I really hope Doc.G has Bean Buddies in the merch store one day.

@@IRLTheGreatZarquon and a shirt that says “it makes the kidneys sad.”

😂😂😂😂😂❤❤❤❤

Truly, this man's mastery of facial expressions is why I keep coming back XD

​@@riverbabblesikr?!

He only has a good heart b/c the cardiologist is looking out for him

Huh. Not a sentence I ever thought I'd hear.

not as...salty...to ortho as other departments XD

lenient

You have to take his aggression with a grain of salt

My thoughts exactly...

That occurred to me as well. Keeping him a little more generalist than his fellow eye-bros.

Or maybe he wanted to make good use of a bunch of things he was forced to learn that are useless/irrelevant for his work. But yeah.. he likely had to revise them for accuracy.

Right? Feels like I’m reviewing too when I watch him

@@aditsu to be fair the kidney bone is connected to the eye bone. See a lot more keratoconjunctivitis sicca and periorbital edema in folks with kidney disease (though he may not care about the latter I'm sure patients still come to him because of it)

“… thank you” 😂

Petition to start a go-fund-me for a nephrology student willing to use the term "bean buddies" in his thesis paper.

@@wwgtg12 take my money

@@wwgtg12 sorry actually id have much money imma need that back

aw lil bean buddies

😭😂

Ortho is just afraid of the danger squiggles.

oh no, not the danger squiggles

@@MsSgent as medic, am too, scared of danger squiggles

Lol I love him calling nephrology salt bro.

Little bean buddies is the cutest way of referring to the kidneys 😂

Dude, it’s all we ask.

This was my favourite part🤣🤣🤣

I love Nephrology's expression like "I want to be offended, but that's actually super cute"

I'm a PTA, I laughed way too hard at this 🤣

Right? I think it's super sweet how Ortho clearly made Salt Bro feel seen and validated, by speaking directly to how real and personal his fondness for his little bean buddies really is 😆 Ortho Bro has his doofy side but he's always so wholesome and empathetic to everyone

_YES_

I never heard that from a med student, and I've been one for 6 years.

@@juhasznagyjozsef Maybe not outloud, the fear is too strong. But inside, we scream this.

I totally relate bro 😂😂😂

If only they and chiropractors could split the difference in that regard 😂

Peep his step scores, checks out

My cat

Extremely bright people who get mentally dulled by the process

🤫 we made up all those jokes for a reason….

This is my theory. Ortho didn't think his orders were right, but he figured it would summon a nephrologist he could trick into admitting his patient for him.

Ortho is new, simply taking orders, but wasn’t told how to do it exactly. Can’t really get mad at someone like that.

The little bean bros!

Nothing more brilliant than an orthopedic surgeon making a medicine doc do his work for him...

Ortho is never innocent

What up nephron bro?

sweet, sweet revenge when the nerds outnumber the jocks

I knew an orthopedic surgeon. The stereotype is true.

@@dr.floridamanphd I know several, half spend all their time in the gym, and the others look like they could pull off a Bill Gates look alike contest without any costumes

Not a medic, but I've worked with bone surgeons, their collection of polished stainless steel crowbars was a bit terrifying..

It's a funny stereotype but orthopaedic surgery is consistently in the top 3 most competitive specialties, pretty much everyone matching is near the top of their class, so it is a 'nerdy' specialty to some degree. Working out is pretty much a requirement aswell, ever tried hammering 2 femoral nails in? Very hard work, need good strength and stamina for complex cases.

I love the bean bros comment, it made me die laughing

As an Orthopod: thank you.

Yessssssssssss!!! Something like a complex polytrauma that needs reconstruction surgery. My ortho basically rebuilt my radius which was bone dust after my accident

He has a full Sherlock Holmes dr house moment then like asks for a gyro but pronounces it wrong

Yep, true. (Many) orthos really are this dumb, but hand them a newborn with a crumpled foot and with just two little cuts, some bandaging and two years time they turn it into something the kid can walk on. They can be artists as well.

Architects, too. My own ortho pieced together the distal end of my tibia from the three pieces it broke into, and put a titanium rod into a somewhat shattered fibula. Screws, wire(?), and some kind of cage were involved, I think. It seemed to be an interesting engineering feat. I love my bone bro. He's smart at what I need him to be.

@@Vitafiend pronounces it ‘yeeroh’ like the sandwich

another specialist got superpower as well, like Neurologist could see how neutrotransmitter transmitted and with that see the future of someone thought

That's just normal hearing when your kidneys are functioning at peak efficiency.

@@kyle857 I hope more people see your reply--I'm still cracking up at a volume even people with subpar kidneys can hear

The nephrologist has superb hearing because he has avoided all nephrotoxics, and therefore reduced his exposure to anything with ototoxicity.

I feel like I’m among my people.

Nephrology would never waste any of his precious salt on anyone else, except maybe cardiology.

Nah... neph isn't being kind.... sometimes its just not worth the effort and easier to do it for them. (I love my orthopods and not such a fan of my nephs!)

What makes you think they're empty? XD The Salt amplifies his power exponentially

“That’s literally your speciality, bro… I just work on bones.”

They call me The Prince Of Pee

❤

you can have a Glauc video in the background? blasphemy.

@@noodle3218 i saw it was uploaded 2mins ago and the title looked interesting xD

It's how I explain AKIs to patients. Your kidneys are a little sad because they didn't get enough water, but we'll try to perk them up a bit. Your kidneys are sad because they didn't like the medications you had. Try not to use nurofen in the future, ok?

I’m joining you!

@@AstarteElviraLyana and what do you tell to CKDs? Your kidneys are dead?

@D S "Your kidneys got tired of being overworked and underpaid, and thus have been quiet quitting. If you don't treat them nicely, they may decide to retire early and we will need to subcontract the labor to a dialysis machine, which is too generic for your unique needs and not a good long-term strategy. If it gets to that point, you will need a new bean buddy from another body. We try not to get to that point, because your body is highly suspicious of any new employees and we have to shut down half your security personnel to keep your new bean buddy and yourself alive"

@@jatnarivas8741 Perfect 😂

Thank you.

@@eriknephrongfr8847 the name checks out

Nice. I found someone in Nephro in the comments. Can you please translate what the good doctor said? 🙏

🤣 🤣 🤣

Yes! Thank you! I have been going through this for 20 years now...it never stops.

Literally laughed out loud.

Did the surgeon call you "patient bro"?

@@redsoxfan5240 🤣 No, we are both female, but I'd had some pain medicine that made me a little loopy, so I really had to stop myself from saying "Anesthesia!" when the guy approached me!

@@aslansown Why stop yourself? If they know Dr. Glauc, you know you're in good hands. If they don't... RUN [i.e. hobble away as quickly as what sounds like a painful injury will allow]. That and/or share the brilliance with them

@@noodle3218 I got the feeling they were called in on a day they aren't usually there. The surgeon was wearing shorts and said she had been playing with her kids. They were both all business!

It just occurred to me during my last surgery that most of them were probably fans. As they referred to themselves in these terms. 🤣

under rated comment

Beautifully spotted, @KKIM.

U forgot the part where thry both mess up n then act innocent so that others will do the cleaning up for them. 😂

😂😂😂👏

I thought bike bro, emergency.

Take a break after you separate. If it is real the siren's call will lure you back. You know the feeling, you pick up a medical article or see something on TV and notice your pulse rate increases in a good way? Ya, that. So many jobs in medicine these days, full contact, remote, IT, sales. Be good to yourself when you choose, more apt to be long term and happy. Best of luck to you!

Absolute mood. Medicine is so cool, but she is a harsh mistress 🥲🥲🥲🥲🥲

@@kathleensmith8365 thanks that really helps

@@kathleensmith8365 u r right about the siren.. Even when I am on the road. Siren makes me go like ok next patient.. Then I have to remind myself.. Chill lady u r off duty. 😂

I’m glad your boy is doing well.

❤️

@@eriknephrongfr8847 Thanks so much 💜

@@word6344 💜

Have you referred to the kidneys as little bean buddies to them yet? 🤣

It takes an iterative process to get these things. Like the face on ortho -- you can't just slam them with ALL the info all at once. You need some info to form the foundation so people can understand and appreciate the next part and so on. Some is foundational to understanding the rest. For me, it was developmental processes (pregnancy, prenatal/neonatal)...

Here's the thing, you learn a lot of these things with experience. Then you read books and you understand why you're putting in certain orders. You might even be able to suggest better alternatives. Inj. N.S. 500 mL IV Inj. R.L. 500 mL IV Inj. GNS 500 mL IV over 24 hours is a good starting base. 1500 mLs per day is maintenance for the average sized adult. The actual way of calculating the maintaining fluids requirements is by Holliday Segar's formula, which is 4 mL/kg/hr for the first 10 kilograms, 2mL/kg/hr for the next 10 kilograms and 1mL/kg/hr for every subsequent 10 kilograms. Add more if deficits are present. Reduce if the pt. has cardiac or renal insufficiency. Always mind the electrolytes and the anion gap! Inj. NS 1000 mL IV stat (fast) is the trauma fluids bolus order before a blood transfusion. (Dosage of NS is 20-30 mL per kg over the first hour) You typically need to infuse 3 times the volume of isotonic crystalloid than the blood loss. You'll naturally get more and more adept at modifying such orders with time. Hope it helps. Best wishes.

Just don't give LR to patients with hypercalcemia, and don't give NS to burn patients and you'll be ahead of the curve lol. And if you give more than 1 or 2 units of any crystalloid in cases of massive bleeding where patients need blood products you're gonna have more serious problems than hypovolemic shock.

Can you explain why he loves salt?

@@zarifzaman6381 your blood likes to be at a specific salt level because of a lot of things like osmosis of water into the cells (I think idk I genuinely have zero medical qualifications for anything and I don’t plan on getting some 😎) your kidneys are filters for your blood and so the more hypertonic, or hypotonic the saline level in your blood is it’ll either suck up or add too much water to your blood. And the thing the nephrologist mentioned about the acidosis thing is I think because your blood also needs to be at a specific pH level, and the disassociation of excess chlorine ions makes your blood more acidic. That nephrologist dude has to be very particular about managing the salt levels in peoples bodies (again I could be totally wrong I have zero medical background on anything I’m literally a meteorologist) hope this helps. :))))))

I don’t think it’s going to be a newfound respect- they all know how good bone bro is with bones, but because most observed bone problems usually don’t* (note- not a doctor, wild guessing here) have impacts on most other specialties, bone bro just gets the reputation as ‘the one who always needs help/fucks things up for the rest of us’; I have no doubt that specifically Doc PhysibroTheraBro has the greatest of respect for bone bro.

Yh mehn, even if the respect is just short-lived

Right legs are not supposed to bend backwards into a ball and look like a pretzel. 22 yrs ago mine did. I got into a fight with a bridge. 12 hrs later I had rods and screws hip to knee knee to ankle. Crushed 6" of thigh bone compounded the tib and fib. UofL Trauma dude said amputate or experiment? I was in ICU for a while still got the leg.

@@jerrykinnin7941 Sounds like you kicked that bridge's ass 👍 I hope your recovery has gone well.

@@lambentlamprey GODs GOOD still got the leg took me 7 months to learn how to walk on it. But was back driving semi's a week after the Dr released me.

The other specialties are at the perfect level for five-year-olds while the section on Ortho is incomprehensible to nonspecialists

Do it, do it, do it!

Doubtful Hematology would show up with a spleen. Glauc seemed to think spleens weren’t very useful.

Danger squiggles

I would totally buy a children's book by Dr. Glauc!

Prayers for her health, friend.

@@williamsstephens thank you my friend thst means a lot ❤️ 💗

Thats really impressive and so cool that he enjoyed what he did.. my favorite class was pharmacology but ended up not going into pharmacy as I thought that the insurance stuff would drive me crazy ... but yeah a hospital would've been more patient care.. and much more interesting.

Sorry about that 😢wish you all the best May God grant you speedy healing and a full recovery inshaAllah 🤲🏻

I can sure identify! I always get conflicting recommendations from my various specialists. Or recommendations where the specialist doesn't take some aspect of my condition into consideration. Most recently, I'm having bad headaches, but I'm taking the max dose of NSAIDs for my weight, which leaves Tylenol or opoids for pain. I really hate taking opoids, so I was taking 500mg every 6 hours. I told my rheumatologist and he says that's no problem, adults can take up to 3000mg per day. I just ignored it because he had obviously forgotten I only weigh 80lbs, and also take other meds (like statins) that affect the liver. You pretty nearly need a medical degree to defend yourself from our medical system these days. Lol Healing thoughts sent your way! 😊

Two words: Citrix. And using Citrix on my Mac I can unlock the computer with TouchID or my watch. Not so on pc workstations.

@@clarkosaurus yeah, but my laptops screen is too small to use epic properly.

@@clarkosaurus using Citrix is slow and annoying.

What's better than NS ???

@@nmc1859 I personally prefer LR. It's all around a better fluid and easier on the body.

Saline does the job we want it to do: it makes the exsiccated kid feel marginally better and it makes the parents stop bitching about "no proper treatment". For this particular purpose, ringer is far too expensive and unnecessary. For support infusion therapy, we make our own fluid with -blackjack and hookers- sugar and potassium.

@@wk9953 the facilities i worked at (as nurse) had tons of ns in stock and barely any lr. Googled ..lr is 2x the price 😒

LR presumes normal liver function, a substantial presumption in my environment.

They put so many fluids into me for tib fx repair I asked for a catheter. "We've never had someone ASK for a catheter before" turned into "I've never seen anyone fill so many bags in one day"

@@punchkitten874 LOL! I’d ask for one, too! The crappy part is you have to be able to pee within six hours after it’s out or they won’t let you leave 😫

Ortho was so sincere! He didn't want to hurt the bean buddies.

Cardiology knows a lot about IV fluids in terms of volume, but all the drugs he orders turn out either nephrotoxic or ruin electrolyte balance.

I remember that but it was a LONG time ago! 🤣

Bet insurance companies nowadays say that's too expensive 🙄

You’d be amazed at what hydration will fix/cover up.

House wine or house special at my hospital. Which is quite annoying when 3/4 of your nurses are new and are too scared to ask what that means. or remember to look up compatibility with all the components for ivp or piggyback meds.