LEAST Favorite Specialties in Medicine
Vložit
- čas přidán 16. 06. 2024
- I previously put out a video on switching my medical specialty in which I spoke about the 3 specialties I almost went into before ultimately choosing radiology! (best decision ever btw)...Someone commented on that video that I should talk about my least favorite medical specialties...so I decided to make an entire video about it! Let me know what you think :)
Video of my Favorite Medical Specialties: • My FAVORITE Medical Sp...
Join the Dr. Cellini Family: tinyurl.com/DrCellini
______
CONTACT ME:
📸 Instagram - / drcellini
📹 TikTok - @DrCellini
🐦 Twitter - / dr_cellini
📧 Email: TheDrCellini@gmail.com
-----------
🥼 My Scrubs: www.wearfigs.com
--15% off w/ my code -- FIGSxCellini
-----------
MY TOOLS & GEAR:
🎥 My CZcams Camera Gear - www.amazon.com/shop/drcellini
⌨️ My Keyboard - Wireless F96 KAT mechanical keyboard - iqunix.store/drcellini
🎵 Where I get ALL of My Music from Epidemic Sound! -- www.epidemicsound.com/referra...
My Camera: amzn.to/2GX4whr
My Lens: amzn.to/2C7NYxt
Camera Tripod: amzn.to/2LUABWf
Memory Card: amzn.to/2LVjtPZ
*As an Amazon Associate I earn commission with use of the above links on qualifying purchases*
-----------
OTHER STUFF:
💰 Buy BITCOIN here: coinbase.com/join/cellin_vu?src=ios-link
📈 Trade stocks with me! Sign up and get a FREE STOCK! - join.robinhood.com/michaec213
🏨 Get $55 off your next AirBNB stay here -- www.airbnb.com/c/michaelc5406...
📬 Business Inquiries -- Email: TheDrCellini@gmail.com
#doctor #medicine #hospital
My dad is an ENT and did a fellowship in head and neck surgery at Memorial Sloan-Kettering. When I asked him why he chose ENT (expecting some profound answer) he said “Cuz it’s the farthest away from the ass”
lol
The brain is farthest away from the ass. You’d think a doctor would know that.
Haha
@@carmencortelyou9463 your nasal cavities are pretty much on the same plane as your midbrain
@@fd3871 Yes, and my cortex is farther away from my ass than either. 😆
Me as a med student: "Radiology? Who the hell would ever want to be in a dark room all by themselves with no patient contact?" Me as a current day ER doc: "I would give anything right now to be in a dark room all by myself with no patient contact."
LOLLLL
😆 accurate hahaha
Agreed! Was a pit doc for 15 years before switching to "no nights" urgent care- I look back, with extreme pride!!!, and wonder how I did that job.
"Anyone, anytime, anything"
Sooner or later, everyone decides to become a radiologists, some sooner and some later.
Some people really love and thrive in that environment especially introverts
As a doctor, it's crazy to think how much our perception of a specialty is dependent on our experience from a 5-10 week rotation in med school. One crappy attending or one sour experience can really influence the course of our careers!
Right on. That was my experience in Pediatrics. I liked the kids and could handle the parents but this attending turned me off so much I never considered Pediatrics seriously.
As a medical student I had a terrible rotation in orthopedics, it was a trauma center and just appeared to be a malignant program on top of that. Since being in the real world, most of my friends outside of work are orthopedists 😂😂
I can literally tell you the name of the resident who is the reason I cant even bring myself to consider going into OBGYN
I was taking Step 3 today and was literally just talking about this exact same thing with a med student who was taking Step 1 and not sure what she wanted to go into. Alternatively, you could have a super amazing attending or resident who makes you think a specialty is more awesome than it is in most programs. It's so subjective.
I hated vascular surgery as a third year surgery resident; then rotated to a different hospital with a better attending and voila changed my attitude. I did vascular surgery residency after general surgery and became board certified in that field. Just depends
i'm a pediatrician. a few years ago, I got a golden retriever puppy. took the pup for his first check up and meeting with vet. I was stunned STUNNED I say, that the questions pouring out of my mouth were so similar to what parents ask when they come to the pediatrician. "what formula/dog food is best? - is the weight gain good enough for him? he is doing that funny thing with his legs, is that normal ?!?" and so forth :)))
LOL Your comment is so funny and made me realize I'm the same when I bring my little pug to the vet! When my son was a baby I was a nervous mother and all I can say is bless your heart to you and all the pediatricians out there! 💛
This is why i want to be a vet...i've gotten into both vet school n med school but my family won't let me go into vetmed cuz i can go to medicine too...
@@livelife2324 vet medicine is a hard field and emotionally draining. I'm in it, so I would know. The best thing that happened during Covid was being able to take the patient (pet) and lock the owners out haha but it's a lot of "my breeder said this" and "you're only in it for the money". Any reputable clinic or emerge will usually take you on for a week of shadowing, so you can see what it's all about, behind the scene.
@@natashac5066 Yup
I know it's super hard. I'm currently interning in a vet assistant (same as vet tech). In my country you dont need a degree to be a vet tech so it's possible. I've been working alongside two vets for about 5months now cuz i wanted to get a real life taste of it😀 Thank you for the advise tho. I applied to uni and listed medicine ahead of vetmed so i'd get into medicine. Here, we have free education and we can complete either degree for free but my parents are doctors so they want me to go down the same path. I still love vetmed though. I want to do Comparative Animal Medicine side or Small animal surgery
Right? I was going to comment on the video that parent/caretaker dynamics also go for pet owners XD Veterinary is great apart from that, in my exposure
For those who are wondering, his 3 least favorite specialties are Pediatrics, Emergency Medicine, & Dermatology.
🙏
You just did God's work, my friend.
Not all heroes wear capes.
Omg why does everyone dislike pediatrics 😂😂😂😂😂😂😂😂😂 I love it
Thank you. You just saved from a rant.
One thing I enjoyed about working with a pediatric population is that they are quite resilient. It's nice to watch them bounce back.
A friend of mine is a pediatric hematology/oncologist and I always ask how anyone can stay mentally healthy dealing with pediatric cancers daily. And for him it’s watching kids come back from death.
I would agree with you. I would also say that they tend to listen better than the older patients due to because we’re not set in our ways yet and you can almost manipulate them into doing what's right for their health and being able to educate them on certain things. But on the other hand, you’re dealing with their families and that doesn’t always go the way you want to at times. Overall I would agree with you, you have valid points.
@@Branman345 Sometimes what we may think is best for a patient is not what's best for their value system. And that is ok. Parents cannot reject life saving treatments for their children.
@@dcentral i love ped/onc! Most patients live and you get to develop a two year plus relationship!
@@dcentral I'm in my sixties, and a friend back in high school was going into pediatric cancer nursing. I said, "how are you going to deal with your patients dying so young of incurable diseases?" Then, huge strides were made in childhood leukemia, bone cancers, etc., and the death rates kept dropping. She's probably retired by now, but it must have been awesome to watch the previously incurable become curable over her working years.
“The smartest doctors are taking care of acne all day” oof💀💀
Yup bring them to internal medicine if they can hold that much info.
@@moodmeditation4458 Agree.
So highest competitive doctor in USA are dumbest of all taking care of skin all day. Isn't that racists?
Idk you can have a lot of impact on a patient by taking care of their skin issues
@@leafire3 yes please ,take care of skin when people are gasping for oxygen with Corona
As a new emergency medicine intern, I feel the best way to describe my day as the meme with the dog sitting at the table in the burning room saying “this is fine”.
lol.
ICU too! 😂😂😂
As an emergency medicine resident I just laughed when you were talking about EM. It’s so true how it’s chaos everywhere yet we’re documenting like nothing is happening 🤣Defintely takes a certain personality
Bet the feeling of accomplishment keeps them going :)
As an ER nurse for almost 20 years...we learn how to ignore what isn't important...but we can pick out a vent alarm or monitor alarm out of the rest of the craziness.
Add on...I have some years in the ER as a rape crisis worker, an EMT and frequently met my pts. there as a psychiatric clinician...there have been studies of those of us attracted to this type of work...many of us came from families where alcoholism & other addictions were present with bhvrs of chaos and violence. We learned to function, often quite well, under these weird conditions. Check out your peers, many are quite open. Also police and firefighters.
@@megyoung9303 interesting points, makes sense
"Anyone, anytime, anything!"
Haha I'm EM and it's so true, there can be people screaming/crying and we're just sitting down casually typing out our documentation/notes.
EM too, can confirm 🤣
haha 😐
Yup I third this
Lol people going ballistic down the hall and I'm just sipping my coffee 🐸☕️ lol jk I go down there to see if anyone needs hands to hold a crazy person down lol
i suddenly want a show about it
That makes patients think that you don’t care. (If someone really is in that much pain and everyone’s acting bored or like it isn’t that important.)
I actually called a dermatologist during an ER night shift once... They did not answer.
😂😂😂
He probably said, "wrong number. " 🤣
🤣🤣🤣🤣I am sure they stared at their phone for a whole minute cursing you out
lmao straight on point! "DFAC you calling"
I was always told that " there are no dermatological emergencies".
You would absolutely hate my specialty. Pediatric ICU. As such, I'm called in for pediatric emergencies in the ER, including pediatric trauma and all codes. I'm retired now, but I really enjoyed it. Weird thing is that when I went to med school, my plan was to be an adult psychiatrist. You never know where life takes you.
I would love to do neonatal icu, trauma or EM. Hopefully all. Love EM overall but I'm a little worried about paperwork and charting. In your experience there a lot of it in this specialty?
Thank God there's somebody attracted to that field. All the car accidents etc involving kids would break a lot of people and I guess there can be pretty bad outcomes. Thank you for your work!!
The only thing worse is pediatric oncology
@@intrepidtomato It really is a blessing. Thank God for our unique differences. I could NEVER imagine doing something like that, but somebody has to.
I'm a paediatric nurse and I can never, ever see myself going back to nursing adults, EVER!!! Kids are so much easier! And way more fun!
completely agree. Are you in the UK @dee bee?
@@pedsluvnrn6210 No I'm not
It’s the parents that got me. I was over it.
What about the crazy parents?
i could never see myself going into paediatrics, im so bad with childrennnn and i dont exactly like them hehehe
Being a Physiatrist who treats Cerebral Palsy I understand your annoyance with pediatric cases. The joy is seeing them improve.
I only wanted to go into pediatrics when I went into nursing school. And it was the only clinical I LOVED. Children are so resilient. They can feel horrible while getting chemo one day (I work in oncology), throwing up constantly, etc. And the next day it's like it never even happened They're up running around and playing jokes on you when you go into the room to give them their meds. They're also so creative and I love using imagination and play during their care. I have a separate degree in theatre and "play" myself so that aspect always appealed to me. In my experience, there are WAY more easy-going parents than not. And I really love the relationship that I form with the family as a whole. The parents are my patients as well... and I've always loved that part.
I'm currently in a master's program for special education considering potentially going into either nursing or maybe even med school in the future and this is so nice to see because I feel the same way about the play/creativity aspect! I also have a theatre minor from my undergrad. Unsure if I'm going to do it though because I have no science background lol 😂
It is all about the way you approach the parents
They can feel the difference says another Peds Hem Onc RN and that was definitely NOT where I wanted to be....it was L&D till I did that rotation. I was called into Hem Onc and the kids inspire me and they fight like hell.
So we are looking at that 'specific' person (desigend for peds) he mentioned on the video haha You are gifted if you love pediatrics cuz he is right. Most of us don't like it. It is not like we don't like kids. We adore them and wish the best for all BUT we just can't take care of sick children by ourselves (from a resident)
I worked on a pediatric Hem-Onc unit and noticed what you noticed. For the younger children, their short attention spans helped them cope. Within a few days of finishing up chemo-with me standing next to them with a bucket-they'd smile when I came into their room. Until about six or so, they didn't seem dwell on "what I have might kill me." Only the present mattered. If that was good they were happy. Only when they sensed from adults that all our treatments had failed did they become fearful, often terribly so since they little understood death. Older than about six or seven, the possibility of dying did seem to haunt their minds and they became less easy going. Later when I worked with teens who had cancers they seemed to go into shock after their diagnosis. Their minds were becoming more future oriented. Learning that they had cancer put that future in doubt.
@@pedsluvnrn6210 Blessings to each one of you! You KNOW you picked correctly when you realize that you are actually well paid for doinjg something you LOVE!
I’m finishing up Peds residency, and yes there are many parents who are draining - the “worried well”, or on the extreme opposite- to see so much neglect and abuse. It’s infuriating.
But, for every annoying/frustrating encounter there are much more fulfilling experiences, like the kid who finally receives a transplant and goes on to high school and college.
I have a daughter that spent over 300 days in-patient for two different sarcomas and the pediatric nurses she had are a different breed. To this day we still keep in contact with some of them and they will be lifelong friends. They loved us and we loved them back and they are responsible for her being alive today.
As an ER doc (in practice for 38 years) I can say that I (somewhat) agree with you. If I had to do it over again and (and chose medicine) I would probably have gone into radiology. But not interventional radiology. Maybe that's because I'v had my share of short procedures (intubation, LP, tube thoracosotomy, central lines etc). But, in reality, if I had a chance to do it over again I would not even have chosen medicine. Would have been much happier in electrical engineering or some other STEM field. Medicine is full of ungrateful, arrogant, demanding, litigious patients.
Yeah, I think a lot of people I know who are attracted to medical knowledge are better off having gone into less interpersonal-interaction-heavy fields that are still very technically challenging. The science of How Things Work is awesome and that includes bodies but it's easy to miss the forest for the trees when one is prone to nerding out on raw info.
IME Medicine is filled with impatient, arrogant, narcissistic people with God complexes. Doctors don’t even trust other doctors. They don’t listen to the patient who lived with the condition 50 years, the doctor who treated that patient for 10 years... Doctors are always telling patients how every body/system is completely unique and medicine isn’t an exact science. We’ll be a lot better off when they start practicing what they preach.
And by the way, I’m in a legal field and tell people with very valid cases not to bother because even when all evidence points to malpractice the doctor still gets off about 50% of the time. Not worth the mental anguish and attorney expense. Easier to just keep letting doctors mistreat us and pray the next person is better.
Also, please retire. Now. If you approach every patient with these preconceived notions, you aren’t going to listen with an open mind, and shouldn’t be in medicine anymore. Patients shouldn’t be made to suffer because you chose the wrong career.
@@ChrisW228 "I'm mad this other person vented something general about patients, I'm gonna vent even nastier broader generalizations about doctors!" jfc this comment cannot possibly be your best self speaking right now, how does anyone survive harboring that much misanthropy? This isn't a fvcking competition, some doctors suck, some patients suck, and sometimes people realize they might have liked other careers better, doesn't mean they're doing a bad job at theirs. Some patients are awful. That's how it is. Especially in emergency. They put up with a lot, they have valid reason to have some frustrations. And so do you, but you went way over the line with lashing out broadly with all your complaints. Maybe going off with mad toxic trauma dumping like that serves some short-lived emotional purpose but it sure as hell ain't constructive or informative or useful to anyone. (Inb4 accusations of invalidating, I'm very aware of the abuses people with rare and/or poorly understood illnesses suffer at the hands of many people in the medical system, your emotional truth is valid, it's your vicious judgments that aren't.)
@@ItsAsparageese Since I’m the only one here who has experienced my... er... experiences and the ratio of bad doctors/treatment I’ve had, I’m the only one who can speak to how bad it’s been FOR ME. I’ve been through hell, and only because doctors who only knew me for five minutes wouldn’t listen to me or doctors who have known me well for over a decade. I commented because even if the comment stays on his or her mind long enough to treat one patient without going in with preconceived notions, it’s worthwhile IMO. Preempting that you know it happens when people have rare conditions means nothing. Everyone knows it happens, but does nothing about it. When my “real” doctors are at the point of venting to me about other doctors and telling me that someone on their team should have retired years ago, it’s a bigger problem than most. After two exceptionally bad years of it, I only go to one hospital (three others closer), and we call one of my doctors on his personal cell phone on the way. He calls ahead, but often gets so much push back that he comes into the hospital and puts me on his service. What kind of ego does someone have to have to insist to a long time, very highly revered doctor that he knows what the patient needs more than someone who’s spent probably 100 hours with her?
Also, I’m going to assume that you know that doctors (teachers, police, etc.) are supposed to meet a higher standard because of the trust and vulnerability people are forced to accord them. This person is clearly treating people with this much burnout and negativity about them. That’s a much bigger problem, IMO, than a random on CZcams taking offense to it.
ETA I used the same exact words “full of” and the OP said him/herself that they should have gone into Engineering or something else besides medicine, “would have been much happier”. How can that NOT be interpreted as wrong career?
Agree with ur last line 🙌
When you described the ED as a zoo, that definitely hit home.
Also, that is definitely me. Typing away, charting, having calm conversations all while medics are loading a man screaming while high on bath salts. lmao
We medics see you, you know 😂😂😂
@@redvelvetshoes Hey, you guys are better at it than us ER RN. Idk how you guys deal with those insane pts. I know they're well sedated before they get to us too, so they must've been a HANDFUL before they came through my doors 🤣
Ah yes thats me just charting while children crying in the immunizations room,people fuc#king shouting so loud and lets not forget the daily punching to the staff
I'm a Registered Dietitian and when I worked in the hospital I volunteered to cover Pedi because I really could not cope with the ICU. Pedi has a lot of rewards, it is awesome to see kids get better, but it has a lot of heartbreak. If a kid was in the pedi ward of the hospital, they were either the victim of a bad illness or accident or worse case scenario- abuse. I once had to assess a patient whose clearly abusive parent was still in the room. Its stomach turning after a day of feeling like you're helping to feel so powerless.
My dad started out as a pathologist then went into thoracic surgery. He didn't like pathology, but loved doing surgery. Being a pathologist he'd often challenged the pathology report presented to him. I'm glad he found his niche.
Thoracic surgery is my first choice too. What does your dad like about it?
Pathologists are geniuses
@@acd1168 He passed several years ago. Though. I do think his high admiration for the fine arts (he was a collector) dexterity and aesthetics generally led him on that course. I remember him tying fishing flies while watching late night comedies. Hardly looking down at the task at hand. He loved using his hands, his intellect was always very present. I miss him dearly.
@@Pathologymadesimple At the time he was just riding the wave of what was presented to him. I remember getting hold of his microscope and a slew of samples of slides. They were labeled in many ways. Such and such small cell carcinoma What have you. I remember, being just a little kid and thinking, is this what my dad does? I never looked at him the same after that.
@@Pathologymadesimple Well, I've met and knew all sorts of physicians growing up, and I can definitely say, and without question, that by and large they were gifted in many ways. I do think, generally speaking, yes, brilliance is a prerequisite in the medical field in general.
Finally, someone is taking shots at Derm! People but their asses for a 260+ Step 1 and multiple pubs/presentations just so they can shave skin and prescribe steroids all day.
I keep it 💯
Seriously..is that how derm works.....in my country (India), dermatology is one of the most high ranking speciality.....
@@sherinsamuel8125 yah that's the way it is here too
Bc they get paid and have the most chill lifestyle
idk. I genuinely love dermatology and can see myself pursuing that career lol. bummer that I prob won’t get in due to the competitiveness
As a nurse, I decided early on that pediatrics, Labor and delivery, surgery and E.R were not for me. ICU, trauma even trauma rooms in ER are fine, but kids come to the ER and I just can’t tolerate little kids hurting. I even did psych for awhile after I had surgery, but it wasn’t for me, went back to ICU it was much easier than evaluating patients, who smiled at you and were on 15 minutes checks, but still managed to hang themselves in the closet within the next 15 minutes. Yikes! Psych nurses do not get enough credit for what they are going through.
As a parent, I guarantee you, I compare both our kids to both our dogs. You're fine. Lol
I remember when I was hanging out at the nurse station a cadio and ortho doctor was talking to each other when the radio doctor passed by. Both doctors acted like the hottest actress passed by... And are like "I wish I was a radio dr., No rounds, no emergencies, fixed schedules, no socialisation"
Your videos are part of the reason that I plan on going into interventional radiology in 4 years! Starting med school in August
You are helping me like the specialty I am aspiring to become even more (Neurologist/ Neurosurgery)... I appreciate your insight, Thank you!!!
Dr. Cellini is one of the reasons why I am in love with medicine. Thank you 😊
Same tbh he’s a real inspiration for me as an aspiring Medical student
When in school for my medic license, Id go into bars, clubs, or busy restaurants to study. I thought if I could organize, & retain what I was learning in a chaotic environment, that it would help me be able to remember & apply what I learned in chaotic situations. I'd say it worked, but people thought I was nuts.
Wow thats a great way to know yourself! What speciality did u match into?
I did the same thing too, during Med. School & 2 Residencies (Urology & Psych.) Ate dinner, sipped on coffee, stayed for hours at a time reading. Got to be well known to the server staff. Busy restaurants only. Helped me stay focused, even without the coffee, paradoxically.
I'm just discovering your channel, so I'm a newbie. I'm a Pediatric Gastroenterologist. I understand your feelings about not being able to speak with the patient directly from birth up until 5-6 years old. But from about 7-18 is not so bad. I agree working with parents is part of the hardest things about peds.
One specific patient experience really caught my interest, and it was from that moment on that I decided to persue Pediatric gastroenterology. I was doing a peds ER rotation and a 4 year old boy had swallowed a tree frog. It was my job, along with one other colleague to collect the specimen. We were both shocked to see that the frog came out fully in tact. 🤣
How did you get it out? Did you have to cut him open? (I know very little about medicine. I’m a 58 yo and have never been hospitalized nor seriously ill other than depression and alcoholism)
I have been watching your channel for a few months and I really enjoy your posts. I have been a practicing attorney for 26 years (No! I don’t sue doctors!) and enjoy what I do. But I started off studying and working as an x-ray tech. I really enjoyed radiology!!! But I wanted to go to medical school and be a trauma surgeon. Seeing how much you enjoy radiology really makes me remember how much I enjoyed working as an x-ray tech; and I probably would have enjoyed being a radiologist. All that to say - I love what you do. Keep on posting.
I am a pediatric resident and i love my job so much,but you are totally right😂😂😂The parents are very....”exquisite”😅
Keep it up!I am on call right now and i have a moment off,so i am watching your videos!☺️
I just want to be a family doctor, in a small town, and call it a day.
HahA
Good luck! There's a reason why the number of independent practice physicians is getting lower and lower.
@@crazy808ish why
That’s what my brother-in-law does.
Same!
Had to explain to a parent why only juice as their toddler’s sole source of hydration wasn’t the best idea. Also had to hold a kid while he got a vaccine. He looked at me and asked “wHY ARe yOu DoInG tHiS?!” Lmao. Babies and pets destroy me when they’re in pain. Just matched #DR #shadowgang
"Why are you doing this" 😄😄😄 kids are too funny.
Lol! Love kids! When my young nephew was having an anaesthetic for a procedure, the nurse told him that it wouldn’t hurt and that he would just go to sleep. The first thing he said when he woke up was “YOU LIED TO ME!”
Congrats on matching!
I think my kids traumatized the whole pediatrician’s staff when my daughter freaked out getting vaccinated and her brother was also screaming at us to stop. Ironically even though they were young both kids understood why we vaccinate so my son had been very compliant seconds earlier when he had been vaccinated.
when i was little i hated getting tested for strep to the point where one time 2 nurses legit had to hold me down bc i had just absolutely had it that day lmao
Worst part about Peds during M3 was all of the non-accidental trauma I saw. Wanted to be a pediatrician but did not have the emotional strength to after that clerkship.
We have to read all of those studies in radiology...it’s shocking how many there are 😔
Shots fired 😂
a big part of derma is the emotional aspect on the patient's part. You go to a doctor to feel better. You go to a derma and or a plastic surgeon to look better. but thats just me.
@@shylady8711 I love derm because of the psych involved. There's a lot of depression, anxiety, and pain associated with skin conditions, kids get bullied, etc. It's psychosocial, not just about appearance.
I thought he would say OB GYN.
Skin pathology is so gross 😩
@@melaninmonroe007 as opposed to... any other pathology??? wut?
A nurse I met at my job worked in med surge for a few years and then got hired in NICU. She worked 3 shifts alone after finishing her orientation and was begging her old nurse manager to take her back. She returned to med surge. Says the parents were the only reason she hated it.
That sounds like being a room full of tiny ticking time bombs.
I can confirm about pets. I'm doing my thesis in child psychiatry and I've experienced that too. though in child psych, it can be the kids that are difficult so it's a bit different.
In terms of seeing kids in pain, it does hurt a lot but I see it as more rewarding to see a child recover from an illness. I love seeing a teen go from depressed and suicidal to smiling, happy, talking about going out with friends, having future goals. It makes it all worth it.
Adolescent/Child Psych done for a bit but it often felt like I had to deal with 3 patients: the kid (saw kid/especially if a teen, alone often to indicate that I respected their privacy, individ-uality), then the parents (alone or on phone- - if divorced & with joint custody, got complicated), then I would see the family together as a unit, as separate entity/patient. Not necessarily in this order. This worked for me & I think for these families/patient, but this screwed up the scheduling of course, which ended up with me catching the fallout. ER Psych. (w/Consultation-Liaison Psych in med-surg ER or med-surg inpt.) more my style. I never did have patience for psychobabble.
As a humble medsurg/tele nurse, I enjoy your videos, it all just makes sense to me and in a cathartic way I find myself listening along
I completely agree with the pediatrics stuff. It’s so hard to see kids who are sick, it’s heartbreaking
I’m a pediatrician and never thought in a million years I would go into pediatrics. Never had interest prior or during the beginning of my med school years.
I totally get where your coming from. There are some parents that drive me crazy but majority of them out there are good parents and lot of times just need reassurance. But it takes a special amount of patience to do pediatrics, definitely not for everyone lol. The kids are very resilient and their innocence makes it worth while.
Great lighthearted content man. Can't wait to start R1 year in two months!
ER doctor here !!!!! Jajaja I loved it thank you for acknowledging the ER. Very accurate. We have the drug overdoses, the drunks, the occasional cardiac arrest, the guy who chop his forearm on a wood saw, Etc. Also soooo true I do my notes with no regards from all the chaos since its nothing new.
I my case I am just to hyperactive and need the constant stimulus to keep me focus and engaged ! I also like a little bit of everything and the procedures ! :)
I actually have a video on Why I became and ER doc. 🚑🗽👍
It still gets old after a while, sometimes you see some cool stuff but usually the same crap, bunch of drug seekers all day every day, that’s 90% of ER patients, bs that cost taxpayer money
@@Lala-qj6ps I get the feeling you dont like ED, and worry about tax money. ED helps all people from all ages, backgrounds, social groups. ALL COVID patients more than any other specialty. When you mom gets sick she goes to the ED when accidents happen they go to the ED, i can go on and on. Bascially all need the amazing precious ED> Even presidents/ famous people. drug lords. name it
@@Lala-qj6ps everything gets old after awhile. I was losing my mind with boredom after a year and a half in CCU. There’s only so many diagnoses that make it there. I love hearts, but it gets routine as well.
That makes sense to me. A crazy deadline oriented field because I also need the constant chaos to stay engaged and working at my best.
@@Lala-qj6ps I have a very rare condition that I’ve had for almost 50 years. I’ve had every test known to man done by several doctors and they call come up with all the same conclusions. Unfortunately, even with preventative medication and an intrathecal pump, I require a bigger boost of pain medication about once a year.
They always ALWAYS act like I’m a drug seeker, when 5 minutes in my records would prove otherwise. If they give me 2mg of IV Dilaudid and then one more mg in about 3 hours, I can usually take it from there at home. They won’t most of the time, though, even when I explain how that always ends up, so then once again they miss a critical window and I’m an inpatient for five days getting a mg every three hours.
Listen to the patient and believe the notes and it’s a $4000 ER visit and 3mg pain medication. Treat her like a seeker and it’s a $30000 inpatient visit and 40mg of drugs.
How would taxpayers react to that?
I was an RN in a pediatric office. The kids were fine, I hated the parents. Entitled and verbally abusive. Got out of there and went to OB/GYN. I preferred kids on the inside than the outside.
😂😂😂... Your last line .
maybe they hated you; two sides you know
Nurses aren't entitled and verbally abusive???????????????????????
@@lindalai9092 Yes, they can be. I had an instructor who hated LPN's, of which I was one. She insulted me, harassed me, belittled me and bad-mouthed me for 2 quarters. She ate me alive. They do eat their young.
Love your videos! I am a pre med student and you really inspire me! Love seeing what life as a doctor looks like through your awesome videos!
Fun video Dr Cellini! I’m with you about pediatrics, that would be a big no thank you lol. Thanks for sharing!
I have worked in healthcare for over 30 years and you are pretty spot on. I do like the chaos of the ER. There are a lot of sore throats in between the traumas though which gets boring. I also worked in orthopedics for years and loved it.
You inspired me to become an IR, keep up the good work doc...
Switching specialty from pediatrics to radiology, hence binge watching your videos!🙌🏼 Agree 100%
Finished a rotation in pediatrics. One of the hardest parts of pediatrics is knowing your congenital disease, which often harkened back to biochemistry. Many children will have disease you will see no where else because unfortunately they do not live long enough. Which is also difficult.
Dr Cellini: The ER is absolute chaos
Me: Chaos is a ladder 😏
Loved my paediatrics rotation but the interns OBVIOUSLY did not love these parents 🤣 so let’s see how I feel when I start working too
I’ve been sick all throughout my childhood and I plan to do Pediatrics when I’m a doctor in the future, so thank you good sir for the hats off 😁
I’m an ER doc. And yes, it’s chaos, and not very well controlled much of the time. I see plenty of children but agree with you about peds. Derm seems to be plenty of prednisone and biopsy’s. Great video, loved the editing and delivery.
These productions about you - likes and dislikes. Are my favs. It’s funny and engaging. Much better than the regular boring medicine stuff, especially as I listen to it as a fellow radiologist (and blogger) as I’m reading films! Keep it up.
YES the parents within pediatrics are definitely a good aspect to point out
Hey Dr. Cellini, how about another video for the favorite specialties in medicine that you did really consider before finally deciding on DR/IR.
I liked how you mentioned reading your “films” in DR. After being a technologist and administrator for the past 46 years, I don’t miss looking for lost patient film folders, or flooded darkrooms. The technological changes have been incredible. Radiology has been a fantastic career overall. I’ve had the opportunity to work with some really great radiologists. There are so many ways to sub-specialize as both a physician and a technologist.
Absolutely accurate and I completely agree. Why I chose Endo! I hated surgery, I’m more of a thinker than a handy person
Watching you have inspired me to have radiology as one of my top three choices. I’m obsessed with everything radiology has to offer.
Jaja
Me too!😁
Good luck and have fun!
Be aware, though, of the problems with "in-house" specialties: Your livelihood depends on the Corporate decisions made by your Hospital. Hospital sold? Replace all the in-house specialties. New CEO? Replace all the in-house specialties. Hospital not doing well financially? Replace all the in-house specialties. Hospital has poor reputation in the community? Replace all the in-house specialties. Etc. I was at one Hospital for 9 years. There were 5 owners and 8 CEO's during that time. I left about 2 years before the Hospital closed forever.
Of course you will have geographic restrictions in your contract so if your group loses their contract, you will have to move at least 50 miles.
Also, depending on your contract, say you have a quality of care complaint from an ass-hole surgeon or patient. You may not have a hearing right at the Medical Executive Committee. You may have to depend on the fairness of the Chairman of your department. Is he an asshole too?
The rapidity of the progress in both diagnostic imaging and interventional procedures has been astounding. Hard to imagine what the future holds for radiologists. When I was a student, I spent elective time with Mary Stuart Fisher, M.D., one of the Country's great radiologists but then the field was too limited to hold my interest. How things have changed.
I’ve always said parents are the reason why people turn away from pediatrics, btw I’m strongly considering pediatrics 😂
Go ahead, give it a shot, it's fascinating!!
Yes you'll periodically have to deal with a difficult adult... but it's the same with EVERY specialty (besides maybe radiology or pathology), just instead of a parent it'll be a family member or spouse or the patient themself. And at least in pediatrics, the difficult parents (almost always) still share your goal of wanting their kid to get better, so it's possible to reason with them.
They’re the reasons people turn away for teaching, too. :)
7:58- I hope you never cut clips like this, your sense of humor is sooo funny to me! I just wait for the desk to move every video and your reaction LOL
I am a Pediatrician of 22 years now. Love every minute of it. Cant think of doing any other sub-specialty than Peds. It is the challenge of finding out what is wrong with them being non-verbal. Thank for the shout out.
As a former dermatology scribe, your description had me rolling, especially the "remember your SPF" lol
LMAO you describing the ER is exactly how i felt being in there as an MS4, spot on with all the staff being on their computers unbothered.
Worked as an emergency room tech in undergrad and it was the craziest experience I have ever had. Saw cool stuff but couldn’t see myself going into it. Now that I am in med school, I am so shocked how many people want to go into EM.
LMAO, Emergency RN here, I really laughed at that hahahahaha. We like the chaos lol
Retired RN here, spent the last 14 years of my career in dermatology. I get so irritated with people who think it's a cakewalk. Patients will ignore their HgbA1c of 12, but freak out about a new itchy red spot on their skin. And then there was the anti-vaxxer mom who wanted her daughter started on Accutane TODAY. Have you researched the Accutane side effects, sweetie? Much scarier than any vaccine.
Our HMO expected our docs to see a crazy number of patients every day. 10-20 minutes to room the patient, take a history, examine, do a biopsy or 2, educate the patient & out the door. Experienced dermatologists can spot a funky mole in under 5 minutes. But people think it should take 20 minutes per exam. And, steroids? How about the new biologics (at $5000+ per shot)?
I regret ever taking Accutane
You hit the nail squarely on its head!
I’m a family physician of nearly 30 years. I chose FP because I loved every rotation and this way I get to do a little of everything. I don’t have to have that third party thing with the parents and kids all the time. Even when I do, the parents are also my patients. I love it.
I feel like saying thank you for your service, a good family physician is worth his or her weight in gold
As a Family Physician who served over 28 years on active duty in the Navy and retired this year I am happy that I chose this speciality.
I was a Hospital Corpsman (1992-2006) Preventive Medicine Tech
I love pediatrics! Over 35 years! I love working with kids and watching them grow! I now have several 3 rd generation families. Parents can be difficult at time. I find caring for adults to be more trying.
4 year olds don't try to con for benzos, stimulates or Norco. Kids>adults all day long.
I was in ER two weeks ago and it didn’t seem to crazy, but everyone was typing away. They have an invisible box around them.
ER workers have to document everything they do, lol
I'm a third-year med student and recently did a peds rotation. While it was a great learning opportunity and my preceptors were amazing, I know now that I definitely don't want to be a pediatrician. I didn't mind so much that our patients often couldn't verbalize what was wrong with them, but I have a hard time on rotations where patients don't have autonomy. (Inpatient psych was another rotation I struggled with for the same reason.)
Thats so funny I was just going to comment how peds is just like vet med and you couldn't have said it any better. I was speaking to my PCP just today about how it can be so frustrating for some people since vet med is nothing but dealing with and relying on the clients bringing in the patients who cant talk to us so its nothing but a non-stop puzzle. It on the other hand can be sometimes very rewarding when you are able to correctly diagnose or treat something for a patient who was not able to tell you anything about how they feel so it's just as you said, theres positions for everyone because someone out there is bound to enjoy it. Well said, I love yours and your brothers videos, all the best.
Since my breast reconstruction surgeries I am now addicted to watching plastic surgeries…..I think it’s a fascinating field! Plastic surgeons are so under rated, they perform complex reconstruction on every body part and give people their lives back, yet people only ever think of superficial things!
Plastic surgery is one of the hardest specialties out there but because it's associated with vain proceedures it's gets a bad rap.People never think of skin grafting ,nerve conjoining ,bone sculpting,they just think liposuctions and boob jobs🤷
Plastic surgeons are artist 👩🎨
@@walkz007 No one did this to them, plastic surgeons did this to themselves when they chose to market themselves this way. They exhibit totally unprofessional behavior that is unbecoming of the practice and I can't believe it has been allowed to go this far. Plastic surgeons actually try to "sell" you procedures by convincing you that you have "asymmetries" or "deformities" or whatever their excuse is for the day, could you name me anything as unashamed as marketing a surgery in any other field of medicine? Unless I begin to see serious condemnation and reprimands from within their community, I'm gonna keep not respecting their profession.
@@johntucker3693 well that's on you and that's your opinion,we don't all have to share it✌️
I have no respect for doctors that put toxic implants in women, period.
Doing pediatric rotation rn. Lemme say this is 100 true😭
Dermatology has all the benefits of being a doctor with the least possible number of bad sides.
Yea it's a good career path but personally I'd go for a surgical path like plastic surgery, the growth for it is incredible
I was a scheduler for MRI anesthesia cases at a big hospital for a brief stint... it was about 98% peds patients. I had to quit after 2 months. Most of the peds cases were leukemia and I almost had a nervous breakdown after a few calls to schedule follow ups turned into the parents notifying me the patients had passed. It was heart wrenching. I'm an xray/CT/MR tech now and child patients still traumatize me.
I used to go to the ER at Brooklyn's Coney Island Hospital on Weekend evenings to watch the chaos, bleeding, screaming and other drama.
If I were going into nursing specifically (being an actual MD is too much work for me, personally), I think I'd do well in ICU or ER nursing. I kinda like the chaos because it keeps things interesting. I think I'd prefer working in the ICU over the ER because there are less patients to tend to up in ICU. It's a little more controlled because there are a very limited number of beds available at any given time and I would enjoy helping people that are in critical need of care because I think most of those patients REALLY appreciate everything you do for them. I mean, I've had several stays in the ICU and I always deeply appreciated how hard all of the ICU staff worked to take care of me, as well as all the small things they did for me, like getting me more water, or a sandwich if I was really hungry during the middle of the night, and getting me warm blankets. I think the most annoying thing about working in the ICU though, would be having to listen to elderly patients with Alzheimers or Dementia yelling out nonsense or for things the nurses have already just done for them. It's really hard to sleep in the ICU when you have these elderly people yelling at all times of day.
Only been in ICU after surgery and it is like being on a busy train platform or in space. You have no idea where you are, it is loud (not just the geriatric patients, you hear lots of random yelling from people of all ages bc people are doped up and don't all keep their indoors voice), things go beep every so often, I was quite cold the entire time... I don't know how people don't all get delirious and how anyone can sleep.
In nursing school when I was doing my clinical rotations and when I worked as a float/pool tech, by far my least favorite specialty was neuro. There were two general groups of patients: (1) super difficult to work with (combative, confused, extreme labile moods, etc) or (2) incredibly kind but unable to express themselves clearly or left with deficits from whatever brought them in which was depressing to be around all the time.
I hated it because of that and all of the incontinence. I have seen and smelled so much poop. So. Much. Poop.
That was my Med/Surg floor, which was never staffed properly. Lol
Wound odour is worst than poop.
dr your videos really do continue to motivate me to keep going! premed here!
Lots of people ask why I wouldn't want to be in pediatrics. And I'm like...I am afraid of dealing with abusive or neglectful parents. It would make me way too upset
I just don't like Children.
I worked in the ER for 10 years before starting medical school. I absolutely loved and thrived in the chaos.
It's simple, starting at the feet, the further you go up the body, the more prestigious the specialty.
Poor podiatrists (feet docs)
I feel like dermatology sorta gets looked down on more than podiatry but I'm probably thinking in terms of sentiment trends I've seen on internet media rather than the way things actually get discussed in the professional world itself.
@@ItsAsparageese Nobody, literally nobody, looks down on dermatologists. It's one of the hardest specialties to get matched with as well as one of the most lucrative fields of practice. The jokes about acne being their major focus are just that. Jokes.
Interesting for a laugh, but assuming mind is another word for brain, this does not explain how one whose low test scores and GPA doom them to a psych practice. I think it's pretty universally agreed upon that psychiatriatry is the least prestigious, if not outright mocked specialty. I'd feel a lot safer with a podiatrist around as opposed to a shrink in the event of an actual medical emergency.
@@wiremotherclothmother I see ortho bros (phrase used affectionately, as I relate hard to them) mocked a lot more than psychiatrists, although they do tend to take teasing better than most in other fields so that might help it be more prevalent. That's just my personal exposure though, and it's certainly skewed by my tendency to perk my ears up at mention of ortho bros because I get tickled about relating to the jokes, so I'm surely exposed to more of those themes and retain more memories about them.
But seriously, if the medical emergency in question is pharmacological or endocrine (as many are), you're (generally, probably) a lot better off with a psychiatrist in the vicinity than a podiatrist. How about not treating it like there's any actual need to rank specialties, since there really isn't? Seems like a very crabs-in-a-bucket way to even bother framing things. There are brilliant and incompetent people in every specialty.
I have worked in emergency rooms for 25 years, in radiology. Oh, the stories I could tell! It may be chaos, but it is never dull! I have a cush job now and enjoy it, but miss the ER.
Loved the thing about pediatrics. I can see why it would be frustrating too, dealing with the parents. Wonder when you have kids if you’ll look back at this!
Watching this as I just got home from a night shift in the ER. It definitely is a zoo and takes a special kind of person to love it 😂
As a nursing student, peds rotation was not for me and I completely understand everything you just said about it 😂😅
I watched this @ 2x speed and thought I was watching the pre-log to a scrubs videos LOL informative and entertaining Liked and subed thanks mate keep it up :)
your assessment of the ER is soooooo accurate ;).
I'm currently rotating in pediatrics and to be honest I am not enjoying it at all. I thought I wanted to specialize in pediatrics but now it's a no ,no for me. I enjoy internal medicine
I have had an allergy-based eczema for my whole life and as much as I love medicine, I can't imagine working in dermatology. Sometimes my hands look like (and feel like) someone ripped every layer of skin off them, and I feel nauseous just imagining seeing things like this and far worse on a daily basis.
As an Army Veteran I can tell yeah there is no better place for me to be than in the ER. Most of the time something is going on, something unique, etc. When the night is getting boring you can always count the ER to deliver something spicy. Controlled chaos, adapt and overcome, and being with a team that has your back. Doctors, nurses, Respiratory, etc that all work there become family.
Your description of emergency medicine is pretty much why I didn't become an EMT. I just don't like chaos. A little bit is fine and it keeps me on my toes, but when it doesn't give me a breather, then I'm suffering.
The parents of the kids I saw on my pediatric psychiatry round... an absolute headache
Pedes psych is brutal!
Goodness yes 🙌 the bulk of the work needs to be done with the parents most of the time. One three year old came in without shoes. I asked “where are his shoes?” Mother’s response was “He didn’t go and put them on”. This was while fussing over the baby from her new relationship. Seriously 😒
Your first reason for pediatrics being one of your least favorite specialties is why I will probably never put my teaching certificate to use. Parents are a challenge! I'm all for advocating for your kid (I've had to do so numerous times for my own) but not at the expense of disrespecting the education and experience of the teacher.
Finishing PGY3 Internal med going into med onc (please re-stage ;). I did not really enjoy obgyn in medschool lol. Delivering babies was just not my thing and obgyn emergencies or pathology stress me out so much. Also totally agree with you about peds and emerg, doing consults there for IM can be so nutty.
Thank god you didn’t say IM! Always love watching your videos man it makes me remember the convos we used to have back at Ksaw!
If I ever went to med school id specialize in emergency medicine, maybe even a paramedic or someone on a medihel. Chaos is where I thrive
As a paramedic i can tell you that the job is amazing if youre built for it but the pay and other forms of compensation are absolute garbage if youre here in the USA. We lose all of our best medics to jobs that pay better like RN, PA, RT, or med school