 All right. Hey guys, wait, I think it's too dark. All right. Hi I've got a week on theaters this week So I'm gonna be in three different theaters seeing all kinds of different operations. It's currently 10 30 p.m. I've got my alarm set for five right now, but that should be 5 30 change that real quick That would have been a disaster 5 30 I Just did a podcast episode that was really really fun went for a nice 10k run, and I am pretty much exhausted I'm gonna pass out and I will catch you guys tomorrow It's a strange feeling when you wake up and you look outside at all your surrounding buildings and like not a single window Has their light on Since we change into scrubs when we get to the hospital I don't need to wear any formal clothes on my way in like formal pants shoes and a shirt Which is honestly great because it makes that commute into the hospital so much more comfortable. It's freezing I thought we were starting to get warmer. Anyways, I also realized that I didn't do my intro because I was so tired this morning So what is up guys karma medic here and welcome back to another dose. If you're new to the channel Hi, my name is Nasser and I'm a fourth year medical student studying at King's College London And the reason that I've woken up so early today is because I have a week of theaters And usually the anesthetist starts prepping the patient at 7 30 in the morning So I'm trying to get to the hospital for 7 30 in the morning so I can be present pre-op This is also the time when the patient gets administered lots of different drugs intravenous access goes into the patient And those are things that I can help with that I can do in practice And so it's good to be there early And I think the surgeons aim to start their surgical list at about 8 30 in the morning And then depending on what I'm watching which actually don't know it'll last for a couple of hours to all day I actually have no idea what I'm gonna go see. All right guys. I'll catch you in a bit The only person here. In fact, I'm so early the place where I normally get scrubs from wasn't even open I've recently started reading this book By a doctor called David Knot and it's called War Doctor They went out of their way to make me food and to give me gifts and presents when things went well It's about an English trained trauma surgeon who has spent a decent amount of time traveling to all kinds of war zones The stories that he tells are just mind-boggling Incredibly inspiring absolutely crazy. I mean honestly, I don't remember the last time I was listening to a book And I felt this hooked and this attached this drawn in anyways It's just gonna get changed now go to the theater Why I know I'm supposed to be and try and find the anesthetist Then I'm attached to for the day and then from there could go one of a hundred ways I'll see you guys So I'm in the right place but the doctor that I'm channeling isn't gonna be here for another half an hour So in the meantime going to get my blue scrubs, which is what I need for surgery and these shoes for surgery I think they're called clogs To the person or persons who has been DMing me like every week for a year about my shoe size There you go now that I'm changed for a second time Time to go back theaters and awkwardly find my doctor We're all done with the first patient you guys might remember this if I can yeah You might remember that from my last vlog if you've seen it that was really interesting I actually got to hold the patient's airway open So do that head tilt chin lift in order to maintain the airway as they were put onto the ventilator I was also able to put in an eye gel, which is like an airway adjunct to keep the airway open Wow, my beard is so itchy anyways. I'm just gonna quickly grab something to eat I think there's two or three more patients on the list for today. So yeah gonna eat something head back to theaters All right long day, but it's over Hey guys all done for the day It's about 435 now and usually I would just be aligned straight for the tube station get home So I can move on with my day start doing my to-do list etc etc But I thought you know what the weather's really nice gonna grab a coffee come watch the sunset over here over the houses of parliament And just soak in life a little bit, you know instead of just constantly running around and being in a rush I discussed this on my podcast yesterday and It's something that I'm trying to work on to slow down a little bit smell the roses to be as cheesy as possible Sort of taking life a little bit more slowly. So today was quite interesting I was shadowing an anesthetist in theaters or in surgery and my job for the day Was to maintain the patient's airway as they were being transitioned from spontaneous ventilation So the patient breathing for themselves to get getting put on a ventilator and having the machine breathe and ventilate for them No, no, go ahead. Anyways, hopefully I've explained that at least half well Why are birds always making noises in my vlogs? Hopefully I've explained that at least half Well, I'm literally just gonna sit over here for a little bit soak up the Sun Enjoy this view and a bit of relaxation and then head home to continue on with the day It's actually mad beautiful when you get enough time to you know, soak it in and enjoy it Really appreciate these days with Sun nice views All right Had enough fun had enough time chilling time to head home. I'm honestly so tired. I did not sleep well last night at all goes off one more time and Yeah, if you're gonna be on placement in theaters or in surgery Don't go for a run the night before because your legs and your back are not gonna. Thank you for it Anyways, finally home now, and I just wanted to say one thing which is that well If you're already in medical school, then you probably know this But if you're not basically when you go to the hospital and when you're on placement Your day is filled with lots of nothing happening and then at some point something interesting will happen Or you'll be able to take part in a procedure or you'll see something interesting or whatever But so much of the time is spent kind of waiting around doing sort of menial things that you've done before blah blah blah and that's what makes clinical placement so challenging because you kind of have to be there all the time in order to increase your Chances of encountering those blips of excitement and interesting things and activities and learning opportunities and whatever. Anyways, that's it I feel like I'm just tiredly rambling into the camera So I'm gonna go undress get comfortable sit down on my computer and start working through my Infinite to-do list on notion. I'll pick up the camera again either later tonight tomorrow after tomorrow. All right Okay, you know when you get into bed and you set your alarm and you just look at it and it's like painful Like I know it's gonna be a good day. It's gonna be very useful, but 530 wake up is just Brutal anyways, I'm sure you've had enough of this paranormal activity remake. See you guys in the morning Last two days on clinical placement in the emergency medicine and critical care block You know, it feels like I started this block just yesterday. These eight weeks have absolutely flown by Been in recess the emergency department. I see you a critical response team anesthetics Theatres, and I'm probably forgetting something but it's been really really interesting It's not my favorite block my second favorite block afternoon And of course last year that was cut short for me because of coronavirus in classic London fashion It is drizzling and so I've got my hoodie on There's something like peaceful and serene about being out this early, you know before I mean, there's no sun in London. Anyway, but before the sun rises Before everybody starts moving and hustling and bustling in the city, but at the same time, I'm kind of just tired Just want to be in bed at this time Like I don't know how people wake up this early and go for a run boggles my mind The thing is like I'm a big fan of waking up early and waking up at 7 is like completely normal for me But waking up at 6.55 is like way too early So I think once there's a six involved and even worse once there's a five involved in the time that I'm waking up Then I'm like nah, this is too much Hospital then the one hour south on Monday. This is fairly classic in Medical school clinical placements you get sent to different hospitals different wards with different doctors and different things to do on different days of the week So you always need to be on top of your schedule So I'm actually very close to where I went to medical school for my first three years of university next to this building here It's been real foggy the last couple of days Anyways, I'm gonna head into the hospital. It's changing to scrubs find somewhere to put my clothes meet my anesthetist And I'll see you guys in a bit. Peace all right A very lovely nurse has showed me where everything is and where I need to be which is fantastic. So I'm already dressed And now time to go find my anesthetist This is the face of a medical student who shows up to the theaters at 7 30 in the morning And is told that their consultant won't be here until after eight Classic at least I've got some coffee. All right all done for today. I've come to Oro market in order to get some lunch. I've been walking around for a while and honestly, I'm not sure what to get I think I'm gonna have to circle around a little bit more. We saw two cases today They were fairly interesting and they were orthopedic cases this time It's a different than what I was seeing on Monday But the same in the sense of what I was doing from an anesthetics point of view But I feel like I got to the point where all of my learning was done for the day And my time might be better spent at home preparing for my upcoming oskies or written exams I've got some very very good stuff. First of all These very cheeky Sugar doughnuts and then for actual lunch a pita wrap So I've come to this really nice chill spot by the water So I can sit down and enjoy this food And then I think I'm gonna head home. I sleep deprived. So probably the first thing I'm going to do when I get home is taking a nap All right, so I'm home Obviously, and this is the first time this has ever happened to me, but after being in theaters for the day I'm like cold to the bone I'm freezing so I jumped in the shower to warm up a little bit and then I'm just gonna go take a nap I'm so excited for continuing on with the rest of the day And before I sleep, I thought I would talk you guys through my philosophy around naps What I feel like this entire vlog has just been me in bed Anyways, so when I nap I set one of three timers on my phone Either a six minute timer an 11 minute timer or a 21 minute timer depending on how sleepy I feel The reason that I set them for such short periods of time is because I literally just need that little Of falling asleep as soon as I doze off then even if I wake up one minute later I'm completely rested and good to go for the rest of the day I'm just gonna get into bed pass up And I'll see you guys in a bit Post nap, cool down sesh, got myself the necessary coffee And I think I'm just gonna go through a whole bunch of emails that I have I had zero emails this morning and now I have nine plus seven sixteen plus one seventeen emails So I'm gonna go through those when my brain wakes up And then I'm gonna do one hour of pass paper questions and one hour of oski practice I'm gonna do that and that's probably gonna be my day So I'll catch you guys tomorrow for my final day Anyway, it's gonna get settled into this and I'll see you guys tomorrow Face The day now it's almost midnight. It's 11 52 And I realized that I actually didn't tell you guys much about what happened today And what my experience was classic fashion The consultant wasn't there when they told us that they were going to be there Then eventually when they came they were honestly really nice and did spend a decent amount of time teaching me And showing me how to use ultrasound guidance to find the different nerves in the brachial plexus up here in the axilla and then use local anesthetic So lidocaine with adrenaline and bupivocaine in order to do nerve blocks on those nerves Identify the nerve and then block it and then find the next nerve and then block it and then find the next nerve and block it Anyways, it's getting late and I need to go to sleep. But I've learned my lesson from yesterday I'm not going to go in for 7 30 in the morning Instead I'm going to go in for 8 30 and then hopefully by the time that I'm there I'll be arriving at the same time as the surgeon Or as he needs to sorry, but I bet you because tomorrow I'm deciding to go in a little bit later That will be the day that the consultant is there very early and then makes a comment about me being late when I actually arrive Who knows we'll see what happens. I'll let you guys know. All right. See you tomorrow Do you guys see this behind me? Sunshine so I accidentally sent my alarm for half an hour later than I wanted to And so I've woken up and just completely rushed out of the house I think from wake up to being out of the house. It was half an hour Which is like the fastest like I've ever done in my life. So anyways rushing over to my final placement And I'm gonna be a bit late, but it do be like that sometimes I forgot my headphones, so I'm about to get my ears destroyed Bye All right, we made it new place new changing rooms new scrubs new theaters everything rate the fit All right, seriously about to go off to class later. Oh, man. I really miss being on campus So many good times here being in a scrub cap all day has split my hair very awkwardly Down the middle, but it is what it is going for my lunch break now I've been with a very kind consultant this morning very keen on teaching very keen on getting me involved Which means I'm happy to be there. I'm finding very useful. I'm learning a lot of things And uh, yeah, all in all everybody's winning. I'll tell you guys a bit more about it later But I actually don't have long at all now. I think we have like half an hour to go get some food and come back When I saw that wasabi was open I immediately went for it This used to be my go-to back when I used to come to campus all the time for lectures dissections tutorials Etc etc. Anyways, gonna find someone to sit down and eat this food and catch up with you there If everyone curious, this is what it looks like Got the shard all the way up there and then this is the quote-unquote beach at kings I'm just gonna call Alexia see what she's up to eat this food and then head back to theater All right, we made it back. I got some scrumps Gonna get changed from round two Something that they have here, which I haven't seen very often is really nice It's just hooks so we can hang up our stuff When we come into theater Okay with the entire list, I think we saw five patients since the morning I mean work-life balance of an anesthetist is Excellent So it's currently 245 we're all done for the day and we've seen all the patients on the list for today's day surgery Today in the theater. I was on the breast list and so we saw five Exisions of a lump in the breast all one after another with almost no time wasted in between as soon as one patient was finished We took them to recovery and then by the time we were back in the anesthetics room The patient was waiting ready to come in today was the first time that I did the two-handed technique one hand Tilting the head back of the patient placing the mask on then the other hand bagging them and lighting them It's a really good experience honestly And it always feels amazing when you feel like you are helpful in some way shape or form where you're doing something with your hands I am So happy to be home and that's it That's the end of my clinical placement for emergency medicine and critical care We've got one more week of just lectures and if I'm honest I'm going to spend most that time Preparing for oskies our objective structured clinical exams So the practical exams that we have in medical school and all right guys that is it That brings us to the third day of my three days in theater I've had a lot of fun. I hope you guys enjoyed watching this video And if you did don't forget to leave a like on it and also subscribe to my channel See more content from me in the future and I'll catch you guys in the next one face The blooper When I re-wake up from my fake sleep to turn off the camera Bye