NXTgenMD

NXTgenMD

Dr. Gianluca Calcagno, MD
Hi everyone :) I am a second year Family Medicine Resident working and studying in Canada. I post a new video every week trying to help motivate or teach people about school, health and other topics! Feel free to leave me a comment if you have any questions and see you around!

(Disclaimer: My views and/or videos are not associated with McMaster University or any professional institution. Nothing said on this channel is meant to be a substitute for actual medical advice. Always talk to your doctor about any personal medical issues.)

Пікірлер

  • @MkE1121
    @MkE1121Күн бұрын

    As someone whose appendix ruptured at 10:45 pm on a Saturday night - I find this frightening. Note to self - stay in the city.

  • @workingtunafish
    @workingtunafishКүн бұрын

    the man had necrosis on his back and he just went home?!?!?!?!?!?!? I thought canada is an advanced country??? He could die from sepsis???

  • @user-tj7pq5dd4u
    @user-tj7pq5dd4u2 күн бұрын

    Can you please tell about the fees structure of Mcmaster universityfor a permanent resident ... please sir

  • @lemonsoap5741
    @lemonsoap57413 күн бұрын

    So would you say they are decent safety schools?

  • @sdfPZXC
    @sdfPZXC3 күн бұрын

    i havent seen any ortho, derm, orpthal. advertise other to join their specialty. So...

  • @mothball5425
    @mothball54255 күн бұрын

    10.8% chance to get into Oxford isnt 'almost impossible'. If you applied to a job with only 9 other applicants you'd think that was great odds.

  • @sistemasrbija
    @sistemasrbija5 күн бұрын

    Meanwhile surgeons and doctors from eastern europe are driving taxis and cleaning floors lol

  • @mariaocean2165
    @mariaocean21657 күн бұрын

    From Canada Newfoundland here, I'm mid 30's, my parents and all their siblings and my in-laws were born at home via travelling mid-wife. So when the hospitals become available via train and new highways people were hesitant to use them. My husbands grandmother gave birth to her 5 kids at home, she almost bleed to death birthing her 5th and final child, they say the midwife managed to stop the bleeding by stuffing her full of teabags - don't try that at home. When his grandmother fell in the shower in her late 60's and found it extremely difficult to walk her granddaughter convinced her to go to the hospital for the 1st time in her life, the ER doctor dismissed her saying it can't be that bad because she's walking alittle, and complaining about how she's needs to hurry home and tend to her Homestead. The granddaughter insisted they do x-rays, they did - both hips broken badly, - replacement hips needed - the young doctor didn't understand how she wasn't crying and screaming on the floor in agony, - having spent her life tending to an Homestead to survive she had built up her pain tolerance.

  • @audiocuentosinfantiles8867
    @audiocuentosinfantiles88678 күн бұрын

    Sounds like most of México's hospitals to me! 🎉 We have very keen clinical skills. It's a great learning experience you seem to be enjoying! Excellent job! 🎉

  • @Emily-zc2ij
    @Emily-zc2ij9 күн бұрын

    I’ve worked as a scribe in rural before (they absolutely loved me because rural hospitals do not get scribes) the machines shutting down is so real. I know of an ER doc who got so fed up with it he did a fellowship with ultrasound machines and learned how to do it himself.

  • @mohanb.k.8187
    @mohanb.k.81879 күн бұрын

    Dr i am graduated on 2016.Can I give this exam and do I have chance to get matched?

  • @jamisonfawkes8537
    @jamisonfawkes853710 күн бұрын

    it doesn’t even cross provincial lines either. i was a bc resident and got one stitch and a tetanus shot in another province. $400.

  • @pauldrice1996
    @pauldrice199610 күн бұрын

    I mean couldn't you debride the wound there? He probably got a mirror or told his wife that she could use his good knife.

  • @pauldrice1996
    @pauldrice199610 күн бұрын

    Cause like what's gonna happen? It's gonna get infected and necrotic?

  • @eggfacepudding
    @eggfacepudding10 күн бұрын

    Great - Canada copied the US billing model.

  • @aimee1177
    @aimee117711 күн бұрын

    I would just die from the rattlesnake bite. %100 Florida

  • @pauldrice1996
    @pauldrice199611 күн бұрын

    Do they hire CNAs for rural medicine should one apply?

  • @Sagethealpha06
    @Sagethealpha0612 күн бұрын

    So fun story the first time I ran across this Dr. G video I showed it to my grandpa as a way to tease him a little bit because my grandpa is kind of a grumpy old ex farmer sometimes he’s kind of funny though but this video literally describes him so perfectly. It’s almost not even funny.

  • @scratchy271
    @scratchy27112 күн бұрын

    Quit lying. You do get kickbacks from pharmaceutical companies. You and all western doctors have lost all credibility for good reason. You are a liar and Dana is absolutely 💯

  • @AnEtchersketch
    @AnEtchersketch13 күн бұрын

    my late granddad was an Aussie farmer. Farmed eggs, wheat and wool. He was also a hobby beekeeper and had personal vege garden on top of all his farmwork just because he liked making honey and growing veges. Any visit he'd give us home grown veges and honey to take home. He worked well into his late 70s. He only retired because he fell off his tractor and broke his ribs. But he got back up and finished the paddock before he went home! He was so tough and very generous. Miss him and my nanna a lot.

  • @lemonboiyoutube
    @lemonboiyoutube13 күн бұрын

    free at point of purchase. this is much better than private healthcare since insurance companies and the healthcare industry at large won't constantly upcharge you.

  • @amgoudman
    @amgoudman15 күн бұрын

    My late uncle (a bachelor) was a farmer, and one day he woke up with some chest pain. He decided to do some chores and see if it got better. It didn't. He realized maybe he was having a heart attack. He puttered around the farm for a while, finishing chores, and DROVE HIMSELF to the hospital, where it was discovered that he WAS, in fact, having a heart attack 😬

  • @Jynxedlove
    @Jynxedlove16 күн бұрын

    I live rural WA. Next hospital over with imaging is at least an hour if not 3hrs away.

  • @alich4723
    @alich472316 күн бұрын

    Excellent very informative video. Thank you and best of luck for future ❤

  • @RiverkeeperEmberStar
    @RiverkeeperEmberStar17 күн бұрын

    Where or why or who did your hair? It's not good on you.

  • @JoCostaizaC
    @JoCostaizaC17 күн бұрын

    Lol this is Latinoamerica medicine, we do have access to lab, x ray and ultrasound equipment so we don't ourselves after the technicians leave

  • @brakeme1
    @brakeme118 күн бұрын

    I have the opposite problem. I go to 4 of our hospitals out of 6 and they have imaging alright. As much as insurance will take. Too bad no one knows what to do with the results…

  • @loridavis5699
    @loridavis569918 күн бұрын

    How do you survive without essentially, any radiology services?!?!?!

  • @WildKat25
    @WildKat2518 күн бұрын

    As a Canadian that worked at a Vet Clinic, I had my Veterinarian boss remove my stitches rather than take the time to go to a doctor to get them removed. So yeah, this happens in more rural areas of Canada.

  • @annafoy8128
    @annafoy812819 күн бұрын

    Even Doctors know when they need to refer a patient to the Holy Spirit❤

  • @CanadaMath
    @CanadaMath20 күн бұрын

    46% income tax in Canada. Zero percent income tax in the Philippines . . . no that is not a typo. Zero percent.

  • @denisenoble4010
    @denisenoble401021 күн бұрын

    Wow you lucky lucky people, I'd be happy just seeing then in the wild, but to swim with them, wow😮😊

  • @KazaiChan
    @KazaiChan21 күн бұрын

    I feel like there's nothing you would get from doing a second undergrad that you wouldn't get form a post-bac. I was going to say that strongly, however I'm in the U.S. and I realize this is a Canada video so maybe it's completely different.

  • @Disconcertedfox
    @Disconcertedfox22 күн бұрын

    Can you please talk about being a family physician and academic work? I'm looking at all of these options with research and such and would love some thoughts on how it worked.

  • @capitalp6577
    @capitalp657722 күн бұрын

    This video is THE BEST summary of family medicine finances and is completely hidden or ignored in medical schools. We need more transparency like this so false info like doctors being paid with prescriptions do not spread throughout the public. Thanks NXTgen!!

  • @nxtgenmd
    @nxtgenmd21 күн бұрын

    Glad it was helpful dude :) Good luck!

  • @Aemirys
    @Aemirys23 күн бұрын

    I was in a fatality causing accident in 2010, i lost my fiancè, and i was permanently disabled..... ive spent so much time in hospital and rehab, like ive a got a few years worth at this point under my belt so i have nothing but the utmost respect and gratitude to everyone whos been involved me, doctors, njrses and everything in between..... because was a **unique** and **interesting** medical case ive always supported being a guinea pig and allow people to learn from me. I did once let a student nurse give me a blood thinning injection in my stomach for his first time because id rather it be me that has a high pain tolerance and im patient. But i confess i never took that thought further as to students doing a lumbar puncture of intubation for the first time, maybe thats a slightly self perseving mindset because id rather think of all the medical health professional i interacted with are competent, but yeah theres got to be a first time for everything and everyone....... EDIT: This ended up being quite a trip down memory lane and brought up a lot of nostalgic memories. Its been such a rough decade but in the last few years things have finally, finally at long, stabalised. Well as stablised as someone whos got what ive got going (its a lot) is going to be *""stable"*..... and i certainly dont feel like its something that ive **"come out the other side of"** but at least i have prgressed far enough in this journey, thatbim realistic about, will be a life long journey..... but maybe with enough time ill kinda be able to get to a *new normal* in some ways..... but im really thankful for this moment youve given, its the first time ive been able to look back in a way that was more **peaceful**. The weird thing is i dont use social media so i dont post anything at all..... but here i am in the comments section of a KZread video letting out such deep and personal inormation that maybe a few eyeballs might see but i doubt anyone will read this because i know if i saw such a* horrendously* long post i would not stop to read it. So in saying that, on a whim, im going to ask that if youve read my post the press the like button so i can know youve seen it. Or comment that youve read this if you dont want to like it. This isnt for attention im just curious if anyone at all will read this...... i dont normally check back when i comment on a video, and by comment i mean **"i love you video keep up the good work"** type thing but i will come back and check on this!

  • @jcee8493
    @jcee849323 күн бұрын

    What exactly are your office hours and does your office have a website? The first time I tried to get an application form was my fault, I forgot that it was Wed afternoon; and even though I know you're not in on Friday's I figured someone would be there so I could just grab a form but it was closed then too. I'm gonna try again tomorrow (tuesday) afternoon, hopefully 3rd times the charm 😄

  • @nxtgenmd
    @nxtgenmd23 күн бұрын

    Hey :) sorry we missed you - come by tomorrow anytime from 10-4 PM if you’d like. Thanks

  • @lovelylu100
    @lovelylu10023 күн бұрын

    Thank you for this content!

  • @nxtgenmd
    @nxtgenmd23 күн бұрын

    Glad it helps :)

  • @taekminkim8937
    @taekminkim893723 күн бұрын

    Amazing video! Thank you this is really helpful as a 1st year medical student trying to figure out the financial aspect of becoming a Family doctor.

  • @nxtgenmd
    @nxtgenmd23 күн бұрын

    Glad to hear it :) good luck with your studies

  • @bullast2046
    @bullast204623 күн бұрын

    your oath matters in the beginning.. then $ takes over.. drs more afraid of losing $ because they didn’t type the right acronym than they are you expiring

  • @O46185O
    @O46185O24 күн бұрын

    🧠

  • @powermed5033
    @powermed503324 күн бұрын

    ❤ u great bro

  • @michaelwu3994
    @michaelwu399424 күн бұрын

    Love how you represent family medicine brother! Inspiring and hopefully more med students choose family medicine from seeing your videos! Certainly inspired me to pursue fm!

  • @AtifHussain93
    @AtifHussain9324 күн бұрын

    Great video! This is an excellent summary of the models. Don't know why the information is so difficult to access here in Ontario. I'm a new attending just like you. I've been grinding at walk ins about 80 to 100 patients a day 7 days a week to pay off my student loans. While it is lucrative akin to neurosurg money, it's not really sustainable long-term. I agree that the FHO seems like the ideal balance, but it comes with its own set of worries about being dinged by your patients using walk in clinics.

  • @AtifHussain93
    @AtifHussain9323 күн бұрын

    @@chuksezeike3183 It's doable in a walk-in clinic but you can't really provide proper comprehensive care in a primary care setting. It also depends on the level of support you have in triaging and nurse assistance. Depending on the clinic someone could see about 10 to 12 patients an hour. Most people work about 7 to 8 hours to see 80+ patients. I really finish my notes on time before I move on to the next patient either through artificial intelligence or through no templates. Unless the patient is very complicated where I'll have to actually spend a larger amount of time sitting down and documenting every fine detail.

  • @nxtgenmd
    @nxtgenmd23 күн бұрын

    Thanks for sharing :) I agree that there’s pros and cons to the different models. Glad this one if working for you. Best of luck with work 💪

  • @Djme2
    @Djme223 күн бұрын

    You're making 100k / month doing this?

  • @chuksezeike3183
    @chuksezeike318323 күн бұрын

    Not even close.

  • @Djme2
    @Djme222 күн бұрын

    @@chuksezeike3183 90 patients x 30 days x $38 = $102k - x overhead which would problem be a fixed amount at such a high volume. the numbers work but Im more so asking about the ability to actually do this every single day.

  • @nxtgenmd
    @nxtgenmd24 күн бұрын

    Hi everyone, thanks so much for tuning in to this week's video :) Please leave comments below if there's anything that I can help with. Just a few things that I'd like to discuss at the onset though. 1) These tips / discussion points involve family medicine in Ontario. Things work differently in different parts of the country, but a lot of the underlying concepts are similar 🇨🇦 2) My bias is very clearly as a family doctor who has been looking at long term practice. There are many doctors in Ontario that have gone public by saying that they needed to close their practice because they didn't make enough money to sustain the business. I'm not trying to put these people down at all. I am only trying to (hopefully) provide insight about why finance and medicine is a lot more closely integrated than I think most people imagine at first 📈 3) *For students*: I will very likely be slowing down on financial discussions here for the next few months. These talks are nuanced, highly political in nature and with a high barrier of entry. If anyone would like to learn more, many doctors and billing experts are happy to share what they know - especially with other students. Please ask questions as you go through your training and do not let a single jaded physician change your mind about a career choice. Focus on finding mentors that have made it work for them and learn from what they've found success in 💪

  • @rsh793
    @rsh79324 күн бұрын

    LOL I wish he'd do a collab or reaction to your reaction! :) Also, guilty as heck - it's when you can't draw the hypodermic to give the cow it's penicillin that you realise maybe you're not so good and should wonder if you should think about calling the GP! 😆

  • @renaec4383
    @renaec438327 күн бұрын

    Awesome video to learn from. Was there a specific course Micah would recommend to get started on reviewing the sciences? I am in a similar situation as a Commerce undergrad in Canada

  • @jav4346
    @jav434627 күн бұрын

    Hi! I know I’m pretty late, but I’m an international student and I’ve had a pretty long break from studying (4-6 months) so I feel as if I’ve totally forgotten all my concepts. Do you have any idea how long it would take for cases like me to study?

  • @shibdassarkar9357
    @shibdassarkar935729 күн бұрын

    Sir how much is your salary now as a doctor? Plz reply. Thanks a lot.

  • @sanjanakapuria238
    @sanjanakapuria238Ай бұрын

    congrats gianluca! ive been keeping up with your channel for years now, since before i even started undergrad. i just got accepted to a canadian med school last month, and seeing u give a tour of your clinic feels insane. times flies!

  • @Perri.G-eu8ii
    @Perri.G-eu8iiАй бұрын

    Hello doctor I'm so motivated by your videos and I love your patience and hardworking. I really need your advice I'm from Egypt and I'm at my fourth year in medical school. I suffer from domestic violence and my mom used to punish me by locking the door and not letting me go to exams that really lowered my GPA and I have 2 years gap because of that and PTSD. I left my parents house because that really destroyed me and my schooling, I hope you don't judge me for that as I feel like if you don't go through this you won't understand stand . My question is would the 2 years gap affects the match ? And another thing I work and I pay for my own things but that really barely enough for my rent and food , do you know any organisation or people that would help me pay for step1 , they can pay it themselves because it's okay to be suspicious and don't believe me , and I will work more to be able to pay for step2 after I graduate because my current job is giving me 3000 Egypt pound and I use them all to pay rent , food . Thanks