How to Order IV Fluids

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Dr. Glaucomflecken

Dr. Glaucomflecken

Күн бұрын

He can hear your incompetent clicking

Пікірлер: 1 300
@ladyofrillwater
@ladyofrillwater 2 жыл бұрын
"I didn't mean to hurt your lil bean buddies" was so genuine and earnest that he had to stop and recalibrate from Moral Outrage to Firm but Fair.
@IRLTheGreatZarquon
@IRLTheGreatZarquon Жыл бұрын
I really hope Doc.G has Bean Buddies in the merch store one day.
@jslferrell
@jslferrell Жыл бұрын
@@IRLTheGreatZarquon and a shirt that says “it makes the kidneys sad.”
@eunoia3926
@eunoia3926 Жыл бұрын
😂😂😂😂😂❤❤❤❤
@riverbabbles
@riverbabbles Жыл бұрын
Truly, this man's mastery of facial expressions is why I keep coming back XD
@rosamariaquinones6869
@rosamariaquinones6869 Жыл бұрын
​@@riverbabblesikr?!
@metaru6752
@metaru6752 2 жыл бұрын
the fact that he's so lenient yet strict with ortho just makes me think he has a good heart under all that salt
@iKhanKing
@iKhanKing 2 жыл бұрын
He only has a good heart b/c the cardiologist is looking out for him
@SlimThrull
@SlimThrull 2 жыл бұрын
Huh. Not a sentence I ever thought I'd hear.
@Gummy_Pop.
@Gummy_Pop. 2 жыл бұрын
not as...salty...to ortho as other departments XD
@SimonTeSlime
@SimonTeSlime 2 жыл бұрын
lenient
@johnsandoval2158
@johnsandoval2158 2 жыл бұрын
You have to take his aggression with a grain of salt
@italktoomuch6442
@italktoomuch6442 2 жыл бұрын
I have just realised that Dr Glaucomflecken must put an awful lot of effort into simply revising body medicine, which he will never have had to use in his own practice, simply to make medically accurate jokes that most of us don't understand. And after this realisation my already high respect for this man has gone up even further.
@tijithankachan519
@tijithankachan519 2 жыл бұрын
My thoughts exactly...
@annec8127
@annec8127 2 жыл бұрын
That occurred to me as well. Keeping him a little more generalist than his fellow eye-bros.
@aditsu
@aditsu 2 жыл бұрын
Or maybe he wanted to make good use of a bunch of things he was forced to learn that are useless/irrelevant for his work. But yeah.. he likely had to revise them for accuracy.
@CHAN9TEC
@CHAN9TEC 2 жыл бұрын
Right? Feels like I’m reviewing too when I watch him
@JohnnyAllsop
@JohnnyAllsop 2 жыл бұрын
@@aditsu to be fair the kidney bone is connected to the eye bone. See a lot more keratoconjunctivitis sicca and periorbital edema in folks with kidney disease (though he may not care about the latter I'm sure patients still come to him because of it)
@southeastofengland
@southeastofengland 2 жыл бұрын
Poor Ortho doesn't want to disappoint the hospital bros
@magnolia8626
@magnolia8626 2 жыл бұрын
😭😂
@MsSgent
@MsSgent 2 жыл бұрын
Ortho is just afraid of the danger squiggles.
@itsdonutman4022
@itsdonutman4022 2 жыл бұрын
oh no, not the danger squiggles
@thespaceelefant2441
@thespaceelefant2441 2 жыл бұрын
@@MsSgent as medic, am too, scared of danger squiggles
@timothyburrows9622
@timothyburrows9622 2 жыл бұрын
Lol I love him calling nephrology salt bro.
@AT-il2ej
@AT-il2ej 2 жыл бұрын
Has it ever occurred to any of you that ortho is brilliant? Who else can get everyone else to do all their work for them?
@kaitlyncocuzzo607
@kaitlyncocuzzo607 2 жыл бұрын
Peep his step scores, checks out
@BlackCanary87
@BlackCanary87 2 жыл бұрын
My cat
@murraysolomon4924
@murraysolomon4924 2 жыл бұрын
Extremely bright people who get mentally dulled by the process
@familjenkattilavaara4504
@familjenkattilavaara4504 2 жыл бұрын
🤫 we made up all those jokes for a reason….
@jasonpost913
@jasonpost913 2 жыл бұрын
This is my theory. Ortho didn't think his orders were right, but he figured it would summon a nephrologist he could trick into admitting his patient for him.
@user-hr9zv1mz5g
@user-hr9zv1mz5g 2 жыл бұрын
"you know i don't bro" - every med student when asked a question
@meganofsherwood3665
@meganofsherwood3665 2 жыл бұрын
_YES_
@juhasznagyjozsef
@juhasznagyjozsef 2 жыл бұрын
I never heard that from a med student, and I've been one for 6 years.
@lynnthomas8457
@lynnthomas8457 2 жыл бұрын
@@juhasznagyjozsef Maybe not outloud, the fear is too strong. But inside, we scream this.
@abdulazizkudsi6133
@abdulazizkudsi6133 2 жыл бұрын
I totally relate bro 😂😂😂
@apolloskye17
@apolloskye17 2 жыл бұрын
I love how Ortho is supposed to be the jock of the medical faculties yet he's the most bullied of all. Apart from Bill of course.
@yangzhang5870
@yangzhang5870 2 жыл бұрын
sweet, sweet revenge when the nerds outnumber the jocks
@dr.floridamanphd
@dr.floridamanphd 2 жыл бұрын
I knew an orthopedic surgeon. The stereotype is true.
@dabisnit
@dabisnit 2 жыл бұрын
@@dr.floridamanphd I know several, half spend all their time in the gym, and the others look like they could pull off a Bill Gates look alike contest without any costumes
@samcoupland
@samcoupland 2 жыл бұрын
Not a medic, but I've worked with bone surgeons, their collection of polished stainless steel crowbars was a bit terrifying..
@lachyt5247
@lachyt5247 2 жыл бұрын
It's a funny stereotype but orthopaedic surgery is consistently in the top 3 most competitive specialties, pretty much everyone matching is near the top of their class, so it is a 'nerdy' specialty to some degree. Working out is pretty much a requirement aswell, ever tried hammering 2 femoral nails in? Very hard work, need good strength and stamina for complex cases.
@chriskyng2509
@chriskyng2509 2 жыл бұрын
I love how he actually rethought his anger at the term "bean buddies". He was unable to remain so salty!
@ItsAsparageese
@ItsAsparageese 2 жыл бұрын
Right? I think it's super sweet how Ortho clearly made Salt Bro feel seen and validated, by speaking directly to how real and personal his fondness for his little bean buddies really is 😆 Ortho Bro has his doofy side but he's always so wholesome and empathetic to everyone
@Plasmod1um
@Plasmod1um 2 жыл бұрын
The look of complete incomprehension in ortho's face : perfect.
@mhammer3186
@mhammer3186 2 жыл бұрын
I love the bean bros comment, it made me die laughing
@dkomlos
@dkomlos 2 жыл бұрын
As an Orthopod: thank you.
@natesirovatka2256
@natesirovatka2256 2 жыл бұрын
Ortho's commitment to staying in his knowledge lane is really commendable
@anniesama5729
@anniesama5729 Жыл бұрын
If only they and chiropractors could split the difference in that regard 😂
@blumfortj5044
@blumfortj5044 2 жыл бұрын
Laughed heartily at this. The medicine punch card gag was underrated! I guess summoning Nephro is a toss up between incorrect IV fluid orders and inappropriate Lasix orders. Now we really need a sketch where Ortho just becomes a technical competent bone genius for a split second to manage an ortho problem then revert back to being a bumbling dudebro once it has been solved. Just a change of pace from all the "bullying" done to our precious intellectual punching bag. 🤣
@geewhiz4924
@geewhiz4924 2 жыл бұрын
Yessssssssssss!!! Something like a complex polytrauma that needs reconstruction surgery. My ortho basically rebuilt my radius which was bone dust after my accident
@Vitafiend
@Vitafiend 2 жыл бұрын
He has a full Sherlock Holmes dr house moment then like asks for a gyro but pronounces it wrong
@whynotjustmyusername
@whynotjustmyusername 2 жыл бұрын
Yep, true. (Many) orthos really are this dumb, but hand them a newborn with a crumpled foot and with just two little cuts, some bandaging and two years time they turn it into something the kid can walk on. They can be artists as well.
@williamsstephens
@williamsstephens 2 жыл бұрын
Architects, too. My own ortho pieced together the distal end of my tibia from the three pieces it broke into, and put a titanium rod into a somewhat shattered fibula. Screws, wire(?), and some kind of cage were involved, I think. It seemed to be an interesting engineering feat. I love my bone bro. He's smart at what I need him to be.
@morganburt2565
@morganburt2565 2 жыл бұрын
@@Vitafiend pronounces it ‘yeeroh’ like the sandwich
@sl33pl3ss9
@sl33pl3ss9 2 жыл бұрын
the nephrologist was so annoyed by everyone ordering IV fluids incorrectly he got super hearing, love that for him
@sekarnaradhita4498
@sekarnaradhita4498 2 жыл бұрын
another specialist got superpower as well, like Neurologist could see how neutrotransmitter transmitted and with that see the future of someone thought
@kyle857
@kyle857 2 жыл бұрын
That's just normal hearing when your kidneys are functioning at peak efficiency.
@noodle3218
@noodle3218 2 жыл бұрын
@@kyle857 I hope more people see your reply--I'm still cracking up at a volume even people with subpar kidneys can hear
@genghiskhant2476
@genghiskhant2476 2 жыл бұрын
The nephrologist has superb hearing because he has avoided all nephrotoxics, and therefore reduced his exposure to anything with ototoxicity.
@eriknephrongfr8847
@eriknephrongfr8847 2 жыл бұрын
I feel like I’m among my people.
@arillusine
@arillusine 2 жыл бұрын
He’s so strict with Ortho but still kind enough to put in the orders for him 😭 Nephro actually sweet not salty
@12jswilson
@12jswilson 2 жыл бұрын
Nephrology would never waste any of his precious salt on anyone else, except maybe cardiology.
@Teaganderry
@Teaganderry 2 жыл бұрын
Nah... neph isn't being kind.... sometimes its just not worth the effort and easier to do it for them. (I love my orthopods and not such a fan of my nephs!)
@AmandaTroutman
@AmandaTroutman 2 жыл бұрын
Ortho is the golden retriever of doctors. Such a good boy...
@bezagebremedhine5102
@bezagebremedhine5102 2 жыл бұрын
@briannemsdo
@briannemsdo 2 жыл бұрын
"It makes the kidneys sad" "Oh man, I'm sorry bro! Didn't mean to hurt your little bean buddies" "Thank you" 🤣🤣🤣
@arillusine
@arillusine 2 жыл бұрын
Little bean buddies is the cutest way of referring to the kidneys 😂
@eriknephrongfr8847
@eriknephrongfr8847 2 жыл бұрын
Dude, it’s all we ask.
@chideraudeani9602
@chideraudeani9602 2 жыл бұрын
This was my favourite part🤣🤣🤣
@chibinecco1981
@chibinecco1981 2 жыл бұрын
I love Nephrology's expression like "I want to be offended, but that's actually super cute"
@jlrummans5
@jlrummans5 2 жыл бұрын
I'm a PTA, I laughed way too hard at this 🤣
@thedigitaldemon8010
@thedigitaldemon8010 2 жыл бұрын
He wanted to be mad at Ortho so bad. But Ortho is just so innocent, lol.
@Zack_Zander
@Zack_Zander 2 жыл бұрын
Ortho is new, simply taking orders, but wasn’t told how to do it exactly. Can’t really get mad at someone like that.
@brittanybrown7487
@brittanybrown7487 2 жыл бұрын
The little bean bros!
@christophermccarthy884
@christophermccarthy884 2 жыл бұрын
Nothing more brilliant than an orthopedic surgeon making a medicine doc do his work for him...
@greggae2735
@greggae2735 2 жыл бұрын
Ortho is never innocent
@kyle857
@kyle857 2 жыл бұрын
What up nephron bro?
@JM-ig4ed
@JM-ig4ed Жыл бұрын
My X was a dialysis patient and also had multiple heart surgeries. It was amazing how EVERY TIME the hospital messed up on the fluids and totally overloaded him with IV fluids. Then, when admitted as a heart patient, they would never take into account his kidney needs and would order a heart friendly diet that was totally at odds with requirements to dialysis patient needs. As his patient advocate, it was a full-time job to not let the hospital do more harm - even going so much as to constantly remind them they couldn't use his dialysis arm for blood pressure or for blood draws.
@Wawagirl17
@Wawagirl17 2 жыл бұрын
The nephrologist regularly makes facial expressions I didn't know were humanly possible.
@nataliatheweirdo
@nataliatheweirdo 2 жыл бұрын
I just had this on in the background while i was doing other things and hearing ‘IT MAKES THE KIDNEYS SAD’ while not playing attention is probably the best thing ever xD
@noodle3218
@noodle3218 2 жыл бұрын
you can have a Glauc video in the background? blasphemy.
@nataliatheweirdo
@nataliatheweirdo 2 жыл бұрын
@@noodle3218 i saw it was uploaded 2mins ago and the title looked interesting xD
@aslansown
@aslansown 2 жыл бұрын
I had an open fracture 2 months ago so had to have an operation. I had to literally stop myself from calling the surgeon "Ortho" and the anesthesiologist "Anesthesia"!
@redsoxfan5240
@redsoxfan5240 2 жыл бұрын
Did the surgeon call you "patient bro"?
@aslansown
@aslansown 2 жыл бұрын
@@redsoxfan5240 🤣 No, we are both female, but I'd had some pain medicine that made me a little loopy, so I really had to stop myself from saying "Anesthesia!" when the guy approached me!
@noodle3218
@noodle3218 2 жыл бұрын
@@aslansown Why stop yourself? If they know Dr. Glauc, you know you're in good hands. If they don't... RUN [i.e. hobble away as quickly as what sounds like a painful injury will allow]. That and/or share the brilliance with them
@aslansown
@aslansown 2 жыл бұрын
@@noodle3218 I got the feeling they were called in on a day they aren't usually there. The surgeon was wearing shorts and said she had been playing with her kids. They were both all business!
@loverlei79
@loverlei79 2 жыл бұрын
It just occurred to me during my last surgery that most of them were probably fans. As they referred to themselves in these terms. 🤣
@NLKEquestrian
@NLKEquestrian 2 жыл бұрын
Wow this is insanely accurate lmao. I just finished my first week on Nephro service and the amount of time we spent trying to change fluids and fluid rate is amazing- its also amazing how Nephro is consulted and then no one follows Nephro's recs and wonders why their patient is still acidotic.
@eriknephrongfr8847
@eriknephrongfr8847 2 жыл бұрын
Thank you.
@Urbanity_Kludge
@Urbanity_Kludge 2 жыл бұрын
@@eriknephrongfr8847 the name checks out
@loverlei79
@loverlei79 2 жыл бұрын
Nice. I found someone in Nephro in the comments. Can you please translate what the good doctor said? 🙏
@pheonix4252
@pheonix4252 2 жыл бұрын
🤣 🤣 🤣
@luanalopes2276
@luanalopes2276 2 жыл бұрын
Yes! Thank you! I have been going through this for 20 years now...it never stops.
@keepkindinmind4206
@keepkindinmind4206 2 жыл бұрын
I feel like Ortho and my dog could be best friends. They’re both so sweet, and well-meaning, and they both love bones 🦴 🐶
@kaitlyncocuzzo607
@kaitlyncocuzzo607 2 жыл бұрын
under rated comment
@williamsstephens
@williamsstephens 2 жыл бұрын
Beautifully spotted, @KKIM.
@pheonix4252
@pheonix4252 2 жыл бұрын
U forgot the part where thry both mess up n then act innocent so that others will do the cleaning up for them. 😂
@valyad7228
@valyad7228 Жыл бұрын
😂😂😂👏
@Mosamania
@Mosamania 2 жыл бұрын
I can't wait for the grand reveal that ortho knows all this stuff already since their program admission criteria is so high but they purposefully make themselves look this way in order to make others do their work for them.
@myeahonline
@myeahonline 2 жыл бұрын
Ortho bro apologizing for the bean buddies is the most wholesome thing I’ve seen today
@electrocanman
@electrocanman 2 жыл бұрын
"I've already used up all my punches" had me in stitches!
@RenataCantore
@RenataCantore Жыл бұрын
I like that the nephrologist explained potential problems to educate the other doctor and prevent unnecessary suffering. ❤
@ryanaddor6549
@ryanaddor6549 2 жыл бұрын
I just love these so much I'm a combat medic in the army and they all make me think how much I wanna continue in the medical field and just run away from it all at the same time
@kathleensmith8365
@kathleensmith8365 2 жыл бұрын
Take a break after you separate. If it is real the siren's call will lure you back. You know the feeling, you pick up a medical article or see something on TV and notice your pulse rate increases in a good way? Ya, that. So many jobs in medicine these days, full contact, remote, IT, sales. Be good to yourself when you choose, more apt to be long term and happy. Best of luck to you!
@CHAOS_ENGINE
@CHAOS_ENGINE 2 жыл бұрын
Absolute mood. Medicine is so cool, but she is a harsh mistress 🥲🥲🥲🥲🥲
@ryanaddor6549
@ryanaddor6549 2 жыл бұрын
@@kathleensmith8365 thanks that really helps
@pheonix4252
@pheonix4252 2 жыл бұрын
@@kathleensmith8365 u r right about the siren.. Even when I am on the road. Siren makes me go like ok next patient.. Then I have to remind myself.. Chill lady u r off duty. 😂
@fortitudeecho1264
@fortitudeecho1264 2 жыл бұрын
I can't get over how much I love every single one of these characters. I could write character essays on all of them. I wonder if down the line after everyone dogs on Ortho Bro for being 'dumb' for so long, a situation about bones comes up and he finally gets his moment to shine and everyone gains a newfound respect for him.
@jasonmorley9217
@jasonmorley9217 2 жыл бұрын
I don’t think it’s going to be a newfound respect- they all know how good bone bro is with bones, but because most observed bone problems usually don’t* (note- not a doctor, wild guessing here) have impacts on most other specialties, bone bro just gets the reputation as ‘the one who always needs help/fucks things up for the rest of us’; I have no doubt that specifically Doc PhysibroTheraBro has the greatest of respect for bone bro.
@chiwuenyimonyewotu7029
@chiwuenyimonyewotu7029 2 жыл бұрын
Yh mehn, even if the respect is just short-lived
@jerrykinnin7941
@jerrykinnin7941 Жыл бұрын
Right legs are not supposed to bend backwards into a ball and look like a pretzel. 22 yrs ago mine did. I got into a fight with a bridge. 12 hrs later I had rods and screws hip to knee knee to ankle. Crushed 6" of thigh bone compounded the tib and fib. UofL Trauma dude said amputate or experiment? I was in ICU for a while still got the leg.
@lambentlamprey
@lambentlamprey Жыл бұрын
@@jerrykinnin7941 Sounds like you kicked that bridge's ass 👍 I hope your recovery has gone well.
@jerrykinnin7941
@jerrykinnin7941 Жыл бұрын
@@lambentlamprey GODs GOOD still got the leg took me 7 months to learn how to walk on it. But was back driving semi's a week after the Dr released me.
@jodycarter
@jodycarter 2 жыл бұрын
I love that he's listening thru salt!
@annaw1298
@annaw1298 2 жыл бұрын
We’re learning about fluids in Vet Tech school and it’s so complicated. Though I am happy to report I understood most of what he said. Maybe I’ll understand more next semester!
@PhrontDoor
@PhrontDoor 2 жыл бұрын
It takes an iterative process to get these things. Like the face on ortho -- you can't just slam them with ALL the info all at once. You need some info to form the foundation so people can understand and appreciate the next part and so on. Some is foundational to understanding the rest. For me, it was developmental processes (pregnancy, prenatal/neonatal)...
@mannagarwal5390
@mannagarwal5390 2 жыл бұрын
Here's the thing, you learn a lot of these things with experience. Then you read books and you understand why you're putting in certain orders. You might even be able to suggest better alternatives. Inj. N.S. 500 mL IV Inj. R.L. 500 mL IV Inj. GNS 500 mL IV over 24 hours is a good starting base. 1500 mLs per day is maintenance for the average sized adult. The actual way of calculating the maintaining fluids requirements is by Holliday Segar's formula, which is 4 mL/kg/hr for the first 10 kilograms, 2mL/kg/hr for the next 10 kilograms and 1mL/kg/hr for every subsequent 10 kilograms. Add more if deficits are present. Reduce if the pt. has cardiac or renal insufficiency. Always mind the electrolytes and the anion gap! Inj. NS 1000 mL IV stat (fast) is the trauma fluids bolus order before a blood transfusion. (Dosage of NS is 20-30 mL per kg over the first hour) You typically need to infuse 3 times the volume of isotonic crystalloid than the blood loss. You'll naturally get more and more adept at modifying such orders with time. Hope it helps. Best wishes.
@TheTravisTube
@TheTravisTube 2 жыл бұрын
Just don't give LR to patients with hypercalcemia, and don't give NS to burn patients and you'll be ahead of the curve lol. And if you give more than 1 or 2 units of any crystalloid in cases of massive bleeding where patients need blood products you're gonna have more serious problems than hypovolemic shock.
@EMKMedia
@EMKMedia 2 жыл бұрын
The depth your characters have is honestly amazing. The interpersonal dialogue and the emotional complexities are all captured and packaged into a bite-sized video. This is a piece of art. Thank you and please keep making content.
@tituscaesar6960
@tituscaesar6960 2 жыл бұрын
ortho being excessively laid back about non-ortho related subjects(including all other medicine, i assume) and yet unfairly likeable and pleasant to be around fits with every orthopedic surgeon i've met irl
@camillasandstrom6213
@camillasandstrom6213 2 жыл бұрын
Ortho always makes me smile, I'm a nurse and I work with orthopaedic surgeons and these are all so relatable 🤣🤣
@alexmagney5326
@alexmagney5326 Жыл бұрын
I'm so glad to see Ortho's and Nephrology's friendship survive such a terrible mistake 😂🖤
@steffanierobertus2774
@steffanierobertus2774 2 жыл бұрын
The “admission to medicine” punchcard LMAO 😂😂😂
@DemonicNightmare
@DemonicNightmare 2 жыл бұрын
"And then make the doctor feel bad" Nephrologist: [Proceeds to feel bad about trying to make ortho feel bad]
@MJ-98
@MJ-98 2 жыл бұрын
Loving those "nothing behind the eyes" expressions from Ortho. Also "Oh man I'm sorry bro I didn't mean to hurt your little bean buddies."
@MommyOfZoeAndLiam
@MommyOfZoeAndLiam 2 жыл бұрын
My brother is a PharmD and he worked in a transplant ward, so his main job was fixing all the medication orders. Because a lot of people getting transplants are already on multiple meds to keep them alive and then they get the anti-rejection medication, and then if there is anything else that goes wrong like infection, illness, hypertension, etc. Doctors order stuff all the time that can’t go with what the patient is already on. He also fixed stuff for babies a lot because there are serious calculations involved for certain medications that depend on accurate weight by grams of the baby. He also fixed TPN orders. He got to be part of the care team for a face transplant (I think it was the 22 in the world, or something like that). He really enjoyed his time in that hospital.
@Katie-vy5rd
@Katie-vy5rd Жыл бұрын
Thats really impressive and so cool that he enjoyed what he did.. my favorite class was pharmacology but ended up not going into pharmacy as I thought that the insurance stuff would drive me crazy ... but yeah a hospital would've been more patient care.. and much more interesting.
@devinbready7949
@devinbready7949 2 жыл бұрын
The nephrologist holding the morton salt containers cracks me up for some damn reason.
@dreampiper
@dreampiper 2 жыл бұрын
Ortho: I didn’t mean to hurt your little bean buddies. Nephrologist: *Did our heart just skip a beat*?
@tabeechey
@tabeechey 2 жыл бұрын
Ortho is a precious cinnamon roll that even nephrology wants to protect
@DoctorRich
@DoctorRich 2 жыл бұрын
Dr. G is an an endless supply of creative hilarious medical skits. I want to be like you when I grow up 😂😂😂
@marka9158
@marka9158 2 жыл бұрын
Dr. G, you are the BEST!. I have walked those shoes so many times....Med Student, Ortho Resident, Ortho Attending. Could help from laughing sooooooooo many times. New favorite for me. Thank you for your hard work...You are the video supplement to House of G d book. What a pick me up......thank you
@JamesKintner
@JamesKintner 2 жыл бұрын
For the record... I use this. Of course I don't actually chart "sad kidneys" in the comments, but we all know it's there.
@trikstari7687
@trikstari7687 Жыл бұрын
Him putting down the salt is so gentle, yet so highly threatening.
@lkhvw2042
@lkhvw2042 2 жыл бұрын
The med reg giving out punch cards is genius. "Bean buddies" is also top notch 😂
@Bismut209
@Bismut209 Жыл бұрын
It took Ortho 6 tries to punch the hole in the middle of the "circle". Subtle perfection 😂
@rxanime535
@rxanime535 2 жыл бұрын
The only thing missing was Ortho saying “Thanks Salt bro” at the end. Still love it
@ronandhermy
@ronandhermy 2 жыл бұрын
"You know I don't" made me laugh so hard
@karinaszloda6703
@karinaszloda6703 2 жыл бұрын
Its made the kidneys sad!! Lol 🤣😂🤣😂 you are an amazing actor, and the edition is great!! All in the video is great!!! Congrats doc!!
@Ajehy
@Ajehy 2 жыл бұрын
Morton Salt owes you a promo deal.
@AlexandriaSWest
@AlexandriaSWest 2 жыл бұрын
I have chronic kidney problems (Thanks, Lupus!) and from now on I will be calling my kidneys my Little Bean Buddies every single time I have to talk about them. I am actually looking forward to my next appointment with my GP so I can use the term. Thanks, Ophthalmologist Bro! I love you now, forevermore.
@D4n1t0o
@D4n1t0o 2 жыл бұрын
Aw, when Ortho apologises and Nephrology bro says 'Thank you', idk why, but that bit's sort of sweet 😅
@katherineg9396
@katherineg9396 2 жыл бұрын
Ortho was so sincere! He didn't want to hurt the bean buddies.
@R.N.LosAngeles
@R.N.LosAngeles 2 жыл бұрын
Ortho Bro just wanted his pt hydrated. Maybe it’s his way of getting the pt out of bed post op day 0 and going to the bathroom every hour
@punchkitten874
@punchkitten874 2 жыл бұрын
They put so many fluids into me for tib fx repair I asked for a catheter. "We've never had someone ASK for a catheter before" turned into "I've never seen anyone fill so many bags in one day"
@R.N.LosAngeles
@R.N.LosAngeles 2 жыл бұрын
@@punchkitten874 LOL! I’d ask for one, too! The crappy part is you have to be able to pee within six hours after it’s out or they won’t let you leave 😫
@dieselboy914
@dieselboy914 2 жыл бұрын
"I didn't mean to hurt your little bean buddies." Straight up lost it. ded.
@chantalsscaleisafibber
@chantalsscaleisafibber Жыл бұрын
The nephrologist walking around with salt is beyond brilliant
@ericawright7551
@ericawright7551 2 жыл бұрын
Nurse here-your impressions are so spot on. Love to watch these!!
@robyntruth
@robyntruth 2 жыл бұрын
I love this version of an Ortho doc so much!! He's so sweet and the last one I had to deal with was super scary.
@kaushikiraman30
@kaushikiraman30 16 күн бұрын
Explaining hyperchloremic metabolic acidosis is one small crisp sentence was one of the missed gems in this skit! All your departmental depictions are spot on across the globe ❤
@rov23
@rov23 2 жыл бұрын
I was HOPING it'd be Cardiology doing the clicking
@mayanksingla3244
@mayanksingla3244 2 жыл бұрын
Cardiology knows a lot about IV fluids in terms of volume, but all the drugs he orders turn out either nephrotoxic or ruin electrolyte balance.
@234Spotman
@234Spotman 2 жыл бұрын
I love when he started harping about it, I felt all the things we learned in case study come rushing back!
@barbarabogomolov4577
@barbarabogomolov4577 2 жыл бұрын
Punches for medical admissions. Brilliant!
@wk9953
@wk9953 2 жыл бұрын
Thank you!! Someone that understands the troubles of people that hate NS and the overuse of it in the prehospital and emergency settings.
@nmc1859
@nmc1859 2 жыл бұрын
What's better than NS ???
@wk9953
@wk9953 2 жыл бұрын
@@nmc1859 I personally prefer LR. It's all around a better fluid and easier on the body.
@povilzem
@povilzem 2 жыл бұрын
Saline does the job we want it to do: it makes the exsiccated kid feel marginally better and it makes the parents stop bitching about "no proper treatment". For this particular purpose, ringer is far too expensive and unnecessary. For support infusion therapy, we make our own fluid with -blackjack and hookers- sugar and potassium.
@nmc1859
@nmc1859 2 жыл бұрын
@@wk9953 the facilities i worked at (as nurse) had tons of ns in stock and barely any lr. Googled ..lr is 2x the price 😒
@eriknephrongfr8847
@eriknephrongfr8847 2 жыл бұрын
LR presumes normal liver function, a substantial presumption in my environment.
@mzkhilari
@mzkhilari 2 жыл бұрын
HAHAHAHAH the punch card medicine gave to ortho being used up sennnnttttt me 😂😂😂😂😂
@partna121288
@partna121288 2 жыл бұрын
Man your videos never fail bro...makes tough days being a physician less harsh...keep up the comedy bro
@GaretZaugg
@GaretZaugg 2 жыл бұрын
It’s the admissions punchcard for me 💀
@Vishnu-B
@Vishnu-B Жыл бұрын
Man, the blank face of ortho is out of this world... Seriously that's top tier acting...
@tykat12
@tykat12 2 жыл бұрын
Little bean buddies-and the sincerity!!
@andreasviken2949
@andreasviken2949 Жыл бұрын
Man, the look on ortho's face when he's ordering. You can tell he just wants to order some fluids for his patients to help them get better. He doesn't want to hurt a fly.
@kelseybergen6095
@kelseybergen6095 2 жыл бұрын
He’s not wrong. It was weird I’m a Canadian nurse and worked in the US and I saline locked my fresh post op hip right away as she was drinking and peeing well and only lost 200ml blood during her surgery. The nurses thought it was so weird I did that without a doctor’s order! I couldn’t believe that I didn’t have my own autonomy for basic shit like saline locking a pt. Anyways, I just prefer my pts to not get fluid overloaded or disrupt their pH and electrolyte balanced thank you very much. Luckily didn’t get written up
@PixieBulb
@PixieBulb 2 жыл бұрын
Ortho needs to be protected at all costs
@HmmmmmLemmeThinkNo
@HmmmmmLemmeThinkNo 2 жыл бұрын
Idea: after nephro shows him a couple dozen times, ortho actually learns and nephro is anxious bc it's been so long since he's fixed an ortho order. The resultant 😊🥰 would be beautiful
@axr9151
@axr9151 Жыл бұрын
that might just be the sweetest interaction ive ever seen nephrology have
@FunSam
@FunSam 2 жыл бұрын
D5 1/2NS with 20K was referred to as "holy water" in my first pharmacist job. Almost everybody got it on admission.
@katherineg9396
@katherineg9396 2 жыл бұрын
I remember that but it was a LONG time ago! 🤣
@nmc1859
@nmc1859 2 жыл бұрын
Bet insurance companies nowadays say that's too expensive 🙄
@adbreon
@adbreon 2 жыл бұрын
You’d be amazed at what hydration will fix/cover up.
@faeriegal713
@faeriegal713 2 жыл бұрын
House wine or house special at my hospital. Which is quite annoying when 3/4 of your nurses are new and are too scared to ask what that means. or remember to look up compatibility with all the components for ivp or piggyback meds.
@cardiacdrummer5443
@cardiacdrummer5443 2 жыл бұрын
“It makes the kidneys sad!” Lol You don’t really know something unless you can describe it to an expert and a child
@monfleur3307
@monfleur3307 2 жыл бұрын
Ortho's puppy dog eyes is the only think that can remind Nephro that he has a heart, too, not just kidneys 🥺❤️❤️ (I lowkey ship them now)
@vigeasmos
@vigeasmos 2 жыл бұрын
I never knew I wanted this kind of relationship between ortho and the nephrologist till now.
@oliviab723
@oliviab723 2 жыл бұрын
You know you’re from a paper based system when you think incompetent clicking is someone clicking a pen
@MamaWheelz
@MamaWheelz 2 жыл бұрын
I love how Doc Glock is finally able to pursue his real passion, acting. ❤
@alexb5131
@alexb5131 2 жыл бұрын
I didn't understand any of it. But I'm really glad he added the actual medical terminology for how to properly order IVs.
@romulus7739
@romulus7739 5 ай бұрын
Blank stare--->blank stare---> intense regrets/apologies -->blank stare. This man knew what he was doing!
@perrid13
@perrid13 2 жыл бұрын
I had appendicitis, basically couldn’t even take a full swallow of water without throwing up, and the dehydration was what finally scared me to going to the ER. I THOUGHT I had a stomach bug that would go away. Anyway, it ruptured and I had an open appendectomy, and for a couple days I, apparently, wasn’t getting enough fluids. Like I was very thirsty and the docs were concerned I wasn’t peeing, they catheter’d me twice and got like a few ccs of the most concentrated urine. My mom, a family practice physician, flipped out when I told her that (she went to sleep at a hotel and the catheter thing happened while she was gone), I could hear her yelling from the bed. The attending apologized to me for the “misunderstanding” and the hospitalist took over, like supposedly a resident had erred or something, I didn’t really follow it. All that to say, I wish nephro bro was real
@bobbygriffith9890
@bobbygriffith9890 Жыл бұрын
"I didn't mean to hurt your little bean buddies." Laughed hard enough to hurt. (Also in general: Both insanely over the top and accurate. Congratulations!)
@HeyLetsTalkAboutIt
@HeyLetsTalkAboutIt 2 жыл бұрын
“Your little bean buddies!“ 😂
@brianhood2363
@brianhood2363 2 жыл бұрын
Super Bean Bros was my favorite game as a child
@mustang8206
@mustang8206 2 жыл бұрын
Dr. Flannery definitely could have been an actor in a different life
@SolidifiedHoney
@SolidifiedHoney Жыл бұрын
He's so mad at the start! I love that he found layman's terms to explain it for Ortho
@ΓιωργοςΓεωργουλιας-δ5λ
@ΓιωργοςΓεωργουλιας-δ5λ 2 жыл бұрын
That level of knowledge of body medicine is extraordinary for an opthalmologist. The nephrologists in my country probably don’t even know what anion gap is, let alone opthalmologists…
@murraysolomon4924
@murraysolomon4924 2 жыл бұрын
It's the IVy League education
@Dynamicdx
@Dynamicdx 2 жыл бұрын
little did the Nephrologist know it was all part of Orthos master plan to get someone else to do the non bone stuff
@aurorabyrd6104
@aurorabyrd6104 2 жыл бұрын
Ortho is literally one of the most adorable things I've seen
@drhans5302
@drhans5302 2 жыл бұрын
My surg reg told us today it’s better to do boluses than slow maintenance fluids. Did he watch this video at work?
@veevee306
@veevee306 2 жыл бұрын
"I didn't meant to hurt your little bean buddies," made me shriek. So cute and SO funny!
@Stephanie-wq4tk
@Stephanie-wq4tk 2 жыл бұрын
Nobody can hate Ortho
@sesass118
@sesass118 2 жыл бұрын
Ortho is the definition of our favorite puppy. ❤️
@crutlen
@crutlen 2 жыл бұрын
Admissions to medicine punch card...Comedic brilliance!!!
@samit2658
@samit2658 2 жыл бұрын
I confused an orthopaedic surgeon once by encountering him when I got my cast of as he quote "never got to see people once they healed" he was pleased but discombobulated
@Grigsy
@Grigsy 2 жыл бұрын
This is so good that it makes me want to check myself into an inpatient suicidal ward just watch the various doctor interactions.
@ItsAsparageese
@ItsAsparageese 2 жыл бұрын
You okay? I'm picking up on the humor but that's an oddly specific example to select. Here for you if you need to vent, comment bro
@tiberiu_nicolae
@tiberiu_nicolae 2 жыл бұрын
The Admission to medicine card joke is GOLD
@sevenseas4520
@sevenseas4520 2 жыл бұрын
How do you fit so much plot into 2 minutes and 28 seconds? I’m impressed!
@jeanlanz2344
@jeanlanz2344 2 жыл бұрын
Hilarious. I loved Neph listening intently thru two salt containers and his translation of terms to Ortho bro. Thank you!
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