This video is sponsored by Seamless.
Hey guys!
It's early morning about 5 AM.
I'm walking to the train station... in a little bit of a hurry to catch my train to go to
the hospital.
The cool thing about being at the train station this early is that it's empty for the most
part.
So you have the whole place to yourself.
But also one of the downsides of coming to the train station this early is that the train
takes forever.
I'm currently on my way to the hospital for my final rotation of medical school.
I'm doing my MICU rotation and MICU stands for medical ICU or medical intensive care
unit.
As a fourth year medical student I'm taking care of not that many patients--actually just
one right now but there's a lot of complex things going on with the patients.
So it can be a very emotionally draining place, the ICU, because the patients are sicker and
there is families.
It's a great place to learn and I think it's a great place to kind of finish out my medical
education.
So I'm on way to go see my patient... my patient but also all the other patients on the floor.
So now that I'm settled in the train, I'll tell you guys a little bit about my morning
schedule.
I have to get to the hospital a little before 7.
At 7 o'clock is when sign outs happens and sign outs is basically when the night team
updates the day team on anything that happens overnight like if there has been any new patients
and basically anything that the night team would want the day team to follow up on.
So that takes usually about 15 to 30 minutes depending on how many patients you have.
So let's say from 7:30 to 9 o'clock is when you pre-round on your patients, so you see
all your patients, you talk to the nurses, you check up on any labs, or any imaging that
came back from the previous day and you just basically prepare to present all your patients
to your attending.
And in about 9 o'clock you meet up with the attending, sometimes there's also a critical
care fellow.
Rounding takes anywhere from two hours to two and a half hours.
So it can go right until lunch time and that's when I grab lunch.
Alright so we just got out of MICU.
Hey StriveToFit!
What's up America?
Alright so tell us what you did today, or what we did today.
So today, on our MICU rotation, we did some procedures, we helped doing a central line
placement, got some ABGs, some cardiac echogram.
You have to explain some of these....things so that they are understandable to people
who are not in medical school.
Sure!
So we put in a central line today for a patient who basically... their lines weren't sufficient
for peripheral access.
So basically it's a sterile procedure where the resident or the attending comes in and
treats them in sterile fashion and you essentially use ultrasound guidance to get access to the
internal jugular vein.
So basically.... none of those are layman's terms.
Okay...
Basically... normally you get like an IV, you get a stick so people can take blood out
of you or give you fluids or something but this person had really bad lines on the veins
on the arms or basically the peripheral side of the body.
You have a big vein on your neck so that's where we put in the line.
So you'll have good access that way.
And that way you can give certain medications to the central line like antibiotics, you
can give blood, TPN, so it just gives greater access to a wide variety of stuff.
We also saw a bedside para, (paracentesis) which is taking out fluid from somebody's
belly.
They have like liver problems, they can have a lot of fluid inside their belly and it's
very uncomfortable and it can compress things.
So you put basically a needle in and all the fluids comes out.
So with that, you also use ultrasound guidance like I said before and in this patient, we
pulled out 6 liters of fluid--it was a lot.
So that's quiet a lot of fluid if you think about it.
So we're done.
We're done for the day.
Ok... alright keep striving America.
Take care.
Bye!
So it's about 2:30 right now.
I'm on my way home.
I didn't get to eat lunch today because we had a lot of procedures and some pretty sick
patients but the good thing about skipping lunch and going straight through procedures
is that you get to go home early.
So I'm just getting home from the hospital.
These commutes get me really really tired.
So it's really really important that I don't like down.
If I lay down I'm gonna most definitely take a nap.
So it's really important that I keep moving.
So I'm just gonna have a little snack and then I'm gonna go out to work out.
I'm gonna head out to the gym.
I will feed Candy.
Hi Candy.
I missed you.
Just wanna show you guys something really quick.
Look what came in the mail.
I'm gonna show you guys after I put it on.
I've been invited to Hogwarts to be a wizard.
And the sorting hat tells me I'm gonna be an Emergency Medicine doctor.
The package was actually my graduation gown and unlike the undergrad, it comes with a
cape or like a wing of some sort.
Which I'm not sure how it's supposed to go exactly but also comes with a cute little
baret like hat.
And overall, it's very regal looking.
This whole thing was like $190 dollars and I'm really just gonna wear it once on graduation
day so you know that's great.
So I'll be wearing this sometime in early May for my graduation.
"Why are you on the floor?
I'm sleepy I'm taking a nap"
I'm now headed to gym.
Quick reminder... quick throwback.
"I'm thinking about getting Airpods... you know those little headphones with like no
wires.
I've seen a lot of people with Airpods.
They look cool, no they look stupid but they look cool now because I've seen it so many
times.
So I'm curious.
Let me know!
Why are you laughing??"
Earlier this week was my birthday and I got these dental floss for my birthday.
Just kidding.
I got these airpods for my birthday from bae!
So I'm gonna try them out at the gym.
So I'm back from the gym now and it's about 7 o'clock and tonight instead of cooking dinner
I'm gonna order delivery from seamless and I just wanna thank seamless for supporting
this video.
So seamless if you guys don't know is an online food delivery company and you can order from
their website or their mobile app and you can search their website or app by cuisine,
different restaurants, or the type of food that you're in the mood for.
I personally like to use Seamless if I have a long day at the hospital or if I just don't
feel like cooking.
It makes it really easy to get my dinner ready and I don't have to clean up or cook.
So if you're a New Yorker, I have a special offer for you--you can get $7 off your first
order of $15 or more by using the link in the description box below and using the promo
code strivetofit.
So for tonight for dinner, I'm gonna be ordering some Indian food, which is some of my favorites
so I'm gonna be ordering some biryani and some tandoori chicken.
I'm really hungry so I can't wait to eat.
So I'm gonna have my dinner and head to bed around 9:30 which is relatively early for
me but since I've been waking up super early at around 4:30 for my MICU rotation, I just
wanna make sure that I get enough sleep.
So I'm going to close the video here.
Thank you guys so much for watching and I will see you guys next week.
Bye!