How to Speak Internal Medicine

Slow down there, Bill

[TaiChiKnees]

During my residency I once said, "...the patient suffered a stroke..." and my attending said, "Isn't saying he 'suffered' a little subjective?" ...so I said, "Okay, the patient enjoyed a stroke..." Luckily, my attending laughed...

[DrGeneralkumar]

And 3 hours later they ended up starting the patient on 20 mg of lasix.

[RJSearson]

1:21 "You can *consider* diuresis" I love this because I'm in paramedic school and when we do our practical assessments somebody always ends up saying something like "i'm going to consider calling for additional resources" or "I'm going to consider taking c-spine precautions" and the proctor always has to be like "You can consider whatever you want but you should probably actually DO something"

[osmosisjones]

Internal medicine doc here. This couldn't be more accurate. Just today I read in a colleague's note: alcoholic cirrhosis most likely secondary to alcohol use 😂😂😂😂

[adrianmole]

Bill would make an excellent intensive care doctor. Straight to the point, ready to act, no time for bullshit, infinite amount of stress tolerance.

[seeyouchump]

After one year of internal medicine in the uni, I learned more about how to be humble than how to actually treat the patient

[voidjockey]

The three wonders of medicine:
An Anestheseist at work.
Two Internal Medicine Doctors agreeing.
A Surgeon in the library.

[PrincessLelouch]

In veterinary medicine, we like to say you could ask 5 internists a question and get 6 answers, because by the time you get to the last one the first one will have changed their mind.

[giraffegiraffe]

Thanks Dr G - definitely going to use "a likely non-zero probability of it being not unreasonable to consider a possible diagnosis of..." in clinic tomorrow 🤣🤣🤣

[cwtrain]

These videos are getting stressful and traumatic as they align more and more with my actual daily life. It's kind of like how you get older and you realize the movie Office Space is not actually a comedy.

[rockyvolcano]

This reminds me of the time I was in a room full of law students trying to figure out how to word, “The muffin tastes good, ” in an objective way. (it was a practice question for part of their class) “The sensations caused by eating this confectionery are usually perceived as pleasant by most individuals whom consume them.” Was the closest we got. The reason I was in a room full of law students is because we had booked the same study room at the same time and I was really just there to use the Wi-Fi (which was only available for people using the rooms) to download some games, so joined the conversation while I waited.

[Michelle-mnzz]

As a lawyer, I feel like the internal medicine doctors are my kind of people lol

[abuazizm]

*I SWEAR THIS IS EXACTLY HOW THE INTERNAL MEDICINE ROTATION ROUNDS.*

[amandalynn]

The multiple same-sounding voices arguing with one another ❤️

It sounds like an achievement unlocked.

[elizabethm]

Coming home from my internal medicine rotation to watch these🤣🤣🤣
It is not unlikely that these videos are almost 100% correct

[derekantoku]

I love how confident Bill has become! He is growing as a doctor.

[andreapradella]

You're great! It's not just the fact you're producing funny, truthful and informative videos... It's that I'm enjoying every single one of them, no exceptions! Please keep it going!

[prognosis]

This is just so accurate 🤣

One time we consulted nephrology and we specifically stated we thought the patient needed a renal biopsy and the consultant wrote, "It would not unreasonable to consider renal biopsy" and I died 🤣

I responded, "We did consider renal biopsy which is why we asked you." 😂

[ashutoshsharmash]

Internal Medicine resident out here... This is so accurate... Even if I think it's heart failure or Iron deficiency anemia, I can't just come out and say that. I need to say that it is my impression and not even provisional diagnosis, and that I advise these medications, order these tests and consults to determine the problem.
But really true... Like even in, let's say, an acute decompensated heart failure, before I order Lasix for the patient, I need to take a history, check the patient's BP and other vitals, their baseline electrolytes on admission, most recent electrolytes, present mental status or any alterations in it, my examination findings, counsel the patient and their family, transmit my decision up the chain of command for approval, order a bunch of tests to determine the cause, then give this to the patient, order a Serum electrolytes panel the coming morning to establish a new baseline, and then finally after all this, chart this down. Piece of cake.
If you love being meticulous and approach a problem in a step wise manner, then Internal Medicine is a perfect fit for you. Because, as an internist, you're taking care of the sickest patients in the hospital. So even the smallest decision you take, can have a huge impact on the course of disease.

[merryb]

As a patient, thank you internal medicine docs for considering things from many angles and being thoughtful about meds. We appreciate it. And thanks Dr. Glaucomflecken for always entertaining content.