Internal Medicine Orders Lunch

Рет қаралды 178,834

Dr. Glaucomflecken

Ай бұрын

They may never eat again

Пікірлер: 395

@rex-guest Ай бұрын

Instructions clear: Don't give internal medicine doctors any options

@vektracaslermd743 Ай бұрын

It may be reasonable to consider reducing the number of options internal medicine is exposed to.

@frederickheard2022 Ай бұрын

Emergency Medicine just had two caffeinated protein bars while dictating notes on three cases.

@sammiller6631 Ай бұрын

@@frederickheard2022 caffeinated protein bars? I thought Emergency Medicine was more of a Soylent drinker for lunch.

@jonathanbelfire Ай бұрын

Now that's an interesting idea. We may want to run a controlled study to determine the efficacy of this approach vs an approach where internal medicine does rounds on all the nearby food locations.

@YRO. Ай бұрын

@@jonathanbelfireI reckon we'd conclude that one approach significantly reduces the period preceeding the instant in which the food is ordered. Can't say which for sure. We need to put them to trial.

@uuytk Ай бұрын

I'm sure Texaco Mike has all the food they may need, tacos, Thai, Italian, you name it

@HisameArtwork Ай бұрын

and with what ever meat they could possibly imagine.

@KK-ef1ow Ай бұрын

He has Thai Italian Tacos

@dr.floridamanphd Ай бұрын

But he’s 150 miles away from the Glaucomflecken General so not really an option.

@peternicol3439 Ай бұрын

@@dr.floridamanphd With his Swamp Boat he can deliver anywhere

@NoIngNames Ай бұрын

It's only reasonable to use his MRI/Cat scanner's heat exhaust as a cooking device

@tuckerprice9663 Ай бұрын

As an IM intern, “that’s not unreasonable” is just becoming a reflex response to everything.

@emrebozlak2510 Ай бұрын

Most likely a reflex response

@masterofdesaster8 Ай бұрын

Secondary to post-graduate medical education?

@talithasuya8908 Ай бұрын

@@masterofdesaster8 LOL

@roberthunter5059 Ай бұрын

But what about when it IS unreasonable?

@newengland8126 Ай бұрын

Not unexpected.

@Blackwoodcwc Ай бұрын

The randomized controlled trial is actually the best suggestion there. Because it declares that you are going to try all of those options over multiple days thus deciding multiple weeks worth of lunch all at the same time.

@mustang8206 Ай бұрын

Smart man

@pillinjer Ай бұрын

Sadly for it to be a true control, you need an unbiased sample. So another department tests all the food. Now which department to choose as a sample is an interesting problem…

@tankerkiller125 Ай бұрын

@@pillinjer All of them, screw the hospital shareholders, they can pay for lunch for everyone over the course of a few weeks for a bit.

@BrunoHenrique-bg8kj Ай бұрын

@@pillinjer The only rule for the control group: They can't admit in the IM department or loses food privileges

@johnyarbrough502 Ай бұрын

Pretty sure there should be a multiple regression analysis of the trial results before we make any decision. Better not to be too hasty.

@andrecarpenter2432 Ай бұрын

“I don’t eat” “Im buying” “I love food” felt that one

@waffles3629 Ай бұрын

Same lol 😂

@TansyBlue Ай бұрын

Yeah that one made me sad ;-;

@chrisschanno7572 Ай бұрын

Insurance company response: Your preauthorization for Thai food has been declined. Our "best practices" protocols indicate that the covered Vending Machine sandwiches are sufficient meeting the caloric needs of individual.

@BrunoHenrique-bg8kj Ай бұрын

Hey Doc, the Insurance company needs a better report for the food order....

@Jason-ix1yn Ай бұрын

Sorry, they only cover generic soda.

@ferisera Ай бұрын

Whoa whoa whoa-sandwiches? When those peanut butter crackers are available, and will offer just as much nutritional value, and more protein?!

@kkirsch3583 Ай бұрын

@@Jason-ix1ynthat would be tap water!

@SabrinaPhynn Ай бұрын

Shakes fist- UNITED!!

@pablorosada9788 Ай бұрын

Ortho comes from around the corner: "Med bros! I brought a bunch of food from that new Thai place! Here, have some!............ So I have this patient-"

@SabrinaPhynn Ай бұрын

Ortho would probably get his admissions all taken care of that way- and consider it a good investment. 😉

@robertr911 Ай бұрын

Ortho makes 5x the salary of IM so prob would "buy" consults like this every day!

@yochva Ай бұрын

_OMG IT'S EXECUTIVE DYSFUNCTION IN ACTION._ The neurodivergent resonance is strong with this one.

@T3hXinro Ай бұрын

Eventually it's been 16 hours, all of the restaurants are closed, and they wind up eating the sandwich they left in the breakroom yesterday, just like me.

@yochva Ай бұрын

@@T3hXinro You can see Green Scrubs already did that. **lolsob**

@MsVilecat Ай бұрын

I feel so called out

@JDrapic Ай бұрын

My family eventually went with an elimination method. Is there anything someone doesn't want? And then start narrowing down from the remaining options. It's sometimes easier to nix things that we don't want instead of trying to figure out what we do lol

@taliag09 Ай бұрын

And I end up just being the med student

@jennymckenzie5304 Ай бұрын

I wonder how IM proposed to Mrs IM. "I would say it is not unreasonable to consider marriage." "I agree, it would not be completely unreasonable to consider matrimony." "A gentle proposal. As tolerated." "It would not be unreasonable to consider this proposal as a potential life path." 2 hour conversation on one knee with a ring.

@dragons7764 Ай бұрын

😆🤣😂😄

@talithasuya8908 Ай бұрын

😄

@taliag09 Ай бұрын

As tolerated lmao

@belacickekl7579 Ай бұрын

And then it takes them 8 years to weigh all the possible alternatives for wedding planning! 😂

@BrunoHenrique-bg8kj Ай бұрын

Dont start the proposal without the outpatient care plan and knowing previous diseases

@PWLfr Ай бұрын

The med student "not really eating" until the attending buys it

@dragons7764 Ай бұрын

Attending: "You sure? I'm buyin-" Med Student: "OK!! ... I - I love food!!" 🤣😆

@raphaellavictoria01 Ай бұрын

When I was doing the IM rotation in med school, I learned to eat so fast that it remains a problem to this day. I have to carefully pace myself if I eat with others. 15 years later 😅

@anonymoosewastaken Ай бұрын

and thus the cycle begins anew. godspeed, phil.

@AstralFireIX Ай бұрын

This channel has taught me that if I ever go to med school, there is a not-insignificant chance that I would plausibly make a reasonable candidate to go into Internal Medicine or a related field.

@cristiangdc618 Ай бұрын

Internal medicine is just superior to other specialties in every single way. We’ll love to see you here. Most likely. I’d not refute so easily.

@BrunoHenrique-bg8kj Ай бұрын

Say with me "the clinic is sovereign"

@Liriq Ай бұрын

as tolerated

@tractorlawnmower Ай бұрын

Ah yes, someone else is buying, the great hunger maler

@icecreamheadache Ай бұрын

In the background: the intern paralyzed by considering all the possible consequences of eating the food she's eaten a thousand times before

@frederickheard2022 Ай бұрын

“Most likely secondary to caloric deficit” 😂😂😂

@KayPrescesky Ай бұрын

I cracked up laughing because that sounds like me when I haven't eaten in two days or have the munchies because my med finally kicked in and I want to eat half my kitchen, pantry shelves included. lol

@oceanfox0953 Ай бұрын

Ah yes the turkey sandwich that got Bill comes back again

@JvA_MM_1910 Ай бұрын

The doctor learned his lesson and packed a lunch 😂

@anthonyhamline1030 Ай бұрын

I retired from engineering as a mechanical designer. If you ever asked a couple (or three) different engineers for advanced calculations for a given problem their answers would be all over the place. Their butt covering when asked about the differences in answers was always "I had to make some assumptions".

@jamesmatthews291 Ай бұрын

And if you ask a physicist, their covering phrase, hidden away somewhere, is "...modelled as spherical [whatever] in a vacuum..."

@dylutant Ай бұрын

@@jamesmatthews291 I mean, as a physicist, that's because people usually ask either the simplest case or have no idea of the difficulties in a real-world scenario. Finding the trajectory of a metal ball (approximated as point mass) thrown by a person (force/energy given on the point mass small enough to render air drag as unnecessary complication) is a kinematics problem that barely needs trig. Finding a trajectory of a realistic bullet in air (drag proportional to velocity squared, momentum of rotating bullet) with wind from the side (force over bullet's side silhouette expressed as pressure)... that's college-level mechanics problem involving a differential equation that will almost certainly invoke special functions. But to people who don't do STEM, it's often "basically the same question."

@hiltonian_1260 Ай бұрын

But Thai and Tacos both start with T! How are we going to assign letters to the variables? We’ll have to establish a variable assignment committee.

@maurmi Ай бұрын

Yes, that too with 5 different arms!

@cdub42 Ай бұрын

Thai gets theta, tacos gets tau. Time to eat. Sincerely, Neurosurgery

@Peppysgirl Ай бұрын

Apparently I missed my calling as an internal medicine doctor because this is me trying to decide lunch for myself

@jerryc3050 Ай бұрын

lolol, this was me ordering lunch with my professors during grad school!🤣Great job, Dr. Glaucomflecken. Sent me down memory lane. 👍

@Woodshadow Ай бұрын

Bill would never talk back like that. Way to go Phil

@Sap3r3Aud3 Ай бұрын

Meanwhile, me and the other surgical resident on call: - I’m hungry! - Sushi? - Sushi.

@amywong1 22 күн бұрын

As is appropriate! In the world of surgery, it's simply: to cut or not to cut - that is the question. The rest of the soliloquy is for internal.

@suzibaileystone2402 Ай бұрын

Durga, an Indian goddess has 8-10 arms…she must be the goddess of Internal Medicine….”on one hand….on the other hand…..on the other hand….”

@Marewig Ай бұрын

"...on the third hand....on the fourth hand....on the fifth hand...."

@rlee024 Ай бұрын

don't forget the ethics approval!

@frankwest5388 Ай бұрын

The ethics committee has declined the request to order pizza, due to time related concerns

@ferretyluv Ай бұрын

And IRB!

@captainsavem Ай бұрын

Med student: hey im good with anything, bbq, tacos, Thai food **hunger intensifies**

@SuzReag Ай бұрын

The doctors I know, let's get a nurse to order for us

@infin1ty850 Ай бұрын

I have no experience with the work dynamics of the medical industry, but I definitely had this exact same exchange when I was a data warehouse developer and the boss would suggest a team lunch.

@thewhitewolf58 Ай бұрын

My mother does this. She proposes what we should get and after we agree she works her ass off to argue that we do not like it and should get something else. Then tells us that she does not like "being shut up" when we tell her just to take her win. Worrying can really wear a family down especially when it is worrying for the sake of worrying.

@I1like1wood1ash Ай бұрын

Saying this as someone who can be like that: she sounds incredibly high strung, wow. I hope she finds an avenue to improve her anxiety.

@wolfs6686 Ай бұрын

I just don't make any decisions for which there are no RCTs as a basis

@MJ-98 Ай бұрын

The med student dialogue is so accurate it's dangerous. Don't give us away Dr. G! "Most likely secondary to caloric deficit"

@privacyvalued4134 Ай бұрын

Why not just let Jonathon decide for everyone for a whole month and have him send a group poll right before ordering to determine how many people want lunch that day? People can suggest options but he is Jonathon and knows what is best for them.

@PhrontDoor Ай бұрын

Reminded me (strongly) of Doug Adams HHG with "we are philosophers, though we MAY not be"...

@sunirmaladak889 Ай бұрын

This reminds me of what my senior said: " In internal medicine,there are no wrong answers."

@PrimitiveFuturologist_YTC Ай бұрын

… I always knew you were Impressive Dr. G. I… damn. I never knew how much. All of y’all need to fall down the rabbit hole I did and learn about this man’s life, attitude, how much he’s given. Thank you, sir. WF FTW

@Fizzgigzig Ай бұрын

The junior docs just need to stand near the nurses looking forlorn and hungry.

@toldt Ай бұрын

I heard they finally decided on Thai, but by then the restaurant was closed.

@MrDoenyon Ай бұрын

At this point I think if IM were to be asked to choose between two options at gunpoint, they'd still argue about it.

@krystlehsu133 Ай бұрын

Planning and Ordering lunch was the highlight of my morning rounds. The best is when the secretary called the attending that there’s catered drug rep lunch today and the attending speeding up rounds.

@savvaspapadopoulos7214 Ай бұрын

As a surgeon, one of my favorite pastimes is to needle my fellow IM friends, but sadly I must admit that this is not a phenomenon exclusive to them. That's also what happens when you ask your friends at a gathering "what should we order?" More options, more indecision, because nobody wants to impose but nobody is totally happy with the other's choice. Twenty minutes later, no order has been placed and everybody is hungry and grumpy. Voting on 2-3 specific options is usually the best tactic.

@Dino14345 Ай бұрын

I work with engineers. We have a lunch spreadsheet. You can either get what you got last time or edit the sheet. Restaurant is picked by whoever is presenting that day

@janharris8672 Ай бұрын

As an engineer, I approve this method.

@MatchaCocoaDog Ай бұрын

"We all have hunger, most likely secondary to caloric deficit!" 🤣🤣🤣🤣🤣🤣🤣

@paullambert5843 Ай бұрын

The sandwich is a metaphor for [insert medical practice you don't like]

@ferretyluv Ай бұрын

Phil is a hospitalist.

@justavideodiary Ай бұрын

I work at a university and this is essentially all our meetings

@kevinmurphy5506 Ай бұрын

Thanks Doc. It was needed at a time like this.

@NexusGamingRadical Ай бұрын

I love how through your previous videos. I totally get this now.

@bjgould83 Ай бұрын

As a doc w 34 yrs experience, your videos are very relatable, irreverent and hilarious. Keep up the great work!

@laurensplompen Ай бұрын

The way the guy in charge IMMEDIATELY answers a sentence that contains the turn of phrase "I don't disagree it may be possible" with "continue" is such a good indicator of how their communication is in sync. It would take a regular person at least a beat to parse that.

@shansbo217 Ай бұрын

The way he just started eating his sandwich 🥪 is priceless. 😂

@absolutetuber Ай бұрын

people often wonder how i can just go all day without bothering to eat. "are you hungry?" they ask. "are you on a diet?" they ask. I tell them, "no, residency just permanently numbed me to hunger" I can go all morning and afternoon without even realizing i haven't stopped to eat.

@timothyburrows9622 Ай бұрын

While Phil is the new medicine whipping boy I hope that Bill comes back in August for fellowship.

@Tanpossible Ай бұрын

Did a WR with a GIM consultant. After ruling out potential causes, and careful consideration of so many drugs, he decided to monitor the patient!!

@Insaneman22 Ай бұрын

Then they spent the next 12 hours discussing all food options.

@DavidEason-ui5ty Ай бұрын

All I know was a patient who ended up in the hospital for 3 days because of a kidney stone thank for for you interal medicine docs you saved my life

@dineshveliath Ай бұрын

for ortho its clear : either vodka or brandy

@sweaner8994 Ай бұрын

I was expecting Phil to pull out a can of diet Shasta like a real resident would

@mfd1993 Ай бұрын

The interns and residents rom Glaucomverse could definitely benefit from seeing CGPGrey videos of voting, notably the "Quick and Easy Voting for Normal People".

@ruankane4755 29 күн бұрын

"most likely secondary to caloric deficit" got me good lol

@flockofone9214 Ай бұрын

At our hospital, Ortho always wanted Korean (Pho), Peds always wanted Panera and IM would eat bagels at morning report then pray to have enough time to eat again in the next 24 hours.

@Ceibhfhionn Ай бұрын

Of topic, but pho is Vietnamese.

@SuiLagadema Ай бұрын

Somebody should do a documentary on internal medicine. Sadly they'll debate for 7 years before coming with a suggestion.

@keith_5584 Ай бұрын

You cant just jump to Lupus, I mean BBQ.

@KerryLuckett Ай бұрын

Yep, I’m chomping on my packed lunch while everyone else “figures it out.”

@bigjollyeammon 12 күн бұрын

As an internal medicine physician I can verify that this is what is happening in my mind all day every day.

@spectroxis6418 Ай бұрын

I feel personally attacked by this video; it hits too close to home 🤣🤣🤣

@ballisticus1 Ай бұрын

If Texaco Mike doesn't have chicken on a stick, I will be very disappointed

@RiotRabit Ай бұрын

The difference between intelligence and 'smart'. Internal medicine: intelligent. Guy at the end who had a sandwich on-hand: smart.

@wordsfindme Ай бұрын

The most unrealistic part is the attending saying "I'll buy".

@jimpartridge9634 Ай бұрын

My PB&J titer is dangerously high from residency

@WasabiSniffer Ай бұрын

lol oh Phil, he's only just begun his descent into madness

@decussatio Ай бұрын

And that's the reason why im a family medicine doctor. We eat when we get to. We are doing a lot of stuff internal medicine does and may operate on your toe nail aswell.

@Paul-mx8sf Ай бұрын

Aaaannd that is why I found a Internal Medicine internship that didn't do teaching (dick around, learn nothing, do nothing) rounds. Spot on as always!

@osmosisjones1001 Ай бұрын

I feel personally attacked 😂😂😂😂😂

@robt510 Ай бұрын

Another potential alternative… Texaco Mike’s 2 star Michelin restaurant / gas station! Just walk by the MRI that he’s got in the back and write it off as a business lunch. 🤓🤣

@Ceibhfhionn Ай бұрын

The excess heat of the CT-MRI machine makes its top a great griddle unless I've gotten my lore mixed up and he's already figured out a way to harness the thermal energy.

@ItsJennNotJenny Ай бұрын

This is just my daily internal dialog 😂. Too many options! 😅

@annbreen1910 Ай бұрын

God bless you all, able to bear hunger. I woulda been out the door & running to get ANY FOOD.😂.😅

@bigidea121 Ай бұрын

Is that Bill Bill? He upgraded from a raw potato to a sandwich. 😆

@user-vu8nd7bs6g Ай бұрын

As a internal medicine doctor of south korea, i can understand this interesting lunch conference 100%.

@T123456788 Ай бұрын

As a transfusion medicine doc, i literally jumped a little every time you said TACO.

@5911Faraar Ай бұрын

In IM, you never go wrong with RCTs! 😂😂

@bootsmade4walking Ай бұрын

If we do the randomized control trial, does that mean all our meals can be funded 👀👀 *starts grant application *

@notagiraffe8228 Ай бұрын

Unsurprisingly, when i Johnathaned for Emergency, they never took this long deciding. Or any time really.

@MAli-rw8ko Ай бұрын

😆 yep that’s me when discussing with my family what to order for dinner 🥹

@1AlexanderCole Ай бұрын

This is how my internal dialogue is for every meal until I get so hungry I have cereal again.

@clplusp8762 Ай бұрын

That sounds so spot on😂! Coming from an IM background, I recognize how we can sometimes communicate with partial ambiguity.. 🤦🏻‍♂️did I just do it again?

@pauldegregorio6432 Ай бұрын

That internists could agree to leave a burning building would be shocking.

@c0ronariu5 Ай бұрын

When I was a student, it was my job to save the team by interrupting the round so we could attend Grand Round - via the staff cafeteria.

@ClarissaRose Ай бұрын

That’s so crazy!!!! And the poor resident and med student who one just gave up and the other was so confused!!!!

@sc100ott 6 күн бұрын

This is why so many IM residents go into cardiology-The stent company rep would have already brought the Thai food, and the pacemaker rep will be arriving with the Taco buffet in about 10 minutes.

@ebubechiibegbula5968 Ай бұрын

And that ladies and gentle men is internal medicine...

@perryh.-r.4419 Ай бұрын

If i had become a doctor i think i would have gotten along well with internal medicine

@muzzammilsuleiman7118 Ай бұрын

Okay I love how at this point, without labelling I know who the attending internist and his colleague is, the resident standing in for bill and the med/student or intern 😂😂😂

@LordRichieliu Ай бұрын

Thanks!

@CircleOLove Ай бұрын

This leaves me speechless -- and hungry!

@andromedatonks60 Ай бұрын

The randomized controlled trial reminds me of how my dad (a radiologist but big into clinical research) taught us about double blind studies by doing taste tests to see if we could tell the difference between red, yellow, and blue tortilla chips 🥹💜 My sister and I both do scientific research now

@Phage- Ай бұрын

I come from SA, and lived most my life in Thailand. I get so confused when they say, “I’m feeling like having Thai today”. And then proceeds to pronounce the Thai food so wrong😂

@Phage- Ай бұрын

SA as a country, or ZA. South Africa

@Verity2true Ай бұрын

Good to see Phil still has not become completely defeated yet

@lancedicker858 Ай бұрын

I hate to admit it, but I definitely use some of those phrases in my notes. 😂

@VoidWalkerOblivion Ай бұрын

Surely, Phil should ask the nurse to advise. Then you can simply keep repeating "I believe the nurse has the clearest understanding to the need and urgency"

@michelleponzio Ай бұрын

When I worked IM, my doc would hand us his card and tell us to get whatever, but grab him a couple of burgers. We usually just wound up ordering McD's.