- What is more serious, a head injury or a foot injury? - A head injury. (Dr. Mike laughs loudly) - The Patreon community requested it. You requested it. We're watching "The Office", Checking out the medical scenes watching them do some of these new merchant alert! You could buy it right there, down below. Hundred percent of the
proceeds are going to charity. Click buy. Click and watch. Let's do it. Bewoop! - Just say again, really loudly. What happened? - [Michael] Okay. (frustrated groans) I burned my foot, very badly on my Foreman Grill and I now need someone to
come and bring me into work. - How do you burn your foot on a George Foreman Grill? - I enjoy having breakfast in bed. I like waking up to the smell of bacon. Sue me. - I don't really even
recommend eating bacon. cause it's a processed meat, which has a cancer risk. I mean, if you have it every now and then it's not the end of the world. Do not cook it in bed while you're asleep with a hot-- ugh - Today, I got up, I stepped onto the grill and it clamped down on my foot. - Oh! That looks so fake, by the way. It would be burned. It would be bloody. There would be skin peeling. That looks like he just sc-- like a little cat scratch. I had the worst experience
when I was a kid. My sister was using one of these pots. The pot actually you use to steam and like breathe over
to help your sinuses. She asked me to bring it from
the kitchen after it boiled. And as I'm bringing it, I spill it all over my crotch.
(woman screaming) Oh my god! - (crash) - What was that? - [Pam] What was that? - [Jim] Oh! He hit the pole. (beeping) It's broken, right? He can't-- - [Pam] Oh my gosh. [Jim] Oh Dwight. Dwight. - [Everyone] Oh!
(exclaims in disgust) - If you're throwing up immediately after a car accident, that's a potential sign
for serious head trauma. You better be calling 911. - I am feeling better. My body's literally healing itself. It is amazing what the
human body is capable of when you have a powerful brain. - [Ryan] I ground up four
extra strength aspirin and put them in Michael's pudding. I do the same thing with my dog to get him to take his heartworm medicine. - Don't give people medicines that they're not ready for. Aspirin, especially. It has all sorts of interactions
with other medications. Some people are sensitive to aspirin. Like if I take an aspirin
tablet by nose bleeds cause it actually impairs
platelet function. If God forbid they have
a procedure coming up that would be detrimental. Children, if you give them aspirin, they can develop Reye's Syndrome. Please, don't just dose
people with aspirin, just cause you do the
same thing with your dog. Bear's good at taking pills.
(barks) (soft thud) - (faintly groans) - Oh. Okay, I think we need
to take him to the hospital. - [Dwight] No.
- [Michael] Oh no. - I'm pretty sure he has a concussion. - Oh, now you feel some
compassion for him. - He needs to go right now and you're his emergency contact. I think you should go with him. - Why don't you go with him? - I barely know him. - I want Michael to take me. - I can't take you. I don't have my car. - Why don't they just call 911? - [Jim] Wake up.
- [Dwight] Ahh! - Oh no, don't do that. - [Pam] Let me help you Dwight, c'mon. - Okay Pam. Thanks. - Get up. Get up. - You're the best. - [Jim] Just keep him awake. - Smells like chicken soup. - I know. - When you have a concussion, you need cognitive rest. Less lights. Less sounds. Less interaction. Less movement. You need your brain to recover. And the worst concussion is
actually your second concussion. God forbid, you ever get a concussion in let's say, a game. Do not go back into the game cause the second concussion's
gonna be much worse. - What is more serious, a head injury or a foot injury? - A head injury. - [Michael] Well-- (Dr. Mike laughs loudly) - So I'm ordering a CAT scan. - [Dwight] What is that? - The reason we get CT scans when someone's involved in
a car accident, for example, is because if you have
bleeding in the brain it's an enclosed environment. The skull actually prevents blood from being able to displace the skin. And as a result, pressure builds up. And that could be really problematic. Outside of the fact
that you're not getting enough circulation to the brain. We actually follow the
specific set of guidelines known as the Canadian Head CT guidelines. You basically look at what the patient experienced. Look at the type of trauma they had. What symptoms they're experiencing. You plug in the score and it basically recommends whether or not you should have a CT scan. Remember that most CT scans expose you to as much radiation as between a hundred and a thousand x-rays. So if you don't need that excess radiation you really shouldn't be getting it. - I'm having contractions but they're irregular and far apart. So I'm not really in labor. I'm near labor. - Sometimes you can
have false contractions when you get closer called Braxton Hicks contractions. Sometimes they're not sure. That's why they call our on-call answering service and we give them some guidance. - [Kelly] Labor can last weeks. And they take your insides out and they just plop them on a table. And sometimes epidurals don't work. You can poop yourself. - A lot of people poop during deliveries. I think I delivered
like 30, maybe 40 babies during my residency training and I would put the poop rate somewhere around 60, 70 percent. Safety of the baby and
safety of the mother. Most important, most
important, most important. Not the poop. Never thought I'd say that statement. - [Michael] Oh hey hey. Um, should I bring a
dictionary to the hospital? - The hospital will provide dictionaries, bring a Thesaurus. (mumbles) need a dictionary or a Thesaurus in a hospital. - This is ridiculous. - [Pam] Dwight get away. - No no no. Dwight, let
Jim do that, please? - I didn't know we had a tape measure. - We don't. - Was he going to measure her
cervix dilation with that? We do not put tape measures inside human bodies to measure anything. Again, another statement I
never thought I would make. - Pam's doing great. Uh, she's 10 inches dilated now. S-sorry, meters. Centimeters. - (laughs) 10 meters dilate-- She's 30 feet dilated! - And she's also fully faced, which I don't know what that is. - [Dr. Mike] It means the baby's a-coming. - It's only been six-- nineteen hours. - Halpert Room D1. Alright. Family only beyond this point. Thank you. - It actually says
"Patients and staff only." Normally we have a check-in desk where uh, visitors have to check in and then we check to see if it's a good time for them to come in. We don't just let people barge it in the midst of a delivery. - [Jim] Babe, she's so beautiful. (baby cries) - Crying baby means a healthy baby. - Why is he smoking a cigar? - Yeah. That's right. It's a baby, see. - Yeah you shouldn't smoke in a hospital where there's oxygen tanks. - Ready? (baby cries) One, two, three. - That's called the burrito technique. Very important to learn early on cause it helps coddle the
baby and helps him sleep. - Careful though. You
don't wanna break it-- - She's not gonna, just-- (baby cries) - I got it. - Just the other day I had a, first time parents come in. They're nervous and they're good nervous because they're excited. They want to do the right thing. They're asking a bunch of questions. But it's awesome cause then the baby comes in for sometimes
a newborn weight check, or sometimes they come in right away at the two month first
visit for vaccinations. Then four months. Then six months. And you get to see the baby grow like, that's it just, it's one
of the most fun parts about being a doctor. - I just, I can't tell if
she's getting anything. - Really? - Doesn't feel right. - Well you, you're pushing
the milk out, right? - How would one do that? - Wasn't it, it's kinda like a-- - No, you don't push milk out. The baby has to latch. And sometimes it's a process. The baby has a tongue tie. The breast anatomy. Sometimes it can be problematic, but it's all salvable. We have lactation specialists
that meet with the moms. Perhaps they can do some supplementation, especially early on. Really depends on each individual case. But the general recommendation is to be breastfeeding your child. - [Dwight] Fire! - Not real. This was merely a training exercise. (loud crash) - What? - [Dwight] So, what have we learned? (soft thud) - [Dwight] Oh come on.
It's not real Stanley. Don't have a heart attack. - Check for a pulse. Call for help. If he's not pulsating
and he's not breathing (squeakily says) chest compressions, chest compressions, chest compressions. - Andy - A throne for Your Highness. - I'm not sitting in a wheelchair. - No, no, no, no debate. You are going to sit in that wheelchair. - You actually don't want to
be sitting in a wheelchair when you don't want to. That could actually de-condition
your heart, your body. You want to be as active as possible, to the safest degree. Why? Because you actually
are training your heart. You're burning calories. You're keeping your metabolism up. All these things are really positive to decrease cardiac event risk, especially when you've already
had a first heart attack. - [CPR Trainer] ABC. Okay? And that stands for - [CPR Trainer and Dr. Mike] Airway. Breathing. - [Trainer] And circulation.
- [Dr. Mike] And compressions. - Okay. - I threw in the compressions just cause I love the compressions. Because if there's no circulation, what do you do? (soft chimes) I heard you say it. - I can't keep doing this forever. - It's been twenty seconds. - Two minutes. - Call it. - Call it. No, you do it until you realize that it is... futile. Just to make it clear, I feel like this gets
confused for most people when they watch these shows. If someone has a heart attack it doesn't always mean that they need chest compressions. I've literally seen someone
discuss this before. Where they're like, "Oh my God, my family member's
having a heart attack. "Start chest compressions!" No, no, no, no, no. Yes, heart attacks can
sometimes lead to your heart stopping where you need
chest compressions. Not all heart attacks
need chest compressions. Person's awake and alert, they don't need chest compressions. - [CPR Trainer] You're losing him. - Oh, those are bad chest compressions. Not deep enough, too fast. You want to do it to the tune of a hundred beats per minute. There's a lot of famous songs that you could do it to. I like "Stayin' Alive". I would sing it, I'm not trying to get demonetized. - [CPR Trainer] Okay. Too fast. Everyone. We need to pump at a pace of 100 beats per minute - Oh, okay. That's uh, hard to keep track. How many is that per hour? - (Dr. Mike laughs) Per hour! - Check for an organ donor card. If he has one, we only
have minutes to harvest. - He has no wallet. I checked. - He is an organ donor. - He is! Give me some ice in a styrofoam bucket. - Whoa! - [Dwight] Here we go. - Did he just whip out a knife? - (hip-hop music) I feel
like a banana split. Woo! (high pitch scream) - Oh, did we tear a groin muscle? When office parties get buck wild. I also don't know, he could have injured his testicular area. - I was dancing and I did a split and I landed on my car keys in my pocket. - Oh! I did not expect
that to be the diagnosis. What is the ICD-10 code for that? What do you think is the worst story, crashed a car because of a tiny spider or tore scrotum while dancing? Don't know. Click here to watch my reaction to the "Friends" medical scenes, one of my favorite shows. And don't forget to buy some merch to help support Americares. That's down below. As always stay happy and healthy. (electronic music)
Hello there doc