I really felt like a doctor today. It feels so good to feel like a doctor and to be a doctor. I'm just so excited that this is my job. Like that. Like that. In London, actually I've been a doctor for about 30 days exactly. And in today's video, I wanna take you along with me across an entire week of me working in the hospital as a doctor, hopefully to give you watching a better insight into what the life of a doctor is like. Feeling like I said doctor way too many times. Let's get into it. Let's get some scrubs. Pretty nice day today, considering it's September. Now I don't usually leave this early, but I usually leave the house at about eight to 10, somewhere around there. Good morning, everyone. So, I went in the car on the way to work now.  It's been a mixed bag depending on where I've been to be honest. But for the last couple of weeks, I've had many on-call shifts, which means I've been working 12 hours a day, coming home at like 9 p.m. feeling really, really tired, just going straight to sleep to begin work again tomorrow. And I've also had several weekends, which have also been quite tiring, many days working in a row on the weekend. So, I feel like I haven't really had much time to document my experience as a doctor so far. But this week, I'm working Monday to Friday, nine to five. I know, I'm as surprised as you are. So, I can actually take advantage of my evenings, I can go to the gym, I can see my friends, I can actually do things that I want to do, film these videos, et cetera. That's what we're gonna do this week. So, my drive in the morning to the hospital really isn't that long, it's about 15 minutes or so. But I find that it's such great relaxation, listening to music in the morning or just reflecting about the day that I just had and kind of calming my nerves and giving myself a reset before I step into the hospital for a day of work. So, I've arrived, oh God. I'm actually a little bit early, go me. I have a little bit of time. So, I'm gonna call my girlfriend really quick, catch up with her for the morning. Hi sweetie, good morning. How are you? I'm good, when I woke up, it looked like it was gonna be... All right, now for a pretty short walk to the hospital and for my first rotation as a doctor in my F1 year, I'm starting on geriatrics for care of the elderly. So, in the current population and demographic that we are in, that tends to be for patients above the age of 80 years old. And I was told by many of my seniors who had already been doctors for a couple of years that geriatrics would be a great rotation to start on because it has a lot of medicine. So, you get to learn a lot of how to solve common problems that you might see in patients in the hospital. And I feel like so far, that's definitely been true. And yeah, I guess there's not much left to say. Gonna go in now at around 8.39 a.m. and we'll see when I get off. Catch you guys soon. Peace. And that's it. Gonna go make a coffee and then head for the doctor's office. Now, before we continue on with the day, I wanna take a quick moment to tell you about the sponsor of today's video, Notability. Notability is the best note taking app available on the iPad, hands down. If you've been following the channel for some time, then you know that I've been using Notability for years and years and years. I've made multiple videos about it, how I use it to organize my life, how I used it in my USM, the step on studying, how I used it throughout medical school. It's been present for a long time. Now, I've used Notability to make hundreds and literally hundreds and hundreds of notes over the years. They're colorful, organized, and in my opinion, beautiful notes that I can very easily refer to and find whenever I need because they're so well organized. This is an example of a note that I made back in second year of medical school and it's really nice to see some of the things show up in my day-to-day life that I learned about so long ago. Over here on the side, I have all my notes very neatly organized into Kings year one through five. My life as a doctor and also my USM, the least of one years as well. So, you know, in each one of these, we've got tons and tons of notes. Like, literally, this is so long. And, you know, I've also got all of my tables over here that you can move around and edit really easily. Of course, you can document and annotate on those tables. So, like I said, on the side here, everything is really nicely organized. So, for example, we have the big folder of USMLE and then within that, we have sketchy farm, sketchy micro, and within that, we have different sections, bacteria, fungi, parasites, and then within bacteria, we have all these different pages over here. Each one annotated with its original image, screenshots of a textbook and even more annotations. But, of course, you can just import lecture slides in their whole and you can annotate on them as you wish. Now, one of the truly amazing features about Notability for students is their new gallery feature. This gallery is amazing. What it allows you to do is take notes or templates that other people have made and then import them into your own Notability so that you can customize them and use them as you want. So, for example, there's a weekly planner here and you can save that template and import it into your own Notability and start keeping a digital diary instead of, you know, a physical one if you want. 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If you're interested in Notability and want to try it out for yourself, make sure you click that link in the description down below for 50% off of your first year. All right, now let's get back to the vlog. All right, team, I've got my lunch. I'm actually heading to a radiology meeting now. So I'm gonna eat food whilst looking at scans, CTs, MRIs, et cetera. We've just finished that radiology meeting. While I was half eating lunch, half trying to figure out what the hell was going on on all of those MRI scans and CT scans. I find that having lunch with some teaching going on is actually really helpful because it kind of feels like I'm at home watching an episode of some Netflix show. Eating while doing something useful at work. Obviously you can't watch Netflix at work. So a lecture on cardiology and the elderly will have to do. I wasn't there for very long because I showed up late. So I was documenting upstairs and grabbing food. So I've just come to the thongus mess which has this really nice outdoor sort of area.  This morning has been really great actually. I'm seeing patients on my own and then running my thoughts. Chair almost broke. My thoughts on my plans, right by my senior. I'm gonna make them comment on whether they think that's a good plan or answer my questions or tell me actually no, this is better, blah, blah. So yeah, thankfully no one is really unwell. Like they have been a few weeks. Everyone's been fine. All right team, let's go myself to coffee and some sparkling water to keep me going for the afternoon. Yeah, just gonna head upstairs, get back to it. All right, and that is it. We are done leaving at 6.30, 6.40, which is not ideal but it is what it is. Gonna do a quick shop and then head to the car. You know, I was so excited to be finishing at five this week as opposed to being on call and finishing at like 8.30. I was like, yeah, I'll get my life back, be able to go to the gym, do all kinds of fun stuff in the evenings. I guess 6.30 is an improvement. It's not as bad as it could be. There's definitely been worse and I'm sure there will be worse. We'll take the small wins when we get them to an extra hour and a half of my day today. Looking forward to catching up with an old friend this evening from Toronto. You guys might remember him from some older videos. Let's see what it tastes like. Give your honest opinion. Like off camera? Very average. And then if I've got time but I'm probably asking for too much playing video games with my sister, we'll see once that time. Oh, we made it. Shift one to five over. We're back in the car, ready to get some good rest and enjoy whatever we have left of this evening. Honestly, pretty great day. I'll tell you about it as we drive home. Let's go home. I realized that I didn't really have time to tell you guys how my day was. So I was running around like I had this chicken being super busy. But basically, yeah, when I first started my job as a doctor, I would do a lot of following around the more senior doctors, typing up the notes on the computer and kind of executing the plan that they would tell me to do. Now there's a lot more of me seeing my own patients, examining them myself, making sure they're okay. Coming up with a little bit of a plan of what I think might be best or what I want to do for them. And then running that by my senior and making sure that, you know, it's a good plan and executing it then. We had a couple of good F1 tasks today. A couple of PR exams or DR exams. These stand for per rectum or digital rectal exams, which is usually allocated to the F1 or the least senior person on the ward. And that's me. In hospital medicine, there's kind of a classic scenario where at 5 p.m. when you're supposed to go home, someone's going to become ill or someone's going to become unwell. And that happened today. I think it was 4.58 and one of the nurses comes into the doctor's office and says that someone is throwing up blood or they're having an episode of hematemesis or hematemesis, however you want to pronounce it. It wasn't a patient I was looking after, but I went to help deal with that. And so yeah, we finished quite late today at about 6.40, but tomorrow, mark my words, okay? Tomorrow, no matter how late I finish, I'm going to the gym. Getting back into the gym, it is official. Can't let this doctor life take over completely and make me miss out on my gym sessions because man needs to be swole. And these arms are not big enough right now. But anyway, today was a good day. Good start to the week. Slowly, slowly getting more confident and more comfortable as a doctor, which is absolutely mad to say. Whenever someone says Dr. Karma or Dr. K, can you go do this or go do that? I feel like Dr. K, that's me. Still feels good to hear, very, very good. I'm rambling now. Gonna go home and I'll see you there. All right, so I made it home and my friend who we're gonna call from the University of Toronto, this guy right over here, Arsalan Dinesh. That's young him back in 2017. Let's call him and see how he's doing. Arsalan! Dr. Karma! Hi! I'm good man, how are you? All right, so it's currently 9.40pm. Just had a very, very long catch up with Arsalan. We hadn't spoken in about six months. There were a lot of life updates to go through and then spoke to Alexia, my girlfriend. We do the wordle together while sharing screen every day. It's kind of like our little ritual at the moment, which is very fun. I'm gonna get into bed and watch something in sleep. But first, look at what arrived in the mail. Ah! How beautiful is that? Feels so good to have it in my hand. Definitely gonna frame it and put it up on my wall somewhere here. Very, very proud of this. Back in it's safe space. And all right, I'm literally just gonna jump in the shower, get into bed and watch a couple of YouTube videos while I fall asleep, wake up and do it all again tomorrow. I'll see you then, peace. All right team, good morning. Day two has arrived today. I've got my gym bag because we're gonna be going to the gym after work. No matter what, we're gonna get here first. Didn't get to sleep much last night. Completely my fault. I was up watching an hour long YouTube video of this video game, Elden Ring. I can't explain it. Anyways, didn't get to sleep as much as I would like. I think I'll try to sleep early tomorrow to make up for that. I'll probably be exhausted after the gym anyway. So in the mornings here, I want to try and talk about something interesting in the medical field or in the hospital or in my day to day life that I might not have talked about before in my videos that I think you guys might find interesting. So today we're gonna talk about handover. It's basically how medical professionals get a continuity of care between the day teams, the evening teams and the night teams because the same doctors and the same nurses don't work 24 hours a day, but the hospital runs 24 hours a day. So you somehow need a way of effectively communicating information from shift to shift. So back when I was working on call, which means that you're working the 12 hour shifts from eight in the morning till eight at night, but the normal day job finishes at five. So you're on call for those evening hours at a time between five and eight PM on a word that might be different to your own to the one that you've been working on during the day. At five PM, I would go to the next ward of where I'm going to be doing the evening cover. And I would find the doctors there from the day team and they would let me know about any jobs that were yet to be complete during the day or anything that needed to be checked later on in the evenings. For example, they might have done a blood test at four PM, sent it to the lab, but the results haven't come back yet. So they might say to me, just keep an eye out for these blood tests. If the inflammatory markers come back raised, prescribe some antibiotics. Or they might say to me, this patient has been quite unwell during the day. We've managed them and they're stable now, but they might deteriorate at some point where they might worsen. Just be aware of them. Read a little bit about the histories that you know what's going on should something bad happen. So these are the types of tasks that are passed on. Occasionally you'll get things like, can you please take bloods for this patient, which traditionally are done by the day team, but sometimes it happens you don't have time or something came up or you need bloods urgently at the end of the day. So that's what happens at five PM handover. You've also got handover at eight in the morning and eight o'clock at night to communicate between the day teams and the night teams. Very similar story, except those ones are done in a big lecture hall. So you get representatives from all the different specialties in the hospital. I'm talking neuro, REST, elderly care medicine, gastro, psych, like literally everyone. And we all sit in this big hall and I think it's the medical registrar for the day or for the night, runs through the patients that are in A&E and says who needs to see them because we already know their initial problem and we know which specialty needs to see them next to help further their care. But otherwise for the evening ones, you tend to just go to the ward of where you're going to be. And that's it. That was my quick lesson on handovers. I'm now going to call Alexia, have a quick morning chat and catch up with her and then head into the hospital. Remember what I said yesterday? Tomorrow, no matter how late I finish, I'm going to the gym. So here we're going to the gym. No matter what, no excuses, we're getting in the exercise. Country road. Take me to the gym. The place where I belong. Northwest London. I want to talk to you guys about what we had in the afternoon teaching today. So every week on a Tuesday, we have an hour of what's called core teaching for the F1s in the hospital. But today, instead of a teaching session, it was a session called TED, which stands for tea, eat and debrief. So this is a session where we get together as F1s with some senior facilitators. It's a chance for us to talk about and debrief about anything that we're finding difficult in our jobs as F1s or any kind of traumatic experiences that we had, which we haven't had the time or opportunity to debrief and talk about with other people. So it's a really great opportunity to kind of get things off your chest, see what other people might have done in your situation or kind of work through something that may be bothering you or is upsetting. So, you know, a lot of F1s shared their experiences with seniors, like registrars, asking us to do things. And then when we don't know how to do them, because we've just started work, being a little bit cold or not very nice, I guess. And then some really stressful scenarios that some of the other F1s have been put in, covering a lot of patients on the weekend without a lot of senior support and things like that. Thankfully, I haven't really experienced much of that. I've generally felt quite well supported and all of my seniors answer any of the many questions that I do have, but it's quite a useful session. I actually had a patient who passed away a couple of weeks ago on a weekend when I was on call, which was really difficult at the time. I was very upset and I was actually crying to Alexia for a whole evening de-stressing and debriefing about that. But thankfully, the senior I was with at the time was very kind and compassionate and gave me the opportunity to kind of walk through my feelings and talk about what happened and break down the scenario step by step so that I could kind of process my feelings around that. It was very difficult, not gonna lie, and definitely a big shock as starting as a doctor as an F1. And I'm sure it's something that I'll become better at processing over time, but this first one had a big impact on me, as you can probably tell, with me talking about it at the moment. One of the other things that I wanted to talk about today was next-of-kin discussions. So patients that come into the hospital will have allocated to them a next-of-kin, so someone who's kind of the designated other person for that patient. So they're quite commonly needed for elderly patients to gain a collateral history if the patient has a cognitive condition where maybe they're confused or they don't remember as much as someone who's younger might. On my specialty, which is care of the elderly or geriatric medicine, we spend a decent amount of time talking to next-of-kins. So this can be children, sisters, nephews, aunts, uncles, whoever it may be. Next-of-kin discussions can be quite difficult because sometimes the next-of-kin doesn't fully understand what's going on with the treatment of the patient. Maybe there has been poor communication and so they're not fully in the picture or their feelings of what they think what should happen with the patient differ from that of the medical team. So sometimes these can be quite challenging discussions and sometimes they can be quite upsetting as well, both for us as healthcare professionals and for the next-of-kin and patients themselves. As I'm taking more and more responsibility with the patients now, these next-of-kin discussions need to happen by me. To be honest, they've all gone quite well and usually what I've found is that the sort of tension point relies around a lack of communication or miscommunication that might have happened in the past. And so if you take your time to kind of explain everything that's happening, walk them through your thinking and your plan for the patient and what you're doing for them, I find that it tends to resolve things most of the time. Hopefully you find this useful. Hopefully it's giving a bit more of an insight into the medical professional side of kind of what goes on in the hospital and what goes on with patients. So yeah, that's one of my goals with these videos is to try and bridge the gap between people who don't work in the healthcare profession or patients who come into the hospital and those who do and kind of come to mutual understandings about what it is we do, why we do them, and kind of what our day-to-day looks like. So hopefully I'm achieving that. If there's anything else you guys would like to know or something that you think might help explain that better, please do tell me. I'm gonna head to the gym and I'll see you guys later. Catch you in a bit. There's 20 minutes until the parking restrictions are lifted in these parking spaces around me and I thought I would be cheeky and I'd park in one of those spaces in the hopes that I wouldn't get a ticket over the next 20 minutes. And then I see a parking enforcement officer giving a ticket to someone else. And I was like, nope, gotta go park in my usual spot. It's okay, it's not that much further. So yeah, let's go get a good session. All done with the gym session. Feels good to be back in the gym. I think it's been like three or four months that I haven't been going after I finished medical school and then over the holidays in the summer, I kind of just wanted to fully relax and not set myself to a schedule buff. Now that I'm not working on call for a couple of weeks, I've got some time in the evenings. That doesn't sound good. And yeah, I wanna start getting back into the gym on a regular basis.  Got the evening to myself, which my sister's out of the house. Might play some video games. Now those of you who have been watching the channel for some time, you're gonna be very familiar with this setup, all right? We've got some salad, some chicken and rice, protein shake. I'm gonna throw up a video on the TV. Today we're gonna be watching cathodic protection. These metals destroy themselves to prevent rust by practical engineering. Let's cast it. All right, I've finished dinner. I've sat here and scrolled TikTok for a good 20 minutes or so. I think I'm gonna jump in the shower. It's about 9 p.m. now. And then I've got a little bit of admin to do emails and YouTube things like that. Nothing really interesting to film for the rest of the night. So I'll see you guys tomorrow for another full day in the hospital. Peace. Good morning. I am exhausted today. I stayed up a little bit too late editing and doing some YouTube emails and admin and then couldn't fall asleep. So here we are. Today we're going for cereal as the breakfast of choice, trying to switch things up. If you've watched this channel for a while, you know that I usually eat eggs every single day, but trying to do things a little bit different now that I'm a doctor. Anyways, gonna sit here and watch something while I have this breakfast. Kind of realized something. I feel like when I was working on call, when I had those 12 hour shifts, you would usually work for three or four days in a row and then have a day off and then have another three or four days in a row. And I felt like that day off after three days was so great. Whereas now the idea of doing five days in a row before a day off on the weekend sounds like it's way too long. I realized how silly that statement sounds given that everybody works a five day work week. The point that I'm trying to make is I think I would rather work longer 12 hour shifts for three or four days in a row with a one day break in the middle than doing five days on two days off of normal nine to five. Like I said, this is the first week where I'm working nine to five Monday to Friday. So I'm still experiencing it for the first time. I think when it's finished, I'll be better able to compare it to the previous weeks. It's time for today's doctor hospital discussion on the drive down to work. What I wanted to talk about today was the jobs list. How you make a jobs list as a doctor in the hospital. When you are in the hospital, you will have many patients that you need to see. So sometimes this can be 10 patients, sometimes it can be 20 or even more. And each one of those patients has their own set of tasks, their own set of jobs that need to be done that day or tomorrow or whatever. And obviously you can't keep track of all of that up in your head. You need to have an organized systematic way of writing that down, keeping track of that information so you can complete it all. Or if not, pass it on to the next person at the handover that we talked about the other day. How I make this jobs list is an accumulation of things that I've picked up from other people, from my senior doctors and from my time in my final year of medical school. So I'm not reinventing the wheel or anything. I'm just taking the best bits of everything that I've seen and putting it together for what works for me. I start by taking an A4 piece of paper, folding it in half and then half again, both lengthwise and then once horizontally. And that creates eight little rectangles on each side of the page. So up to 16 patients I can write over there. And then I'll start by in the morning looking at what patients I'm going to be covering, what things I needed to do yesterday that I need to move on to till today. And I write in the top left corner the name of the patient, their location, so what ward they're on and what bed that they're sitting in. And that way I can very easily refer to any patient's name and find out exactly where they are and quickly go see them, find me to ask them a question or anything like that or find them on the system. It also makes things quite easy from that perspective. So once I've written out the names and the locations in each of the boxes, each patient has sort of a dedicated section that I can write all the relevant notes and information for them in that place. So it makes it easy to keep them all separate on the piece of paper. Something that I've adopted from my seniors here in the hospital is getting one of those pens that have multiple colors on them. So it's like red, blue, green and black. And I found that very helpful. I'll write the majority of information down that I need to do in black and then things that are associated with bloods. So taking bloods from a patient, reviewing blood test results or putting out bloods to be taken tomorrow. All that stuff I write down in red. Then things that I need to discuss or talk about in the MDT and the multidisciplinary meeting that we have once a day. I'll write down in green and then blue right now is kind of a random color for me. Just something that I think is important that I want to stick out of me at the page. But I'm still kind of figuring out the whole color coding thing for this system.  And then also you write down the plan with the jobs list. And so then later on, when you're sitting at your desk, you have this really nice neat overview of all the different patients that you're seeing, what plans are yet to be done for them and what plans you have already completed. One of the great systems that I think is used very widely across hospital medicine is the square with like a line through it system for keeping track of your to-do list. You'll write down a to-do list and then next to it you'll have a square and you'll draw a diagonal line through the middle. So the useful thing about having that diagonal line is that instead of just shading the entire square when the task is done, you can shade half of the square when the task is halfway done. So for example, let's say I need to request a scan for a patient. Let's say I need to request an x-ray. When I've called the x-ray department and they've booked it in and the x-ray is gonna happen, I can shade in half of that square and then when the results come back and I've reviewed them and I've documented what they say, I can shade in the full square and then that way it keeps track of sort of half the process. So you know that there's half left and I find that quite useful. I got myself a little clipboard so I can carry around this to-do list everywhere I go which is super, super nerdy but I definitely find it useful. I find it helpful to be able to easily write notes when I'm at the patient bedside without having to, you know, write on my hand effectively on a piece of paper. We're having to find some object that is good enough to write on. All right, that's it for me. I'm gonna go in another day in the hospital. I'll probably catch you guys at around lunch and update you on what's been going on so far. See you later. Hey guys, I'm back home now. It's 6.45. I think I left at about 6 p.m. which isn't too bad. Had a really great day today actually. I feel like with each day that passes I'm able to take more and more responsibility for the patients that I'm looking after and I get a bit more comfortable making decisions about planning and management although a lot of that, almost all of that is senior lend. Even making those decisions about the smaller things feels really good. And now because I'm working one day to Friday, nine to five there's a lot more continuity with the patients that I see day to day. So back when I was working on call with a couple of days of work, then a day off and then a couple of days of work and in the evenings covering different wards on the weekends covering different wards. I kind of got confused because I was seeing so many different patients from so many different places and even on my home base ward each day I would kind of see a random selection of patients based on wherever they needed me to be. Over the last couple of days I've been seeing the same patients again, day after day and also new ones here and there as well. So I've had a little bit more continuity which has been really nice. You know, getting to know the patient then being able to remember me for having seen them yesterday getting a little bit more acquainted with the family as well and being able to provide them updates on what's happened over the last day in the multi-disciplinary team meetings being able to be the person who presents what's been going on with this patient what we're doing for them is really, really nice. And you know, before I wasn't able to do that because I would just see them for one day at a time then three days later, then two days later. And you know, you don't have that continuity so you don't really know the full story. And I've really enjoyed that. It's been really good honestly. Bit of sad news as well actually. So one of the patients that I've been looking after for the last couple of days is dying. It's probably gonna pass away. It's hard to say when but they're not doing too well. You know, in my short time working as a doctor I have had to certify a couple of patient deaths and I touched briefly on the one patient who passed away whilst I was looking after them over the weekend, I think a week and a half ago or so, which was quite difficult. And with this patient as well, it's tough. You know, you become acquainted with the patient and you become acquainted with the family and you see them every day and you make a plan and you give them medication and you call different specialties for opinions and just seeing them not get better and get worse day by days is really difficult. I'm still figuring out how to kind of deal with this type of stuff. I think it is really tough and I don't think that the right approach is to desensitize yourself or separate yourself entirely from the situation. In my humble one month working as a doctor opinion I think that would be the wrong way to go about it and I think being somewhere in the middle is the right place to end up but for now I'm emotionally invested. Yeah, it takes a toll, you know?  Anyways, I'm trying hard not to bring the work home with me as the saying goes try and leave as much as I can at the hospital but every now and again it does creep up a bit. That's a bit of a serious development in this conversation with the camera but I do think that it's important that people realize how doctors feel about these types of situations how they process the emotions around them and that it does affect us too. It's not like doing an Excel sheet on a computer or allocating funds or losing money in a job. It's people's lives and I think that has its own unique and special place in the workplace and I think it's a special thing to be able to deal with that on a day to day basis and I guess know how to manage it. It's something that most people don't do. It really is for people in the healthcare profession that do experience that so and most people aren't in the healthcare profession and I think it would be a useful insight to see how healthcare professionals feel and think about this.  I want to take some time to relax and just fully kind of enjoy this evening. I am going to make some dinner and then I'm gonna sit down and play video games either with myself or hopefully with my sister if she comes home at a reasonable time and I get to see her before we both go to bed. So that's kind of the plan for today. I'm just gonna sit on my computer right now and deal with some email admin stuff and then get some food and I'll see you guys later on. All right, good evening. It is 9.45 so a lot later in the day now had some dinner with my sister and unfortunately she can't join me for video games because she still has work to do. I thought the working hours of the doctor were bad, lawyers working in corporate law firms definitely have it worse. Anyways, I'm gonna sit down and play some video games by myself to relax and unwind a little bit before I go to sleep. Currently playing through a game called Stray which is this sort of exploration game where you play as a cat, very random I know but it has some really nice visuals, some interesting mechanics and it's a fun single player sort of puzzle exploration game. If you watch the channel you know how much I love video games but this is what I'm playing right now playing a different game with my sister which maybe we'll get to see tomorrow but I'm just gonna sit back and relax with my tea, my nice blue and white gaming whites and play this for a little bit and then go to sleep. So I'll see you guys tomorrow. The car this morning because I'm running a little bit late. Just got here, I'm gonna hop onto the car heading for another day and hopefully see you guys a bunch of time. See you soon. Oh my goodness. So today we had two consultants and the rest of the team to go around and see all the patients. Usually the consultants just see the new patients that they haven't seen before and then the rest of them are split amongst myself and the other doctors disproportionately with me getting less patients than the seniors and the seniors usually get the more complicated patients as well leaving the simpler ones for me. But today I really felt like a team. It was me, the SHO, the senior house officer, my registrar and the consultant going around seeing the patients one at a time. It felt so great. And yeah, just really good vibes, good chemistry, lots of work. I felt really happy. Everything was going well. And then we went and had lunch, really chill, fun conversations there just bonding with the team a little bit getting to know them a bit better and spending some time with them outside of the actual work. And then at about 4.15 p.m.  We might actually go home at 5 p.m. today. I was like, wow, this has been such a great day. You know, what could go wrong? And of course I jinxed myself. At about 4.30, I think it was one of the patients started vomiting blood, bright red blood, which is obviously not good. And in fact, I was helping another patient at the time. Someone comes and grabs me and says, I'm not sure if you're looking after this patient, but they're vomiting blood. And I said, okay, it doesn't matter if I'm looking after the redot. Let me go see what's going on. And sure enough, I went to see the patient and she had vomited blood. So I went to get my SHO. They came back, we reviewed the patient together. And you know, once a patient becomes unwell in this way, suddenly there's just a huge list of things that need to get done. You know, like now this patient needs another cannula to have two IV accesses, one in each arm. They need a new set of bloods, group and save. IV fluids, you need to have a conversation with the next of kin. She needs a PR exam, you know, observations, all kinds of things. Like one thing happens with a patient and it just generates this huge list of tasks that needs to get done. And it's kind of crazy to think that at any point in our day as doctors, where we've already got our own list of things to do and we're seeing all the patients and we're treating them for whatever conditions they might have, they could acutely deteriorate and then, you know, this additional thing gets added to our list. And of course that's part of the job and it tends to happen in people who are in hospital because they're sick. That's why they're there in hospital. But it's just a bit, you know, strange to think about that this could happen at any moment in time. Like it doesn't have to happen at 430 to 5pm, like the curse says that it will. It could happen in the morning, it could happen midday while we're at lunch. Could literally happen anytime. And so yeah, just kind of that thought of always being aware and always being ready to take on a problem that might happen like this. But even so, it's currently 630. I felt like I had such a good day.  I'm really really happy, I'm really proud and I'm just so excited that this is my job. Like I can't believe my job is to walk around in a hospital and treat patients instead of sit behind a desk and look at an Excel sheet or something like that. I mean, I feel so blessed. I'm really, really excited about what's to come and I hope I don't lose this excitement and I don't lose this sort of enthusiasm for the job which I'm really, really enjoying right now. But anyways, that's a bit of an update about my day. I think I'm about to head to the gym actually unless my sister messages me and says, no, come play video games at home. She says she can leave soon-ish. Okay, quick term sesh. All right, in that case, let me get going. I'll catch you guys soon. Thank you for hearing me out about what my day was like. Feels good to be a doctor. That's why I'm gonna leave it. See you later. Peace. ["Home Post Gym"] Home post gym and whipping up this fantastic meal over here. Gustav, why haven't you sponsored me yet? Shout out my sister. This is what it looks like. True beauty if I can say so myself. And yeah, has a couple of minutes left. And then it'll be chill and video game time. All right, after a whole week almost of trying to set up video game night with my sister, she's finally free and I'm not working and I'm home early enough that we can actually do this. So the game that we're playing together on the PS5 is called Outer Wilds. This is a game based on exploring your earth and then other planets around you in a spaceship to try and figure out why you're on this planet and why the world keeps ending every 20 minutes or so of real time. So we're having a lot of fun playing it.   So you need to...  Anyways, all right. We're gonna play for like 45 minutes or so and then go to sleep and go back to work tomorrow. Wow, are you swimming with your spaceship now? Is that the plan? Is it an underwater craft? Friday, five days filming what I've been up to. Been a journey. Here we are. Today, we're gonna have this wonderful granola bowl and as a pretty cool cup of coffee. Let's watch something and get started. So on today's morning chat, I wanna talk about something that happened to me yesterday that felt like a very full circle moment and pretty surreal. I was asked to go down two floors to another ward to place a cannula and a patient who needed to have a CT scan with contrast, which means they needed a cannula so you could place the contrast through venous system to show up on the scan. So I go down and I'm like preparing all my different equipment that I need to place this cannula. And one of the nurses comes up to me and says, Hey, do you mind if I watch? And I was like, yeah, yeah, of course you can come watch. That's not a problem at all. But it felt weird to be asked. You know what I mean? Cause usually I'm the one asking other healthcare professionals, do you mind if I watch? So, you know, I start walking him through all the different pieces of equipment that we need, the steps that we're going to be going through one by one. Kind of as I'm doing the cannula as well, like trying to give the tips and tricks that have been passed on to me from other people and sharing like what kind of technique has been working for me recently and just how I do a cannula. It felt so weird to be teaching this skill that A, I have been the one asking of how to do it for so many years, in like three years now of me constantly being the one to ask, how do you do this? And having other people teach me, so it felt amazing to be able to teach someone else. And the fact that I even feel like I'm in a position where I can teach others to place a cannula is amazing because even most recently in my elective in A and E, I have a video about that from some time ago.  And it's just crazy to think that on that elective really not that long ago, earlier this year in fact, my success rate with cannulas was probably something like 20%, like one in five I would manage to place correctly. And now since starting work as a doctor, like touch wood, I literally haven't missed one, which is just absurd to think about, you know? And it's just, it feels really good to be able to like now teach this skill that I was struggling with so much. It's one of the more obvious times where you can directly see progression and you can feel improvement. In medicine, I feel like it's kind of difficult to measure very directly improvement or progression or increased skill and things like that. But this is one of those times where I felt like it was a lot more possible. That's it for me. I'm gonna go in for the final day of the week, Friday and I've got some really exciting weekend plans. I'm actually going to visit Kenji. You guys remember Kenji, my colleague in medical school who's now a doctor in a city outside of London. I'm going to see him with Georgina who was also in medical school with me and we're gonna spend the day at his house to do some barbecuing and things like that. I'm really, really excited for it.  I'll see you guys later. Hope you have a great day, whatever you're doing.  Peace. All right, so it's lunchtime. But first, I've got some samples to drop off at the lab. It's been a pretty great morning to be honest. Thank you, plain. All right. And that is it. Last day, Friday, whole week of me vlogging my life here as a doctor. Today was a good day. Quite similar to a lot of the stuff I did earlier in the week. I don't think anything particularly stood out to me. I'm actually really excited for next week because we're gonna have medical students on the ward. So I'm gonna go in for the final day of the week. I'm gonna have my own students on the ward. So I'm gonna have my own students attached to me. My battery died in my camera, but I was saying that I'm really excited for medical students to come onto the wards next week. They're gonna be assigned to me or attached to me. And I'm gonna teach them how to do examinations, take histories from patients, take bloods, insert cannulas, et cetera. And I'm really, really excited about that. But that brings us to the end of this video. I hope that you enjoyed it. And more importantly, I hope that you learned something about what the life of a doctor is like here in the UK, what kinds of things we do, what kinds of things we think about, what we feel. And I hope that it gave you a little bit of a better insight into the life of a doctor maybe than you had before. If you did enjoy this video, please don't forget to leave a like on it and subscribe to the channel if you wanna see more content from me. I've got tons of videos uploaded already and I'm gonna be making more videos in the future as well. Thank you for your time. Thank you for watching this video and I will see you in the next one. Goodbye.


horse with the speed of light a cloud of dust and a hearty hi-ho selver the lone ranger with his faithful Indian companion tanto the masked rider of the planes led the fight for law and order in the early Western United States the stories of his strength and courage his daring and resourcefulness have come down to us through the generations and nowhere in the pages of history can one find a greater champion of justice return with us now to those thrilling days of yesteryear from out of the past come the thundering hoof beats of the great horse silver the lone ranger rides again in the simmering heat of a summer day two horsemen rode along a lonely trail in the back country north of the Rio Grande spirals of dust shot from beneath their horses hoops and hung in the still hot air beneath the brims of their sombreros their eyes were narrow with their features hard ruthless the unmistakable faces of outlaws we better be moving out of these parts Vince this country's getting a mic too civilized ever satisfied are you lucky that ain't just me the rest of the boys are getting restless too I'm still the boss lucky it's time to push on I'll decide when and where it'll be sure Vince but you gotta admit that rustling ain't safe no more it's too risky getting rid of the cattle afterwards I'm not figuring on rustling they can open a new stagecoach line from elbow bend the Colby next week what about it they'll be freaking gold no stage stick ups from me Vince this country's too open ain't no cover in it anywhere getting scared lucky not scared Vince just say ain't that a creek we're coming to yeah sure that's saying crossing it's a Ford must be you don't sound too convincing I'm gonna try it out you're worse than an old woman lucky what are you afraid of quick say yeah oh boy for that easy easy gonna try it out with a rock be careful you don't fall in like I thought what quick sand that sand swallowed that rock like it was starving how wide would you say that quick was 60 feet too wide for a stage to cross that sand to the other side sure stage couldn't get more than halfway and sure be nice getting our hands on some gold again wanted lucky what do you mean the stage is gonna take this road your local Vince the stage you'll take the main trail straight through the Colby that won't not after we switch the signpost the crossing switch the elbow bend the Colby runners a new route for the stage company lucky the drivers will be detainent better than a signpost to direct them especially at night yeah that's right it's on the night stage that they'll be freighten the gold you mean I'm thinking we can make mighty handy use of that quick sand lucky you sure got a head between them shoulders Vince wait till the boys hear about this that's right we're gonna be ready for the first stage the Colby over the border town of elbow bend it was a week later and there was a bustle of activity before the express office the night stage was being prepared for its first run to Colby the shadow of a building nearby a tall man who wore a white hat and a black mask watched the proceedings with his Indian companion that's Jim Lane now Toto him drive stage him Lane not outlaw now he never was an outlaw Toto he just fell in with the wrong crowd we helped him out of that scrape in Mexico he promised to break with that gang and you keep his word him good man coming this way give us a chance to compliment him on his new job hello Jim the mask man well this is a surprise you remember Toto sure how could I forget either of you after what you did for me how are you Tondo Tondo fine well I kept my promise I even got a job driving that stage I know Jim congratulations thanks say am I indebted to you for this job too what do you mean well when I asked to drive the stage they cold-shouldered me and one day the Marshal stopped me on the street and questioned me a few minutes later he took me to the express office and the job was mine that's fine Jim have you been in town since I got here yes Jim I wanted you to have your chance just as I thought how can I ever thank you by doing your job as well as you can Jim you can rest easy about that partner I'm gonna be the best stage driver the company has besides I I've got another reason for wanting to make good you see that girl stepping into the stage yes that's Barbara Wilkins we're gonna be married next week congratulations again she lives in Colby she's been over here visiting the horses are all hits Jim we better get moving that man's face seems familiar who is it lucky Peters he's the guard for the gold you're carrying gold huh come on well goodbye you two good luck Jim I don't I may see you in Colby come on so get him up count great pair of him to hello Barbara better tuck that robe around your knees it'll get cold when we hit the trail thank you Jim hey give me a hand of the driver seat lucky here you are the gold stood away yeah come on your car uses we're heading for Colby black clouds hovered in the heavens when an hour later Vince Collins in his gang rode up at the quick sand board at elbow creek all right boys wait here we see the stage lucky getting a job as guard of the gold on the stage yeah that is kind of funny nothing can go wrong now boss we switch the sign post and the stage is a sense to take this trail instead of the right one yeah remember Luke the stage hits the creek you take a couple of the boys and ride down there get the girl out and take it to Colby and report the sheriff I got you Vince after we leave you and the rest of the boys will unload the gold cut the horses loose and drive the stage into the quicksand right that's it think without a trace express coming a figure the gold went down with it and boss the stage is coming get your horses out of sight over that hill man Luke you and your boy stay here buy no slip ups there won't be any Vince treat that girl passenger general they wanted to think you're trying to help I understand boss all right boys get him up you sure this is the right road lucky sure Jim I know this country like a plot don't look familiar to me I'm pulling out don't be a fool Jim you want to be late on your first run we're doing Colby in an hour never get there on this trail you must have taken the wrong turn back at the point of the sign pointed this way maybe somebody twisted it I'm going to pull up hey there's elbow Creek up ahead that proves were right that proves were wrong there ain't any quick on the new stage route whoa take your hands off I'm driving this animal over quick you get a slight when they shoot nine what hey what's the idea show you why you're low down double cross and coyote that'll teach you not to argue with a gun steady now pull the bridge over the creek is down ma'am what happened I don't know the last big stormy had was to wash it away make that a board across the creek I wouldn't advise crossing that mister that's quicksand I need passengers inside test one a girl mind giving her a lift to course not boys help the young lady out everything set lucky good about the driver he's out but he'll be all right I mean to voice him up in your car you know Vincent the boys will take care of him they'll be here soon as we leave with the girl you better keep an eye on the girl she may cause I know what to do he can't come now ma'am he's busy taking charge of the stage boys you mean you're taking you to Colby the new stage route sometime after Jim Lane had set forth on his first run the low ranger and tanto rode at an easy pace toward Colby suddenly the masked man rained in his great white stallion oh why we stop here that's signed hollow arrow points along the other road oh that's enough right that trail goes south yes I know I'm afraid Jim may have taken it with a stage better investigate come on silver get out scout this road go to hell go quick and he bad quicksand no creeps for this moon we'll be able to see the creek from the top of the next ride feeling I've seen the guard of that stage before he may be outlaw steel go perhaps Toto is he may be working with a partner who switched the sign there's a stage now well so many men there what them do some of them seem to be unloading the gold there may be outlaw look two of the men are unharnessing the horses watch I'm driving them away I didn't do that I don't yes there's a reason the gang is pushing the stage into the quicksand they're trying to conceal all choices of the stage came a copy you look there what is it Toto that fellow drive stage Jim Lane he's a prisoner see look if daddy's hands that bright other gangs leaving heading south come on silver get him up scout stage is taking Toto quicksand swarming stage panifax we can't let it get that stage out first we'll make sure the gold was stolen me climb free that's a good idea you can climb on that limb and crawl out over the stage here wait a minute give you a hand up look for the gold in the baggage compartment the box of the lid open and you see it yet box empty that's all we need to know come on back Toto we've got to get that stage out of the quicksand to prove the theft sinking deeper every minute what we do where you silver Toto the scout to help him we can pull that stage out here's my rope spinning as Larry at the Lone Ranger skillfully looped a rack jutting from the rear of the stage he threw a hitch about the pommel of silver saddle another rope was tied to scout saddle and he gave the signal I'm on silver you can do it oh the powerful white stallion and the sturdy paint through all of their great strength into the task quicksand that was sucking the stage into its mire began to yield they're doing a tunnel the stage is pulling free good any good curtain falls on the first act of our Lone Ranger story before the next exciting scenes please permit us to pause for just a few moments riding into Colby with Barbara the outlaws led by Duke headed for the sheriff's home back in a minute ma'am just want to report what's happened to the stage to the sheriff nothing's happened to it it just can't get through it's freight and gold ma'am there may be outlaws on the prowl laws then Jim may be in danger I'll go with you wait here ma'am I'll take care of everything Luke Davis chef I got news for you just a cow puncher sheriff mind if we talk inside what's on your mind mister I want to report a robbery sheriff what's that that's what it appeared to be to the boys in me anyways it was right along elbow quick when we saw the stage from elbow bends stand by the side of the road elbow quick what was the stage going down there I don't know sheriff maybe the drive in the guard had a plan to steal the gold he was freight what makes you think that well when the boys in me wrote up to see what the trouble was they both pulled guns on us told us to give the passenger lift to town and keep our mouth shut I see we did like we was told but when we topped the rise I looked back and they were driving the stage into the creek trying to afford it maybe I heard the guard call the driver Jim I figured yeah Jim Lane I told the express coming in with a mistake hiring a reformed outlaw for the stage and he won't get far I'll have a posse on his heels so quick it'll make his head spin at the outlaws camp Vince lucky and they're gang we're celebrating the success of their venture Jim bound and gagged lay on the ground near the fire how many of you boys still feel like moving on not even that gold looks too good that ends your beef lucky I still say we ought to hit for the border we'll wait for Luke maybe you'll have news it'll change your mind everything went fine Vince sheriff routed up a posse in Rodelville Creek the stage had sunk into the quicksand just like we figured there wasn't even a scrap of evidence you mean you couldn't even see the stage under water not a trace money it should get down so fast what'd you say about the driver Luke well I told the sheriff Jim had driven me and the boys away with the gun and then drove the stage into the creek that convinced him Jim was revertent to his old crooked habits some smart sheriff he figures Jim mired the stage in the quicksand while attempting to get away with the gold and that when the gold disappeared along with the stage and horses into the sand Jim Vamoose that's what we want him to think and Luke yeah the sheriff will spend all his time hunting Jim and Jim's not gonna see Kobe for a long long time got nothing to worry about boys maybe we can even get our hands and some more that gold why what do you mean Vince there's another stage coming from elbow bend of our night you ain't thinking of pulling that sign post trick again maybe but the driver won't fall for that wrong road a second time you'll know about I got a different angle for this hold up suppose we stop the stage of the crossroads yeah we make prisoners of the driver and guard same as we did you and Jim then we drive the stage into the quicksand at the creek first unloading the gold presto the coach disappears and there's no evidence nothing what's a sheriff gonna think if it happens again he's gonna go hunting for Jim here but he's never gonna find him and the sooner we get rid of that Omri the better it'll be for us Vince not yet Luke Jim's gonna do a job for us first just in case somebody spots us way lay in the stage Jim's gonna be real prominent in front and they won't be wearing a mask early the next day Barbara Wilkins called on the sheriff in his office her eyes flashed and her chin jotted forward in determination well Barbara this is a surprise I hear you suspect Jim are trying to steal the gold from the stage that's right Jim's innocent he wouldn't do such a thing Jim's been an outlaw before Barbara I reckon writing in the same coach with gold tempted him back to his old habits that's not true I'm telling you Barbara Jim landed the stage in quicksand trying to make his getaway and for most when he couldn't budge neither the coach nor the goal I don't believe it Jim's not that sort we were gonna be married I'm sorry Barbara take my advice and forget Jim he ain't worth the trouble sure the stagecoach come down the road stagecoach the day coach ain't do from elbow bent this afternoon his night coach it's one that gets stuck in the quicksand how in thunder you come on Barbara I want to gander at that stage I'm coming sheriff there she comes two men on the box what one of those men's an engine the other's mask get ready to cover a man don't shoot sheriff the mask man's raining up he's gonna stop I ain't taking any chances Barbara hold pull up them horses in the name of the law stand where you're running this stage over to you as evidence you'll find that the baggage compartment has been broken open it's right sheriff it's nothing here then the goal was stolen what have you done with it stranger the goal was stolen by outlaw sheriff you're right stranger you and Jim Lane you're on the wrong trail neither iron or Lane had anything to do with taking the gold in fact Jim Lane is being held captive by the gang Jim a prisoner who would believe that if Jim Lane is with a gang he's more than likely one of that's not true I were an outlaw sheriff why should I drive the stage here we'll find out about that when the time comes meanwhile I'm locking you up what's going on here for just in time Marshall this here's one of them outlaws that robbed the stage last night you're making a mistake Sheriff he just rode up in that coach the goal has been broken out of the baggage compartment sorry Sheriff that goal was the property of the United States government the government's taking charge of this case right now release that man I hope you know what you're doing Marshall I do Sheriff I've already talked with your prisoner what do you mean just this instead of locking up the mask man you're taking orders from him that night the Lone Ranger once Morris tried the fiery silver rode at the head of the sheriff's posse well ain't it time you told us where we're heading the stranger of course that's where the outlaws planned away lay the stage just point them out and I'll do the rest I've told your men that we're just watching the whole that you told them what it'll be time enough to attack later we've gotten the evidence science you've got to find out where they're hiding that first ship in a gold won't be carrying it with them Barbara Horton Tarnation brings you here this ain't no place for a pedicle no skedad not leaving till we found Jim in your horse's man what's the whole up from this hill there's the gang hiding in that ravine yes with this full moon we can see him plainly there the outlaws all right they're all massed one in front isn't listen isn't that the stage rounding the bend yeah there she comes the outlaws have spotted it to head and straight for ambush that isn't the new stage it was Martin the quicksand no Marshall I understood your Indian friend her but back to elbow bends so it could make the night run had a better idea Marshall say that's Jim Lane in front of them outlaws oh no it can't be as it is Jim Sheriff but he's not an outlaw my eyes tell me he is stranger all right boys not time to attack your what are we waiting for they're tying up the driver in the guard ain't they nonloading the gold you can't accuse an innocent man Sheriff Jim Lane is the outlaw's prisoner see man standing behind Jim is holding a gun on him it's true look they're driving the stage down the trail toward the creek and Jim Lane's holding the reins I've seen enough tell you men to follow me sure where to we can't let them outlaws get away every minute counts corn silver all right men follow the match man with the stage you double-cross and pull easy son one thing sure I ain't driving these horses to that quicksand get better if you know what's good for you don't frighten me I heard you talking last night figuring a murder in me after this job in high-tailed from Mexico rain up there keep them covered fence I'm taking the reins I'll keep the kid my gun side on the trail up ahead at the creek looks like a wagon it's my new stage somebody must have pulled it out pull up lucky oh I can't the right one whole crack swing over to the side there ain't room there's a ditch alongside your horses are out of control I'm gonna head for camp you all right lucky tracks for the hideout boys sure I must have wasted that stage fence and if he did he may have followed a trail to the camp I should have listened to you in the first place lucky we'll hustle back to the hideout for the gold and high-tailed from Mexico Prado come on easy horse is the camp lucky but I have a look at that goal right away yeah forget him for a minute couple of your boys start digging up that goal it ain't been touch boss anybody you take it they wouldn't bother to fill up the whole stuff I can help with that digging this is you say boys was a shooting come from the woods that came from the south they've got your cornered Vince your road into a trap come and get us I know that boy your tongue wagon coyote at least they won't take you alive for the man we gotta throw in Vince they're too many for it ain't that your fool you just can't see him to shoot at him but I ain't giving up our show another hit for the mask man come on and get them they're all Richard for the sky they're your business chef the gold is buried into that tree where they started to dig yeah say you're all right stranger and have located him but hadn't been for you Donald deserves a cut at Marshall he drove Jim stage to elbow Creek for the outlaws to find if it hadn't been for you I'd be six feet under we couldn't have acted sooner Jim or the sheriff would have arrested you for an outlaw but you're clear now when you get back to elbow bend don't be surprised to find not only your job waiting but a raise a raise call it a wedding present Jim Jim you're down to name honey and guess what the mask man he's riding away oh and just as I was going to invite him to our wedding you have just heard is a copyrighted feature of the Lone Ranger Incorporated