So, I had a patient once. I was watching real time while orders kept being deleted and new orders kept being placed. I was about ready to put some calls out because I was so confused as to what was going on. Finally, I turned around and saw the cardiologist. He told me to stop deleting his orders. I told him it wasn't me. Well, lo and behold, the nephrologist was sitting at another computer around the corner and they'd been going back and forth deleting each other's orders. They allegedly then went off to discuss a treatment plan together.
I'm waiting for the patient presentation where I can retort, "Diurese this!!" It's right up there with ER chasing the intern around, shouting, "I've got your McBurney's Point right here!"
I so want to do that every time I see gall stones and cholecystitis on USS and all the surgical reg cares about is did I palpate for Murphy's sign. Yes, I'm a cycling dolphin from ER.
Had a patient 2 weeks ago (I'm in family med) mention during our medication review that his cardiologist and nephrologist always fight over his diuretics. I mentioned it to my supervising physician and he just said, "yeah, we're staying out of that."
As a pharmacist when I see furosemide, spironolactone, and potassium together I'm like aight I'm not calling on this, they've clearly found a balance or are working on one
I had to go to a nephrologist once for BP issues caused by my kidneys. As a biochemist, I know how important the kidneys are to proper fluid balance in the body. When I mentioned this to the nephrologist, he was like "Exactly! Cardiology just doesn't get it." 😂
@@lowkeylokii4205 go remove the fuel filter - or the intake filter - from your car.... see how long it runs. "Hah! But a car without an engine will not run _at all_ " yeah but nobody is saying that an engine is unimportant... _you're_ the one saying that _kidneys_ are "fuck your kidney beans" 😎🤓
@@lowkeylokii4205 I'm a new heart patient and its 'electrical' so does that mean I need an electrician and not a cardiologist? Just kidding. Its a weird way to wait to die, though.
Good one! I'm a veterinarian, and I attended a lecture about managing patients with both cardiac and renal diseases. We had a cardiologist and an internist with an interest in nephrology (we don't have veterinary nephrologists), and they engaged in some friendly banter. At the end the internist said "and remember, if the heart was really that important, there would be two of them!"
Jesus! I have been waiting for these skits my whole professional life as a floor nurse! The amount of times I've had a nephrologist storm up to me, and asked, "Who ordered these fluids?!" And I have to tell them, "the hospitalist did", or "the cardiologist did", and watch their lips curl inward . . . cue eye roll . . .
Considering how hard I laugh at these I can't even imagine how much funnier they must be to people in health care. I'd break something laughing I think
I work in the cath lab with cardiologists, among others, it is spot on. I showed one of the electrophysiologists the cardiologist goes to therapy and he about had a stroke from laughing so hard.
I cannot help but laugh at all of this , for it reminds me of something that happened many years ago. Something happened and I was rushed in for emergency medical care. No cap ...I was literally dying. Specialists from all departments were brought in to consult. Even dentistry got an "invite" to the party. Was in shock and vitals were dangerously low with a bp at around 53/16 (yes, it was THAT low). Surprisingly , I was quite coherent and conscious enough to understand everything going around me. Not a surprise, Cardiology wanted to take charge. I am not exactly sure what they wanted to do , but Nephrology found out and immediately stopped them. Cardiology was not pleased at all and wanted to know what their problem was. Said that even if something happened, there was at least a "back up". They said that doing what was necessary to save my life, was absolute paramount. Nephrology asked Cardiology if they even bothered to read my ENTIRE medical history and file...for he would have seen that I had a history of bilateral hydronephrosis of the kidneys. Cardiology was a bit stunned when they heard that...and slowly backed away. Nephrology was beaming with a "I told you so" look. Fortunately for me, they were able to work together and with all the other specialists to provide me with the care , I most desperately needed. Took some time, but I made a full physical recovery from all of that. Thankful and grateful to all that took care of me, at that time.
This is so classic of a cardiology move. As a vascular surgeon working closely with cardiologists and nefeologists, I have a couple of good stories too. Jokes aside, cardiologists rarely take into account the other organs or systems, other than the heart.
Working as an R.N. in Cardiology and Electrophysiology for 20+ years, and then as a Representative for a pacemaker company for 6 years, I realize that I see everything through Cardiology eyes!!! Unfortunately, our bodies are far more than one system, and if we don't recognize our own prejudices, the patient suffers from our blindness.
@@platedlizard That was their reaction and their colleague from the Otorhinolaryngology Dept. were thinking, when they were first called in. They were quite surprised to receive "invitations", based on what I saw and heard. Kept on asking and wondering, till they saw the blood was coming out of my mouth. They were essentially called in to evaluate and treat the soft tissue damage in my mouth and throat.
Perfection. Literal perfection. From: "Diurese this!" to the QRS forehead tattoo to pouring salt on the EKG. I just. Wow. I am laughing aloud. Best yet, Dr.G! Edit: Also: the cardiologist just has an EKG on his person
Dr. G possibly missed his calling...these representations of these specialties are so incredibly accurate as to be nearly supernatural. His acting is quite good, skit length, comedy and flow are all superb.This a true polymat, and hope he expands his considerable skills beyond medicine someday if he so chooses!
What do you think this is? Rhe very fact that you are watching this shows that he already has expanded "his considerable skills beyond medicine." He's not just a practicing ophthalmologist, he's Dr. G.
In CVICU we watched the consrant cycle as the cardio would load 'em up and dry 'em out. No balance. Just fluid overload followed by diuresis. Made renal nuts.
Neurosurgeons don’t ‘argue’ with colleagues. They just book the theatre and do the surgery. The Neurology lane is disorders of the nervous system where surgery is not indicated. Pills vs drills
@@lesleyc2704 maybe a neurology vs psychiatry, we've seen some tension between both of them before and ig seeing a whole video dedicated to them would be fun
@@lesleyc2704 yep. Depending on how it's at the clinic you go to they can be separate clinics or they can be one clinic for both but still don't interact until necessary I've never interacted with neurology and may never only with neurosurgery as the patient.
As both a therapist and a teacher (yes, two careers) this definitely has more of a "going to the principal's office" vibe than therapy, but it's still cute.
With _that_ behaviour (attitudes backed by _both_ disciplines in comments lol) the Principal's office is probably more appropriate! 😁 They both need detention, and maybe their parents called in LOL
@PumpkinPatch10 I understand that, and think his sketches are hilarious...I just hope that people don't think this is what therapy is and thus don't attend therapy. I appreciated his recent discussion on his podcast about the therapy sketches.
Yesterday i was on call and had a small argument with my dear friend who is a cardiologist about heart failure in dialysis patients... Hopefully this will cheer her up. You are a genius Dr G!!!
As a Radiologist, I would like to see Radiology and ER couple therapy. We get during oncalls countless (some even are unjustified) CT requests and work is never over
And the radiologist definitely needs to mention that the patient just had a CT 3 days ago and the ER doc has to say well this pain complaint is different from the pain complaint of 3 days ago. It's a must.
"I need a CT abdomen and pelvis stat" "Indication?" "Pt reported stomache ache" "Ok, how's he presenting" "Huh? Idk I haven't seen him yet" -every ER ever
Yes!! I want to see that! As well as Med-Surge nurse vs. ICU nurse! The ego's, the eye rolls, the condascending "did you even look at the patient's chart?"
As a non-doctor/med-student, I can't tell you how much I've enjoyed your videos. I found you because of your commencement address at Yale, and since then I think I've actually learned a bit about medicine by watching your videos and then researching so that I get the jokes I missed (though obviously a lot of it still goes over my head). I particularly like this video, though, since I was able to bring it up to my cardiologist and ask her what cardiology's beef is with nephrology. Almost instantaneously, we were talking more like people and less like clinician/patient. Just bringing your name up to my cardiologist and my GP seemed to give me some bona fides. Anyway, thank you for the videos. They've helped me laugh through quite a bit of stress, as well as learn more about the medical field and a system with which we all eventually deal. At least when I'm arguing with my insurance company, I can think of what Jimothy would think of the whole thing.
So help me, Nephrology, if you waste anymore of that tedious hypertonic saline solution, this pharmacy tech will find you and whip you with a fluid transfer set.
This was as glorious as I knew it would be. That ending, though. Talk about wounding and pouring salt into Cardiology'a heart in one quick move. Ruthless fatality!!
Im a non med person although i understand the Jargon. (I worked in mental health for 29 yrs) Can someone basically overview the salt/nephrology correlation. Please. (Trying to learn here) Thank You🤍
Internal medicine with either orthro or neuro (or really anyone else that isn’t in the realm of primary care). Internal medicine kinda has a thing of “must rule out everything” and “my patient always”.
Cards fellow here. This video perfectly depicts the eternal struggle between nephrology and cardiology! Hilarious! I would like to say 2 things if I may: 1) can’t trust a nephrologist with an EKG, everyone would end up in the cath lab and 2) they can always go on dialysis, we need to decongest and decrease afterload.
I know very little about the different specialties, but somehow every video is hilarious. And of course, I have learned a little from each one, which is pretty cool.
God I wish I had this when during my prelim year. I would've showed this to my cardiologist and nephrology attending after getting pimped non stop about urine osmoles and where the lesion is in the heart based on the ekg 😂
I had no idea this was a thing until my mum had a heart attack almost a year ago. She was in the hospital for 2 weeks, there was some sort of balancing act the team had to do between heart & kidneys. She was doing ok but then she died. It was during a lockdown & I didn’t get to be with her as I live in Australia, her in NZ. Your channel fascinates me. Thank you x
This is so late, but as an Aussie - with an understanding of the severity of the lockdowns both here and in NZ (I'm in Victoria) - I can't begin to express my condolences. Anyone needing hospital care, or trying to arrange proper care and stay updated 😔, and denied their families physical presence? ... the added trauma. 💔 I am so deeply sorry for your loss. 💜
He wasted hypertonic saline?! Given that it was a liter and not 500mL it's a compounded hypertonic saline at that. Nephrology, do not request compounded products just to spill them! That takes time, effort, and resources that can go on back order at a moments notice! Can you tell what area of medical care I work in?
I care! My mom's new cardiologist just prescribed blood thinners and we didn't let her take them until nephrology approved, but then she told her to get consent from opthalmology, opthalmology from nutrition and nutrition from intern med who told her to ask cardiology again in three months 🙄
I can totally understand this, both from being a caregiver to someone on dialysis and has heart problems, but also my experience as a patient between the neurologist and the rheumatologist over which medication was damaging my liver.
@@PhoenixRoseYT not really. medicine evolved so much over the last decades that it's necessary for doctors to choose a speciality and normaly even specialise in an even smaller field within to be able to know everything about at least some illnesses. I am a med student and even in university we know that there's too much to learn.. so we focus on the things that we will need later on in our respective fields. For example I don't want to go into surgical fields, so I focus more on other stuff.
@@PhoenixRoseYT depends on complicacies of diseases imho, but I think an avatar like specialty called Family Medicine could handle all and avoid general medicine circles -just sadly they're poorly overworked and getting lack of respects
Ahhhh as a nephrology fellow I love this ❤ the not drinking when you’re thirsty was such a perfect line, I tell *most* of patients this advice all the time.
As a new nurse, hearing "nobody cares about the difference between osmolarity and osmolality and nobody cares about heart sounds" made me feel a LOT better. It is still difficult for me to hear murmurs and stuff. If I take a radial pulse (ur wrist pulse) I can physically feel if a patient has afib because of that irregularity in rhythm but it's hard to pick up the extra heart sounds! I hope it's something you get with practice . Thanks Dr Glaucomflecken ❤️
@@tomgoretzka3910 excuse Me no. I am a new grad but trust me when I say I studied my butt off and know what I need to know to take care of my patients. And I do good work. You aren't going to be able to learn and memorize everything in school, when you work in HEALTHCARE a lot of the learning and training is ON THE JOB. I'd love to see you try and be an aide or nurse or doctor!!! See how well you do!
I was transferring from a general pediatrics house officer position (I’m a PA) where I rotated through all the services like the interns did so that the intern call schedule would be one night in four instead of one in three. I was transferring to the pediatric cardiac ICU. On my last day on call for Nephrology, the nephrologist called me aside and asked “Can you PLEASE get the cardiac surgeons to write for the Nephrology consult BEFORE they write the DNR order?” I tried… but I was not entirely successful! Edited for spelling and punctuation
Good on you for making me research the difference between osmolality and osmolarity. Now I just need to find out how relevant it is to my field of study, software engineering.
🤣🤣🤣 ( ... and me too lol re: googling it 😉 Actually, I imagine Google received a weird spike in 'osmolality vs osmolarity' searches around the time this one dropped - we have discovered the epicentre! 😂)
It's literally just concentration of a solution expressed as total number of solute particles expressed by liters (osmolarity) versus by kilograms (osmolality). But I honestly have no idea how this causes cardiologists and nephrologists to argue lol.
Hah! Too funny. I'm glad that when I was in the hospital for 2 weeks in August of 2022 Nephrology and Cardiology got along. My heart was doing a congestive heart failure thing which caused my kidneys *and* liver to start shutting down. They both visited me often. Especially while I was in the ICU.
Would you mind explaining to me why the nephrologist is always carrying salt in these videos? This recurrent joke keeps going over my head and google has been no help lol i would think nephrology would hate salt? 🤔🤣
@@Sup-jz2ow because working kidneys should be able to flush out the excess salt no matter the quantity ingested, although it's widely accepted that a low sodium diet (specially in North America) helps to prevent or reduce the onset of Hypertension, so the kinda crazy nephrologist in Dr G's universe doesn't want salt to be demonized...
My X was a dialysis patient and also had a triple bypass and other heart surgeries. Can't tell you the amount of times in the hospital where these two specialties were at odds with each other. As his advocate - I had to be really on guard and ready to be confrontational everytime they wanted to load up his IV with fluids, order a heart healthy menu that was in conflict with a dialysis compatible menu. The fact he would be admitted as a cardiac patient, was totally lost on the hosp personnel - they didn't hardly evene read the chart enough to even realize his dialysis needs.
Dear Dr. Glaucomfleckem. Might I say that your skits are not only more than brilliant. but also have the capability to bring a tear to a glass eye ...If I may say so. You’ve opened my eyes in a most tender and sweet way. (Insert ‘thumbs up’ emoji )
The QRS complex input is both genius and hilarious! I swear you have the most entertaining and original skits on CZcams. I can always count on videos like this to have a good laugh 😂
This is almost completely what I have to referee is a hospitalist when I come on service and a partner of mine has consulted the entire specialty team for a complex patient. Diurese this might be the best line ever. Great work Dr.G.
HOW TALENTED are you!!! Keep up these Therapy skits. Would also like to see L&D, Charge Nurse, and Surgeon interactions!!Especially involving turnaround time and clean up!!
May be in one of the therapies, the psychiatrist stops acting so sorted and we have a face off between neurology and psychiatry..a kind of turf war, with neurology, with its superiority complex retorting "The new england journal of who gives a shit"..It will be interesting to learn how psychiatry, with training in cbt, relaxation techniques(jpmr), Rogerian Empathy handles that.
So like if you look real close at the ECG cardio drew, you can see a drastically shortened QT time which might point towards a relatively shortened diastole indicating an elevated heart rate. I dunno but there might be way more than meets the eye going on between cardio and nephro underneath the surface if you catch my drift…
Omg I love this I'm a total medical dork and when someone asks a question and I start telling them why but in detail, they look at me like "wtf" cause nooooooboddy cares 🤣🤣
So, I had a patient once. I was watching real time while orders kept being deleted and new orders kept being placed. I was about ready to put some calls out because I was so confused as to what was going on. Finally, I turned around and saw the cardiologist. He told me to stop deleting his orders. I told him it wasn't me. Well, lo and behold, the nephrologist was sitting at another computer around the corner and they'd been going back and forth deleting each other's orders. They allegedly then went off to discuss a treatment plan together.
trial by combat
"Discuss". I bet
Lmaooooo I have been that nephro fellow deleting cardio's orders 😂
This is fuckin hilarious!
LOL
I was hoping for a “salt on the wound” joke, but pouring salt on the EKG was even better.
I gasped so loud I scared my dog haha
My mouth dropped 🤣
That was the perfect ending.
Salt in the heart
And you're to blame
You give doc's a bad name
@@Johnny-vi7oq
🎼 I ate my salt
But you were lame
You give dooooooocs...a bad name 🎶
Nephrology dumped saline on cardiology, does that count as "a-salt?"
😂😂😂
Good one😂
Uuuuuugh 😆
BADUM TSS
Get out.
"Nobody cares about the difference between osmolarity and osmolality" - Best line ever👌
I was a chemistry major. I deeply cared about this, as an undergrad, not anymore though, lol.
Except usmle step 1 apparently
@@nvm5406 and the MCAT
Or between an aortic regurg or mitral regurg murmur. Just fix it, whatever it is!
What was the difference again? I always forget
Lmao cardiology just walks around with EKG printouts ready to hand to people
and you don’t?
Some paramedics have this habit.
Heh I got a WPW in my back pocket right now for the next resident I see
Hah, it is just an SVT with aberrancy.
And nephrology does with salt.
their pettiness towards each other is just perfect
I'm here for the high level pettiness. It's glorious!
I'm waiting for the patient presentation where I can retort, "Diurese this!!"
It's right up there with ER chasing the intern around, shouting, "I've got your McBurney's Point right here!"
I so want to do that every time I see gall stones and cholecystitis on USS and all the surgical reg cares about is did I palpate for Murphy's sign. Yes, I'm a cycling dolphin from ER.
Had a patient 2 weeks ago (I'm in family med) mention during our medication review that his cardiologist and nephrologist always fight over his diuretics. I mentioned it to my supervising physician and he just said, "yeah, we're staying out of that."
Yep, it's to know when to involve yourself and when not to.
I would love to see family meds take on cardio vs. neprho 😂😂😂….
Also, anesthesia getting lectured by the nephrologist about IV fluids… 😂😂😂
😂
Lmao that's always the underlying issue here for one of my patients as well.
As a pharmacist when I see furosemide, spironolactone, and potassium together I'm like aight I'm not calling on this, they've clearly found a balance or are working on one
I had to go to a nephrologist once for BP issues caused by my kidneys. As a biochemist, I know how important the kidneys are to proper fluid balance in the body. When I mentioned this to the nephrologist, he was like "Exactly! Cardiology just doesn't get it." 😂
Angiotensin baby!!
But I'm a cardio-bro so...you know...fuck your kidney beans 😂
@@lowkeylokii4205 go remove the fuel filter - or the intake filter - from your car.... see how long it runs. "Hah! But a car without an engine will not run _at all_ " yeah but nobody is saying that an engine is unimportant... _you're_ the one saying that _kidneys_ are "fuck your kidney beans" 😎🤓
@@lowkeylokii4205 I'm a new heart patient and its 'electrical' so does that mean I need an electrician and not a cardiologist? Just kidding. Its a weird way to wait to die, though.
@@TheAccidentalViking We do call electrophysiologists electricians of the heart lol
I never realized how important the kidneys were for blood pressure until I went into nephrology. Tbh consult nephrology for uncontrolled BP
You are now personally responsible for my Google history containing the question, “was Darwin a nephrologist?”
for those who wanna know: he wasn't
I am personally very hurt you didn't tell the rest of us the answer.
@@VoidWalkerOblivion here's salt for the wound
@@VoidWalkerOblivion would you say...you're salty?
Darwin was a biologist.
Good one! I'm a veterinarian, and I attended a lecture about managing patients with both cardiac and renal diseases. We had a cardiologist and an internist with an interest in nephrology (we don't have veterinary nephrologists), and they engaged in some friendly banter. At the end the internist said "and remember, if the heart was really that important, there would be two of them!"
Klingons from Star Trek have doubles of every organ in case one gets stabbed.
You should've said (below the belt!!..) and bought some popcorn lol
😂😂😂😂 i can sense the sassyness oh my god
😂😂
Lol, except that are kidneys protected by ribcage like a Heart is?
I’ve had both a heart and kidney transplant and I’m extremely tempted to send this to both teams
Power to you! You brave soul.
Nah, just stubborn and spiteful lmao
Be like Florida Man.
Be an agent of chaos.
Do it. 😁
Do it! I’ve worked cardiology and transplant. They’ll love it!
Are you Theseus??
Next couple's therapy episode: general surgeons vs gynaecology arguing about undifferentiated lower abdopelvic pain in a young woman.
Oh my God. This.
or the proper way to close the abdomen
This is brilliant 👌
That would be an awesome video!
Yess!! Going down the rabbit hole there! Think of the possibilities!!
Jesus! I have been waiting for these skits my whole professional life as a floor nurse! The amount of times I've had a nephrologist storm up to me, and asked, "Who ordered these fluids?!" And I have to tell them, "the hospitalist did", or "the cardiologist did", and watch their lips curl inward . . . cue eye roll . . .
Considering how hard I laugh at these I can't even imagine how much funnier they must be to people in health care. I'd break something laughing I think
At least I'm chuckling quite hard because of the accurateness
I’m an anesthesiologist and you are right! as I already commented, I can’t stop laughing! Dr Glauc is tooooo funny! And spot on!
I work in the cath lab with cardiologists, among others, it is spot on. I showed one of the electrophysiologists the cardiologist goes to therapy and he about had a stroke from laughing so hard.
You have to laugh or we would all end up in straight jackets. lol 🧥
I am a nephrologist in Brazil and this is accurate here as well.
He’s so good I forget he’s all of the characters and there aren’t 3 different people in this sketch
Me2. Brilliance. ❤
"You drew a QRS complex on his forehead"
"well I made it low amplitude..."
Pure gold right there.
I once saw a cardiologist and a nephrologist argue intensely about the distal tubular calcium reabsorption… in truth nobody (else) cares 😂
I cannot help but laugh at all of this , for it reminds me of something that happened many years ago.
Something happened and I was rushed in for emergency medical care.
No cap ...I was literally dying. Specialists from all departments were brought in to consult.
Even dentistry got an "invite" to the party.
Was in shock and vitals were dangerously low with a bp at around 53/16 (yes, it was THAT low).
Surprisingly , I was quite coherent and conscious enough to understand everything going around me.
Not a surprise, Cardiology wanted to take charge. I am not exactly sure what they wanted to do , but Nephrology found out and immediately stopped them.
Cardiology was not pleased at all and wanted to know what their problem was. Said that even if something happened, there was at least a "back up". They said that doing what was necessary to save my life, was absolute paramount. Nephrology asked Cardiology if they even bothered to read my ENTIRE medical history and file...for he would have seen that I had a history of bilateral hydronephrosis of the kidneys.
Cardiology was a bit stunned when they heard that...and slowly backed away.
Nephrology was beaming with a "I told you so" look.
Fortunately for me, they were able to work together and with all the other specialists to provide me with the care , I most desperately needed.
Took some time, but I made a full physical recovery from all of that.
Thankful and grateful to all that took care of me, at that time.
This is so classic of a cardiology move. As a vascular surgeon working closely with cardiologists and nefeologists, I have a couple of good stories too. Jokes aside, cardiologists rarely take into account the other organs or systems, other than the heart.
@@islamalobeidi5218 If all you have is a defibrillator, everything looks like VFib
Working as an R.N. in Cardiology and Electrophysiology for 20+ years, and then as a Representative for a pacemaker company for 6 years, I realize that I see everything through Cardiology eyes!!! Unfortunately, our bodies are far more than one system, and if we don't recognize our own prejudices, the patient suffers from our blindness.
Dentistry is standing there off to the side going “why did they call me in?”
@@platedlizard That was their reaction and their colleague from the Otorhinolaryngology Dept. were thinking, when they were first called in.
They were quite surprised to receive "invitations", based on what I saw and heard.
Kept on asking and wondering, till they saw the blood was coming out of my mouth.
They were essentially called in to evaluate and treat the soft tissue damage in my mouth and throat.
Perfection. Literal perfection. From: "Diurese this!" to the QRS forehead tattoo to pouring salt on the EKG. I just. Wow. I am laughing aloud. Best yet, Dr.G!
Edit: Also: the cardiologist just has an EKG on his person
Low amplitude QRS.
Lols in real life do they really disagree like this. Most doctors are too boring to play this tantics lols
Neurology vs neurosurgery couple therapy next please 😂😀
You have to make this happen Doc G! 😍
wouldn't they be best buddies? or do you think they would get cannibalistic?
He finally did it 🤣
Dr. G possibly missed his calling...these representations of these specialties are so incredibly accurate as to be nearly supernatural. His acting is quite good, skit length, comedy and flow are all superb.This a true polymat, and hope he expands his considerable skills beyond medicine someday if he so chooses!
What do you think this is? Rhe very fact that you are watching this shows that he already has expanded "his considerable skills beyond medicine."
He's not just a practicing ophthalmologist, he's Dr. G.
He is a comedian. Being a doctor pays the bills until he can get his own Netflix series.
Medicine was a requirement to fulfil his calling
In CVICU we watched the consrant cycle as the cardio would load 'em up and dry 'em out. No balance. Just fluid overload followed by diuresis. Made renal nuts.
Next I want neurology and neurosurgery to argue about the Monro-Kellie Doctrine by giving each other a mannitol infusion and a burr hole, respectively
Neurosurgeons don’t ‘argue’ with colleagues. They just book the theatre and do the surgery. The Neurology lane is disorders of the nervous system where surgery is not indicated. Pills vs drills
@@lesleyc2704 maybe a neurology vs psychiatry, we've seen some tension between both of them before and ig seeing a whole video dedicated to them would be fun
@@lesleyc2704 yep. Depending on how it's at the clinic you go to they can be separate clinics or they can be one clinic for both but still don't interact until necessary I've never interacted with neurology and may never only with neurosurgery as the patient.
The QRS complex on nephrology forehead had me dying! it looks like harry with a QRS scar
"I made it low amplitude" OMG.
I am a cardiologist and I approve this message!
As both a therapist and a teacher (yes, two careers) this definitely has more of a "going to the principal's office" vibe than therapy, but it's still cute.
With _that_ behaviour (attitudes backed by _both_ disciplines in comments lol) the Principal's office is probably more appropriate! 😁
They both need detention, and maybe their parents called in LOL
@PumpkinPatch10 I understand that, and think his sketches are hilarious...I just hope that people don't think this is what therapy is and thus don't attend therapy. I appreciated his recent discussion on his podcast about the therapy sketches.
Yesterday i was on call and had a small argument with my dear friend who is a cardiologist about heart failure in dialysis patients... Hopefully this will cheer her up. You are a genius Dr G!!!
Hypertonic saline?! That’s brutal “assalt!”
As a Radiologist, I would like to see Radiology and ER couple therapy. We get during oncalls countless (some even are unjustified) CT requests and work is never over
good idea 0.0
I think he did something on this topic, but I'm not sure if it was in the setting of therapy.
@@BirthBliss I think this is the first couples therapy session.
And the radiologist definitely needs to mention that the patient just had a CT 3 days ago and the ER doc has to say well this pain complaint is different from the pain complaint of 3 days ago. It's a must.
"I need a CT abdomen and pelvis stat"
"Indication?"
"Pt reported stomache ache"
"Ok, how's he presenting"
"Huh? Idk I haven't seen him yet"
-every ER ever
I need a nursing spin off just for ED Nurse and Floor Nurse couples counselling
there is a YT nurse that does these aleady :D
As an ICU nurse I want ED and ICU!
Yes!! I want to see that! As well as Med-Surge nurse vs. ICU nurse! The ego's, the eye rolls, the condascending "did you even look at the patient's chart?"
ED and ICU. We hated eachother
@@HisameArtworkwho is the nurse? What's the channel's name?
As a non-doctor/med-student, I can't tell you how much I've enjoyed your videos. I found you because of your commencement address at Yale, and since then I think I've actually learned a bit about medicine by watching your videos and then researching so that I get the jokes I missed (though obviously a lot of it still goes over my head).
I particularly like this video, though, since I was able to bring it up to my cardiologist and ask her what cardiology's beef is with nephrology. Almost instantaneously, we were talking more like people and less like clinician/patient. Just bringing your name up to my cardiologist and my GP seemed to give me some bona fides.
Anyway, thank you for the videos. They've helped me laugh through quite a bit of stress, as well as learn more about the medical field and a system with which we all eventually deal. At least when I'm arguing with my insurance company, I can think of what Jimothy would think of the whole thing.
So help me, Nephrology, if you waste anymore of that tedious hypertonic saline solution, this pharmacy tech will find you and whip you with a fluid transfer set.
Quite unjustified, really, regular old normal saline would have served just as well as a cardiologist soak.
This was as glorious as I knew it would be. That ending, though. Talk about wounding and pouring salt into Cardiology'a heart in one quick move. Ruthless fatality!!
Im a non med person although i understand the Jargon. (I worked in mental health for 29 yrs) Can someone basically overview the salt/nephrology correlation. Please. (Trying to learn here)
Thank You🤍
"nobody cares" is music to every med students ears 😂😂 great work as always Dr G!
x2
Next time we need to see them restrained…with tele wires and catheter tubing 😆😂
😂😂😂😂😂😂😂😂
Granted that would be easy to break free from, but the visual would be hilarious!
"is that why you need a second one, 'cuse the first one's so good?" ha, freakin gold
Laughed so hard! The salt on the EKG was perfection! You are a genius!
The more you think about it, radiology and path can practically solve all disputes between any specialities!!
Have never clicked on a notification so quickly
The danger squiggles on Nephrology's forehead looked great haha 👌
This is one of the best ones ever. Hoooooly shit. Amazing. I’m dying.
The “no one cares” rings especially true as I study for boards 😭
As an EE/BME person, I LOLed at “I made it low amplitude!” 🤣 Great job, doc! 👏🏻
Me too!
Internal medicine with either orthro or neuro (or really anyone else that isn’t in the realm of primary care). Internal medicine kinda has a thing of “must rule out everything” and “my patient always”.
I think Infectious Disease would be a good match for that
@@dr.floridamanphd They can fight over who takes the better notes and takes longer to rule out everything.
“Darwin was a nephrologist and you know it!” - quote of the episode
Also mark this as the first time cardiology ever smiled. Therapy is paying off!
I was so scared they'll beat up the therapist when he said "nobody cares" 😂
Cards fellow here. This video perfectly depicts the eternal struggle between nephrology and cardiology! Hilarious! I would like to say 2 things if I may: 1) can’t trust a nephrologist with an EKG, everyone would end up in the cath lab and 2) they can always go on dialysis, we need to decongest and decrease afterload.
Preload
i have a feeling that nephrology is MUCH saltier than cardiology...
Well… I mean… he is Salt Bro.
I can't with Nephrology! That ending was so petty 🤣
I know very little about the different specialties, but somehow every video is hilarious. And of course, I have learned a little from each one, which is pretty cool.
Haha the cardiologist was so happy to hear an EKG being read😅
God I wish I had this when during my prelim year. I would've showed this to my cardiologist and nephrology attending after getting pimped non stop about urine osmoles and where the lesion is in the heart based on the ekg 😂
😂 wow, that’s sounds like cruel and unusual punishment
I had no idea this was a thing until my mum had a heart attack almost a year ago. She was in the hospital for 2 weeks, there was some sort of balancing act the team had to do between heart & kidneys. She was doing ok but then she died. It was during a lockdown & I didn’t get to be with her as I live in Australia, her in NZ.
Your channel fascinates me. Thank you x
I am so so beyond sorry for your loss 💙
@@spiolet thank you 🙏
This is so late, but as an Aussie - with an understanding of the severity of the lockdowns both here and in NZ (I'm in Victoria) - I can't begin to express my condolences.
Anyone needing hospital care, or trying to arrange proper care and stay updated 😔, and denied their families physical presence?
... the added trauma. 💔
I am so deeply sorry for your loss. 💜
Heartbreaking....
He wasted hypertonic saline?! Given that it was a liter and not 500mL it's a compounded hypertonic saline at that. Nephrology, do not request compounded products just to spill them! That takes time, effort, and resources that can go on back order at a moments notice!
Can you tell what area of medical care I work in?
Hi pharmacy! Yes, I can't find the pills. Can you just top up now?
Yes, and we appreciate your help! Love my pharmacists at the hospital! Im sorry for ordering crazy doses!
I care! My mom's new cardiologist just prescribed blood thinners and we didn't let her take them until nephrology approved, but then she told her to get consent from opthalmology, opthalmology from nutrition and nutrition from intern med who told her to ask cardiology again in three months 🙄
I can totally understand this, both from being a caregiver to someone on dialysis and has heart problems, but also my experience as a patient between the neurologist and the rheumatologist over which medication was damaging my liver.
The medicine Circle.
Sheesh shouldn’t one doctor be able to take care of all that??
@@PhoenixRoseYT not really. medicine evolved so much over the last decades that it's necessary for doctors to choose a speciality and normaly even specialise in an even smaller field within to be able to know everything about at least some illnesses. I am a med student and even in university we know that there's too much to learn.. so we focus on the things that we will need later on in our respective fields. For example I don't want to go into surgical fields, so I focus more on other stuff.
@@PhoenixRoseYT depends on complicacies of diseases imho, but I think an avatar like specialty called Family Medicine could handle all and avoid general medicine circles -just sadly they're poorly overworked and getting lack of respects
Hahaha. From one who has both of these specialties on my care team, this is hilariously accurate.
Emergency & everyone else GROUP THERAPY!! please I need that
Ahhhh as a nephrology fellow I love this ❤ the not drinking when you’re thirsty was such a perfect line, I tell *most* of patients this advice all the time.
As a new nurse, hearing "nobody cares about the difference between osmolarity and osmolality and nobody cares about heart sounds" made me feel a LOT better. It is still difficult for me to hear murmurs and stuff. If I take a radial pulse (ur wrist pulse) I can physically feel if a patient has afib because of that irregularity in rhythm but it's hard to pick up the extra heart sounds! I hope it's something you get with practice . Thanks Dr Glaucomflecken ❤️
And that ladies and gentlemen is online nursing school graduates:
@@tomgoretzka3910 excuse Me no. I am a new grad but trust me when I say I studied my butt off and know what I need to know to take care of my patients. And I do good work. You aren't going to be able to learn and memorize everything in school, when you work in HEALTHCARE a lot of the learning and training is ON THE JOB. I'd love to see you try and be an aide or nurse or doctor!!! See how well you do!
@@laurencipolla7340 I'm a doc lol.
@@tomgoretzka3910 then why were you so rude, if you understand then?
@@tomgoretzka3910 also I was only remotely learning my senior year but I still had clinicals so....
I was transferring from a general pediatrics house officer position (I’m a PA) where I rotated through all the services like the interns did so that the intern call schedule would be one night in four instead of one in three. I was transferring to the pediatric cardiac ICU. On my last day on call for Nephrology, the nephrologist called me aside and asked “Can you PLEASE get the cardiac surgeons to write for the Nephrology consult BEFORE they write the DNR order?”
I tried… but I was not entirely successful!
Edited for spelling and punctuation
Much awaited couple therapy!!
Good on you for making me research the difference between osmolality and osmolarity.
Now I just need to find out how relevant it is to my field of study, software engineering.
😂😂😂❤
🤣🤣🤣
🤣🤣🤣
( ... and me too lol re: googling it 😉
Actually, I imagine Google received a weird spike in 'osmolality vs osmolarity' searches around the time this one dropped - we have discovered the epicentre! 😂)
It's literally just concentration of a solution expressed as total number of solute particles expressed by liters (osmolarity) versus by kilograms (osmolality).
But I honestly have no idea how this causes cardiologists and nephrologists to argue lol.
Hah! Too funny. I'm glad that when I was in the hospital for 2 weeks in August of 2022 Nephrology and Cardiology got along. My heart was doing a congestive heart failure thing which caused my kidneys *and* liver to start shutting down. They both visited me often. Especially while I was in the ICU.
As a nephrologist, I can say this is really accurate! Thanks Dr. G!
Would you mind explaining to me why the nephrologist is always carrying salt in these videos? This recurrent joke keeps going over my head and google has been no help lol i would think nephrology would hate salt? 🤔🤣
@@Sup-jz2ow because working kidneys should be able to flush out the excess salt no matter the quantity ingested, although it's widely accepted that a low sodium diet (specially in North America) helps to prevent or reduce the onset of Hypertension, so the kinda crazy nephrologist in Dr G's universe doesn't want salt to be demonized...
@@beckahalvarez702 thanks! I wish you luck in the cardiology vs nephrology war
My X was a dialysis patient and also had a triple bypass and other heart surgeries. Can't tell you the amount of times in the hospital where these two specialties were at odds with each other. As his advocate - I had to be really on guard and ready to be confrontational everytime they wanted to load up his IV with fluids, order a heart healthy menu that was in conflict with a dialysis compatible menu. The fact he would be admitted as a cardiac patient, was totally lost on the hosp personnel - they didn't hardly evene read the chart enough to even realize his dialysis needs.
This is the session we have been waiting for. THANK YOU for delivering!!!
And let this be our battle cry... DIURESE THIS!
Dear Dr. Glaucomfleckem. Might I say that your skits are not only more than brilliant. but also have the capability to bring a tear to a glass eye ...If I may say so. You’ve opened my eyes in a most tender and sweet way. (Insert ‘thumbs up’ emoji )
“Darwin was a nephrologist and you know it!” Oh I died at that!
The QRS complex input is both genius and hilarious! I swear you have the most entertaining and original skits on CZcams. I can always count on videos like this to have a good laugh 😂
This is almost completely what I have to referee is a hospitalist when I come on service and a partner of mine has consulted the entire specialty team for a complex patient. Diurese this might be the best line ever. Great work Dr.G.
Love this. Since I am Nephrology nurse
"Diurese this!" That one actually got me..
In rituals, you put salt on something to purify or to keep away the negative energy. No doubt nephrology, put salt on EKG
HOW TALENTED are you!!! Keep up these Therapy skits.
Would also like to see L&D, Charge Nurse, and Surgeon interactions!!Especially involving turnaround time and clean up!!
Oh my goodness! THANK YOU so much! I've been waiting for this one! I knew it would be epic!
"I'm gonna say something very important. I want you to pay attention: NOBODY CARES." Me to my students whenever I hear "but he took my pencil!!!"
I know, right?! Or “he called me a poo poo head!”
Great messaging there yall
M a huge fan of yours... The content you create it's just superb... So accurate and too funny... You're lit man 🔥🔥🔥
Nephrology's facial expression at the beginning cracks me up each time I see this video.
Hilarious !! 🤣🤣🤣
Ps: Dr Glauc is becoming more & more handsome in each vid 😍👀
May be in one of the therapies, the psychiatrist stops acting so sorted and we have a face off between neurology and psychiatry..a kind of turf war, with neurology, with its superiority complex retorting "The new england journal of who gives a shit"..It will be interesting to learn how psychiatry, with training in cbt, relaxation techniques(jpmr), Rogerian Empathy handles that.
Instant click!!! So excited
man, you keep knocking it out of the park Doc!
I’m so grateful for ur humour🙏🏻❤️🤣
Your videos make me laugh out loud every time! I’m not in the medical community, I just love your videos.
Love this series!!!
FINALLY, liked immediately even still waiting for ads rollin. Hope this could make my day 🤗
I asked for this ! Thank you so much for making this sketch doc! Made my day.
It's true. I don't care about any heart sound, whatsoever. I love the psychologist sooo much!
"This is a pattern of immature behavior between the two of you."
Funny, I thought it was a pattern of cardiac electrical activity.
This is what I needed on my night shift
I’m so glad I found this one made my weekend so much better with this video 🧂🔛🆘♥️therapy
Thanks for making me laugh...I needed it!😄
"nobody cares about heart sounds" - truer words have never been spoken. I just look at the ECHO and can tell what, where and if a murmur is present
oh shoot!!! i have been waiting for these two. Classic cardio vs nephro
finally! the video we've all been waiting for!
So like if you look real close at the ECG cardio drew, you can see a drastically shortened QT time which might point towards a relatively shortened diastole indicating an elevated heart rate. I dunno but there might be way more than meets the eye going on between cardio and nephro underneath the surface if you catch my drift…
Love it!
im guessing anesthesia snitched on them during his break
I freaking love this channel!! 🫀🫀🫀
Omg I love this I'm a total medical dork and when someone asks a question and I start telling them why but in detail, they look at me like "wtf" cause nooooooboddy cares 🤣🤣