Articles, Blog

Day in the Life of a Doctor – Internal Medicine Toxicology

December 23, 2019


[Music] My trunk is kind of messy. Hey, white coat. White coat. That’s how we know he’s a real doctor. Don’t use it that often anymore actually. Golf clubs. Golf clubs, also a real doctor. What’s up guys? How’s it going? I’m Doctor I Amit Pandey, UCSD internal medicine
resident. Just started my third year which is pretty
crazy, time flies. Already in my last year of residency. Here to, you know, take you through a day
in the life and show you what it’s like to be a resident. So, there’s two different ways that we take
care of patients as residents; there’s either inpatient or outpatient. Inpatient is taking care of patients that
are admitted to the hospital and are staying within the hospital. Outpatient is like in clinic. Whenever you go to you see your doctor normally,
you might go to a clinic appointment. That’s out patient. So, what rotation are you on? Toxicology rotation. It’s actually a sub-specialty of emergency
medicine. It’s important to know that when we take care
of patients in the hospital, on the inpatient side like I mentioned, there’s two different
ways that we do that; one, there’s a primary team that puts in all the orders and two there’s
consult services which can provide specialty recommendations for example in cardiology,
pulmonology something like that. So, I’m on this toxicology rotation. We look at all different kinds of toxic ingestions
by patients. And as you might imagine, that could be super
interesting like different kinds of drugs all the way from cocaine to things like spice
that you might have never heard about. And then also unintentional overdoses of medications
that we prescribe. Okay, so you’re an internal medicine resident
but you’re doing an emergency medicine specialty rotation, how does that work? The great thing about medicine is you get
a huge variety of what you get to learn, what you get to experience and honestly, it’s almost
like having a new job every month or every couple of months and that you get to experience
super different practices of medicine et cetera. Most of the time we rotate within our own
specialties, either primary medicine services or medical sub-specialties like for example,
cardiology like I mentioned. But right now, I am on a rotation where I
get to be a kind of guest rotator in the emergency medicine program and learn a little bit about
toxicology. Dr. Pandey, I hope your doctor skills are
better than your parking skills. Can’t guarantee that. [laughter] [Music] So, what’s going on today? So, I’m on a console rotation where we evaluate
patients that are admitted to the hospital and provide recommendations. So, we kind of wait to see when we get new
consoles. In the meantime, we’re doing a lot of didactic
teaching. So, like lectures provided by the fellows
in attendings. Yesterday we talked about meth overdose which
is like honestly a huge epidemic in San Diego, we see it all the time. So, today we’ll be talking about a topic like
that. Are you the doctor Pandey from the medschoolinsiders.com
blog? Yes sir, that is me, guilty as charged. I got a fan over here, this is exiting. Yeah man, huge fan. Yeah, I write and oversee all blog content
at medschoolinsiders.com. I’ve always really loved writing and so this
is a great opportunity for me to combine that love for our desire to pass on knowledge to
the next generation of doctors. Yeah, paying it forward. Yeah, paying it forward, exactly. So, we’ve got a lot of great stuff there and
– and hope that it helps you guys. So, please, check it out, let us know what
we can provide you. [Music] All right, we got a console. We got patients to see. Let’s go. Just got done with conference. Had a few lectures this morning. We went over some really interesting stuff. Talked about, aspirin overdose, which is a
really interesting disorder, actually that can be fatal often. So, we got called about an adolescent patient
who took an overdose of a medication called Wellbutrin or Bupropion, which is a medication
used to treat depression. And its biggest side-effects when taken in
large quantities are seizures. So, the patient came in with multiple seizures
and the primary team asked us to come and evaluate and treat the patient. Always look both ways. Thanks doc. How did it go? Great. Patients are doing much better. We confirmed that the seizures were from Wellbutrin
as expected. They’re stabilized now. We got it under control with medications and
talked to the primary team, gave them some recommendations. We’re going to follow along and make sure
the patient does great. All right, let’s head back to Hillcrest and
wrap up with the team. All right and we are back at UCSD Med Center
here in Hillcrest. So Amit, let’s recap the day. Yeah, so, I started off the morning with some
lectures, had some good learning, went and saw a really interesting patient, gave the
team our recommendations and since it’s a pretty unique rotation where it’s jet lagged
to finish up, we’re going to take advantage of sunny San Diego and we’re going to hit
the beach, get some sun rays. Now, for those of you who don’t know, Amit
and I, we went to med school together. We both went to UC, San Diego. Yes, sir. And we are really good friends, we studied
a lot together. Too much sometimes. Too much. We would just be in the MET, our med school
building and we just like, after lecture, we would just camp out there and grind. I know why I chose UCSD but Amit, why don’t
you tell the viewers… why did you choose UC San Diego of all schools? I don’t know man, like honestly, while sitting
here just looking at – it’s really hard to say. You know, it’s a tough, tough question to
answer. As most people know, San Diego is a beautiful
place, the beach, the weather. But also, my family is here. I grew up here. Spectacular program. Really good training at UCSD. So, it’s kind of a no-brainer, it had everything
that I needed. Nice. The way I think about it is, med school is
very high stress unfortunately – True. And there are ways that you know, people should
mitigate stress. But being at a place like San Diego, it can
be a very low stress environment. Right. And like, you know, you can just come to the
beach and relax, unwind, de-stress. A lot of physical activities that you can
do, hiking, snowboarding – not snow boarding, surfing. [chuckle] Damn, I didn’t know you guys got
snow over there. We have everything in San Diego. In med school I think, at the end of the day
obviously not everybody can be in somewhere as beautiful as San Diego, but the key is
to find somewhere where you feel comfortable and there’s outlets outside of school that
allow you to to enjoy yourself. Whether it’s exercise, art, food, whatever. The key for med schools is to try to end up
in somewhere where you feel good about the program but also about your life outside the
program. Good fit. Exactly. All right Amit, real talk, how often do you
actually get to come to the beach? Depends on the rotation that I’m on. When I’m working in the hospital less frequently,
maybe once every couple of weeks. But when I’m on an outpatient rotation and
the hours are better, I try to come pretty frequently. In the summer, maybe two three times a week
if not more. Nice man. So, what do you want to do next? So, usually on a day like this I would go
work out. And the way I like to do that most is that
I play a lot of basketball. I think we should hit the courts. Let’s do it. All right. You are going to [00:07:36]. Okay, I have never seen a guy play defense
with a camera before. [laughter] Well done. We have matching watches. I got it because – I got that watch because
you recommended that watch to me. I know man. It changed both of our lives. Yeah. To this day the Casio whether regular or calculator
is my most complimented piece of clothing. And I don’t know if that’s just because of
the Casio or because I’m terrible dresser. [laughter] [Music]

57 Comments

  • Reply Kevin Jubbal, M.D. July 21, 2018 at 3:32 pm

    It was a blast filming this video with Dr. Pandey. If you want to see some of Dr. Pandey's excellent content, visit https://medschoolinsiders.com/our-blog/

  • Reply Aakash Sheth July 21, 2018 at 3:48 pm

    Work life balance, the key to happiness. Obviously step prep doesn’t let you do that. Wish me luck! Exam in 12 days

  • Reply padard July 21, 2018 at 3:49 pm

    Damn, Dr. Pandey got handles

  • Reply Ruby Pasupuleti July 21, 2018 at 3:54 pm

    thanks for paying it forward and sharing this 🙂

  • Reply Roe Greenleaf July 21, 2018 at 4:07 pm

    Wondering if Dr. Pandey really shoot (without missing) 18 free throws in a row.

  • Reply Vapour Wave July 21, 2018 at 4:07 pm

    Day in the life of a Neurosurgeon! Please.

  • Reply Aditya Jayan July 21, 2018 at 4:21 pm

    This is super cool. Also SD is bomb

  • Reply Jagmeet Cheema July 21, 2018 at 4:38 pm

    Great video. Really enjoyed watching it.

  • Reply tigger911ish July 21, 2018 at 5:01 pm

    Loved watching Dr.s unwinding 🙂

  • Reply Chris Baker July 21, 2018 at 8:52 pm

    Wtf bro I didnt know you were from SD!?!?

  • Reply Amit Pandey July 21, 2018 at 9:20 pm

    It was an awesome time filming this video with Dr. Jubbal! He's one of my best friends so it was a blast. Hope you all enjoy the video as much as we enjoyed making it!

  • Reply Katherine Henriquez July 21, 2018 at 9:32 pm

    Thanks for sharing your experiences! I enjoy all the videos.

  • Reply Ryan Little July 22, 2018 at 1:16 am

    Hey Dr. Jubbal! Ryan Little here! It's very cool to see my music in your videos. Much love :)))

  • Reply Prashant Pandey July 22, 2018 at 6:46 am

    great video!

  • Reply Palak Daas July 22, 2018 at 7:39 am

    Thanks to Lord, i discovered your channel exactly when i have my IM exam tomorrow.
    Will binge watch now ? until i start feeling guilty that i need to study. ?❤️

  • Reply Seek Your Guitar Lessons July 22, 2018 at 12:51 pm

    Where did you get your Shades from ?

  • Reply White Coat Chronicles July 22, 2018 at 1:07 pm

    Loved this! Great insight

  • Reply Dr See July 22, 2018 at 1:20 pm

    you'd be eligible for the NBA, I guess

  • Reply Mary Rose July 22, 2018 at 4:27 pm

    Very informative video! ?

  • Reply Mudassar Rashid July 22, 2018 at 4:52 pm

    He's a cool dude!

  • Reply David Hindin, M.D. July 22, 2018 at 5:04 pm

    AWESOME work, Kevin! And loving that crystal clear 4K ? ? ?

  • Reply Raja Choudhary July 22, 2018 at 6:16 pm

    That vid was awesome!!!

  • Reply JKarstadt July 22, 2018 at 9:41 pm

    This dude is a sick guy

  • Reply David Duong July 22, 2018 at 11:02 pm

    Awesome Video Kevin 🙂

  • Reply STUDY Kendrick July 23, 2018 at 2:16 am

    I like how your videos give off a very chill vibe. It makes it very relaxing to watch.

  • Reply Adnan A July 23, 2018 at 4:07 am

    Great vlog- thanks for showing us some of the behind the scenes. UCSD is a great campus and the location is amazing.

  • Reply Silver Girl July 23, 2018 at 4:00 pm

    Great video! Very helpful ?

  • Reply Tevin Heath July 31, 2018 at 12:41 am

    I had to rewatch cause I thought he hit 18 straight 3’s. But they were jumpers lol

  • Reply Med MMA Flyer August 3, 2018 at 11:26 pm

    Where does Dr. Pandey get his hair cut? Looks clean as heck

  • Reply psiloveme August 23, 2018 at 2:12 am

    Can you do a day in the life for dermatology:)

  • Reply Idellle September 20, 2018 at 5:46 pm

    Why are you wearing scrubs in the car? In my hospital it is not allowed to even walk across the street to the kiosk with scrubs

  • Reply Michael Osondu November 2, 2018 at 5:17 pm

    Great video, much inspiration and charisma. Internal medicine seems dope. Question, there’s a lot of reviews variables on this but what is a realistic salary base for an internal medicine doctor?

  • Reply D. TM. December 7, 2018 at 5:34 am

    Interesting perspective thanks and keep up the great work 🙂

  • Reply ashish tanwar December 20, 2018 at 4:20 pm

    So the life of an internal medicine residence is pretty cool and relaxing compare to others.?

  • Reply OK TV January 1, 2019 at 1:32 pm

    It's not 'Dey' like a 'key' but it's more like 'Day '

  • Reply St.Stbone Boner January 23, 2019 at 1:20 am

    I want to show my dick to Doctor Pandey.

  • Reply sushicat January 24, 2019 at 11:50 pm

    do u get to wear the white doctor coat as a internal medicine doc?

  • Reply Thomas Lapsley February 21, 2019 at 3:57 am

    Any arrhythmia with the wellbutrin over dose? I would expect this over the seizures. I understand the ECG changes into a particular pattern during a anti depressant over dose. Is this true? If your quick, It sounds exciting to treat.

  • Reply Julien Alexander February 22, 2019 at 7:15 am

    Im looking at applying to ucsd. Oh he got handles handles lol This is awesome!

  • Reply Sealegs9 February 25, 2019 at 5:55 am

    Dr. Pandey is super cute! Great video!

  • Reply Akshay Gill May 20, 2019 at 9:29 am

    Pls make a video on IMGs as well…

  • Reply rabiya suleiman May 22, 2019 at 2:37 am

    OMG he was looking at the camera while driving. That's scared me so much. Like dude look at the road that's dangerous.

  • Reply tida notes May 24, 2019 at 2:13 pm

    The beach is one of the best way to de-stress and reconnect with nature after a stressful day in the hospital.. The sea has its unique way in making our mood happy and washes our worries away

  • Reply Joseph Hsu June 15, 2019 at 8:47 pm

    If you work hard as a neurosurgeon you too can become the US secretary of housing and urban development

  • Reply Luiz Montana July 14, 2019 at 12:16 am

    You know he a doctor if he whippin a Lexus

  • Reply TheFenerbahceSK July 16, 2019 at 3:49 am

    4:35 Spot the "subway."

  • Reply Owen Capatoy July 20, 2019 at 2:38 am

    Can you do Day in the life of and Infectious Disease specialist? ?

  • Reply tee kash July 21, 2019 at 6:12 am

    At the beach in scrubs…goals

  • Reply abhay kumar August 5, 2019 at 5:35 am

    Hey Kevin Ur face has resemblance to indian Dr Sandeep Sharma in india.he is pediatrician from well known pgir Chandigarh.

  • Reply TOP HOPE BOY August 7, 2019 at 10:33 am

    Where are you studying?

  • Reply bloemundude August 8, 2019 at 6:47 pm

    So Dr. Pandey's the one scattering medical waste on the beach. I knew it!

  • Reply Da34Box August 20, 2019 at 12:14 am

    y'all notice the golf clubs and white coat, I noticed the basketball.

  • Reply Hari Ram October 9, 2019 at 12:35 am

    That dr is awesome. He looks more handsome without specs. why, most of the doctors wear specs??????????

  • Reply jeeneeuz October 12, 2019 at 4:11 pm

    Bruh this man should be a surgeon with that precision at the end lol

  • Reply Rupal Hatkar October 19, 2019 at 11:40 pm

    Amazing video as usual !! Nice background music! Can you please post links to the music !! Thank you!!

  • Reply Muhammad Abdullah Imtiaz November 16, 2019 at 8:15 pm

    I am doing MD it's my first year .very excited?

  • Reply FavJam December 14, 2019 at 11:03 am

    This guy can hoop

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