Dear Dr. K., I absolutely adore the longer, curly hair on gents. Just a little trim around the edges will suffice. Product recommendation; Evo "liquid rollers"; apply to damp hair with your hands, scruch it in a little, and off to the clinic for your next 22 hour shift of medicine practice. 💼📋⚒📍 Love in our Lord Jesus Christ, Princess Holly of Australia, hairdresser and saved 🕊🌿🌳🌲🌱🍀🌴 Foxy Vixen Hairdressers, 105 Bridport Street, Albert Park Melbourne Victoria Australia
False. A neurologist's brain is perfect at any age, and needs no additional electrolytes since it is always functioning at peak performance, be they 60, 30, or 7 years old.
Oh my goodness - I am a neurologist and I was literally yelling "none of those are the right one!" when he opened his reflex hammer box - and then he selected the correct one "Queen square" all the way baby! I actually let out a sigh of relief.
Our neurologists are super nice. We do a consult, they come by and do it, and if youre lucky you catch them in the hallway so you dont have to try and read their scribblings wholly unsupported. Really friendly guys. You do sometimes get a the impression of bening pity tho.
He borrowed that from a viewer, I came down here to try and find the guy who said it on one of his previous videos. (the Doc asked permission before he used it of course :) )
I like to think Dr Glaucomflecken uses these videos to test how much medical-related knowledge he's retained over the years. Probably finishes his script/ends his video and thinks to himself 'Oh yeah, I still got it'.
He already mentioned several times in the podcast he's researching for each skit. So there's probably often more of a "Oh .... right .... I remember sth. along those lines in my dark dark past in student years!"
Neurologist here. I love these videos! I was on consults in residency, and I asked the primary physician if he had checked the patient’s cranial nerves. He said that he checked the ones he knew. I laughed on the inside, as I appreciated the honesty!
My neurologist is pain management and palliative care. The palliative care side suppresses the neurologist in him and he ends up being the only nice and compassionate neurologist I’ve had.
@@c0ronariu5 I'm going to go with at least neurosurgery, CT surgery, and vascular surgery being more extreme. But you'd probably never see any of them touch palliative care with a 39.5ft pole. 😂
@@c0ronariu5 pretty sure he doesn’t. It works really well for him and his patients. The palliative care side helps him treat complex neuro patients and improve quality of life. He’s willing to try things that other doctors won’t (he’s one of the few in the practice who will prescribe benzos, opioids, and other controlled medications). Taking on New York State Medicaid to get meds approved is a sport for him.
Ah, I used to have lines like that, but I eventually realized that the physician who calls you at midnight wanting a "stat" MRI is so clueless that they won't get the joke anyway.
@@abasis.baruti9819 The penumbra is the brain tissue in a stroke that is at risk of dying but may survive if the blood supply can be restored very quickly. tPA breaks down the clots that are usually the cause of big strokes. The ED doctor is worried that the tPA may cause bleeding. The neurologist knows that the penumbra will die if the tPA is not given quickly. This treatment, along with clot retrieval, was probably the biggest change in neurological practice over the past thirty years or so, with the greatest impact on patient outcomes.
I will never forget the time on rounds when my attending had forgotten her reflex hammer, and I, the eager med student, volunteered mine for use. She turned, looked at it, saw it was the basic triangle one, and went, "ew!" with a little shudder. She then borrowed the resident's good one.
this is giving me flashbacks. my Ob attending asked me (a med student) to a pelvic exam on a Pt in LD. And the family was sitting in the room and I was completely caught off guard. then he asked me to do the pelvic US and I had no idea wtf I was doing
@@hx5525 The “tomahawk” style hammer doesn’t have the proper weight, length, or striking surface to properly get reflexes. They’re a useless toy that every med student is suckered into buying.
One of our on-call neurology consultants made the mistake of coming into the ER one weekend, purely to belittle a junior about a referral. Three patients decided to crash at the same time he was there. We were already really short-staffed and he did like to tell everyone about how "great" and "superior" his medical skills were... His look of utter horror as, completely out of his depth, he was dragged into resus (his ego wouldn't let him run...) and attempted to lead a crash call - only to be regularly scolded by the nursing staff (including a newly qualified) - will stay with me forever 😂 That image of his existential crisis is my happy place 😍😎 He also no longer picks on anyone who witnessed his "moment"... Especially the two of us who stabilised our patient and then ran in, full throttle, to take over from him before he killed his patient. A few months later, he did try to start being a d1ck again, with a comment about me "needing a neurology refresher" so I asked him, as we were discussing interspecialty training, if he'd like to come and spend some time in the department to do an ALS "refresher". He just accepts my referrals now. I love it when he's on call! 😂😂
I used to feel the same when the ER and OBGYN staff used to criticise my decision making (ex-Paramedic). I think we all need to respect each others specialities. As the saying goes something like this : "Don't criticise me until you walk a mile in my shoes....."
Honestly no special should ever try to call rank in the er. The er nurses can handle any random-serve case that runs through the doors with the treat of death in the air. Yes specialists have alot more training in 1 era but they have the luxury of nice calm environments were the patient comes to them with something they can atleast partially treat.
How do you get through M3, M4, intern year without seeing hundreds of codes? Neuro intern year is just internal medicine without the clinic (in other words, even more inpatient internal medicine than the internal medicine people). Hard to imagine getting close to that level and being so out of depth. I mean, maybe logistics and dosing of second and third line pressors or something very crit-care oriented he might forget after intern year. But it's hard to get close to that far without knowing ACS basics. You can't really get through intern year without seeing this stuff routinely.
I’m so happy you included “Absence seizures in a 40 year old”, “A&Ox4”, and the fear of giving tPA to a patient who needed it when they came through the door 70 minutes ago. I hope your short video brings great change to the world.
@@IvyPearsonUnderwaterthe fear is that if you give it for a hemmhoragic stroke you will likely kill the patient, but if it is an ischemic stroke you want to give it ASAP.
Dr G is amazing at getting to the core of things and portraying reality in a funny way. I saw a farmer and his wife in my transplant clinic last week. We were chatting at the end of the visit, and I introduced them to the video on the “Farmer Pain Scale”. They were both dying laughing at how accurate the portrayal was and immediately sent links to all their fellow farmers!
And PS: while I was at my recent visit the neurologist he asked if I had any other questions and I said yes, “I’m a big fan of Dr Glaukomflecken!… Are you?” 😊 and he said he was!! True story 😂
I’ve watched so many of these videos in the last 3 days that I’m genuinely starting to think that each character is a distinct person and not just one guy….
You should be, but the problem with Neurology is that they are the ones called STAT, called first, called at 3 AM, called on holidays to rule-out anything "neurologic" before a non-urgent Psych consult is placed.
I have had 3 different neurologists. (Seriously people. Traumatic brain injury is a real thing, especially when it’s permanent. Move the stepladder!) Two have made this Neuro look sweet. The current one is absolutely fabulous and doesn’t treat me like an idiot. So refreshing.
I just had my neurology rotation (im a med student from Turkey) and it made me appreciate the neurologist character wayyyy more. so accurate, laughed out loud. unbelievable how universal these are.
@@Ushio01 Valid! I just can't imagine this guy being mean to anyone ever. He was just so soft spoken and lovely. Mind you... he did mention a colleague and what his colleague would do (in a way to be like, 'other neurologists would do this, but I don't think its necessary'), so perhaps the cracks of superiority were showing 😂
All two neurologists I've met so far in my medical training have been wonderful and encouraging, but they were also the only ones interested in training medical students, so we'll see if they are the exception or the rule 😂
Why does an ophthalmologist have 5 kinds of reflex testing tools? I wonder if his friends make him sign a rental agreement when he borrows their equipment. 😂
I have epilepsy. Juvenile Myoclonus Epilepticus, diagnosed at 10 when I almost drowned in the bathtub. I have absence, myoclonic, and tonic clonic seizures that are well controlled with meds, acupuncture, medicinal herbs and lifestyle. It was cool being able to understand all the neurologist said here and know why he was asking the questions he was. The question doctors never ask me: what do the seizures feel like when you have them? Its actually an intense release of emotional and physical tension so yes Im exhausted but it's a gauge for how well I have or haven't been taking care of myself. So now I haven't had them because I keep that in mind. I think just telling ppl to manage their stress doesnt always land because its so vague. Explaining that your brain processes it differently than everyone else and that if stress isnt managed seizures will occur emphasizes how vital it is in a way that is digestible. Food for thought.
I’ve known one great neurologist(Dr. Hamilton was an excellent teacher) and one crazy neuroanatomy teacher. Dr. Chronister, RIP, would act out every stroke, every gait disorder you ever heard of and many I’ve never seen again, and every neuro deficit you could imagine. Watching him bounce from one side of the room to the other was amazing! Why don’t you send the stuck up neurologist back to school? See how much his neuroanatomy teacher can trip him up.
I'm shrieking in utter amusement the whole way through. So accurate. I'm PM&R and would not use anything but the last reflex hammer. This is such a masterpiece.
I would pay money to see a nurse preceptor or a charge nurse have a 'small conversation ' with Neurology about how he made the new nurses cry and afraid to speak to him. I want to see a mama bear defending her little cubs lol
Oh man, so many flashbacks! I was a healthyish kid until suddenly I wasn't at age 13. Ended up spending 40 hours a week at different doctors' offices for years. At the pediatric neurologist's office, my mom and I gimped along through a hallway to get to the exam room, passed two guys just as one was telling the other with barely contained rage, "I HATE kids!" Yes, that turned out to be my doctor and no, we didn't just catch him on a bad day. He really was actually at least as bad as he sounds. Thankfully, I have met other neurologists since then and they have all seemed like they deserve congeniality trophies by comparison.
@@ClearlyPixelated as a new RN putting an IV in a little kid was one of the most traumatic things I ever did. I hated treating kids, because I didn’t want to cause them more pain, so I went into adult cardiology. I think the folks who love children can’t really handle the stress of treating kids (and their parents) and so the pediatric specialists are self-selected. In other words, they are the ones who don’t care if it’s a kid or an adult, and let their staff handle the cutesy kid interactions.
Our ER only has Tele-Neuro, it's kind of wonderful because you just send the company a report of what you're concerned about and the nurses roll the big computer and monitor into the room and the neurologist does their evaluation and contacts you with their recommendations. Avoids lots of....unhelpful discussions.
@@denise3885 Lol, honestly sometimes initial calls can be. It's great to have a specialist get a general idea of the concern and then just see the patient for themselves and then discuss their recommendations. So yes, in that sense sometimes the tele-health specialty services that more rural hospitals need to use can be great.
The hospitals I've been at with Tele-Neuro are watching someone on a screen repeat the exam I already did (but worse), and then give more-or-less useless recs. Glad to be moving to a L1 Trauma Center shortly.
@@Ananvil Just like your telerads there are good and bad companies. But yes, often their recs are exactly what we already know is needed, and when you already know the patient can stay, it’s more convenient to just have tele neuro do their thing and give the ok than bicker with an actual on-call neurologist sometimes. Best of luck at the lvl 1, don’t get lazy now!
Left-handedness turns 80year old patients with aphasia and mild weakness of the left limbs from "probably just dehydration" into "oh my god, every minute counts we need imaging stat and someone call the stroke nurse to prepare the rt-PA"
@@moo3oo3oo3 Yes, but if the clinical symptoms don't match up, I'd be hesitant to do an aggressive treatment like a thrombolysis. Unilateral weakness of the left side is a sign of a stroke in the right brain hemisphere. Aphasia is a sign of a stroke in the left brain hemisphere. Except for left-handed people, a portion of whose speech center is located in the right hemisphere.
GAH. This the spirit of our on call dearly departed neurologist circa 1992. The ED docs drew staws to see who'd have to deal with him. At least this one has a weird charm about him. Our had a slime coat of smug.😂
Working as a transfer center operator, all we ever heard our on call neurologist say was "give them a loading dose of keppra and have them contact the clinic tomorrow " 😂
It gives me immense pleasure to just sit back watch how your great sense of humour is making my brain giggle, your videos are addiction worthy I lovvvvvve it!!!!!!!!
The neurologist remains my favorite toon. Might be the hair, glasses, or expression(s) but this character looks the most unique with the helmeted ER doc coming in second. This channel also made me look up what a "Queen's Square" is, which is a nice piece of info to amaze/bore my colleagues in engineering.
This is so funny! Whatever the circular reflex hammer is, my neurosurgeon loves that thing and won't test reflexes without it. My first appointment, her poor PA tried to use a stethoscope for reflexes and she walked in midway and gave such a look 😂. The stethoscope as a reflex hammer disapproval is real!
There is something both relaxing and warped about seeing Neurology happy in his natural habitat, powered by the sweet taste of med student's tears. Like an Apex Predator limbering up for their next meal. Oh, and the 'weird' call was from ER, right? 😂
I am seeing a new neurologist soon and started doing some research about them. I found their Twitter account and this is one of their re tweets. I have followed you for years and this knowledge made me feel better about my appointment. Thank Doc!
A young resident neurologist actually discovered I have carpal tunnel while talking about my migraines with the pin prick test. Deeply appreciate that.
This is the only doc that isn’t ripped straight out of my hospital, I swear. The neurology team are some of the nicest, most helpful people that come to our unit. Neurosurgery, on the other hand…!
Dr.Glaucomflecken, your comedic mind is brilliant. You make me laugh out loud every single day! Thank you from this RN, who has had a 40 years career and counting……
I really needed to make this video I’m getting a haircut today
Haircut by neurosurgery perhaps?
Nnooo! This look is SO you!
Dear Dr. K.,
I absolutely adore the longer, curly hair on gents. Just a little trim around the edges will suffice. Product recommendation; Evo "liquid rollers"; apply to damp hair with your hands, scruch it in a little, and off to the clinic for your next 22 hour shift of medicine practice. 💼📋⚒📍
Love in our Lord Jesus Christ,
Princess Holly of Australia,
hairdresser and saved 🕊🌿🌳🌲🌱🍀🌴
Foxy Vixen Hairdressers,
105 Bridport Street,
Albert Park
Melbourne Victoria Australia
* Dr. G. (Sorry, perri menopause memory issues)
I wasn’t going to mention the hair
"Kristin, I need you to clear out your jewelry box so I can put a bunch of reflex hammers in it."
😂😂😂
@@DGlaucomflecken did you buy a Queen Square and Tromner hammer just for this video?
@@killersugar6816 I was really wondering the same thing
Precious and thank you 😊
I’m still laughing. That morning self neuro check keeps replaying in my mind. Love this one so much.
Fun fact: Med student's tears are a great source of electrolytes for a growing neurologists brain
I think the nephrologist would also approve of drinking med student tears.
@@Psychx_i think those have too much salt, med students tears are good, but not too much
neurologists have student's tears. For everyone else, there's brawndo.
False. A neurologist's brain is perfect at any age, and needs no additional electrolytes since it is always functioning at peak performance, be they 60, 30, or 7 years old.
Salty and sweet, a perfect hydration fluid.
Oh my goodness - I am a neurologist and I was literally yelling "none of those are the right one!" when he opened his reflex hammer box - and then he selected the correct one "Queen square" all the way baby! I actually let out a sigh of relief.
I am not a neurologist and I was yelling something more like "What the heck is that thing?"
I'm glad some one knew what that was and said it because it looked like an oversized thermometer right after showing 'med student tears'.
The Tromner is also a good one
I was thinking the same here... and saying "yes!!!" with the Queen Square
REFLEX HAMMER BOX YALL
These videos have conditioned me to think that if a neurologist makes me feel like an idiot only *half* the time, then I definitely got the nice one
fun fact, the neurologist will do all these things, and will still not contribute to making the patient better 90% of the times.LOLLL
@@amitramsingh6383 Diagnose and adios is what we called our neurologists
AND it means your Neuro exam is normal! 🤣
I had no idea nice was an option😂
Our neurologists are super nice. We do a consult, they come by and do it, and if youre lucky you catch them in the hallway so you dont have to try and read their scribblings wholly unsupported.
Really friendly guys. You do sometimes get a the impression of bening pity tho.
For a minute, I thought the neurologist was smiling in the mirror! 😱 Then I realized he was just testing his facial reflexes, and I relaxed.
“I neither have the time nor the crayons to explain the STT to you” is maybe one of the most incredible lines of dialogue ever put to film
Yeah, I'm gonna keep that in the back pocket
That one was beautiful
He borrowed that from a viewer, I came down here to try and find the guy who said it on one of his previous videos. (the Doc asked permission before he used it of course :) )
Heh, must have had to treat a former marine
@@D3Mp5 - It's a reference to A Few Good Men: "I have neither the time, nor the inclination to explain myself to you"
I am a neurologist and I confirm that everything in this video is 100% accurate. It’s like hearing myself on the phone
Mad respect
Same for me lol I'm laughing so hard
Although the skit was missing something...I wanted to hear a great sarcastic comeback to "altered mental status" or "the patient is delted".
I love how the neurologist has a portrait of himself on proud display on the bookshelf 😂
So glad I wasn’t the only one who saw that 😂
If I'm going to take up surface area, it might as well be for something that looking at it inspires me
Dr G offered head shots of his doctor characters at one time. Maybe he still does!
@@jojokitty0073 i actually have a signed one of his ortho bro headshot (orthopod here) 🤣
@@sunnyyish You're so cool!!😸 That's awesome!
I like to think Dr Glaucomflecken uses these videos to test how much medical-related knowledge he's retained over the years. Probably finishes his script/ends his video and thinks to himself 'Oh yeah, I still got it'.
He already mentioned several times in the podcast he's researching for each skit. So there's probably often more of a "Oh .... right .... I remember sth. along those lines in my dark dark past in student years!"
The knowledge he's shown is up-to-date, so he must have researched for his skit. Ex: muscle stretch reflex is a relative new update
@@pingpong6861 Honestly I felt so happy when he said that, because I agree with it completely. lol
But does he still remember how the Krebs cycle works?
@@celestwarrior Excuse me, you mean the citric acid cycle. No sorry, I think you mean the tricarboxylic acid cycle
Please be sure to have a dentist instruct the neurologist on how to brush his teeth correctly. I’d love to see that one!
I was just excited to find out that Dr. Gloucomflecken uses the same tooth brush as me!
Er, same style, that is.
Those are luxury bones. Unnecessary.
@@Twinkie989 Says Ortho. To a dentist they are pearls
Yes! Plz do this video!! 🙏🙏🙏🙏🙏🤭
Ooooo, that will be juicy
Neurologist here. I love these videos! I was on consults in residency, and I asked the primary physician if he had checked the patient’s cranial nerves. He said that he checked the ones he knew. I laughed on the inside, as I appreciated the honesty!
Absolute best answer.
Lol I mean does it really matter?! Everyone is getting a CT followed by an mri
Only because they're unable to take a proper history
@@dengueberriesnope even neurologists order CT followed by MRI after a "thorough"neuro exam.
what age were you when you finished residency?
My neurologist is pain management and palliative care.
The palliative care side suppresses the neurologist in him and he ends up being the only nice and compassionate neurologist I’ve had.
Wow. Are you sure he doesn’t also have dissociative identity disorder 😮 I’ve never heard of two more polar opposite specialties.
@@c0ronariu5 I'm going to go with at least neurosurgery, CT surgery, and vascular surgery being more extreme. But you'd probably never see any of them touch palliative care with a 39.5ft pole. 😂
@@c0ronariu5 pretty sure he doesn’t. It works really well for him and his patients. The palliative care side helps him treat complex neuro patients and improve quality of life. He’s willing to try things that other doctors won’t (he’s one of the few in the practice who will prescribe benzos, opioids, and other controlled medications). Taking on New York State Medicaid to get meds approved is a sport for him.
Your doc is a unicorn!
Oh my god, this explains my neurologist’s immediate interest in my left handedness. I was like “Whoa there buddy, not on the first date, relax.” 😅
I love how he pours some "student tears" and then remembers that there's more from where they came from so pours generously even more
And has a full glass in front of him at all times 🥲
As a neurology resident I can confirm that the checks are our daily neuro care routine
But? Where do you get the tears from?😢😅
'neuro care routine' 😮 wow
“I don’t have the time nor the crayons…” lord have mercy with your permission/prior auth. this phrase is entering my lexicon 😂😅👏😭
I know mine too.
I won’t lie I was a little proud of myself for recognizing which cranial nerves he was checking with each test during the morning routine 😂
I'm proud that I recognized what he was doing! Total pedestrian here who only has her past physicals to go on...
As a vascular neurologist, I hate when the penumbra screams for help. I approve this message
I am going to assume that you are NOT scared of a little TPA!
Bless you, thanks for what you do.
"I have neither the time nor the crayons necessary to explain" has entered my lexicon of useful phrases. Thank you.
My aunt gave me a shirt that had that written on it
Oh, absolutely.
"See I can also contribute nonsense to this conversation' - That one got me laughing pretty good
Ah, I used to have lines like that, but I eventually realized that the physician who calls you at midnight wanting a "stat" MRI is so clueless that they won't get the joke anyway.
I was looking for this comment. *Same*
higher cortical functions : obviously 🤣🤣🤣
"That's the penumbra screaming for help" is something I'm going to carry forward into my practice
I’m so glad he included it. Maybe some ED docs will see this…
Definitely my favorite line of the skit.
Please explain this to a layman. I looked up the definition and I'm nearly for certain this joke want about shadows and eclipses.
@@abasis.baruti9819 The penumbra is the brain tissue in a stroke that is at risk of dying but may survive if the blood supply can be restored very quickly. tPA breaks down the clots that are usually the cause of big strokes. The ED doctor is worried that the tPA may cause bleeding. The neurologist knows that the penumbra will die if the tPA is not given quickly.
This treatment, along with clot retrieval, was probably the biggest change in neurological practice over the past thirty years or so, with the greatest impact on patient outcomes.
His videos have actually improved my notes. I no longer *always* have things in my notes that specialists read and snicker at.
I will never forget the time on rounds when my attending had forgotten her reflex hammer, and I, the eager med student, volunteered mine for use. She turned, looked at it, saw it was the basic triangle one, and went, "ew!" with a little shudder. She then borrowed the resident's good one.
this is giving me flashbacks. my Ob attending asked me (a med student) to a pelvic exam on a Pt in LD. And the family was sitting in the room and I was completely caught off guard. then he asked me to do the pelvic US and I had no idea wtf I was doing
I knew a neurologist who literally would grab the basic triangle one out of the student’s hand and throw it in the trash.
@@sandraragle5334 Well they then better opened their way more full wallet to get a new and better one!!
@@sandraragle5334What’s wrong with the triangle one?
@@hx5525 The “tomahawk” style hammer doesn’t have the proper weight, length, or striking surface to properly get reflexes. They’re a useless toy that every med student is suckered into buying.
I just finished my neuro class and I love that I actually know what all the words he said meant!
congrats on becoming the second most hated specialist in medicine according to doctor G videos!
@@meatballg8655 second?.. who is first?
@@mcspud neurosurgeon >trauma surgeon > general surgeon
@@mcspud nephrology, all the same annoying quirks of neurology, except they have the ability to pour salt on you as well
@@meatballg8655 I mean maybe. Correct answer would be the PE CEO, who used to be a doctor but sold his soul.
One of our on-call neurology consultants made the mistake of coming into the ER one weekend, purely to belittle a junior about a referral. Three patients decided to crash at the same time he was there. We were already really short-staffed and he did like to tell everyone about how "great" and "superior" his medical skills were...
His look of utter horror as, completely out of his depth, he was dragged into resus (his ego wouldn't let him run...) and attempted to lead a crash call - only to be regularly scolded by the nursing staff (including a newly qualified) - will stay with me forever 😂 That image of his existential crisis is my happy place 😍😎
He also no longer picks on anyone who witnessed his "moment"... Especially the two of us who stabilised our patient and then ran in, full throttle, to take over from him before he killed his patient. A few months later, he did try to start being a d1ck again, with a comment about me "needing a neurology refresher" so I asked him, as we were discussing interspecialty training, if he'd like to come and spend some time in the department to do an ALS "refresher".
He just accepts my referrals now. I love it when he's on call! 😂😂
I used to feel the same when the ER and OBGYN staff used to criticise my decision making (ex-Paramedic).
I think we all need to respect each others specialities.
As the saying goes something like this : "Don't criticise me until you walk a mile in my shoes....."
Must of slept thru M3 & 4 and PGY 1 & 2 lol
Honestly no special should ever try to call rank in the er. The er nurses can handle any random-serve case that runs through the doors with the treat of death in the air. Yes specialists have alot more training in 1 era but they have the luxury of nice calm environments were the patient comes to them with something they can atleast partially treat.
😂😂🎉🎉
How do you get through M3, M4, intern year without seeing hundreds of codes? Neuro intern year is just internal medicine without the clinic (in other words, even more inpatient internal medicine than the internal medicine people). Hard to imagine getting close to that level and being so out of depth.
I mean, maybe logistics and dosing of second and third line pressors or something very crit-care oriented he might forget after intern year. But it's hard to get close to that far without knowing ACS basics. You can't really get through intern year without seeing this stuff routinely.
I’m so happy you included “Absence seizures in a 40 year old”, “A&Ox4”, and the fear of giving tPA to a patient who needed it when they came through the door 70 minutes ago. I hope your short video brings great change to the world.
Me not understanding but liking the comment anyway…. 🙋🏻♀️
@@kaylahall1219 oh I googled it. tPA is what I was given when I had my stroke.
@@IvyPearsonUnderwaterthe fear is that if you give it for a hemmhoragic stroke you will likely kill the patient, but if it is an ischemic stroke you want to give it ASAP.
@@uruglytoo indeed! thank you
Can you explain what's wrong with A&Ox4 ?
Dr G is amazing at getting to the core of things and portraying reality in a funny way. I saw a farmer and his wife in my transplant clinic last week. We were chatting at the end of the visit, and I introduced them to the video on the “Farmer Pain Scale”. They were both dying laughing at how accurate the portrayal was and immediately sent links to all their fellow farmers!
He wakes up in a tie.😀
perfectly knotted tie and white dress shirt (read: perfectionistic and uptight even while sleeping). lol
And PS: while I was at my recent visit the neurologist he asked if I had any other questions and I said yes, “I’m a big fan of Dr Glaukomflecken!… Are you?” 😊 and he said he was!! True story 😂
I’m a neurologist and I approve this message
Im waiting for the weekly neurologist meeting where they sample the tears and compare levels of stupidity (think wine moms crossed with sommeliers)
I’ve watched so many of these videos in the last 3 days that I’m genuinely starting to think that each character is a distinct person and not just one guy….
I'm a psychiatrist, and I'm pretty sure I'm the weird stuff doctor :D
You should be, but the problem with Neurology is that they are the ones called STAT, called first, called at 3 AM, called on holidays to rule-out anything "neurologic" before a non-urgent Psych consult is placed.
I have had 3 different neurologists. (Seriously people. Traumatic brain injury is a real thing, especially when it’s permanent. Move the stepladder!) Two have made this Neuro look sweet. The current one is absolutely fabulous and doesn’t treat me like an idiot. So refreshing.
Every time he puts on the lensless frames, I think "why would I wear contacts? My eyes are perfect"
I just had my neurology rotation (im a med student from Turkey) and it made me appreciate the neurologist character wayyyy more. so accurate, laughed out loud. unbelievable how universal these are.
I recently had to see a neurologist for some unsettling hearing symptoms I was having and honestly he was the nicest person I've ever met in my life
Your a patient not a doctor of a different speciality you were totally safe.
@@Ushio01 Valid! I just can't imagine this guy being mean to anyone ever. He was just so soft spoken and lovely. Mind you... he did mention a colleague and what his colleague would do (in a way to be like, 'other neurologists would do this, but I don't think its necessary'), so perhaps the cracks of superiority were showing 😂
All two neurologists I've met so far in my medical training have been wonderful and encouraging, but they were also the only ones interested in training medical students, so we'll see if they are the exception or the rule 😂
Performing self-neurologic examinations every morning is gold 👌👌
The way you displayed the props for this neurology-inspired video are elegant and amazing. I died laughing!
Why does an ophthalmologist have 5 kinds of reflex testing tools? I wonder if his friends make him sign a rental agreement when he borrows their equipment. 😂
I have epilepsy. Juvenile Myoclonus Epilepticus, diagnosed at 10 when I almost drowned in the bathtub. I have absence, myoclonic, and tonic clonic seizures that are well controlled with meds, acupuncture, medicinal herbs and lifestyle. It was cool being able to understand all the neurologist said here and know why he was asking the questions he was. The question doctors never ask me: what do the seizures feel like when you have them?
Its actually an intense release of emotional and physical tension so yes Im exhausted but it's a gauge for how well I have or haven't been taking care of myself. So now I haven't had them because I keep that in mind. I think just telling ppl to manage their stress doesnt always land because its so vague. Explaining that your brain processes it differently than everyone else and that if stress isnt managed seizures will occur emphasizes how vital it is in a way that is digestible. Food for thought.
Can we get the dentist to chime in on how the neurologist is brushing his teeth wrong?
A dentist? On a SATURDAY?!
Might as well get the ophthalmologist in too and make it a Saturday trifecta. Golf cleats be damned!
@@GaryDunion My dentist texted me this morning.
(Yes, it was because he had an IT question, but it does prove dentists exist on Saturdays.)
@@jonc4403 They exist, but only on the golf course
@@GaryDunion With extra money, anything is possible.
I am just excited by the portrayal of a doctor who is excited and prepared to be on call.
I’ve known one great neurologist(Dr. Hamilton was an excellent teacher) and one crazy neuroanatomy teacher. Dr. Chronister, RIP, would act out every stroke, every gait disorder you ever heard of and many I’ve never seen again, and every neuro deficit you could imagine. Watching him bounce from one side of the room to the other was amazing! Why don’t you send the stuck up neurologist back to school? See how much his neuroanatomy teacher can trip him up.
I'm shrieking in utter amusement the whole way through. So accurate. I'm PM&R and would not use anything but the last reflex hammer. This is such a masterpiece.
You are such a good actor! You become a different person with just a slight change of posture and facial expression. Impressive
Best quote ever: "do you hear that? That's the penumbra screaming for help!"
@Dr. Glaucomflecken Please we need this on a shirt! 🙏 I’m a neurologist and I would proudly wear it to work 😬
As someone who works in neuro, this is surprisingly accurate and I like it.
I would pay money to see a nurse preceptor or a charge nurse have a 'small conversation ' with Neurology about how he made the new nurses cry and afraid to speak to him. I want to see a mama bear defending her little cubs lol
Absolutely! I'll second that!
Played by Julia J Nurse. It's the crossover we need
@@sarahk2722 I second this!
Neuromuscular neurologist here - muscle stretch reflexes NOT deep tendon reflexes! Yessssss! I won't stop smiling for a week
The Queen reflex hammer was such a great detail and is 100% accurate.
Oh man, so many flashbacks! I was a healthyish kid until suddenly I wasn't at age 13. Ended up spending 40 hours a week at different doctors' offices for years. At the pediatric neurologist's office, my mom and I gimped along through a hallway to get to the exam room, passed two guys just as one was telling the other with barely contained rage, "I HATE kids!"
Yes, that turned out to be my doctor and no, we didn't just catch him on a bad day. He really was actually at least as bad as he sounds. Thankfully, I have met other neurologists since then and they have all seemed like they deserve congeniality trophies by comparison.
Surprisingly, most attendings I've met in Peds actually don't like kids. I never understood it...
@@ClearlyPixelated That's both crazy, and too bad, both for them and the kids. 😕
@@ClearlyPixelated as a new RN putting an IV in a little kid was one of the most traumatic things I ever did. I hated treating kids, because I didn’t want to cause them more pain, so I went into adult cardiology. I think the folks who love children can’t really handle the stress of treating kids (and their parents) and so the pediatric specialists are self-selected. In other words, they are the ones who don’t care if it’s a kid or an adult, and let their staff handle the cutesy kid interactions.
@@tagalonggal Oh wow, I could really picture that being the case. Interesting theory.
@@tagalonggal totally true . i avoid kids at all costs. when they are sick i just cant hamdle
Our ER only has Tele-Neuro, it's kind of wonderful because you just send the company a report of what you're concerned about and the nurses roll the big computer and monitor into the room and the neurologist does their evaluation and contacts you with their recommendations. Avoids lots of....unhelpful discussions.
Oh yeah never talk to each other. That's a waste
@@denise3885 Lol, honestly sometimes initial calls can be. It's great to have a specialist get a general idea of the concern and then just see the patient for themselves and then discuss their recommendations. So yes, in that sense sometimes the tele-health specialty services that more rural hospitals need to use can be great.
The hospitals I've been at with Tele-Neuro are watching someone on a screen repeat the exam I already did (but worse), and then give more-or-less useless recs. Glad to be moving to a L1 Trauma Center shortly.
@@Ananvil Just like your telerads there are good and bad companies. But yes, often their recs are exactly what we already know is needed, and when you already know the patient can stay, it’s more convenient to just have tele neuro do their thing and give the ok than bicker with an actual on-call neurologist sometimes. Best of luck at the lvl 1, don’t get lazy now!
So sad that doctors can't talk to each other directly
Left-handedness turns 80year old patients with aphasia and mild weakness of the left limbs from "probably just dehydration" into "oh my god, every minute counts we need imaging stat and someone call the stroke nurse to prepare the rt-PA"
How??
Isn't aphasia and unilateral weakness a sign for stroke regardless of handedness?
Who knew us south paws were so neurologically complicated 😜
@@moo3oo3oo3 Yes, but if the clinical symptoms don't match up, I'd be hesitant to do an aggressive treatment like a thrombolysis. Unilateral weakness of the left side is a sign of a stroke in the right brain hemisphere. Aphasia is a sign of a stroke in the left brain hemisphere. Except for left-handed people, a portion of whose speech center is located in the right hemisphere.
i’d love to see a vid of the neurologist having all his questions answered perfectly and he just stands there in shock
That really would be pretty funny.
its amazing there are so many doctors sitting on u tube watching this! i should probably be on my EMR working...
Jonathan milked those tears out of the med students nodding all the way!
I met my first neurologist today. The most pretentious person I've ever met, and I was sorely tempted to ask him if he's ever watched Dr. Glauc xD
"That's the penumbra screaming for help." Time is brain, people!!!!!
No idea about what was just discussed, but the snark factor was on point.
You just made my Sunday morning happier ❤
Greetings from the Western Hemisphere!
@@JDH324 which part of it are you in? Gippsland, Victoria, Australia here. Cold, windy, and raining.
It’s Sunday already? I better hurry up.
Gotta love that fresh off queue scent of a new Glaucomflecken video! :-D Brightens my day!
I love the neurologist so much. It's just so hilariously extreme in the stereotype. And who doesn't love Grieg? "I'm the weird stuff doctor" lol
Gotta say, those first 30 seconds really hit different while recovering from a concussion. I'm like "I also do those exercises every morning"
GAH. This the spirit of our on call dearly departed neurologist circa 1992. The ED docs drew staws to see who'd have to deal with him.
At least this one has a weird charm about him. Our had a slime coat of smug.😂
Working as a transfer center operator, all we ever heard our on call neurologist say was "give them a loading dose of keppra and have them contact the clinic tomorrow " 😂
It gives me immense pleasure to just sit back watch how your great sense of humour is making my brain giggle, your videos are addiction worthy I lovvvvvve it!!!!!!!!
"Oh I'm the weird stuff doctor? I guess you're the 'I don't know what I'm doing' doctor"
Even surgery ain't gonna heal dat sick burn. 😂
This is great he goes from exited to hear case to roasting doctors.
The neurologist remains my favorite toon. Might be the hair, glasses, or expression(s) but this character looks the most unique with the helmeted ER doc coming in second.
This channel also made me look up what a "Queen's Square" is, which is a nice piece of info to amaze/bore my colleagues in engineering.
This is so funny! Whatever the circular reflex hammer is, my neurosurgeon loves that thing and won't test reflexes without it. My first appointment, her poor PA tried to use a stethoscope for reflexes and she walked in midway and gave such a look 😂. The stethoscope as a reflex hammer disapproval is real!
Lol, dude really did a neuro PE on himself for his morning routine.
The sky is orange, my feet are hamburgers!!!! 🤣🤣🤣🤣 That's a good one!!!
And here I always thought my father’s air of condescension and sharp humor were unique to him. Apparently it goes with the profession!
There is something both relaxing and warped about seeing Neurology happy in his natural habitat, powered by the sweet taste of med student's tears. Like an Apex Predator limbering up for their next meal. Oh, and the 'weird' call was from ER, right? 😂
I am seeing a new neurologist soon and started doing some research about them. I found their Twitter account and this is one of their re tweets. I have followed you for years and this knowledge made me feel better about my appointment. Thank Doc!
A young resident neurologist actually discovered I have carpal tunnel while talking about my migraines with the pin prick test. Deeply appreciate that.
He knew we needed more neurologist roasting, and he delivered.
You are funnier than 99% of actual professional comedians. Incredible talent lol
The nephrologist would not approve of his increased sodium intake from drinking med student tears all day long.
It’s a worry when these videos actually teach you things you’re doing wrong 😂👀
A neurologist just made a judgment call that saved my life. I love the entire profession!
And here I thought the rheumatologists were the weird stuff doctors. 😂
I don't have the time nor the crayons to explain this to you. Chef's kiss
"Higher cortical functions? Obviously" 😂😂😂
I absolutely LOVE your skits!! Please keep them up! It's my daily dose of funny!!!!
Neurologist has been getting a lot of love recently
When he drank the med student tears I spat out my drink. Hilarious!!
I have no background in medicine, but I'm always amazed how well you nail the characterizations such that a lamen like me can instantly recognize it.
Loved the Med student tears, but really cracked up when he testing his eye / hand coordination in the mirror.
Not the hair style with the med student tears 😂😂😂
Reaching for the Babinski, the sign of a true professional
This is the only doc that isn’t ripped straight out of my hospital, I swear. The neurology team are some of the nicest, most helpful people that come to our unit.
Neurosurgery, on the other hand…!
I mean… he seems about as helpful as every neurologist I’ve ever seen.
Dr.Glaucomflecken, your comedic mind is brilliant. You make me laugh out loud every single day! Thank you from this RN, who has had a 40 years career and counting……
as a neurology resident who was just paged to perform a physical exam for pediatrics, i need to learn some of these quips
This is your best yet! I love the idea of them doing a self exam to get ready for the day!
Lol @ pitcher full of medical student tears! 😂😂
This one made my day! I just had my last day of call as a neurology resident. I was in tears by the end.
That hair… such attention to detail in a 2 min skit wasn’t necessary but is truly appreciated 😂👍🏼