- We gotta react to some Bollywood medical scenes.
And for that, I brought in my good friend Dr. Alok Patel MD.
- You know when you said you were gonna
talk about Indian movies I had to show up.
So excited to be here.
Namaste, Auntie and Uncle G.
(speaking another language)
Dr. Mike.
(speaking another language)
- On that note, I say (singing).
Fake, Bollywood set.
- Jackie Chan move, I love it.
Who needs doors?
- Oh, oh!
- That's a nice car too.
- Hold on a second.
Is this standard effects in Bollywood?
- No, this is real.
They actually hit that car.
They got rid of it.
They said, gimme a car, we're gonna trash it.
- Okay, got it.
Whoa.
Oh!
- You didn't see that coming.
- What is about to happen in this scene?
This is like Noah's Ark, Bollywood style.
- I was thinking that too.
But this is way cooler, way more ferocious than Noah's Ark.
- This is if Noah went dark.
- And they all are on cue.
Look at every animal, they're ready.
(cats roaring)
Yes!
- Is he the cat whisperer?
Oh, bear!
- That's not working. - We need our bear.
- Yeah, bear made a cameo.
- Okay, I mean, is this medical?
- [Alok] Yes!
- Because to me that was a carotid dissection.
- Yeah, no, it was over.
The medical part is that you're done.
- Oh! - Oh.
That was a Matrix tiger.
- Wait, hold on a second.
That can't happen.
- No, this guy--
- Can we agree that to that?
How much does a cheetah weigh?
Are cheetahs light? - No.
- I feel like cheetahs are light so they can run.
- I feel like their muscles--
- Okay, I'm gonna Google average cheetah weight.
- That was like a tricep extension plus a throw of this cat.
- Whoa!
75 to 140 pounds.
So he could've done it.
- He could've actually.
- If he was doing a lot of tricep extensions.
- So, we stand corrected.
He could have thrown that thing.
This was probably real.
They probably got a cheetah and said, throw it.
- Uh oh.
Why do they have hoses?
Is there another bear? - There's not a hose.
Fire, animals.
- Whoa!
- Unfortunately, I'm team tiger on that one.
- That should've been Crouching Tiger, Hidden Dragon.
- I think that's probably where they borrowed it from.
- Got it. - I'm just telling you now.
(snake hissing) - Oh, snake.
- Beautiful snake.
- Oh, what is, why is this person trapped?
- He's using morse code.
- Oh, is he? - No, I don't know.
- I think he's trying to bury out.
(Mike gasps) - Don't move.
- Is he talking to the snake?
- No, I think he's not moving 'cause there's a snake.
(snake hissing)
Oh! - Oh!
(Alok laughing)
- I didn't see that coming.
- You'd better start giving me some answers.
- Wait, hold on a second.
Are you saying this guy has a proprioception
behind his back to time with his neuromuscular system?
- I think he knew that if he used that nail
that he would attract the snake
because of the motion and the vibration.
- Oh.
- I thought it was a snake.
- Oh, oh, oh!
- Yes!
- Is that that, what kind of snake is that?
- So the three snakes that are gonna
wreck people in India, viper, cobra, krait.
That doesn't look like a viper or cobra.
- It's krait. - I'm guessing.
- And those are not deadly?
- No, they're venomous. - Oh, that's a problem.
- [Alok] Yeah, this is a problem for my homie over here.
- Banded krait.
- Oh, it's a banded krait.
You called it.
- I don't know what the banded, branded?
I don't know, abandoned. - Abandoned.
- (laughing) Abandoned krait.
- You are going to die within an hour.
- Oh wow.
Is it anti-venom or anti-venom?
- Semantics here, tomato, tomato.
- How would you say it? - I would say anti-venom.
- And then if you were speaking to another person
from India, how would you say it?
- Anti-venom. - Okay.
- You have to make sure you get into it.
- And you do the hand gesture.
- Yeah, because they know-- - Because that's the--
- This explains gravity. - Is that universal?
- Anti-venom.
You don't have the anti-venom.
(soft music)
- Banded krait. - How did he know?
Come on, you can't recognize it.
- Unless this guy is actually like a...
- A snaketologist? - Herpetologist?
Is that what it's called?
Did I make that up? - No, you made that up.
- I don't know.
Just fact check me.
I thought someone who studies reptiles is a herpetologist.
- One who studies snakes.
- I better be right.
- Oh my God, you got it right.
- Boom!
I don't know if you can tell just by those bites though.
I also don't know if this guy's going down in an hour.
There we go, there's, I see a tourniquet happening.
- Salt.
- Oh nevermind. - Salt.
Oh, is he gonna burn him?
What is?
All right, you have to know about this.
- At first it looked like they were free-basing crack,
but I don't think that's what it was.
I mean, the way he was holding it, I'm not sure.
- But he poured it over a hot stone
and then he scalded his mouth.
- 'Cause anti-venom, you're gonna inject.
We're not taking it...
- That was not anti-venom.
He picked up a rock and heated it up.
- The medicine started working.
By tomorrow, you will become very all right.
- Not just all right.
- [Both] Very all right.
- But it was translated,
so maybe that's not what he actually said.
- No, the Indian movies will come and jump back and forth.
- Oh.
- Remember, this is the largest
English speaking country in the world.
Did you know that?
- Now I do.
The more you know.
(chiming music)
How would you pronounce that hospital name?
- That's Vallabhaneni Hospital.
- Wow, that's pretty good.
Whoa, that was the fakest scene I've ever seen in my life.
- No, it wasn't, this is real.
- And why is he taking off his mask in the operating field?
- In front of an open heart surgery?
- What is that?
- This guy's paper macheing something.
- Oh, he's paper macheing.
I thought that was an organ.
- Hello, doctor.
(speaking another language)
- They're speaking, I believe it's Telugu.
So this is technically...
- [Both] Tollywood!
- We've entered the new phase.
- Thank you, doctor.
Thank you.
- He's stoked.
- He's happy about something.
Is that a heart for the heart transplant?
- I hope not.
(man grunts)
- Wait. - What just happened?
- With this shirt.
- He's very patriotic for America.
- This guy's Superman, Spider-man.
- Oh! - Oh!
Oh, he's down.
- He got an ax?
(man yelling)
- [Both] Oh!
- But is that heart...
Wait, did that heart just...
(both laughing)
- Yeah, this is awesome.
This is awesome.
- And it's going, it's Surgeon Simulator all over again.
Oh my God. - What are the lights?
- It's a Christmas heart.
- Oh my God.
I love my country.
- Oh, that's a special test.
Are they checking for a radial pull?
No chest compressions.
What is that about?
- They got him up the stairs.
He was clearly fine.
One pulse.
And I like the hand drop.
- Yeah, he's like, nope.
- Hand drop. - That's a problem.
- Funeral pyre, like burning of the body
Customary. - Is typical?
Yeah, okay.
Oh!
Oh, that guy's back.
My only thing is why can't he get the tribal tattoos?
Why does he wear tribal tattoo sleeves?
- I was just about to say,
I love that they went to Party City.
(woman shouting)
No! - What?
He was alive? - I see foreshadowing.
(speaking another language)
- Wait, they didn't do chest compressions.
Wait, what is...
- The adrenaline. - His red blood cells?
- The adrenaline from her voice.
- Wait, did his, what was that, his liver healed?
- I don't know what that was, the black thing.
- And his heart has a lot of atherosclerosis.
- His heart, his atherosclerotic heart is back.
(man shouting)
- Oh no.
- This guy's like, seriously?
It's the ax. - Oh.
- I was like.
- Who needs a transporter when you--
- This is awesome.
- If they asked you to act in this role,
and you read the script, what do you say?
- I would say, absolutely.
- 'Cause of its medical accuracy.
- I would, the medical accuracy.
I also would like to be a surgeon to not use bypass,
or put a mask on, and make a phone call.
- [Mike] Fair.
- This is a phenomenal movie.
- Is it?
She's gonna teach them how to deliver the baby.
- Essentially, across a webcam.
I will say one thing.
This movie's called 3 Idiots.
Phenomenal coming of age movie.
It has 100% on Rotten Tomatoes.
- Can you tell me what coming of age means?
- [Sam] It means a movie about growing up.
- How is that gonna help them?
How is that diagram gonna help anybody?
- The head of the baby's coming out.
(speaking another language)
He's asking you if there's crowning.
- Well, you know what the problem would be,
because he's going underneath the blanket
it's gonna be so dark, and he's not gonna see anything.
And a good visual field is of utmost importance
during any procedure.
- Her hip position also doesn't look optimal here.
(speaking another language)
(keyboard clicking)
Oh! - Oh, look at that.
This patient has a blind rectum.
- Do they?
I see an opening.
- Yeah, and then where does it go?
Imagine what the colonoscopy on that would look like.
- It would be like, uh, we have stopped
- And we do do vacuum assisted delivery.
- [Alok] We do.
- [Mike] And sometimes the babies come out
with like a very uniquely shaped head.
- A cone head.
- Of which we put a little cap on it.
I think that was a toilet plunger.
Oh no, get the shoulder underneath!
You're just creating a dystocia.
You wanna lower the shoulder, then pull the other shoulder.
Also, a vacuum assisted delivery can also be very traumatic.
- [Alok] Absolutely.
- Not just emotionally, but also physically.
There could be a lot of bleeding.
Could also cause some damage to the baby.
Whoa, interesting.
- Apgar scores?
- It looks solid, nine, nine.
- I don't hear, I don't.
Okay, baby's got good tone.
- Yeah, good color. - Good color.
- It's so pink, it has to be breathing.
- Baby has no acrocyanosis at all.
- Exactly.
Oh! - Oh.
- Baby's back.
(baby crying)
- That's not the same baby. - That's what you wanna hear.
And the one serious note of this entire video is I,
Aamir Khan, that was the one who was resuscitating the baby.
His tears, I felt those tears.
Because when you have a baby, and you're in that moment,
and you're like, oh my gosh, this is scary.
And the baby cries and everything's okay.
You're like, whoa. - Yeah, really.
- Hey, Aamir Khan, acting on your part, phenomenal.
(woman gagging)
- Uh oh, diagnosis.
- That was really fast. - That was fast.
She may have just, maybe she was laughing
and we didn't see it.
And she had a quick choking reflex.
- Yeah, maybe she has a Zenker's diverticulum.
- Maybe. - Oh, pale.
Instant pale, cyanotic.
- Maybe she had a seizure.
- Maybe it has nothing to do with what's inside the coffee.
- Maybe she had a seizure, a stroke.
- She has a PFO and she has a stroke.
- So you're talking about a paradoxical emboli?
- Yes.
- Excuse me, sir.
- Oh God, what the hell are you...
- No one's doing chest compressions.
- Yeah, what is he gonna do?
- Freeze! - I'm a doctor.
- Okay, what do you predict he's gonna do?
'Cause I see the straw
and I think I know what he's gonna do.
- You think he's gonna do a trach.
- Correct.
- With a straw? - Yeah.
- I'm hoping he checks her pulse first.
- I'm hoping he asks if she's awake.
(both laughing)
- Assess the scene.
- Call for help.
- And if he does chest compressions
I really hope he sings a Bollywood song.
- He didn't even...
Oh, what? - No!
- That was clearly not an American Express Platinum card.
- That was not a Black card.
- That location was weird.
And he didn't palpate the region.
He didn't even know what he's doing.
- He didn't go right under.
- Oh, what is he doing?
- He's...
- Why did he need the new airway?
- Well, maybe he's assuming that she's obstructed.
- Yes, he's assuming she had an anaphylactic attack.
- Yes, it's obstructed.
- Why he assumes that, only God knows.
- He knows immediately.
- And then he creates the airway.
And then he sees she's pulseless, so he's bagging.
- He didn't need to check her pulse
'cause he just knew.
- The most important thing to do right now
is to do chest compressions.
It's not to ventilate her.
- He's also not calling for help.
- He's not.
(woman gasps)
Oh, wait, how did her airway open?
I'm gonna try that next time.
(Alok laughs)
Do you think that credit card had a chip?
Or did he try and swipe?
- No. (laughs)
Oh my gosh.
- Oh, what is this?
- This is a jam.
This is from like late '70s, comedy movie.
- What is that ketchup bottle?
- This is a, I think it's a blood transfusion.
- Do you know any of these people?
Are they famous? - Yeah.
So, on the far right, you have Amitabh Bachchan,
who is one of the most famous actors.
- Hold on a second.
I remember the name Amitabh from Slumdog Millionaire.
- That's him.
That's him!
- I knew something from Bollywood!
- I'm so impressed that you pieced that together.
This guy is your Tom Cruise meets Sean Connery
meets Ryan Gosling meets everyone famous.
But then given how many movies India turns out,
arguably one of the most famous actors in the world.
I'm gonna guess he's worth like $250 million.
- US.
410.
- I wasn't that far off.
But remember, this is in US.
- He's half a billionaire?
Are we gonna do Bollywood? - Probably.
We could.
- I feel like we could.
- We could.
As long as you just, you have to get the motions right.
So I need you to go over the right.
- I can do the dance.
- And then you can go left, and then go right.
And then gimme one hand going like this.
- Oh, what is it?
- There you go.
And then we're gonna go back this way.
You could do it, you could do it.
And then you have to get bitten by a snake.
And I'm gonna get the rock and put it in your mouth.
And then be like, brother, you're very all right tomorrow.
You need to put on your Indian accent.
- I don't know if that was a blood transfusion.
Blood transfusion would follow gravity.
There's no gravity.
- I'm gonna be honest,
I don't remember the movie very well.
But I do remember that it is a blood transfusion scene.
- Oh, you do?
Okay.
- I'm sure someone out there watching who's Desi
who's like, oh look, you're wrong.
Please fact check us.
But it's from multiple people to I think their mother,
or that woman in the beginning.
- [Mike] So they're giving her life.
- [Alok] And gravity does not exist in this scenario.
- I understand, you hang a blood packet above,
you put it into your arm, gravity puts it in.
So if I'm sitting next to you,
and I put one here, and I put one here,
who does it go to?
- It just stays.
I don't think it goes anywhere.
- But they do it in the shows all the time.
- Yeah, yeah, I mean, they do it in the shows
'cause they have no one medical on set.
- But how does it, can that work?
How do they do the gas station thing
where if someone wants to steal your gas, they siphon it?
- Oh yeah, but that's different though.
You're creating a negative pressure in the tube.
It's kinda like when you put a straw in water
and you put your thumb over it.
- Yeah, so can we do the same with this?
- If I were to put my mouth, and I had the IV,
I go (sucking), and I siphon the blood, and then I cap it.
And then I connect that to the IV tube.
- It might work.
- I think it would work.
(speaking another language)
- Means business.
- Sir, I love people.
(speaking another language)
- This is like the first essay
you write in medical school, right?
I like people. - People are nice.
- I want to help people be nicer.
- But it has to start somewhere.
We shouldn't be judging.
- Yeah, just kidding.
You guys, if you wrote that, we're with you, please.
- We are not here to make friends.
- That's not true.
(speaking another language)
He's a radiologist.
- This paternalistic view of medicine has faded, thank God.
But still exists in some circles.
- Absolutely.
And I bet you it exists in schools in India.
Just from stories I hear from my cousins and colleagues.
- Really? - Absolutely.
Some of these kids wanna be the 1% to be able to move on.
I know Indian residents who are like,
in order to get from India to a great residency here,
I had to be cutthroat.
I hear that story all the time.
(speaking another language)
- I disagree.
- I so disagree.
- How is that true?
- You have to form the human connection.
It improves outcomes.
- Is there anything negative
about forming a good connection?
- I pose the question, do you want a neurosurgeon
with incredible outcomes, but has no human connection,
versus someone--
- You're asking if I want Dr. House.
- Dr. House is, yeah, you want a maniac.
- I don't want him in my hospital.
But if you had to have a person operate on you
would you want Dr. House or McDreamy?
- Gimme House.
- That's what I'm saying. - Yeah, gimme House.
Gimme House.
- McDreamy will seduce you.
He'll do the hair flip thing.
- He'll do the hair flip and like,
or maybe that'll bring me back.
Like maybe if I got bitten by a banded krait
and he'd do the hair flip, I'd be like, what krait?
(speaking another language)
We teach the opposite.
Literally teach the opposite.
- It's so funny how it changes.
And I feel like there might be a world
where it goes back to this.
- I could see that. - Right?
- Well, we have, it's up to
the current generation of instructors, right?
Like to teach, hey, the patient is not a room number,
not an MRN number, not a disease.
They're an individual.
- But do you see his point?
And I'm playing devil's advocate here.
That he's saying if he had a really strong empathy
for the patient, he might be worse as a physician.
- I agree with you.
And I wonder if he's also saying what a lot of us
unfortunately think because we've become so callous.
You gotta deal with like a crazy situation
and then jump to another room and put on that Bollywood--
- An objective face.
- My Bollywood romantic comedy face.
Because we play that game.
We internally compartmentalize things.
This is turning into a therapy video now.
- It is.
It is. - We've moved.
- It's a homeostatic cognitive workshop.
- I feel like you just threw a bunch of buzzwords out there.
- I did. (laughs)
(speaking another language)
That's a little trauma.
- It's trauma.
And I also will recognize the fact
that we should actually be thanking and interacting
with our environmental services, our custodians.
It's not that hard to say, good morning.
Thank you.
How was your day?
Have a great weekend.
- See, I don't think that should be mandatory.
But I think it should be a part of a culture
that like hospital systems embrace.
- I 100% agree.
I hate the fact that like I will see people, my colleagues,
if they see another physician, that greeting is there.
But every now and then they'll walk right by
some of the custodial staff.
- Well, I will say, why I don't think
it should be mandatory is 'cause some people
are very introverted, and are maybe nervous to talk,
or maybe don't like either on the spectrum, whatever,
for whatever reason, do not find social cues easily.
And as a result,
they should have a place where they thrive as well.
- Fair.
They could smile and they can just not be a dick.
- That's the problem.
Like, what you view as being a dick,
they might view as like their norm.
- Yeah, but they could just smile, walk by.
Don't just like get mad.
- This was accurate.
But I think what's more accurate is us
talking about old medical devices.
Click here to check that out.
- Yeah, that was a banger.
- You gotta recommend it though.
Point to it. - Oh, sorry.
Point to us, right here.
- You wanna check that out. - Click that.
And as always, stay happy and...
- Healthy! - Yeah.
- Can we do one more? - No, that's perfect.
- All right, cool.
- When it's awkward, it's better.
(Alok laughs)
(dynamic music)