SCRUBS - My Lunch | DOCTOR review / reaction

hi my name's Edie I'm an emergency medicine doctor in the UK and this is sick notes where we explain medical things in simple terms on a previous video I looked at the first episode of scrubs a show that I absolutely loved before medical school revisiting it was part fun part embarrassing to so many things were similar to what I had and part therapeutic actually all this for what is essentially a comedy show many of you asked me to review this particular episode called my lunch from season five and it doesn't ring any bells actually so it may well be the first time I've seen it but as with all of these shows I look at it is just a light-hearted look I'm not expecting it to be accurate it's obviously supposed to be a drama isn't it but I thought it's a fun way to talk about medicine and share some of my experiences so let's get on with it some doctors like to change into their streets when they go out for lunch not me I like how the world reacts to me as a doctor whether it's a friendly greeting from the world's slowest bagger you do get really nice comments going to from work when you're stealing your scrubs or got your ID on and things like that so it's pretty realistic I mean just the other week I picked up a takeaway on my way home and the guy as I was waiting said to me you know you must be very proud of being a doctor nice thing to say hey want to go splitsies on some deli counter meatloaf I can't finish a whole serving I mean I can but I don't like to it all goes right here JD is hilarious man trying to have lunch with his boss and kind of his idol isn't it dr. Cox I mean is really important I saw my most influential moments in my first year were sitting down having reflections with some of the senior doctors it was a really kind of special time because all the time you're on the ward all the spotlight is on the patients and rightly so and in those first few weeks and months you're learning so much and you're going through so many kind of emotions and you don't really know you know how are you getting on are you doing the right thing so when you do have a time to sit down one of the consultants it suddenly is a bit of a time just for a few minutes to shine a spotlight on yourself they've seen it all before so they can often give you some really good advice and just to check in with you to see if everything's all right the radiograph is placed the wrong way around here unless the patient has what's called dextrocardia I think I missed this on the first episode when I looked at it loads of people send the comments so I'm not gonna miss it this time we had three separate patients waiting for transplants and we were doing everything we could to keep them alive while we could locate donors so this episode is going to focus on three patients on the ward all requiring some type of transplant so a patient in heart failure needing a heart valve transplant someone in liver failure needing the liver transplant and someone renal failure needing a kidney transplant so I'm guessing this is supposed to be a kind of general medical ward for storytelling purposes but in actual fact these patients will be on different wards with different specialties so for example the patient requiring a liver transplant would probably be on the gastro ward or the hepatology ward the patient in heart failure would probably be on the cardiac ward and these two patients actually might be in a more critical care setting like the high dependency unit or intensive care unit depending on their symptoms and finally the renal patient unless they're acutely unwell at the moment which I don't think they are could just be managed at home in the UK the wait for a kidney transplant is a few years actually in that time people that have end-stage renal disease will have to have renal replacement therapy often called dialysis there are a couple types of dialysis but the one we see here is hemodialysis that's where we use a machine to filter the blood and do the job of the kidney so the patient could just be at home and come in for this therapy two to three times a week it's not ideal though it's associated with long term complications therefore a kidney transplant is really the best treatment for someone with end-stage renal disease davey boy I promise you we're gonna find you a kidney I would literally swear on my father's grave but whenever I go there I usually just end up dancing on it promising things to patients that we just can't keep well in this scenario dr. Cox has no real control over it is difficult one of the biggest problems that complaints we get in medicine is about communication my perhaps nicknames for me was Sparky because he liked to liked matches off my neck we've been over this before you win on account of your father's not dead yet yeah and you do get patients here like dr. Cox has that you really connect with and you end up being a bit more friendly and informal in your language obviously there's always a balance to be met with being professional as well but particularly patients that are in for an extended amount of time and maybe don't get a lot of visitors you're one of the only people they see and so it's nice to talk about sort of more informal things rather than just medical things because they're you know a person and they like to share stories and things like that so this is pretty accurate we need to keep these people going until we can find donors alrighty Barbie go check on mr. Sykes ammonia level she is encephalopathic encephalopathy or any careful appa the-- a long word isn't it but breaking it down it tells us exactly what it means so n means inside calf low means head and pathy means disease so n careful appa the-- quite literally means something wrong inside the head something wrong with the brain this patient has liver disease one of the main roles the liver is to break down toxins as we probably know when we drink alcohol it's liver that breaks it down so if we delivers not working properly all of these toxins will build up in the blood and they can affect the brain cells which like my brains were scared effective there and when the brain cells get affected you know we don't think clearly we have some cognitive impairment and that's what NK philosophy means review Denison's chart and get me a consent also the patient waiting for a heart valve replacement confuses me a little bit so maybe someone isn't a cobbler who knows more about it can tell me because most valve replacements are actually tissue valves from a pig or mechanical vows so not human valves although we do use human bout so I'm just thinking if this patient is in end-stage heart failure sin the heart is failing from not having a working valve then why can't they have something like a pig valve or mechanical valve or how do they need to wait for a human one maybe there's a reef reason for this but not to my limited knowledge of cardiology so JD goes on his lunch break and he bumps into one of his patients now I thought this would happen a lot more in reality actually something that same hospital three years now probably treated thousands of patients or met their relatives and things like this but I can't remember actually we in anyone outside of the hospital setting which is quite weird but in this episode JD bumps into a patient and of course it's one of the more irritating patients from his point of view now we've all met people that have this kind of little self-awareness with how they come across and so can come across as a little bit annoying obviously this is a social setting but in the hospital setting we often get people that when they talk to you talk a lot of irrelevant stuff so at best you've got to try and guide them with the questions and at worst sometimes you have to just tell them sorry we're getting off track can we focus just so you can get the job done really Turk made me watch anaconda with them is that the one with the giant snake no this is the one with the giant snake it's just the what with the giant snake I'll Todd we haven't found you a kidney yet but I have some ideas yeah this will do do you guys remember this myth years ago that if you went on holiday to certain places that you're in danger of getting drugged and then waking up in a bar full of ice with the kidneys removed quite why they put you in ice I mean you probably got as much danger of being drugged and left in a later ice getting in problems with that rather than having sort of surgery in some backstreet operating theatres but it's crazy as it sounds I actually then heard that something happened around sort of 2005 2010 in India where somebody was actually doing this um some doctor and presumably some full-on operating team you know duped a load of it was a load of locals into having their kidneys roomy just unbelievable it's kind of like he heard about this urban myth and thought well you know that sounds like a good idea doesn't it stay away from my organs how are you doing having lunch ah brilliant JD having a liquid lunch straight into his blood vessels this is another myth I've heard actually of junior doctors or med students and taking some cannulas and fluids at home so when they come back from having a night out drinking alcohol they can put the cannula in and put the fluids up so they get less of a hangover in the morning I don't want to burst the bubble but I've never heard of anyone doing this Plus putting a cannula in in yourself when you're under the influence of alcohol you've got to be pretty stupid to do that so a new patient is transferred to the general ward presumably from the emergency medicine department and it's the Annoying lady that JD met earlier and there's suspected that she's taken an overdose due to her deterioration in her mental health in this patient we've kind of missed the book ends of her care so when she first came into the emergency department she would have presenting with reduced level of consciousness which is a really common presenting complaint in young people particularly the history of mental health we've you've got to think about something like an overdose we see you can't get history from the patient so you have to try and piece it together from anyone else that may be present or talk to the ambulance crew to state what was the scene you know we're there any kind of capsules or medications around at the time because if you find out what medication it is you kind of know what complications you've got to look out for it's also really important in the emergency setting or any kind of diagnostic setting that we don't do what's called early diagnostic closure that is when we think we know what's going on we keep asking ourselves questions that confirm what we think it is instead of just stepping back and thinking about a wider net so this patient coming in we'd want to do blood work as well to make sure we're not missing any kind of infection that can also cause problems in the brain we'd also looking if she's not improving to do a scan of the head a CT scan to look for things like bleed or even something like a stroke so the patient ends up dying from the overdose so as well as not really seeing exactly how they presented we don't really see the patient journey they've gone on obviously I don't know the full details of the case but you'd imagine a patient like this will be given every single chance within the critical care unit rather than just on a medical ward here that you've seen in the show you can use her organs thank you just tell me this is there anything anyone could have done [Music] no unless you mean me so the patient has allowed her organs to be donated so even in her death she's given life to other people and without people that donate organs or donate blood doctors and healthcare professionals we can't do anything for certain patients so that kind of act of kindness that people do that is the thing that really saves people lives the thing is though although doctors we can see the benefits people that you know show kindness and do these type of things they don't always see the difference they're making but trust me it's a huge difference it's amazing how quickly people improve once they get a new organ whether it's mrs. Sykes with her new liver mr. Dennison with his new heart valve or Dave again they've turned up the drama gage a little bit here because all the patients that we saw earlier have had an organ transplanted from the patient that passed away where in reality there are very specific criteria where the organs will get matched to that's to reduce the chances of the organ being rejected by the body and that is where the immune system ends up fighting the transplanted organ all right people gather around here we go now I'm sure we all recognize just how rare it is to get a win like this and the team are pretty pleased they've helped the patient's you it does feel good when you get these victories particularly when you're really worried about someone and they pull through and why are you not giddy with praise like those other people any idiot could have seen the chill was in trouble supposed to be a doctor and I'm the reason she's dead many said the words I never expected to hear while you and I go grab some lunch and I've been here before when you feel really low and one of your colleagues kind of gives you a little helping hand she didn't come to the hospital looking for help we just randomly bumped into her out here in the world I mean don't get me wrong the guy gets shot or if he has a heart attack and I am physically the closest doctor to him I will intervene Shia that you can't I mean you just can't it's too much to ask yourself okay I hear you know you don't once you start blaming yourself for guests that aren't your fault my friend that's a slippery slope that you can't come back from it can be difficult to move on from mistakes you've made you just have to accept it and try and learn from it because if every medical professional just quit on every mistake that may be no one there to help people thankfully individual mistakes that lead to people's deaths are rare to my knowledge I haven't been involved with any but I've certainly had lots of mistakes that could have led to that I was just very lucky and these can really stick with you they make you doubt yourself you kind of get this imposter syndrome thinking you're not good enough but you just have to run for it you have to remember you're better than you are now because you've learned from that experience the autopsy just came in on your donor Jill Tracy she didn't die of an overdose and just like that whatever burden of responsibility I felt was lifted but like I said before good news for one person can mean bad news for another she died of rabies oh okay people all of our transplant patients are infected we now know what we're dealing with here let's get involved we can do this so this comes back to what we were talking about earlier having early diagnostic closure everyone thinking it was an overdose but in fact it was rabies which is so super rare although a lot of people have heard about it haven't they I don't know a lot about it other than it's a virus that tends to affect your nerves this is a disease you can get from infected animal bites the disease travels through the nerves and if it gets to the brain can cause an careful itis so we learned a few bits of these words earlier sit and meaning in careful o meaning head and itis meaning inflammation so n careful itis means inflammation of the brain by the time rabies has done this the mortality is close to a hundred percent so because these patients have had transplants from someone infected with rabies there also had the virus so they'll also be getting the symptoms affecting their nerves everybody's failing mrs. Sykes is indicating peripheral neuropathy my valve transplant patients suffering partial complex seizures how you feeling I did pretty good my feet are a little numb any kind of infection would here a transplant patient really hard because we often give them drugs to suppress the immune system to stop the organ being rejected so inevitably these transplant patients all begin to die first we lost mr. Sykes [Music] smiles politely back at you you step through [Music] [Applause] [Music] you began to learn yeah I would have made the same call yes and I got us lunch and I think we should meet it right then I knew I was gonna pull him out of this but unfortunately sometimes the hospital picks a day we're just gonna pile it on [Music] Claire [Music] come on [Music] [Applause] [Music] [Applause] [Music] [Applause] [Music] he wasn't about the tie was he knew his heart could wait another month pretending [Music] where are you going your shifts not over hey remember what you told me second you start blaming yourself for people's deaths there's no coming back yeah you're right [Music] there are loads of things not quite right with this episode the ward set up the mixed medical surgical teams the whole transplant process and this resuscitation scene at the end you know there's no one doing chest compressions you'd expect someone at the end of the bed leading the team but all these things have just been streamlined to tell the story and that is as a doctor that when you make mistakes they have a profound effect on people's lives so thank you very much for watching I hope you enjoyed my thoughts on this episode there was a whole subplot about Todd's sexuality but I didn't think I could add too much of a medical input into that so you guys I would recommend checking the episode out if you want to learn more about that if you enjoyed this episode I'd recommend taking a look at my first review of scrubs or maybe some of the other medical dramas I've looked at as always thank you so much for all the ongoing support I really enjoy reading all the comments they cheer me up when I've done a long shift and love hearing from you guys I'm gonna be doing a Q&A video soon so if you want if you've got any questions to ask me pop it in the last Q&A video underneath there on the comments and I'll try my best to respond to them so until next time goodbye [Music]

Channel: Dr Hope's Sick Notes

Views: 598,411

Keywords: doctor reacts to scrubs, scrubs review, medical drama review, medical drama reaction, scrubs my lunch, scrubs tv show review, doctor watches scrubs, S5E20, my lunch, doctor reaction, tv medical drama review, JD, Dr Cox breaks down, zach braff, scrubs reaction video, doctor explaining scrubs, how accurate is scrubs, real doctor watches scrubs, doctor breaks down, dr reacts, dr watches, dr breaks down, dr reviews, scrubs

Id: OANUPewwyvI

Length: 20min 53sec (1253 seconds)

Published: Fri Jun 08 2018