Texaco Mike is rapidly becoming the most fleshed out character and we will never see him. Runs a Texaco, Fan boat service, MRI scans, probably a few things I'm forgetting and now a homemade observatory. Truly a modern renaissance man
I think Texaco Mike is a rogue Rhodes scholar. It got to be too much in the city so he moved to the country. Now he can practice without the AMA watching his every move and dabble in the things that interest him. He also changed his name so no one knows who he really is. Can you tell I'm obsessed with TM?
Jonathan: ::walks up:: Texaco Mike: ? Jonathan: ::stares at Mike:: Mike: ::stares at Jonathan:: Jonathan: ::stares at Mike:: Mike: ::nods:: Jonathan: ::nods:: Then they get to work
I really enjoy your self-deprecation when it comes to doing medicine below the bridge of the nose. But I love it when it’s put into a skit. “Technically.” 😂
it's even funnier, because in order to portray every kind of medical professional authentically, he has to know a lot about each field of medicine, and he clearly does!
It's Texaco Mike who can build almost anything for multiple purposes and Johnathan, the man who doesn't care about limitations. That rural hospital is going to be way more effective now. Also, Ophthalmology might need two Johnathans now, one for loaning to someone else, and another to do his work for him.
I live in rural Argentina. I once got two fingers squashed, badly, by a gain elevator. The nurse in the hospital could't figure out how the bone was, so i got back on the truck and drove to the veterinarian that had a x-ray machine on a boom-type of thing and she did wonderfully.
When I see human medicine I'm in awe with how much nurses do. We don't have vet nurses in my country so that job is done by the doctor... Thankfully things are changing and doctors train staff to assist them...
In fairness veterinarians have a tougher job. They have to know the physiology of multiple species and do diagnosis without the patient describing the symptoms.
Love it! From a retired rural doc. Picture elderly man (in his 80s), staggering into your office on his crutches, with bloody paper towels clutched to his chest, hollering "Doc, Doc, I've been shot!" Gits yer day going, uh huh. 😮 (It was his hand that was clutching the paper towels, not in his chest, thank you, God.) He wanted me to "just dig around and get the bullet out". Despite the fact that I could feel multiple metacarpals in more than usual I piece each. Nearest x-ray 20 miles in the wrong direction from nearest ortho. Then he thought he could drive himself to the hospital 65 miles away. Yeah, sometimes I miss it, but 4 years of PHS payback was enough for me, though I didn't leave family practice/geriatrics. But it made for rich real stories just like this Rural Doc shows. Wish I had a Texaco Mike, but our little diner had The Best roast beef on Thursdays and cream pies. (Her secret? She rolled the final crusts in sugar instead of flour. It caramelized keeping the crust from ever getting soggy.) She'd call me at 9am and ask if I wanted a piece saved for me and my med students. Loved those folks.
I was working in an extremely remote (read: fly-in only) community and a patient came in with a speck of stone in his eye. He had been carving, a traditional activity in this area, and hadn't been wearing safety glasses. I was concerned we might have to send him out, but a Morgan lens got the piece out. (For laypeople: a Morgan lens resembles a contact lens but it has a tube attached. You hook this up to a set of IV tubing and use it to flush out the eye.) I sent him home with a strong recommendation to use safety glasses when carving.
Look as far as I'm concerned, the only time i needed my eyes washed out* was when i did NOT safety squint, BUT i needed my eyes washed out* when wearing the safety glasses. therefore evidence suggest that the safeety squint is more effective then safety glasses. * Washed out = going to the hospital and needed Morgan lense. It happened once without safety glasses and twice WITH safety glasses. If you wear safety glasses you are less likely to safety squint.
I work in rural medicine in Northern Maine with a lot of potato farmers and dairy farmers. This stuff is spot on. We truly have to be jacks of all trades for lack of specialist and our community of patients are tough as nails.
Problem arises when a rural farmer patient goes to a city doc with a complaint. The city doc does not understand that the very fact that the person is there indicates something serious, especially during lambing/calving/harvest/planting season!
I finally got to use something I’ve learned from your videos. My knee is super painful so I went to my doctor, she said she starts with X-rays then ultrasound.. because my insurance doesn’t cover an MRI without a fight. I said, “that’s ok, I’ll swing by Texaco Mike’s”… she laughed! 🎉🎉
Rural medicine hits home whenever I'm talking to my dad. Did construction all his life, never used proper ppe until recently. But now that he is a grandfather he cares more about being around longer and started using a mask and hearing protection in his workshop
I bet he's a grandpa. The kind of guy who frequently tells his grandsons "you don't need that millionaire city boy stuff. We can make our own! It's easy; let me show you how it's done."
"In one evening the Texaco station became the world's most advance mri/ct/xray/mircoscope/telescope/barbecue/onestop shop cardiac pre authorization observation station on airboat that any one had ever seen."
Texaco Mike would be a BANGER RU-vidr. He’d show his whole process from junk pile to functioning machinery and he’d stay under 100k for years just developing a community and dozens of injokes before making a one-off video about his CT scanner that goes insanely viral
We're in rural Oregon and our prospective Ortho surgeon asked if we have a mini C-arm... We were like "well, we do about 1 c-arm case a month, so we can't really justify a mini c-arm" and all I could think of was Texaco Mike and your rural medicine videos.
I have to deal with ophthalmologists frequently and by now I am convinced that when the door opens and a patient comes in they see NOTHING but 2 eyes enter. The rest of the body is invisible and unimportant to them.
as a female engineer i have bad experience with the term STEM lords. generally it refers to the perverts, misogynists and general arsehole. Also isn't a medical engineer a surgeon?
@@saritshull3909 never heard it used so negatively. Always thought that medicine engineers are the guys who figure out what kind of titanium you make implants with or whomever builds scanners and stuff
As a male engineer, I haven't heard the term STEMlord until this comment. I avoid working with female engineers as much as I can, and walk on eggs/eggshells whenever I have to interact. Their ideas of 'misogyny' include phrases like 'big dongle', and using your initials in a file name. It's gotten so bad if one of them misinterprets what you say, there goes your career. Ref: Adria Richards' big dongle controversy, and Karina Gasparova's suing her boss over interpreting her boss' initials as a sexual advance.
I like how ophthalmology was just willing to do his best to get started with helping out (or at least asking Johnathan to help out) instead of trying to weasel out of working
As a primary care doctor who is constantly asked to clear patients for cataract surgery I feel this one. The good news is that the local ophthalmologists are willing to accept a HBA1C up to 10 as stable for surgery. They do still require an EKG, though.
I grew up in very rural Texas, on a ranch. This brings back memories I have tried to repress my entire adult life. If we were sick, we just kept going. I had my thumb almost completely severed off my hand by a single pane window falling through the rotting frame and my dad just got the duct tape and some toilet paper and wrapped it in TP, then wrapped it tightly in tape and gave me a shot of bourbon for the pain - I was 5. Thankfully my mom took my drunk ass to the city to have it properly fixed (she was a nurse and knew better). If we needed a doctor we usually just waited until the vet came out for a horse or cattle and they would prescribe something. If we needed stitches we got a needle and thread. I have a lot of gnarly scars to prove that too.
Hurrah, Texaco Mike and Jonathan together. The revolution begins. Brilliant sketch with some laugh out loud moments in there. I've had that conversation about the back-up body parts ("I have 10 toes, right, so what's the big deal with losing a couple?").
Yes! I had to call my vision insurance because they were saying I didn’t send itemized receipts. 😂 I told them these ARE the itemized receipts and they were lucky they weren’t handwritten ones! 😂😂😂
The safety squints really got me. I watched a guy make a knife outside the US and so many were shocked or indignant about him not wearing any ppe. Someone else brought up the safety squint rule...no, just no. My second major in college was jewelry and metals, and it was appalling how many people I had to go grab safety glasses for, trust me that handing someone a pair is more efficient and garners fewer complaints than asking them to stop their task, walk across the studio, and grab a pair. After the first year in the program even my prof stopped most days. She wore regular eyeglasses, but those aren't rated for impact. The kids who wore standard eyeglasses figured that they didn't need them...they need them as much as anyone else. I bought my own "fancy" safety glasses that were mostly used for motorcycle use but rated for use as safety ppe. They were comfortable, didn't scratch, and I'd usually forget that I was even wearing them.
Texaco mike reminds me of the neighbor I had in rural kentucky who built his house on his own and lived there for 70+ years, "self tended" to his skin cancer, refurbished an old car with spare parts he found along the highway, and grew his own corn
EMS here (our non-doctor branch of prehospital healthcare). Every depiction of the specialities is gold and for the most part spot on in my experience. The endings are what gets me almost everytime and the information spot on. A good head nod to both Texaco Mike and Loyal Scribe Jonathan for their resourcefulness and community service. EMS stands with you!
Lovely how the opthalmogolist now needs to be doctoring because Jonathan is, well, fine obviously, but still a bit busy building the microscope from ductape and morning dew with Texaco Mike.
Also wanted to add that the squinty thingy/ eye lashes has been put through some field work for a while in evolutionary biology so I would argue there is something based in evidence here. (Which is not to say it's wise to point sharp wood bits at it.. and putting something more between the eyes and the sharp object has a definite advantage, but... we still have a body full of protection and safety and repair and backup that's doing pretty cool things.)
If we saw Texaco Mike, we would probably only get to see an arm or his legs coming out from behind or beneath some equipment he was working on. We may never see his face and that's okay.
I live in an urban area, and I wish it worked this way. Rural doctors get things done. Urban doctors send you to other doctors and bill you $500 for the visit (which lasts 10 minutes).
"The inside of the eye is on the outside of the eye" - Holy F* and "He asks if he can get a pair of glasses?" - the rural way of thinking 😅 Texaco Mike needs an Amazon delivery of safety glasses/goggles so he can add OSHA supplier to his resumé 😅
Doctor log. I've been in the "rural" dimension for 2 hours. Already I fell light headed and confused from lack of proper equipment. Thankfully, Johnathan has already gained the trust of the locals.
My dad graduated medical school in 1935. He did general surgery. Total knee replacements. Anesthesia. House calls. Emergency room medicine. Times have changed. He was competent. Now you have to call a specialist for smegma. Lol
Texaco Mike is starting to sound like a pretty handy guy. Creates an MRI/CT combination scanner, contrast, and an observatory? Drives a fanboat? Hot dog, give that man a Jonathan and he'll cure cancer.
Texaco Mike and Jonathan will be an unstoppable force. They can do anything. I'm glad they work for the good of others and not... EVIL!! We'd be screwed. 😅
There's now a banner on the top of Dr. G's videos that states that he's a licensed medical professional in the US and I'm not sure if it should be on _every_ skit 😂😂 On the other hand, he never actually gives bad healthcare advice and even the most exaggerated ones have people commenting that it's basically true, so...good job RU-vid?
You got me good on these..oh my gosh ... JONATHAN WITH THE FARMERS HAT AND GRASS BLADE IN HIS MOUTH YES YES YES! ON HIS WAY TO TEXACO MIKES! I LOVE IT!
From the anesthesia point of view, this is some incredibly considerate ophthalmologist. A cardiac clearance for a cataract patient? Stunning. I can barely get a medical clearance with many of our ophthalmologists.
Rural eye doc here 🙋♀️.. can so relate to this.. 😅 Cardiology you say? Wonder what that is like prior to cataract surgery.. 🤔 Did 100 surgeries last weekend.. not one clearance..🤷♀️ 😐
Texaco Mike must've gotten bored while cooking gas (for the Texaco of course) and contrast fluid, so he figured he would build an observatory. Good on ya, Mike!
Pls bring infectious diseases. You absolutely nailed in your 'closer' video. And if possible give new entry to 'ENT'. And at last thank you for your videos ☺
That’s pretty much every interaction I ever had with ophthalmology as a hospitalist and I practice in a metropolitan area for my whole career. Magically we never have any tools needed. Thanks for keeping it light!
I live in the capital of my country and many times I though I should have built my own chair. it just takes that long to see a doctor and often just the incompetent and lazy ones didn't emigrate to Germany & general western direction, so you're better off using Web MD to figure out what's wrong with you. If you forge paperwork you can even get prescription meds from the pharmacist, key is (I'm told) to write with your ass, because legible script is sus. Or ask your vet for some meds, mammal's a mammal anyway. veterinarians don't seem to emigrate as much so you can still find a competent one.
@@MrBrock314the writer is saying that all the talented doctors emigrate to other countries for better working conditions and more money. But the talented veterinarians stay.
