Doctor Mike Reacts To Grey's Anatomy Compilation

for better or worse i get the mcdreamy thing a lot move over mcdreamy i've never seen the man in action in fact i've never seen a full grey's anatomy episode but you asked for it so you got it a month ago you were in med school being taught by doctors today you are the doctors first of all i've never heard a speech given that dramatically on an intern's first day nobody really talks like that it's much more practical five of you will crack under the pressure two of you will be asked to leave this is your starting line this is your arena this sounds like hunger games more than it does grey's anatomy [Music] uh no i'm not kidding it's just that uh you know you were i mean you were very unforgettable o'malley yang gray stephen we do get ready together in the mornings there are locker rooms like this it's funny to say but because doctors spend a lot of time in books while in medical school they're not the greatest at interacting with others or maybe even showing interest in the opposite sex so i've seen situations like this happen a lot where someone's trying to make conversation but they're not great at it so it comes off very awkward it's funny but this is very accurate your first shift starts now and lasts 48 hours your interns grunts nobody's bottom of the surgical food chain residents don't work 48 hour calls anymore they're capped at 80 hours per week maybe they go a little bit over that sometimes but 48 hours is just non-existent and this started because of the libby zion law which is sadly the name of a young girl who died because residents who were so overworked they missed catching a diagnosis and she ultimately died you run labs write orders work every second night until you drop and don't complain on call rooms attending condoms the on-call rooms look exactly like this they're very plain they're very basic the hospital doesn't budget or allocate any money towards them you have to change your own sheets the mattresses are basically plastic uncomfortable so this is very accurate dr bailey the shot gunner that means every test in the book ct cbc chem 7 talk screen i love how simply the attendant came in and made that decision he basically saw maybe the chart maybe a brief explanation of what happened while the patient came in and he already has a shotgun approach to this this is not how medicine works that's ineffective you need to have a presumed diagnosis in place so that the labs and tests you order actually confirm a diagnosis you can't just throw stuff against the wall shotgun against the wall whatever he said and hope something sticks the only time that is appropriate is if you have no idea why a young otherwise healthy patient with an unknown history comes in with some sort of weird presentation then you can start ordering a broad range of tests but they knew she had a seizure history so why are they doing a ct scan i need more info more info please hello you're so lost what do you like new this is where these medical dramas get me they make it seem like the doctors do everything from a to z they diagnose the patient they run the tests on the patient they draw the blood they transport the patient we have nurses we have amaze we have transport staff we have pt therapists we have respiratory therapists understand they're trying to build up character so they're trying to show as much of them as possible i'm just gonna insert my fingers into your rectum why fingers i just one finger but you missed a lot when you first started out no one was ever that mean people wanted you to learn they wanted you to get better if you go into every procedure or every moment within residency with the concept that you want to learn and you want to do better people respect that so i don't i don't necessarily get this uh hatred that these poor interns are getting yeah our cafeterias are bare bones with usually not the greatest food available in fact this is what surprises me most about hospitals we try and tell people to eat healthy and stay healthy but the only options to eat are pizza burgers chicken fingers the most unhealthy foods possible it's crazy to me you know what i'm not the doctor um i'm a doctor but i'm not katie's doctor so i'll go get him for you very common situation to find yourself in especially at on nights when you're covering for the entire hospital and some medical emergency happens the family wants answers they have a lot of very important questions that they need answered but you don't know the patient you need to put a lot of information together rather quickly and create a thought process that the family can follow along with you so they know what's going on you don't have to give a direct answer a lot of residents young residents especially think that they don't have the exact right truthful answer that they're bad that's not true even seasoned attendings know that there's times to say we don't know yet what's going on dr shepard he's over there why did i know this mcdreamy guy is going to pop into scene oh wait did they not know each other dr shepard this is inappropriate that ever occurred to you i agree with her in a position of power you should not be involved in these types of situations they don't happen that often as much as we like to believe that there's so much love and drama going on in hospitals doesn't happen as much as you think it does but i have a little she may come back for more with the wonderful dr shepard let's move [Applause] usually we wear eye protection because if blood squirts out into your eye it's pretty dangerous so at least have goggles or the face shield that comes attached to the mask [Music] appendix is not bad that was rather quick i guess that's for tv sake in reality there's a lot of conversation that occurs between the attending and the intern um especially with identifying landmarks they'll often ask you really hard questions and we call that pimping and they'll ask you questions that are unrelated to the case so you prepared for this case but they'll ask you something else it's very common okay give him a clap bp's dropping he's choking come on george today pull your balls out of your back pocket let's go who talks like that pull your balls out of your backpack double-oh-seven is a state of mind when says the girl who finished first in her class at stanford we lived with the vending machines i used to eat snickers galore when i forgot to bring my healthy alternatives from home mr jones has chunky veins and he really needs antibiotics i should start a central line so start one you don't know how i clearly i'm very passionate about this starting a central line just because you couldn't get a vein with a a needle prick is crazy it's crazy you're putting the patient at risk dr bailey i don't mean to bother you i don't it's mr jones is he dying no then stop talking to me she should have gone to a nurse because nurses have way more experience than even doctors in getting a blood draw next time you wake me he better be so close to dead and that patient doesn't look alive for some reason oh no he blinked okay he's alive are you sure that's the right diagnosis well i don't know i'm only an intern here's an idea why don't you go spend four years in med school and let me know if it's the right diagnosis oh that's what we call a cowboy intern basically a cowboy in turn is someone who is so confident in their diagnosis that they start their treatment they don't explore any other options they don't have a good differential meaning other options of what the illness could be nurses keep the hospital running without them we would not be able to do our jobs a lot of times they'll catch our mistakes they'll be able to identify things we could be doing better this is the most drama i've ever seen happen in the first 24 hours of being an intern the rest pam's not working phenobarbital loader with phenobarbital okay when you say loader with phenobarbital that's not an order you need to give the dosage the nurse needs to say back to you to make sure that she heard the same thing that you said otherwise if the nurse misheard you and you didn't even give the instruction of how much to give they can give any dose and that could be lethal to a patient so that's not real okay so heart stopping that's the code blue i've talked about this before now the patient is dead if the heart has stopped the patient is technically dead and you have to work to revive them to get their hearts started back up again as the resident in charge you have to instantly give roles to everybody you do chest compressions you do this you give the medications you monitor the rhythm strip the most important role being chest compressions you have to do chest compressions you cannot stop doing chest compressions so if you have one person that's giving bad chest compressions because they're tired you instantly have to swap them out because chest compressions is what extends and saves lives so right now them not doing chest compressions is awful the first thing you do is chest compressions whoa i hope she's not gonna shock the patient oh my god please tell me she's not gonna no clear no what are you doing grey's anatomy no still nothing no oh she's in v-fist then why does it sound like she's flatlining [Music] i've never thrown up in a hospital i've never seen a doctor throw up in the hospital unless they were sick yeah when things go wrong you get nauseous that's part of life i mean there's difficult moments that happen there's times where you're gonna be humbled i mean every day i walked into the hospital as a resident i was humbled there's a reason why we call it practicing medicine because we're all practicing we're all learning we're all adapting we're all trying to get better and the human body is a crazy crazy thing that we still don't have perfect knowledge of so i feel for her a little bit you know just a little bit a little dramatic what i feel for her is a seizure disorder now you're saying it isn't i'm saying that i don't know what is oh my man mcdreamy saying my line real doctors are comfortable saying i don't know because in reality there's a lot we don't know and when cases get very complex like this young girl who's otherwise healthy is having seizures and then her heart stopping it's a very unusual case very very unusual i want someone else a doctor who knows what they're doing you get me someone else someone better than you these types of conversations do happen this is real life people get very very upset it takes a lot of patience to deal with these issues i've seen doctors get mad and snap what i do is if i feel like i'm getting angry as well i step away from the situation let both parties cool down and then come back and explain calmly what we're working on because if you just say we don't know with no follow-up it seems like you're not doing anything but if you say we don't know but here's what we think it might be and here's what we're working towards that's a much better answer he'll be fine right tony's going to sail through you have nothing to worry about problems patients need reassurance you need to give honest reassurance without over promising the results what are you doing i'm suturing a banana with a vein hope that it wakes up my brain suturing bananas suturing pig's feet is something very common that med students and interns do so that's it is true she's gonna die if i don't make a diagnosis which is where you can i can't do it alone i need your extra minds extra eyes this is very dramatic every day we have meetings known as rounds where we sit around a table like this we present a complicated patient we give the history we give the physical we give the test results and we all brainstorm ideas of what it could be how we would approach the case and it's very good practice even if we already know the outcome but sometimes we don't know the outcome and we are brainstorming like you said here but it's not this dramatic you can't comment make a face or react anyway [Music] we had sex [Music] katie competes in beauty pageants i know that but we have to save her life anyway okay she has no headaches uh no neck pain her ct is clean um there's no medical proof of an aneurysm first of all this is known as a hippo violation uh they're basically talking about a patient's case using her name in front of other people who are not involved in her case and that is strictly against the law they can get sued for millions of dollars and rightfully so because you shouldn't be discussing patient information elevators in fact in most hospitals you'll see a sign in the elevator that says please don't discuss patient information wow that was quick his heart had too much damage to get him off bypass i have to let him go it happens rarely but it does happen the worst part of the game oh and he gave that promise to the family saying that he's definitely going to make it tony's heart had a lot of damage you don't do this type of conversation in an open setting like this you invite the family into a counseling room you explain what happened but you don't do it out in the open like this because this is just gonna end badly you shouldn't defend we had sex get in the way of you taking your shot shouldn't have had sex period dr shepard name the common cause is a post-op fever uh the five w's bro can anybody name the common causes of post-op fever adolescence utf wind water wound walking wonder drugs yeah she's got the 5w how would you diagnose i hope she says ct spiral ct and not like eq scans provide 02 dose with heparin and consult for an ivc filter no she just gave all of the options that you have in uh testing somebody for a pulmonary embolism as well as treatments that you may give to someone uh with a pulmonary embolism i'd know you anywhere you're the spitting image of your mother welcome to the game welcome to the game i've never heard a doctor speak like that welcome to the game you never want to sleep on a stretcher as a resident because it's bad luck it basically says that you're gonna wind up on a stretcher you have the on call rooms you have couches you could knock out on so sleeping on a stretcher that's just bad form i should uh go do this [Music] you should the romance is real i'll see you around i thought mcdreamy would have a little more muscle on him he kind of looked a little frail there boom there you have it my first grey's anatomy episode is in the books and you were here to experience it with me all in all i'm pleasantly surprised with this grey's anatomy episode because i assume there's going to be just way more loving and sex and that's what the whole show is going to be about and in reality did take a deep dive into how a resident feels and what their work is like so i thought that was pretty good and it surprised me medical accuracy obviously weak but i don't think most people watch grey's anatomy because they want to become doctors and they want to learn about the human body i think it's an entertainment show first and foremost and i think it does a great job at that the fake mcdreamy's back aka me i'm gonna be watching my second episode of grey's anatomy alongside you guys let's get it started turn up the tv a massive train wreck occurred just outside of seattle minutes ago 9-1-1 we just worked at 30-hour shifts i don't have a clean underwear the vancouver-bound train was that's crazy they worked a 30-hour shift and they can get paige to go back hello i seem to be a little bit drunk i was off duty so was i anybody else half in the bottle no i don't get why she would come in to her shift if she's drunk that's not helpful to anybody and if she starts performing any kind of medical procedures while under the influence that's not good for patients that's not good for her it's just a subpar solution so i don't really understand what she's even doing there she should be making a little love with mcdreamy [Music] was that a knot yes do we know what it meant no am i invisible how much roman i feel like this isn't a medical show anymore it's just a romance show whoa what is that that is fine maybe it's the second worst that was crazy are you gonna pull this pole out of us any time soon touch uncomfortable i'm sorry we can't do that until we get a better look at what's going on internally but i assure you we will work as quickly as possible they're taking this very not seriously and a lot of humor with a pole jammed into two people's bodies whoa that's all i can really say right now something that i think needs to be done immediately is to give them some sort of back support so that they don't get fatigued and tired and start slouching because if they are to slouch when they get tired and they obviously will get tired they can do more internal damage with that pole going through them you are drunk go get yourself a banana bag iv put it in your arm and then find me do not speak to any more patients do not practice any medicine iv drips do not stop hangovers this is why so many people are opening these iv drip spas especially in vegas i see that happen a lot and they promise you that it's going to block or cure your hangover and iv will hydrate you the same that you can hydrate yourself by drinking some water or drinking some fluids with electrolytes in them now that being said it's going to be a little bit quicker but then again you're also increasing risks because you're opening a hole in your skin to get that iv in something to mention about hangovers is that it's not all about dehydration a hangover is like a catch-all term for all sorts of symptoms nausea vomiting fatigue dizziness a dry mouth yes hydration may help some of these things but it's a complicated process that has a lot of things going on in it just giving yourself hydration is not the sole answer no no no we're fine honey yeah some redneck tried to outrun the train honey and the train slammed into his ass and then it rolled it hurt oh no no no no no that dude is toast he was doing sutures it looked like above her eyebrow no doctor would perform sutures like that keeping your hands elevated like that from a lowered position and doing sutures you're gonna get fatigued so quickly and your hands are gonna start shaking and you won't be able to do it right you always need to be above the given situation where you going i'm taking your friend for an x-ray oh no offense little boy but uh you look like my oldest son and he's nothing but trouble yvonne shut up what i said no offense i'm just saying are you sure you're a doctor i get that all the time what are you doing trying to insert my banana bag which sounds vaguely dirty but it is a banana bag is just an iv bag with normal saline which is fluids with electrolytes in them there's also some vitamins in there generally this is given to people who are chronic alcoholics because they're usually nutrient depleted giving it a banana bag to someone who's healthy and had a few drinks pretty much useless just have some water and give it some time his legs what about them they're both left [Music] find the man's leg yang find it now yes sir they got the wrong legs and why did she say it only then these people are still alive they're still making small talk poe's tamponading the wound as far as we can see when she says that the wound is being tamponed by the pole it means that it's exerting pressure and actually preventing them from bleeding that's why if you ever get stabbed with something it's never ideal to just pull it out automatically until you have medical care that object whatever it is is putting pressure to stop the bleeding what if we move one of the patients off the pole to get the saw in there then we can hold the pole steady in the other one move it very slowly and repair the damage as we go who would you move with her aortic injuries her chances of survival are extremely slim no matter what we do i don't really buy the realism of this the aorta is a pulsatile vessel meaning that every time the heart beats the aorta moves so if you have a metal pole that's going through the aorta and has cut it open there's no way that pole is putting that much pressure that it's preventing her from bleeding out unless it's like crushing it or compressing it in such a weird way so basically whoever you move doesn't stand a chance why can't they just cut the pole from in between them and then separate so how do you choose how do you decide who gets to live you're a cute doctor cute doctors get to call me by my first name bonnie hmm okay oh my dreamy can you feel me rubbing your foot could you try to wiggle your toes mr maynard are they moving yes they are good that's good right yes it is what about me am i moving yes that's probably one of the situations it's okay to lie to a patient is there any chance that we can get out of here sometime this year well the lab's backed up and so is radiology and i can't discharge your friend until i'm certain she doesn't have any internal injuries nowadays we decide if someone has internal bleeding with an ultrasound called a fast scan if i don't find this leg the chief is going to cut me from this program and i cannot go back home burke it is too sunny in los angeles it's sunny every day i don't understand what she expects does she think that the the chief is going to be like you couldn't find this leg in the rubble so that's it you're cut from the program i don't understand what her thinking is this supposed to be like a comedic aspect is she being sarcastic in order to operate on mr maynard we have to separate you too in order to do that we have to move you backwards off the pole [Music] can't just pull the pole out of both of us well if we did that you would both start bleeding very quickly too quickly right now the pole is plugging the wounds once removed the organs will shift and there is a great deal of damage so if you move me i'll die you're being ridiculous you're gonna be fine do you hear me i hear you but we still have to sign the forms unless you want our son to end up with my mom [Music] [Laughter] how long have you two been together since third grade we're not lovers we're best friends oh we just wanted our kids to have two parents so we got a sperm donor the same donor so your babies are brother and sister oh how cool is that oh my gosh who writes this stuff yvonne it's your phone yvonne [Applause] yvonne looks like she passed out okay first thing you do during your code blue chest compressions chest compression chest compressing chest compression but also before you call a code blue you got to check for a pulse because code blue means someone's heart has stopped and just because someone's unconscious it doesn't mean they're a code blue so my man needed to go right up there to the carotid or to the femoral artery or to the radial artery this is usually the best place and feel if there's a pulse there's no pulse yelling for help while doing chest compressions she's lost too much blood she's been bleeding for hours there's no blood she's not bleeding she was bleeding internally what's interesting about the abdominal cavity is that the back portion the posterior portion which we call the retroperitoneal area it can actually store a lot of blood so you can be having a very slow leak of blood into that area and not really know that you're bleeding out the one thing that makes this less likely is that she was talking she was moving around generally if you're losing blood you start having symptoms like you feel fatigued your eyes are closing you feel like you're going to faint or pass out your blood pressure starts dropping you can even be having some abdominal pain because blood is a natural irritant to the abdominal cavity so you start feeling pain and then once we do our exam we'll note that you have an acute abdomen we would do an ultrasound or a cat scan find the bleeding and then take you in for what we call an explorative laparotomy where we literally open up your stomach by stomach i mean the skin of your abdomen look around check the entire intestines find where you're bleeding fix that area put everything back in so you back up and get you up and moving again but in this case she's lost so much blood that she went to cardiac arrest meaning her heart stopped now he's doing the advanced cardiac life support uh procedure where he's giving epinephrine he's doing chest compressions he's helping her breathe with the bag um and hopefully trying to get her pulse back and get her heart beating again oh no no sorry time of death 251 [Music] what about her we cannot just abandon her we have an obligation [Music] [Music] 349. one of the most difficult parts about medicine is triage knowing who you can help in a given moment and knowing where to use resources when they're very limited some of those decisions are heart-wrenching they're incredibly difficult to make at times it feels like you're playing god and it's putting you in the most unfair situations but you have to do your best given what limited resources you have and what limited information you have to make the best possible and fairest decision i applaud all first responders in these types of mass casualty situations growing up in new york city thinking about 9 11 what that must have been like for people who were working in the local new york city hospitals it scares me it blows my mind all at the same time i've trained in level one trauma centers during my medical school time and just having a few people come in with gunshot wounds or knife wounds or bicycle accidents those are incredibly stressful situations you never know what to expect you always have to be thinking quickly on your feet so then to imagine what it must be like when hundreds of people or even thousands of people are coming in wow so huge thank you to all the people that are have ever been involved or may ever be involved in those types of situations in the future we really respect you and thank you for your service did she suffer no we're interested again these conversations don't happen in the open this is not right better get cleaned up rounds in five minutes today has been okay i don't get it they work 30 hours they come in for an emergency look look like they worked for another 12 hours they've been working for 42 now they're going to morning rounds do they ever get time off oh man you guys recommended a doozy here it presented an interesting situation uh unfortunate for the patient that died kind of shows you that doctors are sometimes put into really tight spots where they have to use limited information limited resources and sometimes let one life go in order to save another that's a very very very unfair and tight situation that we find ourselves in that's what we asked for when we decided to go into medicine and that's why it's a beautiful field and we get so much admiration put upon us as doctors because we have to make those decisions please welcome my colleague dr luis espina who i actually did residency with and he was my senior resident so he taught me everything i knew not everything but yeah are you ready you have to do that by the way no no no come on no you have to do it yeah you didn't sign the divorce process fine i get it end of discussion what i actually don't know anything about their romance and i know people in the comments are already getting their bows and arrows out to knock me down i i just i don't think they're married i think he's about to divorce wifey and she's trying to get him to do that dr bailey henry lamont age 42 is scheduled with dr shepard for a spinal implant to control the pain of his herniated disc is allergic to all pain medication is that porn porn as in porn all right what are we watching correct go stand in the hall you have to be sensitive to the needs of the patient yeah but that's overstating it have you ever patient do that no i don't think i don't think the television could get cnn much less look we can't have porn in here this is a hospital it's for my pain my doc says it releases endorphins in the brain it helps keep my pain at a manageable level not gonna lie if that helps him over an opioid addiction i'm with getting him a private room i am a firm believer in the what it takes school of medicine so whatever it takes to make the patient comfortable okay pete willoughby 25 year old gsw to the chest immediate return of 860 cc's of blood from this oh this hurts he's put out more than 200 cc's over the past hour they never tell you in movies how much it hurts to get shocked push morphine 2 milligrams alex this is my case i don't understand in this show when they say a person's lost a liter of blood that they're hanging out talking casually just chilling it looks good his hair looks his hair look good looks like you'll be able to go home today ellis but i still have patience to see no no more patience i'll be back to check on you later okay you should know i'm thinking of leaving thatcher i should never have married him i'll leave him you leave adele then when our residency is over we can both get jobs at the same hospital why don't you get her meds ready for discharge nursing thank you i mean i was an old resident but that's an old resident of that guy's a resident i don't know if he's a resident yeah i don't understand the story line she may be them suffering from the message she she may be yeah i mean i was old but that guy makes me look like you yeah well maybe not quite but it was a long time ago remember we had this discussion 21 years ago oh lou it was the rain i just passed out actually mrs bradley verna verna you presented with lateral st elevations and reciprocal inferior changes consistent with an mi a heart attack so when a patient has a heart attack as they described it an st elevation mi it's called a stemi you got to get a patient right away into the cath lab which is where they put a catheter from your arteries either from down below or from your arm into your heart and either open it up with a stent or just evaluate and see if you even need a stent to begin with and there's a very strict protocol as to how much time it is from the door to the balloon 90 minutes yeah so 90 minutes [Music] you have to be on the table and and have the calf started i've had a twinge in my back for a while i thought it would go away but then last night my legs went numb this morning my back pain is just too much missed you we're gonna push on a pca pump give you some morphine which should help control the pain thank you okay this is a great that was quick huh it's an awfully comfortable pca pump that's a quick pca pump a pca pump is a pump that's controlled by the patient in order to give them anesthesia usually there's an opioid in there it's programmed so that they can give themselves dosages but if they're using it too frequently it times out and doesn't allow them to do it now this is good because when patients have that ability to control their pain relief they generally use less of it and are more aware of how much they're using as opposed to when a nurse comes in and doses it they may overuse it and in and of itself being in that much pain can be just just a humbling situation so it returns some measure of control to the patient what's going on i was just about to explain that anna's mri has shown that she has a mixopapillar epinema it's a tumor in her spinal canal but the good news is that we can't operate you have a 95 chance of fully recovering if we get you in the surgery as soon as possible do you know about that i don't know about that and i don't know how he gets those stats right off the top of the dome even waiting another day puts you at risk for permanent paralysis father no no surgery mr chu without surgery anna will be paralyzed probably within the next 24 hours i hate how they talk about medicine with such certainty because then it tricks our viewers here from going into the hospital when we don't give them direct answers they're going to be like but derek shepard mcdreamy told me that my tumor if i don't operate i thought you were dreaming no i know but this guy look mr schue are you taking our daughter home anna you're over 18. you don't need your father's consent two this is true i'm hmong and my father is the elder if he says i go home i go home do i continue to process our discharge yeah we have to it's insane but we have to well actually we wouldn't process this as a discharge we would process this as an ama which is leaving against medical advice because if we're telling a patient hey you may have a disability if you don't get the surgery immediately they choose to leave we have to say that they left against medical advice otherwise they can say we told them to leave and then something tragic happens right right it's illegal you'd be responsible the problem that you have there is that you want to try to convince the patient and the family with logic and reason but also some empathy because if you just throw the ama papers in their face and walk out the door they're definitely going to leave so sometimes it takes a little bit of honey to catch the bees i was married for 11 years addison is my family that is 11 thanksgivings 11 birthdays and 11 christmases and one day i'm supposed to sign a piece of paper and in my family a person doesn't do that not without a little hesitation i'm entitled to a little uncertainty here just a moment to understand the magnitude of what it means to cut somebody out of my life i'm entitled to at least one moment of painful doubt i know nothing about their relationship but that sounded very logical to me itu uh you might want to have thought about that before you jumped in bed with the intern so scratch my previous piece of advice i'm going with doctor speed uh my humongo or my elder you you might want to have a little doubt before you run off with the the attractive colleague dr shepard still here i see i couldn't leave you have you seen the other dr shepard i'll tell him you're looking for so um oh that's his wife i guess hey i got berna bradley's test back i don't think she had a heart attack never looked the changes in her ekg she had something yeah but her serial enzymes and dopina means stress echo came back negative i actually think she's her dobutamine stress echo came back negative while she's having a stemi let's explain what a dobutamine stress echo is so uh an echocardiogram is an ultrasound of the heart you can give a chemical which actually stresses the heart makes it beat more rapidly which therefore makes more blood flow occur now you can look at the echo and see how the heart responds to see if the walls of the heart are moving appropriately if blood flow is circulating appropriately within the heart but now why are they doing a test like that on someone who's actively having a heart attack based on the ekg let's do this as a patient simulation we have like what a late 40s female syncope chest pain uh negative cardiac enzyme with st elevations with a negative stress echo what's your diagnosis that's the switzerland she's having an mi so that's you would say she's having it you're going to say she has a left uh anterior arm until proof lesion until proven otherwise there's something in the left anterior descending however there's going to be more drama and i'm going to be wrong i have an idea she did something bad and she has taku sobos carditis no she didn't do something better her husband did and he's stressing her out and she has taken chauvo's uh that's not a bad guess broken heart syndrome you're really no you'd say it on the echo no if it's resolved no it doesn't stress it doesn't resolve that fast you're in trouble now they're gonna crack his chest in the elevator now they're gonna turn off this no they're not no we're not moving really you think you need a strong hand and a pair of sharp trauma shears right now help that doesn't really happen we have generators how's the patient it's not looking so good you're a doctor and that's your explanation of what's happening give the rhythm give the pulse have you ever even heard of the hmong people our religion has got rules that are way old and away set in stone and way spiritual and you don't mess with them you don't anchor the ancestors even if you pierce your tongue and play in a band what are the rules exactly when encountering a situation with a patient that culturally it's something that you are not familiar with smartest question thus far in the show what are the rules by knowing that you might be able to find a point of compromise to fix the situation apparently anna's father believes she's missing something that she needs for surgery missing something missing one one of her souls we don't need a social worker we need a shaman you definitely did not have a heart attack so i can go home not yet your ekg shows significant changes and i'm going to find out why before you leave the hospital how's your kid home pete you're in the hospital if you get home so when you lose a lot of blood uh you become hypoxic your brain's not getting enough blood flow your brain doesn't get enough blood flow doesn't get enough oxygen when your brain doesn't get enough oxygen it starts saying crazy things like you're in the middle of an elevator that's stuck bleeding out from your chest from a gunshot wound and you say you want to go home o'malley blood pressure i've taken it three times and i can't hear a systolic over 50. so that's quite dangerous that means he's not getting perfusion to his vital organs including his liver brain and kidneys which means that those organs are currently dying i'll be right back wait where are you going to get an instrument trey you guys are gonna have to open up this chest hot damn we're just gonna have to get a shaman today in the hospital shamans are listed in the yellow pages how shaman is 500 miles from here you are an arrogant man no i'm just a guy with access to a helicopter cool let's see how this is going to happen hey where are you two going so fast mark is talking george and alex through heart surgery in the elevator shepard's setting up a shaman healing ritual rock on a porn guy [Music] this show is really medically inaccurate but it's hilarious it is it's funny she has the porn guy that's funny wouldn't if residency been much more fun it was like this we didn't have to operate in the elevators we didn't have shaman we just had patients who had no insurance that we had to battle to get them treatment you never shaved your legs what but be sure you don't cut into the longer heart uh how can i be sure that you just have to be sure [Music] on this date for the past seven years you have what looks like a heart attack no no i know i've had some scares but i don't every year on this date is there some significance to this day for you personally no nothing what were you doing the first year the first time you had a cardiac episode i can remember back that far we were in the yard i remember because our neighbor what was his name chad that's right he died of an aneurysm i think and we watched says the funeral home people took him away and you had your first attack and you were close to ted no oh she barely knew ted yeah this is taco tuberose i'm gonna smash it i'm telling you right come on it's impressive it's beating a little stronger excellent keep your finger there okay now what that's it that's it [Music] what's wrong with that picture there's open flame in a hospital and why is open flame in a hospital especially in that bed really dangerous but oxygen around there oxygen is a little flammable well it potentiates the fire yeah [Music] you have stress cardiomyopathy cardiomyopathy i have an offer from boston general you took it to get away we saw we'd never talk again about what we had together this reminds me of the notebook you guys ever watched a notebook romantic movie i didn't see you didn't see it no we should watch it like a bro bro night yeah no it takes away his pain see the thing is henry henry takes away my pain humans are weird all of us myself included well we're all unique and again did you just use a synonym for weird yeah in a more positive tone yeah usually you're the dark one i am i am i don't i don't know i'm in a good mood today but yeah probably because of the porn it must be the porn choose me love me [Music] i'll be at joe's tonight so if you do decide to sign the papers meet me there oh no you don't like it too narcissistic for your taste pick me i think it's a beautiful day to save lives don't you agree i'm gonna like being married it's the wedding part that's ridiculous oh party's over you know what's funny even though the show was filmed so long ago this scene of them have it hanging around and having pagers still rings true all my residents still carry their beepers around and they get paged and they have to interrupt what they're doing to go respond to an emergency now we're not surgical residents we're family medicine residents but equally as important just on different terms you marrying burke it's a sign sign that people like you and me can do this be healthy be happy did you just steal my line in the show they found the fourth climber vitals are stabilizing after fluids but i thought he was dead he was according to his friends did the ct show a bleep uh we haven't done a ct yes understood you said there's a headphone yeah there's been a little head trauma ice axe to the head oh so you really need a uh probably a neurosurgery consult at this point for having an ice pick stuck in this gentleman's head now as i told you earlier on this channel if you ever get hip with something and it stays inserted into you a knife ice pick whatever it is you don't take it out because it's putting pressure on there to prevent you from bleeding out so if you take that ice pick out what's going to happen the person is going to bleed especially from the skull if you ever needed to get staples placed in your scalp because you cut yourself you know how much it bleeds even the smallest little cut on the scalp bleeds a tremendous amount it's actually really scary but it's only because there's a lot of blood supply to that area not because there's a lot of damage to that area so just keep that in mind my wife came into my hospital and you neglected to tell me about your patient confidentiality it's actually a very difficult place to find yourself because if you have one of your colleagues family members as your patient you want to share and you feel like you should be able to share but in reality you can't i actually treat a lot of my colleagues even my attendings when i was a resident their children and as a result the things that their children tell me i can't share with them only when they're brought into the room by the patient or the patient expressed the fact that i can discuss their case with them do i then incorporate them into into the conversation but in reality it's two separate people just because i know both of you doesn't mean i can freely talk about your care to one another there's some things we share with our families some things we don't and that's a right she's unconscious there are medical decisions to be made legally i have the right to know i have a right i might be having a miscarriage what's wrong with me i'm gonna explain everything to you i promise right now we need to get you up to the surgical floor surgery what about my babies i think those babies are coming out today but i haven't decided i haven't chosen parents i need time to decide it looked like he was doing an ultrasound of her heart which is an echocardiogram i didn't follow the case from the previous story but it sounds like she's pregnant and she's acting as a surrogate to give the child to one of the two families there i wonder what can be going on with her heart that they need to take her for an operation the medical curiosity in me is a pekin how's renin i need to get a ct angel but i'm pretty sure it's a tear in our aorta her heart is about to blow whoa so uh dissecting aortic aneurysm is when there is an aneurysm within the aorta which is the largest blood vessel that comes off of the heart and brings blood to the rest of your body an aneurysm first of all is a weakness in the wall where it actually protrudes out so if you imagine your artery being like a balloon and then one area of the balloon is very weak so it creates almost like an owl pouching when that happens that wall is very susceptible to bursting and rupturing because it doesn't have all the layers that the rest of the uh artery has so what can happen is you can have a dissecting aortic aneurysm where it's getting so bad that that weak arterial wall is literally about to burst and that patient can rightfully bleed out and die because of all the bleeding internally so you have to go for surgery immediately i just don't know how this is happening in such a calm situation because it's really a medical emergency or surgical emergency where you need to go go go and start the operation i didn't paid you go home get some sleep yeah but i'm here already you're getting married in less than 12 hours well uh brook's getting married too and he gets to operate there's only one kristen burke there's only one christina yang i've given you the day off the whole day it's a kindness take it it's your wedding day there'll always be more surgeries but really what would you rather be doing prepping a patient or prepping for your wedding go home those who love our jobs and who are passionate about our jobs we want to be there but it's at times we have to pump the brakes and realize that if we want to perform better at work it's actually ideal to take some time off this is why one of the biggest problems that people face is that as they make more money you would think they would become more financially independent therefore take more time off but in reality they just become slaves to their money into their job it's really important to not burn out because too many people in our society right now are working day in and day out and there's times we need to do that and we need to put our foot down but then there's also times where we understand that a break will actually yield better results they recovered london's body not his body he's alive so why don't you tell me what really happened up there on the mountain so i'm assuming because i don't know a lot about this case they're on a mountain they were trapped there's frostbite happening frostbite generally happens on areas that have less circulation and areas that only have less circulation but are ones that your body will decrease blood flow to in order to conserve warmth so for example if you ever see your hands get blue when you're really cold that's your body naturally protecting yourself from losing heat what it does is redirects the blood back to your core so that you stay warm your vital organs stay well perfused with blood flow and you don't need a lot of blood flow to keep your hands alive so if they look blue that's what's happening there's also a condition called raynaud's phenomenon you have an ultra sensitive reaction to cold so just being in a cold in a cold location for a short period of time will make your hands turn blue a simple task for that is to put your hand in cold water and i'm not recommending you do this but you could put your hand in cold water and take it right out if your hand turns blue really quickly you have what's known as ray nods it's an accident i feel like it's not mcdreamy's place to make the decision on whether or not it was an accident in this scenario if i have people talking about self-harm or uh i don't know what you would call this like an assault type situation even if you think it may be on accident or self-defense you have to get the authorities involved i think that's the ideal situation maybe not right in this moment because no one's escaping here they all look really injured but at some point you have to get authorities involved so should i be worried or something should you be worried that i met a woman no should you be worried that for me flirting with that woman was a highlight of my week yeah you should be worried or something [Music] what kind of threat was that that's manipulative mcdreamy don't do that i just checked chief president hasn't been posted yet no no i wasn't looking for tv yeah you were yeah okay i was for those of you who don't know chief resident is a really important position even more important when you're a surgical resident i'll give you an example in family medicine the senior attendings all sit together on a committee and nominate who's going to be the chief resident generally the way it works is the chief resident in their last year of residency takes on the additional role of doing all the scheduling all the organizing of the rest of the junior residents in internal medicine they may actually stay on for a fourth additional year to do that consult on difficult cases work in specialties that they feel they need more help in or they use it as an opportunity to showcase themselves for fellowship positions that they may have not gotten or to make themselves more competitive in the upcoming uh match very prestigious but very difficult uh to be successful at housing a human for nine long months is all that i can think about it the thoughts are invading the surgeries that i love and it's it's it it's it's hormonal it's it's and horrible but it is happening to me you want to have a baby did one resident just ask another resident to impregnate her because she wants a baby i hope i'm missing something and they're actually in a long-term relationship and that was their way of talking about it pressure's dropped to 60. she's braiding it down anderson how much momentum rupturing the membrane now i just need two minutes to get these babies out make it one she's flatlined steven start compressions yay they're starting chest compressions before shocking the patient first i'm sorry i'm so excited that a patient's flatlining but i'm just happy that he said start chest compressions before whipping out the machine of shock second babies out okay oh my god but look at those horrible compressions happening in the background oh my god the doctors they're going like this hold up that is not a hundred beats per minute that's not two inches deep chest compressions chest compression chest compressions i feel like i'm yelling at every video is he gonna wake up do you want him to what the axe in his head was put there deliberately i just want to give you three guys another opportunity to tell me the truth you're not a cop oh what's going on she started cramping and then she got really diaphoretic alert will be to a unsafe due to an incomplete miscarriage so a dnc is a dilation in curettage but it's basically a medical procedure to uh get the uterine contents out that can be really important if there is bleeding going on you're trying to figure out where the source of bleeding is coming from this is something you need to do very urgently i understand why because this patient is bleeding out diaphoretic cramping cramping means that there's bleeding probably happening in the uterine cavity we need to diagnose and treat it simultaneously with a dnc she went into early dic i gave her blood platelets ffp pregnancy at 52 is dangerous i tried everything i couldn't save oh wow oh oh the babies oh i thought i thought for a second i thought i lost i thought he lost her too because dic can be a very deadly and quickly deadly condition it stands for disseminated intravascular coagulation it's basically when inside your blood you use up all the clotting factors and you start clotting so two things happen the more platelets you have the more clotting that happens but then you also use up all your platelets so that you can bleed from other areas very unique situation there's very specific protocols we have to follow in order to make sure these patients a don't bleed out and b don't form clots in areas where they can be life threatening brain heart lungs etc i think that might have been the best explanation of dic i've ever given in my life he's a much better man than i thought he'll get over his initial judgments and he'll sit with you is it him and he'll make you drink your water he's the papa bear i mean sad that he lost a child god all right i gotta really adjust my emotions because i'm your best friend because i love you i also have to say that i'm in love with you i officially want to check what they're pumping in to the air conditioning units in seattle grace's whatever the name of this hospital is i don't know if they're pumping pheromones in there angel cupid arrows everyone's in love with everybody everyone wants to cheat on everybody people want to get married they don't want to get married they want to happen what this is the most dysfunctional group of humans i've ever seen i want you to give me a reason to stay even the patients are falling in love with the doctors i can't even i lost count of how many love triangles and circles and squares i feel like in order to understand their relationships fully i got to bring out the pythagorean theorem on this one i mean for god's sakes grey's anatomy keep it together you don't want me maybe i do no you don't you want ava she's not abe anymore i know why this is one of the top fan favorite episodes because everyone's in love with every it's it's something about weddings or is this every grey's anatomy episode for some reason every episode i watched before there's a lot of medical stuff a little bit of romance this is everyone is on top of everybody all the time i'm up there waiting for you to come down the aisle and i know you don't want to come i know you don't want to come but that you'll come anyway because you love me and if i loved you if i loved you not the woman that i'm trying to make you be not the woman that i hope what is happening right now did they need to make everything more dramatic than it needs to be you decide to get married you love each other but the person's hesitant so now you're being worried that they're hesitant and your love contradicts their love and he should just change the name of this episode so dr mike loses his mind over grey's anatomy instead of react there's no reacting i'm just losing my mind at this point i feel like you guys missed out my latest medical memes review and my hospital vlog so if you did click one of those bad boys and as always stay happy and healthy

Channel: Doctor Mike

Views: 1,869,405

Keywords: grey's anatomy, gray's anatomy, greys anatomy, grays anatomy, dr mike, doctor mike, dr. mike, mikhail varshavski, dr. mike varshavski, doctor reacts, patrick dempsey, ellen pompeo, shonda rhymes, compillation, medical drama review, medical tv show, doctor tv shows, mike varshavski, how accurate is greys anatomy, doctor reaction video, real doctor watches greys, is greys anatomy accurate, doctor mike reacts to, doctor reviews medical tv show, derek shepherd

Id: i_ejHjJabi0

Length: 57min 50sec (3470 seconds)

Published: Sun Jul 04 2021