Day in the Life – Pulmonary Critical Care Doctor

[Music] So, in the morning I’ll get up about
4:30 – 4:45, give my wife and kids a kiss, put my gym clothes on, put my hood over my
head and go grind it out at the gym. I think it’s important to get up in the morning
and accomplish something and I think the gym gives you a sense of accomplishment early
in your day. And then you’re going to ask yourself, you
know, “what’s next after the gym before you go to the hospital or before you go and read
and study”. So, I think it’s really important to get up
in the morning and get your gym on or get your grind on, whatever it is. Get up and do something because if you’re
not up doing something, you know that somebody else is. I’m Cedric “Jamie” Rutland and this is a day
in my life. I’m a pulmonary critical care physician which
means I take care of people with lung problems and I take care of people in the intensive
care unit. Intensive care unit is a unit that houses
people who – whose organs are failing, people who aren’t doing well, people who are dying. As a pulmonary critical care physician, traditionally
it’s thought of you either do critical care or you do pulmonary. I do both, I do it all, I do it all day long. Minute by minute, hour by hour, because I
feel like being a pulmonary critical care physician you have that unique skill to help
anyone and everyone in any way possible and for me that’s what being a doctor is all about. It’s all about helping people and it’s all
about being better today when compared to yesterday and I feel like pulmonary critical
care provides that. [Music] So, typically a day is going to be,
after I go to the gym I’ll go to clinic in the morning, I’ll go to the hospital in the
afternoon and about twice a week I’ll stay in the hospital until midnight just to help
out the ICU doc at night and then just to make my next day more efficient, being able
to go to a long-term acute care facility in the middle of the night just to check on patients,
make sure everything’s stable from that standpoint. So, really it depends on the day but I think
it’s a private practice attending, your day can be altered depending on where help is
needed. But for the most part, it’s usually clinic,
hospital, some procedures in the hospital and so on and so forth but it’s a pretty exciting
day. When you do a lot of different things, it
helps with keeping you engaged throughout the day. You want oatmeal? No. You want oatmeal? No. You don’t want oatmeal? No. What do you want? No, I need, I need this. Okay, taste it. I can’t. People think that like going from hospital
to hospital or patient to patient is the hardest part of my day. It’s the fannest part of my day but actually
the most difficult part of my day is this decision, what’s shoe am I going to wear today? Is it a Yeezy day? Is it a Jordan day? We’ve got these which are just super fire. And I wear these, I don’t care. And these shoes are made to be worn so I wear them. We’ve got the Unions here, maybe some old
school Jordan 4s here. ‘Cause usually you start pulling shoes out
and then things start to kind of come together and you’re like, “You know what, I really
want to feature these today.” We got a little bit of pink on, it might clash
with that purple but right now I’m thinking these. Blue Tints? No, not the Blue Tints. Oh, wait a second. Hold on. Maybe we got the originals Beluga 2.0s. No, I don’t think so. It’s difficult guys. Maybe the Flyknit Racers today? It’s not going to rain, it’s multicolor, springtime,
it’s May 1st, kind of a basic shoe. You kind of look at it and you’re like, “Oh,
those are in, oh, oh, those are kind of fire.” So I mean, I think that’s the kind of thing
you want to go with. I’ll go with those, I think big decision’s
made. You know what? I changed my mind. I’m not going to go with my Flyknit, I think
I’m going to go with my custom Huarache. Thing is they are at the top. So, I have to jump my ass up there grab them. Are you ready? Hold on, let me grab them with two hands. Yeah, I’m feeling these today. I’m feeling these. Lego. I have no idea. I don’t even count. Not that many though. I think there’s people with a lot more but
look at this, check this out. You guys think that I’m a sneakerhead, I want
you to look, we’re going to look over my wife’s side of the closet. She’s got some of the shoes I got. She got her little pink Jordan ones, the Crimson’s
here. You know daddy had to buy her some 11s. All right, she’s got on her Harrison Pegasus
but look at these customs I had done. She’s afraid to wear them because she says
that, “Oh, it’s Louis Vuitton and not really Louis Vuitton.” But look at these custom Vans I had made for
her. Sick with it. Look at that, ridiculous. And then she has all this stuff and we got
two pairs of shoes for her coming today. So, I kind of turned her into a little mini
sneakerhead. We’re getting there, then I got to work on
my six-year-old. So, we’re going to head to Irvine Clinic now,
a pulmonary clinic in Irvine. We’re going to see who we need to see and
what things we need to do for people to help them feel better about themselves. [Music] So, this is pulmonary clinic, this
is where I see patients on a daily basis. Where you have a line of patients who are
waiting for you, you go see them, your nurses, your assistants
put them in a room, you have objective data, x-rays, cat-scans,
lab values. You go into the room, you see the patient,
they tell you their symptoms, you determine what their data means, their symptoms, what you’re going to do about certain things,
how you’re going to manage certain things and you want to make sure that you’re making
people better or you’re not allowing them to get worse. In terms of why I selected pulmonary and critical
care, other than the inspiration behind my grandfather and the pulmonary disease that
he suffered from, which is emphysema, an entity of COPD, it was really out of just a variety
of procedures and duties that you have as a pulmonary critical care physician. We do many different things, we run intensive
care units, right? Where people are fighting for their life. We put things in people, we put things in
their chest, we put things in their mouth. We do procedures where we biopsy the lung,
we do procedures where we’re washing the lung out. We can deal with patients that have immunological
problems like asthma, like interstitial lung disease. We can deal with patients that have cancers,
we have to understand the way the immune system works, we have to understand the way the cancer
cell works. There are so many different varieties that
this specialty provides that allows you to, in my opinion, not burn out. Right? You have different things that you can do. If you want to be outpatient, work 9:00 to
5:00, you can be outpatient. If you want to be inpatient, you can be inpatient. If you want to do both like I do, you can
really have a different kind of day. Your morning will be different than your evening. So, it keeps you on your toes, it keeps you
alert, it keeps you awake, it keeps you learning and that’s what’s important. Hey Miss Jackson. I’m Dr. Rutland. I’m one of the pulmonary critical care physicians
here. I have read a little bit about you… [Music] So look, there’s a break in the day. We’ve got a few moments, we’re going to get
out our bag even if it’s only for 45 minutes, even if it’s only for 60 minutes. We’re going to get our bag out, we’re going
to open up our computer, we’re going to read some papers and we’re going to learn something
new. That’s the key with doing this whole thing
is, you always going to be learning something new when you’re a physician. When you’re a resident, attending, fellow,
whatever you are, you’re always gonna be learning something new. So, you always need to have a backpack in
your car and have books in your car because you never know when you’re going need them
to read so get it done. Living in Southern California provides you
with the opportunity to change your scene. When you change your scene and you’re in a
different environment, you also gain a new energy. Right? A new energy for studying, a new passion for
studying. One of the things that I’m looking at today
is an article on what’s called interstitial pneumonia with autoimmune features. Disease that’s caused by white blood cells
and their products attacking lungs, attacking certain parts of the lung that leads to inflammation,
the need for oxygen. We want to be able to combat that. So, what I’ve had to learn along my training
and I’m talking medical school, residency, fellowship. Medical school four years, residency three
years, fellowship three years, you learn how you learn and you learn how to make yourself
better on a daily basis. You know what articles to go after, you know
what books to read. You have to be able to do that. Iowa, University of Iowa where I attended
medical school was able to teach me and they taught me that very, very well and I owe
probably everything that I know and everything that I do on a daily basis to Iowa. And not only that, is – the medicine part
is easy, knowing where to go to get the information on diseases. After a while, the training teaches you that
but what’s hard is picking up how to run a practice, what hospitals you go to, what contracts
you have to have, who is the doctor in the area that you can refer to, all those things
you learn as well. That’s the major difference between academics
and private practice. Private practice you’re sustaining yourself,
you’re building yourself. You have to know what you get paid for doing
this procedures, seeing this patient, seeing that patient versus academics where you just
kind of work for a university system and then they worry about the billing, they worry about
the collecting. As I’ve said throughout the day, the theme
is to learn something new every day and that’s how I attack life, that’s how I attack my
days, that’s how I attack my weeks, my months and that’s definitely how I attack my career. So I think you know, a lot of times when you
are in training, when you are early on your career you know, we have a tendency to want
to impress our superiors or our colleagues, right? So, we spend all this time using this information
that we’ve collected from patients, from imaging, from labs and represent it to our superiors,
right? We try to have this great story and put it
together and get them to think what we’re thinking, but I think what gets lost is that
everything that we’re doing is actually for the person in the bed. It’s for the patient, it’s for their family
members. So, as you learn all these medical terms,
it’s your job to learn how to interpret these so you can explain it to the common person
and that’s the important lesson here. And once I learned how to do that, that’s
when my medical practice got a little bit better I noticed is once I was able to interpret
things and explain it to the patient and their family. [Music] Oh, that is… Here, you continue yours, ask your daddy yours… Watch daddy. I’m watching I’m watching, i’m right here. One, two. [chuckle] Hang on. Daddy is [00:14:02]. I can, I think crack this, yeah. See him this morning he left three types. Oh, she counts them. You know we’ve had a pretty, a pretty long
day. Today I did a few procedures, one of them
is called a pericardiocentesis, all right and that’s where – where your heart’s pumping,
you have fluid around the heart and as you guys can imagine, when your hearts pumping,
if there’s fluid around it, it can put enough pressure on the heart so the heart can’t get
rid of the blood that it’s receiving, right? And if you can’t do that, people pass out,
people’s blood pressures are low. So, what you saw was, you saw me actually
stick a needle to right outside of the heart, to the pericardial space and that’s where
I drew off that fluid. Now most people who have that, right? Who
develop fluid like that probably have a malignancy or a cancer of some kind. You’ve seen me stick needles in lungs, from
the backside going over the rib into what’s called the pleural space. That’s called a thoracentesis, where you take
a needle and a little catheter and you go right over the posterior superior aspect of
the rib. Posterior is back and you go right into that
fluid space, you draw that fluid off. You’ve seen me do bronchoscopy where I actually
take a bronchoscope and I look inside someone’s lung and there I can biopsy the lung, I can
biopsy lymph nodes, I can suction things if somebody has mucus in there. Remember the lung is a balloon so if mucus
gets caught in the lung or in the bronchial right, which is the pipe that carries air
to the lung, when mucus gets caught there your lungs essentially deflates and so you
have to go in there sometimes and suction that mucus out to allow the lung to re-expand,
all right? And when the lung wants to re-expand, people
cough because when you cough it actually closes your vocal cords and it pushes air through
the lung to allow it to re-inflate, right? So, coughing after procedures like that it’s
common. So, you know, the day was- the day was a typical
day for me, this is what I do, this is what I love, this is what I live for. People always ask about struggle and obstacle
because some people might look at my life and say, “Oh, you’re really smart.” Or, “Oh, this was really easy.” It was not easy and I was not at the top of
any class ever. I never was but I did try to be better today. In terms of struggle that I went through,
I just finished college, I took a year off of from my parents. I didn’t get into medical school the first
time around, I withdrew my application. The second time around I applied to medical
school and got a letter back from University of Iowa, which is really where I wanted to
go and I was number 104 on the out-of-state waitlist, right? And it was like June and school started in
like August. I told myself that, “What does this letter
say? It says I’m number 104.” Didn’t even say my name, just said you are
number 104. I told myself, “You know what? I’m going to call these fools every day and
let them know who I am because I don’t want to be 104. I want to be Jamie. I want to be Cedric. I want to be future Dr. Rutland. I don’t want to be 104.” So what did I do? I called those motherfuckers every single
day. I called them. I emailed. I got to know Linda in the financial aid office. I got to know Annette in the admissions office
and I started calling them by their first name. What happened next? I was number 69, I was number 53, I was number
37, I was number 21, I was number 9, I was number 8, I was number 3. And then on August of 2005, I got a phone
call and it was the financial aid person who I actually have gotten to know the best and
she said, “Hey Jamie.”, she didn’t say 104. She said, “Guess what?” And I was like, “I’m in?” And she was like, “You damn right.” And so, I think it’s a lesson of trying to
define yourself for who you are. Try to be yourself. Do not let anyone tell you that you’re just
a number because you’re more than that. I think that what’s important are advice that
I give to other people, right? So I think there are three pieces of advice
that I like to give. I always give, I always speak in threes. No more no less. Three is a number of harmony. So, the first piece of advice I would give
is, I want you to be better today when compared to yesterday. Be better today when compared to yesterday. Do a little bit more because when you wake
up the next day, it is another opportunity. Every time the sun rises it’s another opportunity
for you to be better, take advantage of that. Number two, diligence. Have diligence, work really hard. Work really hard so you get to know yourself. Work really hard so you’re forced to listen
to yourself and become self aware of not only what’s around you but what’s inside you. Work hard, that will get you further than
you think. The third thing, be nice. I’m not saying if somebody’s being an asshole
to you, to be nice. All right? But I am telling you to consider it. You never know what kind of day that person
had and if you could put a smile on someone’s face that had a shitty day that you don’t
know about, that’s what’s going to get them through the day. I’ve had people say things to me and say,
“You know, you remember that one time when you just said X?” And I was just being nice and I’m not saying
that I do this perfectly, because I’m not perfect and I don’t – and I’m not nice 100%
of the time. But I know that I should be and so that’s
why I spread that. I want you to be nice. I guarantee you, if you can do at least those
three things you’ll have a successful and accomplished life. I’m here to help you, I’m here to give advice,
I’m here to work alongside of you and I want you to know that. So, I hope you enjoyed the day and I hope
you enjoy the advice. Hey guys it’s 7:14 PM, on a nice Wednesday
night. I hope you enjoyed the day, a typical day
in my life which can be a little crazy. So, I appreciate you joining. If you guys want to see more, you guys can
follow me @drjrutland on Instagram or @drjrutland on Twitter. Please leave comments or feedback for my man
Dr. Jubbal and let us know what we can do better to improve and let us know if you like
our advice or not. Hope you guys have a good day. All right guys, so we’re just leaving the
hospital. This is what it’s like being a pulmonary critical
care physician. Hope you enjoyed the day as we went from procedure
to procedure, as we gave out a little bit of medical advice, I know it can be crazy
but it’s exciting. I’ll see you guys next time, bye guys. You guys have a good day. Are you okay with me working this hard? I’m okay with you following your dreams so
if that’s what it takes, sure. Obviously, I would like to have you around
more. But you’re okay with it? I support it, I support you. When I said in the beginning, I like to study,
I like to work hard, did that have any influence on your thought? I mean, I think the beauty about our relationship
is that we communicate and we know what to expect and I knew what I was getting into
and that the support is equal. Goes back and forth, goes both ways. All right, bye. Goodnight, bye. Okay, good day. You too. Come on doc. Time up. I’m minding my business, doing it for the
gram and he just disagreeing. It’s amazing because I’ll be like, “Man Doc
J, you looking swollen right now. Your gayz are coming.” His bottom lip. I hate compliments. You see how like bass ackwards that is? That’s a bass ackward statement. People, that is a bass awkward statement,
I hate compliments. What human hates to feel great about themselves? It’s a good point. However, I think the compliment has a sense
of achievement like I’ve done something and I feel like I haven’t done shit. So, when you think that comes from a like
a innate desire to just be better than you are but you can’t neglect already what
you’ve accomplished. Or am I wrong about that? No, you are probably right. So, we have to reward this small daily battles. We have to reward those small victories and
when I take the time to say, “Outstanding. Well done. Congratulations. I’m happy.”, I don’t waste those compliments
for no reason. [Music]

100 comments

  1. 10:46 My mother passed from Lupus, the Pulmonologist said it was the worst case he's ever seen. I thank you for serving at the height that you care for your life and your job.

  2. I feel kind of like Jamie when he ays "I don't like compliments." It is because you feel like you haven't done anything. There is no end goal, there is no certain concrete thing that you've accomplished. You're jus constantly aiming to be better and better than you were the day before. I think he's hard on himself, and that's not a good thing. A better way to receive those types of compliments is to say, "I AM working hard." Embrace the process, love the process of improvement. THAT is what should be complimented, not the results from hard work, but the work and the drive itself.

  3. What a show collection for job? 🤣🤣🤣

    Is it an easy day, or a Jordans day?

    Those purple might clash 😂😂😂

    I'm not surprised jos wife ain't black like him 🤣

    He took his time with his hair

    Goes to the gym

    Beautiful kids and spends time with them

    Lovely house

    WOW! black doctors doing their thing.

    👏👏👏

  4. That was pretty awesome. I really appreciate his work ethic, his wife's support and love, and the fact that he can't take compliments. He is like me in that way. I think I get embarrassed and just don't want the attention of a compliment. I appreciate his friend's statements, too. But, I definitely understand Jamie.

  5. Rising second year here. Thanks for the advice doctor. Its good to hear from a resident on how to navigate the system. It's still crazy to me how I am expected to know exactly what kind of doctor I want to become but the third year. Leaning more towards a procedural heavy field and being on my toes is something I value. Being busy enough that the time flies by is something that I think will keep me engaged in my work.

  6. Thank you for sharing your day with everyone and even those motivational points at the end. These videos are very helpful for those who are just starting out and thank you for being a down to earth person. ❤️

  7. I really commend you sir!!!! Your words are truly inspirational. I’m a Sr. Medical Coder and some days are like Wow!!! and others are like not today Satan!!! But I keep fighting thru !!

  8. I get up at four o’clock in the morning to go in the presence of the most important person in my life his name is Jesus Christ the saver of the world Jesus said without me you can’t do anything,even the things that seem good if you didn’t go to Jesus your on your own you should go read n the Bible In John chapter 15 Jesus says remain in me ,and I will remain in you for a branch cannot produce fruit if it is severed from the vine and you cannot be fruitful unless you remain in me. At the end of life what is important is where or who is Jesus to you .

  9. It's 1:20am and I am over here hype and highly motivated. This message was truly a blessing and the motivation I needed to get through my pre-med program. Much success to you Doc.

  10. God willing, I’ll be going to university this September to study Paediatric nursing💓 Although I do not want to study medicine, this video as a whole was very motivational as a whole! #Subscribed🥳

    Recommendation: If you gave the chance, please do a “Day in the life of a Neonatal Nurse Practitioner, OBGYN or Neonatologist” Thank you💓

  11. And here I am thinking I can’t do 6 years of college. (Well 4 left now) and it’s doctors who have dedicated way more time than that 😭.

    I CAN DO THIS 💕 !

  12. Excellent videos my only concern are the shoes he is wearing into the hospital!!!! All medical workers please don't wear your work shoes inside your home! There are millions of deadly pathogens all over those floors!!! As a future microbiologist, my heart was pounding!! But way to go doc!!

  13. This was such an amazing video! Thank you! This was just what I needed to motivate me as I begin my first year of college very shortly at the University of Pitt.

  14. I don’t know how your channel showed up but once you mentioned Iowa, I was hooked! Iowa girl right here! That’s awesome you were there 🙂 best of luck on your career!!

  15. This is my homie in OC and I’ll tell you what, this is him in a very authentic view. I’m very proud of him and thankful to know him…

  16. That’s too many shoes it’s like my whole life supply I’d rather have less shoes to less complicate it

  17. so basically this guy goes to bed around 1 am and then wakes up at 4:45 am for work out. only 3 hours of sleep every night . dude is going to burn out.

  18. Wow! A pulmo-crit doing a pericardiocentesis. Goodluck getting that done in our hospital without the JCI freaking out!

  19. Woa, that's so cool how he's so close to where I'm from! Literally 2 cites away from where I reside. I love the flow of the video, keep it up

  20. I don’t even wanna be a doctor but I saw this and it really inspired me to work harder. It’s 3:40am here and this has inspired me to start grinding and working hard to strive and be the best person I can possibly be. Thanks a lot. You are very selfless and it’s contagious.

  21. Pure definition of an Alpha Male.
    This is very close to what I imagined of becoming when I chose Medicine. Very inspiring stuff Sir Jamie 👍

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