26 HOUR CALL SHIFT on NEW YEARS EVE: Day in the Life of a DOCTOR

26 HOUR CALL SHIFT on NEW YEARS EVE: Day in the Life of a DOCTOR

Morning guys. I’m Siobhan, a 3rd-year medical resident. I just got to the hospital, it’s New Years Eve and I’m starting a 26 hour call shift. So… Last week I was on vacation. I had 5 days off over Christmas, which is why now I work 5 days over New Year’s. So you kind of get to choose: Christmas or New Year’s off. And it was so nice to be able to spend time with family. Usually New Year’s Day gets I think a little bit busier, because people often come home over Christmas and they realize like ”’Grandma or grandpa are not really doing as well as they were last year.’ I haven’t seen them in a year.” So they bring them to the hospital. So we’ll probably be seeing quite a lot of that. Uhm, but you know… I actually kinda like it. It’s a good team spirit over the holidays. The first thing we do is meet with the resident who was on call overnight, so they can actually get home and go to sleep. And then we divide up the work for the day. Deciding who’s gonna see which patients and just sort of make a general plan for each of them. But the day never really seems to go exactly as planned, especially when you’re carrying the team pager. Hi, this is Siobhan from team A returning a page. Okay. Yeah yeah. I’ll pass along to the team and we might change up the antibiotic actually. Yeah, okay. Thanks for letting me know. Okay, bye. Okay, so uhm, I was just called letting me know that one of the patient’s blood cultures came back showing that there is a bacteria in the patient’s blood that we actually didn’t expect. So we’re gonna be starting an extra antibiotic to cover that and I’m also going to tell the team, just so that they’re aware, because I wasn’t seeing the patient today. Hi, this is Siobhan from team A returning a page. Oh that’s great. Yes, oh thank you for letting me know. You know, I’ve been trying to catch them now for a couple of days now, so that’s incredibly helpful. Yeah, I’ll just be right over in a couple minutes. Yeah, great. Awesome! Okay, this is so helpful. We got a patient that we’ve been seeing now for a couple of days who doesn’t speak English. And so I have been trying to call the family and couldn’t reach them, so it’s been such a struggle. And apparently the family is by the bedside, so I want to chat with them and actually get to the bottom of some of the symptoms now. I still have some notes to do, but I wanna quickly run downstairs and get a call room key to get like one of the good rooms. It’s become competitive to get one of the good call rooms. An excellent room: computer, bed, light and most importantly… Washroom! Personally I think the biggest concern is that some of the rooms don’t have good like heat regulation and so some of them are freezing or super hot. And the ones on these floors tend to be a bit better, so I’m very pleased with this and I’m optimistic that I’m gonna get a little bit sleep tonight. I think this is the exact same call room that I filmed my early vlogs and it makes me really happy to see this. It’s kind of like full circle after a couple of years, it’s kind of cool. For safekeeping, so I don’t lose my call room key. Next I need to pick up the team G pager. That’s another team of patients that I’m covering tonight now that the daytime team has left. And now I’m really hungry. This is like one of these moments, I gotta refuel. Residency has been a disaster for cooking, so I’m trying to make an effort. It’s actually going to be my New Year’s resolution is to cook more and have like meals prepared for work. I did that to start the year right. Hi, this is Siobhan from team A returning a page. Oh great! Yeah, I didn’t even expect that until tomorrow. So that’s a bonus. Sure. Yeah, I’ll take a look at the electrolytes. And do you want some tomorrow morning too? Okay, sounds good. Thanks. Okay, bye. Okay, so that was the dietitian who just has some TPN. So it’s like nutrition that comes in a bag that can go into a patient’s IV. It’s not like a long-term solution if someone’s not eating, but it helps to get nutrition to people who can’t eat for a little while while they’re really sick anyway. Some people use it long term, but it’s not… It’s not the best solution. Oh hi, this is Siobhan from team A medicine. Yeah, yeah no problem. I’ll be right down. Yeah, I’m not busy. Okay, see you soon. Okay, bye. Okay, so it looks like we’ve got a whole bunch of consults coming in from the emergency department now. But before going down to actually see the patient, I just want to look them up on the computer. Look at their blood work, see what’s going on. Just so I have a bit of background information. Okay, so from what I can see here. This is a patient with diabetes, who is coming in with a really painful leg and it looks like a skin infection, a cellulitis. So the emergency department is giving them some IV fluids and starts some antibiotics, which is very reasonable. And yeah, it seems pretty straightforward. So we’ll go down and probably need to admit them. Especially if they can’t walk or if they’re looking pretty sick. Walking into the room I see a middle-aged man lying in bed clearly in pain. His left shin is really red and when I look closer, I can see that there’s a black line drawn midway up his shin by the emergency doctors to demarcate where the redness stopped when they saw him. Now the redness has spread up to his knee and as I examine his leg, he jumps in pain with even just the slightest touch and I can feel that there’s crepitus. So there’s air under the skin, which is extremely concerning for a rapidly spreading infection like necrotizing fasciitis or what people call flesh-eating disease. I’m really worried about this infection. I’m actually gonna give orthopedic surgery a call right now. Oh hi, this is Siobhan, one of the internal medicine residents. Thanks for getting back to me. I’m hoping to talk to you about a patient that I have seen in the emergency department and I’m very concerned that this could be necrotizing fasciitis and I’m hoping you guys can come to a consult. In the meantime I’m gonna broaden his antibiotic coverage, give them more IV fluids and call my attending physician at home to discuss the case. If I’m right about this, the infection can move extremely quickly and he could lose his leg, if not worse. I’m heading back to check on him again. His heart rate is still up, he’s still in a lot of pain. But his nurse tells me that the orthopedic surgeons just scheduled him for the OR as a priority 1 emergency surgery to try to remove the infected tissue. I’m actually so relieved to hear this, because this is really the only defensive treatment. Aha…. The dream team right here! Okay, excellent. The new year’s team. We’ve got like what?! 3 Seniors and a junior. We’re all medicine residents, that can be pretty sweet. It’s gonna be a good night. Is it gonna be busy? What do you guys think? We’ll see, we’ll see. I don’t even think about giving my opinion. Good point, good point. I’ve made that critical mistake before. So just got a text from one of my friends, apparently the food has arrived. Oh wait, we’ve got 20 minutes to midnight. I’m gonna head upstairs about to check up on 1 patient really quickly and then I actually bought some like hats and fun things to surprise the other resident, so we can have like a mini celebration even though we were in the hospital. I better get down in time though. Earlier one of the residents like jokingly said like ”Oh, I hope there’s no code blue right at midnight.” I really hope that they haven’t jinxed us. Like as soon as she said it I’m like ”Oh my gosh!” Okay, so this is the assortment and depending what a given person chooses, this is gonna represent their new year. But I don’t know what that means… Okay, it’s 4 minutes. Are we gonna like put on a channel? Is there gonna be like a countdown? What’s happening? The room is like completely quiet. We need some hype here! Yeah, youtube. Why didn’t we think of Youtube?! Okay, we found our hype. Is this hype enough? Does the hat choose the man or does the man choose the hat?! Hahahahahaha Okay, this is great. Just the 4 of us. 5, 4, 3, 2, 1, woohoooooo. There we go. This is the new luck. Yes, the class of medicine, we need to have coffee represented. Happy 2020 Okay, mildly like anti-climactic. Literally these guys are immediately talking about patient care again. These are the doctors that you want, this is good. Lots of patients already to see in 2020. A young person with a drug overdose, a middle-aged person with pancreatitis from heavy alcohol use over the holidays, a man with cardiac chest pain. Then a woman with cardiac chest pain and a few people with pneumonia. Oh and I just found out that the patient with the leg infection just came out of the operating room is now in the ICU and is doing a lot better. I think I’ve hit the wall. I’ve hit the wall of fatigue. I’m so tired right now. I mean, I know we just have so much more work to do. Okay, and there’s no like coffee shops or anything open in the hospital right now. So I think I’m just gonna go for like some cold water. I know that does help. Just gotta get myself up and do that. What a crazy night. So much for having a good call room, I never actually made it there. Oh man, I’m gonna be tired. I cannot believe that I didn’t get any sleep. Not even a minute, not even putting my head down. You know, I had this weird expectation that because it was New Year’s that we were gonna like celebrate at midnight and then I was gonna sleep the rest of the night. Foolish, but I like to still keep hope in my days. Anyways… Okay, I’m gonna pack up my stuff and then hand over to the team in the morning. Tell them everything that happened, tell them about the new patients and then I get to go home. Wow, what a night! Kind of a mix between excitement, fun, stress. Maybe that’s like a sign of what’s to come for 2020?! I don’t know. But I’m looking forward to sharing those videos with you. So if you have any questions, make sure you leave it in the comments below. And otherwise, I’ll be seeing you in the next video. So bye for now!

100 thoughts on “26 HOUR CALL SHIFT on NEW YEARS EVE: Day in the Life of a DOCTOR

  1. also where ever you work always seems quiet and super empty lol… i never seen any like that out here in Los Angeles, CA..

  2. You are truly just so beautiful inside and out. You’re also a big inspiration and it’s so beautiful to see your progress! Thank you for giving us at least a bit of an example of what you sometimes go through. You also have true talent and I can’t wait to see what this year brings!

  3. New subscriber! I enjoy your uploads. I am entering the field of Surgical Technology (hopefully I begin my program in May) So all of this is fascinating to me! Thanks for sharing your life with us. 🙂

  4. Happy New year! I would love to see a video highlighting the roles of some of the allied health staff (Dietician, SLP, physio, Occupational Therapy, LHIN Care Coordinators)! I love your videos. As someone who also works in the Ontario Health Care system (as an OT), I appreciate your optimism and friendly spirit during these long shifts!

  5. I don't even want to become a doctor or anything like that but still finds these videos really enjoyable. Love your personality. English is not even my first language, I'm from Sweden. Yet I have watched you since you were a 1st or 2nd-year medical resident. This is so random lol.

  6. My dad had necrotizing fasciitis two years ago, the doctor said it was quite rare and that the hospital they were at only got see it like twice a year. Lot's of other doctors stopped by his room to check it out, it was weird. He ended up getting a big chunk of his leg cut out before getting a skin graft later on in the year. Scary stuff.

  7. Oh geez, I'm on my off service month and when I heard that pager that scared me lol; only thing I'm not looking forward to when I return to finish my inpatient months.

  8. How many words a minute do you type cause I swear to god when I see the clips of you typing I cant even comprehend it lol

  9. You’re always smiling. I love that !! ❤️ I’ve been watching your videos for a long time now. Hope you had wonderful holidays ☺️

  10. As an MLT New Years is our slow time. If you have more patients you’re definitely not sending more bloodwork because I have half the patients

  11. It should be illegal not to have 24 hour coffee shops open in hospitals. I'm not looking forward to that as an overnight nurse. I'm gonna have to brew a whole pot and just take it into work.

  12. I love her continuous positive energy and how she shows concern for each patient. I want to be a doctor and to me, this is very inspirational as well as educational.

  13. my middle name is chavon (same pronunciation, different spelling) and i grew up hating it. to know there’s someone else with the same name makes me like it more idk?? 😭❤️❤️❤️❤️

  14. NEVER CHANGE! I bet you're an amazing doctor to work with. I was a nurse in the hospital for 6 months and left early because of horrible doctors. I'm a dialysis nurse now so I don't have to deal with the doctors as often.

  15. So the patient with the leg issue due to Beetis. Was it amputated? or Saved? Details about the patient or do you not care, Canadian Health Care?

  16. I love your vlogs! Not only is it interesting and fascinating to get a glimpse of what you and your fellow residents go through, but your vlogs are also very informational. Love the descriptions of different conditions you provide!

  17. Watching a video like this makes me feel so thankful that even during holidays where everyone is celebrating and it seems like no one is working, there are hardworking doctors, nurses, administrators, and everyone in between who keep is safe and healthy during the holidays! Thank you!

  18. Hello there,

    I was wondering if you could casually see what my symptoms could mean? I get really dry nasal cavity after eating dairy products, peanuts, eggs, seafood and sometimes corn and sesame seeds/oil. But peanuts, yoghurt or fermented food in general causes it to be dry and uncomfortable. I get yellow snut with blood sometimes. When it gets dry I have also noticed it is difficult for me to fall asleep.

    Please help.

  19. I love watching your videos and I had cellulitis in my leg and had to have surgery to remove the infection. It was that bad that of someone touched it I would cry and jump because the pain was so bad

  20. If you're really serious about doing your job correctly you shouldn't be vlogging every minute of the day! It's obvious you care more about getting your videos 'just right' than you do your patients. What a sad state of affairs when doctors/nurses care more about their 'views' and 'likes' on Youtube than they do their own patients!

  21. Just stumbled on your channel randomly. LOVE listening to your videos as background noise while i work! Happy new year ☺️

  22. I've been fangirlig ever since this video started. I'm twelve and I've always wanted to be a doctor and I still do! Getting to see how a doctor works compared to the movies is soo cool!

  23. Siobhan, Happy New Year, I’m new to the channel. I work in hospitals installing Med gas systems. Even thou I’m in many hospital settings on the construction side it’s good to actually see it from your point of view.
    Have a great 2020.
    Greetings from California 😎

  24. I absolutely- thoroughly enjoy all your vlogs. They seem like they take a lot of time to edit , piece together. Thanks for giving us insight into your day, even if it’s a different country for me!

  25. Do you enter in fiddle/violin contests? I swear I saw you one day but I just don't know. Anyway, keep up the great work! We need more doctors like you.

  26. I have always been impressed yet concerned with long shifts in a profession where you save lives relying on your brain to treat people. I’m a walking zombie after 20hrs. Can’t imagine making wise clear headed decisions at hr 23 :/

  27. I have a question When you need Cartlidge in your knee because it’s messed form a donor Can you tell me how long Until you walk on it

  28. I was wondering why you all seemed so nice and kind and just…abnormal. Then I learned this is Canada. Great place. Ohh, and I subscribed. How long from day 1 of whatever schooling you started until Wala you are a Doctor? (I know the wala is years of hard insane work and dedication btw)

  29. Violin md I lived the video but as I am a canadian citizen and completed my MD from US med school I wanted to ask if I can apply for canadian residency Will be considered IMG or CMG
    Do I stand a chance in matching to residencies like general surgery or neurosurg
    Please help

  30. Lol I still can't believe she's a resident , I wish I was training under her . She seems to have a heart warming personality

  31. My fiancé had necrotizing fasciitis twice! He just got out of the hospital for it again! Im glad that you caught it in time! Good call!

  32. Everything seems more cut and dry than my experience where my diagnostic emerges over months and over and over across that time contradicts itself both in diagnoses and treatment, and because I'm in the US, also calls for drugs my insurance refuses to cover or covers with such a huge copay that I just have to do without.

  33. This is really apropos for me. I have the margins drawn on my leg just now and am on a second round of antibiotics, two this time. I went through the first course of antibiotics and thought it was whipped, but it came back a couple of weeks later with no apparent wounds, so my care givers think that there were lurking resistant bacteria. Hope I don't go to surgery, but if I do, I do and I will be grateful. I'm not sure what to do just now, the red swollen margins seem to have retreated from the lines drawn, but the painful touch seems to have expanded PAST the drawn lines. I'll think about it tomorrow.

  34. this was enjoyable and then i realized i'm IN this hospital and I've seen one of the docs you celebrated the new year with as one of the seniors on my treating team. what a small world!

  35. Wondering what the effect is on patient safety when doctors and nurses have these long shifts. Can't be good and sounds quite bad for everyone involved..

  36. Siobhan….you are quite a multi talented lady, and you truly seem to be such a wonderful and fun person. To share….I too play the violin (and have a jazz/60'/70's violin cd that I am just finishing up with the mixing) along with a book on reversing heart disease that is in final edit, and like you, I climb mountains (did Mt. Whitney…forgot the sunscreen… oops! for which your video on wearing capri pants on your mountain climb came to mind), while…….my aunt and uncle taught at Indiana University's school of music. Walter and Freida Kaufmann. My Uncle Walter was a prodigious but not so well known composer, but now some of his compositions are being performed in Canada, and at UCLA. He has a violin concerto and a few violin sonatas, along with string quartets, symphonies and operas to his credit…I think!

    Oh yes…and my parents were born in Winnipeg, so I do have some Canadian heritage.

    Should your travels ever take you to Las Vegas…where the winters are just a touch better than Canada, do let me know. You and your husband (see…I am not hitting on you…besides I might be older than your dad, but I recently ran my 25th marathon….so not bad for 60) would be most welcome for a visit. If you would like, you could play the violin to some of my jazz soundtracks. I don't know if you play jazz, but if not, I could show you. Here….for something in the key of G….hit g, bflat, b, d,e,f. That's jazz…the diminished seventh, and usually a diminished third and then a third.

    Lots of good wishes for you, and I hope you find the time to keep playing. I stopped practicing for awhile when I was married, and honestly….she wasn't worth it!

  37. It would hurt my heart so much to ever see you down. I wish I knew people like you in my life! you make things so exciting 😌

  38. I am finishing medical school in few months and I am so nervous and afraid about working in the hospitals as a medical resident. Would you like to make a video giving some advice??

  39. I am a new subscriber to your channel. Your videos are WONDERFUL. Great. I get to understand better now why doctors can take some time to come to the ward in the middle of the night. You'll be a great doctor. God Bless!

  40. Hi, could you do a video explaining how the medical trainning works in canada and how CANMEDS is implemented in everyday practice and assessment please

  41. ahhh in my anatomy class we’re doing a project on skin diseases and i picked necrotizing faciitis and this pops up. how funny

  42. I wish every doctor speaks like you when you get paged by nurses. I’m a nurse and doctors can really be rude especially during the night. 😢

  43. Just came across your channel. It's very informative and you're very passionate about what you do! You mentioned cellulitis and it hit home as i've had to be hospitalized from it one time. It was located on my right shin. Definitely very painful experience. I can't remember what they gave me, but thankfully it got better within one day to where i could go home!

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