wait wait I want to get a good shot ready go 1 2 3 right it's bright and early day it's time to be a doctor okay such an aggressive all right let's take this little guy for a walk you ready let's go play that ping right on the grate to not make a mess I trained him well you can't see the Empire State Building it's right there touch it touch it as any veteran dog owner will tell you one of the biggest struggles of having a plug is when you're walking them in the morning you want to get to work your dog refuses to poo Perico Poole my first patient today is extra at 8:00 a. m. but I want to get in a little earlier to start working on my notes from the other day notes are the bane of the existence of the doctor because not only do we want to see the patient spend time with them then we become slaves to the electronic medical record it's very brutal what is that there you want to put that away let's get to work today I'm going to be working a long 12 14-hour shift as an outpatient a family medicine doctor now what does outpatient mean it means that I'm gonna be seeing patients in an office setting where I don't have to admit them meaning that they are not going to stay overnight in the hospital so it's basically when you go in for your doctor's visit for a check-up or a problem that's what I'm going to be doing today that's primarily actually what I do so today we'll probably have around 30 patients where maybe after each visit I'll come and tell you what I did and we can have a little learning opportunity as if they oh my god a major fail when I see patients in my office I see them for anything acute problems meaning like they get sick today or they have pain today or something's going on where it's an urgent matter but I also see them for primary care meaning that they're coming in for chronic disease management counseling so I have diabetic patients that need to check their numbers make sure they're taking their medications optimally it's a really fun job because you really never know what's gonna happen if you don't know what kind of patients gonna walk in it God if you guys didn't know any better you would have thought I got into an accident my commute isn't that it's around 45 minutes it's a reverse commute some people are like wait you work in New Jersey but live in New York yeah that's actually a great strategy because I do a lot of TV stuff in New York so I have to be here but that I love work in New Jersey because that's where I did my residency training and I built up this patient panel of patients I actually love and have a connection with them growing old with them but it's kind of funny to say I think we got some great content cutting I wonder by the way now that we're just hanging out here having supporter and I'm driving to work I need you to hit that subscribe button and that notification velvety and set your alerts to all just so that YouTube algorithm does the best with us any further I know only 15% of you have done that so far and step up your game you can do better hey dinosaur occasion who's excited for a work are you excited for work Jenny isn't it a great day to save lives I'm gonna sit on this garbage can here sit on the garbage no I'm gonna sit in the garbage can he'll tell me what to do you're not my mom maybe my work mom what's the craziest thing you've ever seen you making me think back here yeah people that have passed and there's a smile appears on their face within seconds of them totally dancing away that's pretty amazing any good stories Jenny let's cheer people up Mikkel good stories is there's lots of men walking around with nice grumps I'm the mess story Jenny's getting feisty today okay what about Ireland's talk about on the blog why not okay INR is when a patient comes in for a test to see if they're taking their cumin and properly and appropriately so let's check it out so when you're looking at an INR what I'm looking at is to figure out a is the patient's dosage correct B are they coming in at the right intervals so if their levels are all over the place and we can't get any stability we have to figure out why that's happening and we have to check them more often but if they're consistently having good numbers we can spread them out represent represent Oh today's a Hospital vlog day baby you ready for I'm ready you can try to get Liddy I'm writing I'm ready to get Liddy yo you got a big shade up DJ I want to hear that I get thon all right I got $10 that I get come on come on it's a party I always say how many patients you check-in it right now you don't think you're worth it all right go do your job because I need to see my patients so my typical day goes like this I come in I try and catch up on the computer to call patients back to look at results to write some notes that I missed the previous day and then I go in and every 15 20 minutes I have a new patient I'm in and out of the rooms I've been either was like I just came out of a room with the patient was complaining about really bad allergies that's really interesting because the typical pollen season is now over now we're getting into that wintertime allergy season and sometimes if you're using the same allergy medication for too long you can actually build up a tolerance to it you need to rotate them so what we're doing for this patient is we're changing up the allergy medications we're also giving medications directly from where the symptoms are present so you think about the nose the eyes and we're really trying to get them better by thinking big picture because it's not enough to just think about prevention we also need to think about treating the active symptoms today's gonna be a busy day but I'm excited to get started so I just have to call a patient back for his ultrasound he came in with gynecomastia which is he had a breast mess basically breast tissue developing and when we do that we have to check hormonal levels if those hormonal levels are elevated then we got to do an ultrasound if the ultrasound is negative then we got to do a cat scan if that's negative then we know something so it's really interesting how we have to follow these sets of guidelines so that we don't do extra testing and we don't do under testing it's a very fine line that we have to follow here what's going on you want to tell the peeps if you get any crazy calls and people asking to come see me no can I help you no we don't deal with that here sorry somewhat doctors to agreed here hello hi is an expert in everything when it comes to mental health ah I've taught me everything I know I talk a lot about anxiety and depression on my channel how rates are going up is that something you've noticed there is a lot more sort of tension it's a large surrounding environment of the country these days and those things of course impact patients lives and people who are susceptible to developing significant anxiety anxiety disorders as we say so yes there's more of it and it's affecting youth as well alright cuz I got a really long day I only get to once before I get home which is gonna be around like 10 p.
m. that picked up some Chipotle idea what are you gonna tell me you're gonna tell me about a public patient who is here for an employee physical we do that here right yes we do that and what do we do generally for those patients we just make sure they could breathe and they have a pulse what what is it see it made you because no one could answer this question oh okay well generally it's a medical assistant so I'm still able to like nurse it back in the day bring patients and do vital signs draw blood give injections and assists what proceed like skin biopsy tone our we gave the greatest answer so far you're a rock star yeah so I just had a pretty interesting patient encounter patients coming in for an earache I looked through the patient's notes and she's been here a lot and I see that she's been diagnosed with cancer was familiar to me so I looked back in my notes and I found that I saw this patient about a year ago and it was actually me who caught the cancer I didn't know this when I walked into the room the patient was basically in tears because she was happy to see me because I was the one that initially got the x-ray to find her cancer because what happened was she had pneumonia it did an x-ray but then when you get her pneumonia the way it shows up on an x-ray can actually cover the cancer if there is a cancer or anything there that's why whatever person gets better we asked them to come back in for a follow-up x-ray to make sure that there's nothing behind in pneumonia and what do you know she was still a little bit coughing month went by I said let's get another x-ray boom there was something else there ended up getting a cat scan a few days later we found a cancer that was treated now she's doing great but now for her to come in for an earache and be doing well after being diagnosed treated and her being really happy she tells me something really cute she says my kids especially the little one are such big fans of yours I said because of you just like no because you saved my life I said all how old is your little one like thirty nine we have one of our staff members that's been here for almost a decade and a half so we're gonna go say goodbye to her but she's not ready to surprise [Applause] love you that we're trying to teach everybody how to be healthy and happy and what are you doing what are you doing here I didn't eat cake I didn't I didn't eat no cake look at that what is this yeah okay I didn't have cake a little tired it's past 8 p. m.
we started this day at 6:00 I'm almost there to tell him just so you understand the struggle that a doctor has to go through like I've worked on stop pretty much all day for these 1213 hours whatever I worked but my notes are null does so I either have to sit at my desk finishing these notes or I have to go home do them at home or tomorrow morning wake up extra early before I started doing my other stuff and do the notes so as you can see burnout can start happening very soon and very easily for physicians so the struggle is real but it's worthwhile struggle Evette I'm scared I don't want to get the flu shot gives you the flu it does all this bad stuff I don't want it betta kiddo usually a mask oh oh oh Lucy who you like some cold spray first I don't but do I want cold spray no I'm already cold as is it will numb the area I wish I weren't under shirt today for the video she said no heavy lifting better why I want a heavy lift no no no irritation Jesse please some type of discomfort no temperature you can take take drinks happening moving this pop it's happening take the pressure off for your little game I free so you can just sit up a little bit there's so much you Danny here wait wait I want to get a good shot are you ready go 1 2 3 oh oh I'm just kidding it doesn't hurt it actually feels good it feels like a relief because I'm no longer gonna get the flu well at least 40 to 60% of the time I thought to walk out of the office without my tie straight Magic Mike style this is what happens when it's almost 10 p. m.
