The Secret Language of (American) Doctors

[@spookypineapple]

there were a couple here I'd never heard, and I laughed so loud at your straight-face description of "Code Brown" Bravo, Sir.

[@masterimbecile]

I first heard/ experienced code brown during ER rotation. You get one C diff and it stays with you. One never truly becomes accustomed to code browns

[@robertcompitelloii7793]

Sam Shem's House of God was introduced to me by an MD I worked with who had it as required reading in Med School. Such a great book.

[@medhatsiddik1328]

During Med 3, we had one of the residents tell us that a certain patient needed a lot of TLC. Being the wet-behind the ear medical student, I eagerly asked her what TLC meant expecting a 5 minute pharmacology lecture on some drug I've never heard before. TLC apparently means "Tender, Love and Care". Basically, being extra empathetic and caring to the overly anxious patient who doesn't have anything serious to get them to calm down.

[@navyguyinva]

This GOMER really mailed it in today.

[@peybak]

This reminds me of something funny I read recently. In the 13th century, Arnaldus de Villa Nova wrote “On the Precautions that Physicians Must Observe” treatise, where he discusses how physicians should BS their patients to increase their own prestige.

[@WestBloctonDM2]

In our hospital, we said "P cubed" for "piss poor protoplasm"

[@katebowers8107]

I’ve spent a lot of time in hospitals in the last 5 years because of the need to bring my elderly parents in for care. This video explained some of the (I thought non-medical) questions we would hear during triage in the ER. I was lucky to have lots of siblings and my parents had good insurance. I cannot imagine how hard it would be if I were alone. Elder care at home is physically and mentally demanding and a 24-hour job. The people doing it are often, themselves, over 60 and chronically sleep deprived. The “dad dump” is absolutely understandable as something someone driven by exhaustion might feel they have to do. I’m grateful I never had to do it, but now I see that, at times when I had to send one parent to the ER in an ambulance but stay home to care for the other-who could not be left alone-while I arranged care so I could go to the hospital, that ER visit might look like dumping. COVID also changed our sense of urgency about accompanying our parents to the ER. For at least a year, and then during surges, we simply were not allowed to stay with them. I do believe, because of hearing difficulties and my mom’s positive attitude (that is, she’d answer medical questions based on what she wished was true rather than what was actually true) they both got better care when they were accompanied. Sorry for the novel! Thanks for the video!

[@jaybleu6169]

Having been a bedside nurse for years, I became extremely understanding of the families dropping grandma off at the ED. More often than not it's a single family member responsible for all the care for that person. It was overwhelming to care for them as part of a team of nurses. I can't imagine how those family members did it as long as they did.

[@dsrini9000]

Adding to the “cloud” nomenclature, I’d like to add “purple”, i.e. gets all the weird admissions (i.e. case report worthy)…which can mix with black and white clouds

[@mckenziemd]

"gray" cloud

[@Omnis2]

More slang: FLKs (flecks) - funny little kids High Five - HIV "Did it for the 'gram" - When your teenage/young adult patient just needs GC prophylaxis and discharge (probably deprecated now that the guidelines changed) Status Hispanicus - Either a large, panicked family, or an overanxious, typically Latina mother accompanying a patient with an innocuous problem that is easily defused despite the drama and cacophony of despair surrounding it. The Bakery - the area of your ER holding all the baker acts because inpatient psych is full and transfer/transport is taking forever. Basically, the psych rock garden.

[@kenhaze5230]

"Supratentorium" can be ruled out because it's probably not technically correct (the worst kind of correct). Cerebellar lesions have increasingly been correlated with obsession, anxiety, and illogical thought processes-Schmahmann 2010 has a great review. Everyone thinks of it as a motor structure, but its functions are pretty diverse, and motor symptoms are merely especially conspicuous. So since it's one of the perhaps minorly offensive or dismissive ones, maybe it can be reappropriated for an opportunity to lecture about cerebrocerebellar connectivity and all its subtlety.

[@HaemDream]

So do we need to find a new structure for things to be “supra-“ to… supramedullary?

[@kenhaze5230]

@@HaemDream Lmao I just mean as a euphemism for pain being "in one's head," since reasoning could be impacted by the (subtentorial) cerebellum. It's still fine as an anatomical boundary...

[@mckenziemd]

Nice video. House of God, good book. Don't forget the bed height index... LOL social admits --> treat'em, (feed 'em) and street'em "GI Rounds"--> time to eat!!! we also used to keep track of patients on index cards (3x5's) and trade patients depending on complexity and difficulty. This was in the late 90's.

[@StrongMed]

Argh, I forgot "GI rounds". "Hepatology rounds" too (i.e. happy hour)

[@scoobsmcdoo3471]

I presented with an incidentaloma and a fascinoma one time! CC was severe R side pain and they found a 13mm kidney stone on my left side. I was damn near handing out autographs.

[@armin8306]

Lol... Some of these are actually new to me. Pop drop, wall/sieve.

[@mckenziemd]

A "stop, drop and roll"...

[@LurkerChild]

Haven't heard "pop drop" but rather "tuck and roll" after the phrase "Tuck and roll Grandma!" from the MTV Sports: Pure Ride video game commercial from the early 2000s in which the driver taking his grandma to her doctor appointment doesn't even stop at the office, just pushes her out the moving car while advising her to "tuck and roll"

[@jaybleu6169]

Must be a lot or regional variation in this. I worked in hospital medicine for years and never heard most of these. There's always that one guy who loves to chase zebras, though.

[@RyJones]

I was a fascinoma once. It was fun! I had severe reactions to poison ivy as a kid. Age 18, I was having one. My whole face was swollen and bloody. In admitting, the nurse asked what the other guy looked like. I said it wasn’t a fight, it’s poison ivy. While in ER, everyone on the floor came by to see such a violent presentation. I explained to like two dozen students that this was the worst reaction I’d ever had, but not uncommon.

[@JustDawdling]

I work in Internal Med in Canada and have never heard most of these slang terms. Wild.

[@hedleypanama]

I am a Spanish speaking MD. The ones we that we use: -> Supratentorial -> Zebra -> Incidentaloma

[@mytube785]

Dr. Strong: AI LLMs are now widely regarded as powerful tools with potentials for medical applications. You did research work and some videos about some Stanford research work using AI. Do you plan to do more videos about AI in medicine? It seems AI predictions for sepsis in hospitals, AI for transcriptions, and AI for pre authorization, etc., have gained quite a bit practical uses. It’d be great if you could cover these in a Strong video 😊

[@StrongMed]

The research group I'm part of has multiple AI-related projects at different stages of completion. I am planning on discussing all of these with the inclusion of interviews & discussion with other experts, but I'm tentatively holding off on talking about any of our work until the relevant papers have been published. (Some journals don't accept papers whose results have already been disseminated, even just on KZbin.) Some of it is under review now, so hopefully I can post some more on this topic later this summer.

[@mytube785]

@@StrongMed Very much looking forward to reading your papers and watching your videos on this subject !

[@yazinuwa0123]

Thank you

[@masterimbecile]

12:31 in Chinese we call “(to be) pimped” as “(getting) electrocuted (被)電”. I and a few fellow Chinese classmates have had the pleasure of being “electrocuted until we exploded (電爆）.” This doesn’t have to happen in med school though; it applies to generally getting grilled by your instructor on minute details, regardless of the setting/ subject.

[@jamesmcintyre3456]

There is a joke among auto mechanics about doctors. Doctors get to bury their mistakes, mechanics have to fix their mistakes for free. 😂

[@itsgonnabeanaurfromme]

Considering doctors get sued and shamed even when they don't make mistakes, i dont see how this makes sense?

[@rr.studios]

​@@itsgonnabeanaurfrommeThe meant a literal 'burial' of their mistakes. Assuming the mistakes are the death of life.

[@ΆγιοςΧίλαριος]

I'm familiar with a black cloud colleague😂

[@waelfadlallah8939]

Next ...the secret writing of doctors

[@thuanvo5720]

So true

[@warbler1984]

None have been able to interpet this ancient script in thousands of years...what make you think the ancient word can be unraveled now...even with modern science?

[@sewpungyow5154]

it's all electronic now

[@hvymtal8566]

​@@sewpungyow5154yes but joking about handwriting is still fun

[@ItsJadine]

14:12 slow code 🙈 can’t they just have a DNAR, tbh I’ve not heard of most of these slangs but the word “precious” was definitely used a lot on the wards with demanding patients 😂

[@StrongMed]

In the US, there are mechanisms by which a medical team could theoretically place a DNR order on an incapacitated patient over a family's objection, but it's such a legal and PR quagmire that it's virtually never done. In 20 years, I've never personally seen it on a patient to whom I had a connection. Hospitals have even had issues stopping "life support" in patients who were declared brain dead (which in the US is legally considered a form of death).

[@ItsJadine]

@@StrongMed how interesting! It can be done in the best interests of a patient over here, even if the family don’t agree. I’m so glad I’ve discovered your channel, we have differences in England but your videos are very helpful! I work in primary care now so I don’t often hear any slangs, is precious one that’s used over the pond?

[@HaemDream]

Thankfully U.K. slang is slightly different to yours so you haven’t outed us yet 😎 Interestingly the equivalent to “pop drop” in the U.K. is termed “granny dumping” 😂

[@schoolofpiracy]

Amusingly in Ireland it is halfway inbetween. We have the Granny drop

[@brocaraton]

Why are you making our lingo public? Isn’t anything sacred anymore?

[@schoolofpiracy]

Who do you think is watching this?