- "This episode of "The Good
Doctor" is a made up story about a real battle still being fought. Honor the heroes, doctors, nurses, and other frontline workers, many of whom who have given their lives. Do your part, wear a mask." Great message. (woman coughing) I love the way they're
showing the viral particles. They're just spreading out everywhere. That absolutely does happen. That's why it's really important to dab when you cough to try
and limit that spread. We've seen it actually
spray six feet away from you when you cough or sneeze. And germs have hang time. So you can walk into an empty room that someone just sneezed it
and be exposed to those germs. I don't know why I did that. (dramatic music) - And there you go. - This is such a good
example of how germs spread, droplets, meaning someone
coughs or sneezes or speaks. Contact, meaning they
coughed on their hands and they touch something,
they give it to somebody else. When we talk about disinfecting
your hands, wearing a mask, we're talking about
decreasing droplet spread and contact spread. - Have you seen my ID badge?
- No. - I had it last night, but maybe it fell out of my bag. - I lose my ID badge all the time. Like not permanently lose
it, but have it in my car, in my trunk, in my suitcase, in my home. Sometimes Bear steals it. Sorry, Bear. - Your temperature's almost 101. Your other symptoms? - First, it was a sore throat. Then my body started aching. (coughing) And then there's this cough. I even had my flu shot. - Unfortunately, influenza
is constantly mutating. The shot always lags behind. - Both very accurate statements. In fact, during this
timeframe in February, I was working in my primary care office. We knew COVID was around, but we didn't think it was everywhere yet. So a lot of patients were
coming to my practice with upper respiratory viral
symptoms, just like this. Fever, cough, muscle aches and we thought they
potentially had influenza. We gave them antivirals for influenza. The reality is even if
you had your flu shot, you can still get the flu, but
your case should be milder. - My daughter is very worried
that I might have this virus from China, what's it called? - Have you been to China
or been around anyone who's been to China recently? - Those are the questions we were asking. At that time, I think we were referring it to NCOV-19, right? Was it NCOV-19? (woman coughing) - The virus has damaged
your mother's lungs. Her body is working harder
and harder to breathe, but her blood oxygen
levels continue to drop. - She definitely has corona? - We're doing everything
we can to help her. (dramatic music) - See that patient was actually in a negative pressure air room. They were isolated from other people because at that point we were
deciding whether COVID-19 was only needed to maintain
a droplet precaution where you just cover your face and the patient's face with a mask, or do we need negative pressure room? Because COVID was spread
to airborne transmission where the virus just lived
in aerosolized particles in the air all the time. And what we came to realize is it's more of a droplet spread, but there are some instances
where it can be spread through aerosolized particles, especially during medical
procedures like intubations. - You have COVID. (man sighs) - Okay, now what? - Now you go home,. - That's it?
- That's it. There's no treatment. Stay away from people. Come back if you have
trouble breathing, goodbye. - I forget 'cause I don't
watch this show regularly how funny Shaun is. COVID-19 is a viral illness. So if your oxygen levels
are not dropping drastically and you just kind of feel lousy
and you have a mild fever, your body is the one that
has to fight this off. Like there's very little
that we can actually do in the hospital systems. And by keeping you in the hospital, we're actually increasing the
risk to healthcare providers and other patients. - 25 tests per day? No, just give me one of tomorrows. Hello? County health department,
I don't have time for them And apparently they
don't have time for me. - I remember in March I had a patient who I suspected to have COVID-19 but I didn't have a test available. So I was calling the department of health, trying to secure a test for them. Eventually getting them a test, finding out that they
were in fact positive. Luckily everyone was
wearing a mask at that point so we decrease the spread,
we cleaned the room, sent them out the back door, tried to do our best to limit
the spread of this virus. There's just a lot of things
we didn't know in the beginning that we know now. - If I'm sick is my baby sick? - This disease doesn't really
seem to affect children and babies like it does adults. Should we admit her? - She's probably safer at home. - What's at home, do you
have a support system? Can anyone come help you-
- Good question. - In case you get worse? - It's just me and the little one. - Good doctors always
ask questions like this. If I'm sending a patient home that I'm sort of questionable on and let's say they had a concussion, I always want to make
sure that there someone to keep an eye on them. That if they become unconscious, they have someone to call for
help and to check on them. - If I come home, do you
want me living with you? - [Woman] Of course, that's the point. - Every night after 12
hours of COVID patients to hang out with you and
Kellan and his asthma? - Interestingly enough, we've seen conflicting
reports on how COVID-19 affects those with asthma. Now, if it's just asthma alone, it doesn't seem to be as
bad as we expected it to be. But those who are asthmatic
and have other comorbidities like heart disease, obesity, those are the patients that
seem to be experiencing worse symptoms and worse outcomes. - We do everything we can. We hammer at official channels and every manufacturer's
rep that we deal with and see what companies have if any have- - [Woman] Nuts or no nuts? - I'm sorry, I'm in the middle
of a meeting with the board. - Hey, everyone! I'm just baking banana bread. - One of the most search terms
in height of this pandemic was how to make sourdough bread. Go figure, I've never
made sourdough bread, I've never Googled it. I don't know who's sitting
at home Googling it, but apparently sourdough bread was the thing everyone was
making, not banana bread. - Your husband's blood oxygen
level is dangerously low. - That, that can't be. - So one of the hallmark
symptoms of COVID-19 is decreased oxygen
saturation in your blood where you're actually
not getting enough oxygen from usually the edema or the scarring that's happening in your lungs as a result of the inflammation
that occurs with this virus. One of the dangerous parts of COVID-19 is not only are you infected with this virus that you're fighting off, but some people have an
overreaction or a cytokine storm where all these inflammatory
cells come to the lungs. It actually causes a bigger problem where you can't get enough oxygen going and being delivered to
the rest of your body, your vital organs, your
liver, your kidneys, your brain and so forth. Our solution to that was to ventilate, meaning intubate all these patients. And as we did that more and more often without treating them
with proper medications like we have now and we
know which ones work, patients actually got worse on ventilators because we were over ventilating people. And it's not because we're stupid or we were intentionally harming people, but it was simply because
it's a novel virus and we did not have guidelines on how to best treat patients with it. We were learning about it on the go. - We have a surplus of EKG leads? - No, we've got a shortage, but that's a problem that can wait. - The PBE situation was really dire in the beginning of this pandemic because China was hit first and a lot of our manufacturing
facilities are in China. And because of that, they actually redirected
all their shipments to their country because they needed them. And as a result, we're facing
a lot of shortages for gloves, for EKG leads, for swabs, for test kits, antibacterial wipes, the
vials, for injections. The wiring and the tubing for ventilators. There were so many shortages
that were happening simultaneously, it was
a truly dire situation, especially here in the New York City area. (soft music) Him rubbing his ears like
that is from the mask. Oh my God, in the beginning, just wearing the mask for countless hours. My ears heard so much. I just remember being so sore, but as we learn to use those
little headpieces in the back where you could actually
have the mask stay on there as opposed to on your ears, it made the world of a difference. And for those of you who
haven't ever worn an N95 mask, they're uncomfortable because
they offer more protection. They're more form fitting, you
have to get them fit tested, but they also put a lot
of pressure on your face. They leave marks. That's why all those pictures were making the rounds of nurses, doctors who were having
bruising in that area from just wearing them day in and day out. And a lot of times they
were reusing equipment that was meant to be disposable. - You work in a hospital. - Yes. - Could you wait for the next elevator? I appreciate you. (laughing) - You know, it's funny. In New York, if you ever
wore your scrubs out during that period, everyone wanted to say
thank you and was grateful, and that's amazing. But at the same time, everyone wanted to keep their distance. Rightfully so, I understand
you don't want to put yourself or your family members at
risk, but it didn't feel good that you were being alienated like that. So it's part of the process. - My mother is in there all alone, hooked up to a machine. I just need to see her and tell her that I love her. - There's a human toll that
it takes on family members not being able to see your family member and if you're the one ill not
seeing your family members. I will also venture to say, and I don't have evidence for this, but I will say that
hospital errors do go up if you do not have family members present and advocating on your behalf, especially if you're unconscious. Now, what we've learned from that is we're trying to keep
families more updated, trying to keep them involved. If they're not there at the
bedside, through virtual care, giving them scheduled regular phone calls, because we realize that when
we're in better communication with the family, we
actually get better outcomes for our patients. (machine flatlining) - [Nurse] Pushing epi. - Why is no one doing chest compressions? I don't understand. Do some chest compressions.
- 120 Joules, clear. - Do some chest compressions. - [Nurse] Refib now. - Did you see those
horrible chest compressions? She just put her hands on the
chest, didn't even compress. - 200 Joules, clear. - Okay, I don't know why, these people have high end experts on set. You start chest compressions and then you use a defibrillation. I have heard in the
beginning of the pandemic, 'cause I wasn't in the hospitals. I was seeing patients, outpatient, that they were decreasing the
amount of chest compressions being done because they were worried about aerosolizing the virus. I actually just looked
this up from the Red Cross, performing chest compressions while wearing proper medical
protective equipment, N95 respirators or how they
have the whole body suit on, still means you should
do chest compressions, like do them, do them, do them. I don't know why they weren't doing them. I was trying to make excuses for them. They should have been
doing chest compressions from the start. - Any cough?
(thermometer beeping) - Any fever?
(thermometer beeping) - No.
- Any shortness of breath? - Sore throat, loss of smell? - No, no, none of that. Just searing abdominal pain and the runs. I'm pretty sure it's my
diverticulitis acting up. My roommate is deeply
into pandemic baking. I've avoided coming in, I
don't want to catch COVID. - So one of the biggest problems we faced during this pandemic was patients not coming into the hospitals. And in the beginning, when
we were really overwhelmed, that made a lot of sense. But as we became safer
for patients to come in, we had different policies in place in order to decrease spread, our testing improved,
our capacity improved, our PPE improved. We wanted patients to come back because a lot of times
when patients delay care, their diseases and
conditions get more advanced and as a result become
more difficult to treat. Patients who are having
some signs of heart attacks were coming in much later and as a result, some of our mainstay treatments
weren't working as well. And the recoveries took longer. One of my main messages over
the last two, three months has been to encourage patients to call their primary care
office, to call hospitals, to come in for the symptoms
that are bothering them and not wait. - He's pink, active and breathing great. (baby crying) (monitor beeping) - In the midst of our
research with COVID-19, we actually found that
there was a limited spread for mother to fetus of COVID-19
meaning that the mother could be testing positive for COVID-19. The baby was usually safe. Now that doesn't mean there was no spread. There were some case
reports of it happening. But for the large majority, we did not want mothers to panic because it wasn't happening. And children in general
seem to fare better with this virus anyway. The numbers of children
below the age of 10 dying with COVID-19 were spectacularly low. That doesn't mean it's
completely benign for them 'cause they could also spread
this virus and be vectors. But it is reassuring for mothers, especially with the levels of anxiety that they were facing for themselves. (somber music) Please don't put your masks on the floor and then put them back on your face. Shaun, you're a doctor buddy. Don't put it on the floor. I talked about germs having hang time, about the hanging out in the air, but folks, after they hang out in the air for those minutes or
hours, where do they go? Right on the floor, especially if you've been
walking around a hospital setting and then you come home with your shoes on, guess what's on that mask? Man, couldn't they just have me on set for one of these things. Could of help them make
it so much more accurate. My hospital actually created a state-of-the-art COVID-19 ward. Check it out as I give
you the tour for that in a day of my life video, or check out all of my
"Good Doctor" reviews here in a playlist I made just for you. And as always, stay happy and healthy and stay alert, not anxious. (upbeat music)
Really great review, nice to hear from experts on how medical shows do their research and get it almost right.
I was hoping he would respond to both parts maybe part 2 is coming soon
Great video and learning.
Love Doctor Mike and also love his love for CHEST COMPRESSIONS