Trying to get GI to Scope

Sometimes GI seems like they’re looking for any excuse NOT to scope someone. Even when a GI bleed is staring them on the face
This is the GI fellow I try NOT to be
What are your crazy GI fellow stories??

[@masteroc]

A GI fellow once told me everyone is either too stable or too unstable for an emergent scope...

[@kaygee2012]

I thought this was just GI in South Africa but I see we all live like this

[@mhm1444]

The GI bleed paradox 😊

[@ChahtaAnumpa]

Idk about that maybe for him but when I had my stay in the hospital I complained of stomach pain and 4 hours later they twilight my ass and stick a scope up my ass.

[@nothanks9503]

Yep GI doctors have been entirely useless despite having been to hundreds of appointments in my life

[@firesideshats]

Yeah because they actually dont want to do there fcking job. GI would have to be some of the laziest crunts going

[@LeyahJo]

Can't relate. our hospital GI teams will upper and lower scope anything that breathes and has a GI compliant.

[@erosennin4203]

cha ching

[@denisedube-stevenson3808]

All “Normal exam”

[@imbillyjeab6764]

Patient: *exists* GI: This looks like a job for me

[@timvanloo6]

That's why this is a skit, and not real.

[@yuantingkung378]

You had a very nice GI team.

[@transsnack]

This one... actually makes me a little mad. I almost lost a patient because GI didn't want to scope her. She had a massive GI bleed, and she ended up getting multiple transfusions. It was completely avoidable. Infuriating.

[@tahaistheboss98]

Same, we had to give her 5 units until they finally scoped her and immediately stopped the bleeding

[@jadedaniels5076]

GI bleed contributed to my fiances death. He complained about hemmhoragic stool for days leading up to it being enough to take his consciousness away. After days of complaining they tested him for covid because he kept "complaining of diarrhea". No. Just because you think a patient couldn't be using hemmhoragic correctly. Diarrhea =/= hemmhoragic stool (Source was some verices)

[@KMx108]

​@@jadedaniels5076so sorry for your loss. I almost lost my aunt for similar reason. Her complaints were dismissed until she was on the verge of death and ended up getting 4 blood transfusions.

[@daniellevieira8159]

Lost my auntie exactly like this. It is revolting and it always makes me think what could be different if the doctors who attended her had her doing a scope to find the cause of the bleeding.

[@bomt697]

This would be a GI that works for the hospital. If it was a private GI they’d be scoping him at “I think”

[@nothanks9503]

Idk man they just gave me laxities because I had diarrhea

[@bomt697]

@@nothanks9503 that’s why it’s still called “practicing medicine” and not “doing” lol

[@nothanks9503]

@@bomt697 no I think that’s just being doing drugs is different

[@nothanks9503]

@@bomt697 practicing drugs

[@Richdragon4]

Thinking? That sounds like human, better scope it.

[@sophfro]

I had a crashing patient who vomited a large amount of coffee ground emesis and was anemic on his labs. Called the GI doc on call and was shocked when he said he would come in and scope in the ED. Patient wasn't actively bleeding on the scope but when I said I need your help he showed the heck up. Mad respect for that GI doc.

[@pns2104]

That's hard to find in GI. Kudos to that doc

[@sachinvaikunth]

you're prob not in an academic medical center

[@lizmullaney305]

In all my years in the ER only had a GI Dr actually come in once. That was for a large food bolus Drs couldn’t reach with our instruments threatening the airway and was in a great deal of distress. And if it got pushed forward at all it was going to go right into her bronchi. He had a very reassuring pleasant manner with a patient going through a frightening experience. Was so glad for the patient because that was never our experience when paging them(repeatedly) and getting brushed off.

[@dugudwn]

GI paradox: patient is unstable -> stabilize him, will visit him in the morning. Patient is stable -> well he should hold until morning lmao

[@amusedBYfools]

A doc regretting his specialty. Should have went into podiatry.

[@BelalAlDroubi]

Too unstable for a scope anyway 😂😂😂 That one killed me 🤣

[@carolynbrown8209]

The pt too😂

[@CM-mo7mv]

him too

[@zeta1593]

So relatable lmao

[@christinebutler7630]

prolly about to be too dead for a scope...

[@abalt3019]

@@CM-mo7mvbeat me to it.

[@postapocalypticnewsradio]

As someone with ulcerative colitis, I can say with one hundred percent certainty that it's nearly impossible to get a GI doctor to do anything, and absolutely impossible to actually get in to see one if you have to find a new one. I've been six years untreated now. It's just as awful as you think it is.

[@carolynbrown8209]

So sorry😭

[@lisacallan5462]

It took me 7 years of symptoms to get a diagnosis and three years self treating because the doc who diagnosed me was a POS before a flare tried to kill me and I finally found a good GI doc to help me with mine. It IS possible, just way hard unfortunately

[@JCHK.]

That's awful! I have Crohns and it feels like I get a scope every time I turn around.

[@puo2123]

After 9 years no diagnosis.

[@rebekahjimenez2808]

It took almost 3 years to get a scope for my daughter and her esophagus was nearly swollen closed.

[@kidaz]

Love the self-own. You know how to circumnavigate this quickly? "I'm calling your attending".

[@seema9213]

"Do we have recent iron studies?" with that tone was the best part! Your videos are too funny Doc 😂

[@LeafyK]

I aspire to be a doctor and I can't put a price on how much these quick convos teach me. The densely info-packed conversation is fantastic (edit- erreur de frappe)

[@fsjafsja508]

It helps nurses too! I never had an idea of the conversations that can go on behind the scenes until now. This is so funny and educational - even though it’s exaggerated. Lol 😂

[@MLarios97]

I hope youre not mistaking comedy for reality...

[@BionicPig95]

Are you a doctor yet?

[@kbrock9146]

Why expend all that extra effort to say *typo*? I hope that when you become a doctor you learn efficiency and brevity.

[@jillsjakes2519]

​@@kbrock9146 _scribbles a single wavy line across half the page_

[@JEDonnert]

I love that I'm so far down this rabbit hole of his videos that I have no clue what's going on but still find them hilarious

[@michellebarney9405]

As a fellow patient with crohns disease and twisted bowels 2 times in my lifetime..This is soooooo true

[@fozf9193]

That's what nightmares are made of!

[@Warior145]

As a nurse can say it is accurate . We keep paging and paging and doctors keeps deciding what to do.

[@gracemiller3861]

The GI doc should have been asking if he’s taking anti depressants and seeing a therapist. Sounds like anxiety to me 😌

[@kathymaclaren2711]

Yes of course depression always makes me throw up too. Especially bloody throw ups. The more depressed I get the more I throw up. Of course you're right 😂

[@annaroland5269]

Your videos are amazing, this one was a bit too close to home but it helps me as a non-medicine person to see how treatment is not easy or straightforward and to totally appreciate the good medical staff that are doing their best.

[@maryandersondearing3053]

I appreciated the medical teams who helped my husband through 3 GI bleeds. Now I appreciate them even more.

[@treyweeeee]

As someone who has gi issues. This is so accurate it hurts..

[@Scumful]

youre a doctor? how is this accurate to your life? lmao

[@ferretyluv]

If it’s a Mallory-Weiss tear, that needs to be diagnosed WITH A SCOPE! And he shouldn’t be septic if LDH is normal!

[@robertdemitro1520]

Too much time in trying to avoid going to see the patient !

[@cognitivelydeficient4866]

The patient in question sounds very unfortunate.

[@riseuprxns]

The sad part of this…this is basically a verbatim conversation I had with a GI when I was in residency because it was one of our indigent uninsured patients. If the guy had insurance, he would have been scoped the second we consulted. Since he didn’t, the GI knew there would be basically no money and no follow up so he kept deferring to outpatient work up. Which he knew he’d never see this man at because the indigent care didn’t cover his private office.

[@carman95]

Omg lol right on the spot tell me all about it (I am an endoscopy nurse working closely with GI)

[@mandadick7093]

No hesitation to do routine colonoscopies tho 😂

[@breezy30153]

OMG this made me livid 🤣 either scope or not ! 😩🥴 or code 😅

[@damegataco]

The messed up thing is when I had obvious H. Pylori symptoms rather than do an H. Pylori test my doctor pushed me to go to a GI who tried to insist on scoping to "confirm ah ulcer" and was ready to do it as soon as an appointment was available even though it would've taken more time to schedule that appointment and wait for it vs just doing the simple H. Pylori test so they could prescribe the anti biotics I needed so I could stop passing bloody stools... All because they wanted to make things difficult for me because I'm opioid dependent and self medicating due to neglect thanks to the CDC guidelines misinterpretation and misapplication acting like it was just "opioid induced constipation" when that obviously wasn't the case and just a diagnosis made to try to blame me and my opioid dependency for any health problems rather than actually acknowledge a health concern and take action to treat it all because they just wanted to avoid being responsible and liable for an opioid dependent patient like myself. The medical system is beyond broken these days.

[@Blind_Smithy]

be less opioid dependent then would be my guess as to fix that perception

[@damegataco]

@@Blind_Smithy you say that as if it's so easy when it really isn't when it comes to chronic pain. You really don't know anything, which is clear because of the fact you say something like that as if it's so simple. Maybe go educate yourself next time before acting like you know something about something you have no experience with.

[@KMx108]

I couldn't get an h pylori test from my GI...he said his practice decided to stop offering them. He told me to buy a test for myself online. My insurance covered payment for that lame appointment and I then had to pay out of pocket for a test I bought online. Annoying.

[@damegataco]

@@KMx108 they sell H. Pylori tests online??? If I had known that I would've done it. Literally was had bloody stools for 3 months until I was able to get it confirmed and have anti biotics prescribed, which cleared it up within days.

[@primarymedworks]

Freakin hilarious...I’ve had this exact conversation before!😂🤣💕🤣

[@dana102083]

I had a nurse coworker that was named Malena..we worked in GI..lol

[@steves7536]

As a 35 year Med Tech lab oriented I just laugh at all this Dr. Schmidt. You do great job on entertaining episodes on all your interactions down the hole of medicine. Now you the real MD you probably gonna have more time for more here. Its gotta be bliss because my lab time and all the crazy episodes yes i have laughed at many. But in all seriousness our job is clear. For me get pints of blood ready for GI bleed for patient and wait for GI doc to fix. So many cases I know and you in right place. Your content right on and the laughs that come with it priceless. But medicine no joke people these days not eating right doing right in life and they reach you its usually bad. So Kudos sent to you on repairing what is just now considered common thing. People not aware that eating bad not good for GI. You just there to fix what could have been avoided in beginning if education of diet would have been taught. Me Im just lab guy that does his job cuz GI doc needs help with service keep patient onboard(Alive) lol. Keep doing ok All good!😂

[@maisonmitsios125]

I feel this with every fibre. when my GI tells me because my inflammation markers are at about 90 and not over 100 they don't want to do a scope. I'm like BUT I FEEL MY STRICTURE BACK PLEASEEEE. they go nahhhh you'll be right just have some more pred. ahhhhhh

[@ninjason57]

This is too accurate it hurts my soul and also makes me laugh

[@susandunn7207]

Been there. I had a patient vomiting and passing blood and was down to about 4 hgb before he finally went to surgery.

[@mjbonnin]

Love that you can make fun of your own as well as the rest of us. ❤

[@IrmaFeliza]

He’s just like JUST DO THE SCOOOPEEE😩

[@MamaWheelz]

I have IBD and this is way too accurate 😅😭

[@dianefitzwilliam]

This reminds me of my last GI appointment (I speak as a patient), in which the doctor walked into the exam room, keeping her back to me, wrapped her giant sweater protectively around herself and sat in a chair on the other side of the room, *against the wall* and spent the next 20 minutes or so mumbling at the computer screen. I was able to decipher a small percentage of what she said, part of which was that I was way too much supplemental O2 for endoscopy (I range between room air and 4LC depending on conditions and activity), murmured something about cancer but I have no idea what, and said it was okay for me to continue to treat my incessant GERD with ginger, lemon and turmeric. She then billed me for an hour. She's a real MD at a world class medical center the name of which you would immediately recognize if I were fool enough to toss it out there.

[@watchinyoutube8919]

Such helpful advice

[@danielwestcott515]

Man when I had a GI bleed my one doctor just kept telling me to eat more fiber. Come to find out I’m allergic to artificial sweeteners.

[@the620master]

It took me 3 years of seeking treatment to finally meet a GI doctor for chronic constipation and my distended abdomen. Very accurate. But hey, I am getting scoped in Dec!

[@michaelcall-kirkendoll3004]

So accurate for big hospitals.

[@areufkingkiddingme]

Just see the patient !!!!!!

[@bishop1412]

Luckily for us GI, bronch, and endo were all the same department so you're getting the patient whether you like it or not

[@falcodaindustries5068]

Going from 13 years in the lab to nursing I felt this a bit much...

[@nahyankabir]

THIS IS SO TRUE! 😂😂😂being an ER doc face this so often!

[@transsnack]

Almost lost a patient to this one, heck when I worked in an ER. So lucky the ER didn't get sued. It wasn't our fault that GI didn't want to work that night...

[@NortelGeek]

Ugh.... "Black, loose"... OMW for collection. Only correct answer.

[@samjha4469]

Everyone is either too stable or too unstable for an emergency GI endoscopy..

[@Teaganderry]

Is this GI really trying to NOT scope?? And unless the pt was actively coding, no one at our hospital is too unstable to scope! (Endo RN here)

[@the_cute_frute1080]

My gi doctor put me on a antihistamine, and two antidepressants and had me do 6 months of therapy before he’d consider doing an endoscopy for my chronic daily nausea. All because I had a generalized anxiety diagnosis, despite consistent therapy and medication to manage it. I’d had daily nausea for 3 year, and had been losing weight

[@diode_wow]

GI's in reality: "Does the patient have I hole for me to scope? If yes, send 'em down!"

[@zeta1593]

The famous 82-78 hemoglobin window where the patient is neither too stable nor too instable for a scope - god we hate you so much when you do that 😭

[@kbnnkb]

I’ve never felt so lost and so pissed off by doctors going back and forth instead of helping

[@aigledemasyaf]

Love that you’re able to point out issues in your own specialty! 😊

[@Illegiblescream]

The man’s about to code and he wants iron studies.

[@marymeola2810]

But you left out the final answer... I would have come into scope if they had said you have to come in right now and scope this guy right now. They never said that, so that’s why I didn’t come in.

[@mthandenimasilela2156]

"Too unstable for a scope" 😂 😂 what? 😂

[@iamdanyboy1]

Because Med Students across the world study the same things and same book for 90pc of their lifetimes, the behavior of all speacialties cuts across regions. All the stereotypes are the same everywhere.

[@rhondaweber5638]

We had a GI doc that LOVED doing scopes. No problem in our hospital regarding this.

[@gbolts30]

As a former GI tech and now GI nurse, I’ve seen plenty of Mallory Weiss tears. If it’s bad enough to where patient is throwing up blood, it’s definitely gonna require surgery. But usually a MW tear is innocent; usually caused by chronic vomiting.

[@inneralpha]

If that's true, it's messed up.....many unpleasant words come to mind

[@illegalopinions4082]

"Probably just a MW tear" If the other guy was smart he'd push to confirm or rule it alongside ruling out an ulcer. Probs not great to wait until there's air under the diaphragm on the CXR

[@Stormada14]

Meanwhile they jumped immediately into getting a scope for me because anemia XD

[@rudra62]

My spouse ran into that too. Refused to talk to or treat him for anything else until he had the scope, even though he had an obvious open wound!

[@peacelover7584]

This made me so angry😾

[@craterglass]

"80/40? I'll scope him in the morning."

[@ChahtaAnumpa]

I literally walked in to my last GI appt. Told the doctor to not waste my time if he won’t get me scoped im going straight to the hospital and demanding they scope me there. He said nope Went down to the ER and was scoped and found out I have chrones. Truly despise doctors at times. We need more ways for citizens to sue them for shit like that.

[@Fayn]

Hmm, seems like it's not too big an issue in Singapore. Our doctors are usually quite happy to check on you (even from internal referral) if you have issues.

[@jdangberg]

can relate. when as a resident had an RRT at 3am for a terminal cirrhotic vomiting blood fountains. called the gastro, who reported no need for a blakemore, just had a TIPS so this can't be happening. actually suggested we reduce the fluids we were pumping in him (to prop the bp) to reduce the rate of bleeding, and that he would round on him in the morning. after end of phone call I told the team no help here, prepare to code. thankfully family changed status and let em pass in peace.

[@blazingstarwtaco8214]

I don’t understand any of this.... But it’s entertaining to watch 👍🏻

[@MissBec]

I have spent wayyy to much of my life around doctors and hospitals to understand this and find it funny. No one outside the medical community should understand this. 😶

[@spamrisk7784]

True tho

[@lisacallan5462]

Never worked in a hospital in my life, I just am there too much. Chronic illness patients learn the lingo because we have to to make our lives easier, at least it helps me anyway

[@TinaRN]

I can’t relate to this either. Our GI team scopes everything that breathes, and will start a bowel prep at 2am. Only doctor I’ve ever had to go back & forth with, was a general surgeon who decided her month long ICU patient, who had his guts trampled by a cow, was stable enough for the surgical telemetry unit. Not an hour in, and I was placing a Dobhoff. Not sure why he didn’t have one already! His vitals were going crazy, I can’t recall all the details, because it was 18 years ago, he was sick! Like, SICK, SICK! I finally got angry enough to tell her that if he wasn’t sent back to the unit, he was going to die! He got to the unit within 30 minutes, and coded! Thank God he was there. He was placed back on the ventilator for 2 more weeks, but he survived! His daughter is an NP for the GI practice, affiliated with the hospital, and she was furious. I think the surgeon had both of us calling her to transfer him back to ICU! In fact, I’m sure of it. She was one of my favorite surgeons, I even let her do my vein stripping. I lost all respect for her that night!

[@joshholymoses]

This hits close to home.

[@derekwhite8213]

My dentist said that I possibly have a cavity. He gave me a prostate exam to make sure.

[@Willothemask]

As someone who had a scope where my Gastroenterologist told the edoscopist not to go any further cuz it might tear the bowel, and the decision was made then and there to have a full colectomy, sometimes GI doctors can actually get off their arses and do something. Like save my life

[@danielrichardson3613]

It's a wonder they don't have "scope techs" that can drive a camera anywhere sort of like they have radiology techs

[@margauxf4321]

Takes some sort of anesthesia to scope and a team so in theory that job would need to at least start at the level of an anesthetist in addition to a small trained team for when things go wrong (ruptures that lead to codes, anesthetic adverse reactions, etc.).

[@lizmullaney305]

OMG! I’m getting flashbacks trying to get GI to respond to our pages. 😂😂😂

[@petgranny194]

Thank heavens for nurses!

[@kaylakinker7823]

This is exactly how GI acted whenever we consulted them during residency. Like what a waste of time. They would literally just say resuscitate and refer outpatient no matter what.

[@valerievalle5207]

Our hospital will scope any time, especially with a GI bleed

[@D_R757]

My takeaway from these videos is don't bother going to the doctor

[@asenethparker8561]

RUNNNN...the guy needs HELP! Go, go, go, go

[@Simba______]

Lazy GI docs. This brings up all kinds of bad memories.

[@smorozinho]

Loool you are too good. In my ward(endoscopy) our consultants just say : send referral and put the phone down 🤣

[@msia7201]

My dude, I can smell the iron in his stool, in the hallway, through my N95. There's something wrong with his gut.

[@gaghhuh2943]

Its either not enough for a scope or too serious for the scope to be safe

[@supenskylesko]

This video really hits home for me right now! I'm recovering from a major open heart surgery. When I had the surgery, somehow my urinary catheter became contaminated with E.Coli. Trying to get physicians who will work together, and who will look at the big picture is a real challenge!!! 😢 (I'm an RN.)

[@Sybildiscontent]

Took me 4 1/2 years of constant testing and weight loss before finally getting GI to diagnose me. I’m a woman so it was “you’re imagining it” for YEARS. I have Crohns 🤦‍♀️

[@mr.mockingbrd]

The only thing I’m getting from this is that nobody is willing to do their job. They just want the paycheck.

[@baronvonbeandip]

"Lemme get in them guts." - Probably not GI

[@gabrielcaggiano3985]

I know this is medical, but it feels the same way when asking a senior at my tech job about an issue, sometimes they just make it harder and convolute the issue instead dialing in on the issue

[@nilabanlow975]

Is GI like this everywhere, they don’t ever want to scope

[@devenb1218]

We dont even have a GI team at our hospital. 300 bed hospital with 3 different specialized ICUs, level 1 trauma, and openheart Cvicu but you come in for a GI bleed and you're shipped to a bigger hospital who almost never has open beds or you're treated by general surgery who almost always refuses to do scopes or god forbid the patient ends up needing an emergency exlap to locate and stop the bleed

[@mojo4369]

Sounds like similar conversations between nurses and doctors😂

[@ellenkammer6098]

I actually laughed out loud about the platelets going from 220 to 212. I’ve had physicians call the lab for a smaller decrease over a longer time accompanied with a big WBC decrease.

[@janyhoth1586]

Jesus what’s wrong with that patient😭

[@johnhampster6781]

Well, Im not in the medical field. But I suspect a life threatening GI bleed. Hope they have a way of finding it to stop it...... :)

[@zeta1593]

Probably an bleeding gastric ulcer

[@IPerry8]

I swear I was this patient when I had a GI bleed XD

[@jessicaolson490]

GI trying to talk with patient into a grave so he doesn't have to scope. xD

[@georgemagdy2013]

We don't do that! 😂

[@venkovenkov3621]

Story of my life as a resident in Internal Medicine.

[@Billyjohn1961]

Sounds about right ….bad insurance 🤷‍♂️

[@darkstarr984]

Oh god. Me going into the hospital for a month and a half of bloody diarrhea I got admitted because of the lockdown suddenly starting so they could scope me. Endoscopy clean, couldn’t get past my sigmoid for the colonoscopy because of extreme inflammation. Classic ulcerative pancolitis, diagnosed April 1st… I hate my life right now after my recent ex-lap. Too much nausea.

[@kendisinindoktoru]

Oh God his is too accurate :)