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doctor-reacts-to-big-bang-theory-medical-scenes

Doctor Reacts To Big Bang Theory Medical Scenes

The Big Bang Theory is smart but is it medically accurate we're about to find out let's get started [Music] hello what's in the shower and I think I dislocated my shoulder ow not surprising you have no safety mat or adhesive stickers to allow for purchase on the surface with a low coefficient of static friction basically she had no grip in the shower I actually am a firm believer that you need to make your shower safe whether that means putting grips on the side so you can hold on if in case you do slip or or maybe even better than or and putting some textured uh floor either tape or rug or mat or something that's secured down to the floor to prevent you from slipping oh my God I gotta go to the emergency room well assuming you're correct that you're right humorous is no longer seated in the glenoid socket I would certainly think so that's actually very accurate that's what happens during shoulder dislocation your humerus which is so funny that it's called that actually gets dislocated out of the glenoid fossa which is the shoulder joint in here and it creates a lot of pain that being said to put it back in is very painful once it's in unless you tore something it feels fine there's actually been videos of like UFC fighter years dislocating their shoulder getting a pop back in and then continuing on with the match and if you have an instance of dislocating your shoulder once you have a higher rate of recurrence of it happening again because the ligaments and all the attachments to it start becoming lacks basically very stretchy it as a result they're not as secure and it can pop in and out moving the psychiatric disorders list all major behavioral diagnoses EG depression anxiety Etc oh my God what the hell does this have to do with my stupid shoulder it's important to know for doctors a complete picture in order to be properly practicing you need to use holistic care in order to be holistic you need to know the entire picture do you have any other medications on board do you have any other medical problems on board some medical problems can cause certain others to behave differently some medications cannot be used with other medications if you're pregnant we may be less likely to want to scan you if you're pregnant we might not be able to give you the same antibiotics etc etc you were given powerful pain medication and a must muscle relaxers in a lot of these situations we give a patient maybe mild to moderate sedation in the emergency room when we try to reduce the dislocated joint reduction of a joint literally means popping it back in place I don't know why in medicine we always have to complicate everything just say pop it back in why reduction wait you have to help me get into bed Sheldon has to get me into bed now unless there was something broken putting a patient in an arm cast like that for more than a day is not ideal because then you start really risking the development of adhesive capsulitis from lack of Mobility so you want to get that Mobility going as quickly as possible ideally working with the physical therapist to make sure that you're not going too far and harming the injury how's your family oh it was the worst trip everyone got sick over the weekend sick here we go I don't know why people have a habit of this when someone in their family gets sick they spend all their time with them and then they come and hang out with others like you know you're gonna be the one spreading the illness so then relax she doesn't have any symptoms I'm sure she's not contagious that's not how it works you're contagious usually or at least up to 24 hours before you show symptoms here swab my throat foreign I don't think so Leonard if I'm going to get ahead of this thing I need to find out what's growing in my throat you don't generally swab someone who's asymptomatic meaning someone that's not showing symptoms because that's not going to give you a lot of useful information you may be just colonized with a specific bacteria but if it's not infecting you meaning it's not creating symptoms treating it may actually cause more harm than good I'm going back to bed wait put this in the bathroom what for I need to measure my fluid intake and output to make sure my kidneys aren't shutting down why would your kidneys be shutting down like you feel great why why why why why we actually do monitor patients 24 hours ins and outs in the hospital usually it's reserved for patients who have some sort of kidney issue or they're having a diagnosis of heart failure and they're fluid overloaded I want soup send the person home don't you imagine that if there were a way for me to have had soup at home I would have thought of it you can have soup delivered laughs I did not think of that clearly febrile delirium is setting in please bring me some soup while I still understand what a spoon is for charbroil delirium is something that happens when someone's temperature is so high that their brain is no longer able to function cognitively but your temperature would need to be quite high for quite a long period of time unless you're incredibly frail or of old age which he is not my mother used to make me this split pea with little Frankfurter slices in these homemade croutons we have chicken tortilla and potato leek could I get any of those with little fake Critter slices and homemade croutons then surprise me you know chicken noodle soup has actually worked as a viral upper respiratory infection remedy it warms the throat creates more circulation gives you added electrolytes to help you better manage your fluid intake and output maybe grandma was right okay nice and cozy okay I'll see you later wait will you please rub this on my chest people love Vicks they swear by VIXX and the way vix works is you rub it onto your chest and it creates a cooling sensation because the Menthol evaporates quite quickly thereby cooling The Superficial portion of the skin it takes away some of the discomfort that you may be experiencing in in your chest and at the same time if you have a fever it can help cool your body down from that fever that being said I'm not always in favor of getting all fevers down because a fever is actually advantageous to your body in order to fight offset infection there are instances where fever can be problematic if it's incredibly High you have other medical conditions your frail Etc but for a young healthy adult like Sheldon here he'd probably be fine is this Sheldon now you're the doctor but I'm constantly hearing this annoying sound that could be tinnitus where you hear most people describe it as ringing in their ears but other people call it a drum a weird sound and it could happen for a whole host of reasons what I've been seeing an uptick of in my office is younger people coming in who have sensor neural hearing loss from damage to their ear hearing from listening to music too loud and when you damage your hearing that you actually end up developing tinnitus but there's obviously a whole host of other potential options there yep there's no inflammation at all Sheldon then it must be a tumor inflammation in the tympanic membrane or in the inner ear canal really just rules out infectious causes by bacteria there still could be other things going on there's viral causes there's non-infectious causes so you got to really be careful Sheldon what are you doing here hang on 130 over 80. it's a little high yeah because you're taking it yourself and you're not resting and your feet aren't flat on the floor all I need is for you to authorize these tests a cardiac stress test a full body MRI an electromyogram a CBC Baseline glucose upper GI what is symptom is he having that he's requesting all these tests like those tests are not even routinely done together let alone uh in one patient oh you are right your larynx is terribly inflamed I mean I've never seen anything like it first of all there's no shot she sees his larynx that is ridiculous she means his pharynx the larynx is the voice box and it's much further back in order to visualize that you're going to need a fiber optic scope to go inside the nose and actually go past the pharynx you're gonna need to stop talking immediately for how she immediately there are conditions where someone's vocal cords are inflamed and we do encourage voice rest especially post procedural stuff and by the way in instances where your voice box is very inflamed Whispering people think will be easier on their voice box that's actually more difficult for the voice box and provides more stress and inflammation and damage to the area Bernadette and I are getting married Ma that's always worrying stand back I'm gonna break the door down does he have a dislocated shoulder now so how is she they're running tests I don't know may have been a heart attack or heart attack like events so in some instances when a patient's going to the bathroom and it's bearing down they can develop something known as a vasovagal syncope where because they're bearing down their blood vessels widen so that when they stand up they actually don't have enough blood pressure to bring blood to the brain and when the brain doesn't get enough blood it makes the human body collapse in order to make it easier for blood to get to the brain that could be quite problematic because if you hit your head on the way down now you're bleeding into your brain and you see where that goes regardless coronary problems are imminently treatable what's more likely going to kill Howard's mother or the antibiotic resistance superbugs festering in every nook and cranny of this Hospital hospitals do have higher rates of mdrs multi-drug resistant organisms but that's not to say that all hospitals have them we're actually aware of what bacteria our patient populations exposed to so that we have our own guidance as to what antibiotics we should use based on on local resistance rates is there a history of heart disease in your family my family is the history of heart disease I've also never heard of a heart attack like event I've heard of a stroke like event that usually means a TIA which is a transient ischemic attack it's basically when a person experiences stroke-like symptoms their speech gets mumbled they lose ability to control portion of their face their tongue doesn't move appropriately they pass out but it's usually very short-lived that's why it's transient Howard I have to go to the bathroom and no one will take me home what's wrong bathroom here pneumococcus streptococcus staphylococcus and other assorted caucuses those are different bacterias he's talking about will you at least go with me to the restroom here so you can open the door and flush the urinal no actually in the restroom there's probably more in Terra Caucus which is E coli and E coli is the most common bacteria found in poop when you flush a toilet that's the moment you should really leave because that's when a lot of the pathogens and bacterias and stuff fly out of the toilet I think I'm too sick poor kid we'll see ya aren't you going to take care of me me no no I'm not that kind of doctor looks like she's suffering from a URI an upper respiratory infection see some congestion rhinorrhea overall looks okay I wouldn't say toxic appearing 102.2 that is a fever and that is what the body's supposed to do when one is ill exactly what it was half an hour ago I'm not a fan of checking temperature that often it's not going to give you Vital Information unless something happened to you clinically like you're suddenly feeling much worse then maybe you check it again but just repeating it every 30 minutes every hour it's not going to give you any valuable Insight do you believe in the placebo effect of course I do there have been many studies proving it's validity great true now this may look like a Tic Tac but it is really a powerful medication specifically designed to cure your illness as well as freshen your breath the way a placebo effect needs to work is not they just you need to believe in the placebo effect you need to believe in the treatment that's supposed to be the placebo effect and usually that comes in the shape of a doctor coming in with a fancy white coat or scrubs and telling you this will work but only if you pay 29.99 it's just common sense apply today I brought you some drugs we've been working on in the lab this is proving really good for congestion but there's a slight chance it can make your tears burn like acid so if you take it happy thoughts she looks so much healthier already the color is back the nose is less red I'm going to draw you a soothing bath I don't recommend people to take baths when they're ill just because it's going to ruin the thermoregulation of your body you're just not going to get a lot of benefit out of it if you want to clean yourself take a quick shower but don't linger for too long this is a really good expectorant although some test subjects reported lactating uncontrollably when they heard music a lot of these expectorants like guaifenesin or Mucinex most people know it as don't have actually great evidence for working they also have a pretty mild side effect profile and rare side effect profile so people tend to use them quite often but they expect them to work miracles and in many instances they don't do much I don't need your medicine I'm not sick I don't understand I got better two days ago I knew it it's just been so nice having Sheldon take care of me this is called Munchausen Syndrome see the stuff in my nose rubber cement oh okay we've been exposed what is your underwear say about you click here to find out and as always stay happy and healthy the video is about to watch it anyway [Music]

Dr.

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