 What is going on guys? Welcome to another video. Today is going to be a vlog because I am officially on night shift in the ICU. I thought it'd be fun to take you guys with me, so hopefully you guys enjoyed this video and this vlog and obviously make sure to like and subscribe down below but let's get to this video. All right guys, what is going on? Luxury for an empty journey helping you succeed on your medical journey with less stress. As I mentioned today, I'm officially on night rotation in the ICU, which is really exciting and so I just kind of wanted to walk you through kind of what that process means, what night shift includes, what it doesn't include. And so basically I go in around 8.30 it's about to be 8 o'clock right now. I'm driving to the hospital and through 8.30 all the way to the morning around 9 o'clock I admit patients into the ICU. I don't cross cover, which means I don't take care of any of the other patients in the ICU. I just admit new patients, see them in the emergency department, see them throughout the hospital, any patients that require potential ICU admission, I would go see them and then write out history and physical and present them. So I will be doing this for the next four to five days and so night shift is really interesting because it's super quiet in the hospital. You're kind of on your own but not really, obviously there's going to be help and support. It's also where you get to learn the most because you're just kind of faced to make decisions on a fly without a lot of supervision and so it's a great learning experience for most people. I am not a nine owl so I will preface by saying I'm likely going to be tired on these next couple of days. I tend to wake up early and sleep early but it's going to be a good rotation so I'll be taking you guys with me for the next couple of days. Hopefully there'll be something interesting and whenever I have some downtime I will talk to you on how that night or the rotation is going but I'll see you at the next one. All right guys so it has been approximately eight to nine hours into my shift. It is currently 3.30. We have admitted three to four patients about to admit another one go down to the ED. It's been pretty relatively busy evening but it's been fun. I've been able to use that echo machine over there on some of the patients that we were concerned with like the symptoms of heart failure but otherwise most of the time you're just kind of sitting around waiting for new patients to come, write notes, follow up on labs so I'm about to head up or head down to the ED and see the new patients, see if they need to come up to the ICU and if so then work them up and see what else kind of care they need and then I'm looking forward to leaving around nine o'clock today so hopefully I can get a nap after seeing this patient but we'll see. So I'll catch you guys the next clip. All right guys so I did in fact admit that patient we just saw that puts me at about four admissions tonight because I have another note to write before I can get to them sleep. The good news is that after five I don't have to see another patient just have to kind of tidy up the ones I have seen so I'm going to finish this note, check up on the patient one more time and then probably grab a nap before the day team comes. Typically the method is I get all the patients ready to present and then the morning team comes and I basically give my presentation to all of them and then one of the interns will take over their care and the attending will ask questions and it's kind of like an educational process so we'll go from there but I'll probably see you guys after I'm done with today's shift. All right guys so just finished up my shift it was officially 13 hours I came at 8.30 and I'm leaving about 9.30. I did manage to skip some sleep about 30 minutes into the shift and that usually happens when you don't have any more admissions and the rest of your patients that you take care of are pretty stable but then I got paged and so I woke up and I couldn't fall back asleep. I presented the patients to the morning team and now they've heard about all the patients so I can go home. Today's also my birthday I don't know when this video will get published but my plan is to celebrate by sleeping and then probably just enjoy some time with my wife and loved ones and then I have to come back at 8.30 tonight so that's basically going to be it we're going to drive back home and then I'll probably catch you guys in the next clip likely in the next shift of this ICU type rotation. All right guys so going in for the next shift as I mentioned earlier it was my birthday and so I was trying to get some sleep my wife and my family surprised me by coming into town or at least my family did so while that was a great surprise my sleep was pretty limited so it's going to be an interesting shift hopefully it's not busy so far I looked there were no patients on the list to be consulted or to at least be looked at by the ICU team that means when I walk in I don't have to like be ready to go see any new patient I can kind of settle in so fingers crossed that stays that way for a bit so I can kind of recover and rejuvenate while I drink my coffee but we'll see how the shift goes I'll tell you guys with me. All right guys so we are out two to three hours into the shifts and not a single patient has come into the ICU or required us to go look at them so literally I'm just doing like practice questions kind of goofing off just eating my dinner breakfast I don't know what you call it when it's like 10 o'clock at night you're eating food but hopefully then I kind of picks up because having no patients makes really slow but without getting too crazy um but I can walk you through kind of what the process is so I'd just say there's a patient that comes into the ED and if the doctors down there think that he may need ICU for his admission then they'll go out and just put in a console and as I said that literally just got one and so um I'll read about this patient see if they need to be in ICU why are they here are they intubated do they have low blood pressures um and then we'll go see them downstairs evaluate them and then decide one way the other whether this patient needs to come to us so I'm going to go read about this patient who literally just showed up on my screen so have something to do and I'll keep you guys updated. All right so since the last clip that I recorded um I managed to particularly get flooded with patient care I waited for about two to three hours to see a single patient and after that it was basically game over didn't have any time to really eat sleep or anything in between they're just taking care of new patients and they're all kind of active or something was going on with them but they're all really interesting um so it's a great learning opportunity for me tonight but it is now about 9 30 so I am about to go to uh sleep as soon as I get home and then I have two more nights of night shifts so not too bad night shift is nice the I miss and this is really one thing about patient care that I love is just the continuity of seeing the same patient over and over again building a relationship with them so it's hard to do that on night shift because you're just really just knitting new patients so you're not really interacting with the old patients so you've kind of worked hard on creating a rapport with um so I'm looking forward to going back to days which is although it's just harder you know uh being on days your page you're the first call provider for a lot of patients um some of them very sick and how long you stay on that day really just depends on how sick your patients are um nice there's like a set time to come and a set time to leave um I still I still miss the patient continuity so I can already tell what kind of doctor I tend on being um what kind of specialties would probably be conducive to that that's just within the first couple of weeks of residency so I see it's been fun I have about a week left and I'll be transitioning to days for the rest of it but right now priority number one two three is to get as much sleep today as possible um just because we are kind of tired as well as just under recovered over the last few days so I'm gonna eat some food now see you guys the next step likely will be the next shift which will be tonight so see you guys it all right guys what is going on so now it is officially a belief Saturday I'm totally losing track of my days going in for my fourth day of night shift um and I have one more after today but I actually feel really awake for as tired as I was um a couple of tricks that I take one obviously just getting your sleep as much as possible um but two um right before I'm about to go to sleep and I'm like kind of in that in between phase where I can't pass out I'll have like a really sugary drink to kind of reward myself so I had a nice day telling milkshake and watched some tv kind of caught up some on youtube and then within 30 minutes that sugar crash hit me and it was perfect I just fell asleep and I woke up around like 3 30 uh went to sleep around 10 so uh that's a good amount of sleep for me and so I still was able to hang out with my wife um and now you know I'm kind of loaded up caffeinated and ready to go for tonight it's kind of similar uh to yesterday where I don't currently as when I was looking at my phone don't have any patients uh waiting to be seen by ICU doctor so hopefully I get a little bit tired to transition in um but I do I learned yesterday I do prefer getting patients kind of early on in the night versus later where I'm both tired and just kind of like out ready um so right now I'm in the modes that you see a new patient and just like get into doctoring mode that goes much faster um the later the patients arrive the less time you kind of have to work them up um and like prepare for the morning team so that's my only thing but I'm really looking forward to um how tonight goes um I'm more awake than I was yesterday so I think that's already a positive sign um and also on a bright news I only have one more week of ICU which again I love the rotation this hour's last so I'm looking forward to a month of electives I'll be doing research which uh will kind of be dictated on my own schedule so that's going to be good uh but we are turning to the hospital right now it is about to be 8 30 so I'm going to go ahead and catch you guys in the next class take care all right guys so good news um I am actually managing to leave early today it is about five o'clock um and the reason is is because I did not see a patient or was consulted on a patient at all this evening um and that's just the lack of a draw um apparently the ED or no one else thought that there was a patient who required um ICU level care so good news for me I get to go home since I don't have to sign out to a morning team um but it could have been a boarding unite but it was actually very interesting um we had one second so it could have been a very uh boring night for having and not seeing a patient but it was actually very interesting so we had a really sick patient who required higher level of care so they ended up going to one of our sister hospitals nearby that we also work at and so our whole job was to just stabilize this patient to make sure that they could actually make it to the new facility um and so there's a lot of kind of juggling going on there but that is basically my night I am glad because I get an extra four hours of sleep which one year a resident is like glorious um but it is raining so I'm going to quickly and safely at drive home get to sleep and then I'll see you guys probably at the start of my next shift and it's my last one so um celebrations hooray hopefully you guys are enjoying this vlog if you do want more vlog-like content like this where I'm just kind of taking you in a day of the life telling you what I'm doing um and describing essentially the life of a resident just let me know in the comment section down below that can make more on subsequent rotations but I'll see you guys tonight all right guys so I managed to get a really good night rest um slept about I'd say seven eight hours which is abnormal that's also because I got to leave early um it is currently as you guys can see go maybe see right there it is about four thirty so that means I have about another three and a half hours to go before I have to go to work um so I'm just kind of preparing my day I always like to kind of have my coffee and lunch in fact just in case something else kind of comes up um and I'm just going to chill on Netflix watching new shows um going from there one more night of night shift left and then I go back to the morning so I'm really excited to kind of transition back to my typical sleeping schedule but regardless um let's get lunch the dinner and the coffee ready and then I'll see you guys the hospital tonight take care guys all right guys so I am leaving the hospital officially finishing my last night shift um in the ICU I still have about a couple of days left in the ICU as a day um in turn but I much rather actually prefer going to day as an ICU one because you could just like take care of your patients once you admit them you kind of know a little bit about what's going on here I feel like I admit patients that kind of pass along I'm not as big of a fan of that let me fix the camera so that's going to basically be the end of this vlog hopefully you guys kind of enjoyed um this day in the life week in life uh my residency if you guys want more as I go through more interesting rotations just let me know in the comment section down below and also just kind of show your love make sure you smash that like button but as always guys thank you so much for watching um and being part of my journey hopefully as always I've been a little help to you on yours but I will see you guys in the next video take care my friends