Real Doctor Reacts to THIS IS GOING TO HURT // Episode 4

[@angel102ify]

agree 100% with you on being called a client instead of a patient. Absolutely hate being called a client when dealing with anything medical like it's some common business transaction, especially as more and more of the NHS is being sold off by the day.

[@nevilleneville6518]

At uni they love to use the term "service user". I absolutely hate it, I think it's so dehumanising

[@michaelmay5453]

It is what you continuously vote for. In a democracy you have no one to blame but yourself.

[@deborahmackenzie1935]

And the alternative?

[@ThreadBomb]

@@michaelmay5453 Was there a referendum to change "patient" to "service user"?

[@angel102ify]

@@michaelmay5453 I've never once voted to sell off the NHS.

[@karenwilson9528]

I'm not in the NHS. Just a normal person here. But I can't help feeling that if I was called a client, not a patient, I wouldn't feel as secure in my most vulnerable time. The level of care given by a healthcare professional, as we all know, goes beyond that of someone you hire to fit a new boiler.

[@pookywooky42]

As a former nursing assistant, what term was used for who we served depended on setting. Hospital/ clinical setting? Patient. Nursing home? Resident. Home healthcare (going to a person’s home to care for them)? Client.

[@extimmi]

I think its lovely that you get choked up about upsetting things on screen. I think it demonstrates that caring attitude so many in the NHS have. Keep being awesome!

[@robynw6307]

I work in an Aged Care Facility. About a year ago we were told that our residents were no longer "residents" and were now "consumers". Makes them sound like they do nothing but eat all day. Thank heavens everyone ignorec this directive, and they are all still our beloved residents. // 4 hours? That's fantastic. Was in our local ER recently. Told there was a 12 hour wait - went home. Not worth it.

[@Kipperbox]

Your comments are so enlightening. Please complete the series.

[@quiquaequod322]

Somehow I feel not many people have enough Latin to know that "patient" derives from "suffering." For me the joke was that it derived from "patience" since they spend so much time in waiting rooms. :)

[@chiarardn2401]

Your comment about the hospital accommodation is spot on! I lived in one for over two years (including two lockdowns!) and I can safely say that the abysmal living conditions I was subjected to have had a real impact on my quality of life. Since moving out, I've been commuting to work (nearly one hour and a half from my new home to the hospital each way), and yet my life has gotten so much easier! I even get a lot more sleep, because back in the hospital accommodations one of my fellow tenants' antisocial behaviour kept me awake all the time. I'm really looking forward to seeing you react to the other episodes of this super-relatable show!

[@AyresAY]

Would LOVE for you to finish reviewing the series. I click so fast to watch them and really appreciate seeing your views on the show. Really hope you make it to the last episode, very curious about your reaction to/experiences with private hospitals vs. NHS.

[@JJoandrew]

Shruti's phone call with the parents got me a little choked up, as an FY2, it's all too real - the balance between work, portfolio, family, friends and sleep

[@wol_ves]

Thank you, Dr Hope. As always, we appreciate your insight. And I hope we can keep hearing from you, as this series continues to focus on issues relevant to doctors practicing today. Thank you again Dr Hope.

[@OrWhatWeHave]

I (student midwife) had a similar reaction to that perimortem C-section. Heart in my throat, incredible how quickly and effectively they are communicating.

[@Kazamataz11]

I’m really enjoying your views on this show, I too felt it’s one of the best representations of the NHS. I’m looking forward to your reaction to the upcoming episodes, I found it very difficult to watch but it highlights the effects it has on our mental health. I’ve been a nurse 10 years and currently in therapy for PTSD and burnout from the job, I still work as a nurse but unsure if I’ll continue long term.

[@kathymchugh689]

Thank you so much for reacting to this show! I really enjoy your videos! And thank you to you and all the front line health care workers all over the world!

[@SamAshworth91]

When I was doing my vaccinator training with SJA last year, the SJA trainers were very insistent that people coming for vaccines were only patients if they needed medical assistance, and we were to call them members of the public otherwise. When I started working at the vax centre, the nurses just called everyone patients.

[@jerodast]

Maybe someone should've trained the trainers that getting a vaccine is medical assistance :P

[@avidityrar]

Honestly Ed, your videos (and the insights from them) are so good to have a genuine and meaningful insight into being a doctor in the 21st century. Not to mention being a junior doctor and the ridiculous stress you all go through to help others daily!! Edit: what I mean to say is THANK YOU

[@ash44roberts]

It’ll be interesting to see how you react to the last 3 episodes. For me these were the most heart-breaking and shocking of the series; a reality check and NHS eye opener! 👏👏👏

[@Kazamataz11]

I completely agree, they were absolutely heartbreaking but so well acted.

[@SoullessAbandon]

I always look forward to when you upload a new video reaction to This Is Going To Hurt. It's nice to get an insight from an actual doctor into the realities of working for the NHS and the things that goes on within. Not everyone knows people who work for the NHS to ask them questions about this stuff so it's nice you can shed some light into this. Looking forward to the next episode! 👍

[@BelgorathTheSorcerer]

Thanks for the video, Doctor Hope. I don't know how you or any doctors manage to stay sane, but we love and appreciate you.

[@ElkiLG]

The implications of being called a client in a public hospital are terrible, imagine that.

[@ashleywalker3813]

I've been on the receiving end of "client, not patient" training. It had something to do with them being service users, and something about personal choice to engage with healthcare as a service.

[@jerodast]

Oh god it's even worse than I thought. Nobody would choose to need healthcare if they could help it!

[@ashleywalker3813]

@@jerodast oh it's worse. It was training for specifically working with involuntary psych patients.

[@Harrison_J_T]

That's a good catch of the real Adam Kay, I completely missed that.

[@QUARTERMASTEREMI6]

As hard as this show can be to watch sometimes, thank you Dr Ed for everything you do for us here! ❤️

[@Tortie25]

Great review keep going please

[@bryan7938]

As a just early retired Intel Officer for HMCE HMRC, you are so right on many levels. During a training exercise which involved giving evidence a student was actually being sick! Just tell the truth….seriously. But to do that you yourself you must have defensive notes. Contemporaneous defensive notes. Like you say. They got me out of trouble in judges chambers once when the old bill questioned my version of events to theirs. Out came my Daybook. Game over. Daybooks are now compulsory, as are risk assessments etc…so much paperwork simply to justify and explain every god darn decision you make (Case Decision Logs which include decisions you thought about but didn’t make 🤨) and anything you actually do or people you speak to. Im only 53 but I retired early and my colleagues are dropping fast. Being a Public Servant? You don’t even get the great pension anymore. Good luck and thank you for what you do. 👍

[@AE-fy2so]

You didn't react to the part where the Consultant brushes off Shruti's concerns at the dinner, and then said something like: Are you sure this career is for you? What do you think of that?

[@ZED2.0]

That was quite an impactful scene. I thought the consultant was very blunt and not the way I would have put it, but unfortunately I think she was right. Definitely think she could have been more encouraging/more supportive. It was missed opportunity to have a proper check in with Shruti.

[@DrHopeSickNotes]

Yeh i recorded something but it wasn’t very well thought out. I’ve witnessed first hand that attitude; blaming you for working in a broke system; instead of admitting that things need to improve.

[@jerodast]

Damn, and here I was thinking based on the clip "oh, that's nice the consultant took them out to dinner to let them share their stresses"... I don't really know how this show is structured (never seen it outside these clips) and am probably reading way too far into it - and also thinking of an early _Scrubs_ episode with Sean Hayes - but I was getting a vibe that Shruti might decide to leave at the end of the first series. Either that or it'll seem like she will, then she won't, go the positive way :) Hearing how the real scene went sure isn't changing that vibe!

[@AE-fy2so]

@@jerodast You need to watch the rest of the series to find out, you'll be surprised.

[@AE-fy2so]

@@jerodast actually, it depends, maybe you won't be surprised by what happens

[@jayj.4015]

Another great video Ed! Somehow Imposter Syndrome seems to only continue as you progress in your medical career and you progress to another level of responsibility as a Registrar, Senior Registrar then Attending/Consultant.😅 Looking forward to your thoughts on Episode 6.

[@ZED2.0]

That's so interesting, I wouldn't have thought this😯but it explains why I never felt any better even when I progressed from F1 to F2, though I was more experienced. Do you work in the US, I only ask because you mentioned "attending".

[@DarkHarlequin]

Imposter Syndrom is quite interesting that way (I encounter it a fair bit in my job). At first you feel absolutely clueless because you genuinly are but then interestingly usually comes a pretty quick phase of 'I GOT it now! I'm a pro'. But as you progress in skill and expertise you beginn to learn more and more just HOW much there is you don't know or can't do that you previously didn't even know existed. The counter intuitive thing about imposter syndrom is it's essentially impossible to calm through having 'enough knowledge/skills'. The better you get the more you understand just how vast your field is. So the only way really is to learn to accept & manage that there are things you cannot do. It's not easy. High pressure settings like Hospitals I imagine only exasperate this progression 😅

[@Killerraddish]

Working in social care we switch between client, service user, patient and person depending on context. It can be really hard keeping up with the right term to use to talk to whichever team I'm emailing or calling.

[@lisannebrady]

Thanks Dr Ed-really enjoying these reaction videos, would love to see what you think of the rest of the series. There are so many moments I found profound in this series. The emergency C-section was probably top but the advice from the senior consultant that it's a hard job and it doesn't get any easier as time goes on really stuck with me. I also hate the terms 'service user' and 'client' in medicine. Both imply you have some kind of free consumer choice in the care you get, which isn't true even in the private system. Look forward to your next reviews 😊

[@lovespringgreen]

I love this series and I love your reaction to it. Looking forward to the next one :)

[@jembawls]

Please keep these coming doc! This is my fav series to see you cover. Great video, as always!

[@alliew31]

My grandma got stuck in the ER overnight this week. Has a UTI and they were trying to figure out if she was septic or had pneumonia too or if it was just a particularly bad one, but there were no available rooms. They said 30 other people were waiting for a possible room too. They ended up having her go home with antibiotic which made me nervous but there wasn't anything else they could do. I'd hate to see the waiting room that night

[@WouldntULikeToKnow.]

Hope your grandma is recovering! UTIs are horrible.

[@cws480]

I love how you wrote #savinglives in the title hahaha. Great work, Doc 👍

[@rumbalala]

Absolutely loving your reactions to this incredible series Dr. Ed. Compulsive viewing (both). Thank you :)

[@lilmem07]

Love love love hearing your take on this drama. Please do comment on the last few episodes. It feels really valuable to hear the views of a doctor currently on the front line. Thanks so much for sharing everything you have so far 🙏 And very best wishes in all you do ❤️

[@jonathanfitzharris4196]

Really enjoying these wee reactions. I binged the season in a few days!

[@fkneuphoric]

i love watching you review this show, i’m happy it’s as accurate as it is good :)

[@rayjohnson67]

i'm glad you did not show the Superior reaction to Shruti, telling her she is struggling, as it was truly heart breaking.

[@liamholdsworth3722]

Thanks for these videos, also your vlogs got me through some tough times at my work over the past couple of years so thank again.

[@breeb2638]

Always love your insights Ed! I can say as a final year RN student in Australia, I see a fair share of variations of "patient" in our course texts. Consumer is my least fav 😬

[@MrKarottenPalme]

Haven't seen you in quite some time in my subscription feed. Gotta watch the first three videos first! :D

[@Lhappylstalker7]

In the mental health services (NHS and voluntary), I've always heard service user in the last few years and I heard it used a lot interchangeably (in more formal meetings) with patient in a separate outpatients clinic I used to work at in the NHS. I feel like the term is something usually used in more formal settings but you wouldn't say it to a patient's face because of how cold it feels? But I think especially in mental health settings, language is such a fraught path, given how frequently people have extremely poor experiences which is why I think they use that language in training to move away from an image of 'difficult' or cowering patient and towards someone who should be involved in their care and deserves empathy.

[@ingobaby1]

These are my favourite videos to watch at the moment, so I would love to see more reactions from you!

[@michelle9596]

Thank you! I love so much these reactions❤

[@vladimirimp]

Another fab video. Please continue!! Three more to go!

[@horisontial]

I love you content Nick, it's just so compassionate. I'd get a smile on my face if I was rolled into a hospital and saw your face

[@warbler1984]

Why don't you see if you can do an episode where you interview Adam Kay?

[@deborahmackenzie1935]

Great idea 💡

[@misterkevinoh]

I really enjoy this series! I don’t know much about medicine but I loved your reactions to this.

[@darriendastar3941]

Couldn't agree more with you about the excellence of this series. Lots of punch-in-the-guts moments (sic) though.

[@Dixavd]

I'm loving these videos of yours, please keep it up.

[@acd6835]

Funny it mentions 'clients' here. In Australia, patients are being more often called 'consumers' - and patients like myself are being hired by hospitals as 'Consumer Representatives' - to provide feedback and advice in health policy and procedures.

[@jerodast]

Maybe you can start with being called a Consumer Representative :P

[@lizrochester80]

The NHS mattress comment, too real! Currently sleeping on three duvets in an effort not to feel all the springs.

[@jordanbond7372]

LD nurse here, I always use service user but when I started my training it was always patient

[@InternSeraph]

was in the er yesterday (i'm fine don't worry) and i think if i had overheard the staff calling me a "client" i'd be so upset haha, it feels so impersonal and... weird? i associate "client" with things like... idk, commission work? being in a hospital situation is way more personal than things like that and "patient" has been used so often to describe the relationship going on there that it feels like the only suitable term.

[@cathrinesainsbury3338]

In the community we use service user or client, but that's because they are home and not patients any more

[@erinflores6989]

Current in nursing school and yeah theyre teaching us to say Clients now.

[@dolphin64575]

As a library worker in the USA, where some libraries are pushing back against the term 'patron', I really don't get it the alleged switch to 'client'. Client feels so impersonal, as does service user. Patient and patron both imply a continuing relationship, a level of care or personalization.

[@smoffa]

Please continue reviewing this series. Really interesting! 😊

[@LJStability]

"Oh Shit!". That one line made me laugh by your honest reaction. More like this is the point you go to the bathroom and shit yourself with what can happen next.

[@TraceUK]

Thank you Dr! Yes please do more! 🏥

[@hannahjordan9833]

I did nursing training back in 2008 (Australia) and we were told to refer to our patients as "clients". It still doesn't seem to have taken off. It sounds cold and business-like to my ears.

[@bobbijeanshields1520]

As a social care worker the client thing is true. They are moving away from service user to using client

[@mirensummers7633]

damn 4 hours sounds blissful, I had to go to A&E for minor injuries recently and the wait became 10 hours so I just left and came back the next day

[@faustnox1575]

well i can't wait for episode 6 reaction!

[@Kikkarlin]

Love this series!

[@Abloomingrose2]

In my nursing school we were told to use the word client instead of patient too. I’m still in nursing school, and nobody uses that word lol

[@joshchu]

sleep at the work place for 50+$ a night!?!? I'll be expecting at least a good bath and excellent meals to go with from my boss.

[@i12bcd8d_now5]

I have a question, when she dropped the charges you didn't show the rest of it in context why did she drop the charges I mean the complaint? did she see what he did with that delivery cesarean with the dead mom and realize that he cares and he probably just made a mistake and how stressful the job is or what? just wondering

[@janina873]

We are supposed to call them “consumers” now :)

[@yvonnes7874]

4 hours of wait in ER? You are lucky. We have 12+ hours almost every day in Nova Scotia, Canada. 80k+ families without family doc as well ...

[@WouldntULikeToKnow.]

In the US you just die. "Freedumb"

[@tarrySubstance]

I am enjoying the series.

[@rhiwright]

As a disabled person, I prefer the term 'disabled'. Saying 'differently abled' implies I acquired new and unique abilities. I'm not psychic and I don't have the power to control the weather. My leg doesn't work properly. So I find the words 'differently abled' to be patronising, inaccurate and just generally icky to hear

[@killerpeaches7]

they were using that "client" nonsense in the early 90s in California, at least in the mental health system. If memory serves they've PC'd it to somethign else multiple times since.

[@skullsaintdead]

Made me depressed when you said "fundamentally, it's about caring for people". As a chronic pain patient, only one doctor has ever treated me with respect, that being my current (amazing) GP. I would be dead (euthanasia) if not for him. Everyone else refuses to even validate my pain, they say 'do deep breathing' (breathing makes it worse, it's abdo pain), they shame me for using my opiate meds (the only thing that helps, I've tried everything else). Even had one doctor scoff at me for asking questions. On an online survey prior to the appnt, he asked if I'd ever been raped by my father - no trigger warning. Just a tool to 'weed out' high risk patients who endure abuse - all the while knowing it will ensure the victims will be denied access to meds that might mitigate their debilitating pain, furthering both emotional and physical suffering. Why are these people allowed to practice and abuse us?

[@lonerangerv1224]

It does feel like the NHS does not really care about chronic pain and it often feels like you have to fight against them to get help.

[@skullsaintdead]

@@lonerangerv1224 Thank you for your thoughtful words. I'm from Western Australia but I'm sure the experience is very similar for UK pain patients. We've become so risk-averse from opiates (understandably, those deaths are tragic) but its to the point where compassion is thrown away and doctors treat us like we're lepers (they will, however, take our money in expensive 1st appointment consults). I cannot fathom how bad it must be for people with dependence use disorders who are also chronic pain patients (50% of heroin addicts have chronic pain). They must never get proper treatment & so the cycle continues.

[@lonerangerv1224]

@@skullsaintdead Doctors I found are way too quick to brush off problems as "just some stress" or just say it is not that serious and claim it will better soon. I developed Fibromyalgia and it took them 9 months to stop saying it is not serious and to just wait it out and start to give me any sort of sort pain relief. Even then I keep getting shut down for more help because it is apparently not serious enough or what bs they decide to say. The only relief I guess is that I am not having to pay to get gaslight by uncaring doctors. If I had had to pay for some of the stuff I got told it would have felt like even more of a mockery.I agree that doctors are way too quick to assume someone is faking it or over exaggerating in order to get some drugs which then prevents them giving help people need.

[@skullsaintdead]

@@lonerangerv1224 Wow, fibromyalgia is (imo) probably the worst thing anyone can get diagnosed with. I'm so sorry. I don't know your gender, but if you're female, you're more likely to be dismissed so that could be a factor too (women receive 20% less opiates in ER settings). I have abdominal sensitisation (like severe period pain, all the time, triggered in 2020 when there was a worldwide shortage of my birth control pill, Norimin; by the time the government got around to finding a generic supplier, my pain was constant and lifelong). Frightening how easy it is to become vulnerable, and be forced to rely on doctors who are too eager to dismiss us. I see doctors on Ytbe remembering stories about 'this one time' when a drug seeker came in and lied to them, they gave a small amnt of meds and now that's what sticks in the doctors heads - not the thousands of people who are suffering with interminable pain. This is what we're up against...

[@lonerangerv1224]

@@skullsaintdead I am young male so I guess I am even more unlucky in that regard. That sounds horrible for you. Any constant uncontrollable pain sucks and utterly upends your life. I hope you at least had friends and family for support? I had a period of massive constant stress over several years which caused my health to collapse over that time. when I went to try and get those issues sorted out the doctors brushed off the health problems as "oh it is just some stress" constantly and i was told i just need to do some exercise/wait a while/do yoga etc until suddenly I was struggling to stand up for any length of time due to the pain. When I went to the doctors about the sudden pain which had lasted a whole week by that point, I was told I just need some paracetamol directly I had said I was taking that at the max dose of over the counter paracetamol and it was not helping at all. The doctor was too busy making fake sympathy noises to listen to what I said. Even the level of pain relief I am on now is just enough to do the basics of my life at home and not enough to help me restore any real normalcy in life. It is a horrible feeling to be reliant on someone else who refuse to do their job properly because they randomly decided you are exaggerating or lying about a health problem. At times it feels like if you are not dying, an imminent threat to yourself, or have some easily visible doctors do not care about the problem and brush it off until something forces them to actually pay attention, kinda like how mental health gets outright ignored. Society also just has a screwed up and self destructive approach to people with drug problems but prefer to attack the person rather than helping or dealing with the root causes.

[@CrankyGrandma]

So do people spend money on training regarding “clients” vs “patients”? Good grief. Save the money and hire more doctors.

[@Harrison_J_T]

The budget for training and the budget for new staff are not the same budget nor can one be used for the other. Also people talk about the NHS as if it's one organisation but it's not, it many completely separate trusts all run differently with no links so not all spend money the same way or train the same way (except for teaching you the things you're legally required to know ofc).

[@accuset]

4 hour waits in the ER? Ha! I've frequently had 7-13 hours.

[@chaserseven2886]

its been a while since ive watched one of your videos

[@1anonymous_moon]

Informative and interesting, more episodes please🥰

[@aprilapril2]

Are they changing terminology to say client for when nhs is all sold off?

[@joannebiscoe8667]

Love this series

[@NightWarp]

we dont get this series here so its quite interesting to watch your reactions.

[@warbler1984]

Wait why is the guy at 10:23 in armour?

[@jaihalai7674]

I assume its a LARPer - cosplay

[@deborahmackenzie1935]

Costume

[@ThreadBomb]

Great video, doc! Although you can't see it, I'm giving you the thumbs-up.

[@ShowPsycHo]

i worked at an assisted living place and the manager told me to call them clients :/

[@tammyhines1585]

Please continue. Thank you.

[@MattFern81]

Thanks so much for continung to review the series! Fun to watch, & informative as standard. Why does the term ‘client’ seem like a very American term to me? Oh & whomever said, you look ‘tired’ - I assume. What they meant to put ‘drop dead gorgeous’? ‘Cause that would be far more accurate! X

[@jerodast]

Waiting that long for the ER yet they question calling them "patients"!

[@Harrison_J_T]

To be fair I never thought junior doctor was a great term since it just means not a consultant but suggests newly qualified when you could have been one for years. Postgraduate doctor doesn't really fix that problem though.

[@user-mt2co8ip4u]

Junior doctor is such a silly term, as if we'd call every lawyer who isn't partner in the firm a "junior lawyer". Wish we would go with just doctor

[@kapparomeo]

Postgraduate is actively worse I'd say, it implies you're a completely green rookie straight out of school.

[@PanzerFalcon2232]

Regarding the client stuff, its typical upper managment twiddle, with no consultation with the public, like disabled people, no consultation whatsoever

[@WouldntULikeToKnow.]

As a US citizen, calling people clients instead of patients makes more sense. But I understand in the UK and other civilized places with universal healthcare the term patients just fits better.

[@jerodast]

Makes sense, in that "makes no sense" kind of way :/

[@isladurrant2015]

There should be an airline position... to make sure it doesn't happen again. Not like police who shield there own

[@cglnb]

for australia aged care, the government is trying to push for the term consumer instead of resident because we providing "service" to them, consumer do not sit well with me tho.

[@unclassedmedia]

service user is definitely used in psychiatry.. I kinda like it tho.

[@HumanTypewriter]

Really? Glad you like it. I hate it. Always feels like they are talking down to me as if I can't handle the reality of the situation

[@Ministf]

Please continue!!!

[@mrjibrhanjamalkhan2144]

Im betting views are down since this series started, correct me if I'm wrong I'd like to know what side of reality I sit on

[@ZED2.0]

#savinglives ego maniac has to be the funniest thing I've heard all day 😂 Adam was so wrong with what he said to Erica, my jaw hit the floor during that scene.

[@barmyb]

I still see patients being called clients in obstetrics wards to this very day. I hate it.

[@tjohnsmith8276]

Why did you skip the consultant's harsh advice at the end

[@DrHopeSickNotes]

I ended up just mumbling too much about it without really adding anything to it

[@ezgarrth4555]

On the topic of terminology, gotta say, illness is also a normal process, many of them not even temporary ones. "Patient" shouldn't be a dirty word for that sake

[@messrsandersonco5985]

Australian lifeguards are now calling beach-goers "patients". They drag your sorry a** out of the sea but let's hope they never have to operate... 😅

[@LongdownConker]

Loving these reactions to this series. Also I don't like the client idea either, client just sounds cold and informal.