- Lois, you in the bathroom?
(Lois gasping)
(Jordan laughing)
- Missing spouses, stairs versus pedestrian,
and all of the reasons you shouldn't sniff glue.
Get ready to laugh and hopefully learn a little
as today we are back at it breaking down and reacting to
all of the creative medical scenes
and messed up injuries from "Family Guy."
Alright, let's dive right in.
- Lois, was you in the bathroom?
(Lois gasping)
(Jordan laughing)
- The biggest thing I could think about in this situation
is not, you know, two adults,
but when sometimes you have a newborn
and you put the baby in the bed,
from my experience as a physician,
it's probably not the smartest thing to do.
Maybe consider using a bassinet
in the bed or next to your bed.
- Well, Mrs. Griffin, you have three crushed ribs,
but I was able to stop the internal bleeding
- The rib could cause bleeding for multiple reasons.
You can have some bleeding from the rib itself.
You can have bleeding from the blood vessel
that run underneath every rib that we have.
Or the rib could actually puncture the lung,
it could puncture the spleen or the liver.
Rib fractures are horrible.
They're very painful.
You can't really brace them
because you can't stop somebody from breathing
because it'll decrease the amount of air that's moving,
which increases your risk of getting pneumonia
and an infection.
- No, we don't.
He practically smothers me every night.
- Well, are you hogging the blankets?
- No!
- (laughs) I mean I appreciate the, like,
hey, try to figure out why
he might be smothering her at night.
I would think of two things.
Either don't sleep in the same bed
for a short period of time,
or have like a barrier up when you go to sleep.
- And if he's not smothering me,
he's keeping me up all night writing
with that giant plume of his.
- Dearest Augustine.
(Jordan laughing)
I do hope this latest damp
has not aggravated your gray lung.
- Why would a a feather pen or a plume
keep somebody up at night?
I do not know.
But him being up at night with a light on,
having lights on definitely messes with
your ability to go to sleep.
That's why they say, you know,
don't sleep with the TV on.
Don't use your devices before you go to sleep.
It has to do with the input
that you're giving into your brain saying,
"Oh, it's light out.
Let me stay more awake and be more focused."
- Aggravated your gray lung.
Dip, dip, dip, dip, dip.
- Dr. Hartman called about my x-rays.
He said my spine is now disfigured.
- Ah, okay.
So typically a spine that becomes disfigured
is potentially from muscle spasms, obviously fractures.
But a fracture causing the spine to be so disfigured
would also have significant other implications.
Compressing nerves, not having other functions
of your body parts.
- Well, I'm off to buy imaginary groceries.
(glass crashing and Stewie thudding)
- I see people that come in after falling down one stair
versus like the whole flight of stairs.
People will say, "I fell down the stairs."
And we'll always ask, wooden stairs, concrete stairs,
carpeted stairs, how many stairs?
It actually really helps to know the mechanism
and what the surrounding environment was like.
Obviously you wanna check on them.
You don't wanna move them too quickly.
You actually want to stabilize their C-spine,
'cause if you roll them, their head's gonna stay
or move in one position or the other,
and if they have a cervical fracture,
you might do more harm.
- I don't know.
You idiot, this is your fault.
- And obviously he's unconscious at this point.
So call 9-1-1 and don't yell at each other.
It doesn't matter.
- What do we do?
- Is he breathing?
- It looks like it.
That's a good sign, right?
- Oh, oh!
Look at that nice laceration to his scalp.
Instantly, if somebody has brain trauma
and they're starting to vomit, bad sign.
Could be due to pain.
Also could be due to brain swelling.
In an instance where you lose consciousness,
you're vomiting, and you're altered,
you definitely want to CT scan that head.
- All right, he's not waking up.
I think we gotta take these bandages off
and see what we're dealing with here.
- So at least they put bandages.
Oh my gosh, holy cow.
Are you kidding me?
We got flies around the bandages.
We need to get this kid to the hospital ASAP.
- Oh crap.
You smell that?
That's brain smell.
- I'm assuming this is open skull fracture.
Where you see brain matter,
you need to get to the hospital ASAP.
The brain is so delicate.
The tissue of the brain is so frail
that it feels soft and spongy,
and it can get injured really easy.
(car engine revving)
(gasps) That is horrible and awful.
Somebody comes to the hospital
with open pieces of the brain,
obviously our job is to stop the bleeding.
We'll probably put wraps around it that are actually wet.
That way the gauze doesn't actually stick to that area.
You're gonna get a CT scan of the brain,
you're gonna call a neurosurgeon,
and you're gonna transfer, if you're not at a trauma center,
to a trauma center.
- Hey, you're a good swimmer.
Go get it.
- What? But dad-
- And for God's sake,
do not be afraid to make me a sandwich
while you're in there.
- Oh my gosh.
Get out of the house.
Risk of electrocution with all the appliances.
It's just a dangerous situation.
Get out of there.
You don't know what might be lurking in the water.
Different infections could occur
in situations where there's stagnant water.
- She's in there right now taking a nap under water.
- For God sake, save her!
- My God, we better get her to a hospital.
- Oh my gosh.
Okay, possibly a near drowning.
So drowning versus near drowning.
Near drowning means that
you almost succumb to your injuries due to water.
Drowning means that you have died.
Good, protect the head.
But if she's not breathing,
you need to be doing CPR, mouth to mouth.
There are instances where you do hands-only CPR,
but in this instance you're trying to
clear the airway of the water and get it out of there.
- Mr. And Mrs. Griffin,
I'm afraid your coma is in a daughter.
(laughs) I mean, your daughter's in a coma.
- Oh my gosh.
Sometimes this doctor would just say the wrong things
at the wrong time.
If you go to the emergency department
and you're not breathing due to water,
you're gonna have CPR.
And now you're worried about secondary effects
of all the fluid that were in the lung
can cause a significant amount of edema, swelling.
Also can cause reshifting of fluids and electrolytes.
- Well, I am gonna change.
You hear me, Meg?
If you come out of this,
I am gonna treat you like a princess
for the rest of your life.
- So very interesting.
Peter talking to Meg bedside.
I literally tell patients to do that.
They'll ask, you know, "Can the patients hear me?
Do they know?"
I don't know 100% of the time.
A lot of times individuals who have been sedated
will tell us that they do remember certain events.
Oh, waking up
(soft uplifting music)
- Well, hello, sleepy head.
- A lot of times patients, family members
want to stay in the hospital, sleep in the hospital.
There are kind of rules about that
unless it's a situation potentially
where it's like a life and death.
And the reason for this is the staff is there
to take care of a patient.
And if there's a lot of extra people,
it reduces the care that they end up getting.
- Model glue, sir?
- Well, what do we have today?
- Today we have a recent vintage procured just this morning
from Michaels hobby shop.
- Yes, that's very nice.
Bring me my finest rag.
- Your fancy rag, sir.
- You are relieved for the evening.
(Chris inhaling)
- What?
That is so messed up.
Oh my gosh, that is awful.
Sniffing glue, sniffing, huffing, bagging.
These all, you know, fall under the a very similar category,
and it is so bad for us.
It could be an acute bad,
it could be long-term bad, but what ends up happening
is you can cause brain damage, brain death.
You're going to cause issues where the myelin sheath,
which is the coating over top of your nerves in your brain
get demyelinated and it actually almost behaves
like you have multiple sclerosis.
You can die from cardiac arrhythmias.
You can die from asphyxiation or hypoxia
and respiratory failure.
Not the right way to go.
So don't do it, please.
"Family Guy" does it again and again and again.
Good topics to talk about.
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Thank you so much for watching and stay healthy, my friends.