CATCH ME IN THE HOSPITAL (VLOG): https://youtu.be/LzpCldPiT0c The good doctor is becoming my favorite show on TV let ...

real-doctor-reacts-to-the-good-doctor-2-medical-drama-review-doctor-mike

Real Doctor Reacts to THE GOOD DOCTOR #2 | Medical Drama Review | Doctor Mike

the good doctor is quickly becoming one of my favorite medical dramas and you continually requested so I figured let's just go ahead and watch the second episode of the first season it does not look like a comfortable sleeping position I wish I was this happy when I woke up early in the morning what is he measuring for to San Jose Saint Bonaventure Hospital I'm a surgical resident today is my first full day on that floor I like this show I don't know I gets me happy it just puts me in a good mood this is Mitchell brand I reviewed his chart he's 55 years old from Chicago divorced with two children you did a radical prostatectomy on him yesterday this is actually very accurate in a post-op unit you will get visited by the attending physician the head physician who is usually the main surgeon and they will have their residents following them along here in this case the patient had a radical prostatectomy which is a removal of the entire prostate gland I have a whole video on the prostate and how things can go wrong with it so if you want to check that out on my channel the thing about the radical prostatectomy why it's the difficult surgeries because there's a lot of nerves in the region of the prostate amongst other structures that are very anatomically important including your urinary system your semen duck going in to perform that surgery you want to make sure that anatomically you're very careful not to damage the surrounding structures but as we know things can go wrong and things happen you're late five minutes without that your first day no less it is your responsibility to be here if you are not you have failed in your responsibilities which makes it your fault okay how can it be my fault I did nothing wrong the bus this is gonna work out great the board clearly made the right choice in hiring you thank you I think the attending is being mean but on the other hand I think he's right as a doctor it's very important to be on time there should be no excuses because ideally you should be there early being a good resident it's ideal to get places early so that you can review the charts beforehand get all the information so that when you aren't rounding with your attending you know all the information it's definitely and the left kidney renal Angela my lipoma you see an expensive blood supply god I wish I could do this - she has a sarcoma a malignant tumor means it's killing me right yes I get that it may have features of a malignant sarcomas but to know instantly without a proper biopsy it could be several things - that's it you just accept my answer at face value what you're very arrogant people don't think that alive how long will this be seven minutes without any complications it takes seven minutes to do a discharge examination properly doctor Dunsmuir has already cleared him to go and we need the bed okay protocol requires that the surgical department also clears him why is a patient that has an ear infection admitted into the hospital and question number two why is a patient that has an ear infection being treated by a member of the surgical team are you doing down here lady you for her to fart she had surgery but I'm using the word fart in front of the patient to be more casual because the president of the hospital so I'll say flatulence to you well I appreciate that why are you doing she had a deviated septum repaired before we can release her we have to be sure she isn't suffering from post-operative Ilyas post-operative Ilyas is when the muscles of the intestines don't move correctly and basically it's like a frozen intestine meaning that the gut is not moving the food at its remnants and the stool further down and allowing it to pass this can't happen sometimes one of the first things you wait is for the patient to pass gas and then in some cases if you had something more complicated like a an abdominal surgery you wait for them to have a stool before sending them home I think that was it [Music] you don't have to smell it I don't think so I'll wait a little longer this is important if it's not the procedure is called a laparotomy your heart sounds good I don't know what she was listening to her heart for that was definitely just an add-on for the show but when we listen to the heart we listen to multiple areas when you're listening to one area you're listening to one part of the heart then you move the set the scope around and you're getting the other part of the heart which gives you more information and then you move it to the other side of the chest where you're listening to separate arteries so you can hear what they orders doing when you can hear what the pulmonary valve is doing has been tight in a car accident a couple of years ago mark is our only child I can't die right before his wedding I can't you're not gonna be making promises like that I've said it before it's not wise we have only so much control over certain things especially they don't know the grade of this tumor they don't know the spread of the tumor a little girl has a tummy ache because mommy and daddy won't stop fighting this isn't a medical issue send them home could be intestinal malrotation which could quickly become fatal and every patient in this hospital could have malaria that doesn't mean we're gonna go around testing for every condition we think they could have or during random tests just to make sure that a patient doesn't have that condition is certainly not smart and I agree with the senior attending here what you learn from experience is when you go on the hunt and you start ordering a bunch of tests certain tests will come up positive mostly because a lot of those tests have the high possibility of coming back as false positives which then encourages you to order more tests which has several effects the patient gets anxiety second some tests carry risks for example if you start ordering cat scans on every patient you're exposing the patient's unnecessary radiation on top of that you may find on a cat scan some kind of nodules some kind of node which will need further testing sometimes a biopsy biopsies carry risks you see where I'm going with this from now on you don't run any tests you don't have to work how do I know if a test is needed until after I run it she'll tell you nurses actually have a lot of experience in knowing what tests to run which tests are excessive which tests are very important in fact when the residents of my hospital ran rapid responses the nurses from the ICU were so experienced they already knew what medications to pull off at what dosages even more so than some of the young residents I'm dr. Blair Brown I'm first assist today and I'll be leaving the timeout patients name Stephanie Willis scheduled surgery excision of an indeterminate retroperitoneal - oh now it's anticipate any complications with the surgery thank you dr. Brown that timeout actually happens it's basically we confirm all of the information generally we do and while the patient's awake so they can confirm all this information and then we do it one more time before we start including this may surprise you discussing the site of the operation because it has happened unfortunately horribly that we've operated on the wrong side of a patient's body there's been a lot of things put in place procedures put in place that prevent us from making that horrible mistake with the timeout being one of the most important ones it's not there is some discoloration he's 82 years old everything is discolored blood pressure 120 over 70 or a 60 she's own steady you know what you guys should do you should screenshot this little scene where she says I opened the fashio and send it to Gabby Hannah because she tweeted me not so long ago saying that she can't believe that after we operate on organs that we put them back are they just like floating around in our bodies and I told her that everything is interconnected with fashio and she had no idea what fashion looks like so send her this picture on her Twitter she's gonna love it I thought you want to see it looks like beautiful no it's not the regular color puke is a regular color it has a bit of an unusual color we could order some I'm sending you home part of Medicine and a big part of Medicine and something that I learned and teach my students is that a big part of what we do is reassure because people worry and there's a lot of anxiety that comes with people's bodies fluids are coming out of random places fluids change color we bleed body aches our heads hurt our vision changes a coffee curse upset stomach as soon as you go on the internet you look at any one of these websites you can fall down into a wormhole thinking that your headache is caused by a tumor like this Claire tell me you got something nothing bigger than the looked on the scans hence why we don't diagnose people just by looking at skin the tumor is encasing her aorta meaning it's fully surrounding it in golfing day Horta which serves to be the main blood supply to the bottom of the body dr. meléndez sent you a biopsy when will the results be ready when I get to it it's very important they're all very important let me see the other test orders I'll tell you which ones the most important and you can do them in that order I'll be honest and fair in complex surgeries like this we not only have the pathology lab on standby but you could also even have a pathologist in the room with a microscope ready to make the call immediately especially when a patient is under sedation you don't want to extend the patient's time under sedation just because the pathologist is busy with other cases there is one possibility if we believe the left kidney we might be able to get a good enough huge success we moved amass tell your healthy kidney to get a better view that's insane the tricky part with this is that if they're not successful she could die if they're somewhat successful she could be incredibly disabled and have horrible disability from the surgery and her last six weeks to live with this horrible tumor are gonna be awful as opposed to if they just suture her up now and then she can enjoy her last few weeks of life even if the surgery is a major success does that mean that they were able to get the entire tumor out and now she's completely cured it could be spread all across the peritoneum which is the inside of the abdominal cavity to me this sounds too risky and too much of a like a cowboy move but then again I'm not a surgeon nor a surgical oncologist that's why I would ask someone who's more of a sub specialist which I don't think any of these people are am i healthy probably you're a doctor you're supposed to know no or not nobody knows anything for sure anybody could drop dead of a heart attack at any time who is this guy am I gonna have a heart attack first of all don't do this in an open space like this because if he starts yelling it's not gonna look good for anybody I have these conversations all the time patients come in and they man to know that they're healthy there's nothing wrong with them you can't promise that what I can do is answer a specific question they have about their health doctor my ear hurts why do you think that is and I could say well I looked in your ear and I found that you have an ear infection let's treat it and see what the outcome is you give them reassurance that it's likely to pass but you tell them if the symptoms continue if the symptoms are to worsen if new symptoms appear please return so we can do a further evaluation that's it the smaller bowel is twisted around the superior mesenteric artery Marty needs surgery immediately we need to confirm with sir Melendez no dr. Melendez is in surgery part of Martin's bowel is dying and killing her with it no you cannot make these calls on your own dr. Melendez was very clear he was very clear it's past midnight which means it's tomorrow which means you're no longer my boss his this deal our scheduler yes this is dr. Murphy prepare know our surgery as feel good as this is an intern cannot just book a no our can schedule their own surgery no one would ever allow this to happen actually this could be grounds for expulsion from a surgical program why don't all surgeons look so frail in these shows him McDreamy I mean I get your operating all the time I come on a little deadlift and benchpress never hurt nobody thank you [Applause] [Music] I like the minimalist look for an apartment oh he got a mattress look at that upgrade when I say this show has good writing I'm not talking about the actual speech in the words that the characters say that's good but when I say great writing it means they think ahead for each situation to make it not only light-hearted comical fun and interesting but they show a way to highlight a person who has autism in such a unique light that is very positive for people who are born or develop this condition but this is probably one of my favorite shows right now as far as medical dramas go I'm certainly a fan the reason I watched episode 2 is because I want to learn more about the first season before jumping into the second season now if there are some good episodes within the first season you want me to watch please let me know down below in the comments hit that subscribe button and the notification bell so you get all my videos and check out my other content if you enjoy my medical drama reviews you'll love it or your money back now so always stay happy and healthy [Music]

Dr.

Related Videos

Consultation & Treatment

Consult With Loading Doctor Data