There's also another episode much later series where Elliot and JD are treating an old man for MS but it's actually the daughter who has it, but she doesn't have insurance and the father does. I believe this kind of insurance dance happens quite a lot in the US
Outside of the US too in Trinidad and Tobago. I don't have insurance and I may need very expensive immunotherapy soon. Both my parents have insurance. I just turned 25 so I'm no longer on theirs. The difference being I've already gotten tens of thousands of dollars of chemo free from my country's government before they decide that I'd need the immunotherapy.
Battles between doctors and insurance companies are, in fact, all too common in the US. My own recent experience: I was in a skilled nursing/physical rehab facility because I couldn't walk without a special brace to relieve pressure on my heel (long story). Three doctors certified the medical necessity of this brace. The insurance company withheld approval for *three months*! The insanity was that the same insurance company was paying for my stay in the facility, to the tune of $600/day. So they were just costing themselves thousands of dollars. In the meantime, I was flat on my back for three months for no reason other than I was waiting for this brace. When the brace was approved, I needed another three weeks to recover the ability to walk after my prolonged bed rest. I finally got home last month. Just crazy.
hope you're doing better and also paying attention to your mental health. after i'd have prolonged medical crises, my mental health would always take a dip. wishing you the best!
@@mars_mayday Thank you for your kind thoughts. This has been quite an ordeal--the whole drama lasting 18 months. Even with all of the support I received in the nursing facility, going home was the greatest lift to my spirits.
I despise the insurance game so much. You pay for years to have that safety net and then they drag out the payments when you need it. It's despicable. All happy to collect their massive fee but when it's time to do what they're supposed to, the drag their feet like a four year old who's been told to go to bed. And like you pointed out, in the end it usually costs them more because they wasted time. Which is even more aggravating in some way.
When I was young my parents had great health insurance. My cousin who was the same age as me, none at all. If she was ill or needed a check up she would use my health card. I am sure my file is all messy because of it. I got a fresh start moving to Europe and I live in a country try where kids are covered by the government. I doubt we were the only family doing this
Seing this episode is a fantastic contrast to waaaaaay later when Cox becomes chief of medicine, him realising Kelso still wanted to be a good person that had to deal with a ton of shit. And that also somebody like Cox was important to keep the good will towards the patients alive. so JD becomes Cox's...Cox.
Season 5, Episode 4 My Jiggly Ball was a really good example of how Dr. Kelso had to make a hard decision for the "greater" good, and the weight that he carries because of it.
I really like how Dr. Kelso and Dr. Cox are both right in their own ways. They're both absolute jerks, but even if you're on Dr. Cox' team you can't deny that Dr. Kelso has some valid points. If the hosipital goes broke, nobody will get treated.
"If the hospital goes broke, nobody will get treated." Which is the crux of the systemic problem. The idea that helping people literally survive and not suffer is only allowed if cash exchanges hands is, when you think about it, pretty fucked.
Which is why it shouldn't be a for profit business with pointless insurance in between complicating everything and increasing costs. Like every other country.
It's much more complicated though. There are hospitals near me that run in the red. They are often critical access hospitals. They'll get funding from the state to stay open but never enough to cover their bills.
@@pucksapprentice Hospitals, like the post office and fire departments, should be services, not businesses. "making money" isn't what they should be doing.
@@IceMetalPunkNo, it's pretty standard. As much as people may not like it, you don't have a right to food, water, medical treatment, shelter, or any of that. You have a right to pursue those things, but they are not basic human rights. If they were, then it would be a human rights violation to not give those things to someone that is asking for them, and I'm sure you can imagine why something like that would be horrible. Take away civilization, take away people, cars, technology, all of that. It's just you and nature: who's paying for your medical treatment? Money is simply a stand in for work. Before society, you had to *work* to survive. You had to hunt your own food, collect and purify your own water, treat your own injuries, make your own shelter, and so on. Now we have the division of labor so you don't have to waste all of your time learning how to be mediocre/good in a ton of different skills, and you can just focus on excelling in a few areas. The same goes for everyone else. That's why we have money. Your labor is worth x amount, and someone else's labor is worth y amount. It costs money to provide for yourself because it requires *work* to provide for yourself. This is a fact of life and will always be so.
Speaking of things up people's bottoms, I just saw a case report involving a candle. The health workers figured that water that was hot enough to melt wax but not hot enough to scald would do the trick - and it did! They melted the candle out.
It's fascinating watching these again with an actual doctor. I hope you get to go through the whole series. It's something i can imagine people would endlessly binge.
Last year i had a patient, older man in his 60s, with a full-sized flashlight in him. Required surgery and a post-op ICU stay. Last week i had a meth addict tree service man who was doing his job high in both senses of the word, fell out of the tree and got a branch up his butt.
My favorite joke in all of Scrubs is in this episode. JD is teasing Elliot about flashing everyone and Elliot says, "I'm waiting for the 'but,' " and JD says, " So's everyone else around here." 😂
the thing is in the US the reason healthcare is so expensive is because insurence companies wanted discounts, so hospitals raised prices and then discounted them for insurence companies so they still made teh same amount of money. but uninsured patients get their healthcare costs waived ALL THE TIME. guy was uninsured got bit by a snake really bad and needed like 800k worth of antivenom and they waived all of that, so he was only left with the price of the supportive care, which was like 20k.
As a firefighter/paramedic, 99 percent of the time it's "I slipped in the shower and fell on it." It's really amazing what objects people decide to bring into the shower with them 😂
I work in a hospital in Tennessee in the US. We do not pay much attention to what insurance, if any, a patient has for hospital procedures or treatment. Exceptions would be if the follow-up outpatient care post-treatment would not be financially feasible. So, insurance might influence the leg of treatment your doctor uses because of the patient's ability to afford what happens next. But, that's only if other options are available. If you really need it you get it. We have treated people, on numerous occasions, when we know there is no way we will ever get compensated. And, and ED cannot turn you away because you don't have insurance. All that being said, I see both sides of the issue. We are a group of hospitals in the county. Our particular hospital will always lose money just because of the patient mix. Our sister hospitals earn the money for our system because their payer mix is much better. We are non-profit. If we don't treat, wrong. If we go broke and shut down, tragic. Lastly, no you can't covertly use one patient's identity for another due to levels of insurance. It's identity theft. Even if you tired to do it it wouldn't likely work today. The nurse, the nurse's aids, the transporters, the pharmacy, the surgical team, x-ray techs, phlebotomists, and a score of others would have to be involved and be onboard. Orders would get comingled and cause all kinds of errors that would endanger both patients. It just wouldn't work. You could get away with it for a single isolated item. But, never a complicated series of orders an operation would entail. And, it wouldn't be needed. She'd get the procedure, eventually be billed, and she just would never pay. She'd go bankrupt or default and that's about it in the US.
Enjoyed your comments about remembering doctors' names. When I went through surgery last year I had trouble with my surgeon's name, till he told me it was pronounced "like the computer". I still can't spell it right, but fondly remember Doctor IMac!
I work in a U.S. hospital in quality and compliance, and we have signs everywhere that indicate that you will still receive the care you need, regardless of your ability to pay. We are also considered a “government” hospital as we are a small, rural, county hospital so that might make a difference. If we were a private Catholic hospital, they might not operate in the same way as far as insurance goes.
Thank you for letting us know. Many years ago, when my family lived in Nevada. There was a clinic funded by the community and two or three rich patrons. They helped out many patients who had and didn't have insurance, but those who didn't have insurance had to have a legal ID card/or driver's license, and a bill proving of their residence in the area. And two recent paystubs. They helped many who couldn't afford to see an immediate professional. Although, if someone walked in and needed some immediate surgery or a specialized treatment, they were sent to the hospital. I don't know how the hospital billed them and if they let the patients stay in for more than two days for recovery. I was very young. We went back in 2011, and it is government funded by then. The doctors (2 of them) recognized me and my cousin. They are doing great!
The correct thing is to only provide the limited emergency dept care you are mandated to provide and then discharge the patient. Actually curing patients who can't pay up seems ill advised
@John Smith Absolutely. As I stated, I was very young then and only knew of this fact because I asked my uncle. Today, there have been many changes because of the Gov't restructure of presidency and medical care laws.
I've never heard of doctors going that far to get around insurance issues, but rules have been... bent before? For example, I had been seen with my partner in one appointment so we wouldn't have to pay for two separate appointments before.
My audiologist didn't bill me for about a year despite the fact that they weren't in network with my medicaid. For regular appointments mind you. I was still on the hook for hearing aid stuff.
i wanted to suggest that, as the x-ray in the intro is also on the wrong side, but i didn't know if there was a way to tell. also, it could be due to the camera shot, though i'm not sure how muchvthey pay attention to this in these kinda tv series.
@@antille666the x-ray being the wrong way round in the intro is a running joke. In one of the later seasons a character fixes it and says it's "been bugging them for years"
I'm always happy to see more Scrubs. Definitely gotta putt all these videos in a playlist. I'm down to rewatch the series through this lens. Such a good show and this insight and commentary makes it so much better. Pointing out the accuracies and inaccuracies is great. Who would've thought learning could be so fun?
Heck this kind of odd medical shenanigan's occurs in Canada. I blew out my right shoulder about 15 years ago, and couldn't afford physio, my doctors made a case to the hospital admins that covering the physio would actually save them money in the long run, rather then to continue to provided bandage solutions to recurring problems that would likely last the rest of my life.
5:09 it definitely happens because it's covered quite a few times in Scrubs and Scrubs is known for being the most realistic medical show due to the shows creator being best friends with a doctor who he would run everything by.
All about money? Never! There was two hospitals near me that were taken over by private equity funds that immediately laid off the majority of workers, stopped paying invoices, and basically leave it unstaffed and with no supplies providing subpar care til they were forced to declare bankruptcy and close. (The medical billing dept wasn’t affected by layoffs obviously). All the money they raided from the hospital was paid in cash to another company (same executives of course). So the whole thing was a scheme to make quick cash and left patients and everyone in the county with no care. But hey they made $12 million in cash and are gonna make even more when they sell the land.
Scrubs was one of my favorite shows that I watched a lot that made me feel better when I was down. I'm so glad your breaking down the first season. Seeing these moments again with your reaction has me laughing out loud.
I have ARPKD/Congenital Hepatic Fibrosis and portal hypertension and I've heard the term TIPS used by doctors since I was a little kid but never fully understood what it meant, so thank you for explaining it so clearly here. 😊 (I've also had more than one doctor try to fight insurance companies on my behalf, unsuccessfully both times. It's really frustrating to try to navigate the US medical system.)
Lovely stuff! From a GI perspective I have some nitpicks on 7:33 - actually a TIPS predisposes to encephalopathy as it allows the toxins to bypass the liver (which otherwise metabolises them) and cause encephalopathy. In fact manifest encephalopathy is a relative contraindication for TIPS. Also TIPS doesn't do anything about jaundice. The main indications for TIPS is recurrent ascites and variceal bleeding (and in rarer cases HRS and bleeding portal hypertensive enteropathy). So Dr Cox seems worryingly confused on his hepatology...
Scrubs has a few episodes that I think do a good job showing the difficulty hospitals face in balancing making a profit and helping people. My Jiggly Ball is a great one imo.
Yeah I think you're correct. You can see the white R in the bottom right of the image. This is a metal marker that radiographers will place when they take the image to make Left and Right clear. If you were viewing the patient front on as is the convention, this should be on the left. So yeah, the bottle and the wrench are correctly pointing to the patient's left, going up the descending colon
A bit late with a comment. I have watched many doctor videos on you tube and I prefer yours to all the others. You appear to be humble, genuine and sincere as well as knowledgeable. I worked in a hospital for 20 years(as an orderly) mostly in the psychiatric department. I have found most physicians to be highly competent and approachable(with a few exceptions). I also have seen numerous situations in which nurses were instrumental in making certain that the doctor's patient care was appropriate for the given patient. Doctors sometimes prescribed medications and/or treatments that were potentially dangerous for patients and in every case I was aware of in my department, the nurses brought the issue to the doctor's attention and as a result harm to the patient was averted. Note that I said numerous situations but this was over 20 years so these cases were still quite rare. The role of the nurses was critical in providing quality care.
I wonder how common the “Ass Box” is? Because I heard a story about an Australian surgeon with one. Allegedly, he had a guy come in with a hammer stuck up there, and when he asked if he could put it in the collection he was told “No, it’s part of a set”.
Loving the Scrubs reactions. Any chance we could see you react to the season 4 episode, My First Kill? I've always been curious as to how true Dr. Cox's speech early in the episode is.
3:45 - You might want to skip ahead to Season 3, Episode 2 for a moment. I think you'll appreciate a certain joke. 8:26 - This won't be the last time Scrubs has fun with ass slides, either. 💡 14:35 - Wait until you see the 'Miracle Five'.
I seem to remember that the Scrubs staff put Xrays up the wrong way around. Theres an "R" on the slides on the side you'd usually have an "L" - so I guess those items are actually going to the left half of the bodies they're "stuck in".
Do US Doctors have to consider what the patients insurance covers before doing a procedure? I wish this was the only fallout from our "system". Expensive procedures often require pre-approval by the insurance provider to be covered, so the doctor has to take time to call in and get it. They can, and frequently do, demand a second opinion before pre-approval. Why the insurance companies aren't charged with practicing medicine without a license, since they are the ones effectively deciding what treatments are available for each patient, I don't know, except they are the ones with the money for lobbyists.
About Buzzlight year and Wine up the back...with a pulmonologist in my family who once dislodged an entire chicken breast from the lung of a patient, I have come to learn that if the body can hold a 10lb baby, the body can hold a LOT of wild things.
One of the biggest complaints of doctors in the USA is fighting Medical Insurance companies. They only drove costs up by causing hospitals to have to hire people to do the administrative work to deal with them.
I'm always amazed by how amazed people in other countries are about the horrors of our healthcare system in the U.S. Yes, we let more than 45,000 people DIE every single year just because they lack health insurance. It's barbaric.
I believe now most hospitals will still assist you even if you don't have insurance and have programs that will assist you in paying for the bill but the amount of debt that is built up from a single hospital visit especially is still very extreme and inhumane. What Doctor Cox did though was Insurance fraud and could end up with him being jailed and stripped of his medical license.
Sad you didn't include the bit where they took the Ass Box lightbulb and put it in Dr.Kelso's room... Also I'm sure you hear this a lot but you are gorgeous. Your smile is wonderful.
I'm impressed that you got that. I'm a biochemist so obviously I knew, I know everything about everything when it comes to this and that is why we're pretty much universally hated by doctors. We can interpret anything by chemical analysis but that is the thing, we know it based on that but you give me symptoms and I have no idea what is going on. Or maybe... sometimes I would because its been 30 years and you know the connections.... But still.
My dad was the head of the ER in my hometown and one thing he saw was a fish inserted in someone’s rectum. It thawed out and the bones splayed and they couldn’t remove it. The tail was sticking out a little, but the bones would dig into the lining of the descending colon and rectum when he tried to remove it himself. He was very embarrassed and in some significant discomfort. (I was told this story years later after we moved and his health forced him into private practice; still have no clue who it was!) My dad to this day still isn’t fond of fish. 😬
Insurance is a major issue as some doctors will only treat those with a decent insurance. I'm pretty lucky because hospitals in Florida have to treat no matter what no matter insurance status but sometimes up north people can get the bare minimum of treatment before being thrown back to the wolves as it were. I've heard of cases of broken legs which get amputated and closed when its a relatively easy fix but because of no insurance, amputation is performed along with a hospital stay. sometimes a washout is performed without ever fixing a bone because of insurance issues. its a fricking nightmare.
i still remember that news story of the guy who went into a hospital with a WW1 artillery shell up his arse and they had to evacuate the area. Talk about shell shocked
I'm a brit living in Texas and I work for a cancer charity so I'm having to deal with the mercenary nature of the US health system daily. Even Medicare comes with co-pays, many of which seniors can't afford if they don't have a private pension, and even if they do have retirement funds the cost of chronic illness rips through it real quick. Fun Fact, Scrubs ended a week before the Affordable Care Act was written into law, so the ability for poor people to get half-decent health insurance was even WORSE than it is today for its entire run time.
"surely you'd need to insert the wine bottle with the neck first." Oh you wonderful, innocent man you. Stay forever pure, and let not the Internet corrupt you ...
When he said that I burst out laughing. The fact that he doesnt out right reject it, but instead speculates on how it could be done…good lord he must’ve seen some things.
since Ed has what's a rebel insignia in the background, I'm wondering if he's ever uploaded a video of Star Wars related medical problems. I'm going to suppose that there would be at some point, I'm going to have to wait for it.
5:22 can clearly see she's wearing clothes underneath. But man does she look good. 9:00 you'd be surprised how big objects some people are able to put up there and push out again. I've seen at least 3 women that could definitely make it fit, even with the bottom of the flask going first. Also at least inserting it that way allows you to pull it back out by grabbing the neck of the bottle, not as smooth entry but a much smoother exit to it. 9:53 as far as I know the buzz lightyear figures allow you to push a button to extend out his jetpack thing so I can imagine if being rather hard to remove him if that were to happen while inside... 11:49 I had so many of these as a kid slipping on ice and falling on my face.
I've definitely heard of who's insurance is paying for what getting fudged before. Maybe not as uncommon as you might think (though I imagine more common in past years than now)
I always thought that the business & insurance based medical system of the US seemed really awful, but one of the recent videos you had with Dr Mike showed a good point that because they run as a business they have to work good and fast to make the money - while in countries with free health care it can take way longer for a necessary procedure to go through. Still with the amount of horror and fraud stories we here I still think the free health care is the better system, there is room to improve of course and I wish there was a way to have a good in-between where people could get the procedures they need efficiently without needing to be rich.
If you look really really closely at the xrays, you'll see that the bottle is going up the left side. The right is marked in the corner and is backwards. Therefore the xray is backwards.
Ok, it is just me that happened? because it 2 times already i have written a comment here and it just disappeared for some strange reason, it was about possible reaction from Doctors like this guy and Dr. Mike to some Kurzgesagt videos like for example "The Reason Why Cancer is so Hard to Beat" made 6 days ago you know, it would have been interesting experience, no?
Time to apply for the grant to investigate whether flashing helps with recovery and to what degree. This would have to be a long multiple year research study.
Part of the other unethical shit the Nazi's pulled was actualy like this. They tested treatments for hypothemia, by dunking 'volenters' (ha no) into freezing baths then tested various ways of improving outcomes afterwards, one of the methods was having naked women in the room. FYI they discovered that drying and warming up was best.
I was super hooked on this show and dead set on who I liked and why, until Dr Kelso leaves and Dr. Cox takes his place...and found I wasn't as right about certain people as I thought. I'd love to see some reactions to those compared to these. Thanks for you time and energy Doc to enlighten us.
@Dr Hope’s Sick Notes Could you review doctor who episodes for medical ‘accuracy’ such as The rebel flesh/The almost people two parter, Deep breath, sleep no more or The Lazarus experiment please
This is really hard in the US and the patients who are more wise to it know full well it happens. Doctors either have to really really trust the patients they do it with or have to make sure that the patients are so medically illiterate that they won't be asked or know what's going on -- probably this episode has something on the very very extreme side but minor manipulations in insurance happen ALL the time due to just how horrible our insurances are even when sometimes we have the extremely high end insurance. In the US managed care has really clamped down on what patients can get even when it's medically necessary and the delays and suffering that occurs is horrible. I had a doctor that I saw for several years and I was getting a procedure with him that was covered, then my HMO (managed care organization insurance) decided not to cover it anymore for no really great reason other than that they could ban it and try to save money by saying I could just get something different -- so I appealed but found the different things I could get were either things that had failed or were less effective things that weren't covered by insurance either (in my case it was prolotherapy procedures -- they said I could get dry needling or acupuncture instead but none of that was covered and didn't work for my hypermobility issues that were causing severe pain and dislocations, PT and chiropractic had made me far worse -- the prolotherapy was a life saver). I had fought out appeals and won but found out a few years later when my records went online that my final round of records my doctor who was leaving had quit fighting them and had coded them as trigger point injections and probably just bought the dextrose himself (even though I had won the right to it we always had to do authorizations and I think it just took him so much time and energy he didn't feel like fighting for it). That's another aspect that they don't talk about with insurance and managed care is that you can fight and appeal, but the doctor's have to write the PAs and it takes them hours of paperwork that they don't get paid to do. When he left, I ended up with his mentor, only my most recent records were online and I did not know he had ever done this (I wish he'd told me so that I hadn't been blindsided haha, I would have understood), but I ended up with his old mentor. His old mentor was past retirement age still working and the former doc was about my age. His mentor didn't know me yet and asked me in a delicate way if I was confused about having the procedure that I requested since it was a specialized procedure usually not covered by insurance. I paused for a moment and said... "Between us with patient-doctor confidentiality, I fought insurance for years and if you get my old records you'll see I've had prolotherapy before. And I've actually never had trigger point injections aside from a couple in bad muscles during prolotherapy procedures since my problem is my ligaments. I know what I've had and what I haven't. However, if my HMO ever calls me and asks I will be the most confused and dumbest patient that you've ever seen and will tell them I have no idea what I had or didn't have and don't know the difference since I"m not a MD.... but between the two of us, I had prolotherapy, only prolotherapy and I know I had it. Your old student was just trying to help me not go through the stress of delays again I'm sure if my insurance was requesting a long PA again and coded it as trigger point injections, but I'll never admit it outside of this room." The older doctor stared at me for a second, and then started laughing and said, "Good boy, that's just how I taught him." And then started filling out more of the paperwork on my file, haha, so he was like the real Dr. Cox of the whole system training younger doctors to know when to fight insurance.
I'm only comfortable telling this story since I don't use HMO insurances anymore, the first doctor did all this way past the statute of limitations in time ago and isn't working in our area or our country I don't think, and the older doctor passed away almost 10 years ago -- otherwise even under a pseudonym I wouldn't tell this story.
But the sad thing is that like a lot of other people's comments in this -- I've seen insurances pay for millions in hospitalizations, unnecessary and likely to fail surgeries, and nursing home stays for patients where if they just covered something else that is much much cheaper (like these injections were only $200 per session at the time or less), but they would pay for me to stay in the hospital for up to a month at a time for incapacitation or if we'd had better neurosurgeons / spinal surgeons would've paid for high risk, likely to fail surgeries when I'd already failed several other surgeries and had to get harware removed (meaning they had to pay for at least 3-4 surgeries just for one joint for the failures and debridements, let alone the rehabs and problems when these 200 dollar injections were already working). I saw many other people with the same conditions as me in other areas saying that they knew their surgeries would probably fail and make things worse but they would do them anyway since they were covered and they couldn't afford out of pocket for the injections. It's just madness here.
My first job in high school was at a McDonald's. My first name is Erin, but there was a manager there who always called me "Erica." I told him that wasn't my name. The other managers told him that wasn't my name. My nametag told him that wasn't my name. The schedule told him that wasn't my name. ...He never called me by my actual name.
8:44 I think the X-Rays are the wrong way around. The little R in the bottom right corner suggests that the rectally inserted items actually go to the left I think.
How would you set up a double-blind RCT to check if Elliott flashing patients actually helped them? Would the control group be flashed by people with equally attractive body parts to rule out placebo effect?
Ed! I messaged you a few years ago telling you I got into med school. Well, I have 1.5 years to go now! I’m 70% a doctor ❤
Woohooo congrats! Hope you are enjoying clinical medicine
@@DrHopeSickNotes way better than the sciencey years 😂
Congratulations Ammie Cat! Good luck in your further studies!
Congratulations, you're doing great!
.5 years now to go. Congrats. I hope that you are having a great time learning to be a doctor.
There's also another episode much later series where Elliot and JD are treating an old man for MS but it's actually the daughter who has it, but she doesn't have insurance and the father does. I believe this kind of insurance dance happens quite a lot in the US
Outside of the US too in Trinidad and Tobago. I don't have insurance and I may need very expensive immunotherapy soon. Both my parents have insurance. I just turned 25 so I'm no longer on theirs. The difference being I've already gotten tens of thousands of dollars of chemo free from my country's government before they decide that I'd need the immunotherapy.
Battles between doctors and insurance companies are, in fact, all too common in the US. My own recent experience: I was in a skilled nursing/physical rehab facility because I couldn't walk without a special brace to relieve pressure on my heel (long story). Three doctors certified the medical necessity of this brace. The insurance company withheld approval for *three months*! The insanity was that the same insurance company was paying for my stay in the facility, to the tune of $600/day. So they were just costing themselves thousands of dollars. In the meantime, I was flat on my back for three months for no reason other than I was waiting for this brace. When the brace was approved, I needed another three weeks to recover the ability to walk after my prolonged bed rest. I finally got home last month. Just crazy.
It happens all the time. Insurance rejecting appendectomies and other necessary procedure. It's all a sham
hope you're doing better and also paying attention to your mental health. after i'd have prolonged medical crises, my mental health would always take a dip. wishing you the best!
@@mars_mayday Thank you for your kind thoughts. This has been quite an ordeal--the whole drama lasting 18 months. Even with all of the support I received in the nursing facility, going home was the greatest lift to my spirits.
Im so sorry you have to live in such a backwards country.
I despise the insurance game so much. You pay for years to have that safety net and then they drag out the payments when you need it. It's despicable. All happy to collect their massive fee but when it's time to do what they're supposed to, the drag their feet like a four year old who's been told to go to bed.
And like you pointed out, in the end it usually costs them more because they wasted time. Which is even more aggravating in some way.
When I was young my parents had great health insurance. My cousin who was the same age as me, none at all. If she was ill or needed a check up she would use my health card. I am sure my file is all messy because of it. I got a fresh start moving to Europe and I live in a country try where kids are covered by the government. I doubt we were the only family doing this
It's pretty pathetic that people in the US have to do this. How shameful.
"I was bored."
One of my favorite jokes in the entire show.
hey and at least he's honest!
Seing this episode is a fantastic contrast to waaaaaay later when Cox becomes chief of medicine, him realising Kelso still wanted to be a good person that had to deal with a ton of shit. And that also somebody like Cox was important to keep the good will towards the patients alive. so JD becomes Cox's...Cox.
Season 5, Episode 4 My Jiggly Ball was a really good example of how Dr. Kelso had to make a hard decision for the "greater" good, and the weight that he carries because of it.
Buzz light year in the bootie also gives a whole new meaning to “you got a friend in me”😂
I really like how Dr. Kelso and Dr. Cox are both right in their own ways. They're both absolute jerks, but even if you're on Dr. Cox' team you can't deny that Dr. Kelso has some valid points. If the hosipital goes broke, nobody will get treated.
"If the hospital goes broke, nobody will get treated." Which is the crux of the systemic problem. The idea that helping people literally survive and not suffer is only allowed if cash exchanges hands is, when you think about it, pretty fucked.
Which is why it shouldn't be a for profit business with pointless insurance in between complicating everything and increasing costs. Like every other country.
It's much more complicated though. There are hospitals near me that run in the red. They are often critical access hospitals. They'll get funding from the state to stay open but never enough to cover their bills.
@@pucksapprentice Hospitals, like the post office and fire departments, should be services, not businesses. "making money" isn't what they should be doing.
@@IceMetalPunkNo, it's pretty standard. As much as people may not like it, you don't have a right to food, water, medical treatment, shelter, or any of that. You have a right to pursue those things, but they are not basic human rights. If they were, then it would be a human rights violation to not give those things to someone that is asking for them, and I'm sure you can imagine why something like that would be horrible.
Take away civilization, take away people, cars, technology, all of that. It's just you and nature: who's paying for your medical treatment? Money is simply a stand in for work. Before society, you had to *work* to survive. You had to hunt your own food, collect and purify your own water, treat your own injuries, make your own shelter, and so on. Now we have the division of labor so you don't have to waste all of your time learning how to be mediocre/good in a ton of different skills, and you can just focus on excelling in a few areas. The same goes for everyone else. That's why we have money. Your labor is worth x amount, and someone else's labor is worth y amount. It costs money to provide for yourself because it requires *work* to provide for yourself. This is a fact of life and will always be so.
Ahmed must be the most medical name ever A med. 😅
Much like Jan Itor!
One of those Nomen est Omen situations
Speaking of things up people's bottoms, I just saw a case report involving a candle. The health workers figured that water that was hot enough to melt wax but not hot enough to scald would do the trick - and it did! They melted the candle out.
It's fascinating watching these again with an actual doctor.
I hope you get to go through the whole series. It's something i can imagine people would endlessly binge.
Last year i had a patient, older man in his 60s, with a full-sized flashlight in him. Required surgery and a post-op ICU stay. Last week i had a meth addict tree service man who was doing his job high in both senses of the word, fell out of the tree and got a branch up his butt.
Wow, someone who actually fell on it. Lol
My favorite joke in all of Scrubs is in this episode. JD is teasing Elliot about flashing everyone and Elliot says, "I'm waiting for the 'but,' " and JD says, " So's everyone else around here." 😂
the thing is in the US the reason healthcare is so expensive is because insurence companies wanted discounts, so hospitals raised prices and then discounted them for insurence companies so they still made teh same amount of money.
but uninsured patients get their healthcare costs waived ALL THE TIME. guy was uninsured got bit by a snake really bad and needed like 800k worth of antivenom and they waived all of that, so he was only left with the price of the supportive care, which was like 20k.
As a firefighter/paramedic, 99 percent of the time it's "I slipped in the shower and fell on it." It's really amazing what objects people decide to bring into the shower with them 😂
Tell the EMS everything and to the police nothing
I work in a hospital in Tennessee in the US. We do not pay much attention to what insurance, if any, a patient has for hospital procedures or treatment. Exceptions would be if the follow-up outpatient care post-treatment would not be financially feasible. So, insurance might influence the leg of treatment your doctor uses because of the patient's ability to afford what happens next. But, that's only if other options are available. If you really need it you get it. We have treated people, on numerous occasions, when we know there is no way we will ever get compensated. And, and ED cannot turn you away because you don't have insurance.
All that being said, I see both sides of the issue. We are a group of hospitals in the county. Our particular hospital will always lose money just because of the patient mix. Our sister hospitals earn the money for our system because their payer mix is much better. We are non-profit. If we don't treat, wrong. If we go broke and shut down, tragic.
Lastly, no you can't covertly use one patient's identity for another due to levels of insurance. It's identity theft. Even if you tired to do it it wouldn't likely work today. The nurse, the nurse's aids, the transporters, the pharmacy, the surgical team, x-ray techs, phlebotomists, and a score of others would have to be involved and be onboard. Orders would get comingled and cause all kinds of errors that would endanger both patients. It just wouldn't work. You could get away with it for a single isolated item. But, never a complicated series of orders an operation would entail. And, it wouldn't be needed. She'd get the procedure, eventually be billed, and she just would never pay. She'd go bankrupt or default and that's about it in the US.
If the kid is neutropenic JD and Elliot should be gowned and masked.
4:46 Yes it does. That is why Doctors offices have an Office manager or a billing agent to deal with that kind of non-medical aspect of the business.
My favorite series on YT at the moment! Insightful and good vibes. Keep em coming Dr. Ahmed :)
I think this is the first time I've watched a video that's come out seconds ago
Do you want a cookie
@@romainsavioz5466 I mean, it'd be nice
*Discussing a child with neutropenic fever*
"Plus /if/ the kid grew up..."
Bruh.
I'm so glad you're going through the series - i had previously hoped you would. This is awesome.
I always stumble when trying to say the word "jaundice". 😂 Here in Sweden it's callet "gulsot", which directly translates to yellow soot.
I diagnose Dr. Hope with PTSD from being called the wrong name repeatedly.
Enjoyed your comments about remembering doctors' names. When I went through surgery last year I had trouble with my surgeon's name, till he told me it was pronounced "like the computer". I still can't spell it right, but fondly remember Doctor IMac!
I work in a U.S. hospital in quality and compliance, and we have signs everywhere that indicate that you will still receive the care you need, regardless of your ability to pay. We are also considered a “government” hospital as we are a small, rural, county hospital so that might make a difference. If we were a private Catholic hospital, they might not operate in the same way as far as insurance goes.
Thank you for letting us know.
Many years ago, when my family lived in Nevada. There was a clinic funded by the community and two or three rich patrons. They helped out many patients who had and didn't have insurance, but those who didn't have insurance had to have a legal ID card/or driver's license, and a bill proving of their residence in the area. And two recent paystubs. They helped many who couldn't afford to see an immediate professional. Although, if someone walked in and needed some immediate surgery or a specialized treatment, they were sent to the hospital. I don't know how the hospital billed them and if they let the patients stay in for more than two days for recovery. I was very young. We went back in 2011, and it is government funded by then.
The doctors (2 of them) recognized me and my cousin. They are doing great!
The correct thing is to only provide the limited emergency dept care you are mandated to provide and then discharge the patient. Actually curing patients who can't pay up seems ill advised
@John Smith Absolutely. As I stated, I was very young then and only knew of this fact because I asked my uncle. Today, there have been many changes because of the Gov't restructure of presidency and medical care laws.
Classic Dr. Ahmed
I've never heard of doctors going that far to get around insurance issues, but rules have been... bent before? For example, I had been seen with my partner in one appointment so we wouldn't have to pay for two separate appointments before.
that's smart, insurance suck
My audiologist didn't bill me for about a year despite the fact that they weren't in network with my medicaid.
For regular appointments mind you. I was still on the hook for hearing aid stuff.
Thanks Dr Ahmed, I always enjoy your videos
In the x-ray, the R marker is also on the wrong side, so technically speaking, the bottle and wrench are going to the left.
Well caught
i wanted to suggest that, as the x-ray in the intro is also on the wrong side, but i didn't know if there was a way to tell.
also, it could be due to the camera shot, though i'm not sure how muchvthey pay attention to this in these kinda tv series.
@@antille666the x-ray being the wrong way round in the intro is a running joke. In one of the later seasons a character fixes it and says it's "been bugging them for years"
"It really brings a whole new meaning to "Infinity and Beyond"". The opportunity to say "You've got a friend IN me" was right there.
Another great episode. Keep it up Doctor Ahmed!
I'm always happy to see more Scrubs. Definitely gotta putt all these videos in a playlist. I'm down to rewatch the series through this lens. Such a good show and this insight and commentary makes it so much better. Pointing out the accuracies and inaccuracies is great.
Who would've thought learning could be so fun?
He has a playlist on his channel already
Heck this kind of odd medical shenanigan's occurs in Canada. I blew out my right shoulder about 15 years ago, and couldn't afford physio, my doctors made a case to the hospital admins that covering the physio would actually save them money in the long run, rather then to continue to provided bandage solutions to recurring problems that would likely last the rest of my life.
5:09 it definitely happens because it's covered quite a few times in Scrubs and Scrubs is known for being the most realistic medical show due to the shows creator being best friends with a doctor who he would run everything by.
All about money? Never! There was two hospitals near me that were taken over by private equity funds that immediately laid off the majority of workers, stopped paying invoices, and basically leave it unstaffed and with no supplies providing subpar care til they were forced to declare bankruptcy and close. (The medical billing dept wasn’t affected by layoffs obviously).
All the money they raided from the hospital was paid in cash to another company (same executives of course). So the whole thing was a scheme to make quick cash and left patients and everyone in the county with no care. But hey they made $12 million in cash and are gonna make even more when they sell the land.
That sort of scam happens more often than you think, yet you're the first person to mention it on youtube that I've seen. Odd.
Great video Ahmed. Fantastic quality as always.
Ahmed is doing great Doctor Reacts Videos.
Ahmed hopes he's doing great!
Stoked to see the Scrubs reactions back!
Oh no! You left out one of the best lines in the show.
"I'm waiting for the but...."
Scrubs was one of my favorite shows that I watched a lot that made me feel better when I was down. I'm so glad your breaking down the first season. Seeing these moments again with your reaction has me laughing out loud.
I have ARPKD/Congenital Hepatic Fibrosis and portal hypertension and I've heard the term TIPS used by doctors since I was a little kid but never fully understood what it meant, so thank you for explaining it so clearly here. 😊 (I've also had more than one doctor try to fight insurance companies on my behalf, unsuccessfully both times. It's really frustrating to try to navigate the US medical system.)
Yes more Scrubs reactions! I was worried for a time that you weren’t doing them anymore,
(Which would understandable, you’re very busy)
Lovely stuff! From a GI perspective I have some nitpicks on 7:33 - actually a TIPS predisposes to encephalopathy as it allows the toxins to bypass the liver (which otherwise metabolises them) and cause encephalopathy. In fact manifest encephalopathy is a relative contraindication for TIPS. Also TIPS doesn't do anything about jaundice. The main indications for TIPS is recurrent ascites and variceal bleeding (and in rarer cases HRS and bleeding portal hypertensive enteropathy). So Dr Cox seems worryingly confused on his hepatology...
I've certainly had my pharmacy enter in codes for cheaper medication when mine was too expensive.
Love that youre back on the Scrubs train. Looking forward to these.
Another great video Ahmed..
Scrubs has a few episodes that I think do a good job showing the difficulty hospitals face in balancing making a profit and helping people. My Jiggly Ball is a great one imo.
Loving the Scrubs reactions!! Can't wait for some of the later episodes!
Could they be looking at the x-rays backwards again? Would explain the items pointing in the wrong direction
Yeah I think you're correct. You can see the white R in the bottom right of the image. This is a metal marker that radiographers will place when they take the image to make Left and Right clear. If you were viewing the patient front on as is the convention, this should be on the left.
So yeah, the bottle and the wrench are correctly pointing to the patient's left, going up the descending colon
Keep up the great videos, Ahmed!
A bit late with a comment. I have watched many doctor videos on you tube and I prefer yours to all the others. You appear to be humble, genuine and sincere as well as knowledgeable. I worked in a hospital for 20 years(as an orderly) mostly in the psychiatric department. I have found most physicians to be highly competent and approachable(with a few exceptions). I also have seen numerous situations in which nurses were instrumental in making certain that the doctor's patient care was appropriate for the given patient. Doctors sometimes prescribed medications and/or treatments that were potentially dangerous for patients and in every case I was aware of in my department, the nurses brought the issue to the doctor's attention and as a result harm to the patient was averted. Note that I said numerous situations but this was over 20 years so these cases were still quite rare. The role of the nurses was critical in providing quality care.
I wonder how common the “Ass Box” is? Because I heard a story about an Australian surgeon with one. Allegedly, he had a guy come in with a hammer stuck up there, and when he asked if he could put it in the collection he was told “No, it’s part of a set”.
Loving the Scrubs reactions. Any chance we could see you react to the season 4 episode, My First Kill? I've always been curious as to how true Dr. Cox's speech early in the episode is.
3:45 - You might want to skip ahead to Season 3, Episode 2 for a moment. I think you'll appreciate a certain joke.
8:26 - This won't be the last time Scrubs has fun with ass slides, either. 💡
14:35 - Wait until you see the 'Miracle Five'.
I seem to remember that the Scrubs staff put Xrays up the wrong way around. Theres an "R" on the slides on the side you'd usually have an "L" - so I guess those items are actually going to the left half of the bodies they're "stuck in".
Do US Doctors have to consider what the patients insurance covers before doing a procedure? I wish this was the only fallout from our "system". Expensive procedures often require pre-approval by the insurance provider to be covered, so the doctor has to take time to call in and get it. They can, and frequently do, demand a second opinion before pre-approval.
Why the insurance companies aren't charged with practicing medicine without a license, since they are the ones effectively deciding what treatments are available for each patient, I don't know, except they are the ones with the money for lobbyists.
Thank you for another great episode.
Great reaction ahmed!
About Buzzlight year and Wine up the back...with a pulmonologist in my family who once dislodged an entire chicken breast from the lung of a patient, I have come to learn that if the body can hold a 10lb baby, the body can hold a LOT of wild things.
One of the biggest complaints of doctors in the USA is fighting Medical Insurance companies. They only drove costs up by causing hospitals to have to hire people to do the administrative work to deal with them.
It's not specifically taught, but not exposing yourself to patients (especially minors) is something you just pick up
Ahhhh, a shunt yes. A SHUNT. A currentt-sensing resistor. Thanks ElectroBOOM! (And like 3 electronics courses before I saw his video on shunts)
on ass slides - seems Scrubs had a few more backward xrays lol
I'm always amazed by how amazed people in other countries are about the horrors of our healthcare system in the U.S. Yes, we let more than 45,000 people DIE every single year just because they lack health insurance. It's barbaric.
I love your reactions to these episodes! :)
Great video Amed.😋
Really nice video, I love all these Scrubs ones. Nice work, Imed :D
Looks like the chat between you and Dr. Mike is already paying off in content!
I believe now most hospitals will still assist you even if you don't have insurance and have programs that will assist you in paying for the bill but the amount of debt that is built up from a single hospital visit especially is still very extreme and inhumane. What Doctor Cox did though was Insurance fraud and could end up with him being jailed and stripped of his medical license.
Don't forget, if flashing your tatas doesn't work, there's always the box of kittens.
Sad you didn't include the bit where they took the Ass Box lightbulb and put it in Dr.Kelso's room...
Also I'm sure you hear this a lot but you are gorgeous. Your smile is wonderful.
@10:04 missed chance with puts a new meaning to “I’ve got a friend in you!” Instead lol 😂
I'm impressed that you got that. I'm a biochemist so obviously I knew, I know everything about everything when it comes to this and that is why we're pretty much universally hated by doctors.
We can interpret anything by chemical analysis but that is the thing, we know it based on that but you give me symptoms and I have no idea what is going on. Or maybe... sometimes I would because its been 30 years and you know the connections.... But still.
Love these reactions Ed, keep doing them please.
My dad was the head of the ER in my hometown and one thing he saw was a fish inserted in someone’s rectum. It thawed out and the bones splayed and they couldn’t remove it. The tail was sticking out a little, but the bones would dig into the lining of the descending colon and rectum when he tried to remove it himself. He was very embarrassed and in some significant discomfort.
(I was told this story years later after we moved and his health forced him into private practice; still have no clue who it was!)
My dad to this day still isn’t fond of fish. 😬
Insurance is a major issue as some doctors will only treat those with a decent insurance. I'm pretty lucky because hospitals in Florida have to treat no matter what no matter insurance status but sometimes up north people can get the bare minimum of treatment before being thrown back to the wolves as it were. I've heard of cases of broken legs which get amputated and closed when its a relatively easy fix but because of no insurance, amputation is performed along with a hospital stay. sometimes a washout is performed without ever fixing a bone because of insurance issues. its a fricking nightmare.
i still remember that news story of the guy who went into a hospital with a WW1 artillery shell up his arse and they had to evacuate the area. Talk about shell shocked
are you sure that wasn't a Gray's anatomy episode?
I'm a brit living in Texas and I work for a cancer charity so I'm having to deal with the mercenary nature of the US health system daily. Even Medicare comes with co-pays, many of which seniors can't afford if they don't have a private pension, and even if they do have retirement funds the cost of chronic illness rips through it real quick. Fun Fact, Scrubs ended a week before the Affordable Care Act was written into law, so the ability for poor people to get half-decent health insurance was even WORSE than it is today for its entire run time.
buzz lightyear gets put up there, a button gets pushed, the wings come out, and it is now stuck
"surely you'd need to insert the wine bottle with the neck first."
Oh you wonderful, innocent man you. Stay forever pure, and let not the Internet corrupt you ...
When he said that I burst out laughing. The fact that he doesnt out right reject it, but instead speculates on how it could be done…good lord he must’ve seen some things.
since Ed has what's a rebel insignia in the background, I'm wondering if he's ever uploaded a video of Star Wars related medical problems. I'm going to suppose that there would be at some point, I'm going to have to wait for it.
5:22 can clearly see she's wearing clothes underneath. But man does she look good.
9:00 you'd be surprised how big objects some people are able to put up there and push out again. I've seen at least 3 women that could definitely make it fit, even with the bottom of the flask going first. Also at least inserting it that way allows you to pull it back out by grabbing the neck of the bottle, not as smooth entry but a much smoother exit to it.
9:53 as far as I know the buzz lightyear figures allow you to push a button to extend out his jetpack thing so I can imagine if being rather hard to remove him if that were to happen while inside...
11:49 I had so many of these as a kid slipping on ice and falling on my face.
I've definitely heard of who's insurance is paying for what getting fudged before. Maybe not as uncommon as you might think (though I imagine more common in past years than now)
I always thought that the business & insurance based medical system of the US seemed really awful, but one of the recent videos you had with Dr Mike showed a good point that because they run as a business they have to work good and fast to make the money - while in countries with free health care it can take way longer for a necessary procedure to go through.
Still with the amount of horror and fraud stories we here I still think the free health care is the better system, there is room to improve of course and I wish there was a way to have a good in-between where people could get the procedures they need efficiently without needing to be rich.
If you look really really closely at the xrays, you'll see that the bottle is going up the left side. The right is marked in the corner and is backwards. Therefore the xray is backwards.
Ok, it is just me that happened? because it 2 times already i have written a comment here and it just disappeared for some strange reason, it was about possible reaction from Doctors like this guy and Dr. Mike to some Kurzgesagt videos like for example "The Reason Why Cancer is so Hard to Beat" made 6 days ago you know, it would have been interesting experience, no?
Time to apply for the grant to investigate whether flashing helps with recovery and to what degree. This would have to be a long multiple year research study.
Part of the other unethical shit the Nazi's pulled was actualy like this. They tested treatments for hypothemia, by dunking 'volenters' (ha no) into freezing baths then tested various ways of improving outcomes afterwards, one of the methods was having naked women in the room. FYI they discovered that drying and warming up was best.
I was super hooked on this show and dead set on who I liked and why, until Dr Kelso leaves and Dr. Cox takes his place...and found I wasn't as right about certain people as I thought. I'd love to see some reactions to those compared to these. Thanks for you time and energy Doc to enlighten us.
9:04 "you need to insert the white wine bottle with the neck first" Doctors advice of the week.
@Dr Hope’s Sick Notes Could you review doctor who episodes for medical ‘accuracy’ such as The rebel flesh/The almost people two parter, Deep breath, sleep no more or The Lazarus experiment please
This is really hard in the US and the patients who are more wise to it know full well it happens. Doctors either have to really really trust the patients they do it with or have to make sure that the patients are so medically illiterate that they won't be asked or know what's going on -- probably this episode has something on the very very extreme side but minor manipulations in insurance happen ALL the time due to just how horrible our insurances are even when sometimes we have the extremely high end insurance. In the US managed care has really clamped down on what patients can get even when it's medically necessary and the delays and suffering that occurs is horrible.
I had a doctor that I saw for several years and I was getting a procedure with him that was covered, then my HMO (managed care organization insurance) decided not to cover it anymore for no really great reason other than that they could ban it and try to save money by saying I could just get something different -- so I appealed but found the different things I could get were either things that had failed or were less effective things that weren't covered by insurance either (in my case it was prolotherapy procedures -- they said I could get dry needling or acupuncture instead but none of that was covered and didn't work for my hypermobility issues that were causing severe pain and dislocations, PT and chiropractic had made me far worse -- the prolotherapy was a life saver). I had fought out appeals and won but found out a few years later when my records went online that my final round of records my doctor who was leaving had quit fighting them and had coded them as trigger point injections and probably just bought the dextrose himself (even though I had won the right to it we always had to do authorizations and I think it just took him so much time and energy he didn't feel like fighting for it). That's another aspect that they don't talk about with insurance and managed care is that you can fight and appeal, but the doctor's have to write the PAs and it takes them hours of paperwork that they don't get paid to do. When he left, I ended up with his mentor, only my most recent records were online and I did not know he had ever done this (I wish he'd told me so that I hadn't been blindsided haha, I would have understood), but I ended up with his old mentor. His old mentor was past retirement age still working and the former doc was about my age. His mentor didn't know me yet and asked me in a delicate way if I was confused about having the procedure that I requested since it was a specialized procedure usually not covered by insurance. I paused for a moment and said... "Between us with patient-doctor confidentiality, I fought insurance for years and if you get my old records you'll see I've had prolotherapy before. And I've actually never had trigger point injections aside from a couple in bad muscles during prolotherapy procedures since my problem is my ligaments. I know what I've had and what I haven't. However, if my HMO ever calls me and asks I will be the most confused and dumbest patient that you've ever seen and will tell them I have no idea what I had or didn't have and don't know the difference since I"m not a MD.... but between the two of us, I had prolotherapy, only prolotherapy and I know I had it. Your old student was just trying to help me not go through the stress of delays again I'm sure if my insurance was requesting a long PA again and coded it as trigger point injections, but I'll never admit it outside of this room."
The older doctor stared at me for a second, and then started laughing and said, "Good boy, that's just how I taught him." And then started filling out more of the paperwork on my file, haha, so he was like the real Dr. Cox of the whole system training younger doctors to know when to fight insurance.
I'm only comfortable telling this story since I don't use HMO insurances anymore, the first doctor did all this way past the statute of limitations in time ago and isn't working in our area or our country I don't think, and the older doctor passed away almost 10 years ago -- otherwise even under a pseudonym I wouldn't tell this story.
But the sad thing is that like a lot of other people's comments in this -- I've seen insurances pay for millions in hospitalizations, unnecessary and likely to fail surgeries, and nursing home stays for patients where if they just covered something else that is much much cheaper (like these injections were only $200 per session at the time or less), but they would pay for me to stay in the hospital for up to a month at a time for incapacitation or if we'd had better neurosurgeons / spinal surgeons would've paid for high risk, likely to fail surgeries when I'd already failed several other surgeries and had to get harware removed (meaning they had to pay for at least 3-4 surgeries just for one joint for the failures and debridements, let alone the rehabs and problems when these 200 dollar injections were already working). I saw many other people with the same conditions as me in other areas saying that they knew their surgeries would probably fail and make things worse but they would do them anyway since they were covered and they couldn't afford out of pocket for the injections. It's just madness here.
My first job in high school was at a McDonald's. My first name is Erin, but there was a manager there who always called me "Erica." I told him that wasn't my name. The other managers told him that wasn't my name. My nametag told him that wasn't my name. The schedule told him that wasn't my name. ...He never called me by my actual name.
Is this a reupload? I can swear I've watched this before.
I do feel the need to point out that your timestamp from 13:37 to 14:05 is wrong: He was not fired, but suspended. Big difference.
8:44 I think the X-Rays are the wrong way around. The little R in the bottom right corner suggests that the rectally inserted items actually go to the left I think.
How would you set up a double-blind RCT to check if Elliott flashing patients actually helped them? Would the control group be flashed by people with equally attractive body parts to rule out placebo effect?
Million to one shot, doc. Million to one.
Even if it weren't medically effective, I would certainly be appreciative of Sarah Chalke flashing me.😂
"wallet biopsy. the process of confirming a patients insurance before admission to hospital."