When my son was 4, he was a standardized patient for our medical school. I was the attentive mother. After four exams, a fifth student began their exam, and my son now being aware of how the exam should proceed. He yelled at the poor student, "You're doing it wrong," You could hear the laughter from the observation room 🤣
@@Julia-lk8jnthey also tend to see the world rather simply, and have not yet fully developed their empathy (which also informs us what other people are doing/planning). In other words, kids are often just like that sometimes
So how did Neurology manage to get through standardized patient training in the first place? I'm guessing he didn't. He found a standardized patient, made them cry, then stepped into their room before anyone knew what had happened.
As an anesthesiologist I only approach neurologists to ask them if they'd like me to put that needle in the patient's spine or do they want to take a sixth pass at it. ZING!
@@Joy21090 In my mom's case, she was already working at the university hospital, and saw an ad. The med school loved getting standardized patients who were already associated with the university in some way because they were already in the system and thus seen as trustworthy. So it's not like this was a full-time job - it was something Mom did to make extra money (3 teenagers in the house - need I say more?).
@@Joy21090 It's also usually not a full time job! The ones at my school work at most two afternoons a week, seeing about 6 students per afternoon. You get trained and offer us feedback and even get to grade us lol
I've learned so much from your videos that I actually flinched and said, "Oh nooooo..." when he pulled out the stethoscope to test the neurologist's reflexes. XD
@@sir.periwinkleton262 The proper instrument to check deep tendon reflexes is with something called a reflex hammer. Its basically a rod with a piece of rubber at one end. People use stethoscopes as a substitute sometimes and it does work but neurologists find it kinda insulting.
The Neurologist is one of the most well fleshed-out characters & Dr. Glauc is too good at condescending burns to have not learned how to dish them in a clinical setting.
well, it might be a stretch, but eyes tecnically are part of the brain, as they evolved directly from it... but that might be my biology maj talking, i dont know if they count as such in medicine.
@@Apostate_ofmind not a stretch at all. Vision assessment and tracking are cornerstones of neurologic health (vestibular, reflexes, neglect, sympathetics, cerebellum, etc), would not shock me that he got into eyeballs after getting tired of neuro egos.
My jaw dropped when I saw who he was testing. Poor med student. I would've ran. My ''Oh No'' count was 6, but honestly I'm surprised the med student didn't have a full blown panic attack and faint. My heart and condolences to you dear med student.
One of my colleagues forgot his reflex hammer during an osce exam. He ended up karate chopping the patient's tendons for the reflex portion. The examiner and the standardized patient was not impressed 😂
If this happened to me my strategy could be summarized as "fail and retake hoping that next time I get the usual pleasant 70 year old lady who was bored during retirement"
@@puregsr I was told that in heart there are Purkinje fibers while in cerebellum are Purkinje cells. It's a bit less confusing this way. But maybe 20 years ago they just didn't care are called both of them "cells".
I'll never forget the one time I saw a pediatrician do reflexes on a kid by literally just flicking his wrist/fingers so he would hit the kids in the knee with his knuckle. It worked shockingly well and felt like such a power move to me and I'm genuinely not sure how the neurologist would react to it.
@@takayamuramoto4490 I'm sure it's not as good as a hammer if you're trying to pick up super subtle neurologic signs but when you're doing mostly well child visits and run of the mill sick visits it works well and the kids loved it. Nowadays I can consistently trigger my own patellar reflexes by just flicking the right spot with my finger tips.
I had an obstetrics mentor who did reflexes for pre-eclampsia with her finger tips and a flick of the wrist. It blew my mind then, but I learned it and it works really well when all you're worried about is hyperreflexia.
As someone who loathes toxic behavior, I'm surprised by how much I enjoy the Neurologist. The arrogance and cutting insults amuse me every time. And the teeth. I can't get over them.
At this point I'm almost convinced that this 🤓 would be a neurologist emoji. I'm not fully convinced because the emoji is similing, as opposed to the neurologist.
I have this exact exam tomorrow morning. I also showed my neurologist attending First Day of Neurology yesterday (after we had been reviewing consults requests and it felt VERY relevant). He laughed a lot and made me text him the link. He also enjoyed Bill Does a Lumbar Puncture. I will have to show him this one after my standardized patient encounter. 🤣🤓 (PS I am in Kansas and your rural medicine videos are HILARIOUS. 100% would wear a Texaco Mike shirt).
Wonder how his latest batch of moonshine/contrast/sedative is brewing up? I hope your exam went well. Please take care of yourself, and be kind to yourself, for you are worth it and deserve it more than you know.
To the non medical people, technically yes you can use the bell of the stethoscope as a reflex hammer. No you should not do it unless you don't have a reflex hammer for some reason. And yes using a stethoscope in an exam is an instant fail. I don't even know the consequences of doing it in front of a neurologist.
Medical students kept stealing my crappy triangle reflex hammers..after 6 just used stethoscope bell on cheap stethoscope as that was borrowed 'for a second ' and never returned at least 4 times a year. I yearned for a good littman, quality calipers,good hammer, Phillips screwdriver, a good penlight , and gel pens with fine tip for most 39 yrs of nursing. Sigh
Honestly, it's better to not even check reflexes than use a stethoscope imo. I've seen one too many residents try to do it, get a minimal response and then just write "2+ bilaterally" before coming in with the ol Tromner and seeing a brisk reflex instead
I hope the med student and Bill can offer words of comfort to each other, later over a cup of coffee. The med student definitely needs one to revive himself and Bill, well, he always needs one. They both have been through so much.
As a neurologist and medical educator, a well-weighted Tromner is much easier than a queen square because the queen square hammers are generally lighter so more likely to hurt plus are generally longer so harder to carry…and the triangular Taylor hammer belongs in the trash. (Dejerine hammers are also good though not as readily available.)
I was never able to get reflexes on people with that rubber tomahawk, except patellar sometimes. Finally got a Tromner and holy crap that thing is amazing.
A long time ago my med finals paediatric long case was a 16 yr old with pan-hypopituitarism... mum was fantastic and basically saved me and said "Well, they are going to ask you about this and this.." and proceeded to dictate out my history and 'findings'. The only finding I could really say was he didn't have any pubic hair, he was otherwise a normal kid who had been replaced with everything and treated perfectly. How I sweated, but somehow passed all thanks to that beautifully kind mum who saw the absolute terror in my eyes and saved me.
I took a driver's ed test like this once. It's a small thing but you remember it forever. I think the emotional impact of that assistance does more for you than doing it yourself would have done
Once I had a patient in the enfermary (as a med student) that saw me sweating and saved my ass. He had been hospitalized for a long time and had a lot of students passing with him, so he was quite used to the drill. I was passing the case to my preceptor, and she asked me something that I had forgotten to ask. He immediately cut in and said "well, she asked me that already, and I answered that...", I mouthed him a quiet thank you and finished passing his case. The preceptor didn't seem to notice what happened, but to me, who knew that he only intervened for the only thing that I had forgotten to ask, it was clear. He was absolutely awesome. The next day I was with a different patient in his room, and he said "you did great yesterday with your boss! Don't worry, all the students forget something, it's not a big deal, but I noticed you got nervous about it". I also saw him telling other students stuff that they forgot to ask, because he knew the preceptor was going to ask them about it, he asked "you are going to examine my... now right?" when the same group forgot about a certain part of the physical exam. He said, when a student from that group gave a wrong answer to the preceptor that although he had indeed answered the question like this to the student, he had since remembered that the correct answer was another one. I'm pretty sure, although I didn't see that, that the one who confused the answer was the student not him, but he knew that one preceptor was always yelling with us, so he did it to easy things up for my colleague. He was dealing with students attending their first patient and he knew that. He was really nice all around, not just in that way. I really wish that pair hadn't manage to take him from me (long story, they had to cover for me, because I had to help a different doctor and they decided to give me one of the patients that was originally theirs to me when I came back instead of him, and I didn't want to argue), but to be honest, just that first boost of confidence did wonders
My favorite standardized patient was one where during the debrief after the encounter he was upset that I didn't ask about his socks which had the logo of his favorite sports team on them. He said it was vital to talk about things like that with your patient to built rapport. He was playing an emergency department patient with an appendix that was about to rupture...
Dude, the ophthalmoscope joke is on point! I can barely see the retina with that thing. "No papilledema is present, I suppose." You should make a video showing how to properly use it.
My workroom is practically next to the oncology and the neurology. I'm on friendly terms with some of the doctors. One of the neurologists wanted to trick their new med students and asked, if I would let them check my reflexes (I am missing the ones in my knees, ellbows, hands, ancles, all that stuff since havin GBS last year, the doc treated me). At first they were a little panicky, thinking they were doing sonething wrong. Than the doc asked them what if they weren't. After they did ask the questions if I had pain and other symptoms etc. we did tell them it was "normal" at the moment for me and explained my medical story. In the end it was only kinda mean from him and rather interesting for the med students :) I did get slight bruises from some rather harsh hammering on my knees though :')
Oooh, after my spinal fusion l1-l3, I have no more reflexes in my knees ankles or elbows. It's freaky watching students and doctors freak out and then just to tell them "Yo, that's been my norm since I was 16, and I was told that it was fine and normal". Them: "Who the hell told you that? That's not normal!"
I love the way your videos are full of excruciating embarrassment. They are therapeutic for (the viewer's) anxiety I swear! I keep them as little treats to break up a worrisome life. Thanks Dr G.
I went and looked up different reflex hammers after you mentioned the Queen square in a recent video. Had no idea there were so many, if I had been a neurologist instead of a business analyst I know I would have gone with the trômner.
"You know how they say your life flashes before your eyes right before you die?" "...yeah" "Well what are you seeing right now?" I'm impressed the student just accepted their fate instead of running.
The same thing happened to me during my physiotherapy for cardiopulmonary test. Prof said he would find us some standerd patient. Test day, stepped in, it was him who laid on the patient bed lol
As a family doc, you glance at your patient. If they are speaking clearly and have no obvious facial droops and walked into the exam room without any abnormal gait, they are 95% ok. They are "grossly intact" and good enough to make it another 3 months if they have no specific complaints.
I was a Standardized Patient, and also taught Doctoring Skills. Those poor med students were so nervous! It was lovely to see their growth and progression over time. It's an amazing program!
He absolutely could have, he was doing finger to nose testing which is already going beyond what most physicians do in the PE... But the reflexes-with-a-stethoscope tactic is a death sentence, and rightly so.
Had my "standing" regular appointment with my primary doc today (side note: GOOD GOD I LOVE THAT GUY!👊 He's proof that excellent docs DO indeed exist. And in a PUBLIC HEALTH CLINIC no less!). We were discussing which surgeons to choose for consult about spine surgery. (Not my first. Or second. Lol) He asked if I was thinking Ortho or Neuro. _Somehow_ the topic of surgeon egos came up. He said "Ortho surgeons are notorious for big egos." No argument there. Then followed with "but Neuro... Neuro surgeons are a 'peculiar' lot. All the ego of an Ortho but with a special twist." All I could picture was Neuro EXACTLY as portrayed in this video... and couldn't stop giggling. The BEST part? I told my doc if he wanted to see accurate & hilarious stereotypes of each specialty in medicine, look to Dr Glauck's vids. Doc got a yuuuuge grin and said "I LOVE THAT GUY!"🤣🤣🤣 Already a fan. ☺️ (Of course.)🥰
Neuro is too funny. I was a neurologist clerk at the va as a kid. Those guys were 😎 I took all the breaks and kept the charts updated and the coffee hot.
This reminds me exactly of how I was treated in biology labs when a superior was teaching me something new .. then later on I found myself doing the same thing sometimes to the undergrad assistants when I was in grad school. 🤦🏻♀️
When I was a med student,my standardized patient was the neurologist too....after I opened the curtain to see him as a patient,I almost forgot everything due to an episode of panic attack
"You know how your life flashes before your eyes before you die? What are you seeing right now?" That's right up there with "What do you want me to tell your parents?" as a death threat
I am a huge fan! Even though I have had math and science challenges and not even close to the medical profession, I understand and relate to the feelings of uncertainty and fears of punishment and failure in high stakes situations! Excellent comedic acting! You are consistently brilliant! 🏆👏🏼👏🏼Your vids brighten my day! 🤗 😆.
Doctors have Drill Sargent's, they just don't yell, drag you or make you do physical exercise as punishment. Actually, if you teamed up with a military UA-camr, like the real life drill Sargent on the channel "Angry Cops", that could be a cool video on who burns down their subordinates the most or comparing how they destroy a trainee. Great sketch BTW. You're awesome doc. We'll done man, you legend.
i mean, for all the grief neuro gave, he did kind of help him along. he's very much an intensive care bear, trying to bring out true potential with tough love
I am going on my second year as an SP in Canada. I love it! Thank god we have actors and non-MDs do SP work.... I don't think neurology would have passed the testing to become one:P
Today was my first day in intern year! And i just watch your "intern's first order" video now. That was so nice. I was like that whole day :)) they said my voice cracked while asking how to do sth. But i loved it. And i love your videos and your opinions abt things that you mention in your videos(covid, masks, surgeons, healthcare etc ). You bring me a wide smile with your videos. But not just for fun, i also see you as a role model too, the things you mention on your videos are so true.Thank you so much Dr.G !!💙 And again neurologist is my favvv😁😁
So funny recognising the different references to the cranial nerve exam. Really it's the not the patients you have to worry about but the examiners. Some of them really don't have a problem telling you how poorly you did in the exam room...
Every time the neurologist appears in one of these skits I am more and more grateful that our primary neuro professor might be the best teacher to ever live.
Paramedic physician just walked into the coffee shop and was waiting for his college to arrive, ER doc with heart on his t-shirt as he road in on a bike. Still has his bike helmet on.... I am dying. 😁
"- You know how they say your life flashes before your eyes before you die? - Yeah? - Well, what are you seeing right now?" I'm soo borrowing this for my next D&D villain xD
would you believe me if i said that this exact scene happened to me? it's like you were there. I'm just gonna say that i tried to check his reflexes with the hammer but he decided to show me how it's done and he used the hammer on me so forcefully that i exited the exam room with bruises on my arms and forearms.
I’m surprised the ophthalmologist has a stethoscope and knows how to use it. Same ribbing I give my cousin the radiologist. PS this pediatrician has a lollipop for you. 🤣🤣🤣🤣
You know they say life flashes before your eyes before you die? What are you seeing right now? This line is so SAVAGE!!! I will use it on my employees from now on xD
When my son was 4, he was a standardized patient for our medical school. I was the attentive mother.
After four exams, a fifth student began their exam, and my son now being aware of how the exam should proceed. He yelled at the poor student,
"You're doing it wrong,"
You could hear the laughter from the observation room 🤣
Well, children imitate adults, and what adults around children usually do is some version or other of "you're doing it wrong!"
... come to think of it, sounds like a realistic doctor-patient encounter in the 21st century.
😂😂😂
@@Julia-lk8jnthey also tend to see the world rather simply, and have not yet fully developed their empathy (which also informs us what other people are doing/planning).
In other words, kids are often just like that sometimes
@@giggabiite4417 yeah they dont overthink. Maybe not think at all... unless there is something curous. 🤣
So how did Neurology manage to get through standardized patient training in the first place? I'm guessing he didn't. He found a standardized patient, made them cry, then stepped into their room before anyone knew what had happened.
By being perfect in all things obviously. His cerebellum is huge.
He probably invented it
As someone who actually performs as a standardized patient, I can confirm this is how Neurology managed to get through!
@@giantmastersword THE SIZE OF A HOUSECAT
Spot on
As a hospitalist, I only approach neurologists from the back. The ophthalmologist told me they don’t have eyes in the back of their head. Usually.
It’s the usually that gets you though.
Approach them with an ecg and a question😅
I think this one might have blind spot mirrors on his glasses 😂
I thought their highly-optimized neural pathways to V1 meant they do all have eyes in the back of their head.
As an anesthesiologist I only approach neurologists to ask them if they'd like me to put that needle in the patient's spine or do they want to take a sixth pass at it. ZING!
My mother was a standardized patient for a while. Reportedly she brought big mom energy to each and every occasion.
How does one get a job as "standardized patient"?
@@Joy21090 In my mom's case, she was already working at the university hospital, and saw an ad. The med school loved getting standardized patients who were already associated with the university in some way because they were already in the system and thus seen as trustworthy. So it's not like this was a full-time job - it was something Mom did to make extra money (3 teenagers in the house - need I say more?).
@Esther Paris - reach out to your nearest Medical School to inquire. Our school always has the SP opening posted because we can always use more!
@@Joy21090 It's also usually not a full time job! The ones at my school work at most two afternoons a week, seeing about 6 students per afternoon. You get trained and offer us feedback and even get to grade us lol
What does that mean??
"Close your eyes. Can you identify the smell?"
"Fear"
😂❤️
Clearly did fellowship in vet med: dogs, cats, and others are, indeed, able to smell fear. Smells like marzipan! 😹😂😹😂!! I laughed.
Can confirm. It's glorious! Better than the smell of napalm in the morning 😈
Grade from seasoned neurologist to emergency medicine physician. As an ER doc I find that hilarious because it's true.
If I can’t find something wrong with the patient I put a drop of atropine in one eye and admit to Neuro…
@@greggae2735 Whaaaat? OMG I am laughing so hard… human medicine is hilarious!
EM doc x 35 yes here. This one made me laugh until I cried.
@@lynnm6413 Well, not really. But it’s a nice fantasy…
I am in emergency medicine as well and I laughed so hard at this.
“We can skip pain sensation………..this entire experience will suffice” ☠️😭
(sadly applies to both the patient and the med student)
omg hi dia !
you're telling me that a standardized patient isn't just a patient who can stand?
He can stand and dice up some carrots
He stands better than anybody else in the entire world. He was top of his standing class, in fact.
Nope, they are a patient you can't stand
@@skillen8or i almost choke :)
I show my appreciation for this fantastic channel by typing mediocre puns
I've learned so much from your videos that I actually flinched and said, "Oh nooooo..." when he pulled out the stethoscope to test the neurologist's reflexes. XD
i dont get it D:
@@sir.periwinkleton262 Referenced in "The First Day of Neurology" video from last year ua-cam.com/users/shortsgONgVg8yfSM
@@sir.periwinkleton262 The proper instrument to check deep tendon reflexes is with something called a reflex hammer. Its basically a rod with a piece of rubber at one end.
People use stethoscopes as a substitute sometimes and it does work but neurologists find it kinda insulting.
Lmao same poor med student will never make that mistake again
Same! I gasped in fear for that med student…
The moment I saw those glasses and overbite... *NOTHING* about this exam will be standard 🤣
Honestly I can almost see his testers going "He didn't cry when he came back out, despite spending the full time with the Neurologist. A+"
At this point I'm convinced that you actually were a neuro resident some years ago before switching to ophthalmology for some reason.
"for some reason"
The eyes are just outcroppings of the brain, after all.
The Neurologist is one of the most well fleshed-out characters & Dr. Glauc is too good at condescending burns to have not learned how to dish them in a clinical setting.
well, it might be a stretch, but eyes tecnically are part of the brain, as they evolved directly from it... but that might be my biology maj talking, i dont know if they count as such in medicine.
@@Apostate_ofmind not a stretch at all. Vision assessment and tracking are cornerstones of neurologic health (vestibular, reflexes, neglect, sympathetics, cerebellum, etc), would not shock me that he got into eyeballs after getting tired of neuro egos.
My jaw dropped when I saw who he was testing. Poor med student. I would've ran. My ''Oh No'' count was 6, but honestly I'm surprised the med student didn't have a full blown panic attack and faint. My heart and condolences to you dear med student.
Poor guy will need a palliative care consult after!
Actually, many med students are known to faint and/or throw up at the sight of their examiners during these tests 😆
he definitely had a panic attack, just after he ran away
At my med school there as a bathroom right next to the standardized exam rooms unofficially designated for crying
As the student entered the room, the neurologist could easily see the student's amygdala light up like a light bulb with his fMRI vision
One of my colleagues forgot his reflex hammer during an osce exam. He ended up karate chopping the patient's tendons for the reflex portion. The examiner and the standardized patient was not impressed 😂
Fuck I'd be impressed. I would take points off but I'd still be impressed.
I mean, did it work though?
I would've laughed so hard that I couldn't breathe.
Just adding some extra intringue to the examination, I guess.
@@beardpandaa A jab with the knuckles on one finger generally works better. Not well, but better.
imagining a sweaty, stuttering med student whispering hiiiiyah
If this happened to me my strategy could be summarized as "fail and retake hoping that next time I get the usual pleasant 70 year old lady who was bored during retirement"
“Purkinje cells the size of a house cat” LMFAO
I thought those are in the heart. BTW, I'm an ER doc. I took Step 1 like 20 years ago
@@puregsryou're right. But there is a different kind in the brain. Unnecessarily confusing.
@@puregsr I was told that in heart there are Purkinje fibers while in cerebellum are Purkinje cells. It's a bit less confusing this way. But maybe 20 years ago they just didn't care are called both of them "cells".
I'll never forget the one time I saw a pediatrician do reflexes on a kid by literally just flicking his wrist/fingers so he would hit the kids in the knee with his knuckle. It worked shockingly well and felt like such a power move to me and I'm genuinely not sure how the neurologist would react to it.
I (as a neurologist) would ask where he did his neuro rotation.
@@takayamuramoto4490 I mean, you gotta do it right. It's not hard to hit the knee reflexes with your knuckle if you do it in the correct spot
@@takayamuramoto4490 I'm sure it's not as good as a hammer if you're trying to pick up super subtle neurologic signs but when you're doing mostly well child visits and run of the mill sick visits it works well and the kids loved it. Nowadays I can consistently trigger my own patellar reflexes by just flicking the right spot with my finger tips.
I had an obstetrics mentor who did reflexes for pre-eclampsia with her finger tips and a flick of the wrist. It blew my mind then, but I learned it and it works really well when all you're worried about is hyperreflexia.
With even more derision than he had for the stethoscope, I would imagine....
As someone who loathes toxic behavior, I'm surprised by how much I enjoy the Neurologist. The arrogance and cutting insults amuse me every time. And the teeth. I can't get over them.
Because you know he knows what he's talking about. Toxic, yes, but respectable.
@@ahmetsaban8664 ...and smug. He's the very definition.
His insults are just so technical they're extra funny. I'm either laughing or going "ohh 😮🙊"
At this point I'm almost convinced that this 🤓 would be a neurologist emoji. I'm not fully convinced because the emoji is similing, as opposed to the neurologist.
I feel the same way normally, but exactly as you said. Thankful to this channel for knowing how to do humor correctly.
I have this exact exam tomorrow morning.
I also showed my neurologist attending First Day of Neurology yesterday (after we had been reviewing consults requests and it felt VERY relevant). He laughed a lot and made me text him the link.
He also enjoyed Bill Does a Lumbar Puncture.
I will have to show him this one after my standardized patient encounter. 🤣🤓
(PS I am in Kansas and your rural medicine videos are HILARIOUS. 100% would wear a Texaco Mike shirt).
How'd your exam go?
I'm in rural NY & also would love a Texaco Mike shirt!!! The rural med videos are what got me hooked here.
Wonder how his latest batch of moonshine/contrast/sedative is brewing up? I hope your exam went well. Please take care of yourself, and be kind to yourself, for you are worth it and deserve it more than you know.
That last threat, "you know the sensation of your life flashing before your eyes...well what are you seeing now." Just feels like a gut punch.
To the non medical people, technically yes you can use the bell of the stethoscope as a reflex hammer. No you should not do it unless you don't have a reflex hammer for some reason. And yes using a stethoscope in an exam is an instant fail. I don't even know the consequences of doing it in front of a neurologist.
A verbal evisceration so thorough it would land you in the trauma bay
Not good
Medical students kept stealing my crappy triangle reflex hammers..after 6 just used stethoscope bell on cheap stethoscope as that was borrowed 'for a second ' and never returned at least 4 times a year. I yearned for a good littman, quality calipers,good hammer, Phillips screwdriver, a good penlight , and gel pens with fine tip for most 39 yrs of nursing. Sigh
Honestly, it's better to not even check reflexes than use a stethoscope imo. I've seen one too many residents try to do it, get a minimal response and then just write "2+ bilaterally" before coming in with the ol Tromner and seeing a brisk reflex instead
@@holyhandgrenade3 not checking reflexes is not an option taking care of preeclampsia
As a family medicine resident that frequently checks reflexes with a stethoscope.... My life now flashes before my eyes.
Aww! Family Medicine has to make do with so little!
I honestly thought the reason he brought out the stethoscope was that the med student was going to throw it at Neurology to "test his reflexes".
I would simply pass away if I walked into an OSCE with the Neurologist as my SP
I can relate. We had the standardized patient who is the specialist all the time. And the running commentary is a must 😵💫
Really? That's crazy. We hire actors to play patients
Well, you're a better physician/surgeon because of these crazy tests :D
@@marybooth2103 that's crazy. We just learn on patients
I hope the med student and Bill can offer words of comfort to each other, later over a cup of coffee. The med student definitely needs one to revive himself and Bill, well, he always needs one. They both have been through so much.
Tragically, like all med students and residents who bond, they'll see each other every day for 12 hours for a 2-4 weeks, and then never again.
Neurology has a way with threats. Pure poetry.
I'm an SP, and I've never clicked on a video so fast! This is (as they all are) *chef's kiss*
I know it’s not exactly the same in med school but I swear to god this is a step by step remake of my practical skills exams in nursing school.
I'm an MS2 about to start our clinical neuro block in 2 weeks, I bought a freaking reflex kit from amazon because of the fear your videos bring XD
They prefer queen Square hammer refer these videos. Good luck :)
Get a tromner or a queen square. Metal tromners will elicit a better reflex than those piddly triangles.
As a neurologist and medical educator, a well-weighted Tromner is much easier than a queen square because the queen square hammers are generally lighter so more likely to hurt plus are generally longer so harder to carry…and the triangular Taylor hammer belongs in the trash. (Dejerine hammers are also good though not as readily available.)
@@TheSqueak788 tromner gang represent
I was never able to get reflexes on people with that rubber tomahawk, except patellar sometimes. Finally got a Tromner and holy crap that thing is amazing.
I AM a Standardized Patient. I was so excited to see this in my sub box. Then I became as disappointed as the med student to see the neurologist.
A long time ago my med finals paediatric long case was a 16 yr old with pan-hypopituitarism... mum was fantastic and basically saved me and said "Well, they are going to ask you about this and this.." and proceeded to dictate out my history and 'findings'. The only finding I could really say was he didn't have any pubic hair, he was otherwise a normal kid who had been replaced with everything and treated perfectly. How I sweated, but somehow passed all thanks to that beautifully kind mum who saw the absolute terror in my eyes and saved me.
I took a driver's ed test like this once. It's a small thing but you remember it forever. I think the emotional impact of that assistance does more for you than doing it yourself would have done
Once I had a patient in the enfermary (as a med student) that saw me sweating and saved my ass. He had been hospitalized for a long time and had a lot of students passing with him, so he was quite used to the drill. I was passing the case to my preceptor, and she asked me something that I had forgotten to ask. He immediately cut in and said "well, she asked me that already, and I answered that...", I mouthed him a quiet thank you and finished passing his case. The preceptor didn't seem to notice what happened, but to me, who knew that he only intervened for the only thing that I had forgotten to ask, it was clear. He was absolutely awesome. The next day I was with a different patient in his room, and he said "you did great yesterday with your boss! Don't worry, all the students forget something, it's not a big deal, but I noticed you got nervous about it". I also saw him telling other students stuff that they forgot to ask, because he knew the preceptor was going to ask them about it, he asked "you are going to examine my... now right?" when the same group forgot about a certain part of the physical exam. He said, when a student from that group gave a wrong answer to the preceptor that although he had indeed answered the question like this to the student, he had since remembered that the correct answer was another one. I'm pretty sure, although I didn't see that, that the one who confused the answer was the student not him, but he knew that one preceptor was always yelling with us, so he did it to easy things up for my colleague.
He was dealing with students attending their first patient and he knew that. He was really nice all around, not just in that way. I really wish that pair hadn't manage to take him from me (long story, they had to cover for me, because I had to help a different doctor and they decided to give me one of the patients that was originally theirs to me when I came back instead of him, and I didn't want to argue), but to be honest, just that first boost of confidence did wonders
My favorite standardized patient was one where during the debrief after the encounter he was upset that I didn't ask about his socks which had the logo of his favorite sports team on them. He said it was vital to talk about things like that with your patient to built rapport. He was playing an emergency department patient with an appendix that was about to rupture...
I just wanna hug that poor student, make him some hot cocoa, and put him down for a nap. ❤️
Dude, the ophthalmoscope joke is on point! I can barely see the retina with that thing. "No papilledema is present, I suppose." You should make a video showing how to properly use it.
I doubt Dr. G owns one. If he wants to look at the back of your eyeball that is what a slit lamp is for.
I use my ophthalmoscpe solely for checking red reflexes. There's no point trying to see more than that.
I use my ophthalmoscpe solely for checking red reflexes. There's no point trying to see more than that.
My workroom is practically next to the oncology and the neurology. I'm on friendly terms with some of the doctors. One of the neurologists wanted to trick their new med students and asked, if I would let them check my reflexes (I am missing the ones in my knees, ellbows, hands, ancles, all that stuff since havin GBS last year, the doc treated me). At first they were a little panicky, thinking they were doing sonething wrong. Than the doc asked them what if they weren't. After they did ask the questions if I had pain and other symptoms etc. we did tell them it was "normal" at the moment for me and explained my medical story. In the end it was only kinda mean from him and rather interesting for the med students :)
I did get slight bruises from some rather harsh hammering on my knees though :')
Oooh, after my spinal fusion l1-l3, I have no more reflexes in my knees ankles or elbows. It's freaky watching students and doctors freak out and then just to tell them "Yo, that's been my norm since I was 16, and I was told that it was fine and normal". Them: "Who the hell told you that? That's not normal!"
Bless all the standardized pts who signed up for the GU and prostate exams and I hope they were compensated accordingly.
Not sure if the contempt in eyes was more legendary then the sarcasm in his tone, or the bite in his words!
Either way, top notch!
I love the way your videos are full of excruciating embarrassment. They are therapeutic for (the viewer's) anxiety I swear! I keep them as little treats to break up a worrisome life. Thanks Dr G.
I went and looked up different reflex hammers after you mentioned the Queen square in a recent video. Had no idea there were so many, if I had been a neurologist instead of a business analyst I know I would have gone with the trômner.
I can see why. It definitely looks like it can deal some serious damage
the name alone is quite the statement piece.
Babinski FTW 💪
My favorite is the Tromner, good ole reliable
I prefer the babinski hammer
'my cerebellum is magnificant' as he is touching his finger to his nose and the students hand is just breaking me 😂😂
"You know how they say your life flashes before your eyes right before you die?"
"...yeah"
"Well what are you seeing right now?"
I'm impressed the student just accepted their fate instead of running.
He did warn them he'd beat them to death if he saw them do reflexes with the stethoscope.
"We can just skip pain and sensation. This entire experience will suffice". The way I hollered!🤣🤣🤣🤣🤣
I just had my first SP encounter on Tuesday. Great timing, Dr. G.
Love the neurologist.
May Jonathan be with you in these trying times, Med student!
A med student couldn't afford a Jonathan. 😕
The same thing happened to me during my physiotherapy for cardiopulmonary test. Prof said he would find us some standerd patient. Test day, stepped in, it was him who laid on the patient bed lol
I was at my neurologist office watching this. Too funny!
As a family doc, you glance at your patient. If they are speaking clearly and have no obvious facial droops and walked into the exam room without any abnormal gait, they are 95% ok. They are "grossly intact" and good enough to make it another 3 months if they have no specific complaints.
Your videos are the type of respite I need from the daily life. Thank you so much for the joy you bring me and others.
I was a Standardized Patient, and also taught Doctoring Skills. Those poor med students were so nervous! It was lovely to see their growth and progression over time. It's an amazing program!
your humor is incredible ...
always brightens my day ...
I feel like he still could have saved it if only he didnt pull out the stethoscope for checking reflexes.
He absolutely could have, he was doing finger to nose testing which is already going beyond what most physicians do in the PE... But the reflexes-with-a-stethoscope tactic is a death sentence, and rightly so.
I thought he was going to test reflexes by throwing the stethoscope at the neurologist
@@Defahn same
the reflexes with stetoscope was actually taught me by an ED consultant
Wouldn't that damage the steth by the way? I'm sure cardiology will be equally offended.
Had my "standing" regular appointment with my primary doc today (side note: GOOD GOD I LOVE THAT GUY!👊 He's proof that excellent docs DO indeed exist. And in a PUBLIC HEALTH CLINIC no less!). We were discussing which surgeons to choose for consult about spine surgery. (Not my first. Or second. Lol) He asked if I was thinking Ortho or Neuro. _Somehow_ the topic of surgeon egos came up. He said "Ortho surgeons are notorious for big egos." No argument there. Then followed with "but Neuro... Neuro surgeons are a 'peculiar' lot. All the ego of an Ortho but with a special twist."
All I could picture was Neuro EXACTLY as portrayed in this video... and couldn't stop giggling. The BEST part? I told my doc if he wanted to see accurate & hilarious stereotypes of each specialty in medicine, look to Dr Glauck's vids. Doc got a yuuuuge grin and said "I LOVE THAT GUY!"🤣🤣🤣 Already a fan. ☺️ (Of course.)🥰
Neuro is too funny. I was a neurologist clerk at the va as a kid. Those guys were 😎 I took all the breaks and kept the charts updated and the coffee hot.
You don’t need to check my pain assessment. This entire video killed me🤣
"Purkinje cells the size of a house cat" 🤣👌 I can't with you man lol
As a retired ER doc I can assure you the edge of the stethoscope bell elicits reflexes as well as a hammer 😂
This reminds me exactly of how I was treated in biology labs when a superior was teaching me something new .. then later on I found myself doing the same thing sometimes to the undergrad assistants when I was in grad school. 🤦🏻♀️
Knowing the background, and the characters, makes these so much funnier.
Love ya, Glauc. Keep it up!
When I was a med student,my standardized patient was the neurologist too....after I opened the curtain to see him as a patient,I almost forgot everything due to an episode of panic attack
As an emergency physician I approve this message
Yeah, but it still hurts a little bit…
"I recommend you get started before your neurofibrillary tangles kick in." Another obscure neuro burn. I love them so much!
Sick Alzheimer’s burn!
"You know how your life flashes before your eyes before you die? What are you seeing right now?"
That's right up there with "What do you want me to tell your parents?" as a death threat
I am a huge fan! Even though I have had math and science challenges and not even close to the medical profession, I understand and relate to the feelings of uncertainty and fears of punishment and failure in high stakes situations! Excellent comedic acting! You are consistently brilliant! 🏆👏🏼👏🏼Your vids brighten my day! 🤗 😆.
If a villain/hero said that line in movie, I'd lose it 🤣🤣🤣 ... "We'll, what are you seeing right now?" ...🔥🔥🔥🔥
Doctors have Drill Sargent's, they just don't yell, drag you or make you do physical exercise as punishment.
Actually, if you teamed up with a military UA-camr, like the real life drill Sargent on the channel "Angry Cops", that could be a cool video on who burns down their subordinates the most or comparing how they destroy a trainee.
Great sketch BTW. You're awesome doc. We'll done man, you legend.
i mean, for all the grief neuro gave, he did kind of help him along. he's very much an intensive care bear, trying to bring out true potential with tough love
I am going on my second year as an SP in Canada. I love it! Thank god we have actors and non-MDs do SP work.... I don't think neurology would have passed the testing to become one:P
Today was my first day in intern year! And i just watch your "intern's first order" video now. That was so nice. I was like that whole day :)) they said my voice cracked while asking how to do sth. But i loved it. And i love your videos and your opinions abt things that you mention in your videos(covid, masks, surgeons, healthcare etc ). You bring me a wide smile with your videos. But not just for fun, i also see you as a role model too, the things you mention on your videos are so true.Thank you so much Dr.G !!💙 And again neurologist is my favvv😁😁
I'm going to pretend that they assigned the neurologist to Bill because they know that he can take it the best of all the med students
Bill's not a med student tho...
@@ItBePatYo this med student has bill energy so I'm gonna pretend like this was Bill back in the day
"What are you seeing right now?"
Am I alone or was nobody else ready for that line?
So funny recognising the different references to the cranial nerve exam.
Really it's the not the patients you have to worry about but the examiners. Some of them really don't have a problem telling you how poorly you did in the exam room...
Awesome Dr. G. I’m always on the lookout for so-true-it’s-funny videos to share with my med students!
Every time the neurologist appears in one of these skits I am more and more grateful that our primary neuro professor might be the best teacher to ever live.
Another great video from the doctor. Thanks
At least two laugh-out-loud moments! Brilliant again!
Purely awesome. Big smile on my face as I was watching this. God bless you doc. Keep em' coming.
Your video definitely beings smile to my face especially when I'm sad. Thank you!
I'm amazed about how you can create such different personalities that you can even identify them by their facial features.
Love your videos bro keep up the good work
Paramedic physician just walked into the coffee shop and was waiting for his college to arrive, ER doc with heart on his t-shirt as he road in on a bike. Still has his bike helmet on.... I am dying. 😁
"- You know how they say your life flashes before your eyes before you die?
- Yeah?
- Well, what are you seeing right now?"
I'm soo borrowing this for my next D&D villain xD
I quite literally just left a standardized patient exam and this video gives me respite, I feel seen 😂
would you believe me if i said that this exact scene happened to me? it's like you were there. I'm just gonna say that i tried to check his reflexes with the hammer but he decided to show me how it's done and he used the hammer on me so forcefully that i exited the exam room with bruises on my arms and forearms.
I’m surprised the ophthalmologist has a stethoscope and knows how to use it. Same ribbing I give my cousin the radiologist. PS this pediatrician has a lollipop for you. 🤣🤣🤣🤣
I love these!!! I am not in the medical field, so probably don’t appreciate them as much as a neurologist would, but these have me laughing out loud!
You know they say life flashes before your eyes before you die? What are you seeing right now?
This line is so SAVAGE!!! I will use it on my employees from now on xD
Those silent moments of fear? Spot-on acting, I love it.
And the curls are magnificent!
Hands down, best one yet!
This is your best work yet, Doc Glauc.
Your videos make me laugh daily, I appreciate you haha
My neuro osce last semester was already difficult enough. Thankful that my SP was a kind person
Thanks, Dr. G! I needed these laughs today 😂
"...well, what are you seeing right now?"
That is the coldest line that I have ever heard.
This is definitely one of your funniest skits of all time.
This level of savagery is otherworldly! 💀
I love that you posted this on the third day of my neurology rotation at the VA. Fun times ahead.