I did not include video footage of Jonathan’s Jonathan for a reason. I don’t think it is safe for him to enter your consciousness just yet. Patience, flock. Patience.
LOLL as an Emergency Med Bro, this was so spot on! Keep up the great work. My radiologist on call always says that with the clinical history. And the Ortho Bro - I know way too many of my Ortho Bros who are always like...call me anytime for any fracture, ill pick up.
Haha it sounds like you’re building up a multiverse movie franchise with all of these characters. Alternative Jonathan sounds like his head nods and assuring smile could cure someone’s leprosy.
Thank you Dr. Glaucomflecken for not showing us Jonathan's Jonathan at this time. I am not ready for this new dimension and the laugh alone from the opthamologist sent chills. Seriously though..I too will be working the 4th..I get the psych patients coming in....
Thoughts and prayers for the new interns taking their first call on July 4th 😁 In ortho we used to divide the holidays between "drunk" holidays like the 4th with a lot of alcohol-related injuries, and "holidays of familial regret" like Thanksgiving when people go get grandma out of the SNF, bring them to an unfamiliar environment with loose rugs, and we spend the night fixing hip fractures. Awesome work eye-bro.
Where I work we have so-called "GMG"-patients around the major holidays (Christmas and Easter). GMG, in this case, stands for "Grandma/Grandpa must go" and it's usually patients from care facilities that reduce staffing over those holidays to save money and send their residents to the ER with questionable cause.
@@garrettkajmowicz You know what I'm talking about. Like, do you expect your 95 year old granny to have regular bowel movements when she's on like 5 different opioids (speaking in hyperbole)? And I'd be a bit loopy, too, if I only drank a glass of water over the last 3 days, like Grandpa Herb over there. And those patients are really frustrating.
We call the holiday of family regret...."weekend at Bernie families" . In their defense I took my mother with advanced dementia to Dairy Queen for her fav blizzard on Mothers Day. The workers at the home gave me a hard time. I shot back that they did not own her and I was a skilled nurse. Mixed texture dysphagia nightmare. She turned bad colors. I drove around town until she turned pink again. She did not care and would have done it again.
I’m surprised that they were able to get Jonathan tied up in the first place. I’m betting that it involved bait, a tranquilizer gun, and at least three ER doctors.
The concept of fractal Jonathans is great. That said, the quality control on most fireworks is not great. I’ve shot fireworks shows professionally. I’ve had pro tube launched fireworks fail on me dramatically. The pro US made stuff is good. The pro Chinese stuff is ok, with occasional dramatic failures. The amateur Chinese stuff that your average schmo might buy is a gamble. Fuse burn speed, for example. Still, most of the carnage is just drunks and children. Oh, so you’ll just hand out sparklers for the kids to wave around? Yes, a stick of burning magnesium at 4000F in a child’s hand is a brilliant idea. #1 source of 4th of July fireworks injury for kids. Be safe out there.
PLUS ONE TO THIS I know a child who wasn't old enough to know bright meant hot and grabbed a burning sparkler's burning bit. I also know people who were setting off firecrackers in cans and then didn't dispose of them properly or shield the small children from them and a child grabbed the hot can. It's bad. I love fireworks! Be safe out there everyone!
@Alhareth Altayib nah, fireworks are wicked cool and a fantastic way to celebrate things. Not a waste of money, totally worth it. Are pretty colors and smiles not worth more than what we get from driving to work? I would argue it's totally worth it :)
The DIY fireworks scare me even more. I grew up in rural Appalachia, I know too many people who liked to play with black powder. I am honestly astonished my hometown didn't just burn off the map, especially with all of the meth sheds...
@@timothyvandyke9511 not to mention, when we really want to blow something up, fireworks are a great alternative to focus on than the entity we're angry at.
Oh my gosh yes 😆 my moms a radiologist and the amount of exploded hands that she sees on the 4th is absurd…her coworkers are already bracing themselves for the weekend
@@Abdul-Rahman3207 like the other person said, it’s our Independence Day. People like to celebrate by lighting off fireworks (both legal and illegal), drinking heavily, and barbecuing. It is a really big deal, especially in small towns. In my hometown in northern Michigan, they block off the street and have a big parade. And in the park, they have all sorts of different vendors selling their handmade goods/art. Then, once it gets dark, the city puts on a huge fireworks display. People get really into the fireworks and buy their own, which, inevitably causes a lot of people to blow their hands up. Alcohol+fireworks=💥 💀❤️🩹🫠
@@GregRodgers1 or diving head first off the dock into 2 ft of water. Or slap water wings in a 3 year old and let the Lake Michigan rip tide whip them away from shore. Memories!
Fourth of July is the ophthalmologists' week to shine! Think of all the embers embedded in corneas! Fun memory: Me, on duty EMS standby at a fireworks display when a shell exploded too low, just as everyone is looking up. The throng of pts staggering to the ambulance looked like an episode of "The Walking Dead" 💀
There's a staff psychologist with lots of openings, ready to help you explore your sense of "fun," and help you find more pro-social alternatives. Yoga, group therapy, aromatherapy, play therapy, and flotation tank all available to help you process your feelings....
Oh, and I wanted to share a similar story. Small town fireworks display, launch platform at one end of the elementary school soccer field. My family was on the opposite side of the building, away from the crowd when we heard screaming and some fireworks *landed* on our side. One of the racks fell over and the fireworks went straight at the crowd. Found out later that my 12 yo brother's friend that lived around the corner from us would have taken one in the midsection if his dad hasn't rolled on top of him. He was hit in the back of the thigh and spent a few days in the hospital, but was walking around in a week or so. As far as I know his was the only major injury. I think there were a few others burned, but nothing serious.
Paediatrics always trying to force me to do a several page (seriously) clinical history when I was helping in A&E there... one day I just had enough and wrote "toy car - up his nose, APGAR irrelevant" and walked off.
The Apgar score and developmental history will help us predict whether this is going to happen again and again and start intervention to prevent that, once this toy car is removed
When I did 911 dispatch 4th of July was a complete shitshow. So many stupid injuries, so many kids getting hurt with "small" fireworks, so many drownings and drunken injuries. Please, folks, if you have kids near water, have sober adults watching them without distraction! And for Pete's sake, don't give them ANY explosives!!!
In my country the fireworks are prohibited. Aaaaannndd... if a policeman finds a kid with fireworks, the parents can lose the custody. If there's an injury cause by fireworks, they can go to jail. 🇨🇴
@@marinattysegura5844 the only right way to do it! I wish fireworks were only limited to professional organised displays and random joe shmucks cant blast things to pieces
@@katierasburn9571 The fireworks law was promulgated because a lot of children lost their limbs and eyes. As you say, those shows are restricted to professional companies.
As someone that delivers newspapers on new years eve; Holy shit its a wild night to work nightshifts in residential areas! We dont mind 20 inches of snow, we will get thru, but even new years eve make us delay our deliveries! I recall at 5AM seeing a mailbox in fine condition, I pass by 40 minutes later then the mailbox is gone. Please, PLEASE educate everyone about the risk to us innocent delivery people, because not only are we slowly taking over postal services in many countries, but we generally dont excactly make bank and we need our fingers to make a living! And our feet! I dont care if its a dud, you move that shit using a pole outta the path where humans might step on it! And that includes your garden, last thing you wanna wake up to with a hangover, is a dead paperboy with new leg for Fido to chew on and a box of exploded makeup scattered across a wet terrace, that shit is not gonna be easy to remove! If you make a mess! Clean up! Otherwise you can clean bits of me up :D
When you showed Jonathan angrily tied up, I thought for a second we were going to get a firm singular "NO"-headshake like his nod 😂 I guess, even under the worst of circumstances, he stays true to his nature and would never sink to the level of voicing a "no"!
I’d be thrilled with a clinical indication of “hand exploded”. I usually just get “pain” or “trauma”, with injuries ranging from an imperceptible scratch to an amputation!
Just a layman suggestion but, maybe "Hand - explosive shock(wave) trauma"? Thats a pretty good indicator somethings fucked a hand up and whatever did it probably said "bang" somewhere in the process
No this is extremely accurate. I worked as a medical scribe in an ER in Alabama, and a woman came in screaming, hollering (I think she couldn’t cry), because her 4 year old nephew set off a firework in the backyard and she was blinded with significant trauma to the eyes. We didn’t have an ophthalmologist on call so we had to transfer her. By the time we did, she said she could see some blurs, but the doc, NP, nurses, and techs, really didn’t have any hope for her getting her eyesight back
I work at the University that gets those patients lol. We had a similar story my first year, although this guy was drunk and stuck his head over a firework because it hadn't gone off yet.
As sorry as I feel for this woman, can you imagine the burden of her 4 year old nephew living the rest of his life knowing he blinded his aunt? Awful for everyone involved.
@@LadyV437 I work newspaper deliveries including new years eve, mailboxes are terrifying, we are honestly scared shitless whenever a firework intense holiday comes up, the culture of "no matter rain or snow" is very much the norm BUT when explosives get involved, we uh...we tend to delay everything by a couple hours! I hope I never end up a paitent but honestly we are extremely exposed, any idea if newspaper couriers are among the more commonly affected? I mean a dud in a mailbox n a good poke from a paper n two letters and the proximity of a courier on a moped....
The “Don’t forget to provide enough patient history” …. Priceless lol. Your created cast is so perfect it also includes veterinary medicine doctors. The 4th in an emergency Vet hospital is so like this as well. Imagine trying to find… an Emergency Veterinary Ophthalmologist.
Opthamology is one bad day away from becoming a supervillian with the world's most terrifyingly competent henchmen... And I think Emergency Medicine just gave him that bad day.
My dad tumbled the riding mower tractor and track-vac down a hill on top of himself and a tree stump on July 3 a couple of years ago. He, being in his 80s and during a pandemic, was taken to MD Shock Trauma, one of the premier emergency medical centers in the United States. My mom, a retired nurse who speaks medical jargon, was able to follow along behind and to accompany him through his day. He got there at 3 pm and didn't end up heading home until 3 am. The new residents were just starting that month and no one knew where anything was or what the procedures were. Though Dad got a good standard of care, he spend a lot of time just waiting on a gurney for different specialties to be available. The new residents were totally freaked out by his chest X-ray which showed evidence of broken ribs. In a consult, an experienced radiologist was able to show the residents that the cracked ribs were old scars from Dad's previous tumble off the roof a few years earlier. He had only needed "minor" brain surgery back then as a result of that incident. Dad was taken through his whole neuro and thoracic exam, which included a CT scan, only to have them finally look at his arm, which had a large cut, and after it unwrapped and was lavaged, they realized that it also needed to be imaged and he had to be sent back for ANOTHER CT scan. Thankfully, though he was banged, bruised and cut up, he wasn't badly injured. I'm sure that all the new residents will only make those mistakes once and that it was a good learning experience for everyone. My parents learned that it was a good year to finally make up their minds to sell the house and move into a retirement condo. They ended up selling at the top of the market for well above asking price. If they had waited another year to sell, they'd have run into higher interest rates and who knows if my dad would have survived the next inevitable house-related disaster.
"Why is he tied ? " "It's the only way to get an ophthalmologist to work during weekends " Bruh it's the only way to get em to work / consult at any time not only weekends.
Emergency medicine: Well, the good news is that trauma surgery and I were able to keep your eyes in their socket... the bad news is that since Opthamology doesn't work weekends you're probably going to be blind by the time he sees you for the consult. Good luck. Patient: Well, f**k.
As a transplant surgeon, we will be ready to capitalize on all of the 4th of July shenanigans on July 5th-7th! Keep up the content. You’re killing it❤️
We'll still need it obviously, compatible organs are rare. You could grow one of your own I guess if we had the technology but it would take months and I'm not sure an deficient organ can be cloned. I would love to be wrong and I'm far from an expert but creating an organ farm and then modifying them to fit the recipient is farfetched
@@PWLfr more likely we will be able to grow them in genetically engineered pigs. This is already in clinical trials for kidneys, and the first pig to human heart transplant has been performed
Ah, I see Eye bro learned from his experience with the Therapist. Got that backup Jonathon so he'd never be separated from his loyal scribe ever again.
Thanks for the heads up! I work at the transfer center and this will be my first 4th of July weekend working there. I will be ready to -ask the ED clerk to fax me the CT report so that when the Trauma Surgeon thinks that the report from the ED doc isn't good enough, I can read them the CT impressions word for word (I think sometimes they prefer that over the report from the ED doc) -have the ophthalmologist tell me, "no transfer, follow up in clinic." -hope that I don't have to call plastics and have them explain to me how they drew the line on the body to peacefully resolve which part goes to them and which part goes to ortho.
My favorite weatherman from metro Detroit would always give a 4th of July warning to viewers about fireworks safety. Unfortunately, he ended up with a firework exploding in his own eye. Oopsy! But he has a glass eye now, looks great, and has even more credibility when newscasting about fireworks safety. Thanks docs!
Pro-tip: don't buy "home-made" fireworks sold by a sketchy guy out of the back of their pickup truck for cash and then hold them in your hand while you light them.
i'm not from the US, but when i get a hold of some fireworks that seem sketch, i hook up electric ignition with some copper wire, nicrom wire and a 9v battery
As a radiologist on call this weekend, most of my call is from home. The radiologist for GGH should probably be attending this meeting via zoom from the comfort of his home office.
The back up Jonathan has agreed to be my Service Jonathan because fireworks give me extreme anxiety. I’m sorry Ophthalmology, peoples’ eyes will need you this weekend. Someone will inevitably get a firework shot at one or both.
@@elias1376 Jonathan is the ophtalmologist's loyal scribe. He never speaks, just nods and does a great job. You have to see a few other videos with him to really understand why he is the favourite character of most viewers though.
I love all these vids. I knew an old lady who was missing 4 fingers. One day I asked her how she lost her fingers. She said as a kid she was playing with firecrackers and one exploded in her hand. She was afraid of getting in trouble and managed to hide the injury from her parents for several days. By that point the fingers, or what was left of them, couldnt be salvaged. She was a very tough cookie.
Dr. G's acting is so flawless I literally forgot for a moment when these characters are all played by the same person. Full round of applause, Dr. G, and best wishes to everyone working this weekend!! I'll try to keep my friends from landing in your emergency room
Aloha, I love your sketches and as a senior ophthalmologist I can relate! I was glad to see in your bio you play ultimate frisbee. They don't have a division for the great great masters division(which is going on in Ireland now) for me, but I still go and play with crew (mostly goaltie). I'm sure you can understand the heckle "get a library card and learn how to read [the disc]"
DYING! Love plastics punted to the university center. Stitch bro isn't going to have his martinis and boating time messed with. Trauma bro is beyond HAWT! Love the Argo. Having worked in the ED over the 4th, it is exploded, drunk, 800 level blood sugar, MCA/ATV fawk ups, and the dialysis patient with 32 lbs of water weight. GOOD TIMES!🤣
In NZ there are three holidays that involve fireworks, but only one that traditionally features a LOT of drinking, and that’s NYE. We make up for it with heavy drinking every time the All Blacks play. We also have the occasional volcanic eruption that ties up every plastic surgeon in NZ and Australia for months (RIP to all the victims of Whakaari/White Island).
I've always found the decision to make large fireworks available to anybody quite an odd thing. Between the exploded people and neverending wildfires, you'd think that'd be a pretty clear sign that drunk people and children don't mix well with dangerous, often shoddily made explosives
Oh yes it’s the one time of year people decide it’s ok to give sparklers aka a more dangerous oversized candle to small children to play with while their parents drink and talk. It’s also the one time of year people will mix drinking, explosives, bbq, bonfires, and boating or swimming. It can only go sideways. I once set a yard on fire because the host at a party handed toddler aged me a sparkler and I got tired of holding it, and I’ve also seen drunk idiots attempt to set off fireworks from their boat on a lake.
Always good to keep an ophthalmologist handy on 4th of July. A couple years ago my cousin "Crazy One-Eyed Billy" (already his nickname before this incident) got hit in his (only) eye by a spark from a firework that detonated prematurely. His sister and our other cousin rushed him to the nearest hospital, 1.5 hours away. Once there, it became clear that the ophthalmologist was not there, so they had to take him by helicopter to an entirely different city to get him to a hospital where they could do something about his eye. In spite of his offer, the pilot did not allow Blind Billy to drive. Happy ending, though, at the second hospital there was an ophthalmologist, and they were able to save Billy's eye. He has since become a major advocate of safety glasses.