- What?
- Alright, I'm going in. If I tug on the rope twice,
that means pull me out. (doctor laughs) - So Doc, I figured if
Charmise and I are gonna live as man and wife, I ought
to get her checked out. - Of course. - What? This is a very
inappropriate, weird situation. You actually wouldn't put the
patient in stirrups like this, and most likely, they're facing the door? So if somebody accidentally walked in, they're just, everybody sees everything. You wouldn't do that. Actually be turned aroun
d. They're in what's called the stirrups. The stirrups basically change
the angle of the pelvis. The reason why you actually have the angle of the pelvis change, is because of the uterus, the organ that you're looking at. You're looking for the
cervix, you're trying to feel the uterus as well as
the ovaries on each side. - Charmise, when's the last
time you had a pelvic exam? - When was the Missouri compromise? (doctor laughs) - Yep, there's definitely scheduled times of when somebody should
be
getting pelvic exams. The the frequency just depends
on your activity and age, but in the emergency department
we do them emergently. Typically if somebody's
having a significant amount of vaginal bleeding, if there's vaginal discharge
during pregnancies, or if there's any pain, or injuries down in that area as well, we'll do pelvic exams. - Uh, I think 1821. - Then I've never had a pelvic exam. - What?
- Alright, I'm going in. If I tug on the rope twice,
that means pull me out. (doctor laughs)
- The rope is inappropriate, but he's putting on a hat
that has a light on it. It's quite helpful in certain situations. - [Dr. Hartman] Who are the pigs who just throw their empty
beer cans down here. (doctor laughs) - If you're having any procedure where you're going to get that
significantly close, you should be gowned up, wearing gloves, depending on the sterility of
the situation that you need. Does it need to be clean versus sterile? (crunching then thudding)
(Brian screams in pain) - Whoa
! Wow. He walked and snapped his bone, and it's tenting through the skin, it didn't pop all the way through, so it wouldn't be called an open fracture. It's still a closed fracture. - Holy crap, Brian, you okay? (Brian groans in pain) - Nope.
- How's it look Doc? - I'm sorry to say you have hip dysplasia. - What's that? - Oh. Hip dysplasia. So it happens with dogs, typically not seen in human beings. Brian's leg is potentially shortened, and externally rotated. Depending on where it's broken, th
e orthopedic surgeon will use
different types of hardware, or metal to reattach basically
your leg to your pelvis. - I'm not sure what dysplasia is, but I do know you don't often
see a Y that far up in a word. - There are some times
when a doctor may not know the exact origin of a medical term, but a hip dysplasia is basically
a term that we use relating to the abnormal, like, growth, and some gentle abnormalities
relating to the hip, which then could lead to
fractures, dislocations. - I took th
e liberty
of X-raying my own hip to show you what a normal one looks like. - Why does it look like there's
a Batmobile in your colon? (doctor laughs) - That good! I've seen plenty of unique objects that have been lodged up in the rectum. Typically it's just your standard light bulb, scotch glasses, but nope, actually not one of these cars. - Wouldn't hurt to lose some weight. And he won't be able to
walk until his hip heals. He'll need someone to take care of him. - I'll take care of him. Like y
ou took care of me when I was sick. - The reason why we say weight, because you have more
weight on the joint itself, and it's just putting more
stress and strain on that joint. You know the bodies are not made to have excess weight on it, and that's why you get concerned
with somebody's weight. Not just from diabetes,
metabolic syndromes, cardiovascular disease,
high blood pressure, but even just your joints, arthritis, and the more weight the
more it's going to hurt when you actually have
infl
ammation of the joint itself. - Come back in a week,
we can check your... (Dr. Hartman makes puffing noises) - What is that? - That's the sound a blood
pressure machine makes. I do impressions for
the Doctor Talent show. Do you know what this is? Rap! Rap! An MRI? - Yes. Adding that to my set. - I mean I've actually had
an MRI done on my ankle, when I was playing soccer back in the day, football for every
international person out there. But it doesn't go "rap, rap," it goes like "ca-clank, ca-cl
ank." Changes up the, their frequency. Literally you're in
there just like listening to the banging noise, as you're trying to
listen to music and relax. - So doctor, is Peter healthy? - My goodness, you'll
be dead within a month. (doctor laughs) - Dr. Hartman is using
his stethoscope to listen to just the abdominal noises and sounds. What you're listening for is basically to hear if there's any
movement or not movement. You know, listening to somebody's abdomen and then saying they have
a month
to live, yeah, I wouldn't listen to that Doctor. - Mr. Griffin, you are
going to expire in a month. This is your driver's license, isn't it? - Oh my gosh. You can have labs that show
you have renal failure, that if it's not fixed, you can die soon because the
abnormalities of electrolytes that might then cause
you to have cardiac rest. Unlikely that a blood
test is going to tell you that your existence is not going to continue after a month. - Ah, Mr. Griffin, that
liver's gotta come out. - Wha
t? - It's been in the
microwave for three minutes. It'll get dry! Now. - Please, please.
- Just focus Dr. Hartman. - We can't take any more shtick. Please just tell us, is Peter healthy? - Oh yeah, he's fine. He's just really fat. - Oh thank god. - Wait, wait, wait. Hang on a second. - Yep.
- You just say I was fat? - Well, uh, yeah, you are pretty fat. - Um, okay, this is news to me. - Excess body weight can
lead to metabolic syndrome, which then can lead to
diabetes, hypertension, cardiovascul
ar disease, a
whole plethora of problems. Nice. - I notice your kid is
having some trouble. - I get a question all the time. You know, what is the right
age to start working out? Is it gonna stunt my growth? Is it gonna cause injuries? You should work on technique
using body weight first, and in getting the techniques down, and then you can slowly
start adding weight as you get better at the movements, 'cause you don't want to,
you know, get in bad habits, put excess stress on your joints, becau
se of the growth plates itself, and you know, causing potential
injuries to those areas. - You're telling me. - Oh your kid just needs a little help. I got something that'll get 'im going. - Oh my gosh! At least they labeled this
weird open syringe as steroids. We actually use different types
of steroids at the hospital, where we do not use what's
called anabolic steroids, which is the steroids that make
you, you know, big muscles. You gotta be really careful with those, because they have a lot
of side effects. They're replacing your
own natural steroids that you're making in your body, and it doesn't strengthen your tendons, it just strengthens your muscles. Your growth of your
muscles may increase faster than the strength of your tendon
and your connective tissue. So you have to be really careful. And that is why people sometimes have an increased risk of tendon ruptures when they're actually using steroids. - Here, Stewie, try this. - Ah! What the hell are you do- (doctor gasps)
Who
a. Suddenly I'm full of energy. - A lot of people assume medications that we give will work immediately. You know, sometimes we'll
give somebody a sedative. It typically still takes like
30 seconds for it to work, and also depends on the route. IV is obviously faster.
IM is a little bit slower. (rock music) (doctor laughs)
- Hello family. - [Doctor] Look how
jacked he is! He's huge! If I saw a kid that came in
to the emergency department that was like ripped and jacked, I'd be super concerned, a
nd maybe get social working
case management involved just to have a conversation with the family on a different level. These were hilarious. It touched on so many
different sensitive topics, but they added an extra fun twist to it, which I enjoyed, and I hope you guys enjoyed. We still have limited merch running, so check out the link in
the description below, and get your Doctor ER merch. Check out this playlist right here. Make sure you binge watch everything. And I'd appreciate it if you
hit
that subscribe button, turn on your bell notifications, and hit that like button. Thank you so much for watching, and stay healthy, my friends.
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