Bill Does a Lumbar Puncture

It’s always remarkable

[amylynn]

This tales me back to residency. I taught my medical students to do lumbar punctures and I promised them a bottle of wine if they had a clear tap. One of the students had one so the last night of the rotation I brought in a bottle of white wine. We couldn't find a corkscrew and we couldn't get the bottle open but we found that if use take a 60 cc syringe with a needle, you can insert it through the cork, withdraw the wine, and inject it into paper cups. Of course, that was about 30 years ago and would never fly today. Still one of the only positive memories of residency.

[mriduljain]

I love how the neurologist has the power to literally see neurotransmitters and, by extension, can predict the future.

[chrisperamunugama]

For those not in the know, a perfectly clear lumbar puncture sample (with no red blood cells) is called a champagne tap. So getting red wine after a lumbar puncture... Well...

[DKey-qbqf]

I love neurologist's hair, mouth shape and glasses. Whenever i see him i cant help but smile😁

[bubblycider]

“Unremarkable? When did you become a Radiologist?!”
We have the next couples’ therapy pair right there!

[zoeshimizo]

Neuro has the best burns, I felt attacked the moment he appeared on the screen XD.

[EvaReyRubio]

My neurologist husband just asked me to pause the video cause he was laughing so hard he could barely breathe. So, I think.... You're good.

[rocktorrocks]

I got a champagne tap just once in my last year of residency (a sample of spinal fluid taken with no bleeding and zero red blood cells as a result), probably one of the highlights of my years in training. My attending and mentor got me a bottle of champagne the next day (was tradition to get champagne if you got a pristine clean non-bloody spinal tap and why Bill got red wine for a bloody one). I struggled often and was considered one of the weaker residents, basically the Bill of my class, so that meant a lot.

[dr.kevinmoore]

"If I wanted no information, I'd just talk to the emergency physician.... Yeah, that's fair"

As a board certified emergency physician of many years, this cracks me up!

Well played Doctor!

[frostatine]

I had a lumbar puncture done, one of the newbies in records wanted to watch. All I heard when the first needle went in was "Oh my God, " followed by a calm "Please don't say that."

[emmeeemm]

"I can watch the individual neurotransmitters traverse your synaptic cleft."
"..."
"They made it!"
"Opening pressure was 35."

I lol'd. I joke sometimes about being able to see the individual gears turning in someone's head, but this expansion and punchline where the description of brain activity was literally accurate was beautiful.

[thompson]

Red wine. That is just brutal! I hope no one has ever been that mean in real life. (FYI it a tradition for attendings to bring a bottle of champagne to an intern the first time they do a lumbar puncture without getting blood in the sample. Not an easy task considering you have to go through tissue which has blood. A small amount of blood doesnt cause much problem, but a crystal clear "champagne" tap is beautiful)

[Hydrogen]

As soon as I saw the emergency physician’s face I shouted “OH NO!!” and startled my wife. She thought I forgot to pay the mortgage or something 😂

[rogacz]

"If I wanted no explanation I would just talk directly to the emergency physician." Classic.

[moavdi]

I send these to my nephew, an ER Doc. He thinks it’s hysterical that the ER Doc always is dressed to ride 🚴. (On a side note, he hikes and rock climbs 🧗🏼‍♀️)😆

[macbob]

As a vascular neurologist... this is the BEST neurology skit ever! I have often had to ask residents: "is the LP negative for a NEUROLOGIST or just vaguely negative?"... The answer was always "vaguely negative"

[gauravjain]

My favourite part of the video is when the emergency medicine doctor doesn't even argue, he simply accepts the insult and gets going 😂

[lindseymcdougall]

I would love it if Bill ends with “actually there were zero red blood cells. You owe me a bottle of champagne”

I can imagine an anti-Bill. They just randomly say to no one “the LP was unremarkable”. Neurologist turns up and says “excuse me?” Anti-Bill goes “great. You’re here. I have a consult for you……..” Reels off a comprehensive history and examination with a differential the neurologist can’t pick holes in, LP results and Whatever other test the neurologist would recommend already having been done. Finishes by pointing out their LP had zero red cells so someone owes them champagne.
Neurologist just stands attempting to talk. Anti-Bill asks what’s happening. Psychiatrist comes over and whispers “he’s having an existential crisis as there is nothing he can belittle you for, I’ll have to take him from here”. Neurologist goes to therapy

[viridityharper]

Honestly Dr. Glauc I've watched your videos for a long time and as a person who's always hesitating in what I should pursue my residency in You inspire me to go to neurology. I can't help it. Nuerology is hands-down the best character(after jonathan) to ever exist .His tantrums his fine prickly attitude what's not to love about him..

[slplss]

My theory about Jonathan and Bill is that Jonathan is actually the future version of Bill who time traveled back after finishing residency to help himself out, but accidentally became a scribe. All the Jonathans are versions of Bill; he time traveled again and again to get out of being a scribe but failed.