A Day in the Life of a Yale Anesthesiology Resident (Cardiothoracic ICU, Yale Golf Course) | ND M.D.

Added: 2026-05-12

[00:00:07][music] [music] [music] Heat. Hey, heat. Hey, heat.

[00:00:25][music] Heat. Heat.

[00:00:37][music] [music] >> [music] >> Tacos.

[00:00:59]>> Four tacos of the season.

[00:01:01]>> Tacos.

[00:01:01]>> Tacos.

[00:01:02]>> Tacos.

[00:01:03]>> What's yours?

[00:01:04]>> Tacos.

[00:01:04]>> Tacos.

[00:01:07]>> For sure, dude.

[00:01:08]>> What is it? Whoa. Wait. I want that.

[00:01:10]>> That's me.

[00:01:13]>> At Millcraft 2. Hey, [laughter] >> literally at an ice cream shop.

[00:01:19][laughter] >> Smile.

[00:01:23]>> Wait, you got to smile.

[00:01:27]>> I won $200.

[00:01:28]>> I can't see him. [laughter] [music] >> [music] >> So [music] what if I told you you have a 61-year-old female posttop day zero status post three vessel cabbage lema to LED SVG to OM SVG to PDA with VIS placed on VVI 60102 with three times chest tubes two times plural and one mediainal on epi.05 05 leo.04 104 insulin at 2 probe at 40 two test PIV bilateral radial arterial line right IG MAC with TLC slick for your first patient then your next one is a 55-year-old gentleman saspos groin cut down removal infected iliac graph stent and left common femoral vein to SFA bypass with right syphalic vein harvest and jump graph to profunda and sartorius flap on Q1 nervascular checks map goal greater than 90 doppable left PT and palpable right DP and PTS then you take care of 77 7-year-old post optap lema to LED radial to OM with mild MR severe TR dilated RA LVF 40 to 45%. And then to round it all out, you have a 68-year-old status post robotic MVR and maze with left atrial appendage lation pacer dependent reprogrammed interop to do and now reset to DDDR 60 to 70s with tacky therapies on. Any of that make sense? Got it. Good. Welcome to the cardiothoracic ICU. Over the past nine years of education, three years of undergrad, four years of medical school, as well as two years of residency, I've learned to accept this as just normal language. But then when you say it all out loud, you kind of realize the ridiculousness of the hieroglyphics that you were speaking that we in the medical field all fluently understand somehow.

[00:03:25]This is my first ICU rotation since January of intern year. So, it's [music] been over a year since I've had an ICU workflow. And personally, I went into anesthesia never wanting to round ever again. Uh, so bringing rounding back into my life willingly isn't exactly part of what I want in my future career.

[00:03:48]But there is still a ton to learn about the peroperative care of a patient from being in a surgical ICU, let alone taking care of cardiothoracic posttop patients. gives you a better understanding of how to best optimize your patients, not just for the operating room, but how to hand them off safely and tidied up for the care team that's going to be bringing them out of the hospital basically. And [music] compared to the medical ICU where it's kind of the place where patients go when nobody else really knows what's going on and you have 10 bajillion different consultants trying to work on this mystery. Any sort of surgical ICU is fairly simple cuz you know what's wrong with the patient. You caused it. And by you, I mean the surgeons because uh like the saying goes, it's always surgery's fault, right?

[00:04:40]I do kind of like where this surgical ICU rotation is in my schedule because I've been mostly in the Os for most of my CA1 year. But your focus on the care is mostly what are things that you can optimize inside the O without necessarily having to think about the consequences post op. And that changes when you are on the receiving end of anesthesia signal. There are things you can control and things you can't control. Things you can control.

[00:05:06]adequate fluid resuscitation, proper long-acting pain control, was your pain plan in place where you would prevent ilas, are you using the right size tube if you're anticipating a long time intubated? And are you correcting metabolic derangements in the O so that the ICU team isn't trying to quickly correct them as soon as you drop the patient off. Those are all things you can control. Things that you can't, surgical bleeding, length of time of surgery, and then the transfer monitor cables. To every single ICU nurse out there at the time of me recording this, happy nurses week. I promise you, we don't do it on purpose. When we leave the O, we try to have the monitor cables as nice and tight as possible, but I swear there is a cable monster or something that comes and tangles them all up in between the O and the ICU.

[00:05:54]It's not our fault, okay? We tried most of the time. There are definitely times when like the case is just such a show where we just need to get the patient to the O. That time, I'm sorry. Um, but I promise you, we try. It may not look like it, but we do try. And thank you so much for the wonderful, wonderful care you give to our critically ill patients.

[00:06:16]ICUs cannot run without ICU nurses. You guys are incredible and saved my skin multiple times already. So, welcome to the cardiothoracic ICU and life all in between. [music] >> [music] >> Sign at 5:45. So here bright and early coffee in hand though. [music] >> [music] [music] >> Heat. Heat.

[00:07:10][music] >> [music] [music] [music] >> That's the [music] some of these traumas where they're like, "Oh, I said, "Oh, I'll I'll rub it into your seat." [music] They go, "Oh, no. Get a get a Mac."

[00:07:50][music] I also need to get Skittles time.

[00:07:58]Skittles.

[00:07:59]>> Also, congratulations on the fourth CA1 liver.

[00:08:05]>> You guys don't have my pin though.

[00:08:07]>> I know. We'll get you the pin, >> but I basically didn't do one. Oh my gosh. Yes, you did.

[00:08:18][music] [music] >> We're going to intubate you.

[00:08:38]>> [music] [music] >> No one can uh either that or we'll [music] do we'll give you filming a quick video for the ASA or our national anesthesiologist ologist society. Just going over our standard monitors, things that collect data for us to interpret all throughout your surgery. It's how we respond to changes throughout your surgery, make sure you're safe, and return you back to your loved ones nice and cozy. Sebastian here is my model uh in his patient gown, and I'll probably play the completed video for you. Uh now, no matter if your surgery is 30 minutes or 12 hours long, anesthesiologists are in charge of monitoring and interpreting a ton of information while you're sleep and responding to your body's changes all throughout the surgery. We use different types of continuous and continual monitors for every single procedure.

[00:09:44]Pulse oximry to monitor your blood oxygen saturation in real time. A non-invasive blood pressure cuff or an arterial line to monitor blood pressure at least every 5 minutes, but usually more frequently. EKG leads to continuously monitor your heart rhythm, a temperature monitor, and a way to constantly monitor ventilation like an entital CO2 monitor. These monitors make up what we call the ASA standard monitors that all patients receiving anesthesia should have. These tools give the anesthesiologist the ability to track cardiopulmonary changes that can happen during your procedure and make necessary adjustments to either the anesthesia or surgery side of things.

[00:10:15]All to keep you safe and healthy without you ever knowing it. All monitors have alarms for major changes, but all must be closely examined because even small changes in heart rate or heart rhythm or even a drop in entital CO2 could be signs to where [music] [music] >> [music] >> This is my friend.

[00:11:02]The Home Depot buying a bag of rocks to fix my plants.

[00:11:08][music] Heat. Heat. N.

[00:11:29][music] So, also if you watch my videos long enough, you'll know that I picked up golfing near the end of my fourth year of medical school. I'm from Augusta.

[00:11:59]Hence the mast's gear. But the Yale Golf Course here in New Haven, it has consistently been voted the number one college course in the country for many, many, many years. It actually closed down for a 2-year renovation. When I matched here, and it just opened this week, and myself, a bunch of my co-residents, and my attendings got some tea times this morning. So, we will be the first weekend since the reopening.

[00:12:25]So, my attendees and my co-residents are a lot better than me. So, I'm going to try not to embarrass myself, but it's still going to be a really fun time on a gorgeous new renovated course. Nice slow morning, breakfast. Going to get over to the course in a second. We're going to go have some fun.

[00:12:48][music] Heat. Heat.

[00:13:15]>> [music] [music] [music] [music] >> There are goats on the course. Goats.

[00:13:41]Tiger Woods.

[00:13:44]Oh, it's all the lucky pants. Oh, hey.

[00:13:46]Close it.

[00:13:57]There's so many goats on here.

[00:14:00]What you doing, buddy?

[00:14:03]>> What are you doing?

[00:14:05]>> You made it.

[00:14:09]Are you serious? [music] >> [music] >> my new children. A bit of a mental health uh day today before locking in for the rest of the night.

[00:14:33][music] Heat.

[00:14:39][music] [music] Heat.

[00:14:59]>> [music] [music] >> Heat. Hey, Heat.

[00:15:23][music] Hey, [music] [music] [music] hey, hey. Heat. Heat.

[00:15:58][music] [music] [music] Heat. [music] [music] Heat.

[00:16:36][music] Heat. Heat. N.

[00:16:43][music] >> [music] >> Heat. Heat.

[00:17:05][music]