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My trunk is kind of messy.
Hey, white coat.
White coat.
That's how we know he's a real doctor.
Don't use it that often anymore actually.
Golf clubs.
Golf clubs, also a real doctor.
What's up guys?
How's it going?
I'm Doctor I Amit Pandey, UCSD internal medicine resident.
Just started my third year which is pretty crazy, time flies.
Already in my last year of residency.
Here to, you know, take you through a day in the life and show you what it's like to
be a resident.
So, there's two different ways that we take care of patients as residents; there's either
inpatient or outpatient.
Inpatient is taking care of patients that are admitted to the hospital and are staying
within the hospital.
Outpatient is like in clinic.
Whenever you go to you see your doctor normally, you might go to a clinic appointment.
That's out patient.
So, what rotation are you on?
Toxicology rotation.
It's actually a sub-specialty of emergency medicine.
It's important to know that when we take care of patients in the hospital, on the inpatient
side like I mentioned, there's two different ways that we do that; one, there's a primary
team that puts in all the orders and two there's consult services which can provide specialty
recommendations for example in cardiology, pulmonology something like that.
So, I'm on this toxicology rotation.
We look at all different kinds of toxic ingestions by patients.
And as you might imagine, that could be super interesting like different kinds of drugs
all the way from cocaine to things like spice that you might have never heard about.
And then also unintentional overdoses of medications that we prescribe.
Okay, so you're an internal medicine resident but you're doing an emergency medicine specialty
rotation, how does that work?
The great thing about medicine is you get a huge variety of what you get to learn, what
you get to experience and honestly, it's almost like having a new job every month or every
couple of months and that you get to experience super different practices of medicine et cetera.
Most of the time we rotate within our own specialties, either primary medicine services
or medical sub-specialties like for example, cardiology like I mentioned.
But right now, I am on a rotation where I get to be a kind of guest rotator in the emergency
medicine program and learn a little bit about toxicology.
Dr. Pandey, I hope your doctor skills are better than your parking skills.
Can't guarantee that.
[laughter]
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So, what's going on today?
So, I'm on a console rotation where we evaluate patients that are admitted to the hospital
and provide recommendations.
So, we kind of wait to see when we get new consoles.
In the meantime, we're doing a lot of didactic teaching.
So, like lectures provided by the fellows in attendings.
Yesterday we talked about meth overdose which is like honestly a huge epidemic in San Diego,
we see it all the time.
So, today we'll be talking about a topic like that.
Are you the doctor Pandey from the medschoolinsiders.com blog?
Yes sir, that is me, guilty as charged.
I got a fan over here, this is exiting.
Yeah man, huge fan.
Yeah, I write and oversee all blog content at medschoolinsiders.com.
I've always really loved writing and so this is a great opportunity for me to combine that
love for our desire to pass on knowledge to the next generation of doctors.
Yeah, paying it forward.
Yeah, paying it forward, exactly.
So, we've got a lot of great stuff there and - and hope that it helps you guys.
So, please, check it out, let us know what we can provide you.
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All right, we got a console.
We got patients to see.
Let's go.
Just got done with conference.
Had a few lectures this morning.
We went over some really interesting stuff.
Talked about, aspirin overdose, which is a really interesting disorder, actually that
can be fatal often.
So, we got called about an adolescent patient who took an overdose of a medication called
Wellbutrin or Bupropion, which is a medication used to treat depression.
And its biggest side-effects when taken in large quantities are seizures.
So, the patient came in with multiple seizures and the primary team asked us to come and
evaluate and treat the patient.
Always look both ways.
Thanks doc.
How did it go?
Great.
Patients are doing much better.
We confirmed that the seizures were from Wellbutrin as expected.
They're stabilized now.
We got it under control with medications and talked to the primary team, gave them some
recommendations.
We're going to follow along and make sure the patient does great.
All right, let's head back to Hillcrest and wrap up with the team.
All right and we are back at UCSD Med Center here in Hillcrest.
So Amit, let's recap the day.
Yeah, so, I started off the morning with some lectures, had some good learning, went and
saw a really interesting patient, gave the team our recommendations and since it's a
pretty unique rotation where it's jet lagged to finish up, we're going to take advantage
of sunny San Diego and we're going to hit the beach, get some sun rays.
Now, for those of you who don't know, Amit and I, we went to med school together.
We both went to UC, San Diego.
Yes, sir.
And we are really good friends, we studied a lot together.
Too much sometimes.
Too much.
We would just be in the MET, our med school building and we just like, after lecture,
we would just camp out there and grind.
I know why I chose UCSD but Amit, why don't you tell the viewers... why did you choose
UC San Diego of all schools?
I don't know man, like honestly, while sitting here just looking at - it's really hard to
say.
You know, it's a tough, tough question to answer.
As most people know, San Diego is a beautiful place, the beach, the weather.
But also, my family is here.
I grew up here.
Spectacular program.
Really good training at UCSD.
So, it's kind of a no-brainer, it had everything that I needed.
Nice.
The way I think about it is, med school is very high stress unfortunately - True.
And there are ways that you know, people should mitigate stress.
But being at a place like San Diego, it can be a very low stress environment.
Right.
And like, you know, you can just come to the beach and relax, unwind, de-stress.
A lot of physical activities that you can do, hiking, snowboarding - not snow boarding,
surfing.
[chuckle] Damn, I didn't know you guys got snow over there.
We have everything in San Diego.
In med school I think, at the end of the day obviously not everybody can be in somewhere
as beautiful as San Diego, but the key is to find somewhere where you feel comfortable
and there's outlets outside of school that allow you to to enjoy yourself.
Whether it's exercise, art, food, whatever.
The key for med schools is to try to end up in somewhere where you feel good about the
program but also about your life outside the program.
Good fit.
Exactly.
All right Amit, real talk, how often do you actually get to come to the beach?
Depends on the rotation that I'm on.
When I'm working in the hospital less frequently, maybe once every couple of weeks.
But when I'm on an outpatient rotation and the hours are better, I try to come pretty
frequently.
In the summer, maybe two three times a week if not more.
Nice man.
So, what do you want to do next?
So, usually on a day like this I would go work out.
And the way I like to do that most is that I play a lot of basketball.
I think we should hit the courts.
Let's do it.
All right.
You are going to [00:07:36].
Okay, I have never seen a guy play defense with a camera before.
[laughter] Well done.
We have matching watches.
I got it because - I got that watch because you recommended that watch to me.
I know man.
It changed both of our lives.
Yeah.
To this day the Casio whether regular or calculator is my most complimented piece of clothing.
And I don't know if that's just because of the Casio or because I'm terrible dresser.
[laughter]
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