 Hey everyone, I hope you're well. Welcome back to my channel or if you're new here, my name is Steppy. I can actually take this mask off because I'm alone in the office right now. Today is the 1st of January 2022 and I just started the year in hospital. So it is currently 3.10am and I am halfway through my first night shift of the year I guess. But I wanted to use this year as a chance to start a new series for you guys, so a Dario Virginia doctor and bring you along with all the things I get up to. Tonight is a super busy day because some people have been unwell because of Covid so we're having to cover a few more bases than we usually would. But nonetheless it's been challenging but really good and I am taking a short break just to have a little drink and to have a chat with you guys and just to bring you along on the journey of what it's like to be a doctor and working in the pandemic. Which I'm sure a lot of you guys would want to know what it's like if you are an aspiring doctor or if you're just interested, I just thought maybe I could start a whole new series this year. So if you guys will enjoy this, I've had quite an interesting start to the year so before the countdown to the new year I actually certified the death of a patient and then watched the fireworks, I'll then start a clip from the window, we watched it from the window, seeing it into the car park for about 2 minutes and then my bleep went off so that ended quite abruptly and then I certified another death and I've just been doing loads of other different jobs. Now I am done documenting for the patients I've seen and how it works in the evening is that I get bleeped basically by the hospital at night team who let me know who needs to be reviewed. So if there's a patient with chest pain, which is an example of a patient that I've seen tonight or for example stroke patients, there's loads of different stuff to be seen so I definitely learn a lot on the job. I'm kind of talking with a lower tone as well because I don't want to wake anyone up. Even though I'm in the office, I don't want to wake up the patient outside of the office but yeah I'm going to go have a quick drink and then if I get bleeped then I get bleeped and you guys will be along with me. Even though I work here in the daytime, I still get really lost and confused sometimes at night time trying to, yeah even now I'm going to the wrong ward. I'm trying to find my way to the right ward. So I just got home at 10am. That was the point where I was sitting in my car for like 5 minutes because I just didn't want to get out because I was so tired but I want to do a learning point each night after my shift that I'm vlogging so something that I saw that was a big kind of thing that I learnt from maybe even something small that I may have usually missed that I didn't and that I want to remember forever so tonight's learning point was one of the patients that I was called to see because that's usually what happens in the night time away is you are only ever called to see patients who are really unwell so it's called to see a patient who has dementia and who is very confused and it was breathing really fast. The patient had come in because of the being confused on the background of dementia but the breathing very fast wasn't you. So every doctor checks airway, you check their breathing so that includes this into their lungs, checking their oxygen levels you check their circulation which includes this into their heart checking their blood pressure and their pulse, doing an ECG and then you do disability so you check their GCS which is the Glasgow Chimascale which I won't get too much into and you check their glucose and you check everything else but you do it in that order which is ABCDE and I didn't really find anything in kind of the airway of the breathing section which I thought you know makes sense right respiratory rate has gone up surely you know maybe I'll hear some crackles when I listen to the lungs or maybe they're needing a lot more oxygen all of a sudden but none of that had changed but when I went on to feel this patient's tummy I could feel their bladder really hard above their umbilicus, above their bellybutton so I asked for a bladder scan which is like a scan you can do with a vet that she the same way you would do a jelly scan for a pregnant lady except bladder scan is a really smart like they can tell you instantly just by putting the scanner on top of the bladder you can see in jelly how much urine is inside the bladder now you usually get the urge to weigh at around 350 ml and once you pass urine you want your bladder to be pretty much empty so this patient had over one litre of urine in their bladder so that's called urinary retention and that is why they were breathing fast so it was really interesting for me because you wouldn't usually think that you know it would manifest itself in that way so that was my learning point for the night but now I'm going to wash my face, take off my makeup and go to sleep and get ready to do this all memory again tonight but hopefully wake up a bit earlier so that I can be a bit productive so we'll see what we get up to you guys will see wash my face it's 4.15 I've edited my youtube video yesterday so I'm going to upload that I need to make the thumbnail and do all of the description blah blah blah all the technical stuff so I'm going to do that whilst I eat food downstairs there's only pizza I'm just checking how well I don't know if I'm in the mood for either of those so we'll see what happens it's 4.20, I don't know if I said that already my headache has gone down a bit but when I woke up this day I had that headache because you're just so you're so tired when you wake up but yeah wash my face, brush my teeth so guys look what a surprise who's joined me on my night shift it's not every day that well it's the first time ever that Sina and I are working together and it's a night shift like we went into medical school I was like oh my god I can't wait I'll actually insert a clip of someone capturing the moment where we were screaming about like manifesting this day like a year ago we were like oh my god there's going to be a day at least one year ago today it wasn't one year ago it was like nine months ago one year ago yesterday it was on your birthday so yeah here we are working a night shift together we have just been seeing patients and we will answer the and come back to you you know what I hate about nights is this bit come out in the sun is in your eyes and it's burning tiring look at this please my car is a mess so I just got in my car I finished my shift Sina finished an hour and a half before me she finished at 7.30 she was locuming yesterday well last night so what that is is a bit like a supply teacher let's say so if there is a staff shortage like there's a space available for staff to come in and work then you can put a locum out and then a doctor will come and fill up that locum so that is literally what Sina did so she worked with me she doesn't usually work in my hospital so it was really really nice so the hospital which was nice on a night shift it's quite rare very rare to have dinner with your friends so yeah it was really nice I think all the night shifts they've had in medicine like in medical specialties I've always managed to have a friend to eat food with which I'm happy about so tonight's interesting case let's say was a patient who was on a blood thinner who fell over and hit their head they needed a CT head because anyone on blood thinners who hits their head needs to have a bleed ruled out this patient after having a CT head that was normal then fell again and hit their head and I was wondering do we just CT them again or if they're still symptomatically fine do we not CT the head them and my registrar said that no matter what you have to CT head them even if they had one an hour ago that is what the nice guidelines say so that was my learning point for the day yeah I don't know if that was an interesting one but anyway let's go home now I don't know why I'm sitting here rambling to you guys also I ate so much rubbish on tonight's shift I actually cannot cope with myself like just in the past 24 hours I've had so much to consume a nurse gave me like a chocolate waffle thing that was in a packet like so it wasn't a fresh one as a packet one but it looked appetizing and then when I ate it it wasn't that appetizing but I still didn't stop eating it so oh my god that lighting I'm so sorry guys but yeah still ate that chocolate waffle and I'm regretting it oops hopefully I'll wake up and go to the gym we'll see I think I'm just going to try and sleep and then go to also there's an eagle in front of me or is it a crow I don't know okay I'm going to go home I'm in bed on my laptop going to watch some YouTube hopefully you'll keep me awake for a bit because I want to push back the time that I fall asleep so that I wake up a bit later because waking up at 3.30pm yesterday was a bit too early for me I mean I wasn't to be honest I wasn't particularly like tired in the nighttime I was quite okay but I think that was because there was so much to do that I was just constantly on my feet so waking up a bit later will mean that I'm just a bit more refreshed I mean you know how like you wake up and you go to work I guess some people don't do that but you know I wake up I get ready and I go to work so I come straight from well rested sleep straight from well rested sleep to work so I want to try and do that tonight so I'm just going to try and keep myself awake with YouTube so I'll see how successful I am it is currently 10.13am so we'll see so the time is 8.20pm my plan succeeded I woke up at 7.30pm technically I woke up at 4 and then I was awake for about 15 minutes and then I fell back asleep and I woke up at 7.30pm because Sol woke me so that means I actually slept through the whole day which was amazing in terms of I feel well rested but sad in terms of like I didn't when I woke up I didn't really have time to do anything for me so I fell asleep about 2 minutes into watching that YouTube video last night which well this morning which was really good um does anyone by the way like go to bed watching me let me know because like I love those YouTubers that you can watch before sleep who like are really calm and then there are some that you need to watch with full energy so I wonder if any of my I think with me it's probably a admit bit both isn't it sometimes I'm super calm sometimes I've got something wild going on you all have to stay awake for it not saying that you should watch my vlogs okay you know what I'm saying but anyway when I woke up I've had basically 20 minutes to eat and change I don't want to wear makeup I've just got lip balm on and that's mainly because I always I don't um I often wear makeup when I go to work one even though you're wearing a mask I think it's nice to look presentable for yourself and for your patients two um it stops me from touching my face as much um because naturally when I have makeup on I don't touch my face um but the only time that I don't is when I've had makeup on let's say all week if I need a break um or if one time I I use that one time I use that Tiger um cream by Cicapair and the grass one the grass cream broke me out completely so I couldn't wear makeup then and um sometimes I wear it yeah sometimes I don't wear it as well because I just feel like a breakout coming up or just my skin needs a break so tonight I feel like my skin needs a break I don't wear any makeup just got my little lip balm on and um and I've got this jumper on um which when I'm in the office I can just throw it back on when I'm not seeing patients and it will keep me warm because sometimes sometimes the hospital can be a bit cold so yeah it's good to have a jumper but this is my last night which I'm so happy about um so if you work the weekend then you only do Friday night through to Monday morning um and then if you work the weekdays then you do Monday night through to Friday morning um and then I'll get Tuesday off to recover and then back to work on Wednesday so that's how my time table works and I think as I've explained like on nights you basically are not really going to see every single patient you literally just going to see patients who um they're no longer stable and something has changed in their health or something that's come up for them or they're complaining of chest pain for example so um those are the kind of things that you see on night time so I hope that this has been quite insightful for you guys so let's go ahead onto my final night I got this new Kiehl's set from my sister for Christmas so I got it for me um just like as a random stocking thing so I'm going to start using it it's the age defying essentials one and inside it is a full size power strength line reducing concentrate containing hyaluronic acid so I feel like this is the serum that you wear underneath your moisturizer and then there is a super multi-corrective cream this one's a sample size and it's a powerful strength reduce powerful strength line reducing dark circle diminishing vitamin C eye cream so I'm going to start with the eye cream and then I'm going to put this serum because it is winter time I should probably be saying that today is Wednesday and my night's finished on Monday morning um I'm sorry I didn't vlog much on the actual night that night it was really really busy um so I just didn't really have time and there was more people in the office it was not as easy to vlog with people around but now it's Wednesday and I haven't vlogged in between either because actually one thing that I've been struggling with my past two set of nights I'm just going to wait is this a face wash cleanse skin thoroughly prior to application apply morning and night before your moisturizer okay yeah so I'm ready to set run but it's just so big um yeah so basically last two night shifts that I've had I have been struggling with going back to my normal sleep regime after so I'm quite good at adapting into the night shift but coming back out of it oh my god this is burning my face I think it's the hyaluronic acid it just has to avoid the eye area um my face looks much redder in the camera than it does in my mirror but um I'm going to let this sink in for a few minutes before I put my moisturizer on the past two sets of nights I've had I've been struggling so much with being able to get back into my normal sleep routine after my nights are over and I think it might be to do with the fact that I'm so exhausted that I like sleep properly right after my nights are done whereas what you're kind of meant to do is take a a few hour nap, wake up and then go back to bed at your normal time and I haven't been doing that which isn't good um so I went back to work today and I had not had the best amount of sleep so I was honestly really tired by the end of the day I was fine in the beginning of the day I felt like a night shift but towards the end I could feel myself getting tired so um yeah I came home had a couple hours nap and then had dinner with my family relaxed and it is now 11pm and I'm going to get into my bed and revise I'm going to revise until about 1am because I have an exam coming up um and then I'm going to go to bed and I'm going to try wake up to go to the gym but we will see what happens um I woke up really early today obviously like I said because my sleeping pattern is so messed up and even if you don't do anything it just feels so nice to be awake that early when the whole world is still asleep like there is a reason why there's a million youtube videos about waking up early so I'm going to try and wake up earlier so that I can go to the gym finishing off talking about night shifts I feel like um yeah a sleep adjustment is definitely a difficult thing ironically it's more difficult to go back to your normal routine than it is to fit into the night routine I think um in the night time you run off so much more adrenaline that you are awake um and then you settle into the pattern of going to bed at a different time but coming back into your normal routine as hard it's a bit like Christmas holidays I don't know if you guys will like me when you're a kid but um when I had Christmas holidays I would basically go to bed at like 4am and then when I had to go back to school it was so hard because I had to get back to my normal pattern of going to bed earlier and this feels exactly like that so yeah um I think for the next episode of diaries of a junior doctor I will bring you guys along to a normal like ward week for me which is my day job my current day job is on care of the elderly so I was on trauma and orthopedics and now I've moved to care of the elderly I moved one month ago exactly and I've got three months left on this placement but I love it um so hopefully I can get more into details about that I hope that like so far I've given you guys a good insight into nights I have another set of nights coming up at the end of January so um if there's more questions you guys wanna know if there's something else that you guys want me to film then let me know and I can film it in the next set of nights I can maybe like do a question as we go along um throughout the night shift like just do a question a moment or something so yeah if that's a good idea then let me know also England is super super cold right now it is one degrees so I have dressed like a snowman my face has stopped burning as well but yeah I have dressed like a snowman and when you have it is just constantly making my bed um wow been working so much on my mental health in the past week alone I feel like I've been making leaps and bounds weirdly like last night I feel like I was having like a panic attack in bed but I feel like it wasn't even a panic attack but more like revelations of things that I need to do to work my mental health and it was like so eye-opening for me and one of the main things that I would say has helped me is um Steven Bartlett's diary with CEO can't stop talking about this guy obsessed with his podcast like it is he's literally made it to help people and I feel really helped I'm gonna start buying people just because he advertised it 24-7 in the middle and I love him so yeah hashtag influence I was gonna show you guys some random parachutes that I bought in the sale but I realised I didn't show you my main Christmas present either from my sister so I just got it here so I might as well show you guys so we've got a little couple of new stuff that I've got recently but I got these heels from the Naked Wolf sale they had 30% off and I'm obsessed with these I don't know what they're called but like they don't have like a huge range of shoes so if you go on the Naked Wolf website then you will easily find these I will link them down below if any of you guys want to buy I'm watching the sale stops because soon as these arrived it took ages for them to arrive because of the two sets of bank holidays but when they did arrive finally I was like oh I wish I bought the knee high boots as well in the sale and I went back on the website and the sale has sadly ended but hopefully there'll be another round of sales and I will get those knee high boots because they are so hot but yeah I love these they're really chunky they're quite heavy if anyone has had Balenciaga triple S trainers or something similar to the Balenciaga triple S trainers then this is basically like the same or if not a little bit more heavier but I don't mind the weight of the triple S's so yeah if you guys don't like heavy heels don't buy these because they're really heavy but they're quite comfy I haven't walked around in them yet but like the padding is super super soft it's obviously got such a thick heel and such a big platform that it's not really going to be difficult to walk on so I just thought these are perfect for a night out because they're super high they're quite cool and funky they've got the shabby detail and I can just wear them for hours without my feet hurting too much then my main Christmas gift from my sister I was so shocked about this so in my family we do secret Santa and everyone gets like a family member and we basically buy one gift for that person I don't know why we came up with it but I think as a student and also when my sisters were students it really made more sense for us to just put all of the money that we wanted to spend on the secret Santa as well on one person rather than buying loads of tiny gifts for everyone so yeah I think as like time went on we just kind of stuck to the idea and obviously the gifts have got more extravagant as my sisters and I have got paid more girls proud of us yeah this was a super super nice gift from my sister I absolutely love it so I got this box and I was like shocked because she asked me she was like I know your secret Santa is what do you think you'd want for Christmas and I let she just chose a pair of new balance trainers which by the way I kind of wish I'd bought them myself they'd gone down in the sale to 60 pounds and they were super trendy and they were the last one of my size and a pair of like Adidas trackies that were like 30 quid and she let she comes through with this I should have known it was her who was my secret Santa but isn't she beautiful if you guys follow me on Instagram you've already seen I have debuted her she is why do I keep putting my bag as she I need to I need to stop doing that it's so cringe but this bag is so beautiful with or without the chain so how it works is like you twist it and then it pops open like this and then it's got like the off-white like tag thing by the way you're not meant to rip these out like it's the style so I'm not being weird by having kept it in and then it's got like one pocket bit here that you can fit stuff into the strap is super adjustable so you either can undo it and take off completely like this or you can just make it tighter and shorter so that it hangs off you like a shoulder bag so it's up to you and then there's an extra pocket here in the front as well and the only thing that stresses me out is obviously this is so going to get dirty super easily even now I've touched it like on my cream on my hands so this is my favourite shade of pink by the way like as in my favourite flowers are baby pink roses and like they have to be in this colour like that is my favourite but if any of you guys have watched my birthday vlog you've always seen people like my family always gets me baby pink roses in this colour so like the fact that this bag is this colour is just my absolute dream what is this out here it's our old business cards we are getting new ones because we have big big stuff coming for our clinic I'm so so excited as you don't know by the way I also have an aesthetics clinic with my sister's doctor s aesthetics but yeah this bag this bag is just so beautiful I think I kind of prefer it without the strap I like it with the strap from wearing it with a coat but if I'm just going to dinner then I think I like it without the strap a lot more so yeah I love it so much thank you so much Sol it's so pretty and then you guys will see later this month what I got my mum who was my secret Santa for Christmas I'm really really excited subscribe to stay tuned because it's a really really good gift and you might be wondering why is she not getting it on Christmas Day but you'll see when you see it so that is the end of this video I hope that you guys enjoy if you did then please give it a thumbs up and leave a comment down below because it actually really helps me to know what kind of content you guys want to see like if you want to see more diaries of a junior doctor if you want to see more night shifts if you want to see more of a day shift if you want to ask me particular questions you want me to sit down do Q&A if you just want to see daily lifestyle vlogs etc let me know and I'm so happy to film them for you I love you all so much and I will see you next time bye