🏥 Project Hospital #2 - General Surgery Tips

[@dr.bherrin]

I'm a retired physician. I started my career as a Cardiologist, moved into surgery and about five years later I transferred into one of the busiest ER's in America, Dallas TX. I was what the game would call a General Surgeon, although in reality there is no such thing. Every surgeon has a primary area of study, mine was Cardiovascular. Even so, any surgeon should be able to handle emergency surgical procedures. I didn't watch the whole video, as it was just too long and I didn't have enough time. However, you do seem to have a good grasp of the reality of the Trauma unit and what is needed to increase a critical patients survival. You are absolutely correct that having a good trauma doctor, and even nurses, make up the largest portion of if a patient will survive a critical indicent. Most General Practitioners that have their own private offices today started in ER, because that is where you get the experience you need. You will hear doctors who have been "practicing" for a couple of years talk about how they still have to shadow the more experienced senior members of a hospital staff, even long time ER nurses can educate a new doctor on the do and do not of ER practice. That first doctor you see when entering the ER can be the difference between you having a quick fix or a prolonged stay. The hospital usually puts the best in the ER, because you have short time to make the best decision. What you said about having the best doctors in TC is exactly correct. Most patients don't go to a clinic if they are on the verge of death, and if you're on the verge of death you want the best doctor you can get. This game is, one of my recent favorites, due to the fact it is highly educational. You can learn a lot about the general practices and ways of medicine. The interactive nature allows you to learn more than you would just sitting at a hospital watching what goes on. Again, you seem to have a good grasp of what is needed, and while that may come from just the aspect of the game, it does translate quite a bit into reality as well. I have sent Oxymoron Games my approval for what they have made here, because it is educational. While the detailed procedures involved to achieve the diagnosis and treatments may be missing, as expected, the processes to reach those results is here, and it's quite good...even if grossly simplified. Cheers!

[@federicobig]

Could you make a video for internal medicine?

[@hiimpercy]

I'd absolutely love to hear a trauma surgeon/ER MD evaluate your workup. It seems pretty darned good to me. :D

[@Blarla]

Thank you. 😃

[@hiimpercy]

Proton pump inhibitors are a type of medication that drops the gastric acidity by about 90%. They're called proton pump inhibitors because they... wait for it... inhibit the proton pumps (ba-dm-tsh), little protein tubes in stomach lining cells that permit the release of acid. Block the pumps, acid drops, stomach can heal. (Source: I'm a pharmacist who works at a hospital, and so I'm also really loving this game.)

[@Blarla]

Ooo, thank you. That is so cool to know. I'm learning a lot of this kind of stuff from this game and peeps watching. It is really cool!

[@aborkhod]

Internal medicine too is a few department which specialises in internal organs like otolaringology or gastroenterology and other stuff like that

[@trenchclique6057]

Can you teach us to build a great hospital like your? Like a "Speed build"

[@Blarla]

Thank you so much for the compliment. It's great to know you enjoy my hospital. I did build that hospital over streams and then KZbin episodes on my channel you could check out. That hospital took hundreds of hours to build, I'm unlikely to build another. 😅 That said, there is a new DLC in the works, which could see some big changes to the hospital, which I would do in a series and I've been toying with the idea of making a prefabs pack for the workshop. ☺

[@liesdamnlies3372]

And here lies the second and last department overview video. _cries_

[@byoobyoo1280]

Thanks. Best PH hints and Tips video I have found. You are a good teacher.

[@Blarla]

Thank you. More on the way. They take awhile to research and make. 😅

[@hiimpercy]

Oh my gosh, subbed. What an excellent video and pleasant delivery you have. Thanks for making this.

[@Blarla]

\o/ I'm so pleased you enjoyed it. 😃 Thank you for the sub! They are slow to make but the next one is in the works. 👍

[@idasimmer2721]

Sooo happy that I found you

[@Blarla]

Thank you! :D I am indeed working on more, not on a deep dive but tying up loose ends in DID so I can make some episodes on the new DLC. Then I'll go back to department deep dives. ^^

[@idasimmer2721]

@@Blarla How fun! Can't wait

[@Blarla]

@@idasimmer2721 oh cool, and thank you. ^^

[@blitz3391]

Any chance for an other video? :) I've started playing and decided to go with Cardiology as my first Hospitalisation. Boy was it a mistake XD

[@spokidokiloki]

Great video. I do worry about the researching you have to do to figure this all out. How many sacrificial lambs were there for us to figure out how many hours a fella has left!

[@Blarla]

Ha! Yeah, these episodes take a lot of time. But the information I either know or can be found in the coding. Like numbers. It is finding the example cases, that is where the time goes. I'm not entirely sure if I'll be ready for the Internal Medicine one time. 😅 These episodes will most likely become ad hoc. 😆 Luckily there isn't masses of them to make. But I'm enjoying it loads, I'm learning a lot also and playing the game lots. 😊

[@docdesastro1019]

Quick question: Does prescribing medicine have an impact on how much money the patient spends at a pharmacy? Some medication is skipped by you deliberately - maybe because it costs time while my philosophy is to cure all red symptoms, if possible to get the "++ treated" modifier to my hospital rating by patient. There I know it has impact, but pharmacies as well?

[@Blarla]

I've never paid much attention to the Pharmacy, which is mostly down to my annoyance with that DLC. But yes, there is an impact, I've just never bothered with worrying about it. I know that antidepressants are $100 and Numbing Ointment is $10 and painkillers, I think, was $20. I seem to remember noting that not all medicine had a sum attached to it, some did seem to be totally free, that might have changed since I briefly looked at it. The money they spend at the Pharmacy has no baring on their insurance and isn't added to their total amount paid on their patients cards. The treatment side of the game is an aspect I've been a bit grumpy about, like I was about most of the game and expressed a desire for more challenge, I described what basically became 'specialist mode', which is now the only way I play. I wish this mode didn't pick out all the treatment for me and I also wish I could prescribe medicine, any medicine, I want, at any point during their trip to the hospital. Which could be linked to possibly making your patient worse, or even killing them and heading down malpractice challenges. But alas, we are still dictated all treatments. As I result, I fake my control over it, to fool myself into thinking I do. I give them their main treatment and I will also give them treatment for whatever is causing them discomfort. I always prescribe Rest when possible, just a personal preference and if all that doesn't get the patient to a 5 star comfort, I'll give them anything I might have available that causes a positive benefit. The hospital tends to be at 5 stars with all the money and intake bonuses with this method, which is good enough for me. 👍 But yeah, a little insight into why I do what I do. 😄

[@MattEland]

@@Blarla i would love to see this mode.

[@drac124]

7:37 Its one guy operating MRI and CT scan at the same time?

[@Blarla]

No. He is working CT only. It is hard to see but there is another technician sitting on the opposite at the other end of the office operating the MRI.

[@aborkhod]

26:56 I found that two surgical teams need at day and one at night

[@aborkhod]

In Russia Histology usually located in morgue and pathologists are too histologists

[@LastMohecan]

3rd! I like your videos BTW. 👍

[@Blarla]

Thank you so much. ^^

[@idasimmer2721]

do you use any reshade?

[@Blarla]

I don't, no.

[@blossomherd3921]

2nd. Lol. Love this playthougg

[@Blarla]

Thank you. ^^

[@j7morgan40]

FIRST