what is that it's the baby's buttocks she's breech oh my god i thought she had two heads let's have a little fun today and check out one of my favorite shows of all time friends there's some medical scenes on there that are questionable and i want to review them with you let's get started am i interrupting oh no dr long please come in this is ross he is the father but not the husband because evidently she can do this alone i really felt like i was ross growing up i was the geek i was the nerd and i've always loved rachel there's your uterus and right here is your baby oh my god always a really powerful moment when parents get to see the heartbeat of the baby i would usually show the chambers and the heart beating family gets really excited it's a special place to be when you're delivering a baby like as a family medicine doctor i no longer do it even though i'm licensed and i know how i've delivered 38 babies in residency pretty amazing huh i've seen friends so many times i know what she's crying about i don't see it it's so funny nowadays it would be less of an issue because we have like these 3d ultrasounds that can actually show the face of the baby we can print out the pictures and then the parents go show them around to their families it's really cute hi hi this is rachel green i'm ross geller we called from the car right we have a semi-private labor room waiting for you oh whoa whoa whoa whoa whoa whoa i'm sorry semi-private we we uh we asked for a private room yes i see that here unfortunately we can't guarantee a private room and currently they're all unavailable hospitals especially in big cities like new york city they run out of rooms quickly so sometimes especially when you first arrive you can get only a semi-private room and then like whoever has the most seniority who's been in the hospital the longest they may shift you around and move you to a private room check these out it's a funny position for us back in the day these used to be called stirrups we tend not to use that word anymore because weird connotations we now call them leg rests or ankle rests or foot rests what's that new people when it's your first pregnancy statistically it takes longer you have a longer labor if someone's coming in for their third or fourth baby usually they process a lot quicker so you're gonna have multiple roommates if it's your first you listen to me since i have been waiting four women that's four one higher than the number of centimeters that i am dilated have come and gone with their babies i'm next it's my turn it's only fair when she says she's uh three centimeters dilated what she's talking about is the opening of the cervix that's the uh opening of the uterus the way we monitor the progression of labor is through doing an estimate measurement usually through a digital exam using our fingers to see what that dilation is and three centimeters dilated is really early in the labor process push for five more seconds my favorite part of this is the resident or medical student just standing there that is so accurate they just stand there aimlessly like what should i do i'm learning it was me back in the day that was all of us one thing is i don't know why the doctor's not wearing a mask we wear masks wait i see something what you do you do oh my god don't say oh my god oh my god what what is that what's the baby's butt she's breech oh my god i thought you had two heads breech means the baby is coming out not head first coming out butt first which is problematic you want the baby to come down and descend the canal head uh breech has a high rate of complications it's gonna be a tricky delivery especially if it's this far along but i love that ross took a look and did not faint because a lot of fathers when they take a look they're not ready to see everything that's going on they get a vasovagal reaction where blood pressure drops not enough circulation not enough blood flow getting to the head and they go wham i always have my nurses keeping an eye on the dads while the mom's delivering you're gonna have to push even harder nothing's happening i'm sorry i can't yes you can't hey hey come on you can i know you can do this let's go can you annoy you please you do it for me what they're missing here is the mom shouldn't just be pushing aimlessly she should be doing it along with the contraction so it should be time like we get to see the baby monitor on the side when we see the contraction starting mom should feel it and at that point we should have the mom bear down push count and maybe give a second effort there but they're just looks like they're pushing aimlessly but is that a newborn baby [Music] she's perfect oh wow she's so tiny so we always try and get the baby on the mom's chest as fast as possible we feel like the best uh sort of effects happen when the baby gets rid of the mom's chest mom calms down it helps lower her blood pressure slow the heart rate down baby feels bomb it's like nature at its finest and while mom is holding the baby then we let the father step in and cut the umbilical cord dads panic when they cut the umbilical cord because it's kind of rubbery and it takes a little bit of force and they don't want to hurt anything so they're really worried about doing it it's really cute to watch and i love that that's like one of my favorite parts getting the dad involved to do something right and you're going into what grade i'm actually a first year resident but i get that a lot see i graduated early on me too that's me every time in the hospital what are you ten are you in kindergarten what grade are you in are you like uh doogie howser then occasionally someone would be like wow you're young that means you must be smart and i was like thank you mr tribiani i'm afraid you've got kidney stones uh well what else could it be it's skinny stones to diagnose kidney stones sometimes we do an x-ray like that better tests which we tend to do more often would be a ct scan with very specific parameters we could also get an ultrasound all those are options better sweetie maybe a little i wish you hadn't seen me throw up sometimes the pain can get so bad that it can lead you to vomit i'm gonna give you a little revelation here i've passed kidney stones before when i was really young didn't drink a lot of water i drank a lot of soda and i passed one of these stones and they were tiny tiny tiny but boy did it hurt there was blood oh my god if you ever have to pass one i'm sorry because it's not a fun experience so i sympathize with my patients and i empathize with my man joey here now ordinarily mr trebiani we tried to break the stones up with shockwaves but they're too close to the bladder now which means we can either wait for you to pass them or else go up the urethra no no no no no nothing is going up okay up up is not an option what's a urethra actually up is sometimes an option and sometimes it's something we have to do to inspect a bladder another potential option for patients who are looking to pass stones is giving them a medication to help in that process to relax the smooth muscles of that area oh my god you did it man would you like to see them they're so small they're not that small those are fairly big size i was in the shower and as i was cleansing myself i uh i i well i felt something was it like a sneeze only better no no i mean i mean like a thing on my body but what was it well i i don't know it's it's kind of in a place that's not it's not visually accessible to me and i was hoping maybe you guys could could help me out why it's funny because random people tend to approach me and show me their lesions quite often i cannot imagine how dermatologists must feel that's not a third nipple first of all it's on your ass doctors don't say that johnson will you come in here a moment i'm with hamilton he's good with weird things bring him in too [Music] it's funny because any time you have a rare condition in a hospital you're going to get resident specialist fellows everyone coming in not only to help the case but also to learn because we learn from our patients as much as we help them you okay ross i don't know what's in this pie uh i don't know um butter and eggs and flour and lime and kiwi can we kiwi you said it was a key lime pie no i didn't i said kiwi lime that's what makes it so special that's what's gonna kill me i'm allergic to kiwi russ is experiencing an anaphylactic attack his upper airway is literally swelling it's closing up that can be quite dangerous quite quickly he also has dilation of all of his blood vessels which drops your blood pressure quite rapidly your heart rate usually springs up to compensate for this loss of pressure but sometimes the blood pressure effects can lead you to faint vomit feel awful have a headache and you desperately need to get to a place that has an epinephrine auto injector no you're not you're allergic to lobster and peanuts this reminds me of the scene from hitch whoa whoa you're right oh no yeah is your tongue swelling up either that at my mouth is getting smaller all right get your coat we're gonna go to the hospital you really should call 9-1-1 in these situations because uh the ambulance will arrive usually with an epinephrine auto injector on board and they could have been asserted if they need to the last thing you want is to get in a car and then the swelling gets worse and then your throat closes up in the car and you don't know what to do so call 9-1-1 for help even if you actually give yourself an epinephrine injector you should still head to the er 20 of the time you may need either a second injection or other interventions because the first one has failed you also need to be monitored after you give yourself epinephrine your heart rate your blood pressure all of that there's no way i'm going to get a shot and maybe they can take the needle you know and squirt it into my mouth you're like like a squirt gun you have to give the shot you have to give it quickly way quicker than what he's experiencing here and you have to give it right in the anterior lateral portion of your thigh that's when you get the most absorption as fast as possible remember this is an emergency you had a pitch of saffron it makes all the difference this is partially the reason i really wanted to be a doctor this scene the admiration monica and rachel are giving my man george and i forgot the other john white will noah wiley getting all this attention i wanted it mostly because no one paid attention to me now because i was like huge ego you're gonna walk over to the operating table you're gonna stop on that blue mark you're gonna put the tray down don't walk too fast but don't dawdle okay now what if they're truly operating on this patient why are all their masks down and why does phoebe have no gloves on i don't like what's happening here i know this is a show inside of a show inside of a show and we're in inception land but i still get frustrated because i want you to have an accurate picture of what happens in a hospital system you dig don't know what i'm doing but it feels like i'm squaring up the conversation how's it going it's going really good but enough about me come on where are you from what do you do i'm a doctor right right i actually i meant you know in your spare time do you cook do you ski or just hang out with your wife or girlfriend uh i don't have a wife or girlfriend but i i do like to ski oh i love to skate how amazing is this this conversation legitimately happens it happens more actually in the hospital setting patients are usually there overnight or for several days at a time you get quite lonely so they want to have a conversation but when it starts crossing into that territory where they're trying to get into my personal life and see if i'm single that gets a little weird and boundaries need to be set so are you experiencing any discomfort no i'm very comfortable oh my god this reminds me of my interview that i just did on the daily show not too long ago how close is too close ideally you'd want to keep six feet away from anyone uh that you're not familiar with would this be too close in my medical professional medical opinion i would say that's too close so six feet and washing your hands is this too close that would be too close awkward here's two throwback medical drama reviews er doogie hauser which one are you gonna watch watch them both medical accuracy is not bad in both but which one are you watching as always stay happy and healthy