Whenever I watch a doctor react to scrubs, one of the things that gets brought up frequently is the "absence" of Doctor Cox. While they rarely explicitly illustrate this in the show, he is ALWAYS watching. Nothing happens there without him knowing it. He lets them struggle and steps in only when absolutely necessary. He's got a very military mindset to training. Something that has proven effective for hundreds of years. Later on in the series, when he becomes Chief of Medicine, this point is illustrated by the fact that he's so unbelievably frustrated that he doesn't get to walk the floor anymore and is always losing track of what time it is. He tries to also see patients on the regular and it shows that he's so busy he ends up forgetting them, and the rest of the crew has to step in. It's a hard reality for him, to let go of that control over those patients. And if we're being really honest, Dr. Cox is a deeply flawed human being, but underneath that hard exterior he has a heart of gold.
I feel like it is also worth pointing out that he definitely shows favoritism towards JD and Elliot loses out because of it; if for no other reason the JD really values their relationship and puts a heck of a lot of work into maintaining it, while Elliot really doesn't and kind of just accepts the sink or swim treatment she gets most of the time.
@@Vael221Well, it may sound weird and wrong to show favoritisms, but it is something that happens in the medical field. I mean, a doctor can try to be impartial as much as he or she likes, but there's that tiny part of them which wants to create another one of themselves. It's like raising a baby to grow up and go out into society. Doctors sometimes take it personally, and while they do let their students grow up as individuals in their own way, they still are a teenie bit selfish enough to wanna train their own "mini me" 😅
@@Vael221 Every teacher have that student they conect with, and Elliot is not the case. On Cox case you can see that he mostly stays away mainly when CARLA is there. He trusts Carla to know when things get really bad and call if needed. Like I said on my comment, Elliot will be dealing with a lot more obstacles than her male counterparts because she is a woman on medicine. By necessity she will need to learn to deal with things faster and better just to survive against a somewhat (if not very depending on the hospital) mysogenistic enviroment. That being said, he COULD also be more caring, but if you are going to compare intern vs intern, instead of JD vs Elliot, try comparing Elliot vs Doug for example. Does it seem like he gives more time to Doug than Elliot?
This is one my favourite scrubs episodes. The twist at the end that all three die was such a gut punch when I watched it for the first time. I spent the whole episode trying to guess which one of the three and Bill Lawrence had to go and kill all three...
Bill loves to talk about the meeting for it. They’re like “Can they at least be antisemitic or racist or huge jerks something?” “No, they’re all gonna be really nice and the audience is gonna feel attached.”
Worth noting the 1 in 3 stat was stated as excluding maternity and ER, which the stat you responded with did not take into account. That still likely doesn't make up the huge difference between what the show said and the stat you read but it's worth noting that it isn't an apples to apples comparison
The network was very much against airing an episode this serious on a show that was supposed to be a comedy so early in it's debut season, and the show creator had to really fight to get it made and aired. Of course the irony is the episode is considered on of the best of the first season, and absolutely everyone was on top of their game. There is another one coming up, I can't remember the title off the top of my head, that is pretty epic; a storyline is the staff speaking with a psychology fellow for some research. If you can find out which one that is, or if someone can confirm the title, I strongly recommend watching that one. I do remember JD and Eliot eating a pizza...
@@FiredrakeeCheers for the title. You may be right about the lack of direct patient contact, but I think Jess will find the interviews quite interesting, with insights into the psychological effects working in medicine can have. I could be dead wrong, or course. :D
My oldest brother and my nephew (his son) both passed away from cancer. One was young, one was relatively young. But both reached points where they had to decide - tough treatments that MAY have given them an extra year or two. Or to get home hospice and let their fights end in as much comfort as possible. Decisions difficult for me to accept at the time, but they were the right decisions for them. Quality of life is often more important than quantity. It’s a balancing act, and only the patient can decide when the fight for quantity is no longer worth it. Good episode, and good reaction.
I had a very similar situation with my grandpa a few years ago. He was my last living grandparent, and it was a punch in the gut to know he didn't have much time left with us. But he was ready, and as much as we miss him, it wasn't our decision to make.
This is such a bittersweet episode, and the cleverness of setting up the "one in three" suggesting that's what will happen, and that heartwrenching subversion at the end... Scrubs was such a good show.
"At some point, for some people, death is the best outcome". That is so true. Lost my dad just some weeks before covid lockdown. Was struggling for about 2 Years with Glioblastoma. Began with Aphasia, progressed with very reduced ability to move and, when he was finally admitted in the hospice he developed dysphagia and progressed into being almost a vegetable. When he finally died, a part of me was so relieved he stopped suffering and everybody else in the family (and me) could begin to move toward stopping suffering too
When JD'S patient gives him that hug, it probably reminded him of one of his grandmas. Given what we find out about his home life growing up, he probably appreciated it. A child of divorce with a father who, while loving, wasn't always there, a mother who after getting divorced jumped at every man who would give her attention, and an older brother who was more of a bully than a protector. JD throughout the series creates a surrogate family with those he interacts with the most. Turk is his brother, Carla is his sister, Dr. Cox becomes the father figure he wanted in life, despite the animosity Perry shoots at him. Elliot is the broken girl next door. He relates better to her because he's the broken boy down the street. The passing of a loved one, or even a friend is always hard. When my mom passed away from cancer, I broke down hard. One of the harder things about that experience was that I wasn't there. I was serving as a missionary at the time. I was given the option of returning home, but chose not to. I never regretted my decision because she wouldn't have wanted me to come home for her. It's still hard from time to time, but still no regrets from it.
I think if Dr. Cox existed in the real world of medicine, he would be fired for being just TOO damn sharp and witty. It would drive the other doctors so completely green with envy that they couldn't consistently come up with such AWESOMELY HILARIOUS speeches, rants and one-liners on the fly like him......and that would compromise patient care. Then after being fired, he would (hopefully) go be a stand-up comedian......or an actor. He'd be one of the best in the world.
I've been enjoying the Scrubs reactions. Suggestions for the next to consider: 1) S3 E11: My Clean Break - more of a lesson about accepting the change from perpetual student to professional 2) S4 E20: My Boss's Free Haircut - Bob Kelso's attempt at being direct 3) S8 E2: My Last Words - the encounter with a terminal patient during his last evening. Talking through what was coming and humanizing the event.
I've just recently found your channel, and have been watching your Scrubs reactions. I agree when it comes to doctor/nurse and patient relationship, especially nurses. A few years ago, I was hit with leukemia, (The ALL version), just like Ben, those episodes still hit hard to this day, even more so now when you've had it. If it weren't for the nurses, I don't know how well I would have handled it. The first week, as they were trying to figure out what was wrong, before the Diagnosis, it was all unknown, the nurses were there for me a lot. Afterwards, after the diagnosis, it became even more important. I talked a lot with doctors obviously, and they helped as well, but for me, the biggest help was the nurses. My leukemia had a gene defect, so I needed a stem cell transplant, which required me to spend 1 month in isolation cause of it. A few days before that, in the evening, one of the nurses took a walk with me, outside by the front entrance of the hospital, a last breath of fresh air, before being stuck inside for over a month. It can easily be seen as a small thing, but for a patient, that is such a huge thing.
There is an episode where J.D. nails a diagnosis of necrotizing fasciitis. I think this is in early season 2 when J.D., Elliot and Turk are residents. J.D. gets it right and Cox is wrong because he's following the "think horses not zebras" principle. But in this case, it was a zebra and J.D. and others (like Kelso) are giving Cox grief about J.D. becoming a better doctor than him. Cox predictably doesn't agree and the two take on two identical looking cases and Cox's lives and J.D.'s dies. Throughout most of the episode, Cox is refusing to help J.D. figure out why his patient died and Cox's lived, until at the end when Cox explains. It was luck. Just like the necrotizing fasciitis diagnosis that he only came up with because he had been watching some T.V. special the previous night. Luck plays a big role in medicine. But Cox then also reveals that he had been looking over J.D.'s shoulder and checking on his patient the entire time because that is his job. I'm guessing that he was doing the same thing with Elliot in this episode: checking in on her without her knowing. He knows that one of Elliot's big failings at this point in her arc is that she lacks confidence in herself and is unwilling to show the decisiveness that you mention a doctor needs to have. So he makes her swim, but is probably monitoring her and her patient in the background.
In an episode full of great moments, I especially like how they are subverting our expectations right from the start. First they tell us that one in three will die, then present three patients, then show us that one of these patients will most definitely die soon. Knowing the show's structure, and expecting them to try and subvert us, we of course think the old lady will survive. But nobody seeing this for the first time expected all three of them to die, and that just hits your heart strings so much harder.
Also, this show is over 20 years old so applying 2017 stats is not really accurate. Plus, the doctors who were consultants probably went to med school in the 80's and practiced during the 90's so they might have been telling stories about their pasts and the writers and such went with whatever worked best for dramatic effect.
Exactly, in fact JD is based on the real JD who was the creators best friend and medical doctor. The real JD had a lot of input in the show, also a lot of the cases in the show are actually based on real cases that have happened.
Scrubs is in my opinion the best Hospital Series out there. No other show ever captured how it feels to work in a hospital that accurately. This episode is one of my favorites from Scrubs, together with "My way home" and especially "My five stages".
I love myself a Scrubs reaction from you! I think S2E06 "My Big Brother" could also be a good watch! But really, I'm happy with whatever episode you do! (Same goes for House; "Three Stories", maybe?) 1:00 I'm not quite sure if they just put in the "1 in 3" for storytelling purposes or if it was a statistic for intensive care units at the time. (Obviously most of the patients we see in Scrubs aren't exactly intensive care patients, but I think the ward is supposed to be a mishmish of mostly internal medicine and ICU/IMCU patients with a few surgical ones sprinkled on top for Turk)
This case reminds me of a patient I had a couple months ago. I was on break and got a phone call from the nurse I was working with, saying she got a call from the telemetry tech, saying that they lost the patient’s signal and asked if I knew where he was. I didn’t know, so the nurse went out to the main lobby to see if she could find him and sure enough saw him walking back into the hospital carrying a cup of 7-11 coffee. He said the hospital coffee sucked, so he walked to 7-11 to get some “real coffee”. It wasn’t funny at the time… but in hindsight, it was pretty freaking hilarious! 😁
I love your view on life and death. I am 52. Broken down... I lived a hard life of drugs, and wild times. I am broken now. My prostate could block the Queens-Midtown tunnel. My heart is coping with 25 years of pot, 3 years of acid, 10 years of meth/coke intermittent... My life is used now. I'm thinking maybe it's time...
Would love to see these (In order preferably): S1E14 My drug buddy S1E19 My old man s2E03 My case study s2E08 My fruity cups S2E16 My karma S2E18 My t.c.w S2E19 My kingdom S2E20 My interpretation S2E21 My drama queen S2E22 My dream job
Im pretty sure JD meant 1 in 3 will die in Sacred Heart, which is quite abysmal but Doug was still -a resident- an intern and hadnt been moved to the mourge. Who knows, but its a brilliant use of Chekov's gun. EDIT: Derp
My father passed away a few months ago. Knowing he was comfortable and not suffering during the days he slipped asay, was a great confort to me and my family. Had he recovered from those strokes, it would have bern a worse outcome for all of us.
My daughter who worked as a Cna before becoming an RN at an elderly care had a nack at getting patients to accept death when they were scared and not letting go.
My Mum chose to end her life seven months ago - chronic COPD - and to be honest, it was a beautiful experience. She had been suffering for years. We all congregated around her beforehand for a few hours and had some cocktails (on advice of the doctor) as she was a drinker! Then the doctor arrived and administered the final medicine - just a bottle of liquid. She necked it mixed in with some Bailey's and we all chatted with her about good times and how she would be missed for 10 or 20 minutes as it hit her, then she just started getting sleepy - a few minutes later, she dropped off to sleep. Five minutes later, she stopped breathing and that was it. Really sad, but given the pain she'd endured for the last decade, it was actually quite wonderful.
I just happened upon your channel today. It is channels like yours that inspired mine a few months ago. Best of luck as your channel continues to grow! 👍
But I'm so glad I found your channel I love your reactions and these last few videos I've been binge-watching has made me feel I'm not alone kinda feel I found my group of people here 💕🥰
Ive gotten so many stitches in my life. And all but one of the times i watched them stitch. The one time i didn't, i didn't because the doctor got mad at me for watching 😂
This is one of my favourites from the first season, really showed the reality of working in a hospital, also that stats are irrelevant to the individual.
Quick question: Did you change the song at the end ? Since it was supposed to be Hallelujah and it centers the entire theme of the episode. I think doctors that have been through the US medical system for a few years that have experienced a lot in this medicine should watch My Full Moon (Season 8, episode 13) because it raises one big question for them: Do I see myself being a doctor for the rest of my life with all I’ve seen.
I don't think people can really appreciate the feeling of being ready without experiencing the kind of condition that illicits that sense. I have a neuro condition that can only get progressively worse, but for now I am fortunate to not be as severely impacted as others. I'm still mobile, independent and besides some hitch in my giddyup and a marked increase in cognitive related flatulence I'm doing alright. But, understanding just what the condition can do in the long term does make you think about how you'll handle the long term. So I'm not even close to ready yet myself, but I can really sympathize with that feeling.
I'm so sorry this is something you're dealing with ❤️ It's definitely not something one can fully appreciate until they're dealing with it themselves...
I'm a nurse in the ICU, and my thoughts on choosing to decline care, go CMO (comfort measures only), and choosing to die are this: its an important thing that more people should respect. There are so many bad things in life that aren't supposed to happen but are inevitable, but death is the one "bad" thing that *IS* supposed to happen eventually. Yes its sad when it comes at an early age, or suddenly. But I think people forget that this journey we are on is supposed to end; its supposed to have a final chapter. And so few people get to die on their own terms; when we can help someone go out on their terms, and hopefully pain free as well, that is an amazing thing.
I couldn’t agree anymore with this ❤️❤️❤️ One patient that really stands out to me with choosing his path was a roughly 60yo M who was brought in as a trauma, bucked from a horse, C1 spinal cord injury. It was an absolute miracle he even survived in the field. His family was riding with them and initiated CPR within seconds of his injury (which as you know, normally results in almost immediate death because the diaphragm is innervated by C3-4-5, and he could not otherwise breathe due to the spinal cord injury). Family did CPR until paramedics arrived and he was intubated and mechanically ventilated. Once we got him stabilized in the ICU, he was able to communicate via blinking to let us know that his wishes were to not be kept alive, and that he wanted to donate his organs. I will forever remember this man. He was able to not only go on his own terms (in the face of a severe injury, but still - he was able to make the choice), but he was also able to give the gift of life to so many. It was absolutely amazing, in such a devastating situation. ❤️❤️❤️
Scrubs was known more for its accuracy in regards to the humanity and heart of hospital work and life as opposed to medical accuracy. Of course, this is information from a behind the scenes video on a season 3(?) dvd, so would you say that information still tracks today?
I definitely agree with that! It's much more accurate in terms of the depiction of what life in a hospital is like. The medicine, they definitely get wrong or just weird sometimes 😊
What would a doctor say to a 50 year old suicidal patient for the last 20 years now terrified of death patient? Alone and my only friends will those who attend. As I know my days are numbered. Left handed, profoundly dyslexic with Von Willbrand disease. Yeah I’m still living 😊
Oh man, there’s so much to unpack there. I’m sorry you’ve dealt with all of this, and I hope you have a good healthcare team in your corner now to help you moving forward ❤️❤️❤️
Swiss MD here. In awizerland we have an Organisation calls exit, when you are termnal ill, and you wan't to die, they asist you to end your live, in a soft way. (but it is not that easy to go there and it will hapend, so patiens wirh depression ore else, have can't get the suport.
If it’s specifically the ICU, then TOTALLY that statistic makes sense! However, given the *wide* range of acuity, I really did not think Scrubs was set only in the ICU, but that they are internal medicine physicians working in the whole hospital, and they have an open ICU. 😊 Just my interpretation based on how it’s portrayed! 😊
For the record you don't need to go to the "best" schools to become an MD. That job is so in demand as long as the school is accredited you will be fine.
Fair enough. I think it's more about making really good grades than anything. But the point of that was just how much time and effort we put into it, and just don't take the time to just relax. I know I felt like I was just continuously on the hamster wheel until I finally finished training. It was only then that I felt like I could actually just take a breath and relax a little bit. Obviously, I'm still keeping up to date with medicine and learning more and more as I go, but it's much less stressful than any of my training ever was 😊
The Elliot arc I can see what Doctor Cox is trying to teach here, that is being confident and making own decisions without reling on the attending, specially for a woman on medice what would have to deal with much more dificulty in workplace than her male friends. On another hand he 100% should be there giving her at least some kind of assistence. I know he see Carla there and think she got that covered, but still...
Well, this episode was made a while before 2017; and he specifically excluded Maternity and ER. Did that 2017 study you cited exclude Maternity and ER? Plus, I'm sure it varies greatly region to region.
So according to the CDC, in the early 2000s, for those aged 75 or older, that 1 in 3 statistic is *relatively accurate*, but for those younger than that, the statistic dramatically falls to 1 in 5 and even less than that. Refer to figure 2 in the below link 😊 so although the journal article I cited in my video doesn’t have exactly the same numbers, the gist of it is that the 1 in 3 statistic is definitely skewed, and really would only be accurate if we’re talking about the hospitalized population aged 75 or older! 😊 also interesting to note that between 2000 and 2010, those in the 45-64yo age group had worse outcomes/higher death rate over time. I would be curious to find out the factors for that as well! 😊 No mention of maternity ward exclusion in the CDC site from my brief scan, though! www.cdc.gov/nchs/products/databriefs/db118.htm
Maybe they meant that one in 3 people will die in the hospital EVENTUALLY, so maybe they get released but they come back a year later and then die in 'Sacred Heart'. In which case the number might even be too low as apart from accidents, lots of people will die in hospitals at some point.
9:53 doesn't good relationship with patient also actually help the healing process? i mean being comfortable with your doctor and trusting him, makes you more relaxed and more optimistic for the outcome of treatment, which means much less stress and anxiety, that can be harmful to your health
For the ICU, that definitely does seem more accurate, but I’m pretty sure the doctors on scrubs are hospitalists/internal medicine. They’re residents, so they can’t *just* be in the ICU for their training. Also, based on the varying levels of illness/how critical (or not) patients are on the show, they’re definitely not *just* in the ICU…
I'm 34 and fairly healthy. But I have "fibromyalgia" or some autoimmune disease. I'm constantly fatigued and constantly in some sort of pain, be it a 4 on a good day or 7 on a bad day. That being said every doctor says I'm healthy and have many years ahead of me. Because of that, I'm not afraid of death at all. I don't want to die but if I did, or was about to, I probably wouldn't mind as much as the normal person.
In the Australian state of Queensland, assisted suicide is perfectly legal. I applied for a &%@* load of jobs in the field of "life-termination," reasoning that I could put my pathology (ASPD/ Sociopathy) to work, in a way that would benefit my society... Wouldn't ya know it? There are no entry-level jobs in that field and neither my Masters degree in Organic Chemistry, nor my undergrad's degree in Psychology were sufficient to land one of these jobs :(
I'm a bit jelous. It seems with physical diseases , there sometimes comes a point when others empathically understand that you are done suffering and ready to let go, rather than fight. With quiet mental disorders , this point rarely comes. No matter how crippling they may be.
But your cited study counts all admissions, and the episode specifies not to count ER and L&D. It's also only counting Medicare, so that would be a pretty biased sample, though now that I think of it, that would probably bias it TOWARD mortality instead of away from it. 🤷
Here in my country The Netherlands we also have euthenasia. I once had a close friend who died by pallitive sedation. He woke up and was hungry... not a good way to go. Give me the injection if I ever want it
I see a lot of reactions to old shows/movies comparing current numbers to the past. Of course it's better now, tell me if they were accurate for the time.
So according to the CDC, in the early 2000s, for those aged 75 or older, that 1 in 3 statistic is *relatively accurate*, but for those younger than that, the statistic dramatically falls to 1 in 5 and even less than that. Refer to figure 2 in the below link 😊 so although the journal article I cited in my video doesn’t have exactly the same numbers, the gist of it is that the 1 in 3 statistic is definitely skewed, and really would only be accurate if we’re talking about the hospitalized population aged 75 or older! 😊 also interesting to note that between 2000 and 2010, those in the 45-64yo age group had worse outcomes/higher death rate over time. I would be curious to find out the factors for that as well! 😊 www.cdc.gov/nchs/products/databriefs/db118.htm
@@JessTheMD That is pretty interesting, Braff did some nice exaggerating for that drama. Also wow that was a quick response on what could be viewed as a pedantic question by me, so thank you. Awesome work at growing the channel being responsive :D
Does the mortality rate you mention account for lifetime, or only that particular visit? I'm pretty sure JD was referring to lifetime (that they will eventually die in the hospital).
I went from hospital to dialysis center with fresenius and i had s sweet elderly lady say this will be my last day in Dialysis I was all happy asking you're getting kidney awesome she said no I think I'm ready and being green like JD I was like ready? I don't understand then she said I'm ready to go on then it hit me I was like she's talking about suicide I was like oh no we can keep fighting you have so many years dialysis can help. Then I was like I'll be right back told my charge nurse the doc was there and social worker and they all were like ok as if it was other day social worker went to make sure it wasn't a moment feeling which she decided it wasn't and I was like so we are going just let her go no fight no nothing and just let it happen and I was sat down told this is just the natural order of things suicide is when someone is healthy and does something to kill but a dialysis patient should already be dead and it's just letting nature takes it's course. Which blow my mind but I understand now they go through so much pain
You don’t need to sign anything to leave. I’m sorry but did I step out of the USA? Doctors like to make you think that. And jd could direct admit her if he wanted to since he has privileges there.
So according to the CDC, in the early 2000s, for those aged 75 or older, that 1 in 3 statistic is *relatively accurate*, but for those younger than that, the statistic dramatically falls to 1 in 5 and even less than that. Refer to figure 2 in the below link 😊 so although the journal article I cited in my video doesn’t have exactly the same numbers, the gist of it is that the 1 in 3 statistic is definitely skewed, and really would only be accurate if we’re talking about the hospitalized population aged 75 or older! 😊 also interesting to note that between 2000 and 2010, those in the 45-64yo age group had worse outcomes/higher death rate over time. I would be curious to find out the factors for that as well! 😊 www.cdc.gov/nchs/products/databriefs/db118.htm
8:13 Aaah... So that's why I've kinda wanted to die since 2008. I thought there was something wrong with me 🤣 But its normal in my situation. What a silly goose I am. Actually, if you just ignore it for long enough, you go numb. I rarely feel like I want to die these days. Because I dont really feel anything anymore... At all... It's an effective way to stay alive but the draw back of not really "living" kinda renders the whole concept redundant. I wouldn't recommend it.
I definitely think it's also about quality - she did a LOT in her life ❤️ I don't know - I just think there's an argument to be made for that too 😝 You are right though - 74 is still pretty young! ❤️
@@JessTheMD My grandfather, who only ate healthy and swam his lanes twice every week, got to 93 - and he was in good shape and self sufficient until 85. That gave me a lot of perspective how long a full life can go.
Its difficult for the audience to accept that ladies choice to die, because she isn't actually dying. Shes an actor and in perfect health 😅 Someone with untreated end stage kidney disease does NOT look like her 😅
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