Doctors, What's Your They Never Taught This in School Moment?

nurses and doctors have read it what is your they never taught this in school moment this one was fun patient and it gets a standard urine drug screen positive for ethanol alcohol patient insists he does not drink alcohol test is repeated positive patient is very upset he does not drink alcohol blood test is drawn it's negative we checked everything we could think of did we have the right urine the right blood it should be impossible to test positive on urine and negative on blood meanwhile i finish his regular urinalysis high white blood cell count and really high glucose elevated white cells means you need to look at it under the microscope because they probably have an infection it's loaded with yeast the man was diabetic obviously and had high glucose sugar in his urine along with a yeast infection of the bladder the yeast was fermenting the glucose to ethanol within his bladder he was the man who peed beer so that's how bud light got started i was in my first year out of family practice residency the specialists like to sneeringly refer to us as jack of all trades master of none i was on call from the air abnormally unshakable the dock was beside himself had a very pre-term mom in active labor and fog wouldn't let us fly her out he was the only a dock and the transferring facility wouldn't take her in transport without a physician on board probably not legal but we needed her to be at a hospital with aniku and ellen d so they called me in root i was trying to coach her to breath through the contractions but she felt something coming out i looked and saw a foot so we're in the back of an ambulance delivering a footlong breech preemie we delivered about a minute or two out of the hospital they were expecting a mom in preterm labor not a micro preemie we were met in the ambulance bay by one nurse she took a look at me holding the baby with a blanket and oxygen and said follow me we ran through the hospital to l and d and turned on an incubator peds wasn't in house and the baby's heart rate was low so i proceeded to interbet her that was 12 years ago she survived and is doing great i wrote my program director at 4 00 a.m that morning when i got back home thanking him for all the training i think i used 100 of my training that night i'm in a lot of preemie support groups and this scenario sadly is very common we need niku stabilizing capability in every hospital moms call an ambulance and the ambulance takes them to a hospital without an eku and a viable baby dies all the time oh my gf walking into a patient's house home health and almost being knocked unconscious by the smell of cat pee the lady housed 25 feral cats but didn't let them outside because she was afraid the coyotes would eat them walked into a trailer house connected to a camper only to see the floor start moving realized it was cockroaches not the actual floor i'm a professional organizer same a patient being treated for hiv purposefully tried exposing staff members to his fluids that was a sobering experience nurse here a very panicked nursing assistant came running to the desk one day saying you have to come see this i don't know what this is the na brought me into a patient's room where she was giving a bath and points to an area on the patient's buttocks what is that i lean in for a closer inspection when the patient starts to turn back around and says is that my eye sure enough i didn't receive and report that my patient had a prosthetic eye which at some point came out of the socket and became suction cup to her buttock i left the room and had never laughed so hard in my life shame it's totally unethical and unlots of other things a pic of that would have been sensational but i mean totally wrong of course nearing completion of an air contrast barium enema on an extremely elderly patient out of nowhere she starts saying call rochester funeral home i'm dead call rochester funeral home i'm dead she repeated it no less than 10 times took care of a young man with a gunshot wound to the abdomen he had many complications he was in the hospital for over a year he had an ostomy bag for a while but when they finally removed it he was so nervous because he hadn't pooped in so long his call light goes off and he says go look in the toilet you are never going to believe this i go in there and there is poop in the toilet his first solid poop i had seen in over a year i walked out and gave him the biggest hug he was so proud of his poop i walked out of his room with tears in my eyes nursing school never prepared me for crying outside of a patient's room because i was so happy they had pooped i really like this one small victories when my mum was fresh out of nursing school in the 80s she got a job at a hospital that had a high concentration of geriatric patients one particularly frail man took out his dentures before sleeping then passed away in the night during her shift his cheeks were so alarmingly sunken in my mum and another nurse tried to put them back in so as not to horrify the family however rigor mortis had already started to set in she said nursing school definitely didn't prep her for that nightmare bro so many things i think one important thing that was never taught is how to deal with a patient dying for the first time but i couldn't stop picturing his last breaths the yelling of his family all of it played through over and over hospice is tough but it still is one of my favorite jobs i've ever done oh man i don't know how you did it i have a lot of respect for you my grandma screamed the worst scream i have ever heard in my life when my grandpa died in hospice i'll never be able to get it out of my head i had to leave it was overwhelming i don't think i could deal with that on a daily basis how to put a fake eye back in a patient came in from a not so nice nursing home with a multitude of problems one of which was a disgusting draining fake eye that had to be removed for treatment upon discharge we had to put it back in simple enough we thought but we have no idea how and struggled to figure it out i suppose that is why the nursing home staff never took it out to clean it this was decades ago fake eye technology is probably much better today how to react when a patient's bowels pop out of their incision this happened when i was a brand new nurse but of orientation quite a learning experience but came in handy because a few years later it happened to a different patient and i knew what to do you have to keep the bowels very moist cover with sterile gauze and patient is rushed to the ore lol one of my favorite patients at the emergency vet little spaniel chewed out her spay incision and her owners found her playing dragging her intestines through the leaves brought her in wrapped in a garbage bag a whole team of us spent a long time in surgery just rinsing it all off she got a ton of antibiotics and did great when i was a student i accidentally degloved a patient from the elbow down they were incredibly sick probably already brain dead and had one of the worst case of 10 toxic epidermal necrolysis i've ever seen anyway i'm in there holding this lady's inside-out arm skin like an idiot with the family standing in the corner horrified and i just froze my first thought was to kind of slide it back on but thankfully one of the cena nurses rescued me and snipped that crap off women will pee and poop during labor ribs crack during cpr and it feels really weird there is a market for amoxicillin amongst iv drug users according to my patients it's very common for somebody else to put c in their urine and fentanyl as a sexually transmitted drug respiratory therapist here how to act when we unplug the ventilator to let go a patient especially when the family is around to their defense they do warn us it's going to happen but it's never until you actually do it that you realize the weight i like to talk to my patients even if most are already brain dead at this point although i did have to unplug conscious patients that was hardcore to say the least this gives me a sense that at least if even a small part of their consciousness is still alive at this point they know they're not alone i tell myself that at least from now on they won't be suffering anymore l d nurse the other day i had to give a steroid injection to a 27-week pregnant woman who was going into sepsis here's the thing the steroids would develop her baby's lungs in the event she needed to be delivered but they could also make her much more sick definitely the most intense shot i've given in my life last i heard she was doing better and still pregnant thankfully student nurse here how to hide looks of shock when something very surprising or awkward occurs i remember one time a doctor grabbed me when i was in the hall to hold something for him while he was putting a patient's prolapsed rectum back in awkward digital disimpaction i can only imagine the partnering instructions for that no one poop for two weeks then come to class and buckle up the dead people can still fart middle of the night all alone with the body and you hear that scared the heck out of me i was cleaning a recently deceased client once and her arm twitched while she moaned frightened the life out of me they never really tell you how to cope with being berated by family members patients and even co-workers part of being a nurse means that you realize you are dealing with people at their most vulnerable at the worst time in their lives and you know this in the back of your head but being an emotional and sometimes physical punching bag for days at a time requires a certain mental toughness that you can never really prepare for had to comment because this is so true and a good explanation of why the burnout rates for nursing medicine is so high how to sit in bed and hold your patient as she profusely vomits and delivers her 16 week old dead fetus yes they teach you that compassion and empathy are the backbone of nursing but absolutely nothing can prepare you for this type of situation i heard this story from a slp always keep a clear exit she was working with a stroke survivor set her at the workspace and walked around to the back of the table with her back against the wall and facing the door suddenly the little lady says i know who you are you're the lady who has been sleeping with my husband suddenly this lady has lunged across the table and is legitimately trying to kill the slp luckily lots of other people came when she screamed code blue she couldn't think of anything else at the moment i mean code blue works even though that really should have been a code grey all those things you encourage your patients to do eat well exercise get enough sleep etc also apply to you i know too many nurses who don't take care of themselves mentally physically or emotionally in a very draining environment self-care is incredibly important and sometimes we'll lose sight of ourselves and trying to take care of others but we're of no use to anyone if we're running ourselves ragged from former boss how someone looks at you when he tests positive for hiv after his wife died of aids because you were her doctor and you treated her for years you are also his doctor you knew she hadn't told him and you knew that she was still having unprotected sex with him wtf on behalf of my husband no one tells you how many low-income women will go to the air complain of abdominal pain go through an exam and have different tests ordered because they can't afford a home pregnancy test not only this but women who know they're pregnant do this because it's the only way for the health of the baby to be checked what to say to a family watching you code a patient for 15 minutes and pink frothy sputum is exploding out of their e.t tube while you're doing compressions i was never taught about sun down syndrome until i was working with the elderly in a hospital setting as a student nurse i had the sweetest elderly patient in my care until about 4pm that day he suddenly became possessed he started screaming and hallucinating and was not the man i had been providing care for earlier i was so befuddled when the nurse i was shadowing told me he had sundowners and explained it to me now it's your turn to explain it to us please number one most memorable cardiac massage for 10 straight minutes while a guy was bleeding to death from multiple gunshot wounds had to stick my fist up though someone's left lung to locate the heart and to directly give them cpr literally pumping this dude's heart so it can keep circulating blood felt like i was doing a fatality move in mortal combat it was surprisingly small and very squishy they never teach you to expect the unexpected i got floated to the iq on a slow day they immediately gave me a patient who was violently hemorrhaging out of his mouth while all of family was inside freaking out with me he died an hour later had two different patients coming with thighs big kitchen knives deeply embedded in an eye socket they were both awake and talking enema parties are a thing inflatable penis implant surgery is pretty shocking but also amazing opening up a tumor cyst to find fully grown teeth and hair inside of it the day a patient exploded in surgery and it splattered the entire or team and room with this brown fluid there's an alarming number of nurses and doctors who don't know what the frick they are doing i've learned so much more but those are what i can immediately recall wait wait wait i'm gonna need your to elaborate on the exploding person so many things here's what i can't think of off the top of my head one sugar is used to put someone's prolapsed rectum back in sprinkle it on and let it sit drawing some of the liquid out of the tissues of the rectum and just kind of push it back in that was fun on the job training two how to put someone into a bodybag with dignity especially if they're tall and or in an awkward position three ferny's gangrene one day i was actually precepting a patient care tech when i was a nurse in the year and had a patient ask me to help him dress his wound this was not why he was in the hospital thinking this would be a great teaching moment i called my tekken to learn how to do some wound care she learned that day how to maintain an excellent poker face 4. never block your own exit out of a room with an actively psychotic patient 5. how to comfort an inconsolable baby using a combination of low shushing in their rear a somewhat aggressive swaying motion and some humming 6. how to interact with patients and their family members on sometimes the worst days of their life how to hold someone's hand when they've just gotten terrible news about their own or their loved one's prognosis how to celebrate the often few and far between wonderful news we get to tell patients and then how to leave that room where you may have just told a family their loved one is dead collect yourself and go into another room with another patient and care for them like it's just another day nursing is a profession where you have the sacred honor and ability to be there for people on the best and worst days of their life to be able to hold a life that is merely seconds old and hold the hand of someone during their last seconds on earth that's not something that you can be taught in school patience having sex and or shooting up in the bathrooms people coming in oh deed and then bouncing out the door as soon as they are conscious to come in odd again a day or two later then repeating the cycle every week or two but somehow never dying patients who fake symptoms to get admitted for attention or to get a day off work or get hopped up on goofballs or whatever thing thereafter delirious old ladies telling me to get out of their living room or they will shoot me any kind of self-harm patients coming in next are dead because they've been neglected in the prison system if you have a patient in labor or in any painful procedure who wants to hold your hand only let them hold two fingers they can't squeeze them too hard and break the bones they still get the comfort of human touch i've had patience in labor pinch me pull on my clothes and squeeze my two fingers as hard as possible some are just panicked but some seem to be angry and want to hurt someone i calmly ask them to stop with the pinching or pulling on my clothes because that isn't helping them these are often people who have refused an epidural because they are afraid of needles and i understand that i just am not going to be black and blue i always teach the new nurses or students the two-finger trick this reminds me several years back had a couple in for delivery asked what method of pain control they preferred they looked at each other giggled then he said she bites me i asked for clarification and apparently during her first two deliveries when the contraction pain became unbearable she would take his hand and literally bite the freaking crap out of his knuckle they were both hip to this plan and oddly proud of it fast forward a couple hours and labor is getting well advanced i look up from a vaginal exam in time to see her clamp her teeth on his kalau's knuckle she appeared to be biting with full pressure he made a bit of a face but not a sound and thus we ushered their youngest into the world contraction would start she'd take a lung full of air and push to the count of ten while biting the heck out of her man it worked for them so who am i to judge but it made me somewhat uncomfortable that two fingers idea is smart i was working with this tiny girl that was in pain from stretching muscles and i had her squeeze my hands to help with the pain i assumed that since she was so little it wouldn't hurt but then she could squeeze it really put into perspective how much pain she was in from what seemed like a simple stretch book world and real life nurse world is completely different i'll play along they never teach you that your psychotic dementia patients will try to hit you they don't teach you how to react or don't to a patient or family member or physician yelling at you they also don't cover how to handle your mostly non-verbal elderly male patient inviting you to hop on and take a ride yes he meant his penis as a sonographer i have to keep a poker face a lot of times when i am seeing something very alarming or sad on the screen luckily most people have no idea what i am looking at so that's a plus i'm not allowed to give any results to patients doctors deliver the bad news so i have to stay neutral it's really hard had a patient with horrendous teeth a muser couple of teeth fell out during intubation so they sent him up with them in a denture cup that was a real awkward conversation when he woke up anytime there's something up the butt that time 100 year old grandma broke her hip falling out of bed but not her bed on a more serious note the your loved one is dead phone calls this is usually done by the doctors as i feel it should be but sometimes nurses do it rn here for me the most surprising thing has been seeing firsthand how peaceful it is for a patient to be able to choose when and how they will die i was present for the first medical assisted suicide on my unit the patient had his loved ones surrounding him and we all watched as he said goodbye and shortly after took his last breath in my area of nursing patients get better and go home i always viewed my work as a means to make people better it has taken me a while to process his decision it was beautiful and peaceful and really made me look at nursing in a different way i care for people to help them live but for this man i was able to support him through death emt here sorry to intrude they teach you how to handle death they tell you you're going to have dead patients you're going to see the ugly side of death that doctors and nurses don't have to see because when they get the patient most of the ugly is handled by you so we need thick skin but when you have to hold the hand of a kid less than 10 years old who says i don't want to die and next watch him slide into a no waking up sleep it's freaking life-changing freak me i didn't want to cry tonight enough for did for today i hope you're getting therapy or something that's some heavy crap to carry sexually harassed by an elderly patient the guy is 80 and frail was i grossed out yes was i threatened number but they don't teach us how to respond to impotent harassments from hospitalized patients do i get a new doctor for him what if that doctor is a woman too should i put up with it i treat rude abusive buttholes every day why would this be any different still trying to figure out what i should do this they don't teach you how to deal with sexual harassments from patients and it happens so much they also don't tell you that if a patient physically assaults you there's really not much you can do apparently pressing charges on a patient is tricky if you hit me in the air because you are drunk i can't do anything about it yet if it happens at a bar you can get arrested as a nurse's aide we are just supposed to say i'll get the nurse for you when you get a real stumper but when a dying patient or their family member cries to you they don't want to die you can't get someone else to help them you have to find the exact words to find in the middle of serving dinner and five call bells ringing off your hip probably the hardest situation in palliative work my mother was a nurse who cared for elderly patients in a very rural part of england here's a few her favorite stories one was a lady who decided to help clean the windows she used the food from her daenerys open napkins there was a fun mess to clean up another was three gentlemen who spent the night calling out for their wives one was named edie one was named emma the other was named ellsbert she said that was one of the longest shifts ever finally she said most of the elderly men were completely clueless when it came to ordering their dinners they would always say something along the lines of that's my wife's job she used to just order them the basic meat and two veg option and rarely got complaints whatever your grandad would like usually was the safest bet my grandfather was a farmer they never teach nurses how to express manage expressions in unexpected or poor situations i personally have no trouble hiding everything but watching people around me and the people patience themselves tend to ask me what's wrong with that nurse doctor me being able to keep such a straight relaxed face and expression helps everyone around normally being able to explain something bad without a panic expression is an invaluable skill which can definitely be learnt taught though nothing can prepare you for some situations i can say i can't remain relaxed with i see a high-risk person self-remove the trash tube when your patient has a crap the size and shape of a football stuck in their butt and you have to use your finger to delicately scoop it out when the doctor comes along and tells your patient they are dying of cancer then walks away and leaves you to pick up the pieces when your patient is 90 years old has dementia diabetes cancer and comes to hospital with pneumonia they are 30 kilograms soaking wet nothing but a bag of bones who doesn't recognize themselves in the mirror yet their family insists they are for cpr omg that last one is the saddest thing if you are new to the channel you can subscribe i publish new videos every day until then check another video so bye for now

Channel: Updoot Everything

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Keywords: doctors, doctor stories, medical school, medical, nurses, hospital, emergency room, surgery, er, #updootst, updoot, reddit, r/askreddit, askreddit, ask reddit, r/, \r, r\, best of reddit, reddit stories, reddit story, top posts, funniest posts, funny, funny posts, funny reddit stories, funny askreddit, reddit funny, askreddit funny, askreddit stories, reddit stories 2021, people of reddit, sub, reddit cringe, memes, toadfilms, updoot everything, updoot reddit, story, stories, rslash, comedy, fresh

Id: KWg_odB42EA

Length: 24min 41sec (1481 seconds)

Published: Mon Feb 22 2021