I worked 24 hours straight as a Doctor, then this happened

Рет қаралды 818,681

Жыл бұрын

24 hours | a short film | prod. by ‪@createdaley‬
- 24 hour shifts in residency are legal & common.
- Resident physicians are sometimes required to make critical medical decisions in a sleep-deprived state and then drive home afterwards.
- Resident physicians & their patients’ deserve better.
Producer: the incredible ‪@createdaley‬ Thank you for bringing my vision to life.
Police Officer: Anton Lima, Psychiatry Resident Doctor
DISCLAIMERS:
I am adamantly opposed to mandatory 24-hour shifts, however my opinion is solely my own and does not express the views or opinions of my employer or residency program. This film’s content is not directed at, or indicative of, any one residency program or institution including my own. This film’s purpose is to shed a light on the reality of many resident doctors’ working conditions in the United States. Residency working hours must not exceed 24 hours of continuous scheduled clinical assignments., according to ACGME.org.
SOURCES:
1. Williamson AM, Feyer AM. Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication. Occup Environ Med.
2. Landrigan CP, Rothschild JM, Cronin JW, Kaushal R, Burdick E, Katz JT, Lilly CM, Stone PH, Lockley SW, Bates DW, Czeisler CA. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004 Oct 28;351(18):1838-48. doi: 10.1056/NEJMoa041406. PMID: 15509817.
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About Me:
Name: Jake Goodman
Degree: MD, MBA, PGY2 Psychiatry Resident
Instagram: / jakegoodmanmd
TikTok: www.tiktok.com/Jakegoodmanmd

Пікірлер: 1 700

@JakeGoodmanMD Жыл бұрын

If you’re looking for a resident doctor who shuts up and does as he’s told & is too afraid to fight the broken healthcare system, you’ve come to the wrong place. If you’re down to ride with a doctor who will always fight for mental health and to change the culture of healthcare and medicine, you’re in the right place. Subscribe to my channel and let’s move the culture!

@celia6564 Жыл бұрын

Thank you for helping us laypeople understand what doctors go through.

@byebye5907 Жыл бұрын

So true. I still don't get it why you not trying harder to Change your shift system. I did 12h Shirts in the nicu and drove 70km home. Wasn't the best idea. Now i Just Work 12h at the weekend..

@amylandry4108 Жыл бұрын

The American “healthcare” system is so broken 😞 Thank you for speaking up and out about it!

@yachishairclips2250 Жыл бұрын

Amen!! This gruesome shifts should be stopped... The romantization of no-sleep, long shifts should be eradicated!! It is a potential harm to both doctors and patients

@ysinoquiero2019 Жыл бұрын

I have been saying this ever since I was a medical student and even Program Directors would say stupid things such as "you're here to work" "you're in training" and so on. Hopefully this will change soon.

@lovinglifebutnotonearth3909 Жыл бұрын

It's not just a danger for driving. It's also a danger for working with sick and scared patients

@AstroZombie1 Жыл бұрын

They build a stamina and tolerance to lack of sleep, that’s one of the whole reasons for med school and residency- to condition them to function on little sleep.

@JakeGoodmanMD Жыл бұрын

I couldn't agree more. It is a danger for patients. I wholeheartedly believe it is the wrong way to train doctors and to care for patients.

@falconerd343 Жыл бұрын

@@AstroZombie1 just like alcoholics build a stamina and tolerance to alcohol? Still doesn't matter when they get behind the wheel, a bac means they are impaired. I don't want a sleep deprived doctor making decisions about my care just like I wouldn't want a drunk doctor making decisions about my care.

@shaymininfernape7088 Жыл бұрын

Maybe we should let some health care workers do more responsibilities so the doctors don’t have to work as long

@falconerd343 Жыл бұрын

@@shaymininfernape7088 it has less to do with the amount of their responsibilities, it's more about the culture and traditions. Instead of working 24 on/24 off, etc, just work 12 on and 12 off like normal professions. Doctors do work more hours per week (and should be reduced to prevent burnout), but that's less of a problem than the extended shifts themselves.

@FredsCrazyWorld Жыл бұрын

I am a first year medical student. In the first week of university a female professor in surgery told us that 24h shifts are not the reason for mistakes when you are treating patients. She thinks the real reason is disinterest and ignorance. I was surprised how a professor can have this opinion. The healthcare-system is sick.😶

@FredsCrazyWorld Жыл бұрын

I am studying in Austria, Europe

@devdroid9606 Жыл бұрын

I see her point. If you think you know everything and believe you are infallible in your judgement, then you're likely to make a bad decision. I've seen this personally. I now know to walk away from such doctors. Even if you've worked 24 hours, if you are aware of your weaknesses and vulnerabilities, you have to slow down and think about what you're doing. Under such circumstances, the tired doctor may actually make a better decision than an arrogant, fully rested one. Medicine is about thinking about problems, not just operating and resuscitation.

@byebye5907 Жыл бұрын

Warum ignoriert sie handfeste Studien bezüglich Schlafmangel und Entscheidungsfähigkeit? Typisch Chirurg. Verstehen den menschlichen Körper nicht, können es nur reparieren

@Goldenhawk583 Жыл бұрын

@@devdroid9606 the problem is when you dont HAVE time to think. What about the doc in the video.. should he just be driving half speed? Would that have made him safer in traffic?

@lauracruz2021 Жыл бұрын

Her mindset is very enabling of the system. I'm sorry that is your experience so far! :(

@mlgcpe1918 Жыл бұрын

I APPROVE THIS PSA. ~30 Year Veteran Nurse

@sorayajohnson2607 Жыл бұрын

Yeah this happened to my mom when she was a resident and pregnant with me. It was after a 24 hour shift in Chicago. Residents need breaks! She also only had one week of maternity leave during which she had board exams.

@user-enchanted 11 ай бұрын

that’s so horrible:( what a screwed up world we live in

@m.s.3041 5 ай бұрын

What?! In Germany when you are pregnant you even aren’t allowed patient contact… because of the risk for the mother… when there is not a safe job (for example office) or other ways, the mother to be is staying home fully paid. The maternity leave(Maternity Protection) starts in Germany 6 weeks before the birth date and last 8 weeks after the date of birth … and is Mandatory and fully paid because it is for the safety of mother and child… after the maternity leave the parental leave starts which are 14 months of 70% paid, which can be split up between the parents. And after that you can have up to 20 months unpaid leave… your job will always waiting for you to return…. So it is illegal to fire you and your job have to be there when you are coming back…

@MikeWazowski680 Жыл бұрын

So true! I’ve never understood why they make doctors do that. It should be illegal!

@Raioh. Жыл бұрын

It is… He’s making shit for KZfaq views. He absolutely never never worked a 24.

@filomena3417 Жыл бұрын

@@Raioh. Even if... Does that make 24 h shifts any less dangerous? Like... you can spread awareness about something without going through it.

@fifthycharaktersforaqualit7468 Жыл бұрын

@@Raioh. alot of people hate working 8 hours at their job already just because something is tolerable or okay for you doesnt mean it doesnt feel like lowkey torture to other people. Think what people of the future will think about us when they prob work 40hour MAX a week and not because they need to but because they want to.

@HelennaRose Жыл бұрын

@@Raioh. This isn’t a pissing contest.

@MikeWazowski680 Жыл бұрын

@@Raioh. well, I’m not sure if it is or not but when my daughter was little, we spent a lot of time in the hospital because she needed to have some procedures done and I remember a doctor doing his rounds and telling me that if I had a question or needed anything, to tell te nurse and hed come, no matter what time it was and I was like “won’t you be home by then?” And he replied with “no, I’ll be here all night, I’m working a 24 hour shift” and I remember that because I didn’t know doctors did that and I thought it was ridiculous to make them do that, specially dealing with people’s well-being.

@madiantin Жыл бұрын

I have ALWAYS thought this. As a patient, I'd ideally like a doctor who has got a freaking good night's sleep and is on top of his game. 24 hour shifts are inhumane.

@lynnerowsell1942 Жыл бұрын

Not smoathwtic he is a fool to drive

@GLamoRousCooKie Жыл бұрын

In my country, most doctors in hospitals have 32 hour shifts.

@samamoataz1938 Жыл бұрын

@@GLamoRousCooKieWAT

@janetritchie7499 9 ай бұрын

@@GLamoRousCooKieIn your country clowns like you are locked up. Putin suffers fools badly.

@SidneySmith678 Жыл бұрын

My daughter is a first year medical student and she’s already going days without sleep trying to keep up with all of the material and tests that are thrown at them. It’s unbelievable. It’s been her life long dream. I pray that she gets through this ok.

@Drpirahnoor Жыл бұрын

Thank god someone is talking about this 😔😭 it’s really difficult to function without sleep.

@donnajohnson3334 10 ай бұрын

I was long unable to sleep .It began after my Dad commited suicide. Yet when I got the courage to bring it up with a doctor, he laughed at me, saying i wouldn't cut it as a doctor. I have always thought expecting them to do that was goofy... i know they are expected to toughen up, yet it flies in the face of what we know about how much a lack of sleep actually affects everyone. After all, we were not together in Alaska trying to survive after a plane crash. By the way, that doctor did not take me seriously. Nor did the next one. I began to realize I was mouth breathing and snoring. The second and third and fourth doctors told me that young women don't snore... maybe they all needed more quality sleep ?.

@Hillside-Hive Жыл бұрын

Toss in nurses, law enforcement, corrections and military... all the humans we need on their toes and they're all walking zombies

@ivonnelopez8203 Жыл бұрын

That's a really good point

@soulsisterwillis Жыл бұрын

My son is military and often had to work 24 hour shifts. But when he did he always had a partner who worked with him and they would trade off doing guard duty allowing each other to take a break and sleep.

@judyperri9496 Жыл бұрын

I don’t know if any nurse or law enforcement person that works this many hrs straight I worked in healthcare for over 30 years I’ve never know a nurse to work more than 16 hrs I’ve worked a double and it’s sucks

@Hillside-Hive Жыл бұрын

@@judyperri9496 well here I am raising my hand... hospice nurse. And my husband is federal leo- many 16 hr shifts then 4 hrs off to eat, shave and shower and on another 16.

@therealdeal3672 Жыл бұрын

@@judyperri9496 that must be unique to the healthcare facility that you work at. Because the 24, 36 or even 72-hour resident shift is widely known about even to non-medical professionals

@anitas5817 Жыл бұрын

I almost hit someone right in front of me after a 36 hr shift in residency. I literally did not see him. Fortunately I was going very slow in a parking lot and he banged his hands in the hood of my car and I stopped. I was looking straight ahead and didn’t see him because my brain wasn’t working right. It’s dangerous.

@keabanks2619 Жыл бұрын

Respectfully I wouldn’t want anyone operating on me or assisting me in any fashion during a 36 hour shift. Someone could easily end up dead just because the doctor is sleep deprived. No one is firing on all cylinders after 36 straight hours. 24 is outrageous. 36 is mind blowing at least to me. I want my doctors rested, coherent, and able to do their jobs because they have all the tools to do so, especially including sleep

@cindyf7 Жыл бұрын

Please don’t drive after not sleeping. Call an Uber or sleep first

@raellskys4083 Жыл бұрын

36 hrs? How is that even possible without being on some kind of drug binge?

@sargek7 Жыл бұрын

@@raellskys4083 It's possible. Back in University, I had to study for 3 final exams, but since I always hated to prepare myself for studying weeks before, I just studied 35-36h before the exams, no caffeine or drugs. When I finished them all and went back home, I just buried in my bed like a dead corpse, and did not wake up for 14 hours. I passed 2 out of the 3 exams. Not a thing that I'm completely pride of, because I promised to myself that I never going to do that again, for my health. I do not recommend it for anyone either. also, I remember that even though the exams were on summer, I felt so much cold the last hours, that my body was shivering uncontrollably, firstly for the cold of my body that was unable to produce more energy (even though I ate well), and secondly for feeling nervous of reproving all the exams and get kicked out from university because it was my last chance.

@elisabethvalade9866 Жыл бұрын

@@sargek7When I was 28 I went back to university. I DID stay up to STUDY, CRAM, MEMORIZE. When final exams were over, I had lunch then crashed. Made all As BUT that was very, VERY difficult and I determined to NEVER do it again. SO it's possible, but NOT a good idea FOR ANYONE.

@rockmegently Жыл бұрын

I’m so glad you are speaking up. Sleep is critical and so is putting health and stability first. Amazing that we need to fight for doctors to be able to keep themselves healthy and fit. What a world we live in.

@enerawilson1422 Жыл бұрын

The people who force doctors to work themselves to death need to be hit with newspapers and scolded by their mothers

@filomena3417 Жыл бұрын

Thank you for spreading awareness. This should be talked about much more. I still can't grasp why doctors are not treated like human beings.

@JakeGoodmanMD Жыл бұрын

I'll always fight for doctor's rights!

@wisdomisfolly444 Жыл бұрын

Because the medical profession isn't what you think it is. It's run by the evil big pharma who are THEEEE worst of them all👹

@yvettealford999 Жыл бұрын

Human Beings are not treated like Human Beings. Love may not be the answer, much as we may wish because FEAR is the key. The only Salve-ation is Education & Knowledge to empower us & make us FEAR LESS ( not fearless). Thank goodness we are now in an age of quick access & dissemination of knowledge. When we fear less we will become ourselves more. From your septegeneration research astrologer.

@Wait4me2 Жыл бұрын

I was a passenger on a motorcycle one morning when a car swerved into us and good thing I was wearing a helmet because my head hit right onto the curb. The man who got out of the car was so distraught, and it turned out that he was a physician, who had spent all night at the hospital, trying to save the life of a baby to no avail. We were OK but it could’ve ended differently and I felt really bad for that doctor and I always have because I know that it really was terribly upsetting for him.

@LizzW90 Жыл бұрын

He no doubt had to pile that traumatic experience on top of all his sleep deprivation and the stress from his job. It's a very efficient way to ensure medical professionals get burnt the fuck out in record time.

@zoeartrc Жыл бұрын

Oh my word. These wonderful human beings and how they care for us. This is why when I read that some soccer players earn half a million a week it makes me so mad.

@makellyjt Жыл бұрын

Sleep deprivation can be like being on psychedelics. Very scary.

@bootybuttcheeks Жыл бұрын

I heard some residents will even put their ponytails in the door of their car so they can be jerked awake if they start nodding off. no one should have to do that to make it home safe

@LizzW90 Жыл бұрын

Ah, yes, physical pain to stay awake. Totally normal. Why are these assholes so willing to put so many lives on the line? It's insane. Let the people literally saving lives fucking sleep.

@himaririku5289 Жыл бұрын

what

@KandyGTV Жыл бұрын

Oh wow, that's crazy😳

@brendalg4 Жыл бұрын

If they have to do that, then they shouldn't be driving. I thought they had places in hospitals where doctors could sleep if they needed to

@cindyf7 Жыл бұрын

As a nurse for 25 years…this makes no sense. Why would you drive!?!? Call for a ride & use common sense

@MidWestLife2022 Жыл бұрын

About time someone spoke on this!! They cant be their best when they are exhausted and ultimately the patients suffer

@donnamariewilliams8261 Жыл бұрын

Residency is torture! And if you’re seeing patients in an ER setting - same difference! Like working with a buzz. I am a retired medical professional that is now in school to get my masters in psychology (I may continue to obtain my PhD) I stay up way to late doing my schoolwork and I find if I don’t rest and get away from what I’m studying my brain turns to mush! They need to change that with residents - it’s not safe! Good post and best wishes on your journey my new friend (got a new subscriber here). Hugs and God’s blessings sent your direction!

@tschu3523 Жыл бұрын

Honestly, working someone 24 hours straight is a form of slavery. This kind of institutionalized abuse needs to stop. Kudos to you for calling it out.

@1womanarmy537 Жыл бұрын

Wow you are beautiful 😍

@lindsayrobie Жыл бұрын

What is crazy is when this continues as the norm. I have worked with several surgeons who work 24-40 hours straight! I have brought it up to my department how this isn’t safe for our patients (I am an OR nurse) and you know what they do? Nothing…..who would want their family member operated on by someone who has been up that long? Mistakes are bound to happen. We have been overworked, too, which isn’t good, but the surgeon? Not ok. Hopefully change will occur sometime. I will keep fighting and advocating for my patients and the staff!

@chibigirl8545 Жыл бұрын

Nothing's gonna change until "The Right Person" dies... So none of us plebs that vote for them or buy from their mega corporation count.

@twinklingeyes58 Жыл бұрын

Thanks for sharing! Makes me feel more understanding towards you guys in the medical field. But it needs to change. Definitely not acceptable. We need more videos like this and comments like yours to bring awareness! I’m horrified. Thank you!

@oregon32nursenurse43 Жыл бұрын

We work 12 hour shifts. We end up staying late to chart what we couldn’t chart on our shift. When I drove home, many times I didn’t remember passing certain landmarks on the way home. Very scary!!

@shakhakhan2402 Жыл бұрын

That’s absolutely awful, the people who are of the utmost value, are mistreated so badly, no wonder the doctors aren’t as caring now as they used to be (i speak from 40 years of regular medical treatment), someone should take action to put stop to that, I will happily support the petition.

@JakeGoodmanMD Жыл бұрын

I had the vision for this short film about 24 hours shifts for months. But I couldn't do it justice without bringing Chris Daley. Chris is my friend for over 20+ years. We grew up together. Chris is an incredible videographer and video editor. He brought my vision to life. Thank you man. For any content creators or business owners out there who are interested in bringing a big vision & idea to life, Chris Daley is your guy. I'll drop his contact info below. Tell him Dr. Jake sent you! See Chris' work and connect with him: createdaley.com/portfolio Instagram.com/createdaley

@JSJSpeaks Жыл бұрын

I love how you’re showing that the system works against us all, and how to emphasize wellness for ALL participants of the medical system. A+!

@PetThePeeves Жыл бұрын

PREACH. Whenever I’m feeling burnt out as an educator and taken advantage of, you’re one of the professions I think “well at least I’m not them”. Why we make the very people that save our lives so tired that they cannot make rational decisions is beyond me.

@karenstrong8887 Жыл бұрын

My son worked 10 hour shifts with only 6 hours off in between during COVID to keep his hospital open. His wife did the same at her hospital. These two loved their careers and I never thought I would see the day but his wife left a month ago and he is staying until his two finish high school. This is what COVID did to hospital staff and it is sad. They have both had time in hospital to help control blood pressure and heart rate. He has had two surgeries to stop his heat and put it back in rhythm. All caused by stress and exhaustion. They are mine and I support their decisions to be healthy again.

@ahhwe-any7434 Жыл бұрын

I mean, I guess ppl don't realize how more common it is ppl r putting in more hrs. It's not always all the "honorable" ppl... I knew some classmates working in facilities that got plenty of hrs.. & here, im having to ask for more. Not really complaining tho. We work in different places & getting able to move around from client to client feels a little more like freedom to me. Even if I go to a facility, it'll be short hrs. Anywho, I remember warehouse days. And on holidays. Somexs I forget those hrs but then I remember the schedule & once it was 9am -12am. They try to call break on 12 and we already knew. We were like k no thx. Cyah. .. In the morning 😒. But we ain't doing this. My hubby (now) swears all our higher ups were on some ish. 🤔🤷🏻‍♀️ would make sense. They were pretty lenient... I think 10 hr days might be a little closer to average by now? Idk. But I know those ppl gotta be wearing their bodies out. We weren't even allowed to sit down. & the physical enviornment in it conditions sucked. I couldn't even walk out sometimes, it was a shooting pain.

@JamieCormier Жыл бұрын

I have never understood why medical professionals are expected to work this way. I certainly wouldn’t want my doctor or nurse to be in hour 22 of their shift and making life-changing medical decisions about my care 🤷🏻‍♀️

@960027079 Жыл бұрын

I had a cardiology doc on shift napping in the on call room. He was there for 3 days with almost no naps or food. He came over for a new admit and was dizzy and just didn't look good. We sat him down, got him some food (prior to COVID us nurses have potlucks almost nightly). He still looked like crap. He let us check his blood pressure.... 220s/110s, HR like 150. Stress and lack of sleep was killing him. We sent him down to the ER.

@ArtsyMegz_On_Etsy Жыл бұрын

I often wonder when society will start caring enough to do something about these kinds of things. And these days, many jobs in general are quite demanding of their workers; where one employee has to cover 2 job positions at the same time, until they eventually experience chronic burnout. I couldn't count how many times I have walked into a convenience store and seen only one person working in the entire store (running back and forth from the cash register, back to the other end to try and finish filling the shelves, or trying to clean).

@live.life.on.purpose Жыл бұрын

Glad more people are talking about this! I watched a documentary on Nigerian resident doctors in the UK stressing due to being overworked and living in poor conditions. 😞

@bcyes409 Жыл бұрын

3 doctors in my family went through this and in 2 different generations and they have all fought hard for this to end, to no avail

@georgemartyn5268 Жыл бұрын

Too much money is being made off this healthcare system by gated communities for this to end, sorry

@cutes22 11 ай бұрын

They don’t care. Bottom line is money.

@inosuke4708 Жыл бұрын

I’m a nurse who works nights and I actually do feel high sometimes after a night shift while I’m driving home. I work 12 hours so I stay up the whole night so I guess I have the equivalent of .05 blood alcohol and I can’t imagine working for longer. What the have docs do is crazy!

@irishpatti3152 Жыл бұрын

I got so ill working nights and then 12hr days, ICU. So not healthy. Mental & physical issues, etc. If I was in admin, I'd make certain my staff had clean/private rest areas and could use as needed. Lots of on-call RN'S & CST's, sterile processing for OR and those pt are coming from ER. Many go to ICU post-op. Our schedules are crazy.

@inosuke4708 Жыл бұрын

@@irishpatti3152 switching back and forth from nights to days would be absolutely terrible. I would never be able to do thag

@llallogen7380 Жыл бұрын

I occasionally work 19-20 hour days, which surprisingly aren't that bad when the rest of the days of the week are under 14 hours, but when you get up to that 16 hours several days in a row...I have to slow down A LOT to make sure I don't make mistakes that could hurt someone. But this only extends my day further (nuclear pharmacist here)

@inosuke4708 Жыл бұрын

@@llallogen7380 hope you get a great vacation soon! Sounds like super tough hours

@roopskee17 Жыл бұрын

I am a nursing student, and I pull all nighters studying for exams just to then go into class the next day with no sleep. Sucka, but we gotta pass lol. Can't wait to at least get paid to pull all nighters...

@n.sh.42 Жыл бұрын

Year 2002, In NY, as a resident we were told that new law limits us from going beyond 100 hours per week. We easily went above it..... our shifts were 36 hrs .

@MGB36913 Жыл бұрын

I always thought that,, SPEAK UP!!! Because you're not only standing up for you but also for our safety!! Stay Bless everyone

@yourladyship2740 Жыл бұрын

In Mexico, residents have to work 36 hours in a row every 2 or 3 days. And if you are grounded, you can’t leave the hospital. I know what you talk about. You are threat to yourself and to others. Patients included.

@alexahdz8328 Жыл бұрын

The saddest thing is we kinda get used to it...

@tugce3423 Жыл бұрын

36 hours too in Turkey sadly 😢

@sofiaescobar4455 Жыл бұрын

I was about to write the same comment. It's a sad reality.

@dp19997 Жыл бұрын

Sameee in india and some of the hospitals in india don't even pay a penny in residency. We still have to ask out parents money to buy pen, pencil. Although we are around 26 year old. It's horrible.

@scaramouchewander Жыл бұрын

I was about to write the same!! Residency in Mexico is inhumane. Several residents have died from a car crash on their way home 😭

@nv3389 Жыл бұрын

As a intern doctor I have worked 36 hrs straight. After 18 - 20 hrs you just slowly start to drift away from the real world. After 24hrs you can be 100% lucid only for few minutes before falling back into a hazy world. And they expect us to make life saving decisions alone in emergency situations, while we barely can figure out whether it is day or night

@Ink_25 Жыл бұрын

Wait. You are saying there are no mandatory rest periods?

@beandal8493 Жыл бұрын

This is so messed up... 😞

@nv3389 Жыл бұрын

@@Ink_25 No mandatory rest period. Your are oncall 24/7, but can get 12hr rest EOD. Even during that period, if there is an emergency you are supposed to be there. You can get few hrs sleep here and there during the working 36hrs but when you are already exhausted working 12-14hr straight, that kind of sleep is not enough. Best part is, during first 2 months of internship, we got only 7hrs to rest EOD instead of that mentioned 12hrs 😂

@Ink_25 Жыл бұрын

@@nv3389 That sounds utterly awful, especially during the internship. Sounds like they don't want anyone to apply for these jobs in the future but those who they can exploit the easiest. Wish y'all the best!

@nv3389 Жыл бұрын

@@Ink_25 Even now we are doing 24hr shifts as anaesthesia residents but with so much less workload. Compared to past it seems like walk in the park. Thank you for your kind words

@woollyprimate Жыл бұрын

I imagine that this kind of thing will never stop because the people who came before won't allow it. "If I had to do it, so do you!" It's a powerful motivator. People who suffer want others to suffer.

@cameronno6039 10 ай бұрын

Let's assume you cut the duration in half, you double your shift changes (errors related to shift changes are the most dangerous time for patients). You also half your volume of patients. Over the course of training, let's say you lose 20% of your training opportunities. Are you willing to extend the training duration by 20%? There are numerous factors as to why shifts now are shorter than they were in the past. I'm not saying a lower number isn't optimal. What i am saying is the situation is complex/ more nuanced than you and many others seem to be articulating.

@chimaijemikekeonwu7345 Жыл бұрын

Can 100 % relate. Had a 24-hr Call as a Resident. Entirely devoid of sleep. Dozed off at the wheel. Was told I was swerving in-and-out of lanes. Wound up in a ditch. Car was towed. God kept me. I'm a Consultant.

@matt3246-j7c Жыл бұрын

One of the reasons why I’ve decided to abandon my dreams of going in the medical field. Research may be less glamorous and exciting but at least I’m respected as a human being.

@LizzW90 Жыл бұрын

I'm in community college and will be graduating soon, looking for a 4 year school for my Bachelor's degree. I'm mostly looking into Physician Assistant school but a piece of my brain keeps telling me to try for med school. It's terrifying enough thinking about making an honest mistake, but even more terrifying to think that the sleep deprivation expected of me will be the reason I kill someone with poor decision making. Med students, just like everyone else, need to fucking sleep. Probably more than everyone else. I bet you see mortality rates bottom out if you reorganize healthcare programs in a way that allows staff to be well rested before each shift. Pilots, ATC, and truck drivers (as well as a ton of other jobs) have minimum rest requirements so their judgement isn't impaired to the point of them killing people. Why aren't doctors given that same courtesy?

@not-even-german4892 Жыл бұрын

Researching what 🤣🤔?

@matt3246-j7c Жыл бұрын

@@LizzW90 honestly, I wouldn’t do it. PA is a great path in comparison, and medicine (being a doctor, I mean) is such a long commitment, it’s best to refrain if you have any sort of doubts - as a surgeon I shadowed said, “you need to want it so bad it hurts or else it’ll be more miserable than pleasurable.” Something I learned is that just because you CAN do something doesn’t mean you SHOULD. You may be smart enough to get into med school and go down that path, but that in and of itself shouldn’t justify it.

@lauraelliott6909 Жыл бұрын

Yeah, this same subject was a theme on ER almost 30 years ago. Amazing to think it carries on to this day.

@ilovehorses38 Жыл бұрын

Sigh. As an engineer who's been there multiple times, I approve this message. 😓😰😢

@nas_775 Жыл бұрын

It’s amazing that your spreading awareness about these topics

@melissawalker3874 Жыл бұрын

I suffer from severe insomnia and there were days where I would not sleep for a day or two. I learned very quickly not to drive during those times. it scares me to think doctors who are trying to save people's lives are that sleep deprived

@aloksaxena1853 Жыл бұрын

same in India bro...i hope all the docs form an association and take a legal action in every such country! Doctors are important...and so are their health too!

@nuskyahmad6375 Жыл бұрын

my uncle doesnt get this tho, he leaves at around 3 pm and comes back at around 9pm, he is a surgeon.

@thanhthoanguyen1400 Жыл бұрын

My thumb up to the OOfficer who decide to help the Doctor, he has save a lives, precious one!

@SharonCullenArt Жыл бұрын

As a SICU nurse I have caught many residents in medical situations that are wrong. I’ve had to call surgeons to get permission from them to follow different orders than what residents want. Residents wanting to push bicarbonate on respiratory acidosis, when all I want to do is change vent settings. I refused to push bicarb. I had to get the surgeon to tell the resident to listen to the icu nurse because she knows what she’s doing. And ortho resident on fellowship and a 4 week icu rotation doesn’t understand how much we know. But also as a nurse I had to worked 20 hour shifts which was the hospital limit for nurses. My productivity really decreased.

@KssN27 Жыл бұрын

Driving tired is just as dangerous as driving drunk. My DJ friend was coming back from a fourth of a July weekend and drifted off briefly, bumped the car in front sending a father and son spinning. Everyone is okay, but he always made sure to have a driver or just sleep. And no, he wasn’t under the influence he is a sober king haha

@nataliatothemoon Жыл бұрын

EXACTLY! I’m so concerned - that’s such a hard thing to go though, but also such a hard thing to have to act with when it comes to treating patients. So much anxiety young doctors must have when they know they’re at their limits and they have to go save lives

@andjelamalakh Жыл бұрын

Wow... Eye-opening. We all need sleep and rest. Especially medical staff. Thanks for sharing!

@cindymckeithen2558 Жыл бұрын

I have never understood how this ever became the norm . The stress of the job is hard enough without adding into it exhaustion.

@kpk1and2 Жыл бұрын

Last year a resident dr morbidly died bc she fell asleep on the wheel after 24+8 hours shift in Turkey. Hospitals got better regulations afterwards. Still a big problem tho

@irishpatti3152 Жыл бұрын

Totally agree. As an OR nurse and when on call all night and I work the next day, I FINALLY got smart and rented a hotel room by the hospital. I sleep crappy when I'm on call. Hospital has rooms, but gives them to the doctors. Have tried sleeping in an empty PACU, but too many strange noises and my anxiety was really high. Once, I had a kind peer who stayed over a bit (when I was very pregnant). She circulated my room while I put my feet up and had something to eat and drink. (Most likely crackers and juice). Admin never concerned themselves with us lowly bedside caregivers!!

@bambi0607 Жыл бұрын

Thank you for making this video & your comment. 👍🏻

@Aquacrystal78 Жыл бұрын

Good Job for spreading awareness. I know of a house officer ,who died in a Car accident after 30 hour Shift as he drove home. Doctor lives matter.

@MFLapin Жыл бұрын

You are a needed voice & a gift. Truly those kinds of demands are emergency medicine but have nothing to do with long term health. I hope the system changes somehow. Thank you for speaking truth!

@skipj6925 Жыл бұрын

Jake Goodman, you’re amazing. Thank you for bringing awareness too this. It also applies to Paramedics, no one should work or be on call for that long straight.

@Jobros1love1dream4 Жыл бұрын

I've never understand how a person can be capable of working 24 hrs straight...it's madness..I work 8 and I end up tired and I'm just working in front of a computer most of the time. I can't imagine a doctor or resident that has to be concentrated and ready to react

@gailwilson2733 10 ай бұрын

So glad to see this being addressed. not a rite of passage! Thank you, thank you, thank you!

@aurora.the.explorer Жыл бұрын

Yep I just finished emergency residency. This is such an issue. It also has zero hope of changing as long as hospitals are allowed to make campaign contributions to our lawmakers..

@Eclipse1369 Жыл бұрын

I love that you’re addressing this for nurses and doctors!! I have a medical family and it’s always concerned me.

@reabin9x Жыл бұрын

As a nurse, I do agree with this. Doctors are being abused by the hospital systems. They’re so overworked, I feel so bad for them. Sometimes we only have one hospitalist MD overnight for a 700 beds hospital. It’s so unsafe and ridiculous.

@di4085 Жыл бұрын

The system has been broken for a long time not only for good quality patient care but also for the medical team who work long arduous hours. We need a revamp of the medical system NOW!!

@haileyosaurus Жыл бұрын

I literally have never understood this. It’s the same with EMTs and police officers. I wouldn’t trust anyone to do anything when they’ve been working for more than 12 hours straight without a break or a nap.

@nicolehessabi5116 Жыл бұрын

RN here, Just subscribed because I am so impressed by your boldness!

@Irualdemon Жыл бұрын

In the hospital I work in the matter is being discussed but there simply isn't enough workforce available. A change is very much needed.

@lonewolfx499 Жыл бұрын

As a college student, I know how bad a lack of sleep can be.

@sheilavillamil2193 Жыл бұрын

Thank you for bringing awareness to this.

@kleineente6475 Жыл бұрын

My father is a doctor specializes in obstetrics and gynecology, I rarely see him in my daily life since I was a little until today. And I'm on my way too in medicine school now ;D

@nuskyahmad6375 Жыл бұрын

why are going into med school then?

@kleineente6475 Жыл бұрын

@@nuskyahmad6375 it is my dream sir, and by God's grace I can go through this path. I'm grateful my parents support my decision.

@noracontreras17 Жыл бұрын

That is soooooo true! I completely identify with this situation for a 36 hour shift in ER....

@kevinabbyrobbins9911 Жыл бұрын

Doctors and school teachers should speak louder than the voices telling them to be quiet about what's wrong with modern society requirements for their fields.

@skatergirl6764 Жыл бұрын

i literally don't understand why hospitals endanger lives with sleep deprived docs

@Matriarch456 Жыл бұрын

if only there were laws that protect employees from this kind of abuse . wait there are ?! Yep in the rest of the world just not in the USA

@irishpatti3152 Жыл бұрын

Or not in US Healthcare. Admin says some exemption b.s.

@phoenix5719 Жыл бұрын

Rest of the world? Look at Indian Healthcare system or should I say the lack of it. 36-48 hour shifts for Junior residents without any holidays or monetary compensation. If a patient dies you get thrashed by patient's relatives regardless of whether it was medical negligence or not and politicians or judiciary won't do anything and just stand there like a dumb spectator. People here go to government hospitals for free and expect healthcare like private hospitals. If a private hospital bills 5 lacs people think doctors are looting patients conveniently overlooking the fact that 97% of the amount written on bill goes to administration. Healthcare systems all over the world is shitty. No wonder the older generations are forbidding students from taking up healthcare as profession.

@Matriarch456 Жыл бұрын

@@phoenix5719 i stand corrected..

@FireyTinkerHell Жыл бұрын

because Big Pharma OWNS the Hospital Corporations, and their Lobbyists give Gov'mt the BIGGEST GIFTS...

@almondish5911 Жыл бұрын

The 24h shifts als als not uncommon in EU…

@AM-cg2sg Жыл бұрын

Thank you for this. Our doctors need rest. A better system is needed

@trevor0245 Жыл бұрын

This is also true for us in EMS and the Fire department, it’s tough to make decisions when you’ve been going for some 20 odd hours. Some days are better than others and we train and rest when we can but sometimes it’s nonstop. Respect all y’all doctors.

@nilushiexplains9154 Жыл бұрын

As a doctor, I can totally relate to this. I had to do duty straight for 100+ hours a week during the COVID-19 pandemic and my condition was the same as this dude and I was 7 months pregnant at that time.

@sarahbaer1593 Жыл бұрын

the best thing to do after a 24 hour shift is sleep in your car for a little it sucks but it’s better than nearly dying on the freeway. Also, I learned the hard way you can’t pull over on the freeway. You gotta exit and sleep at the gas station

@LizzW90 Жыл бұрын

Lol imagine working in a building filled with beds and telling your employees they have to sleep in their car. It's trash. Yeah, go ahead and add back issues to the list of why burnout is so prevalent in medical professions. I'm not criticizing what you said, for the record, I just think it's absolutely ridiculous that your solution to the issue was to sleep in your car when you work in a place filled with beds. It's gross, dude, you deserve better.

@Maddawg31415 Жыл бұрын

Something we did in EMS was create sleep safe rooms for providers after their shift. We knew over 12-36 hours they could be exhausted, and we didn't want them driving. So we designated bunk rooms for these providers. One of the best things a residency can do for its residents given these shifts

@bowie8819 Жыл бұрын

I couldn't agree more! These long excessive shifts are dangerous for patients, the doctors and everyone around them! This MUST CHANGE NOW!!

@someone3187 Жыл бұрын

The nearly makes me cry. Feeling sorry for the doctors.

@CuriousIAmMe Жыл бұрын

I... I didn't even think about that... I'm having one of those "aha" moments when i'm like "whaaaaat just happened" :))

@sunshinedays1198 11 ай бұрын

Your analagies are great. Dr Jake keep up the great work!

@sarahpalmer411 Жыл бұрын

This is so scary! Thank you for being so brave in making this.

@BBBB-nd8pl Жыл бұрын

My father in law keeps saying he's going to retire soon, but hasn't yet. Praying he does soon so my kids and I can get to know him a little bit . Lol

@priteenarule777 Жыл бұрын

Absolutely Dr.Jake.Thanks a lot for taking initiative for this issue.This issue is most neglected and ends up career of any medical professional.Lots of cases there will be many suicides in medicos.😔

@workingoutpizza 11 ай бұрын

My husband work in care, even worse, he does 36 hours straight (with waking nights) these are vulnerable people, I'm amazed they let people work these shifts. Thank you for your service

@Urbanconservative 7 ай бұрын

I just had to stop and give a prayer. I couldn’t ever understand the pain, but the sacrifice these workers make is beyond honorable. ❤️❤️

@jessicanlmccoy Жыл бұрын

I have encounter this similar problem at my restaurant job. Where I work you work for 5 to 9 hours then you get one paid 20 minute break! And I still think that’s not enough break time. I can’t imagine being required to work a 24 hours shift. That is so messed up to have to stay awake that long all at once

@fionamarieosullivan3644 Жыл бұрын

I love how this Doc is so committed to social justice

@judylee3589 Жыл бұрын

I have always wondered why our resident doctors, those people who care for our health, are subject to sleep deprivation. I'm with you!

@melissabucknoff3866 Жыл бұрын

We deal with this in veterinary medicine, too. Thank you for shedding light on an important issue.

@MR-rj2qw Жыл бұрын

It is not only residents. Where I am from, some doctors will be working 24hour shifts all their life. You are 32 and tired after that? Now imagine doing it when you are like 60. This is what I can look forward to 😞

@ellendubois6467 Жыл бұрын

I am 64 and work 36 hr shifts. It is brutal and painful. Quitting soon. Just can’t take it any more. Added to that is the devaluing of my profession (MD) and it really isn’t worth it anymore. I would make more money bagging groceries for the same amount of time with a lot less stress

@EcstaticTeaTime Жыл бұрын

I don't have any friends at the moment who are resident doctors and my nurse friends all have kids they aren't about to be away from for a full 24-hr day of work. If they were going through this, I would offer to pick them up (despite hating driving.) I have worked two full time jobs before where four nights a week I had a four-hour window to sleep. You get a personality adjustment you can barely stand. I don't wish that tiredness on anybody.

@georgieguo3549 Жыл бұрын

Thank you for making this! I hope people hear our voices and make changes. 24hr shifts are not good for anyone.

@janetritchie7499 9 ай бұрын

24 hour shifts are downright dangerous for the doctor and the patient! This must change asap. I wonder how many patients have suffered because of a doctor's lack of sleep.

@lisastenzel5713 Жыл бұрын

Thanks! We need these as advertisments everywhere!

@nidashaali3406 Жыл бұрын

They take care of us and they have no one to take care of them...Sad 🥺

@ladyhella7560 Жыл бұрын

In my country shifts like that are not regular, but can happen sometimes. One time a doctor have a small car accident with my family, and when my dad went to talk things out she was in the verge of tears due to being awake for more than 24h :/