The coolest thing I’ve ever seen in medicine 

I don't think they allow goats in the NICU

I really dislike that acronym, GOAT, and in this case how you're using it doesn't even make sense. That paediatric cardiologist was certainly the greatest of all time of the day...

@@Enoch-Rootwhile goat started out as an acronym, it is now considered its own standalone noun 😊

@@techheck3358 yes, I suppose you're correct, and while language continually changes, GOAT is just awful. Using it in all lowercase would be confusing, and using it as a noun with all uppercase letters breaks one of the most basic rules of English writing. Besides we already have words that can replace the noun version, hero, champion, best, etc.

To counteract the dislike of the acronym "GOAT" from the person above me, I will fully embrace and appreciate it from this moment forward.

😂😅

the old switcheroo

lots of odd things can go wonky during development

Nobody tell JCortes about Situs Inversus :P

@@gmdille It's easier to understand how everything switches around than just a few things doing it spontaneously.

​@@jcortese3300 situs inversus can also happen only in the heart!

And fire in his heart. He had to be calm to save a life.

Yeah, fellow nerd here, and as I was watching I was thinking "oh so cool, knowing all about the human hardware, debugging all these problems, coming up with creative fixes, what could be better" .. and then towards the end thinking "holy crap, the pressure of this, 'you get ONE chance', no 'we'll just try something else, give it another go', no mis-apprehending the problem, no mistakes, or you've got a dead kid in front of you, dead forever, and parents to explain to and try to console" ... that's just beyond comprehension for this nerd. "Diagnoses problems and implements fixes *perfectly* under life-or-death levels of pressure whenever called-upon" isn't part of any nerd job description I've ever encountered. I'd love to know what happened to the kid in question, long-term, and also whether the doc in question was able to mentor-up the next generation in his profession before retiring.

@@ericanderson9706it’s also the absolute risk of it all! Imagine if he hadn’t succeeded, he’d have to explain himself, how he came up with the wild idea to do that!

The surgeon actually just exposes the vessels in this instance (cut down, which is not common. Usually you can get access with a simple ultrasound and needle). The actual procedure is done by a pediatric interventional cardiologist (a medicine trained specialist). While the cutdown is emergent, this type of procedure (accessing left atrium via right atrium) is done in many instances by interventionalists in non-emergent settings! Source: it's my job!

It's Dynorod but inside babies. Bold stuff.

Have ypu seen it in person? Was it as dramatic as this?

Nowadays you do completely corrective surgery and re-plumb the pipes, but often the babies are SO small at birth (which may be premature) that you wait a little bit (if you can). Imagine operating on a heart the size of a grape!

It's a "keep the kid alive until the surgery can be scheduled" solution. Even with the new hole, they're really only getting a trickle of oxygenated blood into their system. So their heart and lungs are going to be racing like crazy, and barely keeping up, until they get the surgery.

@@just_some_commenter Thank you!

Wait you all go at the same time?! 😂

@@medlife2 let me put it like this: adults usually don't go potty in my home 😅

Major cardiac/great vessel surgery is a huge undertaking in both adults and children. Planning the best time/whether to do it at all is a team decision involving multiple experts. Using medications to buy time until a patient is optimised/stronger (and bigger in the case of infants) is a valid approach. The benefits and risk of medical/surgical/conservative management are specific to each case. DOI: Doctor who spends a lot of time in theatre 😴

@@majorxaero4964 thanks! Thats a good answer... I'm also a doctor who spends a lot of time in the theatre... But both the doctor and the theatre are of different types here

@@AdmiralSP haha

Also, general anesthesia is also a heavy drug. I know one of the considerations of infant surgery is if their body can handle general anesthesia.

You think a doctor shouldn’t find saving a life cool? That’s a bit of a shame as that’s pretty much the best part of the job. Should doctors derive no joy from their work? The baby did great, would you rather the doctors have not inflicted a procedure on them and allowed nature to take its course? I imagine most non medical people would describe a life saving emergency procedure as being cool. Doctors can certainly partake in black humour, but this isn’t it.

It's absolutely fine to recognise that you are not in the right place for this sort of medical channel. It is not fine that you blame Rohin when it is a paced video which flagged very clearly before it got verbally graphic what it might be about. It's very clear that your distress and anger meant you were unable to see that it was clearly the magic of someone being able to take a baby who was grey and dying to pink and on the way to long term survival so quickly and calmly that was cool. I hold no brief for adrenalin-junkies getting off on 'rescuing' an iatrogenic situation that should have been avoided. This is very much not that.

Saving a life is the coolest. I've done it. It's one of the best moments of my existence that I was able to prolong theirs. I believe you have some trauma that you may need to unpack, and adjust your misplaced aggression. A doctor discussing his job IS the channel. No need to announce your withdrawal. ❤ You anyway, though.

​@@autumnrain1892Honest, well said and not trying to insult. A* comment!