The Good Doctor is one of the more intense medical dramas on TV, and this came out of the gate swinging on their new season ...

doctor-reacts-to-the-good-doctor-covid-episode

Doctor Reacts to The Good Doctor COVID Episode

this episode of the good doctor is a made-up story about a real battle still being fought honor the heroes doctors nurses and other frontline workers many of whom who have given their lives do your part wear a mask great message i love the way they're showing the viral particles they're just spreading out everywhere that absolutely does happen that's why it's really important to dab when you cough to try and limit that spread we've seen it actually spray six feet away from you when you cough or sneeze and germs have hang time so you can walk into an empty room that someone just sneezed in and be exposed to those germs i don't know why i did that and there you go this is such a good example of how germs spread droplets meaning someone coughs or sneezes or speaks contact meaning they cough on their hands and they touch something they give it to somebody else when we talk about disinfecting your hands wearing a mask we're talking about decreasing droplet spread and contact spread have you seen my id badge no i had it last night but maybe it fell out of my back i lose my id badge all the time like not permanently lose it but have it in my car in my trunk in my suitcase in my home sometimes bear steals it sorry bear your temperature's almost 101. your other symptoms first it was a sore throat then my body started aching and then there's this cough i even had my flu shot unfortunately influenza is constantly mutating the shot always lags behind both very accurate statements in fact during this time frame in february i was working in my primary care office we knew covid was around but we didn't think it it was everywhere yet so a lot of patients were coming to my practice with upper respiratory viral symptoms just like this fever cough muscle aches and we thought they potentially had influenza we gave them antivirals for influenza the reality is even if you had your flu shot you can still get the flu but your case should be milder my daughter is very worried that i might have this virus from china what's it called have you been to china or been around anyone who's been to china recently those are the questions we were asking at that time i think we were referring it to encove 19 right was it nco of 19. the virus has damaged your mother's lungs her body is working harder and harder to breathe but her blood oxygen levels continue to drop she definitely has corona we're doing everything we can to help her see that patient was actually in a negative pressure air room they were isolated from other people because at that point we were deciding whether covet 19 was only needed to maintain a droplet precaution where you just cover your face in the patient's face with a mask or do we need negative pressure room because covid was spread through airborne transmission where the virus just lived in aerosolized particles in the air all the time and what we came to realize is it's more of a droplet spread but there are some instances where it can be spread through aerosolized particles especially during medical procedures like intubations you have covered okay now what now you go home that's it that's it there's no treatment stay away from people come back if you have trouble breathing goodbye i forget because i don't watch this show regularly how funny shawn is covet 19 is a viral illness so if your oxygen levels are not dropping drastically and you just kind of feel lousy and you have a mild fever your body is the one that has to fight this off like there's very little that we can actually do in the hospital systems and by keeping you in the hospital we're actually increasing the risk to healthcare providers and other patients 25 tests per day no just give me one of tomorrow's hello county health department i don't have time for them and apparently they don't have time for me i remember in march i had a patient who i suspected to have covet 19 but i didn't have a test available so i was calling the department of health trying to secure a test for them eventually getting them a test finding out that they were in fact positive luckily everyone was wearing a mask at that point so we decreased the spread we cleaned the room sent them out the back door tried to do our best to limit the spread of this virus there's just a lot of things we didn't know in the beginning that we know now if i'm sick is my baby sick this disease doesn't really seem to affect children or babies like it does adults should we admit her she's probably safer at home once at home do you have a support system can anyone come help you should get worse it's just me and the little one good doctors always ask questions like this if i'm sending a patient home that i'm sort of questionable on and let's say they had a concussion i always want to make sure there's someone to keep an eye on them that if they become unconscious they have someone to call for help and to check on them if i come home do you want me living with you of course that's the point every night after 12 hours of covet patience to hang out with you and kellen and his asthma interestingly enough we've seen conflicting reports on how covid19 affects those with asthma now if it's just asthma alone it doesn't seem to be as bad as we expected it to be but those who are asthmatic and have other comorbidities like heart disease obesity those are the patients that seem to be experiencing worse symptoms and worse outcomes we do everything we can we hammer at official channels in every manufacturer's rep that we deal with and see what companies if any have under nuts or no nuts uh oh i'm sorry i'm i'm in the middle of a meeting with abort hey everyone i'm just making banana bread one of the most searched terms in the height of this pandemic was how to make sourdough bread go figure i've never made sourdough bread i've never googled it i don't know who's sitting at home googling it but apparently sourdough bread was the thing everyone was making not banana bread your husband's blood oxygen level is dangerously low that can't there can't be so one of the hallmark symptoms of cova 19 is decrease oxygen saturation in your blood where you're actually not getting enough oxygen from usually the edema or the scarring that's happening in your lungs as a result of the inflammation that occurs with this virus one of the dangerous parts of covid19 is not only are you infected with this virus that you're fighting off but some people have an overreaction or a cytokine storm where all these inflammatory cells come to the lungs and actually cause a bigger problem where you can't get enough oxygen going and being delivered to the rest of your body your vital organs your liver your kidneys your brain and so forth our solution to that was to ventilate meaning intubate all these patients and as we did that more and more often without treating them with proper medications like we have now and we know which ones work patients actually got worse on ventilators because we were over ventilating people and it's not because we're stupid or we were intentionally harming people but it was simply because it's a novel virus and we did not have guidelines on how to best treat patients with it we were learning about it on the go we have a surplus of ekg leads no we've got a shortage but that's a problem that can wait the pve situation was really dire in the beginning of this pandemic because china was hit first and a lot of our manufacturing facilities are in china and because of that they actually redirected all of their shipments to their country because they needed them and as a result we were facing a lot of shortages for gloves for ekg leads for swabs for test kits antibacterial wipes the vials for injections the wiring and the tubing for ventilators there were so many shortages that were happening simultaneously it was a truly dire situation especially here in the new york city area him rubbing his ears like that is from the mask oh my god in the beginning just wearing the mask for countless hours my ears hurt so much i just remember being so sore but as we learned to use those little head pieces in the back where you could actually have the mask stay on there as opposed to on your ears it made the world of a difference and for those of you who haven't ever worn an n95 mask they're uncomfortable because they offer more protection they're more form-fitting you have to get them fit tested but they also put a lot of pressure on your face they leave marks that's why all those pictures were making the rounds of nurses doctors who were having bruising in that area from just wearing them day in and day out and a lot of times they were reusing equipment that was meant to be disposable you work in a hospital yes could you wait for the next elevator i appreciate you you know it's funny um in new york if you ever wore your scrubs out during that period everyone wanted to say thank you and was quite grateful and that's amazing but at the same time everyone wanted to keep their distance rightfully so i understand you don't want to put yourself or your family members at risk but it didn't feel good that you were being alienated like that so it's part of the process my mother is in there all alone hooked up to a machine i just need to see her and tell her that i love her there's a human toll that it takes on family members not being able to see your family member and if you're the one ill not seeing your family members i will also venture to say and i don't have evidence for this but i will say that hospital errors do go up if you do not have family members present in advocating on your behalf especially if you're unconscious now what we've learned from that is we're trying to keep families more updated trying to keep them involved if they're not there at the bedside through virtual care giving them scheduled regular phone calls because we realize that when we're in better communication with the family we actually get better outcomes for our patients pushing effie why is no one doing chest compressions i don't understand do some tricks compression it's clear do some chest compressions lift up now did you see those horrible chess cameras she just put her hands on the chest didn't even compress 200 clear okay i don't know what these people have high-end experts on set you start chest compressions and then you use a defibrillation you know i have heard in the beginning of the pandemic because i wasn't in the hospitals i was seeing patients outpatient that they were decreasing the amount of chest compressions being done because they were worried about aerosolizing the virus i actually just looked this up from the red cross performing chess compressions while wearing proper medical protective equipment and 95 respirators or like how they have the whole body suit on still means you should do chest compressions like do them do them do them i don't know why they weren't doing them i was trying to make excuses for them they should have been doing chest compressions from the start any cough any fever no any shortness of breath sore throat loss of smell no no none of that just searing abdominal pain and the runs i'm pretty sure it's my diverticulitis acting up my roommate is deeply into pandemic baking i've avoided coming in i don't want to catch covet so one of the biggest problems we faced during this pandemic was patients not coming into the hospitals and in the beginning when we were really overwhelmed that made a lot of sense but as we became safer for patients to come in we had different policies in place in order to decrease spread our testing improved our capacity improved our ppe improved we wanted patients to come back because a lot of times when patients delay care their diseases and conditions get more advanced and as a result become more difficult to treat patients who were having uh some signs of heart attacks were coming in much later and as a result some of our mainstays treatments weren't working as well and the recoveries took longer one of my main messages over the last two three months has been to encourage patients to call their primary care offices to call hospitals to come in for the symptoms that are bothering them and not wait it's pink active i'm breathing great [Music] in the midst of our research with covet 19 we actually found that there was limited spread from mother to fetus of covet 19 meaning that the mother could be testing positive cover 19 the baby was usually safe now it doesn't mean there was no spread there were some case reports of it happening but for the large majority we did not want mothers to panic because it wasn't happening and children in general seem to fare better with this virus anyway the numbers of children below the age of 10 dying with cover 19 were spectacularly low that doesn't mean it's completely benign for them because they could also spread this virus and be vectors but it is reassuring for mothers especially with the levels of anxiety that they are facing for [Music] themselves please don't put your masks on the floor and then put them back on your face sean you're a doctor buddy don't put it on the floor i talked about germs having hang time about the hanging out in the air but folks after they hang out in the air for those minutes or hours where they go right on the floor especially if you're walking around a hospital setting and then you come home with your shoes on guess what's on that mask man couldn't they just have me on set for one of these things could have helped make it so much more accurate my hospital actually created a state-of-the-art coven 19 ward check it out as i give you the tour for that in a day my life video or check out all of my good doctor reviews here in a playlist i made just for you and as always stay happy and healthy and stay alert not anxious

Dr.

Related Videos

Consultation & Treatment

Consult With Loading Doctor Data