Dr. Rich and Nurse Practitioner React to Dr Glaucomflecken

[@christinadonat9110]

I have worked as a scrub tech, circulator, and charge nurse. This is very accurate!! “Give me what I need, not what I ask for.” First world problem complaints… I’ve heard all these. One thing I have learned, is the surgeons who are nice and treat their staff well don’t have to worry about someone going to Albuquerque to get anything. Their staff will make sure they have everything they need.

[@DoctorRich]

Christina: As a program building specialist I have come to realize that collaboration is key

[@kaiyakershaw1028]

This is good life wisdom in so many ways! Treat your team well and they’ll have your back. Treat everyone well and people will want to be around you and help you.

[@CynicalDevil]

Finally a reacting doctor that gets every single joke. Awesome and funny.

[@jadehelgens4691]

I know Dr. Flanary personally and he is an amazing ophthalmologist and person.

[@DoctorRich]

@Jade Helgens: Although I don't know Dr. G personally, he is an idol of mine and I am certain out paths will cross.

[@TheRealityfades]

That’s so cool!

[@squidleyskidley]

Thanks for mentioning housekeeping! Such a vital part of the team… unsung heroes of healthcare!

[@thepanpiper7715]

Saving more lives than anyone else in the hospital. Except maybe laundry.

[@kellifaust5522]

The head of surgery where I used to work had a wife and kids, but in his office he only had one framed picture on his desk...of his Lamborghini.

[@Dablkwid0w2008]

Lmaooo I aint mad at him. I thought you were going to say a picture of himself on his desk

[@juneledell6983]

OK let me tell you- when the stuff hits the FAN you know the Anesthesia person is the one in charge!! We appreciate them!!

[@DoctorRich]

Having an excellent anesthesia provider is a critical factor for every surgical team.

[@irener.3849]

That’s why I opted out of epidural for my labor and delivery. I realized that I won’t have an option of ensuring I have an experienced anesthesiologist to assist me. My father who was a cardiologist taught me the importance of having a reliable anesthesiologist.

[@judykniffin9932]

Amen to that!!

[@fludderkiddie]

Whenever I am wheeled into an OR, I am always very aware that my life rest’s in the anesthesiologist’s hands… They are the ones essentially killing me (or bringing me Very close ) and then bringing me back to life… I’m not saying that I don’t owe my LIFE to a cpl surgeons as well… I’m just acutely aware of how important an anesthesiologist is… That’s why they go to school so much longer than many other Dr’s/Surgeons…

[@fludderkiddie]

@@irener.3849 it was my anesthesiologist’s “first day” the day my son was induced…after seeing the look on my Face the nurse had to reiterate that it was his first day AT THAT HOSPITAL… I met him and decided to go on with it. 25+yrs of experience and the no nonsense NYC accent convinced me. That being said, being maneuvered into an upright fetal position at 4”11 with a 22in bby in you while being told not to move a muscle while in the middle of contractions lest I be paralyzed does inspire a level of fear that can’t be described… He then went on to give me the “Perfect Epidural” Meaning I could move my legs and toes, and probably could’ve walked if they had let me. I have very bad back problems after breaking my spine @15yo and never seeking medical attn (long story) so it was actually a relief, and I was sad when it wore off!! 😂

[@valyad7228]

Thank you for this reaction, it's a great pleasure to see surgeon so relaxed and laughing 😁 I'm just a patient so I need some explanation of this jokes. I think Dr.G's videos are some kind of therapy for people working in healthcare system. And now seriously: thank you for you hard work👏😊

[@marcellafrausto451]

Fun video. The Dr. Trendelenburg remark made me laugh out loud. Dr. Glaucomflecken does a great job of capturing all the medical specialties. He's one of the few I enjoy.

[@gromit42x]

When I was an engineering student in med tech I got to observe an open heart surgery. The anesthesiologist let me take his position at the patients head so i could see better what was going on. Suddenly the surgeon wanted the bed adjusted and barked out the order. I tried to point out that I was not the guy normally at the head but he just gave me that look….I adjusted the bed (good that i had paid attention to how it was done). Happy that he did not ask me to wake the patient up:)

[@massimookissed1023]

Oh that's easy, you just flip the anaesthesia switch to "OFF".

[@adbreon]

ERAS is weird from the patient perspective. I got an entire booklet before my surgery with a bunch of suggestions for things to do before I even got there (what to eat, when to drink fluids, what fluids to drink etc. Then the whole time I was awake I was covered in warm blankets (I very obviously have no idea what was going on while I was under). Super helpful but also…very information overload.

[@DoctorRich]

anna: thanks for sharing your experience. We try to keep ERAS simple at our institution. Thanks for the feedback

[@liliareg5653]

Dr. G is freakingly hilarious!😅 But your reactions validate the humor and take it to another level. 👍🏼🤣

[@DoctorRich]

thank you

[@JennyG.COW5]

As a life long heart patient, I am Always grateful for those warm blankets! Also, since I have small veins, it helps to get a good vein if my arm is warmed up with my arm under the blanket or a filled up glove with warm water. So next time you have a patient with small veins, just let them warm up their arm first before attempting to get a vein poked. The patient will be grateful! (I know I am! 😉👍❤️)

[@Gwentheferret]

YES! Keep the patient warm! I've been in a few times in the past years, and I ALWAYS get so cold in the hospital. Not just the OR, either.

[@erics3527]

I had knee surgery the only place i was comfortable temp wise was the OR.. so not everyone reacts the same

[@michaelwilliams9234]

@@erics3527 you lose your ability to thermoregulate under general anesthesia. That’s why Bair Huggers were invented.

[@xyntrk]

I've been in the OR going on 27 years and Dr. Glaucomflecken NAILS it, LOL. Been in military installations for nearly 20 of those years, so I haven't heard the woe is my Porsche conversation in awhile because Docs don't have Porsche level money in the military, but otherwise, it's the same. You'd think military discipline would make behavior different, but it doesn't. :D

[@timspellman47]

I woke up in the middle of a colonoscopy. It was excruciating and it took a minute two for them to realize i was awake and knock me back out.

[@Ladykyra101]

"Why, what doesn't work?" Said with a befuddled/irritated look. "I don't even care." OMG, hilarious. My former PCP used to say this. 🤣 He was a great doctor, a little overbearing at times, only he knew the "right" answers, everyone else was wrong. But still a great doctor. Helped me manage some emergent health issues, so I'm grateful he was the way he was. He was determined to help me be healthier. And, it worked! He'll prolly never see this, but, Thank You, Dr. Korman! 😁

[@cityvibegirl]

As a ARNP CNM this is soooo accurate

[@dianeryder5895]

lol quoting Frank Burns in MASH...Give me what I want not what I ask for

[@williamdonaldson9813]

Poor nurse looked terrified

[@suzanneford2434]

I was in labor with my second child( quick labor) epidural was given, but the poor guy who gave it couldn’t leave cause I went to instant delivery, and my bp, and heart rate dropped ( had undiginosted gall stones) so all the delivery staff, me and hubby and the poor guy giving meds.... had to shrink back to a corner and watch it all cause he couldn’t leave

[@privacyvalued4134]

Apparently, lowering the temperature in the OR actually increases the infection rate.

[@johnflores148]

I really wanted to be a surgeon so bad, but I see how easy I would fall to the dark side

[@mujjuman]

she has beautiful eyes and a beautiful smile

[@TypoKnig]

Great video - it’s fun to get the explanations for the jokes, and see mefical people react. As a tech person I have to ask if LED lights, and cooling garments for the medical folks, could help address the temperature issues.

[@DoctorRich]

Thanks for supporting our channel! Please subscribe and share

[@mirrorverses]

that was my first thought, I was like why aren't these ppl under LEDs, it's 2022. especially from an energy savings perspective a cooling vest makes way more sense to me.

[@mqegg]

​@@mirrorversesmaybe a cooling vest isnt easy to sanitise. For the LEDs however, there probably isba reason because I cant see why wouldnt they switch.

[@gorikuri]

Y'all are a hoot to listen to 😊👍🤣

[@jewel1953]

I love your videos. I learn a lot but also fun.

[@DoctorRich]

Awesome, thank you!

[@TheQuark6789]

Instead of cooling the whole room and then heating the patient, why not just give the surgeon a cooling suit like racecar drivers have?

[@DoctorRich]

Thank you for being a subscriber! I responded to your comment in this video kzbin.info/www/bejne/pJ3ElXx9pt2caZI

[@thecactuscat01]

Sir, you sound like if Droopy (the cartoon dog not the dwarf) was a well educated doctor

[@Fallenemiko]

Men actually feel heat more keenly, trans men have gone on record saying that when they start taking T, they reported a very noticeable increase in sensitivity to heat. Having to take colder showers, lowering a/c, etc.

[@DoctorRich]

@Fallenemiko: you could be right! www.ncbi.nlm.nih.gov/pmc/articles/PMC2547088/

[@Minalkra]

My wife likes it about 60-63 in house (15C - 17C). If it gets over 75, she's can sit in it but sustained action immediately causes complaint. 80 and above, she actually has had heat exhaustion symptoms - especially if she's walking any appreciable distance.

[@Fallenemiko]

@@Minalkra I’m begging you to google anecdotal evidence

[@wilson2455]

mother & sister went to the U.S. many years ago for a holiday. Mother tripped over whilst walking on an atrocious N.Y. sidewalk & suffered extensive cuts & grazes to her knees, hands, elbows & face. Despite have the best travel/medical insurance (and also agreeing to pay FULL COST by credit card), x6 medical centres refused to treat her. Basically said, "not worth our time..". Hotel reception was not surprised. Said, "unless it's something major, most refuse to treat you.". After spending the night in a lot of pain, hotel contacted a local nurse practitioner who came to the hotel, cleaned & bandaged the wounds + prescribed antibiotics/pain relief. Cost = $1250 (U.S.) My sister said the poor attitude & lack of empathy by admin staff/nurses within these medical centres was 'off the chart'.

[@DoctorRich]

thanks for sharing your experience

[@TeresaLipot]

Well. Pretty hard to believe. NO treatment over the phone. YOU must show up. Lennox Hill is the hospital I would have gone to. Btw It's a FEDERAL LAW that EVERYONE who presents to an Emergency Room is ALWAYS evaluated and treated, regardless of the patient's ability to pay.

[@Novanna52]

I was an OR tech in the early (19)70s. I couldn't believe the conversations. Yes, the surgeons talked about their Porsches, and why it was better to get a used Cadillac for their wives. They also talked about the patients, giving details about their lives that should never escaped the office. I selected my OB/GYN by who did NOT do this, ever. If you tell me this has changed, I'm glad to hear it.

[@salvadoroliveira6632]

Dr. Rich, do all lighting equipment in operation rooms use incandescent bulbs, or are there models that use LED or fluorescent lamps?

[@northernpianotuner3319]

I would imagine the lighting type makes a difference in how certain colors show up --- some part that is a shade of gray that turns out lightly blueish under other lights and is normally a red flag, for example, & might not be seen in the "wrong" light..... I work with wood, matching various veneers and stains; I have 3 kinds of light in my shop

[@drastharegmimd1841]

Haha... that moment .. Give me what I want.. lol.. happens a lot of time in OR :D

[@Dablkwid0w2008]

Doc over there hollarin because he knows he did this a time or two

[@pokeyj123]

Also something to point out. Anesthesiologists can cancel the surgery day of.

[@MkE1121]

I had always heard the cold was to keep the equipment safe. But I'd rather have my surgeon comfortable and not thinking about how hot they are ... then again - I'm not the nurse in the room ..

[@joandougan8682]

Nurses working the case are also warm. Its the one on the computer that has a warm blanket

[@resveries_]

5:40 i had surgery last year, and at first they had me in a special gown that’d get warm air pumped into it so i wouldn’t be cold during the operation. i was getting uncomfortably warm like 10 minutes after putting it on, and the nurse got me a regular cotton gown to change into xD (it was really funny, cuz the nurse was saying ‘oh and you’re wearing a *special* gown that’s gonna keep you nice and warm’ and i was like yeah… about that)

[@williamsstephens]

I had that for the first time two months ago. Lord, I almost melted!

[@vrccim5930]

Thanks.

[@tombirney7276]

WHY OH WHY aren't there whole companies that design OR devices THAT KEEP THE "N U R S E S WARM" WHILE THEY WORK IN THE OR?

[@michaelwilliams9234]

That’s the actual purpose of a blanket warmer. To keep the circulator happy. Happy circulator = happy surgeon = happy OR.

[@audreypjordan]

I suggest thermal underwear and thick socks year round.

[@lotlum4343]

This guy sounds like 1 of his lungs is filled with Sulfur Hexafluoride.

[@DoctorRich]

Lotium: Thanks for the esoteric reference. I had to look that one up

[@danieltonnessen656]

I actually was in recovery and asked my wife was she playing wake up little Suzy when the surgeon came in he said that was on in the or

[@valerielock2374]

Well I seen termites don't like cold ! Hospitals are cement lol.

[@adegbolaoluwawamiri3027]

The NP wasn't saying much. She laughed for most of the time. Anyways, nice content👏

[@mry5892]

Re: cold ors: weknowdis. We have always known.

[@TheLocomono9]

As a side note having a lower temp would slow blood flow in the body (probably not to a super notably but still) and with the slower bit it theoretically could clot easier (not a doctor but makes sense to me)

[@syndieouellet2763]

It would actually accelerate it, if not under meds, to have you heated up. You tension would go up too because of the blood vessel constriction.

[@perryrush6563]

Albuquerque? You in Santa Fe? I live in ABQ....well outside of it on purpose. EDIT I just saw the answer is Texas. Never mind.

[@mry5892]

I'll bet they complain about ex wives and settlements too.

[@mac-ju5ot]

That so funny I have a death story yo tell u. .maybe it was the loss of oxygen....but I was pla ed in reverse trasdelkwnberg...be ause u know I had to stop breathing to add to the drama. I look up there is my baby dr in a his old syyle period suit......he rolled up his sleeves placed his large hands behind his back..I thought it was my time to go to the light.lmao great drugs

[@notthere83]

Wait why doesn't everybody get the same layers? (Referring to nurses who have to freeze in the OR) I guess it would be more clothes to wash but surely, those couple of things more would just be a drop in the bucket of all the stuff that needs to be washed at a hospital?

[@wisteria3032]

the surgeons and the assistants are operating just beneath the lights. Those are like studio lights. extremely hot but only where they point The nurses are in the back, passing instruments and checking boring things, left alone in the cold And seriously you can't expect a nurse to work properly if they have to wear a jacket - layers are cumbersome. This is without even needing to be sexist and say that most surgeons are men and most nurses are women (so even in the same condition they have a different temperature perception).

[@notthere83]

@@wisteria3032 "layers are cumbersome" - that sounds more like a guess than like somebody has tried and actually observed it. I don't see how a jacket (or maybe a stretchy, long "undershirt" or whatever that is called) could impact their performance. Then again, I never worked in an OR, maybe they need to do a lot of stuff with their elbows and breasts. I would just assume that they use their hands, like you described.

[@wisteria3032]

@@notthere83 As someone who never worked on a OR I can just say that in my normal everyday life where I don't need to save life I find wearing layers cumbersome. A nurse doesn't just stay in an OR - they would need to get in and out. From what I understand if you wear enough layers to be comfortable in a OR you would melt the moment you step outside. And from what I have seen of hospitals as a patient it's already a miracle if nurses get enough time to get to the toilet, they wouldn't have time to change clothes every time they move.

[@joandougan8682]

ts layers of plastic lined gowns. That hold heat. You cant sweet and soak a gown and have it still sterile. Possibly lead for taking xrays that weights 30 lbs. Doc usually has double laytex gloves too. A plastic hat, a mask and eye shield. Possibly he has an electric head lamp too.

[@hunterburrell5430]

Cynical devil

[@jgoy10]

Doctor mike copycat

[@DoctorRich]

@P Sanchez: Dr. Mike is an amazing colleague! That is quite a complement

[@angelagunn7986]

Pee Sanchez out here thinking there's one doctor on Medical KZbin. The algorithm has failed you badly, love