So what was it like, day in the life of a doctor? It was very busy, very stressful and
I can appreciate things a lot more. Yeah?!
Morning guys. I'm Siobhan, a second year medical resident. In the past
I've done a video where I shadowed a nurse for 12 hours and it was a fantastic experience, I learned so much. Today
there's a nurse named Ashley who's gonna be following me around, so we'll see the opposite view. Plus it's Resident Awareness Week this week,
so gives you an idea of what we residents actually do.
So this is Ashley and so she's gonna be joining us for the day and I just want to get your insight.
So if there are moments when you're like: ''Man, I never knew this.'' Or ''Oh,
I totally knew this.'' Like I just want you to tell me all the thoughts going through your head. Sounds good. All right. Yeah, excellent.
So here's the medical team: Our
attending physician, two medical students, two junior residents and me, the senior medical resident.
We start the day by discussing a general plan for our patients,
identifying who's the most sick and who's doing well and can maybe be discharged today.
Okay, we are done, so that's kind of dividing up a list part, now we've got a plan for the day.
We're gonna go down with the staff physician, check out the new patients down in the emerge and
then we'll come back and try to see as many patients before we have teaching at noon.
Sounds good, let's do it. It is a lot of talking in the morning, right?! Oh yeah. A lot of talking. Hahahahahaha.
Here we go to the emergency department to see the three new patients who were admitted to our team overnight.
One patient has pneumonia and is still requiring oxygen.
Another has a cellulitis infection on their leg and the last patient came in with chest pain.
Okay, we're running a little bit late, we're heading to the multidisciplinary rounds now. Yes.
Multidisciplinary rounds is a time where all the allied health professionals get together and discuss patient care.
Around the table there's a physical therapist, occupational therapist, social worker,
dietician,
speech-language pathologist,
recreational therapist, spiritual care worker, community support coordinator and nurse manager.
Each person plays a critical role in preparing patients with a safe and successful discharge from hospital.
So it's now been three hours since we started. What's the experience like so far?
We've done a lot of running around.
Yeah.
We did get to see quite a few people down in ER,
we've met with multi D team and a boatload of people come up to you and asked you for
several things and you
haven't had a chance to sit down and actually
take in everything about all of our patients today. That's true. About the game plan, so we're gonna go do that now.
Yes, we have tried to find a computer, but that's the thing.
Yeah.
Like I've had my little check boxes on my list have just grown and we haven't had a chance to check any of them off.
So okay, let's do that now. Sounds good. Good plan.
Okay, so I'm gonna actually take a moment to try to get a couple of notes done and do a little bit of work on
the computer.
Cardiac exam revealed a normal s1 and s2 with no extra heart sounds or murmurs. Siobhan? Eh yeah.
The patient in room 7 is supposed to be going for his CT scan later on today. Yeah yeah.
Just wondering whether he's getting contrast, whether he should have some IV fluids around the time. I know we're being very careful with that.
Oh, that's a really good point.
Okay, so actually the evidence
about it is not always clear. We probably actually need to discuss it with him and if you want to take that risk or not.
Okay, sounds good. I'll have a chat with him and then we can know. Let me know what he says. Okay, sounds good. All right, thanks.
Right, cardiac exam.
Elevated JDP at six centimeters, bilateral.
I'm so sorry to bother you. So I have a couple questions. So Mr. Smith in room three,
he's been complaining of a lot of pain.
Okay, fair enough. You know what, I'll swing by in a little bit, but I think it's so reasonable. Yeah, okay. Thank you. Thanks. Yeah.
Bilateral pedal edema... Hi, I have a question about my patient.
Alright, sounds good. Thank you. Thank you.
Respiratory exam revealed bilateral crackles at the...
Hey Siobhan, I have a patient who hasn't had a bowel movement in 5 days.
We tried the Senexon already, but that's all they have on their orders.
Right now. Perfect, thank you. Okay, thanks. Haha.
Man, okay what?! That's been like... I thought that would be like a two-minute note
that I was trying to write. I cannot believe how many times you've been interrupted by all the different
areas of staff. And you've had to
quickly flip to each patient in your head and... That's true.
You know, out of 30 patients, I don't know how you keep all of them in your head the entire day.
Oh, thanks Ashley. I don't know, there are some days where I don't think I'm as good at it.
But to be honest,
I like being part of the action, like I like being here and having people
ome to me, because then you're up on what's going on and you feel like very much part of the team.
So I like it, but sometimes I'm like: I just want to write this note, like oh my gosh
it takes me so long. That 2 minute note has taken you like 2 hours. Yes exactly. Hahahaha, it's so true.
Okay, the morning is complete.
Our patients have been discharged and now we are going like 30 minutes late for teaching, but to teaching nonetheless.
Okay, just finished teaching. Now we are much better at x-rays.
But in all seriousness, what's... What's left to do today? How are things going?
I've got two more people left to see. Two more to see.
Okay, how are things going Jule?
I also have two patients to see this afternoon, one of whom went to the operating room for a procedure yesterday,
so we'll see how he's doing. Awesome.
Okay Ashley, you're good. We're hanging out. I was just undercover, but I'm good.
Okay, excellent. So plan for...
I think three o'clock would
be good and like worst-case scenario, if we make it 3:30, it should be okay. Yeah. All right, excellent. Let's do it!
Is the style of teaching what you expected or? With nursing it's a lot more hands-on teaching. Right.
The teaching for you guys, it's a lot of like quizzing, being put on the spot.
You use the poor med students today.
Like every two seconds it was
question, question, question. Or what would you do here? Or what would you think of this? Or do you think
this is a great route to take with this patient and... It's true.
If I were in that position what I saw today, I would be sweating profusely and
being very nervous around you guys. But if they didn't know the answer, it was totally okay.
Yeah, yeah. You guys are always looking for teaching moments and you make examples of it in a good light
and I don't think anybody really feels incompetent.
Yeah, cuz at the end of the day if the med students knew all the answers right away, then what's my role, right?
Like I'm here to be teaching and to be bringing
some of the educational piece throughout the day. So yeah, definitely med students should not be expected to know everything. Don't stress about that.
All right, so that note is done.
Next we should go and see
this patient here. We need to do a volume assessment on her.
Okay, what's a volume assessment?
Oh, ooooh.
So a volume assessment is
when you look at how much fluid is on someone. So are they looking
dry? Do they look like they have too much fluid on them?
Like how much volume is literally, how much fluid volume is on them. So this person has
congestive heart failure and so they'll be volume overloaded, right?! Of course.
Yeah, so you guys always see that, but I don't know why we always call it volume assessment. So that's what we're gonna do.
Because you don't eat or drink at all throughout the day. Practise what you preach!
Thank you so much. Oh my gosh. Yeah, not by choice,
just cuz things get busy and then yeah, I should be eating and drinking more. I agree!
Okay, so off to see the next patient.
Okay, so just went to see this patient together and it was so great having Ashley there, because
immediately her nursing instincts just kicked in, because we walked in and the patient was
really like short of breath, huffing and puffing a bit. Something didn't look right. Something didn't look right,
I know. You know, as I'm going and talking to the patient, checking the pulse,
immediately Ashley's got the oxygen probe on.
She's like looking at the oxygen, bringing it up. Like it was such a teamwork moment, I wish you're always there with me. Wouldn't that be great?
Yeah, actually!
Teamwork makes the dreamwork. Hahaha. I agree.
For you Siobhan, that you do have really really good bedside manner. And
just for you going forward across your career, I hope you don't, you know, forget about that or lose that aspect and just
maintain it and it'll do wonders for you and your patients. It really shows that you do care.
Well, thank you so much. That's incredibly sweet. I definitely hope I never lose that, that's something...
But you, you... It's not the first time I've heard this and so you you start to wonder what happens.
Is there something that happens where it doesn't come across the same way over time? So yeah, really hoping that never happens. Don't lose it.
Yeah, so if you look over here. Like the creatinine, overtime it's actually getting a lot better. So I don't know,
I think we're actually okay with the Lasix we're giving. Hey guys,
we're are in the room ready to round if you're done as well. Yeah okay. Sounds good.
Okay, perfect. Let's do it!
Hey, this is Siobhan the SMR, returning a page.
Okay, great. Thanks so much.
Oh my gosh, four consults. It's like, it turns 5:00 p.m. and the night is starting.
Yeah, so four consults right away. We'll head down to emerge and
we'll also meet up with the other resident who's on tonight. We do not have to do all the four on our own. Perfect.
But we will at least get one of them done.
Sounds good. Thank you.
Alright, so now we're finally down in the emergency department and we're gonna be seeing this new patient.
See, it's kind of cool, you get to see the ones upstairs and now a new patient coming in. And I get to see it all behind the scenes.
The behind the scenes. Yes, exactly!
So before I see a new patient, I go in and look at their blood work. So let's go. We'll go see the blood work,
we'll get a sense of what's going on and then we can go and see them before actually writing with the note and everything.
Mainly just to see if there's anything like acute that we automatically need to do something about right now.
Like how sick is the patient?!
All right, done with that consult.
It was a lot longer than we anticipated.
It did take longer, it's like seven o'clock now.
But we weren't quite sure what was causing this patient's shortness of breath. And then you think like: Okay, it could be lung,
it could be liver, it can be heart. There's so many conditions that could be contributing.
So it's all the thinking, right?! It's kind of like dr. House, right? Yeah.
Okay, I can't believe. End of the day already. Me neither, it flew by. Yeah? Okay.
I'm actually like, like my mind is pretty exhausted at this point.
For sure. So what was it like being in the life of a doctor? It was very busy, very
stressful and I can appreciate things a lot more.
Yeah? Definitely! I think my big take home message from today was, you know, understanding that,
you know, when I don't see you on the unit, or you know, we don't get an instant reply back to our pages,
It's just for a good reason. You're either in the ward doing consults,
you're involved in your teaching, you could even be getting a code. Yeah. There's so many other areas in the hospital that you may be
overseeing and your participation, you need to be there. Yeah,
it's a lot of running around. And I know that regardless, you will get back to us.
Well, I hope that's true. It should be true.
But either way, it was such a pleasure having you here, and honestly it was awesome seeing patients together.
Like I wish you're always on our team. I mean we are on a team together.
I'm gonna be seeing and working with you tomorrow, right? I'm on the fourth floor. Back on the floor. Exactly. Well, thanks for the opportunity,
I really appreciate that. Oh, my pleasure.
And so if you guys want to see more videos like this or have questions, comment below, subscribe.
And otherwise we'll be chatting with you next week. So bye for now.