Its been a little while since I watched one of your recommendations. This week I tackle the long-awaited Royal Pains! Now, this ...

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Real Doctor Reacts to ROYAL PAINS | Medical Drama Review

what do you get when you mix Ober with a hospital Royal Pains Oh ball time ah good dish good dish we have a athlete that's collapsed what are you gonna do check for a pulse call for help call for help first thing you do call for help [Music] yes he pointed the personnel I need those two gym bags right now if you want some ice from those coolers move it does he have a pulse all right we have to break this little scene down athlete collapses while playing basketball he say he is not breathing it sounds like he has no pulse at that point you call help 911 one point somebody out because if you just yell it hoping that someone else will call 9-1-1 that may not happen so point to someone say you call 9-1-1 and then right away chest compressions chest compressions chest compressions don't push with your arms push with your upper body because then you could use your weight to your advantage and not tire as quickly then just by using your arms when you're pushing do you want to do it to the tune of stayin alive stayin alive uh alright that was bad singing but good effort chest chest chest chest compression sir why'd you off today dr. Lawson I was status post cardiac arrest got his pulse back and open his airway did you really use gym bags for immobilization yeah I can't wait to tell him some sweaty boxers save his neck so the thing with opening up his airway if the patient is still basically in a coma state they can't protect their airway that's why we do the Glasgow Coma Scale to see whether or not the person can protect their airway and if they can't they should be intubated because what can happen is some secretions whether it's alive a mucous vomit can get into the mouth and then get aspirated into the airway which will go into the lungs and now we'll create a pneumonitis which is a very serious condition which causes Syria inflammation of the lungs and can be deadly Oh two-cent 80 BP 100 over 60 drop five of versed 150 of sux dr. Lawson paramedics bringing in an 68 year old with a STEMI waiting now 68 year-old with the STEMI means an ST elevation mi an ST elevation is something that we look for on an EKG when someone's having a heart attack and MI means myocardial infarction just another name for a heart attack into the femoral artery and there's the blockage you can finish up I'm gonna go out he's stable he just needs an angio dr. wolf how's the kid the EKG shows a third-degree AV block it was unresponsive to meds I placed an external pacer but I'm not getting captured what's his BP hovering around 60 systolic all right he needs a wire stat is Hank a cardiologist I'm so confused what I'm interested in here is this young athlete he said he has an AV block which is a problem with the electricity within the heart that can cause the heart to stop beating he's saying that they're trying to create capture which is when they put a device on the outside of the chest that tries to capture the hearts beat and reset it and give it the proper rhythm now they're not having success with that so he says I'm gonna put in a wire essentially what he's saying is he's gonna go from the internal structures and control the electricity of the heart that way now we do this all the time for pacemakers and defibrillators basically for all sorts of congestive heart failure and electrical anomalies of the heart priority is mr. Gardner you'll see him all the way through Gardner is stable his BP is up as sad as 98% on two leaders the ST segments are normalizing in his pain is gone so how about today we save two for the price of one let's go I mean I totally agree with him here why what does she want him to do babysit the other VIP patient what good is that gonna do them if he did the procedure he opened up his arteries his ST segments are normalizing which means that the EKG is improving what else is she gonna do [Music] Wow still can't stop with the romance in these medical shows with the making out and the just medicine is fine we don't need them just say let's go get that long day of yours a happy ending it's the dirty show I recognized mr. Gardner's level of blockage I knew it had to be relieved and I was confident he would be successfully angioplasty didn't survive barring any bad luck well bad luck rained and poured didn't it while you had our senior CT surgeon in another room to help me try to rescue a crashing patient I made a judgment call you made a mistake a fatal one and it's a shame dr. Lawson because we all know you're the most talented physician this emergency department has seen and estar was only on the rise was I know for the average person that may watch this and think oh that makes sense he got fired to me it makes no sense at all I have no idea what he did wrong it looked like he completed most of the procedure and then left the rest of it for another doctor and then went to perform another procedure he didn't go home to hang out so I'm still flabbergasted as to why he got fired but whatever it's clearly not important for the show's storyline you really need to get out of this apartment and get some fresh air bro in Brooklyn honestly it smells so bad it smells like a moose had sex with a bucket of Chinese food in here like musty and you kind of look like Jesus and Patrick Dempsey had a child and that child grew older and then got really sick that's weird look look look this trip is gonna get you back on your feet I promise trip what trip to the Hamptons I've been telling you about this all month yeah and all month I've been saying no way a lot of Medicine upfront a lot of no medicine in the middle Blair clear dr. silver here any damn kid's gonna learn how to hold good drugs this is concierge done some oxy well Crystal group a few lines and chase it all down with champagne having salad you kids call it right what if it doesn't do drugs why because she says she doesn't lose flash pretty boy most drug addicts are also liars sorry April if we gotta get the stray into your system doctor you may have missed a diagnosed oh really who are you just a concerned observer oh well I observe nausea photosensitivity disorientation fewer than telltale symptoms of an opioid overdose what did you observe the same symptoms that you are plus a couple you're not like her my otic pupils and Sledge toxidrome how you don't want to understand he didn't even look at her eyes how does he know what her pupils look like I mean it sounds like he has x-ray vision he could see from across the room especially in a dark room how is he able to see it not buying it Hank alright let's go we go I got this from here guy who are you I'm a lifeguard are you board-certified in clinical toxicology huh help me get her up Baywatch I somehow doubt that this guy is an interventional cardiologist clinical toxicologist how many board certifications does he have and they're not even ones that go hand in hand like if you're an ER doctor and you're toxicologist I get it but being an interventional cardiologist and a toxicologist yeah those are nice Ferraris 360 modena this isn't my blood it's my girlfriend's um can you come inside yeah yeah sure no malpractice insurance know anything just oh yeah I'm just gonna be casually your doctor I got fainting she gonna bomb it he's sweating oh that the seatbelt mark on his chest could have a cardiac contusion which is a bruise of the heart did you tell me your oh did you factor aid supplies so he has a bleeding disorder that if you get into a car accident or any kind of accident or for that matter you start bleeding excessively and you're missing one of the clotting factors specifically factor eight that's what he's talking about here I don't know how he knows it's specifically factor eight that's really impressive and also how he knows exactly that he's a hemophiliac it's very impressive diagnostic skills that I feel are a little bit past human abilities stay with me down there you ever stay with me Tucker stay with me Tucker stable all right check you those up muffled heart sounds animal pulses damn it affects me thanks probably confused his heart and bled into the pericardial so what are you talking about look at his heart is being squeezed and not circulating blood to his brain he needs the fluid drain but because of his hemophilia I could kill him trying to save him this is actually really similar to what happened with the good doctors pilot episode where the patient got into also an accident and blood was pooling around the heart we were worried about cardiac tamponade where the heart's trying to beat but it's there's a buildup of fluid in the SAC surrounding the heart so it has no room to beat properly and therefore all the vital organs are not getting enough blood supply what complicates this case even further and I have no idea again how he knows he's a hemophiliac is that he's a hemophiliac so if he's to do any kind of procedure like insert a needle into the pericardial sac and take the fluid away so that the heart can beat properly you can kill him because the he could bleed out well I got so fake it's crazy [Music] okay good good just take it easy pal just take it easy take it easy I just cut open into your heart and your ribs you're all good just take it easy he may be helped out big time Libby helped up my man call 9-1-1 she shows really funny I actually enjoyed watching it as a regular show not just as a medical drama there's obviously some crazy unrealistic situations that go on but the one part that is true is VIP concierge doctors are all the rage what Michael it was when I was in medical school was to become a VIP concierge doctor but for everybody make it as a low-cost option and that's sort of coming into existence with something known as direct primary care and I'm kind of excited about it click here for my three favorite videos from the last few months as always stay happy at home [Music]

Dr.

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