- Well, good morning folks. You're coming with me for
another day in my life in the hospital. I get to show you some cool aspects of how we've adapted care
in the era of COVID-19. I'm gonna shower, I promise. Thank you. I'm going to give a huge thank
you to Clorox for sponsoring this part of the video. Before heading out to
work and starting my day and leaving Bear unattended, I want to make sure I leave
my house really clean. So I'm gonna show you how
I clean my commonly touched surfaces like this countertop
right here using Clorox bleach with Cloro Max. I actually premixed the solution
as directed right there, have my gloves to keep me safe. I dip my white rag and I
wipe it down. Wipe it down. Now, in all seriousness, you're gonna get proven disinfection. You're gonna kill 99.9% of germs with only a third of a cup. Just make sure that you follow
directions really carefully on that one. You could use this on a
lot of high touch areas. Remember I told you those are the areas, Bear, you're distracting me, buddy. Those are the areas that are gonna have the most germs on them. So you think faucets, doorknobs, just a lot of non porous
surfaces that get touched quite frequently, and as they say, "When it really matters, trust Clorox." Let's give Clorox a huge
thank you for sponsoring this portion of the video. I'm about to hop in the shower, clean myself, and get ready
to take on another day at the hospital. There was a very crazy
start to the morning, I was woken up several
times throughout the night by news agencies reaching out, asking if I'm able to do
television this morning, I'm actually going into the office. So I won't be able to do media. Today is an outpatient
family medicine day. TGIF. Donna, are you ready?
- I am ready! - What are we doing? - We're giving you your flu shot. - Why?
- Keep you healthy. - Are you gonna be really
rough with the needle? - I'm gonna be so gentle. I think I might jab you a little. - She's gonna jab me, but that's
because I misbehave a lot. This is the flu shot. We're gonna close the door
cause it's getting serious. Be rough with me, let's go,
pull it up as hard as you need. It's stretchy. - I want you to relax. - I'm relaxed. - One, two, three. Huge. (beep) Perfect. - That was really good. That was smooth. - You did not even move.
- That was smooth. While we're sitting
here, I have my bone pen. (laughing) But in all seriousness, everyone at home, please get your flu shot. We really need it now more than ever. It's COVID-19 season. And while this flu shot
does not prevent you from getting COVID-19, it does prevent you from getting
a virus which may look like COVID-19, which will lead
to a ton of confusion. On top of that, with hospitals being busy, handling COVID-19 patients, we don't want you to get sick
with the flu and then have to come into the hospital for care. It's funny, I'm actually
in an exam room right now, but as you can tell,
there's no patient here. But there is a computer and
this computer has a webcam and a microphone all set up
for virtual patient visits, which we've been doing a lot of. In fact, telemedicine
has absolutely blown up during the COVID-19
pandemic and rightfully so. A lot of things you can take
care of by a virtual visit. Having a conversation about medications, perhaps looking at some rashes, there's all sorts of
guidance that we can give through a virtual visit. That being said, a virtual
visit does not replace a visit face to face with your doctor. There's all sorts of benefits
to seeing a doctor in person, including getting an
accurate physical exam, reading body cues, having a better doctor-patient connection. The physical exam is probably
the most important though. - Yo, Tia? - Yeah? - You know what time it is? - What time is it? (laughs) - It's lunchtime. I'm treating today. - We're chilling with our
favorite doctor, Mike, here. - What do you wanna eat? You always tell me I
don't order enough food. - Where's the buffalo
pizza you normally order? (dramatic music) - Team! What are we eating? - That sandwiches place
down on Main Street. - Okay, sandwiches? - Yeah. - Okay, Greg, any votes? - Not really. (dramatic music) - Tell me how COVID
has affected your life. - It has affected me,
I would say personally. - Okay. - And emotionally. At the end of it, if we work
really hard to stay safe and follow guidelines, we'll be better off in the long run. And that's something that gets me by. I wanna show you guys real quick, some COVID related changes in the office. This is our waiting area. Social distancing is important. We're also not having patients wait here. They actually call us
from the parking lot. Let us know that they're here. We get them checked in,
meet them right by the door. Do a temperature check,
ask a few questions, bring them in following a one way path. Patients can only walk
through this hallway, exit through there, enter through there. This is cool. I like pointing away. Stacy, why are you laughing? Just stop laughing at me for one second. Vivian, how do you feel about
5 million people seeing you? - It's a very trying experience. (laughing) - So I just had a really
interesting patient encounter with a young gentleman who was
complaining of easy bruising and actually bruising that
happened over the last weekend without any trauma or
any inciting incident. And in these conditions, a
lot of people start going to clotting issues, platelet dysfunction, even cancer, sometimes. What's interesting with this patient, all those things have
already been ruled out because they were seen by hematologist, who is a blood specialist. This is the second time they're
being evaluated for this approximately a year later. And right away, my mind
jumped to something that was actually learned
in medical school. And that's Ehlers-Danlos Syndrome, which is a connective
tissue disorder that causes hypermobile joints, skin
issues like easy bruising. So I asked the patient, if
he has any hypermobility, and he said, "Oh yeah, I
consider myself double jointed." He's able to bring his thumb
all the way to his wrist. The skin is very elastic, very loose. So now we're beginning the
evaluation to see if he has EDS. But unless we think outside of the box, when a patient comes in, you
can miss a diagnosis like EDS. That's why it's important
to get a thorough, thorough history, each
time you talk to a patient. I swear sometimes like, you
think people are doing work. You think they're doing work, but instead, here's what they're doing. Here's what they're doing. What is that? That's not work. (laughing) You're looking at dog pictures. (laughing) Abuse, call HR. - Breaking news, they put you in a tutu. - That is my tutu. So I
did that for breast cancer and it is breast cancer awareness month. So folks, if you're of age, get screened, talk to your doctor about it. Today was sort of a short day. It's only about five, six o'clock. I thought I'd decide to drive
over to the main hospital and show you what we're
doing here in terms of preparing for a potential
second wave of COVID. Yeah, look who run into. Who is that? Who is this? - Hey, get me off of YouTube! - Okay. (dramatic music) Now, this ladies and gentlemen,
is a sign I can get behind. The stairs of the hospital. This is where we got all our exercise in when we were residents. This is where I would sprint
up and down when it was a code blue, you know, chest
compressions, chest compressions, chest compressions. All right. We're officially on the
floor that can be used if there is a need for overflow
of ICU patients specifically made to battle COVID-19. A lot of people have been wondering, what are hospitals doing to
prepare if there is a second wave of COVID-19? Well, this is what we're doing. There's technological advancements that I want to show you
throughout this unit, that is a prime example
of collaboration between the nursing staff, that healthcare staff, engineering staff, which
you may not think of as part of healthcare team, but they're a vital part
of the health care team. - Engineering basically made these eight beds pods for us, and
they gave us a monitor system. So we can look inside all the rooms. So we don't have to go in the room. And also they gave us these
monitors so that we can adjust the physiologic monitors in the room, so we don't have to go in. The other thing they did is during COVID, when nurses needed something, they'd have to bang on the door, get someone's attention and
scream to the door saying, "I need this." So, intercom system. - Wow. - So all the rooms have intercom systems. On the med surge units, the doors had little slits for windows. - Yep. - So here, they made
the windows much bigger, easy visibility, and we
don't have to peer through a little slit. The other thing is outlets. - Oh yeah, something
that we take for granted. We don't even think about those. - Outlets on the wall in the hallway. - Why should they be in the hallway? - Because that's where
all the equipment is. - Right. So you don't want to have it
inside the patient's room. 'Cause then if you need to
change it, that's a waste of PPE. That's a potential exposure. - The other great thing
engineering did, listened to us, is they built these
little holes in the wall. What that does is, we feed
our IV tubing through. Each of the rooms is outfitted
with what we call a scrubber. So if you make any room
into negative pressure. - Look at that. - All the patients had to
be at negative pressure. - Exactly, so for those
of you who don't know what negative pressure
room is, it basically sucks the air into the room,
keeps the air into the room so that infection doesn't
potentially seep out into the environment, getting others sick, which protects other patients
and nursing staff, doctors, CMAs, everyone who's around. So how many total beds are
available on this floor? - So there's going to be a total of 32. - 32 beds, and they're
available, ready to use already if we need them. - Correct. - So we're prepared for the surge. We're ready to help people out. And these can be full on ICUs. - They can be full on ICUs. - Wow, okay. So we're ready. Is there like a central nursing station? - There is.
- Can we see that? - You have a large monitoring screen here. The cameras that we can look
at all the rooms right here and then our central monitoring
station is right here. - And then you have oxygen
meters, medical air, the vacuums, everything is
set up, so it could be done right here without necessarily
entering the patient's room. - Correct. - Hopefully we won't need
to use this unit much, but if the situation arises,
we can absolutely know that we're going to be taken care of. Our patients are going
to be taken care of, our staff is going to be safe. Do you have any parting words
for YouTube audience here? - No. Just, you know,
don't feel like, care. If you're sick, come to the hospital, we are a safe place to be. We have many lessons that we
learned that we've put into place already. And we're here for you. - Healthcare hero right here. (laughs) Alrighty, you guys got the
full tour, the COVID wing. I am on my way home. Not to
relax, but to do some notes. Every job has its pros and cons. Writing long notes, cons of this job, but the pros most definitely outweigh it. I'd never trade my
career for anything else. (gentle music)
I know EDS wasn't taught in nursing school for me. The first time I heard of it was my junior year in my maternity clinical when one of my postpartum patients had EDS listed in her chart. I asked my nurse what it was and she told me to look it up. : \ Make sure the people taking care of you know you have EDS if it's relevant to your care.
That mask isn't on properly and it's bothering me so much lol
my Occupational Therapist told me he heard it once in a presentation during scjool and never heard about it again
All my friends in med school/residency tell me it's being taught now. Theres hope!
It was, briefly, taught in pharmacy school. Just a "hey, this is an example of a collagen disorder" when we were talking about collagen structure. It was <30 seconds and just had a picture of the really stretchy skin so...
yes it is nowadays
If the timestamp doesn't work, the relevant part starts at 4:38.
I learned about it in school
I still always ask if my doctors know about it.