The coolest thing I’ve ever seen in medicine

[@wordzmyth]

Imagine how many babies that pediatric cardiologist had saved in his career to be that relaxed and confident with the procedure 😮

[@BallyBoy95]

Okay... that actually was fascinating. Can't imagine how terrified the parents must've been. That paediatric cardiologist was certainly the GOAT of the day.

[@Enoch-Root]

I really dislike that acronym, GOAT, and in this case how you're using it doesn't even make sense. That paediatric cardiologist was certainly the greatest of all time of the day...

[@techheck3358]

@@Enoch-Rootwhile goat started out as an acronym, it is now considered its own standalone noun 😊

[@Enoch-Root]

@@techheck3358 yes, I suppose you're correct, and while language continually changes, GOAT is just awful. Using it in all lowercase would be confusing, and using it as a noun with all uppercase letters breaks one of the most basic rules of English writing. Besides we already have words that can replace the noun version, hero, champion, best, etc.

[@Aphelia.]

To counteract the dislike of the acronym "GOAT" from the person above me, I will fully embrace and appreciate it from this moment forward.

[@Quarky_]

GOAD*

[@Mcfreddo]

Marvellous and heartwarming to hear! Honestly.

[@hughcrosthwait5497]

"I'm gonna tear you a new one" That doc probably

[@wordzmyth]

😂😅

[@babaganouche9605]

I've found transposition of the great arteries as well as many other serious abnormalities in my career as an ultrasound technologist. It's amazing what we can do with technology, our wealth of knowledge and experience. So many people, including our yet to be born can now be saved.

[@1234fishnet]

One of my relatives had a baby girl with exact this disease. She underwent surgery right after birth. Her body good recovered, she's strong and tall. Unfortunately her brain suffered a little bit. She got an infection after surgery which caused a loss of hearing ability. This was undetected by doctors until she was already too old and she missed the opportunity of development of speech. But in general she has a good life now (with some small disabilities)

[@owentheslug]

that is wild! i'm now off to google the original discovery of this procedure because i can't even think how someone thought of it in the first place

[@999xeno999]

Very cool to randomly see a video about this. I have TGA and Mustard repair at 9 months old. 42 years old now. I still see my cardiology team for follow up.

[@MSoc1op]

Thank you for sharing your recollection of that fascinating pediatric cardiac surgery!

[@Teverell]

My cousin had to take his baby son into hospital for some reason - I can't think what - and literally ran into A&E with his baby boy who wasn't breathing, wasn't responsive. And they did whatever they did and he's absolutely fine now - I only heard the story second-hand but the fear my cousin felt was palpable even in the retelling. I can't imagine what the parents of that baby must have been feeling, but to have that surgeon do that and bring the child back from the brink of death and give them a fighting chance - that's just an incredible amazing thing. Thanks for sharing.

[@jakobstadler7969]

Rashkind's procedure is definitely McGyver stuff

[@wordzmyth]

Have ypu seen it in person? Was it as dramatic as this?

[@sharpphilip]

That the surgeon could just nail it in one go (it sounds like) is incredible; I suppose one only can “rehearse” that sort of thing through a pile of (what must be very tense) experiences? I’ll have to stick with my nerdy means of making a living; that kind of finesse in a life-or-death spot isn’t the kind of skill I could ever hope to develop.

[@ericanderson9706]

Yeah, fellow nerd here, and as I was watching I was thinking "oh so cool, knowing all about the human hardware, debugging all these problems, coming up with creative fixes, what could be better" .. and then towards the end thinking "holy crap, the pressure of this, 'you get ONE chance', no 'we'll just try something else, give it another go', no mis-apprehending the problem, no mistakes, or you've got a dead kid in front of you, dead forever, and parents to explain to and try to console" ... that's just beyond comprehension for this nerd. "Diagnoses problems and implements fixes *perfectly* under life-or-death levels of pressure whenever called-upon" isn't part of any nerd job description I've ever encountered. I'd love to know what happened to the kid in question, long-term, and also whether the doc in question was able to mentor-up the next generation in his profession before retiring.

[@techheck3358]

@@ericanderson9706it’s also the absolute risk of it all! Imagine if he hadn’t succeeded, he’d have to explain himself, how he came up with the wild idea to do that!

[@Patrick-xh7wv]

The surgeon actually just exposes the vessels in this instance (cut down, which is not common. Usually you can get access with a simple ultrasound and needle). The actual procedure is done by a pediatric interventional cardiologist (a medicine trained specialist). While the cutdown is emergent, this type of procedure (accessing left atrium via right atrium) is done in many instances by interventionalists in non-emergent settings! Source: it's my job!

[@jcortese3300]

TIL that transposition of the aorta and the pulmonary artery IS EVEN A THING OMG HOW THE HELL DOES THAT EVEN HAPPEN?!

[@Biped]

the old switcheroo

[@SomeoneBeginingWithI]

lots of odd things can go wonky during development

[@gmdille]

Nobody tell JCortes about Situs Inversus :P

[@jcortese3300]

@@gmdille It's easier to understand how everything switches around than just a few things doing it spontaneously.

[@pipp972]

​@@jcortese3300 situs inversus can also happen only in the heart!

[@Hydrogen101]

That doc had ice in his veins

[@codename495]

And fire in his heart. He had to be calm to save a life.

[@Oberon4278]

My niece had open heart surgery a few hours after she was born. I forget the problem but she lived and is a healthy adult now.

[@Fomites]

What a wonderful story. Thank you.

[@Aphelia.]

I never knew this was possible. Both the baby's condition and the emergency procedure.

[@thebesthomiegever]

a childhood friend of mine had open heart surgery when she was 6 months old and i wonder if this was why! awesome video as always 🙌🏽

[@leshommesdupilly]

One time, I've saw a guy with a single ventricle and single atrium. No right heart. His pulmonary artery and veinous cave weren't even connected to the heart at birth lol. He received life saving surgery to conect his pulmonary artery and his inferior veinous cave. He was 40yo, he was fine and chronically blue 😅

[@cassieoz1702]

Fantastic explanation

[@markmcgibbon7013]

Was talking about a patient with this exact condition today

[@leizero]

Amazing story. Would love to hear more like this.

[@autumnrain1892]

Babe.. sleep, family, work. In that order. That's an order.

[@punkdigerati]

It's like balloon Sinuplasty for the heart

[@NexusGamingRadical]

Wow! but how does that openning heal? Is it done via the surgery or is the heart that capable?

[@Enoch-Root]

Heard about that hole in the heart issue just a little while ago while reading David Goggins first book. Apparently many people are born with it, but it quickly closes as you said. Would have been interesting to hear more about this child with the reversed pipework, how is that solved?

[@medlife2]

Nowadays you do completely corrective surgery and re-plumb the pipes, but often the babies are SO small at birth (which may be premature) that you wait a little bit (if you can). Imagine operating on a heart the size of a grape!

[@hoej]

TIL that in Ronan's family they take turns to go potty.

[@medlife2]

Wait you all go at the same time?! 😂

[@hoej]

@@medlife2 let me put it like this: adults usually don't go potty in my home 😅

[@rumidude]

Kinda made me tear up.

[@vittoriahawksworth8117]

Wow. 👨‍⚕️

[@glugtrop2010]

wow thanks for explaining tga better to me than this one cardio reg i was with (who was named rohan) (north indian kashmiri brahmin if im right)

[@therabbithat]

Wow

[@susanne5803]

Confused nonmedical person here: was that a permanent solution? Or did they later have to close that hole and reverse surgically what had been "built" dysfunctional?

[@just_some_commenter]

It's a "keep the kid alive until the surgery can be scheduled" solution. Even with the new hole, they're really only getting a trickle of oxygenated blood into their system. So their heart and lungs are going to be racing like crazy, and barely keeping up, until they get the surgery.

[@susanne5803]

@@just_some_commenter Thank you!

[@bongosock]

Gangsta!

[@AdmiralSP]

I hear this argument all the time "surgery is risky" and yes, ofcourse it is, and there needs to be a lot of consideration about the risks and rewards and all that, I get that! So if meds can do the trick, lets go ahead with meds until another time when the surgery is the only option. I understand this argument in adults, but in infants ? I mean, are the side effects of the meds really that much lower than a surgery ? Just feels like the meds are gonna have a bad impact anyway. Edit: I am sure that the doctors working on a case like this have probably already considered all this and there probably lies a bunch of reasech supporting the decision. It just feels like surgery is sometimes safer than meds. I'm clearly speaking anecdotally, not really a scientific query I guess.

[@majorxaero4964]

Major cardiac/great vessel surgery is a huge undertaking in both adults and children. Planning the best time/whether to do it at all is a team decision involving multiple experts. Using medications to buy time until a patient is optimised/stronger (and bigger in the case of infants) is a valid approach. The benefits and risk of medical/surgical/conservative management are specific to each case. DOI: Doctor who spends a lot of time in theatre 😴

[@AdmiralSP]

@@majorxaero4964 thanks! Thats a good answer... I'm also a doctor who spends a lot of time in the theatre... But both the doctor and the theatre are of different types here

[@Desimere]

@@AdmiralSP haha

[@inkasaraswati7625]

Also, general anesthesia is also a heavy drug. I know one of the considerations of infant surgery is if their body can handle general anesthesia.

[@akfi96]

Subhan allah

[@EC2019]

Look Rohin I'm sorry but as a mother, I find you describing this horror show inflicted on a human baby as "cool" to be extremely off-putting. My enjoyment of this channel has been on the wane for a while but after this I don't think I can stick around. I can't look at you the same way now. This is very upsetting.

[@medlife2]

You think a doctor shouldn’t find saving a life cool? That’s a bit of a shame as that’s pretty much the best part of the job. Should doctors derive no joy from their work? The baby did great, would you rather the doctors have not inflicted a procedure on them and allowed nature to take its course? I imagine most non medical people would describe a life saving emergency procedure as being cool. Doctors can certainly partake in black humour, but this isn’t it.

[@dirtmother]

It's absolutely fine to recognise that you are not in the right place for this sort of medical channel. It is not fine that you blame Rohin when it is a paced video which flagged very clearly before it got verbally graphic what it might be about. It's very clear that your distress and anger meant you were unable to see that it was clearly the magic of someone being able to take a baby who was grey and dying to pink and on the way to long term survival so quickly and calmly that was cool. I hold no brief for adrenalin-junkies getting off on 'rescuing' an iatrogenic situation that should have been avoided. This is very much not that.

[@autumnrain1892]

Saving a life is the coolest. I've done it. It's one of the best moments of my existence that I was able to prolong theirs. I believe you have some trauma that you may need to unpack, and adjust your misplaced aggression. A doctor discussing his job IS the channel. No need to announce your withdrawal. ❤ You anyway, though.

[@NexusGamingRadical]

​@@autumnrain1892Honest, well said and not trying to insult. A* comment!