- (speaks in foreign language) - (speaks in foreign language) - She did not have the reaction
I thought she would have, watching her friend slash
whoever this person is get electrocuted and falling off a ladder. - (speaks in foreign language) - She just said call an ambulance, casually, call an ambulance. - (speaks in foreign language) - (speaks in foreign language) - This is really accurate in
the sense of you wanna call for help, so they're doing that. They're trying to wake the patient up and see if they're conscious,
that is the way you do it. And then if that person is unconscious and is not breathing and
doesn't have a pulse, chest compressions time. - (speaks in foreign language) - Oh, chest compressions. It's a show that does chest, let me judge the chest
compressions before I get excited, I feel like they may not be good quality. - (speaks in foreign language) - These are good chest compressions. These are good chest compressions. The rate, the depth, the
intensity, the look on her face, what a start to a show. Maybe it's a medical
drama that I'm gonna like, maybe it's an accurate one. (camera whooshing) - (speaks in foreign language) - (speaks in foreign language) - (speaks in foreign language) - (speaks in foreign language) - (speaks in foreign language) - It's funny, 'cause when you show kids what you're about to do, on somebody else, that right away takes
the fear away from them. And it may be not fully, but
at least it takes it down to a degree where they're more comfortable in letting you try whatever
it is you're trying to do. You know what I do as a strategy, if I wanna listen to a child's heart, I let them first play
with the stethoscope, even while I'm talking to them, after I disinfect it, of course. And then once they play with
it and they see what it is, I show them that they
can listen to my heart, and then I listen to their heart, 'cause it's cool listening
to someone else's heart. And right away they realize
that there's no pain involved with the procedure, so they get excited. I also like to make a lot of jokes. Like if I'm looking into a
child's ears, I always say, oh, I'm just gonna take
a look at your thoughts or I'm gonna read your mind and they get all giddy
and excited about it. I reuse the same jokes
over and over again, I'm one of those guys. - (speaks in foreign language) - (speaks in foreign language) - (speaks in foreign language) - I have a small problem
with the way the doctor presented all the options to the patient. And while it's important
to give the patient all the possibilities and all the options, I think right here we're
jumping to a lot of conclusions. The way that I would do this is in order. First, I would tell the
patient what we know. We see a tumor on the CAT scan. Now we've done the MRI and
we've in fact confirmed that there is a tumor present. We then have to say that in
order to confirm what kind of tumor and the staging of the tumor we would have to perform a biopsy. We would then give options of all the things that could happen depending on whether or not
the tumor is a certain grade. We wouldn't go into these
details, we will just say, depending on what we find
you may need chemotherapy, radiation or perhaps even surgery. Now here's the most important step. If a patient is against radiation,
chemotherapy and surgery, you do not perform the biopsy. The purpose of performing the biopsy is to act on the results. And if you already know that you're not gonna act on the results the biopsy is just putting
the patient at a high risk for complications without
any benefit being added. A great example of this is I had a patient who is in her late 80s, who we suspected to have colon cancer. And as a result, we recommended
her getting a colonoscopy so that we can then treat the cancer and get it surgically removed. She said, very clearly,
I will never want surgery at this point in my life. I am happy with the way my life is, and I've lived long enough, and that is my patient
autonomy being spoken, fine. Then we shouldn't even do the colonoscopy in the first place,
because if the colonoscopy is just gonna tell us that
there's a cancer there, but the patient already knows that they don't want to act on it. Save the test, save the
patient to discomfort. Allow them to have a good quality of life, and that's what should be done here. Now, it's also important to note that even if you know
removing a part of a tumor might not improve a
patient's survivability, meaning it doesn't extend
their five-year survival rate, for example. But we know that during those five years if we shrink the size of
the tumor with the surgery we can at least give them
a better quality of life. For example, they get less headaches. It might be worthwhile to
proceed with that surgery. That is why we give all
these options to patients and get a really good understanding of what their symptoms are, before we jump in to
give our recommendations. - [Doctor] (speaks in foreign language) - (speaks in foreign language) (cries) - (speaks in foreign language) - Yeah, that's a tough
emotion to deal with 'cause, you know, your
child or someone you love needs an organ transplant, and someone had to die in order for that organ transplant
to be given to your family. And as a result, I've seen
a lot of touching stories of family members who received the organs, reach out to the family
members of the ones who gave the transplant,
because that person passed, and it makes them feel like
something good came out of a really horrible situation. Not that anything can make
them feel completely fine or completely whole, but
at least a little semblance of hope and positivity
during a really dark time. - (speaks in foreign language) - (speaks in foreign language) - (speaks in foreign language) - (speaks in foreign language) - (speaks in foreign language) - Is this the guy that was
supposed to do the procedures? Is that what is?
- Mm-hmm. - (speaks in foreign language) - (speaks in foreign language) - (speaks in foreign language) - I don't understand.
- This guy has a Darth Vader helmet on. - He's a surgeon?
- And he is a surgeon. He's one of the main characters, but they haven't really
introduced him yet. So because the professor is injured, he now has to perform the
liver transplant surgery wearing this Darth Vader helmet because they haven't
been able to remove it 'cause it's got glue in it. I had to watch that back like three times before I really pieced
together what happened there. (laughs) Very silly. - (speaks in foreign language) - I love that he has a hairnet. Why even bother putting
the hairnet on the helmet? Like it's just for decor at this point. I don't even know how
you would take super glue or crazy glue off of someone's head if it's truly like on now. Is there some kind of
antidote to super glue that you would put to take it off skin? Like honestly, I have no idea. Like WD-40, like, I don't know. I would have to look that up or talk to a very
experienced ER physician. - (speaks in foreign language) - (speaks in foreign language) - (speaks in foreign language) - You know, it's really
difficult talking to a parent who's going through a situation like that. You just wanna consistently,
without emotions, repeat the information that
the parent needs to grasp. And I think the more straightforward
and non-confrontational you can be in the beginning especially, the better your chances of
the parent understanding what's going on. Also, it's sometimes important
to say what you've said and in a short time, come
back, repeat it, leave, and do the same thing maybe several times, in order for the parent to
have the time to process what you just said. 'Cause many times the doctor will come in, give bad news, leave, and
the patient or the parent didn't grasp at all what's going on, because there's so many other things that are going on in
their minds, you know, preconceived notions, things
that they think is going on, things that they think should
be going on that aren't, or maybe negative thoughts about you. And when you come in and
you constantly reinforce the same bit of
instructions that you give, it really increases the
chances for the patient to understand or the parent
to understand what's going on. - [Female Voice] (speaks
in foreign language) - At least they tell them to do CPR. Like, I feel like in all the
medical dramas they're like, what's CPR, we have the defibrillator? How about you check the rhythm? Okay, so this is a really important point. If they knew and they were
preparing for this child to pass, a conversation should have
been had with the mother as to whether or not this
patient should be made DNR. Meaning do not resuscitate,
meaning do not perform CPR. Why? If you know that even if
you revive this child, meaning that you restart the heart, that the child is already gonna die and you're not gonna be any more well off than if the patient never
had their heart stop. You do not want to perform CPR. CPR can cause more damage. It can break ribs. It could make the child
feel uncomfortable. You would only do this if you think that the child has a chance at returning back to a healthy baseline. In this moment, this child
does not have the ability. So performing a CPR here is
almost brutal on this child and it's not something I
would advise to a parent. - (cries in foreign language) - (speaks in foreign language) - Yeah, but this is not
a good way to do it. Someone, one member of the team,
should pull the mother away and have this discussion very quickly, and then tell the team
members they can stop once they get approval from the mother. - (speaks in foreign language) - This switch off should be
happening every two minutes - Min-Yeong. Min-Yeong. - (speaks in foreign language) - Even hang in there is
not the correct phrase because she's already died,
like her heart has stopped. She's clinically dead. And they're trying to resuscitate her, bring her back to life, so hang in there is not even the right thing to say. And the reason I'm pointing
that out is because if they bring her back,
she's just gonna be in a worse state than she was before when they were ready
telling that the mother should make peace with her
daughter's life being over. Like, if that's the case, you should probably let her go peacefully. This code is also being
run very responsibly. There should be a team
there, a delegation. You do chest compressions for two minutes. You check the rhythm. You give the medications,
'cause every two minutes the child should be getting epinephrine. Someone else should be
counting which medications have been given, writing all
this down, being the recorder, and someone should be switching
off every two minutes. 'cause it gets tiring doing
chest compressions like that. Chest compression shouldn't stop just because someone gets tired, and you shouldn't decide to call a death just because someone gets tired. If you're calling a death that should be for clinical reason, not because your arms hurt. (heart monitor beeps) - (speaks in foreign language) (heart rate to death beep) - If we made that decision,
turn off the monitors. There's no point for the mom to hear that and make her more upset. - (speaks in foreign language) - This is like serious stuff. None of it is hyper dramatic. No, one's like falling off of a building, being saved by somebody. These are like serious
medical conversations that are had every day
within our hospitals that I think the public
should be more wary of, because if you, God forbid,
are finding yourself in that position, you'll be more realistic about what to expect from
your doctors and nurses. (camera whooshing) (soft jazz music) - Aah! - (speaks in foreign language) (doing vocal warm-ups) - (laughs) Do eggs help your throat? I think honey helps your throat. - I have never heard-
- Honey with tea warm up the vocal chords.
- It's actually like six eggs. - Six eggs, raw eggs, albumin, aah! (instrumental music) - Is this how BTS was started? Oh, bet you didn't know I knew that. Check out my reaction to Cells at Work, the popular anime that
brings cells to life. This is a real fun one
or the other episode here and as always, stay happy. (bouncy instrumental music)
I'll never get tired of doctors reacting to Hospital Playlist.
I really thought we were going to hear his thoughts about Songhwa's voice hahaha.
I hope Dr Mike reacts to more episodes.
And it will bring even more exposure to this wonderful drama, since he has almost 7 million subscribers.