- No, don't be an astronaut, be a doctor,
it's a better career.
I'm biased.
(upbeat music)
Hey everybody, Dr. MikeVarshavski here,
but many of you know me as Dr. Mike
from my YouTube channel, where I make educational
but also very fun videos.
I'm also a practicing board certified
family medicine physician.
Today, I'm gonna be reviewing medical games.
I play video games all the time
as sort of my pressure release valves.
Some of them are medical games, but,
every time I've played them I've always found
that they were somewhat anatomically inaccurate
but when that happens
it could be a good learning opportunity.
We can have some fun, we can figure out what doctors do
we can laugh about it, because it's true what they say,
laughter is medicine.
So if we're gonna be watching these games today
at least let's get a laugh out of it
so we can get a benefit.
Surgeon Simulator.
If there was ever a classic medical game,
it's this one right here.
Whoever is playing this game is quite good
because when I tried doing this, I was like,
stabbing the person's lungs.
What most people don't know is,
the hardest part of this game is the controls.
Trying to figure out how to move all the fingers
and the tools so that you don't cause
any excess damage.
That was a good cut!
(chuckles) the picking it up is always a challenge.
Just throws it.
So I think this game is meant to be a comedy because,
while yes you're performing a medical procedure,
it's not realistic, first of all,
the person's not wearing gloves.
And then you're just taking out an organ
and you're just chucking it? (chuckles)
That's not what we do.
(laughing)
We're getting the organ, look, look, watch.
He's gonna drop it it's gonna be a success.
Surgery Complete, looks fine, I'm sure he'll live.
Clearly, first of all, I'm jealous,
this person got A++
the best grade I ever got playing this game was a C
and I'm a real-life doctor.
In all reality, this game's not realistic.
We don't perform surgery like this.
But if you wanna check out the anatomy,
have a good time, make a few cuts,
pretend you're a surgeon, have a good time.
All right, first of all,
just looking at this screen really quickly,
the heart rate's 21 beats per minute.
Normal heart rate is between 60 to 100
in order to maintain proper blood flow.
I wish sutures were that easy. (wooshing)
and then you're just good to go, no.
When you're doing sutures,
you always wanna space them apart evenly
to make sure that the pressure's evenly distributed
alongside the injury.
Oh no, vitals are dropping fast.
Wait, we're doing an emergency thoracotomy?
Oh perform a lobectomy.
So a lobectomy is taking out a lobe of the lung,
but I don't understand how this assistant
is giving you instructions,
knows that there's something wrong with the lungs.
Whoa, okay.
Okay, this is a really poor diagram of a heart
with glass shards (chuckles) inserted into it.
So if a heart is penetrated with any one
of these glass shards, you're gonna have major bleeding,
because not only does the heart have blood in it
that it pumps out to the rest of the body
the blood needs its own blood supply.
I'm not a Trauma surgeon but, if you're thinking
about this logically, if you're gonna take out
a glass shard of the heart.
You're not gonna take all of them out
and then be like, now what do we do?
You take one out, you repair the damage
of the one that you took out,
and then you move onto the next one.
You don't take all of the glass shards out
while the person's bleeding out and dying.
And we don't just put glue on the heart
and call it a day, oh he's suff, see, here we go again.
He's suffering cardiac arrest again,
we need to revive him, and right away
they bring out the shock paddles.
This is usually incorrect.
There's only a few rhythms that we actually do shock
that's why we call them shockable rhythms,
but in order to establish that, that takes a few moments.
So what do you do first, you start chest compressions.
Imagine we had to shock patients
and hold it right to the exact amount
when it reaches a certain bar and let go
and if we do it too much the patient suffers.
Doesn't sound quite accurate.
Oh God.
I don't understand, why does the patient keep bleeding?
Oh my God, it's a complete dissection.
He sutured the myocardium in a split second,
this game's ridiculous.
See, they just made an incision to the chest,
what about breaking ribs, how do you get through the ribs
in order to get access to the heart?
We have to be realistic here,
this game is not realistic.
That's what I give that game.
Not only is it inaccurate
but they're not even hyping you up
for saving a patient's life, they're kinda just,
eh, doctor, maybe we should wait
for someone better than you.
Time to pick a career, guess what I'm gonna do, obviously.
First of all, we gotta call this out right off the bat.
This symbol that's right next to the word Doctor
is not the symbol for doctors.
This has been incorrectly used for a long time.
It's actually a single staff, with a single snake
going around and not the double.
No, don't be an astronaut, be a doctor,
it's a better career, I'm biased.
Who doesn't wanna be held responsible
for another Sim's health and wellbeing?
A doctor who can advance the medical ranks
will find themselves rewarded with objects
like a standing surgical light and a full-size skeleton
to brighten up the home nursery.
That all makes it sound worth it.
Whoa, whoa whoa whoa whoa.
Does this say hiring at $18 an hour?
Oh as a medical intern.
When you're a resident, you're getting paid
a flat salary, despite the fact
that you're working ridiculous hours.
So there's been plenty of times where
I worked an 80 hour work week,
which is obviously quite stressful,
once you divide it up,
you're making less than minimum wage.
But you're also getting rewarded with knowledge,
and experience, so I guess that's worth something.
But still, when you're trying to make ends meet
as a resident, it's not an easy go.
Why is this Sim cleaning the bathroom?
I thought he was a doctor.
As interns you get to do a lot of what we call scud work
but that never really means you should do work
that's outside of the scope of being a doctor.
Okay what's happening here?
They're having a cup of coffee.
You get an achievement point for having a cup of coffee?
So this is cool, I like this little interaction
that's happening with the pediatric patient here.
This type of interaction is accurate.
Whenever you have a patient, you need to not only
talk about their condition, you need to get them
to trust you, you actually need them to like you.
So this type of like, thought bubble thing
where you have to give a patient a compliment,
you have to ask them how their day is like,
very accurate, and something that a lot of doctors
aren't able to do because we're often times rushed
and that's why patients complain.
So we take our time, we talk to our patients,
remember that they're humans,
we're gonna do better that way.
I played this game.
So this game's really cool.
Not only are you building a full hospital
you're building individual rooms,
you're hiring staff, you're trying to keep them happy.
You're also thinking as a city planner
and you have human personalities involved in this
so this presents a true challenge.
Because some nurses may be impatient
some doctors may be rude, whatever you have
you need to address it as the administrator
of being a two point hospital.
So there you go like, you see, you have the expenses,
the revenue and you have your profit loss.
A lot of people don't like the business side of medicine.
And I understand, as a doctor, I want all my patients
to have insurance coverage, I wanna make sure
that everyone's covered, because when people are covered,
not only are they getting better care,
they're getting preventive care.
Dr. Mario, I've never heard of this one, excited though.
Whoa, this is literally Dr. Mario.
How did I not know that this was a thing?
And why am I so excited about it?
What is this like Tetris?
This is Tetris with like, medicine.
The one thing that I gotta talk
and do a little consultation with my buddy Dr. Mario here
I guess my colleague Dr. Mario in this situation is,
we shouldn't be pill pushers as doctors.
We shouldn't just be chucking pills at our patients.
In fact, if we just focus on that,
we'll often time miss the greater problem
that we could be fixing,
where we don't even need the pills.
So Dr. Mario, shape up,
stop throwing pills at everybody.
I love playing games,
and when we can play games
that are actually medically relevant,
it makes it a lot more fun for me.
Because when we're in the hospital
we have to be quite serious,
we have to make sure that we're following
all the rules, in these games, there are no rules.
The Two Point Hospital game is probably
the most realistic because it really takes into account
all the complexities of running an entire hospital.
The most unrealistic game is Surgeon Simulator.
I mean, we're not chucking organs around,
we're not performing surgeries without gloves,
that one's obviously the jokey one.
But the one that gets me the most mad
is Dr. Mario, not only does he throw pills,
if you look at the screen, it says virus.
We don't treat viruses with antibiotics
which is what Dr. Mario is throwing at his patients.
If you haven't seen any of my videos,
type in Doctor Mike, doctor spelled out,
or just click the link below in the description.
As always, stay happy and healthy.
(upbeat music)