All language subtitles for 20240212133117852

good hand washing technique

could be a surgeon I don't know yet oh oh oh

somebody call 9 1 1

well calling for help is the right thing

that's the first thing you want to do

in these types of situations

is jugular veins been cut

does anyone have a clean cloth

how does he know it's the juggler vein

that's pretty impressive that's great

putting pressure on a wound like this is

the first thing you need to do

outside of obviously calling for help

anything you can do to stop the bleeding

put pressure on the site

is important in order to help that person survive

you're killing him

I'm saving his life

he was bleeding out

you have it in the wrong place

I think I remember enough of anatomy

1:01 to know where the jugular vein is

he would be in the right place if he were an adult

he's not an adult

he is a boy

which means you're also putting pressure on his trachea

which means he's not currently breathing

I can't really see where his hands are

but it's good advice

there oh

don't take it out some glass

don't take it out

he'll be fine

yeah who are you

hello I'm Doctor Sean Murphy

I'm a surgical resident at San Jose

Saint Bonaventure Hospital

well hello Doctor Sean

nice to meet you by the way

just so you know

if you have an object

insert into object

I know that sounds kind of weird

if you get stabbed with a knife

and some glass goes inside of you

for nail goes inside of you

never pull it out

make sure you call 9 1 1

let the paramedics decide what to do

let them take you to the nearest hospital

because a lot of times what that object is doing is

preventing you from bleeding out

cause it's putting pressure on the spot

where the artery or vein was cut

a special meeting of the board of directors

as much as I love you all

questioning one of my hiring decisions

did you bother to look up the definition of president

while you're skimming the dictionary

and you're hiring him to be a surgical resident

my department

over my objection

the bureaucracy that you're seeing here is real

there are board members

there's presidents

there's employees

there's uh trust funds

so these things exist

they put a lot of pressure

on doctors and presidents to make certain decisions

yes he has autism

but he also has savant syndrome

genius level skills in several areas

he has almost perfect recall

he has spatial intelligence

and he sees things and analyzes things in ways that

that are just remarkable

in ways that we can't even begin to understand

those are assets

undeniable assets for any doctor

particularly a surgeon

I'm not gonna lie

I agree with the president on that

as a surgeon

it's more important to have very good spatial ability

to be able to have perfect recall

to understand the anatomy perfectly

then it probably is to explain the complexity of

a specific case

and be able to communicate well with people

most of the time when your surgeon

your patient is not awake

that being said

I think it is still

important for surgeons to be able to

improve their communication skills

to be able to talk to patients

help them understand the risks

and benefits of operations

and make sure that they don't force patients to go into

the knife when they don't have to

you seen her no

now go away and turn off the light sure

Ooh resident beef resident beef

oh I need you to um haha

I heard and here

I thought this was gonna be an all medical show

no Grey's Anatomy drama

at least where I practice medicine

there's different on call rooms for males and females

there are times where

one of their call rooms may be unavailable

and you do have to have a male

and a female sleeping in a room together

usually it's not a problem

but this is unprofessional folks

it's gonna lead to drama

lots of drama

we don't have a relationship

we have sex

but you have a sexual relationship

I wish I had vision like that that's impressive

Venus distension is caused by increased intrathracic

pressure inside the chest cavity

he's basically saying the veins

and the arms are swollen

so he thinks there's some extra

pressure going on inside the

the chest cavity can be because of uh

cardiac tamponod

which means that there's blood

usually in a traumatic sense like this

inside the pericardial tissue

which is the lining of the heart

and there could be blood in there

and it makes the heart unable to beat properly

the veins in the boy's left arm are popping

is that bad

I I don't see intrathoracic pressure no

his chest is rising

he's breathing

yeah the the chest is moving paradoxically

paradoxical chest movement is

a consequence of something known as flail chest

if you get a trauma where a section of your ribs

break from the rest of the ribs

that part of the rib cage doesn't move normally

when you take a deep breath in and deep breath out

so the the chest sort of moves paradoxically

that's what he's talking about

what happens during a pneumothorax

one of the lungs collapses

or sometimes both of the lungs collapse

and you can't oxygenate that area

meaning that when you breathe

no oxygen goes to that area

it causes increased pressure

the life saving treatment

for this is to literally insert a needle

in order to release some of that pressure

who here has a sharp knife

oh plate 5 inches or longer

nobody is he gonna go into the second or fourth

intercostal space

can't be back here oh

I need a knife haha

he's going to TSA a knife

sure anything else

I do also need a

narrow 6 foot tube and high proof alcohol

and gloves and baggage handling tape

but I'm going to get the alcohol from

the duty free store

and the tube from the back of the soda machine

he's gonna put a chest tube

for a traumatic pneumothorax

looks like he's going to a party with all that Jim Beam

he reminds me of Zac Efron a little bit

I know it's a weird thought to have in

the middle of this medical emergency

but I don't know

I always found out blowing to the glove thing

really obnoxious

how much bacteria do you have in your mouth

probably even more than your fingers

you're blowing inside the glove

but you're getting some of that bacteria on

the outside of the glove that you want

clean or relatively clean

when you're gonna

go insert a chest tube into a young boy

he's gonna clean his hands with the Jim Beam

but that's not perfect

incision should take place two ribs down

second intercostal space my man

he's actually following proper technique

cause you wanna stay in the mid axillary line

meaning in the middle of your armpit

that way you have a lower probability of hitting

the heart when you go in with the scalpel

or whatever you're going in with okay

well why the bottom

the air will continue to leak and accumulate

until the damage can be properly repaired

tube allows the air to get out the water in the bottle

stops the air from coming back in

a homemade one way valve

he's breathing

you saved his life

you saved his life

attention pneumothorax

you can literally put

a needle in that can release some air

and that equilibrium does enough of a job

you didn't need all of this fancy technology here

I need to get to San Jose Saint Bonaventure Hospital

that's where we're going good

one of the classic um

signs that someone has autism or may have autism

they don't make great eye contact

they're not great at picking up social cues

if you find out that your child has autism

you can start them in these early intervention programs

where they teach them how to mimic

some of these social cues

where they're not looking to make eye contact with you

like we do normally because we have good uh

physical recognition and body language recognition

but they do so because they're trained to do so

to make conversation seem more normal

early intervention has shown some

very promising results for those with autism

find another school

no we won't

cause nothing's gonna change

they can't handle them

I don't blame them

cause obviously we can't handle them either

what the hell happened this time

what happened

you're hurting him

what did you do

those who have autism and grow up with pets

actually have better results moving forward

in terms of communication

in terms of interpersonability

so if your child does have autism

getting them a pet early on

definitely serves the benefit it changed

the boys ECG changed

it's the same 86 bpm

no it used to be higher

no used to be 86

it's still 86

it used to come up to here

that's not the right way to do it

you have to be seated

you have to have calipers

you have to be looking at the strip

and comparing the little boxes on the screen

maybe this guy

he has superhuman powers as possible

but in reality

you need to be a lot more careful

cause this isn't just a game

it's people's lives at risk

8 year old healthy boy status

post encounter with a shattered glass sign

numerous lacerations

Echo get him set up in trauma 3 with an EKT

full Glover and a pan scan

so far very accurate

I'm very impressed the way that

the paramedic told the history

very very accurate

Adam needs an echocardiograph no

behave yourself or you'll be removed from the building

yeah come on

I don't know what to make of this guy

I like him cause he's super human and knows everything

but it's just so unrealistic it's crazy

is this the same security guard

who knows everywhere he's gonna go

maybe this guy's a savant too

do an Echo said

boys whatever

it's gonna take a while

good that'll give me time to figure out

why the hell we're doing an Echo

brown you're with me

we're gonna go find your weird guy

keep him stable

surgeons just don't go and look for

another doctor or someone else on

the street that wanted to give them a recommendation on

how to treat this patient

I noticed that there was a slight reduction in

the intensity of the electrocardiogram

the electrical flow

I noticed that too

the heart rate was the same

but the amplitude dropped

pericardial effusion

reduced cardiac output

stress other organs

causing them to shut down

yes just to break that down

pericardial effusion um

Perry means surrounding the heart

the tissue surrounding the heart

sometimes there's fluid there

and when there's fluid there

that makes it difficult for the heart to be

and you get cardiac tamponon

that's what I was talking about earlier

again

again

there looks normal to me

it's not normal

4 doctors are looking at a scan

they don't believe there to be an issue

this guy comes in

sees an issue with the scan that no one else sees

and now all of a sudden they're starting to believe him

that maybe it could be that

if you're looking at the scan

it either is or it isn't

I don't know what they're debating about the concavity

that's open to interpretation

I've I've never seen a situation like this

the YouTube clip already has over 200,000 views

that's pretty good

200,000 views

the more I think about what he did there uh

in the airport

the more I think it's inappropriate

there is a good Samaritan

law that's in place to help with basic emergencies

pulling some out of

someone out of a burning car

in the process

you hurt their back

but you were trying to save them

but performing an advanced medical procedure

like putting in a chest tube

especially a makeshift chest tube like that

man unless he saves the boy and it's 100% safe there

there's gonna be malpractice

and lawyers involved in that case so

the good doctor strikes again you save that boy's life

oh good his name is Adam traumatic pneumothorax

I'm hungry Sean

Doctor Melendez team is going into surgery

I mean if you're interested

I mean how about getting him to sign all the paperwork

and disclosures and hippo forms

and making sure he has identification

put your mask on

put your mask on Sean

I saw a lot of surgeons in medical school

you're much better than them

I have a lot to learn from you

you're very arrogant haha matter of fact

do you think that helps you be a good surgeon

does it hurt you as a person

is it worth it

and there you have it

first episode of the Good Doctor

things I definitely enjoyed about the show

No. 1 it's fairly medically accurate

the drama in the show is interesting

it kept my attention

and I wanted to see more what would happen

I really dig the fact that it

gave an inside look

and so how hard living with autism can be

you know you can have abusive family

you you have bullying that's happening

dealing with autism is a difficult situation

I appreciate that the show highlights that

I will say however

that they almost make him look superhuman

and that's not realistic

so that's definitely a con in my book

but I understand that it needs to

they need that factor to make the show work

there wasn't that much medical stuff to comment on

it was a lot about developing him as a character

if you know a better episode

where there were more medical situations

that I can comment on

let me know in the comments

if there's another show you want me to watch

please leave it down below in the comments

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