Omg right? I figured he saw it before but damn, going into that blind and on camera? OUCH. The viewers would see 10 straight minutes of me bawling at the end xD
That raw reaction to the rabies reveal and his emotional wave that hit him watching the final scene made it so obvious how hard situations like this effect not only him but what I assume is all doctors. I'm no doctor but the final scene gets me to cry every time. So much emotion and the actors played it amazingly. Great reaction!
John C McGinley just absolutely makes this scene hit. The music build-up for the first dying patients is already melancholic, but then it fades away for a bit for the lunch scene. Then John as Dr. Cox carries the rest of the weight on his character for the rest of the episode. Judy Reyes makes a facial expression that we only see Carla make once in 7 seasons as she tries to assist in resuscitating the patient. Then Cox finally breaks. Throwing the pads and grabbing his head in frustration and guilt. JD shows how much he's grown by immediately seeing that Cox is spiraling, and barks at him that his shift still isn't over. But it's too late. Cox is in tears because he has failed himself, JD, and his patients - this time only being able to blame himself for rushing a transplant through for a patient to make himself feel good. It's such a good scene. One of the best in the series, along with Ben's funeral and that time JD's dad died. Thanks for letting the scene run its course in your video.
@@mathewdeering It's actually based on a real life event, though. This, in a nutshell, truly happened; three patients received organs from one common donor, and they contracted rabies.
So, did anyone ever tell him this was based on a true story? A patient came in, died, apparently of coke overdose (some of the symptoms look like rabies symptoms). They took out four organs and shipped them all over America. They trace it back to the donor having rabies. 3 of the 4 patients died, but months apart. The writers saw it in the news and decided to put it in Scrubs. Its EXTREMELY rare, but it can happen.
Just in case anyone was overly hopeful: all 4 patients actually did die... It's just that 1 died during the transplant surgery itself rather than because of rabies.
@@MyFrogEatsPeople Yeah, sounded weird, bit misleading to say "3 out of 4" because when Dr Hope says "close to 100%" it's not like 99%, it's like 1 or 2 recorded survival cases in history. If you get rabies and start showing symptoms you're basically fucked.
The x-ray in the intro was intentionally placed backwards as a way of showing an inexperienced intern! The show actually makes fun of this later on (season 5 or 6) with Kim turning it the right way in one of the intros and saying something like “that’s been bugging me for years” lol
Possibly it was originally an accident and someone pointed it out to the producers after the intro was made and season one was released, so they made a joke out of it in season 5 or 6. Either way it is funny they did the “that’s been bugging me for years” bit. I think it is even funnier they did that bit if it were originally an accident.
I love that scene. I had noticed it in the first season and didn't understand why it was backward. Your explanation of it being a show of an inexperienced intern is a great thought.
My thoughts exactly. I almost commented that its okay everyone cried during this episode. To this day it stands out more then the rest. You can see the emotion on Dr. Hope's face too.
Leaving Blank hey what the fuck is your problem?? everything good at home? did you take your meds today? cool, take care and learn that people have opinions different than yours. I know shocker!!!! just so you know, that song was used in a few episodes too in greys anatomy that involved characters dying 🤷🏻♀️ chill out
The funny thing is, I don't think it was-and I mean that in a good way. Production quality for TV shows has skyrocketed in recent years, but that same quality dials everything up to 11. Today, it's really hard to fund a show that allows itself to be as silly, down-to-earth, and relatable as Scrubs was.
There is one really interesting aspect of Dr. Cox in this episode, narratively speaking. This is _supposedly_ his first "kill". In a previous episode titled "My first kill", Cox is giving the residents a speech where he says "the truth is you *will* make a mistake, a patient *will* die and it *will* be your fault". Which then makes JD super paranoid about making that first fatal mistake. He starts asking people about their first fatal mistake. Eventually he gets to Cox who says (I'm paraphrasing) "I'm a good doctor and once again newbie, I am the exception that proves the rule". Implying he's never made a mistake that lead to the death of a patient.
Yeah, the point of Cox in the show is that he is supposed to be the infallible authority figure for the young doctors. If he were to tell them that he makes mistakes, it might diminish the trust these people have in him. So im sure hes had mistakes in the past. What makes this episode hit home so hard, is that this wasnt a mistake that killed 1 person. This is a mistake that killed several including those who never should have been in that danger.
Perhaps this wasn't a real medical mistake (at least canonically). Earlier (14:26), he told JD that he can't start blaming himself for deaths that weren't his fault. Later (17:27), JD points out that he'd have made the same choice Cox did. He could've done better, so he blames himself, just like JD could've done better by noticing Jill's life issues. But just like Jill's death wasn't actually JD's fault, perhaps the show's canon doesn't consider these deaths Dr. Cox's fault. Dr. Hope mistook the lesson of the episode as being about mistakes, but it's about self-blame. It wouldn't be as hard a lesson if the blame was justified.
Your physical reaction to the Dr Cox emotional scene showed you connected with the emotion of the show, have you ever witnessed a doctor react like Cox to a terrible situation of a patient?
I noticed his reaction as well. I've seen this episode before I became a doctor, but evn then i think i was crushed by Dr Cox's reaction. The closest i've seen to this was a pediatric cardiothoracic surgeon kick a wall and scream when a patient was getting sicker.
Not long ago we lost a patient after working on her for over an hour and a half, and everyone involved cried. Mom's cries still haunt me. But I will never forget how hard our docs worked to save that baby, and how they cried when we just couldn't.
The reaction you had to the rabies announcement is really actually quite eye opening, because obviously the episode makes sure you know that this is a very bad thing that has happened, but seeing a real life doctor react in such a vitriolic way to the situation really does just ground how bad a situation they were actually in
Well yeah understandable though Human Rabies has a CFR of almost 100% once the infection is established and certainly by the time clinical symptoms manifest. The only treatment known to have any chance is Post Exposure Prophylaxis with Human Rabies Immunoglobulin administered very soon after exposure, of course all this does is helps to flag the virus for destruction by the immune system. In an immunocompromised patient or a transplant recipient on immunosuppressant drugs the immune system is unlikely to be able to provide the response necessary to prevent the infection taking hold so the prognosis is extremely poor.
This is one of my favorite episodes. I saw an interview where they kind of had to fight the network to get this aired because there is no happy ending, but it’s so important to show that not everything has a happy ending even if you’ve done the “right” thing. I work in a hospital so maybe that’s why I enjoy this episode so much. Just watching the clips makes me tear up. I bawled watching this for the first time. It’s a tough one but SO profound for a comedy.
I hate and I love this episode. I hate it because it breaks me down to tears every damn time, but I love it because a comedy like this had such a genuinely powerful moment. Maybe not accurate, but definitely from a genuine place.
And the way JD reacts to him breaking down. Reminds me of the 'I wanna be like you, but a more successful you' in the beginning then the dynamic shift when he finally calms down and talks to Cox. He's just so much more mature in these seasons. In some aspects, possibly even well beyond his age (despite being commonly known as immature).
As far as I can remember the episode you mention is My Old Lady where three patients died whose each one is under care of our interns and they connected their patiences emotionally through the episode. It was a very early episode and Bill Lawrence said the network wanted two patience to survive at the end otherwise the show would lose ratings and they pushed i hard but producers managed to broadcast it as it was originally planned.
Such an incredible episode. John C McGinley is such a fucking amazing actor - he flips from comedy to drama so so well. Hits all the right notes every time.
Just thought I'd point out that this was the third or fourth appearance of the Jill Tracey character and in the previous appearance they discovered she was suicidal, which is what led to JD jumping to an overdose as the cause of her death. It's not right, but it's a bit more perspective on the situation here.
legionaireb Ever since her first appearance she had recurring mental health problems. The very last episode she was in, I believe, was about how little time doctors can spend with patients while diagnosing them which is when they found out she had tried to kill herself.
God, the raspiness of Dr. Cox's voice in the first part of that last bit hits me hard every time. "He wasn't about to die, was he Newbie?" Fantastic show, love that it never shied away from including tragedy with positive outcomes.
I think that scrubs differs greatly from a lot of other medical shows because its never shy about the incontrovertible fact that sometimes people die in hospital. Other recent dramas seem to focus on a 'heroic life saver' doctor who solves the mystery and cures the patient. Scrubs, even though its a comedy, uses death as a character development tool.
Scrubs is definitely my favourite show, one of the funniest show with some real stuff/drama thrown in, but I remember re-watching it several years ago and never really thought of how GOOD the more non-comedy drama were because it felt a lot more realistic then other shows with how people would react, plus heard from the rare times i've watched with commentary that they often got compliments on their medical stuff, specially compared to other medical drama shows.
Yes, well a lot of the more realistic medical shows also have a ton of people dying. most of the time in each episode, the reason why you rarely lose patients in house for example is because The show is about each and every case and it being solved and the character development is usually not affected by the patients except in some episodes
Amazing. Watching how that end scene played out on your face was a whole new level... It's obvious that despite the inaccuracies and sensationalized parts for media effect, it still had an impact on you and must've been difficult to watch, being an ER doc and all... You seem like a really genuinely nice, calm, compassionate man with a very endearing and caring presence, as well as a good sense of humour. I'm sure you'll be a fantastic doctor to all the people you'll see over the years of continuing to work in medicine - Doctors with compassion and good bedside manner are absolutely priceless in times of emergency. You just got a new sub here, haha. I could watch you react to Scrubs all day! Awesome video.
I didn't recognize the episode by name, but once you started reviewing it, I remembered. I cry when Dr. Cox loses that third patient every time I see it! The other episode that kills me is the one where Dr. Cox's brother in law is diagnosed with Leukemia and dies, but Dr. Cox imagines he's still there.
No other episode of any show in existence hits me harder than this one. Every time I see Perry crumble at the end I start bawling my eyes out! What a performance by Johnny C!
Oh man. That song from The Fray just hit me in the feels so hard. Not only from the show, but all the things that song was attached to back in the day, watching your emotion (especially after your hospice video). I'm not crying, you are. AH.
That episode was the first time I ever heard that song- and yeah, now I have a conditioned response to have those specific feels when I hear it. Ditto to Winter, thank you Scrubs... And my first watch through, those eps totally blind sided me...
The scan being reversed is actually a running joke actually it’s intentionally like that and in one of the episodes (forgot the name) they bring this up and have a character named Kim who brings that up in tiny 4th wall break.
Actually it's not. In the podcast fake doctor's real friends, Zach Braff and Donald Faison say that was actually a mistake by one of the technicians and they said that they did it intentionally to cover up the mistake
This is absolutely my favourite episode of scrubs and I really struggle to hold it together whenever I watch it. I'm so glad that you decided not to pause to add commentary to the final few minutes of the episode. Not because your input isn't valid, but because it's such a beautifully emotional scene that needs to be in one piece. Also, Carla's acting in that moment, without saying a word, is phenomenal. Her face tells us everything we need to know. Love this episode and love your videos.
Another thing I'd like to point out is that I've heard some people complain about how, after this episode, there's never any talk about the family members suing Cox and the hospital for malpractice, and that this is a clear case of malpractice. I would start by positing that there IS no malpractice. Were it something more routine that testing would easily have caught, I could understand, but rabies?! There are roughly 3 cases of rabies a year in the US. To have tested for it would have wasted time that some of those patients simply didn't have. Malpractice is only supposed to be used in instances where the doctor made a mistake that could have been prevented. This...wasn't preventable. Hindsight is always 20/20, so it's easy to say that he 'should have just tested for rabies', but what people forget is that tests take time, and again, at least two of those patients were barely hanging on as-is. Cox made a judgment call, it didn't pay off, and people died. Two of those patients were going to die anyway without the organs, the third was in the process of dying. Sure, he had a month, but there are over 100,000 people on the organ donor list in the US at any given time, and the list is ranked in terms of priority. At least 6000 people die in the US every year without getting that needed organ, so when a set of fresh, ready-to-use organs are practically handed to you on a silver platter, you run them through the recommended tests, which he did, and then you use them. Testing for rabies would be like testing for smallpox: a waste of everyone's time, and more likely to result in actual malpractice than not testing for it would be.
There was an actual case of this happening IRL. 4 people died. The doctors responsible for checking the organs were completely in the clear. The doctors who misdiagnosed the donor guy when he came in I think got some minor troubles, but he did have drugs in his system at the time so...
I have thought about doing something like this, because every other week something mad happens! Having said that I wouldn't want people to feel I was using others misfortune for drama or personal gains, so that's why in my videos at the moment I just talk about cases as they come up that are relevant and have an educational aspect to them.
Dr Hope's Sick Notes I think it’s good that you’re being cautious, as fascinating as it would be. You might get into muddy waters with the whole confidentiality of patients aspect. It could be interesting to dig up some interesting historical cases that are used as examples in medical textbooks and explain some of them to us :)
That's a good idea Fran, because then he could also use those stories as a launchpad to describe some of his own similar patients or close calls and it would be clear he's not doing so to be exploitative or for views, but because it was related to the other cases he was presenting. I'd so watch that series. I also think that even if you were to just share some shocking or surprising things, the integrity Dr. Hope has would really shine through and he'd always have a lesson attached to it, or something really educational. I think most would know there was more value to it beyond a "STORYTIME: The craziest patient I ever had (*shocking*)" kind of atmosphere.
I don't think a doctor would be allowed to talk about cases. Isn't there sorta like a contract of silence between doctor and patient? Like that the information are kept confidential. At least there is such a thing here in Germany.
I think, like Germany, it isn't technically allowed but people do discuss with friends and colleagues cautiously, usually using pseudonyms. The main issue with talking about the weirdest cases is that the situation/illness itself can reveal a person's identity simply because of it's originality, thus compromising the therapeutic relationship between doctor and patient... I mean, imagine finding out your doctor has been using you as an anecdote. You wouldn't want to confide in personal details with them ever again. That being said, whenever my lecturers start talking about real life scenarios (I'm a student nurse) I soak up that information like a sponge, story telling is a great educator!
Honestly it breaks my heart whenever I see that final scene, the raw emotion displayed by John as Dr Cox really resonates and gives me goosebumps. It's made even more powerful because Dr Cox is a strong character, who's never really shown to have these moments, so to see him break and start spiralling is so much more heartbreaking. Plus It's even more tragic finding out this was actually loosely based on a true story. Seriously this episode is just pure sadness to me now...
You really do sympathize with the doctors and patients even if they are only on a tv series. I felt your distress at the end of the episode when the dr. couldn't resuscitate the patient. Genuine reactions. Thank you, you must be a kind soul and a good doctor.
This was such a devastating episode...I've seen it a few times over the years and it doesn't lose any impact even when you know what's going to happen. For all its silliness Scrubs could really get you in the feels when it wanted to. Dr Cox was so heartbreaking in this and the next episode(s) where he's dealing with the falllout.
I remember being overwhelmed by this ending myself. That wasn't a door he was going to walk through, it was a CLIFF. J.D., at heart a devoted doctor, brought up Dr. Cox's own words to him, without any affectation. Cox turns, acknowledges J.D. is right (one of the few times he does without making fun of him)... ...and then turns and steps off the cliff anyway.
Quoted from a reddit post, rabbies is extremely dangerous and has a 100% kill rate Rabies. It's exceptionally common, but people just don't run into the animals that carry it often. Skunks especially, and bats. Let me paint you a picture. You go camping, and at midday you decide to take a nap in a nice little hammock. While sleeping, a tiny brown bat, in the "rage" stages of infection is fidgeting in broad daylight, uncomfortable, and thirsty (due to the hydrophobia) and you snort, startling him. He goes into attack mode . Except you're asleep, and he's a little brown bat, so weighs around 6 grams. You don't even feel him land on your bare knee, and he starts to bite. His teeth are tiny. Hardly enough to even break the skin, but he does manage to give you the equivalent of a tiny scrape that goes completely unnoticed. Rabies does not travel in your blood. In fact, a blood test won't even tell you if you've got it. (Antibody tests may be done, but are useless if you've ever been vaccinated.) You wake up, none the wiser. If you notice anything at the bite site at all, you assume you just lightly scraped it on something. The bomb has been lit, and your nervous system is the wick. The rabies will multiply along your nervous system, doing virtually no damage, and completely undetectable. You literally have NO symptoms. It may be four days, it may be a year, but the camping trip is most likely long forgotten. Then one day your back starts to ache... Or maybe you get a slight headache? At this point, you're already dead. There is no cure. (The sole caveat to this is the Milwaukee Protocol, which leaves most patients dead anyway, and the survivors mentally disabled, and is seldom done - see below). There's no treatment. It has a 100% kill rate. Absorb that. Not a single other virus on the planet has a 100% kill rate. Only rabies. And once you're symptomatic, it's over. You're dead. So what does that look like? Your headache turns into a fever, and a general feeling of being unwell. You're fidgety. Uncomfortable. And scared. As the virus that has taken its time getting into your brain finds a vast network of nerve endings, it begins to rapidly reproduce, starting at the base of your brain... Where your "pons" is located. This is the part of the brain that controls communication between the rest of the brain and body, as well as sleep cycles. Next you become anxious. You still think you have only a mild fever, but suddenly you find yourself becoming scared, even horrified, and it doesn't occur to you that you don't know why. This is because the rabies is chewing up your amygdala. As your cerebellum becomes hot with the virus, you begin to lose muscle coordination, and balance. You think maybe it's a good idea to go to the doctor now, but assuming a doctor is smart enough to even run the tests necessary in the few days you have left on the planet, odds are they'll only be able to tell your loved ones what you died of later. You're twitchy, shaking, and scared. You have the normal fear of not knowing what's going on, but with the virus really fucking the amygdala this is amplified a hundred fold. It's around this time the hydrophobia starts. You're horribly thirsty, you just want water. But you can't drink. Every time you do, your throat clamps shut and you vomit. This has become a legitimate, active fear of water. You're thirsty, but looking at a glass of water begins to make you gag, and shy back in fear. The contradiction is hard for your hot brain to see at this point. By now, the doctors will have to put you on IVs to keep you hydrated, but even that's futile. You were dead the second you had a headache. You begin hearing things, or not hearing at all as your thalamus goes. You taste sounds, you see smells, everything starts feeling like the most horrifying acid trip anyone has ever been on. With your hippocampus long under attack, you're having trouble remembering things, especially family. You're alone, hallucinating, thirsty, confused, and absolutely, undeniably terrified. Everything scares the literal shit out of you at this point. These strange people in lab coats. These strange people standing around your bed crying, who keep trying to get you "drink something" and crying. And it's only been about a week since that little headache that you've completely forgotten. Time means nothing to you anymore. Funny enough, you now know how the bat felt when he bit you. Eventually, you slip into the "dumb rabies" phase. Your brain has started the process of shutting down. Too much of it has been turned to liquid virus. Your face droops. You drool. You're all but unaware of what's around you. A sudden noise or light might startle you, but for the most part, it's all you can do to just stare at the ground. You haven't really slept for about 72 hours. Then you die. Always, you die. And there's not one... fucking... thing... anyone can do for you. Then there's the question of what to do with your corpse. I mean, sure, burying it is the right thing to do. But the fucking virus can survive in a corpse for years. You could kill every rabid animal on the planet today, and if two years from now, some moist, preserved, rotten hunk of used-to-be brain gets eaten by an animal, it starts all over. So yeah, rabies scares the shit out of me. And it's fucking EVERYWHERE. (Source: Spent a lot of time working with rabies. Would still get my vaccinations if I could afford them.) Each time this gets reposted, there is a TON of misinformation that follows by people who simply don't know, or have heard "information" from others who were ill informed: Only x number of people have died in the U.S. in the past x years. Rabies is really rare. Yes, deaths from rabies are rare in the United States, in the neighborhood of 2-3 per year. This does not mean rabies is rare. The reason that mortality is so rare in the U.S. is due to a very aggressive treatment protocol of all bite cases in the United States: If you are bitten, and you cannot identify the animal that bit you, or the animal were to die shortly after biting you, you will get post exposure treatment. That is the protocol. Post exposure is very effective (almost 100%) if done before you become symptomatic. It involves a series of immunoglobulin shots - many of which are at the site of the bite - as well as the vaccine given over the span of a month. (Fun fact - if you're vaccinated for rabies, you may be able to be an immunoglobulin donor!) It's not nearly as bad as was rumored when I was a kid. Something about getting shots in the stomach. Nothing like that. In countries without good treatment protocols rabies is rampant. India alone sees 20,000 deaths from rabies PER YEAR. The "why did nobody die of rabies in the past if it's so dangerous?" argument. There were entire epidemics of rabies in the past, so much so that suicide or murder of those suspected to have rabies were common. In North America, the first case of human death by rabies wasn't reported until 1768. This is because Rabies does not appear to be native to North America, and it spread very slowly. So slowly, in fact, that until the mid 1990's, it was assumed that Canada and Northern New York didn't have rabies at all. This changed when I was personally one of the first to send in a positive rabies specimen - a raccoon - which helped spawn a cooperative U.S. / Canada rabies bait drop some time between 1995 and 1997 (my memory's shot). Unfortunately, it was too late. Rabies had already crossed into Canada. There are still however some countries (notably, Australia, where everything ELSE is trying to kill you) that still does not have Rabies. Lots of people have survived rabies using the Milwaukee Protocol. False. ONE woman did, and she is still recovering to this day (some 16+ years later). There's also the possibility that she only survived due to either a genetic immunity, or possibly even was inadvertently "vaccinated" some other way. All other treatments ultimately failed, even the others that were reported as successes eventually succumbed to the virus. Almost all of the attributed "survivors" actually received post-exposure treatment before becoming symptomatic and many of THEM died anyway. Bats don't have rabies all that often. This is just a scare tactic. False. To date, 6% of bats that have been "captured" or come into contact with humans were rabid.. This number is a lot higher when you consider that it equates to one in seventeen bats. If the bat is allowing you to catch/touch it, the odds that there's a problem are simply too high to ignore. You have to get the treatment within 72 hours, or it won't work anyway. False. The rabies virus travels via nervous system, and can take several years to reach the brain depending on the path it takes. If you've been exposed, it's NEVER too late to get the treatment, and just because you didn't die in a week does not mean you're safe. A case of a guy incubating the virus for 8 years.
@@goakiller900 Thanks for the info, it was very interesting. I never knew rabies was that BRUTAL. Describing the paitent in the hospital and how the virus deteriorates a person, SCARRED THE CRAP OUT ME. Your comment deserves WAY more likes.
This is by far the best reaction to this episode on TH-cam .. I keep coming back to watch again from time to time .. your expressions .. very respectful.. very real !!! Great job man
With the recent public deaths by suicide in mind, I want to thank you for touching on the subject of mental health. When we’re physically hurt, we go and see a doctor, but many times mental illnesses are unfortunately misunderstood, unseen and stigmatized. To anyone reading this who is feeling alone and hopeless: you matter. Please reach out and call family, friends or one of the helplines. We are also here for you, you can talk to us in the comments. You are not alone 💙
One of the biggest problems with mental health is that we tend to blame ourselves or situations for how we feel, and while that may often be the case, we need to be able to recognise when the issue doesn't get better or continues to get worse. We're also quite a prideful species, and don't like to admit that something in our heads might not be 100%. As someone who has dealt with anxiety for several years now, I advise anyone dealing with things like that to seek help. Talk to someone, even if it's not a doctor at first. Things will get better. ^_^
Particularly when they're not working properly, there's more of a separation between our bodies and our selves than between our minds and our selves - if there's something physically wrong, particularly if it's something we can see or touch, then it's a lot easier to say that there's something wrong with my body. If there's something wrong with my mind, then that's something wrong with the thing that makes me me...
I've literally rewound and rewatched ur reaction to that ending over 2 dozen times. This was one of the best episodes of Scrubs and seeing u react so sincerely was awesome. If u had to do a video on any episode, I'm glad u chose this one. Keep up the great videos!!!
Your review was wonderful. The end of that episode always makes me bawl. I can straight up say that we could all see so much compassion in your eyes through out the video. I'm so glad you chose to excel in the medical field. I'm sure you're an amazing doctor and person :)
Props to Turk for properly removing the ECG. As a nurse in a surgical ward I removed so many of these damn ECG stickers that were probably unused for days at the point I removed them.
Der Lumpenritter I always seem to find one still stuck to me when I got home from the cardiologist's office or having a procedure. I work in an animal hospital, so ours actually just clip directly onto our patients' skin.
Haha! Had several jaw surgeries, and what do you know - I came home with the marks from these stickers each time because they stayed on several days post surgery, randomly.
I will always a) get goosebumps and chills when Cox reads from the chart and realises what he’s done, and b) cry my freaking eyes out by the end of this episode. Absolutely brilliant TV.
+Alanea Cremen I don't think it ever is. I would always recommend watching the first, one very typical and one rather special episode when checking out a show. This paints you a good picture.
This was a great addition to your channel. I love the humor and occasional poignant nature of Scrubs. While it isn't accurate in some aspects it does a good job of revealing the real people that make up healthcare professionals.
even though i watched this episode years ago, and you reacting it to it when it came out a few years back, it still had the same impact as the first time. possibly one of the best scrubs episodes
Damn dude you could tell how tough it was for you to watch that last scene, also can’t understand why people wouldn’t be an organ donor, what’s the most common reason you see for people refusing to donate organs?
I've always wondered about that myself and was baffled to learn that a lot of people actually think doctors would give up on them or even "make a mistake" when there would have been a chance of survival, if you're registered. Nonsense, but there was a huge public discussion where I live sometime in the last few years because of a political thing and that was one of the most common reasons I've heard. edit: and yes, of course the desire to die "intact" often religiously motivated or just the inability to confront one's mortality, because in most countries you still have to make an active move to be a donor and few people want to think about their death, especially an unexpected, early one.
Probably Religion. Which is rather stupid in my opinion because if a good exists, a god that wants you to help your neighbor, your fellow men, donating your organs after death to save the live of other people is the most passionate thing one can do.
This might be a little out of date so apologies if the information isn't 100%. I know in the UK, unlike some countries you have to opt-in to organ donation, which means that a lot of people who might have donated are never considered. I also believe that relatives of the deceased can over-rule someones choice to donate organs (this is the bit that may be different now). I guess that it is a very emotional time for a lot of people and they don't want to let go, I don't think I'd like to make that choice even though I am very pro-donation.
I didn`t recognize the episode by name but as soon as it started I remembered how amazing it is, then saw you watching the ending and felt like you were trying to help them, your face showed the suffering a doctor in that scenario feels, much respect for the profession.
I watched another video of yours in which somebody commented " I prefer Dr Mike as you seem emotionally dead" or words to that effect. I actually couldn't disagree more. I was hypnotised by the emotion on your face whilst you were watching the final scene.
Great video covering a great episode. The part where you're watching the patients all passing away at the end you can see in your eyes the empathy you have for the character. Thanks for doing these videos :)
Huge scrubs fan, this episode is always so difficult to watch, even if the medical side of things is sacrificed in place of the story. It may not seem like it to some, but I have these situations and feelings in vet med, and I can't imagine doing this work for humans. You're an incredible person for doing what you do, and thank you for sharing your knowledge and experience with us!
This is one of my favourite episodes of television ever. Even watching it in the little clips and still knowing what was coming made me tear up. Just found your channel and loving it so far.
This was such a great episode for you to choose because I think it is one of the most important episodes in the series. I really appreciated that during those couple of minutes you were silent, but your face was reacting so genuinely. It was interesting to see your reactions (since you've never seen the episode before) and left your comments until the end. Overall, great work and hope you keep reviewing more Scrubs episodes!
I know I'm late to this vid, however after just rewatching Scrubs with my daughter, this episode has always stuck with me due to the raw emotion. It still gets me even though I've seen it several times. Seeing you get uncomfortable watching this at the end from your body language, even with some medical flaws reminds me of how good this show really was.
Watching your expression as you watched Dr. Cox try to resuscitate the man was heart wrenching. It didn't help that the Fray song pretty much transports me back to all the major tragic events in Grey's anatomy/as an early teenager when the song first came out.
Even if there were inaccuracies, nobody can deny the emotional impact this episode makes, especially when Dr. Cox breaks down, which was the first time he ever did as he was always placed as this tough battle hardened veteran who's seen it all. There's a reason this episode is the highest rated episode alongside My Screwup, but that episode is rated so high for the twist and whilst we do see Cox emotional, it's not like the level we see here.
about the "inaccuracies". i know I'm late, but there has to be things left out and not done right or the show would'nt hit as hard as it did. It has to be streamlined and of course you can't do everything right, cause it would be more costly, not as easy to film and also the knowledge part. I think it's fairly good.
Many months into lockdown and social distancing...binge watching scrubs and house. As bad as an epidemic/pandemic is on tv shows, it doesn't really compare to whats going on right now... i went for my annual health check up last week and the look in my doctor's eyes... it gave me flashbacks to this video and how hard Dr.Cox took losing 3 patients at once... if my doctor is like this... i dont know how many doctors are starting to break under this pressure and stress. I hope that you are doing better than the doctors here.
It seems impossibly difficult to be a doctor, I really don't know anything about it, but there is something really admirable about being able to save people, but also cope with death on such a regular basis. Kudos to you guys, you're doing the world a great favor.
Hey Dr. Hope! I just want to say I really appreciate how you take a holistic approach to your videos. Here in Canada not all physicians take an approach like this, and it's usually left to nurses like myself. It's refreshing to hear someone who can understand our perspective and looking past the medicine to the person.
You are the first doctor do a react I've seen that understands that film needs to, as you put it, "streamline" things to tell the story. Well done. I'm hooked. Kudos!
You could really see your empathy and compassion after they realized the woman had rabies, and how the doctors reacted. That just struck me and I think it says a lot about who you are as a person, and as a doctor.
Dr. Hope, I watched your face more than I did the show toward the end because I noticed something: empathy and sympathy. You’ve clearly been there (not just because you said so, I can see it and feel it), and you felt the pain of the doctors, which also makes you feel for them. I don’t think I ever realized just how much the job affected doctors until I just saw it on your face. I have such a renewed respect for doctors now. I’ve always respected them. They go to school for an extended period of time and still continue learning even years after school is over. It’s not easy. However, this human aspect I just saw in you, and how you’ve obviously been there before, just took it to a whole new level. Thank you for being there, to sacrifice your life, for strangers who may or may not appreciate what you do in the end. Man would I love to meet you in person. The conversations we could have...
My hospital (in the US) doesn't have specific wards, outside of the ICUs/L&D. All the patients are just randomly mixed together. So you'll have a stroke patient next to a cellulitis patient next to a bowel obstruction patient.
Here in Australia, I think we have a similar setup to the UK. Because I have heart issues, I have had a procedure done (balloon valvuloplasty) and while it was done in a general surgical suite, afterwards I was in the Cardiology ward for recovery. Part of the Cardiology section includes the Cardiology outpatients, and right next to it on the same floor is radiology and imaging. I guess the random mix must work though, since hospitals in the US are still saving peoples lives. ^_^
Yeah- and I think the asides from some ER stuff, alot of the show is set in the ICU ward- when my uncle needed a lung transplant, he was in the ICU for a while. Of course I got the call that he was accepted the week after he died-
I think it depends on the hospital. The hospital I go to (which is also in the US) has a ward for most specialties. I've never seen a fully-fledged hospital that didn't have them.
M F It depends on the hospital. A lot of the University hospitals are split into units that are specific to either the disease or organ. It can also be split down to the age limit of the patient. You will not see a person under 18 in with an adult that is 30. A lot of the hospitals around where I live also has orthopedic hospitals that is for joint replacement or broken bone. A lot of Children's hospitals also are broken down further to specific organ and disease. Cincinnati Children's Hospital has a ward for Cystic Fibrosis as well as a ward for Cancer.
Aw man! I could very easily see your discomfort and emotional hits in particular moments! The way you shifted your weight when Kelso said "The autopsy just came in on your donor.." You were having an 'oh shit' moment! The way you felled your head into your hands when Dr. Cox had his outburst, and the silent 'my god' you mouthed when Cox left the hospital. I know lots of people have commented on it, but your genuine reactions were great! Empathetic people make the best doctors in all fields! I really respect Scrubs for how seamlessly they can segway from great comedy to tearjerkers like this and Ben's funeral. It never feels out of place, and is acted out so beautifully by the cast.
In an early DVD commentary, the creator of the show brought up his desire for it to be dramatic at times, and even made sure to have 3 or 4 serious episodes per season.
Years later, and this episode -still- hits me. I get teary-eyed every time. God, just imagine being in Doctor Cox' position, losing all 3 of the patients you, specifically, were put in charge of, all because of one single problem you couldn't predict. It's so sad, dude. D:
It may have been a comedy series, but they really knew how to tug at the heart strings. One of the reasons Scrubs is still one of my favourite series. ^_^
Biology was the one class I just could not grasp, but damn I love your videos. You just make medicine so interesting and your passion is clear and truly inspiring
I'm gratified that you took my recommendation to talk about this episode in particular. I've seen this episode more than 10 times, it still chokes me up. Crazy that a comedy show also has it within itself to deliver something so heart wrenching.
the first episode of "little boy blue" is considered an incredibly accurate portrait of these situations. I thought of it at the end when it was mention there's a "conductor" like figure at the end of the bed... so to speak... love to see you react to that... if you havent already (this is my first vid ive watched from this channel)
Just want to say that although they changed the events for more dramatic effect, it obviously had an impact on you. It was great to see that sort of genuine reaction from you from the first mention of rabies to the last patient's death. Many times we like to think of doctors as super-humans but I think many take comfort in seeing a doctor just be a human being.
You’re a great Doctor. The way you were after seeing the ending play out, shows that you may of seen something along these lines. It seems to of hit you hard. Keep up the good work doc, you’re saving lives everyday.
Your reaction to the final patient dying made me get a bit choked up, was a good episode and you could see it hits home just the same with you as it did with anyone watching it. Got me subbed for that
This is the first of your videos I've seen, but I will now watch the rest. Your commentary is the perfect blend of fact/opinion/anecdote and humour. And your face when watching certain scenes here also said a great deal. Doctors have jobs most of us couldn't begin to relate to. The pressure and weight of expectation is unlike anything else. Thank you for not just taking on that role, but for allowing us a window into what it must be like.
Dr. Hope's Sick Notes -- This is, I think, a direction your channel should not be afraid to take on a regular basis. Yes, there is a lot of technical, mechanical, and medical inaccuracies in the shows you review. You acknowledge as much, and play off of it. That's part of the education/fun of your channel. But sharing this often ridiculously silly television show (like the mostly unbroken final scene of this particular Scrubs episode isn't) alongside the reactions of someone who not only genuinely likes the show, but, in this case, is also a doctor, is nothing short of brilliant for us viewers. All of this is to say: thank you for tackling this episode the way that you did. You not only demonstrated supreme respect for your practice and passion, but also handled the art with heart and integrity. If I may offer a few selections for future review: House MD. - One Day, One Room (it's not a medically technical demonstration by any sense, but its main focus is on the human condition and the doctor's role therein -- with sarcastic assy-ness from Sherlock House.) Scrubs - My Fifteen Seconds (not for the medical mystery [there is none], but for the human element.) My specific question(s) to you is/are; were you always personable? Has being able to communicate effectively on a human level helped your practice in any way? You showed, with this video, a connection to the human element inherent when practicing medicine. These two episodes stood out to me. Neither are anyone's favorites, I'm sure, but they appealed to me in this context. Thank you! Keep saving and entertaining lives.
Scrubs is one of those shows that I love because it can make me cry laughing and then make me cry with the feelings of sorrow and anguish and loss. "Where do you think we are?" is the line that always gets me.
I haven't watched the tv show Scrubs but your insight and comments are so much fun to listen to! Thanks for making these awesome videos and I can't wait to hear and watch more!!!!
This wasy favourite episodes of scrubs, I still cry every time Doctor Cox loses it. Thanks for doing the episode justice and thanks for another great review. I'd happily watch you go through any and all episodes of scrubs to see your take on the how factual each episode is
Why not use Pig or mechanical valve replacement, Faith grounds also some folks have rejection factors that prevent one or both options, so you have to go with Human, until of late with the development of medical grade protean printing.
Zena222 There could be the possibility of people refusing animal valves if they were vegan or vegetarian. It was very briefly touched on in an episode of House.
TheMysteriouswatcher I mean, I kinda agree but that’s kind of extreme. Religion is harmless so long as it isn’t too extreme. It does some good but I’d say, overall, it DOES do more harm than good, though.
I just found your channel after binging some old Scrubs clips, kinda had a nostalgia binge. And I have to say, I absolutely love your take on this all. The way you review it as a doctor, but still recognize the entertainment/drama side of it is a perfect balance. I would love seeing more! Scrubs and House episodes for sure~
When you mention meeting patients outside the hospital, it reminded me of an incident I had a couple years ago. I'd just graduated from college a year before and managed to cut my hand quite severely. I ended up in the E. R. and to make a long story short, I had surgery to repair the damage and a few weeks afterward I went to a graduation party for a friend who was a year behind me and who else was there but the same doctor I had in the E.R. We shared a good laugh and it was a serious case of "small world."
I love Scrubs so much, and this video was wonderful. I think what really makes this episode so breathtaking and tragic is the acting. Their acting is absolutely amazing. It makes the emotion behind the situations feel so genuine. I also can really appreciate the breaks of seriousness in the midst of the comedic moments. This episode, the one after it, the episode where Laverne dies, the one where Ben dies, and a couple more are just beautifully tragic. They are just so well written and you can really feel the emotion in them. Also, I wanted to say with the scene where Dr.Cox loses the third patient, the cinematography is such an accurate portrayal of how I can only imagine he would’ve felt. I can imagine that would be one of those moments where everything is so surreal and it feels like your whole world is crumbling, and I think their depiction is so simplistic, while also having a contrast from the natural cinematography of the show, and just being flawless for the scene and the emotions tied to it. This show is so wonderful and is underrated beyond belief. It was definitely ahead of it’s time.
That got to me, made me really emotional, because of your real life insights in comparison to the TV presentation of it. I love these videos you do. I have no hope to ever be clever enough to understand anything medical, but you give a great insight to the other side of a hospital someone like me never sees. I've only ever been a patient, and I have had both positive and negative experiences with medical professionals. Luckily, the great majority has been positive. I am forever grateful for the people who study and work so hard to help their fellow humans. You might lose lives but you SAVE them as well. Without you, and people like you, where would we be? I am forever thankful for the good people who are brave enough to take on the responsibility of trying to save people's lives. To be in that position, of dealing with life and death decisions, is a burden I don't think I could live with. So to all of you who do, who strive to heal and help, I am amazed and so very grateful. Thank you, from the bottom of my heart.
I think everyone remembers this end scene with this song. Even after I watched it countless of times, I still tear up when Cox loses it after the patient dies. You should also react to Season 1 Ep 4 - My old Lady and S3 Ep14 - My Screw Up.
Watching your response and your face change when the patients were dying was very touching. It's comforting to see people feel sad over this. It means they care. ❤️
Coming from a entry level biomech engineering background (not an expert), sometimes you don't use mechanical valves because the patient has allergies or other complications to the materials. Or if they have previously had replacements the tissue can be scarred, damaged, or just not enough there and human transplants can sometimes attach better.
You could have a channel just reviewing every single episode of scrubs, I'd never stop watching
Ha! Okay I'll take next week off work and just binge every episode on a live stream :)
Alec Price Haha, yeah, I’m with you there. There’s so many great episodes!
I would PAY. lol.
That would be amazing.
Dr Hope's Sick Notes You should check out S1E4- My Old Lady. It’s pretty emotional as well
"Even in her death she is giving life to other people."
Oh no he's hopeful and optimistic.
I came down to see all the comments about that as soon as I heard it lmfaoo.
Of course he's Dr. Hope.
"This is just going to be a light hearted look."
Oh you poor fool
the moment i saw the intro i was like oh my god...
Good stuff. Good stuff.
Omg right? I figured he saw it before but damn, going into that blind and on camera? OUCH. The viewers would see 10 straight minutes of me bawling at the end xD
This episode and the one with Ben just no matter how many times I see it always gets to me
true i hate and love this episode at the same time
That raw reaction to the rabies reveal and his emotional wave that hit him watching the final scene made it so obvious how hard situations like this effect not only him but what I assume is all doctors. I'm no doctor but the final scene gets me to cry every time. So much emotion and the actors played it amazingly.
Great reaction!
John C McGinley just absolutely makes this scene hit. The music build-up for the first dying patients is already melancholic, but then it fades away for a bit for the lunch scene. Then John as Dr. Cox carries the rest of the weight on his character for the rest of the episode. Judy Reyes makes a facial expression that we only see Carla make once in 7 seasons as she tries to assist in resuscitating the patient. Then Cox finally breaks. Throwing the pads and grabbing his head in frustration and guilt. JD shows how much he's grown by immediately seeing that Cox is spiraling, and barks at him that his shift still isn't over. But it's too late. Cox is in tears because he has failed himself, JD, and his patients - this time only being able to blame himself for rushing a transplant through for a patient to make himself feel good.
It's such a good scene. One of the best in the series, along with Ben's funeral and that time JD's dad died.
Thanks for letting the scene run its course in your video.
James Badger why'd you have to bring up the scene when ben dies, just why 😭 my heart can't take it
Where do you think we are?
The song Winter by Joshua Radin completely takes this scene from heartbreaking to heart annihilation.
Where do you think we are?
LOL I read your first line as "John C McGinley just absolutely makes this scene shit." and was about to go into full keyboard warrior mode :p
John C. McGinley was amazing in this episode. He actually prepped Judy Reyes in advance of that final scene, that he might start throwing things.
Oh, I didn't know that! Where did you catch that bit of trivia?
@@smaakjeks DVD extras I think.
That was the most genuine reaction ever when he finds out it's rabies.
That's what I said too! They said rabies and instantaneously the doctor in him was like "Oh fuck".
Thats how you know he's truely involved in his craft, it wasnt a "gasp oh no oh no". It was genuine empathy
Lipreaders in the front seats will read that as "Oh, fuck off". I don't think Ed thinks this outcome was terribly plausible.
@@mathewdeering It's actually based on a real life event, though. This, in a nutshell, truly happened; three patients received organs from one common donor, and they contracted rabies.
@@AniGaAG House had this episode too. Love the reactions from both Cox and House.
So, did anyone ever tell him this was based on a true story?
A patient came in, died, apparently of coke overdose (some of the symptoms look like rabies symptoms). They took out four organs and shipped them all over America. They trace it back to the donor having rabies.
3 of the 4 patients died, but months apart. The writers saw it in the news and decided to put it in Scrubs.
Its EXTREMELY rare, but it can happen.
Just in case anyone was overly hopeful: all 4 patients actually did die... It's just that 1 died during the transplant surgery itself rather than because of rabies.
Yes.The producer of the show has tweeted him after watching this react.
@@MyFrogEatsPeople Yeah, sounded weird, bit misleading to say "3 out of 4" because when Dr Hope says "close to 100%" it's not like 99%, it's like 1 or 2 recorded survival cases in history. If you get rabies and start showing symptoms you're basically fucked.
The x-ray in the intro was intentionally placed backwards as a way of showing an inexperienced intern! The show actually makes fun of this later on (season 5 or 6) with Kim turning it the right way in one of the intros and saying something like “that’s been bugging me for years” lol
AlifaMEsmail I was about to say the same. I’m a radiology technologist and that intro made me laugh out loud because it always bothered me too!
Possibly it was originally an accident and someone pointed it out to the producers after the intro was made and season one was released, so they made a joke out of it in season 5 or 6. Either way it is funny they did the “that’s been bugging me for years” bit. I think it is even funnier they did that bit if it were originally an accident.
it wasn't a joke. a doctor who was a fan of the show told them one day
I love that scene. I had noticed it in the first season and didn't understand why it was backward. Your explanation of it being a show of an inexperienced intern is a great thought.
It was actually an accident (confirmed by zach and donald on their podcast today)
"Even in her death, she's giving life to others."
*Me. Knowing how this episode ends:* Oh. Oh damn...
*How To Save A Life starts playing*
Me: *cries immediately*
That song is forever connected to this episode for me
and greys anatomy..
My thoughts exactly. I almost commented that its okay everyone cried during this episode. To this day it stands out more then the rest. You can see the emotion on Dr. Hope's face too.
Leaving Blank hey what the fuck is your problem?? everything good at home? did you take your meds today? cool, take care and learn that people have opinions different than yours. I know shocker!!!! just so you know, that song was used in a few episodes too in greys anatomy that involved characters dying 🤷🏻♀️ chill out
The song always reminds me of the movie To Save A Life, which is about teen suicide. I can't recall if the song is actually IN the movie though lol.
Verónica Villalobos looks like someone got shit opinions 🍵
scrubs was ahead of its time. it was incredibly well written, hilarious, touching and had an amazing cast. i still watch it regularly.
Agreed.
The definition of a comfort show
Me too!
The only bad part is the character of the main characters.
The funny thing is, I don't think it was-and I mean that in a good way. Production quality for TV shows has skyrocketed in recent years, but that same quality dials everything up to 11. Today, it's really hard to fund a show that allows itself to be as silly, down-to-earth, and relatable as Scrubs was.
There is one really interesting aspect of Dr. Cox in this episode, narratively speaking. This is _supposedly_ his first "kill". In a previous episode titled "My first kill", Cox is giving the residents a speech where he says "the truth is you *will* make a mistake, a patient *will* die and it *will* be your fault". Which then makes JD super paranoid about making that first fatal mistake. He starts asking people about their first fatal mistake. Eventually he gets to Cox who says (I'm paraphrasing) "I'm a good doctor and once again newbie, I am the exception that proves the rule". Implying he's never made a mistake that lead to the death of a patient.
Axetwin Really nice catch! I've seen the series in total 4-5 times and never realized that. Kudos!
That's because Cox hates admitting he's made a mistake, especially to JD.
Yeah, the point of Cox in the show is that he is supposed to be the infallible authority figure for the young doctors. If he were to tell them that he makes mistakes, it might diminish the trust these people have in him. So im sure hes had mistakes in the past. What makes this episode hit home so hard, is that this wasnt a mistake that killed 1 person. This is a mistake that killed several including those who never should have been in that danger.
Perhaps this wasn't a real medical mistake (at least canonically). Earlier (14:26), he told JD that he can't start blaming himself for deaths that weren't his fault. Later (17:27), JD points out that he'd have made the same choice Cox did. He could've done better, so he blames himself, just like JD could've done better by noticing Jill's life issues. But just like Jill's death wasn't actually JD's fault, perhaps the show's canon doesn't consider these deaths Dr. Cox's fault.
Dr. Hope mistook the lesson of the episode as being about mistakes, but it's about self-blame. It wouldn't be as hard a lesson if the blame was justified.
@@ChronicallyCurious Tend to catch this when you watch 6 seasons in 2 weeks
How do I still cry
Form of Therapy how is of
PD here XD
Every single time
@@TallgrassMeander i always think " Okay. Ive seen this a million times. i got it." But nope. Not at all.
This episode still gets me
And single line from another episode always gets me
“Where do you think we are “
At a reaction no less
Your physical reaction to the Dr Cox emotional scene showed you connected with the emotion of the show, have you ever witnessed a doctor react like Cox to a terrible situation of a patient?
tomtom21194 I picked that up too. I wish that Dr Hope had elaborated on that part specifically, but I'm sure he has valid reasons.
I noticed his reaction as well. I've seen this episode before I became a doctor, but evn then i think i was crushed by Dr Cox's reaction. The closest i've seen to this was a pediatric cardiothoracic surgeon kick a wall and scream when a patient was getting sicker.
Not long ago we lost a patient after working on her for over an hour and a half, and everyone involved cried. Mom's cries still haunt me. But I will never forget how hard our docs worked to save that baby, and how they cried when we just couldn't.
Yeah his reaction tugged on my heart strings
Lolbit 20 omg...
The reaction you had to the rabies announcement is really actually quite eye opening, because obviously the episode makes sure you know that this is a very bad thing that has happened, but seeing a real life doctor react in such a vitriolic way to the situation really does just ground how bad a situation they were actually in
Well yeah understandable though Human Rabies has a CFR of almost 100% once the infection is established and certainly by the time clinical symptoms manifest. The only treatment known to have any chance is Post Exposure Prophylaxis with Human Rabies Immunoglobulin administered very soon after exposure, of course all this does is helps to flag the virus for destruction by the immune system. In an immunocompromised patient or a transplant recipient on immunosuppressant drugs the immune system is unlikely to be able to provide the response necessary to prevent the infection taking hold so the prognosis is extremely poor.
@@seraphina985Read: You're dead, get your affairs in order.
This is one of my favorite episodes. I saw an interview where they kind of had to fight the network to get this aired because there is no happy ending, but it’s so important to show that not everything has a happy ending even if you’ve done the “right” thing. I work in a hospital so maybe that’s why I enjoy this episode so much. Just watching the clips makes me tear up. I bawled watching this for the first time. It’s a tough one but SO profound for a comedy.
I hate and I love this episode. I hate it because it breaks me down to tears every damn time, but I love it because a comedy like this had such a genuinely powerful moment. Maybe not accurate, but definitely from a genuine place.
And the way JD reacts to him breaking down. Reminds me of the 'I wanna be like you, but a more successful you' in the beginning then the dynamic shift when he finally calms down and talks to Cox. He's just so much more mature in these seasons. In some aspects, possibly even well beyond his age (despite being commonly known as immature).
LeeLee4Rock, watching the DVD commentaries it seems like they had to fight to get most of the best episodes on air.
Same
As far as I can remember the episode you mention is My Old Lady where three patients died whose each one is under care of our interns and they connected their patiences emotionally through the episode. It was a very early episode and Bill Lawrence said the network wanted two patience to survive at the end otherwise the show would lose ratings and they pushed i hard but producers managed to broadcast it as it was originally planned.
Such an incredible episode. John C McGinley is such a fucking amazing actor - he flips from comedy to drama so so well. Hits all the right notes every time.
Just thought I'd point out that this was the third or fourth appearance of the Jill Tracey character and in the previous appearance they discovered she was suicidal, which is what led to JD jumping to an overdose as the cause of her death. It's not right, but it's a bit more perspective on the situation here.
legionaireb Ever since her first appearance she had recurring mental health problems. The very last episode she was in, I believe, was about how little time doctors can spend with patients while diagnosing them which is when they found out she had tried to kill herself.
Like I said, that was the appearance before this one.
Im surprised Elliott wasn't more affected by her death. They were buddy buddy in the first 2 episodes she was in.
God, the raspiness of Dr. Cox's voice in the first part of that last bit hits me hard every time. "He wasn't about to die, was he Newbie?" Fantastic show, love that it never shied away from including tragedy with positive outcomes.
I think that scrubs differs greatly from a lot of other medical shows because its never shy about the incontrovertible fact that sometimes people die in hospital.
Other recent dramas seem to focus on a 'heroic life saver' doctor who solves the mystery and cures the patient.
Scrubs, even though its a comedy, uses death as a character development tool.
Scrubs is definitely my favourite show, one of the funniest show with some real stuff/drama thrown in, but I remember re-watching it several years ago and never really thought of how GOOD the more non-comedy drama were because it felt a lot more realistic then other shows with how people would react, plus heard from the rare times i've watched with commentary that they often got compliments on their medical stuff, specially compared to other medical drama shows.
Most medical shows deal with Zebra's, Scrubs has always dealt with Horses
One I always remember was My Big Bird which has each of the cast being followed around by a ghost of the patient Mr. Foster.
on the other end of the spectrum, greys anatomy exists to suggest that no one leaves the hospital alive, even the doctors
Yes, well a lot of the more realistic medical shows also have a ton of people dying. most of the time in each episode, the reason why you rarely lose patients in house for example is because The show is about each and every case and it being solved and the character development is usually not affected by the patients except in some episodes
Amazing. Watching how that end scene played out on your face was a whole new level... It's obvious that despite the inaccuracies and sensationalized parts for media effect, it still had an impact on you and must've been difficult to watch, being an ER doc and all... You seem like a really genuinely nice, calm, compassionate man with a very endearing and caring presence, as well as a good sense of humour. I'm sure you'll be a fantastic doctor to all the people you'll see over the years of continuing to work in medicine - Doctors with compassion and good bedside manner are absolutely priceless in times of emergency. You just got a new sub here, haha. I could watch you react to Scrubs all day! Awesome video.
I didn't recognize the episode by name, but once you started reviewing it, I remembered. I cry when Dr. Cox loses that third patient every time I see it! The other episode that kills me is the one where Dr. Cox's brother in law is diagnosed with Leukemia and dies, but Dr. Cox imagines he's still there.
aw that one is brutal. Makes me cry every time. The ending with JD gets me every time 😩🤧
That one with Ben dying is probably the one episode that makes me cry the most. This one is number 2.
@@sambuchanan1133 "Where do you think we are?" That line hits me in ways I can't even describe.
Saison 3 episode 14, i'm still a little bit under shock every time I hear JD say "Where do you think we are?"
No other episode of any show in existence hits me harder than this one. Every time I see Perry crumble at the end I start bawling my eyes out! What a performance by Johnny C!
Oh man. That song from The Fray just hit me in the feels so hard. Not only from the show, but all the things that song was attached to back in the day, watching your emotion (especially after your hospice video). I'm not crying, you are. AH.
That episode was the first time I ever heard that song- and yeah, now I have a conditioned response to have those specific feels when I hear it.
Ditto to Winter, thank you Scrubs...
And my first watch through, those eps totally blind sided me...
scrubs is so damn good, jeez. more emotion in a comedy show than most dramas.
I've seen this series like 7 times over since 2007 and I don't think I've reacted to this episode as strongly as the first time . Until today.
What does AH stand for?
They sang this song in greys anatomy in the middle of surgery
The scan being reversed is actually a running joke actually it’s intentionally like that and in one of the episodes (forgot the name) they bring this up and have a character named Kim who brings that up in tiny 4th wall break.
My urologist
Actually it's not. In the podcast fake doctor's real friends, Zach Braff and Donald Faison say that was actually a mistake by one of the technicians and they said that they did it intentionally to cover up the mistake
This is absolutely my favourite episode of scrubs and I really struggle to hold it together whenever I watch it. I'm so glad that you decided not to pause to add commentary to the final few minutes of the episode. Not because your input isn't valid, but because it's such a beautifully emotional scene that needs to be in one piece. Also, Carla's acting in that moment, without saying a word, is phenomenal. Her face tells us everything we need to know. Love this episode and love your videos.
Another thing I'd like to point out is that I've heard some people complain about how, after this episode, there's never any talk about the family members suing Cox and the hospital for malpractice, and that this is a clear case of malpractice.
I would start by positing that there IS no malpractice. Were it something more routine that testing would easily have caught, I could understand, but rabies?! There are roughly 3 cases of rabies a year in the US. To have tested for it would have wasted time that some of those patients simply didn't have. Malpractice is only supposed to be used in instances where the doctor made a mistake that could have been prevented. This...wasn't preventable.
Hindsight is always 20/20, so it's easy to say that he 'should have just tested for rabies', but what people forget is that tests take time, and again, at least two of those patients were barely hanging on as-is. Cox made a judgment call, it didn't pay off, and people died. Two of those patients were going to die anyway without the organs, the third was in the process of dying. Sure, he had a month, but there are over 100,000 people on the organ donor list in the US at any given time, and the list is ranked in terms of priority. At least 6000 people die in the US every year without getting that needed organ, so when a set of fresh, ready-to-use organs are practically handed to you on a silver platter, you run them through the recommended tests, which he did, and then you use them.
Testing for rabies would be like testing for smallpox: a waste of everyone's time, and more likely to result in actual malpractice than not testing for it would be.
There was an actual case of this happening IRL. 4 people died. The doctors responsible for checking the organs were completely in the clear. The doctors who misdiagnosed the donor guy when he came in I think got some minor troubles, but he did have drugs in his system at the time so...
you should make a video on the weirdest cases you've delt with while working!!!
I have thought about doing something like this, because every other week something mad happens! Having said that I wouldn't want people to feel I was using others misfortune for drama or personal gains, so that's why in my videos at the moment I just talk about cases as they come up that are relevant and have an educational aspect to them.
Dr Hope's Sick Notes I think it’s good that you’re being cautious, as fascinating as it would be. You might get into muddy waters with the whole confidentiality of patients aspect.
It could be interesting to dig up some interesting historical cases that are used as examples in medical textbooks and explain some of them to us :)
That's a good idea Fran, because then he could also use those stories as a launchpad to describe some of his own similar patients or close calls and it would be clear he's not doing so to be exploitative or for views, but because it was related to the other cases he was presenting. I'd so watch that series. I also think that even if you were to just share some shocking or surprising things, the integrity Dr. Hope has would really shine through and he'd always have a lesson attached to it, or something really educational. I think most would know there was more value to it beyond a "STORYTIME: The craziest patient I ever had (*shocking*)" kind of atmosphere.
I don't think a doctor would be allowed to talk about cases. Isn't there sorta like a contract of silence between doctor and patient? Like that the information are kept confidential. At least there is such a thing here in Germany.
I think, like Germany, it isn't technically allowed but people do discuss with friends and colleagues cautiously, usually using pseudonyms. The main issue with talking about the weirdest cases is that the situation/illness itself can reveal a person's identity simply because of it's originality, thus compromising the therapeutic relationship between doctor and patient... I mean, imagine finding out your doctor has been using you as an anecdote. You wouldn't want to confide in personal details with them ever again.
That being said, whenever my lecturers start talking about real life scenarios (I'm a student nurse) I soak up that information like a sponge, story telling is a great educator!
Honestly it breaks my heart whenever I see that final scene, the raw emotion displayed by John as Dr Cox really resonates and gives me goosebumps. It's made even more powerful because Dr Cox is a strong character, who's never really shown to have these moments, so to see him break and start spiralling is so much more heartbreaking.
Plus It's even more tragic finding out this was actually loosely based on a true story. Seriously this episode is just pure sadness to me now...
You really do sympathize with the doctors and patients even if they are only on a tv series. I felt your distress at the end of the episode when the dr. couldn't resuscitate the patient. Genuine reactions. Thank you, you must be a kind soul and a good doctor.
Mate I'm just finishing my EN course and found your channel and love how you break down my favorite show medically. Got a sub my man
Woah no more junior doctor now er doc. Congratulations
I'm still a junior in the emergency department; a lot of people think a junior isn't a real doctor so thought I'd try a different tact!
"It's about time. he's been busting his hump around here for six years. Mmm-mmmm."
You'll always be a Worthless Peon.
You're a junior doc till youre consultant level Jacob.
Paul Donnelly well technically there are registrars as well and like different levels of junior doctors like f1s, f2s...
watching your face expressions during resuscitation scene was much more heartbreaking than the scene itself
"Rabies is bad" I laughed out loud
This is my favorite episode of scrubs ever so I'm glad that you reviewed it! Love these videos!
This episode breaks me. Every. Time. Even rewatching the clips in the corner of the screen, I nearly started openly weeping. Fantastic television.
This was such a devastating episode...I've seen it a few times over the years and it doesn't lose any impact even when you know what's going to happen. For all its silliness Scrubs could really get you in the feels when it wanted to. Dr Cox was so heartbreaking in this and the next episode(s) where he's dealing with the falllout.
I remember being overwhelmed by this ending myself.
That wasn't a door he was going to walk through, it was a CLIFF. J.D., at heart a devoted doctor, brought up Dr. Cox's own words to him, without any affectation. Cox turns, acknowledges J.D. is right (one of the few times he does without making fun of him)...
...and then turns and steps off the cliff anyway.
This will always be my #1 treated episode and there's very little comedy in it. A testament to how good the writing and the range of the actors was.
The "Aww _*Rabies is Bad*_" bleep was hilarious. XD
Yeah, I loved that. 😅 Understatement award goes to Dr. Hope!
Quoted from a reddit post,
rabbies is extremely dangerous and has a 100% kill rate
Rabies. It's exceptionally common, but people just don't run into the animals that carry it often. Skunks especially, and bats.
Let me paint you a picture.
You go camping, and at midday you decide to take a nap in a nice little hammock. While sleeping, a tiny brown bat, in the "rage" stages of infection is fidgeting in broad daylight, uncomfortable, and thirsty (due to the hydrophobia) and you snort, startling him. He goes into attack mode
.
Except you're asleep, and he's a little brown bat, so weighs around 6 grams. You don't even feel him land on your bare knee, and he starts to bite. His teeth are tiny. Hardly enough to even break the skin, but he does manage to give you the equivalent of a tiny scrape that goes completely unnoticed.
Rabies does not travel in your blood. In fact, a blood test won't even tell you if you've got it. (Antibody tests may be done, but are useless if you've ever been vaccinated.)
You wake up, none the wiser. If you notice anything at the bite site at all, you assume you just lightly scraped it on something.
The bomb has been lit, and your nervous system is the wick. The rabies will multiply along your nervous system, doing virtually no damage, and completely undetectable. You literally have NO symptoms.
It may be four days, it may be a year, but the camping trip is most likely long forgotten. Then one day your back starts to ache... Or maybe you get a slight headache?
At this point, you're already dead. There is no cure.
(The sole caveat to this is the Milwaukee Protocol, which leaves most patients dead anyway, and the survivors mentally disabled, and is seldom done - see below).
There's no treatment. It has a 100% kill rate.
Absorb that. Not a single other virus on the planet has a 100% kill rate. Only rabies. And once you're symptomatic, it's over. You're dead.
So what does that look like?
Your headache turns into a fever, and a general feeling of being unwell. You're fidgety. Uncomfortable. And scared. As the virus that has taken its time getting into your brain finds a vast network of nerve endings, it begins to rapidly reproduce, starting at the base of your brain... Where your "pons" is located. This is the part of the brain that controls communication between the rest of the brain and body, as well as sleep cycles.
Next you become anxious. You still think you have only a mild fever, but suddenly you find yourself becoming scared, even horrified, and it doesn't occur to you that you don't know why. This is because the rabies is chewing up your amygdala.
As your cerebellum becomes hot with the virus, you begin to lose muscle coordination, and balance. You think maybe it's a good idea to go to the doctor now, but assuming a doctor is smart enough to even run the tests necessary in the few days you have left on the planet, odds are they'll only be able to tell your loved ones what you died of later.
You're twitchy, shaking, and scared. You have the normal fear of not knowing what's going on, but with the virus really fucking the amygdala this is amplified a hundred fold. It's around this time the hydrophobia starts.
You're horribly thirsty, you just want water. But you can't drink. Every time you do, your throat clamps shut and you vomit. This has become a legitimate, active fear of water. You're thirsty, but looking at a glass of water begins to make you gag, and shy back in fear. The contradiction is hard for your hot brain to see at this point. By now, the doctors will have to put you on IVs to keep you hydrated, but even that's futile. You were dead the second you had a headache.
You begin hearing things, or not hearing at all as your thalamus goes. You taste sounds, you see smells, everything starts feeling like the most horrifying acid trip anyone has ever been on. With your hippocampus long under attack, you're having trouble remembering things, especially family.
You're alone, hallucinating, thirsty, confused, and absolutely, undeniably terrified. Everything scares the literal shit out of you at this point. These strange people in lab coats. These strange people standing around your bed crying, who keep trying to get you "drink something" and crying. And it's only been about a week since that little headache that you've completely forgotten. Time means nothing to you anymore. Funny enough, you now know how the bat felt when he bit you.
Eventually, you slip into the "dumb rabies" phase. Your brain has started the process of shutting down. Too much of it has been turned to liquid virus. Your face droops. You drool. You're all but unaware of what's around you. A sudden noise or light might startle you, but for the most part, it's all you can do to just stare at the ground. You haven't really slept for about 72 hours.
Then you die. Always, you die.
And there's not one... fucking... thing... anyone can do for you.
Then there's the question of what to do with your corpse. I mean, sure, burying it is the right thing to do. But the fucking virus can survive in a corpse for years. You could kill every rabid animal on the planet today, and if two years from now, some moist, preserved, rotten hunk of used-to-be brain gets eaten by an animal, it starts all over.
So yeah, rabies scares the shit out of me. And it's fucking EVERYWHERE. (Source: Spent a lot of time working with rabies. Would still get my vaccinations if I could afford them.)
Each time this gets reposted, there is a TON of misinformation that follows by people who simply don't know, or have heard "information" from others who were ill informed:
Only x number of people have died in the U.S. in the past x years. Rabies is really rare.
Yes, deaths from rabies are rare in the United States, in the neighborhood of 2-3 per year. This does not mean rabies is rare. The reason that mortality is so rare in the U.S. is due to a very aggressive treatment protocol of all bite cases in the United States: If you are bitten, and you cannot identify the animal that bit you, or the animal were to die shortly after biting you, you will get post exposure treatment. That is the protocol.
Post exposure is very effective (almost 100%) if done before you become symptomatic. It involves a series of immunoglobulin shots - many of which are at the site of the bite - as well as the vaccine given over the span of a month. (Fun fact - if you're vaccinated for rabies, you may be able to be an immunoglobulin donor!)
It's not nearly as bad as was rumored when I was a kid. Something about getting shots in the stomach. Nothing like that.
In countries without good treatment protocols rabies is rampant. India alone sees 20,000 deaths from rabies PER YEAR.
The "why did nobody die of rabies in the past if it's so dangerous?" argument.
There were entire epidemics of rabies in the past, so much so that suicide or murder of those suspected to have rabies were common.
In North America, the first case of human death by rabies wasn't reported until 1768. This is because Rabies does not appear to be native to North America, and it spread very slowly. So slowly, in fact, that until the mid 1990's, it was assumed that Canada and Northern New York didn't have rabies at all. This changed when I was personally one of the first to send in a positive rabies specimen - a raccoon - which helped spawn a cooperative U.S. / Canada rabies bait drop some time between 1995 and 1997 (my memory's shot).
Unfortunately, it was too late. Rabies had already crossed into Canada.
There are still however some countries (notably, Australia, where everything ELSE is trying to kill you) that still does not have Rabies.
Lots of people have survived rabies using the Milwaukee Protocol.
False. ONE woman did, and she is still recovering to this day (some 16+ years later). There's also the possibility that she only survived due to either a genetic immunity, or possibly even was inadvertently "vaccinated" some other way. All other treatments ultimately failed, even the others that were reported as successes eventually succumbed to the virus. Almost all of the attributed "survivors" actually received post-exposure treatment before becoming symptomatic and many of THEM died anyway.
Bats don't have rabies all that often. This is just a scare tactic.
False. To date, 6% of bats that have been "captured" or come into contact with humans were rabid.. This number is a lot higher when you consider that it equates to one in seventeen bats. If the bat is allowing you to catch/touch it, the odds that there's a problem are simply too high to ignore.
You have to get the treatment within 72 hours, or it won't work anyway.
False. The rabies virus travels via nervous system, and can take several years to reach the brain depending on the path it takes. If you've been exposed, it's NEVER too late to get the treatment, and just because you didn't die in a week does not mean you're safe. A case of a guy incubating the virus for 8 years.
@@goakiller900
Thanks for the info, it was very interesting. I never knew rabies was that BRUTAL. Describing the paitent in the hospital and how the virus deteriorates a person, SCARRED THE CRAP OUT ME.
Your comment deserves WAY more likes.
@@goakiller900 sounds horrifying, like it was engineered to be brutal killer from the beginning.
@@goakiller900 well that's fucking terrifying
This is by far the best reaction to this episode on TH-cam ..
I keep coming back to watch again from time to time .. your expressions .. very respectful.. very real !!! Great job man
With the recent public deaths by suicide in mind, I want to thank you for touching on the subject of mental health. When we’re physically hurt, we go and see a doctor, but many times mental illnesses are unfortunately misunderstood, unseen and stigmatized.
To anyone reading this who is feeling alone and hopeless: you matter. Please reach out and call family, friends or one of the helplines. We are also here for you, you can talk to us in the comments. You are not alone 💙
One of the biggest problems with mental health is that we tend to blame ourselves or situations for how we feel, and while that may often be the case, we need to be able to recognise when the issue doesn't get better or continues to get worse. We're also quite a prideful species, and don't like to admit that something in our heads might not be 100%.
As someone who has dealt with anxiety for several years now, I advise anyone dealing with things like that to seek help. Talk to someone, even if it's not a doctor at first. Things will get better. ^_^
Particularly when they're not working properly, there's more of a separation between our bodies and our selves than between our minds and our selves - if there's something physically wrong, particularly if it's something we can see or touch, then it's a lot easier to say that there's something wrong with my body. If there's something wrong with my mind, then that's something wrong with the thing that makes me me...
I don’t even want to watch the shows alone. Only with you reviewing lol.
I’ll watch it with you 😚
I've literally rewound and rewatched ur reaction to that ending over 2 dozen times. This was one of the best episodes of Scrubs and seeing u react so sincerely was awesome. If u had to do a video on any episode, I'm glad u chose this one. Keep up the great videos!!!
Your review was wonderful. The end of that episode always makes me bawl. I can straight up say that we could all see so much compassion in your eyes through out the video. I'm so glad you chose to excel in the medical field. I'm sure you're an amazing doctor and person :)
Props to Turk for properly removing the ECG. As a nurse in a surgical ward I removed so many of these damn ECG stickers that were probably unused for days at the point I removed them.
Der Lumpenritter I always seem to find one still stuck to me when I got home from the cardiologist's office or having a procedure. I work in an animal hospital, so ours actually just clip directly onto our patients' skin.
I want some of your stickers. Ours refuse to stay.
Haha! Had several jaw surgeries, and what do you know - I came home with the marks from these stickers each time because they stayed on several days post surgery, randomly.
I will always a) get goosebumps and chills when Cox reads from the chart and realises what he’s done, and b) cry my freaking eyes out by the end of this episode. Absolutely brilliant TV.
I'm so happy you are doing a different episode! The pilot isn't the best example of the show.
+Alanea Cremen I don't think it ever is. I would always recommend watching the first, one very typical and one rather special episode when checking out a show. This paints you a good picture.
It's so touching to see Dr Hope's reaction to the episode.
Another incredible episode of Scrubs.
This was a great addition to your channel. I love the humor and occasional poignant nature of Scrubs. While it isn't accurate in some aspects it does a good job of revealing the real people that make up healthcare professionals.
Dig !
even though i watched this episode years ago, and you reacting it to it when it came out a few years back, it still had the same impact as the first time. possibly one of the best scrubs episodes
Damn dude you could tell how tough it was for you to watch that last scene, also can’t understand why people wouldn’t be an organ donor, what’s the most common reason you see for people refusing to donate organs?
Religious reasons is probably the biggest factor in not wanting to donate organs/blood.
I've always wondered about that myself and was baffled to learn that a lot of people actually think doctors would give up on them or even "make a mistake" when there would have been a chance of survival, if you're registered.
Nonsense, but there was a huge public discussion where I live sometime in the last few years because of a political thing and that was one of the most common reasons I've heard.
edit: and yes, of course the desire to die "intact" often religiously motivated or just the inability to confront one's mortality, because in most countries you still have to make an active move to be a donor and few people want to think about their death, especially an unexpected, early one.
I'm registered, but I'm also a smoker, so idk how much they'll be able to salvage when the time comes. But that's the reason I can't donate blood.
Probably Religion. Which is rather stupid in my opinion because if a good exists, a god that wants you to help your neighbor, your fellow men, donating your organs after death to save the live of other people is the most passionate thing one can do.
This might be a little out of date so apologies if the information isn't 100%. I know in the UK, unlike some countries you have to opt-in to organ donation, which means that a lot of people who might have donated are never considered. I also believe that relatives of the deceased can over-rule someones choice to donate organs (this is the bit that may be different now). I guess that it is a very emotional time for a lot of people and they don't want to let go, I don't think I'd like to make that choice even though I am very pro-donation.
I didn`t recognize the episode by name but as soon as it started I remembered how amazing it is, then saw you watching the ending and felt like you were trying to help them, your face showed the suffering a doctor in that scenario feels, much respect for the profession.
Wow THE reaction when Dr Cox loses THE last patient seemed so authentic. I Love these videos please make more
Watching your reaction to his breakdown at 18:00 made my heart break man, you've clearly dealt with something similar. Peace and love x
I watched another video of yours in which somebody commented " I prefer Dr Mike as you seem emotionally dead" or words to that effect. I actually couldn't disagree more. I was hypnotised by the emotion on your face whilst you were watching the final scene.
Great video covering a great episode. The part where you're watching the patients all passing away at the end you can see in your eyes the empathy you have for the character. Thanks for doing these videos :)
Huge scrubs fan, this episode is always so difficult to watch, even if the medical side of things is sacrificed in place of the story. It may not seem like it to some, but I have these situations and feelings in vet med, and I can't imagine doing this work for humans. You're an incredible person for doing what you do, and thank you for sharing your knowledge and experience with us!
Actually this story was based off an actual case that happened and it was devastating, further proof that scrubs is just that phenomenal
This is one of my favourite episodes of television ever. Even watching it in the little clips and still knowing what was coming made me tear up. Just found your channel and loving it so far.
This was such a great episode for you to choose because I think it is one of the most important episodes in the series. I really appreciated that during those couple of minutes you were silent, but your face was reacting so genuinely. It was interesting to see your reactions (since you've never seen the episode before) and left your comments until the end. Overall, great work and hope you keep reviewing more Scrubs episodes!
I know I'm late to this vid, however after just rewatching Scrubs with my daughter, this episode has always stuck with me due to the raw emotion. It still gets me even though I've seen it several times. Seeing you get uncomfortable watching this at the end from your body language, even with some medical flaws reminds me of how good this show really was.
Watching your expression as you watched Dr. Cox try to resuscitate the man was heart wrenching. It didn't help that the Fray song pretty much transports me back to all the major tragic events in Grey's anatomy/as an early teenager when the song first came out.
Even if there were inaccuracies, nobody can deny the emotional impact this episode makes, especially when Dr. Cox breaks down, which was the first time he ever did as he was always placed as this tough battle hardened veteran who's seen it all. There's a reason this episode is the highest rated episode alongside My Screwup, but that episode is rated so high for the twist and whilst we do see Cox emotional, it's not like the level we see here.
about the "inaccuracies". i know I'm late, but there has to be things left out and not done right or the show would'nt hit as hard as it did. It has to be streamlined and of course you can't do everything right, cause it would be more costly, not as easy to film and also the knowledge part. I think it's fairly good.
More scrubs please! My favorite comedy series of all time and it's very interesting to see it from a professionals perspective as well.
Many months into lockdown and social distancing...binge watching scrubs and house. As bad as an epidemic/pandemic is on tv shows, it doesn't really compare to whats going on right now... i went for my annual health check up last week and the look in my doctor's eyes... it gave me flashbacks to this video and how hard Dr.Cox took losing 3 patients at once... if my doctor is like this... i dont know how many doctors are starting to break under this pressure and stress. I hope that you are doing better than the doctors here.
It seems impossibly difficult to be a doctor, I really don't know anything about it, but there is something really admirable about being able to save people, but also cope with death on such a regular basis. Kudos to you guys, you're doing the world a great favor.
Thank you for letting us watch your emotional reaction through that end sequence.
Hey Dr. Hope! I just want to say I really appreciate how you take a holistic approach to your videos. Here in Canada not all physicians take an approach like this, and it's usually left to nurses like myself.
It's refreshing to hear someone who can understand our perspective and looking past the medicine to the person.
You are the first doctor do a react I've seen that understands that film needs to, as you put it, "streamline" things to tell the story. Well done. I'm hooked. Kudos!
You could really see your empathy and compassion after they realized the woman had rabies, and how the doctors reacted. That just struck me and I think it says a lot about who you are as a person, and as a doctor.
Dr. Hope, I watched your face more than I did the show toward the end because I noticed something: empathy and sympathy. You’ve clearly been there (not just because you said so, I can see it and feel it), and you felt the pain of the doctors, which also makes you feel for them. I don’t think I ever realized just how much the job affected doctors until I just saw it on your face. I have such a renewed respect for doctors now. I’ve always respected them. They go to school for an extended period of time and still continue learning even years after school is over. It’s not easy. However, this human aspect I just saw in you, and how you’ve obviously been there before, just took it to a whole new level. Thank you for being there, to sacrifice your life, for strangers who may or may not appreciate what you do in the end.
Man would I love to meet you in person. The conversations we could have...
My hospital (in the US) doesn't have specific wards, outside of the ICUs/L&D. All the patients are just randomly mixed together. So you'll have a stroke patient next to a cellulitis patient next to a bowel obstruction patient.
Here in Australia, I think we have a similar setup to the UK. Because I have heart issues, I have had a procedure done (balloon valvuloplasty) and while it was done in a general surgical suite, afterwards I was in the Cardiology ward for recovery. Part of the Cardiology section includes the Cardiology outpatients, and right next to it on the same floor is radiology and imaging.
I guess the random mix must work though, since hospitals in the US are still saving peoples lives. ^_^
the hospital in my town is 1 hallway with about 20 rooms
Yeah- and I think the asides from some ER stuff, alot of the show is set in the ICU ward- when my uncle needed a lung transplant, he was in the ICU for a while. Of course I got the call that he was accepted the week after he died-
I think it depends on the hospital. The hospital I go to (which is also in the US) has a ward for most specialties. I've never seen a fully-fledged hospital that didn't have them.
M F It depends on the hospital. A lot of the University hospitals are split into units that are specific to either the disease or organ. It can also be split down to the age limit of the patient. You will not see a person under 18 in with an adult that is 30. A lot of the hospitals around where I live also has orthopedic hospitals that is for joint replacement or broken bone. A lot of Children's hospitals also are broken down further to specific organ and disease. Cincinnati Children's Hospital has a ward for Cystic Fibrosis as well as a ward for Cancer.
Aw man! I could very easily see your discomfort and emotional hits in particular moments! The way you shifted your weight when Kelso said "The autopsy just came in on your donor.." You were having an 'oh shit' moment! The way you felled your head into your hands when Dr. Cox had his outburst, and the silent 'my god' you mouthed when Cox left the hospital. I know lots of people have commented on it, but your genuine reactions were great! Empathetic people make the best doctors in all fields!
I really respect Scrubs for how seamlessly they can segway from great comedy to tearjerkers like this and Ben's funeral. It never feels out of place, and is acted out so beautifully by the cast.
Thanks for making me tear up at the gym. Lol
I've never watched Scrubs, but damn, was that ever intense.
Your videos are great. Keep it up.
Scrubs is actually really good at hitting you in the feels. They do it just right, no cheesy deliveries, no holier-than-thou platitudes.
Dark Helmet ahh. From my old lady
In an early DVD commentary, the creator of the show brought up his desire for it to be dramatic at times, and even made sure to have 3 or 4 serious episodes per season.
Years later, and this episode -still- hits me. I get teary-eyed every time. God, just imagine being in Doctor Cox' position, losing all 3 of the patients you, specifically, were put in charge of, all because of one single problem you couldn't predict. It's so sad, dude. D:
It may have been a comedy series, but they really knew how to tug at the heart strings. One of the reasons Scrubs is still one of my favourite series. ^_^
This was one of my absolute favorite shows for years. Thank you for your kind yet realistic analysis of it.
Biology was the one class I just could not grasp, but damn I love your videos. You just make medicine so interesting and your passion is clear and truly inspiring
Hi
I'm gratified that you took my recommendation to talk about this episode in particular. I've seen this episode more than 10 times, it still chokes me up. Crazy that a comedy show also has it within itself to deliver something so heart wrenching.
omg this episode was iconic, i love that you're going back to all these 2000s medical dramas, they're my guilty pleasure lmao
the first episode of "little boy blue" is considered an incredibly accurate portrait of these situations. I thought of it at the end when it was mention there's a "conductor" like figure at the end of the bed... so to speak... love to see you react to that... if you havent already (this is my first vid ive watched from this channel)
Just want to say that although they changed the events for more dramatic effect, it obviously had an impact on you. It was great to see that sort of genuine reaction from you from the first mention of rabies to the last patient's death. Many times we like to think of doctors as super-humans but I think many take comfort in seeing a doctor just be a human being.
Sometimes is enough.
You’re a great Doctor. The way you were after seeing the ending play out, shows that you may of seen something along these lines. It seems to of hit you hard. Keep up the good work doc, you’re saving lives everyday.
Your reaction to the final patient dying made me get a bit choked up, was a good episode and you could see it hits home just the same with you as it did with anyone watching it. Got me subbed for that
This is the first of your videos I've seen, but I will now watch the rest. Your commentary is the perfect blend of fact/opinion/anecdote and humour. And your face when watching certain scenes here also said a great deal. Doctors have jobs most of us couldn't begin to relate to. The pressure and weight of expectation is unlike anything else. Thank you for not just taking on that role, but for allowing us a window into what it must be like.
Dr. Hope's Sick Notes -- This is, I think, a direction your channel should not be afraid to take on a regular basis. Yes, there is a lot of technical, mechanical, and medical inaccuracies in the shows you review. You acknowledge as much, and play off of it. That's part of the education/fun of your channel. But sharing this often ridiculously silly television show (like the mostly unbroken final scene of this particular Scrubs episode isn't) alongside the reactions of someone who not only genuinely likes the show, but, in this case, is also a doctor, is nothing short of brilliant for us viewers. All of this is to say: thank you for tackling this episode the way that you did. You not only demonstrated supreme respect for your practice and passion, but also handled the art with heart and integrity.
If I may offer a few selections for future review:
House MD. - One Day, One Room (it's not a medically technical demonstration by any sense, but its main focus is on the human condition and the doctor's role therein -- with sarcastic assy-ness from Sherlock House.)
Scrubs - My Fifteen Seconds (not for the medical mystery [there is none], but for the human element.) My specific question(s) to you is/are; were you always personable? Has being able to communicate effectively on a human level helped your practice in any way?
You showed, with this video, a connection to the human element inherent when practicing medicine. These two episodes stood out to me. Neither are anyone's favorites, I'm sure, but they appealed to me in this context.
Thank you! Keep saving and entertaining lives.
Scrubs is one of those shows that I love because it can make me cry laughing and then make me cry with the feelings of sorrow and anguish and loss.
"Where do you think we are?" is the line that always gets me.
I haven't watched the tv show Scrubs but your insight and comments are so much fun to listen to! Thanks for making these awesome videos and I can't wait to hear and watch more!!!!
Maaan you gotta watch it asap! You're missing a lot!
This wasy favourite episodes of scrubs, I still cry every time Doctor Cox loses it. Thanks for doing the episode justice and thanks for another great review. I'd happily watch you go through any and all episodes of scrubs to see your take on the how factual each episode is
Why not use Pig or mechanical valve replacement, Faith grounds also some folks have rejection factors that prevent one or both options, so you have to go with Human, until of late with the development of medical grade protean printing.
Glen McInnes there's cow valves for those who reject pig on religious grounds. But I understand your line of reasoning.
Zena222 There could be the possibility of people refusing animal valves if they were vegan or vegetarian. It was very briefly touched on in an episode of House.
And this, ladies and gentlemen, is one of the very many reasons religion SUCKS and needs to be purged from this world ASAP.
TheMysteriouswatcher I mean, I kinda agree but that’s kind of extreme. Religion is harmless so long as it isn’t too extreme. It does some good but I’d say, overall, it DOES do more harm than good, though.
Plus they could be vegetarian...
I just found your channel after binging some old Scrubs clips, kinda had a nostalgia binge. And I have to say, I absolutely love your take on this all. The way you review it as a doctor, but still recognize the entertainment/drama side of it is a perfect balance. I would love seeing more!
Scrubs and House episodes for sure~
When you mention meeting patients outside the hospital, it reminded me of an incident I had a couple years ago. I'd just graduated from college a year before and managed to cut my hand quite severely. I ended up in the E. R. and to make a long story short, I had surgery to repair the damage and a few weeks afterward I went to a graduation party for a friend who was a year behind me and who else was there but the same doctor I had in the E.R. We shared a good laugh and it was a serious case of "small world."
I love Scrubs so much, and this video was wonderful. I think what really makes this episode so breathtaking and tragic is the acting. Their acting is absolutely amazing. It makes the emotion behind the situations feel so genuine. I also can really appreciate the breaks of seriousness in the midst of the comedic moments. This episode, the one after it, the episode where Laverne dies, the one where Ben dies, and a couple more are just beautifully tragic. They are just so well written and you can really feel the emotion in them. Also, I wanted to say with the scene where Dr.Cox loses the third patient, the cinematography is such an accurate portrayal of how I can only imagine he would’ve felt. I can imagine that would be one of those moments where everything is so surreal and it feels like your whole world is crumbling, and I think their depiction is so simplistic, while also having a contrast from the natural cinematography of the show, and just being flawless for the scene and the emotions tied to it. This show is so wonderful and is underrated beyond belief. It was definitely ahead of it’s time.
getting a notification for a new upload from your channel always makes my day, thank you for sharing your amazing personality with us on TH-cam!
That got to me, made me really emotional, because of your real life insights in comparison to the TV presentation of it. I love these videos you do. I have no hope to ever be clever enough to understand anything medical, but you give a great insight to the other side of a hospital someone like me never sees. I've only ever been a patient, and I have had both positive and negative experiences with medical professionals. Luckily, the great majority has been positive. I am forever grateful for the people who study and work so hard to help their fellow humans. You might lose lives but you SAVE them as well. Without you, and people like you, where would we be? I am forever thankful for the good people who are brave enough to take on the responsibility of trying to save people's lives. To be in that position, of dealing with life and death decisions, is a burden I don't think I could live with. So to all of you who do, who strive to heal and help, I am amazed and so very grateful. Thank you, from the bottom of my heart.
should do a review of 'the knick' see how old tech is still related to nowadays medicine
because of your reaction @18:09 i now knew you are a caring doctor above all... And i hope you still are. Cheers.
I think everyone remembers this end scene with this song. Even after I watched it countless of times, I still tear up when Cox loses it after the patient dies.
You should also react to Season 1 Ep 4 - My old Lady and S3 Ep14 - My Screw Up.
Oh, My Old Lady still gets me a lot! 😭
Watching your response and your face change when the patients were dying was very touching. It's comforting to see people feel sad over this. It means they care. ❤️
Coming from a entry level biomech engineering background (not an expert), sometimes you don't use mechanical valves because the patient has allergies or other complications to the materials. Or if they have previously had replacements the tissue can be scarred, damaged, or just not enough there and human transplants can sometimes attach better.