- The goal of going to a
hospital is to get good care, so if you want good care,
avoid doing these things. Huge thanks to ShipStation
for sponsoring this video. Never say the Q word, and I'm not saying
quack, I'm saying quiet. Quiet is the worst thing to say. If you say to someone,
"Have a quiet shift", you will send shivers down their spine, 'cause it's like the ultimate jinx. Any nurse, any resident will tell you, the second you wish someone a quiet shift, you're gonna get 30 admissions,
three rapid responses, four code blues. You're gonna be the
busiest person on the ward. Never discuss patient
information in elevators. This is the worst place to do it, and it happens quite often, because oftentimes, you're in a rush from one floor to the
other, you get a page, you're calling someone back,
you have one of your colleagues who you're handing off service to, so you tell them something quickly. But you must remember, you
could be on the elevator with a loved one, a jealous
spouse, a little child, someone who does not need
to know what's going on with the patient's care. Patient confidentiality above all, and that's my good friend HIPAA. Never ever follow the five
second rule in a hospital. In fact, you should never follow the five second rule anywhere, but definitely not in a hospital, because of MDROs, multiple
drug resistant organisms. You know what happens in a hospital? We administer a lot of
antibiotic treatment, which means that we get a lot
of antibiotic resistant bugs, basically bugs that have become
superior to the antibiotics. And when they're superior
to multiple antibiotics at the same time, that
presents a huge problem. So the next time you drop a
little peanut on the floor, think about all those
very resistant organisms crawling upon that, you
consuming it, getting really sick and all antibiotics fail. Not trying to scare you, just
trying to keep you smart. Don't get upset if you
feel that the doctors are trying to get you discharged quickly. If you don't feel ready to go
home because you're not safe, there's not a secure
home for you to go to, you can't take care of
yourself, that's one thing. But if you feel that doctors are trying
to get you discharged sooner rather than later, that's because that's
in your best interest. The longer you stay in a
hospital unnecessarily, the more likely you are to
get sick in the hospital from other infections, from
lack of proper adequate rest, meaning that you stay up all
night with all the alarms and all the patients that
are upset and yelling. So the goal here is to
get discharged as quickly, but as safely, as possible. Don't ever reach into
a hospital trash bin. And I know you're probably thinking, vomit, poop, urine, all that stuff. True. We usually use biohazard bins for that, but my concern more so is if
whoever was doing a procedure didn't dispose of sharps
into the sharp container and then you were to get
poked with something, potentially giving you an infection. Never reach into a hospital container. Let it be, whatever it is you dropped. Call for help. Get one of the members
of the custodial staff to help you out, 'cause
it's really dangerous reaching into those bins. Never eat your family member's food who is admitted in the hospital. We keep very close track
of calories consumed, intake, not just food
wise but also fluid wise, for our patients, especially
if you're admitted for a condition like
congestive heart failure. We actually monitor the ins and outs. If we think that your loved
one consumed a lot of liquids and then didn't have the
urinary output we expected, we might think there's a problem. Only allow them to eat their food, and if they don't want it, allow us to document it before you eat it. Back to the video in just a second, but first, I want to talk
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every single shipment. That's two whole months of
shipping made quick and painless and it's free to try. Just go to shipstation.com/doctormike. All right, let's get back to the video. Never insist that doctors do a job that the nurse is trying to do. Very often, I'll see a patient say, "I don't want the nurse
or the phlebotomist "drawing my blood. "Let the doctor do it. "They're more senior." Whoa, whoa, whoa. You do not want a doctor
drawing your blood. You want someone who does
this on a daily basis, who's trained to do this. Honestly, I think in my whole career of watching people get their blood drawn, nurses are way superior
than doctors in doing so. Never take an air ambulance ride without doing price
comparison shopping first. This one might seem weird, but in reality, there is ways in non-emergent settings to find out costs if you
need to be transported by an air ambulance. You can lower your cost
by a significant margin if you just do a little
price comparison check. Literally call. They're obligated by law to tell you. Never, in a hospital, in an
emergency room most importantly, should you leave AMA. This means leaving against medical advice. If we are concerned about
something, don't leave, because that concern is likely warranted, and if it's warranted, that
means something bad can happen without medical expertise and equipment to save your life around you. I have seen one too many times patients leave the emergency room or even leave being
admitted in the hospital against medical advice, with
horrendous consequences. Never be afraid to advocate for yourself or your loved ones in a hospital. Sadly, unfortunately, but in reality, it's true that we make mistakes. Hospitals make mistakes. During handoffs, meaning when
a new doctor comes on shift or a new nurse comes on shift, we can sometimes mix up information. So advocate, ask for explanations, ask more questions than you
thought was required initially. I've seen good patient advocates, whether it's a family member
or the patient themselves, save their lives by doing so. And if you don't have a
family member to help you, most hospitals have a
patient advocacy office that you can call and ask for help. Never take medications from home. Meaning, if you're
admitted into a hospital, the nursing staff is
educated on what medications you're supposed to be getting, and then you take the medicines and then they give you medicine. You can either A, double
dose on medications, or two, when a doctor goes to
prescribe a new medication, they may not be aware that you're taking a
medication from your bag, and therefore miss a potentially serious and toxic drug interaction. There are instances though that
we can take your medications and have the nurse enter
them into the computer and use your medications instead of prescribing you a fresh set, if you're interested in
saving money that way. Make sure you tell somebody,
that's the important takeaway. Never take sleep medication after 1 AM, and this isn't just advice
for patients in the hospital, this is also for young doctors, because here's what's
gonna end up happening. In the morning, when we round
at six, 7 AM, very early, and the patient's very groggy, we will A, not be able
to properly examine them, or even worse, think that they may have
an altered mental status and rush them to get a
CAT scan for no reason 'cause we think they're having a stroke. So if it is after 1 AM,
find an alterative way to try and get some Zs. Never ignore the end-of-life
care conversation with your doctor. You may be thinking, "I'm
only here for a mild illness. "My loved one was simply
admitted with pneumonia. "They're gonna get better soon. "Why are we talking about end of life?" You may even get mad. But trust me, these are the times you need to have that conversation. We need to know your wishes. You need to know your loved ones' wishes. You need to think about your own wishes. Do you want CPR? Do you not want CPR? Do you want full active treatment? Do you want modified treatment? Who is your power of attorney if you aren't able to make
decisions for yourself? These are the most important
questions you could answer while you have a mild illness. That is why we ask. Never ever ever ever ever ever,
this one happens the most, ever lie. Any time you lie, you're
only harming yourself. Feeling shame in a hospital
needs not to be felt, because there's rarely
stories that shock us. We speak to patients all day long, we hear all sorts of situations. Nothing is really shocking. In fact, it's more
interesting than anything. So the next time you wanna lie about your potential cocaine use, like one of my patients did, think about the medication
I'm about to prescribe that cross reacts with it and can have a very lethal interaction. Never bring your valuables with you. Leave them at home. And if you brought them with you because you happen to get
there in a state of emergency, give them to your loved
ones to bring home for you, because here's what happens in a hospital. You're gonna get a little see through bag, they're gonna put all your
personal belongings in it. That bag will move from room to room with the patient transporter. It'll go into a closet
that's not really secure. A lot of people have access to it. And God forbid you lose something, the hospital's just gonna
say they're not liable. So leave the expensive watches, jewelry, fancy technology at home,
unless you absolutely need it. You learn things to
never do in a hospital, but now I'm about to do a thing here and open up some fan mail. That's right, we're
bringing this segment back. I miss it too much. You guys send way too good of
items to not see on camera. Okay, we got something from California. California! We got a badge holder and
stethoscope decoration. Ooh, whoo! Look at that decor. That's some serious decor. In case you guys didn't know, I'd be a DO. Yo, yo, yo! A honeycomb. 100% edible raw honeycomb, hand cut directly from the beehive frame. 10 out of 10. Give me kiss. Kiss. No, kiss. (Bear barks) No, kiss. (Bear barks) No, kiss. (Bear barks) Kiss. (Bear barks) Can I have a kiss? Kiss. (Bear barks) No, kiss. There you go, good boy. Speak. (Bear barks) Look at my face. It's in my mouth. It's in my mouth. It's in my mouth. What? Osteopathic handshake, and it's a hug. Let's do shots, and
it's a DO vaccine thing. Just DO it! These are so, are these custom? Proud of what I do, and it's a DO thing. I can't die, the MCAT already killed me. These are fire. No joke, I might tattoo this on my body. Street Fighter hand wraps for boxing. Honestly, I was too poor
to afford Street Fighter back in the day, so I
didn't really play it. (light music) And that's how you wrap a hand. Bear. "Dear Bear, I stumbled upon
your human's YouTube channel, "noticed how he usually wears
nicely embroidered scrubs "but doesn't seem to have
anything embroidered for you, "especially your first
appearance during his Alive tour. "So to correct this infringement, "I felt you needed embroidered bandanas. "Stay floofy." Peewoof! How did we not think of Peewoof? - [Man] Never once. - Never once. Is that how he's supposed to wear it? I love that he doesn't care at all. Bear, you're such a
handsome little floofender. Look at you, just say cheese. Uh oh, this one's not for me. This toy removed four plastic
bottles for the environment. It's made from 100%
recycled plastic bottles. Wow. The official sleep shirt, Mike and Bear. Aww. I sleep in these types
of shirts all the time. A blade less neck fan. Interesting. It's not bad. - [Man] You look cool. Do you feel cool? - Both. Not too long ago, I shared a
story about one of my patients in the hospital who was mistreated. Click here to check that
out, and also don't miss out on your 60 day free trial to ShipStation by visiting shipstation.com/doctormike. As always, stay happy and healthy. (light music)
that's good advise