 People in the medical field are sharing secrets about their job. Welcome back to the channel, everybody. For those of you who are new around here, my name is Michael A.K.A. Dr. Cellini, and I'm a board certified diagnostic and interventional radiologist. On today's video, we are going to be going over a recent BuzzFeed article in which people who worked in the medical field started sharing secrets about their field that you wouldn't know unless they told you. I happen to come across this article while reading the morning news, as I often do. This popped up and I started reading it. But then I decided to stop after the very first one because I wanted to save it for this video. So let's go ahead and get right into it. All right. So this is a BuzzFeed article that I will link in the description below. So basically the author who is Audrey Inverson, she asked medical professionals if there was a relatively unknown part of their job that they wanted the general public to know. And according to her, they didn't disappoint. So let's start off with the first one. I'm just going to read some of these to you. We'll talk about them a little bit. And we'll pick our favorite ones. Number one, I used to work at a private practice plastic surgery center. And the things I saw were repulsive. Interesting. The doctors would shame some of the patients into scheduling surgeries with him. The first question he would ask you in your preoperative appointment was what you did for work and will provide a quote based on that. Now, I actually someone told me this recently that they were wearing like a nice watch or a nice bag somewhere. And they felt like they got a bad deal on whatever they were purchasing because they had a nice watch or a nice bag with them or whatever. I think this does happen, but it definitely should not happen. And a lot of people don't know that people in surgery fields, aka surgeons. I don't know why I said that they can charge people whatever rate they want. The insurance company may not cover that specific rate because they may deem a certain surgery worth a certain value on it. And they will only pay you the difference. So you have to cover the extra. Now, say for instance, an appendectomy costs, I don't know, $10,000. And your insurance thinks, yeah, it's maybe worth like a $10,000 case. So we provide $10,000 reimbursement. A doctor who maybe is very skilled and maybe is a cash only physician or surgeon may charge you $20,000 for that appendectomy. Your insurance may only cover $10,000. And then you would be responsible for paying them the other $10,000. So this definitely holds true. There are a lot of private doctors who charge whatever they want. And maybe this plastic surgeon is no different. I'm not saying I agree with it. I'm just saying it exists. He also made us reuse surgical supplies that weren't meant to be reused to cut costs. He was so mean to a staff it wouldn't overwork us to the point where exhaustion would no breaks during surgical days. OK, so I understand the overwork part because in medicine, people just overwork each other for some reason. I have no idea. It's deeply ingrained in our whole system. But the problem I have with this whole thing here is reusing surgical supplies that weren't meant to be reused. That, my friends, is a problem. And I hope this doctor was reported for this. Now, I don't know what kind of things were reused. But if something was meant for a certain procedure or surgery, it should be thrown away or cleaned in the autoclave with their reusable instruments. You should never reuse anything that was used in another procedure. Period. Number two, I worked in an outpatient laboratory and a patient does have the right to decline tests that they feel unnecessary or too expensive. There are several providers in our clinic who insist we all do labs in a patient's chart even if the patient doesn't want all the blood work ordered. So again, exploiting the system to get their labs so they can bill for them. And some of these labs can be very expensive, by the way. So one provider once told me not to listen to the patient but always do all blood work she orders. Patients should be proactive, question the need for tests and have the right to decline if they choose. I totally agree with this because a lot of times certain physicians, NPs, PAs, et cetera, will just knee jerk order a whole bunch of different tests and not really know what's included with them. So a patient may actually not need all of the labs that they're ordering, but they just kind of knee jerk them because they come in a package deal. And for instance, a CBC would differential. You may not need, but sometimes the doctor will just order that because I don't know why. It sounds better. So I totally agree. The problem with this statement is it's very difficult for a patient to know what labs they actually need versus what they don't need. It's very challenging. Clearly a lot of physicians can't figure it out so I don't know how a patient would. Number three, nurse for over 30 years. Patients have no idea why are they having a procedure and therefore what the results mean. For example, a colonoscopy is performed to look for and remove colon pops which can over time grow into cancerous tumors. It's scary how many people don't know why are they required to have this done after turning 45. This holds true so much because in my field, all I do is procedures and I cannot tell you how many times people just come down and they're like, whatever you say doc, they have no idea what they're having done. I explain it to them, obviously. They can sent for the procedure and say they understand, but they also don't care or don't even care to ask questions about the procedure. They're just like, yeah, whatever, sounds good. Sometimes it shocks me, but it happens so frequently now that people don't know what they're even coming down to me for that, you know, it's not even surprising anymore. And again, like I always say, patients need to have some sort of ownership on their own here. And if you don't know, ask questions. Number four, I've been a nurse for 20 years and every day a nurse punches in to put their life at risk. There's a risk of exposure. I've been exposed to TB multiple times, meningitis and hepatitis B and there's a risk for violence. I was assaulted when working in an ICU for from a confused patient. Yeah. I mean, I don't know if this is necessarily a secret because when you sign up for a working in the hospital or any medical field, especially if you're drawing blood, getting labs, being really close to patients, there's always a risk for a transmissible disease, period. In my line of work, you have to be very careful. Treat every needle with respect. Make sure you know where every needle is so you don't have any accidental needle sticks because you could be exposed to some of these things they mentioned. The violence part, that's what a lot of people don't understand and this happens all the time. This happened to one of the PAs I worked with recently. They were just assaulted as a patient past them in the hallway. They weren't even a part of that patient's care. It just happens and I don't think it's right, but I don't know what we would even do to avoid it, per se. It's kind of just a known risk of being in the hospital. All right, number five, medical social worker here. We often don't get a lot of credit for the things that we do, but we are really important part of the interdisciplinary team and actually do a lot. They do do a lot. We are usually thought of as people who call child or protective services for adults, which we are, but that is such a small part of our job. A lot of times we are the ones writing letters to insurance companies to get medications approved when they are initially denied. We also provide a lot of education to patients and families after they receive a new diagnosis and it all seems overwhelming and confusing. Yes, I totally agree. I think people kind of don't give social workers enough credit. They actually do a ton and they are responsible for getting patients out of the hospital and into places where they can be cared for. It's not easy to say, but a person who just had a big operation who maybe like 80 years old has no family, it's not very easy to find them a home and have care for them when they leave. So they set up all these homes that they can go in or transitional home to get them back to their home. It's a lot of work on the back end that people don't realize and the social workers do all of this. They actually wear a lot of hats. So shout out to the social workers out there. My sister and I are fourth generation nurses. I have been working in healthcare for 43 years. We've always been short staffed. We never have gotten 15 minute breaks and rarely did 30 minute lunch breaks where we are not still doing work related activities like charting, answering the phone, et cetera. I worked as emotionally, physically and psychologically demanding or exhausting. We suffer from chronic insomnia and rarely take a good care of ourselves as we do for our patients. Yeah, I totally agree with this. This is a little thing that I like to call burnout and we talked about it a lot on this channel. And I was actually just thinking about this today is I don't think I've had a lunch break since I worked in real estate back in like 2008. That's the last time I remember a lunch break. My lunch today was thankfully a sandwich that my wife made me. Shout out to Dr. Anna for making me a sandwich today and most days she packs my lunch. I have the best wife ever. But I literally was between studies and between procedures. I grabbed a sandwich and I have my sandwich in one hand. I'm reading studies, putting the sandwich down and dictating with my mouth full, putting the sandwich, eating it, repeat, repeat until it's done. Like that's my lunch. I'm just working like crazy through my lunch break. I should just say through lunch because I've never had a lunch break. That's neither here nor there. So I agree with this person. Number seven, I worked in HIV testing education. I test hundreds of people every month. Sometimes the people who will be positive are obvious from the moment they step in the testing room. Most of the time they're people who test every few months and just had that one risky encounter. Either way, telling someone that they're now living with HIV is devastating. Yes, it is. I try so hard to keep my emotions neutral and stay upbeat as I walk them through their next steps. But honestly, I cry with them most of the time. It's the stigma surrounding the diagnosis that people fear the most. The virus itself is easily controlled with medication but the judgment of others and the lack of basic HIV education in this country makes a lot of people afraid for their safety and privacy when having to disclose their status. I totally agree with this. Coming from prior hospitals in my training where we had a lot of HIV positive patients, the education just isn't there. We've made so many advances on HIV treatment in the last decade that honestly, the whole virus can be controlled with pills that you take regularly. That's a crazy advancement in this field and a previously deadly virus that we had no idea how to cure. But a lot of people don't know that and there still is that stigma around HIV, obviously, because it's a transmissible disease and I don't think that'll ever go away but what really needs to happen is people get more educated on the topic. All right, number eight, I work in healthcare and when we tell you to use the call bell when you need something, it's not a suggestion. We really mean for you to use it and not harass the secretary by walking to the front desk. It's not going to get you help any faster. The message has been relayed and your family member is not the only one that needs care, so be patient, especially to the staff that actually showed up to their job. Yeah, I totally agree with that. I mean, you see patients wandering around the nursing station a lot when they need help and some people are more needy than others, as we know, but use the call bell, the nurses, the staff, whoever's taking care of the patients on the floor is most of the time busy or dealing with something else, so be patient. I'm skipping some of the dry ones. I can't put everyone in here because there's like 18 or something. So if you want to read them all, link in the description below. Number 10, I'm a medical assistant in a medical office. Many patients don't realize or care that they are one of thousands of patients. This is very true and people forget this. A ton. No, we do not know you by only your first name when you call, nor do we always know your phone number if you don't leave it. Also, state your reason for calling. Don't just say you need to call back if you're asking for a refill or when your next appointment is. Those calls can be handled quickly by non-clinical staff rather than tying up the nursing staff. This is a weird thing with healthcare in the US because we pay to get healthcare in the US. So you respect with that payment that you would be given like exceptional care. Like you'd be in a restaurant somewhere. You're a paying customer. So you feel like you should be treated as such. But that's not the case in medicine in the US. I'm not saying that's a good thing, but I'm saying it's just different. So a lot of these healthcare systems and doctor's offices are short staff. There may be one person who's in charge of answering the phone calls. So make their life easier and you making their life easier will help your life and everything will just be easier from there. So I totally agree with this. I imagine how frustrating that would be to get a bajillion calls every day and people will be like, hey, this is Michael. Call me back. Like we don't know who you are. It's probably like a hundred Michaels. Number 11. Ooh, this is a good one and oh, so true. I've just read the first line and I already know where this is going. Physician at the VA here. I love our patient population and taking care of such a deserving population. I actually love working at the VA by the way. Something that most people don't know is there is a hard salary cap for federal employees including physicians. This means once you reach the cap you no longer receive pay that is due to you like performance bonuses or even yearly cost of living adjustments. This creates a disincentivized environment that ultimately affects our patient's care. This is very true. So you have physicians and an entire staff that are working as federal employees that you pay by the government. They have a salary cap. So once they reach that cap there's really no incentive to see more patients, do more procedures or anything of that nature. So what this does is it creates an environment where people just only want to do the bare minimum. And I've seen this time and time again and I feel like the reason this happens is because there is no incentive. A lot of people like to work with incentives in mind. It keeps them motivated. We don't have an incentive. What's the motivation to work harder? I'm not talking about just in healthcare. I'm talking about in general. Now obviously in healthcare we're motivated by helping people but it's still hard to keep taking care of patients not getting paid for it, not getting the bonus not being incentivized to take care of more patients and bring down more work for yourself. I mean, disincentivizing environment is the best way I can put this. They hit the nail on the head with this one. If you worked at a VA comment below and let me know what you think about that. All right, number 12. Many of you think hospitals are clean, aren't they? This is far from the truth in the emergency department for sure. Intake is in such a hurry to get every non-emergent patient back to their room that the room is hardly wiped down and sanitized. Most likely they are throwing a new sheet on the stretcher and done. The rest of the room is not clean. The ice machines at the hospital just don't. This I totally agree with. I would not get ice from any ice machine, especially in the ER setting. Who knows when the last time that ice filter has been changed? Like the water tubing that connects the tubing, the line, the water that goes to the ice machine. I don't think that's ever been changed. I've never seen anybody change those things. They've probably been there for decades, just mold growing in them, would never drink water or ice out of any of that stuff. As far as the sanitation goes, yeah, I could see this happening. People are in a rush. The emergency department's completely jam-packed. Patient leaves, you rip the linens off, wipe down the stretcher and throw a new linen on. I can totally see that. Not saying it's right, but let's just say I'm not surprised. Number 13, when people call to complain that doctors haven't called them back or answered them, some of them are very, very rude. The people who send messages have no control over when the doctor will return your call, fill your script, et cetera. And when you're rude to them, you probably will wait longer as you have no right doing that to the messenger. Have some patience, patience. This is like the whole gate agents that work for airlines. Say if your flight is canceled and you need to get on another flight, there's no reason to yell at the gate agent. It's not like they're the ones that canceled the flight. They have nothing to do with it. They're just the ones representing the company and just taking the brunt of all of it. The old adage, don't shoot the messenger. Holds true here. All right, we'll go ahead and fast forward to the last one here because this is gonna be like 30 minute video if I keep going. So number 16, finally I've worked in almost every facet of healthcare. How you treat people is very important. There is a common theme here that I'm seeing. You'll get everything from shorter wait times to lower prices to choice appointments if you are nice. Again, this is just the way it works. If you're nice, nice things happen to you. The minute you start being rude, it goes on your file and we will tell the pharmacist slash doctor. You can and will be expelled from the clinic for bad behavior. If your behavior is bad, I've had many doctors that I know of have had to fire patients, fire patients and tell them that they can't see them in their clinic anymore because maybe they're too abrasive, maybe they're too aggressive and no one has time for that or needs that in their life. Healthcare is already tough to work in and to be yelled at while at work is not something anybody wants. So I totally agree with this. Being nice goes very, very far. Not just in healthcare, but all of life for that matter. So on that note, hopefully you all enjoyed this. If you have any other secrets, you wanna tell me, leave them in the comments below. I'll talk about them and maybe I'll mention them on an upcoming episode. Make sure you smash, like, subscribe button, follow me on Instagram and TikTok if you don't already and as always, I'll see you all on the next video. Bye.