Welcome back to another Doctor Reacts Series Episode! Grey's Anatomy is a popular medical drama and I constantly get asked ...

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Real Doctor Reacts to GREY&#39;S ANATOMY #3 | Medical Drama Review

it's time for my third grey's anatomy review but for this one i brought a friend please welcome my colleague dr luis espina who i actually did residency with and he was my senior resident so he taught me everything i knew not everything but yeah are you ready you have to do that by the way no no no come on no you have to do it yeah you didn't sign the divorce process fine i get it end of discussion what i actually don't know anything about their romance and i know people in the comments are already getting their bows and arrows out to help me down i i just i don't think they're married i think he's about to divorce wifey oh and she's trying to get him to do that dr bailey harry lamont age 42 is scheduled with dr shepard for a spinal implant to control the pain of his herniated disc is allergic to all pain medication is that porn porn as in porn all right what are we watching correct go stand in the hall you have to be sensitive to the needs of the patient yeah but that's overstating it have you ever patient do that no i don't think i don't think the television could get cnn much less look we can't have porn in here this is a hospital it's for my pain my doc says it releases endorphins in the brain it helps keep my pain at a manageable level not gonna lie if that helps him over an opioid addiction i'm with getting him a private room i am a firm believer in the what it takes school of medicine so whatever it takes to make the patient comfortable okay pete willoughby 25 year old gsw to the chest immediate return of 860 cc's of blood from this oh this hurts he's put out more than 200 cc's over the past hour they never tell you movies how much it hurts to get shocked push morphine two milligrams alex this is my case i don't understand in this show when they say a person's lost a liter of blood that they're hanging out talking casually just chilling looks good his hair looks his hair looked good looks like you'll be able to go home today but i still have patients to see no no more patience i'll be back to check on you later okay you should know i'm thinking of leaving thatcher i should never have married him i'll leave him you leave adele then when our residency is over we can both get jobs at the same hospital why don't you get her meds ready for discharge nurses thank you i mean i was an old resident but that's an old resident of that guy's residence i don't know if he's a resident yeah i don't understand the story line she may be them suffering from the measure she she may be i mean i was old but that guy makes me look like you yeah well maybe not quite but it was a long time ago remember we had this discussion 21 years ago oh lou it was the rain i just passed out actually mrs bradley verna verna you presented with lateral st elevations and reciprocal inferior changes consistent with an mi a heart attack so when a patient has a heart attack as they described it in st elevation mi it's called a stemi you got to get a patient right away into the cath lab which is where they put a catheter from your arteries either from down below or from your arm into your heart and either open it up with a stent or just evaluate and see if you even need a stent to begin with and there's a very strict protocol as to how much time it is from the door to the balloon 90 minutes yeah so 90 minutes [Music] you have to be on the table and and have the calf started i've had a twinge in my back for a while and i thought it would go away but then last night my legs went numb this morning my back pain is just too much miss you we're gonna push on a pca pump maybe some morphine which should help control the pain thank you okay but this is great that was quick huh it's an awfully comfortable pca pump that's a quick pca pump a pca pump is a pump that's controlled by the patient in order to give them anesthesia usually there's an opioid in there it's programmed so that they can give themselves dosages but if they're using it too frequently it times out and doesn't allow them to do it now this is good because when patients have that ability to control their pain relief they generally use less of it and are more aware of how much they're using as opposed to when a nurse comes in and doses it they may overuse it and in and of itself being in that much pain can be just just a humbling situation so it returns some measure of control to the patient what's going on i was just about to explain that anna's mri has shown that she has a mixopapillar ependymoma it's a tumor in her spinal canal but the good news is that we can't operate you have a 95 chance of fully recovering if we get you in the surgery as soon as possible you know about that i don't know about that and i don't know how he gets those stats right off the top of the dome even waiting another day puts you at risk for permanent paralysis father no no surgery mr chu without surgery anna will be paralyzed probably within the next 24 hours i hate how they talk about medicine with such certainty because then it tricks our viewers here from going into the hospital when we don't give them direct answers they're going to be like but derek shepard mcdreamy told me that my tumor if i don't operate and i thought you were between me no i know but this guy look mr schue are you taking our daughter home anna you're over 18. you don't need your father's consent this is true i'm hmong and my father is the elder if he says i go home i go home do i continue to process our discharge yeah we have to it's insane but we have to well actually we wouldn't process this as a discharge we would process this as an ama which is leaving against medical advice because if we're telling a patient hey you may have a disability if you don't get the surgery immediately they choose to leave we have to say that they left against medical advice otherwise they can say we told them to leave and then something tragic happens right right it's illegal you'd be responsible the problem that you have there is that you want to try to convince the patient and the family with logic and reason but also some empathy because if you just throw the ama papers in their face and walk out the door they're definitely gonna leave so sometimes it takes a little bit of honey to catch the bees i was married for 11 years addison is my family that is 11 thanksgivings 11 birthdays and 11 christmases and one day i'm supposed to sign a piece of paper in my family a person doesn't do that not without a little hesitation i'm entitled to a little uncertainty here it's a moment to understand the magnitude of what it means to cut somebody out of my life i'm entitled to at least one moment of painful doubt i know nothing about their relationship but that sounded very logical to me itu uh you might want to have thought about that before you jumped in bed with the intern so scratch my previous piece of advice i'm going with doctors or my elders you might want to have a little doubt before you run off with the the attractive colleague dr shepard still here i see i couldn't leave you have you seen the other doctor shepard i'll tell him you're looking for him [Music] oh that's his wife i guess hey i got berna bradley's test back i don't think she had a heart attack never looked the changes in her ekg she had something yeah but her serial enzymes and darpina means stress psycho came back negative i actually think she's her dobutamine stress echo came back negative while she's having a stemi let's explain what a dobutamine stress echo is so uh an echocardiogram is an ultrasound of the heart you can give a chemical which actually stresses the heart makes it beat more rapidly which therefore makes more blood flow occur now you can look at the echo and see how the heart responds to see if the walls of the heart are moving appropriately if blood flow is circulating appropriately within the heart but now why are they doing a test like that on someone who's actively having a heart attack based on the ekg let's do this as a patient simulation we have like what a late 40s female syncope chest pain negative cardiac enzyme with st elevations with a negative stress echo what's your diagnosis she's having an mi so that's you would say she's having it you're going to say she has a left anterior arm until proven until proven otherwise there's something in the left anterior descending however there's going to be more drama and i'm going to be wrong i have an idea what's up she did something bad and she has taku sobos carditis no she didn't do something better her husband did and he's stressing her out and she has taken cholus that's not a bad guess broken heart syndrome you're really no you'd see it on the echo no if it's resolved no it doesn't stress it doesn't resolve that fast are you in trouble now they're gonna crack his chest in the elevator really you think you need a strong hand and a pair of sharp trauma shears right now oh that doesn't really happen we have generators how's the patient it's not looking so good [Music] doctor and that's your explanation of what's happening give the rhythm give the pulse have you ever even heard of the hmong people our religion has got rules that are way old and away set in stone and way spiritual and you don't mess with them you don't anger the ancestors even if you pierce your tongue and play in a band what are the rules exactly when encountering a situation with a patient that culturally it's something that you are not familiar with smartest question thus far in the show what are the rules by knowing that you might be able to find a point of compromise to fix a situation apparently anna's father believes she's missing something that she needs for surgery missing something missing one one of her souls we don't need a social worker we need a shaman you definitely did not have a heart attack so i can go home not yet your ekg shows significant changes and i'm going to find out why before you leave the hospital [Music] so when you lose a lot of blood uh you become hypoxic your brain's not getting enough blood flow your brain doesn't get enough blood flow doesn't get enough oxygen when your brain doesn't get enough oxygen it starts saying crazy things like you're in the middle of an elevator that's stuck bleeding out from your chest from a gunshot wound and you say you want to go home o'malley blood pressure i've taken it three times and i can't hear a systolic over 50. so that's quite dangerous that means he's not getting perfusion to his vital organs including his liver brain and kidneys which means that those organs are currently dying i'll be right back wait where are you going to get an instrument tray you guys are going to have to open up this chest hot damn we're just gonna have to get a shaman today in the hospital shaman's unlisted in the yellow pages hashaman is 500 miles from here you are an arrogant man no i'm just a guy with access to a helicopter cool let's see how this is gonna happen hey where are you two going so fast mark is talking george and alex through heart surgery in the elevator shepard's setting up a shaman healing ritual rock on a porn guy [Music] the show is really medically inaccurate but it's hilarious it is it's funny she has the porn guy that's funny wouldn't have residency been much more fun it was like this we didn't have to operate in the elevators we didn't have shaman we just had patients who had no insurance that we had to battle to get them treatment you never shaved your legs what but be sure you don't cut into the longer heart uh how can i be sure that you just have to be sure [Music] on this date for the past seven years you have what looks like a heart attack no no i know i've had some scares but i don't every year on this date is there some significance to this day for you personally no nothing what were you doing the first year the the first time you had a cardiac episode i can remember back that far we were in the yard i i remember because our neighbor what was his name chad that's right he died of an aneurysm i think and we watched says the funeral home people took him away and you had your first attack and you were close to ted no oh she barely knew ted this is taco tuberose i'm respecting but i'm telling you right come on it's impressive it's beating a little stronger excellent keep your finger there okay now what that's it that's it what's wrong with that picture there's open flame in the hospital and why is open flame in a hospital especially in that bed really dangerous but oxygen around there oxygen is a little flammable well it potentiates the fire yeah you have stress cardiomyopathy cardiomyopathy i have an offer from boston general you took it to get away we saw we'd never talk again about what we had together this reminds me of the notebook you guys ever watched a notebook romantic movie i didn't see you didn't see it no we should watch it like a bro bro night yeah no it takes away his pain and see the thing is henry henry takes away my pain humans are weird all of us myself included well we're all unique and again did you just use a synonym for weird in a more positive tone yeah usually you're the dark one i am i am i don't i don't know i'm in a good mood today but yeah probably because of the porn it must be the porn choose me love me i'll be at joe's tonight so if you do decide to sign the papers meet me there oh no you don't like it too narcissistic for your taste pick me i hope you enjoyed our little collab here if you want to see a playlist of all my collabs with ricky ava gabby molly click here say do it click here cook here and stay happy

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