What’s up, you guys? Hey. Thanks for watching this video.
This video, I’m gonna talk about where to put your (bleep)s.
There is a book. You guys probably know it. It’s called “The Subtle Art of Not Giving a (Bleep)”, and I’ve recently read it. I agree with a lot of stuff in there.
For me, a lot of it’s not (bleep)ing life-changing. But that stuff was life-changing when I encountered it first, so it’s a very important book. If you haven’t read that book, I would highly recommend reading that book.
The thing I wanna talk about today is where to put your (bleep)s, and basically, what he says is that you have to decide what you’re gonna care about because we have so much (bleep) going on all the time in our lives. If we give a (bleep) about everything, then we’re gonna be scattered pieces of (bleep). We’re not gonna organize and be able to go after certain goals or do anything. We’re just gonna be a smattering of different people and different objectives.
A great example of that is when you wake up in the morning, and you’re like, “Oh, let me check my email.” Right? Worst (bleep)ing thing to do! As soon as you engage in that email, what do you get? You get people asking you to do (bleep), so all of a sudden, your day becomes then commanded by them and not you, right? You wanna- Especially if you’re in medicine or you’re a student or you’re a pre-med student. College, med school, residency, doctor.
You have to decide what you’re gonna do that day. You’re the one that needs to make- You’re most important, right? I mean, barring kids and (bleep) like that. Obviously, there’s other people that you care about. But you need to get your things done first before you go and entertain somebody else’s agenda. I think I’ve talked about this a little bit before, but there’s two ways to look at this, right?
Again, you’re trying to build a business or something. And people are asking you to do things as in promotionary things. You wanna say yes to everything. You don’t wanna say, “Oh, no, I’m not gonna do that because you’re too small” or whatever. You just wanna go, and you wanna be (bleep)ing everywhere, right? You want your brand to be everywhere. Omnipresence is what it’s called, right? Actually, Grant Cardone talks about omnipresence. I really like that book, “Be Obsessed or Be Average”.
But the second thing you need to do is if you are not getting the things that you need to do done everyday, as in you’re not studying enough or you’re not completing projects or whatever, you need to say no a lot. And you need to practice saying no. When you get good at saying no and you don’t give a (bleep). I used to wanna please everybody, so I’d just say yes to everything. And then pretty soon, you’re saying yes to those people’s agenda. And the thing that that person wants or that business wants for their goals or for their life, right? You’re supplying their life dream, or you’re making sure their life dream happens and not yours.
You need to be comfortable saying no to everybody, and especially the people close to you because the people close to you will try and get you sucked into their bull(bleep) or whatever it is and be like, “Oh, well, I got a (bleep)ing flat tire today. You have to come and help me.” It’s like, “Dude, why did you get a flat tire? ‘Cause you’re a (bleep)ing idiot. You ran over- You went to a construction site and ran over a pile of nails. And now all of a sudden, it’s a (bleep)ing emergency.
My boss used to say all the time. I’d run in there panicked like, “Doctor D. I got this such-and-such problem.” He’d look at me very, very calmly. This is the chairman of surgery at my residency program and he’d say, “A mistake on your part does not constitute an emergency on my part.” So remember that, right? Just because people make (bleep)ing stupid decisions all the time doesn’t mean that it’s, all of a sudden, your (bleep)ing emergency. It’s their (bleep)ing emergency! That’s their (bleep)ing problem. If they’re making stupid decisions all the time, that’s your (bleep)ing problem. Not mine. You’re sitting there trying to make good decisions, going to school, studying, all this (bleep). And then, all of a sudden, these people come around and try and get you out of that! They see you’re probably getting ahead by making all these great decisions. They’re gonna try and suck you into their (bleep) world. Don’t (bleep)ing buy it. Just practice saying no a lot.
The other example I want to give you is when I was in residency, one time I remember, I was an intern. And it’s, like, 2:00 a.m., right? And I’ve got the trauma pager or whatever, so the trauma team – there’s a first-year resident, there’s a second-year resident. The first-year takes four patients, the second-year resident takes care of the ER patients, the fourth-year or the fifth-year then takes call for the hospital. They’re the person who operates and all that stuff, and there’s usually a smattering of other interns of other disciplines. And they’re just helping out (bleep), but at night, it’s the one, the two, and either- I can’t remember if there’s a three or not. Anyway, the four or the five.
So you guys are taking care of all the patients.
I’m (bleep)ing running, right? In the hospital. Sprinting around this corner, and there’s my senior resident in this big hallway. And he starts laughing, and he has this pretty thick Indian accent. He’s one of my favorite guys ever. He’s like, “Baby!” He would always call me baby. “Baby! Why are you running? Why are you running?”
I’m like, “I’ve got all this (bleep) to do! I’ve got this blood pressure problem and then this (bleep)ing- this patient’s hypertensive. And that patient’s hasn’t made urine and this and that! And I’ve gotta go get this H&P done, and I’ve got this paperwork!”
And he’s like, “(Bleep)ing chill.” What they used to always say is allow the residents- Attendings, you need to find out what the signal is, right? You need to find the signal. When you’re tuning in a radio- Well, the old (bleep)ing radios. It’s a lot of static. You’re turning it, and then you get the signal, right? And then it’s like, “Oh, a radio station.”
You need to find that signal ’cause there’s noise everywhere. There’s static and (bleep)ing noise and (bleep) everywhere! Especially in medicine. We get all these data points all the time. We get labs, we’re getting vital signs on patients, we’re getting CAT scans, x-rays, and there’s all this (bleep).
Some of them are abnormal. It’s an abnormal vital sign, it’s an abnormal laboratory value, it’s an abnormal x-ray. But does that matter? Is it signal, or is it noise? You need to distinguish between signal and noise. When you start doing that, then you can do more (bleep) because then you go like, “Oh, well, okay, these things don’t matter.” Okay. I get numbers all the (bleep)ing time. Nurses are calling me like, “Oh, this blood pressure’s 181. What are you gonna do about it?” I’m like, “I don’t give a (bleep) about it!” You know why? Because it’s a surgical patient. What do I care about a blood pressure high. If blood pressure’s 220, blood pressure’s 240, the guy might have a hemorhaagic stroke. Okay. Now I give a (bleep), but the patient just had a laporatomy. He’s got a big incision here, he’s got a lot of pain, he’s probably gonna have increased blood pressure. I don’t (bleep)ing need to treat everything. It’s not all signal, right? A lot of it’s noise.
And it’s not the nurse’s fault. She’s doing her job. She has to check protocol. It says, “Okay, if it’s over 170, I gotta call the doctor.” So they call me and I’m like, “Okay, we’ll just let it slide for now. Let’s check it in a few hours. See what happens. Let’s give him some pain medication, let’s treat the real signal here.
So I think it’s very important. The guy does a really good job of talking about that in that book, “The Subtle Art of Not Giving a (Bleep)”. You need to know exactly where to put your (bleep)s, right? You need to know what to care about, and if you don’t know what to care about and you’re chasing everything all day, it’s gonna be really, really hard to focus and be the person that you need to be to go into medicine. Medicine is just full of (bleep)ing noise. Non-stop noise, and if you see these older surgeons, especially the older surgeons, they’re super calm and (bleep). And I used to be super amped all the time, and you see these guys. And they just non-chalant walk down the hall slow as (bleep).
I’m like, “How are these guys getting this (bleep) done?” That’s because, as they get older and more experienced, they figure out what is the true signal. And they can filter out more and more noise, and they need to do less and less.
Those are just some of the things I learned in residency. I hope you guys like that, I hope you understand what I’m saying. Maybe you do, maybe you’re not. If you do and you like these kind of videos, you should subscribe. Definitely subscribe to my channel, and you should like the video and comment and share it with a friend ’cause that’d be awesome.
All right, you guys. Hey, thanks so much for watching once again. I will see you in the next one.
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