- I watch Good doctor. I love good doctor. I found out good doctor was
originally made in Korea. Let's watch it. ♪ Dramatic music ♪ Oh my God, that kind
of reminds me of Sean. He also had a plastic knife. How many similarities are
going to be on these two shows? Oh no. Oh, that's a glass sign. No, is it going to fall on the child. No, he's not going to get crushed, is he? Not gonna lie this special
effect here kind of weak. Is this one-to-one to
the American good doctor? Like did we just flat out copy this show? We're like, oh, let's just
do the exact same injury. I mean, I wanna know how heavy
the glass pane is that fell on him for all we know is he
could be pulseless right now. If that's the case you've got
to start chest compressions and calling for help. Why
is no one calling for help? How does he know that? I feel like everyone in
these medical dramas is just like x-ray vision. I guess you could say
that it's low pressure so, it's not like squirting out. So, you think that it could
be a vain, but you don't know. You don't know. First of all, the child's
not even bleeding that badly. Like there's barely any blood. So I, this is weird. Okay. He's looking at
least for a pulse to see if the carotid is okay. - The pulse being normal means no chest compressions are necessary. And it usually means that the child hasn't
lost that much blood. Because remember, if you're
not getting enough blood to let's say your vital
organs, your body will try and compensate this by
increasing cardiac output meaning making the heartbeat faster. Okay. That's a problem. That's a piece of glass in the abdomen. So the abdomen is a difficult
place to have a trauma because you could lose a lot
of blood, not even know it because the abdominal
cavity has so much room especially in the retroperitoneum, which is like the back
portion, the posterior portion, if you will, of the abdominal cavity. Basically like in trauma
used the ABC protocol which is airway breathing circulation. I understand why he's checking the airway. But if the child, his
chest is already rising and their breathing and
their pulse is normal you can go ahead and make that
assumption without breathing in the child's mouth. And still no one's calling for help. So a tension pneumothorax is dangerous because you could actually
have a collapsed lung on the right side, as
a result of the trauma. He could also have a flail
chest where you actually break the ribs and the
chest rises asymmetrically. I don't understand the
mouth to mouth thing. I don't understand, this is
a major airport in Korea. He left for a bit. He came back. He's like washing the scalpel with some like rubbing alcohol. I don't know what that was but like this is less believable
than the American version. So basically in this pneumothorax, you want to create an opening so that the lung can reinflate. Again, you wouldn't do this like this. He's basically putting in a chest tube in the middle of an airport. When in reality, there's
simpler ways to do this. I mean, granted, he
doesn't have the tools, but it just he's making so many
diagnoses without proper tools. Do paramedics just give
tools to bystanders without asking things first? Yeah. So basically when
a child is bleeding out they're gonna have less time
because they have less blood. So he's going to do a
makeshift transfusion or a makeshift fluid resuscitation. I don't know how without an IV set. Another thing you can do in
these cases with children is doing IO insertion, which
is an inner osseous line. where you basically drill into
the child's shinbone usually. It looks really painful it's actually not, but it does a great way of
delivering fluids quickly. Especially if you don't have good access. - Oh, that's what he's doing. Is he gonna do a makeshift IO? He's doing an IJ cutdown,
I've never seen this. I've never heard of this. I
don't know what he's doing. Someone's putting it on YouTube too. My man just started a
non-sterile central line, a non-sterile chest tube,
and he's getting a round of applause and no one's rushing
the child to the hospital. Not gonna lie pretty
disappointed with that. I'm less interested in the fact
that he knows all the organs and more interested in that
he's an amazing artist. I'm about to make an NFT of this. Well, first of all, ASD is not
a condition that you treat. ASD is a, a neurological condition
that is basically defined by difficulties with social interactions, general communication,
obsessive interests, or even repetitive behaviors
like we saw earlier. He was playing with that
knife flipping in his hand, much like Dr. Shawn
was the US Good Doctor. Those who are diagnosed with autism spectrum disorder actually
do face challenges especially early on. This is why early
intervention is so important. We're talking about family, behavioral, educational therapies
that could make schooling and the progression through
milestones, somewhat less difficult for children
affected with the condition. But it's just a variation of normal. It's a neurodivergent case. This looks like it's done
with so much more respect to compare how they did it in the US, even though the US one
was pretty realistic. How bout you listen to the child's heart with your handy-dandy stethoscope there. He's saying that there's
a pericardial infusion meaning that the covering around the heart must be damaged and collecting fluid. In that case, the heart can actually pump. So every time it tries to
beat, it can't properly expand. And as a result, the more it beats the more it fills up the
surface surrounds with blood. The heart becomes an effective and essentially the child could die. Why he thinks that why
he knows that who knows. Essentially when a trauma comes into a level one trauma
center you do an ultrasound of which is a form of an echo. You see if there's blood and you see if there's a
pericardial effusion like that. I mean, if his blood pressure
is dropping that quickly you need to act because with a 50 over 30 blood
pressure, essentially he's not going to be able to
perfuse his brain, his kidneys his vital organs, and he's going to die. - Pericardiocentesis when
you actually put a needle under ultrasound guidance
and pull the fluid out of the pericardial space essentially preventing the
cardiac tamponade from happening. That tamponade effect is
where the heart tries to beat but it can't. You need a really serious
cardiothoracic specialist in order to be operating on the heart like this, this doctor,
I think in the beginning it sounded like they
were a general surgeon. I don't think general
surgeon would proceed with a surgery like this. Increasing the vasopressin is
like giving more adrenaline. I don't think it's going to
do anything in this case. You need to get like ECMO or some kind of device to actually pump the
blood for the child's heart. If the heart is not functional,
this is a weird case. Well, do you want to look at the rhythm before you defibrillate? Remember we don't shock asystole. Solid sutures they're doing there. If they were doing that for two hours and the child was not with circulation for two
hours, that child is dead. Video clip uploaded on the website. I wonder which website? - Why? I never understood
this part of this show. Why would people be like, oh,
you'll leave your position cause we hate you, we'll
allow this doctor to come in. How about the fact that the doctor could be
actually a good doctor or if he's really bad,
they should get rid of him. Not you leave your position.
Like who's excited for that. - Welcome. Another K drama review
right here, click that. And as always, stay happy and healthy. - Cheers.
