I have officially changed my mind about Scrubs! I'm really starting to dig this show's style of humor and the topics they cover.

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Doctor Reacts to SCRUBS #2 | Medical Drama Review | Doctor Mike

what is up I watched my first episode of scrubs and it was a little mean-spirited for me but you guys have been telling me non-stop in the comments that I'm gonna love the show I scoured the internet and found out that Brendan Fraser is on episode 22 of season one wrestled in college I remember one of my favorite movies as a kid and don't ask me why because it's not a great movie was with him and Elizabeth Hurley called bedazzled where she plays the devil and he gets wishes and he gets to do all types of stuff I loved his humor I also found Elizabeth Hurley very attractive oh my god that's disgusting I did dose him with morphine and the x-ray says the nail went straight through so it's not that big a deal oh dear god she's getting woozy quickly show her the bloody side yeah oh it's nail I'm gonna touch it touch the nail touch my nail it's so mean but it's true some people do have what we call a vasovagal reaction when they see blood their blood pressure drops they faint temporarily this is not a deadly condition but the sight of blood it's scary it stimulates the part of your nervous system that makes you fear for your life and to some people if it gets over activated you can faint like that when I was a medical student I was doing a lot of ABG's which is an arterial blood gas you have to put the needle right into the radial artery unlike veins you can't see the arteries you have to feel them which makes the procedure that much more difficult but it's a high pressure system so when you put the needle in if you miss or the needle tip is not inserted properly blood can start squirting out one of my first few times doing that I put the needle in blood started squirting out the patient fainted luckily they were laying in their bed but they were so worried that they saw the side of their own blood that they passed out let's get you to a hand surgeon so the reason why the ER doctor or the internal medicine doctor doesn't handle this complicated case of the nail going through the hand is because the hand is really complicated that's why you need such a subspecialist you don't just need a surgeon now just a plastic surgeon you need a hand surgeon the hand has ligaments bones nerves blood vessels and they're all in such close proximity if you don't know the anatomy inside and out and how it reacts to a nail going through it you're gonna have a tough time there's gonna be a higher rate of complications wait wait wait stop stop I'm guessing mr. Weinberg is Jewish yeah so why isn't he circumcised a recent medical study found that a mistake is made on about 20% of all patients most of these are clerical and harmless but it still adds up to a lot of near misses dr. wen wants me to ask you if there could be a mix-up because our pen decide is patient that dude doesn't have an appendix hospitals make mistakes patients unfortunately get ill as a result of a hospital complication when you go to a hospital if you notice that the doctors are trying to eagerly get you out and expedited as fast as possible to go home the reason is not because we want you out but it's because we want to lower the chances of you having a hospital complication you're pregnant what now my fiance and I decided not to have sex until we were married so he's not gonna be so happy can't stop thinking about mr. Weinberg's testicles dude I mean I almost removed one of them Todd which one like it matters oh it matters fun fact about testicles one of the testicles usually hangs lower than the other some men get worried about that and actually come see me to make sure everything's okay but that is a normal variant you're not pregnant the lab check just switched the samples you're killing me hey sweetie you know I was just joking about all that stuff right Jesus samples can get switched up this doesn't regularly happen but we talked about this on the past episode of scrubs that when hospitals are more ready to admit their mistakes and point out what they did wrong apologize tell the patients what the plan is gonna be so they don't repeat the mistake there's less likely to get sued it's always important to keep in mind even though that's just a totally hilarious seat it turns out she wasn't really pregnant after all some idiot mislabeled her urine sample I was a heartbeat away from giving appendix patient a cross lobotomy if I do my best and I lose a patient you know what I can with that but if a clerical error is the reason why guys walking around here with only the lonely dam that don't sit well with the big dog well that's why nowadays we do a timeout where we literally before we start the operation before the patient gets put under we say the patient's name we describe the procedure we talk about the site of the surgery we get the nurse to confirm the doctor to confirm so everybody's on the same page which decreases the likelihood of making a mistake oh and very important to note while the patient's is sleeping we're performing the surgery the nurse that's in charge of assisting the doctor is counting all of the instruments is accounting how many gauze pads are being used all of the rags everything is counted before and after to make sure nothing gets left inside the patient because this has happened before and it's a horrible horrible mistake I was paged because Ben's blood work was finally ready unfortunately the chart wasn't in the outbox I'd knock but the hematopathologist is the meanest intern hating his monster in this hospital it's funny because nowadays all our results are in the computer so as soon as we get results back we just pop open a computer all the results are there to review we have any questions we can contact a pathologist or radiologist whoever's running the tests to get more info but computers have made this process a lot easier come on good news hey Bambi couldn't can't quite catch that are you okay leukemia leukemia is a form of blood cancer it's been known to be a children's cancer we just slightly incorrect cuz more adults get it essentially what you have is an increase in white blood cells and this is an improper increase and it's such a big increase that it pushes out the red blood cells even the platelets platelets are the cells that clot so if you have a cut they're the ones that come in and fill that clot so for example here he has such a spike in his white blood cells that he's actually pushing out the platelets and he's unable to clot properly that's why he's bleeding while shaving he's bleeding out of his wound too much and also something very commonly that happens when patients tell me is when they brush their teeth there's an excessive amount of blood and it stays around for a while Janis are those the test results we've been waiting for wait a sec first Turks patient Eliot's this is a mistake I just I feel it in my gut I'm sure of it hello Janice uh no this is something no that lab is backed up again and so I'm a nice you know a little while actually he's not wrong in doing that when I have a patient who I guess it's not the same as this situation but let's say I have a patient who doesn't have any symptoms and I order blood tests for a screening purpose and something comes out horribly and inaccurate signaling a form of disease my first job is to recheck that lab value to make sure that there wasn't a mistake because that does happen there's been times where I checked the red blood cell count of my patients and found them to be horribly anemic it didn't make sense it didn't fit their clinical symptoms it didn't fit their vital signs so I asked the lab to repeat the test and voila their labs were totally normal so if you feel that the clinical presentation doesn't match what's on the blood recheck it you know there's only one more person to talk to the hematopathologist hello homie dr. Bob you go by your first name no first names Fred Fred Bob what can I do you for better around check Bend Sullivan's blood smear well that depends on man do you actually think I made a mistake or do you just wish I did I kind of wish you did then I'll do it sorry there died 70 security guard guy cold out here huh yes where is his wound he just had a nail go through his right hand sweetie [Music] being a lab nerd that was a mistake whenever you put a slide onto a microscope you have to use the lowest magnification possible so that you don't put the high magnification on and then end the break in the slide let's try this again are those the test results uh yeah when you have leukemia [Music] this sucks yeah as much as they try to make light of the situation I think the way that he deliver that news is actually ideal when you're straightforward and honest and quick to the point that's the best way of delivering bad news you have to understand what a patient is going through you have to give them time to process it if you feel that they need some more information or reassurance you can give that to them but I like to hold out and ask them what questions they have and understand that when you're delivering bad news a lot of it is not going to stick especially the dense information like about treatment options this that you have to let the patient process it just give them a little piece of information and then just be there for them they can scream they can yell they can be quiet everyone has different reactions depending on their personality and it's not an easy situation there's also hits home for me because unfortunately I lost my mom while in medical school to leukemia a form of leukemia known as CLL delivering this type of news is something I have to do often it's a tough situation all around but if you can be straightforward you could be honest and really care and even cry that's okay a lot of doctors think you have to be unemotional and not cry if you feel that to cry cry you're a human that's okay scrubs is truly starting to grow on me so please keep recommending the episodes and click on this playlist that I created of my favorite medical drama reviews stay happy and healthy

Dr.

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