Gotta admit, was hard not to smile at your reactions to answering those questions. Always feels good to have your knowledge an experience validated while at the same time, knowing the television series did its research properly.
I had a stent put in last year, and the surgical team discussed what music they were going to play while I was awake. One of them even asked if I had a preference, although it really wouldn’t have mattered if I did, since I wasn’t awake while it was playing.
I actually had a patient in my CT scanner who had major gut surgery a few days earlier with severe fever, etc. So they assumed some leakage or an abscess. After my initial scout/overview shot (like a big X-ray to plan your area you want the CT to show later) it showed a big clamp. This happens every now and then, especially if you don't fully undress the person and they have their glasses in their shirt pocket or something like that so I assumed the clamp was just sitting somewhere underneath him. We could not find the clamp so we made another overview from the other perspective and it revealed to have been forgotten inside the poor guy. The following CT was shown around for weeks in our hospital because even though its often shown in tv and movies noone has ever seen it happen in real life.
To be fair, you answered question number 3 with "whatever caused the reaction", and you coudn´t have known it was shellfish, so I´d say you were still correct
I'm a veterinarian and one of my favorite emergencies to treat is hyperkalemia. The most common cause is urethral blockage in male cats. One of my favorite cases was a cat with a potassium level almost 3x reference range. The heart rate was in the 20s (normal is 120-160). We gave IV fluids, calcium, removed thrvurine with cystocentesis, and started insulin and dextrose. Once stable, we were able to sedate and clear the blockage. I see a lot of urethral blockages but that one was the closest to desth without being DOA thdy I've seen.
@@sylviagreybe672 you might see him outside straining to urinate. A lot of owners confuse it with constipation. He will likely cry out when trying to go because it's very painful. He will stop eating and may vomit. At later stages (after 24 hours or more) he could get very weak and may even collapse. It's fatal after more than about 2 days. It is ALWAYS an emergency even if you aren't sure he's blocked. Better to be wrong and pay for a vet visit to find out he's not blocked than to wait too long. Females can get blockages too but it's more common in males because their urethras are tiny.
@@deeanna8448 Emergency Tech here, the worst Blocked tom we ever did was a male nutured DSH came in from RDVM and he was extremely hyperkalemic, not stable enough to unblock, we removed a large portion by cysto and started to treat the hyperkalemia stablized then when to unblock, and the veterinarian couldnt unblock him, then we noticed some fluid belly then on AFast, it was minor, come to find out, his urethra tore at the bladder... we couldnt do that surgery, and shipped him off to Texas A & M 2 hours away
@@scdl-m2z LOL, I mean one of my favorite emergencies to deal with is emergency is Gastric dialation Volvulus, (gastric torsions) or I also don't mind a FB. delt with needles, sex toys, used condoms as FBs, ive seen panties that were not the wifes panties..... kids stuffies, there is so many things
Delighted to see you doing more of this. Aside from anything else, Scrubs is just a great show that's still worth watching. I hope you can react to more, because I'd happily watch them.
i feel like JD putting on his Stethoscope the wrong way is a joke . he says " most of my work is second nature" while making a mistake. scrubs kinda does these things intentionally. we do learn how to display a x ray on a monitor the right way in med school, but I've seen people make mistakes during their internship the same way JD does in the intro song
for the record, music gets played in horse operating theaters as well. one of our surgeons has whichever intern is assisting him in the surgery pick the playlist and then will spend more time critiquing their music choice than he does critiquing their surgical performance
I highly recommend House MD: Season 3 Episode 20: “House Training”. It deals with difficult conversations surrounding medical mistakes, very well done and compelling.
Dude, I've been watching your Scrubs reaction videos and rapid trauma scenes lately and i was WISHING you'd do more scrubs episodes. Can't believe you released one hours ago. Thank you so much, i love your videos. 🙏
I'd love to see more scrubs episodes. It's such a nostalgic show for me. It's a huge part of my childhood, and seeing your analysis and knowledge, and sometimes the differences between US and UK medicine, as well as how the show maybe dated a little is really cool. Adds a whole new layer to the show I never knew. I'm sure I speak for everyone when I say we'd all love to see you do the entire 8 seasons. Season 9 is too cringe.
I mean you get a 3/3 since you didn't know the patient history to deduce it was shellfish though. Also thank you for making learning medical terms and things fun.
Something about the tone of the scene made me doubt "shellfish" was more than a "generally right answer", so I say Dr. Hope's answer was even more correct haha.
Having watched Scrubs live when it first aired, and having rewatched it 2 or 3 times since then, I am SO excited for you to delve into the world of Scrubs!! It's so quotable, so relatable, and so fantastic and funny! My husband and I still quote from it, even though it's been maybe 5 years since our last re-watch.
Yesss, so happy you've started this up again. Please keep watching! I'd recommend watching these three episodes (In this order): S1E22: My Occurrence S1E23: My Hero S3E14: My Screw Up But of course, you should watch the episodes in order, if possible. I love how you break these down and discuss the medical stuff in an easy-to-understand manner. You don't rush over the medical stuff, either - you have the perfect balance.
I found you on Dr. Mike’s channel recently, and I’m so glad I watched that video! I’ve only watched a few of your videos so far, and I really appreciate that you share your honest opinion and genuine input ❤️ I don’t know how real doctors find time to make RU-vid videos, but I can’t thank you all enough!
I would love to see more of the termininolgy differences between healthcare in the UK and healthcare in the US. I love the fact that surgical rooms are called "theaters" in the UK, as if the doctors are putting on a performance. I guess a c-section could be a magic trick for the mother since a sheet blocks her view until all of a sudden TA-DA! Baby on your chest!
I could swear I've heard "operating theater" in an American context also, but maybe it was just some British trickling in somehow. It's where the big show happens after all :) There is also a famous Seinfeld scene where members of the public are allowed to observe a surgery. Maybe Dr. Hope should review that and rate its realism!
I know your channel is not exactly new at this point, but I just discovered it meaningfully when I started watching all the seasons of Scrubs a few weeks ago as well. I really loved your channel and subscribed as fast as I could. I was watching an episode of Scrubs tonight, and there were many things that I wanted to know about what a doctor could help me to learn. This episode has so many questions in it, I think, that it would be great for many people. This was S03 E10 · My Rule of Thumb. In this episode, Turk refuses to give Dr. Cox's favorite patient a new liver. Turk said it was because she didn't follow the rules, but I couldn't tell from the episode what the problem was, or what rule was broken. It's funny in the first act, showing what happens when Dr. Cox is happy, and for one example it actually saves Ted's life! Donald Faison was so good in this episode as Turk. Dr. Cox said that Turk is just killing everyone and surgery is not really hard, and he showed his huge prejudicial thoughts that surgeons don't really connect with patients, they have big egos, and that's why it doesn't really think Turk has much value. Todd has a big part in the episode too. I really think there's lots to talk about in this episode. Thank you and keep up the awesome work.
Umm about the music in the OR... not sure if it's the case anymore, but in 2007 they played C.C. Catch for my appendectomy, and I fell asleep to "Heartbreak Hotel" with the Anesthesiologist humming the song, and the surgeon busting a move while he was arranging his tools... I LOVED that. It took away from the nervousness I was feeling.
I would watch 8 years of your Scrubs reactions haha. I don't thiiiink you watched "My Way Home" yet, unless the search is being really bad... Just an all-around fantastic Scrubs episode. I don't think there was any specific big medical mystery so it's probably a little lower on some doctor channels' reaction lists, but it's just great TV. Aside from that I think you nailed a lot of the big ones (although maybe "My T.C.W." would be funny to get your POV on...), so just keep em coming whichever you like :)
After I birthed my placenta, they found a piece of gauze in it. I have never been operated on and the midwives and doctors couldn't explain how it got in there. It was in the amniotic sac. There are still no answers. I have to assume that they somehow counted wrong and also that they somehow got it in there themselves and didn't notice, because there's no sensible explanation 🤷🏻♀️ also, it didn't cause any complications, so, I guess it doesn't matter
That’s crazy, because I had an oral surgeon use the wrong type of sutures and left some gauze in one of my wisdom teeth holes. Never gave me the syringe to clean it either. I had dry socket in two of the sites and he just kept writing for Percocet and didn’t bother looking. I was in excruciating pain and could smell/taste garbage coming from my mouth. Ended up getting a second opinion and he cleaned it out and it was really badly infected and all this garbage stuff came pouring out of the holes. He ended up needing to clean it and reopen and scrape it so it could heal properly. But I was told I could have taken all the antibiotics I wanted but the gauze and stitches would have held onto the bacteria and never properly heal.
The inaccuracy here would be that a nurse would have hopefully handled this before it happened and if somehow the insulin had been given, they would have done the bedside glucose testing and picked up the hypo. Even for a non-diabetic (or if a diabetes diagnosis is unknown), a deterioration where a change in Level of Consciousness is evident immediately gets a nurse thinking about taking a glucose test among all the other assessment we would do as or before we escalate the situation, depending on how severe it is. You’ll notice that although Nurse Roberts and JD talk about the patient being diaphoretic (very sweaty), they don’t mention a fever. That would be one situation where if the patient did have a fever, even though I’d still take a blood glucose level, I’d still escalate immediately due to the Sepsis pathways we now follow. Great vid as usual, Dr Ed! Great stuff!
It goes both ways. On the outside, it can seem like a contentious relationship, but everyone is working together to help the patient. There are checks in the electronic medical record and everywhere down the line from doctor to nurse and back. To answer your question: it happens pretty often
My mum had some gauze left in her hand after removal of squamous cell carcinoma. For some reason the NHS refused to accept it had happened. She had a strand of mid rejection cotton coming out of her hand and they still wouldn't accept it. Maybe they put on their calculators the wrong way round 😅
For wearing a stethoscope, I did eventually figure out the correct way to wear them. It was what felt most comfortable to me and where it also worked properly. I remember playing around with them when I was very young and wondering why they were curved like that. It didn’t take long though to figure it out; there are only two ways, and they both take just two seconds to try. The wrong way feels very uncomfortable to me.
I’d love to see you do a full season of Scrubs reactions - I have watched your TLOU series several times! If you do venture out beyond Season 1 though, you’ll be treated to better production values, zanier daydream sequences and a more tightly crafted show. A couple of episodes that I’d recommend: S6E6 - My Musical This episode has a flimsy medical premise to justify several high camp musical sequences, and it’s bloody brilliant! I’d love to hear your thoughts on the lyrically dense and tenuously rhyming medical terms. 😂 S3E14 - My Screw Up: I’m sure this one has been recommended to you before, but it’s one of the stand out emotional gut punches of the entire show. Perhaps a touch light on medicine, but interesting to hear your perspectives on how doctors handle challenging circumstances and how personal grief can bleed into professional settings. S2E3 - My Case Study Perhaps an interesting look at how doctors who wish to advance their careers need to balance bureaucracy and vanity projects with patient care. Featuring the iconic “Front Butt” S2E7 - My First Step: Featuring guest star Heather Locklear as a sexy drug rep. It would be interesting to hear your perspective on manipulative sales tactics from pharmaceutical companies and their representatives, especially thinking about what was going on with Purdue and the US opioid crisis at the time that this episode was made! There are so many fantastic episodes that I adore and I’d love to see you react to more! It’s great to see you draw attention to and condemn the casual misogyny of Scrubs. It’s so tightly woven into the fabric of the show and what I wouldn’t have even noticed when I first watched the show as a teenager is now very jarring to my modern/adult sensibility. It would be easy to gloss over the more problematic aspects of these comedies and excuse it as being “of its time” so I applaud you for taking the time and energy to point it out.
I used to get procedures done on my back where they used conscious sedation but not til in the OR room. They also had music playing pretty loud but imagine it’s a way different atmosphere from serious operations. 😊
I recently underwent a procedure in the United States, maybe around the fifth one of my lifetime, and the surgical team actually started playing music before I was under anesthesia. Can't quite remember what song it was, but I remember them making a playful comment about hoping it was to my tastes.
As a patient I have also had experiances with hospital consultants (one a surgeon and one not) which feel like they've been influenced by sexism/misogny. Fortunately I have never been touched inapropriately by a doctor. Mainly what I have dealt with is doctors seeming to listen much better and give me better care when I take my dad with me to the apointment, compared to when I go in by myself or have my mum with me. Some men seem to listen much better when there is another man in the room.
2 months ago I was admitted into the hospital. staphylococci infection, sceptis, dehydration and way to high glucose level (40 mmol/l). 1 week ic (3 days being comateus). 2 weeks normal ward.I have been very lucky to barely have any residual issues. No brain damage, no infection of the heart valves. I have had MRI's, echo's, ct scans, the works. 6 weeks of very heavy antibiotics (Flucloxacilline Mylan 500mg; 2 pills 4 times a day after drip was finished). I have been home for 5 weeks now, getting my body back in shape. All muscles declined so much, I had to train hard to be able to walk again. And now training to get my cardio vascular health back. Please go to the doctor on time. It can avoid a lot of downtime and dangerous health outcomes
9:25 My maternal grandmother had ovarian cancer surgically removed. During surgery, her bowel was accidentally nicked, and it was that mistake that killed her.
Years ago I had a relatively nerve wracking surgery. As I was being settled in the operating room the anesthesiologist asked what I wanted to listen to. I got to fall asleep to Nora Jones it was a small thing but it lightened the mood and put me more at ease.
Please do more of these! I love Scrubs but I‘ve watched it so many times that I sometimes can‘t stand watching it again but at the same time I want to watch it again. So, this is a perfect way to kinda rewatch it but with something new. Also, I‘m a medical student myself and am learning from your commentary :D
I remember going in to have a mole removed from my face, they had the radio on while they prepped and worked. ... I asked them to turn the volume up, because facial surgery under local anaesthetic is kinda spooky, and I appreciated the distraction.
After my heart attack they looked for Troponin. It was interesting how they went from generally watching me to rushing me into the ICU after the results came in.
Every operating theatre I've been in bar one has had music playing, and during local anaesthetic cases the patients are usually asked their preference, been in a couple that wanted (and got) heavy metal😂
If you want a very entertaining medical show I suggest this sadly underrated one: "Emily Owens M.D." It never took off after season 1. It kind of got overshined by Grey's Anatomy when it was super popular and people couldn't help, but draw comparisons and talk down the less popular one.
My lips swell up a bit when I eat raw root vegetables, chili fruits, stone fruits, proper nuts and a plethora of other things because I'm allergic to pollen (Birch mainly). Sometimes even eyes and nose get affected by the consumption. Never airways though, thankfully, though throat can get hella itchy. I can eat shellfish and fake nuts (cashew, coconuts, and peanuts) just fine. Allergies are weird.
Related to the hypoglycemia part, there was a nurse that my mom used to work with. He was arrested last year for purposefully overdosing insulin on several older patients. At least 2 were killed this way.
I worked a fatal call for anaphylaxis brought on by BP medication. By the time we arrived the reaction was systemic and did not respond to our protocols.
When I had a surgery to remove all wisdom teeth, they asked me what music I wanted to listen to. Didn't even finish my sentence cause anesthesia kicked in
Note on the stethoscope being put in the wrong way: Some people think it's a production mistake but I think it's probably deliberate due to JD saying immediately prior "a lot of my work has become second nature to me" and then sticking his stethoscope in backwards, that's a very scrubsy joke to make.
XD My ma was an operating assistant and they used to play music almost all the time once the patient was out. The rulen with her team was if there was no music, you knew it was going to be difficult.
Not me playing this as background noise while I have a reading on correcting electrolyte imbalances, and I'm reading a question on hypokalemia when I hear it mentioned hahaha - I feel like I just cheated the question accidentally
12:35 my brother is diabetic. Over the 4th this year something went wrong and he crashed hard in the middle of the night. Blood sugar in the 30s. He was just coherent enough to ask for help, but it was terrifying for a minute. Its also amazing how quickly he recovered after some orange juice and a cookie.
Hello! I love your videos. I’m a huge Scrubs fan too. While aspects of the show have aged terribly, I’m glad to see it popping up in contemporary settings as the show was quite remarkable in many ways and deserves to be remembered. HOWEVER, your Meatloaf reference has now sent me into a tailspin - was Fall Out Boy referencing Meatloaf in I’m Like a Lawyer With the Way I’m Always Trying to Get You Off (Me + You)?! 🤯
Next time I have a procedure done I'm going to ask: "what're we listening to?" right before I get put under. (also, oh my god, IV potassium stings SO MUCH).
Re: Music in surgical theatres - I had a fibroid embolisation last year and was awake for the whole thing. The surgical team played music throughout and I wasn't asked whether or not I minded (I definitely didn't) - in fact, I started singing along near the end of it because I was so bored and they were like, "That's the spirit!"
So it is not the same as something being left in by mistake but I know someone who had a surgery and had packing? left in them to help with bleeding. They were then meant to have a follow up thing to remove the packing at a later date but the hospital cancelled the appointment because they were too ill and the just never bothered to rearrange it meaning the packing just got left in them and made the really ill.
So the patient in this episode is diabetic (likely Type 1) and requires insulin injected to bring down their blood sugar; however they weren't eating as nil-by mouth by surgery. Therefore any insulin would give them dangerously low blood sugar (hypoglycaemia). It's a bad mistake to make; you have to prescribe the medications on admission for every patient, and when you put pen to paper for each drug you have to consider if it's needed during the acute problem. Lot's of medications are stopped or modified in hospital. In this case the patient should be put on a sliding scale; i.e. we monitor their blood sugar and either infuse insulin or glucose depending on the value. Having said that I have made similar and equally bad mistakes when prescribing so it is realistic (I once prescribed a medication that a patient had an allergy too); but for a mistake like this to end up with patient harm is rare as a few things must go wrong (Swiss cheese model). i.e. the doctor shouldn't have prescribed the insulin but also the nursing team shouldn't have given the insulin.
Unfortunately it happens quite often, we've has diabetics needing surgery, the Dr puts them NBM, but forgets to write up any iv fluids , generally we'd do glucose, it's taken nurses to bring it up with the dr