I am so excited to watch this… I just caught this episode being rerun on tv last week, and I actually thought, “I’d love a doctor to react to this.” This video was just recommended to me! Subbed!
Excellent review! I caught this episode last week after not watching ”Grey’s Anatomy” for years, and this happens to be an episode you recently reviewed! Still can’t believe the coincidence. Even with my limited knowledge, I knew the neuro consult was such a stretch. If I remember correctly, Meredith first met Derek in that same bar, and they were having a “will they or won’t they” situation going on during this season. So bringing Derek into the mix, definitely entertaining for the drama aspect, but not realistic medically. Nor was the way the residents spoke to the patient. Poor guy! The lack of a urology consult also irked me. Thank you for breaking down how a real case of priapism typically goes. Can’t wait to watch more of your videos!
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the urologist of this show kinda looks like an older version of you actually! she firstly appears on episodes 8x05 (Love, Loss and Legacy), 8x17 (One Step Too Far), 9x04 (I Saw Her Standing There) and 11x19 (Crazy Love). You definitely need to react to these!!! PLEASE!!!!
This is very interesting. my late elderly dad had an ischemic priapism event and was in extreme pain. An Ambulance took him to the hospital. At the hospital everything medically the happens too fast for me to understand completely. Nothing funny about it as this episode of grey's makes it seem. Also my Dad was in so much pain he could not carry on a conversation. Sadly his was due to cancer. Your reaction video was very educational and interesting. Thank for doing this.
Even if the treatment for priapism were an enema. It would not be a physicians job to do it, not even an intern. I'm a retired inner-city ER RN. I worked at a teaching hospital so we had medical students, interns, and residents. And three of own certified ER docs. And I NEVER saw a doc do an enema. We did have a frequent flyer with priapism. I saw him myself four times, and I assume he was there several other times when I was not there. He did not claim to have a history of sickle cell anatomy. I happen to be there the first time he came in. And his reaction to the treatment plan was more animated and louder with four letter words then we saw in this clip. But he survived. And low and behold. A week later, he was back. He was surprisingly calm his first words to me were "I'm going to need the needle again doc". I'm not a doctor, but people tend to call male RNs doc. I'm not aware of what became of this guy. We referred him to urology each time. But I'm not sure he complied. At our location, we would have gotten a Urologist involved before went to Neuro involved. And allow them to make the call about further referrals. But then that doesn't make good TV.
Just a note - bailey's bedside manner is *because* she keeps having (at that point) to intervene or deal with meredith's sex life & meredith circumvented normal procedure (triage, er) to have bailey check him out as a favor to try to keep the whole incident on the downlow so derik wouldnt find out - so there's that. Her character is blunt but usually has good bedside manner - this one was more dramatic effect for comedy for the show. One of those times reactions go a bit awry for lack of context lol otherwise good
Yep, because is costumarry in this kind of series to make fun of male patients. So still pretty bad. If we take into account that men are less likely to seek medical care is not convenient to teach boys and young men that the ER is a place were women mistreat and laught at patients.
The breakdown was interesting, I just learned something new from this. In case a Neurologist can't get the job done, would have need a therapist or psychologist?
What an intelligent, wonderfully knowledgeable woman. She is also lovely and not hard to watch. She provides great info that is helpful to many others. A true care-giver.
I’m a retired Firefighter/Paramedic, I responded to two cases of Falls, one from a Bridge deck 18’ to muddy ground and 14’ to Concrete that resulted in a host of injuries that included Priapism. Both patient had Spinal Injuries that, thankfully, later resolved on its own.
I love how you take dramatic and fun shows but break it down and explain so much. You are extremely informative. We all know these shows are “fake” they have to actually make people watch them but it’s nice to hear what doctors actually would do. I love this!! ♥️♥️♥️♥️
I am so thankful for these videos, as someone who aspires to be a urologist (espcially being female in a male dominated speciality) your channel gives me hope and I'm so excited for this, you are so inspirational! Thank you
I realize that I am commenting several months after this video was posted; however, I only learned of your commentaries a couple of weeks ago and have been going through them as they are both well done and interesting to boot! This episode does compel me to ask if the American Urological Association or the Women’s Urological Association has written to the producers of this (and other shows cut from the same cloth) as it seems that the male patients are presented in a (comical) urological predicament and being predominantly tended to by female care givers who coerce, bully and intimidate the patients into evaluation and/or treatments. As many viewers do not distinguish between fiction and non-fiction storylines, this approach creates a negative stereotype of both patient and physician. The continuation of such presentations seems to reinforce a narrative that men should not seek medical attention and if they do, avoid women care givers. I realize that you do clearly and unequivocally set the record straight in your review and comments, but the show itself reaches millions and plays into the stereotypes fashioned overwhelming your thoughts and positions. Just wondering if the Associations larger megaphone has said anything on this issue. My thanks and keep up the great videos!
@@mikebressler8951 I appreciate your comments and do not disagree; but note my inquiry is not whether Dr. Malik would address these points but whether or not the American Urological Association or Women's Urological Association has adopted any position regarding these story lines or would be doing so. An individual may rely upon empirical impressions and offer an opinion; however, an association such as the AUA or WUA when adopting a position gains credibility if based upon studies conducted independently of the association offering it. I think both men and women are presented more for what passes for entertainment with little thought given to the real life ramifications inaccurate portrayals of each leave in their wake. Relying on such shows, men do not seek medical help from capable providers willing to respect their modesty and individual needs because they operate under the impression of fear of being ridiculed and demeaned by those very providers. Becoming a urologist means a 4 year medical degree and 5-6 years additional advanced training to become board certified. If any specialty is aware of opposite gender exam dynamics it would be Urology----but given the show's portrays --- who would know this to be the reality?
@@mikebressler8951 and what pray tell would the female equivalent of priapism be then exactly? Pretty sure that's something exclusive to men. The gender flipping question doesn't work in this case.
I think I saw something like this on Untold Stories of the ER. They ended up having to drain blood directly. That was so difficult to watch. Felt bad for the guy.
2:38 The very fact that we call it "performance" is fucked up. "Performance issues". It's expected of a man to "perform". If you don't take yourself out of that mental state that society puts on you, you'll end up obsessing over it and maybe even precipitating it. Sex is fun. It's communication between people. No one has to perform, you just enjoy each other and slow down if you get overexcited. If you're not performing in conversation, you don't need to perform in bed. You're just talking. With your bodies.
Yes. I feel like I am just a machine to perform. I always avoid sex because of this. I have to have big penis, and I have to perform for long hours. The first thing is just not in our control and this is also body shaming. I found myself planning to have penis enlargement surgery or mast cell injection. I still hope one day these two medical Technics will be mastered and safe
Hiya, I love your videos. Greys anatomy 11×19 also has a urology case which I think could be very interesting for you to react to! :) take care and keep on creating so informative and engaging videos!
I very rarely watch TV except for the news and from the rare glimpses you show us of programmes such as Grey's Anatomy, thank heaven I am not that desperate for entertainment. I am of the opinion that most of the programmes shown on TV do not warrant the paying of licensing or viewing fees.
I'm a nurse, so it's funny to me that it's implied a resident Dr is going to give the enema 😃 And they sure should have consulted you about proper treatment 😉
Why isn't a phenylephrine injection used first for priapisms instead of the more invasive procedure of draining the blood? Can't the needle aspiration cause ED as well?
The treatments do not cause ed its the prolonged erection that causes ED. Phenylephrine requires monitoring and has the potential for dangerous side effects.
Yes I've seen some of her episodes - ua-cam.com/video/YuCvILyIb90/v-deo.html ua-cam.com/video/YcUk2P-hABg/v-deo.html & ua-cam.com/video/yuogfDf8TVg/v-deo.html
I know somebody who had an erection that lasted 3 days (a friend husband). He also was starting to get dementia at the time so never mentioned how long it lasted, his wife just thought that he was up and ready each time separately they had sex. It eventually started to cause pain and his wife rushed him to the ER and they had to do emergency surgery right there in the ER. It turned out to be a blood clot and he did lose sexual function with his penis.
Honestly it was kind of a hidden blessing considering that as his dementia progressed he became more crude with sexual remarks to any woman he had contact with. (he's not dead just in a full time care facility now)
Having only watched this video and Dr. Malik's video about the broken penis episode of the same tv show, it occurs to me that serious health problems that are specific to men is considered humorous to the people who make that show. I've never watched that show so I don't know more about it than these two videos relate. Reminds me of the ladies on the View laughing about a man getting his penis cut off. Is that funny? Is it because tv shows don't think men's lives and health matters?
This is very insightful. I agree it's a shame that people make fun of men's health issues. It just adds to the idea that you should not discuss these problems with your physician and delays very important and sometimes emergent care!
can you do a video on endometriosis, fertility and cysts? I am 22 and struggling with all three, and every dr. seems to say something different! curious on your take on it
@@RenaMalikMD I am part of her channel and love it! I've been suggesting for a while, I just it's just not somthing a lot of people really want to see maybe? kind of depressing
@@jessicasuchy7850 I think it's tough because the symptoms can be so variable for different people and fertility is so hard to handle emotionally. I'm not an expert in these areas so I would be only able to tell you what's in the literature or textbooks
I'm very sad that the problem was treated so lightly and as a joke. Shouldn't that be a big red flag? What about people who have had this problem before and are watching the episode? Or maybe someone who has the same problem in the future but is too ashamed to look for help?
@Jenn That's very reassuring that you realize that.. This entire channel thrives off this TV show basically laughing at Men's urologic conditions and Rena "explaining" them.. There is NO way that would happen if the genders were reversed, with a TV show laughing at Female patients, being attended to, and made fun of my male attendants.. Sad Rena doesn't see that - Especially because she's actually TREATING males..! Our Fathers, brothers, sons, friends, etc.. Sad..
Hi I’m new to your channel. This show drives me nuts. I’m an RN and used to work in the hospital and it’s so not like this. I’m going to find other videos of yours and watch them. I have Interstitial Cystitis, diagnosed in 1996. What kinds of things do you do for that? I’ve about done it all. I know everyone is different just curious. It’s a awful and painful disease. Thanks, Victoria from Cincinnati, Ohio
Thanks for watching! Ic is a challenging disease and I approach it differently depending on the patient and their predominantly bothersome symptoms. I'm sorry you are struggling with it.
I laughed when you mentioned Trazodone can cause it. I knew I was familiar with what priapism is, but I couldn't remember why, but you reminded me! My dog had to be on Trazodone, so one of the side effects we needed to watch for, since he's a male (and especially because he was still intact at the time), was priapism. Dogs tend to be on a much larger dose than humans, because they metabolize it differently, but there haven't been a ton of studies on how common priapism is as a side effect in dogs. It's basically a case of "Well, it can happen in humans, so keep a close watch on your intact male dogs, just in case." So for 3 straight months (x2 = 6 months... 2 different surgeries, and it's used to aid crate confinement during recovery) I had to constantly make sure that whenever he "lipstick"ed that it would get re-sheathed without issues.
So four hours without blood flow is bad. I would have thought there would be issues with ischemic priapism long before that. How is the tissue able to last so long without oxygenated blood being supplied?
Typically the damage done before 12 hours is minor with little damage to smooth muscle. After that ,the cells start to show damage and after 24 hours the risk of irreversible damage increases dramatically.
so if i understood correctly, if you do not have any illness and do not overuse any ED drug .... your chances of getting priapism are very low to non existant. Right ?
Hi doctor, i need your advice, am a sickler and i had a long lasting erection and they made an aspiration procedure on me but from then I've never felt a normal erection again, i feel it somehow but it doesn't stand en hard 😢 So am like should i try Erectile tabs or it's over on my side 🤒😟 t
These were the earlier seasons of Grey's, which aren't as accurate as the newer ones. This was also suppost to be a funny episode and eveything was played on and over exaggerated for the humor and storyline. But, I enjoy hearing your input and talking about actual correct urology treatments and steps with these kinds of issues. ❤
Grumpy Wx weirdly I had wild fluctuations due to a blood thinner because a partial lumpectomy from a motorcycle accident. It was terrible but in my case easily manageable. It was mostly intermittent and at worst uncomfortable but at best...... well I did take some advantage but I wouldn’t want to repeat it.
Only time I saw a Priapism was when I was a medic in the Australian Army. Following an explosion the casualty had spinal shock. He asked me "Is everything there doc?" and I replied "Well it's certainly telling us It's still there" It was turgid semi erect which really had me worried, 30 minutes later the Surgeons and Resus was on the case. Apparently from talking to one of the Nurses she said he had a wicked sense of humour about it, saying when he had his uniformed cut off "For the record Ma'am, it's cold in here" 😂before getting prepped for surgery. He did recover so "Happy ending" 😐 I guess.
I remember the first time I learned about priapism. My professor went on about how the blood flowing through the penis can start rotting and then it gangrenes or the already poisoned blood could reenter the bloodstream and becomes lethal... Anyhow, sorry for the picture but needless to say I hope I never end up going through something like that.
Hey doctor do people who had priapism can have kids? And i went to a urologist in my area and he just did a hands on examination on me down there no ultrasound can they tell with just a physical examination if you have any damage?
Really enjoyed the info on the video, suffering from some prostate problems and wasthinkingabouttakigsome e.d. penis performance drugs butowafterseeigvideogoig to pass on that thought.
Sometimes the sound is awfull ... please take a real microphone and/or compress it digitally differently ... what I hear is a bad microphone with bad digital encoding .... cheers !
I'm really glad you call out the unprofessional comments on this show the African American doctor on this show reminds me of someone I worked with who acted this way and I had a horrible time with her and one time I was told by her this was how African American women are supposed to be. I disagree her character on this show is poor example of how doctors should behave.
OK. Funny story. I had a girlfriend in college. Total genius, and my best friend. The thing is, I was a closeted gay guy at the time. (I'm still gay. Always have been. It's just that the closeted thing changed.) As it turns out, one of the reasons we got along so well is that she was a closeted lesbian and so neither one of us wanted to have sex. At least not with each other. So, I go off to law school, she goes off to medical school. We got together for lunch a few years later and came out to each other. She told me that, on her first day in Anatomy class, she and her lab partners, all guys, were told to transect the penis of the cadaver they were working with. One guy fainted, the other three got nauseated, and she said, with a smile on her face and in her brightest and happiest voice, "I'll do it!" Which she did, and two of the nauseated guys ran out of the room. She's now a tenured professor at an Ivy League medical school. Her specialty? Psychiatry. (I do hope that made you laugh. Lord knows I did. LOL!)
These shows never make any kind of medical sense. I’ve never even been to med school and I know it’s bullshit. It’s hilarious. My mom is a medical coder and she can’t watch medical shows anymore because they’re ridiculous😂
Very informative .. Word of advice " try to watch some other episodes of this show before you react to another one just so you catch the vibe of the show for it's not a pure educational medical show it's mainly drama and comedy .. I think doing that will improve your view on the show and your reactions .
"What? It's right there looking at me?" 🤣😂🤣😂🤣 Seriously though. It's not a funny thing to go through if it's lasting that dang long!! My partner gets it occasionally but it only lasts a few extra minutes.
I am so excited to watch this… I just caught this episode being rerun on tv last week, and I actually thought, “I’d love a doctor to react to this.” This video was just recommended to me! Subbed!
Excellent review! I caught this episode last week after not watching ”Grey’s Anatomy” for years, and this happens to be an episode you recently reviewed! Still can’t believe the coincidence. Even with my limited knowledge, I knew the neuro consult was such a stretch. If I remember correctly, Meredith first met Derek in that same bar, and they were having a “will they or won’t they” situation going on during this season. So bringing Derek into the mix, definitely entertaining for the drama aspect, but not realistic medically. Nor was the way the residents spoke to the patient. Poor guy! The lack of a urology consult also irked me.
Thank you for breaking down how a real case of priapism typically goes. Can’t wait to watch more of your videos!
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The sound makes me feel like I’m underwater
yeah why is the audio quality sooooo bad
Gaming Amory Ever thought she doesn’t have a microphone and she’s using the camera mic...
@@edw1no except there is something clipped on her shirt, more like it was reversed
pugs910 It’s kinda fun 😂
I’m glad I’m not the only one I just dropped my phone in the bath tub and I got scared
Grey's Anatomy Season 3, Episode 21 is urology related as well! 😊
Awesome will look into it!
“He takes care of the other brain”. I already love you just from that.
Haha thank you! 😙
When the Doc said that I laughed so hard I got Coffee out of my eyes.
the urologist of this show kinda looks like an older version of you actually! she firstly appears on episodes 8x05 (Love, Loss and Legacy), 8x17 (One Step Too Far), 9x04 (I Saw Her Standing There) and 11x19 (Crazy Love). You definitely need to react to these!!! PLEASE!!!!
Thanks for the suggestions!
This is very interesting. my late elderly dad had an ischemic priapism event and was in extreme pain. An Ambulance took him to the hospital. At the hospital everything medically the happens too fast for me to understand completely.
Nothing funny about it as this episode of grey's makes it seem. Also my Dad was in so much pain he could not carry on a conversation. Sadly his was due to cancer.
Your reaction video was very educational and interesting. Thank for doing this.
So sorry to hear about your dad. Priapism is not funny at all - it's very scary and painful. Thanks for watching.
Even if the treatment for priapism were an enema. It would not be a physicians job to do it, not even an intern. I'm a retired inner-city ER RN. I worked at a teaching hospital so we had medical students, interns, and residents. And three of own certified ER docs. And I NEVER saw a doc do an enema.
We did have a frequent flyer with priapism. I saw him myself four times, and I assume he was there several other times when I was not there. He
did not claim to have a history of sickle cell anatomy. I happen to be there the first time he came in. And his reaction to the treatment plan was more animated and louder with four letter words then we saw in this clip. But he survived. And low and behold. A week later, he was back.
He was surprisingly calm his first words to me were "I'm going to need the needle again doc". I'm not a doctor, but people tend to call male RNs doc. I'm not aware of what became of this guy. We referred him to urology each time. But I'm not sure he complied.
At our location, we would have gotten a Urologist involved before went to Neuro involved. And allow them to make the call about further referrals.
But then that doesn't make good TV.
This about the fifth doctor channel I have seen on youtube TODAY. Is this a sudden trend I missed lol
the point of the episode is to make things awkward between meredith, mcdreamy and the guy....
Just a note - bailey's bedside manner is *because* she keeps having (at that point) to intervene or deal with meredith's sex life & meredith circumvented normal procedure (triage, er) to have bailey check him out as a favor to try to keep the whole incident on the downlow so derik wouldnt find out - so there's that. Her character is blunt but usually has good bedside manner - this one was more dramatic effect for comedy for the show. One of those times reactions go a bit awry for lack of context lol otherwise good
Yep, because is costumarry in this kind of series to make fun of male patients. So still pretty bad. If we take into account that men are less likely to seek medical care is not convenient to teach boys and young men that the ER is a place were women mistreat and laught at patients.
“The *other* brain” 😂 Doctor humor🤣
The breakdown was interesting, I just learned something new from this.
In case a Neurologist can't get the job done, would have need a therapist or psychologist?
Your name is Rena and you’re a urologist!😎
He shouldn't have been questioned in front of his one night stand either.
Why does she look like dr teddy altman 🤯
She doesssssss
What an intelligent, wonderfully knowledgeable woman. She is also lovely and not hard to watch. She provides great info that is helpful to many others. A true care-giver.
Came from Mama Doctor Jones' s instaa great work!!
Thanks for watching appreciate it!!
You give the best reviews Rena
Thank you!!
I LOVE all these doctor react videos! SO happy to find more doctors reacts!
Love this Rena! Very informative.
Thanks for watching! Glad you liked it.
I’m a retired Firefighter/Paramedic, I responded to two cases of Falls, one from a Bridge deck 18’ to muddy ground and 14’ to Concrete that resulted in a host of injuries that included Priapism. Both patient had Spinal Injuries that, thankfully, later resolved on its own.
Thank you for what you do!
@@RenaMalikMD Thank you Ma’am.
This doctor seems really loving her job.
This is fantastic and so informative!
Thanks Chris!!
I love how you take dramatic and fun shows but break it down and explain so much. You are extremely informative. We all know these shows are “fake” they have to actually make people watch them but it’s nice to hear what doctors actually would do. I love this!! ♥️♥️♥️♥️
Thanks so much! Glad you enjoyed it!
OMG, this doctor is gorgeous.
"does he even know what hes looking at?" hahahahah dead
This makes me miss the MAGIC og cast!
Sometimes it’s hard to get “hard” because the guy likes you too much. Obviously it’s usually nervousness.
I am so thankful for these videos, as someone who aspires to be a urologist (espcially being female in a male dominated speciality)
your channel gives me hope and I'm so excited for this, you are so inspirational! Thank you
Thank you so much!!
Enjoyed ur comments n analysis of the episode. Kudos to u. Anticipating ur next one.
I realize that I am commenting several months after this video was posted; however, I only learned of your commentaries a couple of weeks ago and have been going through them as they are both well done and interesting to boot! This episode does compel me to ask if the American Urological Association or the Women’s Urological Association has written to the producers of this (and other shows cut from the same cloth) as it seems that the male patients are presented in a (comical) urological predicament and being predominantly tended to by female care givers who coerce, bully and intimidate the patients into evaluation and/or treatments. As many viewers do not distinguish between fiction and non-fiction storylines, this approach creates a negative stereotype of both patient and physician. The continuation of such presentations seems to reinforce a narrative that men should not seek medical attention and if they do, avoid women care givers. I realize that you do clearly and unequivocally set the record straight in your review and comments, but the show itself reaches millions and plays into the stereotypes fashioned overwhelming your thoughts and positions. Just wondering if the Associations larger megaphone has said anything on this issue. My thanks and keep up the great videos!
We are actually doing a study on this right now! Maybe Ill make a video about the results once we are done
@@RenaMalikMD That would be wonderful! Looking forward to your continued efforts in setting the record straight!
@@mikebressler8951 I appreciate your comments and do not disagree; but note my inquiry is not whether Dr. Malik would address these points but whether or not the American Urological Association or Women's Urological Association has adopted any position regarding these story lines or would be doing so. An individual may rely upon empirical impressions and offer an opinion; however, an association such as the AUA or WUA when adopting a position gains credibility if based upon studies conducted independently of the association offering it. I think both men and women are presented more for what passes for entertainment with little thought given to the real life ramifications inaccurate portrayals of each leave in their wake. Relying on such shows, men do not seek medical help from capable providers willing to respect their modesty and individual needs because they operate under the impression of fear of being ridiculed and demeaned by those very providers. Becoming a urologist means a 4 year medical degree and 5-6 years additional advanced training to become board certified. If any specialty is aware of opposite gender exam dynamics it would be Urology----but given the show's portrays --- who would know this to be the reality?
@@mikebressler8951 and what pray tell would the female equivalent of priapism be then exactly? Pretty sure that's something exclusive to men. The gender flipping question doesn't work in this case.
Has she reacted to the poison ivy on Addison?
I think the poison ivy on addision is a gynecologist thing i think?
I think I saw something like this on Untold Stories of the ER. They ended up having to drain blood directly. That was so difficult to watch. Felt bad for the guy.
It's definitely not a fun experience :-/
she got excited that someone called for her
I can’t count all the times I’ve head health professionals talk about personal things over me while they work on me....
That's annoying!
I don't have priapism, but can I make an appointment with Dr. Rena for an examination?
2:38 The very fact that we call it "performance" is fucked up. "Performance issues". It's expected of a man to "perform". If you don't take yourself out of that mental state that society puts on you, you'll end up obsessing over it and maybe even precipitating it. Sex is fun. It's communication between people. No one has to perform, you just enjoy each other and slow down if you get overexcited. If you're not performing in conversation, you don't need to perform in bed. You're just talking. With your bodies.
Great point!
Yes. I feel like I am just a machine to perform. I always avoid sex because of this. I have to have big penis, and I have to perform for long hours.
The first thing is just not in our control and this is also body shaming.
I found myself planning to have penis enlargement surgery or mast cell injection. I still hope one day these two medical Technics will be mastered and safe
You actually look like a younger version of the urologist Cathrine Avery.
Later on the show there is a urologist called Catherine fox you should watch & react to that
Hiya, I love your videos. Greys anatomy 11×19 also has a urology case which I think could be very interesting for you to react to! :) take care and keep on creating so informative and engaging videos!
Coming soon! Thanks for watching!
I very rarely watch TV except for the news and from the rare glimpses you show us of programmes such as Grey's Anatomy, thank heaven I am not that desperate for entertainment. I am of the opinion that most of the programmes shown on TV do not warrant the paying of licensing or viewing fees.
You sure about that enema? According to NIH it’s definitely a treatment for priapism
I think you’re using the microphone in the laptop. Gives a “tinny” sound. You need an external microphone.
There's a urology episode where they do a penile transplant for a vet on grey's, you did review that for realism
will add it to my list!
Omg this was epic 😂😂😂😂 loved it!
Thanks!!
Weird how “funny” many of the ladies always find these type(s) of subjects. . .
@@denisjohnson8198 don’t know about “ladies”, but as a nurse? Absolutely hilarious to me. Merry Christmas!
Couldn't you also use phenylephrine injection for ischemic priapism? When would that be done in the management of this?
Yes you can if aspiration and irrigation doesn't work you can then inject phenylephrine.
I'm a nurse, so it's funny to me that it's implied a resident Dr is going to give the enema 😃 And they sure should have consulted you about proper treatment 😉
Haha so true that would never happen!
Why isn't a phenylephrine injection used first for priapisms instead of the more invasive procedure of draining the blood? Can't the needle aspiration cause ED as well?
The treatments do not cause ed its the prolonged erection that causes ED. Phenylephrine requires monitoring and has the potential for dangerous side effects.
There's a doctor on GA who is a urologist, Catherine Avery. Check out her episodes.
Yes I've seen some of her episodes - ua-cam.com/video/YuCvILyIb90/v-deo.html ua-cam.com/video/YcUk2P-hABg/v-deo.html & ua-cam.com/video/yuogfDf8TVg/v-deo.html
I know somebody who had an erection that lasted 3 days (a friend husband). He also was starting to get dementia at the time so never mentioned how long it lasted, his wife just thought that he was up and ready each time separately they had sex. It eventually started to cause pain and his wife rushed him to the ER and they had to do emergency surgery right there in the ER. It turned out to be a blood clot and he did lose sexual function with his penis.
That's really sad!
Honestly it was kind of a hidden blessing considering that as his dementia progressed he became more crude with sexual remarks to any woman he had contact with. (he's not dead just in a full time care facility now)
Having only watched this video and Dr. Malik's video about the broken penis episode of the same tv show, it occurs to me that serious health problems that are specific to men is considered humorous to the people who make that show. I've never watched that show so I don't know more about it than these two videos relate. Reminds me of the ladies on the View laughing about a man getting his penis cut off. Is that funny? Is it because tv shows don't think men's lives and health matters?
This is very insightful. I agree it's a shame that people make fun of men's health issues. It just adds to the idea that you should not discuss these problems with your physician and delays very important and sometimes emergent care!
I really liked your post, it was both entertaining and informative.
Thanks!
can you do a video on endometriosis, fertility and cysts? I am 22 and struggling with all three, and every dr. seems to say something different! curious on your take on it
Sorry to hear you are struggling. I would check out mama doctor jones channel, she's an expert in gynecology!
@@RenaMalikMD I am part of her channel and love it! I've been suggesting for a while, I just it's just not somthing a lot of people really want to see maybe? kind of depressing
@@jessicasuchy7850 I think it's tough because the symptoms can be so variable for different people and fertility is so hard to handle emotionally. I'm not an expert in these areas so I would be only able to tell you what's in the literature or textbooks
I'm very sad that the problem was treated so lightly and as a joke. Shouldn't that be a big red flag? What about people who have had this problem before and are watching the episode? Or maybe someone who has the same problem in the future but is too ashamed to look for help?
I agree with you 100%. It's not appropriate.
@Jenn That's very reassuring that you realize that.. This entire channel thrives off this TV show basically laughing at Men's urologic conditions and Rena "explaining" them.. There is NO way that would happen if the genders were reversed, with a TV show laughing at Female patients, being attended to, and made fun of my male attendants.. Sad Rena doesn't see that - Especially because she's actually TREATING males..! Our Fathers, brothers, sons, friends, etc.. Sad..
Hi I’m new to your channel. This show drives me nuts. I’m an RN and used to work in the hospital and it’s so not like this. I’m going to find other videos of yours and watch them. I have Interstitial Cystitis, diagnosed in 1996. What kinds of things do you do for that? I’ve about done it all. I know everyone is different just curious. It’s a awful and painful disease. Thanks, Victoria from Cincinnati, Ohio
Thanks for watching! Ic is a challenging disease and I approach it differently depending on the patient and their predominantly bothersome symptoms. I'm sorry you are struggling with it.
thank you DR Rena
What season and episode is this?
I laughed when you mentioned Trazodone can cause it. I knew I was familiar with what priapism is, but I couldn't remember why, but you reminded me! My dog had to be on Trazodone, so one of the side effects we needed to watch for, since he's a male (and especially because he was still intact at the time), was priapism. Dogs tend to be on a much larger dose than humans, because they metabolize it differently, but there haven't been a ton of studies on how common priapism is as a side effect in dogs. It's basically a case of "Well, it can happen in humans, so keep a close watch on your intact male dogs, just in case." So for 3 straight months (x2 = 6 months... 2 different surgeries, and it's used to aid crate confinement during recovery) I had to constantly make sure that whenever he "lipstick"ed that it would get re-sheathed without issues.
Wow, interesting!
Plus a bite from that wacky Wandering Spider can give u prapisam.
So four hours without blood flow is bad. I would have thought there would be issues with ischemic priapism long before that. How is the tissue able to last so long without oxygenated blood being supplied?
Typically the damage done before 12 hours is minor with little damage to smooth muscle. After that ,the cells start to show damage and after 24 hours the risk of irreversible damage increases dramatically.
so if i understood correctly, if you do not have any illness and do not overuse any ED drug .... your chances of getting priapism are very low to non existant. Right ?
I feel like you would like Katherine Avery
Hi doctor, i need your advice, am a sickler and i had a long lasting erection and they made an aspiration procedure on me but from then I've never felt a normal erection again, i feel it somehow but it doesn't stand en hard 😢 So am like should i try Erectile tabs or it's over on my side 🤒😟
t
Hi , how did you know that you was having priapism? You were fully erect?
These were the earlier seasons of Grey's, which aren't as accurate as the newer ones. This was also suppost to be a funny episode and eveything was played on and over exaggerated for the humor and storyline.
But, I enjoy hearing your input and talking about actual correct urology treatments and steps with these kinds of issues. ❤
Thanks for watching!
This episode is hilarious
Great breakdown
Thanks!
Yep. This happened to me. Trazodone was the culprit. Not fun.
Grumpy Wx weirdly I had wild fluctuations due to a blood thinner because a partial lumpectomy from a motorcycle accident. It was terrible but in my case easily manageable. It was mostly intermittent and at worst uncomfortable but at best...... well I did take some advantage but I wouldn’t want to repeat it.
Only time I saw a Priapism was when I was a medic in the Australian Army. Following an explosion the casualty had spinal shock. He asked me "Is everything there doc?" and I replied "Well it's certainly telling us It's still there" It was turgid semi erect which really had me worried, 30 minutes later the Surgeons and Resus was on the case. Apparently from talking to one of the Nurses she said he had a wicked sense of humour about it, saying when he had his uniformed cut off "For the record Ma'am, it's cold in here" 😂before getting prepped for surgery. He did recover so "Happy ending" 😐 I guess.
I remember the first time I learned about priapism. My professor went on about how the blood flowing through the penis can start rotting and then it gangrenes or the already poisoned blood could reenter the bloodstream and becomes lethal... Anyhow, sorry for the picture but needless to say I hope I never end up going through something like that.
I've fallen in love with your channel but is there anyway you can upgrade you mic. The mic makes your voice sound like it has a high pitched echo.
Yep got a new mic! the newer videos were all filmed using it.
What is up with your mic
There was a problem in post production. Figured it out for future videos!
I really miss George
Hey doctor do people who had priapism can have kids? And i went to a urologist in my area and he just did a hands on examination on me down there no ultrasound can they tell with just a physical examination if you have any damage?
If you are still having erections and normal ejaculation you should theoretically be able to have children.
@@RenaMalikMD thanks doc so a urologist can see tissue damage with just a hands on physical examination?
You should do 8x05 "Love, Loss and Legacy"!
will add it to my list!
Really enjoyed the info on the video, suffering from some prostate problems and wasthinkingabouttakigsome e.d. penis performance drugs butowafterseeigvideogoig to pass on that thought.
That’s the movies for you!!!!
Im not a doctor, but I played one on TV!!
Gray’s Anatomy needs to do more research or a script re-write!!!
I had a urologist here in Memphis Tennessee accuse me of taking ED meds.
I really wanted to watch this video but your audio is weird, sorry... Hope you can get it fixed
Dr rena, i am new to your channel, Anyway i want to ask you, i urinate too often, what can be wrong, please let me know
Would like to know the percentage of success in enlargement surgeries..
Omg!!!!! Please react to next episode!💕💕💕💕💕💕💕
Very helpful because I’m having priapism for two weeks every day in a row
Did it go away
@@bluesavage8192 yeah i’m glad. the doctor asked me to start using viagra and it worked!🤷🏼♂️
@@shathan.10 I've has for 2weeks I had shunt surgery went down little but still up its scary
Sometimes the sound is awfull ... please take a real microphone and/or compress it digitally differently ... what I hear is a bad microphone with bad digital encoding .... cheers !
I have a new microphone, sound is much better on more recent videos. Thanks for trying to watch!
I'm really glad you call out the unprofessional comments on this show the African American doctor on this show reminds me of someone I worked with who acted this way and I had a horrible time with her and one time I was told by her this was how African American women are supposed to be. I disagree her character on this show is poor example of how doctors should behave.
Agree, perpetuating the stereotype
OK. Funny story. I had a girlfriend in college. Total genius, and my best friend. The thing is, I was a closeted gay guy at the time. (I'm still gay. Always have been. It's just that the closeted thing changed.) As it turns out, one of the reasons we got along so well is that she was a closeted lesbian and so neither one of us wanted to have sex. At least not with each other. So, I go off to law school, she goes off to medical school. We got together for lunch a few years later and came out to each other. She told me that, on her first day in Anatomy class, she and her lab partners, all guys, were told to transect the penis of the cadaver they were working with. One guy fainted, the other three got nauseated, and she said, with a smile on her face and in her brightest and happiest voice, "I'll do it!" Which she did, and two of the nauseated guys ran out of the room. She's now a tenured professor at an Ivy League medical school. Her specialty? Psychiatry. (I do hope that made you laugh. Lord knows I did. LOL!)
😂
Thank u for making videos
Thank you for watching!!
God I hate this show. Always thought if I was a patient there I'd be a gonner for sure, they don't pay attention to SHIT! Lolol
These shows never make any kind of medical sense. I’ve never even been to med school and I know it’s bullshit. It’s hilarious. My mom is a medical coder and she can’t watch medical shows anymore because they’re ridiculous😂
I will like to speak to you I have a few questions
Very informative ..
Word of advice " try to watch some other episodes of this show before you react to another one just so you catch the vibe of the show for it's not a pure educational medical show it's mainly drama and comedy .. I think doing that will improve your view on the show and your reactions .
OMG this episode makes me laugh so much ;0
Hi doctor Rena,
YOU DON'T BLOW IN YOUR STERILE GLOVES BEFORE YOU DO A STERILE PROCEDURE!!!! Sorry about the yelling. :-)
HAHA Yes completely agree!
The neurosurgeon typically deals with other brain lol =) Nailed it =)
I think you would give many guys natural Priapsrims Doctor..
was your mic in a box ?
A clip on, the editing got messed up, sorry!
Hi dr Altman
He was bitten by a banana spider
4:47. 5:05. 5:17. 5:37
"What? It's right there looking at me?" 🤣😂🤣😂🤣
Seriously though. It's not a funny thing to go through if it's lasting that dang long!! My partner gets it occasionally but it only lasts a few extra minutes.