Day in the Life of a DOCTOR: CODE BLUE PAGER

Day in the Life of a DOCTOR: CODE BLUE PAGER

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The SMR pager, this is like the hot pager – when this thing goes off, I go running. *Beeps* Code Blue Level One, Lobby Main Entrance Code Blue Level One, Lobby, Main Entrance Morning guys, I’m Siobhan, a second-year medical resident. I just got to the hospital, 6:30 in the morning and today you’re gonna see what it’s like to be a senior medical resident on an in-patient service. So, on a Monday, gotta learn all the new patients and get a sense of what happened over the weekends, I feel like I missed a lot. And right now I’m just heading to the emergency department to meet up with my staff physician – so the main boss – and we’re gonna be reviewing and seeing all the new patients that came in overnight that the residents on-call admitted. *Violin playing* Okay, so done seeing those patients, it’s just about 8:00 a.m, so which means I need to go to teaching now. But I’ve got a couple of minutes so I’m just gonna tell you what my role and what the CTU is. So, it’s the Clinical Teaching Unit, and as you can imagine, there’s a big emphasis on teaching and it’s teams *laughs* So you’ve got residents and medical students, we all work together to take care of in-patients. And you can kind of imagine it’s like Dr. House, like, we actually try to figure out medical mysteries, sometimes we are admitting basic things like pneumonia and other times you’ve got new diagnoses of cancer and then sometimes you have a… something that no one has any idea what’s going on and we’re there to try to do all the tests and figure it out, so it can be quite exciting but it’s a busy service. So like right now we have 30 patients on the team, there’s a lot to do. So, as the senior medical resident, my role is managing the team, teaching the medical students and junior residents, and then overseeing sort of all of the patient care, so I need to be aware of all the patients, know what’s going on. It’s sort of… getting us ready for rather than just seeing five/six patients a day. I should have the bigger picture of all the patients So…it’s a lot of pressure! Now it’s time to go from morning teaching – today is a case based learning experience. So, we’re given a scenario and as a team, we have to come up with the diagnosis and write admission orders. So, as a senior resident though, it’s more about providing feedback and then filling in knowledge gaps within my team. So, just done with teaching and it was actually on infective endocarditis – it was just that I did a video on that, so I was super ready for it! *laughs*
I bet you guys would have been too! Anyways, now we have multidisciplinary rounds or “bullet rounds” where we quickly go through all of our patients with occupational therapy and physical therapy and social work and the coordinators of the hospital and it’s a way to try to streamline patient care, so…what are we still waiting for? Are we trying to get people moving? Or are we are trying to get a CT scan? Or what’s sort of holding things up? And.. yeah. Anyway, I bring the medical side of that. So I usually talk about that, so I should probably get going, so I’m not late and don’t make everyone wait. Next we meet up with the medical student and resident who were on call last night, and hear about any patient issues that came up. So now that we’ve divided up the team each of the medical students and residents are gonna be going and seeing each patient, writing notes on them and really diving into detail What I do is then I go – and I’m going on a computer right now – I’m looking at the bloodwork for each of the patients, checking out first the sicker ones. So I always like to see the sicker patients first and the ones that are planning to go home. And then I like to make my own plan and then when the junior residents come to me, then we can see if our plans match up and if there’s something that I picked up or they picked up that was different, we can collaborate on it. With 30 patients on the team, there’s always a medication to clarify, a critical test result to interpret, or a family to update – there’s never a dull moment or a quiet moment as a senior resident. – Hey Siobhan, do you want to go for that family meeting now? Yeah! Okay let’s go do it Unfortunately, this patient has been having many falls at home alone, and this meeting is to explore the possibility of long-term care with the patient and his family. Honestly, we’re so fortunate to have amazing social workers to help facilitate meetings like this. *beeping* Code Blue Level 1, Lobby, Main Entrance So it turns out it was a “fake code,” meaning patient just fainted in the lobby, so the heart didn’t stop, they didn’t stop breathing but we still made sure they went to the emergency department and got the care they needed, and um yeah, I just got a little jog in, that’s all. *laughs* Okay, heading over to the surgical unit. Now, there’s two patients that we’re following along with, so no, we’re not their main doctors, but we’re following along for their medical issues. For one of them it’s cancer, for another one they have a big clot and we’re managing that part, so, going to see them now. Back to the medicine unit now. One of the medical students just let me know that they’ve got the paperwork and everything ready for one of the patients to get discharged, so I want to go through that with her, make sure everything is teed up and we can get this patient home. Okay, one discharge down, sounds like there’s another patient who may be able to go home, but I actually just see this patient, make sure they’re walking, make sure they don’t have a full catheter in, and make sure they understand their instructions and are ready for home. So I’m going to touch base with the patient’s nurse and physical therapist to get a better sense of how he’s doing today, compared to yesterday. Oh boy, that really shows you the importance of seeing patients yourself – that person is not ready to go home; breathing still really fast, I’m not comfortable with that. So, try to get him feeling better before going home. Okay, it’s just about noon and I’m heading for noon-hour teaching. Usually it’s like a lecture or something like that, like a subspecialty, but today it’s jeopardy! So, the different team, I’m on Team A, we’re all gonna be competing – I think – I don’t think they’re actually any prizes, but it’s sort of like medical trivia. Things can get pretty competitive, so I don’t want to be late. The chief medical residents created this and came up with really creative categories like “Don’t Bug Me” for infectious disease questions and “Do it in the Dark” for x-ray spot diagnoses. Oh my gosh, time flies by – it’s crazy, I don’t even know how this happened, so it’s already 2:30 and it’s time to meet up with the team and run the list, meaning we’re gonna talk about all the patients that we saw throughout the day. Each of the residents, medical students will present their ideas, what they think and then we’ll also do some teaching around each of the patients and make it a learning point what we end up deciding to do, so, I’m gonna go meet them now. Okay, so I’m done the day stuff and now technically I’m on “bridge”, which basically just means I’m bridging the day and the night shift, that means we have an SMR who’s on from 4:00 to 8:00 p.m. to help out with consults. So I’m heading to the Emerge to do one consult and then I could probably home after that. Okay, so I’m just down in a room and just next to the emergency department and I’m seeing a patient coming in for a completely different reason that I’m worried about, so they’re coming in with what looks like shortness of breath, It seems actually like a pneumonia – but then, I’m taking a look at this patient and their eye is super red and they’ve had this H headache on this side and it’s getting worse, and their vision’s a little bit blurry and so there’s actually a lot of things this could be, but I’m worried about something called Acute Angle Glaucoma and that’s a medical emergency, so I’ve already called the ophthalmologists to come and take a look, because they come with their special pressure and check the eye and everything, so I’m just waiting for them to come right now and once they get here and tell me what they think, then I can I can head home. So for now, I’m just gonna update the list. I just go on the computer and update all the things that happen today and then it’ll be ready for tomorrow morning. So it’s 8:30, I just finished, I’m definitely ready to go – turns out that patient does not have acute angle glaucoma, yaaay! I can sleep easy tonight, but I’m glad we ruled it out. And if you want to see more videos like this, don’t forget to subscribe check out these videos, So you can see more what it’s like on call and as a doctor, but otherwise, I’ll be telling you guys next week, so… Bye for now!

100 thoughts on “Day in the Life of a DOCTOR: CODE BLUE PAGER”

  1. I am studying to be an astronaut but your videos are so amazing. If I didnt want to be an astronaut I would have become a doctor. You know… Follow in my fathers footsteps ??

  2. ok, so i gotta point this out lol I'm not being a hater. I actually like u, but if I had a relative that died on the same day that u filmed this, and I saw that u had a code blue and were filming yourself for youtube instead of focusing on running to save someone's life, I'd be like trying to sue u. Lol, just had to point that out. I'm sure it made no difference and that u are a great doctor. Peace.

  3. I stumbled upon your videos but I love them. I applaud and thank you and other doctors, nurses, and medical students of all sorts

  4. Don’t you get tired after such long shifts? You are just as perky at the end of your videos as you are at the start!! ❤️

  5. I am so thankful that this channel was recommended to me. Subscribed.
    It’s great to see the team work and see it from your view.

  6. Clearly you are in the right profession. You are so warm and kind in your demeanor. Thanks for sharing an insight into your role.

  7. Wow doctors must have to have a lot of energy (at least you do?)

    Also I have no interest whatsoever at the moment in becoming a doctor but I find your videos fascinating and very educational so I just subscribed! (Also you have a really really great personality)?

  8. My moms an ER nurse, and one time the ER she worked at called a code blue on the 6 floor, and she was on the first and she had to run up 6 flights of stairs and the patient (my sister cici) had a heart tumor. She stopped breathing 7 times in a hour

  9. 1:20 I happy to hear that you guys are constant teaching mode every month. That way nobody is ever rusty when any call comes in. I never knew that about hospitals, thanks for sharing your daily ins and outs at the hospital you work in.

  10. Wow it's super amazing but I dont wanna be a doctor bc my mom she actually became a mom at 18 so when she birth me she made something a little bit sickness but it's ok BUT when she smoke or when she drink alcohol she'll have sijer (dont know how to spell lol)- but ya and her face was terrible but luckily I was there to help her 3 TIMES 3 freaking times! But it's ok when fine but now I'm 10 I dont wanna be a doc j still dont know what I should be pls comment me what should I do for my living? Should I be a therapist or be …………… idk, by the way lv you vid

  11. I saw your video on my recommended and i automatically fell into it and thought it was very fascinating. i’m in 6th grade and i’m not considering becoming a doctor or nurse!

  12. I’m in high school right now and I don’t know what do do! I’m leading towards something with the body. Maybe a nurse, massage therapist, osteopath, physiological or x-ray tech. If someone could help me or give em more information that we be appreciated!!!☺️

  13. Hi 🙂

    Thank you for sharing your days and nights of work with us. Thank you for saving lifes. And thank you for being so inspiring. I could never be a doctor, nurse, vet or anything medical, I don’t feel good in this type of environnements? But your positivity and your strenght motivate me to be better in my own job.

    (Sorry for the english mistakes… I speak french)

    Sending love from Switzerland

  14. Is this a hospital in downtown Toronto? If so I wondered if you could take my mom case cause you are an excellent doctor who actually cares about your patients

  15. This is going to sound sappy, but as somebody with medical problems I would be honored to have a doctor like you. There are less doctors like you everyday and it is a shame. For the past six years I have had medical problems consistently and have seen a countless amount of doctors and I have had good ones, but I have also had some of the worst doctors that med school could produce. Even if they are amazing with medicine they were awful with their patient and their bedside manner. Some didn’t care about the patient, some didn’t care about the medicine and worse at least one of them didn’t care about either one.
    Keep up the good work. Your patients are incredibly lucky to have a doctor like you.

  16. I work as VP of Mission in a Catholic hospital. I’m there to support and provide emotional support for our medical staff. Thanks for all you do!

  17. I’m sorry if I come across as rude, but I don’t understand how you have so much time to vlog your day, take video in the hospital, video of medical equipment, diagnostic equipment etc, and then make YouTube videos out of it. As a second year resident shouldn’t you be incredibly busy? Spending all your time at the hospital, seeing patients, studying, learning new procedures, etc? If I’m being completely honest, the fact that you were paged for a code blue, and took the time to take out your phone, and take a video of you running to the emergency seems irresponsible. It is literally a life or death situation. That patients life is in your hands (yes I know that in this situation it was a “false alarm” so to speak, but she obviously did not know that when the alarm went off and was taking that video). If I was sick and in the hospital and found out that my doctor cared more about getting some good clips for their next YouTube video, then about my life, I would not feel safe, and would seriously question that doctors priorities.

  18. I really enjoyed your videos! Kinda wish to see your videos a few years ago when I was doubting myself about starting to study medicine. I am a cell biologist now, working on the development of new vaccines and sometimes I get to think about my childhood dream of becoming a doctor, which I turned down and it makes me wonder what if I stayed on track. So thank you for your videos! You definitely inspire future students and doctors to hold on on their dream. Greetings from Germany 🙂

  19. Idk if I’m tight but do you do surgery or are you a different doctor.sorry I have no idea what I’m talking about

  20. I’m a recovering heroin addict that suffered from IE. They couldn’t figure out what was wrong with me at first and thought it was severe withdrawal until they did an ECG. I had heart surgery and I’ve been clean since.

  21. When you have a cold blue can you show us the surgery other procedure that you do the patient instead of showing us after it

  22. I really want to be a doctor when I get older and you give the best info! I really appreciate what you're doing! Keep up the good work!!

  23. I don't know if you feel comfortable with asking you this, but how much do you make a week. I wanna do the same exact thing you do! I love every part about. And also, I appreciate everything you do!

  24. i reaaaaally want to become a doctor when i'm older but i'm not sure what section i guess if that makes any sense.

  25. I love your videos there so inspiring if I ever saw you I would maybe pass out I watch you every day! Please reply.

  26. I have glaucoma in my left eye?I was diagnosed about 6 months ago, but the eye doctor said that it wasn’t severe so I didn’t have to have an appointment right away.

  27. Glad you acted on your assessment of that pt with the R eye pain. Even though it wasn’t that high risk diagnosis after all, still, hooray for you for always looking at the big picture 🙂 from a viewer who is also an RN ❤️

  28. Hi.. Thank u so much for your vlogs.. They are very informative especially to those in the medical or nursing field. I really enjoy watching your videos in the hospital setting.. I think I'm almost done watching all of your videos hehe Just a suggestion, (maybe for your nest videos) it would be much appreciated if you could also include more of the management side after mentioning a consult you've had during the shift. I mean, not all the cases since it may take too long for you to mention everything,. but I guess focusing in one or two sort of complete management for specific diseases. Thank you so much 🙂 Have a great shift Doc 🙂

  29. You hear 'code blue' and you start recording … I think you want views more than saving a humans life. You are a really bad doctor.

  30. HEY VIOLIN M.D ,I am a first year resident of geneeral/internal medicine . You have an amazing approach towards medicine. i really liked it and subscribed . If it was not acute glaucoma then may have been herpes zoster ophthalmicus.

  31. Hewwo I have been the victim of a code blue and I’m only ten it happened when I was five and it happened every day to it was scary and I love your videos but I’m not allowed to subscribe but I am mentally ok

  32. I’ve just discovered your videos, they’re so interesting! I’m actually in pursuit to becoming a nurse BSN, so pray for me and my studies!

  33. Im 11 find this stuff interesting especially since i cant breathe most of the time i take breathing treatments but my mom is a nurse case manager at shady lawn nursing home but i have a question do you get code blues often?

  34. Well i went to the hospital bc I was very sick and there was a code blue and people were running and they weren’t yelling but talking loudly

  35. Hi Violin Doctor: be careful when you shoot the video inside the hospital because it may violate the HIPPA and your hospital social media policy the lead you to loose your job and your MD license even your career! And it is NOT acceptable to hold the camera when you run to a code blue or share your shift report and your patient information in front of the camera and post on YouTube ! As a professional RN with 22years clinical experiences and patient advocate, I urge you to delete all your work related videos ASAP and stop violating our patient rights by shooting videos during your work! You need to focus on your patients but the camera during your work ! These sharing probably make a lot fun for your audiences but NO FUN at all for a professional and any Heath organizations !! ! I will keep checking your channel and make official report to your licenses board as well as YouTube media platform if you won’t take my advices seriously ! 09/13/2019 4:30pm

  36. Laboratory technician here. My hospital has us assisting in code blue protocols by running blood gases on a portable analyzer, so the code team can have immediate results for blood gases, electrolytes, glucose, hemoglobin, lactate, and ionized calcium… We have a code pager also =) and we (at least me and a couple coworkers) respond with profanity while prepping our analyzer ?

  37. I love your videos! They inspire me so much! I can't wait for the day I become a resident like that and have knowledge like you do.

  38. My sister wants to be a nurse and she is a sophomore in high school. She is taking a medical class and is learning terms and the meanings of diseases. I am totally suggesting you to her!

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