Mental wellness is a joke.. | Video Research Study | APHA Film Festival 2019

Mental wellness is a joke..  | Video Research Study | APHA Film Festival 2019



okay okay settle down settle down you're probably looking at the title of this video being like what is he talking about I'm gonna dislike but before you hit this like I'm going to explain myself in this video yes this is a video I've been wanting to do for a very long time but I didn't know how to present it because it's a very like dicey issue but then dr. Z dog indeed came out with his own version from the attending perspective about this issue and then dr. Kevin Duval for medical school insiders came out with his own version from the resident perspective and then John Oliver came out with his own version which is tied in which is showing you like the public and the patient perspective and I was like you know what everything is aligning and I guess it's time to give you the medical student perspective so here we go let's talk about burnout which some people call moral injury and I can talk about this issue for literally nine days streak I can give you a full TED talk conference about my thoughts on this issue but I decided that for this video what I'm gonna do is I'm going to focus it down because once you focus it down you can really hammer home the point so what we're going to talk about today is specifically the concept of sleep in medicine you might be thinking okay whatever sleep the reason were gonna talk about sleep specifically is because of the lack of sleep that is demanded in medical training I know in other in other fields and especially like in college were like oh you know I don't sleep too much and I've had those days too in college we to pull all-nighters but never in my life have I been expected or my colleagues to stay awake for 24 hours it was something that really blew my mind away that like if a patient came in to us was like oh you know I've been pulling all-nighters or like why what happened how are you so stressed what's going on you're like no you shouldn't be doing that sleep is so important these are the effects of sleep and sleep deprivation then we turn around look at our residence be like your 24 hour shift starts right now so for me it was really boggling to have that kind of experience especially as a student so as a student we had to pull 24 hour shifts which would turn into 28 hour shifts because you have to wait for sign up the following morning and sometimes I'll be pulling to 24 hour shifts a week and I would be sleep-deprived and it was really a difficult time just because of the demands that were expected of me and it's not like oh you know I was putting myself in that predicament it was I was expected to work 24 hours which is the difference from other fields I know for many people procrastination is a huge thing and like people end up pulling all-nighters but I don't know any other field where you are expected to stay awake for 24 hours Street and that was expectation that's what we're talking about here and it's odd because even if a field does that you know we are the human champions we study the human body and its limits and it's you know super capabilities and one of its limitations is that you need sleep and we know that and we've studied it and we tell patients about it but then we turn to our residents we're like that patient just pulled a 24 hour shift and it's unhealthy we're gonna recommend that they don't do that but then your 24 hour shift starts right now and for me that's a really like implicit way to tell residents and students and attendings that they are different kinds of humans almost at the point that they are subhuman where they need to be treated differently and in effect worse than the patients are being treated so these are patients who have their own lives that need to be protected and healed and these are not humans and they need to be pushed and work to exhaustion so that's why we're talking about sleep we're gonna put this in the context of siggy caps this is how we diagnose major depression disorder and every medical student learns it along with medical training it's a nice little acronym to help us learn it and remember it you need five the following nine symptoms for a duration of two weeks or longer in order to be diagnosed with major depression let's run through it the very first s is sleep if you're sleeping more or less you get that dink and the medical students when they are forced to stay awake for 24 hour shifts or residents when they're first to stay away for 24 hours shift or attendings when they're forced to stay awake for 24 hour shifts they are having less sleep than usual so sleep is gained I interest if your interest goes down well if you're sleeping less you're probably gonna not have interest in trying to go use hours that you finally have to yourself to go watch a movie with your family or to Netflix because you're going to need to go and sleep so your interest in those kinds of things diminishes in an effort to regain some sleep that you've lost as a result of forced our expectations that are above normal work regulations and I don't mean work regulations within medicine because I know everyone always sites that you can work up to an average of 80 hours for four weeks and that's like the standard in medicine it used to be 120 was pushed down to 80 so it seems as it's softer now but still when you compare it with our colleagues and other professions that are not working as much as we are and if they are they are getting compensated for it in medicine it's the one feel or you're expected to work this much you're not compensated for it and at the same time you're expected to be humanistic I mean all the people who have set the protocols in place for you are not treating you in a human humanistic way so let's continue going next 1g guilt we're not gonna ding this one just because not everyone is guilty I mean you can't have some sense of guilt when you're not sleeping because you end up using those hours outside the hospital to catch up on sleep so you can't go out with like a loved one or a family member or do things with a family go to a celebration go to a funeral you know you're feeling senses of guilt or you're working so much in the hospital that you can't go to these events so you end up having a sense of guilt not everyone will experience it yes it's more likely that you will but in an effort to give it the benefit of the doubt we'll just say that we don't get the G point e energy of course when you don't sleep your energy levels gonna go down basic signs next C concentration when you're not sleeping enough of course your ability to concentrate is gonna go down so we get the C point as well then a appetite when you order not sleeping does your appetite change heck yes because it's not like you're just staying awake for 24 hours like at a desk job or you know playing video games it's you are staying awake doing actual clinical work that's impacting patients lives and could kill them so you are forced to be fully aware and fully conscious and in an effort to do that your appetite either goes up well you we're gonna need to eat more snacks in order to stay awake so you don't fall asleep or you are awake for so long doing such intense work that you forget or skip meals so your appetite is changing either more or less so we get the eight point next P psychomotor retardation we're not gonna ding that one lastly s suicidality are you having any suicidal thoughts or ideation we're not gonna doing that one just because not everyone has suicidal thoughts but it is very common that if you have depression untreated you will lead to suicidal thoughts so this could be something that eventually becomes a dink but because we're trying to give it the benefit of the doubt yet again we're not gonna do yet so after that quick little run-through let's see how many we got sleep interest energy concentration appetite and that was us with us being very generous there are some here that you might end up having also as a medical student or medical resident or attending who's expected to lose sleep in an effort to pursue their medical training or medical responsibilities so that's five of the nine if you have those symptoms for two weeks congratulations you've just been diagnosed with a major depression disorder now for those of you who are saying that it just so happens that medical students end up being the kinds of personalities who do become more susceptible to depression there is actually a study that looked at this it found out that when compared with other college graduates matriculating medical students were about to start medical school actually had lower rates of burnout and depression symptoms and higher scores the quality of life as we just showed sleep deprivation can lead to depression and we all know that depression can lead to suicide but it's not like sleep deprivation is the only thing that medical students have to face medical debt medical student debt has increased more than 50 percent between 1998 and 2008 when I read that statistic I was like oh you the 50% increase in switch who doesn't and I was like hold up we're in 2019 which is 10 years over ten years past 2008 so to everyone was saying back in my day all this and that back in your day debt wasn't as huge as it is now right now debt is crippling for so many people the average tuition cost of 10 medical school per year in the United States is approximately fifty five thousand six hundred and twenty nine dollars which amounts to two hundred and twenty two thousand five hundred and sixteen dollars in tuition debt for four years of school this does not include other fees like health insurance housing and living let alone having family or other responsibilities financial responsibilities that you need to take care of and does not include travel costs for introduces and travel costs to take exams or even paying for the exams that cost up to two thousand five hundred dollars I pay forty thousand dollars every single year in medical school tuition I don't know why some people are afraid of sharing how much they paying but that's how much I pay that does not include school fees does not include living expenses does not include paying for my other exams I could take two exams this year my step 2 CK and my step 2 CS step 2 CK is $600 and my step 2 CS is $1,300 and it's only offered at five locations throughout the country so I need to fly out or drive out book a hotel stay there and then come back meanwhile this is an exam that was initially put in place the step two CS exam for international medical graduates when they're coming to America to see if they are proficient in English to deliver health care here in this country Harvard Medical School came out with a petition to get rid of the step to CS exam at the end of the day the way to solve this whole issue really and truly and I've thought about this for a very long time when I tell people finally dawns on them is this what is stopping the medical education system from putting in a step for exam we already have step 1 step 2 CK step 2 CS and step 3 they could put in a step 4 tomorrow and we can say nothing about it we can do nothing about it we have to then go and just if they said that it cost 1 billion 1 million dollars we have to find some way to pay for it because we already are so far in this whole system we have so much debt on our backs if they said that you need to lose all your integrity lose your humanity in an effort to become a doctor we have to do exactly as they say and they don't think that's that big of a deal when they were approached about medical Student Wellness one of the directors actually said this is a quote that was since redacted but he said if we do that they'll have more time to waste on Instagram which really shows you the raw mentality of what these people are thinking about medical students and medical education back in their day immunology didn't exist my neural clerkship director told us that she gave our neuro exam that is given to us by this board to the neuro attendings these are actual doctors who practice every single day and they found it difficult they said that we can't even complete this so if that's what medical students are expected to do fine thank you so much for the education but don't make it a barrier to for us to become physicians especially when we have so many other things like our inability to have lifestyles comparable to our colleagues and other professions our inability to sleep a regular amount of hours like we expect our patients to do and inability to be compensated for the things that we've been doing when you work 80 hours a week at another job you're gonna get paid for it colleagues and other professions when they pursue an internship they usually get paid for it in law school when you're in between summers and you get internship you get paid for it in medical school you are paying every step of the way third year when you were actually in the hospital working with people and everyone say oh but it's a learning experience it's I realize why it's called a clerkship experience because it's a lot of clerical work that you're doing you know faxing making appointments yes you get to talk to patients and learn but you aren't getting paid you are there paying someone else and it makes you think buys medical tuition exploded in cost when teaching modalities have made education so simple and streamlined I don't think my tuition needs to cost forty thousand for medical school when the premier online resources cost at maximum to three thousand dollars versus some professors who haven't updated slides since 2002 and newsflash it's 17 years since 2002 most of the time the teaching is their last priority they have clinical responsibilities research responsibilities familial responsibilities and then like oh yeah I have to go teach the students for this one hour so it comes in it's a little frazzled they forget which grade they're talking to I can't tell you the number of times the professor has walked in there like you guys are year three year four and I like were year one we know nothing and they're like okay today we're gonna talk about heart failure and we're like what we don't even know what the heart is that is day one of the cardio unit you can't just start with heart failure we need to know how things work and it's happened all too much medical school is not hard I believe that wholeheartedly wholeheartedly but really it's just so poorly organized and poorly taught because you have all these people who are pulled in so many directions by administration by insurance companies by family about expectations and then you tell them to teach yes there's smart people but they don't always have the teaching capabilities that are required to be an effective communicator and an effective educator it's sleep deprivation on top of in Armus amounts of debt on top of expectations on top of exams that are being weighed against you in a way that they weren't even designed for we cannot even begin and this is what I was saying I had to focus on sleep because it just like explodes into this huge conversation about the direction of medical education or frankly the lack of direction in medical education because the step exams which are used as are like national board licensing exams they are not built in the way that they are used the USMLE the United States medical licensing examination board came out and said we make these exams hard at the passing level yes you get a three digit to score at the end but it's not really that sensitive because a couple of questions we'll shoot it between ten and fifteen points and every single person in our field knows that and very few people choose to follow it which is so wild that we always preach evidence-based work and yet practice whatever is easiest for us to follow and there's so much stress that rides on these exams because everyone knows if you happen to have a bad day or if you happen to you know not sleep well the night before your whole future effectively is destroyed by myself and I was going to myself one exam was stuck in traffic which is already gives you anxiety but then I finally got to the point of the traffic zone it was a truck and the truck decimated a car and there was a dead body on the floor on my way to my step one exam and short if you you can argue that that affected you in your step on exam day but who's gonna really listen to or care about that and that's frankly the whole situation you end up being told you're supposed to be humanistic and caring to patients and loving and empathetic meanwhile the system that is set up for you to fight against could not care less about you to the point where you end up graduating medical school with an average of two hundred thousand dollars in debt and then you're supposed to pick a specialty so why in the world would you ever spend four years putting yourself into more debt sleep deprivation all this exhaustion and mental headache and heartache and stress and then choose the lowest paying specialty why would you ever go into primary care family medicine pediatrics all these like wonderful things for prevention of disease when you could choose a very lucrative that specialty and go and make double or even triple what you would make in primary care which is we are gonna have a deficit in primary care but no one really cares about in medicine seemingly because the focus is on putting people more in debts so that they are forced to pick a higher paying specialty also these high medical school costs will decrease the amount of diversity that we have in medicine as well as decrease the affected body of practicing physicians in primary care so what needs to be done is to reduce cost or else we're gonna have a shortage of physicians which what we're on track for doing so it's all on the spectrum now I'm glad we established this point because I have a question for you let's follow this really quickly and pay attention cuz at the end you're gonna have to answer a question at the very beginning we said you end up with sleep deprivation in the lack of sleep which makes them as a bunch of other changes in your life will then lead to depression and that's just one component of the student medical student dilemma not including examination debt testing stress expectations none of that just the sleep component we've proven will lead to depression now the depression we know untreated will lead to suicidality now the question for you if you've been following us so long how many medical students and physicians do you think go from the suicidal ideation point to actually committing suicide and taking their lives per year would you believe me if I said every single year we lose 3-2 for physicians to suicide that is crazy to me that we have all these wonderfully talented and empathetic people and because the system is so grueling and doesn't care about them 3 to 4 people every single year kill themselves and these are doctors but I was lying to you what if I said every single year 30 to 40 medical students and or doctors kill themselves 30 to 40 why are people killing themselves how is it that these most heartfelt and humanistic beings who are so intellectual what drives them to a point where the only solution is to take their own lives it's crazy and I was lying to you again every single year 300 to 400 medical students and physicians take their lives and I don't know any other initiative that needs an intervention this is public health priority alpha this is unacceptable and if when I mentioned three or four suicides per year you thought that that was a reasonable amount may God have mercy on your soul there there was an article at I was reading that said only 20 residents died every year and only half of those are by suicide and I could not believe that someone would ever say only before talking about a statistic of suicide it shouldn't even be one let alone from our doctors and if you're thinking oh well this doesn't really matter oh you know the intervention would cost too much and all that stuff money is not the driving force here this is an ethical question but if your brain is so warped that you need to be convinced financially there's research for that let's talk about it it cost two to three times a physicians annual salary to replace them some studies have totaled this up to nine hundred and ninety thousand dollars per full-time physician and other people find that it ranges from 500,000 to 1 million dollars per physician and this is not just speaking about physicians who commit suicide this is about physicians who leave because of burnout who feel that they haven't been listening to or feel that they've been pushed to limits that are inhumane so they decide to leave the or the workplace and get this the turnover of any member of a care team increases the risk of burnout on everyone else because everyone else needs to pick up the slack even if they hire someone new it takes a lot for the new physician to acclimate in order for the workflow to reach a place it was before the initial physician left this is something that really just doesn't sit well with me for us to think that we can treat medical students and residents a particular way but then when we treat our patients we can be humanistic and caring well that switch doesn't happen because a card swipe from the medical school into the hospital is not gonna change how your brain thinks and eventually over time if you think you can do it now you your practice and how you treat medical students and residents will eventually bleed over into how you treat patients so we're gonna end up seeing it's what we're seeing now that people lack empathy in the clinical setting people don't communicate well people don't really care about humanism or about the patient's holistic care and that's because we're seeing the source of it in medical education and the reason I thought it was important to share the medical student perspective is because it starts now I would say that it starts in pre-med but many pre-meds pursue other things and don't necessarily go to medical school but if we could start it there wonderful but we need to at least start it in medical student education so that we know that people value our humanity and someone values our humanity we have that message proclaimed to us with not just you know wellness lectures or with free food every couple of days but with actual like days set aside for us to take off it really my mind before my here at my school a student could potentially work from May all the way through December and have no days off at all aside from like weekends they are expected to show up to the hospital every single day and if you're sick or you get into a car accident you are expected to come in the weekend and make that day up so no one would ever take a day off and if you're sick you're gonna come into the hospital while you're sick because you don't want to come in on the weekend when it's your only time off to pursue other things in life that actually make you happy or to catch up on other things in life or to actually study for these exams because if you fail the exam to redo the whole course anyway so you put yourself at risk for getting ill you put patients at risk for getting ill and it just is this vicious cycle then my ear came and our assistant dean of student affairs said he had to like really advocate and like push back against the doctors and say these students need dates that's double hits push back against them and say these students need days off so they end up saying no they need to be in the hospital to work clinically than he does and he was like they need days to themselves and they need to see their own doctor for their checkups or they need a day off when they're sick and enough know they have to come to the hospital and you and the pets of having to push back so much and we end up getting two days off out of our full third-year clinical rotations where we could just take the day off and it's wonderful it's beautiful that we can have two days off but think about that you get two days off as a medical student – – now it's three but before it was just – and before that it was zero what do you mean they get Christmas break back in my day we fought to stay in the hospital there's no such thing as Christmas break you guys got it easy forget that medicine is the military and this guy was so passionate and like upset you can clearly see the mentality that like our humanity isn't preserved or cherished or advocated for the fact that our Dean of Student Affairs had to advocate and push for two days off against such a strong attitude I'm just needing to sacrifice your life to medicine and people forget that if you sacrifice so much time now to medicine an effort to provide the patient that's something that one of the doctors I look up to he said to me he's like it's a mentality thing you know every hour that you have less to yourself is one hour more to a patient and yes out of context that makes wonderful sense but when you're already working 10 12 13 hour days consistently for five six seven days a week you want time for yourself it's not a selfish thing it's just you need to be healthy in order to help other people be healthy because if you push yourself by sprinting all these days now you'll end up accelerating along this spectrum to a point of no return or seemingly no return there's always a place of return but you'll have to take time out which then puts other patients at a disadvantage because they lose their doctor because their doctors would take time off versus putting time and effort into preserving the things that make them that make you happy now and I know everyone's like how do you have time for you to how do you have time for all this stuff it's because this stuff is my like time off this is how I rejuvenate this is how I replenish my energy to then go to the hospital and still be perky and positive to patients but I know a lot of my friends who just lose themselves along this cycle and now are gonna start residency and they just really I don't know if they have the tools equipped to stay in the field because it's always been a sprint this whole time so this whole discussion however long this videos gonna end up being is just scratching the tip of the iceberg again I said I could talk about this for days on end all you to do is provide me food and water and I can I can keep going or I'll lose sleep over this discussion because it's something that's so important and affects so many people and as someone who studied public health again I'm submitting this to the Public Health Film Festival which thank you for having us so that I can feel motivated enough just like personally but also like professionally to submit something but it's it's a public health issue because if the doctors aren't healthy they can't help patients be more healthy and if they leave then patients aren't disadvantaged and who is a patient everyone everyone is a patient that's why I do understand how doctors can look at students and residents and their colleagues in a different light and not want to advocate for them but then say we're supposed to do it for patients because these people are patients they are someone else's patients too and I don't know how we forget that your actions and your inability to see my humanity might drive me to the point where I need to go seek psychiatric care and I become a patient then so if you only care about patients well I am a patient so why don't we care about each other and if we think that these people are superhuman and need to be treated differently and don't need to sleep as much as these people then why don't we compensate them for that in residency you know why isn't medical school free if they're superhuman and we're looking out for them it's it's not it's these people are okay with being abused because they can to strike there's really no way for doctors to strike if the MTA strikes tomorrow people can still get to work there's bikes people could still take ubers people can walk but if doctors strike you aren't dead we can't have that over our heads and we don't want that over heads because at the end of the day we are humanistic empathetic people that's probably why we stay in it so long it's because we know it's for you and we care so much but no one care about us because people cared about us when three physicians that year they would have an outcry with 30 positions that a year there would have been a rampage when 300 physicians died a year by suicide there needs to be a radical revolution but no one wants to talk about it and one of the reasons I was really nervous about posting this and I'm still kind of nervous it's cuz if a residency director sees this and they don't align with what I'm saying medical the medical community is so insular we're so incestual that they could just send this to all the people who are residency directors and then I will be barred from every residency program by just one video that they didn't agree with and that's scary because again we put so much time and effort and money and debts and our families resources and our mental health resources in order to treat you and make you better and heal you and touch your life in a way that no one else can but one slip-up with the wrong person and everything goes to nonsense really and it's so sad and that's why Sony people don't seek care because if they're at this depression stage and they're gonna know they're having suicidal eyetality well if they tell anyone about it everyone will tell everyone else about it and then your reputation goes down and then no one will trust all this training that you've built up to this time just think oh you fell off the face of the earth oh you don't matter as much oh you are not resilient meanwhile it's just you are human it's just a normal human thing that when you don't sleep you become tired and you have these thoughts and you just need time away to rejuvenate and recuperate it's not just supposed to be like a super doom and gloom II kind of video I have three solutions with severely and wonderfully changed all of Medicine let's jump into them really quickly number one let them sleep if students and medical residents and attendings had protected time where they are expected and required to sleep then the rejuvenating and well-documented healing benefits of sleep can take their effect your immune system can restart you could have cellular repair you can have memories being stored I remember when I was on my surgery rotation I literally could not think whether a thought a memory I had in my head actually happened or if it was in a dream and I was trying so hard I was like mommy mom did I do this and she was like no I was like why does it feel so real and it's like your brain just once you hit a certain amount of deprivation and I never thought I'd hit this point but really I just my brain was like mush and muddled I really could not put my finger on what was reality and what happened in dream space and it was really odd imagine if you're taking care of patients lives and you're like did I put them on that diuretic or did I not solution number two is if medical school were free if medical school were free medical students would have no debt when they graduate medical school third year when they're actually working in the hospital and seeing patients for the doctor seeing patients with the resident or doing making appointments or carrying urine across the hospital or doing whatever needs to be done to help the team out they know that yes it might not be the best kind of learning experience but they're not paying for it someone else is paying for this so the stress and the the thought about wasting not only my time but wasting my money is no longer there it's just a potential waste of time and then fourth year when truly most schools are now considering switching to a three year curriculum which is wonderful because fourth year I'm in it right now is just not really useful once you've picked what you need and you apply in September you're just paying more money out-of-pocket to interview to fly out to book hotels so then interview all these potential jobs that you're gonna have when you start in July of the following year but forth here is not really necessary but no one we're paying for fourth year know I'm gonna be complaining about it then it's not oh I'm accruing $200,000 in debt not including interest over in my four years and I'm having to pay for these online resources it's I'm just having to pay these online resources and four years out I'm gonna have $0 to have to pay back the government so that solution number two solution number three pay residents for the amount of power that they are working if you want them to work these inhumane hours up to 80 sometimes a hundred hours per week because it's an average of 80 hours over four weeks then pay them for those hours right now they're getting paid close to what the hospital cleaning staff gets paid and they also have this huge mountain of debt that they have to pay off not including undergrad debt which is four years old I could talk about pre-med here for a very long time but it's not even useful education for what you're actually going to do in medical school but they have to pay off somewhat of pre-med if they have those medical school and now you're paying them crumbs and expecting them to work all these insane hours meanwhile their colleagues not the professions are respected no one can yell at them and if they yell at them the human resources get involved if something happens they have a union to protect them and medicine is just medicine is very lacking in advancing and coming to the time especially bees like that it's not just like oh let's talk about for a little bit and then I move on this should be something we talk about all the time but medical schools don't want to talk about it another researcher said she was stunned at the negative reaction she received when she proposed that US medical schools start tracking medical student suicides officials at two schools said we will not be known as the suicide school if we track that data the media is gonna get ahold of it and then another resident said he called five medical schools to see if it would be feasible to compile suicide statistics and no one would give him answers yet we are the health field we care about patients we care about everyone we're so lovely we're humanistic again this is why I titled this video the way it is because mental health is a joke in medicine medical professionals there's still so much stigma with having a mental health issue with speaking about these kinds of things about burnout or moral injury and the need for change in the system because once you start talking about it everyone looks at you there's a target on your back you can potentially be barred from future jobs because it's all insular it's all incestual and no one wants to be the one of the bad reputation because we've all sacrificed so much and the ones who do speak out god bless them but as someone who's a public-health i know i needed to speak out about it and especially someone who has a voice with a somewhat sizable community online I just wanted other people to know because it impacts everyone impacts every single human on this planet it's not just a public health problem it is a global public health problem and that is what I studied an undergrad I even talked about this with my friends and sometimes they like respond back with why why do you talk about that like you know maybe you're not cut out to be a doctor maybe you should have just been a nurse and like those things are so harmful and hurtful because I mean I don't take them personally but it's just if someone else who actually is feeling the same way sees how people respond to these kinds of conversations why would they ever come forth with their own problems or their own thoughts or their own concerns and it ends up being bottled up early on so that you're forced to follow the spectrum and like followed an unfortunate journey towards suicide which is not the out it is not the out it is not the out but so many people feel that that is the out because you can't reach out for help at any stage along this point because we don't have a program or a mentality where the human is our primary focus actually had a poem that I wrote in my very first year of medical school and it's wild how much of that I still relate to and connect and it was interesting how much of it I was able to see from just three months into my medical education at the end of it I said that medicine needs its medication and I believe that even more now on the lines that from that poem that I actually am so proud of is this line we peel the skin of our humanity with the scalpels we use to save you what are your thoughts about this whole thing I've spoken so much and we're gonna edit half of it out because it's gonna be too long to post on YouTube or to post anywhere but let me know your thoughts down below I'm really interested to keep this conversation going and share this with people because that's this is my job this is I feel my responsibility if you feel that this is something you care about then I strongly encourage you to check out all these other videos that people have posted so in summary in closing in conclusion as most research articles say this whole issue is our ethical responsibility and our global public health responsibility and for those of you who are so focused on business this is our fiscal responsibility to make sure that along the journey of Medicine people's lives are protected and their humanity is preserved by protocols and programs that are set in place to look out for them just like we do for our patients so that's my spiel thank you all for joining in that's my story medicine balls in your court or should I say the patient is in your room and that patient is everyone thank you so much for watching I appreciate your time and as always be think be strong be swagged god bless you and i will see you in the next video you can watch somewhere right now take care of ie I've literally been filming for it is 1:00 a.m. and I started at I started researching at like 2:00 p.m. and then I started feeling out like 10:00 p.m. I've been filming for three hours I just finished thank you god I hope this means something to someone somewhere and it doesn't blow up in my face hope it inspires and doesn't cause fires

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2 thoughts on “Mental wellness is a joke.. | Video Research Study | APHA Film Festival 2019

  1. Would you want to know if your doctor was awake for 24 hours before treating you? Thoughts?! GO!!! (:

    Also, please like, sub, and share (it's free!) and it helps me SO much. 😍Thank you!
    Also also, check out my other vid: https://www.youtube.com/watch?v=Sg4zjRmKp7s&list=PL1Si8VRXYj-4E5k7FsMjXHDsl83CdZK3h

  2. เมดเล่ย์เพลงฮิต จากคอนเสิร์ต 4 โพดำ OH MY GOD🇹🇭 | GAM•GUN•TUM•DOM |https://youtu.be/addme/WoKwwtjLtaczyU0CAPQD2J2sBf2KXg

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