This is the one you've all been asking for. Scrubs. Ever since I started my medical training in 2007 all of my friends have been ...

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Real Doctor Reacts to SCRUBS | Medical Drama Review | Doctor Mike

back at it with a doctor react series this week I'm tackling scrubs this show is supposed to be a comedy but I've also heard that it's rated one of the most medically accurate shows out there let's find out line number one doctors don't wake up at 6 a.m. we wake up at 4 a.m. or 5 a.m. at the latest because usually we have patients scheduled for 6 a.m. or if we're gonna be on a hospital ship you need to come in for rounding and pre-rounding I don't know what kind of doctor this guy is but 6 a.m. is a bit late and 3 years of pre-med 4 years of med school and tons of unpaid loans that made me realize one thing good could you go drop an NG tube on the patient in 234 and call the attending at the lavage is positive I don't know jack your first day in the hospital is a scary day and I'm not talking about when you're a medical student on your clinical rotations because no one really expects much from you and you're a medical student when you go in as a resident your doctor you have a medical degree so people have expectations that you'll know what you're doing now just because you have the knowledge from a textbook on how to accomplish something it doesn't mean that you have first-hand experience and hands-on experience really matters especially when dealing with other people because medicine is about dealing with people not disease hospital doesn't want to be sued being sued is not a good thing finally doctors if there is a mistake don't admit it to the patient here's a fun fact about this common sense wise you may think that yes if you hide the fact that you made a mistake you're less likely to get sued but what research has actually shown is that if you're honest and come clean about your mistake which doctors totally make mistakes we're not robots if you come clean about your mistakes and show the proactive steps you've taken to prevent that mistake from occurring again patients are less likely to sue you patients families are less likely to sue you so it's about owning up it's about being a good person and if you're a human first you're less likely to get sued I'm a tool I'm a tool I'm a tool tool tool and unbelievably annoying tool yeah yeah finally these are your beepers from now on they control your entire life you would actually think that because it's 2018 or at least when I was doing residency was 2017 you wouldn't have beepers anymore guess what we still have those same pagers it's crazy I actually had the communications people from the hospital send a message to my phone instead of to the pager and actually hasn't changed that to me just felt way too old-school to be walking around with one of those pagers on me you've done this to cadavers before so this guy's alive just poke it through a skin poke it through now times up Carla would you do it for him please I'm also gonna need an ABG okay this is actually really funny very true that when you go in your first day some of the senior doctors will want to see your ability to do some of the procedures like put an IV in to do an ABG which is an arterial blood gas it's basically when you go into the artery usually the radial artery which is at the end of your wrist it's one of the harder sticks because you can see veins the artery you actually have to feel the pulse and then insert the needle based on where you're feeling the pulse dr. Dorian can you tell me what ailment Motz all I think I'm gonna love rounds it's like being on a game show what is uremia that's my boy this is a cool example of what rounds are you basically have a list of patients that your team is responsible for and you go around with your entire team with the attending being in charge sometimes it's the chief of Medicine and you walk around to each patient's bedside and you discuss the case not only with the patient but with the team as well sometimes you get the doctor asking you questions that's a form of pimping they're trying to get you to think outside the box the way that I like to lead rounds is sometimes we know already what the patient has because it's written on our reports but I would say well what if this test came back negative or what if mr. Johnson presented without the headaches what would change in your diagnosis and that way can facilitate how a person thinks because the quality of a good doctor is being able to adapt is to be able to think on the spot back in the day they were very mean about this pimping process and if you didn't get it right they would talk down to you they would call you stupid I don't see that negativity there anymore and I think the whole process has become a lot more positive reinforcement based I'm going for it infection that's my girl moving on I know I'm sure you did good you know good but thanks if there's anything I can ever do for you just you could let me take you to dinner tomorrow night we're back to the sex even a comedy medical show that is funny on its own still needs to have a little sex thrown in there what the hell are you doing all those newspapers are very legitimate like having a ton of newspapers just sprawled about that are very old having that horrible TV that's like sitting way to high up so you have to Jack your neck up you daydream a lot especially when you've been up for 24 hours so that part of this is very realistic did you actually just page me to find out how much tylenol to give to mrs. lens nur could exacerbate the patients it's regular strength tylenol here's what you do get her to open her mouth take a handful and throw it at her whatever sticks that's the correct dosage I'm gonna be honest and say that I've done stuff like this my first rotation going into residency was on the surgical unit and I texted my senior residents or attendings for everything and then after a few weeks I realize like why am I doing this if I know it's the answer and I've double-checked that it's the answer why am I asking for permission when I have a Doctorate degree so it takes some time to build up confidence not every person works at the same pace so I totally get whatever he's coming from asking about the tylenol for the love of God what about her she's dead oh my god this shows crazy if they find out the nurses are doing your procedures for you your ass will be kicked out of here so quick it'll make your head spin nurses do the majority of the procedures as it is now if the procedure is too difficult you're the one that's responsible to come in and solve that problem if then you can't do it and you can escalate to either another resident or maybe the attending physician but generally nurses are better at doing the procedures than us because they do them so much more often so their hands are much more well equipped to do the procedures really dance this is such a wicked shouts oh and like that I was back in high school you see Surgical interns they're all slicing and dicing at the jocks medical interns we're trained to think about the body diagnose test the medical interns well you got a state where the Chess Club ah not exactly accurate but has some truth behind it Surgical interns and residents are much more practical they see a problem they want to fix it they want to go in and cut reassemble suture whereas as a medical intern or resident you have to really think about is this patient gonna follow the treatment is this medicine gonna interact with all these other medications sometimes surgery will consult us as the medical team to come in and manage something that's very simple for us but to them it's something that they don't do often whereas on the other hand we'll call for their help on simple surgical procedures even like sutures if they get too complicated for us it's really about teamwork and making it a balanced approach my first coat see here's how it works someone's heart fails they beat everyone the first doctor in has to run the room tell everyone what to do basically decide if the patient lives or dies what am I crazy in general you have a co team that's said to respond to these code blues yes it's about who gets there first but it's not about any doctor in the hospital she'd just run up and start treating the patient we have teams dedicated for this because imagine if everyone's busy and no one responds what the person just ends up dying not the case there's strict responsibilities here in my hospital the way it worked was the ICU on-call teams usually ran the code and if there was something else going on then the medical team came in and ran the code not gonna lie it was scary when you would have one code and then another code hype happened simultaneously and then maybe a rapid response meaning that someone's heart didn't stop but something serious was happening where their heart may stop soon and at the same time you get an admission it can get really hectic [Music] jammer wears night on call start soon huh yeah she must be excited oh you betcha the first night I was on call I was terrified because you have one senior attending and if they get busy with something it's all on you and you're so worried about making the wrong decision but if you double-check everything that you do speak to people who have more experience than you when you aren't sure about what to do you're gonna be fine while those nerves are totally normal and expected there are ways to combat it by being informed by being knowledgeable and by being smart I can relate to the feeling of like coming on call and instantly getting things to do for me my call started at 7:00 p.m. so when I would go in at 7:00 p.m. the team that's coming off would hand off to the pages to me and say hey we were so behind that there's still three or four admissions that are in the emergency room that needs to be done and brought into the hospital so you come in and you already have stuff to do and then on top of that you're getting pages about new things that are going on the attending things it was a pulmonary embolism no way anyone could have caught it anyhow you have to pronounce it why didn't anybody page me okay so this is an interesting thing pronouncing someone dead is usually done by the on-call resident so that's accurate what happens is if a person dies in the hospital the nurse pages the on-call resident they have to do a full exam we look at the pupillary response pain threshold we put a pen on the nail bed and we press very heavily so the patient is somehow not dead they would wake up we listen to the horror we listen to the longest for extended period of time there's like this whole physical exam don't we do and then we write it a long note calling the time of death suspected cause of death in addition to that once you pronounced the patient you have to talk to the family which is a very difficult conversation you mature very quickly during these moments even now when I finally get to go home and the back of my head on all the hospitals still here wide awake that line is very true there's been times like I was in a good mood to go home and I was like let me just roll through the ER and something happened and I needed to help someone out and I ended up staying three four or five hours past my shift it's like one of those things go home while you still can cuz you need to be back here the next night to save lives the most important thing is that I got through my first three days without looking like a complete idiot another episode of the doctor react series is in the books mixed feelings on this one and that's surprising because I thought I would find it really funny there was definitely parts that had me laughing and I was like yeah that's so true I don't know some parts are just so dark and mean-spirited that I couldn't get behind it it pushes a lot of the stereotypes on the medical community that aren't good to be pushed and we should be getting rid of them instead of celebrating them I probably need to watch more episodes to truly understand what the characters are all about if you like this type of content please subscribe down below cuz it tells YouTube that you really enjoy this content and it allows me to continue making this type of content and if you have a show that you love or specific episodes of the scrub series that you want me to watch leave it down below in the comments as you know I react to the comments all the time if not in the comments section in my monthly responding to comments video as always stay happy and healthy [Music]

Dr.

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