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

for better or worse I get the McDreamy thing a lot move over McDreamy I've never seen the man in action in fact I've never seen a full Grey's Anatomy episode but you asked for it so you got it a month ago you were in med school being taught by doctors today you aren't the doctors first of all I've never heard a speech given that dramatically on an interns first day nobody really talks like that it's much more practical five of you will crack under the pressure of two of you of the athlete this is your starting line this is your arena this sounds like Hunger Games more than it does Grey's Anatomy no I'm not getting it it's just that uh you know you were very unforgettable O'Malley yang great Steven we do get ready together in the mornings there are locker rooms like this it's funny to say but because doctors spend a lot of time in books while in medical school they're not the greatest at interacting with others or maybe even showing interest in the opposite sex so I've seen situations like this happen a lot where someone's trying to make conversation but they're not great at it so it comes off very awkward it's funny but this is very accurate you're interns grunts nobodies bottom of the surgical food chain residents don't work 48-hour calls anymore they're capped at 80 hours per week maybe they go a little bit over that sometimes but 48 hours is just non-existent and this started because of the Libby Zion law which is sadly the name of a young girl who died because residents who were so overworked they miss catching a diagnosis and she ultimately died run labs write orders work every second till you drop and don't complain on-call rooms wait the on-call rooms look exactly like this they're very plain they're very basic the hospital doesn't budget or allocate any money towards them you have to change your own sheets the mattresses are basically plastic uncomfortable so this is very accurate dr. Bailey shotgun that means every test in the book CT CBC chem seven tox screen I love how simply the attending came in and made that decision he basically saw maybe the chart maybe a brief explanation of what happened why the patient came in and he already has a shotgun approach to this this is not how medicine works that's ineffective you need to have a presumed diagnosis in place so that the labs and tests you order actually confirm a diagnosis you can't just throw stuff against the wall shotgun against the wall whatever he said and hope something sticks the only time that is appropriate is if you have no idea why a young otherwise healthy patient with an unknown history comes in with some sort of weird presentation then you can start ordering a broad range of tests but they knew she had a seizure history so why are they doing a CT scan I need more info more info please plus your cell this is where these medical dramas get me they make it seem like the doctors do everything from A to Z they diagnose the patient they run the tests on the patient they draw the blood they transport the patient we have nurses we have a maze we have transport staff with PT therapists we have respiratory therapists understand that they're trying to build the character so they're trying to show as much of them as possible I'm just gonna insert my fingers into your rectum why fingers just one finger but you missed a lot when you first started out no one was ever that mean people wanted you to learn they wanted you to get better if you go into every procedure or every moment within residency with the concept that you want to learn and you want to do better people respect that so I don't I don't necessarily get this hatred that these poor interns are getting our cafeterias are bare-bones with usually not the greatest food available in fact this is what surprises me most about hospitals we try and tell people to eat healthy and stay healthy but the only options to eat our pizza burgers chicken fingers the most unhealthy foods possible it's crazy to me you know I'm not the doctor I'm a doctor but I'm not Katie's doctor so I'll go get him for you very common situation to find yourself in especially at on nights when you're covering for the entire Hospital and some medical emergency happens the family wants answers they have a lot of very important questions that they need answered but you don't know the patient you need to put a lot of information together rather quickly and create a thought process that the family can follow along with you so they know what's going on you don't have to give a direct answer a lot of residents young residents especially think that they don't have the exact right truthful answer that they're bad that's not true even seasoned attendings know that there's times to say we don't know yet what's going on dr. Shepherd he's over there why did I know mr. McDreamy guys gonna pop in to see oh wait did they not know each other dr. Shepherd this isn't appropriate that ever occurred to you I agree with her in a position of power you should not be involved into these types of situations they don't happen that often as much as we like to believe that there's so much love and drama going on in hospitals doesn't happen as much as you think it does but I have a little she may come back for more with the wonderful dr. Shepherd [Applause] usually we wear eye protection because if blood squirts out into your eye that's pretty dangerous so at least have goggles or the face shield that comes attached to the mask now is rather quick I guess that's for TV's sake in a reality there's a lot of conversation that occurs between the attending and the intern especially with identifying landmarks they'll often ask you really hard questions and we call that pimping and they'll ask you questions that are unrelated to the case so you've prepared for this case but they'll ask you something else it's a very common okay give them a clap bp's dropping he's choking come on George let's go who talks like that bullying falls out of your bag double-o seven is a state of mind this is a girl finished first in her class at Stanford we lived with the vending machines I used to eat Snickers galore when I forgot to bring my healthy alternatives from home mr. Jones his junky veins and he really needs antibiotics I should start a central line to start one you know know how I couldn't lay I'm very passionate about this starting a central line just because you couldn't get a vein with a needle prick is crazy it's crazy you're putting the patient at risk dr. Bailey I mean father you've no doubt it's mr. Joey says he's dying No then stop talking to me she should have gone to a nurse because nurses have way more experience than even doctors in getting a blood draw it's time you wake me so close to did this and that patient doesn't look alive for some reason oh no he blinked okay he's alive are you sure that's the right diagnosis I don't know I'm only an intern here's an idea why don't you go spend four years in med school in the lemmino office um right diagnosis oh that's what we call a cowboy intern basically a cowboy intern is someone who is so confident in their diagnosis that they start their treatment they don't explore any other options they don't have a good differential meaning other options of why the illness could be nurses keep the hospital running without them we would not be able to do our jobs a lot of times they'll catch our mistakes they'll be able to identify things we could be doing better this is the most drama I've ever seen happen in the first 24 hours of being an intern the rest pans not working phenobarbital loaded with phenobarbital okay when you say loader with phenobarbital that's not an order you need to give the dosage the nurse needs to say back to you to make sure that you heard the same thing that you said otherwise if the nurse misheard you and you didn't even give the instruction of how much to give they can give Eddie dose so that could be lethal to a patient so that's not real okay so hard stopping that's the code blue I've talked about this before now the patient is dead if the heart has stopped the patient is technically dead and you have to work to revive them to get their heart started back up again as the resident in charge you have to instantly give roles to everybody you do chest compressions you do this you give the medications you monitor the rhythm strip the most important role being chest compressions you have to do chest compressions you cannot stop doing chest compressions so if you have one person that's giving bad chest compressions because they're tired you instantly have to swap them out because chest compressions is what extends and saves lives so right now them not doing chest compressions is awful the first thing you do is chest compressions whoa I hope she's not gonna shock the patient oh my god please tell me she's not gonna lie no no what are you doing grey's Anatomy's no nothing no oh she's in v-fib then why is this telling she's flatlining [Music] I've never thrown up in a hospital I've never seen a doctor throw up in the hospital unless they were sick yeah when things go wrong you get nauseous that's part of life I mean that there's difficult moments that happen there's times where you're gonna be humbled I mean every day I walked into the hospital as a resident I was humbled there's a reason why we call it practicing medicine because we're all practicing we're all learning we're all adapted we're all trying to get better and the human body's a crazy crazy thing that we still don't have perfect knowledge of so I feel for her a little bit you know just a little bit a little dramatic what I feel for her yes our man has a seizure disorder now you're saying it isn't I'm saying that I don't know oh my man McDreamy saying my line real doctors are comfortable saying I don't know because in reality there's a lot we don't know and when cases get very complex like this young girl who's otherwise healthy is having seizures and then her heart stopping it's a very unusual case very very unusual I want someone else a doctor who knows what they're doing you get me someone else someone better than you these types of conversations do happen this is real life people get very very upset it takes a lot of patience to deal with these issues I've seen doctors get mad and snap what I do is if I feel like I'm getting angry as well I step away from the situation let both parties cool down and then come back and explain calmly what we're working on because if you just say we don't know with no follow-up it seems like you're not doing anything but if you say we don't know but here's what we think it might be and here's what we're working towards that's a much better answer he'll be fine right Tony's gonna sail through you have nothing to worry about promise patients need reassurance you need to give honest reassurance without over promising them results what are you doing I'm suturing a banana with the vain hope that a wakes up my brain okay suturing bananas suturing pigs feet is something very common that med students and interns do so that's it is true she's gonna die if I don't make a diagnosis which is where you can I can't do it alone I need your extra minds extra eyes this is very dramatic every day we have meetings known as rounds where we sit around a table like this we present a complicated patient we give the history we give the physical we give the test results and we all brainstorm ideas of what it could be how we would approach the case and it's very good practice even if we already know the outcome but sometimes we don't know the outcome and we are brainstorming like you said here but it's not this dramatic can't comment they face or react me anyway we had sex [Music] bum-bum-bum Katie competes and beauty pageants I know that but we have to save her life anyway okay she has no headaches no neck pain pursuit is clean there's no medical proof of an aneurysm first of all this is known as a HIPAA violation they're basically talking about a patient's case using her name in front of other people who are not involved in her case and that is strictly against the law they could get sued for millions of dollars and rightfully so because you shouldn't be discussing patient information elevators in fact in most hospitals you'll see a sign in the elevator that says please don't discuss patient information wow that was quick this heart has too much damage to give them off bypass I have to let him go what happens rarely but it does happen where's part of the game when he gave that promise to the family saying that he's definitely gonna make it Tony's heart had a lot of damage thank you don't do this type of conversation in an open setting like this you invite the family and into a counseling room you explain what happened but you don't do it out in the open like this because this is just gonna end badly you should want to find it we had sex get the way of you taking your shot should have had sex period dr. Shepherd name the common causes of post-op fever the five W's brah can anybody name the common causes of post-op fever I don't like this is you G wind water wound walking wander drugs yes how would you diagnose I hope she says CT Cyril CT and now thank you scanners provide o 2dos with heparin and consult for an IVC filter oh she just gave all of the options that you have in testing somebody for a pulmonary embolism as well as treatments that you may give to someone with a pulmonary embolus I'd know you anywhere you got the spitting image of your mother welcome to the game welcome to the game I've never heard a doctor speak like that welcome to the game you never want to sleep on a stretcher as a resident because it's bad luck it basically says that you couldn't wind up on a stretcher you have the on-call rooms you have couches you could knock out on so sleeping on a stretcher it's just bad form I should go do this you should the bromance is real I'll see you around thud McDreamy would have a little more muscle on him be kind of looking a little frail there whoa there you have it my first Grey's Anatomy episode is in the books and you were here to experience it with me all in all I'm pleasantly surprised with this Grey's Anatomy episode because I assume there's gonna be just way more loving and sex and that's what the whole show is gonna be about and in reality did take a deep dive into how a resident feels and what their work is like so I thought that was pretty good and it surprised me Medical accuracy obviously weak but I don't think most people watch Grey's Anatomy because they want to become doctors and they want to learn about the human body I think it's an entertainment show first and foremost and I think it does a great job at that I told you if you got my real doctor verse TV doctor video to ten thousand likes I would watch an episode of Grey's Anatomy and I did as promised so now if you want me to watch another episode of Grey's Anatomy one of your favorites or the good doctor or house leave it down below in the comments get this video now to 15,000 likes which I know you're totally capable of because the last video you got to like 19,000 likes please subscribe to the channel because the more subscribers we have the more content and better content I can constantly create as always stay happy and healthy [Music]

Dr.

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