WEBVTT 1 00:00:00.100 --> 00:00:01.420 My name's Sneha Vakamudi. 2 00:00:01.420 --> 00:00:03.390 I'm a physician and a cardiology fellow 3 00:00:03.390 --> 00:00:05.730 at the Cleveland Clinic Heart and Vascular Institute. 4 00:00:05.730 --> 00:00:07.510 All right, so I'm a cardiologist, 5 00:00:07.510 --> 00:00:10.570 line:15% so I focus on taking care of people with heart problems. 6 00:00:10.570 --> 00:00:13.140 line:15% More specifically, I'm interested in cardiovascular imaging, 7 00:00:13.140 --> 00:00:16.790 line:15% so using medicines that treat people with heart problems, 8 00:00:16.790 --> 00:00:19.010 line:15% but also integrating that with imaging techniques 9 00:00:19.010 --> 00:00:21.180 like MRI and echo. 10 00:00:21.180 --> 00:00:23.080 Some days I'm seeing patients in the clinic. 11 00:00:23.080 --> 00:00:24.650 Some days I'm rounding in the hospital 12 00:00:24.650 --> 00:00:28.590 seeing patients that are as sick as being in the cardiac ICU 13 00:00:28.590 --> 00:00:30.280 taking care of people who are having heart attacks. 14 00:00:30.280 --> 00:00:32.890 line:15% As a fellow we work in lots of places in the hospital. 15 00:00:32.890 --> 00:00:34.070 line:15% So we work in the cath lab, 16 00:00:34.070 --> 00:00:36.180 line:15% so if someone has a heart attack in the middle of the night, 17 00:00:36.180 --> 00:00:38.290 line:15% I might be there helping take care of them. 18 00:00:38.290 --> 00:00:41.530 line:15% And then other times we're doing more procedures, 19 00:00:41.530 --> 00:00:44.620 so reading echos, reading MRIs, 20 00:00:44.620 --> 00:00:47.190 kind of looking at images and diagnosing things from them. 21 00:00:47.190 --> 00:00:51.010 So I'm hopefully towards the end of my process of training, 22 00:00:51.010 --> 00:00:52.330 but it's a long road. 23 00:00:52.330 --> 00:00:54.900 So after college I did four years of medical school. 24 00:00:54.900 --> 00:00:58.490 line:15% I did three years of internal medicine residency. 25 00:00:58.490 --> 00:01:01.620 line:15% I'm in my third year of general cardiology fellowship. 26 00:01:01.620 --> 00:01:03.960 line:15% I'll be doing two more years in cardiovascular imaging, 27 00:01:03.960 --> 00:01:06.240 line:15% and eventually I will finish all my training 28 00:01:06.240 --> 00:01:08.450 line:15% and have my final job (laughs). 29 00:01:08.450 --> 00:01:10.230 So luckily, as a cardiology fellow, 30 00:01:10.230 --> 00:01:14.220 now I'm mostly kind of a 8:00 a.m. to 5:00 p.m. person. 31 00:01:14.220 --> 00:01:17.200 But as a doctor your job doesn't necessarily have set hours. 32 00:01:17.200 --> 00:01:19.410 If a patient needs you early in the morning 33 00:01:19.410 --> 00:01:22.150 or late at night, sometimes it'll drag into that. 34 00:01:22.150 --> 00:01:23.320 We'll occasionally take call, 35 00:01:23.320 --> 00:01:26.160 which involves being in the hospital overnight. 36 00:01:26.160 --> 00:01:28.100 But for the most part if I'm seeing patients 37 00:01:28.100 --> 00:01:29.610 either in the hospital or in clinic, 38 00:01:29.610 --> 00:01:32.080 it's 8:00 a.m. to 5:00 p.m., which is nice. 39 00:01:32.080 --> 00:01:34.740 So when we first see a patient, there's a couple things. 40 00:01:34.740 --> 00:01:37.250 line:15% One, we have to really figure out what the problem is. 41 00:01:37.250 --> 00:01:41.150 line:15% So trying to tease out what is really bothering that person 42 00:01:41.150 --> 00:01:42.430 line:15% and how we can help them 43 00:01:42.430 --> 00:01:44.830 line:15% and incorporating their long history. 44 00:01:44.830 --> 00:01:46.060 They may have had this problem 45 00:01:46.060 --> 00:01:47.640 for 10 years before seeing you. 46 00:01:47.640 --> 00:01:49.860 So in a relatively short amount of time, 47 00:01:49.860 --> 00:01:51.260 trying to tease out those details 48 00:01:51.260 --> 00:01:53.100 that are really causing a problem in their life. 49 00:01:53.100 --> 00:01:54.660 And then also it's really important 50 00:01:54.660 --> 00:01:56.260 to figure out what they are as a person. 51 00:01:56.260 --> 00:01:57.810 So what's important to them? 52 00:01:57.810 --> 00:01:59.130 How is this illness keeping them 53 00:01:59.130 --> 00:02:01.200 from doing the things that they really want to do in life? 54 00:02:01.200 --> 00:02:03.900 And what are their goals in seeking care? 55 00:02:03.900 --> 00:02:05.760 So what are they really trying to achieve? 56 00:02:05.760 --> 00:02:08.410 I would say in a typical clinic day 57 00:02:08.410 --> 00:02:12.020 line:15% we'll see about 15 to 20 patients during the day, 58 00:02:12.020 --> 00:02:13.253 line:15% which is a fair amount. 59 00:02:14.150 --> 00:02:16.340 line:15% When we're in the hospital we'll have teams 60 00:02:16.340 --> 00:02:18.780 line:15% that can get up to as big as 30 patients, 61 00:02:18.780 --> 00:02:20.290 and that's seeing them in the hospital. 62 00:02:20.290 --> 00:02:22.280 So taking care of them all day while they're there 63 00:02:22.280 --> 00:02:24.107 from admission to discharge.