- I've worked the night shift many times in my career.
So, I'm excited to watch this show.
Are you ready to rock?
Let's roll.
(upbeat R&B music)
- We're losin' him. - Do something!
- I can't stop the bleeding. - Take out the branch!
- [Doctor] I can't take out the branch.
He'll bleed out.
- That's good advice.
(laughs) You never wanna take out any object
that's inserted into you or gets impaled into you.
Taking out the branch is a bad idea.
If someone's bleeding out, the first thing you wanna do
is apply as much pressure as possible.
If that's not working, you have to create a tourniquet.
And a tourniquet can be made from anything.
You can rip off a shirt sleeve and wrap it around the area.
Just remember, you have to go closer to the body
with the tourniquet from where the wound is.
So, for example, if the wound is right here,
you wanna put the tourniquet on here.
- A streamliner is cut.
I'm gonna clamp it.
We're gonna use his blood.
Start a line.
Go, go, go, go!
- Maybe this is something you learn
when you're learning about war trauma.
This is not something I've ever been taught.
This sounds ludicrous.
It looks ludicrous.
It's giving me the heebie jeebies.
(chuckles)
I hope no one does this as an EMT.
- Holy crap, it's working!
- Where'd you learn that? - Afghanistan.
- See?
Afghanistan.
He's a war guy.
- Hi.
(loud gasp)
I'm Dr. Alexander and I'm going to deactivate
your defibrillator with a magnet.
- Jordan, this is my patient!
- You should have been the one helping her.
- If anything happens, we're legally--
- The only thing that's going to happen
is that you are going to stop feeling like a horse
is kicking you in the chest, okay?
It's perfectly safe.
(labored breathing)
There we go.
- I'm not 100% familiar with pacemakers and defibrillators
and how to turn them off.
There are reps onsite within my hospital
that we do call if there's a malfunction.
I've never had a defibrillator that would shock a patient
repeatedly over and over again.
That's never happened to me.
I didn't know about the magnet trick.
It's kinda cool.
I need to look into that further because I guess this could
happen to one of my patients and if I have a magnet
lying around, I should help them.
- You got real lucky taking that branch out.
- Luck had nothing to do with it, Hank.
- I heard about it over dispatch.
That's a hell of a way to start your shift.
- Wouldn't have been my first choice.
- Geez, T.C.
You look like crap.
- Yeah, getting a tree out of a guy's stomach
tends to be a little messy.
- (laughs) Okay.
We don't just change in the middle of the hospital
and start showing off.
Well, this guy is showing off his body.
I love these dramatic shows and they make it fun
and interesting to watch, but okay, not realistic.
I have to call that out right away.
- I'm done being nice about this.
- (laughs) This is nice.
- You know what?
I am going to ride you until I get that paperwork--
- (groans) You have a boyfriend, Jordan,
so sex with me is not gonna happen.
(winces)
- I don't know if this is a complete rip-off
of "Grey's Anatomy",
but he really reminds me of Patrick Dempsey.
I don't know if you guys agree but.
- We met last year at the intern interviews.
Talked about the MCATs.
You scored a 34, right? - 35.
- Oh, I got, like, a 35.6.
- Good for you.
- The way the MCAT works when I took it,
it was a three-part test.
For example, if you got 10s on one section,
10 on another section, those actually you get a 30.
I didn't know you could get decimal points.
I guess that's something new?
- I wouldn't be doing that, new guy.
- No worries, man.
I know what I'm doing, all right?
I can juggle anything.
Even junk from the lost and found.
- Yeah.
Yeah, that's not lost and found.
Those are things the doc's been takin' out
of people's rectums this month.
(laughs)
(groans)
(ball squeaks)
(laughing)
- [Krista] I'd wash my hands if I were you.
- I wanna be seen now! - Sir, I--
- I said now, (bleep)!
- Whoa!
Hey, hey!
- Sir, you're gonna have to--!
(shouting)
- Hey, calm down!
(landing punches)
- Hey, hey, hey.
Bubba, bubba, hey, calm down, all right?
We don't want any trouble here.
(yelling in pain)
- (laughs) All right, this would not fly.
Patients go wild like this.
It happens.
Especially those under the influence of drugs, alcohol,
and that sort of thing.
This is heavily under reported.
Healthcare worker abuse, whether that's nurses, doctors,
PAs, pharmacists, whoever it may be, get abused often
and often meaning more than it should.
And it doesn't raise any headlines.
It doesn't raise any alarms, but it needs to.
We shouldn't have to have patients yelling at us
and punching us and threatening us and throwing things down
because we're there to help people.
But, what this doctor's doing is also uncool.
Stop choking people.
You're gonna hurt someone for real.
- You admitted her.
I told 'em to transfer her back to Corpus.
- I determined that she wasn't stable enough to travel.
- She was fine!
She could have gone.
- Is that your opinion, Doctor?
Wait, that's right!
You're not a doctor.
- Tension between doctors and administrators
definitely exists.
I wouldn't say it's this bad.
Generally, though, everyone has
the patient's best interest at heart.
Not everyone is so money hungry as they're making
this gentleman out to be.
They definitely think about profits more than they should,
but I don't think they would ever
put in jeopardy a child's life.
Especially a baby's life.
The difficult part about being a hospital administrator
is that you are constantly forced to make a decision.
Let's say keeping the baby will cost you so much money,
these type of losses will become larger and larger,
and then the hospital will be forced to close down,
you're hurting thousands of people.
If not, millions of people.
I don't know how many people
have come to this hospital, but.
It's a tough decision.
It's not an easy position to be in.
So, I don't envy that job.
But, like I always say, be a human first.
Hospital administrator or doctor or whoever you are.
Human first.
- [T.C.] Welcome to our break room!
(uptempo Country music)
- [Paul] Look at this place!
It's insane!
- (laughs) This is awesome!
- I want a break room like that!
What?!
In one hospital, we had a ping pong table
and nobody wanted to leave that room.
They have a full functioning bar and a basketball hoop?!
That's amazing!
- Guys, we got a GSW!
Drew, you're up!
- Gunshot wound.
- BP and blood rate dropping.
- [Jordan] All right, what's happening in here?
- Simple GSW.
I got the bullet, but he's still bleeding.
You check for fragments?
- I got the whole bullet.
- Bone fragments.
- When you have a gunshot wound, taking out the bullet
is not the most important aspect of treating someone.
Because just taking out the bullet doesn't stop
the problem that's going on with the patient
and that's bleeding.
So, you need to control the bleeding
and in order to control the bleeding,
you need to find the source of the bleeding.
So, pulling out the bullet is one step.
But, there's a lot of people
that still have bullets even in them.
Because we stop the bleeding and there is no medical need
to take out the bullet.
- If we keep her, what do I tell the next 50 people
who come in here that we cannot afford to treat?
- I'll treat them.
- God, T.C.!
Did you not learn anything
from being kicked out of the army?
(groans)
You are an amazing doctor, but for some reason,
they thought that they were better off without you
during a war!
What does that tell you?
- They care more about politics than lives.
- The problem with being too altruistic,
and there is such thing as being too altruistic,
is you become an idealist and at times as a doctor,
you can become an idealist.
You have to be rational, you have to be practical,
you have to be quick thinking.
If you constantly put your hospital in the red
because you either over-order a test
or you perform procedures
that won't be covered by insurances,
you could bankrupt the hospital system
and force the hospital system to close
and then hurt so many more people.
(female patient winces)
- Sorry.
- Has it always been this size or has it gotten bigger?
- [Female Patient] Uh, it's gotten bigger
in the last few years.
- [Topher] Whoa!
- Look, I'm sorry to bother you with this.
It's just been hurting so much lately.
It's been hard to work.
- What have other doctors say?
- That I don't have insurance.
- I work in Atlantic Health System Overlook Medical Center
where we have a fantastic charity care system.
That if someone makes a small amount of money,
is uninsured, they can almost be seen for free.
I mean, some of the charges,
like, to see a doctor, is like, $10 or $5.
They're very low.
If you're faced with this dilemma, you don't have insurance,
you think you should get checked out
or you wanna get check out, it doesn't mean
because you don't insurance,
nobody's gonna take care of you.
Figure out a way to get seen, talk to social workers,
talk to government employees.
There's usually a program that we can tap
to get you the help that you need.
- T.C. drives me nuts, but there's no shock there.
- Oh.
You two don't get along?
- (sighs) It's complicated.
- Sounds like an interesting story.
(laughs)
- Oh, it's a long one.
♪ Romance drama incoming ♪
- Well, if the patient can't pay,
then they get the minimum treatment.
They just cost us too much money.
- Well, if all you care about is money,
I can save you a ton.
Just shut down the hospital.
Then, you won't have to treat anybody.
- Well, if we keep hemorrhaging losses,
they will shut this place down.
- Oh, come on.
- I don't usually agree with administrators,
but I agree here.
In Afghanistan or in a war zone, you have no choice!
If you don't act, this person dies.
So, even if you're not giving them the best quality care,
you're doing the best that you can in that moment
to save their life.
But, in a time where you pull up on the side of an accident
non-sterile, the best thing you can do for the patient
is get them to a hospital as soon as possible.
Not to perform surgery in the woods.
- T.C., you're not as tough as people say you are.
(loud punch)
- That's a fireable offense in any hospital.
So, I'm curious what's gonna happen next.
'Cause he went.
(loud smack)
Bam!
- Okay, we're gonna take care of you.
Someone's gonna get you out of here.
Pull me up! - How bad?
- His skull is separated from the spinal column.
I can see 'em moving separately with each breath.
- [Topher] Oh my god.
How is he still alive?
- By some miracle.
- Drama really does live here.
Um, saying that his skull is separated from his spinal cord
and that he sees it moving with each breath,
I've never heard this!
It sounds dramatic.
It is dramatic.
Could it happen?
Yes.
The fact that he diagnosed it so quickly
in this type of situation is impressive.
- We gotta get out of here in the next 10 minutes.
A storm is movin' in!
- Okay, let's do this.
- There wasn't enough drama.
They add a storm coming.
- When we cut this thing open.
- I gotta keep still.
- And maybe the car will light on fire.
(laughs) And maybe an active shooter situation
will start taking place.
I feel like whatever can go wrong
is gonna go wrong in this situation.
- You can't fire him because medically speaking,
he is irreplaceable.
- Everybody can be replaced!
- If you hit anybody,
let alone a hospital administrator, you're fired.
You should be fired.
That means you can't control yourself.
And no self-control makes a bad doctor.
I don't care how talented you are.
- Come on.
Let's do this before someone walks in on us, please.
- What are they doing?
(high pitched ringing)
- Clear.
- Clear. - Clear.
(loud bang)
(loud gasp)
- All right.
There we go.
Trust me, you don't want your first time
beating on someone who really needs it.
Paul, you're up.
- (laughs) We don't shock dead patients for practice.
(sighs)
- You did a spinal decapitation surgery in a tent.
(laughs)
I'm impressed.
- Yeah? - Yes, I am.
Very.
(sighs and laughs)
- I really thought he was gonna make it.
- Oh my gosh.
I don't know why I'm so frustrated with this show.
He was a doctor in Afghanistan,
had performed neurosurgical procedures/surgeries,
and was bad at them because he wasn't trained to do them?
It doesn't sound surprising to me.
I don't follow the logic.
This show is not for medical folks.
- I know we're not together anymore,
but it doesn't mean that I've stopped caring about you.
- She woves him.
- Unbelievable!
This guy's got a .3 alcohol level, creams another car,
and he only ends up with a black eye and a boo-boo neck.
Get him in recovery.
- .3 alcohol level is very, very, very high.
Just so you're aware.
Very, very high.
I'm talking about, like, a bottle and a half of vodka high.
- This button.
And your hand controls the morphine from this machine
that's next to your bed.
It's to help ease your pain.
- Oh.
- Button.
Morphine.
Pain.
- That's not right.
People make mistakes.
You have to treat everyone whether or not
they're a criminal, not a criminal.
It's not your job to figure out who's right and who's wrong
in any situation.
As a doctor, you take the Hippocratic Oath
for that exact reason.
You will treat anybody regardless of their race, religion,
criminal status, not criminal status,
war criminal, not war criminal.
Everybody.
You can't be deciding and playing God
who you are and you aren't saving.
- Just take a nap.
Okay, you need to be very still.
We only have one shot at this.
- When you take a nap,
I don't know if it's ever happened to you.
It happens to me all the time.
You get, like, a little chivalrous
when you're falling asleep.
And that's really bad for an MRI
'cause you have to stay very still.
So, taking a nap is not always good advice.
- I loved the army team
and I will not risk losing that for anything.
Coming out is not an option.
(heavy sigh)
- That is so gay.
(chuckles)
- Your sexual preference doesn't define you.
It doesn't define the type of person you are.
You're a doctor.
Your job is to be a doctor.
All of those things don't matter.
If you like women, if you like men,
if you like heavier people, if you like skinnier people.
It doesn't matter if you're good at your job
and you follow rules and you don't slap people!
- I loved hearing from my new boss that I'm banging her ex.
- Mm.
- Thanks for the heads up on that one.
- Yeah.
- And here, I thought you were a virgin.
(laughing)
- And the sex returns!
- Fetus in fetu.
It's gonna sound freaky, but you had a twin.
- A twin? - Yes.
At your conception or early on,
your twin didn't develop, but it stayed alive
in a very small tumor-sized form inside your body.
- I can just imagine the pitch meeting for this TV show.
It's like, we need a very rare condition for this young girl
to have where she has some sort of other human being
living inside of her.
I've heard of stories like this before,
but they were just a case study which just means one person
out of millions that have this condition.
It's a pretty rare condition where basically the tumor is.
Your twin that died but didn't survive still lives inside
in this little tumor.
Well, lives is a bad term.
There's also tumors that exist known as teratomas
which basically arise from the cells in your body
which are responsible for growing
specific other types of cells.
So, within a teratoma, it's not unusual to find fingernails,
hair, really abnormal stuff
and these teratomas can form anywhere.
Imagine finding teeth in your arm.
That's what a teratoma is like.
It's pretty crazy.
- We should have a conversation about what happened earlier.
- Yeah.
(loud punch)
(grunts)
(loud inhale)
(chuckles)
- Now, we're even.
- This is a cool hospital where people
just slap and punch each other in the face.
(chuckles)
You're not really even 'cause you got knocked out
from a slap and you punched him and he laughed.
- I had a meeting with Ragosa.
We worked it out.
I ain't goin' anywhere.
(everyone claps and cheers)
- Well, that was not a medically accurate show,
but it was quite entertaining, lighthearted fun.
And I could see why a lot of people would enjoy it.
So, I appreciate you guys sending me the recommendation.
I will have to say that there's not a lot for me to comment
medically on this episode because the conditions
that occurred here were very dramatic and rare.
The way that they perform some of these things
is just not realistic and not how most hospitals
would handle things and administrators would handle things.
But, you know, it's a fun upbeat show
and it's like a hoorah army show and I dig that.
I'm all about supporting the troops.
If there's an episode that has more medical stuff
that you think is questionable in its accuracy
that you want me to look into,
please leave it down below in the comments
'cause you know I'm all about taking your suggestions.
Click that subscribe button down below
and make sure the bell notifications are on.
That way when I upload a video every Sunday 11 a.m.,
you'll get a notification of the videos going live.
As always, stay happy and healthy.
(upbeat R&B music)
♪ Everything about you ♪