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.
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.
@@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)
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.
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
another specialist got superpower as well, like Neurologist could see how neutrotransmitter transmitted and with that see the future of someone thought
@@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
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.
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. 🤣
Yessssssssssss!!! Something like a complex polytrauma that needs reconstruction surgery. My ortho basically rebuilt my radius which was bone dust after my accident
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.
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.
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!)
I love the nephrologist using empty salt cans as amplifiers to hear incompetent clicks 🤣 Also poor Ortho! I love his humility when nephrologist asks "Don't you know what that leads to?" and ortho is like "You know I don't, salt bro 😕"
It's how I explain AKIs to patients. Your kidneys are a little sad because they didn't get enough water, but we'll try to perk them up a bit. Your kidneys are sad because they didn't like the medications you had. Try not to use nurofen in the future, ok?
@D S "Your kidneys got tired of being overworked and underpaid, and thus have been quiet quitting. If you don't treat them nicely, they may decide to retire early and we will need to subcontract the labor to a dialysis machine, which is too generic for your unique needs and not a good long-term strategy. If it gets to that point, you will need a new bean buddy from another body. We try not to get to that point, because your body is highly suspicious of any new employees and we have to shut down half your security personnel to keep your new bean buddy and yourself alive"
At first I was gonna ask “why doesn’t he just show them what they’re supposed to do?” But… then I saw it was Ortho, and decided to retract my question.
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.
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.
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
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 🤣 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!
@@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
@@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!
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.
I knew it, I literally went "it'll be bone bro" and he appeared! Ortho being so clueless but so earnest when he realized it'd make the bean buddies sad
I felt the bond the nephrologist has with the salt all the way to my soul, as he gently clutched it and listened for incompetent clicking( i literally heard violins). Its the greatest love story i have ever know. Lmfao, Flacken strikes again.
@@zarifzaman6381 your blood likes to be at a specific salt level because of a lot of things like osmosis of water into the cells (I think idk I genuinely have zero medical qualifications for anything and I don’t plan on getting some 😎) your kidneys are filters for your blood and so the more hypertonic, or hypotonic the saline level in your blood is it’ll either suck up or add too much water to your blood. And the thing the nephrologist mentioned about the acidosis thing is I think because your blood also needs to be at a specific pH level, and the disassociation of excess chlorine ions makes your blood more acidic. That nephrologist dude has to be very particular about managing the salt levels in peoples bodies (again I could be totally wrong I have zero medical background on anything I’m literally a meteorologist) hope this helps. :))))))
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.
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
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!
@@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. 😂
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.
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.
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.
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!
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)...
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.
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.
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
My gran was recently diagnosed with kidney cancer and had to go to the hopital for a surgery consultation before the actual surgery and i just wanted to thank the local nephrologist, oncologist, surgen team and anesthesia for being awsome and giving her the best treatment possible.
I’m going through a hard time right now as an adult dealing with an aneurysmal bone cyst diagnosis. It is typically seen in Peds, and it basically has two groups of radically different treatments depending on whether the closest expert on the condition is an Orthopedic Surgeon or an Interventional Radiologist. It would be interesting to see a skit about this or a similar condition that has two very different treatments based on which specialist is in charge of it. I would love to see them argue haha
I can sure identify! I always get conflicting recommendations from my various specialists. Or recommendations where the specialist doesn't take some aspect of my condition into consideration. Most recently, I'm having bad headaches, but I'm taking the max dose of NSAIDs for my weight, which leaves Tylenol or opoids for pain. I really hate taking opoids, so I was taking 500mg every 6 hours. I told my rheumatologist and he says that's no problem, adults can take up to 3000mg per day. I just ignored it because he had obviously forgotten I only weigh 80lbs, and also take other meds (like statins) that affect the liver. You pretty nearly need a medical degree to defend yourself from our medical system these days. Lol Healing thoughts sent your way! 😊
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
I can't think of how to better demonstrate my support and appreciation of your videos than to suffer through this 5 minute advertisement without clicking 'skip ad'. I'm loving this interaction between bone bro and salt bro!
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.
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.
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.
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"
@@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 😫
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.
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
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 ❤
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.
"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.
I really hope Doc.G has Bean Buddies in the merch store one day.
@@IRLTheGreatZarquon and a shirt that says “it makes the kidneys sad.”
😂😂😂😂😂❤❤❤❤
Truly, this man's mastery of facial expressions is why I keep coming back XD
@@riverbabblesikr?!
the fact that he's so lenient yet strict with ortho just makes me think he has a good heart under all that salt
He only has a good heart b/c the cardiologist is looking out for him
Huh. Not a sentence I ever thought I'd hear.
not as...salty...to ortho as other departments XD
lenient
You have to take his aggression with a grain of salt
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.
My thoughts exactly...
That occurred to me as well. Keeping him a little more generalist than his fellow eye-bros.
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.
Right? Feels like I’m reviewing too when I watch him
@@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)
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?
Peep his step scores, checks out
My cat
Extremely bright people who get mentally dulled by the process
🤫 we made up all those jokes for a reason….
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.
Poor Ortho doesn't want to disappoint the hospital bros
😭😂
Ortho is just afraid of the danger squiggles.
oh no, not the danger squiggles
@@MsSgent as medic, am too, scared of danger squiggles
Lol I love him calling nephrology salt bro.
I love how he actually rethought his anger at the term "bean buddies". He was unable to remain so salty!
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
"you know i don't bro" - every med student when asked a question
_YES_
I never heard that from a med student, and I've been one for 6 years.
@@juhasznagyjozsef Maybe not outloud, the fear is too strong. But inside, we scream this.
I totally relate bro 😂😂😂
the nephrologist was so annoyed by everyone ordering IV fluids incorrectly he got super hearing, love that for him
another specialist got superpower as well, like Neurologist could see how neutrotransmitter transmitted and with that see the future of someone thought
That's just normal hearing when your kidneys are functioning at peak efficiency.
@@kyle857 I hope more people see your reply--I'm still cracking up at a volume even people with subpar kidneys can hear
The nephrologist has superb hearing because he has avoided all nephrotoxics, and therefore reduced his exposure to anything with ototoxicity.
I feel like I’m among my people.
"It makes the kidneys sad"
"Oh man, I'm sorry bro! Didn't mean to hurt your little bean buddies"
"Thank you"
🤣🤣🤣
Little bean buddies is the cutest way of referring to the kidneys 😂
Dude, it’s all we ask.
This was my favourite part🤣🤣🤣
I love Nephrology's expression like "I want to be offended, but that's actually super cute"
I'm a PTA, I laughed way too hard at this 🤣
Ortho's commitment to staying in his knowledge lane is really commendable
If only they and chiropractors could split the difference in that regard 😂
The look of complete incomprehension in ortho's face : perfect.
I love the bean bros comment, it made me die laughing
As an Orthopod: thank you.
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.
sweet, sweet revenge when the nerds outnumber the jocks
I knew an orthopedic surgeon. The stereotype is true.
@@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
Not a medic, but I've worked with bone surgeons, their collection of polished stainless steel crowbars was a bit terrifying..
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.
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. 🤣
Yessssssssssss!!! Something like a complex polytrauma that needs reconstruction surgery. My ortho basically rebuilt my radius which was bone dust after my accident
He has a full Sherlock Holmes dr house moment then like asks for a gyro but pronounces it wrong
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.
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.
@@Vitafiend pronounces it ‘yeeroh’ like the sandwich
He’s so strict with Ortho but still kind enough to put in the orders for him 😭 Nephro actually sweet not salty
Nephrology would never waste any of his precious salt on anyone else, except maybe cardiology.
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!)
I love the nephrologist using empty salt cans as amplifiers to hear incompetent clicks 🤣
Also poor Ortho! I love his humility when nephrologist asks "Don't you know what that leads to?" and ortho is like "You know I don't, salt bro 😕"
What makes you think they're empty? XD
The Salt amplifies his power exponentially
“That’s literally your speciality, bro… I just work on bones.”
They call me The Prince Of Pee
"I'm sorry bro I didn't mean to hurt your little bean buddies"
“… thank you” 😂
Petition to start a go-fund-me for a nephrology student willing to use the term "bean buddies" in his thesis paper.
@@wwgtg12 take my money
@@wwgtg12 sorry actually id have much money imma need that back
aw lil bean buddies
He wanted to be mad at Ortho so bad. But Ortho is just so innocent, lol.
Ortho is new, simply taking orders, but wasn’t told how to do it exactly. Can’t really get mad at someone like that.
The little bean bros!
Nothing more brilliant than an orthopedic surgeon making a medicine doc do his work for him...
Ortho is never innocent
What up nephron bro?
Ortho is the golden retriever of doctors. Such a good boy...
❤
"It makes the kidneys sad" 😂😂😂 This is the only explanation I am ever giving ever again
It's how I explain AKIs to patients.
Your kidneys are a little sad because they didn't get enough water, but we'll try to perk them up a bit. Your kidneys are sad because they didn't like the medications you had. Try not to use nurofen in the future, ok?
I’m joining you!
@@AstarteElviraLyana and what do you tell to CKDs? Your kidneys are dead?
@D S "Your kidneys got tired of being overworked and underpaid, and thus have been quiet quitting. If you don't treat them nicely, they may decide to retire early and we will need to subcontract the labor to a dialysis machine, which is too generic for your unique needs and not a good long-term strategy. If it gets to that point, you will need a new bean buddy from another body. We try not to get to that point, because your body is highly suspicious of any new employees and we have to shut down half your security personnel to keep your new bean buddy and yourself alive"
@@jatnarivas8741 Perfect 😂
At first I was gonna ask “why doesn’t he just show them what they’re supposed to do?” But… then I saw it was Ortho, and decided to retract my question.
Literally laughed out loud.
The nephrologist regularly makes facial expressions I didn't know were humanly possible.
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.
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.
Thank you.
@@eriknephrongfr8847 the name checks out
Nice. I found someone in Nephro in the comments. Can you please translate what the good doctor said? 🙏
🤣 🤣 🤣
Yes! Thank you! I have been going through this for 20 years now...it never stops.
"I've already used up all my punches" had me in stitches!
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
you can have a Glauc video in the background? blasphemy.
@@noodle3218 i saw it was uploaded 2mins ago and the title looked interesting xD
Ortho bro apologizing for the bean buddies is the most wholesome thing I’ve seen today
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"!
Did the surgeon call you "patient bro"?
@@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!
@@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
@@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!
It just occurred to me during my last surgery that most of them were probably fans. As they referred to themselves in these terms. 🤣
I feel like Ortho and my dog could be best friends. They’re both so sweet, and well-meaning, and they both love bones 🦴 🐶
under rated comment
Beautifully spotted, @KKIM.
U forgot the part where thry both mess up n then act innocent so that others will do the cleaning up for them. 😂
😂😂😂👏
Ortho is just so adorably blank even Nephrology can’t get mad at him! 😂😂
As a physical therapist who used to work for an orthopedic practice, it’s very cathartic to see what other physicians think of these guys
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.
The “admission to medicine” punchcard LMAO 😂😂😂
I knew it, I literally went "it'll be bone bro" and he appeared! Ortho being so clueless but so earnest when he realized it'd make the bean buddies sad
I thought bike bro, emergency.
I felt the bond the nephrologist has with the salt all the way to my soul, as he gently clutched it and listened for incompetent clicking( i literally heard violins). Its the greatest love story i have ever know. Lmfao, Flacken strikes again.
Can you explain why he loves salt?
@@zarifzaman6381 your blood likes to be at a specific salt level because of a lot of things like osmosis of water into the cells (I think idk I genuinely have zero medical qualifications for anything and I don’t plan on getting some 😎) your kidneys are filters for your blood and so the more hypertonic, or hypotonic the saline level in your blood is it’ll either suck up or add too much water to your blood. And the thing the nephrologist mentioned about the acidosis thing is I think because your blood also needs to be at a specific pH level, and the disassociation of excess chlorine ions makes your blood more acidic. That nephrologist dude has to be very particular about managing the salt levels in peoples bodies (again I could be totally wrong I have zero medical background on anything I’m literally a meteorologist) hope this helps. :))))))
"And then make the doctor feel bad"
Nephrologist: [Proceeds to feel bad about trying to make ortho feel bad]
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.
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
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!
Absolute mood. Medicine is so cool, but she is a harsh mistress 🥲🥲🥲🥲🥲
@@kathleensmith8365 thanks that really helps
@@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. 😂
I like that the nephrologist explained potential problems to educate the other doctor and prevent unnecessary suffering. ❤
I love that he's listening thru salt!
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."
Yes!! I love your videos! My son was born with Hydronephrosis, he's had 13 surgeries so far, he's 24 now. So we know our nephrology team very well!!!
I’m glad your boy is doing well.
❤️
@@eriknephrongfr8847 Thanks so much 💜
@@word6344 💜
Have you referred to the kidneys as little bean buddies to them yet? 🤣
Ortho: I didn’t mean to hurt your little bean buddies.
Nephrologist: *Did our heart just skip a beat*?
I'm so glad to see Ortho's and Nephrology's friendship survive such a terrible mistake 😂🖤
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.
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.
Yh mehn, even if the respect is just short-lived
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.
@@jerrykinnin7941 Sounds like you kicked that bridge's ass 👍
I hope your recovery has gone well.
@@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.
The nephrologist holding the morton salt containers cracks me up for some damn reason.
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!
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)...
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.
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.
Ortho always makes me smile, I'm a nurse and I work with orthopaedic surgeons and these are all so relatable 🤣🤣
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
Bean buddies. XD We need a children's book of medicine...as written by ortho...and not just for bones!
The other specialties are at the perfect level for five-year-olds while the section on Ortho is incomprehensible to nonspecialists
Do it, do it, do it!
Doubtful Hematology would show up with a spleen. Glauc seemed to think spleens weren’t very useful.
Danger squiggles
I would totally buy a children's book by Dr. Glauc!
Dr. G is an an endless supply of creative hilarious medical skits. I want to be like you when I grow up 😂😂😂
Its made the kidneys sad!! Lol 🤣😂🤣😂 you are an amazing actor, and the edition is great!! All in the video is great!!! Congrats doc!!
My gran was recently diagnosed with kidney cancer and had to go to the hopital for a surgery consultation before the actual surgery and i just wanted to thank the local nephrologist, oncologist, surgen team and anesthesia for being awsome and giving her the best treatment possible.
Prayers for her health, friend.
@@williamsstephens thank you my friend thst means a lot ❤️ 💗
Now I want to see the nephrologist with armor made of morton salt containers
The med reg giving out punch cards is genius.
"Bean buddies" is also top notch 😂
I no longer have kidneys. I have little bean buddies.
"I didn't mean to hurt your little bean buddies." Straight up lost it. ded.
I’m going through a hard time right now as an adult dealing with an aneurysmal bone cyst diagnosis. It is typically seen in Peds, and it basically has two groups of radically different treatments depending on whether the closest expert on the condition is an Orthopedic Surgeon or an Interventional Radiologist. It would be interesting to see a skit about this or a similar condition that has two very different treatments based on which specialist is in charge of it. I would love to see them argue haha
Sorry about that 😢wish you all the best May God grant you speedy healing and a full recovery inshaAllah 🤲🏻
I can sure identify!
I always get conflicting recommendations from my various specialists.
Or recommendations where the specialist doesn't take some aspect of my condition into consideration.
Most recently, I'm having bad headaches, but I'm taking the max dose of NSAIDs for my weight, which leaves Tylenol or opoids for pain. I really hate taking opoids, so I was taking 500mg every 6 hours. I told my rheumatologist and he says that's no problem, adults can take up to 3000mg per day. I just ignored it because he had obviously forgotten I only weigh 80lbs, and also take other meds (like statins) that affect the liver.
You pretty nearly need a medical degree to defend yourself from our medical system these days. Lol
Healing thoughts sent your way! 😊
"You know I don't" made me laugh so hard
Ortho is a precious cinnamon roll that even nephrology wants to protect
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
I can't think of how to better demonstrate my support and appreciation of your videos than to suffer through this 5 minute advertisement without clicking 'skip ad'.
I'm loving this interaction between bone bro and salt bro!
The only thing missing was Ortho saying “Thanks Salt bro” at the end. Still love it
HAHAHAHAH the punch card medicine gave to ortho being used up sennnnttttt me 😂😂😂😂😂
Him putting down the salt is so gentle, yet so highly threatening.
"It makes the kidney sad" truly one of the best sentences in all of cinema
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.
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.
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.
"You know I don't, bro"
That KILLED me 😆
Morton Salt owes you a promo deal.
Nurse here-your impressions are so spot on. Love to watch these!!
It took Ortho 6 tries to punch the hole in the middle of the "circle". Subtle perfection 😂
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
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"
@@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 😫
‘Bean Buddies’ loll. That’d be so great on merch!
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.
This is inaccurate, as orders are being placed on a Mac. Otherwise, holds up.
Two words: Citrix. And using Citrix on my Mac I can unlock the computer with TouchID or my watch. Not so on pc workstations.
@@clarkosaurus yeah, but my laptops screen is too small to use epic properly.
@@clarkosaurus using Citrix is slow and annoying.
Thank you!! Someone that understands the troubles of people that hate NS and the overuse of it in the prehospital and emergency settings.
What's better than NS ???
@@nmc1859 I personally prefer LR. It's all around a better fluid and easier on the body.
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.
@@wk9953 the facilities i worked at (as nurse) had tons of ns in stock and barely any lr. Googled ..lr is 2x the price 😒
LR presumes normal liver function, a substantial presumption in my environment.
Man your videos never fail bro...makes tough days being a physician less harsh...keep up the comedy bro
I love when he started harping about it, I felt all the things we learned in case study come rushing back!
Aw, when Ortho apologises and Nephrology bro says 'Thank you', idk why, but that bit's sort of sweet 😅
Ortho was so sincere! He didn't want to hurt the bean buddies.
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.
Little bean buddies-and the sincerity!!
The nephrologist walking around with salt is beyond brilliant
It’s the admissions punchcard for me 💀
Punches for medical admissions. Brilliant!
“Your little bean buddies!“ 😂
"I didn't meant to hurt your little bean buddies," made me shriek. So cute and SO funny!
I love that ortho admits he doesn't know and needs help, a trillion times better than egomaniacs who hurt patients out of false pride. You go, bro!
Hilarious. I loved Neph listening intently thru two salt containers and his translation of terms to Ortho bro. Thank you!
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
Dr. Glaucomflecken, we love to see oncology in your videos! Please and thank you!
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 ❤
I was HOPING it'd be Cardiology doing the clicking
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.
You know you’re from a paper based system when you think incompetent clicking is someone clicking a pen
My surg reg told us today it’s better to do boluses than slow maintenance fluids. Did he watch this video at work?
Ortho needs to be protected at all costs
I didn't understand any of it. But I'm really glad he added the actual medical terminology for how to properly order IVs.
that might just be the sweetest interaction ive ever seen nephrology have
D5 1/2NS with 20K was referred to as "holy water" in my first pharmacist job. Almost everybody got it on admission.
I remember that but it was a LONG time ago! 🤣
Bet insurance companies nowadays say that's too expensive 🙄
You’d be amazed at what hydration will fix/cover up.
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.
Man, the blank face of ortho is out of this world... Seriously that's top tier acting...
“It makes the kidneys sad!” Lol
You don’t really know something unless you can describe it to an expert and a child