 Hey, it's me Nasser and I'm back after like three four months something along those lines I can't believe I'm talking to a camera again. I feel like it's been absolutely ages I've moved on to a vascular surgery rotation from my geriatrics rotation So I've been spending a good amount of time in theater and the job has been completely different But I want to talk about that in a separate video different to this one today's video is about my first Ever night shift night shift one night shift two night shift three night shift four now I don't know how I feel about night shifts Actually, I do know how I feel. I feel kind of scared. I feel kind of nervous And this is my first one. So I don't really know what to expect Time to get going first ever Surgical nights. Let's go. I've already received some handover from the trauma and orthopedics and urology f1s But I'll talk to you a little bit more about that when we head downstairs. Let's go Okay Let's go on my way to work now. It's 7 p.m. That feels kind of mad, but I'm going early because I want to pass by I'm a nest to pick up some food and snacks for throughout the night a red bull Just in case I got really sleepy and you stay awake some instant coffee Because I think we're out in the vascular surgery office in my day job I'm now working in vascular surgery some of the vascular surgery f1 one of them now on nights The surgical f1 covers four different surgical specialties So we cover vascular surgery general surgery trauma and orthopedics and urology So you have four times the number of patients that you can get pulled about that you might have to do things for Sounds like four times the stress to be honest on top of that You don't have the usual number of seniors that you would throughout the day So during the day, we have I think three or four registrars for around one sho and Think anywhere between one and like three consultants now over night on site You have one f1, which is me one sho and one general surgery registrar The other surgical specialty registrars and the consultants are on call, but they're not on site So they're home sleeping and if we need them then we can give them a call and ask them to come in Or give us advice over the phone or whatever So they're not in the hospital like they would be during the day So that's kind of the biggest differences that we're gonna see between night and day also during the day I usually you know have to see all of the patients with my seniors whereas now in the nighttime You're basically putting out fires and trying to keep people alive throughout the night until the next day when the day team Comes back and they can take care of all the usual problems that a patient might have so I won't be expected to see all the Patients but I will get cold about all of them if something needs to be done But long story short it's gonna just be very different than my sort of day job as a vascular surgery f1 And I don't know on one hand. I'm excited to see how it goes on the other hand I'm definitely a little bit nervous I think that's the end of the ramble that I wanted to go on for now in the car I'm gonna turn off this light because it is a little bit blinding and I'll catch you guys in a bit Yeah, catch you guys in a bit Peace It's pretty hectic How can I lie? So I'm not going on and you're just one person Going for specialties which is a bit mad Anyways, let's see how it goes just running somewhere Let's down to the lab just chilling here in the office Getting bleeped like absolutely crazy Got these and a little snack this nice coffee Even though I just got a coffee but you can feel my eyes burning already So gotta wake up Let's see who believed me All right, so it's about 2 a.m. I'm still alive Everything is going okay Just gonna have my lunch middle of the night food. I don't know what to call it And yeah, haven't fallen asleep just yet. We'll hopefully get some some time to rest later on But things are going okay so far one step at a time Add some food And a very quick power lamp Maybe like 5-10 minutes or so But got woken up by my good friend the bleep so heading back upstairs Now got a plan got a plan I want to bang through a couple of things And then hopefully hopefully hopefully fingers crossed Get some actual rest We'll see though We'll see if I wanna jinx it one thing at a time Oh my god Haven't left work during the day in like months Haven't seen the sunlight when going to work or when eating from work Feels kind of weird, you know It's sun on my face Very rough time Catch up a lot in the car Damn damn Mouth's cray Let's get out along home But first I have these little candies in the car with me Not all times to quench my hunger All right so First half of the night was going pretty well actually Everything was going smooth Wasn't that busy No one was too sick or unwell And everything was okay And then about halfway through the night We get a cardiac arrest call or a crash call This is when a member of staff thinks that a patient is very very unwell You know it's in the process of dying And they put out this hospital wide call To a lot of different members of the specialty team Who are usually quite senior And can help with this type of situation I get one of those calls I rush over to where the patient is And they're already doing CPR And there's you know everyone there The anesthetist, ITU part All the registrars, the med reg Everyone was there So I approached at the tail end of this cardiac arrest call When they were finishing CPR And the patient was dead About halfway through the night I watched this patient die Which was pretty horrific to be honest And it's crazy because You know after that happened It was just like okay Have to move on and you know deal with The other jobs that are waiting for you The other tasks that you need to do The other unwell patients And it's just crazy that you have to dissociate And turn off like this And you know move on to the next thing And continue your job But I was halfway through the shift There was still plenty to do So tough one honestly Following that the night just got worse Took a major downhill In terms of busyness Unwell patients stress And tasks My SHO, the person directly More senior than me Was really really nice Made me feel very warm and welcome On my first ever night shift A few more nights to go And I'll be done with my first string of nights Very much looking forward to sleeping I think I'm just gonna eat something And go straight to bed So I'll see you guys there When I'm home It is 6.45pm of the next day Of after I went to sleep I don't think I even filmed anything Before I went to sleep I came home I ate food Immediately showered and got into bed And slept all the way until 5.30pm Which is crazy I honestly did not expect that to happen I thought I might wake up around 2, 3, 4, somewhere there But I'm happy I got the rest But that also means I've had like no time at home Before I need to leave the house again I'm just sitting here writing the speech For that YouTube health talk That I'm gonna give in a couple of days I was sitting here just minding my own business Catching up with my girlfriend Going through my emails Watching YouTube videos, etc When I got an email from the official Strategic Health Partnerships Manager At YouTube Asking if I wanted to give a brief talk At the YouTube health event Which is happening next week I want to welcome everybody here in the room today But also to those joining us online Which I was invited to a very long time ago And I said, yeah of course I'll attend But I'd never for a second considered Giving a talk I am very, very nervous When it comes to public speaking I'm now delighted to introduce Nassir To the stage to give a little bit more of a Sort of on the ground perspective Jon's very counterintuitive Given that the videos that I make here on the platform Are watched by hundreds of thousands of people sometimes Even millions of people sometimes And it's something that I've always known That I want to work on That I want to get better at Because I think I should be good at public speaking And hence I'm gonna try and work on it And get over that fear I just need to say yes And then I'll come up with a speech And I'll be okay But I need to get over it I think I'm gonna sit down And just put my initial thoughts down Onto a piece of paper And see how it goes Can't believe it's happening so fast And then I actually signed up to this Yeah, just realizing I have like no time This is the problem with being on call Or on night shifts Your shifts are 12 hours And so by the time you wake up And get ready and go to the hospital And then do your shift Leave the hospital come back Wine down Eat something and sleep You feel like you've spent your entire day At the hospital Because you have barely any time at home That's exactly how I feel right now I'm gonna finish this and get going Hey guys I'm actually just showing up at the parking now Spent the drive in Catching up with Alexia Because we haven't had any time to chat And catch up on each other's lives Wow, this parking is full today But here we are For night shift 2 It feels honestly so strange Showing up to work at this time I'm so confused about what day it is And what time it is My circadian clock is getting all over the place And backwards Fingers crossed Today is not as horrific as yesterday Reflecting on the events that happened yesterday It was pretty horrific So yeah, hopefully things go a little bit better today I have one day of experience under my belt Let's do what we can with that Change Take hand over from the day team And get started We're doing okay More urgent plans to run down Still early though I think it's like 11 So plenty of time for anything to happen We'll see All right guys I'm in the general surgical office right now Getting bleeped a decent amount But nothing crazy so far Just chasing up some jobs from the day team And hoping nothing goes wrong Nice Just as I said it as well That's what it looks like by the way Okay Let's call and see what's going on So yeah All right Bleep has been dealt with I figured this is as good a time as any To share with you my snacks on this night shift Got whatever these are Which Kenji introduced me to Like ages ago in medical school These chocolate chip cookies I don't even like chocolate honestly But when I was working on M&S today I was like What do I need? Something nice to coffee For when I finished my hot coffee And then for food I was kind of scrambled to pick this up From M&S Should be good Gonna go review a couple of patients Post up Do some bloods and things And check in with you in a bit All right We have made it until 2 a.m I'm actually really awake A lot more awake than yesterday I think because I actually managed to sleep For a long amount of time And time to get some food in I'm gonna go heat this in the microwave I'm currently in the vascular surgery office Which is where I usually am for my day job I'm not here with this place I know it well So it's my little comfort place I'm gonna eat this food And then if things aren't too busy And nothing crazy happens Mad calls There's actually a bed here Well, I say bed But it's like just a sponge But you know what? It'll do And if I can get even a little bit of rest That would be great I'm not gonna get my hopes up Let me just eat some food Shell And we'll see In one step at a time All right, so It's 3.30 in the morning And I've managed to lock myself Outside of my offices Where I was very happily taking a nap About 10 minutes ago And I left my card inside So I've just believed security And they've finally gotten back to me They're gonna come and let me back in It's about 4.30 Definitely starting to feel tired So this is my doctor's mess Which I've made my home For the past two hours or so That's my bed When I get a bleep I go call it on that phone And then use this computer To do what I need to do Or go see the patient And yeah, it's about 6 am now So a couple hours left Gonna chill it here Eat my cocoa pumps And try and get some rest All right It's day two of four done Definitely much better than yesterday Much, much better I actually had time to sit down and rest Be on the couch, close my eyes I feel lucky to be honest Much, much better All right team Let's head home I spent the hours of about 3 am Until 7 Like lying down on a bed slash couch And just waking up every half an hour So to answer a bleep And then going back to like little snuggle Snuggle mode on the couch Which was actually really nice I didn't sleep at all But I rested for a lot of that I was just sitting down with my eyes closed Trying to sleep But I couldn't sleep I think it's because I knew that You know, I'm in the hospital I couldn't get cold at any time My brain was Or my mind was racing with You know, how did I do this? Did I do that? Is my patient okay? So I couldn't get sleep This is Alex here Let's say hi Hey Bob That was so weird They were like 1 to 7 Hey guys I completely forgot I was vlogging until about 5 minutes ago It's about 6.30 now I actually woke up a full hour earlier Then I sent my alarm I woke up at 4.30 Which is actually great Because I wanted to have time To work on my talk For the youtube health event Coming up in a couple days I think I woke up that early Because I actually managed to get some good rest Earlier in the night Thinking back on it It's kind of surreal That I was in the hospital Like laying down on a couch Or cuddled up And just answering bleeps Every half an hour Getting out of bed Seeing if it's an emergency And I need to go in person Or if I can just do it from my computer Or if I can offer advice or whatever And then going back to snuggle Until my bleep woke me up again Quite a strange sense of serenity And peacefulness That I didn't expect on the night shift After that first night Which was just horrendous And had absolutely no time to sleep Like that at all But anyways I'm actually really happy with The little speech that I've written It's about 2,000 words And originally Yeah, 2,200 And originally when I Before I said it out loud I thought it was going to be way over My allocated speaking time of 10 minutes But it actually came up to 9 minutes and 50 seconds Which is amazing To say that I'm nervous Is a massive understatement Alright This is an official youtube organized event We've got a real mix of people here from NHS Stakeholders Full disclosure I don't entirely know what that means But it's on the script We've got obviously Lots of different healthcare professionals Clinicians We've got some scientists And charities Think tanks So it's a really diverse Group of people here today It's a very sort of formal event That kind of stretches out Beyond what I'm used to With my youtube channel Why I talk directly to My audience and my community Or largely university students You know, or medical students Or doctors There will be a lot of doctors at the event I feel like this is a really good example of me Practicing what I preach So I often say to people To do the thing that makes them uncomfortable To do the thing that they're not used to That they're a bit scared of Because it's going to make you better at it It's going to give you experience You're going to learn a lot, etc And this is that thing for me I'm definitely nervous and scared The very easy thing to do Would have been to just say No, sorry, I'm too busy I'm on night shifts I can't prepare for this I can't do it But I was like, you know what, f*** Let me just say yes And I'll figure out the rest later I want to reflect on this whole night shift thing A little bit Basically, I woke up today at 4.30pm Right up until now I just feel so bad physically Like I feel like my heart is racing I'm not sure if it's daytime or nighttime I don't remember what day it is I feel like tired yet very awake At the same time I just feel like my body's releasing A lot of cortisol And I'm like in a high stress fighter flight mode Even though I just slept and woke up now But I haven't felt like I've relaxed Like I've slept But I haven't felt like I've been relaxed during that sleep And it's just very weird to have your day flipped around like this I mean, I come home My sister is sleeping And I quickly get to bed Pretty much before she wakes up to start her day I sleep throughout the day While my sister wakes up and goes to work And then she comes home Wait, I'm so confused The point that I'm trying to make is Okay My schedule and my sister's schedule Who I live with and she's next door Are just completely flipped Completely reversed We don't see each other at all Which is like crazy Think about we live in the same house And we just have our lives completely flipped In terms of day night Definitely not fun Would not recommend and would not do Unless I absolutely had to So two night shifts down Two night shifts to go I just pray pray pray That it's calm, quiet and doable Like it was yesterday The thing is, you just don't know You literally have no idea what it's gonna be like I'm gonna practice my speech one more time And then we'll get going Let's do it Hi everyone Good morning My name is Nasser Karma And I'm a doctor working in the NHS I remember when I first started working I didn't really mind being on call I didn't really mind weekend shifts Because when I was a medical student Like all days were the same I feel like there wasn't such a big divide Into weekdays and weekends I would study both during the week and during the weekends And I would go out and have fun Both during the week and the weekend So it wasn't a very big kind of obvious split for me But now I really feel like when I'm working on the weekend I'm like oh I'm missing my social time I'm missing that fun and relaxation Because when you work the weekend Then you have weekdays off You know, everyone else is working during the weekdays So I can hang out with them I can go out and do all the fun things That people would normally do on the weekend So you don't feel like you get that part of the social interaction That maybe you had before starting to start work And now My girlfriend Alexia is visiting She actually just landed in London today But I'm not going to get to see her for another two full days Because I'm working these night shifts These are the times when it like hits me the hardest That like oh I'm working on the weekend I'm working on social hours This is not a fun part of Being a doctor This is not an enjoyable aspect Like it's something to seriously think about Consider This is when it hits the hardest I guess You know what sucks the most about On call shifts or night shifts It's not that they're very lonely When you spend such a big amount of time Completely by yourself You know, yesterday In my 12 hour shift I probably spent 11 hours by myself Without my SHO or my registrar You know Just me going to see patients Dealing with unwell patients Doing all the computer work Yeah Like having your food In the middle of the night Or the equivalent of lunch There's so much less socializing And people-to-people interaction Outside of obviously the work context You know, like I'm talking to And dealing with healthcare professionals Throughout the whole night But in terms of just sitting down And like having a chat Like you would during the day With other people in the office with you You don't really get that when you're on call Or on nights Because there's the minimum minimum Amount of snapping And everyone is like stretched in And doing their own thing So it's a lot more lonely than Recontracting the day And you know, you guys know me I'm a very sociable person I like-I like talking to people And interacting Some of the negatives of these nights I'm gonna put on some music So I can just zone out and vibe I'll catch you guys in a bit Peace Hello It is 1 10 in the morning So far it's actually been The dare-dare I say it A quiet night Touch wood, touch wood, touch wood Been pretty chill Answering bleeps Going to review patients Etc. Etc. The usual Feeling very awake actually I think I'm gonna have another coffee To stay on this awake train Maybe when I get naturally a bit more tired later on Think about having a cheeky nap It's too early in the night I feel like it's too good to be true To go away and rest now My SHO is lovely We're having some good chats It's pretty much it Not much to update you on It's kind of boring The night window is here Things are going slow So I'm trying to do some useful things On my portfolio Filling out forms Sending off like CBD's, reflections Because believe it or not Even when you finish medical school You still have a portfolio as a doctor Where you have to like show different competencies And things that you've done throughout the year To prove that you're a good doctor A doctor who's learning A doctor who's capable of doing certain procedures So the portfolio stays annoyingly enough So I'm just trying to work through some of that stuff I think in about an hour I'll go Have some food Catch up with you later Thanks Hey guys All right I'm back up in the surgical office It's 2 a.m. Which means it's time for food I've got this chicken and tomato risotto It is what it is Just need some food Getting proper hungry Feeling very awake right now And check it out I'm watching the KSI Misfits Boxing Event that just happened tonight Like literally a couple of hours ago KSI doing an absolute madness In the YouTube boxing scene Just the UK YouTube in general I've been looking forward to this for a while now And of course it's on my night shift So I can't watch it live But it's already happened I'm just going to watch the highlights And see what went down Maybe a cheeky YouTube boxing event For me in the not so near future We'll see, we'll see Let's watch and enjoy Had during my food and chill time No All right Now it's actually serious I need to have a quick read in the notes And then head downstairs It has been four hours Since you last saw me Four hours of like back to back to back to back emergencies That was not fun Please Lord So let me finish this meal in peace Please please please Just some down time Some quiet time See you guys in a bit All right guys It's about 6.30 Just finished that food Gonna set up camp on this bed And try and get a little bit of rest Hopefully your sleep doesn't go off I'll catch you in a bit Peace Hey everyone I've just realized Every single morning When I come back to sleep I always tell myself That I want to pick up the camera And like say something Or share a few thoughts that I have And I just pass out every single time I'm so sorry I keep forgetting to talk to you guys And say hello in the morning Because I'm just so tired Anyways Now it is The night of my last night shift Okay So this is my last night If I'm gone I've definitely had enough And it's just been a scramble Since I woke up Because I've been trying to finalize And prepare that speech Turns out preparing a speech for a talk While you're on night Is not that easy I think it's pretty much done now I've got everything ready I just need to practice it So I don't absolutely embarrass myself Which I definitely will But it's okay It's all part of the learning experience Hello everyone It's currently 2.15 in the morning I have crossed off pretty much All the jobs that were handed over to me By the day team And reviewed and managed two sick patients I think it's time to sit down And eat some food Hopefully get a little bit of relaxation And for my talk I wanted to have like cue cards Or print the speech printed So that I could look down on it If I ever forgot something I needed to look at it So what I've done Is I've taken this little journal And I've just like stuck my speech Into the pages over here So I can like flip through it As I go along I think I've pretty much Not memorized everything But I have a good idea What the speech looks like But without this I feel like I would get really nervous and scared And hopefully like fumble over my words I'd rather have it It's almost like a safety blanket You know I'm so excited For these night shifts to be over I feel like they really dragged out Like four nights is a long time It's like over half a week Where your schedule is just completely flipped upside down I feel like you don't even know what's going on What time of day it is What day it is generally So yeah Really excited to have them over And I'm actually off for the entire next week Because I'm trying to get the days right The day is Monday I have Tuesday and Wednesday off by default And then I took Thursday and Friday off As annual leave Because Alexia is here So that way I have a whole week off Gonna have some fun I've got a bunch of friends from Jordan visiting Which is nice Haven't seen those guys in a while And yeah Just really looking forward to finishing this shift Eating my food up in the microwave Should be done soon Gonna watch some cheeky YouTube And I think I'm gonna set up a camp Over there on that bed And just put the bleep next to my head Every time it rings Get up, come to this phone Answer the bleep And then use the computer here to do what I need to do Or go down and see the patients If I need to catch up with you guys in a bit Peace I was just asleep for an hour Pranked myself I didn't sleep But I had my eyes closed and I was trying to sleep Just got called for something Absolutely did not need to get called about But since I'm awake I'm gonna check a couple of things real quick From the sick patients that we saw earlier And then yeah Try and go back Get some rest Gone out of bed Tired to relieve And then mindlessly I'd left you out of the bathroom And locked myself out of the same office I put myself out of a couple of days ago Classic All right team I'm back home Finished the night shift Let's go I've actually just ordered some breakfast In this place called Egg Slot Which is a very strange name But it tastes very, very good I highly recommend Anyways, I think that brings us To the end of this video I hope you guys enjoyed it And I hope it gave you a little bit of an insight To what life is like As a junior doctor working a night shift Here in the UK I know I definitely would have appreciated a video like this When I was a medical student Or even a high school student Applying to medical school in the first place So I hope you guys find it useful And there's some value there If you enjoyed the video Do let me know in a comment down below If there's anything else you want me to film Or talk about Or share my experiences about Also do let me know I know I haven't uploaded in a while So thank you for watching If you've stuck around And yeah I'll see you in the next one Peace I'm now delighted to introduce Nassir To the stage to give a little bit more Of a sort of on the ground perspective Thank you Hi there Good morning everyone My name is Nasser Karma And I'm a doctor working in the NHS The talk I'm going to give today Is a little bit different Than the other ones that you're going to hear I want to talk to you about My journey on YouTube And how I reached one million subscribers Late last year And so if we could all just take a moment To pull out our phones Search KarmaMedic And hit that subscribe button That would really help me out And I'd appreciate it And then he looks over to the search And he puts his hand down And he stops in mid-surgery And he says Do you know who this guy is? He's got like a million followers on Facebook I don't have a Facebook page And over the last five years I've seen firsthand the power And the impact of the connection You can make with people through digital media And I hope that now in my job as a doctor I can use my YouTube channel to help bridge That medical knowledge gap Between healthcare professionals And non-healthcare professionals And also give a bit of an insight into our lives And what we see and deal with on a daily basis As doctors Thank you