I LOVE the Good Doctor and it seems like you enjoy it also. Let's go with the third review of the season 1 finale!!!! I think it is so ...

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Real Doctor Reacts to THE GOOD DOCTOR #3 | Medical Drama Review

the good doctor is being recommended more than Grey's Anatomy by you guys in my comment section and in fact this episode has popped up more times than any other so let's get started I think you may need a new mentor I'm dying Oh dad took a turn I know I only watched the first two episodes with you guys and now I'm on the 18th and it feels like I'm skipping around like crazy but this was voted the number one episode by episode ninja so I feel like I had to check it out don't judge me I'm excited 12 to 18 months and then appreciate it if you didn't tell anyone I want to know the diagnosis well in my own time okay have you had a full workup yes of course it could be a secondary tumor metastasized to your brain from somewhere else it could be a primary tumor which means that it originated in the brain or it could be a secondary tumor let's say a lung tumor that started in the lungs through the lymphatic system where the blood went into the brain and then created a secondary tumor you should get a second opinion showing up in a neurosurgeon for 30 years I think that qualifies as a second opinion you know what's interesting about being a doctor who's practiced 30-something years as a neurosurgeon you actually make really bad decisions when it comes to your own health it's notorious that doctors are really bad patients and I totally agree with this I'm the worst and in fact if I have a patient that I'm treating and I know as a doctor I know I'm gonna have to take extra time I know I'm gonna have to do a little arguing with them in order to get them to take care of themselves properly well given the degree of the rotation and the fact that the break is almost compound I say we're dealing with a bimalleolar trimalleolar fracture thank it what else color blood flow is restricted is for spying no so they're talking about this ankle fracture when they say it's a compound fracture means it's fractured in multiple places when there's lack of blood flow that means there's pressure being put on the arteries or veins in that area which is very dangerous cuz that's called vascular compromise meaning not enough blood is going to that area in that area is in a crossing or dying I'm gonna have to reset it now almost like when they say resetting it's exactly what you think it is just gonna take a second I need you to count to three one one two I think that was kind of accurate I don't know even my scream match shouldn't I be asleep for this well your blood alcohol level complicates anesthesia and we think you have a concussion so we want to keep you responsive we didn't give you a regional nerve block so you shouldn't feel anything this is actually similar to what we do when we do a c-section the mother is not asleep we do a regional block just like this we need the mother conscious in case we need to make decisions so that she can help facilitate the process if anything happens I had a friend a neurosurgeon at SF Muni she looked at the scan she came to the same diagnosis Sean I have been in Opera bulk glioma glioma is a type of tumor when we say a tumor is inoperable usually that's because the area where it's found how encompassing is it you know if a tumors spread throughout the entire brain how are you gonna operate you can't take out the entire brain sometimes if we're very luckily and it's localized to a specific region we can just take that part out but even then we're at risk at harming the surrounding structures of the brain and leaving someone with neurological deficits you can imagine how awful that could be like yeah okay take out my tumor help me live but then I can no longer speak horrible horrible situations be reasonable thank you Father reasonable I have no idea what you're talking more it'll be clear what the hell up indicated I don't know twisted his ankle either you lied to me before you're blinding me now you spoil look out hey hey be reasonable his friends huh he's scared and you're freaking him out good cop bad cop the reason good cop bad cop works so well is exactly based on the principle that I've told you before in some of my Wednesday check up videos so if you want someone to see your point of view you want to influence someone in a positive way it's not ideal to put a stone in between you it's not ideal to just state your argument and be confrontational about it because that person won't want to change their beliefs but now on the other hand if you can get that person to see that you're on their side that you have the same intentions you're also a human and they can be see eye to eye with you you're more likely to convince them of something and good cop backup is a fast track to achieving that goal we're pledging and there's there's a wheel of torture thing you got to do for initiation torture but it's more it's mostly stupid stuff that it's like they drink a cup of olive oil or either tablespoon of this and jump off for no more educated in the land or laundry you have to do laundry you know like Yeti eat those laundry things oh my god type as we easily could in 30 seconds guitars and eat detergent how many do you have I don't know like six maybe I feel like I shouldn't be here even on a medical Channel explain to you why that's bad I mean it's like don't eat knives don't eat Forks and don't eat Tide Pods the only time that I'll say that someone may accidentally ingest at iPod is like if you have a child very young who's not aware and they see a colorful pod and they think it's candy and they swallow it but if you're an adult or an adolescent and you're eating Tide Pods come on you can do better I know you can't it's my schpeel a trauma is that he's asking for you know our number two we got an emergency thoracotomy we can give you the remaining steps for closing cut anchoring sutures clear labs to reposition the bowel remove clamps from the doís the resection aside keeping clear of the underlying aorta when he says clearing laps what he's talking about are those pads that we use to control the bleeding or to put pressure or to clean the site so that we can actually see what we're doing when a patient has some blood in place the nurse is they're with us the assistants that are there with us are counting each one of those laps because if we leave one of those in horrible situation it'll fester bacterial infection all this stuff so yes we count every tool we make sure everything is in everything is out we even have like a little wall of pockets almost like a shoe organizer where we put each one of the things that we count them out afterwards while you run the bowel for me [Music] when we say run the bowel what we're doing is we're looking for any injuries to the bowel most commonly this happens in a gunshot wound if it get if someone gets shot in the abdomen right away the first step in the trauma situation is to open the patient do an explorative laparotomy which means that you cut the stomach open you run the bowel you see if there's any injury anywhere because if there's a lot of blood pooling in the abdomen the patient could die very quickly and you have to run the bowel quickly but effectively to make sure that you find the area that's bleeding [Music] Shawn is everything alright what happened this time it's gonna bleed somewhere when a capsule endoscopy to check the entire length of the balfour bleeding in leaks and give me a complete coagulation metabolic profile a capsule endoscopy is when you take a pill that actually has a camera in it and it takes about 24 hours to go through the system and you get quality photos it consistently photos and video it records its way through the GI system which allows you to see if there's any bleeding anywhere in my past experience what I've seen is that if someone is bleeding and we suspect it's from an upper GI source meaning from the stomach the Safa guess what we do is we do an endoscopy where you put the camera in the mouth and you try and find where that bleed is coming from and you can control that bleed in a number of ways if you think it's from the lower GI bleed you could do a colonoscopy which is just another form of endoscopy where you put a camera up the button not sure if they're doing a capsule endoscopy here just to look cool for TV or because they don't feel comfortable taking him for an endoscopy because he's in a critical state now he's getting lab work that is legitimate because when you take detergent it can mess up the acid-base balance in your blood it could mess with the electrolytes of your blood and if it messes with them too much it can kill you our patient has disseminated intravascular coagulation can anyone tell me why that is very bad blood clots form throughout the blood vessels and rapidly deplete the body's clotting factors thereby causing a systemic bleed it's also a catch-22 if we treat the clotting he might end up with a terminal bleed so di C is actually a very rare condition it's life-threatening the last time I saw it was probably my residency when I was at the intensive care unit and it's a condition where you have excessive clotting going on within the blood vessels so it's intravascular and when that happens you can have organs die think stroke pulmonary embolism in the lungs just think of it simply put as a clotting condition where your body's clotting a lot and because it's clotting a lot it's using up all of its clotting factors and platelets which then makes you more susceptible to bleed you could have a cross injury from his ankle or bacterial infection he picked up before during surgery it might have been sawed off by drug use or we did this to him and by we I mean Shawn he spaced out on the Oh our when he was closing kind of like he is now I'm listening comforting he wasn't focused he got some bad news about what it's a personal matter Shawn was distracted my personal issue what did Lea come back she have a new boyfriend is capable get cut off I have an inoperable glioma 18 months there was some surprises on your images the previous diagnosis was incorrect you have a glioblastoma multiforme worries it in your palms oh I'm sure I don't need to tell you this but it's the most aggressive form of brain cancer ah we estimate three maybe four months someone's in trouble do you need me to listen to you anymore hope is irrelevant for me hope is painful I don't want to spend what's left of my life chasing my tail around in a circle see I disagree with him a little bit on the Hope aspect I understand what he's feeling and it's it's part of the process but hope is really important in the medical community hope is very important when you have a disease because when you have hope you could have a more positive mental state and a more positive mental state will give you the best chances irrespective of what illness you have if you have a cold you'll feel better sooner if your mental state is better if you have pain you'll feel less of it if your mental state is better so I think maintaining hope is one of those ways nature allows us to have a natural relief of whatever suffering we're going through so I like to hold out hope your tumor is located at the base of your skull and open cranial biopsy would tell us what's wrong but there are blood vessels in the way the biopsy would cause an aneurysm or a bleed but if we go through your nasal cribriform plate we can cross the tentorium on the contralateral side and avoid all those blood vessels we can do a biopsy through your nose Caden is still alive if we can keep it that way there won't be an M&amp;amp;M review which means no one will be asking questions and no one will have to give answers M&amp;amp;M is morbidity and mortality conference that happens if someone gets really sick or dies we take some of the most complex cases during these meetings and you have all the residents there all the doctors that participated in the case some specialists that are required to attend this and basically we dissect the case from the beginning to end trying to figure out what we can do better learn from our mistakes use it as a learning opportunity and I've seen these be incredibly educational but I've also seen them backfire see doctors get into near fistfights is that from an IV you did the biopsy I did we have a low-grade glioma how did GBM I told you cancer Sean it's still cancer I have to undergo brain surgery which is really scary because I'm not the one performing it five days a week for six weeks of radiation ten more weeks of chemotherapy and then [Music] and then with a little luck you and I can go to the Super Bowl next season yeah I almost became a concierge doctor if you want to know what that is check out my medical drama review of Royal Pains click here click click stay happy and healthy [Music]

Dr.

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