Pre-rounding

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  • Publicado el 23 ene 2022

Comentarios • 1 781

  • Sokrates Andre
    Sokrates Andre Hace 4 meses +41651

    The actual point of pre-rounding is that the patient gets a chance to tell the medstudent he wouldn‘t have allergies just to deny what he just said in front of all the doctors at great rounds.

    • Isaah
      Isaah Hace 8 días

      Lmao 🤣🤣🤣🤣🤣🤣🤣

    • EverydayRuth
      EverydayRuth Hace 8 días

      @Rosemary Lindop so true 🥴

    • ron l
      ron l Hace 12 días

      Many patients purposefully change stories….think it’s funny…..

    • ๑
       Hace 13 días

      Oh this HITS hardd 😭

  • maplelump
    maplelump Hace 4 meses +3264

    My pre-round post spinal surgery was surgical resident and anesthesiologist coming in to tell me that I made them laugh hysterically when they were putting me under. Because allegedly, I stopped them while they were injecting me, and went "Is that propofol?" them "yes." "FYI, that feels like fire in the veins, probably why we don't use it in the vet clinic. Anyways, have fun with my intestines and spine boys!" and was out.
    ...I remember NONE OF THIS INTERACTION PRE SURGERY.

    • Azemina Ay
      Azemina Ay Hace 20 días

      😂😂😂

    • Judy Gambel
      Judy Gambel Hace un mes

      @delphie23 you still kinda feel it just not as much

    • Luccas
      Luccas Hace 2 meses +1

      i had to be put under (for some reason) to get a surgery on a broken finger and get some pins put in to hold the bone in place, and when I came to my doctor told me I was singing before I went out, and they all had a laugh about it. doesn't surprise me, I'm a literal singer, but it was funny knowing that happened when I was basically unconsciou already and couldnt recall when I was awake again

    • blucantrell2
      blucantrell2 Hace 3 meses

      @Nightraven26 thanks

    • Nightraven26
      Nightraven26 Hace 3 meses

      @blucantrell2 you can mix propofol with lidocaine

  • Lucy
    Lucy Hace 4 meses +3863

    why are hospitals so determined to deprive anyone and everyone of sleep? the staff is working 24 hour shifts, the patients are getting blood drawn at 2 am. it’s insane

    • DaniDesi P
      DaniDesi P Hace un día

      @Sam W
      Did you look up WHY they were checking it?

    • Sam W
      Sam W Hace un día +1

      God damnit was that annoying when my wife had our baby. Finally get the LITERALLY HOURS OLD INFANT ASLEEP and they come in to check his bilirubin

    • Delphi
      Delphi Hace 2 días +1

      dana102083 you still need rest to recover. Them bothering us all the damn time doesn’t help. This is coming from a very frequent flyer

    • DaniDesi P
      DaniDesi P Hace 2 días

      @My Rezz
      That should depend on WHY you came in. A patient can be "fine" and code 2 min later. Not always on a critical unit floor.

    • Gucci Malcs
      Gucci Malcs Hace 5 días

      @KRAZE should’ve stood up for yourselves.
      Also, you look at tik tok and see all the nurses bullshitting during their shifts? You get no sympathy lol. You do it to yourselves.

  • Omaew
    Omaew Hace 4 meses +612

    Ideally, pre-round is for medical students to practice managing their assigned patients.
    Back in my school, med students are allowed to write orders in medical chart which will not be taken w/o attending physician /residents signature. Not getting ur orders erased is like one of med student's honorary badge.

    • Farabi Hussain
      Farabi Hussain Hace un mes +7

      This is exactly why pre-rounds is used. It’s not for the attendings. It’s for the medical students and junior residents. They need to independently come up with a plan rather than being told what to do. Attendings don’t pre-round. Sadly, med students think this is scut, and that pride at being able to come with a assessment and plan is gone.

    • Nadia George
      Nadia George Hace 4 meses +1

      Dude I love that

  • Sarah
    Sarah Hace 4 meses +594

    Pre-rounds are an exquisite excuse for us, poor, med students to take difficult histories that the patient isn’t willing to give. Also we wake up at extremely ungodly hours if we want to complete the ward. Then we get publicly ridiculed while “presenting the data” as the patient denies ever being diabetic.

    • Jameson 123
      Jameson 123 Hace 9 días

      @MsStarSword dude the best thing you can do is make a list of all the medications you take and what health conditions you have and bring it in to the hospital

    • Joy Kelly
      Joy Kelly Hace 19 días +1

      @Larissa Gallo
      Only once a week?!
      Nurses get yelled & cussed daily. Eventually you develop a tolerance & can take it, but it also takes away you ability to give a f--k.
      Behold my field of f--ks, they lay barren and wasted.
      I am immune to the drama of immature and reactive adults who lack the ability to control their mouths when they are angry 😌

    • Larissa Gallo
      Larissa Gallo Hace 19 días +1

      #truth. I would take 1/4 of a Xanax everyorning just to get thru rounds. Got yelled at at least once a week.

    • KhârnTheAngry
      KhârnTheAngry Hace 3 meses +8

      @NoalFarstrider someone just woke him up for pre rounds, dont mind him. The tantrum will pass

  • anton gunther
    anton gunther Hace 4 meses +27235

    Pre-rounds sounds like one of those things that an overachiever kept doing that quickly became the standard.

    • Just Me
      Just Me Hace 15 días

      @BacklTrack Totally.

    • BacklTrack
      BacklTrack Hace un mes +1

      @Just Me that explains a lot. Seems like we need to give all doctors unlimited drugs

    • Judy Gambel
      Judy Gambel Hace un mes

      @Daan change bayud and especialy in academic -_-

    • Zetsuke4
      Zetsuke4 Hace 3 meses

      lol

  • Sean Kathleen
    Sean Kathleen Hace 3 meses +104

    I always wondered the point of pre-rounds. Having a rare syndrome and being in a teaching hospital, I talk to a lot of med students. I generally like pre-rounds because it gives me someone to discuss things that I want to discuss with the doctor since the final round tends to go rather quick and the med student can have my back if I forget anything I wanted to ask.

    • JuniorDr
      JuniorDr Hace 3 meses +1

      @? exactly. No one likes that timing

    • ?
      ? Hace 3 meses +11

      Cool but like can they not do it at 5:30am while I'm severely depressed and sleep deprived

  • Honorious
    Honorious Hace 3 meses +67

    Patient POV: My daughter has a condition that has led us to be in the hospital way too much. Anyway, when it's about your kid who's sick and you're happy they made it through the night, pre-rounds are something you set your alarm for, you schedule your poops around, you live for those things so the doctor can give you hope for the remainder of the day. Rounds are where you get an idea of where the entire team is at and what the goals for the day are. Pre-rounds usually feel more intimate, Rounds feel more like a couple coaches coming together to come up for a game plan . That's just me though

    • Liz Xu
      Liz Xu Hace 3 meses +6

      That's a good POV to have. It's nice to have a more of an informal round and then a formal round. I feel like they would see you more as a human during pre round than an object as well

  • Who?
    Who? Hace 4 meses +51

    LMAOOOOO! This is so spot on it makes me want to laugh and cry! As a "professional patient", all the checks and stuff they are always waking me up for is the bane of my existence when I get stuck in the hospital. The way you explain how the medical system really works, but with savage humor, is amazing. You are truly One Of A Kind, don't ever change! Ever!

    • KRAZE
      KRAZE Hace 3 meses +3

      Professional patient... I assure you everytime those nurses see your name on the check on screen they say "fml"

    • Michelle Todd
      Michelle Todd Hace 4 meses +1

      Haha. Professional patient. Love that term. What makes you "professional". Over 7 hospital admittance in a year?

  • no1bandfan
    no1bandfan Hace 3 meses +41

    “Because that’s how we’ve always done it.” Is one of the biggest inhibitors of continuous improvement.

    • ian ian
      ian ian Hace 3 meses +1

      Practically, "continuous improvement" is impossible. Even after a major discovery or innovation, the process of "improvement" is only a refinement of what is already there as a foundation.
      New discoveries or breakthroughs are not always significant or actually helpful, and rushing into what we might immediately interpret as an "improvement" may turn out to be negative in the long run--this is why historical precedence matters.
      "Don't fix what isn't broken" is a fine phrase, though, of course, it's balancing act. Too much adherence and the field may stagnate; too much "innovation" and we fall into chaos, where nothing is true.

  • Apparently my name was not good enough for Google

    In vet med, pre-rounds are secretly extra-time to cuddle with the new puppy/kitty litter that was delivered overnight. The length of the round is also directly proportionate to the cuteness of the patients. All need to be informed repeatedly they are the goodest of girls/boys.
    UPDATE: Wow, wasn't expecting this many likes. If you're reading this, please say a kind word to a veterinarian today. There is a dark side to this light banter - the DVM profession has one of the highest rates of suicides. This is due to being exposed to patients dying/performing eutanasia very often (compared to the majority of medical doctors), working under stress, being at the receiving end of angry/grieving owners. We're talking about highly empatic people, often with inadequate mental health care support, and having relatively easy access to medication that can be unfortunately used to end one's life. Thanks for reading.

    • Cris Retana
      Cris Retana Hace un mes

      Ok new plan, we’re going into vet now

    • Rachel N.
      Rachel N. Hace 2 meses

      At first I thought you meant Veteran medicine. People should more frequently take personal leave for mental health care. I was forced to do it once given the dire situation, but I so wish I had stopped that crazy 24/7 stress train before it got to that point. Prayers for you and your family and to all caregivers out there 🙏 ❤️

    • Emily Hurst
      Emily Hurst Hace 2 meses +1

      Surely the personality type and circumstances of the vets should be taken into consideration as well as the nature of the job. Many more classic over achieving females are becoming vets (in the UK at least). They may be more sensitive than their male counterparts and become prone to suicide ideation.

    • Mike Lawrence
      Mike Lawrence Hace 2 meses +1

      Thank you! I didn't know that statistic... Troubling for sure. Just know you are appreciated by this stranger. I wish you a happy New day every single day!

    • Jen DuBay
      Jen DuBay Hace 3 meses +2

      @Olivia Allen it was a god sent when I found a vet that would take payment plans- and would let me do much of my own vet care myself for the cats and dogs that tend to show up on my property (there’s legitimately a shelter in my town that suggest dumping animals down my road. I was livid.) I know how to do things like giving vaccines, IV fluids, blood draws, and I do my own fecals because no one treats goats, so it was skills I had to learn on my own. Finding someone that understands I have some basic knowledge but not a ton of money has made my life heaven, even if it’s an hour drive away from me. I’m not a pet owner, essentially, I’m the stop gap between the overfull shelters who will constantly put down animals because they’re over full, and finding someone to take this animal I helped off my hands as a permanent home. This last month alone I picked up 6 dogs and 13 cats. I obviously want to help them, but times are tough, and if I can’t do it myself with a little guidance, I can’t afford to do it at all. It’s hard, and very few people will help.

  • Misein
    Misein Hace 4 meses +48

    So I worked the night shift at a nursing home a while back, specifically, memory care. This hits a little too close to home. I had one resident who would throw her poop at us when we came in. I literally started carrying a cardboard shield with me when I went into her room and threw it away every day, made a new one, and so on. I know how this works on an emotional level.

    • Ellen Womer
      Ellen Womer Hace un mes

      Hospital RN here, took me a sec to switch definitions of "resident" :'D though my first thought might not be out of the question after 27 hr call ....

    • gh0stgirl
      gh0stgirl Hace 4 meses +3

      Bruh

  • Angela Taylor
    Angela Taylor Hace 4 meses +4

    I always wondered what was the thinking behind so many sleep interruptions each time I had a surgery(9 of them so far). I really wish there was the option to recover at a recovery facility if home was not a good place to recover. It would have spead up my healing, in my opinion.

  • Angela Smith
    Angela Smith Hace 4 meses +57

    As a patient, I’m not appreciative of pre-rounds, they usually happen an hour after the last time my poor nurse takes my vitals before rounds, between 3-4am 🤣. I’m grateful to y’all regardless of the mild sleep deprivation 😎✊🏽🙏🏽

    • Emma
      Emma Hace 27 días

      Oh no :'D hope you're getting better sleep these days ✨

  • Shelley
    Shelley Hace 4 meses +50

    I kind of like when med students come meet me during their pre rounds because I’m what one med student called “medically interesting”, and it gives them time to ask a bunch of specific questions about my rare condition without the time constraints of the medical team.

  • Jessica Smith
    Jessica Smith Hace 3 meses +1

    I will say that when having a loved one in the hospital, pre-rounds gave me comfort that they were being taken care of & that the med team actually cared. I’m sure it’s cumbersome on your side, but thank you so much for doing them.

  • Andrew Hastings
    Andrew Hastings Hace 4 meses +35

    As someone who isn’t into medicine this seems like a perfectly reasonable thing for med students to do. It’s kinda like reading through a chapter before attending class

    • Bailey Logan
      Bailey Logan Hace 4 meses +4

      Idk if there’s extra stuff that I’m missing but I just recently went to the hospital and it makes zero sense there tbh…

    • Bailey Logan
      Bailey Logan Hace 4 meses +17

      The chapter is a human being that is in pain and healing and you’re disturbing their sleep for information that could easily have waited for rounds …?

  • Grant Brenner
    Grant Brenner Hace 3 meses +3

    It's a precious moment of autonomy, when med students can safely develop the social skills required to interact with patients one-on-one.

  • naomi osaka
    naomi osaka Hace 3 meses +2

    💞Asi con toy y sus mañas no se la loveme.Uno/uchi
    Megan: "Hotter"
    Hopi: "Sweeter"
    Joonie: "Cooler"
    Yoongi: "Butter"
    Son unos de los mejores conciertos
    , no puede ir pero de tan solo verlos desde pantalla, se que estuvo sorprendente. ...

  • Lee Dunn
    Lee Dunn Hace 4 meses +11559

    Yes. Hospitals are a great place to stay if your condition is dangerous, or you need urgent or emergency care. They are a terrible place to stay if you need rest and convalescence.

    • alphacat667
      alphacat667 Hace 17 días

      Exactly

    • Gé Rosalem
      Gé Rosalem Hace un mes

      Omg yes! Especially if you share your room with 3 other patients and all of them were diabetic. Seriously, nurses coming and going from our room all day and night. It was terrible. And I had to stay there for 43 days 😭

    • Sebastian D
      Sebastian D Hace 2 meses

      So true. I was in hospital for two weeks and there was constantly sth going on...

    • Nudedragon
      Nudedragon Hace 2 meses +1

      Tragically, rest and convalescence are absolutely critical to recovering from almost any ailment, a point often lost on doctors.

  • Lisa Callan
    Lisa Callan Hace 3 meses +2

    As a chronic illness patient, I don't even question it anymore lol I love talking to the student. I was able to calm a nervous student down once and was so happy!

  • choly mexy
    choly mexy Hace 3 meses

    Asi con toy y sus malas no se la loveme.Uno/PROZEN 💕
    Megan: "Hotter"
    Hopi: "Sweeter"
    Joonie: "Cooler"
    Yoongi: "Butter"
    Son unos de los mejores conciertos
    , no puede ir pero de tan solo verlos desde pantalla, se que estuvo sorprendente .

  • choly mexy
    choly mexy Hace 3 meses

    Asi con toy y sus malas no se la loveme.Uno/PROZEN 💕
    Megan: "Hotter"
    Hopi: "Sweeter"
    Joonie: "Cooler"
    Yoongi: "Butter"
    Son unos de los mejores conciertos
    , no puede ir pero de tan solo verlos desde pantalla, se que estuvo sorprendente .

  • imisslost
    imisslost Hace 3 meses +1

    As a parent of a child that is frequently hospitalized, I actually liked the pre-rounds. Those students were very thoughtful and inquisitive and made sure to ask the team any questions I may have. Being surrounded by a whole team would sometimes feel intimidating.

  • Oscar Álvarez
    Oscar Álvarez Hace 4 meses +3773

    The point of pre-rounds is to avoid getting destroyed during the rounds.

    • Tzed
      Tzed Hace 10 días

      Yup!

    • Impossiblemusic55
      Impossiblemusic55 Hace un mes +1

      @Catherine Bills you replied to the wrong person Karen LOLOL. I made no medical statements other than IV’s feel good when you are dehydrated. FROM PERSONAL EXPERIENCE. Get a grip lady

    • Catherine Bills
      Catherine Bills Hace un mes

      @Impossiblemusic55 you have a lot to learn about medicine

    • Kristina G
      Kristina G Hace 2 meses

      You can still get destroyed during rounds trust me

  • Olivia987
    Olivia987 Hace 2 meses

    I feel this on a spiritual level, especially rounding on surgical wards. I genuinely don't understand how this isn't seen as a barrier to better pt recovery. Ok now your elderly post-op is sleeping until 11 because you woke them at 6, and they're too tired for morning physio which means they might get left until tomorrow. Make it make sense.

  • Emma Kearney
    Emma Kearney Hace 3 meses +2

    THIS!! I’m an MA and every time we had a student go to see a patient first it was just take twice as long to get the patient in and out. Of course it’s important for them to get this experience while on clinical rotations, but there’s gotta be a more efficient way of doing things 😩

  • l2ebel96
    l2ebel96 Hace 3 meses

    Someone give this man a trophy. He speaks straight facts!

  • Ad D
    Ad D Hace 3 meses

    I was hospitalized for COVID for 15 days, my husband for 2 months before passing away from COVID, and I totally understand this video. You even made me laugh 😂

  • Olga D.
    Olga D. Hace 3 meses +1

    When I was in the hospital recently, the rounds were completely useless from the patient's perspective. The docs would barely talk to the patients about their conditions or let them share about their symptoms or ask questions. So I would have appreciated the pre-rounds because it sounds like an opportunity to actually talk to someone and not just be treated like a piece of furniture.

  • Archishman Mukherjee
    Archishman Mukherjee Hace 4 meses +88

    "The bureaucracy is expanding to meet the needs of the growing bureaucracy"

  • Hilmy A. S.
    Hilmy A. S. Hace 3 meses +1

    to clear up some confusion, rounds are where your examination skills are evaluated by the attendings. its not about efficiency, it's about education. non education hospitals dont need this, attendings will just go over all 30 patients in like 1 hour.
    med students need longer time to examine the patients because :
    1. we are performing tests not routinely done by attendings
    2. we may have to look up how to perform some tests as we go
    3. we are way less experienced, meaning we may be digging up some unnecessary data or letting the patient ramble pointlessly. a good physician knows when and how to cut off the patient

  • Plagg's camembert
    Plagg's camembert Hace 4 meses +65

    So basically pre rounds are unnecessary except for when the med student gets to be scolded about something they did or didn't do 🤣

  • Liv Black
    Liv Black Hace 4 meses

    I loved pre-rounds 🙄 5 yrs living mostly in hospital with my daughter; every 3 hr vitals followed by pre-rounds. I was so deprived of sleep for years; my lucky kid would sleep through all of it. I drew the line at them doing a physical during pre-rounds because that would wake her, and then I’m stuck with a grumpy baby/toddler lol

  • Shana Lawson
    Shana Lawson Hace 3 meses

    Watching these medical shorts always informs me of how little actual care I have received during my medical needs. Saying, they’re showing me how things are supposed to be done.

  • Everetti
    Everetti Hace 3 meses

    I remember when I went to my dream job for a week (to check out if it was what I wanted) we started work at 6 and then we had to say good morning to all the patients, and we chilled. It was so peaceful.
    I can imagine how ER is. Or any other place. Rehabilitation for injuries is better in that place imo

  • Catherine McClain
    Catherine McClain Hace 4 meses

    This reminds me about a policy where my dad worked. 2 VPs had to sign a document rather than 1. My dad asked why. The response was, "Because it's policy."
    "Why is it policy?"
    "Because we get audited on it."
    "Why are we audited on it?"
    "Because it's policy."
    "Why is it policy?"
    "Because we get audited on it."
    The convo kept going like that until my dad gave up and hunted down another VP and explained the same thing to him with a diagram.

  • Cindy P
    Cindy P Hace 3 meses

    I had a nursing student that came in and asked me questions. She said she was a student and this was required. I did my best to be helpful. She was sweet and being trained to be an awesome nurse. I wish the best for her. 😀

  • Stephenie Tabor
    Stephenie Tabor Hace 3 meses

    Lmao, this is so true! The patients always hate being awakened at ungodly hours especially after they were already awakened at 2am for vitals. Noone ever really sleeps.

  • RossDog
    RossDog Hace 4 meses +1

    If you're here watching This and feeling inspired then keep going grinding away! keep up the good work and Never Give Up!

  • Jacob Kleinsasser
    Jacob Kleinsasser Hace 3 meses +4

    Reminds me of an old saying. "The light on top of the tower is for planes so that they see it and don't crash. And the point of the tower is to hold up the light."

  • Marrow Man
    Marrow Man Hace 4 meses +6215

    You missed the best part of pre-rounds -- none of the blood work has come back (or hasn't even been drawn) and last vitals were at 2 am, so absolutely nothing relevant to present to the team other than patient cursed at me for waking them up early. Good times.

    • Z L
      Z L Hace un mes

      Accurate.

    • Kesha Artis
      Kesha Artis Hace 3 meses

      That (the patient) was me, granted you managed to wake me up (no easy task). I’m not a morning person so there’s a -1000% chance of me being nice before 8AM. Quadruple that if I’m in pain. Double on top for every digit above 6 and hour from last pain med dose. I would say sorry but I’m not.

    • Robert Perez
      Robert Perez Hace 3 meses +1

      That was me!!!! (Not directly me in your case)
      They took their last vitals at 11:30pm, gave me the Demerol and it was night night time… then 4am I heard the door jiggling open and I immediately got annoyed

    • Marrow Man
      Marrow Man Hace 3 meses +3

      @Abby The Duck Lord I've been given the needle several times to help with difficult sticks. No complaints -- always happy to help expedite, if needed. And I have no issue with the time it takes to do the draws. My criticism is on our medical team for scheduling decision-making rounds (and pre-rounds) before all the information is back. Either do the draws at 5 am (as scheduled) and wait until 10-11am to round, OR, round at 8 am with 'conditional' plans for blood to be drawn at a reasonable hour. My issue is with sequencing the data inputs with insight generation, not with the speed it takes to generate the data.

    • Abby The Duck Lord
      Abby The Duck Lord Hace 3 meses +4

      @Bald Kiwi trending is important but there are so many docs that put in orders in between the trending draws. Ive had patients tell me that they would've never told their nurse/doc about chest pain if they knew how many times it would make them get poked. There's also times where the large amount of blood draws has caused them to go towards the comfort care route instead because they get so sick of everything. Trendings are important but so many doctors don't realize how draining (literally and figuratively) it can be on a patient. When the pt has had 4 normal, non-increasing trop levels in a row, odds are, they don't need to keep getting poked for that unless new chestpain arises or it may just need to be checked once a day with morning labs. There are way to many docs out there that say "I want just a few more."

  • CasualQuasar
    CasualQuasar Hace 4 meses

    That final line really got me giggling the way he said it 😂

  • Effy S
    Effy S Hace 4 meses +1

    no joke, i was the most tired i've ever been in my life after spending 4 days at the hospital, which was after they admitted me because my hemaglobin was lower than 5. so basically i was more tired from the hospital stay than from having no blood lol

  • ParabolaTool
    ParabolaTool Hace 4 meses +3

    I remember having my appendectomy last year and afterwards being told to get lots of rest to help me recover faster only to be woken up every few hours for the next 4 days.

  • Kevin
    Kevin Hace 3 meses

    Actually I read a study once where pre-rounds was a concept specifically to help train med students so that way they had good bedside manner there was something else too but I'm struggling to remember lol

  • CandyDreamQueen
    CandyDreamQueen Hace 3 meses

    As a person who has spent a great deal of time as a hospital patient, watching all these shorts and tiktoks made by doctors and nurses, I find it so interesting seeing how so many of these hospital practices or as confusing for the staff as they are for the patients.

  • GallowsCalibrator
    GallowsCalibrator Hace 3 meses

    Prerounds to me if they're kept to trainees are a great way for some hands on training yes its repetitive but that works when it comes to learn how to read charts and questioning patients

  • NATALI- 🥂T[A]P Me!! to Have [𝐒]𝐄𝐗 With 𝐌𝐞

    In vet med, pre-rounds are secretly extra-time to cuddle with the new puppy/kitty litter that was delivered overnight. The length of the round is also directly proportionate to the cuteness of the patients. All need to be informed repeatedly they are the goodest of girls/boys.

  • CaramelfromKansas
    CaramelfromKansas Hace 26 días

    It's a great chance to have all the patients wake up, and use their call lights just before just shift change. It's a wonderful way to lower Nelson Denney scores, because they've been woken up AND neglected by nursing staff who are stressed to the max 😌👍🏾

  • Anon A
    Anon A Hace 4 meses +2

    Oh my gosh the sleep deprivation I went through when I was having surgeries to reconstruct my leg, it was so excruciating. They also wake you around 4am for blood draws.

  • RarewareLover
    RarewareLover Hace 4 meses +2

    "So pre-rounding is when you find out what happened overnight?" "Well, actually we hear about overnight events during sign-out." "Signout? what's that?"

  • SVURulez
    SVURulez Hace 3 meses +1

    As a caregiver who spent years trying to hold down a full time job (average 60-70 hour weeks) while sleeping on the little hospital couches...yeah that extra hour of sleep would've really helped.

  • CJihoo
    CJihoo Hace 9 días

    When I was a long term patient at one point in my life, sleep was impossible.
    2am blood draw
    4am xray
    6am vitals
    8am breakfast
    10am family visit/doctor rounds
    1pm lunch
    3pm Physical Therapy/misc treatment
    4pm Vitals
    5pm family visit
    6pm dinner
    8pm misc treatment
    10 pm lights out
    And I've had chronic insomnia ever since.

  • perfectly imperfect23
    perfectly imperfect23 Hace 3 meses

    Say it louder for the people in the back!!! I know when I stayed in a teaching hospital that had this kind of system,we won't even get into the disaster that was that stay and how unorganized everyone was,us patients were waken up throughout the night for vitals,blood draw at somewhere from 1-3 a.m,i.v pole going off or my roommate's,her vitals didn't get done the same time as mine so the lights got turned on by each other's nurses,then pre round comes in between 5-6 then the group came in around 7ish. And again my roommate had a different team then me so this was done twice essentially. But then they get mad and wonder why you're trying to sleep during the day. 🤦‍♀️😧 all my other stays weren't at a teaching hospital but the other stuff like vitals,blood draws and what not ring true regardless of where ya stay. Along with the why are you sleeping it's not night.

  • Tuckjess30 T
    Tuckjess30 T Hace 3 meses

    As a recent patient in the hospital, I was ALWAYS asleep when the med student would come in at 5am. They will wake you up and smile in your face while talking loud as you glare at them. I finally asked one of them to come back after they visited the other patients since I was just plain exhausted. They weren't the only ones that never let me sleep. You don't get any rest while in the hospital.

  • onlyhummingalong
    onlyhummingalong Hace 4 meses

    I was awake in the middle of the night looking for sleep meditation, and ended up here on this video. So i watched several of your videos. Of course, I love them. Now to find that sleep meditation.

  • TheSabiqoon
    TheSabiqoon Hace 3 meses

    I love this guy! One time my attending asked why I didnt wake up a completely stable getting outpatient workup inpatient patient....lols.

  • not disappointed or surprised

    For my non-med friends, pre-rounds is also a way for med students or interns to learn, talking to the patient and getting additional info like fluids, urine output, pain and discomfort etc, which would take longer during rounds. It's so students gain experience and one-on-one time seeing the patient before the consultant or senior resident, otherwise they won't learn.
    Consultants also check the students knowledge about the case during rounds so it's better they are more prepared beforehand. It's more encouraging for me to teach and explain the information to the residents and students if they are aware of the patient's condition. If you don't, then I'm assuming you're not making an effort to know your patient. They appreciate it when the people taking care of them do that.

    • O A
      O A Hace 3 meses

      I’d think the patient would appreciate a full night of sleep much more.

    • Anna Yakuhana
      Anna Yakuhana Hace 3 meses +1

      @not disappointed or surprised my understanding is that this only happens in public hospitals here. If you are rich enough to pay for private hospital care, you won't be helping train any new doctors or woken up at ungodly hours. Money is the differenciating factor.

    • Cameron No
      Cameron No Hace 4 meses

      @panic! Short answer: Is that extra 1-2h worth $2,600 to you because that's the average cost per day. Pushing all our 10-40+ patients off an hour would increase your likelihood of that occurring.
      Long answer: Hospitals aren't the same type of businesses as hotels. We order labs to trend and assess your stability to leave. We would all rather be with our families or come in later, but our subspecialists are human too and will need to see you. Delays run the risk of having you be at the bottom of the list and unseen? The same goes with other needed treatments/ services.
      The point of pre-rounding in the US is to identify emergent interventions and allow for a reasonable plan to be made when you can assess them the same day. It can help you get out the hospital ASAP and minimize your chance of catching an infection from the hospitalization or from getting injured while hospitalized.
      Lastly, we have to chart and act on recommendations from consultants to expedite your care. Charting is important because the most dangerous time for patients is during transfers of care, so there is a ton that goes on for every patient. Again, multiply it all by 10-40 times. it isn't practical to push it off when staff already get there at 4-5 AM to review the chart and might be driving home at 10 PM (I've done that many times).
      Contrary to how that may sound, we really do want our patients to have a rejuvenating stay and to see them improve and happy.

    • not disappointed or surprised
      not disappointed or surprised Hace 4 meses +1

      @they walking up to you and in a poor third would country in Asia. That's it. Don't worry you probably don't live there, you'll be fine.
      We have a few karens but generally our countrymen are nice to the people trying to save their lives.

    • not disappointed or surprised
      not disappointed or surprised Hace 4 meses +1

      I think i should stop now. Looks like I've said a lot and if some people just don't want to get it, that's the way it is.

  • Jo HexxKitten
    Jo HexxKitten Hace 3 meses

    When I left hospital I was EXHAUSTED, getting home I was able to actually recover & begin to feel better.
    Although I did have a nurse come in for 2 hours every day. But she came to me last every day. She could hook up my PICC to IV antibiotics. They take hour n half to run through.
    So she did her notes, we watched TV, had chats (I know she was "sneakily" getting more info about my recovery.
    It was middle of July & hot as balls. So when the ice-cream truck came outside, my brother (he lurked around our house until my husband got home from work) would head to the ice-cream van and get us all frozen yummies.
    But I was so much better rested after I left hospital...

  • Quicktwosteps
    Quicktwosteps Hace 3 meses +1

    I remember when I spent the night in ICU-like room and the doctor and his minions had a "round." The one on my left side was a burn victim, the one across was in a car accident, while me got a severed artery resulted from a gunshot on the leg. The doctor and his minions did their Q&As in front of the patients but they just completely ignored me when it was my turn. 😅 I was like, "what? My case is not interesting enough?"
    The suck part was I also got shot on the left forearm, the bullet actually created a hairline fracture on my radial. The nurse only noticed my forearm injury when she cleaned up the rest of my dried up wound in the morning. I did not feel it since I was still numbed from the post surgery.

  • Elizabeth Schwartz
    Elizabeth Schwartz Hace 6 días

    Lol as someone with severe medical conditions who has spent years in and out of the hospital, the amount of times someone comes in to ask you a question by the time rounds comes around… 🤣

  • Navi _
    Navi _ Hace 3 meses

    I remember not getting much sleep when I was hospitalized , but only cause they were terrified of the noises the machine would make every time I drifted to sleep 😅
    My O2 sat would drop like a rock, and they just wanted to make sure I wasn’t dead or dying. I was fine. Turns out I just have congenital PAH, diagnosed in 2014 👍 thanks docs

  • Otis Simon
    Otis Simon Hace 3 meses

    NEVER STOP making your content, you are brilliant 😂😂😂

  • Ashley Singletary
    Ashley Singletary Hace 3 meses +1

    "Because we have to pre-round"...the sound of his voice was reminiscent of my days when you calculated your drinking to include a good pre-game before transportation and the actual party time. Lmfao 🤣🤣🤣🤣🤣🤣😜🤪

  • Darlene Libbi
    Darlene Libbi Hace 4 meses

    As a patient I fully appreciate the awareness that they keep waking me up

  • Katie Beale
    Katie Beale Hace 3 meses

    If I had a dime for all times I’ve had this exact conversation my student loans would be paid off 😂

  • Ali Jay
    Ali Jay Hace 3 meses

    I always thought pre rounds is where the med students make their analysis as if they were the doctors and then in the rounds they confirm or deny if they got things right, it's like their practice

  • GoldenBrownApples
    GoldenBrownApples Hace 3 meses

    My friend took me with her to the hospital when she had fluid collecting in her lungs and needed it drained. She had to answer like 15 questions to get processed into a room in the er, then the same questions again before they moved her to a room in the actual hospital. Then another round of the same questions in the hospital room by her nurse, before getting those same questions again from a group of doctors, and one last time from her actual assigned doctor. All before they decided they weren't going to drain her lungs until the next day. It was insane.

  • Seven Soul
    Seven Soul Hace 2 meses

    This is so funny. I recently spent about 3 weeks in the hospital, kidney issue. I saw the hospitalist maybe a total of 3 times. So about once a week. But they changed my meds every day. We’d finally find a routine that controlled the pain, the very next day, the doctor I hadn’t seen, goes in and changes them. It was INFURIATING, for myself and the nurses.

  • Aaron
    Aaron Hace 3 meses

    I was a PCA on med/surg neuro for 2 years, and I can confirm that we do not allow patients to sleep at night in the hospital 😂😂

  • dos eckes
    dos eckes Hace 4 meses +74

    god bless the "pre-rounders"
    mom had secondary pulmonary hypertension. i made it a point to be bedside when they came to see her. an M1 took it upon herself to call me every afternoon with any updates. i am sure she and the intern she worked with knew mom inside out and were able to provide detailed info to the team resulting in the excellent care mom received.

    • S J
      S J Hace 4 meses +6

      I love this. I think that this is some of the best way medical students can add value to the care. Often residents or attendings may be too busy to call family unless absolutely necessary. Medical students also have more time to take a more thorough history and to bond with the patient. When I would pre-round on a call day (when rounds are in the afternoon), I would sometimes spend 45 minutes talking to the patient about their health, habits, motivations, and just life. Also in clinic students would call patients to help remind them/check in about medications including insulin titration/blood sugar logs and check to see how therapy was working. Anyway, rambled just to say that there are important things that medical students can do that are beneficial to the patient. Ultimately medical students are going to be doctors and they need to learn and practice - best way to do that is see real patients - but I can see that you know that. :)

  • GeekFilter
    GeekFilter Hace 13 días

    As someone who had a heart transplant… Doctors constantly checking in was the bane of my existence. And on top of it UCLA is a learning hospital so add a whole bunch more to whatever is “normal“. I can count on one hand the amount of time I got more than four hours of sleep entire time I was there. I am fairly sure that my recovery would have been drastically improved if I had been able to sleep!

  • Sarah K
    Sarah K Hace 3 meses

    The whole sleep part.. as a nurse I always say.. you didn’t come to the hospital to rest 😂 the sleep is minimal for patients cause nurses do vitals over night as well

  • Daniel Perez
    Daniel Perez Hace 4 meses

    Sounds to me like pre-rounds is an excellent learning and practice opportunity for med students who will then eventually be doing rounds for the rest of their lives.
    Then again, it's just a med student, so the actual rounds must be done by actual medical professionals just in case anything was missed.

  • LaShonda Allen
    LaShonda Allen Hace 4 meses +20

    As the exhausted patient please don’t do the pre rounds. The only thing that happened during the night was we were woken up for vitals and gave blood every time we fell asleep good. You missed nothing.

  • MrGoudeyman95
    MrGoudeyman95 Hace 4 meses +898

    Because what could be worse than letting your patients get a restful night’s sleep :,)

    • Abby The Duck Lord
      Abby The Duck Lord Hace 3 meses +1

      Nah because they make us get morning labs at 4am. So you not only get woken up but you also get stabbed! Sometimes repeatedly! 🙃

    • faeriegal713
      faeriegal713 Hace 3 meses +1

      I love the contradictory orders i get to deal with - "delirium precautions" and "routine neuro/cms checks every 4 hours" cannot both be followed. That 4am check is gonna be closer to 6 when phlebotomy, the pre-round med student/ortho intern, or the scheduled Tylenol is due.

    • grass
      grass Hace 3 meses +2

      @Abel Feltes and oh no! Turns out the patient is in fact, still asleep and now they’re gonna be stuck in the hospital for a very long time!

    • Josh Thiede
      Josh Thiede Hace 4 meses

      They been laying around all day 😂

    • Abel Feltes
      Abel Feltes Hace 4 meses +44

      The only thing worse is letting them get a restful eternity's sleep!

  • residentbitch
    residentbitch Hace 3 meses

    when my mom was in the hospital for a surgery and i was there to take care of her. it was very early morning and i barely slept a blink when the med students came to do pre rounds, but when i thought it was over and i can finally sleep in peace, the nurses and doctors came next to do the rounds ☠️ i felt more tired than my mom tbh lol

  • Courtney Blake
    Courtney Blake Hace 3 meses +1

    YAAASSSSSSSSS LET THE PATIENT SLEEEEEEP AND COME BACK AND TALK TO THEM WHEN THEY'RE AWAKE SO THE PATIENT CAN UNDERSTAND AND REMEMBER WHAT THE DOCTORS TALKED ABOUT! 😇

  • PheydraSunstar
    PheydraSunstar Hace 3 meses

    Based on my (unfortunately) extensive experience as an admitted patient, the med student also has to have this conversation w the majority of the patients they’ve woken. Along with, “we really have to do this again?” and, “you and the vampire phlebotomist! Why is it always when I’m asleep?!”

  • Ezer Vanz Portillo
    Ezer Vanz Portillo Hace 3 meses

    As a 4th yr medical student, this is so relatable! 😂😂😂

  • velfarre
    velfarre Hace 3 meses

    only just realizing as a patient this was what you guys were doing every morning. from my pov it's just getting woken up at 5 to get poked for blood, then 6 and then 7 or 8 😂.
    I was hospitalised for so long I learned to sleep through the blood taking and then through breakfast altogether.

  • Yuan Zhou
    Yuan Zhou Hace un mes

    Pre-rounding is done to gather subjective data from the patient, and objective data from your physical exam, and then for you as a provider to form a plan to present during rounds. Whether that plan is accepted or not by the attending is another matter, but the idea is that the attending will not be spending more than a fraction of the time you as the primary “responding clinician” does with your patients (attendings will be overseeing an order of 2-4x more patients than residents/NPs/PAs/etc.) The practice of multi-hour walking rounds is meant to teach students/residents in teaching hospitals, but IMO is too cumbersome for many specialties. It works well for ICUs, not sure about other types of units where the number of patients is higher. In my experience pre-rounding combined with sit-down rounds (in a conference/meeting room) is much better for patient and staff quality of life. I usually let my patients “sleep” until 8am, but they have usually already been awoken for vital signs and labs at or before 6am, because we want/need those lab values to help formulate that plan we present at rounds.

  • June
    June Hace 3 meses

    As someone who spends a lot of time in the hospital because of a autoimmune disorder, it sometimes can be so frustrating but other times we have a nice talk with everyone, also sometimes they don’t wake the patients up, they will just stand at your door without acknowledging you, talk a bit and then leave so that’s cool ✌🏽

  • Amber Blair
    Amber Blair Hace 3 meses

    Ah yes, the nice 6am pre-round. Just as you've fallen asleep after the 3am obs 😂

  • seraphyne13
    seraphyne13 Hace 3 meses

    As someone who has had 74 surgeries and been in the hospital for a LOT of their childhood/teenaged years (and some adult years), the point of pre-rounds is to wake the patient up, or in my case a lot of the time, my parent that's staying with me, so when the doctor comes by you can actually be coherent and semi remember any questions you had and what the doctor had to say. My mom use to grumble because she had to get up, get dressed and do her hair at like 5am or earlier. 😂

  • G Pretzel
    G Pretzel Hace 3 meses

    The way he says “Because we have to pre-round” sounds like he’s questioning everything 😂

  • Not perfect but still beautiful

    I still remember my experience staying at hospitals for about 2 weeks. I had trouble sleeping cause of my illness and 4am-6am is like the golden time for me..it's the time i was in deep sleep..but the nurse, med student & the sanitary staff kept coming & doing their activities, asked me to wake up, to move around so they can change the bed-sheet, checked on me, took my blood, intvwd me..and it's already 7am when they finally gone..then it's time for quick bath & breakfast. I got pretty annoyed at that time. 😁 I feel like screaming "I need my sleep! Please let me sleep!" But i said nothing cause i don't have any energy. 😂 Once i got out of hospital, i slept through the day to payback my sleep deprive. 😂

  • Elisha B
    Elisha B Hace 4 meses +2

    I love how doctor's are all "rest and recover" and you're awoken at 12am, 3 am, 5am, etc.
    "Yeah doc, rest is NOT happening." 😒

  • johnny7p
    johnny7p Hace 3 meses +1

    Every time I’ve experienced this as a patient, the pre-rounder asks me questions to get all my info, then the doctor comes in and asks all the same questions lol

  • Ananth Arunasalam
    Ananth Arunasalam Hace 4 meses +1

    Pre round at 6am- To wake up the patient and make him wonder if I ever went back home after he went to sleep and make sure he's well awake to watch me getting totalled during rounds!

  • Julie Martin
    Julie Martin Hace 4 meses +10

    Never was I so annoyed when, in all my post-partem glory, a med student cane in at 6am and started talking at my sleeping body, awakening me in the middle of whatever it was she was saying to me.

    • I E
      I E Hace 3 meses +8

      Trust me we don’t want to do it either but unfortunately we’re being evaluated and must 😂😂😂

    • Rose Quill
      Rose Quill Hace 4 meses +2

      Last time I was in the hospital they started rounds with me and it was super early and I ended up falling back asleep while they were talking to me

  • Alexis
    Alexis Hace 4 meses +1

    Y'know, it's nice to know why I was woken up so frickin early everyday during my week stay in ICU. I swear I fell back to sleep on multiple days while my nurse was talking. I cannot wake up that early and function enough to give detailed answers 😂

    • BirdyJ0
      BirdyJ0 Hace 4 meses

      This confirms my theory that alot of people don't realize how close they are to dying when they're in the ICU... :)

  • Jordan
    Jordan Hace 4 meses +59

    As someone who’s in the hospital a lot (I have an extremely rare eating disorder and constantly need some sort of medical attention) I can say that last time I was hospitalized Pre rounds started around 5:30 am and rounds started around 6 or 6:45 am. And some days the people who do pre rounds are the LOUDEST people in the world.

    • patrilineal globalist
      patrilineal globalist Hace 2 meses +1

      @John Doe "I don't understand medicine nearly as well as I think I do and I like to publicly display that" weird flex but ok
      Edit: so originally, this was in response to the idea that there couldn't possibly be a rare or obscure ED, which John Doe seemed to be quipping ("your disorder can't be both rare and an ED"), and which is wrong (lots of people don't know about ARFID, for example, or what the diagnosis "ED-NOS" means; orthorexia was pretty obscure until just the past few years or so). But since he's doubled down and ramped it up:
      1. It's possible that OP misspoke when they said "eating disorder" since idiopathic achalasia is a digestive disorder that affects the eating process. "Eating disorder" commonly means "mental health issue involving eating habits," but OP may not have realized this.
      2. Certain types of achalasia can result from or be confused with bulimia, or so it seems from some casual research. So while idiopathic achalasia doesn't result from that, OP may have struggled with bulimia, and may either be misinformed about it being a factor in their development of idiopathic achalasia, or may have just sort of internalized the idea that their bulimia is somehow, semi-superstitiously related to their diagnosis (I am also chronically ill while dealing with some mild mental health stuff, including disordered eating habits, and if you've been sick a long time it's really easy to internalize the idea that because you made bad health choices or did an unhealthy thing, any negative change in your disease prognosis is your fault, even though that's not how these things work).
      The real question is why you came barreling in here ready to play Spanish Inquisition with this random internet person's personal health story. You might be right, but if you're wrong, then you've just been a real asshole to someone dealing with a significant medical issue. Hope it was worth it for the satisfaction of calling a stranger out for (maybe) lying in a comment section?

    • hellen chepy
      hellen chepy Hace 4 meses +7

      @John Doe You completely lack empathy. Wow

    • John Doe
      John Doe Hace 4 meses +4

      @Jordan thats a genetic disorder not an eating disorder and if you actually had that then you would've known that. But its the internet, of course everyone's a liar

  • Julius Bennett
    Julius Bennett Hace 3 meses

    Omg- I remember I was visiting my Dr for a checkup on my medication and she had student with her who came to see me before and it was weird and awkward cause with was like "New person- Not okay" and then I had the Exact same conversation when the Dr came in but this time with my Dr. Idk, I guess it's a good learning experience? The student was really nice and asked me if I was in school and how school was going and was super shocked when I told her I was still in high school after asking me what I was studying for. 😅 I often get the reaction of people thinking I'm much younger or much older so- she legit double checked my paper and was like "Oh, right, you're sixteen I'm sorry!" In her defense I was there for medication for a stress headache disorder so I would also assume myself an overworked college student ¯\_(ツ)_/¯ but nah, I'm just a mentally ill student with a stress disorder an anxiety disorder and a stressful family 😌 Fucking amazing when your body realizes you're not doing well and so makes your head feel like it's being hit with a damned hammer

  • Charlotte Harbaugh
    Charlotte Harbaugh Hace 12 días

    I was in the icu for 5 days 2 years ago, I never slept. Eother the monitor of mine or someone else's was going off, or them taking blood,blood pressure, docs and nurses coming in asking how I'm doing!
    Honestly loved it! I loved the attention, and I was so exhausted that I would fall back asleep over and over again.

  • Alex Miller
    Alex Miller Hace 3 meses +6

    Me, a hospital security officer: "Who called the code gray? (Combative patient)"
    Doc: "It was me, he just got combative out of nowhere!"
    Me: "Are you sure nothing lead up to this?"
    Doc: "Well the nurse woke up him every hour between midnight at 5 AM for meds and he kept telling her to leave him alone so he can sleep but that probably doesn't have anything to do with it".
    Me: (attempts to not facepalm in front of the doctor so I don't get fired)

  • samantha mcdonald
    samantha mcdonald Hace un mes +2

    As someone who has been “pre-rounded” on I can tell you that my answers where fairly gibberish

  • Sarah Garcia
    Sarah Garcia Hace 4 meses +213

    In nursing school we would spend hours the night before clinicals researching our patient and writing up their med list, nursing goals, etc. Half the time we would get there in the morning and they would be discharged and we had to write up everything on a different patient 😬 don't miss those days at all

    • nairda55555
      nairda55555 Hace 2 meses

      @Mel Cat this just seems so silly to me now because the average floor nurse definitely does not have the opportunity to study their patient the night ahead. Even the newgrad ones.
      More the so you should also be capable of switching assignments on the fly and receiving report.
      Relying on written report forms is also not ideal, in the real world you use up to date EMR when presenting a patient and any foreseeable goals for the day.

    • Vegetarier Pfleger
      Vegetarier Pfleger Hace 2 meses +2

      Gosh. In nursing school we had to know everything for us to get a good patient history because we need it for case presentation. Because if there are missing clinical info, the clinical instructor would skin us alive. Nope. Not missing that at all.

    • Mel Cat
      Mel Cat Hace 3 meses +7

      I remember those days… ugh. One time, I had a patient with pancreatitis and I didn’t read up on it enough the night before. I got chewed up by my instructor :( I just remember being deliriously tired at that point. I was doing my best!!!

    • nairda55555
      nairda55555 Hace 4 meses +16

      God I remember that. I remember how much time it took up to formulate a Nanda care goal and then when I hit the field it was like "there literally isnt time to waste like this"

  • Mike Baker
    Mike Baker Hace 3 meses

    I remember my daughter was in the hospital and I would sleep overnight in her room. Every morning I would wake up to atleast 10 people standing in the doorway chatting with each other. Now I know what that's called. Thank you.