DIFFICULT Patient Encounter | What I Could Do Better...

20-Noy, 2019
1 018 968 Ko‘rishlar soni

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Audiobook Title: How To Have Impossible Conversations: A Very Practical Guide
Being a doctor can be a struggle sometimes but I enjoy sharing those difficult moments with you so you can tag along on my journey in becoming a better doc and human. If you have a story you'd like to share down below about a difficult visit please do as I love to see your feedback!
If you have an idea of something you want me to cover in-depth, please let me know because I take your requests seriously. We will be back with more Medical Drama Review/Responding to comments Series in a couple of weeks, so please submit more names of shows/questions you'd like for me to watch/answer. Love you all!
- Doctor Mike Varshavski
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional **
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  • It sounds like she was ready to accept there was a problem but not ready for change yet. Stages of change matter a lot in health care. A patient who doesn’t want to change won’t. I definitely think mental health counseling could be useful if someone needs a place to talk and could help them with readiness for change.

    PozotiveHealthRDPozotiveHealthRDKun oldin
  • Maybe when she said "that's all I needed" she was drug seeking and took your responsible take as a sign? The whole story felt like an addict...

    RedRedKun oldin
  • My mom's doctor calls my mom to check up on her sometimes because we live in DV environment

    やぶやぶ3 kun oldin
  • I think you actually said it, but as someone who is overweight and has knee problems, I feel I need to weigh (no pun intended) in on this. My weight has gone up and down my whole life. I lost close to 200 pounds about 15 years ago, putting me within 5 pounds of the weight my doctor felt was safe for me. I had one problems before I gained the weight due to osteoarthritis but was told that I was too young to have knee replacements. Then in part due to inactivity I gained a lot of weight, making the pain even worse. I finally decided to get the weight off (as previously mentioned) and was still told I was too young to have the replacements done. I have now gained back much of my weight in large part to the fact that I can't walk without falling down. My knees are very sloppy. I've had 2 Ortho surgeons ask me how I'm not in a wheelchair and then in the next breath day they won't operate until I've lost some weight. My point that I'm trying to make is that as a patient who is overweight, the last thing I need a doctor to tell me if that I need to lose weight. I know better than anyone that I'm heavy. If it's truly a factor, let the patient bring it up. Just my 2¢. You probably will never see this anyway!

    Ali PAli P4 kun oldin
  • Really I download all my audiobooks for free even youtube has a lot of them

    Vinnie PVinnie P5 kun oldin
  • Difficult patient encounter... dr Mike doing another colab with Gabi hanna?

    raspberryiceraspberryice11 kun oldin
  • *typical karen*

    YURO ChanYURO Chan12 kun oldin
  • Very informative 👍

    STUDY PHARMA سفوانةSTUDY PHARMA سفوانة13 kun oldin
  • So ... she is latina.

    Giselle GSRGiselle GSR14 kun oldin
  • I went to see a specialist for the first time and we spent the first 5 minutes of the appointment talking about my major in school, what I’m studying and the neighborhood that the hospital was in. I didn’t notice at the time, but it made a big difference in my comfort level during the appointment.

    LatishaLatisha18 kun oldin
  • I am mainly a social person and I am a little bit reserved when in public but I could never deal with patients who want to get more social or emotional so major props to you Dr. Mike, love your videos

    Syed Tayyab NoorSyed Tayyab Noor18 kun oldin
  • Question - I had knee pain which the doctors referred to as growing pain and didn't give me medicine, exercise or anything.The pain got worse but stopped at age 11. A. did I recieve bad medical treatment or is it the way it is ? B.why does "growing pain" happen?

    Md AlauddinMd Alauddin18 kun oldin
  • Pewoop

    The puppy minecrafterThe puppy minecrafter20 kun oldin
  • If you have a lot of print you should definitely go to the doctor tho. But if it’s a small problem and you vent, not cool

    Lulu JonesLulu Jones20 kun oldin

    Lulu JonesLulu Jones20 kun oldin
  • While ago, i had a customer who was antivaxx, i didn't even ask she just started telling me why vaccines are bad and cause autism and what not. I told her that its just a conspiracy spread by the chinese government to lower our immune system to release a virus and then sell the solution for it. She changed her view and earlier this week she came to pick up the a order and said i was right. Wtf hahahahahahaba, (i got the chinese conspiracy thing online fyi.)

    Santosh YadavSantosh Yadav22 kun oldin
  • Let me guess she's the second person who you fired

    Namitha MohanNamitha Mohan25 kun oldin
  • Ugh! I usually enjoy watching Dr. Mike videos and they teach me well, but this one seems to be little more than a shallow sale's pitch for their sponsors.

    ivyanatomyivyanatomy25 kun oldin
  • Definitely agree with the building rapport point. For me personally, and I’m sure for others, it helps to connect and remember the dr or whoever is still a person. And as the patient you feel more like a human not just a body whose taking up their time. Sounds like this woman needed more of a therapist than a family dr at that time, but sometimes you can only do so much and can’t force anyone to listen.

    Jessica FreebornJessica Freeborn26 kun oldin
  • You can tell Mike actually listens to the audiobooks and not just selling out lol

    Marklee NGMarklee NG26 kun oldin
  • Lol I don't even think she's a Karen, she probably just really frustrated & needed someone to talk to about all that stuff

    Marklee NGMarklee NG26 kun oldin
  • Being a pre-med, there's so much to learn from you Dr.Mike! A kind of person, anyone would love as their biology mentor.

    Siddhi DorugadeSiddhi Dorugade27 kun oldin
  • Watching your shirt struggle to contain your ripped physique was very distracting. Maybe next time try removing your shirt before filming, it would help me concentrate better on the content of the video. 😇

    sunmarshsunmarsh28 kun oldin
  • the fact that the woman walked in not to get medical help, but to literally vent and talk about her life and let out her emotions is- amaaaazing...;-;

    Alexi Da Gacha BearAlexi Da Gacha BearOy oldin
  • so what the hell did she know she needed to do? ugh i would have been made for her to waste my time.. but drmike you are a better person than me lol

    Aria MemAria MemOy oldin
  • If you’ve never been an overweight woman in the USA, you have no idea how hard it is to go see a doctor. You never know what you’re going to get. And, after years of trying to lose weight and failing, by the time you are 42 years old...you’ve probably given up and don’t believe it’s possible. So many doctors blame everything on the weight. I once had a doctor refuse to adjust my antidepressants when they stopped working until I lost weight. I went home defeated and suffered for a couple years until that doctor did something else and I finally changed doctors. I just took it. I believed her. I remember tearing up in the new doctors office and thanking her profusely for helping me pull out of my depression and NOT blaming me for my depression. For the first time in a long time, I actually felt like TRYING to get healthier. So, in this particular case, I’m guessing she couldn’t hear the weight thing.

    Peggi GnadtPeggi GnadtOy oldin
  • Hol 👏 listic 👏 care 👏

    Amber RaeAmber RaeOy oldin
  • I think you did okay. The weight and pain were symptoms to her real problem of a bad relationship. Maybe she went home and got out of that relationship, joined a gym, lost weight and has no more knee pain. Just because YOU have an idea of how to fix the perceived problem at hand, doesn’t mean that’s right.

    Mrs. SharpMrs. SharpOy oldin
  • I could never be a doctor. I would not be able to be so kind about this stuff.

    Mo-llenialMo-llenialOy oldin
  • No way man you right on track with that convo. She was talking about things that pertained to her depression which was a contributing factor to her weight, which was the main cause of her knee pain. I had an endocrinologist in high school who was the only one in my life that asked about what was going on with me and my stress levels, despite going to a (incompetent) therapist. It was so important.

    schiros123schiros1232 oy oldin
  • I am seriously getting anxiety attacks seeing the nerves in your neck bulging when you talk. It looks like you’re straining a lot to talk. I even googled it to see if it’s normal for people when they talk. But I got scared when they started showing me some very serious illness lists. I stopped it there. Anyways. I enjoy your videos. You’re doing a great work at providing quality medical content in an era of post truth. Be healthy and happy!

    Aneesa AliAneesa Ali2 oy oldin
  • 1:45 why you chest flexin tho lol

    Savannah GruberSavannah Gruber2 oy oldin
  • I don't think you did much wrong. You were nice and listened and she has some issues to resolve. Sometimes listening and letting somebody clear their mind goes a long way. But also watch your time and the overall goal of your practice and define boundaries. She actually needs a therapist if she wants to talk more regularly. Thanks for being a nice doctor that tries to collect patients where they are.

    NiNi NaNiNi Na2 oy oldin
  • Psychological care in conjunction with Medical care is often the most powerful approach to healing. Sounds like she needed to see a therapist, honestly, and that's not a sarcastic criticism or meant to be demeaning. Therapy is a powerful tool to foster positive health outcomes, and is also a great way to help break down barriers to patient resistance in difficult subjects by helping to address why those topics are difficult, and hopefully easing that stress/fear.

    NeonSilverNeonSilver2 oy oldin
  • I saw one of my specialists today. Waiting room had several patients that I am sure were a handful. They were making nasty comments before even ever seeing the dr. They were new patients. That dr is one of the best of the best. I said so out loud several times while waiting my turn. I have several serious chronic health problems and see a list of specialists. I have a great team now, but it was a long road getting there. I understand getting to a point of frustrated with the system, I've been there. There are amazing drs out there. I just don't understand being mean, especially before ever meeting the dr. If you don't mesh well with someone, move on.

    Suburbanmama00Suburbanmama002 oy oldin
  • Omg this lady sounds like a NJ lady 🤪

    Hell's Kitchen Kritter and FriendsHell's Kitchen Kritter and Friends2 oy oldin
  • Can those biceps make it difficult for me to breathe?

    Hell's Kitchen Kritter and FriendsHell's Kitchen Kritter and Friends2 oy oldin
  • This happens to me in the middle of the night my knees almost freeze up and it takes 10 minutes to straighten the leg and i have to walk around to relieve it im 31 and 50kgs

    Courtney GriceCourtney Grice2 oy oldin
  • So the patient was probably a 13 yo boy that was so slim that his ankle hurt...

    A BA B2 oy oldin
  • It's fine, dr Mike, she just needed to talk and that's a big help already. Next time she might let you actually treat her knee. Baby steps

    MastermintMastermint2 oy oldin
  • Dr Mike and Jocko Willink set the bar for conflict management.

    NU KwokNU Kwok2 oy oldin
  • thats more a life advice ... and i am very late to this video. :D

    Argel TalArgel Tal2 oy oldin
  • @doctormike I have a rare genetic condition. Less then 50 people in medical literature have been reported in all time. Willing to do a video with you.

    Chealsa AndersenChealsa Andersen2 oy oldin
  • how do you make your hair so girly dr mike?

    Spicy HeartattackSpicy Heartattack2 oy oldin
  • is it ok to eat rice and beans to gain weight👁👄👁 dw i still eat fruits and vegetables even tho i wanna gain weight so i also eat eggs, beef, avocados, whole grain bread, bananas, and nuts😎

    Anita AhrAnita Ahr2 oy oldin
  • She sounded like she really needed therapy

    Breanna LaraBreanna Lara2 oy oldin
  • can we just point out that doctor mike was using she/her pronouns and said that she said one of her *girl friends* had that. no? ight I'll go back to playing girl in red and crying about girl's

    Emo DayDreamEmo DayDream2 oy oldin
  • Honestly sounds like she just needs a bit of therapy, someone who can sit and listen for an hour to help her come to her own conclusions

    Bek StauntonBek Staunton2 oy oldin
  • I remember when I ended up in the hospital for suspected pancreatitis (it turned out to be gallbladder-related in the end) and, as someone with crippling social anxiety, I stayed focused on the book I had. The doctor came in and, knowing my mental history, talked to me calmly and said that he loved the author of the book I was reading. I appreciated that more than the physical treatments for my pain. I'm glad Doctor Mike promotes understanding a patient as a person and not just a body.

    Emily BrownEmily Brown2 oy oldin
  • Love this! I vlog my daily struggles with the Immunodeficiency Disorder, CVID (Common Variable Immunodeficiency Disorder), Recurrent pericarditis, Chronic Pulmonary Embolism and a recent heart attack survivor. I am only 40. I post videos about my illnesses and the treatment that keeps me alive as well as silly cooking videos, trying to get my Mom in a few videos, COVID and current events. I love to answer viewers questions. UZworld is my therapy!! TammyKeddyVlogs Please like, comment and subscribe and I will sub you back - we have to support each others talents and creativity. Xoxo

    TammyKeddyVlogsTammyKeddyVlogs2 oy oldin
  • My Doctor might have read that book, or he just has wonderful communication skills. Cause he has that approach you mentioned in the book. I think its awesome that you are reading this book and trying to communicate better to ultimately be a better Doctor. And a great start is to admit you could do things better, that's awesome!

    Sonia JoubertSonia Joubert2 oy oldin
  • Look ur muscles.. lol u did that on purpose >.> sly dawg

    Grace MastrudeGrace Mastrude2 oy oldin
  • I think he was doing all he could and over analysed it. She came in with knee pain, he tried to help her, she said she just came into vent. Vent to your friends and family, what a waste of doctors time if you don't want help.

    Lisa NLisa N2 oy oldin
  • Has anyone everytold you that you like superman (Henry Cavill) and Harry Potter had a baby? The glasses really put it all together.

    Tanna CollinsTanna Collins2 oy oldin
  • I am not going to look at his shirt! I am not going to look at his shirt😒😒😒

    reverse onreverse on2 oy oldin
  • Bee woop!

    Ololade ShadareOlolade Shadare2 oy oldin
  • Maybe She didn't want to show her skin if she is in toxic relationship, as she mentioned, visiting a psychologist could seem to be ,, rude " towards her stinky husband My point is, she may have been abused and could not really tell anyone Just my theory tho, hope she's ok

    PajushenkaPajushenka2 oy oldin
  • Subscribe to PewDiePie

    Golden SushiGolden Sushi2 oy oldin
  • The patient is just playing the victim to not get her knee looked at.

    Psych hyperfocusPsych hyperfocus2 oy oldin
  • Isn’t the knee pain from being heavy?

    Tropical GeminiTropical Gemini2 oy oldin
  • She sounds kinda psycho tbh...

    Kate LeeKate Lee2 oy oldin
  • Oh I feel your pain. Thank you for sharing this

    lugoyvonnelugoyvonne2 oy oldin
  • You need to collaborate with Caitlyn from Ask a Mortician

    Emily O'BryantEmily O'Bryant2 oy oldin
  • Dr. mike: she thought eating lots of rice and beans is healthy me, as a brazilian, eating rice and beans everyday since I was a sperm: 👁️👄👁️

    Ana Luiza PinhoAna Luiza Pinho2 oy oldin
    • exactly, I was gonna comment... *laughs in Hispanic (I know you're latino, not Hispanic, I am both though) 😂

      Erica Cruz-SwansonErica Cruz-Swanson16 kun oldin
    • Person on the internet idk magdonahld

      Lulu JonesLulu Jones20 kun oldin
    • Where the hell did you get the rice and beans from when you were a sperm

      Person on the internetPerson on the internet25 kun oldin
  • Hiya Doctor, your story reminded me a lot of one a friend (a GP) once told me when she worked surgeries/clinics. She’d come to the end of her appointments, and as is probably the case in the US those appointments are very short -10-15 mins - and a woman came in, complaining of something mild - cold and flu symptoms, something like that. My friend had had a tough day and was looking forward to going home, so asked the patient when the symptoms had begun. The patient then explained when everything had begun and mentioned seemingly offhand that her mother was very ill and in hospital in the high-dependency unit. This caught my friend’s attention. She knew how to treat the symptoms, and she considered, for just a second, prescribing what was needed and sending the woman on her way; after all she was nearly done. But she thought about it and then asked the patient about her mother. According to her, the conversation that followed was tearful, but clearly very needed and the patient was thankful for the chance to talk about her mother to someone who would listen. Bear in mind, it was the end of her day so she was eating into nobody’s time but my friend’s. My memories of the story after that are hazy; I can’t remember if they circled back to the supposed main reason she was there or not, but I know that both women left that surgery feeling better; the patient left in a way that sounds quite similar to your patient - needing to talk - and the doctor felt like she’d done the right thing by staying a little past her allotted time and probing a little more. Point being, this may have been a difficult visit, but I’m sure it was, at least for a time, effective. Although I agree with some of posters here that her bad relationship with her husband is something with which she needs help and support. I hope she found it somehow, and thanks for sharing.

    Tessa RobinsTessa Robins3 oy oldin
  • These "bee whoop" things make me uncomfortable

    xinic5xinic53 oy oldin
  • Dr Mike a follow up call with that Patient might make her feel special or that you truly care.

    Ice MistressIce Mistress3 oy oldin
  • When this lady sounds like my grandpa 😬

    Lili GraceLili Grace3 oy oldin

    EBeckyEBecky3 oy oldin
  • Dr. Mike, I think you are one of the best doctors out there. I also want to be a doctor when I grow up, and I you are someone who inspires me to help others through my profession. Thank you

    saigayathriesaigayathrie3 oy oldin
  • Why is audible even a sponsor anymore? Who the doesn’t have audible?? Kinda redundant..

    NunyaNunya3 oy oldin
    • I don't.

      enjoyinglifeishenjoyinglifeish2 oy oldin
  • looks like a new rich husband would solve her issue, and she doesn't care about knee pain at all, as if if she's got a good husband, being crippled and obese are nothing to her

    Justin de MonkeyJustin de Monkey3 oy oldin
  • dr.mike: hEy lOoK aT tHis aUdIo bOoK me: yUp, aUdIbLe

    Guadalupe RamirezGuadalupe Ramirez3 oy oldin
  • He should have just said, “peewoP” and walked out.

    vampy lunavampy luna3 oy oldin
  • They need the number for crisis line and a referral to a psychologist.

    H VickH Vick3 oy oldin
  • That is really interesting thanks for sharing your experience.

    EliseElise3 oy oldin
  • Do you play video games?

    Frances GarryFrances Garry3 oy oldin
  • he could wear a fucking trash bag & still be hotter than 98% of shirt joke commenters..... It’s quite amusing to read the comments. However I do have a question to you, Dr. Mike. I’m contemplating medical school after earning my Biomedical Engineering degree. I would like to still be financially comfortable even if I don’t have what it requires to get in med school & preserve through the difficulties... So, my question- What did you get your undergraduate degree in? Did you earn excellent scholarships for medical school, too? My undergrad degree is paid for by scholarships so I assume the same for you. Thanks, and love your videos!!!!!

    Anna GraceAnna Grace3 oy oldin
  • Appointments like that must be really hard, to have to be aware of time constraints while trying to deal with something that’s that convoluted and not necessarily easy to help with. It kind of sounds to me like she was somewhat embarrassed to show you her knee because it sounds as though she knew her weight was the main issue. I’m a year out from VSG and have lost over 100lbs and my quality of life has skyrocketed, I can do sit ups for goodness sake 😂👌🏻

    Hannah Keziah LosingHannah Keziah Losing3 oy oldin
  • Everytime you do the beewoop it reminds me of spyro

    kristen chattenkristen chatten3 oy oldin
  • please make more Dr mike

    faigy vaysmanfaigy vaysman3 oy oldin
  • Honestly, if you didn’t establish rapport, she wouldn’t have “dumped” on you. She needs a therapist more than anything.

    xfallenxlostxxfallenxlostx3 oy oldin
  • Yes! Napoleon Dynamite glasses er'day

    Whit JonakWhit Jonak3 oy oldin
  • I commend u 4 having so much patience The patient essentially wasted time and didn't let u give her treatment she needed. Venting maybe good but it's not long lasting solution especially not for the knee pain...and because no actual treatment happened u have nothing to put in the record. That puts u in a uncomfortable situation. then again she had her reasons so can't be entirely blamed. But it's also true that this kind of thing can be very frustrating whether or not u understand the reasons

    bhavika Kosambiabhavika Kosambia3 oy oldin
  • He is just as perfect they make em

    anee shaaanee shaa3 oy oldin
  • Building rapport is so important. I’m a nursing student and a LOT of what we do is communicate and try to persuade the patient that we are there for them and to trust us with... well their life. Love your videos

    Mermaid ShawnaMermaid Shawna3 oy oldin
  • This gave me a lot to think about. Thank you. It can be hard looking at what we did as wrong, or under the lens of how we can improve in the future. I respect your willingness to do that. :)

    LostJedi26LostJedi264 oy oldin
  • Where did he get pee woop from lol

    Pamela WrightPamela Wright4 oy oldin
    • His editor wanted something to mark transitions and topic changes. So used peeewooop.

      Jaimie JonesJaimie Jones2 oy oldin
    • @Doctor Mike why "pee"?

      Kathy SteinKathy Stein2 oy oldin
    • Don’t ask lol

      Doctor MikeDoctor Mike4 oy oldin
  • 0:50 smooth. . . real smooth

    S JoellenbeckS Joellenbeck4 oy oldin
  • I once went to this doctor because I was having extreme headaches, and the doctor was extremely mean, rude and thinking about him just makes me have a headache again. He didn’t even bother to understand me. Seeing doctor mike gives me hope to go to a doctor again. 🤦🏻‍♀️🙄

    AshnaAshna4 oy oldin
  • I think she needs a shrink and was suffering from abuse like I feel like more doctors should be educated on mental health since it’s a huge issue

    KK and sims 4KK and sims 44 oy oldin
  • Oo I could never be a doctor😂

    Heaven GreenHeaven Green4 oy oldin
    • dont give up! if u study hard you could be the best doc ever!!!! you go gurl:)!!!!!!!!!

      Teesha Kristeen PereraTeesha Kristeen Perera4 oy oldin
  • Difficult patients are the one reason why I love medicine. It’s called adrenaline and all the criminals and genius and detectives love it too much

    Layla LutinLayla Lutin4 oy oldin
  • Anyone else see the random pec pop at 3:22?

    Mico GorresMico Gorres4 oy oldin
  • I love you Mike

    Mohammad AnharMohammad Anhar4 oy oldin
  • My dermatologist does this!!! He asks everything that’s going on in my life, good or bad. I absolutely love it & a reason he’s been my doctor for almost 10 years! It’s hard to find Primary doctors like that. So I hope u keep these tips ❤️

    Nancy BahlNancy Bahl4 oy oldin
  • Okay, the vídeo was good, but why is there a a blond thin girl on the thumbnail if the vídeo has nothing to do about it ? It's about a patiente that was obese and has a knee pain and needed to talk/vent.

    Jessilene SilvaJessilene Silva4 oy oldin
  • I can relate to that patient too

    Bianca Monteiro TavaresBianca Monteiro Tavares4 oy oldin
  • She probably will follow your instructions she just needs to let that out first

    Bianca Monteiro TavaresBianca Monteiro Tavares4 oy oldin
  • But you already told her what to do and the solutions she's has got for that, it is her choice to follow them now

    Bianca Monteiro TavaresBianca Monteiro Tavares4 oy oldin