Absolutely the life of a senior resident trying to justify consults you don't agree with.

So relatable! How about the opposite problem: when the attending refuses to let you consult other specialists because “WE can manage that.”

“Kinda has sepsis…kinda??” 😂😂 the skits keep getting better lol

No worries, your infectious disease fellow will sigh, then spend an hour digging through the patient's chart, write a short novella as a note including a multiple paragraph assessment explaining how the patient doesn't have an infection and end with a single line plan: Discontinue antibiotics. ID will sign off. Thank you for this consult.

"We're just being cautious... 'cause he's... older." "He's 56." I am DEAD 🤣

As a nurse, when nonsense verbal orders given I find they reconsider when I hand them the chart and ask them to write it... was most effective when indeed was on paper but... amazing how many times they didn't have time to do it on the computer. Love that in nursing verbals are supposed to be limited, maybe attendings need same.

"Better do what the boss says" is so relatable 😭 Consultant says "let's do this scan/consult" = "YOU do this while I go to my office and drink coffee" 😂 LESSON: ALWAYS ASK WHY! As long as it's with the aim of helping the patient, I'll do whatever

Lol, I’m Tori from pharmacy and I would DEFINITELY call to find out why you’re ordering a Vanc on 18

Hahaha this is spot on! So true! Eventually I would say, "this is what my attending wanted. If you have a question then you can ask him to explain because I wasn't given an explanation either." Nine times out of ten once questioned by another attending they would change their mind.

Brilliant! Had a pateint with recurrent fevers and after multiple blood cultures came sterile, my senior made me consult ophthalmology for endophthalmitis, with zero eye symptoms, when I asked him why he said just to rule out. Ophthalmologist chewed me out afterwards... On the bright side 2 days later a different consultant joined the unit and started an antifungal which made the patients fevers disappear completely

Similar vibes to me, a nurse, giving an update to the patient’s family member when the plan of care doesn’t make sense 😂

When your attending thinks he's Dr. House

Wow it's amazing how little medicine changes in different parts of the world 😂

This is seriously my life every single day as an inpatient coder. Discharge summary: Patient had sepsis, no infection identified, did not meet SIRS criteria. I cry into my coffee.....

"I'm just following orders here" would have been a great line in this scenario🤣

Then you have to deal with the nurse. My strategy is usually not to fight the orders, but to let the patient know that they have full autonomy to decline anything they don't agree with (when they legally can consent) and update them on the plan. Then you can just tell boss that they refused all the stupid orders & actually have to go talk to the patient

When you reach that point at the end of your training....😂 ....And then you become the junior consultant and you behave even more defensively than your former boss!!!

"Pharmacy made them do it " I laughed so hard 🤣🤣

SO TRUE - in EMS as well, having to call medical control to clear an RMA for someone having a panic attack because technically their respiratory rate is too high and then medical control insists on sending a paramedic unit to come assess her and now you're getting funny looks by the medics for getting them requested for a panic attack.

I'm not even in the medical field, but I've spent SO much time in hospitals over the last 20 years due to my husband's chronic health issues, & now, my own, that I really can feel for the characters in these skits. It's a wonder to me that I've never seen a young doctor just hurl themselves right out a hospital window to end the madness!!

Non medical viewers will think this is comedy. Medical viewers “ Yep. True story, happens at my hospital all the time.”

Hospital pharmacist here. You are KILLING me! 😂

The tragedy is the range of emotions from the gut feeling of "Something's not right but idk what..." to "Hey, huh? This doesn't make sense because of (evidence)." And then immediately doubting your concerns because they go "No, no, I know this. I'm the one with more experience." Sighhhhhhhh

So entertaining. Got to do what the boss ordered unfortunately. Despite having clear doubts. Just do what big boss doctor ordered and have a peaceful outcome. It must be so pressurising to have to put up with. Great content as usual Dr. Schmit. Thank you so very much. Kindest regards from England.

This is one of those times that I'm thankful I am a nurse and I can just leave the politics to the doctors 🤣

This reflected so much of my internship year in India I just burst out laughing and went to go show this to my radiologist dad lmao

X-ray tech here! I have this conversation several times a week 🤦🏽‍♀️😂😂 Great representation once again Doc

That basically described my weekend rounds with the ICU Consultant 😂

I love how all your videos are equally funny and plausible, I could relate to so many situations.

Now you can ask what lucky med student wants some extra experience** calling in a consult? (**experience getting yelled at by a sleep deprived sub-specialist)

I got lucky during my residency training. Whenever the doc ordered something that seemed nonsense to me I just asked "what should I say as justification?" and usually after the 3rd/4th time they'd reply.

This is absolutly when I just say "yeah i don't know either, i was just told to do x, so i am"

And unfortunately that's how it is sometimes. I tried to discuss this matter with an attending that was notorious for nonsense workup. He said I know that the patient does not require this or this but we do this to protect our assess. In a resource rich country like the US where medicolegal cases are a big deal, yeah you are going to order that unneeded brain MRI or throw an EEG, or just start super expensive empiric antibiotics just to not miss anything. That is typically not the case anywhere else except for the US. Unfortunately the families and lawyers are just waiting for any mistake to sue to make a bank off the hospital. Attendings always think medicolegal here no matter what is the cost while residents who are protected typically think more in a scientific and cost effective way.

Hahahha poor Ben being caught in the middle. I love all the wigs! Each character was played to distinctly too. Thanks for another great video!

As an RN this had me laughing hysterically. We have to follow the orders given by a dr but often times we know they don’t make any sense whatsoever. Especially after a few years of experience.😂

Even more frustrating when the patient drops their bundle 30 min later and your boss was right! How do they do that?

This cracked me up, the frantic looks, the pseudo seriousness 😊

Been there, done that. Medical residency should pay more! LOL

Then imagine explaining this to a family member who is nurse as nurse😂😂😂

"Thank you for asking me to participate in the care of this most interesting patient." Signed: Private consultant.

I love that your phone is one of the first iPhone lol! Also as a new NA fresh off orientation, I loooooove your videos

So you know you have a nonsensical boss when every department calls you about his stupid treatment plan.🤣

Might as well order a CTPA! Gotta cover all the bases!

“He runs low” 😂

‘Hi this is SuperLady with the ICU, I’ve been instructed to consult with cardiology about Mr. Jones. Why wasn’t exactly explained but here’s his info, thanks for the help!!!’

It's how you need to word the call "My consultant has asked me to call you regarding xyz"

Doc Schmidt, you are amazing! This is accurate. It's nice to see same things here in India except the radiology and pharmacy part!

For me a temp of 99.2 may be a low grade fever as my norm is like 97.6! These skits are so funny! Bless the medical team and students!❤❤❤

LOVE THIS!! I've worked with Docs like this attending. 🤣🤣🤣

"Cause he's older, he's 56, older than me" 😂😂😂

That’s why you get a $10,000 hospital bill for three hour visit.

as im in the hospital with sepsis right now and here I thought my 104 fever, 50 breaths a minute, and 180 heart rate wasn’t that serious this absolutely made my night

this is hilarious and has described the past 5 years of my life as a resident

Ugh and sick people have to wrangle with insurance to justify imaging.

But I got yelled at last week for asking for blood cultures on a patient with new onset temp of 102. Who was not on antibiotics. 🤦‍♀️🤦‍♀️

You should’ve done a collab with doctor glaucomfleckin on this one 😂 I feel like you guys would do great together

How I felt as a nursing student being told to give meds to a patient who didn't present need for them

Seen this so many times. The worst is explaining to the patient why when you don’t agree

This explains where my time goes all day….

I legitimately feel this in my soul.

Imagine, you are the patient and you know you are the hot potato....🥴🏥🛏🔥🥔🤷🏼‍♀️...🤷‍♂️...🤷... 🥴😤💰🏥💰🤷🏼‍♀️ And that is actually how it felt to be in that situation.

Make sure you know if your patient doesn't have a gall bladder..OR liver is a bit inflamed..some vitamin and minerals do not get absorbed well if no gall bladder or liver is congested...REMEMBER..those with low thyroid do not register a normal temperature..OR fever...so check history of thyroid problems..most with hypothyroidism have a temperature 1-2 degrees lower naturally...so anything over 99° might actually signal an infection..if they had a regular body temperature!

Plot twist 2 hours later he's in full blown septic shock

Still laughing... OMG, this one was priceless.I feel for you all in medicine....

Had me rolling in the aisles😂 thanks!

Don’t worry, the nurses will protect you 😂

And then ID team will reject the referral and then the boss will scold you for not referring to them correctly. He then goes on to refer the case himself and the referral was accepted. Then he’ll say “you say how easy that was?! You young doctors nowadays need to learn how to present cases properly!” Just another day as a houseman.

OMG I’m that X-ray tech! 😂 sometimes I feel so bad asking but come on!!!!!! Really your reason is cause my senior…. I’m dying.

Had a meeting today that sounded just like this!

It’s scary how relatable this is

Isn't this one of the ways we get accelerated antibiotic resistance? 😳😵

OK for you med students out there...Do very much so say "Why cause the ICD 10 codes are going to be needed in order for insurance to pay". And, once that gets brought up, docs back down right quick and they begin thinking more clearly!

Oh my god, this couldn't be more accurate. Haha, order an MRI and LP for pt 92 y female who has sepsis after symptomatic improvement with IV ABS on background refractory almost palliative melanoma.😂

hey wigs are BAAACK!

Nothing like managing Hospitalist fraud as comedy. 👌😎

“The attending said so…”

A full body CT! I wish that were a joke, but I’ve run across it before.. ugh.. then having to explain to a Dr…

Omgosh. Been a nurse forever. So true. Chief resident or attending ordering some nonsense. So embarrassing. 🤣 kind of has sepsis. I'm dying. 🤣🤣

🤣🤣 As a former resident I approve this message 👍

Relatable... So, so relatable.

"Older than... me?" had me loling. Also, if I had a dollar for every time a patient family member swore that the temperature of 98.9 was a fever because "mom always runs 97.5 so a temp of 98.9 for her is like a normal person having a temp of 100.1!" Like, sir, even if that was true, 100.1 is barely a low grade temp. That alone is not worth a call to the MD unless they have other indicators of potential sepsis. And I am absolutely not paging a physician to let them know that my patient has normal temp. #SorryNotSorry

Hahahahah Tori from pharmacy seems a bit frustrated with these shenanigans Sort of like all of us pharmacists🤣

Sorry hon, ha, ha ??!! That is why I was always a boss in my profession

Tori is having a great hair day!

‘Are you ok?’ *no im not ok* 😂

I am laughing like crazy.

This is your nest sketch yet

🤣🤣🤣🤣🤣 Exactly, "my attending wanted it". Ugh

Ahh I see your boss is an ER doc

Isn't it better to come clean, "the attending ordered, I'm just executing". That way he can do you a favor, as long as it doesn't hurt the patient, or say NO authoritatively. In really bad cases they may bring it up with the licensing board.

😂😂😂 Is this why some residents don’t make sense because they just go with what the attending says? They’re afraid to question the attending’s thought process?

No sense??? MY BOSS WOULD BE SICK IF HE WOULD MAKE SENSE!!!

As a nurse ive had the opposite: patient obviously decompensating but its night shift and no one wants to do anything 😮‍💨

😂😂😂 this is gold!

I kinda had ebola once... Or was it chikungunya...umm... Let me consult infectious diseases

Actually, in my daughter's case, this is exactly what needs to happen if her WBCs even show a little raised. She does run low and 99.2 is indeed a real fever. Not promptly treating is asking for her to crash. Even strep throat has put her in ICU. Actually, I was just talking with her ID doc (as well as her endocrinologist and cardiologist) at Johns Hopkins just a little while ago. Any increase in temp is cause for concern for this poor girl.

Hah 😅 i feel like having orthodontists could help offset the prices for all these mistakes and allow for more wiggle room to learn and redo trials without much monetary consequences

Actually I love that they are all concerned about it! In my country.... I can't question a single doctors orders without having to fear for my job basically. I work at the pharmacy, not a hospital pharmacy. But I did also worked as a nurse for a few months and witnessed first hand how they are treated like gods. As if you had to kiss the ground they step on. With the first doc doing rounds..I just thought it must be a very good doctor that is popular among the nurses. Pretty soon I realised...they act like that with everyone. And rant about most once they are gone.😅 In the pharmacy lab...I always have to call a doctors office to correct their prescriptions. They don't really learn much about HOW to make ointments from scratch and they think they can combine any and all ingredients together. As if I had a lab the size of a building, and not just 20qm²...and in 95% of cases...they just deny my request. Thankfully a couple of years back laws changed. So now I can exchange ingredients that won't work, unless it's the medical ingredient itself of course. But ..they also f up dosages a lot! So... unless I wanna give the patient a burn and rash lasting for forever...I gotta spend 1-2 hours repeatably on the phone...playing dumb:"But, my book says...." 😂 Easiest way! I swear

_so many blessed times_

Did you swab him for COVID? It’s probably COVID.