DOCTOR REACTS TO THE GOOD DOCTOR | Psych Doctor Analyzes a Doctor with Autism [Episode 1]

okie dokie you wanted me to check out an episode of a show called the good doctor the only thing i do know about it is that the premise is about a doctor with an autism spectrum disorder as usual good luck everyone [Music] what's the white line for i presume that's him taking a very very specific particular route every single time he goes somewhere that's a football not a soccer ball foot plus ball equals football none of this running or carrying the ball nonsense i think i really underestimated the impacts of childhood bullying and how that can really shape who you are as a person i don't underestimate it anymore but i think i did bullying really does have a massive effect on lowering people's self-esteem i think that can really carry through for the rest of people's lives to some degree i certainly do think it's something that predisposes to anxiety disorders and mood disorders like depression it's good they're showing the sensory component you can almost feel how overwhelming it is people with asds do experience all their senses a bit differently to people that are neurotypical let's say most commonly we think of it as being extra sensitive through all your senses your experience sounds much more loudly bright colors are much much more intense some people with asds have the opposite problem where they're not experiencing enough sensation and they go out seeking sensory stimuli they start touching things and holding things and even bashing against things or head banging a lot of the time these are ways of trying to feel something because their senses are a little bit dulled and the goldilocks principle of finding that bit that's just right can actually be really really difficult oh that's not good and i presume that he's gonna go and rescue him and save the day always always always check for a pulse check if they're breathing and if not start cpr let me take a look a different doctor's gonna come to the rescue is juggling does anyone have a clean cloth please someone so the principle of if something's bleeding putting pressure on it to try and stop the bleeding yeah that's sensible the problem is and i'm a psychiatrist but i'm going to be teaching you some emergency medicine here because i'm a doctor first and the psychiatrist is second in the neck you've got the jugular vein that drains the blood pretty much from everything above it from the brain brain's kind of important but running alongside the jugular vein you've got the carotid artery that brings the blood up that nourishes the brain again kind of important you've also got something called the vagal nerve that's part of our parasympathetic nervous system that helps us rest and digest too much stimulation from that lowers your heart rate and lowers your blood pressure and then next to that you've got the chakia or the windpipe that's how air gets into the lungs again kind of important so you've got all of these things really really really tightly packed together so if you're putting pressure on the jugular vein you've got to be really careful that you don't put too much pressure on the carotid artery and cut off the blood supply to the brain put too much pressure on the vagal nerve and stop his heart or put pressure on his trachea and essentially suffocate him you're killing him okay so he's doing one of those things clearly now you have it in the wrong place i think i remember enough of anatomy 101 to know where the jugular vein is you would be in the right place if you're an adult he's not an adult he is a boy which means you're also putting pressure on his trachea which means he's not currently breathing see it's still in there somewhere to put the pressure higher up so he's gonna come rescue today autism spectrum disorders are a type of neurodevelopmental disorder and i emphasize the word spectrum some people have very very mild features that actually rather than being disabling can actually be a strength for some people whereas on the other end of the spectrum people can be really markedly disabled and everything in between so no two people are the same the main features that people tend to have are difficulties in social interactions difficulties in understanding how you feel how other people feel and why they might be responding to a situation in a certain way and that can make social interactions quite difficult the other feature is something that's called restricted and repetitive behaviors this is when somebody has a usually quite limited set of interests but there's a lot of time invested in developing and fostering those interests now again for some people that can be a huge strength that allows people to develop a really brilliant expertise in some areas that add value to not only your own life but to other people as well for others it can cause problems because it can make it difficult to shift from one train of thought to another the third feature that some people have is difficulties in language and communication in his case he's clearly got full language development other people can be completely mute and everything in between the difficulties in language was one of the things that used to distinguish what we did call autism and high functioning autism otherwise known as asperger's syndrome which didn't have the language difficulties that we don't use the term asperger's anymore because hans asperger was um he was not a very nice man bit of a nazi i say a bit of a nazi he basically was an arty sympathizer nowadays we don't distinguish between them they are autism spectrum disorders and then it's an individual basis as to where somebody sits on that spectrum i vetted him like i would any other candidate and you generally thought that this board wouldn't reasonably have any doubts about hiring a surgeon who's been diagnosed with autism i've met plenty of neurotypical people that have zero bedside manner zero ability to empathize and zero communication skills having an asd does not mean you lack those things and not having an asd does not mean you have those things so this is just it's just discrimination isn't it yes he has autism but he also has savant syndrome genius level skills in several areas he has almost perfect recall he has spatial intelligence and he sees things and analyzes things in ways that that are just remarkable in ways that we can't even begin to understand those are assets undeniable assets for any doctor particularly a surgeon so savann syndrome that was sort of made famous wasn't it in a beautiful mind it's not the norm it's the exception rather than the norm the mechanism not completely clear i imagine there's some overlap with people that have photographic memories outside of things like asd but also imagine there's a bit of an overlap with those restricted and repetitive behaviors that we talked about where somebody's interests are fewer but their ability to focus and develop an expertise in those areas is much greater but yes not the norm okay so this is the savant syndrome is it remembering very very very basic anatomy that even i remember and i'm a psychiatrist [Music] okay so that's just a glorified photographic memory isn't it i'm so jealous i really wish i had one you're scared i'm not scared representative we're gonna cut your chest open we're gonna stop your heart repair it and restart it you're seriously telling me that that doesn't scare you i just want a second opinion callum yesterday your life was perfect you're playing tennis you had a big anniversary today you're like who is this dog trying to figure out the best way to say goodbye maybe forever to your teenage children why are you doing this in real life i think most people would tell her where to go i need a knife it's it's very there is a medical emergency there's a medical emergency that one that one is not gonna go [Music] there's not the time [Music] oh is he where's the ambulance you're telling me an ambulance still hasn't gotten there you get that consent on 104 well i made him a deal he's got a meeting with dr max from psychiatry at six we'll get the concern eight we can operate first thing in the morning you did pass anatomy right dr brown problem's in his heart not his head he's not psychologically ready for surgery he will be soon well he's physically ready so get the consent for prepping r6 now a human being having normal proportionate emotions to a stressful situation is not a mental illness do not call psychiatry for something like that empathize and be nice a surgeon needs to communicate not just information but sympathy empathy can dr murphy do that yes you can't even reliably show up for a job interview are you going to sit here and tell us that there were no other equally qualified young surgeons surgeons without this one's issues the irony of this doctor i presume it's a doctor saying that a good doctor needs to be able to have empathy and have sympathy yet he's showing absolutely no empathy or sympathy for this lab within asd and again not having an asd doesn't guarantee that somebody can actually communicate and empathize with somebody no which is why exactly why we should hire sean we should hire him because he is qualified and because he is different how long ago was it that we wouldn't hire black doctors in this hospital how long ago was it that we wouldn't hire female doctors at this hospital so you're comparing being african-american or a woman with being autistic please go on okay the rationalization is exactly the same words like temperament and oh no oh how are the patients going to react aren't we judged by how we treat people i don't mean as doctors i mean as people especially those who who don't have the same advantages that we have we hire sean and we give hope to those people with limitations that those limitations are not what they think they are that they do have a shot and does not necessarily make it something that needs to be fixed why the echo uh okay the uh he okay uh uh i uh okay i understand you think he needs an echocardiogram we just don't know why well i i noticed that there was a slight reduction in the intensity of the electrocardiogram the electrical flow i noticed that too the heart rate was the same but the amplitude dropped pericardial effusion reduced cardiac output would stress other organs causing them to shut down yes i love how they try to use all these big medical words to make them sound really smart but actually this is all stuff that you learn in like the first month of medical school heart is important heart not pumping is bad yes well done okay [Music] those viewing platforms are really interesting so operating theaters were called theaters because people did used to watch in the uk we don't have those little viewpoints like that at all he's got a serious deficit child is alive today because of that deficit and tomorrow one may be dead because of it i seem to remember that when i hired you you weren't exactly making the most adult decisions you haven't killed anyone yet have you anybody can make mistakes and unfortunately in medicine making mistakes mean somebody might get sicker but those mistakes can be made by anybody asd or not so these are all hypotheticals that are being used to try and intellectualize what is otherwise just discrimination you're new to town right yes oh now she's trying to cozy up you have a lot of questions no you gotta be curious about the place not the people dr glassman gave me a map of the hospital and i got a map of san jose online so that's those difficulties with social interactions kind of reading the room and and knowing the emotions that are behind the words that she's saying i do have one question yeah why were you rude to me when we first met then nicer to me the second time we met and now you want to be my friend which time was it that you were pretending fair placement for calling it out because he's right just because someone has difficulty reading the room doesn't mean that they can't pick up on stuff properly something terrible is gonna happen here isn't it nothing risky happens on a show like this without a disastrous ending [Music] hey bullied homeless and now he's just watched his brother die the day that the rain smelled like ice cream my bunny went to heaven in front of my eyes the day that the copper pipes in the old building smelled like burnt food my brother went to heaven in front of my eyes i couldn't save them it's sad [Music] neither one had the chance to become an adult they should have become adults they show quite nicely there actually how somebody with an asd really does feel all those emotions just as anybody else would where they talk about the copper pipe smelling of burnt food and the rain tasting of ice cream that's something that's called synesthesia i want to be the first to welcome you to san jose saint moana venture hospital we're very proud to have you you see the reluctance with the handshake the intensity of your senses is often magnified like a hundred fold in people that have an asd i remember my first kept thinking it doesn't get any better than this you i'm afraid that's literally true [Music] you're a nice kid and you're obviously very smart but you don't belong here so as long as you're part of my team this is all you're ever going to be doing suction [Music] i saw a lot of surgeons in medical school you're much better than them i have a lot to learn from you [Music] you're very arrogant do you think that helps you be a good surgeon does it hurt you as a person is it worth it [Music] in fairness he's kind of just calling out all the stuff that everybody else is probably saying behind his back but doesn't have the guts to say to his face interesting their portrayal of somebody with an asd i thought actually was very respectful and focused on people's strengths and what value they add rather than what they need let me know what you thought though in the comments below particularly if you've got any lived experience with things like an autism spectrum disorder i'm keen to know what your take on it is otherwise don't forget to like subscribe all those usual bits and bobs and i will see you very soon for another one thanks so much bye

Channel: Dr Elliott Carthy

Views: 99,840

Keywords: doctor reacts, doctor reacts to the good doctor, the good doctor, doctor elliott carthy, dr elliott, dr elliott carthy, dr elliott reacts to the good doctor, psychiatrist analyzes, psychiatrist reacts, psychiatrist reacts to the good doctor, autism, ASD, autism sensory, autism spectrum disorder, autistic, autistic doctor

Id: 0dzmuMVLDoM

Length: 16min 48sec (1008 seconds)

Published: Sat May 15 2021