Doctor Reacts To UK Medical Drama "Casualty"

[@Rhaegarion]

Her description of it being mild dementia is actually tapping into a british cultural thing of downplaying issues so as not to be seen to be making a fuss.

[@jenniferhunter1484]

Plus, a wee bit of denial that her dad could be ill at all.

[@hijodelaisla275]

Giving misinformation to a doctor seems like a corruption of the British cultural thing I remember where she would say, "He has dementia but we're dealing with it just fine."

[@snoopygonewilder]

@@jenniferhunter1484 I saw it more as denial as well.

[@PianoFish]

@@hijodelaisla275 "misinformation" feels a bit strong, that to me implies deliberately deceiving the doctor and that's not usually what's going on in situations like that. There's probably some degree of denial and putting a brave face on it but it's also possible that she may genuinely not realise how far his dementia has progressed. If a family member has a condition that progresses over a number of years you gradually adjust to the changing circumstances, it's likely the dementia was mild when it was first diagnosed and since then they've carried on as best they can and the increased severity hasn't really dawned on her because it's just become a part of daily life. It often takes some sort of incident like this for family members to realise that what they're dealing with is no longer mild.

[@LauraM-kr9wv]

I assumed she'd been looking after her dad and didn't want him to be put in a home so she downplayed it.

[@cassandrabellingham8486]

I’ve worked in UK ER’s and ITU’s and there’s always a bigger team around them but the calmness is pretty realistic. I’ve always watched US shows and wondered why they’re all rushing and yelling at each other?

[@mtbkidz2015]

Was it hard like what coos my dad is part of dualists

[@last-genrichtofen9360]

I mean if someones dying, you kinda should be rushing.

[@IDontKnow-pf6en]

no, in USA hospitals irl theyre pretty calm as well. unless it's a major trauma, and then theyre yelling and rushing so people can hear. although in general, ERs in the USA seem waaaay more fast paced and proactive than in the UK, and im glad for that. i dont want people taking their time while im dyin. source: ive been in the ER more times than i care to count.

[@madhatterline]

There are positives & negatives to rushing. It can get things done that little bit faster, but it can also increase mistakes. Ideally, whatever the situation, you want the doctors mind to stay calm, with a clear head & a steady hand.

[@sarahmonique5321]

As someone who's been in the ER more than once before in the US, I wouldn't want people being *too* nonchalant around me the way they appear in this show, it just feels like they really don't care if you become sicker or die. But maybe that's just me...

[@emilywalpole4689]

Did any other Brits remember watching horrible histories as a kid? I really want to see him reacting to some of the medical sketches in that.

[@doolan0543]

Oh my god, yes please.

[@LordBummenbachsBalls]

Yeah, that program was my childhood.

[@gabykettle791]

YES! I want to see this!!

[@Goboauty]

That would be awesome

[@wh0sb33]

yessss

[@tilly8367]

You should watch 24 hours in A and E! It's a documentary type show inside a real UK hospital. Would be cool to see how US care differs to UK care :)

[@Twielyeght]

I love that show and would like to see Dr Mike react about differences

[@Stranger667]

Yess

[@eleanor8056]

Pleassseeeeeeeeee

[@jayATUK]

Yes! I second that

[@metalman4289]

And I for one third, fourth and fifth that.

[@thes0mething]

"there should be more people" - I've been to A&E a lot recently and unfortunately I can say that our medical professionals are stretched so thin that I don't even doubt some of the reality of this😂 one nurse even left me to take my own blood pressure because she didn't have time to do it for me. The NHS desperately needs more funding

[@Marzi29]

In a situation like this there would be more people, but this was filmed during covid so they didn't have as many. Even as stretched as the NHS is, there would be more people.

[@catz4m8z]

The covid excuse makes sense why there are so few people. Worked in a busy hospital for 25 yrs and Dr Mike is spot on about the amount of people you would have in an arrest situation/emergency. It is always fairly calm though, you get on with your job and if you are going to freak out you save it for afterwards!!LOL Only time Ive ever lost my cool at work was hiding in a cupboard desperately phoning security coz a patient was trying to break in coz they wanted to kill a nurse!

[@theomegajuice8660]

Yes there should be more people... and that shpuld be directed at the Tories rather than the writers of this show

[@TheMadAfrican1]

Even worse now, a year later, with Surnack happily destroying the NHS like an evil demon of death. A terrible shame.

[@MM-MLT]

@Samir Dončić isn’t the lottery taxed by the government……

[@mattharvey-ingram3521]

Just a heads up Dr Mike, there is less "staff" in the big trauma bits like the intubation because it was all filmed during covid with social distancing :)

[@rebeccajohnston1542]

That's what I thought too, but I am not a huge fan of Casualty. It's too easy for me to figure out what is going on medically with the patients.

[@fwizzybee42]

Yeah that’s what I figured but it looks so weird

[@sazbomb6996]

Yeah the pre-COVID episodes are definitely a lot better than this

[@kronosf1533]

@Enby Jammy Bear It wasn’t. It was a flashback Ethan had but was filmed recently for the episode. We never saw that storyline I believe, or I don’t recall it at least.

[@gazmondo]

To be fair, Casualty has always been cringeworthy when it comes to plots and medical accuracy!

[@MadSpacePig]

Mike: There should be 7 more people in the room. The UK's highly stressed and understaffed NHS: 👀

[@etijo8610]

And underpaid 😬

[@Kitsune16-r4h]

@@etijo8610 the hospital near me just laid off half their staff

[@ruby8994]

@@Kitsune16-r4h whyyyyy???

[@Kitsune16-r4h]

@@ruby8994 Vaccine

[@ruby8994]

@@Kitsune16-r4h are u in the U.K. or US cause I’m pretty sure vaccinations are not mandatory for hospital staff in the U.K.

[@allyssadehaan8115]

Thank you for bringing light to huntington's disease. I was diagnosed 7 years ago, I am 31 but still presymptomatic. My mom died a year and a half ago from it at 49. 💙

[@glasshorse6893]

hope you're holding it together man

[@vince3523]

So you've got like another 15 or so years left? If so make em count.

[@ameliarose47]

Not necessarily. OP has 10-30 once they become symptomatic. Currently they are presympyomatic so there's no way to tell when onset will start and what the symptom progression will be. It's not that simple and not so much about making years count (because symptoms can interfere with potential future plans BBcthe disease is unpredictable) so much as it is enjoying as much as you can in life. Stay strong Allyssa

[@tomewifecollector9608]

My friend's bio father has huntingtons and there's a possibility she might have it (not old enough to get tested yet, even if she wanted to regardless) Hoping the best for you man 💕

[@alltoohalliwell]

I've taken care of two patients with Huntingtons. They were both quite young. It was the most heart-wrenching moments in my career. I still can't forget them. I'll keep you in my thoughts and I am glad you're still presymptomatic

[@dionysus7653]

Casualty is a TV soap which happens to be set in a hospital. The calmness and lack of staff is accurate of a UK hospital though. I would recommend one of our documentary type programmes like 24 Hours On A&E. It is an actual hospital being filmed with real people.

[@lisalebel6407]

same here in canada

[@DomTheDumb]

Mike reacting to the crippling shortage of staff in the NHS is amazing lmao

[@EmilySwartz-o8t]

If you watch 24 hours in A&E you will see that they normally have a lot more people in the room, even in the UK.

[@scarlettwoodbridge711]

Absolutely love casualty, the reason there's so little people is because they were filming during covid. You should now react to Holby city as that's set in the same hospital but us on the wards.

[@kirstygraham3781]

I think he should watch older series. I haven’t watched it in a few years but I used to love it! Although so many of the old characters are dead now but it makes sense since it’s been running for so long and I love that it shows right from some people’s first day and how some people crack and can’t hack it and leave and some people develop into brilliant doctors. And to be honest I doubt there’s as many doctors in UK hospitals in general than there is in US hospitals because of how little funding the NHS is given 😕 I know people who’ve waited 6+ hours in A&E after being told they needed to go because what they described on the phone was an emergency. All the hospitals I’ve ever been in are in the north east since that’s where I live and there only ever seems to be 1 doctor per floor and a couple nurses per ward. I don’t work in the medical field but that’s just what I saw whenever I’ve visited or gone with a friend or family member in hospital or been there my self. I do definitely think the old series were more realistic staffing wise though.

[@scarlettwoodbridge711]

@Ivars Bezdechi yeah true maybe he could watch an older series

[@kirstygraham3781]

@Ivars Bezdechi oh I didn’t realise! I always preferred casualty. British tv shows always last forever like coronation street, I think we just love drama that is somewhat realistic to our own lives 😂 obviously the medical dramas aren’t super realistic to people’s lives but emmerdale and all the other ones like that are all about family feuds that a lot of families actually have 🤣

[@Fouroclocklover38]

@Ivars Bezdechi he can still watch Episodes.

[@LiaaRo]

I’d love to see your reaction to “999: What’s your emergency”, “24Hrs in A&E” or GP’s: Behind closed doors”. How are these different from your own knowledge/experience?, what shocks you the most? And just your overall take of it?

[@jenniferhunter1484]

'GP's: Behind closed doors' would definitely be an interesting one to do!

[@harriethardwick411]

Yes! Definitely.

[@emilyclayton7019]

Yyeesss. These are all amazing and would be so cool to see what's different between uk and america medical stuff

[@suzanneduff327]

Omg yes x

[@sparx4724]

Probably the cameras I’m guessing

[@zf7898]

“Everyone is too calm and cool, this doesn’t seem realistic” lol Dr Mike, we’re British, we keep calm and carry on. 🤣

[@hijodelaisla275]

And you usually produce the best actors. This is, apparently, the exception that proves the rule.

[@forgetfulstranger]

Okay but if a British ED is that empty then a lot of people must be dying that side

[@Cernunnas]

That's what I thought when I heard him say that too

[@noni5961]

Very calm in our hospitals. 😂😂😂. It’s a true reflection.

[@boop8871]

I’ve always wondered why US hospitals are so panicked in dramas, like dude ur not the one dying 😂

[@adzkebabz7278]

As a British person I personally love this TV series. "24 hours in A & E" is worth reacting to as well especially as a American

[@LillithVexx]

I think you took the "mild dementia" line too literally, to me it seemed like she said it was mild to try and avoid someone else (especially police) from going to her van and to give the doctors an incentive to release her from A&E

[@AllthePrettyPurses]

This is what I thought -- she's probably downplaying it because she doesn't want Adult Protective Services getting involved and her father possibly being institutionalized.

[@cryamistellimek9184]

The UK has a bad problem with downplaying health issues even once they know the severity. It’s possible a combination of that, what you mentioned, and a tad bit of denial.

[@LillithVexx]

@@cryamistellimek9184 precisely, as a Brit I am very familiar with downplaying ailments lol - didn't even go to A&E for my hand snapping in half because I didn't want to inconveinience them (got forced to in the end) - another great example of Brits downplaying medical events are those documentaries about UK emergency departments

[@papaicebreakerii8180]

@@cryamistellimek9184 We do the same thing in the US. Most people wait until they absolutely have to go to the doctor or hospital. We just try to man through it and deal with it at home instead of wasting time and money going to a professional

[@jd_alsobrook]

"Emma! Emma! Who did this? What happened!?" LOL Emma has a tube down her throat, she can't talk now

[@00kidney]

6:50 when they did too many takes and you can't wait to get out of that hospital bed 😱

[@skk..]

Who are you

[@aniekwegter703]

@@skk.. thats katherine

[@skk..]

@@aniekwegter703 Katherine who

[@carlspice4019]

@@skk.. worst knock knock ever

[@skk..]

@@carlspice4019 what

[@DoctorAzmain]

Wondered when you'd review a UK show!! Not the most realistic - e.g. trauma response and primary survey should be MUCH faster. They're so chill while someone's bleeding out, like WHAT?!! In a real resuscitation room, there is a MASSIVE team working flat out to save the patient as soon as possible! That said, these shows do have real doctors as medical advisers - I worked with a surgeon who is the medical adviser on a similar UK show, so they do try to bring some realism into it!

[@nobodyisnotsomebody]

According to a comment from 'Matt Harvey-Ingram', the team was so small in the truma bits because of covid restrictions at the time

[@louisegalczynski1543]

I think it does a great job of highlighting how underfunded the NHS is and how hard doctors and nurses work particularly during the pandemic. I would say the most worrying thing about Casualty & it’s sister show Holby City is the staff mortality rate 🤣

[@ozthekeymaster]

​@@nobodyisnotsomebody Might just be me, but having watched Casualty from the beginning, its become noticably increasingly "dramatic" in recent years. I genuinely think this is in response to, and in an effort to compete with, American dramas.

[@DoctorAzmain]

@@nobodyisnotsomebody Ahh this definitely makes sense! Yeah I'd much rather a less accurate portrayal in a TV show, as opposed to Covid spreading rapidly on the real life set!

[@lexdraws1729]

@@ozthekeymaster some British shows are equally as dramatic and have been ahaha.

[@francesmmarsh]

in the UK we have loads of 'fly on the wall' medical tv shows about hospitals, gp surgery's and ambulance crews that it would be really cool to see you react to. As a brit its really interesting to see your take on the differences in our medical systems

[@freddyandfoxy7526]

6:01 I like how calm everyone is. The doctor just casually starts doing his job with no body around now. The doctor is like just another day in the office for me.

[@pidge1997]

I would love it if you watched one of the TV shows that actually show what the NHS is like and compare it to how the US hospitals are. Ambulance and 999: What's Your Emergency are super good! (Also it might not be accurate but I love Casualty - I think there are way better episodes to watch like the Covid onesssss)

[@danielthomas9379]

Or 24 hours in a&e.

[@meishseeks]

Yass great suggestion 👏🙌

[@pidge1997]

@@danielthomas9379 definitely!

[@frejahunter8141]

Ambulance is brilliant!

[@JonnyBlueChair]

Yes this is a great suggestion.

[@_inhisbluegardens]

I need you to know that Casualty is a *soap opera* so we don't really watch it for the medical accuracy - we watch it to cry over Dr Ethan Hardy's tragedy of the week.

[@clouds1117]

Lol

[@alexschofield8085]

He does know this, it’s just not what he’s here to analyse

[@scarletamazon3455]

It was a good show before it turned into a soap opera. Now it's not worth watching.

[@martinjames6431]

@@scarletamazon3455 yeah right. Once the camera filters changed to shiny shiny it went bollocks

[@martinjames6431]

Best Casualty injury ever. Where the people were playing squash. I thought it would just be a broken ankle coming or something. Then all of a sudden the woman crashes into the wall and the wooden racquet snaps and goes through her throat! Now that's drama!

[@thepetermullins]

Me and my (doc) wife just laughed so hard at this. Casualty in the UK is known as one of the worst (bu beloved) dramas out there. There is a police equivalent called "The Bill" and pretty much every UK actor gets their first roles as extras on one of those two shows. The acting quality is TEEEEERRIBLE!!

[@AymeeRose]

I havent watched Casualty since I was a child and re watching this is so bad. Cringe!!

[@itsonlysound]

The acting from the patients is, mostly because a lot of the younger ones are right out of drama school. The actual cast are solid actors.

[@xanthiawebb2801]

Rip to the bill, was a classic

[@cyclone1219]

Don’t ever diss casualty

[@kellywood354]

The bill doesn’t work exist anymore x they also had londens burning for the fire department yrs bk

[@TraceUK]

“There should be a whole team here” “It’s way too calm” - WELCOME TO THE NHS!!!!

[@leopoldfreiherrvonbernewit4747]

Nah mate, I refuse to believe that the NHS has two-person major trauma alert teams. Not even after brexit. Before that would happen, the lines from A&E would rather stretch through the city as they‘d take personell from other cubicles. Or they’d even call off non-emergent planned procedures to free up doctors and nurses. But no way a major trauma would be met in a normal cubicle by one doc and one nurse. And even if that happened (maybe by underreported injuries by the ambulance crew) the first thing that one doctor would do, was calling the trauma team.

[@martinjames6431]

@@leopoldfreiherrvonbernewit4747 I'm UK and you're absolutely right.

[@RoyKoopaling]

Ah, there’s the flag waver rushing in to slate the country as usual.

[@fogheta]

It was literally just cause of COVID and distancing, calm down and stop bitching

[@fredpuntdroad8701]

@@RoyKoopaling Got to show respect for the heroic Tory attempts to destroy rather than reform a broken system. I take my hat off really. We've known for 100+ years that state-owned institutions don't work and are horribly inefficient, but you can't just deregulate the whole thing or you get the US. So the plan then is to keep using the same broken system while issueing massive budget cuts, while simultaneously selling and wholesale-deregulating some parts of it. That's highly respectable. That's not some pedestrian screwup. Cocking up that bad that practise, planning and discipline in execution.

[@MrPaulMorris]

From my experience in A&E (as a patient, a parent with a sick child and accompanying an adult with an idiopathic seizure) the calm atmosphere seems entirely accurate. On one of those occasions, by pure coincidence a colleague was brought in by ambulance suffering a heart attack and was attended in the bay next to me. I gave him a few wave as he was wheeled by and, of course, could hardly avoid overhearing as paramedics gave a handover, the doctor instructed the team and they got on calmly and quietly with the roles they had carried out countless times before. Half an hour later an alarm sounded to indicate, as I later found out, that he had gone into VF. The team responded quickly but without fuss and yes, they did shock to restore normal rhythm--for once I actually got to hear "Clear!". As others noted, this was filmed under pandemic restrictions so numbers were limited on set giving a rather sparse manning even for a UK NHS hospital!

[@04nimmot]

props for showing Charlie, he's been there since the first episode

[@richieordeanidc536]

i really think you would find 24 hours in A&E interesting, its a docuseries filmed in some of the busiest emergency rooms in the UK and each episode is shot over a 24 hour period. i really wanna see an american doctor react to a real british ER and talk about the differences to american emergency rooms

[@emomz]

You should review Call the Midwife sometime! Lots of non-maternity plots too. The actually had an episode exploring Huntington’s diagnosis in the early 50s.

[@Klm49]

I was just thinking this too!! I love Call the Midwife and they have so many great episodes about maternity but also about other diseases. And Doctor Mike's interest in concerierge medicine would make this interesting as well.

[@hellybelle5]

I love call The Midwife! I worked with an agency so I worked all over, and did a while on maternity, and the midwives were like that ❤️

[@annissa8959]

That's the best med show ever!

[@AleenaLee277]

I watched Casualty 1900's and I was in love with it as it went over diaries left by the ward of patients and workers.

[@Maven0666]

I don’t care if the show is accurate. I like it already,and Thank you Dr. Mike for doing the UK justice. I think their med shows are spectacular!

[@Nessilicious92]

Oh bless Ethan, his character has not had it easy. Thanks for reacting to Casualty, I only wish it was an earlier series as so many good actors have left now. Would love to see you watch Holby to compare :D

[@rikardottosson1272]

They had actual ventilators as set dressing, eventually they remembered to lend them to the NHS when Covid hit.

[@MatgoStyles]

Eventually? They offered them pretty early into the pandemic.

[@rikardottosson1272]

@@MatgoStyles yeah with hindsight it seems early, but a _lot_ of people had already died from ostensibly a lack of ventilators. Sure, given how bad it turned out to be, I guess it didn’t matter all that much, but at the time it definitely felt late.

[@MatgoStyles]

@@rikardottosson1272 That's not correct. No one died from a lack of ventilators because we never ran out. At the time they were donated there was concern that we would run out. The NHS did not run out of critical care capacity, and in fact I'd be surprised if the Holby ventilators were ever used as it soon became clear that oxygen therapy was often more beneficial than ventilators.

[@rikardottosson1272]

@@MatgoStylesfair enough. I mean politicians have been correctly hounded for their slow pandemic response, but they had already scrounged up a couple of shed-built CPAP machines before Casualty remembered they had some going spare, so I will insist the realisation was quite delayed even if it had smaller consequences than I remember.

[@chrisredfield6274]

@@MatgoStyles Also, after more results and research has come out, it seems a lot of people got weaker and died BECAUSE of ventilators. Mike has talked about this on the channel actually. Ventilators didn't end up being the end all be all that people thought. Once you intubate somebody, they stop breathing on their own which can cause them to lose to ability to do so permanently (in Covid cases) so you essentially put them on machine dependency and now they'll be dead if you ever take them off of it.

[@Dakkapow]

I haven't watched casualty in about a decade but I swear it used to be more fast paced and realistic looking than whatever this is

[@jonsouth1545]

just like the real NHS it suffered from budget cuts

[@riverstardis8745]

bear in mind this was filmed with social distancing in place

[@PrograError]

@@riverstardis8745 that could be why... - - COVID...

[@jenniferhunter1484]

Yeah, then Covid hit, so they had to socially distance while filming. Some of their first Covid scenes, where they were all PPE'ed up and breaking down, was far too close to home. I cried at a lot of it, just thinking about what colleagues and I were going through.

[@mxclaireharris]

It's partly covid and partly the way it was cut. This was the first few minutes of the episode.

[@IndyMartiniVideos]

Fun fact! The 2nd doctor with Ethan (in the 5 years ago flashback) is Cal, his brother, who did not get a Huntington’s diagnosis but then later died in a patient stabbing incident (long story).

[@lxxgxll2954]

"This is such an awkward conversation. Nothing about it seems genuine or authentic" ... Tell me you've never had to make small talk with a British people without telling me you've never had to make small talk with a British person 😅😁

[@jeonghansjudgingface9280]

True lol were so awkward.

[@jodiewhiteside4194]

I fell more in love with this show once I found out they were donating the medical equipment and PPE they had to the NHS

[@meghanmoiralanning7383]

Mother: Become a Doctor Me : No Mother : Then Stop Watching Him Me : Never

[@forgetfulstranger]

Priorities

[@jessfreer]

I love how all the comments seem to be from your British audience asking you to review all our other medical shows. Also I've been waiting for this for a while.

[@Jaja-n7c]

For clarity, Ethan was the one bagging the patient. It was a part of the storyline that he messed up like that, before his condition started to affect him Ethan NEVER made mistakes. The one who realised he wasn’t treating patients correctly anymore was his brother. This lead to the test being done as they found out their mother had the gene, Ethan turned out to have Huntington’s in the end , instead of his brother.

[@dubsinthetubs]

There's an ambulance company called Superior in the midwest that uses bright yellow (and also some other colors sometimes) ambulances

[@ninjaa3597]

Dr Mike, I am so excited you finally watched something related to the U.K, as a Briton, I prefer to watch American medical dramas but I really appreciate that you've acknowledged something British, usually when you give advice and tips it's usually catered towards an American audience (of course) but it's nice to see that you notice us

[@layla090-e9o]

This is the video I’ve been waiting for all my life

[@Alex-cw3rz]

A UK medical TV show that would be great for you to review next is Doc Martin, it's a British comedy drama, he is a GP (family medicine Doctor same as you), the show is medically accurate, and to top it off it is hilarious.

[@oldgregg446]

Been in a A&E over here in the UK, they're quite as staffed as they should be, although not as dramatically as shown here, and they are usually staffed by the most experienced Doctors

[@EmilyVictoria24]

The reason there’s hardly any staff is because they don’t get paid enough! Also like others have said, you need to watch and review ‘24 hours in A&E’ and ‘Ambulance’, such good programmes! They really show what our NHS do and how lucky we are to have free healthcare 24/7

[@ozthekeymaster]

PS You can't do a full strip exam on Casualty because it usually goes out before "The Watershed" (before 9pm) in the UK so the content needs to be suitable for minors.

[@eleanorclifford5087]

o.o I thought it was on at 9? Tbf I don't watch normal tv that often though

[@prettylittlemayflower]

@@eleanorclifford5087 it’s on at some between 8-10 usually. it’s been 9:30 the past few weeks.

[@Armaldo468]

So maybe just don’t show genitalia and such on camera? Camera angles and coverings can work wonders. It’s not like people have never worked around stuff like that. Hell, we technically don’t even need to have been shown the strip search at all-just give some indication that it has taken place, or at least leave room to think it might have. (As opposed to making it blatantly obvious that no such examination had taken place.) There are a lot of options. No excuses.

[@PianoFish]

@@Armaldo468 there is a subset of British society whose main hobby is writing angry letters to Ofcom (the broadcasting regulator) about things like that. Last year 111 people wrote to Ofcom because they had two men kiss on an episode of Casualty, that's the level we're dealing with. Ofcom almost never do anything about these complains but some poor sod has to wade through them, I think their main purpose is so news outlets can post lists of the things people have complained about.

[@Armaldo468]

@@PianoFish Wow. Sounds a lot like the many triggered, censor-happy crybabies we have here in the US. I guess every country has its whiners. At least, every first-world country-somehow I doubt most third-world folks just sit around bitching and blubbering about everything because it’s “hip” to be offended and outraged.

[@kirstygraham3781]

YES! I’ve loved casualty as long as I can remember I’ve been hoping you’ll review casualty and holby city 😁

[@hr_47]

But these doesn't look realistic at all

[@kirstygraham3781]

@@hr_47 other people have said it might be down to covid restrictions while filming this series. Even I thought this seemed off compared to how it used to be (I haven’t watched it in a few years) it used to be a lot more realistic so I definitely think he should watch some older episodes like from 5+ years ago when all the good characters were still alive 😂

[@louisegalczynski1543]

I’ve been waiting for this!

[@Rachelhappyface]

Aaah I love that you reacted to this, Casualty has been my favourite tv show since I was like 6 years old!

[@tarae6587]

casualty has honestly become one of my favourite TV shows in the last few years. it was heartbreaking seeing noel in this episode, man how i miss him :( season 36 has been really good! looking forward to seeing what happens with the infamous dr hardy this week heheh (if any of yall saw last week's episode then you'll know what i'm referring to...) dylan is my favourite character and my dad is a die-hard charlie stan!! i hate charlie myself lol but tbf he is a staple of the show

[@irishwristwatch2487]

I will say, the general calmness is true according to my own experience Edit: Also each emergency service gets its own siren. There's the standard "nee-nor" and they have their alternate sirens. Doctors also have green flashing lights in place of blue. Also the battenberg markings (square decals) and unique to each service. Green/yellow for medical, blue/yellow or blue/white for police and red/yellow or red/white for fire services :)

[@isamash112]

I have been waiting for this for years. Also, Holby City, the hospital which Casualty is the A and E for is finishing next September.

[@latoyajoslyn8116]

FINALLY. I watched this episode. When the doctor put the tubes in, he ordered the nurse to turn down the volume on the machine. The nurse never turned it back up.

[@11892rosa]

He left on a cliff hanger, what happens next, what does she do to him?

[@Vibecheckpolice]

As someone who's been in the ER in the US many times, I can confirm American Hospitals don't always scream, although I did have them scream once, that was when I had a seizure in an MRI machine 😅

[@vixryl]

As a British person I can confirm this is accurate Especially them accents.

[@torroberts6622]

I remember one of my many issues with casualty was how nicely the staff ask relatives to leave the room I regularly commented on this to my husband. It wasn't until I was in A&E myself and needed the crash team my husband really understood apparently one of the doctors basically said "out!!" spun him around and ushered him out. Before he realised what was happening he was outside the "sound proof curtains" When he told me about this when he came to visit me to which I replied "well yeah, it's a small space which they needed to get A LOT of equipment in very quickly and you were stood in that space" 😂😂

[@rhettyp3452]

I love Casualty, have watched it my whole life! This probably wasn't the best ep to watch as a standalone as it's very character driven but I'm glad you watched it :)

[@jeffrey7282000]

How does this story end? Does she get revenge?

[@rhettyp3452]

@@jeffrey7282000 The sister died, Stevie and Ethan spent a fair few eps lashing out at each other, but eventually forgave him. I can't remember if Jade told Stevie she was there, but she's not it it anymore.

[@faithhamel2924]

I love that you put JHD into the spotlight for people that need to know how serious this disease can be. It’s awful to watch my 14 year old nephew go through the symptoms of forgetting to eat, walk, or even talk. He’s getting the best out of life since his diagnosis, and I’m happy for him. Since then, he’s been on a plane, traveled to many states, and has seen the ocean. Who knows, maybe, hopefully there will be a cure for this disease.

[@Aetherian1]

I wish him the best quality of life possible.

[@faithhamel2924]

@@Aetherian1 Thank you. He is getting the best out of life. My sister put on a benefit for him yesterday, and he got to ride on the back of a motorcycle yesterday.

[@lameplayr]

I wish him a good life. He’s my age so it’s heartbreaking to see someone my age, so young, who hasn’t even really gotten to live get most of life taken away. Best reguards. ❤️

[@faithhamel2924]

@@lameplayr Thank you. It is scary. He ended up falling down the stairs at his house. He’s better, but the hospital kept him over night to run tests and double check his well-being.

[@lameplayr]

@@faithhamel2924 Oh my goodness, that’s horrible, i’m glad he’s ok though, hopefully it doesn’t happen again.

[@catz8449]

On the topic of the lack of people in the room: it’s a common theme on the show that they’re always understaffed because of budget cuts with not just their hospital, but the entire NHS too, so that could be the reason

[@LOVxxE]

We are very understaffed at Hospitals in the UK! People are dying waiting for ambulances, waiting for beds, things are being missed and our A & E has ridiculous waiting times, there are waiting times of up to 8 hours just to be checked over in an initial examination (from experience)! Many of our Nurses and doctors have been on strike, and our NHS is understaffed and underfunded. The nurses and doctors we do have are overworked. I usually see slightly bigger teams, however the calm vibes are actually pretty accurate to be honest. We have to wait hours and hours for updates because the doctors are stretched so thin. A few months ago, I was literally in a waiting room with a man who'd just had a heart attack and he was so exhausted he made a bed out of chairs because no actual beds were available... the nurses on at that time were not sympathetic to him at all. I was speaking to a paramedic who said she has to watch people deteriorate in her ambulance from sepsis, strokes and heart attacks because there are not enough doctors. Very sad!

[@irwinlucy25]

That was probably the calmest Casualty I have ever seen! 😂

[@Fr0z3n_Fr0st18]

As a UK citizen and likes casualty I agree

[@mxclaireharris]

Yeah but it was the intro to the episode, there was a lot more in that episode that wasn't shown

[@LondenAndAutumn]

Thank you for mentioning Juvenile Huntington's Disease. This is a disease my daughter suffers from and it's extremely rare.

[@camrynmcgarry2117]

My Dad has it too, and there isn't enough research or funding going into why it only occurs in certain people, where it started from. As well as we need better management of the symptoms in both Juvenile and Adult HD! FYI, my Dad is now 53, so there is hope for all of us. I wish you and your daughter all the love and support in the world, London

[@SergeantJoeMama]

Casualty : **Season 36** Other shows : Yeah, we don't do that here...

[@matthewreader8129]

There is a great series in the UK called This is going to Hurt, I would love to see you react to it.

[@hemanth_8056]

36th SEASON !!!! WTF Love ur vib man , always love you ❤️❤️❤️

[@benjaminboobyer7035]

Would love to get your opinion on documentary style medical shows we have 2 in the UK that I like "24 hours in A&E" which is pretty explanatory and "Ambulance" which is also pretty self explanatory they both have great interviews with medical staff.

[@BurnItUpp2009]

I love Casualty. It's like a British institution at this point 😂 I'm so excited Mike is reviewing a UK show 😬

[@csaba2797]

I hope he reviews holby city next, they go hand in hand

[@England91]

@@csaba2797 also they are the same show but from a different perspective of the hospital

[@HomebaseLHR]

7:10 “This is why he needs more staff” This is the UK, with universal healthcare. Downside is, the system is ALWAYS underfunded, no matter how much money you pump into the system.

[@timtreefrog9646]

In real terms the NHS receives 4% less money each year. Whilst patient acuity and number increases each year. Putting money into community support, new nurse and doctor training AND abolishing nurse and doctor agencies would help the NHS. 'Nursing staff' is mainly where overspend happens. This is because the NHS is short of 40,000 nurses. Those shifts are covered by people who do not want to be employed directly. But sign up to an agency. The agency give them double the wage they'd get for the shift. The agency charge the NHS triple for the shift. Unfortunately these agencies are growing, now supplying doctors, lab scientists, radiologists etc. The nerve of it. Stealing the staff which the NHS have trained, and then selling them back to the NHS for 3 times the price. The gov should be stopping it IMHO.

[@SpaceCruise8563]

7:25 i like how chest compressions is all caps. Also Dr. Mike keep up the good work and the chant "CHEST COMPRESSIONS, CHEST COMPRESSIONS, CHEST COMPRESSIONS!"

[@robbo-jn7169]

There is another UK medical show called “This is going to hurt”. It’s based of the diary of a doctor and is actually really good (in my opinion). I would quite like to see how accurate it is

[@TheBlackDemon1996]

7:08 To be fair, this was filmed during the pandemic, but set five years prior, so they had to do something that was COVID save but not look like it was during COVID.

[@SherriLyle80s]

Failed lol

[@bripez]

I haven’t watched casualty in years but seeing charlie just made me feel so nostalgic

[@lostindisorder]

Same, really did my heart good to see him still on the show.

[@lexiejames3514]

Same I’ve literally not watched it since the 90’s when I was a kid and still felt nostalgic!

[@cookiemocher388]

I suggest reacting to the episode of the Golden Girls where Dorothy's sick but nobody knows why, and a doctor even dismisses her problems

[@sararingo8622]

I've been waiting for this for soo lo g thank you

[@owenjolley351]

8:32 *Probably the cameraman.* 😂😂😂😂😂

[@autumngogogoat]

So Ethan, the Doctor with Huntingtons, he's the Doctor of Death. In an earlier series he killed an entire family of patients because one of them killed his brother Cal

[@RockeraMJJ]

And he's still allowed to practice? :)

[@autumngogogoat]

@@RockeraMJJ no one else knows, they thought it was standard medical complications plus everyone hated the family for what they did to Cal so no one really asks questions

[@gerhuneng]

That's BS! Dr Ethan Hardy watched the killer of his brother, Scott Ellison, die choking on his own vomit, no one else.

[@evilsharkey8954]

That’s a pretty evil protagonist there.

[@Vicky87_o.O_]

FOR CAL my boy didn't deserve such a horrible fate

[@Abioticbeing]

You should review 24 hours in A&E! It takes you through a real 24 hour experience in an emergency environment

[@lisa-og7vr]

They had actual ventilators as set dressing, eventually they remembered to lend them to the NHS when Covid hit.

[@riverstardis8745]

the reason why there's barely any staff around in this is because it was filmed within covid restrictions! the actress playing emma (the patient who was incorrectly intubated) is actually ethan's (the doctor who treated her) actor's wife, so that they didn't have to social distance! you should react to a pre-covid episode like series 34 episode 1!!

[@Cedrinate]

BUt it still makes no sense? THen why film the drama if u cannot accurately film it? How will doctors operate if they have to "social distance"

[@bluemage5469]

fun fact i learned from a firefighter. tampons are pretty decent at stopping GSW from bleeding. ofc only use in a pinch but if it has an arterial nick they might save your life or someone elses but make sure to still keep pressure

[@marianatrench69]

I was in an episode of Casulty in 2001! I was with my sister as we're twins so we played the same child...despite looking nothing alike!

[@HannahJones-yx1vu]

May I ask which season or episode just curious that's really cool

[@marianatrench69]

I couldn't tell you tbh, sorry @@HannahJones-yx1vu

[@oliviaradley8444]

In the uk there would be a huge team waiting for the patient in resus. Look up 24 hours in A&E. that’s how a uk ER runs x

[@staceyjess8712]

Oh yeah would love for him to watch this.

[@mattharvey-ingram3521]

You have no idea how long I have waited for this 😂😂

[@ellewilliams750]

Same here grew up watching this 😊

[@niamhrk8451]

Older Casualty used to be gruesome. I remember seeing episodes when I was younger that I’ll never forget 😂

[@Trifilaki]

Older Casualty was much better!

[@Dexter037S4]

The Golden Hour anyone?

[@demimarie1439]

Fun fact I was born while my mam and family were watching this and still to this day they blame me for them missing that episode

[@stanskz_fleur8]

I'm too invested in casualty it's amazing the thing me and my dad would and still do sit down to watch

[@HollehMae]

Please review the British show “Critical”! It’s pretty accurate in terms of the resus area of British hospitals and they even have an ODP there which is what I do but our profession is really unknown!

[@lmaoroflcopter]

What does an ODP do?

[@HollehMae]

@@lmaoroflcopter an ODP is an operating department practitioner, we’re on the same level as nurses but we’re specialised to work in theatre (or the OR in America), we assist surgeons during surgery, anaesthetists while putting patients to sleep and we can also work in the recovery unit while patients are waking up! We’re qualified fo work in all 3 areas! It’s a really unknown profession in the UK xx

[@lmaoroflcopter]

@@HollehMae oh that is cool! Had no idea that existed here. Thanks for the description!

[@HollehMae]

@@lmaoroflcopter it’s no problem! Anaesthetic ODPs also work a lot in A&E and the resuscitation area responding to cardiac arrests and stuff! Plus a lot of us have been working in covid ITUs during the pandemic! A really hidden but rewarding job 😇

[@yearls]

My Grandmother has dementia, she has a PC that her husband left her, she would play Mahjong on it daily. She can't remember the faces of her loved ones, where she is among other things, but she knows where that PC is, and how to launch the game. Dementia is a weird and scary illness, and I hate seeing her with it, I find it painful she barely recognizes me, if at all.

[@Rikipedia42]

UK Paramedic here, and I have to chime in about the intubation part; among NHS intubation an oesophageal intubation is considered a complication, an unrecognised oesophageal intubation is considered a “never event”. i.e one is far too many

[@lisalynnn]

The person who did the intubation is actually a janitor. Due to staff shortages in the NHS, everyone must do their part 😂

[@Dawesey]

How am I only just seeing this?! I absolutely LOVE casualty! Alright it’s not always 100% accurate but the story lines and the characters are great!

[@Ax9005]

I guess causalty’s budget for extras is non existent. Its so weird seeing one doctor working calmly in an ER all by himself on a patient.

[@riverstardis8745]

bear in mind this was filmed with social distancing in place

[@hannahlack1061]

There use to be more people and actual interaction but this was filmed during COVID and you can really tell.

[@destinybeezer3945]

Yes it's due to covid.

[@TomGallagherSuperboyBeyond]

lol NHS cutbacks maybe?

[@GodZirra]

@@riverstardis8745 Then it shouldn't have been filmed in the first place.

[@jessicaclode5955]

You should review there Covid episode, I’ve heard many say it’s one of the best Covid episodes done

[@aprill3759]

Yes that was amazing and so sad to see noel die

[@nikamiruashvili1571]

@@aprill3759 spoiler dude

[@jackieintheboy]

Remember, when your "mild dementia" friend is acting way more confused and agitated than normal, it's super possible they might have a UTI. UTIs in the elderly present themselves differently than younger folk.

[@heathergarnham9555]

Definitely, if your aged loved one begins to act differently get they checked for a UTI or STD, the amount of older people who are divorced or widowed in aged care that gave STDs is actually quite high.

[@chauntedouglas]

Huntington diseases talk really hit home. It runs in my family and my grandma has it. It is very much is a life changing diseases.❤

[@milkeylicker8826]

I have come upon a show that is going into its 3rd season call Tacoma FD. It about a fire station in Tacoma Washington. The basis of the show is that in Tacoma Washington it rains a lot so there are not many fires so most calls are medical calls or people injuring themselves in weird and strange ways. This show is fantastic. One of the Charters is the station Medic and there are funny situations and calls that all the firefighters go on many are medical calls. Some of the stories I have heard are real stories that firefighters have told them but there versions have a comedic twist to them. I think it would be a show that would be great to get your reaction too. Its the same guys that have done Super troopers. Its just wonderful and hilarious.

[@Kbear-xt9mh]

You should watch the episode of House that focuses on Thirteen dealing with her family history of Huntington’s disease.

[@Armaldo468]

Man, that whole plotline was rough-especially since she was probably my second-favorite character, after only House himself. I friggin’ adored her.

[@Kbear-xt9mh]

@@Armaldo468 same

[@dramaqueen_94]

So happy finally uk based love this xx

[@sophiefrancis8295]

8:35 That’s Cal, Ethan’s brother. He’s was murdered. RIP Cal.

[@aprill3759]

I still can't believe cals dead sometimes, I just like to think he moved on to a new hospital and life.

[@sophiefrancis8295]

@@aprill3759 I’m still not over Jeff.

[@aprill3759]

@@sophiefrancis8295 same when the van exploded I was just in so much shock. Another death I was still like to think he just left was in holby city Arthur's death.

[@sophiefrancis8295]

@@aprill3759 I know right? And poor Dixie! Paramedics don’t have a great deal of luck do they?

[@pmc8451]

I’ve been stabbed a couple of times and been taken to ER in the UK. As soon as you get in there’s loads of people around you all doing different things and asking you questions, it can be quite disorienting but everyone seemed pretty calm. It wasn’t that serious either time so within 5-10 minutes almost everyone had gone.

[@Kat_Reeves]

I do find it really funny when you say about staff numbers. Mate our hospitals are under so much pressure and stress. We don't have enough staff for that