Real Doctor Reacts to THE RESIDENT | Medical Drama Review | Doctor Mike

– Not even one year ago, I was a resident. Now there’s a TV show called The Resident. Let’s get started. (upbeat music) (classical music) – It is true, surgeons
play their favorite music. – Oh yank that sucker. – When they’re operating. – Did you guys know that
this is my first surgery with doctor Bell? – No kidding, we have to get a photo. – Make it quick. – Get in, Chu. – Okay, no, no one’s
taking out their cellphone in the middle of an
operation and taking selfies. – I wish we could get
one without the mask. – Quit clowning, Chu. – Uh oh, tremor? – Just one more, I think we got it. – I’m going to send this to my mother. – You’ll get us all fired,
cameras aren’t allowed in the OR. – He’s waking up, I need to up the C-roll. – Oh, oh. – Oh my god. – Did you hit an artery? – On an appendectomy? – You’re losing blood fast. – I need two liters of normal saline wide open Call for four units of blood and do FFP STAT. – I can suction. – He’s breathing very
heavily, rightfully so. – You’ve got to clamp something, he’s lost at least two liters already. – Come on! Come on! – What splattered on him
may be a quarter of a liter, two liters is a lot of blood, and that’s probably not two liters. He has some shaky hands, may have hit an artery. When you hit an artery, it does splash like that. The first step during a surgery is to get one of the
tools called the Hemostat. And basically, it clamps off the artery to get it to stop bleeding. – CPR isn’t going to put all
that blood back into his body. – Whoa. – Don’t die on me! – Happy? I’m assuming this is someone’s bad dream, because they’re not
following proper protocol. I have no idea why he’s stopping CPR. Nothing makes sense here. – He’s so… dead. (flatline noise from machine) – Time of death – Okay, okay. Whoa. You guys told me The
Resident is the most accurate medical show on television. So far, this has been incredibly inaccurate. This gentleman’s heart stops
in the middle of the procedure, because he was losing blood. They were supposed to get blood and start the blood flow through an IV. They started chest compressions. They didn’t follow the
cardiac life support algorithm of getting epinephrine, rechecking the rhythm after two minutes. And it looks like that
called the time of death after 30 seconds. – Well, I think we can
all agree missed dose- – What? – Let this unfortunate situation- – What? You’re kidding, right? – The patient woke up,
his arm hit my hand. – You left the blade in the field. You nicked the artery. – Well, you never should have OK’ed him for surgery in the first place. His INR was abnormal. – The upper range of normal. That’s never going to fly. – You know what, I’m- – We’re all on the same team, here. Right? – Oh my God. He’s trying to blame it on the patient coming in with a high INR, which is basically the
ability of the patient… The inability of a
patient to clot properly. So, if you have a very high INR, you’re more likely to bleed out. If this happened, I hope
that the people around me have the courage to speak up and say something about it. In fact, one of the biggest initiatives that have been going on in hospitals over the last ten to 20 years, is give nurses the voice and the courage to speak up when they see doctors, especially senior doctors
like this gentleman, who’s a Chief of Surgery, who has been practicing for 30 years, to speak up and say “No, you’ve made a mistake
and you need to own up to it, and figure out what went wrong, and how we can prevent
this in the future.” This is awful. This is an awful situation. I have goosebumps, honestly. – You have 206 bones,
and I can name each one. (laughs) – It’s a very cheesy
way to turn somebody on. – Everything you thought you
knew about medicine is wrong. All the rules you followed, we’ll break. I have only one rule, covers everything, I’m never wrong. You do whatever the hell I tell you, no questions asked. – I can’t take this guy seriously. He sounds like he’s from a Western movie, and he’s like, “Welcome
to the wild, wild, West.” Yes, in reality, medical school is quite different from life as a resident. There’s a lot you think you know about working in a hospital. When in reality, you start working in a residency, you realize that you didn’t know, or what you thought you knew was actually wrong, and you practice it in a different way. That’s why those who get overly confident, by regurgitating facts and figures, really have their minds blown when they enter the hospital, and they see the way
medicine is practiced. Because humans are very complex, they don’t present like
the way the textbook says they will present. They don’t always give
you a clear indication of what’s wrong with them. It’s a lot more of a puzzle and figuring out what’s going on. The heart of what he’s saying is true, the way he’s presenting it is way overblown and dramatic. – My last resident had an attitude, too and do you know where he is now? He’s teaching eighth grade biology. – (laughs) – I cut him. You know what that means? It means I can end your career, just like that, remove you from this residency, at any time for any reason, and if I do that, no other residency will take you. – Completely untrue. Senior residents don’t have the ability to get you kicked out, unless you do something,
just horribly wrong. And, if you lost your spot in a residency, because you disagree
with the senior resident, it doesn’t mean that no other
residencies will touch you. Again, a completely overblown statement. Untrue. I guess for the dramatic
factor of the show. – This is Dobroslav. He’s Croatian, speaks no English. He has severe cauda equina syndrome. What are we worried about? – Early paralysis. – Hey, man. – What’s the first sign of paralysis? – Anal tone. – Stick your finger up his ass. – (laughs) – Normal procedure is to get an MRI. – Thank you so much for telling me about normal procedure. – Cauda Equina Syndrome is where you have severe narrowing of the
area of the spinal cord, where your nerves travel through. So, you lose sensation
of your lower limbs, you lose the ability to
have proper anal tone. Some people have incontinence, where they just pass their bowels, they lose urinary control, and just have urinary incontinence, meaning that they pee themselves. And, if any of those things happen, you have to call 911 because Cauda Equina… This procedure… this condition
that they’re talking about, is a medical emergency. Obviously one of the ways to test that, is to do a rectal exam, and check the sphincter tone, but he’s being really
rude about it. (laughs) – Good afternoon, we need
to explore your rectum. (translates to Croatian) – Back in the day, we
used to have translators that lived in the hospital… I mean, worked in the hospital. Now, we have really good intercom systems, some hospitals even have iPads that connect you to another person, who can be the functioning translator. The correct way to do this, is to not talk to the translator
and have them translate it, but talk to the patient, normally, and have the translator somewhere behind you, or on the phone, talking to them, translating. So, you’re still having a
conversation with the patient, not a conversation with the translator. That’s a very important
distinction to make. I was hoping this show
wouldn’t involve sex, but I’m striking out week by week. Because apparently, everyone’s in love in the hospital. Maybe I’ve just worked
in the wrong hospitals. – Acute Leukemic on chemo, fiancee called because she
was shaking uncontrollably. – She spiked a fever of 100.8 – So, commonly someone who
has chemotherapy performed on them, they can develop
something known as neutropenic fever, it’s
when a specific type of white blood cells is very low, and you have a fever. It’s a very dangerous situation. Broad spectrum antibiotics, meaning antibiotics
that cover a whole host of different bacteria, need to be given right away in order to prevent the person from dying, because their immune system is incapable in dealing
with bacteria on its own. So, I think this is a pretty
interesting case, already. And I’ve just seen like
five seconds of it. – There was some vomiting, there was no blood in it, last chemo was a week ago. – Hey. – You’re here. – Very accurate presentation so far, knowing when the last chemo treatment’s very important, when judging what the next step of
the treatment plan is. – I’m scared. – You’re running a fever,
it’s just another infection. Chemo’s still crushing your immune system, we’ll get you started on
broad spectrum antibiotics, again, and acetaminophen
to get your fever down. Get cultures from both arms, urine, she’ll need a head CT. – Okay. – Don’t worry, we’ll
get this under control. Get you both back home soon. – Having a good rapport
with patients like that, is very important. Nurses, and some doctors,
even people that are just spending time in the hospital, for short periods of time, are very somber when
they’re around sick people. Especially chronic sick people, who have been sick for
a long period of time. But in reality, they would love for someone to come in with a little more lighthearted approach, can laugh with them, make them smile. I’ll always try and
have a laugh with them, and tell some jokes, especially if I know the family well. And, I think that makes a
very unpleasant experience a little bit more bearable. That’s just my take on it. – How’d you get that cheeseburger, Chet? – Delivery app. – (laughs) – Looks like you haven’t
been following your diet. – Diets don’t work. – Have you been taking your insulin? – I don’t want a lecture, Nic. – What? – I’m here ’cause my toe is killing me. – (gagging noise) Severe gangrene. – (laughs) So, a gangrene… this is really gross. A gangrene in his toe, could be so infected and dead, that it’s basically necrotic, that means dead tissue. Then it can fall off like that. Obviously it’s a little exaggerated. The smell is probably the
worst part of all of it, because the bacteria, once they eat your tissue, they release a very foul smell. It will light up the entire room. I’m not talking about, you have to sniff the wound. As soon as you walk into the room, and there’s gangrene present, you’re going to smell it. That is very true. – (screaming) – Settle down! – Calm down! – I need you to look at me. – New admission. 21 year old girl, history of IV drug use. Likely endo. – She was trying to steal Dilaudid, now she wants to leave AMA. – She’s been spiking fever, vommitting. – She’s using again, isn’t she? She took all my money- – Those who use drugs, especially injection drugs, they’re predisposed to a
whole host of illnesses. So, this is a common
presentation, unfortunately. Especially in light of the opioid epidemic that’s going on right now. When you inject into your body, anything, especially in a non-sterile technique, meaning the needle isn’t clean, your skin isn’t clean, you’re more presidposed to things like meningitis, endocarditis. Meningitis is an infection of the pads surrounding the brain. Endocarditis is an infection
of the heart valves. These are life-threatening illnesses that can make you act this way, because bacteria is
festering in your body. And unless it’s treated
quickly and correctly, you can die. And that’s just talking
about an infection. Think about all the other
things that could be going on. When you’re under the influence of drugs, it’s very possible that
you’re acting this way, as a result of an overdose, from simply the drug. But when a patient comes
into the emergency room, and they’re presenting
with this kind of outcry, screaming, what we call altered mental status, AMS. We have to figure out, is it related to the drugs? Is it because of an infection? It is something more sinister? Has this patient had a seizure? There’s a lot of things that are happening simulatenously in a doctor’s mind. So, it’s not an easy
situation to deal with. But, ER doctors are the
frontline of dealing with it. And once the patient is stabilized and ready to be admitted
into the hospital, it then goes to internal medicine doctors, like this gentlemen, or family medicine doctors, like myself. – If you walk out of here
without any antibiotics, this will kill you. If you give us a chance, we can save your life. – I’ll stay, if you give me
three milligrams of Dilaudid. – (laughs) Two. If you calm down. – I can’t say what he’s doing is wrong, because she’s likely
withdrawing from Dilaudid, or opioids, or heroin, whatever it may be. In order to help her condition, it’s possible that you
need to taper her off, meaning give her smaller
and smaller doses, more spaced apart, of the same chemical that
she normally gets high on. Plus, if it’s going to
make her reconsider, and stay and get treated with antibiotics, for her endocarditis, you’re saving her life. Some people may disagree
with this approach, and say, “Absolutely not,
she’s not getting Dilaudid.” Some will say that there
is a medical benefit. So, that’s why practicing
medicine is an art, it’s not a science, because two doctors can look
at at the same situation and have different
approaches for salving it. I understand what he’s doing, and I sort of respect it. Oh. – Chloe, baby! – Get a crash cart! – I’m not getting a pulse – Code blue- – Get them out of here! – Someone falls, and they have no pulse? You call for help, and without even thinking about it, you’re pumping on the
chest, chest compressions. Chest compressions save lives. I’ve said it before, chest compressions. I’m going to say it one more
time, chest compressions is the first thing you do, even if you have no training in it, start pumping on the chest. – You’re running the code. – I’ve never done a code. – Do you want to amp up the Bicarb? – He’s in charge. – Page anesthesia. – When you’re running a code blue, you’re following the Advanced Cardiac Life Support Algorithm. It’s literally written out for you. You give each person a role. You do chest compressions, you monitor the medications, you monitor the time, you monitor the rhythm, and everybody has roles. After that, there is a specific algorithm, you literally follow steps on little cards that you can carry in your pocket, of when to recheck the rhythm, what medications to give, what options of medications do you have, what dosage. – What is the first
question you ask in code? – Rhythm. What’s the rhythm? PEA. – PEA is Pulseless Electrical Activity. It basically means, the heart has a rhythm, but you do not feel a pulse. There’s some electricity
going through the heart, but it’s useless, because it’s not creating
enough of a muscular motion, within the heart, to create a pulse, to make the heart beat. PEA is not a shockable rhythm. Meaning, you do not use
the paddles for that. You use epinephrine, you use drugs, you use chest compressions, and you hope to get the patient back. And you wait for the rhythm to change, into one of the two shockable rhythms. – Should we shock? – No, we can’t. Her rhythm’s not shockable. Give me one of epi. Make those compressions harder and faster. Prepare to intubate. – So, when you’re doing
chest compressions, you want to make sure you’re doing quality chest compressions. You want to push at least two
inches deep into the chest, which sometimes can break ribs. It’s a horrible sound to hear, but you’re doing this to
help resuscitate the patient, basically bring them back to life. So, if on the off chance you break a rib, that’s okay. It does happen in elderly folks, much more than in young folks. You also want to do it to at least 100 beats per minute. So, if you think, there’s 60 seconds in a minute, you’re pushing a little bit faster, than once per second. A good way to sort of monitor
if you’re doing it right, is to sing the song, in your head, please, Stayin’ Alive, because that does go to about 100 beats per minute. It’s the classic way that we’re taught. (singing) Ah, Ah, Ah, Ah, Stayin’ Alive! (laughs) Funny that it’s
called Stayin’ Alive, and we’re trying to bring
someone back to life. But, that’s some of that raw,
medical edgy humor (laughs) – It’s been 24 minutes, it’s time to call the code. – No! This is my code,
you gave me this code. – We’ve got a pulse. – You saved her life. – Doing a code on a young
person for 20 minutes is not unrealistic. Also not unrealistic to
recommend stopping the code, because the brain, without oxygen for 24 minutes, is obviously very dangerous, and again, even if you bring the pulse back, will the brain work again? You won’t even know until
the person wakes up. The first line that one
of the other residents tell him, is “You saved her life.” In reality, that could be a great thing. But also, on the other hand, it could also be an awful thing, because she may just need
to be on a ventilator for the rest of her life. Functionally brain dead. Just her heart beating,
and her lungs working, because she’s on a machine. So… very difficult
situation to find yourself in. – You came in here, all bright and bushy-tailed, ready to save lives. But today you didn’t save a life, you saved a brainstem. You didn’t listen to me. – Did he do the wrong
thing? Not necessarily. In this situation, especially because it looked like their family was there, this is a time to have a conversation with the family, very quickly, and explain to them what’s going on. Explain the consequences of, “Hey, if we bring her back,” “at this point,” “20 minutes in,” “she could come back with a pulse,” “but also be brain dead.” And help them decide what
to do in this situation. Allow them to make the decision. Because you know, they’re her next of living kin. Some hospitals have a cooling procedure, that when someone undergoes
either a heart attack, or a sudden stoppage of the heart, like she did, that they cool the body down, which slows the metabolic rate, which can help the brain
survive a little bit longer. So, this doesn’t always hold true. Don’t use this as an
application for your own life, or making decisions
for your family’s life. Treat each situation on its own. Talk to the doctors in front of you, and make the best decision that you can, with the information
given to you at the time. – What was rule one, Devon? – Do whatever you tell me to do. No questions asked. – All we want to do is help our patients. But what they don’t teach
us in medical school, is there are so many ways to do harm. – The first job of the
doctor is not to heal, it’s to first do no harm. Because if you look at the
history of doctors in the past, we’ve made a lot of mistakes, over treating patients,
under treating patients, deciding what’s right for our patients, and going against their own wishes. I think we’ve done a lot
better in recent years, but there’s still plenty
of room to go to improve. – If it were easy,
everyone would be a doctor, because this is the best job in the world, despite everything. Because of everything. – There you have it. The Resident, season one,
episode one in the books. Initial impression… The show is absolutely ridiculous. This resident, while he’s, you know, smart, and has some experiences, he just does some crazy things. He’s a cowboy in my eyes. Deciding who lives and who dies. I’ll say that they way
they’re talking about the medicine is accurate. Some of the medical terms that they use are used accurately. The procedures, somewhere in the middle…
50/50 of their accuracy. I think it’s going to make for a fun show. I definitely relate more to this show, because it’s more internal medicine, and I’m family medicine, so I practice a lot of
internal medicine on my own. As compared to Grey’s Anatomy, which is a surgical show, and I’m less of a surgeon. I like watching all medical shows. So, if you have a show
you want me to watch, or an episode of this show, or any other show, drop it down below in the comments. And again, the most important thing you can do, to help this channel grow, and get yourself more content, and better content, is to subscribe. And, not just subscribe, but click that little bell
on the bottom (bell dings) to make sure that you get notifications when my video first comes out. As always, stay happy, and healthy.

100 Replies to “Real Doctor Reacts to THE RESIDENT | Medical Drama Review | Doctor Mike”

  1. I love how you explain all the facts that someone who doesnโ€™t study medicine wouldnโ€™t understand! It makes it so much more interesting. I have to admit I laughed so hard when you rolled your eyes every time the love scenes came on๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜ best thing Iโ€™ve scene all day!

  2. Iโ€™m just imagine a paramedic just singing stayinโ€™ alive while giving cpr……a little ironic๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚

  3. Whoever the anesthesiologist is for that opening surgery needs to be fired. The patient woke up. Also, who takes selfies in the OR without patient consent.

  4. 14:59 who remembers that episode of the office when they did chest compressions to that song? ๐Ÿ˜‚. The office taught me that before Doctor Mike

  5. Are you interested in medical Kdramas?
    If you are, then I want to know your opinion about DOCTORS and how accurate it is.

  6. Could you "react" to some medical scenes in non medical tv shows just to get the accuracy of a prognosis or if it's just for drama

  7. Dear Dr. Mike๐Ÿ˜Š
    I've only been watching a short time, but you make it very interesting. Fortunately I understand quite a few of the medical terms as im much older than you, and along the way in life you pick up things. Oh, and my now deceased mom was a hypochondriac, with medical books all over the house. I really hated that as I was her caregiver after my dad died, and my mom would rattle off all these things she was sure she had. My family and I looked after her for 18 yrs., and had dementia,*exploding eggs, she would forget she put them on* Exploding eggs are noisy, and make one hell of a mess. God, I know this means nothing to you, but I was just letting you know I appreciate your humor and find it interesting. I have a medical condition that has been going on 6 yrs. And NO ONE CAN TELL ME WHAT IT IS, and because I have dealt with depression most of my life's, Drs see that, and all of a sudden I'm less credible. *big sigh*. Anyways I really enjoy your humour, yes I live in Canada, but don't live in an igloo. I'm on Vancouver Is. and while the last two yrs we've had snow, it's not common.
    Anyway, you keep up the great videos, and I will continue to enjoy them. Take care, stay well, and be kind.๐Ÿ˜Šโค๐Ÿพ๐Ÿพ๐Ÿพ

  8. sr am happy that you alwyz says positv abt nurses .as a nurse i feel so proud that you realy value us ๐Ÿ‘๐Ÿป๐Ÿ‘๐Ÿป๐Ÿ˜Š๐Ÿ˜Š

  9. Hey Dr Mike, You should check out a tv show called New Amsterdam. I would really love to hear your thoughts on this show.

  10. I remember signing a DNR for a mother and the doctor explained to me that CPR isn't like it is on TV. Most people will end up in intensive care etc. In my mother's situation we were told that less than 10% would recover out of intensive care and they would break ribs etc so we all decided no hospital she would stay in the nursing home and be given oxygen and antibiotics only.

  11. Between the GOOD DOCTOR and THE RESIDENT I clearly chose Good Doctor one of the most accurate med drama lol

  12. Can u pls make a video of how to do chest compressions properly and LOVE YOU SO MUCH THANK YOU! youโ€™re so helpful and amazing ๐Ÿ˜ญโค๏ธโค๏ธโค๏ธโค๏ธ

  13. i agree with having a cheerful bedside manner with people who have chronic conditions. having constant scary situations and always having the people around you freak out and/or be very somber or bleak really makes everything worse and has given me worsening ptsd. there should be more kind physicians like Dr Mike.

  14. How is that PEA if there was no rhythm on the monitor? It was a flatlined โ€œ0โ€. Iโ€™m a confused inpatient onc RN. ๐Ÿค”

  15. Holy shit that first scene was so cringe ๐Ÿ˜‚๐Ÿ˜‚ "CPR isn't gonna put all that blood back into his body" stfuuuuu ahaha

  16. Okay, okay…. I take what I said back about New Amsterdam. THIS show is cringe worthy lol
    That gangrene bit though. Ugh I could smell it through my phone lol I once hand a patientโ€™s heel fall off during a chux pad change.

  17. Pleeeeeease can you make a video of The Resident season 1 episode 10? ๐Ÿ˜€ A LOT is happening in that episode and *SPOILERS* someone FINALLY speaks up Dr. Bell!

  18. Summary: This show is absolutely ridiculous. No need to be a doctor to see that (no offense) that said I was curious to see what Logan was up to. LOL Anyone saw the mountain biking scene? Hilarious!

  19. If you are doing chest compressions the person is already dead, so you cant make them more dead, so don't feel bad if you break ribs!

  20. a little less than a year after I got certified for first aid and CPR etc. while living on post a guy went down while in the commissary he was non responsive and wasn't breathing but I could still feel a pulse and his air way was clear from what I could see so I screamed for someone to call 911 while I started compression's and his rib did break and my skin crawled and I hope to never hear or feel that again because eww (He was breathing by the time the EMT got there but was still out, I would like to assume that he was fine but after telling them what all I did and saw that was it)

  21. I don't know if you'll see this but I would love if you did a video just on the benefits of chest compressions and basic information on how to do them. Because as you said they save lives and it would be a great thing to share for awareness of the benefits of chest compressions

  22. 3:43
    Dr Pravesh trying to turn me on: "That's your clavicular head…your sternum……"

    Me: "I know. I took Muscuskeletal Anatomy semester one." clearly unimpressed

  23. The selfie thing is exactly what this series tells about, abuse and medical errors and from this perspective I believe it does a good job. It makes us think about the limits of ethics and medicine

  24. You can also do chest compressions to the beat of "Another one bites the dust"… that's the song that they played during one of my first CPR classes while practicing… morbid instructor for sure

  25. I never understood NOT doing chest compressions. When I trained as an emergency dispatcher, the first thing we were instructed to tell the caller if another persons pulse had stopped, was to initiate chest compressions until help arrived. Doing nothing benefits nobody and it could be the only thing that differentiates between life and death for that person.

  26. Iโ€™d love to see Dr Mike react to a British medical show…..I wonder if the procedures or terminology would be too different though.

  27. Oh man! Every time the 'Gentleman' Chief comes on, I be like 'Please Someone just straight up lock me up if I turn out like him'. I preparing for entering into a surgical specialty and this guy just keeps updating my list of 'What kind of d**khead moves not to do when I actually become one.'

    P.S: List of things to do-

  28. What makes this show and other like it so fake it how they love to use so many blacks as the more gifted surgeons. Only a about 4% of all doctors are black and only a small fraction of those are surgeons- except on TV where political correctness is much more important then accuracy.

  29. Are you supposed to use the paddles after you use epinephrine and the heart starts beating again? Or is it not necessary?

  30. 14:30 One time we were able to see ambulance car and stuff inside. And the only thing that I remember from that really well was chest compression lecture and CPR machine and how this thing can broke persons ribs, "but people are rather alive with broken ribs than dead" I also think that every person should know at least some basis resuscitation methods and I feel that this is sometimes underrated.. Thank you, Doctor Mike, because you are doing an amazing job not only as a doctor. You are spreading thing to people that can save lives.

  31. Thanks for the video, I think if you are my doctor I'll be always ill just to see you .. ๐Ÿ˜œ๐Ÿ˜œ๐Ÿ˜œ from Algeria

  32. 11:52 Also it's just the basic principle of arm reduction. The Dilaudid will keep her in the hospital. The nurses won't let her take a dose that would cause her to OD. All the things you outlined about the dangerous of IV drug use alone won't occur in a sterile hospital setting. Her drug won't be cut with anything and her needles will be clean. And while its true two doctors can look at the same situation and make a different judgment call, the evidence shows that harm reduction principles are more effective for treating drug addiction than criminalization.

  33. For the CPR training there are lots of songs you can use.
    Baby Shark by Pink fong
    Staying alive
    Another One bites the dust

  34. In greys anatomy the thing you do with the song they helped a little girl help her mom over the phone when her mom had something lodged in her throat

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