Alright, the lighting is good. Let's go. Welcome back to the channel everybody for those of you who are new around here. My name is Michael aka Dr. Jelini and on a recent video where I talked about all these specialties I almost went into before ultimately choosing radiology and interventional radiology. In that video I had someone comment below asking me to talk about all of the specialties I hate or dislike or like the least. So that is exactly what I'm going to do today. I'm going to talk about three of my least favorite specialties in medicine. Let's go. Alright, so before I start this video I just want to give a quick disclaimer. I am in no way shape or form talking bad about these specialties. There is a specialty for everybody and there is a personality and specific doctor for every specialty as well. Just because I do not like that specialty doesn't mean it's a bad specialty by any stretch of the imagination. It's just not what I was into and it didn't fit my personality type. So I just want to get that out of the way. I'm not talking bad about any specialties or any doctors in those specialties. So let's get into the first specialty I liked the least and that specialty is P.D. Astro. Why don't I always have to do that? So P.D. Astro for me was just something I was not into. I think that is pretty similar across the board for everybody who goes in the medicine. You either like P.D. Astro or you don't. There is no like I sort of liked it. There is no like maybe I can see myself doing it. It is straight up black or white. I do like it or I don't like it. Now for those of you who don't know you do your first P.D. Astro rotation in your third year of medical school it's part of your required rotations and I will never forget mine. I why is this thing too flashing? Now I actually strongly considered P.D. Astro when I went into med school. I thought it was going to be something I was interested in and obviously it ended up not being but there's a couple reasons why I didn't like P.D. Astro. What are my least favorite things about P.D. Astro was actually having to deal with the parents. Now obviously a child can only be a decision for themselves so you would always have to talk with the parents. The thing about parents is there are some that are very easy going and there are some that are not so easy going. I think we've all kind of dealt with those people but it's very frustrating in P.D. Astro because the actual patient doesn't have a say in their care and I don't know. I can't really describe it but I much rather deal with the patient themselves than the parent or the care tager. I'm trying to put this as nicely as possible but anybody who's a P.D. Astro just comment below or if you rotate in P.D. Astro just comment below I guarantee you know what I'm talking about. I don't have to say anymore. Another thing I didn't like about P.D. Astro just you can't really communicate with your patient a lot of times they're either infants or young kids and they can't really express what's wrong with them. For me I'm very impatient. It's kind of frustrating because I just want them to like tell me what's going on and give me some sort of history to figure out the puzzle but they can't. It's very similar to how my brother must feel all the time and for those of you who don't know he's a veterinarian. Here's a link to his channel up here but he has to deal with animals who can't tell him what's wrong and this is probably very similar to P.D. Astro's well I probably should compare a child to an animal but you know what I mean. They can't tell you what's going on and it makes it hard to make a diagnosis. I think I'm just digging myself in a hole here but you don't eat it what I'm saying. Another thing I don't like about P.D. Astro is I don't like seeing kids suffer. Kids are supposed to be healthy they're supposed to be out of the hospital and it really kind of hurts your heart to see kids in the hospital and being sick and for me to surround myself with kids being sick all the time it's kind of depressing and it takes a certain personality who has the patience to take care of that patient. Go in there day in and day out even though it's kind of depressing to see kids sick but they still do it so shout out to P.D. Astro's I don't know how you all do it but you do it and you do it also well so my hat is off to you. It just wasn't for me. Also just as an aside I do dabble in a little P.D. Astro's interventional radiology. We do have to insert tunnel catheters in children a lot of times. It's not that I don't like it it's just it's very tedious and they're they're just so small so everything is very small and all the movements are small and you have to zoom in a whole bunch on the X-ray machine and I feel like I'm just working on like a tiny human which I am but I don't know it's just not my thing it's a little too tedious and yeah if I wanted to do that I would have done like ophthalmology or something. All right so you probably know my second least favorite specialty in medicine because I have talked about it so many times and I even did a short video on my YouTube channel about it or about one of my experiences just last week and that field is emergency medicine. Now I don't know how how on earth people actually work in this kind of environment. It takes I don't know what kind of person but it is literally chaos at any point in the day at all hours in the emergency department like literal chaos. I mean it's someone organized but it's crazy so just as an example obviously I work in New Art City and I have to see consults in the emergency department that are in need of emergent interventional radiologists so I have to go down there pretty often every time I have to go down there I have to like prepare myself because it is literally a zoos like there are patience everywhere it's so loud in there there is always a drunk person or a high person yelling at someone someone's fighting with somebody and then you have the and then you have the like employees the nurses the techs the doctors everyone's just like just like type it away on their computer and like all this stuff is going on I'm like how are you guys focusing on anything with this kind of chaos around you but I mean hey they do it it takes a specific person to enjoy ER and that person is not me I very much prefer a nice quiet controlled environment especially in diagnostic radiology I just sit in my room have my coffee read my films nobody bothers me well sometimes I do but nobody really bothers me it's not crazy it's not chaotic sometimes people stop by and say hello but people aren't coming up to my reading room trying to punch me in the face telling me I'm treating them wrong telling me they need to hurry up it's just a nightmare and on to hold on a second all right and you're out of coffee I have no idea where I was in this video so that's good I have a ton of close friends who are emergency medicine physicians shout out Tristie shout out Tray shout out Brooks shout out Julian and I don't know how they do it it's crazy all the time but they they must just thrive for that split second patient coding patient comes in with multiple gunshot wounds you have to stabilize them patient got an car accident they live for that and we need people like that but that person is not me now diagnostic radiology is more controlled than probably any other field but interventional radiology is also really controlled it's more of like a controlled chaos it's more like low key do your procedure take your time regardless of what's happening with the patient and that's the way I like it so the last specialty that is one of my least favorite specialties that I tried also hard to enjoy but I ultimately did it and that specialty is dermatology now I know what you're saying Michael you like to look good Michael you like to do your hair you like to dress well going in the hospital you should be a dermatologist because most of them are very well dressed and okay got this is garbage I thought I would like dermatology because it's a pretty good lifestyle specialty right so most of it is clinic based not too much time in the hospital you have a whole bunch of patients you see every day usually from like the 8 to 5 pm very straightforward no call I can't even think of a dermatologic emergency so you don't have to know on the hospital in the middle of the night like I always do so like what's what's bad about dirt why would you not do dirt well a couple of reasons because I actually did a dermatology rotation and I mean I hate to say it but I was bored out of my mind like so bored I'm not talking bad about dermatologists like I said at the very beginning of this that was a disclaimer because I'm certain people think radiology is the most boring thing on the planet even though it's not but talking about skin all day it was seen the same patient over and over and over again you see a patient with acne you see a patient with a rash you have them come in you give them steroid cream you send them off and you see a follow-up and you say oh that didn't work let's give an anti-fundal and you send them back it was like the same thing over and over times 40 every single day it just wasn't for me and then you had to tell everybody to make sure they were their SPF and all that stuff I love it because of the cosmetic aspect and that the hours are fantastic but I just could not make myself like it plus it's super hard to get into which is crazy because some of the smartest people in the US who mention a dermatology are just taking care of like acne on a daily basis but that's the way it goes so on that note those are the three specialties that I liked the least in medicine if you have a least favorite specialty make sure you leave it in the comments below if you thought you could see me in one of these three specialties also let me know in the comments and I will respond to them as always at least within the first hour so otherwise make sure you smash the like subscribe bell and follow me on Instagram and tick tock if you know already and I'll see you all two times a week every single week sometimes three times a week now just I post a short here and there I'll see you all on the next video peace you