Why Doctors are Quitting Medicine

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Dr. Cellini

Dr. Cellini

Күн бұрын

Since I've been doing so many videos discussing doctors quitting medicine and reacting to them, I thought it was time to do a deep dive to try and figure out exactly why so many doctors and other healthcare workers are leaving medicine all together. I found a few recent articles published in the last few months discussing the attrition rate in medicine, so I wanted to go through them and try to figure out what is going on! I definitely have my own ideas, and I will talk about them as well!
Article I talk about: www.ama-assn.org/practice-man...
2:15 - Why Doctors are Leaving Medicine
10:00 - How to Fix the Problem
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Пікірлер: 1 100
@tozmom615
@tozmom615 2 жыл бұрын
I’m a senior psychiatrist. I have another 20 or so years of working life in me, but am leaving in three years when my relatively modest mortgage is paid off. For me it is the massive increase in workload caused by society shifting more and more things into “pathology”. The hardest diagnosis I make in my field is “Your emotional responses to what is going on in your life are normal.” For some reasons patients hate hearing this as they have come to believe they have “bipolar” or “adhd” or some other “disease entity” that shifts personal responsibility from themselves and on to me and my medications. I used to actually care and would patiently at length explain why the patients emotional issues did not need a psychiatric diagnostic label, but I just got complaint after complaint with management always coming down on the side of the person making the complaint. I am not allowed to be my true self and act in good faith- so I’ve given up and now don’t actually care. Related, but different, is the notion adopted by society at large and management is that whenever a patient ends their life it must be because someone in mental health services made a mistake or didn’t do their job. I have literally had the father of a patient with borderline personality disorder scream and shout at me threatening to sue me for all I am worth, because I could not stop his daughter that he ostensibly loved so much from hurting herself. I could not point out to him (because he’d have attacked me and/or management would discipline me for being unprofessional) that his daughter was the way she was because he “loved” her, sometimes twice in the same evening from the age of 3 onwards, in the way no adult should “love” their child. I actively dissuade young enthusiastic intelligent folks from entering medicine generally and psychiatry specifically. It is a disaster.
@fifaops59
@fifaops59 2 жыл бұрын
Medstudent in my psych rotation now and wow I never thought I'd ever read something like this 😥
@tozmom615
@tozmom615 2 жыл бұрын
@@fifaops59 I thought I was framing it in as positive a light as I could.
@fifaops59
@fifaops59 2 жыл бұрын
Haha, your last sentence is literally " it's a disaster"
@strawhelyperfectx
@strawhelyperfectx 2 жыл бұрын
This is heartbreaking to hear. Thank you for what you’ve done all in good faith. I do see that many people feel that they’ve been overlooked and something one Dr. says is different than another but to get violent or physical is disgusting.
@abartha2010
@abartha2010 2 жыл бұрын
@Tozmo Save yourself. Pivot into private sector, coaching etc. No insurance carriers. Your tribe will find you.
@leahrowe2571
@leahrowe2571 2 жыл бұрын
As a healthcare worker seeing how the hospitals actually feel about the employees during the pandemic was eye opening. It’s all about money and what the pharmacy/insurance companies want it’s more a factory line than a treatment center at this point
@americanprincess851
@americanprincess851 2 жыл бұрын
Pharmacy benefit managers, or PBMs
@maxxedtfout
@maxxedtfout 2 жыл бұрын
Strongly agree, it’s so sad.
@Punjabispitta
@Punjabispitta 2 жыл бұрын
PT student here and that is exactly what it is
@0s0sXD
@0s0sXD 2 жыл бұрын
I am not a doctor and I could be wrong but from what I understand: there's outstanding job security And the pay as a doctor is really high Even if the doctor didn't like his job He can just work less hours I'd imagine. Then live very well on a good salary with a lot of time. Compared to other normal people like engineers or anyone else their job is crappier and they get paid less.
@lisaandrews919
@lisaandrews919 2 жыл бұрын
…that was quite obvious some time ago that was the case though
@BrateTebra123
@BrateTebra123 2 жыл бұрын
I feel you bro, I left medicine 2 years ago because of burnout, workload, attack from patients, threats from patients and colleagues resulted in anxiety and depression. I left medicine because I had a plan B and started working as designer. A total revelation for me!! I never knew life could be so stress free and rewarding. In addition to me being without anxiety for a while, always well rested, ready to hang-around with people and enjoy life. I also earn much more while having time to enjoy with my close ones and actually using my medical skill s for the people I are most (my family and close ones)
@rickkey4226
@rickkey4226 2 жыл бұрын
You speak for me. After years of being folded, spindled, and mutilated in EM I went to law school. If you think medicine is FUBAR, try law. These areas have become thoroughly corrupt like everything else. The problem is not ‘broken systems’, it’s ‘maldeveloped people’ who never achieved sentience, so outsource their behavior decisions to Fearless Leader / The Herd. Homo sapiens is undergoing a novel modality of extinction - panspecific suicide. How appropriate for a species which destroys for fun.
@KB-ct7th
@KB-ct7th 2 жыл бұрын
@@rickkey4226 but generally those that suicide are the destroyed. Those soulless creatures who destroy others for fun and sport are like roaches- endlessly multiply and nothing will kill them, least of all themselves. I am sorry you are struggling so badly. I hope you find what you need to be happy and at peace.
@depthcharge6215
@depthcharge6215 2 жыл бұрын
Oh you havent seen the whole picture yet. The attacks from patients just got out of their caves and coming out doing their usual.
@thesabiqoon4178
@thesabiqoon4178 Жыл бұрын
That's my daughters dream job... so glad you made it out of the medical field
@rach9171
@rach9171 Жыл бұрын
Thank you so much for sharing your story. I havent worked as a doctor for the last 3 months and really want to pursue something creative instead. Its so inspiring to hear of your success and happiness after leaving medicine :)
@IvanValdez2010
@IvanValdez2010 2 жыл бұрын
12 years ago, these statistics discouraged me from going to med school. After a PhD in biomedical science and working in healthcare consulting, I finally had the courage to give medicine a shot. I will be attending med school this Fall of 2022, and I am super excited 💯 Thanks, Dr. Cellini, for putting out content showing that a career in medicine can be challenging at times but also fun and rewarding.
@Skepticalstudent45
@Skepticalstudent45 2 жыл бұрын
Thank you for sharing, hesitant 2nd year med student here considering switching to PhD primarily for the work-life balance. Would you mind sharing what it is that has pushed you toward becoming a physician after your time as a PhD?
@forevereveru
@forevereveru 2 жыл бұрын
@@Skepticalstudent45 as a former PhD student in biomedical science I am telling you from my experience that stick with the MD route and never switch to PhD. Don’t be fooled by the biotech entrepreneur success stories, the chance to be like that is like winning a lottery. There is no work life balances, all great PhDs work long hours and weekends. (To be fair, research shouldn’t feel like working, it’s fun by itself), but be prepared to not have a “real job” for your whole life (I personally know way too many life long “postdoctoral fellows” that never secure a faculty position, or go to big pharms). If you truly want to do research, you can always do a research fellowship later but get your MD. I know way more PhDs who were premed at one point that regret didn’t go to med school vs the other way.
@IvanValdez2010
@IvanValdez2010 2 жыл бұрын
@@Skepticalstudent45 The ONLY reason why I would recommend someone do a PhD is if they cannot see themselves doing anything else other than research in a specific area. However, the MD route would allow you to do just that-all my research advisers have been MDs. Why did I decide to do an MD after the PhD? What people don’t talk about is the increasingly difficult prospects of securing research funding. As PhD in academia, if you lose funding, you lose your career. That is harsh. As an MD, if you lose funding, your clinical job is secure. Besides, I think the MD also gives you an advantage when it comes to obtaining research funding. Overall, the MD route is likely more stressful (in different ways), but, at the end of the day, what matters is that you are happy and enjoy what you do.
@0s0sXD
@0s0sXD 2 жыл бұрын
@@IvanValdez2010 reading your comment. It's crazy man. You're crazy. In a good way. I'm so inspired. Best of luck to you I hope you enjoy your ride
@lokesh.s5626
@lokesh.s5626 2 жыл бұрын
As a doc i m telling its a Great decision 💯 Definitely u won’t regret it later! All the best for your journey.
@pinkcardigan3329
@pinkcardigan3329 2 жыл бұрын
When a private practice only wants to pay medical assistants $11-$13 don’t be surprised there are so many openings.
@KB-ct7th
@KB-ct7th 2 жыл бұрын
@Pink Cardigan depending on the age of the physician, it may be that you are seen as a secretary. Yeah, I know. Last doctor I worked for, I was the only employee and only allowed 5 hours per day. Front/Back office, Transcriptionist, credentialing with insurances, hospitals, I also had 20 years as a medical biller/coder, so updated some codes he didn’t know to bill for, you name it-my job. When patients complimented me to him, yup- “she’s alright, being a secretary isn’t that hard”. This was 2009 and he was 65. He paid me $11 to start, after 3 mos $12 and nothing more the next two years. He was a great diagnostician and teacher, but lousy boss.
@dalin6275
@dalin6275 2 жыл бұрын
I am a family doc. I have heard the term burnout thrown around a lot, but I don't think this is the appropriate term to use. "Burnout" implies that there is something wrong with the person...not resilient enough somehow...if only we could have one more lesson on meditation and stress management! We work in a broken healthcare system while trying to do everything we can for our patients. Its not burnout...we are being injured in our most basic morality and being blamed for not being more resilient. This is victim blaming! until the system is fixed the problem of health care providers becoming dissatisfied, depressed and leaving the medical field with continue.
@marianhunt8899
@marianhunt8899 2 жыл бұрын
Totally agree.
@santiagorestrepo2000
@santiagorestrepo2000 2 жыл бұрын
as a citizen i feel there was complicity in the whole field as along with the pandemic narrative, the big reset was installed... medics where silent all along... nothing to see here. enjoy N.W.O. now... remember, we're all in this together.
@guslaskaris5333
@guslaskaris5333 2 жыл бұрын
The American health care system is a raging dumpster fire heading towards a cliff. I've actually come to terms with it. Since there's nothing I can do to change anything I just do my job and enjoy watching it burn. I like my patients but taking care if them is a very small percentage of my time. Most of it is spent typing and dictating in front of a computer or servicing the ever growing bloated bureaucracy of American medicine.
@truthseeker2752
@truthseeker2752 2 жыл бұрын
@@santiagorestrepo2000 we’re all in this psyop together
@laupeter4594
@laupeter4594 2 жыл бұрын
the govt should double the pay immediately for all medical workers. Pay should be in proportion to the number of patients they serve.
@nostrilnick
@nostrilnick 2 жыл бұрын
I feel for the doctors, nurses, and other front line medical workers. My mother was an RN at a large hospital for 35 years and finally couldn't take the stress any longer (thankfully, she retired over 10 years ago). Hospitals being run like for-profit businesses needs to stop and the money redistributed down to the working level employees. With an ever aging population, we desperately need to invest more in our doctors, nurses, and other medical professionals now more than ever.
@laupeter4594
@laupeter4594 2 жыл бұрын
yes but with the mentality and philosophy of how US govt their economy you guys have a near zero chance to retire in peace.
@ykonratev
@ykonratev Жыл бұрын
I don't feel for them they deserve what they get they lie and lie and lie about everything and nobody speaks up. Well ok fine then yes they deserve exactly what they get
@peanut228
@peanut228 Жыл бұрын
Yep, or we all gon quit. Sincerely, a family medicine resident
@mothudimothudi2946
@mothudimothudi2946 2 жыл бұрын
Burnouts, pressure, expectations, workload,... As a medical I know the urge to quit everyday, it is not an easy journey at all...
@DrCellini
@DrCellini 2 жыл бұрын
100%
@Ari_diwan
@Ari_diwan 2 жыл бұрын
💯
@thirdoctoberchild
@thirdoctoberchild 2 жыл бұрын
I’m not sure about America but here in Sweden, another major contributor is lack of support/supervision. Younger doctors having to take too much responsibility with no or minimal supervision, and older doctors being moved around or even if they’re in their own field not having enough time and resources for peer discussions and professional development. This also ties in to not being able to do your job. The moral stress of not being able to provide adequate care, whether it’s due to lack of physical or personal resources, lack of supervision, lack of time etc. Junior doctors going into some work places, especially in emergency medicine, are actively rewarded for being quick and asking less questions which is both a risk for burnout and potentially very dangerous.
@gabriellegrell2537
@gabriellegrell2537 2 жыл бұрын
As a pharmacy student and someone who has worked in a retail pharmacy for 6 years it is insane how the pharmacists are treated especially during this pandemic. Most of my pharmacist havent seen a raise in YEARS. we are now doing covid tests, covid antibody tests, covid vaccinations, etc with no extra time, pay, or staff. Not to mention patients are becoming less patient and more entitled.
@greatestoftheseislove738
@greatestoftheseislove738 2 жыл бұрын
I agree! All they did was offer free pizza. It’s disgusting how pharmacists are treated.
@happycamper5900
@happycamper5900 2 жыл бұрын
I am a retired Pharmacist after working 36 years. I could not wait to retire! Every Pharmacist I knew wished they had chosen a different profession. Retail work is like marching in place. Hospital Pharmacists are treated as disposable with the added On Call stress. I would never recommend anyone go into pharmacy as a career.
@aidenmartin6674
@aidenmartin6674 2 жыл бұрын
I was a pharmacist, retail, retired 10 years ago, and even then it was assembly line pharmacy. 8 hours with a 30 minute lunch break and no other breaks. Pharmacists work full stretch with filling, checking, answering the phone, answering random questions by shoppers passing by, supposed to counsel each patient (just counseling alone takes up hours of each day if you have 500 prescriptions a day and have 1 to 2 minutes of counseling time per patient) but not counseling could get you fired. The pharmacists and techs were expected to be machines and never make a mistake no matter how stressful or distracting the surroundings.
@travelnurseadventures3225
@travelnurseadventures3225 2 жыл бұрын
Pharmacist! Try being a nurse bedside in the covid unit 🧐
@happycamper5900
@happycamper5900 2 жыл бұрын
@@travelnurseadventures3225 My wife was an ICU nurse. I can appreciate what you have done.......
@ammj6202
@ammj6202 Жыл бұрын
Two months after I left healthcare I was informed one of my colleagues committed suicide. He had been struggling with the job. I've talked to other healthcare workers who know someone within their line of work who has done the same. This is horrible and I think its not talked about enough. When people say the stress in healthcare is tremendous... its take your own life tremendous. The system is broken and it breaks people in many ways.
@stephenson19861
@stephenson19861 Жыл бұрын
Well, that's the system people want. I will put it bluntly out, and that will be off putting to many but, we live in secular and godless times. People don't expect some things are out of control, they don't believe perfection is outside this world, they don't expect human beings as imperfect. Therefore, when something goes wrong in this world where experts should make everything perfect and well, and great, there is always someone to blame. People who don't believe in infinite God can and do put infinite blame on other people. So, a complication of a simple procedure, medicine that's not working, illness that is in comes back after remission - someone must be blamed! On the other hand, since popular science and medicine without much hesitation claims to be the real absolute, it is met with absolute expectations. When they are not met, people get angry, they sue, they demand. The same goes for education system, schools, police, governments. People who forget God have absolute expectations here and now, there is no room for mistakes, responsibility is absolute and so is the punishment. That's the world that is actively pushed forward, with all it's consequences. And it is, indeed, very unfair, demotivating, and it's no wonder it pushes people over the edge. No one can respond to that level of expectations, no one can have that level of responsibility, no one should be expected to be godlike when we all have worries, weaknesses, bad days, and in the end everyone carries a sack of hurt with himself daily.
@user-hl4jj3hb4h
@user-hl4jj3hb4h 2 ай бұрын
I feel your pain. But really anyone who knows what the stresses will be in a job who can't deal with those stresses, shouldn't go into the field. As far as I can tell all professions are pretty stressful, with the exception of engineering. Engineering is pretty low stress, but a bit boring. (I'm an architect who started out as an engineer).
@lesliecurtis8073
@lesliecurtis8073 2 жыл бұрын
As a phlebotomist in a hospital we have been experiencing EXTREME BURNOUT!!! Yesterday alone we only had 2 of us FOR THE WHOLE HOSPITAL!!! I should preface this by saying " our nurses don't draw the blood, we do! So when there's ONLY 2 of us for a whole hospital TRUST ME ITS CRAZY!!! 😔😔😔
@adolphuschidiebere5981
@adolphuschidiebere5981 2 жыл бұрын
Hi
@joyh.729
@joyh.729 2 жыл бұрын
in this case, admin should have stepped in and initiated training for these nurses to help you guys out (with increase in pay for both of you, of course!) Admin gets off Scott free in cases like this leaving all the heavy lifting up to the medical professionals. We need a union like yesterday! Wonder what would happen if we all decided to do a walk out. Things would change and change quickly however admin knows our compassion for our patients would prevent us from actually doing this and they capitalize, exploit and take advantage of us because of it.
@Startupsandsushi
@Startupsandsushi Жыл бұрын
Wow nurses and docs should both start lines. At least put the derms to work. Lol they don’t do many hours.
@kikidhen3839
@kikidhen3839 2 жыл бұрын
Med lab tech here. Leaving my job soon- you hit this one out of the park. I’m soooooo burned out. I cry just about everyday. All we get is “more-faster” and “not good enough” as reinforcement. I haven’t taken any day off since 2019- because I “can’t” (we are too short staffed). So I’m done.
@truthseeker2752
@truthseeker2752 2 жыл бұрын
I totally get it. RN in PICU. Good luck!
@breannachristensen8775
@breannachristensen8775 2 жыл бұрын
medical laboratory technician or technologist?
@louisejeffries7155
@louisejeffries7155 2 жыл бұрын
You can take a day off, have a holiday, a break Being to short staffed is not your problem however your physical and mental health is. Being complacent with overload is what enables it to continue. If you don’t look after yourself your employer certainly won’t Let’s face it Nobody is going to put on your headstone died in service to XYZ medical Centre are they. Harsh words I know but I care for you I also care the profession is losing another skilled and valued practitioner Take a break Your work place won’t fall to pieces anymore than it is already and what’s more there are those who get paid big money to fix it if it does I wish you and yours all the very best
@clarissemoraes1032
@clarissemoraes1032 2 жыл бұрын
I’m an urgent care receptionist and COVID made me question my medical school interests. Patients are ruthless
@bonkersdonkers7381
@bonkersdonkers7381 2 жыл бұрын
I used to be a medical scribe for 3 years and was eventually promoted to manager. I left the day after a patient assaulted me.
@ramenomirice2767
@ramenomirice2767 Жыл бұрын
@@bonkersdonkers7381 should have kicked that patient
@eoinMB3949
@eoinMB3949 Ай бұрын
In my local GPs office they erected a screen at reception and on that screen a message asking people to be respectful and not abuse the staff. I asked the receptionist if things were that bad that they had to put up a sign asking people not to be abusive and she said that ever since covid the level of abuse they'd encountered went through the roof. She said people seemed to have lost all sense of restraint and just lash out over stupid little things
@drtrishmd
@drtrishmd 2 жыл бұрын
I love that quote too. Thank you Dr Cellini for making this video and calling out quite clearly the problem and the solution. Unfortunately this isn’t going to go away anytime soon. I really hope our colleagues are bracing themselves for this. I’m a general radiologist in private practice. I closed my offices at the end of 2020 for pretty much the issues you raised. Doctors are Human too. Btw that’s the title of my book on Physician burnout. It really hit home
@trisia44
@trisia44 2 жыл бұрын
This is heartbreaking to me. I absolutely adore my primary care provider and each of my specialists and couldn't imagine being anything but respectful and understanding of how busy they are. I've always been that respectful with my providers.
@franciscofletes1948
@franciscofletes1948 2 жыл бұрын
I’m a psychiatrist who started my career as an Active Duty US Army psychiatrist. Did that for 12 years. Left the Army for locums work. Now do telemedicine exclusively from home. Much better work life balance working from home. Better pay, better hours, more family time… still taking care of patients but now taking care of myself and my family as well. I loved my time on active duty but after 12 years I did have burnout… going to the private sector and working from home made a huge difference
@travelnurseadventures3225
@travelnurseadventures3225 2 жыл бұрын
I was an inpatient psych nurse-had to leave d/t assaults and crappy insurance, telePsych is a great option for MD/NP.
@ticocampos8384
@ticocampos8384 2 ай бұрын
But you could have worked in a part time job, right?
@franciscofletes1948
@franciscofletes1948 2 ай бұрын
@@ticocampos8384 the telepsych model is a great part time job. You make your own schedule, work 4 hours per day 3/4 days a week if you want to. Maintain your clinical skills until you feel up to going back to full time work or just never go back on the hamster wheel it’s all up to you. Its work from home so you have all the flexibility you could want
@bashirauwal5825
@bashirauwal5825 Жыл бұрын
Since I have learned how to save, invest, and put my money to work to increase my income, I am not worried of losing my job as an RN (registered nurse) or leaving my employment. I want freedom to live my life as I see fit, not just financial gain.
@bashirauwal5825
@bashirauwal5825 Жыл бұрын
​@KartyYeah I make 3k as extra income from my investing trying so hard to build more side hustle and extra income
@bashirauwal5825
@bashirauwal5825 Жыл бұрын
There's a lot of investing options real estate, crypto ETFs but my best advice get a professional lead you into profitable one and make good financial decisions
@albertcharles4415
@albertcharles4415 Жыл бұрын
That's a great idea, an expert will help you make the best decisions about investing
@albertcharles4415
@albertcharles4415 Жыл бұрын
I can't just wait on my 9_5 job. I do more to earn $$ I think everyone should too
@bashirauwal5825
@bashirauwal5825 Жыл бұрын
Yeah I work with Rachel Blanc, she's a great expert and has been influential in my financial journey, I recommend her to everyone
@jakec5618
@jakec5618 2 жыл бұрын
I think a large part of the problem is corporate greed. I am in healthcare as well and have seen that the doctors, healthcare workers, and patients are not really valued. However what does drive policy and decision making is the bottom line. Healthcare truly is a business disguised as healthcare. Patients nor the providers are valued. Only the bottom line is. I think the only way to remedy the situation is to find a more meaningful valuable goal. This is mutually beneficial as it leads to a healthier society and people.
@BabyBang17datruth
@BabyBang17datruth 2 жыл бұрын
As a RT, I experienced all of these factors during the pandemic. Instead of leaving my career, I left the hospital I was working at and picked up travel contracts. I was making 5 to 11K per week most of last year. Now I need is a good CPA.
@Lee-fw9mr
@Lee-fw9mr 2 жыл бұрын
What's an RT?
@kristenturner1222
@kristenturner1222 Жыл бұрын
​@@Lee-fw9mrrespiratory therapist
@alistairmcelwee7467
@alistairmcelwee7467 2 жыл бұрын
Education cost - absolutely. Some of my fellow nurses graduated with $250k in student debt. How will they ever pay that off on a nurse’s wage? But I quit healthcare because of the way the hospital administration treated us. Also, there were times when I had to take doctors aside to let them cry, give them a hug, or a hand squeeze, whatever, because they were so miserable and stressed and just broke down. Doctors are pushed to the limit and then more besides. I feel it is a mistake to go into healthcare - at least not until significant changes happen.
@bluefender9489
@bluefender9489 2 жыл бұрын
In most civilised countries doctors and nurses pay no or minimal education cost. My medical degree (Australia) was free. I have paid it back many times over in taxes but I am not complaining,
@laupeter4594
@laupeter4594 2 жыл бұрын
i actually dont think the American culture appreciates people who work in the caring profession. They just take for granted with what a medical worker can do.
@Sveiksmobile
@Sveiksmobile 2 жыл бұрын
Health care worker early death and suicide has spiked within my circle of friends and colleagues. The destruction of trust and demand for resilience in light of longer hours hours, fewer resources, and less staff has destroyed the lives of many people in health care.
@PKzenn
@PKzenn 2 жыл бұрын
Interesting story for me, Im 31 and have been out of medicine for over a year. I made it all the way to the end of my family medicine residency with a contract signed for 200K at a clinic. A couple years prior i had tested postive for mary jane on a hair follicle test. I had some burnout and depression beforehand which i had been addressing. After entering into the physician monitoring program it made my life a disaster. It was financially demanding and i felt never got to the core of my problems despite my most earnest efforts. Moral of the story I ended up relapsing after passing my FM boards on marajuana two years later. I wasnt consciously unhappy or anything, but i had to throw a wrench into things. Needless to say i was excused from residency with 6 weeks left, and did not get to practice medicine. I am now still trying to figure out my actions a year later. I barely have anything after investing everything into myself. Moreover, I can barely get an interview at places like mcdonalds and best buy despite my qualifications. I had no personal problems at work and was well liked as a physician and person ; I respected everyone around me. I am still struggling to find my path but what i have learned is this. I will not get into another career that is easy for me to neglect myself for the benefit of others. I am no longer dating because I continue to seek satisfaction from external resources. I never thought I would find myself in this situation but alas here I am. On retrospect this was quite a scattered comment, but I just needed to get this out somewhere in the open.
@dentaladdict98
@dentaladdict98 2 жыл бұрын
Thank you for sharing that. So i am a dental a student thinking of transferring to medicine but I already have 200k in student loans, is it worth it?
@PKzenn
@PKzenn 2 жыл бұрын
@@dentaladdict98 it’s up to you man. I’m over 250k in debt. As long as your doing it for the innate right reason then go for it. Just make sure you have support system and such in place. Honestly I want to go back to school but I need to make some money so I’m trying life insurance which is helping me become healthier but it’s different and hard but I’ll grind it out and see what happens. I would like to go back to medicine but I’d have to do at leas two more years of a family med residency and I had 6 weeks left so idk if it’s worth it. I took the boards etc. oh welll Good luck
@rickkey4226
@rickkey4226 2 жыл бұрын
We are in an amusement park for the criminally insane.
@Lee-fw9mr
@Lee-fw9mr 2 жыл бұрын
Perhaps you could continue your residency in a country where marijuana is totally legal. Then they would look at the reason your residency ended and say.... "Well... Marijuana is legal here so... we see nothing wrong in your record. You're hired!" Or at least, "Welcome to residency again!" I'm sorry you are suffering. Marijuana is less dangerous than alcohol. No idea why you weren't able to become a doctor on Mary Jane, when millions of Doctors drink alcohol regularly. Think about what I suggested, though! Please
@clovergreen9959
@clovergreen9959 2 жыл бұрын
If your interest is in family medicine, have you considered nutritional physiology as specialty? Opening a family wellness clinic would most likely be a welcomed addition to any community. I worked in a health food store for four years. The most frequent question we were asked was for a referral to a wellness doctor as opposed to a medical doctor. The market for wellness physicians is wide open because Wellness physicians are few and far between. But, you do need to know the value of fasting, detox, internal cleansing,nutritional supplements and simply getting a good night's sleep. Two suggestion. 1. Read the book The Second Brain by Dr. Michel Gerson. 2. Look into a supplement by Source Naturals called Vinpocetine. It is Periwinkle extract. It is never sold as a sleep aid because you have to take it in the morning with solid food. Yet, it is the best sleep aid out there. Just be sure you eat solid food before you take it or it will cause intestinal cramps for about 4 hours. Ask me how I know. Most people looking for something to help them feel better are actually low on Serotonin. The intestinal tract actually uses more Serotonin than the brain. If you are low on Serotonin, what you do have will be used first by the intestines and there is not enough for the brain. Thus, you don't get good sleep and feel tired, anxious, depressed, etc. etc. etc. Just fill in the word of choice for "I don't feel good". It is amazing what a good night's sleep can do for a person and their outlook on life. PS. As I understand it, becoming an infusion therapist, of nutrients, requires 1000 hours of training and you would most likely train under the supervision of a chiropractor. They seem to be leading the way in wellness therapies. But,the training you already have in medicine would no doubt be immensely helpful. Bottom line? Your calling may be in family wellness rather than family medicine. ❤️
@rikkeles2331
@rikkeles2331 Жыл бұрын
After 21 years in medicine I left my hospitalist job 3 months ago and have just been taking a break, spending time with my teenagers and figuring out what I want to do with the rest of my life. It's been the best 3 months EVER!!!! All the hospitalists I worked with were completely miserable 🥺. Future of medicine is clearly in trouble.
@DebraJohnson
@DebraJohnson 2 жыл бұрын
I worked from home but did NOT work less. I worked more in 2020 than I ever did in my entire life. I'm an employment lawyer and the number of layoffs, FMLA/leave issues, and overall employment issues was astronomical. For many reasons, but including burnout, I had to quit my job in 2021. The three months off were the best thing ever for my mental and physical health. I went back to work, though. I am extremely thankful for medical practitioners and I think many should consider a sabbatical instead of quitting altogether.
@fillupleung
@fillupleung 2 жыл бұрын
Im just a premed, but I feel like med schools definitely need to open up more spots for students and residents. Also, the premed culture needs to change some of its toxic traits. Labeling things as weeder classes or having professors make certain classes extremely challenging has ruined the aspirations of tons of potentially great physicians. Some of my older peers who I respect as being hard working and intelligent simply switched career paths citing how stressful the environment is. It's like schools want to burn students out before they even arrive to med school.
@mysticsmoothie530
@mysticsmoothie530 2 жыл бұрын
I immediately agree with this! It’s like you’re discouraged for wanting to become a doctor
@FernandoChaves
@FernandoChaves 2 жыл бұрын
I have been hearing that for more than 30 years. Pre-med is tough. Med school is tough. Residency is tough. A medical career is tough. This has been so for a very long time, it is nothing new. Most that start out saying they wanted it change their mind or fail to get there. That has been true since my father did it before me. Many that want to do it simply can't, regardless of their determination. The slopes of Mount Everest are littered with the bodies of determined people. Indeed, there is a bottleneck in residencies due to Medicare funding. But we could have 10,000 more new doctors every year if they took the FMGs that passed all their USMLEs and gave them an intern year to be a GP. Since we essentially we did away with GPs in the 1960's, mostly because of the AMA, that's not going to happen. We replaced them with less educated, less trained, cheaper, mid-level providers. There is a great deal about the current landscape as well as the history that got us here that no pre-med would be aware of. Keep your head out of the drama. Do your job. Be the best you can be. You need not be a victim of the toxic environment. Those who can't avoid being sucked into that environment probably should step aside and choose another path. Earn your place and you will get there.
@fillupleung
@fillupleung 2 жыл бұрын
@@FernandoChaves Thank you for the advice. It's actually very encouraging. Yes, I do my best to improve myself everyday. When I'm in doubt I remind myself of my ultimate goal of becoming a physician.
@danielblue4460
@danielblue4460 2 жыл бұрын
Pre-med was removed from the Philippine curricula in the 70's. Now, any 4 year course as undergrad plus some units in Chemistry, Physics, Botany, Zoo.... etc is enough. I think is better, not all Pre-med grads will finish medical school and pass licensure.
@FernandoChaves
@FernandoChaves 2 жыл бұрын
@@danielblue4460 You can qualify for medical school in the US with any bachelor degree, you just need to take the additional science classes. In fact many do this in the US. I was Biology/Pre-Med. Graduating with a Pre-Med degree and failing to gain admission to med school is far from a dead end. You can get a masters and reapply or go on to work in the sciences. You can go MS and then PhD. I have known several people with a PhD in the biomedical sciences that originally intended to go to med school but didn't get in.
@keithnichols7926
@keithnichols7926 2 жыл бұрын
Isn't the doctor-patient relationship adversely affected by the conditions imposed on doctors in various clinic settings-primarily where the number of patients seen per day is involved. Forty years ago, my doc had only one exam room, so he wasn't dashing from room to room all day. He gabbed with his patients for as long as he wished, and a lot of them were charity cases. All the docs in this clinic set their own pace in this way. Of course, patients didn't fill out questionnaires asking how long they had to wait.
@Anniefawesome
@Anniefawesome 2 жыл бұрын
One of my hospital's CNAs told me that she would make a dollar more an hour working at Panera bread.....now having worked for many years in a restaurant way back when, I know it get can be intense but ya. Not cleaning colostomy bag while the guy next door is shouting that his testicles are swollen and a woman is screaming about her anxiety and needs someone now, intense.
@rebeccaabel4589
@rebeccaabel4589 2 жыл бұрын
This is so true. One of my younger working colleagues who just became a RN stated you sre better off work8ng in Costco than working as CNA, PCT, . Its sad
@rebecanieves2165
@rebecanieves2165 2 жыл бұрын
You hit the nail on the head! They can also open up more residency jobs since we have way more applicants than positions available. And encourage people to go into nursing, tech jobs, etc via scholarships. We just need more healthcare workers.
@franklinshouse8719
@franklinshouse8719 2 жыл бұрын
After practicing radiology for 37 years, I retired just as covid hit. I was too old to expose myself to the risk and my colleagues agreed. Everything said in this vid is spot on. Too much work, hours too long, too many shifts, not enough backup, not enough pay, decreasing reimbursement, frustrating government intrusion, and simply awful hospital administrators. And then put covid on top of that. It's no wonder doctors are leaving. Oh, I forgot astronomical medical school debt. This has been going on for years. If I was 22 again, I don't know if I would go to medical school. I had a great career, but I left at just the right time.
@truthseeker2752
@truthseeker2752 2 жыл бұрын
Me too. I’m proud and satisfied with my career as a PICU RN. I’m getting out of this dumpster fire now.
@RealROI
@RealROI 6 ай бұрын
"covid" wasn't anything to worry about retrospectively but we get the point.
@michaelcorderovlogs3477
@michaelcorderovlogs3477 2 жыл бұрын
I love the video. I love how you included other positions like us Medical Assistance. Even though we are in 2022, my job is still changing and the work load is still increasing till this day. For sure feeling it sooner but I am hanging in here. Take it day by day.
@codyryan8808
@codyryan8808 2 жыл бұрын
I’m a CT tech and this video is exactly what we are experiencing at the hospital I work at. Burnout, not payed enough, no empathy from administrators. Just for people about to say my jobs not hard I’ve worked blue collar jobs in 110 degrees for 16 hours a day so I know what exhausted is and that’s what we are.
@Gilbertodlgg
@Gilbertodlgg 2 жыл бұрын
Geez 16 hours that does not sound healthy, you have my upmost respect. I am a physician and I understand the burnout that health professionals experience.
@ronfletcher4498
@ronfletcher4498 2 жыл бұрын
It's not just in healthcare or with physicians. You will find this same sad situation with most all other professions / jobs as well. The model is the same: work the employee as much and as hard as possible for the least amount of compensation they can get away with. Sad.
@careborne
@careborne 2 жыл бұрын
Absolutely true. The implicit "contract" between an employer and its employees... is no longer there. It's more of a one night stand now: I owe you nothing, and vice versa. Applicable to the western society in general. I see/treat folks from all walks of life stressed/maxed out to the extreme. And on and on ...
@coolfool183
@coolfool183 2 жыл бұрын
Capitalist exploitation is present across all professions, yes. Own your labor and be set free
@andreaslind6338
@andreaslind6338 2 жыл бұрын
@@careborne yeah, but then when the doctor quits the buisness says "don't you care about your patients? " So you stay longer than you should because you don't want to hurt your patients, to management benefit.
@hayitsj21
@hayitsj21 2 жыл бұрын
Of course it's with other professions but healthcare workers have it the worst. There's nothing comparable to saving/healing patients.
@mariekatherine5238
@mariekatherine5238 2 жыл бұрын
Same with teaching! At age 60, I ended up working twice the hours I put in at age 30. We’re treated like factory workers, not professionals.
@poodledaddles1091
@poodledaddles1091 2 жыл бұрын
RN here just worked 10p-6a in long term care. Despise my job but rarely can vent in detail to anyone because they wouldn’t understand. I’m more pissed after listening to this video b/c your assessment of the situation is right and hopeless.
@joshuahorner2639
@joshuahorner2639 2 жыл бұрын
This is not surprising to me as I believe many physicians who were asked whether they would recommend a career in medicine to their children has been declining yearly. You should put a bug in your brother's ear and see if the same thing is happening in the veterinary medicine field. As a veterinarian, I find myself counting the days until I can retire next year. For me, the stress of having to do more with less during the pandemic, impatience and unrealistic demands by clients, shaming, verbal abuse, lack of manners by clients directed toward veterinary providers has brought many issues clearly into focus. We only get one life, so would like to enjoy what may remain doing those things that matter most.
@Kittiesinclair5
@Kittiesinclair5 2 жыл бұрын
Joshua, what is happening in vetmed is similar but for some the acrimony comes from other vets. I was anticipating graduation from vet school in 2019 and had passed all required academic courses plus more than the required number of clinical rotations plus had passed the licensing exam. The school allowed one junior instructor (6mo experience teaching in clinic) to fail me in an easy rotation (dog/cat wellness, non emergent vaccine and deworming cases). The fail was based in false accusations and fabricated claims for which they could produce NO evidence at all. The school ‘investigated’ my appeal of this grade by interviewing everyone except me, and refusing to tell me what was said about me. They refused to let me see my own academic record or the comments put there by the instructor. One of the instructors was my own landlord (conflict of interest) and when a vet client became angry with her (with the vet landlord), I was blamed. No evidence was provided to prove I had upset the client. I said that the client had mot been upset with me. I was then blamed for ‘not reflecting’ on my ‘bad communication which upset the client’. Much much later I discovered that the client had written a complaint letter to the vet which proved I was not to blame. A dean also saw this letter. This was before I was even failed in the rotation - they knew the client was not upset with me but failed me on that basis anyway. The letter was with held from me and from the appeal panels. That is obstruction. In order to cement their false claims, I was also accused of ‘confusing or upsetting many more clients’, but no one could tell me which clients or how I had upset them. In fact, NO evidence has ever surfaced for any of the claims made against me. Further, the grading form shows they actually passed me in the rotation, but then crossed off the pass and replaced it with a fail grade, without explanation. During the whole time I was in the program I did nothing wrong and nothing unethical. I was a normal student with a variety of grades and no me tal or behavioural problems. The school kicked me out based in that invalid ‘fail’, saying ‘we can do whatever we want’ and even my evidence and appeal to the provost of the university went nowhere because everyone just defaulted to unconditionally supporting the instructors and school admin, no matter what had happened. I have been shunned by most people at the school because as soon as a student is villified, everyone else scatters and denies all knowledge, under the unwritten ‘code of silence’, lest they themselves are targeted by association. I was already in debt and when they kicked me out I could not find a job of course; I had to declare bankruptcy last year and my mental health has suffered due to no health insurance and the post-traumatic stress (during the grade appeal, which took 10 months), I was publicly humiliated in front of the university council as the schools lawyer and the junior instructor lied about my performance and made vague derogatory statements about me, which the council did not verify or confirm. I had to move back in with my parents and could not even find a menial job because my education makes me over qualified for many jobs and yet I have no credentials that give value to my actual knowledge and skills. Even though the vet shortage and vet mental health crisis was a thing in 2019, the school preferred to claim they were right and save face rather than negotiate with me or discuss how the grade was invalid. Politicians I have contacted simply ignore me. The regulator/licenser (which grants veterinary licenses and monitors/refulates vet behaviour and professionalism) told me that despite all the evidence of dishonesty, unfairness, unethical tactics in how I was treated while on the rotation, they decided the school sid nothing wrong and they even blamed me for not addressing the conflict of interest which was held by my vet landlord during the rotation. They absolved the instructors and the admin of any wrongdoing, without explaining to me how they arrived at the decision. Vet professional bylaws state that ‘all members’ must be fair, honest, compassionate, respectful, ethical, etc.’ and I had plenty of documents/audio files/letters demonstrating breach of bylaws, but the prof. conduct committee just ignored it all. I have been forced to go to court and guess what, the schools lawyer has already begun tricks and strategies to avoid explaining the evidence. So, what does this say about the vet ‘profession’? Legislation may grant schools ‘autonomy’ in their own affairs, but does this mean they can discriminate, bully, obstruct justice, etc in order to serve their own selfish and facesaving ends? No. The laws of natural justice still apply. In 2019 I was excited to look forward to being an ethical, essential vet who understands animal agriculture and can speak to anyone no matter how ‘difficult’ the client (I demonstrated this in numerous rotations). Now I am financially ruined and struggle with my mental health, and fear for my future. How can I prepare for retirement? I will probably never retire, and right now I am seriously considering social assistance. My CV is a mess, I have no references from the past 10 years because the people I did know at the vet school refuse to talk to me. So how do you get a job with no references and with a disastrous academic record? True or not, false accusations always ruin you. This problem has not only affected me but has affected dozens of people who were associated with me - my elderly parents, for eg., who are now looking after me when it should be the opposite. I have come across people whose animals were in crisis and I should have been able to help them but due to the school’s decision, I had to decline / stay quiet and the animal suffered needlessly. All because a few people chose arrogance over honesty, selfishness over ethics. My vet colleagues are overworked and suffering but I cant share the workload or help them because of the school’s decision. Is this what they wanted? Apparently so…, after all, they can ‘do whatever they want’.
@jbpos25
@jbpos25 2 жыл бұрын
That indescribable fear at the beginning of the pandemic was crazy. I was in clerkship at the time and before going into the hospital the next day our department chair sent out a letter to prepare for anything, even death. The unknown was vast and very scary at the time.
@holliejalbert
@holliejalbert 2 жыл бұрын
As a nurse in healthcare, I couldn’t agree more!
@ryaniam22
@ryaniam22 2 жыл бұрын
I am also a nurse on a medical unit nicknamed hell 4. Quite brutal. And I work about 20 twelve hour shifts a month. Then I see these middle aged boomers on TV complaining that the conditions in their old ass parents seniors home are atrocious blah blah blah. I'll give a shit when these liberal hypocrites actually get a job taking care of their own damn parents. Become a Healthcare aid or a nurse if you think your parents need more care. But nope. Just meaningless complaining. So I agree we are overworked. But if I ever see someone complain about it I tell them then they should get there ass in there and care for their old ass parent daily or do it at home. Nope. It's always someone else's problem. Hypocrites. So quit feeling bad for people who die under poor hospital conditions. They never cared and never raised kids who cared enough to actually do an actual real job. They all wanted fake coffee drinking paper pushing government jobs or more recently 'social media' influencers. So if I was you I'd expect to die in shitty I mean shity senior care because those are the children boomers raised. The ME generation are fragile entitled narcissists who want a life of no responsibilities and fun. This doctor fits the bill. He literally says he might start doing social media. No real man would ever be such a sellout
@labadee
@labadee 2 жыл бұрын
Im a family doc, you can do your job perfectly and according to evidence medicine, but it may be against what the patient wants. Despite you following evidence based medicine, and doing the right thing, you'll be labelled as bad and slandered because it might not be what the patient wants. Moreover, there's the never ending threat of litigation if you make a mistake. Since covid, work has been a lot less enjoyable, being verbally abused and expected to just take it. I haven't quit, but there have been times where you wished you could walk away.
@brittharrison1850
@brittharrison1850 2 жыл бұрын
This is exactly the issue. I’m also a family doc. I literally just told my colleagues I’m finding a replacement doc for my 1000 patients.
@09kenedy
@09kenedy 2 жыл бұрын
Lies… I’m a physician and am constantly in an ethical battle between what is best for you the patient he quota I am “encouraged” to meet. In my experience many of the patients really want help and trust the advice you give them.
@MH3GL
@MH3GL 2 жыл бұрын
Your job isn't to care about what "the patient wants." It's not your job to save people from themselves. Your responsibility is to BE HONEST, so the patient can make the best decision for themselves - which may or may not be to listen to you and your expertise. You have no control over that.
@throwdown47
@throwdown47 2 жыл бұрын
The litigation is unfortunate. I feel like there is more trust in rural areas, but feeling like any day someone can attempt to hang you out to dry is stressful.
@chrisr.6638
@chrisr.6638 2 жыл бұрын
People are scum. We should go back to the caveman days, see how entitled they are then.
@fabiann.martinez1223
@fabiann.martinez1223 2 жыл бұрын
Wow, amazing insight. The situation with the healthcare workers is really saddening.
@joyh.729
@joyh.729 2 жыл бұрын
As always, very insightful and helpful info! I looked further into the AMA article you referenced- it was a great resource and provided even more tools to combat burnout. As a physician myself, I have taken steps to reduce my work hours but am finding that for the reasons you have outlined here, stress still affects my ability to do my job on the fewer days I'm working which is still frustrating. The ENTIRE medical system needs to change in this country and I'm hoping the efforts for physicians to unionize will actually happen and will be the thing that finally makes the difference.
@aileenandrea___
@aileenandrea___ 2 жыл бұрын
I had my first clinical experience as a nursing student. They were experiencing staff shortage and I feel like we just thrown into the pits. The educators are treading lightly to keep us motivated because they know how essential it is to have more people graduate.
@Jake-pw8rp
@Jake-pw8rp 2 жыл бұрын
Our educators as med students and doctors just degrade us further.
@aileenandrea___
@aileenandrea___ 2 жыл бұрын
@@Jake-pw8rp it makes no sense for an educator to degrade a student. It’s frustrating to want to learn but people don’t want to teach.
@Rooted_Locs
@Rooted_Locs 2 жыл бұрын
Everything yiu kearn about nursing in school os a lie haha😂
@777rogerf
@777rogerf 2 жыл бұрын
@@aileenandrea___ Alleen Perez above said just the opposite. "Treading lightly" on students means going easy on students.
@amberj3941
@amberj3941 2 жыл бұрын
I left medicine for 2 years during the pandemic. It wasn’t worth risking my health and that of my family. We were financially in a place we could do this. I was paid well but the risk they were asking us to take without adequate PPE wasn’t ok with me.
@shantnubhanwala5972
@shantnubhanwala5972 2 жыл бұрын
Me too inadequate ppe and poor salary . At home from 2 years. Now I realised medicine is not worth anymore
@amberj3941
@amberj3941 2 жыл бұрын
@@shantnubhanwala5972 getting to that same realization, medicine changed so much, it doesn’t even feel good to practice when you know how little the higher ups care.
@stevepanico2882
@stevepanico2882 Жыл бұрын
Hi Michael! I love watching your you tube channel. Congratulations on becoming an attending physician! You are Avery down to earth and you seem to have the patience of a saint! Your wife also has a lot of patience to share you with all your subscribers, lol good luck in your future and please continue these health segments. My health is not great and it keeps me amused and interested during a long day! Thank you for your honesty! You deserve all the best. Linda Panico
@thedoctorsview7561
@thedoctorsview7561 2 жыл бұрын
Well said! I am a hospitalist and you're on point about the industry in general. I am getting out of medicine hopefully in the next 1-2 years once my business gets up and running. Having a ceiling on your career from advancement and economic perspectives keeps one from being able to live to their full potential. I have had enough of it. I'm done!
@laupeter4594
@laupeter4594 2 жыл бұрын
but at least you have the medical knowledge to handle your family's failing health when they grow old. So all of this "torture" has given you value in life, you should stop thinking about things in numbers but in quality.
@dandefoe
@dandefoe 2 жыл бұрын
You covered the waterfront very well. Thank you. As a spouse of a health care worker (RN) I have gained keen insights into the downward spiral which directly relates to your main points. A big issue, in my mind, is that the cost/reimbursement policies and decisions come from non-clinical, unlicensed providers. I have friend (DO) who started out living his dream as a Marcus Welby type GP who could do surgery and deliver babies. Sadly, that didn't last long. He could not accept claim reps dictating care for his patients. He landed a prestigious residency and fellowship and practiced IR for years. I worked as a RT in the 80s. Your radiologist job is not a cakewalk. Viewing and studying 100s of images an hour, with each one needing fresh eyes, and each one having potential life or death potential consequences, ain't very easy. Thanks for your channel. It brings me joy. Your brother's does, too.....
@Dr_Analise
@Dr_Analise 2 жыл бұрын
As a doctor who went in by choice and got through a residency which was hell and finally as a consultant ...i had my episode of burnouts and even contemplated quitting my residency more than once but after investing almost my entire youth ... I could not just turn back and Indian parents convinced me out! ...so eventually I got out through it and now love my job!
@veerrd2607
@veerrd2607 2 жыл бұрын
What specialty are you pursuing ?
@noraaa8479
@noraaa8479 2 жыл бұрын
What are you doing now?
@petsnaturetv1690
@petsnaturetv1690 2 жыл бұрын
Whats your option now
@GeekyGumbots
@GeekyGumbots Жыл бұрын
What are you doing now? What was your transition like?
@hailiannea2161
@hailiannea2161 2 жыл бұрын
I’m in what I like to call “ashes in the wind” lol … it’s after burnout.. when the wind kind of just rolls you along
@laurettafetta
@laurettafetta Жыл бұрын
Thanks for addressing some major issues in the healthcare field that haven't been thoroughly addressed yet. ~Dr. L. Rustad, PT, DPT
@zhvanrekani1408
@zhvanrekani1408 2 жыл бұрын
This video is the amazing answer about why the doctors are quitting their job . Thank you 👍
@mdml0
@mdml0 2 жыл бұрын
Yup. I left practicing medicine even before the pandemic for a multitude of reasons but mainly because of pay (a professional massage therapist i once hired was getting paid more per hour with little risk of malpractice 😕) and being gaslighted by non-medical bosses for years. Practicing medicine isn't what it used to be. It can be rewarding to see you patients get well but you can only give so much of yourself and you also got bills to pay and your own life to live and take care of.
@bobtheagent9087
@bobtheagent9087 2 жыл бұрын
What are you doing now?
@graceaziken6827
@graceaziken6827 2 жыл бұрын
What is your speciality?
@julietcrowson3503
@julietcrowson3503 2 жыл бұрын
Same in social services SS in the UK. Managers are bad ppl, narcs. Should be locked away from society for psycho.... Hope you're ok... Big hug ✝️🙂☯️🫂☮️🙏
@xplicitgoofy1015
@xplicitgoofy1015 Жыл бұрын
@@bobtheagent9087 a lot of these messages are bots he is saying “he hired a massage therapist” and somehow he was paying the massage therapist more then what he was getting how does that make sense lol
@faybulous_x
@faybulous_x 2 жыл бұрын
I’m a junior doctor in Australia and this has really resonated with me - thank you for articulating this so well
@anujgupta3745
@anujgupta3745 2 жыл бұрын
As a person who is going into medical school next year this is frustrating to hear. I am hoping my generation is the one to instill change and create unions to prevent corporate greed. Influencers like yourself is the only way we can bring light to this issue and fight for what is right.
@shining359
@shining359 2 жыл бұрын
i'm at my final year an i want to quit 😂 good luck! (if i were you with the knowledge that i have now i wouldn't do it)
@mash8349
@mash8349 2 жыл бұрын
Bro be mindful of what you end up doing with your degree
@mash8349
@mash8349 2 жыл бұрын
I don’t think you should go through with it. You can try being optimistic but in reality medical field is only going to get worse. Systemically it’s failing and it’s going to be more socialized so doctor pay wont even be nearly worth it
@navyfarrow5333
@navyfarrow5333 2 жыл бұрын
Starting residency this summer. Fuck yeah, let’s unionize! There’s a collective wave across the country of workers fighting for their rights, and we should ride it.
@chasingsunsets87
@chasingsunsets87 2 жыл бұрын
Lol then there will just be union greed and unaccountable leaders
@WoodyXRay
@WoodyXRay 2 жыл бұрын
I'm retiring early. I've had enough. Covid, budgets, Joint Commission, lack of staffing. June can't come fast enough. 40+ years of Radiology Administration and I'm done.
@olympic-ass-eater
@olympic-ass-eater 2 жыл бұрын
What do u do now?
@MVR1911
@MVR1911 2 жыл бұрын
From a nursing perspective it’s all the other duties being added on to nurses on top of nursing such as housekeeping, transport, dietary, pharmacy due to staffing shortages in those departments on top of constantly having to talk to every member of every patients family every hour due to visitor restrictions
@truthseeker2752
@truthseeker2752 2 жыл бұрын
Don’t forget lab draws and secretary
@19jepoy86
@19jepoy86 2 жыл бұрын
Thanks for keeping the scope broad enough to include all HCW's
@michaelrenner1844
@michaelrenner1844 2 жыл бұрын
Spot on !!, as a primary care physician in private practice for over 25 years I appreciate your ability to articulate precisely my plight! until 2020 I loved my profession since then I have looked for ways out as many of my friends and colleagues have. Although needed, I fear your solutions are unlikely to be implemented in any reasonable way. Private practice is already destined to go extinct I just hope quality medicine does not follow...
@Chris-pt6hh
@Chris-pt6hh 2 жыл бұрын
I'm getting so tired of every industry being squeezed for every last cent. I actually left tech because of it, and am now a year away from applying to med school... but have been considering going PA and seeing what I can do on my own time.
@denawagner360
@denawagner360 2 жыл бұрын
@Chris Hey, just curious if you can explain the educational difference between becoming a P.A. and an M.D.. I personally feel my P.A. is more attentive, willing to listen & open to my own ideas. I wish there were more people like them. I'd appreciate any info you can give on the difference between the two. Thanks.
@Chris-pt6hh
@Chris-pt6hh 2 жыл бұрын
​@@denawagner360 In short, as I understand it, PA is more of an accelerated path with nowhere near as many during-school clinical hours as MD, though it requires more clinical exposure before school. There's no residency. They're both medically trained but MD enter their jobs with a ton of clinical exposure and more depth to their knowledge. Then after school, MD's will continue to learn and specialize. PA's can do research, but it's not common. A common saying is that PA learn 2/3 of MD in 1/2 the time, which is a double edged sword.
@denawagner360
@denawagner360 2 жыл бұрын
@@Chris-pt6hh Thanks for replying quickly & breaking that down. I appreciate it!
@emiledin2183
@emiledin2183 2 жыл бұрын
isn't tech pretty chill?
@vitico1630
@vitico1630 2 жыл бұрын
Your predicament is not limited to specific fields, its how the economy operates, the less an employee gets paid, and the more a “customer” pays the more money for the employer. Its not something that can be escaped, unless u work for yourself, and even then as a consumer you will not escape this dynamic… Per my estimation, we can only escape this by changing the way we structure our society
@grendizer6139
@grendizer6139 2 жыл бұрын
Quit my job as a doctor last month. Feels good. Got a camera , going to start a KZfaq channel and travel ... Also looking at radiology as a choice if I go back to medicine in the near future.
@a.s.a6614
@a.s.a6614 2 жыл бұрын
soo you can quit and come back?
@shamrockgirl6595
@shamrockgirl6595 2 жыл бұрын
wishing you well
@grendizer6139
@grendizer6139 2 жыл бұрын
@@shamrockgirl6595 thank you
@grendizer6139
@grendizer6139 2 жыл бұрын
@@a.s.a6614 sure
@lamilumag
@lamilumag 2 жыл бұрын
Radiology is like working as a cow in a milk factory, having to give 10% more milk every year for -10% of grass you’re being fed while competing with all the other cows (ripping each other into pieces) for +3% bonus grass. Been there, done that, have fun and enjoy the incoming robo-cows that squeeze out twice the milk with a little less flavor - but nobody is going to care 🐄🐄🐄🐄
@ash2lar
@ash2lar 2 жыл бұрын
As a retired RN who worked for over 50 years total in medicine- burnout, lack of communication, lack of empathy are big reasons for the mass of exodus of medical professionals leaving. This pandemic should’ve been funded like waging an war- because that’s what it’s been like. Nurses getting attacked while trying to save lives? Where’s the hazard pay? The whole healthcare system in this country was under strain BEFORE the pandemic hit. It’s going to be a while before there’s a serious objective look at solving the biggest problem- poor staffing.
@anonypersona3189
@anonypersona3189 2 жыл бұрын
The nurses I know are now making 3x the amount they are usually paid because of so many quitting. $40k jobs are now paying $120k. Hard to say no then.
@DG-mk7kd
@DG-mk7kd 2 жыл бұрын
I've gotten into arguments with several people over whether medical doctors like to earn lots of money. There is a surprisingly large segment of the population that is convinced that doctors should be willing to work for minimum wage because they are all altruistic heroes. My position has always been that helping people is great, helping people and driving a Ferrari is better.
@orppranator5230
@orppranator5230 2 жыл бұрын
In my opinion, that’s what socialism looks like when it is allowed to grow in someone’s mind. Providers of healthcare, etc need to work for cheap just because. Meanwhile, “increase teacher’s wages!”. It’s a certain type of person who thinks like this- someone with no adequate grasp of reality.
@enasabuewaida4983
@enasabuewaida4983 2 жыл бұрын
I am a medical student but I haven't started my clinical years yet. Currently studying the reproductive system. I absolutely have no idea what is going on. The only reason I am studying is because I know if I didn't and flopped my exams I will feel even worse. Being in med school feel like a toxic relationship, it is not sth you can easily walk away from and no matter how hard you try you will never be good enough. However, I started med school for a reason ,even if I can't connect with it righ now, and I am hopeful that when I start my clinical rounds next year I find my purpose again. Surely it can't get lower than this. right?
@alejandraleonrivera936
@alejandraleonrivera936 2 жыл бұрын
Everything will get better! I did my first two years of medical school during the pandemic and it was horrible to be at home trying to learn all the material by yourself and feeling you are far from becoming a Dr. I’m in my 3rd year now, and I love my rotations. You will be able to put all that knowledge into practice. I wish you the best!
@user-he8lq8ny3v
@user-he8lq8ny3v 2 жыл бұрын
If you get through it you can still find a way to do things your way, such as working in a small outpatient practice where you aren’t treated like a cog. Hospital based medicine is becoming soulless
@alhadiibrahim1195
@alhadiibrahim1195 2 жыл бұрын
Don't worry It is just matter of small time .
@rickkey4226
@rickkey4226 2 жыл бұрын
It gets lots worse. Quit now while you can before you start fantasizing about hurting people back.
@vin5388
@vin5388 2 жыл бұрын
Hang on! The first two years are the worst of your life- things get better when you hit your clinical years. I still shudder when I think of the constant stress and worry those first two years.
@topcat104
@topcat104 2 жыл бұрын
Dr. Cellini wouldn't you also say that another reason why people are leaving medicine is less say and less control into being a medical professional? It seems to me that medicine like admitting someone into a hospital, making an appointment, protocols, prescribing meds etc is little by little being controlled more by private insurance company's and the government? Insurance won't cover certain procedures be done if certain criteria hasn't been met and CYA (cover your "butt") medicine being forced upon physicians. The guidance and instructions you guys learn while in school and residency seems to be slowly getting taken away. The whole reason of why a person goes into medicine is to study the human body to treat and prevent illness and injury and it seems to me that doctor's, nurses and other staff are becoming puppets for bigger companies and also the media sometimes. (Edited, I added another point)
@mel.affiliate
@mel.affiliate 2 жыл бұрын
Working in the HR department of one the best health systems in NJ, everything you’re saying is 💯
@uni_versetones
@uni_versetones 2 жыл бұрын
I can’t quit medical school…I need an attending salary to pay off these student loans.. it’s truly criminal how much it costs to attend school.
@nasirkhan-do6jh
@nasirkhan-do6jh 2 жыл бұрын
One thing I realized in my training is that it's always the hospital administration who will milk out the health care workers. Doctors everywhere are robbed of their time and competency by managers and employers. Everyone talks about minimising burnout but they will never organise to break the monopoly of employers, corporates and insurance companies.
@anshukiran5543
@anshukiran5543 Жыл бұрын
Totally agreeed
@BERESTARA
@BERESTARA Жыл бұрын
That’s the one for me . I don’t mind working more , however, inefficiency is draining … exactly - robbing is a word
@funsize198
@funsize198 2 жыл бұрын
haha, you said "comma" as if you were dictating. lol. Should've ended with "clinical correlation recommended". I agree with you about reasons people are quitting. More schools should become like NYU and offer free medical tuition
@DrCellini
@DrCellini 2 жыл бұрын
Haha I know. I was like why did I just say that?
@yahiaosman8938
@yahiaosman8938 2 жыл бұрын
High School has hit me hard, I haven't been too active but I still watch the videos.
@albertomedina4394
@albertomedina4394 2 жыл бұрын
We love you Dr. Cellini!
@DrCellini
@DrCellini 2 жыл бұрын
Why thank you!
@NDMD
@NDMD 2 жыл бұрын
Very well put. Been curious to see how your thought process has been going with a new video of someone quitting being sent to you every week lol
@sheridagibbs6251
@sheridagibbs6251 2 жыл бұрын
My favourite Med school youtuber🤗
@keshaanster
@keshaanster 2 жыл бұрын
You have some great content man just thought i’d mention it to you. As a current premed student your “73 questions” series was very helpful. Keep going!
@ZED2.0
@ZED2.0 2 жыл бұрын
In the UK, doctors were leaving the NHS way before the pandemic. When I decided to leave medicine it was a tough decision but ultimately one I had to take. Recently, I've been thinking about medicine and even made a video about it, but the more of these I watch the more cautious I get 😬
@georgepalaio3745
@georgepalaio3745 2 жыл бұрын
And what are you doing right now ?
@ZED2.0
@ZED2.0 2 жыл бұрын
@@georgepalaio3745 making videos on KZfaq 😅😅
@annabeltemple230
@annabeltemple230 2 жыл бұрын
Thank you for this explainer. I def think it's helpful for those who don't work in healthcare, to be able to better understand some of the reasons why the exit numbers of medical staff are now really starting to hurt on the frontlines of medical care provision. Shortages were happening, globally, pre-pandemic. Two years on, it's only worsening, imo. As an experienced MA here in the US (with four college degrees), I am now seriously re-considering my career options. I'm tired of being paid little more than minimum wage. The money def does not match the levels of responsibility, stress, and student debt loads that are being taken on. I'm tired of constantly being asked to do more with less b/c of the need to increase daily productivity (ie: profit margins), versus providing interactive patient care. Some' in healthcare leadership and hospital administrations have failed miserably at utilizing the pandemic as being a proactive learning 'moment' in terms of maintaining staff relations, while also providing adequate workforce recognition and retention.
@theashleystrand
@theashleystrand 2 жыл бұрын
Been an ICU RN for going on 9 years now. Was working when pandemic hit and after a year, I left. We only get one life to live and as much as I wanted to continue doing what I was called to do, I realized my happiness and well being were suffering. I still dont know if I'll go back to nursing, but I do know I am so much happier and healthier now.
@kg-ke1fw
@kg-ke1fw 2 жыл бұрын
I'm saddened that nowhere was how privatizing hospitals/medicine is one of the biggest reasons for not only people leaving the industry but also patient safety/access.
@Galaxyclusters
@Galaxyclusters 2 жыл бұрын
I'm an MA, and we barely have staff at my hospital... I'm super stressed out and tired
@blittleing
@blittleing 2 жыл бұрын
Helpful insights. Basic take away. Thank you
@morningleaf9051
@morningleaf9051 2 жыл бұрын
I studied MCAT stuff, you have a good tone of voice, tenor voice range, is the easiest to listen to. You have special talents, and good heart, Thanks for Articulating the concerns inside my heart. I can only accurately predict things happening now with my skills embedded in my brain due to many years of challenging myself to excel in Mathematical, Physics and Biological concentrations, but don't have the abilities, I still wish I can help to prevent or minimize the negative impacts actually occurring in the real world time frame.
@julioandrehernandez8696
@julioandrehernandez8696 2 жыл бұрын
3rd-year med student. Tip for you. Don't go into medicine, it's not worth the mental stress and time you will lose, that you can spend with family and loved ones. Am already too deep into loans to get out of this shit, but just warning you now while it's not too late for you. #keepingitreal
@isabellalora6533
@isabellalora6533 2 жыл бұрын
😥😥😥
@guslaskaris5333
@guslaskaris5333 2 жыл бұрын
You are not wrong. I'm an ER doctor. American medicine is a malignant clusterfuck. I'd quit in a minute if I had the financial means or some other legitimate career.
@dentaladdict98
@dentaladdict98 2 жыл бұрын
@@guslaskaris5333but medicine is stable job that provides with good salary, no?
@dentaladdict98
@dentaladdict98 2 жыл бұрын
As a dental student wishing I chose to go to med school instead I’m surprised since you guys will get higher salary in the end with less physical demand
@guslaskaris5333
@guslaskaris5333 2 жыл бұрын
@@dentaladdict98 I'm not clear what you mean by less physical demand. And salaries are a lot lower than you think with the trend being downward. Medicine is a just a ridiculous career now for most doctors because we spend so little of our time doing it. Most of our time is spent typing at a computer...approaching eighty percent or more.
@jessicaallen7176
@jessicaallen7176 2 жыл бұрын
You said “comma” like you were dictating 😂. As a medical transcriptionist I can appreciate that (and got a little chuckle from it) 🙂
@DJ-lo8qj
@DJ-lo8qj Жыл бұрын
As someone considering medical school, this is heartbreaking to see. Our medical personnel deserve a better system!
@jennismith2
@jennismith2 2 жыл бұрын
A BIG part of the burden on healthcare workers stems from ever-growing regulations and requirements that do little to actually help improve pt safety but (over time) crush nurses and doctors. My facility recently made one simple change. They required nurses to fully document their first physical assessment of the day. But they allowed nurses to click on “no changes since last assessment” or to document only the details that had changed since the last assessment. The result was that I, as an ICU nurse, instantly got an “extra” 30 minutes per day to actually care for my patients! That made a BIG difference, and it was the only time in my 16 year career that an employer made a change that made my job easier! We need more of that!
@denisem1093
@denisem1093 2 жыл бұрын
At the hospital I work at we have just recently lost 5 Radiologists, 6 CT techs, 4 MRI techs, 8 Rad techs, 2 US techs and 2 mammo techs. At the end of this month we will be losing another 2 CT techs. A few of them have retired, few have decided to do something else while some have decided to move out of state. 🥺
@anonypersona3189
@anonypersona3189 2 жыл бұрын
And that's the Radiology department and not ICU or ED. When it comes to Covid, being a nurse or ER doc is the worst. Radiology isn't that bad!
@glenjo0
@glenjo0 2 жыл бұрын
Very sorry to hear. You guys are great! I am always treated great! (I'm biased, my wife is an RN.) But hospitals management and insurance companies? Whoa! What a bunch of vultures! They need to go!
@michaelofmelrose
@michaelofmelrose 2 жыл бұрын
Thanks for being a professional!
@dr.stevenpennym.d.3241
@dr.stevenpennym.d.3241 2 жыл бұрын
Good video. Thank you.
@MrJambavan
@MrJambavan 2 жыл бұрын
Great synopsis of all the problems. To follow this path we have to take on a huge opportunity cost of all the years of training before we are even able to enter the work force. All my friends that went into finance straight out of undergrad are partners in their firms working a lot less hours and higher pay compared to me. There used to be a time when people respected our trade and profession. Don't even get me started on medical school debt. That being said I can't imagine doing anything else. Ultimately the reason we got into this was to help those in need, and being able to do that on a daily basis makes all the bull@#$% still worth it.
@JsForLyf23
@JsForLyf23 2 жыл бұрын
Dr. Cellini can you do a video that goes into how exactly physicians get compensated. Breaking down a procedure, how much is charged and then how much is collected based on Medicare or private insurances and then how much of a percentage of that collection you take in as income
@SandfordSmythe
@SandfordSmythe 2 жыл бұрын
I would like to see these kinds of studies also.
@rufussweeneymd
@rufussweeneymd 2 жыл бұрын
Such an illuminating video.
@laur8535
@laur8535 2 жыл бұрын
I'm a psychologist that worked for an institution for the past 10 years and quit during the pandemic to start my own practice. I think a lot of this applies to Mental Health Providers too especially who work for institutions where we are devalued, taken-for-granted, overworked more and more, and not paid what our credentials and experience are worth. However since I'm able to set my own boundaries in private practice I do not feel burned out anymore so I'm glad I didn't leave the field altogether
@sitiaishah9311
@sitiaishah9311 2 жыл бұрын
I agree that expensive medical school fee leads to burnout. I've to reconsider to pursue pharmacy or medicine by comparing the job opportunity and fee of studying.
@Calusa.Wanderer
@Calusa.Wanderer 2 жыл бұрын
Sitting a room with a 15 yo telling me I was a-hole for recommending a COVID vaccine really hit it home for me. 39 years in healthcare, 30 of them as NP and I am now job sharing with a doctor as we both pivot to retirement. Both of us thought we had more years to go but society has sealed the deal for us. Patients have become “not worth it” any more. When I am working I give 110% for my patients, when they give me 5% that’s a losing game for me.
@roblovegreen
@roblovegreen 2 жыл бұрын
Wow. Sounds like the 15 year old is awake. Why are you recommending a experimental injection with no long term safety data, risks known and unknown on a healthy 15 year old? Maybe you need to rethink your philosophy.
@Calusa.Wanderer
@Calusa.Wanderer 2 жыл бұрын
Be cause he was a morbidly obese smoker with increased risk for a bad outcome if he got COVID. I had already seen two of these kids not do well. But then I work the front lines and see the reality of poor decision making. So sure, while most can do fine with COVID many did not. They survived the disease but suffer long term Complication. So go back to the basement, ask mom for some hot pockets and keep watching Fox News. We will need you soon.
@romansinclair
@romansinclair Жыл бұрын
​@@Calusa.Wanderer I would blame you here. That's not a very smart recommendation.
@notofthisworld5998
@notofthisworld5998 Жыл бұрын
Use some of your free time to seek out the M&M of the jab. The conspiracy theorists tallied a solid win on this one, and the academics were shown to be fools
@blooeyedtigger3145
@blooeyedtigger3145 Жыл бұрын
Lol the patient was right though. Phiezer just admitted the link between vaccines and blood clots, plus causing womens menstrual cycles to change. That’s egg on your face buddy.
@EdwardsNH
@EdwardsNH 2 жыл бұрын
Very well done video! Great edits, too. Significant other just gave her 90 day notice (ER doctor). Pandemic greatly reduced the hospital’s income, so the did a restructuring of the pay structure. It was presented as though it was this wonderful thing that was a “win/win”… It was a pay cut. People started leaving, putting the work load on the remaining doctors. She asked again and again to reduce her hours, and they kept adding. She was also told “sign your new contract or you’ll be let go”. She didn’t sign it because we knew there was no way they were going to let her go… Long story short, the hours became undoable, and she gave them her notice. Same story for nurses.
@jayfountainsm.d.3651
@jayfountainsm.d.3651 Жыл бұрын
Love this video.
@willderr20
@willderr20 2 жыл бұрын
I start medical school this year. I am currently studying for an MPH degree (graduating in May), and I am terrified. It's like spending 2 years studying about how broken our healthcare system is... right before becoming part of it. I hate to be pessimistic, but I just don't see our current political systems coming up with a solution to our major issues in medicine. I'm convinced that at some point in my career, I'll take my skills to another country that has better, more equitable health outcomes and a more streamlined healthcare system.
@lisaandrews919
@lisaandrews919 2 жыл бұрын
Wow, yes. interesting comment that others don’t point out, the obvious …..of keeping people sick, big pharma, broken medical system, so many can’t afford to be sick at ALL, sad
@laupeter4594
@laupeter4594 2 жыл бұрын
come to Australia, to a culture where people actually appreciates peeps working in the caring profession, unlike fake americans who say they appreciate but actually counting their dimes in their pockets.
@willsohrnberger2441
@willsohrnberger2441 2 жыл бұрын
Universal healthcare would make working in healthcare so much better than the current system. FOR PROFIT HEALTHCARE with CEOS making upwards for 10, 20, 30 million dollars, is the reason healthcare workers need to pay for obscene malpractice insurance and can't get paid properly. Those middlemen making millions of dollars are also why it cost me $9000 to get 6 x rays and talk to a doctor for 15 minutes, and a sling.
@levans3447
@levans3447 2 жыл бұрын
My heart goes out to the actual workers in the hospitals . Floor nurses and doctors that are smashed everyday with the stress of these hard times. Praying for them all.
@PrideofPitchers
@PrideofPitchers 2 жыл бұрын
that dragon 'comma' lmao!! Loving the videos btw, i'm a recently accepted med student.
@utpalbordoloi97
@utpalbordoloi97 2 жыл бұрын
Sad...but we need more of them..!!!!
@DrCellini
@DrCellini 2 жыл бұрын
Most definitely
@thecuttinggardener361
@thecuttinggardener361 2 жыл бұрын
I love how you went into dictation mode and said “comma” 😆 I may or may not have left a message on someone’s voicemail with “period new line” in there… I’m a surgical NP in CT surgery. Talk about over worked and underpaid. I also just had a baby one month ago. I would LOVE to get out of medicine and be a stay at home mom/homeschool. I was told by my husband that our mortgage would have something to say about that, so back to work I go begrudgingly. I may have to do the work of 5 people, but hey at least there’s cake in the doc’s lounge at lunch sometimes as a thank you 🙄🤦🏻‍♀️
@jonathanlau6964
@jonathanlau6964 2 жыл бұрын
Glad you are broaching the topic and all of your points are well taken. My only issue with this is... how can we pay physicians and healthcare workers more and have them enjoy a more balanced and less work-busy life without having that cost far more? Where is the money going to come from? Where are those lost hours for our work-life balance going to come from? Hire more doctors? From where? With what? What about the quality of these doctors? I am not disagreeing with anything you say, in fact I would add another thing in which all the cost of medical school and the reduced reimbursement for services affects is that it affects our care. If we feel that we need to work harder and longer to pay off debts or provide enough for our families (which we can... but not for our retirement, which lots of us cannot or don't think enough about) then we will end up cutting corners on how well we "read our scans", do full comprehensive and thoughtful histories and physicals, or perform interventional or surgical procedures. And then you as a radiologist or me as a surgeon or other healthcare worker get focused on pay rather than what we came here to do, which is to help others and serve our community and that takes all of the joy out of what we do. And because we also do a worse job... we get sued more. We screw up more. Our patients are unhappy. The stress increases... and as you're alluding to... That is the reason why we are all leaving. Anyways... keep up the good work. You answer is correct, but I think your "solution" needs a tonne of work (me saying this... I do not have a suggestion for an alternative, but one thing I would say is... if we cannot get more money and resources, then we need to be more efficient and reduce our waste). Thanks for all you do!
@marianhunt8899
@marianhunt8899 2 жыл бұрын
Read the history of american healthcare. compare with now. you may find some answers
@Misanti888
@Misanti888 2 жыл бұрын
Great content, seems to have similarities with vet industry concerns. Stay blessed.... 🙏
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