 It's just like a flood gate of stool that opens up, fluid just comes out flying all over the bed, all over the floor, all over you. Disgusting. Rewind. Welcome back to my channel, everybody. For those of you who are new around here, my name is Michael, a.k.a. Dr. Cellini, and I'm a radiologist, sub-specializing in interventional radiology in New York City. Now, if you know any healthcare workers or have any healthcare workers in your family, you know that there's always that one thing that grosses them out, or maybe like two or three things, but most of the people in healthcare don't get grossed out that easily. Now, I am no exception to that rule, but I do have one or two things that gross me out, and on today's video, we are going to get into those, and I will also rank the top six things that gross me out in medicine. From the thing that grosses me out the least to the thing that grosses me out the most, we're gonna get into it right now. Let's go. Did I say we're gonna talk about six things or seven? Either way, we're gonna talk about seven things. If I said six, I don't even know. So the number seven item on this list, or thing that grosses me out the least on this list, is everything I drain on a day-to-day basis, that being bile, when I drain things out of the liver, gastric juices, when I put in G-tubes or J-tubes or whatnot. What was the other one? Or pus, because I drain a lot of abscesses on a daily basis anywhere in the body. And for those of you who don't know what I do, I am an interventional radiologist. So I stick needles in people and drain fluid out of their body. That is what I do for a living. Well, I do a lot more other things than that in my job, but that is one of the sections of my job that I do. So that stuff doesn't really gross me out that much. Now, don't get me wrong. There have been many times where I have drained an abscess from like a post-op disaster that has like a fishless connection between the bowel and this abscess and you drain it and it literally like makes the whole room smell like absolutely terrible. Even that doesn't gross me out that much. And yeah, it's actually kind of relieving when you pull out that pus or that fluid. It's like popping a zit, but a big one in the body or something like that. So the number six item that grosses me out in medicine is urine. And actually, it doesn't really bother me that much to be honest with you. I pretty much deal with urine on a daily basis because when I do a percutaneous nephrostomy tube, I stick a needle directly into the kidney under ultrasound guidance. And how I know I'm in the right spot is if I get urine coming back through the needle, which goes all over my glove and all over the field. So it doesn't really bother me that much because I'm kind of used to it. And as many of you all know, I almost went into urology. So it definitely doesn't bother me. I don't know. It's sterile. It's not not a big deal. It just it's urine, you know, I've never really met anybody that really gets bothered by urine, but I'm sure there's some people out there comment below if urine bothers you. I'm not one of those. Number five on the list of things that gross me out is saliva. Now saliva really doesn't bother me that much to be honest with you. I mean, there are many times I actually interact with saliva on a day to day basis. Maybe the random time like an anesthesiologist like flames saliva on me after they like intubated the patient, which like never happens, by the way. I don't even know. I can't even remember the last time I had saliva on me to be honest with you. Maybe I got it on my hand when I was putting like a nasal cannula on someone, but I usually wear gloves for everything. So yeah, saliva doesn't really bother me that much. The number four item on this list that bothers me in medicine is a necrotic foot. Now I know that is specific, but you'd be surprised how common that is in medicine. There are many uncontrolled diabetics in the US and many of them come in with non-healing foot ulcers. Let me just be frank and tell you those things are pretty gross sometimes. They can be very extensive foot infections. For one, they smell absolutely terrible. They smell like death pretty much. And in order to see these wounds, you have to like slowly unwrapped the dressing on the foot or whatnot. And for some reason, feet just kind of gross me out to begin with because like most people don't take care of their feet. It's just like a common trend among people in the hospital. I mean, I take care of my feet. Everybody I know takes care of their feet, but like for some reason, the foot is always an neglected item on people's bodies. So they let things go more so than they probably should. So some of these wounds can be very extensive and smell very badly. If any of you are in wound care or have a peripheral arterial disease clinic or whatnot, you know exactly what I'm talking about. Some of these wounds are gross and the fact that it's already on the foot and I don't like feet to begin with. So you have a foot, which I don't like gross foot, which I don't like even more in a gross foot with a giant non-healing wound on it. It's not a good combo for me. That's why I didn't do vascular surgery. Well, one of the many reasons why I didn't do vascular surgery. All right. So now we're getting into the good stuff. But before I get into this, why don't you go ahead and comment below. If you work in healthcare, tell me what thing bothers you the most. I'm really curious to see what you all say because some of this stuff bothers some people and it doesn't bother other people. We all have our weird kind of things that bother us the most. And as I get into these kind of top three things, some people will share common disdain for these items or something like that. Also, this is a good opportunity for you all to smash that like and subscribe button. If you haven't already, we're trying to get to 200,000 subscribers. We are oh so close. I think we're like nine or 10,000 away right now and I will do another giveaway at 200,000 subscribers. So why don't you go ahead and smash that subscribe button and go ahead and like this video for the algorithm because it helps out the channel. Thank you in advance. Now, let's get to number three. The number three item that grosses me out in the hospital is human feces. That's right. Human feces. I don't know why human feces is so much more disgusting than animal feces, but it just is. I can walk a dog, pick up their feces with a bag in my hand and like it's still kind of disgusting, but it's not that bad. But human feces, it's just kind of disgusting. Honestly. Some people don't mind it at all. Like there are plenty of nurses out there who, I mean, I don't know how they do this. A lot of times patients will just mess themselves in the bed and they have no problem just going in there, cleaning it up, rolling them over, you know, putting fresh underwear on, all in a day's work. For me, I don't think I could do that. I mean, I would, I wouldn't do radiology for a reason. Now I'll tell you some stories because I did have to deal with that in residency one time. One time I had to disinfect someone's bowels, but I was so, so, so lucky because I had a med student with me overnight. That med student, I will never forget you. So you really took one for the team. Thank you. Thank you. Thank you. So I'll tell you the quick story. There's a patient in the ER who had an impacted bowel. And what that means is there is so much like rock hard stool in the lower bowel that it is extraordinarily painful for the patient. And the only way for that patient to experience relief and get that stool ball out of there is to manually disinfect it, which means you stick your finger in their rectum and literally digitally disinfect that stool, which I mean, is gross in itself. It's way more disgusting in person because I've actually never done it until that day. And I thought, oh, okay, I'll just go in there, you know, put my finger in there and grab some poop out call the day. But it wasn't that at all. The pressure built up behind this stool ball that collects in the rectum is so hard. And then as you start doing that, it's just like a floodgate of stool that opens up all over the bed, all over the floor, all over you. The only way I can describe it is like, if you have a dam that's blocked off and all the water is backed up behind the dam, and then the dam just breaks the dam being the stool ball, you pull that out and the dam just breaks and stool fluid just comes out like flying. It's kind of like the entire ER, which was disgusting. Nonetheless, the patient was so thankful. I'll never forget that day. They were like, oh my god, I'm so sorry you had to do this, but you made me feel so much better because it's instant relief. So yes, stool does gross me out, not as much as the next two items, but you know, this is the kind of stuff we have to deal with and this is what we sign up for. All right, so the next to last item on this list, this is almost the thing that grosses me out the most and that is secretions. Now, I thought I wanted to go into anesthesiology before I started med school and when I was in med school, I thought I was going to do anesthesia, but then I rotated on anesthesia and I realized something. After every single case, when you extubate someone or pull the tube out of their throat, you have to suction out secretions in their mouth and airway and all that stuff and that part was always kind of gross to me. And now going forward on that topic, working in the ICU as an intern kind of grossed me out more because a lot of your patients have tracheostomies and you have to suction them intermittently to kind of clear their airway and clear their trachea because a lot of them can't expel the secretions on their own. So you have to suction them out. For some reason that sound always grosses me out so much. I don't know. So I just can't do it. Every time they extubate a patient and they have to like suction them out after the case, I just kind of like, I don't go anywhere because I have to be there because the patient's there but it kind of grosses me out just a little bit. So I'll tell you a little story on this topic as well. I don't know how true it is, but one of my family medicine attendees told me while I was on their rotation that one of his attendings was rounding on a patient in the ICU. The patient had a tracheostomy and the patient had a lung infection, had a coughing fit and coughed up a giant loogie that went across the room, hit him on his tie. So he had a huge trachea loogie on his tie and he asked the nurse for scissors and he just cut his tie over the trash can and for the rest of the day walked around with a tie that was like half cut off, which I think is hilarious if I saw it. But if that happened to me, I'd be super grossed out. So yeah, now let's get to the number one thing that grosses me out. All right, so here we are at number one. The number one thing that grosses me out the most as a doctor in the hospital dealing with patients, you may know this from watching my prior videos, but vomit is the one thing I hate the most and I cannot deal with in medicine. If you may remember from my prior vlogs, I mentioned briefly how I have a metophobia or a fear of vomiting myself. Adding on to that, I don't like when other people vomit either because it makes me want to vomit. I obviously have to deal with vomiting in healthcare as a physician, whether it be a patient of mine waking up from anesthesia or an extremely sick, uncomfortable patient coming down for the floor that needs a procedure. It happens all the time. There's always somebody vomiting or nauseous in the hospital. I'll tell you the thing that bothers me the most about vomit. Usually what we do in the hospital when somebody's vomiting, we either give them a little bag or they give them a basin to kind of vomit in if they're feeling nauseous. What happens is patient is so uncomfortable, so nauseous that they have this little basin and they're just vomiting consistently into if they need to. You just have vomit just like sloshing around in this basin with them as they get transported down to us in IR. I can't even grab that container to put it in the trash. I have to have someone on my team do it for me because if I see that, I'll just start gagging. I don't know. It's just my thing. I'll tell you a quick story when I was in the ER as a fourth year med student doing a rotation. One time in the ER overnight, I had to deal with a mentally ill patient who had a thing for vomiting on people. That was like his way of getting back at the health care workers who were trying to take care of him. I was told to go see the patient because that's what med students do. We go and interview the patient and get all the information, pertinent information and present it to our attendings. So I went in there. I was standing next to his bed. He was sitting on the bed. I stood like a good six feet away from him. This was like before COVID stuff way back in like 2014. I think he was telling me what's going on in his life. And then he literally just projectile vomited all over my pants. And this was like 30 minutes after I got there. I was working an overnight shift in the ER. I was so disgusted, but I was also so angry at the same time. But I was like more disgusted that I just like walked out of the room and just literally like put on gloves, took my pants off, threw them in the trash and I wore a set of paper scrubs the rest of the night. For someone who doesn't like vomiting, that was probably the worst case scenario for me. So ever since then, I stand very far away from people who are like actively vomiting because I'm traumatized. So that officially concludes this video. Hopefully you all enjoyed it. Again, comment below about the thing that grosses you out the most in health care or working in the hospital. Or if you know someone that works in the hospital and what's the thing that bothers them the most. As always, smash the like subscribe button, follow me on Instagram and TikTok if you don't already. Leave a comment below. If I liked it, I'll respond to it. Otherwise, I'll see you all on the next video.