Day in the Life of a Doctor: Cardiology (ft. chest pain)

Join me for a day in the hospital - I'll be vlogging behind the scenes, assessing patients with chest pain and shortness of breath, and going through a very interesting physical exam finding with you!

Thank you Mackenna for appearing in the video and for her awesome nursing skills!

This video is made for educational purposes only and should not be viewed as medical advice. Speak to your doctor if you have any concerns about your health.

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Mail: PO Box 1, 119 Spadina Ave, Toronto ON, Canada, M5T2T2

See you in the next video!
~ Siobhan (Violin MD) ~
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❤ YOU MAY ALSO ENJOY WATCHING... ❤

Day in the Life of a Doctor: How to treat a HEART ATTACK

Week in the Life of a DOCTOR (ft. infective endocarditis and chronic mesenteric ischemia)

Day in the Life of a Doctor: Nocturnist Shift with Code Blue

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📚 References:

CMAJ case of tricuspid regurgitation:

Mayo Clinic - heart attack symptoms

[kimberlyhedman]

I loved seeing the therapy dog in your video! I am a therapy dog handler for a hospital in a suburb of Chicago and we love what we do! Mona was so accurate…my dog, Freya, gets so excited when she sees me put on my blue shirt. She knows it go time!!

[lntraveler]

Happy you made the point about women experiencing heart attacks differently than men typically do. I had uncharacteristic shortness of breath with very little exertion. I called the nurse, explaining that what was happening was weird for me! I will be forever grateful to her for listening to me, and sending me to the ER. Troponin levels slightly elevated. A stent placed the following morning opened a 99% blockage. Ladies, if something isn't right *for you* please get checked. It might save your life.

[melissawingfield]

I've gone to the ER for severe chest pain (after using albuterol for a week), arm pain/burning and tight, and armpit pain/burning and when the ambulance got to the hospital, the nurse assumed it was anxiety and put me in a psychiatric hold room (even though many regular rooms were open). The only thing they did was blood work (cardiac enzymes and whatever else). I was hooked ot a heart monitor, but not for long. Eventually they moved me to a regular room, and the DR said I could continue taking the albuterol.

I wanted to prove a point, that the albuterol was the cause of the chest pain, and if I continued it, there might be a more serious problem, but I wasn't about to risk my life doing it.

Jsut sucks when the DR calls the ambulance from their office, you go to the ER, and they say, "It's probably just anxiety, " when I wasn't experiencing anxiety (no signs of it). I do have anxiety, but have never been to the hospital for just anxiety before. DRs need to believe people with mental health problems just like they do people without them, because they can have the same medical problems as people without mental illness. So to the DRs out there, take all your patients seriously.

[loripeaceandlove]

Love you Both! What amazing Dr’s you both are. I have been watching you forever and I’m not in the medical field but I am a patient with so many traumas is the neck and severe abdominal injuries. I absolutely Love how you truly care for your patients. I never miss an episode-you and your husband are such a beautiful blessing. Thank You for all you do.
PeaceAndLove
Lori

[LaraA]

Yes please a video on marathon training and how marathons affect the body. 👍I can relate to the 2 pen and quiet corner section. Well done on the marathons🤗

[GiuliaCheckson]

Therapy Doggie Marvin is gorgeously black 🐈‍⬛

[suranyu]

As a cardiologist working in Japan, I always enjoy your videos. Thank you!

[TobyBombMBA]

Sorry Siobhan for stalking you ! Keep Stalking!

[megant]

Thank you for the video! It's been a while since I've watched your content, and can I just say your growth is pretty inspiring! I was always happy to see a look into my own country's healthcare training and day-to-day. Also great to see other nurses and healthcare staff getting involved! It was such a surreal feeling to hear you introduce yourself as an internal medicine and rheumatology specialist- I started watching when it was siobhan, a second year medical resident! It makes me so happy to see the confidence with which you present yourself, but you don't seem to have lost the compassion that drew me to you in the first place. It isn't uncommon to see healthcare professionals who get a bit cold or walled-off after a while, although its understandable. But I hope you know how much of a difference kind doctors (and other healthcare professionals too!!) make. I love the way you present the cases you're seeing in a way that protects patient privacy, and I really appreciated the demos and resources you edited into the videos. It's clear you put a lot of effort into the content you make, which is crazy because doctors (at least in bc) are notoriously busy people! Anyways, I hope you're doing well and taking care of yourself <3

[ejmabrothers]

Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.

[diniscoelho]

You are possibly the most positive person on YouTube! You always brighten my day.

[zoewilliams]

My son had a long hospital admission on the PICU ward and the therapy dog came to visit him and us, it really was helpful for recovery but also such a treat. I have some great photos, even though it wasn't such a great memory of him being so ill at that time the therapy dog was so uplifting for everyone.

[Maggie.can.hug.every.cat.]

Mona and Marvin are amazing!! Thanks for volunteering!!
Im a social worker and I love seeing animals supporting the healing and growth of humans in so many ways. There is a program near me that uses dogs to teach emotional regulation skills to kids. Its so cool to see animals being utilised in this way. I know from having pets that they are magical and can teach us do much, so its really cool to see that being supported in different settings.

[DrSmitaShaikh]

Actually Therapy Dog 🐕 Marvin needs milk 🥛

[deans]

Thank you for your series I enjoy it immensely and as a layman learning to say some new medical terms is pretty cool as well keep it up.

I would also like to share a condensed version of my heart attack I have several years ago.
I had a heart attack in 2015 and I never had the classic signs of heart attack. No chest pain, no numbness or tingling, no sweating or shortness of breath, my only symptom was point tenderness about the size of a dime on my left shoulder that did not affect my ability to do my job. The day of my heart attack I felt fine was doing my job as per normal and my coworkers stated that I suddenly lost all colour in my face and I collapsed and then my left arm went tingly and stayed that way until I got to the hospital where it cleared up and when the ambulance crew showed up and hooked me up the EKG showed a few abnormalities but nothing eye popping to the ambulance crew and fire fighters and even at the hospital the EKG nothing really popped until I had blood work down and was informed that I would be a guest of the medical system for awhile until I could be flown to Vancouver for angiogram and stent surgery. I had one stent placed.

[IIITheDeadGamerIII]

As someone with severe chest pain - thanks for taking us seriously. Grats on the two marathons!

I got my dx and unfortunately there's no real helping me. I got hyper-focused on this to figure out what was going on and my doctor was fully behind me on this.

If you're interested in the puzzle (I'll post what my doctor's diagnosis is in a comment)- Investigations investigations into the chest pain the two EKGs I got showed nothing abnormal. One while not in pain, and the other while in pain at my GP. CBC shows elevated wbc, like my body is fighting an infection.
CRP is elevated. ANA negative and immunoglobulins normal. (Wanted to make sure it wasn't autoimmune).

Symptoms: Fatigue and brain symptoms like memory issues, and inability to focus. Pain: Joint pain in my elbows, legs, chest pain, and various assortments of musculoskeletal pain.

[queenofdramatech]

Having a horribly anxious day and this is making things melt away! Thank you for uploading!

[suzannadannaTARDIS]

As an unapologetic tea hoarder/lover, I enjoyed seeing your tea choices. I have a little pouch in my purse at all times because I have Sjogren's and drink a LOT of liquids overall. That lemon with ginger is one of my favorites that is always in the traveling tea assortment.

Interesting about heart attacks presenting differently, based on the patient's co-existing health issues. Watching this after experiencing heat exhaustion today for the first time in about 30 years. Thankfully, I had my husband and son with me, I knew what was going on due to having it multiple times in the past, and was in a situation where I still had to walk over a mile to get to our car.

Thinking about it, that's be a good topic for you to cover someday - heat exhaustion and heat stroke!

[shmoopsiepoo]

This is incredible! i have been watching since your very 1st year and to see your now specializing in internal medicine and rheumatology is PHENOMENAL!! incredible work so proud! 👏👏👏we need more doctors like you!

[Punkkitten]

Medical question: Why can some heart attacks kill you immediately and some you can be having for 7 days and not know it? My friend had a heart attack and died instantly, and my dad was having one for almost a full week before he finally went to the hospital. My dads heart attack was considered massive too.