 some of you all have left comments saying that I only show the positive side of residency and of course there are negatives and I'm going to show you the negatives of residency and I'll start with being called in at midnight on Sunday. Alright so like I said it's just about midnight on Sunday I just got called in from home so let me rewind a little bit this is actually my seventh day straight we are currently doing seven on seven off like I said in my prior videos so we worked seven days on and have seven days off afterwards the only problem with that is you split the whole week of call between two fellows so me and my co-fellow Clayton so every other day we are on call so essentially one day I'm not on call then I'm on call for 24 hours and keep going so I was on call Tuesday Thursday and Saturday Sunday up until Monday morning at 7 a.m. so every day since it's been essentially the same amount of work almost but half of the staff you have to kind of pick up the slack which means I've worked pretty much 15 hour days plus every single day so far and today is my seventh day I left today about 5 p.m. I thought I was doing great thought I would get a good night's sleep hanging out with Adriana tonight but then I got to call it 8 p.m. and found out there was a patient bleeding at an outside hospital that was being transferred here and the hospitals probably two hours away from here transport takes forever and they didn't actually get here until midnight which is fine because you know it's about a two-hour case to get out of here at 2 a.m. and I don't have to go to work tomorrow so it's not that big of deal I'm just a little tired and was hoping that I could enjoy my seventh day in a row and just relax but such as life so you guys wanted to see the terrible parts of residency so this is pretty bad can't be much worse than being called in at midnight when you're almost done with your seven day straight stand so one thing I failed to mention that while I was driving here I got called by the ICU and they told me great news that there is also another patient bleeding at a different outside hospital being transferred here emergently that we will likely have to investigate as well so now I have two cases back to back they probably won't start till about 1 a.m. or so and hopefully I can get out of here before the sun comes up so I'm sure you can see how tired I am currently it's been a long week my hair is getting longer by the day here but anyways I'm gonna go get changed watch me as I slowly get tired throughout the night and what can you do we sign up for it all right so it's about 15 minutes later I got changed as you can see and what you all probably don't know because a lot of you all see the emergency stuff and TV shows but there's this huge like waiting period the whole game is hurry up and wait these patients get transferred here the ICU teams have to assess them in the unit they have to either put a central line in intubate them or whatnot change their press requirements all that stuff to them up then they can transport them down here so essentially I get here I do all the waiting do the note look over the imaging plan our way we're going to know about this procedure and then once the patient gets down to our suite then I will have quality attending in and wake him up to come in because they usually look pretty close by so right now I'm just going over this I'll look over the next patient and wait for this one to come down and we'll get started all right so it's now 1245 a.m. and I'm still waiting for the patient to kind of get down here I spoke to the ICU they want to intubate the patient up there before they bring him down so that they're nice and stable for us that way anesthesia can just take the reins when they're down here so in the meantime I figured I would show you the inside of an international radiology suite because I know you guys are seeing pictures of but don't really know what the heck all these things do so I'll go ahead and show you this right now and at least you guys have an idea of what this looks like all right so this is an interventional radiology suite super fancy and beautiful when you flip this camera around so you guys can see our so first and foremost we have our big C arm so this is actually turning sideways it's usually centered like this so that flat plate detector is up top over the patient this is actually the part where the extra comes out of or the tube it goes under the patient so that all the scatter goes down to the floor this thing rotates on a hinge as you can see right here it can go pretty much anywhere and has this fancy blue light at the bottom which is has a nice touch so this is the main workhorse of the interventional suite right here next we have the anesthesia machine over here in a little picture system where we get all the medications well I don't for the nurses and the anesthesia I'll just get it then we have our table we go extra wide here so this is our table we have a little mushroom tip right here as I like to call it it moves the table pretty much everywhere this brings the C arm all the way from there to the actual patient column 8 whole bunch of buttons here that change a bajillion different things this unit actually does a cone beam CT which is basically a CT but not as good of quality because it can't do the same thing that a normal CT scanner does we have a few fancy things here we do so the vascular team does a lot of aorta work in here so we can get pretty pretty fancy with our IBIS setup here and then as you see right there on the big screen we have one big screen over there and one big screen right here which basically is where we see the x-ray and x-ray will take up this whole screen right here while we're doing the procedure these move on a hinge as well so as you can see everything's pretty mobile we have some OR lights so we can see what we're doing and then we have all of the stock supplies balloons guns wires catheters etc etc etc and some random supplies here another TV screen and this is the whole view of the interventional suite right here so it's pretty cool we have the best technology in medicine but I'm not biased is this is the control room where we do all the setup comb beam CT setup with a microphone and all that stuff so yeah this is where all the magic happens behind the scene we have lead lined glass so you can watch the procedure without getting radiated also I know you guys are going to be in the comments saying that I don't ever show you what I actually do when I'm at the hospital but that's because there's something called HIPPA and we have to respect patient privacy so I can't show you all of the procedure or give you any information about the patients or procedure that I'm doing so I have to keep it really general but if I get time while making this video I'll show you some examples of what I mean by bleeding and what we do in interventional radiology and how we fix that problem all right so one case is officially done it was about two hours long didn't get started it's all pretty late but we're done with the first one we are checking the patient's labs for the second patient to bring down oh by the way it's 4 a.m. currently so up it up since 6 30 and so we're approaching 22 hours of being awake compiled with seven days of minimal sleep total so hanging in there waiting on the next case currently so we'll see how that goes also since I won't be here tomorrow morning I'm gonna go ahead and dictate that case because usually these difficult cases are long and take a lot of time to dictate so going to do that now so that I don't do it later and forget everything I did alright so luckily we didn't end up doing that last case it's gonna have to be pushed until the morning and yeah that officially concludes this night it's about 5 30 I'm gonna get changed real quick and go to my car alright so like I said it is 5 30 now and we only did that one case because the other patient was stable and the case took a little longer than we anticipated so I'm going home I guess I finished out with a bang so to say nice almost 24 hour shift to finish out my seven-day work week so you wanted to see they're not so fun inside the residency here they go