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  • Hey guys, we made a Grey's Anatomy reaction video

  • and you turned it into a hit.

  • Now the next most highly requested show was the good doctor,

  • another show that I haven't watched.

  • (music)

  • Good hand washing technique.

  • Could be a surgeon. I don't know yet.

  • Oh

  • Oh. Oh.

  • (Help!)

  • (Oh my god!)

  • (Somebody call 911!)

  • Well calling for help is the right thing. That's the first thing you want to do in these types of situations.

  • (His jugular vein's been cut.) (Does anyone have a clean cloth?)

  • How does he know it's the jugular vein? That's pretty impressive.

  • 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 the anatomy 101 to know where the jugular vein is.

  • You would be in the right place if you 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

  • [starts breathing]

  • [all gasp]

  • Don't take it out.

  • Some glass.

  • Don't take it out.

  • He'll be fine. Yeah, who are you?

  • Hello, I'm Dr. Sean, Murphy. I'm a surgical resident at San Jose State Bonaventure Hospital.

  • Well, hello, Dr. Sean. Nice to meet you.

  • By the way, just so you know, if you have an object

  • Inserted into you object

  • I know that sounds kind of weird

  • If you get stabbed with a knife, if some glass goes inside of you, if a 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 because 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 that you bothered to look up the definition of president while he was 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

  • 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 you're a 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 and turn off the light.

  • Sure.

  • ooooo

  • Resident beef resident beef

  • owwhhh [in surprise]

  • they need you. 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.

  • You have a sexual relationship I

  • I wish I had vision like that that's impressive

  • Venous distention is caused by increased intrathoracic pressure

  • inside the chest cavity

  • he's basically saying the veins in the arms are swollen so he thinks there's some extra pressure going on inside the

  • the chest cavity can be because of

  • Cardiac tamponade which means that there's blood usually an 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 boys left arm are popping.

  • Is that bad? I don't see interthoracic pressure.

  • No this chest is rising.

  • He's breathing

  • 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?

  • Ohhhhh.

  • Blade five 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

  • [laughs]

  • He's going to TSA a knife sure anything else I do also need a

  • Narrow six-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 in 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 a Jim Beam, but that's not perfect

  • And the decision should take place two ribs down second intercostal space my man

  • [intense music]

  • He's actually following proper technique because you want to 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 that we can accumulate until the damage can be properly repaired the tube allows the air to

  • Get out the water in the bottle stops the air from coming back in I'll make one wave out

  • [breathes]

  • He's breathing

  • You saved his life

  • he saved his life

  • [everyone starts applauding]

  • tension 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 S t. Bonaventure hospital.

  • That's where we're going.

  • Good.

  • One of the classic signs that someone has autism or may have autism is 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 physical

  • recognition and body language recognition,

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

  • conversations seem more normal. Early intervention has shown some very promising results for those with autism

  • [flashback] i have found another school nothing is gonna change they cant handle him i don't blame them cause obviously

  • We can't handle him either what the hell happened this time what happened

  • you are 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 interpersonal ability so if your child does have autism,

  • getting them a pet early on definitely serves a benefit.

  • It changed

  • The boys ECG changed

  • It's the same, 86 BPM.

  • No, it used to be higher.

  • No, it 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

  • It's possible, but in reality you need to be a lot more careful because this isn't just a game it's people's lives at risk.

  • So far very accurate

  • I'm very impressed. The way that the paramedic told the history? Very very accurate.

  • Adam needs an echo-cardiogram.

  • Behave yourself,

  • or you'll be removed from the building.

  • [breathing heavily]

  • I don't know what to make of this guy. I like him cause he's superhuman 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.

  • It's gonna take a while.

  • Good. That'll give me time to figure out