and you turned it into a hit.

Now the next most highly requested show was the good doctor,

another show that I haven't watched.

(music)

Good hand washing technique.

Could be a surgeon. I don't know yet.

Oh

Oh. Oh.

(Help!)

(Oh my god!)

(Somebody call 911!)

Well calling for help is the right thing. That's the first thing you want to do in these types of situations.

(His jugular vein's been cut.) (Does anyone have a clean cloth?)

How does he know it's the jugular vein? That's pretty impressive.

Putting pressure on a wound like this is the first thing you need to do outside of

Obviously calling for help anything you can do to stop the bleeding put pressure on the site is

Important in order to help that person survive.

You're killing him.

I'm saving his life. He was bleeding out.

You have it in the wrong place.

I think I remember enough of the anatomy 101 to know where the jugular vein is.

You would be in the right place if you were an adult. He's not an adult

he is a boy, which means you're also putting pressure on his trachea, which means he's not currently breathing.

I can't really see where his hands are, but it's good advice

[starts breathing]

[all gasp]

Don't take it out.

Some glass.

Don't take it out.

He'll be fine. Yeah, who are you?

Hello, I'm Dr. Sean, Murphy. I'm a surgical resident at San Jose State Bonaventure Hospital.

Well, hello, Dr. Sean. Nice to meet you.

By the way, just so you know, if you have an object

Inserted into you object

I know that sounds kind of weird

If you get stabbed with a knife, if some glass goes inside of you, if a nail goes inside of you,

never pull it out

Make sure you call 9-1-1, let the paramedics decide what to do, let them take you to the nearest hospital

Because a lot of times what that object is doing is

preventing you from bleeding out because it's putting pressure on the spot

where the artery or vein was cut.

a special meeting of the board of directors as much as I love you all

questioning one of my hiring

Decisions that you bothered to look up the definition of president while he was skimming the dictionary and you're hiring him to be a surgical

resident my department over my objection.

The bureaucracy that you're seeing here is real. There are board members

there's presidents. There's employees there's

Trust funds. So these things exist they put a lot of pressure on doctors and presidents to make certain decisions

Yes, he has autism but he also has savant syndrome genius

level skills in several areas he has almost perfect recall he has spatial intelligence, and he sees things

and analyzes things in ways that that are just remarkable in ways that we can't even begin to understand

those are assets

undeniable assets for any doctor

particularly a surgeon.

I'm not gonna lie, I agree with the President on that.

As a surgeon, it's more important to have very good spatial ability to be able to have perfect recall, to understand the anatomy

perfectly, then it probably is to explain the complexity of a

Specific case and be able to communicate well with people

most of the time when you're a surgeon, your patient is not awake. That being said, I think it is still important for

Surgeons to be able to improve their communication skills, to be able to talk to patients help them understand the risks and benefits of operations

And make sure that they don't force patients to go into the knife when they don't have to.

You seen her?

No.

Now go and turn off the light.

Sure.

ooooo

Resident beef resident beef

owwhhh [in surprise]

they need you. I heard

And here I thought this was gonna be an all medical show no Grey's Anatomy drama.

At least where I practice medicine,

there's different on-call rooms for males and females. There are times where one of their call rooms may be unavailable and

You do have to have a male and a female sleeping in a room together usually it's not a problem, but

This is unprofessional folks. It's gonna lead to drama lots of drama.

We don't have a relationship.

We have sex.

You have a sexual relationship I

I wish I had vision like that that's impressive

Venous distention is caused by increased intrathoracic pressure

inside the chest cavity

he's basically saying the veins in the arms are swollen so he thinks there's some extra pressure going on inside the

the chest cavity can be because of

Cardiac tamponade which means that there's blood usually an traumatic sense like this inside the pericardial tissue

Which is the lining of the heart and there could be blood in there, and it makes the heart unable to beat properly?

The veins in the boys left arm are popping.

Is that bad? I don't see interthoracic pressure.

No this chest is rising.

He's breathing

The chest is moving paradoxically

Paradoxical chest movement is a consequence of something known as flail chest if you get a trauma where a section of your ribs

Break from the rest of the ribs that part of the rib cage doesn't move normally when you take a deep breath in and deep

Breath out so the the chest sort of moves paradoxically. That's what he's talking about

What happens during a pneumothorax

one of the lungs collapses or sometimes both of the lungs collapse

And you can't oxygenate that area meaning that when you breathe no oxygen goes to that area

It causes increased pressure the life-saving treatment for this is to literally insert a needle in order to release some of that pressure

Who here has a sharp knife?

Ohhhhh.

Blade five inches or longer?

Nobody?

Is he gonna go into the second or fourth

intercostal space?

Can't be back here. Oh, I need a knife

[laughs]

He's going to TSA a knife sure anything else I do also need a

Narrow six-foot tube and high-proof alcohol and gloves and baggage handling tape

But I'm going to get the alcohol from the duty-free store in the tube from the back of the soda machine

He's gonna put a chest tube for a traumatic pneumothorax

Looks like he's going to a party with all that Jim Beam. He reminds me of Zac Efron a little bit

I know it's a weird thought to have in the middle of this medical emergency, but I don't know

I always found out blowing to the glove thing really obnoxious. How much bacteria do you have in your mouth?

Probably even more than your fingers you're blowing inside the glove

But you're getting some of that bacteria on the outside of the glove that you want clean, or relatively clean when you're gonna

Go insert a chest tube into a young boy. He's gonna clean his hands with a Jim Beam, but that's not perfect

And the decision should take place two ribs down second intercostal space my man

[intense music]

He's actually following proper technique because you want to stay in the mid-axillary line meaning in the middle of your armpit

That way you have a lower probability of hitting the heart when you go in with the scalpel or whatever you're going in with

Okay

Well why the bottom? The air will continue that we can accumulate until the damage can be properly repaired the tube allows the air to

Get out the water in the bottle stops the air from coming back in I'll make one wave out

[breathes]

He's breathing

You saved his life

he saved his life

[everyone starts applauding]

tension pneumothorax, you can literally put a needle in that can release some air and

That equilibrium does enough of a job you didn't need all of this fancy technology here.

I need to get to San Jose S t. Bonaventure hospital.

That's where we're going.

Good.

One of the classic signs that someone has autism or may have autism is they don't make great eye contact,

they're not great at picking up social cues. If you find out that your child has autism,

you can start them in these early intervention programs where they teach them how to mimic some of these social cues

Where they're not looking to make eye contact with you like we do normally because we have good physical

recognition and body language recognition,

but they do so because they're trained to do so to make

conversations seem more normal. Early intervention has shown some very promising results for those with autism

[flashback] i have found another school nothing is gonna change they cant handle him i don't blame them cause obviously

We can't handle him either what the hell happened this time what happened

you are hurting him

What did you do?

Those who have autism and grow up with pets actually have better results moving forward in terms of

communication in terms of interpersonal ability so if your child does have autism,

getting them a pet early on definitely serves a benefit.

It changed

The boys ECG changed

It's the same, 86 BPM.

No, it used to be higher.

No, it used to be 86,

it's still 86.

It used to come up to here.

That's not the right way to do it you have to be seated you have to have calipers

You have to be looking at the strip and comparing the little boxes on the screen, maybe this guy he has superhuman powers

It's possible, but in reality you need to be a lot more careful because this isn't just a game it's people's lives at risk.

So far very accurate

I'm very impressed. The way that the paramedic told the history? Very very accurate.

Adam needs an echo-cardiogram.

Behave yourself,

or you'll be removed from the building.

[breathing heavily]

I don't know what to make of this guy. I like him cause he's superhuman and knows everything, but it's just so unrealistic. It's crazy.

Is this the same security guard who knows everywhere he's gonna go? Maybe this guy's a savant too.

Do an echo.

It's gonna take a while.

Good. That'll give me time to figure out why the hell we're doing an echo.

Dr. Brown, you're with me. We're gonna go find your weird guy.

Keep him stable.

Surgeons just don't go and look for "another doctor" or someone else on the street that wanted to give them a recommendation

on how to treat this patient.

I noticed that there was a slight reduction in the intensity of the electrocardiogram

Electrical flow! I noticed that too. The heart rate was the same, but the amplitude dropped.

Pericardial effusion

reduced cardiac output.

Let's stress out organs

causing them to shut down.

Yes.

Just to break that down,

pericardial effusion peri means surrounding the heart the tissues surrounding the heart sometimes there's fluid there

And when there's fluid there that makes it difficult for that heart to be and you get cardiac tamponade

That's what I was talking about earlier

Again

Again

There!

Looks normal to me.

It's not normal.

Four doctors are looking at a scan,

they don't believe there to be an issue,

this guy comes in, sees an issue with the scan that no one else sees, and now all of a sudden

they're starting to believe them that maybe it could be that.

If you're looking at the scan, it either is, or it isn't, I don't know what they're debating about the concavity

That's open to interpretation. I've never seen a situation like this.

The YouTube clip already has over 200,000 views.

That's pretty good, 200,000 views! The more I think about what he did there in the airport, the more

I think it's inappropriate

There is a Good Samaritan law that's in place to help with basic

Emergencies pulling some out of someone out of a burning car and in the process you hurt their back

But you were trying to save them but performing an advanced medical procedure like putting in a chest tube

Especially a makeshift chest tube like that? Man, unless he saves the boy, and it's a hundred percent safe

There's gonna be malpractice and lawyers involved in that case, so.

The good doctor strikes again.

You saved that boy's life.

Oh good.

His name is Adam

traumatic pneumothorax

I'm hungry

Sean, Dr. Melendez's team is going into surgery. I mean, if you're interested.

I mean, how about getting him to sign all the paperwork, and disclosures, and HIPAA forms, and making sure he has identification?

Put your mask on!

Put your mask on, Sean!

I saw a lot of Surgeons in medical school.

You're much better than that. I have a lot to learn from you.