 What is going on everybody? Welcome back to my channel. Today is about 6 45 a.m. I'm at home just woke up and I'm about to give a lecture to my colleagues over at the hospital because they are still at work and I'll explain all of this further on down the video but I also still have the pager. Anyways so I'm about to give a lecture to everybody rounding at the hospital and I'll tell you why I'm doing all this stuff in these weird times in just a second. Wait let me see. Yeah. Can you see me? Wait can you hear me? Yeah. Yeah. I'm gonna go into presentation mode. I don't know if this will, can you guys see the whole thing? Yeah. Sweet. All right so today we're going to be talking about peripheral arterial disease. So we'll start with femoral papatial disease and a little refresher on what critical limb ischemia is. So simple rules for lesion crossing. You want to use an angle catheter to kind of steer your guide wire. You need a stiff straight hydrophilic wire which will mostly cross many stenosis or occlusion. My first time out of the house in about four days. I'm going to go to the grocery store. This is our once a week trip trying to limit our time leaving the house but Andraana is coming with me and Andraana is coming with me because she is off and look what sweatshirt she put on to match me. So now we have the same sweatshirt on to go to the store. So embarrassing. So like I said we're trying to minimize our time outside but since we both work and oh wow it's like completely empty in here. Yeah. So since we both work in healthcare we have very minimal time and we can actually go shopping and there aren't many options to order at groceries to your house around here. So and I'll be working the next seven days. Andraana will be working the next seven days. So this is our one time to go to the grocery store and matching sweatshirts. And I will sanitize everything I do while I'm here. Do you want to get the little one? Okay thank you. So they are open so Whole Foods is open but they are only allowing 25 people in the store at a time which is actually a really really good idea. And while we wait in line we have to have at least six feet of distance between the next person. Good job Whole Foods. Doing a good job. You can see there are only 25 people in the store right now. So it's a business thing and it's finest. Also I just want you to see this giant sweet potato right there. So I'm still trying to wonder why out of all the clothes Andraana has you wear the same sweatshirt I have on you have a wife or girlfriend or a significant other who does that let me know in the comments below. So embarrassing. I feel like I'm one of those people who's on like a group trip to Disney World or something that are all dressed in the same clothes. Alright I'm probably overreacting so just disregard everything I'm saying. Also we are supporting our good friends over at DSNY Department of Sanitation New York. New York's strongest because they are also out there on the front lines taking care of everything as well. So also Whole Foods has these lines on every aisle and that's like approximately six feet how far away you're supposed to stand from people. And we only allow 25 people in here at a time but people are hitting so aggressive. Like we just heard people in the aisle yelling at each other to stand six feet apart which I guess is pretty good but it is open up a new side of people I did not know previously just well I guess I did know it. And now the most important aisle that we're going on today we need to stock up on wine because we will be inside for the next week. My favorite so we like the red blends if you will what was that one we liked the other day we like this one this one was delicious oh let's get that that's the heart one that one not sponsored and then where was the other one oh this one this one's italian italian fastimento this is my favorite county as you've seen in previous videos god I wish I could lay outside at the pool and drink rosé but it's not that time yet more rosé still super jealous okay so it's not necessarily rosé season but this do not tell anybody about this this is the best rosé literally the best rosé that they made domain de chatomar cook their own rosé this stuff is so good and they're always sold out of it and I'm about to buy like four bottles all right I don't know how this turned into my favorite wine video this one's from Spain Montesario de las Minas Reserva 14 this one's delicious as well this one not sponsored just my favorite ones all right so I think we did some damage at the grocery store I mean we just spent so much money for our week long supply we may make one more stop at the grocery store across the street while we're out just to get some other stuff that they didn't have here and maybe we can find some toilet paper around here people didn't hoard it so us lowly healthcare workers can have some toilet paper for us all right so we are back home now from our only time out of the house today and it's about time I tell you exactly what is going on and why I'm spending so much time at home right now so as of this past Friday the IR group or IR department has basically decided that we are going to go to a seven day on seven day off schedule let me turn this on mute we're going to a seven on seven day off schedule and which means basically so we have four total fellows I'm considered a fellow even though I'm a junior fellow or senior resident I still take call like a fellow so there are four of us two fellows will be on one week two fellows will be on the second week and then we have I guess nine or ten attendings and they are basically splitting up those weeks as well five on and five off so the whole thought process behind this is that we're basically minimizing our exposure in the hospital so we're trying to keep our department as safe as we possibly can while still providing adequate care for our patients so the only reason we can really do this is because we have limited our outpatient procedures for one so we've cut back on anything that's not urgent or emergent so we've cut that back significantly which means we can kind of cut our staff down significantly so essentially the whole point of doing this is that if one team member gets sick and has to be quarantined and they may have interacted with other team members we at least have this whole other section who's been off the whole seven days who can come in and cover rather than the whole department being taken out with the same sickness so essentially it is kind of a preventive measure in place so that we can still maintain our department if someone gets sick so I did the first seven days on I was on call the first weekend which was this past weekend now it is Friday I've been off since Monday so it's day five now basically haven't really been doing much filming some youtube videos I had to give a lecture to my colleagues after morning rounds and every day I've been kind of following up on morning rounds as well just to stay kind of updated with everything but yeah it's kind of a different world we're doing everything from home and seems to have worked out so far as of yet so we'll keep it going so next week on Monday I'll work Monday through Friday my co-fellow has the weekend which means instead of seven days off I'll actually have nine days off so it's actually a pretty good deal but the problem is when I'm on that week I take call every other day because we're just splitting it with two people instead of four so that can be pretty draining for those five days but I'm not complaining it is what it is different times right now call for different measures and yeah that's all I got so now you know what I've been doing this week I'll probably put out a few more videos because I have nothing else to do I'm going to make Andriana start a video because she is also off the rest of the weekend as well and I guess we'll kind of go from here that officially concludes this video make sure you smash that like and subscribe button and follow me on instagram if you don't already if you have a question leave it in the comments below I will try to answer as many as I can turn on post notifications so you are notified when I post a new video which is usually about once or twice every week or maybe three or four times now that I have all this time off otherwise I'll see you all on the next video