 Hi friends, welcome to today's vlog where I'm going to take you to a full day of clinic with me as an internal medicine doctor. Let's get started. Today starts bright and early at 5am and I grab my daily attire. Wait. Are those pajamas? Yep, definitely pajamas. More on that later though. First, it's time to shower which I always say will be quick but sure enough always takes me at least 10 to 20 minutes. Next I finish the rest of my get up and since I'm losing my hair it takes all about 5 minutes and yes I did put on those pajamas but again more on those later I promise. Now it's 5.30 and I'm finally done getting ready so it's time for my favorite part of the day. Coffee. To be quite honest the caffeine stopped working a long time ago but a nice warm cup of joe just perfect. And just to give it a little bit of oomph need to add a little bit of cream, well maybe a little bit more. Now it's time to get to work and it's almost 6am. Now let's get back to those pajamas. Yes I promise this is still a clinic vlog but today is a half day. Now here's how clinic works. My current schedule is very hospital inpatient heavy. That means every 4 weeks I'm doing some kind of rotation in the hospital. In fact I just finished 4 weeks in the medical ICU. That was so much fun. Sarcasm. But after every 4th week or my 5th week I am on clinic week which means I get to take care of my own patients at a nearby hospital. Now clinic week is nice. Like real nice. Because the days don't start at 5.30 like the ICU. Nope. Clinic starts at 9am. So not only can I possibly get an extra 2-3 hours of sleep the other nice part is I get a few half days per week. These half days are meant for me to catch up on my adult kind of responsibilities including clinic duties, studying, scheduling appointments, I'm pretty sure my car has been needing oil for months now. But because I'm just a freaking productivity boss all that time essentially becomes time off. Just kidding. But today is sure enough one of those half days. And I'll be starting clinic in the afternoon which means I can wear my pajamas right now. Every single day. It can't be nothing here. Now I definitely take advantage of the extra sleep but there are definitely days like today where I enjoy waking up early and working on my side projects like the YouTube channel as well as the Metalete Academy. Shameless book. So in addition to being able to use these extra hours to just kind of do things for myself I get to also spend time with my wife, enjoy a nice breakfast, hang out with my puppy, play some Xbox but now it's finally time to get ready for clinic. So first I have to obviously give my attire a right so that means I can say goodbye to these pajamas and hello to these medical pajamas. And just to make the attire a little bit more complete we have to make sure we had that best. Alright now we're looking good. So finally time to say goodbye to the wife who doesn't want to be on camera today but also say goodbye to the puppy. Aww he's so cute. And time to go. Now the nice thing about my drive to my clinic site is that it's about 30 to 40 minutes away which seems terrible but I love to use it to listen to my next favorite audiobook. Currently I'm using Scribe which I'll link down below and I'm averaging about two to three books read per week. Now it's a little bit before 1pm and I've finally made it to clinic. Now the first thing I do when I come to clinic is I try to figure out how many patients I have to see. Today is a Friday which means it is typically very light but most days I see about four patients each half day plus some telephone calls in the setting of COVID. But today I have just two in-person visits as well as some televisits I need to catch up on some notes from the past week which honestly is not bad at all. Today I think I'm in luck and I only have two patients to see in person as well as some telecalls. Because I'm such an efficient beast the first thing I do is pre-write my notes because you know that's what experienced doctors do and I've been doing this for a whole year and a half that's a long time. Just kidding actually just hate being slow. So I go ahead and start pre-writing my notes I usually find the note from the last encounter using my template for my current visit. This way I know what to follow up on I already have a plan for each of my patients for that day. Then I quickly look at any other notes since my last visit with them. Some patients have to be admitted to the hospital or have ED visits and so it's nice for me to remember to ask about those during our visit. And for most of my patients they seem to have a lot going on within the last three to six months and others don't actually see another doctor except me which makes me a little nervous. But finally I remind myself what medications they're taking as well as if they need updates on their vaccinations including flu, COVID, tetanus, COVID, get vaccinated and finally I'm ready. Now usually a tech will let me know when my patient is here and I'll go up to the lobby to grab them and obviously for this video I can't show you my patient encounters. So let's fast forward to where I get back to being by myself. Most of my visits are 20 to 30 minutes and the first visit actually took me a lot longer because unfortunately I had to send my patient to the emergency room. So as you can imagine that is not a quick visit by any means I have to call the ED in the hospital to let them know that this patient is coming from my clinic and also making sure that all of the workup that is ordered for the next time they see me is also in place. But usually these visits take me to either 30 minutes and finally takes me about five to ten minutes to go ahead and finish up their note because again I'm a freaking beast and I've already pre-wrote it. And as my day is getting closer to being done I can't forget the tele-visit. Now these are really fun because well no one likes wasting time on the phone. Well sometimes my 85 year old females like their inner grandma out but these go kind of long. But most of my calls are quick and focused on their few problems that the patient really cares about. So I can put in my orders, type in my note as I'm talking to them and then I'm done. Now keep in mind that for each of these patients I'm running them by and attending in the clinic. Why? Well I've only been doing this year and a half which I think I'm pretty awesome I still need a second set of eyes to make sure I'm not being well stupid. Which is super helpful and oh look at the time it's already 4pm and I'm an efficient beast that means I'm done with my notes and my patience so it's time to go home. You had it out? Alright I'm covered. Now instead of 30 to 40 minutes it actually takes me an hour to get home well because well that was traffic. But hopefully you guys enjoyed this vlog and this day of clinic. Time to go home and change back to my well other pajamas. I'll see you guys in the next one my friends. Oh and before you forget like and subscribe. Love you guys. See you guys in the next one. Peace.