- For better or worse, I get the McDreamy thing a lot.
- [Woman] Move over, McDreamy.
- I've never seen the man in action.
In fact, I've never seen a full Grey's Anatomy episode.
But you asked for it, so you got it.
(relaxing music)
- [Richard] A month ago, you were in med school
being taught by doctors.
("Portions for Foxes" by Rilo Kiley)
Today, you are the doctors.
- First of all, I've never heard a speech
given that dramatically on an intern's first day.
Nobody really talks like that.
It's much more practical.
- [Richard] Five of you will crack under the pressure.
Two of you will be asked to leave.
This is your starting line.
This is your arena.
- This sounds like Hunger Games
more than it does Grey's Anatomy.
("Portions for Foxes" by Rilo Kiley)
- No, I'm not gay. - Uh huh.
- It's just that, you know, you were,
I mean, you were very unforgettable and--
- [Man] O'Malley, Yang, Grey, Stevens.
- We do get ready together in the mornings.
There are locker rooms like this.
It's funny to say, but because doctors
spend a lot of time in books while in medical school,
they're not the greatest at interacting with others
or maybe even showing interest in the opposite sex.
So I've seen situations like this happen a lot,
where someone's trying to make conversation,
but they're not great at it, so it comes off very awkward.
It's funny, but this is very accurate.
- Your first shift starts now and lasts 48 hours.
You're interns, grunts, nobodies,
bottom of the surgical food chain.
- Residents don't work 48-hour calls anymore.
They're capped at 80 hours per week.
Maybe they go a little bit over that sometimes.
But 48 hours is just nonexistent.
And this started because of the Libby Zion Law,
which is sadly the name of a young girl
who died because residents who were so overworked,
they missed catching a diagnosis, and she ultimately died.
- You run labs, write orders, work every second night
until you drop, and don't complain.
On-call rooms.
Attendings hog them. (Mike laughs)
Sleep when you can where you--
- The on-call rooms look exactly like this.
They're very plain.
They're very basic.
The hospital doesn't budget or
allocate any money towards them.
You have to change your own sheets.
The mattresses are basically plastic, uncomfortable.
So this is very accurate.
- Dr. Bailey, let's shotgun her.
- That means every test in the book,
CT, CBC, CHEM-7, tox screen.
- I love how simply the attending
came in and made that decision.
He basically saw maybe the chart,
maybe a brief explanation of what happened
while the patient came in, and he already
has a shotgun approach to this?
This is not how medicine works.
That's ineffective.
You need to have a presumed diagnosis
in place so that the labs and tests
you order actually confirm a diagnosis.
You can't just throw stuff against the wall,
shotgun against the wall, whatever he said,
and hope something sticks.
The only time that is appropriate
is if you have no idea why a young,
otherwise healthy patient with an unknown history
comes in with some sort of weird presentation.
Then you can start ordering a broad range of tests.
But they knew she had a seizure history,
so why are they doing a CT scan?
I need more info.
More info, please.
- Hello?
You're so lost.
What are you, like, new?
- This is where these medical dramas get me.
They make it seem like the doctors do everything.
From A to Z, they diagnose the patient,
they run the tests on the patient,
they draw the blood, they transport the patient.
We have nurses, we have MAs, we have transport staff,
we have PT therapists, we have respiratory therapists.
I understand that they're trying
to build the character, so they're trying
to show as much of them as possible.
- I'm just gonna insert my fingers into your rectum.
- Why fingers?
Just one finger.
- Bet you missed a lot when you first started out.
("They" by JEM)
- No one was ever that mean.
People wanted you to learn.
They wanted you to get better.
If you go into every procedure or every moment
within residency with the concept
that you wanna learn and you wanna do better,
people respect that, so I don't necessarily get this
hatred that these poor interns are getting.
(people talking indistinctly)
Our cafeterias are bare bones
with usually not the greatest food available.
In fact, this is what surprises me most about hospitals.
We try and tell people to eat healthy and stay healthy,
but the only options to eat are pizza, burgers,
chicken fingers, the most unhealthy foods possible.
It's crazy to me.
- You know what, I'm not the doctor.
I'm a doctor, but I'm not Katie's doctor,
so I'll go get him for you.
- Very common situation to find yourself in,
especially on nights when you're covering
for the entire hospital and some medical emergency happens.
The family wants answers, they have a lot of very
important questions that they need answered,
but you don't know the patient.
You need to put a lot of information together
rather quickly and create a thought process
that the family can follow along with you
so they know what's going on.
You don't have to give a direct answer.
A lot of residents, young residents especially,
think that if they don't have the exact,
right, truthful answer that they're bad.
That's not true.
Even seasoned attendings know that there's times to say,
we don't know yet what's going on.
- Dr. Shepherd, he's over there.
(playful music) (Mike laughs)
- Why did I know this McDreamy guy is gonna pop into scene?
Oh wait, did they not know each other?
- Dr. Shepherd, this is inappropriate.
(playful music)
Has that ever occurred to you?
- I agree with her.
In a position of power, you should not
be involved in these types of situations.
They don't happen that often.
As much as we like to believe that there's
so much love and drama going on in hospitals,
it doesn't happen as much as you think it does.
But I have a little, she may come back for more
with the wonderful Dr. Shepherd.
("Dance" by O.A.O.T.S)
- [Preston] Max him out.
♪ Innocent ♪
- Usually we wear eye protection 'cause if blood squirts out
into your eye, it's pretty dangerous.
So at least have goggles or the face shield
that comes attached to the mask.
("Dance" by O.A.O.T.S)
(interns cheer)
- [George] Appendix is out.
- Oh! (Meredith laughs)
- [Preston] Not bad.
- That was rather quick.
I guess that's for TV's sake.
In reality, there's a lot of conversation
that occurs between the attending and the intern,
especially with identifying landmarks.
They'll often ask you really
hard questions, and we call that pimping.
And they'll ask you questions
that are unrelated to the case.
So, you prepare for this case,
but they'll ask you something else.
It's very common.
- [Preston] Bokhee, give him a clamp.
- [Bokhee] BP's dropping.
- He's choking.
- Come on, George.
- [Preston] Today.
- This is so dramatic. - Pull your balls
out of your back pocket, let's go.
- Who talks like that?
Pull your balls out of your back pocket.
- 007 is a state of mind.
- Says the girl who finished first in her class at Stanford.
(pager beeps)
- We lived with the vending machines.
I used to eat Snickers galore when I forgot
to bring my healthy alternatives from home.
- Mr. Jones has junky veins and he really needs antibiotics.
I should start a central line.
- So start one.
You don't know how.
- I, (sighs)
(coughs) clearly I'm very passionate about this.
Starting a central line just because you couldn't get
a vein with a needle prick is crazy.
It's crazy.
You're putting the patient at risk.
- [Izzie] Dr. Bailey, I don't mean to bother you, but--
- Then don't.
- [Izzie] It's Mr. Jones.
- Is he dying?
- No.
- [Miranda] Then stop talking to me.
- She should've gone to a nurse
because nurses have way more experience
than even doctors in getting a blood draw.
- Next time you wake me, he better be so close to dead
there's a tag-- - And that patient
doesn't look alive for some reason.
Oh, no, he blinked.
Okay, he's alive.
- Are you sure that's the right diagnosis?
- I don't know, I'm only an intern.
Here's an idea, why don't you go spend
four years in med school and then
let me know if it's the right diagnosis?
- Ooh, that's what we call a cowboy intern.
Basically a cowboy intern is someone
who is so confident in their diagnosis
that they start their treatment,
they don't explore any other options,
they don't have a good differential,
meaning other options of what the illness could be.
Nurses keep the hospital running.
Without them, we would not be able to do our jobs.
A lot of times they'll catch our mistakes.
They'll be able to identify things we could be doing better.
This is the most drama I've ever seen happen
in the first 24 hours of being an intern.
- [Mrs. Bryce] What took you so long?
- [Christian] Lorazepam's not working.
- Phenobarbital, load her with phenobarbital.
- Okay, when you say load her
with phenobarbital, that's not an order.
You need to give the dosage.
The nurse needs to say back to you
to make sure that she heard the same thing that you said.
Otherwise, if the nurse misheard you
and you didn't even give the instruction
on how much to give, they can give any dose,
and that can be lethal to a patient.
So that's not real.
(heart monitor flatlining) - Heart stopping.
- [Nurse] Code blue, code blue!
- Okay, so heart stopping, that's the code blue.
I've talked about this before.
Now the patient is dead.
If the heart has stopped, the patient is technically dead,
and you have to work to revive them
to get their heart started back up again.
As the resident in charge, you have
to instantly give roles to everybody.
You do chest compressions, you do this,
you give the medications, you monitor the rhythm strip,
the most important role being chest compressions.
You have to do chest compressions.
You cannot stop doing chest compressions.
So, if you have one person that's giving
bad chest compressions 'cause they're tired,
you instantly have to swap them out
because chest compressions is what extends and saves lives.
So right now, them not doing chest compressions is awful.
The first thing you do is chest compressions.
(heart monitor flatlining)
- [Nurse] Wait.
- Charge the paddles. - Whoa.
I hope she's not gonna shock the patient.
Oh my god, please tell me-- - Plus 200.
- She's not gonna. - Charge.
- No.
- Clear. - No, what are you doing,
Grey's Anatomy? (machine beeps)
No! - Still V-fib, nothing.
- No, oh, she's in V-fib? - 19 seconds.
- Charge to 300. - Then why does it sound
like she's flatlining?
♪ Ground where you lay ♪
♪ You've been laying there so long ♪
- Ooh, I've never thrown up in a hospital.
I've never seen a doctor throw up
in the hospital, unless they were sick.
Yeah, when things go wrong, you get nauseous.
That's part of life.
I mean, there's difficult moments that happen.
There's times where you're gonna be humbled.
I mean, every day I walked into the
hospital as a resident, I was humbled.
There's a reason why we call it practicing medicine.
Because we're all practicing, we're all learning,
we're all adapting, we're all trying to get better,
and the human body's a crazy, crazy thing that
we still don't have perfect knowledge of.
So I feel for her a little bit, just a little bit.
A little dramatic, but I feel for her.
There's our man. - You said it was
a seizure disorder.
Now you're saying it isn't?
- I'm saying that I don't know.
- [Mrs. Bryce] Well, what do you--
- Oh!
My man McDreamy's saying my line.
Real doctors are comfortable saying I don't know.
Because in reality, there's a lot we don't know,
and when cases get very complex,
like this young girl who's otherwise healthy
is having seizures and then her heart's stopping,
it's a very unusual case, very, very unusual.
- [Mr. Bryce] I want someone else, a doctor
who knows what they're doing.
You get me someone else, someone better than you.
- These types of conversations do happen.
This is real life.
People get very, very upset.
It takes a lot of patience to deal with these issues.
I've seen doctors get mad and snap.
What I do is if I feel like I'm getting angry as well,
I step away from the situation,
let both parties cool down, and then come back
and explain calmly what we're working on.
Because if you just say we don't know
with no follow-up, it seems like you're not doing anything.
But if you say, we don't know, but here's what
we think it might be and here's what
we're working towards, that's a much better answer.
- He'll be fine, right?
- Tony's gonna sail through.
You have nothing to worry about, promise.
- Patients need reassurance.
You need to give honest reassurance
without over-promising them results.
- [Meredith] What are you doing?
- I'm suturing a banana with the vain
hope that it wakes up my brain.
(Mike laughs)
- Suturing bananas, suturing pig's feet
is something very common that med students
and interns do, so it is true.
- She's gonna die if I don't make
a diagnosis, which is where you come in.
I can't do it alone.
I need your extra minds, extra eyes.
- (chuckles) This is very dramatic.
Every day, we have meetings known as rounds
where we sit around a table like this,
we present a complicated patient,
we give the history, we give the physical,
we give the test results, and we all brainstorm ideas
of what it could be, how we would approach the case.
And it's very good practice,
even if we already know the outcome.
But sometimes we don't know the outcome
and we are brainstorming like he said here.
But it's not this dramatic.
- You can't comment, make a face, or react in any way.
(playful music)
We had sex.
- Bum bum bum.
- Katie competes in beauty pageants.
- I know that, but we have to save her life anyway.
- Okay, she has no headaches, no neck pain.
Her CT is clean.
There's no medical proof of an aneurysm.
- First of all, this is known as a HIPAA violation.
They're basically talking about a patient's case,
using her name in front of other people
who are not involved in her case.
And that is strictly against the law.
They could get sued for millions of dollars,
and rightfully so, because you shouldn't
be discussing patient information in elevators.
In fact, in most hospitals, you'll see
a sign in the elevator that says,
please don't discuss patient information.
- Wow, that was quick.
- His heart had too much damage to give him a bypass.
("Life Is Short" by Butterfly Boucher)
I had to let him go.
It happens rarely, but it does happen.
The worst part of the game.
- Ooh, and he gave that promise to the family
saying that he's definitely gonna make it.
- Tony's heart had a lot of damage.
- You don't do this type of conversation
in an open setting like this.
You invite the family into a counseling room.
You explain what happened.
But you don't do it out in the open like this
'cause this is just gonna end badly.
- You shouldn't let the fact that we had sex
get in the way of you taking your shot.
- Shouldn't have had sex period, Dr. Shepherd.
- Name the common causes of post-op fever.
- The five Ws, bruh.
- Can anybody name the common causes of post-op fever?
- I don't like this, says--
- Wind, water, wound, walking, wonder drugs.
- Yeah, she got the five Ws! - The five Ws.
- How would you diagnose?
- I hope she says CT scan-- - Spiral CT.
- And not a VT scan-- - V/Q scan--
- Or something. - Provide O2,
dose with Heparin, and consult for an IVC filter.
- No!
She just gave all of the options that you have
in testing somebody for a pulmonary embolism,
as well as treatments that you may
give to someone with a pulmonary embolism.
- I'd know you anywhere.
You're the spitting image of your mother.
Welcome to the game.
("Into the Fire" by Thirteen Senses)
- Welcome to the game.
I've never heard a doctor speak like that.
Welcome to the game.
♪ Pull up from one extreme ♪
- You never wanna sleep on a stretcher
as a resident because it's bad luck.
It basically says that you're gonna wind up on a stretcher.
You have the on-call rooms.
You have couches you can knock out on.
So sleeping on a stretcher, that's just bad form.
- I should go do this.
(gentle music)
- You should.
- The romance is real.
- I'll see you around.
- I thought McDreamy would have a little more muscle on him.
He kinda is looking a little frail there.
(upbeat music)
Boom, there you have it.
My first Grey's Anatomy episode is in the books,
and you were here to experience it with me.
All in all, I'm pleasantly surprised
with this Grey's Anatomy episode
because I assumed it was gonna be just
way more loving and sex and that's what
the whole show was gonna be about.
And in reality, it did take a deep dive
into how a resident feels and what their work is like.
So I thought that was pretty good, and it surprised me.
Medical accuracy obviously weak.
But I don't think most people watch Grey's Anatomy
'cause they wanna become doctors
and they wanna learn about the human body.
I think it's an entertainment show first and foremost,
and I think it does a great job at that.
I told you if you got my Real Doctor vs TV Doctor
video to 10,000 likes, I would watch an episode
of Grey's Anatomy, and I did as promised.
So, now if you want me to watch another episode
of Grey's Anatomy, one of your favorites, or The Good Doctor
or House, leave it down below in the comments.
Get this video now to 15,000 likes,
which I know you're totally capable of
because the last video you got to 19,000 likes.
Please subscribe to the channel
because the more subscribers we have,
the more content and better content I can constantly create.
As always, stay happy and healthy.
(relaxing music)