Ok, no one can screw up a lipoma excision, even HODAD.
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Dude, an OR fire? During a lipoma excision? And he stands there with his hands in the air? Sterility is less important than fire. Already dumber than I could possibly have expected.
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The surgery "went perfectly" except for that OR fire. OK plotline two, the intern is in the ER, with a hypochondriac. Let me guess, she's secretly sick.
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His boss suggests giving her a placebo prescription to make her feel better. Unethical, unrealistic, and stupid. One doesn't treat delusions by reinforcing delusions.
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I like how their OR cams have complete coverage of every inch of the OR, like there's a director of photography running 4 cameras in every room with such high res you can see every single detail.
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NP Nic tries to blame Hunter for excessive chemo with no evidence. She finds out it was the K, even though as we discussed, 40meq of K in a hypokalemic patient, diluted in a liter of fluid isn't going to do squat.
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Conrad convinces OR burn patient he will be cured with plastic surgery using the power of...Photoshop.
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Back to Nic, 40meq of saline even in 30 minutes in a hypokalemic patient is not fatal. This is physiologic stupidity.
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When the test results come back on Lane's patients (not Dr. Hunter because she's female) they "go directly to her", as opposed to into the EMR. Conrad says he hasn't drawn blood since med school. Accurate. Our first accuracy!
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Back to the intern in the ED. Patient with right sided abdominal pain. Xray is sown in the corner, and is "normal", except for all that free air.
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Also a paucity of bowel gas, look out for that. I like the rapid turnaround from the senior from, do nothing to, "yeah, OR".
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Back to Hunter trying to frame Nic, there's no way 40meq of K in a liter of fluid given in 30 minutes is going to kill anyone with low K. Ok a bunch of stupidity is going down.
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Burn patient is going to code for airway threat and Conrad wants to do an escharotomy, but because he's worried about infection, he wipes with an alcohol-containing chlorprep. Awesome. Even if some of the tissue is dead, any living is going to hurt like hell.
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That's a good place to use betadine if anything, and once again they're obsessed with doing aggressive horrible things for drama. Conrad makes a horizontal incision across the neck to free the eschar, which looks like a great way to hit every single external jugular you can.
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And why not call anesthesia and at least try to intubate? So many of these people reach extremis before intervention, your patients should not always be reaching a point while monitored where you have to do crazy aggressive lifesaving interventions. So much bad doctoring.
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Now the intern is trying out some phlebotomy, good time for alcohol but it doesn't seem in use. Also, what little phlebotomy I do, it's better to feel for veins than stab randomly in the cubital fossa.
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Also why does Nic being out mean no blood gets drawn? No other nurses? No phlebotomists? Have I missed a sneaky phlebotomy conspiracy? Back to the ER.
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Are these idiots really going around drawing blood on patients surreptitiously for their own medical vendetta against Hunter, without telling the patients what they're doing? That's really messed up. That's battery.
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I like how a resident can just walk into the hospital administrators office and yell at her and threaten the whole hospital. So many fireable offenses and we're only half way though.
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And I spoke too soon, someone has shared the hospital video with the burn patient and despite having a neck escharotomy an hour ago to save his airway he's had time to autotune a video of himself singing to it. The hospital PR person has "contacts at NetTube". Uggh.
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This show is made by people who think, "Wag the Dog" was accurate political commentary as now they're suggesting the hospital is going to import a war orphan to treat for good PR. I can't even.
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If you can hack into a "surgical learning database" and download sensitive patient information including video of surgeries, this hospital has a bigger problem than a hospital fire, it has total insecurity of all of its hospital records and will be shut down forever.
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So after a round of illegal battery of patients to draw their blood for their private vendetta against Hunter, with no informed consent, our "heroes" have found everyone is healthy - but like any conspiracists, contrary data should never discourage your belief.
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Again, I have to reiterate, no one could have changed the flow rate fast enough to make 40meq of K in a liter of fluid kill a hypokalemic patient. Alleging someone else is murdering the patient as part of a grand conspiracy makes you sound craaaazy.
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This show could only be appealing to the conspiracy-minded. It's bonkers. I know that in the end these crackpots will be validated, that's the inevitable narrative arc, but in the real world anyone who thinks this way should be kept far, far away from patient care.
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Intern back in ER, getting cocky, patient c/o snakes in his through. I hope snakes pop out like out of one of those fake peanut brittle cans.
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Again, the doctor, who is apparently "good" treats the patient by participating in their delusional behavior. That's not treatment, that's just abuse.
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It's a consistent theme of this show, that while complaining about error, and patient harm, this show lionizes characters who lie, cheat, steal, batter, sexually-assault, and deliver unethical, harmful care. In the first episode Conrad even attempted murder.
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Then when it comes time to finally do something about HODAD, he's finally screwed up to the point that he's vulnerable, our heroes don't want to be whistleblowers, don't want to go on record about observable, ridiculous criminal behavior.
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I've said it before, there's a great smart show that could be made about the complex relationship between care, error, and hospital profits, but this is not it. People are harmed by good people with good intentions more often than ridiculous comic book villains.
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