- I think we're live too.
We're gonna talk about some stuff today.
You know why?
'Cause there's no Tom Hinuber, Logan Stewart.
- Yeah, he's lame, he sucks.
- He's lame, he's like I have an appointment
with my barber and I can't break it.
And I said Tom, we do a show kind of for a living
and you're kind of part of the team.
- He shaved his back.
- That's what it is, it's manscaping.
Speaking of unprofessional, today we're gonna talk about,
let me load up your comments here.
Today we're gonna talk about something that
is really, okay, I think we just have to
roll the clip Logan, and let the people decide
what they think and then we'll talk about it.
Go ahead and let's roll this clip of a surgeon in Georgia,
last name Boutte, I didn't make that up,
who's about to keep it real in the OR.
Check it before you wreck it peeps.
♪ Way too high, ♪
♪ You got to cut it ♪
♪ Cut it, cut it, cut it ♪
♪ Big booty, but you got a big booty ♪
♪ Big, big booty, but you ♪
♪ Big, big booty, but you got a big booty ♪
♪ It's a thick waistline ♪
♪ That gotta make a body and a smile to match ♪
♪ Yeah, wow, booty talks ♪
♪ Waistline snatch ♪
♪ Got a bangin' body with a smile to match ♪
♪ You can have whatever you like ♪
♪ Betty boop, just a rabbit ♪
♪ J Coop, Nicky Minaj, whatever you like ♪
♪ You can have whatever you like, yeah ♪
♪ The booty, the booty, the booty's on fire ♪
♪ We don't need no HIPAA let the mother flipper burn ♪
Man, wow, wow, wow.
Okay, so that's a Georgia cosmetic surgeon.
Advertises herself on her website as like
leading surgeon to the stars, Atlanta's top surgeon,
et cetera, et cetera, et cetera.
UCLA trained by all indication on the website,
a very professional and accomplished doctor and surgeon
who just twerked in the OR.
Over a patient, while performing a procedure,
with her staff going.
By the way, I believe that was OT Genesis, Cut It,
am I wrong?
- It was Z, it was.
- It's important to know the game
so that you can sow the game.
And I personally, ZPac, am gonna take full responsibility
for this travesty.
If ZDoggMD hadn't dropped mad fire, for years,
this would have never have been considered okay to do.
Am I right?
- That's true, that's true.
Leave a laugh emoji if you've ever twerked in the OR.
- Yeah, I wanna see laugh emojis for twerking.
Look, we all play music in the OR,
we all talk smack in the OR, this is something
that's just part of the culture.
However, making a video in the OR with your patient visible
in a state of undress, while performing an operation
and acting like this, I think 99 out of 99 doctors
and patients and malpractice lawyers would agree
is completely unprofessional, inappropriate, and unsafe.
And to wrap this up in a nice feather mattress,
she's now involved in lawsuits of malpractice nature
from patients who say she botched operations.
The lawyers are pulling out this video that,
I believe she posted on YouTube or somehow publicly posted
and are using it as examples of her unprofessional behavior.
And honestly, it is impossible for me to defend her.
As someone who is known to twerk on command,
I don't do it with my patient.
- Kindred souls, Z, kindred souls.
- Kindred souls.
I consider myself a twerking consultant to the stars,
when they need that booty they come to me.
Anyways, listen, let's read a couple comments.
She's not even a surgeon,
I read she's a dermatologist, Woodline Pierre.
So on her site it said cosmetic surgeon specializing
in skin, I don't know the details further than that.
Surgeons need to relax say Chrisy Demets.
Okay, so let's talk about this.
What we just saw, most people
would agree is pretty egregious.
It's also funny as hell, by the way.
- It is.
- You haven't seen the rest of her videos.
She does Low.
♪ Shawty got on them apple bottom scrubs, ♪
♪ Crocs with the fur ♪
So she can move, she can rap, she's got it.
Is that appropriate in the OR?
It's a discussion about professionalism.
And let me tell you as someone who
straddles the world of being a hyper-professional,
pretty Trump type doctor, Stanford for many years,
UMC hospital here, the two worlds,
and as somebody who like raps, does whatever it is I do,
am occasionally accused of unprofessionalism,
usually by unprofessional people.
It's pretty clear to me that that crosses an obvious line.
And it has you think, okay, listen,
you need, as a professional, you need to blow off steam.
You have forums for that, we have our videos,
we have the doctor's lounge, the nurses lounge,
and staff lounge and parties
and home with a couple of beers.
We don't do it in the OR at the expense of our patients.
We blow off steam in a way to allow us to maintain
our compassion and our empathy for our patients
not at their expense, in front of them,
in a humiliating and degrading way,
and I think that's where it's pretty clear
even though she's got moves, she's got rhymes,
she knows her lexicon of dirty south.
- She gonna be a star, see.
- She's gonna be a star, she has it, see.
I've seen many of these docs, see, and you're the one
who has it, see, come over to to casting couch, see,
me three, me three.
This is where you cross the line.
And let's read a couple comments, then I'm gonna talk
about how I sort of handle this
because it's pretty clear.
First of all, it puts you at legal risk.
Her board licensure is now in risk
because the board's gonna get complaints
and this video doesn't violate HIPAA patient privacy.
There was one video that she posted where the patients
butt is clearly visible and she's talking about
booty and this and that rapping,
and her team is doing this thing.
By the way, that anesthesiologist was dope.
- He was twerkin'.
- He was the hype man.
You know, and I'll be honest with you.
Anesthesia is, did you see how I just said that?
Anesthesia.
I've been studying in Europe for years.
Anesthesia is the perfect hype man 'cause
they just sit in the back, go, go, go.
It's like the guy in Cyprus Hill who was just like,
the main guy's like hits from the bong.
And the guy in back just goes came to get high.
Like that's anesthesia.
They're the came to get high guy.
So, look, the video was.
- [Logan] I wanna play it again, man.
- Play it again, let's just play it again.
We gotta see it again.
♪ Way too high, you got to cut it ♪
♪ Cut it, cut it, cut it ♪
♪ Booty what you got ♪
♪ Booty, big, big booty ♪
♪ Big, big booty, ♪
♪ But you got a big booty ♪
♪ Booty so thick, waistlines natch ♪
♪ Got a bangin' body and a smile to match ♪
- Okay, we got enough
it's amazing, it's a--
- [Logan] It's a hit.
- It's a hit.
I smell a hit guys.
I smell a hit, I smell a hit.
Okay, listen to this.
totally unprofessional.
Like, clearly.
Here's how we have to think about this.
We have an obligation to our patients,
we have an obligation to respect them,
show them dignity.
We can blow off steam in private,
we do not do what this doctor is doing.
We do not post this on,
when I do videos, when we shoot,
so we did our MERC nurse Virginia video,
big tribute to nurses.
We wanted it to be authentic while all being respectful.
Well, to do that, you shoot in a real hospital,
UMC hospital, real patients are walking around,
and you either have to blur out or cut from the scene.
And you're getting real staff who are doing their jobs
every single day.
And what really pisses me off of, honestly Logan,
is we do all that stuff, and we get real nurses,
we get real teams, we bring real gifts for
the potluck for them, and still we got a bunch of grief
from male nurses who are like, you didn't do enough for us.
And I'm like, this was a real hospital,
we made a call to every single nurse to join us,
especially male nurses 'cause we wanted a bunch,
one came and he was dope.
And we put him in the video.
And so that is called, first of all,
maintaining dignity to staff,
second of all, being professional,
honoring our staff while respecting patients.
There is a balance, and I'm not gonna toot my own horn
too much, but I think we're generally pretty good.
Now, there are times when even we
inadvertently cross the line.
For example the other day, we posted on Instagram
an image of an elderly patient, or woman, in a Hoyer lift
like this, and the caption was came in like a wrecking ball.
And we thought, well this is really funny
because the Hoyer lift is, it makes you look like
you're Miley Cyrus in a wrecking ball thing.
The problem was, this was a public image,
all over Google, it immediately triggered
a bunch of people to go that's a HIPAA violation.
You're disrespecting an elderly patient,
it's demeaning the dignity of this woman.
And you know, the minute I, 'cause I didn't see it
from that angle, I just saw the comedy in it
and I was blind for a second, the minute I saw that,
I looked at the image again
and I was like they're absolutely right.
There's no debate here, let's pull it.
And we deleted it.
Because again, our goal is not to demean patients
or demean each other, our goal is to have fun,
to educate, to entertain, and to build a platform
that promotes this reconnected, repersonalized Health 3.0.
And if that didn't do it right, it's unprofessional
and we gotta pull it.
The other thing that happened, Logan,
is that you were privy to some of this,
is our, I have two Facebook groups that we created
where we can talk about stuff, blow off steam,
they're closed, which means outside world can't see in
unless they join the group.
But pretty much anyone can join,
you can just get kicked out really easy if you misbehave.
So we're not just screening for health care providers,
it's impossible, there's thousands of requests every day.
It's very hard to do.
And so it was hard to moderate, I was moderating
and Tom was moderating, it was just becoming hard.
So we backed off on the moderation
on Doc Vader's Dark Side for Life tribe talk,
and within just a few weeks,
had spiraled into a den of just pornographic images,
hateful posts, like political stuff,
and I'm like what, and these are health care people,
and honestly you get angry.
Like the way a dad gets angry at a kid
who just doesn't freakin' get it.
You're like, what is wrong with you.
Do you really think, as a health care professional
it's okay to post that in a forum that's closed?
Anyone can see it, anyone can take a screenshot,
and it's disgusting.
Like some of the stuff was just,
but look, I'm as edgy as the next guy,
it was just disgusting.
I got so pissed I closed the entire group for like two days
and I was like I am done.
And then we found some moderators and we're going through
and scouring and cleaning it up.
'Cause look, you can be edgy, you can be funny,
you can be irreverent, we try to do those things.
But being unprofessional, usually, is a clear thing.
What this woman is doing in the OR
is clearly unprofessional.
I mean, it's not even a debate.
Let's read some comments.
Lilliana Cook says they broke sterile field, watch closer.
I noticed that too Lilliana, you didn't see the other videos
where she was wearing like a Christmas hat on top of
her bouffant and was twerking and had like a
Christmas stocking on the patients foot
and was like boots with the fur for low.
Like in between laughing uncontrollably,
I thought that is so inappropriate
and so demeaning to to patient.
And look guys, look, look, look.
We can get really dark.
Gallows humor is what we do in medicine
and it's okay because it brings us together
and it gives us the outlet and the energy
to face things that nobody else in the world sees
short of on the front lines of battle.
Right, it's EMS week right now,
our front line EMS providers, paramedics, EMT's,
these guys are seeing things that would give PTSD
to anybody and they take it home and zip it up, right.
If they don't have a way to have an outlet,
then it's all over, it's game over, right.
So we want that stuff, but this is just crossing the line.
Plus there's an element, like a weird element of,
I mean, look, I'm a narcissist, I'm histrionic,
I love attention, that takes it to the next level.
- You gotta up your game, Z.
- I gotta up my game.
Next time, I mean, maybe we'll just do an operation
on Tom Hineberg.
- That'll be the end of it.
- He signed several HIPAA waivers.
Let's read some comments.
Gallows humor has a time and a place, Noah Webb.
Exactly, exactly.
And when you cross that line, it's really too much.
I remember I had an attending physician
because I would make jokes on rounds,
an attending physician at UCSF who would say,
Damania, you speak and then think.
I'd like you to reverse that.
Or better yet, just think.
And I'll never forget that because he had a point,
which is look, we can have our gallows humor,
we can make jokes, but there's a time and a place.
And probably rounding in the hospital is not the ideal venue
for that when you're trying to do serious work.
So I learned my lesson quickly on.
Pamela Rogers says that surgeon was unprofessinoal,
not even to talk about sterile field.
Like I said above, I just had a two hour surgery
and if my team did that I'd be flipping tables
and calling on anyone higher up.
Well, yeah.
And she had malpractice suits going on.
This is gonna make everything worse for every reason.
Malpractice, professionalism, dignity, et cetera.
This is totally inappropriate.
And you know, look, we see stuff that's a lot more subtle
and insidious, this is obviously an in your face example.
But, you know, there was the case of the patient who
recorded her GI doc saying some horrible things about her.
Look, we shouldn't be secretly recording our docs,
but we also shouldn't be needing to do that.
So we have to, again, we're the front lines of
professionalism and representing our field
and our profession, and we still have really high scores.
Especially nurses have really high scores for respect
and credibility in society.
Why would we flush that away, right?
We can have fun, we can be entertaining,
we can make each other laugh,
and we can make our patients laugh too,
when the time is appropriate.
But the time to be professional
is pretty much always when we're practicing.
And that's the sort of take home from this.
Because this example again, is just over the top.
What do you think Logan?
- I think you gotta show the people how you twerk Z.
♪ Let it sink in ♪
I can't twerk, I hurt my back just doing that.
Plus I'll pull my mic out.
♪ Like seasoning ♪
ZPac, this is what helps us.
If you hit like, if you leave a comment
and you tell us your story of professional
and unprofessional behavior that you've seen
or that you've displayed in the comments,
Facebook loves that.
Facebook does not promote our video out to the world
unless you guys engage with it.
That's their new metrics ever since Zuckerberg
had to stand in front of Congress.
So if you want this video to spread,
you gotta hit share and you gotta hit like.
You gotta make those little emojis
do their funny little thing, it helps us a lot.
What do you think Logan Stewart?
- I think a lot of things.
- This is me and Logan, like,
two strange individuals without Tom's moderating influence.
- [Logan] Moderating influence.
- And we start showing videos of doctors twerking in the OR.
It's what we do Logan Stewart.
- [Logan] It's what we do.
- I love you so much Logan.
- [Logan] Aw, thanks Z.
- We are out.
- [Logan] Oh let's play the video.
- Yeah, yeah, yeah.
♪ Big booty, but you got a big booty ♪
- I think I'll stop it
(laughing)