Dear Dr. K., I absolutely adore the longer, curly hair on gents. Just a little trim around the edges will suffice. Product recommendation; Evo "liquid rollers"; apply to damp hair with your hands, scruch it in a little, and off to the clinic for your next 22 hour shift of medicine practice. 💼📋⚒📍 Love in our Lord Jesus Christ, Princess Holly of Australia, hairdresser and saved 🕊🌿🌳🌲🌱🍀🌴 Foxy Vixen Hairdressers, 105 Bridport Street, Albert Park Melbourne Victoria Australia
False. A neurologist's brain is perfect at any age, and needs no additional electrolytes since it is always functioning at peak performance, be they 60, 30, or 7 years old.
Oh my goodness - I am a neurologist and I was literally yelling "none of those are the right one!" when he opened his reflex hammer box - and then he selected the correct one "Queen square" all the way baby! I actually let out a sigh of relief.
Our neurologists are super nice. We do a consult, they come by and do it, and if youre lucky you catch them in the hallway so you dont have to try and read their scribblings wholly unsupported. Really friendly guys. You do sometimes get a the impression of bening pity tho.
He borrowed that from a viewer, I came down here to try and find the guy who said it on one of his previous videos. (the Doc asked permission before he used it of course :) )
I like to think Dr Glaucomflecken uses these videos to test how much medical-related knowledge he's retained over the years. Probably finishes his script/ends his video and thinks to himself 'Oh yeah, I still got it'.
He already mentioned several times in the podcast he's researching for each skit. So there's probably often more of a "Oh .... right .... I remember sth. along those lines in my dark dark past in student years!"
My neurologist is pain management and palliative care. The palliative care side suppresses the neurologist in him and he ends up being the only nice and compassionate neurologist I’ve had.
@@c0ronariu5 I'm going to go with at least neurosurgery, CT surgery, and vascular surgery being more extreme. But you'd probably never see any of them touch palliative care with a 39.5ft pole. 😂
@@c0ronariu5 pretty sure he doesn’t. It works really well for him and his patients. The palliative care side helps him treat complex neuro patients and improve quality of life. He’s willing to try things that other doctors won’t (he’s one of the few in the practice who will prescribe benzos, opioids, and other controlled medications). Taking on New York State Medicaid to get meds approved is a sport for him.
One of our on-call neurology consultants made the mistake of coming into the ER one weekend, purely to belittle a junior about a referral. Three patients decided to crash at the same time he was there. We were already really short-staffed and he did like to tell everyone about how "great" and "superior" his medical skills were... His look of utter horror as, completely out of his depth, he was dragged into resus (his ego wouldn't let him run...) and attempted to lead a crash call - only to be regularly scolded by the nursing staff (including a newly qualified) - will stay with me forever 😂 That image of his existential crisis is my happy place 😍😎 He also no longer picks on anyone who witnessed his "moment"... Especially the two of us who stabilised our patient and then ran in, full throttle, to take over from him before he killed his patient. A few months later, he did try to start being a d1ck again, with a comment about me "needing a neurology refresher" so I asked him, as we were discussing interspecialty training, if he'd like to come and spend some time in the department to do an ALS "refresher". He just accepts my referrals now. I love it when he's on call! 😂😂
I used to feel the same when the ER and OBGYN staff used to criticise my decision making (ex-Paramedic). I think we all need to respect each others specialities. As the saying goes something like this : "Don't criticise me until you walk a mile in my shoes....."
Honestly no special should ever try to call rank in the er. The er nurses can handle any random-serve case that runs through the doors with the treat of death in the air. Yes specialists have alot more training in 1 era but they have the luxury of nice calm environments were the patient comes to them with something they can atleast partially treat.
How do you get through M3, M4, intern year without seeing hundreds of codes? Neuro intern year is just internal medicine without the clinic (in other words, even more inpatient internal medicine than the internal medicine people). Hard to imagine getting close to that level and being so out of depth. I mean, maybe logistics and dosing of second and third line pressors or something very crit-care oriented he might forget after intern year. But it's hard to get close to that far without knowing ACS basics. You can't really get through intern year without seeing this stuff routinely.
Ah, I used to have lines like that, but I eventually realized that the physician who calls you at midnight wanting a "stat" MRI is so clueless that they won't get the joke anyway.
Neurologist here. I love these videos! I was on consults in residency, and I asked the primary physician if he had checked the patient’s cranial nerves. He said that he checked the ones he knew. I laughed on the inside, as I appreciated the honesty!
I will never forget the time on rounds when my attending had forgotten her reflex hammer, and I, the eager med student, volunteered mine for use. She turned, looked at it, saw it was the basic triangle one, and went, "ew!" with a little shudder. She then borrowed the resident's good one.
this is giving me flashbacks. my Ob attending asked me (a med student) to a pelvic exam on a Pt in LD. And the family was sitting in the room and I was completely caught off guard. then he asked me to do the pelvic US and I had no idea wtf I was doing
@@hx5525 The “tomahawk” style hammer doesn’t have the proper weight, length, or striking surface to properly get reflexes. They’re a useless toy that every med student is suckered into buying.
And PS: while I was at my recent visit the neurologist he asked if I had any other questions and I said yes, “I’m a big fan of Dr Glaukomflecken!… Are you?” 😊 and he said he was!! True story 😂
Left-handedness turns 80year old patients with aphasia and mild weakness of the left limbs from "probably just dehydration" into "oh my god, every minute counts we need imaging stat and someone call the stroke nurse to prepare the rt-PA"
@@moo3oo3oo3 Yes, but if the clinical symptoms don't match up, I'd be hesitant to do an aggressive treatment like a thrombolysis. Unilateral weakness of the left side is a sign of a stroke in the right brain hemisphere. Aphasia is a sign of a stroke in the left brain hemisphere. Except for left-handed people, a portion of whose speech center is located in the right hemisphere.
You should be, but the problem with Neurology is that they are the ones called STAT, called first, called at 3 AM, called on holidays to rule-out anything "neurologic" before a non-urgent Psych consult is placed.
I’ve watched so many of these videos in the last 3 days that I’m genuinely starting to think that each character is a distinct person and not just one guy….
I would pay money to see a nurse preceptor or a charge nurse have a 'small conversation ' with Neurology about how he made the new nurses cry and afraid to speak to him. I want to see a mama bear defending her little cubs lol
I’ve known one great neurologist(Dr. Hamilton was an excellent teacher) and one crazy neuroanatomy teacher. Dr. Chronister, RIP, would act out every stroke, every gait disorder you ever heard of and many I’ve never seen again, and every neuro deficit you could imagine. Watching him bounce from one side of the room to the other was amazing! Why don’t you send the stuck up neurologist back to school? See how much his neuroanatomy teacher can trip him up.
I’m so happy you included “Absence seizures in a 40 year old”, “A&Ox4”, and the fear of giving tPA to a patient who needed it when they came through the door 70 minutes ago. I hope your short video brings great change to the world.
@@IvyPearsonUnderwaterthe fear is that if you give it for a hemmhoragic stroke you will likely kill the patient, but if it is an ischemic stroke you want to give it ASAP.
Dr G is amazing at getting to the core of things and portraying reality in a funny way. I saw a farmer and his wife in my transplant clinic last week. We were chatting at the end of the visit, and I introduced them to the video on the “Farmer Pain Scale”. They were both dying laughing at how accurate the portrayal was and immediately sent links to all their fellow farmers!
Our ER only has Tele-Neuro, it's kind of wonderful because you just send the company a report of what you're concerned about and the nurses roll the big computer and monitor into the room and the neurologist does their evaluation and contacts you with their recommendations. Avoids lots of....unhelpful discussions.
@@denise3885 Lol, honestly sometimes initial calls can be. It's great to have a specialist get a general idea of the concern and then just see the patient for themselves and then discuss their recommendations. So yes, in that sense sometimes the tele-health specialty services that more rural hospitals need to use can be great.
The hospitals I've been at with Tele-Neuro are watching someone on a screen repeat the exam I already did (but worse), and then give more-or-less useless recs. Glad to be moving to a L1 Trauma Center shortly.
@@Ananvil Just like your telerads there are good and bad companies. But yes, often their recs are exactly what we already know is needed, and when you already know the patient can stay, it’s more convenient to just have tele neuro do their thing and give the ok than bicker with an actual on-call neurologist sometimes. Best of luck at the lvl 1, don’t get lazy now!
I have had 3 different neurologists. (Seriously people. Traumatic brain injury is a real thing, especially when it’s permanent. Move the stepladder!) Two have made this Neuro look sweet. The current one is absolutely fabulous and doesn’t treat me like an idiot. So refreshing.
Oh man, so many flashbacks! I was a healthyish kid until suddenly I wasn't at age 13. Ended up spending 40 hours a week at different doctors' offices for years. At the pediatric neurologist's office, my mom and I gimped along through a hallway to get to the exam room, passed two guys just as one was telling the other with barely contained rage, "I HATE kids!" Yes, that turned out to be my doctor and no, we didn't just catch him on a bad day. He really was actually at least as bad as he sounds. Thankfully, I have met other neurologists since then and they have all seemed like they deserve congeniality trophies by comparison.
@@ClearlyPixelated as a new RN putting an IV in a little kid was one of the most traumatic things I ever did. I hated treating kids, because I didn’t want to cause them more pain, so I went into adult cardiology. I think the folks who love children can’t really handle the stress of treating kids (and their parents) and so the pediatric specialists are self-selected. In other words, they are the ones who don’t care if it’s a kid or an adult, and let their staff handle the cutesy kid interactions.
@@Ushio01 Valid! I just can't imagine this guy being mean to anyone ever. He was just so soft spoken and lovely. Mind you... he did mention a colleague and what his colleague would do (in a way to be like, 'other neurologists would do this, but I don't think its necessary'), so perhaps the cracks of superiority were showing 😂
All two neurologists I've met so far in my medical training have been wonderful and encouraging, but they were also the only ones interested in training medical students, so we'll see if they are the exception or the rule 😂
Working as a transfer center operator, all we ever heard our on call neurologist say was "give them a loading dose of keppra and have them contact the clinic tomorrow " 😂
I just had my neurology rotation (im a med student from Turkey) and it made me appreciate the neurologist character wayyyy more. so accurate, laughed out loud. unbelievable how universal these are.
Why does an ophthalmologist have 5 kinds of reflex testing tools? I wonder if his friends make him sign a rental agreement when he borrows their equipment. 😂
This is so funny! Whatever the circular reflex hammer is, my neurosurgeon loves that thing and won't test reflexes without it. My first appointment, her poor PA tried to use a stethoscope for reflexes and she walked in midway and gave such a look 😂. The stethoscope as a reflex hammer disapproval is real!
I have epilepsy. Juvenile Myoclonus Epilepticus, diagnosed at 10 when I almost drowned in the bathtub. I have absence, myoclonic, and tonic clonic seizures that are well controlled with meds, acupuncture, medicinal herbs and lifestyle. It was cool being able to understand all the neurologist said here and know why he was asking the questions he was. The question doctors never ask me: what do the seizures feel like when you have them? Its actually an intense release of emotional and physical tension so yes Im exhausted but it's a gauge for how well I have or haven't been taking care of myself. So now I haven't had them because I keep that in mind. I think just telling ppl to manage their stress doesnt always land because its so vague. Explaining that your brain processes it differently than everyone else and that if stress isnt managed seizures will occur emphasizes how vital it is in a way that is digestible. Food for thought.
I'm shrieking in utter amusement the whole way through. So accurate. I'm PM&R and would not use anything but the last reflex hammer. This is such a masterpiece.
A young resident neurologist actually discovered I have carpal tunnel while talking about my migraines with the pin prick test. Deeply appreciate that.
GAH. This the spirit of our on call dearly departed neurologist circa 1992. The ED docs drew staws to see who'd have to deal with him. At least this one has a weird charm about him. Our had a slime coat of smug.😂
My favourite quote from a neurologist I heard recently was "who suggested starting IV Immunoglobulin, the car park attendant?" Followed later in the conversation by "Did they actually go to medical school?"
The neurologist remains my favorite toon. Might be the hair, glasses, or expression(s) but this character looks the most unique with the helmeted ER doc coming in second. This channel also made me look up what a "Queen's Square" is, which is a nice piece of info to amaze/bore my colleagues in engineering.
There is something both relaxing and warped about seeing Neurology happy in his natural habitat, powered by the sweet taste of med student's tears. Like an Apex Predator limbering up for their next meal. Oh, and the 'weird' call was from ER, right? 😂
Dr.Glaucomflecken, your comedic mind is brilliant. You make me laugh out loud every single day! Thank you from this RN, who has had a 40 years career and counting……
I’d love to see the neurologist get a full neuro exam on a 94 year old demented possible stroke patient brought in by their 95 year old husband while seeing a waiting room full of patients and having their phone go off every 3 min for another critical patient who just arrived by ambulance. Please my neuro colleagues have some grace for your ED docs.
