The moment he he said neurologist I shouted yes. I have nothing to do with doctors and never seen one, I’m just really invested in the lore at this point
As a neurologist, sometimes I wonder why people wants to kick our asses so much. We just like to deliver suffering and imposter syndrome wherever we go
Come on. You must know, that external lead protection won't protect you from ingested radioactive potassium. Obviously, he covers banana with lead and then eats it
KAAA... MEEEEE.... HAAAAAAaarnessing the collective power of all the particle accelerators that are used to make the radionuclides... MEEEE... HAAAAAAAAAAA🤚: And the neurologist's sacred holier than thou neurotranmitters that diffuse faster than the average human get blown off from his synaptic clefts, and he instantly goes to being a normal person who does not have RBF. He has been defeated.
Interventional Radiologist wearing lead everywhere is the strongest person in the hospital, possibly on par or even stronger than Orthopedics. Cardiology, Vascular and Neurology stand no chance against him
I would say "poor Bill", but I suspect he graduated med school just fine, became an ophthalmologist, and then started doing comedy on youtube. Now Bill gets the last laugh.
Love your vids. If anyone cares, we don't usually wear head protection because the brain is fairly insensitive to radiation (though lead caps do exist). We should still wear eye protection to protect the lens of the eye, which is one of the most radiosensitive parts of the body.
@@rayzerot probably because when a person is exposed to high doses of radiation they noticed that some organs are more likely to get cancer than others
It's more likely that the doctors' wives all look suspiciously similar, the same way the doctors do. Ob/Gyn looks and her wife look like they could be sisters. It freaks people out.
I had to see if anyone else commented about that photo already. 😂 I'm looking forward to when ALL the doctors find out that they're married to the same OB/GYN. Me thinks she's going to have some 'splainin to do. LOL I ❤ Dr & Dr G/AKA Dr & Mrs Flanary. 😊
Who doesn't have deep rooted neurology trauma? I'm a patient and would love to watch that fight. The interventional radiology part of my care team is awesome. Neurology? Not so much, especially since they won't cooperate with anyone else who does my care and are really rude/mean*. *obviously not all neurologists are mean, but my neurologist won't do anything about the problems I was sent for or testing solely because aparebtly being a victim of sexual assault apparently means I'm faking my ... genetic medical conditions.
Sure IR has been recognized as its own primary medical specialty for over a decade, but only now that we've been included in the Glaucomflecken Universe does it feel truly official! And a suggestion for the costume: ditch the tinted sunglasses (we're not afraid of the light) and throw on some sporty lead glasses
That radiologist was actually cool. I remember when I first got into a fluoroscopy room without lead. The radiologist shouted, "Stupid! Get out! 😡" I ran away 😅
The fool who gowns up before putting on lead gets to buy bagels for the suite. This is the second law of Interventional Radiology. First law is DON'T LET GO OF THE WIRE.
@@floatingblaze8405 the wire is the basis for the Seldinger technique, where the wire is used to swap out the access needle, then progressively larger catheters and sheaths until you get to the width of catheter you need to do your procedure. If one lets go of the wire, one loses access, but worse, the wire travels to places like the pulmonary arteries or if one is super unlucky, to en end organ like a limb or brain. The wire has to be fished out. The wire-letter-goer will never see the inside of an IR suite again if not an attending already.
This happened in regular fluoro, not IR fluoro. One of my classmates was messing around with the controls and accidentally blasted the RPA who was in the room doing something.
In Glaucomflecken universe there were already doctors of various specialties, there were nurses and now I am asking on behalf of the paramedics community that they should also be included in this universe
This is some of your best work doc! As a vascular scrub tech i honestly responded "been there done that" to "how do you feel about watching doctors squirt contrast while standing for hours on end" Also spot on about the lead and lack of brain protection. Sure hope i dont get brain cancer after all that fluoroscopy HO HO!
yeeeep, as a radiographer big fat same. I'm only there because legally someone who knows about radiation protction has to be. oh, and so the radiologist has someone to open his packs... as for the brain protection you'll be fine, the brain isn't very sensitive to radiation. The eyes though...
If you look up a tissue weighting factor table, you'll see that the brain tissue is as sensitive as skin for long-term effects, which is as close to zero as you can get when it comes to radiation.
My late Mom was a nurse for over 45 yrs. Served stateside during WWII, spent her career in a local but forward thinking Catholic hospital. She would have ADORED YOU!!!
@@RafaelMonteiroMaia Perhaps, but are you implying that the Neurologist keeps a vessel of an overprotective demon on standby that absolutely rips opponents a new one when he lets it loose? Of course not! … _That’s Ophthalmology._
@@RafaelMonteiroMaiaDoes the Neurologist have a cranky tanuki made of just a ridiculous amount of chakra hanging out in his body? Because that's why Gaara won.
My one and only experience with an IR doc was almost entirely him saying "there's an extremely small chance the bolus'll dislodge and end up bouncing into your spinal cord and leave you paralyzed but really it's a super small chance it'll never happen", only to see an irl ᕕ( ᐛ )ᕗ face in response. I like this guy better. Love your videos!!
Haha yeahhhh I have a Rad like that, he doesn't really smile though so he just scares people lol. We once did a thrombin injection (it causes a clot in a pseudoaneurysm) and he just calmly looks at the patient and goes, "ok, when I do this it might cause a blood clot to go down your leg and you'll need surgey to get it removed, but I've only seen it once in 20 years" but the way he said it was so foreboding you could tell the lady was terrified. Dude has no bedside manner lol
At my last surgery I was lying on the table in nothing but a hospital gown and my doctor said out loud "Is everybody wearing lead?" and I am thinking "Uh oh, I'm not wearing lead."
I love being in the cafeteria when IR/radiology shows up. It’s like a gang of pale vampires. My next thought is that I won’t get any reads for another 30 minutes.
In my centre we do wear our lead caps and goggles too, there's a study on interventionists (radio, cardio) that showed if they did get a brain tumour - most of the time it's on the left. The radiation source is usually to our left for most procedures. Goggles is sort of compulsory as the lens are radiation sensitive, unless we wanna see our eye bros more often.
Interventional radiologists are amazing! Mine took me seriously and found my may thurner syndrome after being dismissed so many times. I see her for my follow up after having a venogram done next week, I'm totally showing her this. 😂
Back in the 90s, my dentist would flop a lead shield on my chest telling me that I had to cover my heart for x-rays - after smacking my face on the bottom of a swimming pool age 12, I had several years of several x-rays a week having my mouth reconstructed in the most haphazard manner (I now have some permanent abscesses that make getting work done now heavy going as new dentists are terrified of disturbing them and unleashing the currently encapsulated infections). Needless to say, boom, thyroid cancer a few years later. Those x-rays don't fuck around!! I don't believe in suing the NHS because that takes money that could have been used to save lives, and the NHS did save mine by shucking my thyroid out like an oyster and feeding me radioactive iodine (then keeping me in isolation for a few days - best days of my life, so peaceful, no people except lovely nurses popping by to yeet food through my door whilst kitted out in lead suits, and the Christie Hospital's cheese and onion pie is out of this world), so I think we're even! I'm gagging for a Dr G Endocrinology, no matter where I go for hospital appointments, someone looks at my file and gets excited over my endocrinologist because apparently he's a total dude that challenges everyone to tennis matches, and I'd love to know if that's universal.
Dental xrays are extremely low dose and thyroid cancer takes over 10 years to develop from a radiation event, also contrary to what Dr. Oz told the world, the Thyroid is one of the least radiosensitive organs in the body. That was almost certainly a very tragic coincidence :(
@@xxMurmaiderxx Actually, that still adds up - my dentist was *seriously* incompetent***, I mean we're talking usually a minimum of about 5 x-rays a week for several years, so probably hundreds of unprotected x-rays that were directed downwards from the front of the face (he'd mostly point the machine down at a sharp angle from the top of my right front tooth as that one had the most going on with it) on an adolescent thyroid, then when I found my cancer at age 35 (so 20 years after the most intensive of treatment was winding down), I was stuck with it for another year before I finally had it out because the GP I was with refused to examine the area. This was despite my clearly stating that I had a rock solid lump on the bottom left side of my thyroid that moved with my trachea when I swallowed and was slightly visible externally at that point (which should have set off alarm bells for even a newb GP) - she prodded my submandibular glands, declared there to be nothing there, then when I pointed out she'd examined nowhere near my thyroid said she'd refer me for a scan to "shut me up". She then put it down as being such a low priority that rather than the 2 weeks maximum that you're meant to be seen at hospital for lumps, it was a year before I got an ultrasound appointment, by which point it had grown big enough for people to keep saying "ew what's that?" to me in public. I do not like people. Luckily whilst I knew that it was most likely thyroid cancer, I also knew that it's usually a slow grower, so I was mostly just pissed off rather than frightened. When they took the first half of my thyroid, it came out as a follicular variant papillary thyroid carcinoma, T2 (28mm IIRC), partially encapsulated, both capsular and vascular invasion were apparently "extensive" (although I never got to see for myself, which was quite frustrating for me as I like to lay eyes on such things) and had a little friend in the form of a further 2mm tumour in the isthmus. When I had the second half removed after cancer has finally been confirmed, it turned out I had two further tumours of 4mm and 2mm squirrelled away in that side as well, so it was pretty well established, probably a minimum of about 7 or 8 years. I hate not having a thyroid because life after thyroidectomy sucks, but do love having a kick arse scar like the Kurgan from Highlander. ***(I'll try to keep it short to spare you the boredom of the entire shitshow that was my dentist's attempts at dentistry, but there was just SO MUCH wrong you wouldn't believe it - I was having that many dental appointments that my school kicked off at my parents about me missing school to allow the Ned Flanders looking arsehole to massacre my teeth, they threatened to involve the social on the grounds of truancy, it was quite the brouhaha! Said oral massacre included capping the broken ones with bits of melted plastic folded over the breaks rather than actual caps so it looked like I'd stuck Chiclets on my teeth ((which would last until I ate or my brother punched me in the face, both of which were an unavoidable and very regular part of life growing up, then immediately drop off and leave the unfilled root canal holes about to be mentioned open to getting food and plaque in them)) unnecessary root canals, teeth turning black like a geisha's due to said root canals and not being sealed, many, many infections, 🎼🎵🎶 several abscesses at the same tiiiiiiime🎶🎵🎼 ((I already have 3 leaking heart valves, so I'm certain that those infections are going to completely screw my heart one day)), then the eventual grinding the remainder of the teeth down to nubbins, which was when the years of ill-fitting crowns started. He'd be so heavy handed with the tooth moulds that he'd wobble them, causing the tooth impression to be twice as wide as the teeth really were, making them not only sharp at the back, uncomfortable, and impossible to keep clean, but also hella unstable as they weren't supported by anything else in the mouth. So, they'd fall out almost as regularly as the plastic would drop off, taking the posts out with them, and lead to yet more repeated visits for him to wick out general mouth gubbins, plus, often the pus from the permanent dental abscesses that he'd so kindly gifted me - yet again making several x-rays each visit to see if he'd done enough wicking, then I'd have to go back the next week to have the crowns popped off again and yet more wicking and x-raying... I believe he must have got his degree from a box of cornflakes, especially since he thought a lead thyroid shield had to go over your heart, which as you say that dental x-rays are quite weak and the heart, a muscle, that's much further away just doesn't make sense!! Imagine my surprise when I finally saw a different dentist who made me proper crowns that actually fit properly and didn't drop out at the drop of a hat - I could finally eat an apple that hadn't been diced (not sliced, it had to be diced to prevent any pressure going on the front teeth) and was told that there was no way my teeth should have been left in a state where they died and turned black, which is sad because they were one of the things I was horribly bullied about at school!!)
So sorry to hear of your thyroid cancer. I too am a PTC survivor after thyroidectomy. And yes, life without a thyroid definitely sucks!! NEVER gonna get those thyroxine levels right! 🙄
@@natalietwattily9770 Oh okay gotcha. You said a few years so I assumed like 3-5 years. 20 years later could do it. 300-400 dental xrays could be equivalent to a single CT scan which could definitely be the source of cancer, especially after 20 years or so.
@@jennysmeaton6911 @Jenny Smeaton hello fellow zipperneck!! Sorry that you also were affected, clearly, all the cool kids are developing it!! I read a few years back that as well as currently seeing a sharp uptick in cases, thyroid cancer has one of the highest survival rates (as you'll be familiar with!), BUT officially has the lowest quality of life for survivors, quite the juxtaposition! I know a lot of people with hypothyroidism, but even having a thyroid doing *something* (just not a lot of it) is better than nothing at all, you never realise just how much your thyroid does until it's gone. I have an identical twin sister, so I can look at her and get a decent idea of just how much the whole thing affected my appearance as she is in possession of one lovely, entire thyroid all of her own. I've tried to get her to share, but she wasn't having any of it. One thing that has really surprised me is I've easily got 3 times more grey hairs than my sister - although I suppose that my now much thinner, brittler hair might make the greys "pop" more because there's less for them to hide in! I'm also super jealous of her not thinning hair, not dry, itchy, and flakey skin, nails that don't flake off, abundance of energy, and lack of brain farts. You also end up having to learn how to be a better advocate for yourself and be stubborn with your GP, because for some reason, not only do they struggle to understand that you have to keep your TSH suppressed afterwards (so whilst your endocrinologist will be thrilled with a TSH of 0.1, your GP gets the bloods from the hospital sent through, kaks themselves, and immediately start trying to reduce your levothyroxine. They'll tell you that they're a doctor so know what it should be, and you can only sit there thinking "but you clearly don't!!" It's like Groundhog Day), isn't it?
My adult stepdaughter is experiencing the turf war between neurology, radiology, vascular surgeon, and cardiology because of an aneurysm or dissection of a vertebral artery. Plus the added bonus of the typical insurance coverage nightmare. Recently had to travel 200 miles for an intrusive angiogram and I haven't heard what, if any, determination may have been reached.
A minor detail not captured in the video - those aren't boxing gloves. Those are actually the lead gauntlets that could easily put someone in snoozetown. It was/is a favorite of pinkerton detectives, and IR specialists.
Can you please do a "the radiologist visits rural medicine". The radiologist can then meet Texaco Mike and navigate through a low-tech farming community.
"Pull it up on PACS for me" "What is PACS? Here's our film library, we just hang it over a window when the sun hits it just right" "You don't have DR equipment?" "You mean that new age stuff? We bring the film to the local wally world to have it developed"
I just had an idea for a sketch "First Day of Clinical Genetics" where the usual roles are flipped: Clinical Geneticist is extremely eager to teach the Med Student things Med Student would rather not have learn nor ever thing about. :D Also he could be extremely eager to give consults nobody want to listen to. :D
this... seems very likely given the geneticists i know. also the sheer number of med students finding out that life is not as simple as XX and XY... (the reason they stopped having students test their own DNA in class: too many people freaking out that they didnt have the XY with the sry on the Y active or what not...)
@@fabricdragon I am not a medical practitioner, I am just a sickly mathematician and I follow Dr. Glaucomflecken content because I found it funny. I just connected the dots because I recalled the previous sketch with Clinical Geneticist. As far I know it, it is rare, but yeah it could be quite spooky and embarrassing to find out in class that you are not XY but XX with SRY attached to some other gene or you are not XX but XY with damaged SRY (especially went you don't feel "gender fluid" at all).
These guys are freaking awesome ❤ My interventional radiologist embolized an AVM up to 95% (that glue tastes NASTY!!!!!!! OH MY GOOD I CAN'T BELIEVE I COULD TASTE IT🤢) So I mean .... Still had to have the brain surgery. BUT... they let me pick the music we listened to while they did angiograms with contrast dye to check in it BTW all you doctors out there: yeah.... Yeah it makes you feel like two faced from Batman when you shoot it into someone's brain 😐 please be kind and offer to put them fully out. otherwise? I loved mine. Coolest dude, he even saw me getting wheeled back for the brain surgery and wished me luck and spoke with me. That made me feel special considering it was a really big hospital and I know he sees thousands of patients a year ♥️♥️♥️♥️
they don't generally put people to sleep for intervention because its not necessary, it can be done sedated which is much safer, comes with far less complications and has a smaller recovery time. So better for patients in the long run even if it is uncomfortable
@@katierasburn9571 I don't know, I requested it off my doctor's and they obliged. Then again I swear to God my head got scanned six ways from Sunday ☠️
Last Monday I learmed that Ophthalmologists also do testing that is part of interventional radiology. I had the testing done for diabetic bilateral retinopathy.
You have inspired me to start a TH-cam channel. I am interested in being a Comedian Neurologist; except I am not that funny. Maybe I should just be an Informative Neurologist. However, I did write, produce, act, sing and dance in a movie called A Gypsy's Tale once. I am now determined to help remove some anti-Neurologist bias.😊 What you have done, Dr. Glaucomflecken, is amazing and visionary, thank you for bringing you to the world, thank you for existing, and not dying, thank you, amazing wife for saving him. Thank you for showing the world what we physicians had to go through, what it's like in the medical field, so that people can see that we are real people, too, and that at times we are at the mercy of a healthcare system that does not sometimes support the best interests of our patients. I hate prior authorizations. We have had to do prior authorizations for the medication Sinemet! Also, over 100 MRIs we ordered are rejected in a week, due to some silly chart documentation rules that seem to change for each different insurance every 3 months. Some MRIs are denied in patients who have existing brain tumors as well. Doctors deserve some compassion. We are not cold automatons, but we have personalities, emotions, and passion, too. Like our patients, we are people with the same basic human needs. I would call your process the "The Humanization of Physicians." It is the start of a revolutionary movement...
As an IR doc, the paracentesis part was spot on... I *love* being called back in the middle of the night for a "STAT" paracentesis... If there's REALLY so much fluid that it can't wait, you hardly need ultrasound at all. The first thing I train any medical student or resident on the IR rotation with me is how to do a paracentesis, ESPECIALLY the ER residents. Once they know that I know that they know how to do it, they stop calling. Now don't get me started on the neurologists who can't do LP's and send them all to IR...
I work in ultrasound and the number of paras we do is insane. Some people's bellies are so huge you could just jam a yueh in there and start draining.... My favorites are patients that miss their outpatient appointments and then come into the ER the next day for their dialysis and para 🙃 looking at you, Jen....
In the US, the angio lab is called the cath lab AKA catheterization lab. So it's used a lot in that setting. Though in general xray/ct usually a catheter is a urinary catheter or IV catheter, haha. EDIT: I just googled it, I guess the UK also calls it a cath lab
0:06 - because it's an US guided procedure :P :)) 0:15 - and lead glasses, since the annual eye lens dose limit was lowered from 150 mSv/year to 20 mSv/year in order to reduce the risk of X-ray-induced lens opacity in medical staff ;)) 0:23 - and additional shoulder protection, mounted to the side of the shoulder, which faces the x-ray tube :P
I never knew interventional radiology existed until last year. They put in a temp cath for dialysis like they were changing a tire. Took like half an hour. Kept me calm the entire time.
I work in IR. This isn't a joke. Especially doing endovascular work! I've lost count of the para/thoras we've already done today! But it's a great department to work in.
Been watching this channel for so long that I find myself picturing each character as I review Epic documentation from the various specialties while I code. No longer picture the actual doctors, just Dr G’s characters. 🙂
I'd be scared of the Battle Royale. Neurology would know the joint locks and nerve strikes. Cardiology would know the Five Point Palm Exploding Heart technique if anyone does. Someone who professionally wears full lead-plating 24/7 would be stronger than anyone else. And General Surgery, if there was ever someone able to accept and fight through intense, searing pain, it's a surgeon.
Here's the thing. Not long ago, we (docs as residents) used to do paracentesis, thoracentesis, spinal taps, bone marrow biopsies and central line placement on our own as Internal Medicine residents. Little to no supervision if you were proficient and had the courage. Interventional Radiologists are partly (partly***) a by-product of litigation fear. The other part is they make a crap ton of money for doing large volumes of the aforementioned procedures.
Carrying all that lead weight if he takes it off he'll gain enough strength for a full-blown anime power transformation. But then he wouldn't be protected from radiation.
I my hospital the main turf war seemed to happen between Neurosurgery and Interventional Neuroradiology. Neuroradiology coiling up all those aneurysms made Neurosurgery seriously upset and fear for their job. 😂
Omg IR!! I have an extremely rare benign spine tumor and my hero, an IR, agreed to the treatment protocol I wanted (also the one supported by research) and he’s the only one of many doctors I’ve had for this condition that is both single and kind of cute, and I remember my first procedure I saw him and all the nurses and techs dressed up in their little lead outfits and I thought… how charming 😍 what if one day my soulmate is an interventional radiologist in lead armor 🥰🙏😂 and then the versed hit
"Bill, if this is another paracentesis I am going to embolize the part of your brain that decided to consult me for a paracentesis." I was just waiting for Bill to say, "It's not a paracentesis . . . . . . it's a THORAcentesis."
Now we need video of interventional radiology passing the metal detector in airport, getting an x-ray for himself, going to a swimming pool an going to therapy for his taking-lead-off-phobia.
The lack of protection of the brain from radiation was always a puzzle to me. I care about not getting a brain cancer MUCH more than not getting a thyroid cancer
Neurons are less susceptible to the effects of ionizing radiation since they don’t divide as frequently as other tissue in mature organs. Contrast that with something like skin where you get predictable deterministic effects (erythema, depilation, etc.) cause some of the nuclei are always dividing and more susceptible to damage.
@@DrT_MD i understand. I don't have the exact data, but in my neck of the woods people debate whether a yearly panoramic radiographs for dental health are reasonable due to brain tumor (mostly benign, but still anything growing inside the skull is not... ideal) risk, let alone cumulative radiation from an IR daily job. The former is probably unreasonable but I would then also expect the latter not to be insignificant
That “YES” without any hessitation at the idea of the neurologist getting wrecked was just gold
That part gave me such joy!
The moment he he said neurologist I shouted yes. I have nothing to do with doctors and never seen one, I’m just really invested in the lore at this point
@@LavLightKnight You've never seen a doctor in your life?
@@miak4006 Never seen a Neurologist
As a neurologist, sometimes I wonder why people wants to kick our asses so much. We just like to deliver suffering and imposter syndrome wherever we go
Legend says interventional radiologists wear lead when they eat bananas
banana a day keeps tge radiologist away
Come on. You must know, that external lead protection won't protect you from ingested radioactive potassium. Obviously, he covers banana with lead and then eats it
Oh no internal exposure
Lead condoms for the banana
😂
I am seeing the moment when interventional radiology drops the lead vest like Goku's weighted clothing and goes full radioactive super doctor
😂😂😂
Dang I just posted this. Didn’t see you beat me to it. 😂
Confirmed that Dr G knows DBZ! I can now safely go to sleep.
KAAA... MEEEEE....
HAAAAAAaarnessing the collective power of all the particle accelerators that are used to make the radionuclides...
MEEEE...
HAAAAAAAAAAA🤚:
And the neurologist's sacred holier than thou neurotranmitters that diffuse faster than the average human get blown off from his synaptic clefts, and he instantly goes to being a normal person who does not have RBF. He has been defeated.
Right?! As if Dr. G can't get any cooler!@@fcturner
Interventional Radiologist wearing lead everywhere is the strongest person in the hospital, possibly on par or even stronger than Orthopedics. Cardiology, Vascular and Neurology stand no chance against him
He's secretly wearing it so he can take off his lead during a fight like Rock Lee
Plus, he's got built in armor!
I can already imagine Interventional Radiologist wearing the lead suit into the fighting ring and Cardiology, Vascular and Neurology protesting
IR really pulling a Goku and training with weighted clothes 😂
Nope..
Not Ortho... Never Ortho
I would say "poor Bill", but I suspect he graduated med school just fine, became an ophthalmologist, and then started doing comedy on youtube. Now Bill gets the last laugh.
He dropped out of it all, took a vow of silence, became a scribe and is secretly planning to- er I mean is the best help anyone could ever wish for.
@@JuMiKu Did he change his name to Jonathan too, or did he just make a huge mistake in the process 🤔
@@homerman76 Well to be fair, if you were called Bill Bill wouldn't you get it changed as soon as you could?
Well, doc's name is William Flannery so...
Bill is another nickname for William, just like Will….🤔
Love your vids. If anyone cares, we don't usually wear head protection because the brain is fairly insensitive to radiation (though lead caps do exist). We should still wear eye protection to protect the lens of the eye, which is one of the most radiosensitive parts of the body.
Up you go. Always love the input of pros.
Ophthalmologist: * heavy breathing intensifies *
I'm not going to ask how we know the level of radiation sensitivity brains possess
@@rayzerot probably because when a person is exposed to high doses of radiation they noticed that some organs are more likely to get cancer than others
We ALL care...🙃
New lore just dropped: The OB/GYN is the wifey of Inverventional Radiologist.
It's more likely that the doctors' wives all look suspiciously similar, the same way the doctors do. Ob/Gyn looks and her wife look like they could be sisters. It freaks people out.
@@lagomoof the Glaucomfleckenverse suffers from Nurse Joy syndrome I see
I hope the OBGYN also has a wife who looks just like her 😂
I had to see if anyone else commented about that photo already. 😂 I'm looking forward to when ALL the doctors find out that they're married to the same OB/GYN. Me thinks she's going to have some 'splainin to do. LOL
I ❤ Dr & Dr G/AKA Dr & Mrs Flanary. 😊
@@BlackCanary87 I personally hope OB/GYN's wife looks like MDJ.
The amount of excitement in that "yes" 100% confirms my suspicion that you've had a deeply traumatic experience with neurology
Have you not seen the neurologist? He's almost as bad as the neurosurgeon
I bet Bill would've wanted to watch too
WHERE? IS? THE LESION???
Who doesn't have deep rooted neurology trauma? I'm a patient and would love to watch that fight. The interventional radiology part of my care team is awesome. Neurology? Not so much, especially since they won't cooperate with anyone else who does my care and are really rude/mean*.
*obviously not all neurologists are mean, but my neurologist won't do anything about the problems I was sent for or testing solely because aparebtly being a victim of sexual assault apparently means I'm faking my ... genetic medical conditions.
@@Ljoyner97Wow, that's an amazingly unhelpful doctor. Best of luck, and I hope things get better.
How can two towels look so much like the actual lead our interventional radiologists wear??? This is pure genius.
thx for this comment, I didnt even notice that it was just towels... I thought Dr Glauc just "borrowed" a lead garb for the skit
I think it's the wanky colors. They always look like they want to do some iradiating at a childrens birthday party.
Sure IR has been recognized as its own primary medical specialty for over a decade, but only now that we've been included in the Glaucomflecken Universe does it feel truly official! And a suggestion for the costume: ditch the tinted sunglasses (we're not afraid of the light) and throw on some sporty lead glasses
Maybe have the lead glasses under the tinted ones. A lot of the IR docs I work with (I’m a PA) still do diagnostics here and there.
Maybe wear a necklace of radiation badges
That radiologist was actually cool. I remember when I first got into a fluoroscopy room without lead. The radiologist shouted, "Stupid! Get out! 😡"
I ran away 😅
The fool who gowns up before putting on lead gets to buy bagels for the suite. This is the second law of Interventional Radiology. First law is DON'T LET GO OF THE WIRE.
@@yonpark6245 I'm afraid to ask, but... what is the wire and what happens if you let go of it?
@@floatingblaze8405 the wire is the basis for the Seldinger technique, where the wire is used to swap out the access needle, then progressively larger catheters and sheaths until you get to the width of catheter you need to do your procedure. If one lets go of the wire, one loses access, but worse, the wire travels to places like the pulmonary arteries or if one is super unlucky, to en end organ like a limb or brain. The wire has to be fished out. The wire-letter-goer will never see the inside of an IR suite again if not an attending already.
This happened in regular fluoro, not IR fluoro. One of my classmates was messing around with the controls and accidentally blasted the RPA who was in the room doing something.
Fortunately when I did my AEMT cath lab clinical one of the nurses made sure to give me the lay of the land and provide a loaner set of lead
I know so little about medicine, and yet there are still jokes in here for me.
Thank you for your multi-layered comedy.
"you know i'm gonna be kicking the neurologists ass in a few minutes you wanna come watc-"
" *YES* "
Thats the best part
Bring it on!
Legend has it that the Dermatologist showed up to work early just to get front row seats.
🍿🍿🍿
I think we all want to see Neurology taken down several notches.
Aww. I love that ending, where Interventional Radiology realized Med Student was feeling left and invited him to come along. It was a sweet ending.
In Glaucomflecken universe there were already doctors of various specialties, there were nurses and now I am asking on behalf of the paramedics community that they should also be included in this universe
As a CT Tech, on behalf of the rad tech community I feel we should be included as well 🎉
They are; usually in connection with the ER docs...
Crossover with Fire Department Chronicles, please!
YES! Medics! And Fire Chronicles colab; PERFECT!
~medic 😊
Respiratory respiratory respiratoryyy
I remember my first contrast with radioactive agent.
"Why aren't you wearing lead?"
'because i'm the victim here.'
"Good, you know your role."
Interventional radiologist is about to get first hand experience of neurologist's jiu-jitsu😇
And one of the 20 ways he can kill someone with a reflex hammer
You forget that interventional radiologist probably has lead bars inside the boxing gloves...
@@danisrusski6297 The gloves themselves are just lead-lined.
Neurology is about to be Rock Lee'd by Interventional Radiology.
Oops my bad. Ment to reply to the post above yours.
Dr Bill Bill! Glad to see him again! We need an update on Bill
bill looks sharper and less desperate. pray for this man
Alive, but still dead inside...
@@_Ekaros that’s the most accurate description of Dr Bill 😂
This is some of your best work doc! As a vascular scrub tech i honestly responded "been there done that" to "how do you feel about watching doctors squirt contrast while standing for hours on end"
Also spot on about the lead and lack of brain protection. Sure hope i dont get brain cancer after all that fluoroscopy HO HO!
yeeeep, as a radiographer big fat same. I'm only there because legally someone who knows about radiation protction has to be. oh, and so the radiologist has someone to open his packs... as for the brain protection you'll be fine, the brain isn't very sensitive to radiation. The eyes though...
@@katierasburn9571 Okay, new fear unlocked! I've had as much radiation as probably three people due to my chronic illnesses.
If you look up a tissue weighting factor table, you'll see that the brain tissue is as sensitive as skin for long-term effects, which is as close to zero as you can get when it comes to radiation.
@@katierasburn9571 my eyes are getting worse. damn it. I thought it was just my non dominant eye getting weaker but I will go get it checked out now
My late Mom was a nurse for over 45 yrs. Served stateside during WWII, spent her career in a local but forward thinking Catholic hospital. She would have ADORED YOU!!!
The Neurologist is gonna get a lesson from the Interventional Radiologist like Gaara when Rock Lee took off the weights. (Lead is heavy, kids.)
Yeah, but... Didn't Gaara still win that fight?
@@RafaelMonteiroMaia Perhaps, but are you implying that the Neurologist keeps a vessel of an overprotective demon on standby that absolutely rips opponents a new one when he lets it loose?
Of course not!
…
_That’s Ophthalmology._
@@RafaelMonteiroMaiaDoes the Neurologist have a cranky tanuki made of just a ridiculous amount of chakra hanging out in his body?
Because that's why Gaara won.
@@sakurakiyoritanukis get their power from their big testicles, so maybe the neurologist has a hydrocoele or something.
Why reference Naruto here instead of DBZ? Come on now.
Turf wars are for real...a lot of departments have shirts with dept flair on them and it's like west side story around here
My one and only experience with an IR doc was almost entirely him saying "there's an extremely small chance the bolus'll dislodge and end up bouncing into your spinal cord and leave you paralyzed but really it's a super small chance it'll never happen", only to see an irl ᕕ( ᐛ )ᕗ face in response. I like this guy better. Love your videos!!
Haha yeahhhh I have a Rad like that, he doesn't really smile though so he just scares people lol. We once did a thrombin injection (it causes a clot in a pseudoaneurysm) and he just calmly looks at the patient and goes, "ok, when I do this it might cause a blood clot to go down your leg and you'll need surgey to get it removed, but I've only seen it once in 20 years" but the way he said it was so foreboding you could tell the lady was terrified. Dude has no bedside manner lol
@@taliag09many radiologists have no people skills.
At my last surgery I was lying on the table in nothing but a hospital gown and my doctor said out loud "Is everybody wearing lead?" and I am thinking "Uh oh, I'm not wearing lead."
I absolutely don't understand a thing about this vid but I love that Bill is here❤❤
I love being in the cafeteria when IR/radiology shows up. It’s like a gang of pale vampires. My next thought is that I won’t get any reads for another 30 minutes.
Medical physicist in radiology here. This struck home on so many levels. I had to share this one with my colleagues! 😂
The Neurologist thought he could take him, but little did he realize the Radiologist's boxing gloves also had lead in them.
As someone who works in Radiology, this is Fire!
We need a part 2 of that endovascular showdown in the physician lounge
As a new IR graduate, I thank you for doing a skit about the field that I love!
As an IR aspirant, it actually sounded scary
@@farazalam538yeah...do we get cancer soon 😢
In my centre we do wear our lead caps and goggles too, there's a study on interventionists (radio, cardio) that showed if they did get a brain tumour - most of the time it's on the left. The radiation source is usually to our left for most procedures. Goggles is sort of compulsory as the lens are radiation sensitive, unless we wanna see our eye bros more often.
My husband’s IR was just like this! He also said that he loved motorcyclists because they helped keep him in business. Yep.
This video epitomizes why you should always watch until the end
Interventional radiologists are amazing! Mine took me seriously and found my may thurner syndrome after being dismissed so many times. I see her for my follow up after having a venogram done next week, I'm totally showing her this. 😂
I worked with an interventional radiologist as an MA for a year and a half before getting into medical school. This had me dying of laughter!
"I'm gonna be kicking the neurologist's ass in a few minutes, you wanna come watch?"
*YES, YES, A THOUSAND TIMES, YES*
Back in the 90s, my dentist would flop a lead shield on my chest telling me that I had to cover my heart for x-rays - after smacking my face on the bottom of a swimming pool age 12, I had several years of several x-rays a week having my mouth reconstructed in the most haphazard manner (I now have some permanent abscesses that make getting work done now heavy going as new dentists are terrified of disturbing them and unleashing the currently encapsulated infections).
Needless to say, boom, thyroid cancer a few years later. Those x-rays don't fuck around!!
I don't believe in suing the NHS because that takes money that could have been used to save lives, and the NHS did save mine by shucking my thyroid out like an oyster and feeding me radioactive iodine (then keeping me in isolation for a few days - best days of my life, so peaceful, no people except lovely nurses popping by to yeet food through my door whilst kitted out in lead suits, and the Christie Hospital's cheese and onion pie is out of this world), so I think we're even!
I'm gagging for a Dr G Endocrinology, no matter where I go for hospital appointments, someone looks at my file and gets excited over my endocrinologist because apparently he's a total dude that challenges everyone to tennis matches, and I'd love to know if that's universal.
Dental xrays are extremely low dose and thyroid cancer takes over 10 years to develop from a radiation event, also contrary to what Dr. Oz told the world, the Thyroid is one of the least radiosensitive organs in the body. That was almost certainly a very tragic coincidence :(
@@xxMurmaiderxx Actually, that still adds up - my dentist was *seriously* incompetent***, I mean we're talking usually a minimum of about 5 x-rays a week for several years, so probably hundreds of unprotected x-rays that were directed downwards from the front of the face (he'd mostly point the machine down at a sharp angle from the top of my right front tooth as that one had the most going on with it) on an adolescent thyroid, then when I found my cancer at age 35 (so 20 years after the most intensive of treatment was winding down), I was stuck with it for another year before I finally had it out because the GP I was with refused to examine the area.
This was despite my clearly stating that I had a rock solid lump on the bottom left side of my thyroid that moved with my trachea when I swallowed and was slightly visible externally at that point (which should have set off alarm bells for even a newb GP) - she prodded my submandibular glands, declared there to be nothing there, then when I pointed out she'd examined nowhere near my thyroid said she'd refer me for a scan to "shut me up". She then put it down as being such a low priority that rather than the 2 weeks maximum that you're meant to be seen at hospital for lumps, it was a year before I got an ultrasound appointment, by which point it had grown big enough for people to keep saying "ew what's that?" to me in public. I do not like people. Luckily whilst I knew that it was most likely thyroid cancer, I also knew that it's usually a slow grower, so I was mostly just pissed off rather than frightened.
When they took the first half of my thyroid, it came out as a follicular variant papillary thyroid carcinoma, T2 (28mm IIRC), partially encapsulated, both capsular and vascular invasion were apparently "extensive" (although I never got to see for myself, which was quite frustrating for me as I like to lay eyes on such things) and had a little friend in the form of a further 2mm tumour in the isthmus. When I had the second half removed after cancer has finally been confirmed, it turned out I had two further tumours of 4mm and 2mm squirrelled away in that side as well, so it was pretty well established, probably a minimum of about 7 or 8 years. I hate not having a thyroid because life after thyroidectomy sucks, but do love having a kick arse scar like the Kurgan from Highlander.
***(I'll try to keep it short to spare you the boredom of the entire shitshow that was my dentist's attempts at dentistry, but there was just SO MUCH wrong you wouldn't believe it - I was having that many dental appointments that my school kicked off at my parents about me missing school to allow the Ned Flanders looking arsehole to massacre my teeth, they threatened to involve the social on the grounds of truancy, it was quite the brouhaha! Said oral massacre included capping the broken ones with bits of melted plastic folded over the breaks rather than actual caps so it looked like I'd stuck Chiclets on my teeth ((which would last until I ate or my brother punched me in the face, both of which were an unavoidable and very regular part of life growing up, then immediately drop off and leave the unfilled root canal holes about to be mentioned open to getting food and plaque in them)) unnecessary root canals, teeth turning black like a geisha's due to said root canals and not being sealed, many, many infections, 🎼🎵🎶 several abscesses at the same tiiiiiiime🎶🎵🎼 ((I already have 3 leaking heart valves, so I'm certain that those infections are going to completely screw my heart one day)), then the eventual grinding the remainder of the teeth down to nubbins, which was when the years of ill-fitting crowns started. He'd be so heavy handed with the tooth moulds that he'd wobble them, causing the tooth impression to be twice as wide as the teeth really were, making them not only sharp at the back, uncomfortable, and impossible to keep clean, but also hella unstable as they weren't supported by anything else in the mouth. So, they'd fall out almost as regularly as the plastic would drop off, taking the posts out with them, and lead to yet more repeated visits for him to wick out general mouth gubbins, plus, often the pus from the permanent dental abscesses that he'd so kindly gifted me - yet again making several x-rays each visit to see if he'd done enough wicking, then I'd have to go back the next week to have the crowns popped off again and yet more wicking and x-raying... I believe he must have got his degree from a box of cornflakes, especially since he thought a lead thyroid shield had to go over your heart, which as you say that dental x-rays are quite weak and the heart, a muscle, that's much further away just doesn't make sense!! Imagine my surprise when I finally saw a different dentist who made me proper crowns that actually fit properly and didn't drop out at the drop of a hat - I could finally eat an apple that hadn't been diced (not sliced, it had to be diced to prevent any pressure going on the front teeth) and was told that there was no way my teeth should have been left in a state where they died and turned black, which is sad because they were one of the things I was horribly bullied about at school!!)
So sorry to hear of your thyroid cancer. I too am a PTC survivor after thyroidectomy. And yes, life without a thyroid definitely sucks!! NEVER gonna get those thyroxine levels right! 🙄
@@natalietwattily9770 Oh okay gotcha. You said a few years so I assumed like 3-5 years. 20 years later could do it. 300-400 dental xrays could be equivalent to a single CT scan which could definitely be the source of cancer, especially after 20 years or so.
@@jennysmeaton6911 @Jenny Smeaton hello fellow zipperneck!! Sorry that you also were affected, clearly, all the cool kids are developing it!!
I read a few years back that as well as currently seeing a sharp uptick in cases, thyroid cancer has one of the highest survival rates (as you'll be familiar with!), BUT officially has the lowest quality of life for survivors, quite the juxtaposition! I know a lot of people with hypothyroidism, but even having a thyroid doing *something* (just not a lot of it) is better than nothing at all, you never realise just how much your thyroid does until it's gone.
I have an identical twin sister, so I can look at her and get a decent idea of just how much the whole thing affected my appearance as she is in possession of one lovely, entire thyroid all of her own. I've tried to get her to share, but she wasn't having any of it. One thing that has really surprised me is I've easily got 3 times more grey hairs than my sister - although I suppose that my now much thinner, brittler hair might make the greys "pop" more because there's less for them to hide in! I'm also super jealous of her not thinning hair, not dry, itchy, and flakey skin, nails that don't flake off, abundance of energy, and lack of brain farts.
You also end up having to learn how to be a better advocate for yourself and be stubborn with your GP, because for some reason, not only do they struggle to understand that you have to keep your TSH suppressed afterwards (so whilst your endocrinologist will be thrilled with a TSH of 0.1, your GP gets the bloods from the hospital sent through, kaks themselves, and immediately start trying to reduce your levothyroxine. They'll tell you that they're a doctor so know what it should be, and you can only sit there thinking "but you clearly don't!!" It's like Groundhog Day), isn't it?
A Neurologist beat down, I would enjoy watching that as well.
lost it at the vacation photo
Your stories are way better than any ER or Grey's Anatomy. I love each and every one of your peoples.❤
My adult stepdaughter is experiencing the turf war between neurology, radiology, vascular surgeon, and cardiology because of an aneurysm or dissection of a vertebral artery. Plus the added bonus of the typical insurance coverage nightmare. Recently had to travel 200 miles for an intrusive angiogram and I haven't heard what, if any, determination may have been reached.
How did things turn out?
This is so on point. Great job dr. G! Please update on our "beloved" neurologist's condition post the turf war
The Neurologist, armed with dual reflex hammers: “ finally, a worthy opponent. Our battle will be legendary!”
A minor detail not captured in the video - those aren't boxing gloves. Those are actually the lead gauntlets that could easily put someone in snoozetown. It was/is a favorite of pinkerton detectives, and IR specialists.
Can you please do a "the radiologist visits rural medicine". The radiologist can then meet Texaco Mike and navigate through a low-tech farming community.
he probably knows about it already, someones gotta report those scans!
"Pull it up on PACS for me"
"What is PACS? Here's our film library, we just hang it over a window when the sun hits it just right"
"You don't have DR equipment?"
"You mean that new age stuff? We bring the film to the local wally world to have it developed"
Our Vascular Surgeons actually wear leaded Hats to protect against Radiation when they perform PTA/ITA.
I worked in interventional Radiology and I loved it. I still miss it.
I just had an idea for a sketch "First Day of Clinical Genetics" where the usual roles are flipped: Clinical Geneticist is extremely eager to teach the Med Student things Med Student would rather not have learn nor ever thing about. :D Also he could be extremely eager to give consults nobody want to listen to. :D
this... seems very likely given the geneticists i know.
also the sheer number of med students finding out that life is not as simple as XX and XY... (the reason they stopped having students test their own DNA in class: too many people freaking out that they didnt have the XY with the sry on the Y active or what not...)
@@fabricdragon I am not a medical practitioner, I am just a sickly mathematician and I follow Dr. Glaucomflecken content because I found it funny. I just connected the dots because I recalled the previous sketch with Clinical Geneticist.
As far I know it, it is rare, but yeah it could be quite spooky and embarrassing to find out in class that you are not XY but XX with SRY attached to some other gene or you are not XX but XY with damaged SRY (especially went you don't feel "gender fluid" at all).
These guys are freaking awesome ❤
My interventional radiologist embolized an AVM up to 95% (that glue tastes NASTY!!!!!!! OH MY GOOD I CAN'T BELIEVE I COULD TASTE IT🤢)
So I mean .... Still had to have the brain surgery. BUT... they let me pick the music we listened to while they did angiograms with contrast dye to check in it
BTW all you doctors out there: yeah.... Yeah it makes you feel like two faced from Batman when you shoot it into someone's brain 😐 please be kind and offer to put them fully out.
otherwise? I loved mine. Coolest dude, he even saw me getting wheeled back for the brain surgery and wished me luck and spoke with me. That made me feel special considering it was a really big hospital and I know he sees thousands of patients a year ♥️♥️♥️♥️
they don't generally put people to sleep for intervention because its not necessary, it can be done sedated which is much safer, comes with far less complications and has a smaller recovery time. So better for patients in the long run even if it is uncomfortable
@@katierasburn9571 I don't know, I requested it off my doctor's and they obliged. Then again I swear to God my head got scanned six ways from Sunday ☠️
General anesthesia is super risky and you have a much higher chance of waking up with a tube down your throat. I'm the person who pulls it out. ;)
@@clarewhite3004 I would take that to the feeling of half my face on fire 😐
It was the strangest, weirdest medical thing I've ever felt lol
picking the music is the best part :)
Last Monday I learmed that Ophthalmologists also do testing that is part of interventional radiology. I had the testing done for diabetic bilateral retinopathy.
You have inspired me to start a TH-cam channel. I am interested in being a Comedian Neurologist; except I am not that funny. Maybe I should just be an Informative Neurologist. However, I did write, produce, act, sing and dance in a movie called A Gypsy's Tale once. I am now determined to help remove some anti-Neurologist bias.😊 What you have done, Dr. Glaucomflecken, is amazing and visionary, thank you for bringing you to the world, thank you for existing, and not dying, thank you, amazing wife for saving him. Thank you for showing the world what we physicians had to go through, what it's like in the medical field, so that people can see that we are real people, too, and that at times we are at the mercy of a healthcare system that does not sometimes support the best interests of our patients. I hate prior authorizations. We have had to do prior authorizations for the medication Sinemet! Also, over 100 MRIs we ordered are rejected in a week, due to some silly chart documentation rules that seem to change for each different insurance every 3 months. Some MRIs are denied in patients who have existing brain tumors as well. Doctors deserve some compassion. We are not cold automatons, but we have personalities, emotions, and passion, too. Like our patients, we are people with the same basic human needs. I would call your process the "The Humanization of Physicians." It is the start of a revolutionary movement...
As an IR doc, the paracentesis part was spot on... I *love* being called back in the middle of the night for a "STAT" paracentesis... If there's REALLY so much fluid that it can't wait, you hardly need ultrasound at all.
The first thing I train any medical student or resident on the IR rotation with me is how to do a paracentesis, ESPECIALLY the ER residents. Once they know that I know that they know how to do it, they stop calling.
Now don't get me started on the neurologists who can't do LP's and send them all to IR...
I work in ultrasound and the number of paras we do is insane. Some people's bellies are so huge you could just jam a yueh in there and start draining.... My favorites are patients that miss their outpatient appointments and then come into the ER the next day for their dialysis and para 🙃 looking at you, Jen....
“Only when I remember you exist.” Truer words were never spoken. 😂❤
In the UK we mostly only use the word "catheter" for urinary catheters, so that question hit a bit differently 😅
In the US, the angio lab is called the cath lab AKA catheterization lab. So it's used a lot in that setting. Though in general xray/ct usually a catheter is a urinary catheter or IV catheter, haha.
EDIT: I just googled it, I guess the UK also calls it a cath lab
Im a radiographer, and I completely agree. love it
We need to see this fight. I have no idea how you would do it, but we need to see this fight.
As a former ICU nurse, where do i get a ticket to watch neurologists getting their asses kicked? I'll pay double.
0:06 - because it's an US guided procedure :P :))
0:15 - and lead glasses, since the annual eye lens dose limit was lowered from 150 mSv/year to 20 mSv/year in order to reduce the risk of X-ray-induced lens opacity in medical staff ;))
0:23 - and additional shoulder protection, mounted to the side of the shoulder, which faces the x-ray tube :P
I'm in vascular. I swear there are days I've spent 12 hrs straight in lead...totally understand 😂😂
Don't you have concerns about exposure to radiation if you've been in lead so long?
10 was my max.
As someone who is literally supporting people getting their certification for DR/IR as I type, this was refreshingly relevant content.
I never knew interventional radiology existed until last year. They put in a temp cath for dialysis like they were changing a tire. Took like half an hour. Kept me calm the entire time.
Love this channel can't wait to see our media student be introduced to more doctors. Wonder what the trauma surgery rotation will be like.
I work in IR. This isn't a joke. Especially doing endovascular work! I've lost count of the para/thoras we've already done today! But it's a great department to work in.
I'd watch an impromptu fight any day of the week, so being offered to watch a man covered in lead beat up neurology is a fight I'd see any day.
Been watching this channel for so long that I find myself picturing each character as I review Epic documentation from the various specialties while I code. No longer picture the actual doctors, just Dr G’s characters. 🙂
"I'm gonna kick the neurologist's ass-"
"YES"
You want to come watch? YES. (Says all health care workers on settling an argument of this proportion).
Love the last word, “YES”
Also, not wearing their dosimeters because they know it will go over the limit anyways.
so much this
So true. How did I get back dosimeters for interventional radiologists every month with doses lower than the MRI techs?
"YES" at the end was the perfect way to end this video!
I enjoyed this through the end! Perfect! Awesome!
Aww, Interventional Radiology is married to OB-GYN. They look so happy on their beautiful Paris honeymoon ❤
I'd be scared of the Battle Royale. Neurology would know the joint locks and nerve strikes. Cardiology would know the Five Point Palm Exploding Heart technique if anyone does. Someone who professionally wears full lead-plating 24/7 would be stronger than anyone else. And General Surgery, if there was ever someone able to accept and fight through intense, searing pain, it's a surgeon.
Ortho is basically doing Krav Maga with people's bones on the daily. It's a toss up between them and emergency medicine who wins fitness
middle fight he removes the lead vests, and shows his true power
Here's the thing. Not long ago, we (docs as residents) used to do paracentesis, thoracentesis, spinal taps, bone marrow biopsies and central line placement on our own as Internal Medicine residents. Little to no supervision if you were proficient and had the courage. Interventional Radiologists are partly (partly***) a by-product of litigation fear. The other part is they make a crap ton of money for doing large volumes of the aforementioned procedures.
Did hundreds and no problems. Never used US...totally unnecessary, if you really know the anatomy.
Being of the radiology field… LOL. Loved the picture of your anniversary!
Carrying all that lead weight if he takes it off he'll gain enough strength for a full-blown anime power transformation. But then he wouldn't be protected from radiation.
I feel like the lead glasses for cataract protection was easy pickings and missed.
The ending was superb !!
Please do a skit on Physiatry.
Yes! I love my physiatrist to pieces! I want to introduce him to the Glaukomverse.
I never knew how accurate these were until one was made about the thing I know
The “yes” was just -chefs kiss- 😂😂
I my hospital the main turf war seemed to happen between Neurosurgery and Interventional Neuroradiology. Neuroradiology coiling up all those aneurysms made Neurosurgery seriously upset and fear for their job. 😂
neurorads don't mess around, in and out before you can say stroke!
Most of our INRs are neurosurgeons!
So glad to see you're still posting these I just love your videos!
I love it. You can't have enough lead on your body!
I saw an IR doc who was almost 80 with shin lead. Blown away at his commitment to dosephobia.
OMG the suspense. Where is the next video on this epic battle??
Omg IR!! I have an extremely rare benign spine tumor and my hero, an IR, agreed to the treatment protocol I wanted (also the one supported by research) and he’s the only one of many doctors I’ve had for this condition that is both single and kind of cute, and I remember my first procedure I saw him and all the nurses and techs dressed up in their little lead outfits and I thought… how charming 😍 what if one day my soulmate is an interventional radiologist in lead armor 🥰🙏😂 and then the versed hit
I'm having second thoughts... Radiation exposure daily for long hours
I will ask again a showdown between cardiology and electrophysiology would awesome !!!
As a regular IR patient I knew that that costume before I even saw the title 😂
OOOO I’m so ready for this fight arc!!
I chuckled throughout, but the big laugh came at the very last. Sneaky, Doctor! 😂
"Bill, if this is another paracentesis I am going to embolize the part of your brain that decided to consult me for a paracentesis."
I was just waiting for Bill to say, "It's not a paracentesis . . . . . . it's a THORAcentesis."
They’re gonna need a lead helmet sooner or later
They do exist! They're lead caps and are called "No brainer".
Now we need video of interventional radiology passing the metal detector in airport, getting an x-ray for himself, going to a swimming pool an going to therapy for his taking-lead-off-phobia.
“The skull provides adequate protection” COPIUM IF I’VE EVER HEARD ANY 😂😂😂
The lack of protection of the brain from radiation was always a puzzle to me. I care about not getting a brain cancer MUCH more than not getting a thyroid cancer
Neurons are less susceptible to the effects of ionizing radiation since they don’t divide as frequently as other tissue in mature organs.
Contrast that with something like skin where you get predictable deterministic effects (erythema, depilation, etc.) cause some of the nuclei are always dividing and more susceptible to damage.
@@DrT_MD i understand. I don't have the exact data, but in my neck of the woods people debate whether a yearly panoramic radiographs for dental health are reasonable due to brain tumor (mostly benign, but still anything growing inside the skull is not... ideal) risk, let alone cumulative radiation from an IR daily job. The former is probably unreasonable but I would then also expect the latter not to be insignificant
One of my favorite electives my MS4 year. Learned a lot about radiologic anatomy, and home by noon! LOL
Next video the radiologist is going to look like the Mandalorian.
And if you build an air filter into the helmet he's already prepared for the next pandemic...
this is getting so niche for someone completely outside of medicine and even though I barely understand what's going on I'm here for it
Fastest "yes" ever. The grudge with Neuro is real