Doctor REACTS to Scrubs | Psychiatrist Analyzes a "Psychotic Break" | Dr Elliott 

fun fact: in vet med, we use haloperidol to stop feather picking in birds (when it can't be fixed any other way)

Worth remembering this episode aired in 2004, so while I have no clue what drugs were and weren't commonly administered back then, it wouldn't be a surprise if many of them were no longer regularly prescribed 16 years later. "Heck, if you've been out of med school five years, half of what you learned is obsolete." - Dr. Kelso

Speaking about SCRUBS, how about taking a look at 3x14 "My screw up" about how people choose to deal with grief... Particularly someone like dr Cox.

When I worked as a paramedic on an ambulance in the US, we carried Versed (midazolam). The hospitals seemed to favor Ativan.

Maybe she was using touch to help with learning his name, Ive read in learning the more senses used in "learning" leads to a stronger retention.

For the not Italian guy I’d assume it’s referencing foreign accent syndrome. It tends to come up as a quick joke in a lot of medical shows like this, but I’m not an expert and I’ve only really heard of it in passing tbh.

New to the channel. Loving it so far. I recommend watching the episode "My five stages" where JD and Dr. Cox deal with the terminal diagnosis of a long term patient at the hospital.

I always assumed that he was just a liar and the Italian affectation was secondary, or not at all, related to why he was seeing the psych.

Hope to see more Scrubs videos! Subscribed for it. Have a good one, everyone and stay safe!

I love watching professionals react to Scrubs and Always Sunny and other awesome shows 😋

Great input all around! Best comment was i love scrubs. We do too More scrubs!

Speaking of haloperidol and weird side effects, i took one by accident once. The guy who gave it to me said it was klonopin ( a xanax like benzo) and when that pill kicked in my body was locking up BAD, first it was my jaw, it locked so bad i broke a tooth, then i started having trouble walking, and not like im dizzy, but more like certain muscles just werent working, I imagine it was a very odd sight, last thing ill mention is it made my abs cramp so bad i was screaming in pain, and wound up in the hospital.

Benzodiazepines and haldol can be used Intramuscularly...

You NEED to make more videos..(please)

I'm certainly guilty of stopping my psyche meds... Though I did have a good reason, I used to have chlonidine to treat motor tourrettes, but the specific brand I took was discontinued the year I started taking it and the supply dried up. I was put on a more generic version of the drug... And after a couple days of throwing up blood, I stopped taking it. It's worth adding to this my prescriptions are generally incredibly high dosage in general as I have an abnormally strong resistance to drugs and toxins. So if there is a particularly bad side effect, it's more likely to occur... I also have hypersensitive touch and feel pain at a magnitude of roughly x3-x9 so that wasn't fun at all (cause yeah... No amount legal of morphine is numbing that)

Great video. I'm in America and I work in a group home for people with mental health disorders. Here I see quite a few people are prescribed haldol, probably 20-30% of the time. Olanzapine seems to be the main go to here, most are on it.

0:42 diazepam, midazolam, but you can use ketamine and suxamethonium if you’re feeling frisky… and if you have an ambu nearby when the patient stops breathing.

During a psychotic episode I had, I was completely out of control. Attacking people as they came close, biting myself, scratching and grabbing on to people. The paramedics couldn't deal with me so I was taking the emergency room in an ambulance. I was too difficult to handle, they couldnt do anything like blood pressures or IV lines so they held me down and dosed me with Ketamine. Knocked me out in a minute or so and I was out for days. Although that was probably more due to exhaustion. Im grateful to all the health workers that have to deal with the mentally ill. I imagine it must difficult to make hard decisions like that to help someone in need.

I think the Sopranos could make for some great reactions, what with Tony and Dr Melfi (another hot shrink) and all the scenes with that

Not-so-fun-fact: Terry Jones of Monty Python had frontotemporal dementia for some years before his passing. I'm not sure particularly how it affected him, but from my understanding, he lost most of his ability to speak, not because he physically couldn't, but rather something in his brain was affecting his ability to communicate. He was a legend. RIP.

Binging your stuff

Haldol and/or Ativan, best IM tranqs. Haldol is no longer a first-line antipsychotic, but for people who don't respond to the atypicals or who experience significant side effects, sometimes Haldol is used alongside Cogentin for the tardive dyskinesia.

would guess that the "Italian" accented guy was trying to portray Foreign Accent Syndrome (not sure if that's the official term). I remember learning that there have been documented cases of people following a TBI and/or stroke that suddenly began speaking in a way that sounds like a foreign accent

B52 is used in America. Sometimes a Z52...50 of Benadryl, 2 of Ativan, and 5 of Haldol or Zyprexa

Never stopped taking antibiotics early but I'm on medication for Crohn's and depression on/anxiety but also he have suspected ADHD (waiting for assessment) and I really struggle to keep up with meds just because I often forget.

Angry Joe's aleter ego: Dr. Joe

I would really love you to react to the show Crazy Ex-Girlfriend, it's a musical show and full of people with interesting coping methods!

More SCRUBS please

Good old 5 & 2!

Did you air quote multiple personalities because the proper term is dissociative identity disorder or some other reason such as a distain for Hollywood portrayals of the disorder, or some other reason?

Haldol. Seen it used in person when I was at Balboa Naval Medical Center.

I can't get over how much you look like Adam Buxton

i was given haldol via iv while under the influence of alcohol in the ER. it was horrible, i woke up in a psych ward 2 days later with no recollection of the events and believing i was dreaming while awake

Apropos your inquiry I believe the seemingly Italian fella was afflicted by Foreign Accent Syndrome. Perhaps a scooter related injury damaged his frontal lobe. Though as a person who has experienced an open head injury and wears many scars Im curious why I cannot see any clear signs of damage to his forehead. Love the show Dr. C

The Italian guy could have Histrionic Personality Disorder.

I'd be interested in some analyses of Community episodes

I don’t know about “tranquillisation” but you could use rocuronium as a muscle relaxant - and it’s one of the few things which might work fast enough to cause muscle floppiness in less than an elevator ride. I’ve mainly heard of it as an emergency drug used in intubation to prevent the patient from gagging on the tracheal tube. It works so quickly that a patient can have their trachea relaxed and intubated in 2 minutes flat. If it was actually tranquilising him him not sure. Strong benzodiazepines? You’d have to make sure you didn’t kill him by accident xD

You said haloperidol in the UK is not a common anti-psychotic, working in a general hospital on the elderly care/dementia ward it is an extremely common PRN drug I see almost daily for my extremely unsettled and agitated patients. Is this not best practice and why do you think this might be?

As for the IM shot I would still say Haloperidol, particularly around the time this was filmed, but honestly, even today. I don't know about the UK, but in central europe where I live Haloperidol is still very much a popular and commonly used drug when it comes to acute situations where urgent intervention is in order, for example when there are psychosis including violence or self-harm. Benzodiazepines are also still very much common for sedation, but they're obviously not antipsychotic medication, so they would be used if phobia was in the mix. (With that said, fortunately there is a trend of moving away from Benzodiazepines when it comes to something like "just" insomnia. Look 15, 20 years back and there were loads of people who were just prescribed Benzos as their first medication when they brought up sleep disorder, especially elderly people. Nowadays, people are more cautious in regards to introducing Benzos as an ongoing medication early on in cases with "minor" issues. Sure, sometimes you need them, but people are more conscious about potentially putting someone on a lifelong addiction in cases where other interventions might have the same positive effect without that risk)

JD going in for the hug. Lmao why would you???

I have one question. The singing guy does he just do that all by himself or is he under music therapy?

Nope. I always take all the medication especially if it involves antibacterial. Learned as a child how bad it is to stop early and helps the bacteria to adapt.

Haldol, Ativan, and Benadryl

Any benzodiazepine really, though I'd say lorazepam would be a top pick, diazepam, or alprazolam

Haldol and Adavan 5 and 2

I think it's a paralytic...you should check out S04E03...love the dialog between Dr. Cox and Dr. Clock

5:43 foreign accent syndrome: a condition caused by neurological changes from damage to the frontal lobe after severe brain injury

typical antipsychotic medications like haloperidol and droperidol and less commonly used atypical antipsychotics like olanzipine. Also benzodiazepines are used however some are used more often than others. I'm not sure but lorazepam is definitely used and maybe midazolam. Benzodiazepines that take longer to work may not be used. I'm also unsure about that.

MPD isn’t a used term now it’s DID. I have it.

Geodon and olanzapine are pretty common IM at my hospital.

Ativan and haldol for the patients I've dealt with

Not a medical person but what if it was just a syringe full of air. I imagine an air embolism would be pretty awful.

Haldol or Olanzipine/Respiridone Or even a strong side of Lorazepam?

Larazopan maybe?

I'm not sure what they were going for with the guy speaking fake Italian, but I got the vibe it might be something that you see in some some Americans that have a tendency to lie compulsively and tell others they're foreign born or a foreign national. I thought it might have been a joke about how insecure many people can be in their identity, but it could be a bad DID joke given its 2004 or whatever

Love me some Heather Graham

Haldol, Geodon!

How can I get you to be my psychiatrist? Do you make house calls to the US?

Doctors are always learning, that's why it's called medical "practice". At least that's what I've been told.

Haladol? I come from veterinary medicine so unsure if this is fully correct!

its called small talk not my depressive life in 30 segs

Haldol or haloperidol? Maybe lorazepam. For the sedation, i mean.

What's the name of the episode

I use seroquel rather than halo.

Lorazepam of haloperidol

Some short acting benzos like midazolam, lorazepam. Antipsycotics like haldol. Hypnotics like Ketamin.

Except behavior modification is more a product of operant (aka instrumental) conditioning rather than classical conditioning.

I've always been partial to the b52 if someone is really out of control. 50mg benadryl (the b. Diphenhydramine), 5mg haloperidol, 2mg Ativan.

Would haloperidol also work that way?

HALDOL!

Haloperdol 5mg and lorazepam 2mg

haldol and thorazene?

Haloperidol?

Ketamin is used intra muscularly i think :D

Haldol?

Haloperidol or lorazepam？

Hold up are you trying to tell me swayed elbow patches are not hot, because you would be very wrong

Haldol!

Ketamine?

Dexter uses ketamine to knock out his victims. You should react to that show, lots of weird and probably totally inaccurate psychology stuff in that.

Loxapine and Diazepam.

all the Quetiapine

oh the "chemical restraint" these days is ketamine, it's non-addicitve, quick acting and fairly safe

I think she hit him with a horse sized dose of ketamine.

Larazzzzz everyone uses it I wish they wouldn't

first thought benzos, second thought antipsychotics, third was um...ketamine but that's not the right branch of medicine I think :P ughh...first gen antihistamines probably not eith...oh wait hydroxyzine all over the place in Poland if you want something "lighter", like for that one annoying kid that won't stay quiet (joke)

Temazapam

Love the Far side csrtoon with the shrink writing "just plain nuts" about a pasient.Not exactly PC, fun though.

Midazolam

i know its a year late, but ketamine. i guess pcp too, but probably ketamine. so he probably had a k hole in the elevator haha.

Howlidoll and cogentin i know I botched the spelling.

Fentanil. But I am a nurse, so I already knew.

GEODON

The guy who was over the top Italian, foreign language syndrome?? not a Dr so please forgive me if i'm chatting bubbles 😂

Maybe the "Italian man" had foreign accent syndrome?

Ketamine

Can you react to boxing daria?

I had a resident in a nursing home who was always blowing kiss and touching all the women. We didn't want to give him pills to make him sleepy so he wouldn't sexual assault anybody (he was a strong old man who had been known to place his hands where they were not allowed!) but we did need to take some action so he was given an adult magazine to keep in his room. When he was all fired up he was gently guided to his room and his magazine

rubber mallet is best tranquiliser

I hate the psychiatrist. I have a therapist mom, she can't find everyone's insecurity, she's HUMAN. not a therapist robot