3633]

I would have loved it if that last question he asked was, 'Do you know where I live?"

[@karlasolomon8128]

AirTags in consulting MDs pockets! 😂

[@mattrs1]

why does it feel like the prelude for T-Mike's origins story? now get him stranded in a gas station perhaps because his license was fraudulently revoked by private equity as he was to efficient and effective for them to not overbill their patients enough ....

[@mathieu4432]

You need to do a family doctor meeting a veteran for the first time since military discharge.

[@Scalpel-sy6lu]

Discharge to all the various levels of rehab and still no PM&R doc? No shout out to your Physiatry bros? We’re a little bit hurt no one ever remembers us… 😢 1:23

[@blendedchaitea645]

I laughed and then I cried because this so accurately reflected my life.

[@lexslate2476]

I'd have ended on "Where do I live?" but I'm glad that the student seems to be fitting in so well.

[@catdad626]

Oof. I kept waiting for the attending to wake up

[@violetabraga93]

I couldn’t enjoy it cuz I was SO nervous he would make a mistake. And at the end I was jealous

[@ladywithasword4587]

I'm a hospital case manager/discharge planner, this cracks me up.

[@robinhughes7576]

Thank you for recognizing that case mgmt is 99% of the job!!😊

[@doomsdayaddams2894]

What a thrill! A Dr. Glaucomflecken!

[@Khannesjo]

When he started with discharge, I was expecting OB/GYN to be consulted for discharge a, Uro for discharge b, ENT for discharge c, Ophthalmology for discharge d, and Derma for discharge e

[@animeanibe]

"I've never finished rounds 5 hours early before." 😂

[@KBzaz]

So what I’ve learned from this video is that internal medicine is just a really high stakes guessing game.

[@itzelr3514]

The air tag idea is brilliant-brilliant! 💡 😆 lol!

[@SimpleReally]

I was waiting for someone to wake up from a dream at the end.