I think you missed the most obvious reason, she was surprised because he was so candid about his drug use with his small children standing right next to him. It's evident that this is the most likely reason intended by the show because the child has a line immediately after in which he calls his father daddy to indicate he's very young (as opposed to his actual visible age since Hollywood always uses older kids to play younger).
Working in a drug and alcohol service, some people bring their kids to the appointments. Whether its appropriate or not is another story. But yeah its not at all surprising
Also Heather Graham has never aged a day in her whole life. From Twin Peaks to Scrubs to Arrested Development, not one minute of aging. ❤ (As Lucille Bluth would say, good for her.)
I work in a drug and alcohol service and obviously there are people who are exactly as you would think and plenty who arent. And when people have recovered sometimes you would literally never know they had been on them. Some people hold down jobs and keep families throughout addiction including to drugs like crack and heroin. And recovery is always possible. But not everyone wants abstinence and its up to them.
Hi Dr. Elliott, I want to thank you for providing your perspective and expertise. This reaction is an interesting intersection of a few of my past experiences. My ex is a psychiatrist, I worked for a couple years then burnt out in medical review/evaluation for recovery and transplantation, my favorite show in my teen years was scrubs. Recently fell on hard times and trying to work my way back to getting on okay with myself. You seem like such a lovely person and watching your videos every so often has helped me reflect on some stuff without causing too much distress. Stay cool and take care! 🙏
Also a recovering heroin addict. I'm a 30 year old nerdy, babyfaced guy. People tend not to expect that I spent a decade shoving needles in my arms and doing shocking things to get my fix.
I know someone who used to scam IV drugs all the time in the ER by faking a migraine. Because she was wearing high heels and a skirt suit they figured she wasn't an addict. They were wrong.
I feel you.. I'm on similar boat...and it's been blessing and a curse - I hope I can turn my experience and cognitive bias of others into something valuable for other addicts. I was often perceived as... inauthentic addict, mostly because of how harsh upbringing made me expend significantly more effort into keeping up appearances which made getting help...a prolonged process. I hope you are doing well, cheers!
the talk about stigma and doctors reacting badly made me think of many stories I heard about people going to the ER with self-harm wounds, from nasty comments to stitching it up without anesthetics. its being seen as attention seeking and bad behavior, that really has to stop (sorry about my English its not my first language)
I remember very vividly from my first suicide attempt at 14. I got so scared, made my dad drive me to the hospital( I took two bottles of tylenol before a long drive, i was manic and not thinking clearly). I stumbled into the er and went to the front desk, totally frantic, and told the nurse I had tried to kill myself. She laughed. LAUGHED. And while smirking led me to a room. I ignored it at the time because I was so focused on refusing to die, but if I could go back in time I would ruin her. Ive since been diagnosed with Bipolar 1 and have been in and out of rehab. The stigma is so prevelant if you know how to spot it.
"Most healthcare systems should have enough checks and balances built into the system to try to spot mistakes, though." Oh, you sweet innocent summer child...
Sipping from a glass of ice water will bring your temperature down a lot (1C) quickly. Also, if you are perspiring, a small fan can make an amazing difference (and shouldn't be too noisy for your recording). edit: Oh and an off topic tip! I recently went to the hospital with what appeared to be a major heart attack. My pulse was thru the roof and my BP was 195/148. But blood tests and cat scan showed it was not. They had to discharge me (since not life threatening) even tho the pain just laughed at morphine. Turned out to be *a dislocated left rib* over the heart. A small adjustment and the pain dropped 50%. But all my upper chest, back, and shoulder muscles were still intensely sore for 4 days. The dislocated rib had caused all those on the left to spasm which caused the ones on the right to spasm (but less).
I love seeing your insights into Scrubs episodes. Oddly enough, the only times I've seen the show have been while I was in the hospital. I need to visit it sometime.
One thing I learned from dying and coming back: do NOT joke with your doctor and nurses that they did a bad job killing you, 0/10, wouldn't die here again. 1. it's not funny and 2. as much as it wasn't traumatic for *me* (it felt like fainting, it really didn't hurt) it was a very trauma-inducing 30 seconds for *them* while they tried to get my heart to go back to beating again.
Unironically thank you for this comment because it is exactly the kind of thing I would say in that situation and it would have never dawned on me that their perspective of that event would be very different from mine
This is all part of the dark humor in medicine. And yes, between medical school and residency, each Young doctor is connected to 2.3 deaths. This has been standard for a long time.
Hahaha, walked in to the CT control room this morning and before looking at the patient I noticed a topogram scan displayed with the heart on the right side of the chest (basically looks like an X-ray). My response, "OMG is that dextrocardia", the Radiographer's response, "No Matt, the patient is prone (lying face down on the scanner)!". Well didn't I feel the idiot 😂😂🤣🤣
I like that two of the corners of the dark triad is like... pretty obvious indicators of at least a violent person? Killing small animals? Definitely not a good sign. Setting fires is also pretty violent. So I'd say we shouldn't need to worry about what they might become, we should be worried about them right now! And then there's bed wetting??? Which seems so out of place? What does that have to do with anything? I know sometimes bed wetting can be a sign of abuse but say that then!
Yeah, I'm always frustrated when people start talking about how it's "not an indicator of being a serial killer" because...being someone who abuses animals and sets fires is almost as bad as being a murderer lol I hate to see those brushed off. Even if the people in question never do anything "worse" than that, those crimes are bad enough as they are!
IIRC, in *some* cases, prolonged bed wetting indicates a disregard for social norms. Obviously, you have to look at the whole picture to know the real cause. But in some cases, bed wetting is not an accident. They just don’t give a damn. It probably doesn’t apply to most kids who wet the bed, even older kids. It’s just if the kid shows other signs of defiant or dangerous behavior.
Doug really found his niche when he became the hospital pathologist, since he was such an expert on how people die in the hospital, from personal experience...
Love your insights into Scrubs episodes! If you're interested in checking out another comedy that has plenty for a psychiatrist to analyze, I highly recommend Community. Season 3 has a string of episodes delving into the characters' psyche: Contemporary Impressionists is a good one to start on because you've got both Jeff being told that, as a narcissist, he shouldn't be taking anti-anxiety meds, and Troy who's trying to be a good friend to Abed, who has autism, when Abed's actions are putting himself in danger. Then if you're ready for a deep-dive into Abed's psyche, Virtual Systems Analysis is a brilliant, sad episode about the simulations he runs in his head to understand the world and his place in his friend group.
It breaks my heart seeing decisions like this being made irl. A close friend was in the hospital for a few months due to liver problems and would have died if it fully failed, because she was addicted to heroin at the time & therefore ineligible for transplant. She's alive and thriving today. Another friend received double lung transplants due to severe cistic fibrosis and died 9 months later. This idea that some people are more valuable than others is dreadful. ANOTHER friend had open heart surgery while being an active heroin user. She did get endocarditis, but 25 years later not only is she a lawyer, but her focus is helping people who have been declined medical aid to get their decisions overturned. You never know. I appreciate this video & what you said about medical bias so much. P.s. Sweat as much as you want, we're all drenched this summer 😅
On one hand I very much agree, those criteria are discriminatory. On the other... as was said in House MD, organs for transplants are a rare commodity, and they have to be given to candidates who will use them the most. Statistically. So nothing for a 60 year olds (even though they could live to be 110), nothing for addicts, porn stars, or skydivers.
I mean, it's true, you never know. But to give an example, let's say you have 10 patients that need a transplant and you have 3 organs. Waiting for more organs is not an option, the patients who don't get one will die. What metric do you use to decide who gets to live and who will die? Serious question. Taking a patient's past into account is not the worst metric to go by. Of course, there are other metrics that could be used like age or family status but none of them are that much better than the other and all of them are discriminatory in one way or another. It sucks but when there are limited resources you work with what you've got. I guess it's a good incentive to have an opt-out organ donation system rather than opt-in, but I digress.
@@senatrius1968 take your trolley problem whataboutism somewhere else, & pray that the doctors in your future don't decide your life is worth less than the person next to you.
It's not really a case of "some people are more valuable than others" it's a case of you can only give this 1 heart to 1 person out of 10 that need it. You therefore have a responsibility to choose the person who is going to benifit the most, so you're going to factor in who is the most sick (can they chance waiting for another heart or do they have a reasonable quality of life so far) are they going to waste the gift that so many others need, eg by drinking or destroying it with drug use. How long can they reasonably expect to live, it makes more sense to give one person an additional 15 years vs the person who is unlikely to last 1. It's not about who is most important, its about doing the most good possible.
It's a small one but I had a heart attack a few years ago and I am overweight. Obviously the first test was for cholesterol, but it is only just in the unhealthy range. They never did confirm what caused it (barring a test that would cost me over $1000) but at least they ruled out my weight and cholesterol as the primary cause. Best guess was stress and caffeine causing a minor valve spasm leading to a cholesterol dislodge and rupture.
I was on a psych placement for my nursing degree and there was one patient who was on covid precautions due to a high temp. Well, he was there to detox off IV drugs and wasn’t displaying any “usual” covid signs. Got asked to do a set of obs on him and everything cardiac related was just off. I ask my RN buddy “do you think we should do an ECG”? She said it was a great suggestion, and to do it. Well, a few mins later we were calling the ambos, found out a few shifts later he had an infection in his heart lining due to using a dirty needle.
In regards to the organs vs veins, they both cost a lot of money, I honestly think both are sides of the same coin, it's a cost vs benefit thing, long term, I think a vein or a liver aka druggie vs alcie is exactly the same
About stigma, I just wanted to mention that I've experienced many times being at the receiving end of these. For having ED. It's "chronified" by now (I'm 37. It started at age 15). Even professionals have badly reacted to it. Especially outside the mental health care fields. Like internal medicine, where I had far to many stays for severe hypokalemia. Doctors and nurses alike. And even to some degree inside mental health. Like in the juvenile psych ward I was at 17 for example. Horrible. And I was not the only one. Another anorectic girl received the same bad treatment. And I really don't make this up. I've met some geniuinely empathetic professionals too. But the bad experiences stick with me most. To this day it's the diagnosis I am allways most ashamed, afraid, most uncomfortable to go into detail about. (There was also much guilt tripping, shaming and abuse around it happening in my famliy, so that's definitely not helpful. Still feels like a "cardinal sin" to me. I'm not religious, but theroretically christian. The analogy just feels fitting fot me) Depression, AVPD, cPTSD, anxiety issues all feel "easier" to open up about.
The issue with transplants/drug use is one of scarce resources. They are scarce resources and require ongoing care by the patient. There is a concern that those with addictions will resume the drug use harming the transplant -basically wasting an organ, all that money and effort. Moralistic but a factor in equitable distribution of health resources across the whole of society.
I m an alcoholic and i went into hyperglycemia as im also diabetic, the on call dr asked me if i was pregnant and i said "I dont think so" and he turned to his nurse and said "your a woman, how can you not know if your pregnant" and she was visibly horrified but went along and didnt say anything, 2 hours of me in screaming stomach pain and him saying "I dunno" and a different nurse saw me, took my blood sugar immediately gave me insulin-gave me morphine to deal with the pain and a shot of gravol and suddenly within an hour I was almost fine. I had zero education because nobody educated me on when and how much insulin to use and i was on a dangerous combination of meds that i should never have been put on. so this saint of a woman sent the education team down to go over the basics and give me a bunch of information which i would say is a lot better then writing me off as a hungover whore.
I’m sure some of us here have lost friends to addiction. You can’t help help but blame yourself in such situations even though there’s you could have done. You can support them as much you like they’ve got to make the decision to get help and stay on the path. Still in the end you beat yourself over every interaction thinking with just one word difference maybe they’d still be here, on the other side you get so angry at them for not making that step. Please don’t let it drag you down, get help talk to someone and let the pain out.
Saying that someone's lifestyle shouldn't be considered when transplant is the option is very incorrect. There are a limited number of healthy transplant organs available and they should always go to the person who will be the best case for recovery. Heroin man loses in almost every situation.
As someone with trich and OCD, while it was sometimes is related to anxiety, similar to OCD compulsions, I often find it isn't. Sometimes I'm compelled for no reason other than I feel the need to pull and sometimes it just feels sort of relaxing. Like I've sat and pulled almost subconsciously while watching tv in the past. It was previously categorised as an impulse control disorder in the DSM and then in DSM V was changed to an OCD related disorder, I feel like its true nature lies somewhere in between. It's a bit like people who bite their nails, sometimes it is related to anxiety but sonetimes they just do it because they like the feeling or sensation of it.
"sometimes they just do it because they like the feeling or sensation of it." Yes! I have dermatillomania (compulsive skin picking). Sometimes I pick when I'm anxious, but I also pick because I don't want to feel the "bump"--I want my skin to "feel smooth"--if that makes any sense. Dermatillomania was barely added to the DSM in 2013, so not a lot of doctors or therapists know about it or how to treat it. Doctors are more likely to know what trichotillamania is, so I just say it's that but with skin picking. Anyway, it's super fun!!!☹
@@carmen_says_hi I can relate a bit, if I have a spot, especially sore one I can't stop touching it and eventually have to squeeze it. I'm autistic though so I think for me it's a sensory thing
I thought she was shocked because he was honest about hardcore drug use... as House and Dr Cox say "everybody lies" most people would lie about hardcore drug use. Also I don't believe it's the patient themself, it's the fact her friend stood against her and she's... entitled and doesn't take differing opinions well.
I can't remember which episode but a reoccurring doctor would notice the x-ray is put on wrong and flips it. And iirc I think it stays fixed for the rest of the series. Always love seeing Scrubs. It's scary dealing with doctors who stereotype you, even though you come to them as a patient. I dealt with that with my previous GP. Due to the BMI, I'm considered obese and my doctor didn't really listen to me, she'd just tell me to lose weight. Despite the fact bmi is inaccurate, you can be fat and healthy, skinny and unhealthy, and that weight isn't indicative of your health. Which my GP used to say. Then she went back on her word, don't know if it's because of me becoming pre-diabetic or because of whatever is going on with her (could be both). I'm looking for a new GP, one that'll listen and not be biased against my weight. So far my current GP is good so far, and I'm hoping it'll stay that way
You just made me think of something, when you said "because of whatever is going on with her". What if it's the medical provider's projection? Like they have unresolved feelings about weight, in a society that's obsessed with it, so they project it onto their patients? Aka, it has absolutely nothing to do with you or me. This happens a LOT in medicine, where people aren't listened to because of their weight, to the point that people aren't diagnosed/misdiagnosed/die because their symptoms were dismissed. Also happens with race, sex, various other forms of ableism, so there's a lot of unconscious (and sometimes conscious) biases going on. But from what I understand, weight dismissal almost feels personal - like they have a personal problem with you. What if it's because they internalized weight messages and then project that onto patients? I hope your current GP stands the test of time. You deserve good healthcare.
It's season 5 episode 23, My Urologist. It's Dr. Kim Briggs (the woman JD has a baby with, played by Elizabeth Banks) who comments on it and flips it to the correct way.
I've had trichotillomania for decades. I now shave my head in the hot months and then I pull less for a while during regrowth. I like having a bald head look. Yeah, the impulse sucks.
Conscious awareness of the ramifications of the decisions we make… in my opinion is still fear. Coming from a veteran with over a half decade in combat I’d say that ER/Trauma room nurses and doctors is probably pretty close. If I had made the wrong call (which I did), it doesn’t save someone’s life, same thing for those trauma professionals. We both lost a life even though we were on two different ends of care. I never wanted to make a decision that caused me to lose one of my guys, I’m sure they feel like this with every patient.
I think it was perfectly justifiable to refuse a transplant to that individual due to excessive drug use. He was a four time rehab failure and even by the end it’s presented that he may have relapsed again. Based on patient history, he more than likely will simply destroy that gift with more drug use. That gets even deeper when you look at universal health care. I’m a huge proponent of freedom. But that freedom comes with the burden of responsibility and accountability. I also suffer from alcoholism, anxiety, and depression caused by my 21 years of military service Nd 57 months off combat operations as an infantryman. While I have my drinking under control now, had I continued to be a substance abuser, I feel it would have been prudent for me to be denied a liver transplant if they need arose. Choices have consequences and the individual is responsible for them, not the medical system or other tax payers (if universal health care is available). I think Turk covered it in a later episode when he and Dr Cox butted heads over a transplant issue. In that episode, I feel like Turk made a bad decision by refusing the transplant. (The patient had been on the transplant list for several years and his ONLY disqualifying act was having one glass of wine at his daughters wedding). But regardless, Turk’s comment on the reason he declined it was a good one. He looks at the organ as a gift. Something that is desperately needed and is rarely given. So, in his mind, that is so precious he needs to be responsible in who receives it.
Stereotyping is not in and of it self bad. Its useful to know the common things. Many stereotypes have truth in them. If symptoms match some common illness( or stereotype in this analogy) then not test for it would be kinda negligent.
I was in the hospital after a suicide attempt with paracetamol and they refused to give me a liver transplant and had just given up on me was a miracle 3 weeks later i was able to walk out of the hospital
I've often wondered about that aspect of the job - life saving has to mean failing to do so on occasion, and correspondingly high consequence for mistakes. I appreciate hearing your thoughts. It was hot, wasn't it?
what surprise me the most is the kid ... why does he know and why whould he be part of it...i mean im pretty sure i didnt know what drug was at this age and what it does to someone...
This made me curious, so I did some reading, and it turns out there's no standard. No federal guidelines on what mental issues should disqualify a person. It's up to each transplant center to set their own rules, and things like suicide attempts are a highly contentious topic. So maybe.
I'm surprised no one has seemingly commented on it yet, but the title of the video is wrong! It says "My Fallen Idol" and it should be "My First Kill"...
So that kid is learning if i do hard drugs like my dad. I get lots of attention and everyone will feel bad for me and everyone will take care of me. I cant be refused anything or be treated different for it. I wont have to work ever. Ill just do drugs all day every day because im the victim of my own choices. Then ill pretend to get my life together ever few years and constantly come in and out of my child's life. So the child will be emotionally scarred and has a higher chance he does what i do also and continue this cycle.
me: all ready to enjoy another episode of psychiatrist analyzes me: oh heck they talked about hair pulling oof I had to rewatch with a double lexapro and buspar so I didn't start pulling. Being a picker/puller is honestly so sucky
I'd like to speak up for the Janitor....taxidermy is not torture, it's weird, kinda gross, but not torture. What the Janitor does to JD now THAT'S torture!
Heads up: don't read this if you don't want to read me actively processing grief!) Hey Doc I just want to say thank you We lost our dog tonight (it was her time to go) And although we had been preparing, it still leaves a pit in the stomach and a hole in the heart. Everywhere I look there is something that makes me think of her or something that makes it seem like she should still be here (like her food/water bowl stand, the carpets we put down to help her get traction and be able to walk since her hind legs started weakening, a bandana we forgot about and would have buried her with, her empty spot on the couch, etc.) We're in so much pain. I'm the only one still awake bc I used to take the night shift taking care of her and it feels wrong to go to be early (by early I mean before 3 or 4 AM, or 6 or 7 AM on worse nights). I can't bring myself to do much at the moment But I usually like your videos so I put this new one on. Something funny from a familiar UA-camr Thanks for keeping me company and distracting me Gonna talk to my actual therapist tomorrow! Gotta do that when you lose one of your best friends who you met at 8 years old and has been with you nearly 16 years Yep this sucks gonna go back to watching the video now Also anyone who did read this far, sincerely I say thank you. You didn't have to. You also don't need to comment. I have a support system, including another lovely dog and a lovely cat. I have parents and siblings. And like I said I do have a therapist. Even my bosses/close coworkers have offered their support in their friendly-yet-professional capacity So it will be okay. It just hurts a fuckton. But we did all we could for her
@@janvierr9906 From what I understand too, because the weather has almost always been cool/cold and damp, your homes are built to keep heat _in._ Like once it's hot in there, you can't get it out, even at night. Ugh, I'm so sorry. We're all gonna have to make a lot of changes with how climate change is here-here, and infrastructure is notoriously slow for catching up to rapid changes like this. Are you able to install window units? Here in the US they're as common as sliced bread for older buildings that don't have central air, but I didn't know if they'd ramped up production for places like the UK, or how shoring up power grids would work. They're pull a LOT of electricity.
The guy who has stayed sober from heroin for six months is a badass. Heroin is so insanely hard to kick. You being off of that for that long is impressive.
I got confused to but I think its the American health care system can be weird...or they've taken liberties and not realised you don't use an actual heart. I know in aus regardless of whether you got endocarditis from ivdu or just a tooth problem you get the prosthetic heart valve...but you do have to be absolutely pedantic about taking your warfarin.
On the topic of stereotyping of things in psychiatry when I wasn’t formally but only self diagnosed for both adhd and autism I had to go through a shit tone of effort to get people to actually understand autism and adhd (each on seperate situations as I was diagnosed autistic first in November 2021 and then august 2022 for adhd) I read through a bunch of the DSM 5 and the fact they use the word stereotypical behaviours when talking about autism in that damn book is one of many things wrong with their view on autism.
A few things: 1) Self-Diagnosis is neither accurate nor valid 2) Stereotyped Behavior is referring to repeated, cyclical behavior with little teleological significance (e.g., hand flapping)
So I had, what I thought was a friend but turned into a scumbag stay with me to help him out. It was a few months back. He went to University for psychology and told me that you have a fake British accent. Also, I am apparently stupid and gullible for watching your videos because criminal pathology or forensic psychology isn't actually a career 🙄😒 I did google search you and proved you are in fact British and have psychology credentials. I also showed him various definitions and profiles of renown individuals in your field. Of course he did not believe me. Silly dumbell, he was kicked out of my apartment shortly afterward for a few reasons, but this argument was the catalyst.
I dont understand this new mindset. Never shame anyone unless they are not protected. Sleep with as many people as you can, or Eat 1 million calories a day and get as giant as possible, DO hard drugs for a decade. If your not OK with that your The Bad Guy and in the wrong. When that behavior is bad for both mental and physical health of not just that individual but all those close to them.
Just throwing this out there: The patient is white and gives the appearance of a "normal" family man that's "just" made some bad choices. Would Eliot have advocated so strongly if he were a black man/woman? That was my first impression anyway.
The Janitor: I've heard that the first several seasons the Janitor was supposed to be a figment of JD's imagination. But after a while that just didn't work anymore.
That was only for season one if they didn't get picked up for a second season. Once they got a second season he was just another "normal" staff member (I mean, he is anything but normal, but you know what I mean)
I have a mild case of trichatillamania (sp?) and it’s somewhat compulsive. Sometimes I am twiddling my hair and the texture of one feels wrong and I have to pull it out. Luckily my bald spot is only 1-2 mm
I have severe comorbid mental health issues. From all of that, pulling my hair and picking my skin a little on my arms, but mostly on my legs from the knees down is almost tame. I still can't quite beat it, no matter how much I dislike the ugly traces it leaves behind. I even use tweezers and needles... It's hard to describe why I do this or what I get from it. And obviously hard to beat. In a setting in which, for some reason, I can't engage in it for a prolongued time, especially if I spot an extra dark hair or one of these "whitish balls around a hair root" (still don't know what exactly they are. Round and rather hard), the fact I cannot manipulate that area like I usually would, is very unnerving. (being in a psych ward is such a setting. I honestly have a needle hidden in my pencil case precisely for that purpose) Like an unmet urge. Can drive me quite jittery and I can't seem to find peace unless I got it out.
Maybe it's different in America but Molly calling herself a therapist when she's a psychiatrist has always bugged me 😅 maybe she has a dual specialty I guess!
They’re two separate things in America, but it’s not uncommon for people here to think a psychologist and psychiatrist are the same thing. There’s been multiple instances where I’ve been talking about my psychiatrist to a colleague, friend, etc., and realized halfway through the conversation they thought we were discussing psychotherapy/therapy sessions. Granted, I live in a state with a severe lack of mental health services, especially psychiatrists, so maybe there just haven’t been enough opportunities for people to learn the difference. Maybe the Scrub writers don’t know/don’t care either? 🤷🏻♀️
@@lone_wolf106 Maaaan, I wish! My psychiatrist only talks to me for about 15 minutes or so. It's typically one of those, "hi, how are you? How's the meds? Everything good; anything I should know about? Any life-changing events occur? Great, see you in two months." I mean, my psychiatrist is great, don't get me wrong. But there's definitely a shortage of mental health professionals in my state (especially in my county) and it shows. I have to go to a completely different practice and professional for therapy. I'm not sure it's any different in the surrounding states though; it might just be this part of the country too.
As I understand it, not all psychiatrists (who are medical doctors specializing in brain interactions/etc. with meds, which is why they can prescribe and monitor meds) will opt to also go into the counseling/therapy side of things. I, too, see a separate counselor for my therapy while the psychiatrist handles my meds.
So... yeah... I've had to live knowing that possibly have some damage from covid -- and aside from addiction there are so many other reasons that they discriminate against these surgeries in the US especially. For me it's that my genetics aren't tops, so they'll give it to someone who will treat it better via their genetics. Although this case of blaming and shaming due to drug use is also common, in the US since it's all money driven they also use every form of other excuse to discriminate and also let people pay to jump the line and find ways to hide that.
Elliot is still trying to play high school games with patients and Doctors, she is as immature as JD at times, which is why there perfect for each other.
I think you missed the most obvious reason, she was surprised because he was so candid about his drug use with his small children standing right next to him. It's evident that this is the most likely reason intended by the show because the child has a line immediately after in which he calls his father daddy to indicate he's very young (as opposed to his actual visible age since Hollywood always uses older kids to play younger).
Working in a drug and alcohol service, some people bring their kids to the appointments. Whether its appropriate or not is another story. But yeah its not at all surprising
Also Heather Graham has never aged a day in her whole life. From Twin Peaks to Scrubs to Arrested Development, not one minute of aging. ❤ (As Lucille Bluth would say, good for her.)
I had a crush on her when i was a little boy, and the crush still remains at 35!
I work in a drug and alcohol service and obviously there are people who are exactly as you would think and plenty who arent. And when people have recovered sometimes you would literally never know they had been on them. Some people hold down jobs and keep families throughout addiction including to drugs like crack and heroin. And recovery is always possible. But not everyone wants abstinence and its up to them.
Hi Dr. Elliott,
I want to thank you for providing your perspective and expertise. This reaction is an interesting intersection of a few of my past experiences. My ex is a psychiatrist, I worked for a couple years then burnt out in medical review/evaluation for recovery and transplantation, my favorite show in my teen years was scrubs. Recently fell on hard times and trying to work my way back to getting on okay with myself. You seem like such a lovely person and watching your videos every so often has helped me reflect on some stuff without causing too much distress.
Stay cool and take care! 🙏
Also a recovering heroin addict. I'm a 30 year old nerdy, babyfaced guy. People tend not to expect that I spent a decade shoving needles in my arms and doing shocking things to get my fix.
I know someone who used to scam IV drugs all the time in the ER by faking a migraine. Because she was wearing high heels and a skirt suit they figured she wasn't an addict. They were wrong.
Hope you're okay! Have a cousin who did them and the struggle is rough.
Stay safe my friend! You're a hero for defeating that enemy. Keep being strong!!!
I feel you.. I'm on similar boat...and it's been blessing and a curse - I hope I can turn my experience and cognitive bias of others into something valuable for other addicts. I was often perceived as... inauthentic addict, mostly because of how harsh upbringing made me expend significantly more effort into keeping up appearances which made getting help...a prolonged process.
I hope you are doing well, cheers!
Proud of you bud
the talk about stigma and doctors reacting badly made me think of many stories I heard about people going to the ER with self-harm wounds, from nasty comments to stitching it up without anesthetics. its being seen as attention seeking and bad behavior, that really has to stop (sorry about my English its not my first language)
I remember very vividly from my first suicide attempt at 14. I got so scared, made my dad drive me to the hospital( I took two bottles of tylenol before a long drive, i was manic and not thinking clearly). I stumbled into the er and went to the front desk, totally frantic, and told the nurse I had tried to kill myself. She laughed. LAUGHED. And while smirking led me to a room. I ignored it at the time because I was so focused on refusing to die, but if I could go back in time I would ruin her. Ive since been diagnosed with Bipolar 1 and have been in and out of rehab. The stigma is so prevelant if you know how to spot it.
@@TheJefferyKillerI'm so sorry that happened to you. I hope you are doing better! ❤
"Most healthcare systems should have enough checks and balances built into the system to try to spot mistakes, though."
Oh, you sweet innocent summer child...
Should being the operative word
Think you got the title wrong.
Can he put kill in the title without youtube suppressing the video?
@@beckyginger3432 He could prolly just censor the word k*ll
I oddly really liked Molly Clock at times. She was an odd character, in a good way, and I enjoyed her interactions with everyone.
Biggest TV crush I've had
\m/ Kielbasa!
Always thought the character and Heather Graham were a good fit for the show. I wish she joined the cast.
Sipping from a glass of ice water will bring your temperature down a lot (1C) quickly. Also, if you are perspiring, a small fan can make an amazing difference (and shouldn't be too noisy for your recording).
edit: Oh and an off topic tip! I recently went to the hospital with what appeared to be a major heart attack. My pulse was thru the roof and my BP was 195/148. But blood tests and cat scan showed it was not. They had to discharge me (since not life threatening) even tho the pain just laughed at morphine. Turned out to be *a dislocated left rib* over the heart. A small adjustment and the pain dropped 50%.
But all my upper chest, back, and shoulder muscles were still intensely sore for 4 days. The dislocated rib had caused all those on the left to spasm which caused the ones on the right to spasm (but less).
As a nurse, I am so disgusted by the increased stigma about drug use and also mental illness in healthcare providers. Thank you for talking about it!
I absolutely love your videos on Scrubs, they are always both fun and insightful!
I love seeing your insights into Scrubs episodes. Oddly enough, the only times I've seen the show have been while I was in the hospital. I need to visit it sometime.
The first time I saw any Scrubs was a teacher playing the poop song in class 😂😂 I really need to catch up.
One thing I learned from dying and coming back: do NOT joke with your doctor and nurses that they did a bad job killing you, 0/10, wouldn't die here again. 1. it's not funny and 2. as much as it wasn't traumatic for *me* (it felt like fainting, it really didn't hurt) it was a very trauma-inducing 30 seconds for *them* while they tried to get my heart to go back to beating again.
Unironically thank you for this comment because it is exactly the kind of thing I would say in that situation and it would have never dawned on me that their perspective of that event would be very different from mine
Considering you are the one who died and they chose to be doctors, im not concerned about whether they find the humor in it or not
This is all part of the dark humor in medicine.
And yes, between medical school and residency, each
Young doctor is connected to 2.3 deaths. This has been standard for a long time.
The Netflix series on The Janitor won't be about a serial killer - it'll be about a squirrelal killer.
Hahaha, walked in to the CT control room this morning and before looking at the patient I noticed a topogram scan displayed with the heart on the right side of the chest (basically looks like an X-ray). My response, "OMG is that dextrocardia", the Radiographer's response, "No Matt, the patient is prone (lying face down on the scanner)!". Well didn't I feel the idiot 😂😂🤣🤣
The brain is the best, says the brain. Hmmm...
I like that two of the corners of the dark triad is like... pretty obvious indicators of at least a violent person? Killing small animals? Definitely not a good sign. Setting fires is also pretty violent. So I'd say we shouldn't need to worry about what they might become, we should be worried about them right now!
And then there's bed wetting??? Which seems so out of place? What does that have to do with anything?
I know sometimes bed wetting can be a sign of abuse but say that then!
Yeah, I'm always frustrated when people start talking about how it's "not an indicator of being a serial killer" because...being someone who abuses animals and sets fires is almost as bad as being a murderer lol I hate to see those brushed off. Even if the people in question never do anything "worse" than that, those crimes are bad enough as they are!
IIRC, in *some* cases, prolonged bed wetting indicates a disregard for social norms. Obviously, you have to look at the whole picture to know the real cause. But in some cases, bed wetting is not an accident. They just don’t give a damn.
It probably doesn’t apply to most kids who wet the bed, even older kids. It’s just if the kid shows other signs of defiant or dangerous behavior.
You should check out the episode My Urologist it has a bit of a surprise regarding the xray from the theme song
Doug really found his niche when he became the hospital pathologist, since he was such an expert on how people die in the hospital, from personal experience...
I’ve been medication compliant for seven and a half years. I still have track mark scars. That’s confusing with his healing in six months right?
Always on board for more Scrubs
Love your insights into Scrubs episodes! If you're interested in checking out another comedy that has plenty for a psychiatrist to analyze, I highly recommend Community. Season 3 has a string of episodes delving into the characters' psyche: Contemporary Impressionists is a good one to start on because you've got both Jeff being told that, as a narcissist, he shouldn't be taking anti-anxiety meds, and Troy who's trying to be a good friend to Abed, who has autism, when Abed's actions are putting himself in danger. Then if you're ready for a deep-dive into Abed's psyche, Virtual Systems Analysis is a brilliant, sad episode about the simulations he runs in his head to understand the world and his place in his friend group.
It breaks my heart seeing decisions like this being made irl. A close friend was in the hospital for a few months due to liver problems and would have died if it fully failed, because she was addicted to heroin at the time & therefore ineligible for transplant. She's alive and thriving today. Another friend received double lung transplants due to severe cistic fibrosis and died 9 months later. This idea that some people are more valuable than others is dreadful. ANOTHER friend had open heart surgery while being an active heroin user. She did get endocarditis, but 25 years later not only is she a lawyer, but her focus is helping people who have been declined medical aid to get their decisions overturned. You never know. I appreciate this video & what you said about medical bias so much.
P.s. Sweat as much as you want, we're all drenched this summer 😅
100% agreed!
On one hand I very much agree, those criteria are discriminatory. On the other... as was said in House MD, organs for transplants are a rare commodity, and they have to be given to candidates who will use them the most. Statistically. So nothing for a 60 year olds (even though they could live to be 110), nothing for addicts, porn stars, or skydivers.
I mean, it's true, you never know. But to give an example, let's say you have 10 patients that need a transplant and you have 3 organs. Waiting for more organs is not an option, the patients who don't get one will die. What metric do you use to decide who gets to live and who will die? Serious question.
Taking a patient's past into account is not the worst metric to go by. Of course, there are other metrics that could be used like age or family status but none of them are that much better than the other and all of them are discriminatory in one way or another. It sucks but when there are limited resources you work with what you've got. I guess it's a good incentive to have an opt-out organ donation system rather than opt-in, but I digress.
@@senatrius1968 take your trolley problem whataboutism somewhere else, & pray that the doctors in your future don't decide your life is worth less than the person next to you.
It's not really a case of "some people are more valuable than others" it's a case of you can only give this 1 heart to 1 person out of 10 that need it. You therefore have a responsibility to choose the person who is going to benifit the most, so you're going to factor in who is the most sick (can they chance waiting for another heart or do they have a reasonable quality of life so far) are they going to waste the gift that so many others need, eg by drinking or destroying it with drug use. How long can they reasonably expect to live, it makes more sense to give one person an additional 15 years vs the person who is unlikely to last 1.
It's not about who is most important, its about doing the most good possible.
It's a small one but I had a heart attack a few years ago and I am overweight.
Obviously the first test was for cholesterol, but it is only just in the unhealthy range. They never did confirm what caused it (barring a test that would cost me over $1000) but at least they ruled out my weight and cholesterol as the primary cause.
Best guess was stress and caffeine causing a minor valve spasm leading to a cholesterol dislodge and rupture.
I was on a psych placement for my nursing degree and there was one patient who was on covid precautions due to a high temp. Well, he was there to detox off IV drugs and wasn’t displaying any “usual” covid signs. Got asked to do a set of obs on him and everything cardiac related was just off. I ask my RN buddy “do you think we should do an ECG”? She said it was a great suggestion, and to do it. Well, a few mins later we were calling the ambos, found out a few shifts later he had an infection in his heart lining due to using a dirty needle.
In regards to the organs vs veins, they both cost a lot of money, I honestly think both are sides of the same coin, it's a cost vs benefit thing, long term, I think a vein or a liver aka druggie vs alcie is exactly the same
About stigma, I just wanted to mention that I've experienced many times being at the receiving end of these. For having ED. It's "chronified" by now (I'm 37. It started at age 15). Even professionals have badly reacted to it. Especially outside the mental health care fields. Like internal medicine, where I had far to many stays for severe hypokalemia. Doctors and nurses alike. And even to some degree inside mental health. Like in the juvenile psych ward I was at 17 for example. Horrible. And I was not the only one. Another anorectic girl received the same bad treatment. And I really don't make this up. I've met some geniuinely empathetic professionals too. But the bad experiences stick with me most.
To this day it's the diagnosis I am allways most ashamed, afraid, most uncomfortable to go into detail about. (There was also much guilt tripping, shaming and abuse around it happening in my famliy, so that's definitely not helpful. Still feels like a "cardinal sin" to me. I'm not religious, but theroretically christian. The analogy just feels fitting fot me) Depression, AVPD, cPTSD, anxiety issues all feel "easier" to open up about.
There is an episode Elizabeth Banks stars on where she fixes the X-ray in the intro 😂
The issue with transplants/drug use is one of scarce resources. They are scarce resources and require ongoing care by the patient. There is a concern that those with addictions will resume the drug use harming the transplant -basically wasting an organ, all that money and effort. Moralistic but a factor in equitable distribution of health resources across the whole of society.
I love this channel. I love you. The world would be better with your thinking spread far and wide. Keep doin whatcher doin…! 🍷🍺🍺🍷🥄
I m an alcoholic and i went into hyperglycemia as im also diabetic, the on call dr asked me if i was pregnant and i said "I dont think so" and he turned to his nurse and said "your a woman, how can you not know if your pregnant" and she was visibly horrified but went along and didnt say anything, 2 hours of me in screaming stomach pain and him saying "I dunno" and a different nurse saw me, took my blood sugar immediately gave me insulin-gave me morphine to deal with the pain and a shot of gravol and suddenly within an hour I was almost fine.
I had zero education because nobody educated me on when and how much insulin to use and i was on a dangerous combination of meds that i should never have been put on. so this saint of a woman sent the education team down to go over the basics and give me a bunch of information which i would say is a lot better then writing me off as a hungover whore.
Could you do something on Dr. Reston from Seinfeld? Definitely a lot of boundaries violated there.
I’m sure some of us here have lost friends to addiction. You can’t help help but blame yourself in such situations even though there’s you could have done. You can support them as much you like they’ve got to make the decision to get help and stay on the path. Still in the end you beat yourself over every interaction thinking with just one word difference maybe they’d still be here, on the other side you get so angry at them for not making that step. Please don’t let it drag you down, get help talk to someone and let the pain out.
Saying that someone's lifestyle shouldn't be considered when transplant is the option is very incorrect. There are a limited number of healthy transplant organs available and they should always go to the person who will be the best case for recovery. Heroin man loses in almost every situation.
5:17 A.K.A. Striped Horses not Zebras, correct?
As someone with trich and OCD, while it was sometimes is related to anxiety, similar to OCD compulsions, I often find it isn't. Sometimes I'm compelled for no reason other than I feel the need to pull and sometimes it just feels sort of relaxing. Like I've sat and pulled almost subconsciously while watching tv in the past. It was previously categorised as an impulse control disorder in the DSM and then in DSM V was changed to an OCD related disorder, I feel like its true nature lies somewhere in between. It's a bit like people who bite their nails, sometimes it is related to anxiety but sonetimes they just do it because they like the feeling or sensation of it.
"sometimes they just do it because they like the feeling or sensation of it."
Yes! I have dermatillomania (compulsive skin picking). Sometimes I pick when I'm anxious, but I also pick because I don't want to feel the "bump"--I want my skin to "feel smooth"--if that makes any sense. Dermatillomania was barely added to the DSM in 2013, so not a lot of doctors or therapists know about it or how to treat it. Doctors are more likely to know what trichotillamania is, so I just say it's that but with skin picking.
Anyway, it's super fun!!!☹
@@carmen_says_hi I can relate a bit, if I have a spot, especially sore one I can't stop touching it and eventually have to squeeze it. I'm autistic though so I think for me it's a sensory thing
@@Harri_James It's a sensory thing for me too. I've tried fidget toys, but they haven't worked for me.
I thought she was shocked because he was honest about hardcore drug use... as House and Dr Cox say "everybody lies" most people would lie about hardcore drug use. Also I don't believe it's the patient themself, it's the fact her friend stood against her and she's... entitled and doesn't take differing opinions well.
I can't remember which episode but a reoccurring doctor would notice the x-ray is put on wrong and flips it. And iirc I think it stays fixed for the rest of the series. Always love seeing Scrubs.
It's scary dealing with doctors who stereotype you, even though you come to them as a patient. I dealt with that with my previous GP. Due to the BMI, I'm considered obese and my doctor didn't really listen to me, she'd just tell me to lose weight. Despite the fact bmi is inaccurate, you can be fat and healthy, skinny and unhealthy, and that weight isn't indicative of your health. Which my GP used to say. Then she went back on her word, don't know if it's because of me becoming pre-diabetic or because of whatever is going on with her (could be both). I'm looking for a new GP, one that'll listen and not be biased against my weight. So far my current GP is good so far, and I'm hoping it'll stay that way
You just made me think of something, when you said "because of whatever is going on with her". What if it's the medical provider's projection? Like they have unresolved feelings about weight, in a society that's obsessed with it, so they project it onto their patients? Aka, it has absolutely nothing to do with you or me.
This happens a LOT in medicine, where people aren't listened to because of their weight, to the point that people aren't diagnosed/misdiagnosed/die because their symptoms were dismissed. Also happens with race, sex, various other forms of ableism, so there's a lot of unconscious (and sometimes conscious) biases going on. But from what I understand, weight dismissal almost feels personal - like they have a personal problem with you. What if it's because they internalized weight messages and then project that onto patients?
I hope your current GP stands the test of time. You deserve good healthcare.
I’m pretty sure the episode is my cabbage, as it’s one of the mistakes cabbage makes leading to him being let go
It's season 5 episode 23, My Urologist. It's Dr. Kim Briggs (the woman JD has a baby with, played by Elizabeth Banks) who comments on it and flips it to the correct way.
I've had trichotillomania for decades. I now shave my head in the hot months and then I pull less for a while during regrowth. I like having a bald head look. Yeah, the impulse sucks.
Conscious awareness of the ramifications of the decisions we make… in my opinion is still fear. Coming from a veteran with over a half decade in combat I’d say that ER/Trauma room nurses and doctors is probably pretty close. If I had made the wrong call (which I did), it doesn’t save someone’s life, same thing for those trauma professionals. We both lost a life even though we were on two different ends of care. I never wanted to make a decision that caused me to lose one of my guys, I’m sure they feel like this with every patient.
1:36 in 4th grade a girl at my school had this.
I think it was perfectly justifiable to refuse a transplant to that individual due to excessive drug use.
He was a four time rehab failure and even by the end it’s presented that he may have relapsed again.
Based on patient history, he more than likely will simply destroy that gift with more drug use. That gets even deeper when you look at universal health care.
I’m a huge proponent of freedom. But that freedom comes with the burden of responsibility and accountability. I also suffer from alcoholism, anxiety, and depression caused by my 21 years of military service Nd 57 months off combat operations as an infantryman.
While I have my drinking under control now, had I continued to be a substance abuser, I feel it would have been prudent for me to be denied a liver transplant if they need arose. Choices have consequences and the individual is responsible for them, not the medical system or other tax payers (if universal health care is available).
I think Turk covered it in a later episode when he and Dr Cox butted heads over a transplant issue. In that episode, I feel like Turk made a bad decision by refusing the transplant. (The patient had been on the transplant list for several years and his ONLY disqualifying act was having one glass of wine at his daughters wedding).
But regardless, Turk’s comment on the reason he declined it was a good one. He looks at the organ as a gift. Something that is desperately needed and is rarely given. So, in his mind, that is so precious he needs to be responsible in who receives it.
For some reason my focus is on the fact that the yellow lego figure is missing.
I know. It got lost when I moved house last year :(
I think Dr Elliot is forgetting this is set in a U.S hospital, not the U.K where we have the NHS.
Stereotyping is not in and of it self bad. Its useful to know the common things. Many stereotypes have truth in them. If symptoms match some common illness( or stereotype in this analogy) then not test for it would be kinda negligent.
I was in the hospital after a suicide attempt with paracetamol and they refused to give me a liver transplant and had just given up on me was a miracle 3 weeks later i was able to walk out of the hospital
There’s one episode where a visiting or new doctor turns the x-ray over. They must have gotten feedback about the error and made a joke about it.
I've often wondered about that aspect of the job - life saving has to mean failing to do so on occasion, and correspondingly high consequence for mistakes.
I appreciate hearing your thoughts.
It was hot, wasn't it?
In an early episode J.D almost kills a patient but Turk catches his mistake.
THIS IS EPISODE = "MY FIRST KILL"
what surprise me the most is the kid ... why does he know and why whould he be part of it...i mean im pretty sure i didnt know what drug was at this age and what it does to someone...
Hey doc I like the way you pronounce 'medicine'.
Does your history of admissions for suicidal ideation, or suicide attempts, affect your likely hood of getting a heart or other organs?
This made me curious, so I did some reading, and it turns out there's no standard. No federal guidelines on what mental issues should disqualify a person. It's up to each transplant center to set their own rules, and things like suicide attempts are a highly contentious topic. So maybe.
You should do a reaction to "My Best Moment".
I really do think that when a condition’s technical name is 6 syllables or longer it should l be dropped in favor of the common name.
I get most of what you are saying....BUT!! should a new liver be given to an alcoholic?
I'm surprised no one has seemingly commented on it yet, but the title of the video is wrong! It says "My Fallen Idol" and it should be "My First Kill"...
So that kid is learning if i do hard drugs like my dad. I get lots of attention and everyone will feel bad for me and everyone will take care of me. I cant be refused anything or be treated different for it. I wont have to work ever. Ill just do drugs all day every day because im the victim of my own choices. Then ill pretend to get my life together ever few years and constantly come in and out of my child's life. So the child will be emotionally scarred and has a higher chance he does what i do also and continue this cycle.
me: all ready to enjoy another episode of psychiatrist analyzes
me: oh heck they talked about hair pulling
oof I had to rewatch with a double lexapro and buspar so I didn't start pulling. Being a picker/puller is honestly so sucky
Btw the janitors name is Glenn
And he basically had no lines for his script as he can come up with funny stuff so he improvise the whole show
I'd like to speak up for the Janitor....taxidermy is not torture, it's weird, kinda gross, but not torture. What the Janitor does to JD now THAT'S torture!
Am I the only one who's title is My Fallen Idol?
Am I tripping or did he say an entirely different episode title to the title given on the UA-cam video
Heads up: don't read this if you don't want to read me actively processing grief!)
Hey Doc I just want to say thank you
We lost our dog tonight (it was her time to go)
And although we had been preparing, it still leaves a pit in the stomach and a hole in the heart. Everywhere I look there is something that makes me think of her or something that makes it seem like she should still be here (like her food/water bowl stand, the carpets we put down to help her get traction and be able to walk since her hind legs started weakening, a bandana we forgot about and would have buried her with, her empty spot on the couch, etc.)
We're in so much pain. I'm the only one still awake bc I used to take the night shift taking care of her and it feels wrong to go to be early (by early I mean before 3 or 4 AM, or 6 or 7 AM on worse nights). I can't bring myself to do much at the moment
But I usually like your videos so I put this new one on. Something funny from a familiar UA-camr
Thanks for keeping me company and distracting me
Gonna talk to my actual therapist tomorrow! Gotta do that when you lose one of your best friends who you met at 8 years old and has been with you nearly 16 years
Yep this sucks gonna go back to watching the video now
Also anyone who did read this far, sincerely I say thank you. You didn't have to. You also don't need to comment. I have a support system, including another lovely dog and a lovely cat. I have parents and siblings. And like I said I do have a therapist. Even my bosses/close coworkers have offered their support in their friendly-yet-professional capacity
So it will be okay. It just hurts a fuckton. But we did all we could for her
I really like your analysis of the episodes. But also as a die-hard scrubs addict, you have the wrong episode title in the video title.
I'm worried about you Elliot! I get the preface of becoming sweaty, but don't you have aircon!?
Aircon isn't really common in residential buildings here in the UK, most Brits begin to malfunction around 25 degrees C.
@@janvierr9906 From what I understand too, because the weather has almost always been cool/cold and damp, your homes are built to keep heat _in._ Like once it's hot in there, you can't get it out, even at night.
Ugh, I'm so sorry. We're all gonna have to make a lot of changes with how climate change is here-here, and infrastructure is notoriously slow for catching up to rapid changes like this. Are you able to install window units? Here in the US they're as common as sliced bread for older buildings that don't have central air, but I didn't know if they'd ramped up production for places like the UK, or how shoring up power grids would work. They're pull a LOT of electricity.
Stereotypes don't come out of nowhere. They come from observation and experience.
WRONG EPISODE TITLE - - - WRONG EPISODE TITLE - - - WRONG EPISODE TITLE
Another deep stigma in medicine is fatphobia. The podcast Maintenance Phase covers this in many episodes and Aubrey Gordon’s books cover it also.
The guy who has stayed sober from heroin for six months is a badass. Heroin is so insanely hard to kick. You being off of that for that long is impressive.
Past behavior indicates Future Behavior. Your entire life gets taken apart to be on a transplant list.
Alcoholics DO NOT APPLY.
I got confused to but I think its the American health care system can be weird...or they've taken liberties and not realised you don't use an actual heart. I know in aus regardless of whether you got endocarditis from ivdu or just a tooth problem you get the prosthetic heart valve...but you do have to be absolutely pedantic about taking your warfarin.
On the topic of stereotyping of things in psychiatry when I wasn’t formally but only self diagnosed for both adhd and autism I had to go through a shit tone of effort to get people to actually understand autism and adhd (each on seperate situations as I was diagnosed autistic first in November 2021 and then august 2022 for adhd) I read through a bunch of the DSM 5 and the fact they use the word stereotypical behaviours when talking about autism in that damn book is one of many things wrong with their view on autism.
A few things:
1) Self-Diagnosis is neither accurate nor valid
2) Stereotyped Behavior is referring to repeated, cyclical behavior with little teleological significance (e.g., hand flapping)
Nice reaction, but if I'm not mistaken, he either is reacting to the wrong episode or has put the wrong episode in the title...
Stay cool!
Your eyebrows are on fleek
💝💝
So I had, what I thought was a friend but turned into a scumbag stay with me to help him out. It was a few months back. He went to University for psychology and told me that you have a fake British accent. Also, I am apparently stupid and gullible for watching your videos because criminal pathology or forensic psychology isn't actually a career 🙄😒
I did google search you and proved you are in fact British and have psychology credentials. I also showed him various definitions and profiles of renown individuals in your field. Of course he did not believe me.
Silly dumbell, he was kicked out of my apartment shortly afterward for a few reasons, but this argument was the catalyst.
What stigma? What are you talking about? The guys been doing hard drugs for almost a decade. How is thar not relevant?
10:04 welcome to america! 😀
I dont understand this new mindset. Never shame anyone unless they are not protected. Sleep with as many people as you can, or Eat 1 million calories a day and get as giant as possible, DO hard drugs for a decade. If your not OK with that your The Bad Guy and in the wrong. When that behavior is bad for both mental and physical health of not just that individual but all those close to them.
Just throwing this out there: The patient is white and gives the appearance of a "normal" family man that's "just" made some bad choices. Would Eliot have advocated so strongly if he were a black man/woman? That was my first impression anyway.
WTH!? The guys race has literally nothing to do with anything in the episode…?
Yeah we didnt need your holier than thou speech on stereotyping
Watch the video and talk about the show
I am not a doctor either but i wouldnt operate as a one a patient who is just going to fuck it up later.
at the very least i would have to meet him first.
And here's the stereotype. You assume they're going to fuck up and that others won't.
The Janitor: I've heard that the first several seasons the Janitor was supposed to be a figment of JD's imagination. But after a while that just didn't work anymore.
That was only for season one if they didn't get picked up for a second season. Once they got a second season he was just another "normal" staff member (I mean, he is anything but normal, but you know what I mean)
I have a mild case of trichatillamania (sp?) and it’s somewhat compulsive. Sometimes I am twiddling my hair and the texture of one feels wrong and I have to pull it out. Luckily my bald spot is only 1-2 mm
I have severe comorbid mental health issues. From all of that, pulling my hair and picking my skin a little on my arms, but mostly on my legs from the knees down is almost tame. I still can't quite beat it, no matter how much I dislike the ugly traces it leaves behind. I even use tweezers and needles... It's hard to describe why I do this or what I get from it. And obviously hard to beat. In a setting in which, for some reason, I can't engage in it for a prolongued time, especially if I spot an extra dark hair or one of these "whitish balls around a hair root" (still don't know what exactly they are. Round and rather hard), the fact I cannot manipulate that area like I usually would, is very unnerving. (being in a psych ward is such a setting. I honestly have a needle hidden in my pencil case precisely for that purpose) Like an unmet urge. Can drive me quite jittery and I can't seem to find peace unless I got it out.
1:31 I’ve had trichotillomania since I was a kid, had no idea this was a thing until a few years ago 😂
Maybe it's different in America but Molly calling herself a therapist when she's a psychiatrist has always bugged me 😅 maybe she has a dual specialty I guess!
They’re two separate things in America, but it’s not uncommon for people here to think a psychologist and psychiatrist are the same thing. There’s been multiple instances where I’ve been talking about my psychiatrist to a colleague, friend, etc., and realized halfway through the conversation they thought we were discussing psychotherapy/therapy sessions. Granted, I live in a state with a severe lack of mental health services, especially psychiatrists, so maybe there just haven’t been enough opportunities for people to learn the difference. Maybe the Scrub writers don’t know/don’t care either? 🤷🏻♀️
My psychiatrist does a lot of therapy in addition to medication management.
@@lone_wolf106 Maaaan, I wish! My psychiatrist only talks to me for about 15 minutes or so. It's typically one of those, "hi, how are you? How's the meds? Everything good; anything I should know about? Any life-changing events occur? Great, see you in two months." I mean, my psychiatrist is great, don't get me wrong. But there's definitely a shortage of mental health professionals in my state (especially in my county) and it shows. I have to go to a completely different practice and professional for therapy. I'm not sure it's any different in the surrounding states though; it might just be this part of the country too.
As I understand it, not all psychiatrists (who are medical doctors specializing in brain interactions/etc. with meds, which is why they can prescribe and monitor meds) will opt to also go into the counseling/therapy side of things. I, too, see a separate counselor for my therapy while the psychiatrist handles my meds.
I feel you! It was 41 C in Lyon 2 weeks ago! Hope your weather breaks soon.
So... yeah... I've had to live knowing that possibly have some damage from covid -- and aside from addiction there are so many other reasons that they discriminate against these surgeries in the US especially. For me it's that my genetics aren't tops, so they'll give it to someone who will treat it better via their genetics. Although this case of blaming and shaming due to drug use is also common, in the US since it's all money driven they also use every form of other excuse to discriminate and also let people pay to jump the line and find ways to hide that.
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why are u so sweaty lol?
Why is this interesting to you?
Its crazy hot in western europe right now
Literally explains it in the first minute of the video
Elliot is still trying to play high school games with patients and Doctors, she is as immature as JD at times, which is why there perfect for each other.
its not stereotype, its common freaking sense!!!!