No Stupid Questions

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Dr. Glaucomflecken

Dr. Glaucomflecken

Күн бұрын

Ok maybe there are a few stupid questions

Пікірлер: 606
@jorgeluislopezmendez
@jorgeluislopezmendez Ай бұрын
I guess it's a rotisserie protocol only if the patient has a fever
@HisameArtwork
@HisameArtwork Ай бұрын
@Joy21090
@Joy21090 Ай бұрын
Rotisserie Protocol was for Saint Lawrence. Story goes that he told his executioners, "Turn me over. I'm done on this side." The annual celebration of Saint Lawrence is August 10.
@liberalsockpuppet4772
@liberalsockpuppet4772 Ай бұрын
You guys in the medical field MUST make rotisserie protocol a thing!
@stephaniehowe0973
@stephaniehowe0973 Ай бұрын
DUH!
@bcsmedconsults29
@bcsmedconsults29 Ай бұрын
bruh lol
@christythomas7445
@christythomas7445 Ай бұрын
As a medical technologist, I so appreciated the NOT stupid question of "what if it's not" (due to a lab error)! ❤
@the-chillian
@the-chillian Ай бұрын
Yeah, I thought that was actually a really, really good question.
@feha92
@feha92 Ай бұрын
Then the 80 year old man-dude has apparently gotten pregnant, despite his age.
@Pope_Balenciaga
@Pope_Balenciaga Ай бұрын
Sometimes, the first reason for abnormal values is improper sample collection. For example, hyperkalemia is very rare in children, but can happen when the blood is squeezed out of a thin needle causing hemolysis. Low platelet counts in scrub typhus despite no real thrombocytopenia is due to giant platelets and platelet aggregates making the machine confuse then for WBCs.
@weathermage301clapp2
@weathermage301clapp2 Ай бұрын
@@Pope_Balenciaga Yes, but I'm a lab tech at an oncology specialist. Trust me we wish that the results we see are lab errors. But two months in and so far I haven't heard of any.
@rptyr
@rptyr Ай бұрын
Yeah i really appreciated it as well. I get real tired of "lab errors" when statistically its always during preanalysis shit goes wrong with a sample. In my experience most often with not collecting enough blood in citrate tubes. "Lab error" usually means we fucked up, but we cant admit it. Im not bitter, just annoyed, i promise 😅
@Gravalpea
@Gravalpea Ай бұрын
"Keep the heart full of blood, keep the lung full of air." -Ortho
@scriptorpaulina
@scriptorpaulina Ай бұрын
Actually that was critical care ophthalmology. Which I shouldn’t have memorized
@Cara-39
@Cara-39 Ай бұрын
Always sound medical advice, no matter which Dr gave it!
@reznovvazileski3193
@reznovvazileski3193 Ай бұрын
@@Cara-39 I mean from time to time you'd want to empty them so they can refill again no? Keeping them full would be a disaster :p
@nikomarmanis7705
@nikomarmanis7705 Ай бұрын
Honestly true tho
@hippiemcfake6364
@hippiemcfake6364 Ай бұрын
Or was it the other way around? I can never remember - Ortho
@user-db2uk8iq9r
@user-db2uk8iq9r Ай бұрын
Throwing in the "will you buy us lunch"? 😆
@apisme9090
@apisme9090 Ай бұрын
That is genuinely the most important question. All the rest are just fluff to get that one burning concern answered....😅
@ikazukison2
@ikazukison2 Ай бұрын
@@apisme9090 what if the attending only buys you deli sandwiches but there is an outbreak of Listeria in NY/NJ
@apisme9090
@apisme9090 Ай бұрын
@@ikazukison2 no worries. I'm in Illinois....
@Cara-39
@Cara-39 Ай бұрын
​@@ikazukison2 As someone that lives in Manhattan and regularly visits family in NJ, I can confirm this would be a valid concern right now 🤣 Maybe stick to pizza - it's always safe!
@SaikoX95
@SaikoX95 Ай бұрын
I was skeptic at first, but then I heard some of them and I was like: "No, hold on, let him cook"
@Griffiana
@Griffiana Ай бұрын
Yeah, like DocG, please answer them.
@priestofbenism1775
@priestofbenism1775 4 күн бұрын
Just so you know skeptic is the noun, like a person is a skeptic, skeptical is the adjective you'd use to describe something (I was skeptical at first)
@mitsurugi52
@mitsurugi52 Ай бұрын
"Can you write 'pharmacy to dose' on all orders?" - how dare you put that evil out there in the universe
@woodysmith2681
@woodysmith2681 Ай бұрын
Critical Care rotation but a future Ortho student.
@Zosio
@Zosio Ай бұрын
​@woodysmith2681 Speaking as someone who works with ortho, I kind of wish they *did* do this. I think that'd be preferable to the alarming prescription combos I see them giving out on the regular.
@maryannoneill297
@maryannoneill297 Ай бұрын
That is a funny comment. Thanks for the laugh.
@canadotornado
@canadotornado Ай бұрын
I'm not one to normally throw hands, but this is a sure fired way to get suplexed through the a table.
@TheQuark6789
@TheQuark6789 Ай бұрын
@@canadotornadoMy impression was Pharmacy already had to fix every single order, so wouldn’t this reduce their workload? 😁
@williamhrivnak7345
@williamhrivnak7345 Ай бұрын
The ECMO question is actually a good one. Explaining it doesn’t do it justice until you actually see it for the first time and you’re stepping over garden hoses full of blood and wondering what mad scientist invented this thing
@taliag09
@taliag09 Ай бұрын
Honestly though I was very confused when I first saw one in action
@VoIcanoman
@VoIcanoman Ай бұрын
When I was training to be an x-ray technologist last summer (in the clinical practicum portion of training), I had to take a portable chest x-ray of someone on ECMO, their sternum opened up, heart basically exposed (not beating, obviously), and all of it covered up with what appeared to be sterile kitchen wrap. It was WILD (one of the craziest things I've ever seen, and I've seen a guy who got attacked with an ax to the face, and had his cheek flesh peeled away from his facial bones). So like you, I think that's a pretty good question. [It was also nice that each room in the CCU was equipped with a ceiling lift, so we didn't have to deal with the dead weight of a guy who was actually "dead" (functionally, at least).]
@dr.floridamanphd
@dr.floridamanphd Ай бұрын
My stepdad was a RT for who knows how long. He worked in the NICU and was ECMO certified and something to do with him being in the OR on occasion. Can’t remember what that was.
@Just1Nora
@Just1Nora Ай бұрын
The pumps used for ecmo and plasma donations are so neat! They were invented iirc at the turn of the last century (not originally for medicine) and were hand cranked. The way they move fluids without ever touching them therefore providing a sterile and closed system which requires less cleaning/sterilization, and keeping the pump mechanism crosscontaminant free is awesome. Plus, dead and alive all at once.
@jeffreysdavis
@jeffreysdavis Ай бұрын
@@dr.floridamanphdECMO is basically the same as a bypass machine used in the OR. He probably was running a bypass machine in cardiac surgeries since the management is very similar
@KyleRayner12
@KyleRayner12 Ай бұрын
The pressor question was decent. Tragically, the answer is usually "I pick my favorite one, and the attending you had last week who picked a different one is an incompetent heathen."
@gluesniffingdude
@gluesniffingdude Ай бұрын
Pressors all have potentially gnarly downsides, exacerbated by the fact that patients you start them on are inherently really sick already, so I suppose it makes sense for each attending to stick with something they're used to; or at least, that's my impression.
@whynotjustmyusername
@whynotjustmyusername Ай бұрын
I mean, the guidelines for just about everything say "noradrenaline first, then use bedside echo to see whether he needs volume, more vasoconstriction or inotropic support"
@hvymtal8566
@hvymtal8566 Ай бұрын
The answer is usually "start with norepi, but if you're receiving an emergent ambulance it'll usually be epi and you'll have to transition before you send them upstairs"
@gluesniffingdude
@gluesniffingdude Ай бұрын
I've seen epi/norepi, vasopressin, dopamine, but my favorite pressor has to be the physically inflatable cuff that squeezes bags of PRBCs/FFP during MTP /j
@embargovenom9948
@embargovenom9948 Ай бұрын
Weirdly, here in Portugal, the word for "Lung" is "Pulmão". So you'd think having Pulmonologists would make perfect sense for us, right? WRONG! Over here, pulmonologists are called pneumologists, after pneuma, the ancient greek word for "breath". Moral of the story, words in Medicine are just chosen to make life harder for everyone, and not because they make any semblance of sense. = )
@rftulie
@rftulie Ай бұрын
Needs more likes😂
@andreaemanuele7293
@andreaemanuele7293 Ай бұрын
Same for Italian: "polmone" and "pneumologo"...
@embargovenom9948
@embargovenom9948 Ай бұрын
@@rftulie Thank you. XD
@evilsharkey8954
@evilsharkey8954 Ай бұрын
The Latin for lung is “pulmonis” and the Greek is “pneumon”. They decided to use different roots for the organ and the specialist because reasons.
@embargovenom9948
@embargovenom9948 Ай бұрын
@@evilsharkey8954 Those reasons being to make it harder for med students. XD
@rhiannamonahan6391
@rhiannamonahan6391 Ай бұрын
1. Someone called Kerley 2. Because embryological development is generally symmetrical 3. Because alveoli is the plural of alveolus whereas ravioli is the singular term not raviolus 4. A pulmon is from the word for lung in Latin I think. In medicine when naming things, we flip a coin and if it’s heads it’s Greek and if it’s tails it’s Latin and then we just add an English suffix 5. Asses the urine: volume, colour, clarity, sediment. You don’t need to smell as you’ll notice it on the way in if it smells bad and please don’t taste as we have dipsticks to test for glucose now. 6. We have 5+ problems listed and they are all likely/probable diagnoses but nothing is certain. 7. Not if you want to live 8. Unlikely unless it’s the end of the attending’s on call and they like everyone on rounds. So, no. 9. Something something microbiology, something something low validity, something something only 20% of sepsis cases have a positive blood culture. 10. Then we panic 11. No, I just vibe with that one/it’s hospital policy 12. A machine that operates as a replacement heart and lungs with the lung bit functioning with similar principles to dialysis but tbh I don’t really understand it. 13. I’ve heard that and we should call it that but apparently ‘it’s unprofessional’
@anncondon2689
@anncondon2689 Ай бұрын
Nerd
@maranathaschraag5757
@maranathaschraag5757 Ай бұрын
number 4 covers 99% of medical terminology. number 10 - pretty much.
@madiantin
@madiantin Ай бұрын
You are awesome. Please purchase a giant cupcake for yourself and enjoy it. Or Chinese food, if you prefer. In any case, you deserve a treat for being so awesome. And also @anncondon2689 is correct. You are a nerd. Nerds are awesome.
@coverstealingbadger
@coverstealingbadger Ай бұрын
Will you be on my bar trivia team?
@bsnow304
@bsnow304 Ай бұрын
3. In Italian, the singular is raviolo. The plural is ravioli.
@MichaelMayfield-fc3df
@MichaelMayfield-fc3df Ай бұрын
When I was a senior resident & had supervision over students, they might say “this may be a stupid question”, to which I would reply “there are no stupid questions”. After they asked, I would respond “that’s the stupidest question I’ve ever heard’. Of course, I would immediately smile & ham it up to let them know I was kidding. It broke the ice a bit.
@bmd2959
@bmd2959 Ай бұрын
I think it would still hammer their ability to ask questions. I used to have this resident, who said "Ask me any questions, I will not judge you, not in front of your face at least," which always hammered my will to ask qwuestions. Of course, he was a personality too
@TheRm65
@TheRm65 Ай бұрын
Yeah, but actually you meant it.
@MichaelMayfield-fc3df
@MichaelMayfield-fc3df Ай бұрын
@@TheRm65 Uh, no. I told the students up front that rounds would be loose, & that any kidding was all in fun. They were encouraged to join in as well. I did however tell them not to say they thought their questions were stupid. I said something like “I’ll be asking the stupid questions around here”.
@MichaelMayfield-fc3df
@MichaelMayfield-fc3df Ай бұрын
@@bmd2959 Well, this was the 1990’s, a much different time. No badgering or berating took place on my rounds, & I found that some humor got them to relax a bit which enhanced their ability to think & present their patient findings. If a student did something they shouldn’t have or didn’t do something they should have, that was discussed in private. Today of course you can’t say much of anything. All this was on resident rounds; during attending rounds we all stayed quiet unless called upon.
@loridavis5699
@loridavis5699 Ай бұрын
So you took the passive/aggressive route?🤪
@Amanda-C.
@Amanda-C. Ай бұрын
I'm not in medicine, but I feel like "but what if it's not" is one of the most valuable questions a med student can ask. Like, an experienced person in any field can get into a state where their experience tends to override what they're actually seeing. Having a fresh pair of eyes question those habitual cognitive biases has got to be a really valuable thing.
@johnserosanguineous1886
@johnserosanguineous1886 Ай бұрын
Horses not zebras.
@Amanda-C.
@Amanda-C. Ай бұрын
@@johnserosanguineous1886 Yeah, and that's valuable for young people to hear, I'm sure, but humans like to bury our eyeballs in other tasks, listening to horse hooves, while a stripy-looking equid parades past our faces...
@rebeccajesse4604
@rebeccajesse4604 Ай бұрын
Honestly, that is one reason that the good teaching hospitals are so great, they are constantly challenged by new thoughts and minds from students just taught with the most recent information. They gain experience and knowledge on how the book knowledge works in the real world and the institutions gain fresh ideas and thoughts. We see the same thing in pharmacy. Also, students have the time to do deep dives into 1 patient and really do all the steps while the professionals usually have a whole floor and need to prioritize.
@anastasijahabarova1533
@anastasijahabarova1533 Ай бұрын
It also goes the other way. As an inexperienced person, you rely on clear protocols and textbook examples to get through tasks, hoping that you won’t get anything too crazy and abnormal that you were never prepared to look for. Asking “what if” types of questions prepares you for unusual situations and allows you to develop your understanding of a subject or procedure before you are actually confronted with it in practice.
@jerricabursik3284
@jerricabursik3284 Ай бұрын
Agreed, I am a med lab scientist and one time I had a NICU baby that kept coming up with a potassium of 9 (way too high to be alive) and I assumed it was a "lab error" and re-ran it, but in the time it took to rerun it with so little sample left, the doctor called asking for the result and said that was legit. Had I called to ask what if it's not a sample error, I would have had the results out in half the time.
@MrRobot1984
@MrRobot1984 Ай бұрын
I’m telling all the ICU nurses, it’s now called rotisserie protocol.
@erinnorwood6124
@erinnorwood6124 Ай бұрын
Future nurse...need clarification on what this is
@MarianneKat
@MarianneKat Ай бұрын
We've been calling it that for years
@MarianneKat
@MarianneKat Ай бұрын
​@@erinnorwood6124it's a proning bed, it optimizes oxygenation on patients who are not doing well. Or were you being silly? Sorry couldn't tell.
@erinnorwood6124
@erinnorwood6124 Ай бұрын
​@MarianneKat thanks I did want to know 😊
@TheWhanos
@TheWhanos Ай бұрын
"There are no stupid questions" Oh you'll find them with that
@selfworm
@selfworm Ай бұрын
"There are no stupid questions" "That sounds like a challenge"
@Nukepositive
@Nukepositive Ай бұрын
I've found that the real stupid questions are any asked in bad faith, where the asker already knows the answer they want to hear. Most of the questions in this video aren't stupid, but there's an appropriate setting to ask, and that isn't it.
@thewhitewolf58
@thewhitewolf58 Ай бұрын
Why does hair grow heavily on the head but lightly on the body? Why dont we have large over the head ears like most animals do?
@kylewaite9041
@kylewaite9041 Ай бұрын
I'm going to try to get "rotisserie protocol" to catch on in the OR for when we have to do a squish-and-flip spine case. OR maybe "panini protocol"? Choices, choices...
@KristinChungo
@KristinChungo Ай бұрын
Oooo....I'm kinda digging the "panini protocol" 😂
@the-chillian
@the-chillian Ай бұрын
I have a handicapped son, and I used to call rolling him over "spatulating" because it reminded me of rolling up an omelette with a spatula. And then there was how I used to pick him up by getting one hand under his shoulders and the other under his butt. That was the roast beef lift. When my dad would make a roast beef for his deli, he transfer it from the pan to a tray by sticking a large fork in each end and lifting it, and that's what it made me think of.
@feha92
@feha92 Ай бұрын
How about "quaternion transformation"?
@blairhoughton7918
@blairhoughton7918 Ай бұрын
​@@feha92You only need that if you're worried about gimbal lock. Is your patient a satellite in polar orbit?
@tchjdaedn
@tchjdaedn Ай бұрын
Do it while the patient is in a bear-hugger and call it "the waffle iron".
@MaximusPharmacus
@MaximusPharmacus Ай бұрын
We pharmacists are very happy to help, but please don't ask us to dose "everything".
@KaizerRemix
@KaizerRemix Ай бұрын
If you do... Don't have your stethoscope around your neck.
@rebeccajesse4604
@rebeccajesse4604 Ай бұрын
lol I have seen some interesting “please choose the right dose of this drug” in order comments.
@MedEwok
@MedEwok Ай бұрын
I know the system works differently in the US, but I haven't asked a pharmacist for a dose in all of my ten years as a doctor in Germany. Pharmacists are not seen as equals over here and the only thing they are expected to know better is about drug interactions. Some ICUs have a pharmacist going over orders about once a week, that's it.
@maldo2211
@maldo2211 Ай бұрын
@@MedEwok As the head of my german hospital's pharmacy department that makes me sad, but on the other hand due to legal reasons we can't really do more than than counselling and hospital management usually isn't too keen on financing comprehensive ward pharmacists to work on pharmacist-doctor-relationships 😒
@MedEwok
@MedEwok Ай бұрын
@@maldo2211 it is sad because the interaction with pharmacists can be very fruitful, as I know from doing rounds with them on the ICU. But outside of that context it is extremely uncommon to ask the pharmacists directly, and sometimes (apparently) unwanted as well. I work in a smaller hospital nowadays and the availability of a pharmacist in-house is abysmal. As you correctly mentioned, this has a lot to do with management cutting costs and simply not caring. Also, arrogance of some doctors admittedly plays its part.
@pinkprincessinthecity1177
@pinkprincessinthecity1177 Ай бұрын
"Rotisserie protocol" 🤣🤣🤣 By chance, I am watching this as an inpatient after being rushed to the ED last Saturday, due to a medical emergency. I truly appreciate this much needed laugh. 🙏 😂😂😂
@justahugenerd1278
@justahugenerd1278 Ай бұрын
Feel better!!
@NoNameAtAll2
@NoNameAtAll2 Ай бұрын
I don't get it what is rotisserie?
@norniea
@norniea Ай бұрын
​@@NoNameAtAll2Google Rotisserie chicken😅
@kidsis
@kidsis Ай бұрын
I’m also inpatient rn, but due to a planned procedure. Get well soon!
@GhostlyGorgon
@GhostlyGorgon Ай бұрын
As a manufacturing engineer, when one of my technicians says "i have a stupid question", i always respond with "there are no stupid questions, only stupid engineers"
@michaelwinter742
@michaelwinter742 Ай бұрын
There are two types of questions. One is explorative and the other is probing. There are no stupid *explorative* questions, as that’s how we learn together. There are many stupid probing questions, as they can show lack of contextual observation skills.
@benzles8492
@benzles8492 Ай бұрын
Ive known a few engineers who asked LOTS of insane questions and these guys prob could have built a decent space shuttle in their garages... The ones who ask lots of stupid questions are thinking in 4D while the rest of us are doing 2D or 3D at best. Let em cook, its usually worth it when that train of thought they are on comes to an end...the dumb question is step 1 most of the time.
@drmrossing
@drmrossing Ай бұрын
I feel like I just spent 1:25 minutes reliving my most recent month (July) as a critical care attending…
@JG-od3xy
@JG-od3xy Күн бұрын
Best of luck to you and your journey!
@MsSHINeeTVXQSuju
@MsSHINeeTVXQSuju Ай бұрын
“Will you buy lunch today” asking the important questions 😂
@Just1Nora
@Just1Nora Ай бұрын
Given current food prices and the price hike for buying from the on-site cafeteria or café, plus student loans looming, I totally get it. 😅
@meowmiaumiauw
@meowmiaumiauw Ай бұрын
I have some medical training, lemme try this - 1 - Kerley A, B, and C lines are just named after John Kerley, who first described them 2 - Having two lungs instead of one big lung means more surface area, making gas exchange more efficient 3 - Ravioli and alveoli are borrowed from different languages, hence the different pronunciation 4 - Pulmon is just the Latin word for lung 5 - Checking on patients 6 - Within the context of critical care medicine, you try to make sure very very sick and/or injured people don't die, so any treatable problem that directly causes death if left unaddressed 7 - It's not a crime or anything as far as I'm aware, but the hospital you work for might have policies prohibiting you from doing that 8 - Almost certainly not 9 - To test for multiple unrelated problems, and because blood cultures can become contaminated forcing you to restart 10 - Then either the patient is moments from death, or the problem is very rare, or you've just discovered a new medical problem 11 - I was taught to choose based on lab values and PK parameters, so no it's effectively math-based 12 - ECMO is basically just a machine that pumps blood out of the body, oxygenates it, then returns it to the body. It's useful in situations like if the patient's heart and/or lungs have shut down 13 - The word 'rotisserie' didn't exist in its original language (French) yet when this decision was, so it simply wasn't an available option at the time
@FunSam
@FunSam Ай бұрын
Writing "pharmacy to dose" on everything would eliminate all of our fun when we call you and politely explain how your dose is wrong.
@rosmarbal
@rosmarbal Ай бұрын
LOL too true
@carpedm9846
@carpedm9846 Ай бұрын
"Can you check with dr. Tyler if we are to give the patient 0.3 grams of epi or should we replace it with miligrams?"
@cathechung
@cathechung Ай бұрын
"Why cant we just order 1 bcx" actually true especially during the current shortage LOL
@SBRS47
@SBRS47 Ай бұрын
Blood culture vial shortage 😳
@irrelevance3418
@irrelevance3418 Ай бұрын
That's what we are doing at our hospital. 1 blood culture. 10ml in anaerobic and 5ml in pedi bottle
@bioboi808
@bioboi808 Ай бұрын
The answer is that skin contaminants are common in blood culture results. Ordering 2 helps identify if one is contaminated, avoiding unnecessary treatment. Whether or not you agree with the practice is up to you.
@sjfrench8034
@sjfrench8034 Ай бұрын
That’s what I was thinking lol
@SBRS47
@SBRS47 Ай бұрын
@@bioboi808 Does anyone disagree with it?
@alliseuss1555
@alliseuss1555 Ай бұрын
Why do we have an ilium and an ileum? Why don't we call the stomach a food bladder? Why does treating illness never involve any actual treats?
@fweedom34
@fweedom34 Ай бұрын
I vote for copious treats.
@roguemedic
@roguemedic Ай бұрын
Depending on the indication, dose, and patient response, some medications can double as treats - opioids, benzodiazepines, dissociative anesthetics, . . . .
@jayschafer1760
@jayschafer1760 Ай бұрын
If you have ever had to get a cat to take a pill, you will know that sometimes treating an illness DOES require many treats. 😺
@alliseuss1555
@alliseuss1555 Ай бұрын
@@jayschafer1760 As a vet student, I know this all too well. Human medicine should take note.
@kalishaffer8210
@kalishaffer8210 Ай бұрын
Toddler questions with a medical bend. This is great!
@rayaterry5365
@rayaterry5365 Ай бұрын
I have a four-year old. These questions sound perfectly reasonable to me
@nessinhabh79
@nessinhabh79 Ай бұрын
This reminded me of friend from nursing school who always asked the questions we all wanted to know, but didn’t have the guts to ask. Like, when we finished this huge lecture on amputation and phantom pain, the professor asked if there were any questions, she asked “what happens to the leg?” At the professor’s puzzled face, she said, “you know after they cut it off?”.
@weaselcon
@weaselcon Ай бұрын
You start the "rotisserie protocol". 🤤😜
@traveller23e
@traveller23e Ай бұрын
And what was the answer? I'm dying to know
@juukyll
@juukyll Ай бұрын
I guess it really depends where you live. But generally it is put in a plastic bag (and usually in another carton-bag to avoid "identifying t​he waste) and then collected as a biological waste. In my understanding biological waste is just burned like any other burnable waste, but probably with some protocols to ensure that everything indeed becomes ash. I am not an expert on waste management, so couldn't tell for sure, I just work in OR. @@traveller23e
@jennismith2
@jennismith2 Ай бұрын
A hospital I worked at, at the entrance to the OR, had chutes in the wall labeled “limbs” and “other”. Apparently that’s how they used to deliver samples to pathology back in the day!
@jeanjaz
@jeanjaz Ай бұрын
Being a bilateral above the knee amputee, I thought they should give them to me to put in my burial plot to await the rest of me. It was kind of a weird feeling knowing parts of my body were off somewhere else.
@kacheek9101
@kacheek9101 Ай бұрын
While I certainly don't want to dose ALL the orders... I think it'd save me time if I could dose all the orders of certain doctors I know
@Ananvil
@Ananvil Ай бұрын
Some of these questions are pretty legit tbh
@tendiesoffmyplate9085
@tendiesoffmyplate9085 Ай бұрын
Im dismayed at the deadly serious attitude my drs have. I demand this kind of bumbling humor.
@loridavis5699
@loridavis5699 Ай бұрын
They all have this humor, out if patients earshot
@WakingNews
@WakingNews Ай бұрын
I know almost nothing of what was said and I'm still laughing.
@loridavis5699
@loridavis5699 Ай бұрын
Its even funnier when you know what theyre talking about
@Stormageddon571
@Stormageddon571 Ай бұрын
I mean, as Gandalf once said, every knowledgeable man should have such an inquisitive student. (paraphrase)
@psyckwhoever4197
@psyckwhoever4197 Ай бұрын
"What *exactly* are we treating here?" 😂 This caught me off guard!
@euaggelion03
@euaggelion03 Ай бұрын
One I'll throw in there from my own history: "Sir, can I have this guy's sandwich since he's on the vent?"
@TheRealJBMcMunn
@TheRealJBMcMunn Ай бұрын
I'm a former ICU director. I used to ask myself the same questions. 😂 Critical care is not for those who need definitive answers. You spend a lot of time wondering, " WTF is going on with this patient?" No matter how much technology you have, you'll be baffled by a lot of patients. That's what I loved about the job - teaching residents how to unravel the knots.
@Bajirkus
@Bajirkus Ай бұрын
The attending's face was only in reaction to "can you buy us lunch today?"
@josecordova32
@josecordova32 Ай бұрын
This video gives me more comfort for when I type into my calculator what 2+2 is during a math test
@DS91284
@DS91284 Ай бұрын
After that episode, that student was never seen again. There are rumours that he is permanently assigned to the hospital morgue. 😂🤡🤷‍♂️
@DS91284
@DS91284 Ай бұрын
A fresh body just came in. No IDs. But look at this interesting battery marks around his cranium... its almost like the bell of... a stethoscope!! 😮
@musman9853
@musman9853 Ай бұрын
Are you kidding? Upstairs we call that a Doug!
@kaerligheden
@kaerligheden Ай бұрын
😂😂😂😂😂😂😂
@VoIcanoman
@VoIcanoman Ай бұрын
I used to say to my students when I taught geology - there are no stupid questions, only stupid answers. And while it was kind of a joke, I do also believe it (mostly - there are "unnecessary" questions, wherein people ask questions that have already been answered, or which one could easily find the answer if one was paying attention, and "ridiculous" questions, wherein the answer is so far out of the topic at hand that nobody is even LOOKING for an answer...but in either case, I don't see stupid). As for stupid answers, that's easy...if you are talking out of your rear end, for example. That's stupidity. Don't claim to know things you don't know.
@andromedatonks60
@andromedatonks60 Ай бұрын
Hey, not often you see a fellow geologist in the comments of a Glaucomflecken video! I’m a planetary geo grad student who asks lots of questions, so I very much appreciate profs like you :)
@markgodish1347
@markgodish1347 Ай бұрын
I've had nurses call a Roto-Prone bed "the rotisserie bed" 😂 so that tracks
@jennismith2
@jennismith2 Ай бұрын
We used to call the Roti-Prone bed “The Extubator”!
@drhandle4498
@drhandle4498 Ай бұрын
To be fair, ECMO is a pretty WTF piece of kit. It looks like something that I would have put together as a kid if I'd combined the meccano and lego sets, then added some garden hoses.
@YancyKin
@YancyKin Ай бұрын
It's not rotisserie protocol it is burrito protocol. We wrapped them in pillows and sheets to get them turned.
@Zelmel
@Zelmel Ай бұрын
As someone in an absolutely non-medical field but who has a lot of fun chronic health things that keep me looking at medical stuff, I a genuinely glad that I don't actually get most of the specific references but can still appreciate the humor.
@celticwolff5429
@celticwolff5429 Ай бұрын
"Sir. How do the 3 seashells work?"
@joshuawagner1149
@joshuawagner1149 Ай бұрын
That's a deep cut. Very nice. "Sir why do all the MDKs show up 30min into the shift??"
@bobbyfeet2240
@bobbyfeet2240 Ай бұрын
You don't know how the three seashells work?! Hahahaha!
@19Aspirin81
@19Aspirin81 Ай бұрын
I just curse until I have enough paper
@VandrothSoryn
@VandrothSoryn Ай бұрын
Why DO we have two lungs instead of one big lung, Dr, Glaucomflecken?
@wahoo2384
@wahoo2384 Ай бұрын
No idea where we read this, but if you ever have to have a lung removed (for some reason) the other one will actually expand into the empty space to compensate. So the reason you have two lungs instead of one big lung is because you're scared to make your unipulmonary dreams a reality.
@gerardacronin334
@gerardacronin334 Ай бұрын
Redundancy.
@anastasijahabarova1533
@anastasijahabarova1533 Ай бұрын
If one breaks, you have one more left and can continue living. 🤷‍♀️
@markstevenson6635
@markstevenson6635 Ай бұрын
One to service each eye.
@_Ekaros
@_Ekaros Ай бұрын
My guess is that as usual evolution being weird... At some point(300-400 million years ago) there might have been something in between them or splitting them in two instead of one.
@mentalitydesignvideo
@mentalitydesignvideo Ай бұрын
I thought it's a rotisserie protocol only if the patient is basted regularly.
@DrKwabenaAmponsah
@DrKwabenaAmponsah Ай бұрын
All very valid questions , I just didn’t know I needed answers to them till today 🤣🤣🤣🤣
@waseemobeid3950
@waseemobeid3950 Ай бұрын
Rotisserie protocol 😂😂😂
@Spiritleaf
@Spiritleaf Ай бұрын
I see the interns have been hurting your brain. Happy July
@rptyr
@rptyr Ай бұрын
I know its been said before, but thanks for asking the lab question. Im a lab scientist, so tired of being accused of doing errors when i can see and track everything thats happened before the samples ended up at the lab.
@LindaSevers
@LindaSevers Ай бұрын
As a teacher, I cannot tell you how much I love this! It's like every day in my classroom with that one super smart kid with ADHD! FREE entertainment! 😂 And humbling.
@joshuawagner1149
@joshuawagner1149 Ай бұрын
Lmao Rotisserie Protocol has got to be the funniest thing I've heard in some time. I mean it's a ROTOProne, right? ROTO must be short for Rotisserie!
@Kartzchen
@Kartzchen Ай бұрын
This guy made my day. I will never enjoy proning a patient, but now I will because it is rotisserie protocol. It has literally changed my life.
@Slik-Rik-V
@Slik-Rik-V Ай бұрын
lol good one! Wb the “feel free to ask any questions”, asks a question pertaining to clinical knowledge, then gets graded 80% on evaluations for not knowing what the attending knows! 😊
@Studentforlife473
@Studentforlife473 Ай бұрын
As a newer nurse in critical care, I adore my intensivists. They really do make you feel like no questions is a stupid question.
@Cara-39
@Cara-39 Ай бұрын
When confronted with a catheter and bag full of urine, the goal is to look anywhere else!
@stephenmcginnis5789
@stephenmcginnis5789 Ай бұрын
The one thing I learned as a professor: There ARE stupid questions. But as an old AF Sergeant said, "There are stupid questions. The problem comes when you ask the stupid question TWICE."
@horizon319
@horizon319 Ай бұрын
I laughed so hard at rotisserie protocol my pulmon needed help from a pulmonologist! 😂😂😂😂😂
@vissersixty-nine6246
@vissersixty-nine6246 Ай бұрын
trained a new employee yesterday (i work as a bht in a psych ward), and as i was erasing an open room on the board and putting "M" and saying that i liked to do open room and male/female beds in different colors, she asked "okay so what does M stand for?" LOVE it actually. like in a completely serious way, i did a lot of things wrong b/c i was too scared to ask about the "right" way to do them, so i tried to encourage her to ask as many questions as she could and answered even the silly ones non-judgmentally. better to ask a question that makes you look stupid for a second than look stupid for months
@MoreCurlsMoreGurls
@MoreCurlsMoreGurls Ай бұрын
Lol "What is a pulmon? What exactly are we treating here?" I mean it's the vegetable aisle, these are valid questions! 😢
@catherinealexander6255
@catherinealexander6255 Ай бұрын
The vegetable aisle?? Wait till you hear someone call the person you love a vegetable. Staff who use words like that should be fired. Human beings are never vegetables.
@sopwithhannah2401
@sopwithhannah2401 Ай бұрын
Vegetable aisle 😂
@auricia201
@auricia201 Ай бұрын
The pulmonologist one, as a portugueses, sent me 😂 "pulmão" means lung
@rosmarbal
@rosmarbal Ай бұрын
"Pulmon" in spanish. Obviously a latin thing
@feha92
@feha92 Ай бұрын
Should actually not be too incorrect of a translation, as that language should be related to latin
@SBRS47
@SBRS47 Ай бұрын
Lmao "pharmacy-to-dose" on everything
@zenks5883
@zenks5883 Ай бұрын
As someone who just graduated from med school, this is incredible, i bursted out laughing multiple times, sertified banger video, thank you dr. Glauc!
@lunasea528
@lunasea528 Ай бұрын
Rotisserie protocol sounds delightful
@woodysmith2681
@woodysmith2681 Ай бұрын
Not for the chicken.
@sarahcunningham1484
@sarahcunningham1484 Ай бұрын
I love the "rotisserie protocol"! We rotisserie spine patients who need anterior and posterior procedures. It's a little different and quicker than in the ccu.
@AnanyaKoul
@AnanyaKoul Ай бұрын
Sitting in library preparing for my md entrance. Landed on the video, burst into laughter too loud. Now, embarrassed to make an eye contact with anyone. 😅😅
@marcokarrer5562
@marcokarrer5562 Ай бұрын
best video ever. That look at the end. priceless!
@I_Willenbrock_I
@I_Willenbrock_I Ай бұрын
ECMO saved my uncles life. Nothing more to add. ECMO is awesome.
@wolfpiper3
@wolfpiper3 Ай бұрын
Funnily in mental health, we pretty much do just choose SSRIs randomly.
@Cabbage-dk6nu
@Cabbage-dk6nu Ай бұрын
Gotta start somewhere! A lot of it is anecdata of "well when I've used it in this patient type, it seems like it's worked the best" and maybe with a research study that would be validated, but maybe not, but it's fine as a place to start!
@jayschafer1760
@jayschafer1760 Ай бұрын
​@@Cabbage-dk6nuExactly. Each psychiatrist seems to have their own (different) favorite meds and hierarchy of preferred meds that works for them and their patients. To be fair, though, when a doc says, "Well, I have really good luck with this med, so let's try it," it's probably better than the doc asking the patient what med the patient wants to be put on. At least the former approach gives the patient more confidence and more of a placebo effect.
@maureencameron4120
@maureencameron4120 Ай бұрын
As someone who's been on every antidepressant under the sun.... I knew it! Lol. I'm an internist, and I think I might have a fair chance of making a good guess at which psych med to give at this point!
@cultivatingcivicconversations
@cultivatingcivicconversations Ай бұрын
I found it heartening to discover that one can now use DNA testing to inform one on the best mental health meds.
@waltercrittenden1710
@waltercrittenden1710 Ай бұрын
There are no stupid questions, but there are a lot of inquisitive idiots...
@brookesimmons9901
@brookesimmons9901 Ай бұрын
The look of utter horror on his face! You blew his mind. 😂❤
@Michelleiscul
@Michelleiscul Ай бұрын
I love the attending's face at the end. 😂😂
@Eriorguez
@Eriorguez Ай бұрын
Snakes do have a single big lung. Still, mostly a tetrapod tradition to have two of those; other bony fishes have different configurations for their air filled digestive tube invagination.
@unitedstatesofbecky
@unitedstatesofbecky Ай бұрын
Glaucomflecken, I have been having several rough weeks. This is the first thing that has made me laugh in a long time.
@boogsie87
@boogsie87 Ай бұрын
"Will you buy us lunch today?" 😂 no worries, Johnathan will be there to make you a 5 star 4 course meal in the cafeteria 😅
@annbach7920
@annbach7920 23 күн бұрын
I am 100% with the student. Throughout the years you will absolutely stumble upon things like perfusion-rate or similar small things. Most of the time you'll try to figure it out by consulting with slightly more knowledgeable peers. But getting the chance to actually ask these "stupid and basic questions, is a blessing ❤
@lm128
@lm128 Ай бұрын
For the rest of my career, I'm ordering rotisserie protocol!
@ItBePatYo
@ItBePatYo Ай бұрын
Great video, eye bro!
@capnsean8365
@capnsean8365 Ай бұрын
Welcome to your first (and last) day of CCM. Good luck on your next rotation.
@grumbles
@grumbles Ай бұрын
Going of the last one, i remember a pediatric hospital nurse helping in the ICU during Covid who would always call it "Tummy time"
@tangledcharlotte
@tangledcharlotte Ай бұрын
I loved the mix of dumb and really --- not so dumb.
@thebooksofmylife
@thebooksofmylife Ай бұрын
I think this just became my favourite of yours 🤣💛
@lechatbotte.
@lechatbotte. Ай бұрын
Yeah after thirty years as a nurse I want to know too!
@josephro
@josephro Ай бұрын
Why is it called a bowel regiment and a pulmonary toilet?
@PhoenixRoseYT
@PhoenixRoseYT Ай бұрын
Regimen as in routine Pulmonary toilet as in expelling crap from your lungs
@jenjensi
@jenjensi Ай бұрын
Oh the rotisserie one got me good 🤣 way too many nights spent flipping patients back and forth 😴
@AzraNoxx
@AzraNoxx Ай бұрын
There are no stupid questions, but there sure as heck are nonsensical ones!
@elenanojkovic2554
@elenanojkovic2554 Ай бұрын
Back in my anatomy class we had one professor who was like, "I won't say there are no stupid questions. There is an infinite number of incredibly stupid questions but I'd rather you ask me a stupid question that give a stupid answer to a patient one day!" I just wish our professors in clinical modules adopted her philosophy because they would get mad at us even for normal questions. Someone once asked a surgery prof a question and he was like "Ugh, you were supposed to learn that in infectious disease rotation!" And then we reminded him we had infectios disease rotations cut in half because we had them in early 202 and first COVID patients were brought to ID department and nobody wanted to have 125 4th year students going anywhere near the highly contaigous, unknown disease if not absolztely necessary.
@FishBoneD14
@FishBoneD14 Ай бұрын
We’re in a national culture shortage so maybe just for now you can just order 1 blood bottle.
@brennaw8684
@brennaw8684 Ай бұрын
They all seem like important questions to me!
@themainman9088
@themainman9088 Ай бұрын
Pulmón is Spanish por lung, singular. For anyone wondering.
@EmanuelaleunamE
@EmanuelaleunamE Ай бұрын
From Latin for lung, "pulmō." Romanian uses "plămân."
@WelcomeApathy
@WelcomeApathy Ай бұрын
Rotisserie protocol killed me! This was amazing!
@whoyawith9494
@whoyawith9494 Ай бұрын
Patients watching: umm...about blaming things on lab errors...and maybe or maybe not wondering if they're not lab errors. Should we add this to our list of things to worry about whether or not we should worry about? 😂
@Virdice
@Virdice Ай бұрын
Nah I'm with you on the ECMO question. I've seen it, I learned it, I used it, but what is it really?
@manuboucher7751
@manuboucher7751 Ай бұрын
need a part 2 to this
@philipp573
@philipp573 Ай бұрын
this killed me 😂 watched it twice ... still tears in my eyes😂
@zoekane4012
@zoekane4012 Ай бұрын
O how I love Dr Glauk....
@kailexx1962
@kailexx1962 Ай бұрын
"All valid questions and to answer, we'll go alphabetically."
@tilojonas6624
@tilojonas6624 Ай бұрын
Reminds me of the fantastic "Greenside" cartoons: "No matter what you've heard, there are no stupid questions. There are only stupid people who didn't listen to me properly the first time!"
@gefginn3699
@gefginn3699 Ай бұрын
Yes got me rolling on this one !! Very good ! 😂
@minasoliman
@minasoliman Ай бұрын
Rotisserie protocol got me wheezing and coughing in my lol’s! 😂
@Abrikosmanden
@Abrikosmanden Ай бұрын
Thank you for asking the tough questions that we all have but keep to our selves! I/we did a LOT of rotisserie protocol a little while back 😄
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