Critical Surgery on Impaired Patient vs. Ethics | Chicago Med | MD TV
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- เผยแพร่เมื่อ 18 ก.ย. 2023
- Dr. Rhodes treats a woman with a heart infection against the advice of Dr. Charles.
From Chicago Med Season 2 Episode 7 'Inherent Bias' - Goodwin reunites with her childhood sweetheart; Dr. Halstead gets lured into a concierge doctor app idea; Kenny a former patient of Reese's reaches out for help.
Chicago Med (2015) The doctors and nurses who work at the emergency ward of the Gaffney Chicago Medical Center strive to save the lives of their patients while dealing with personal and interpersonal issues.
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Dr. Charles is truly amazing! He diagnosed the woman so easily. His knowledge of medicine and psychology makes him the best doctor on the show, in my opinion.
Not how it works in real life and Charles is still an amateur compared to House.
Well, Dr Charles isn’t real…
@@drakecarter1780naw duhhhh it’s a show 🤣🤣🤣🤣
Yeah, and especially considering he gets judged for being a psychologist. 🙂
@@drakecarter1780 House has a whole team of people who help him diagnose patients, some of whom double as foot soldiers to break into his patients' homes on a dime. Dr Charles is not only working as one man with perhaps a doctor to help, but he does it without risking being sued for medical malpractice, property damage or assault every week. Dr Cuddy has to set aside a whole budget and a legal team to tackle House's incidents. Dr Charles is not only more efficient, effective and kinder as a doctor, he's also a better deal.
“Maggie…-“
“Already on it.”
Love the ones that are attentive like this.
Even for a psych consult they are suppose to do blood work, EKG and at least check your vitals. Ive never heard of that not being done first, while waiting for a psych consult in the meantime.
Exactly I was thinking that too.
it’s actually happened to me. when I was 9 I went into the ER for a different medical reason, and when they were asking the standard questions they asked “have you had thoughts of harming yourself today?”. I was a kid so I stupidly answered honestly that yes, I had. they immediately sent me in and made me do the whole psych routine without checking my vitals or anything. they only got to what I was actually there for after I waited an hour to be cleared by the psychologist. my parents were furious, and I’ve never been honest with ER doctors about that stuff since.
Even in my experience, they have to do a full work up to make sure no preexisting conditions are to blame for psych issues, even with documented mental illness
I've been to the ER for psych issues, can confirm. At one point in my life the nurses commented on how I automatically held my arm up for checking when I was first seen.
This whole episode was a level in 'the writers have never been near a hospital or even watched their own episodes'. Because getting a legal guardian for impaired patients is also just standard operating procedure. It wouldn't even take that long and they specifically have a staff member who handles finding guardians and scheduling the hearings asap, iirc.
I wish we could get a new season where all the OGs are back
YES
I wish we could just get a new season.
Agreed 😊
I just want Rhodes and Halstead back - not so fancy of Natalie though
I love Dr. Charles ❤ he is the best doctor, i wish we had more doctors like him
He’s an actor. The show isn’t reality
@@ab8273Wow! I thought he was real 😮
@@ab8273ok so? Can still have favorites and talk about it
Falsifying consent in this situation is the sort of thing that get's doctors permently disbarred, and is really stupid because there is a very simple procedure - an appointed guardian that would almost certainly agree with the decision to perform surgery.
The issue here isn't some massive ethical dilemma, it's a surgeon with a God Complex that can't be bothered with "silly" rules that protect patients from abuse by arrogant doctors.
They didn't have her informed consent, but it was still legal because two doctors agreed that the surgery was essential and signed off to that effect. I believe that's the procedure if there's no next-of-kin to consent.
The law over here is that if someone is not able to give consent then you can assume consent. That's where it gets grey
I whole heartedly agree
Doctors don’t work for the Barr. Attorneys do.
Bar? You mean the medical board?
"Ollie" (Oliver Platt) has been my absolute favorite since the "new" BratPack of the '90s. What a gem of an actor , and from all accounts of a *person* as well.
1:50 I love when Pam hugs Daniel. 😢😭
Daniel is the nicest doctor in the world
I love how kind and gentle he is with his patients.
Dr.Charles Is A Really Great Doctor To Help Patients😊
They do surgery on people like this all the time if surgeons want to and it’s deemed “best” for them
I'd say that would typically be in a situation where they're likely to die if they don't get the surgery done immediately but I think the implication here is in this situation shes not showing signs of being in immediate danger and therefore it would be assault to do the surgery since it's not a dire situation
Considering this is America and the. Cost of Healthcare no one is touching. Her unless the surgery is paid for
@shelldie8523 yes, this show is set in an alternate universe where adequate healthcare is provided to US citizens.
@@shelldie8523 come on, US surgeons are all too happy to do the surgery and just send you the bill for a couple hundred thousand in medical debt
@@scrubaatividya exactly and if no kin they appoint a guardian ad litem. Who in a case like this, would give consent.
My dad has that same heart pillow. Kinda brought back a memory.
Did your dad have open heart surgery?
Yes. Years ago, the pillow has been signed by family members and close family friends. I think it’s currently tucked away in storage. @@kellybeck4579
Did she ever get her cookie dough ice cream?
Legend has it to this day, she’s still waiting for that cookie dough ice cream
The ending confused me. She was better from the antibiotics but forgot Dr. Charles? Wtf?
One common symptom of altered mental status (vague catch-all term) is that your memory is very poor, or you’re there but you’re not understanding and you don’t even know that you don’t understand, so you wouldn’t remember
I'm kinda sad for Dr Charles that in the end, the patient doesn't remember him standing up to the surgeons for her.
At least the female doctor was truthful
She also plays as a cop in the show called the rookie
Oh wow that’s a first 😂 a small scene from here (who approved the surgery?) was in the clip I watched right before this! It was the one with Sarah and a patient needing shelter
Dr. Charles is right. She cannot consent and it’s not an emergency.
😢Poor Jason he was suffering for so long and nobody noticed not even Dr. Charles
I'm glad that in most of Europe in casess like this, decision goes to Doctors - because that patient could very much die. Dr, Charles was lucky his gamble paid off
Ideally they would still need to give informed consent. If she is incapable (not unwilling) to give it then it would be a relative or legal carer. If they are not available and its life threatening then doctors would be able to act in what they think is the patients best interest. The shrink has said she is incapable therefore it comes down to what a reasonable competent (preferable with a 2nd opinion) surgeon thinks is for the best.
The shrink case is the most interesting here through, a patient is assumed to be competent unless clearly shown otherwise (ie unconscious, semi-conscious, formally diagnosed with a serious mental health issue, courts have ruled). A shrink saying not competent just like that is an invasion of a patient autonomy
The young doctor who messed up her diagnosis and just assumed that she was psychotic, he concerns me. Lol.
Dude killed himself later
@@stttttipaI think he walked off the roof, seconds after he was smiling and happily engaging with his colleagues. You don't see it coming. Crazy episode.
@@MrsCKane It's even better if you notice that you do "see it coming"...in hindsight. Throughout the season he has smaller and bigger moments struggeling, but it never feels like preparation for big "OMG"-moment
Well he was under a lot of pressure and severly depressed and self medicating with alcohol. I believe he later comitted suicide
Ich liebe Dr. Charles als Mensch weil er persönlich mit Menschen ins Gespräch kommt und sehr nett ist vom Charakter.
Dr. Charles ist super als Mediziner und Psychiater. Was ich sehr positiv finde ist das Dr. Charles nicht nur psychiatrisch denkt und behandelt sondern sehr genau nachfragt bzw hinterfragt ist es psychisch oder wirklich eine ernsthafte körperliche Erkrankung .
So einen Arzt hätte ich auch gerne gehabt.
What's up with Dr. Charles not liking or getting along with the surgeon? There seemed to be some tension at the end even when the surgeon seemed to be trying to put it to rest. Idk?
The surgeon decides he needs the money more than saving her life.
The camera shaking is distracting me from watching this part of the episode.
2:30 "remove the vegetations" I'm sorry, what?
Vegetations is the term for growths on the heart composed of cells, blood, bacterial remains
I don't understand why they wouldn't go forward with the surgery especially since she really needed it
If it isn't a "perform surgery NOW or she dies in the next hour" level of necessity, doing it without informed consent is illegal. And she's not in a position to give informed consent.
Though really, this is precisely the sort of thing they get next of kin in for, don't know why they didn't do that.
Plenty of people don't have next of kin. My dad is 71 and when he dies my nearest relative will be an aunt in England, and no hospital is going to be able to find her without me telling them.@@dragon_toad
dr. charles wanted to start her on antibiotics first to see if that cleared up the infection. she wasn't at imminent risk of dying if they waited on the surgery, and she did end up improving on the antibiotics so surgery wasn't needed after all.
feel so bad for jason
Wait what isn't she from rookie blue
The Rookie. Nyla Harper
Wouldn't implied consent be used in this case
ONE HOUR AGO, GAAAANG!!!!
Don't care
@@l.a.3479 bruh, if you don't care, don't answer
This show is obviously based on the sad state of the American healthcare system, or lack there of.
Upload house football episode
Which episode is that? Softer Side with the intersex child Jackson?
Why is Charles even allowed to make these recommendations if he's a psych doctor?
he’s exactly the kind of person who would do this. Any doctor, who actually follows their oath, would not do surgery on a patient that they did not consent to. But especially seeing as he’s a psych doc he would know better than anyone, whether or not a person is capable of giving consent. So it actually makes sense that he is the one calling it off.
Yeah like Alex said he's a psych doctor so he's very able to give advice regarding surgery if he's concerned the patient is too psychiatrically impaired to consent to it. Plus she was his patient at first
Are you talking about the cardiology bits? He went to medical school like any other doctor and has years of ER experience, he knows body medicine just as well as mind medicine