- I watch Good doctor. I love good doctor.
I found out good doctor was originally made in Korea.
Let's watch it.
♪ Dramatic music ♪
Oh my God, that kind of reminds me of Sean.
He also had a plastic knife.
How many similarities are going to be on these two shows?
Oh no.
Oh, that's a glass sign.
No, is it going to fall on the child.
No, he's not going to get crushed, is he?
Not gonna lie this special effect here kind of weak.
Is this one-to-one to the American good doctor?
Like did we just flat out copy this show?
We're like, oh, let's just do the exact same injury.
I mean, I wanna know how heavy the glass pane is that fell
on him for all we know is he could be pulseless right now.
If that's the case you've got to start chest compressions
and calling for help. Why is no one calling for help?
How does he know that?
I feel like everyone in these medical dramas is just
like x-ray vision.
I guess you could say that it's low pressure
so, it's not like squirting out.
So, you think that it could be a vain, but you don't know.
You don't know.
First of all, the child's not even bleeding that badly.
Like there's barely any blood.
So I, this is weird.
Okay. He's looking at least for a pulse to see
if the carotid is okay.
- The pulse being normal
means no chest compressions are necessary.
And it usually means
that the child hasn't lost that much blood.
Because remember, if you're not getting enough blood
to let's say your vital organs, your body will try
and compensate this by increasing cardiac output
meaning making the heartbeat faster.
Okay. That's a problem.
That's a piece of glass in the abdomen.
So the abdomen is a difficult place to have a trauma
because you could lose a lot of blood, not even know it
because the abdominal cavity has so much room
especially in the retroperitoneum,
which is like the back portion, the posterior portion,
if you will, of the abdominal cavity.
Basically like in trauma used the ABC protocol
which is airway breathing circulation.
I understand why he's checking the airway.
But if the child, his chest is already rising
and their breathing and their pulse is normal
you can go ahead and make that assumption without breathing
in the child's mouth.
And still no one's calling for help.
So a tension pneumothorax is dangerous
because you could actually have a collapsed lung
on the right side, as a result of the trauma.
He could also have a flail chest where you actually
break the ribs and the chest rises asymmetrically.
I don't understand the mouth to mouth thing.
I don't understand, this is a major airport in Korea.
He left for a bit. He came back.
He's like washing the scalpel
with some like rubbing alcohol.
I don't know what that was
but like this is less believable than the American version.
So basically in this pneumothorax,
you want to create an opening so
that the lung can reinflate. Again,
you wouldn't do this like this.
He's basically putting in a chest tube
in the middle of an airport.
When in reality, there's simpler ways to do this.
I mean, granted, he doesn't have the tools, but
it just he's making so many diagnoses without proper tools.
Do paramedics just give tools to bystanders
without asking things first?
Yeah. So basically when a child is bleeding out
they're gonna have less time because they have less blood.
So he's going to do a makeshift transfusion
or a makeshift fluid resuscitation.
I don't know how without an IV set.
Another thing you can do in these cases with children
is doing IO insertion, which is an inner osseous line.
where you basically drill into the child's shinbone usually.
It looks really painful it's actually not,
but it does a great way of delivering fluids quickly.
Especially if you don't have good access.
- Oh, that's what he's doing.
Is he gonna do a makeshift IO?
He's doing an IJ cutdown, I've never seen this.
I've never heard of this. I don't know what he's doing.
Someone's putting it on YouTube too.
My man just started a non-sterile central line,
a non-sterile chest tube, and he's getting a round
of applause and no one's rushing the child to the hospital.
Not gonna lie pretty disappointed with that.
I'm less interested in the fact that he knows all the organs
and more interested in that he's an amazing artist.
I'm about to make an NFT of this.
Well, first of all, ASD is not a condition that you treat.
ASD is a, a neurological condition that is basically defined
by difficulties with social interactions,
general communication, obsessive interests,
or even repetitive behaviors like we saw earlier.
He was playing with that knife flipping in his hand,
much like Dr. Shawn was the US Good Doctor.
Those who are diagnosed with autism
spectrum disorder actually do face challenges
especially early on.
This is why early intervention is so important.
We're talking about family, behavioral,
educational therapies that could make schooling
and the progression through milestones, somewhat
less difficult for children affected with the condition.
But it's just a variation of normal.
It's a neurodivergent case.
This looks like it's done with so much more respect to
compare how they did it in the US,
even though the US one was pretty realistic.
How bout you listen to the child's heart
with your handy-dandy stethoscope there.
He's saying that there's a pericardial infusion
meaning that the covering around the heart
must be damaged and collecting fluid.
In that case, the heart can actually pump.
So every time it tries to beat, it can't properly expand.
And as a result, the more it beats
the more it fills up the surface surrounds with blood.
The heart becomes an effective
and essentially the child could die.
Why he thinks that why he knows that who knows.
Essentially when a trauma comes
into a level one trauma center you do an ultrasound of
which is a form of an echo.
You see if there's blood
and you see if there's a pericardial effusion like that.
I mean, if his blood pressure is dropping that quickly
you need to act because
with a 50 over 30 blood pressure, essentially
he's not going to be able to perfuse his brain, his kidneys
his vital organs, and he's going to die.
- Pericardiocentesis when you actually put a needle
under ultrasound guidance and pull the fluid
out of the pericardial space
essentially preventing the cardiac tamponade from happening.
That tamponade effect is where the heart tries to beat
but it can't.
You need a really serious cardiothoracic specialist
in order to be operating on the heart
like this, this doctor, I think in the beginning
it sounded like they were a general surgeon.
I don't think general surgeon would proceed
with a surgery like this.
Increasing the vasopressin is like giving more adrenaline.
I don't think it's going to do anything in this case.
You need to get like ECMO or some kind
of device to actually pump the blood for the child's heart.
If the heart is not functional, this is a weird case.
Well, do you want to look
at the rhythm before you defibrillate?
Remember we don't shock asystole.
Solid sutures they're doing there.
If they were doing that for two hours
and the child was not
with circulation for two hours, that child is dead.
Video clip uploaded on the website.
I wonder which website?
- Why? I never understood this part of this show.
Why would people be like, oh, you'll leave your position
cause we hate you, we'll allow this doctor to come in.
How about the fact
that the doctor could be actually a good doctor
or if he's really bad, they should get rid of him.
Not you leave your position. Like who's excited for that.
- Welcome.
Another K drama review right here, click that.
And as always, stay happy and healthy.
- Cheers.