Surgeon Breaks Down 22 Medical Scenes From Film & TV | WIRED

Surgeon Breaks Down 22 Medical Scenes From Film & TV | WIRED

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Hi. I'm Annie Onishi Annie. Onishi is a surgery resident, no no I graduated. Residency, I'm a fellow in trauma surgery and critical care now you, asked for it I'm back, breaking down more clips from film and TV. Roadside. Liver surgery, the good doctor, here's, your liver I'm gonna need you to sign for it how long ago did you take it out three hours, we just lost three, hours, technically. Three hours and five minutes your, clocks on the cooler so. Once an organ has been removed from a donor that starts, the clock for what's called the cold ischemic. Time that, is the amount of time that the organ is not actively, receiving. Blood flow from, the original, patient and from the recipient, what about a police escort. My, doctor's an. MD does actually personally, deliver, that cooler you, get to write on an airplane sometimes, get to write in the back of an ambulance lights, and sirens it can be pretty exciting I don't. Know what you're looking for sure yes, I can feel it it's firmer I don't know what that means there. Must be a clot but there isn't a clot this can show no clot there's no way you would be able to detect, a clot or a thrombus inside, the liver that's just not unless. You had an ultrasound vision. Of the tips of your fingers you wouldn't be able to do that we, have to immediately remove the clot and flush the left lobe to protect it from the ice baths you don't need to protect, the liver from the ice bath I'm not sure what he's talking about okay we need to stop the car sure, yes yes we need to operate right. So. Great thank googled queen of segments, that's like, super cutting-edge super accurate so, the Queen ode segments, are how we anatomically. Divide, the liver based on its blood. Supply and its biliary, drainage, so. There are segments, one through eight this. Is correctly. Labeled it's missing segment 4a and 4b but other than that that's that's. Pretty good, this. Is also not what a liver looks like so, when a Limor is procured, from a donor it actually comes with a bunch of stuff attached, to it so it comes with the the big portal, triad attached, to it that has a basically. The business end of the liver how the liver drains it, comes a little piece of intestine attached, to it still bunch, of blood vessels in the back we, bring, more, than we're going to need basically, it does not look like that this, is better than having a baby in my car do not put that liver into me, subcutaneous. Infestation. Evolution. I.

Would. Put a tourniquet on the leg and trap it and then and go after it that's what I would do. Going. The other way how, you going in rectally. Personally. I don't think I could get to this directly. It does look pretty simcha, taneous. Agree. There is always time for lubricant. Oh. Clinch so as an expert in rectal, foreign body surgery telling. The patient not to clench is not gonna work you really have to give these people a lot of sedation and get them pretty much totally asleep if you're gonna go, up there and fish something out. He. Looks like he's in a ton of pain and obviously very, uncomfortable, there's, no chance of getting anything out. I've, never. Personally seen, a bug like that craw from the leg into the colon what do we do the only bugs, I've ever encountered. Have, been in Kenya there's an intestinal, parasite called, ascariasis, it's. A series, of tapeworms, that end up living inside, the intestinal tract and actually cause obstructions, don't. You ever do. That again. Craig Oh thyroid out of me from anaconda. That's. Not exactly, how you do that a cricothyrotomy. Is. An emergency, procedure that, is performed when. A patient, has their. Airway, that cannot, be intubated, from their mouth so looks, to me like the indication, here for Craig is that this patient has some sort of wasp in his upper airway so maybe, there's some swelling in the airway so, typically, a breathing, tube will go into the mouth into the trachea and then we can connect, that tube to a breathing machine so the patient can still breathe, in. An emergency situation like, this yeah I would probably just, use my knife get down to, the cricothyroid membrane and yes enter sharply, like he did there I'm. Not sure what kind of tube it is but it looks like a reasonably, sized tube but they would need to start ventilating right away it doesn't work if you just stick it in there you have to breathe for the person. Chaotic. Emergency, Grey's Anatomy. Can't. Frighten the, doctor here says that she can't crike and I don't know why I can almost always cry he's, got stuck you emphysema and. This, thing that she says sub-q, emphysema, what, that refers, to is that child has air, in. The skin and soft tissues, on the chest that's, usually a sign that something, really bad has happened to this kid he probably has an emergency chest tube and he certainly needs his airway controlled somehow all right. -. Orange. Drawer orange. Drawer. I knew. That no chest sounds on the right HSP. Seconds, anybody actually have chest tubes so clearly in this chaos the nurses are not here, so the doctors, are trying to do the job of both the doctors and the nurses and, this is what would happen I'm trying to set up this saline, drip and I can't get this thing to stop beeping, anyone, so that's a hundred percent accurate so when doctors. Like me try to set up IV pumps, which is normally the nurses job usually we can't figure it out usually there's, bubbles, there's beeping there's alarms nothing, works and a nurse usually has to come and rescue me IV, drip rate it's different for kids depending on the size so anybody the calculator.

How's. That taste Izzy's 30 kilos that broselow, tape that's, a real thing so when a child comes in it is a tape that you literally, measure their body length with and it will give you the best estimate, for how much that kid weighs, throws. Out tapes is he's 30 kilo Stanek concentration of dopamine is 1,600 mics per CC so five times 30 is 150, times 60 minutes and hours 9,000, divide that by 1,600, infusion rate is five point 65 cc's per hour so that's the kind of math that nurses, do in their heads all the time or they have memorized from giving this medication so frequently, I feel, like an idiot, brain, transplant, and get out, so in get out they perform a series of really barbaric. And racially, driven brain, transplants, luckily, in my opinion, brain transplant, is not a thing and probably won't ever be a thing. Rookie. Mistake you're all sterile, you're all scrubbed in and then you touch your mask start. Over. So. Technically those glasses don't count as eye protection. He's. A psychopath, but he should really know more about sterile technique. In. Real brain surgery, you don't actually remove, the skullcap you made sort of a curvilinear incision. Along the plane of what, part of the school you're gonna remove. So. This is clearly dr. Armitage is special, torturer. Brain surgery tre oh wait I am so. Confused. I don't, really, recognize, any, of those instruments. I think the. Instruments. Second, from the bottom, looks. A little bit like something called a Roger, which, is how you remove bone fragments, from things I see some suture. Scissors up next. Honestly, the thing on the left looks like a speculum. For lady parts but I'm not sure. I mean I've told you not to go in that house. Directing. Your own surgery, Ronin. I've. Done this many times before we. Just cut up there just. A little cut. The. Operating, surgeon here is using an 11 blade that's typically, not really used, on skin, in this manner typically. To make the first incision on the skin and use a 15 blade or a ten blade take. The clip this is a sponge stick you see a ton of sponge sticks in medical dramas it's unbelievable. Avengers. Pose. This is not how you use a sponge stick a sponge, stick is typically. Used deep in the body it's a piece of gauze wrapped around what's called a ring forceps, I'm sure it's, used to very gently retract, a very delicate structures, that are deepen in the way it's not used to the lot that's. Open it up spreads but Robert DeNiro is describing, spread spread spread which, means actually inserting, the tips of that instrument and spreading. Tissue so you can make a cavity bigger that. Is a maneuver, that we use, in surgery very commonly if we need to get access to a certain place. Dropping. Someone off at the year and then leaving Hustler's. This. Is actually a thing we, sort, of tongue-in-cheek. Refer, to this as the homey drop usually, it's because either they happen to be right by the hospital when they got hurt or somebody's, too scared to call the cops or call EMS usually. We're just grateful that they brought the patient to medical attention so we can help them heart. Surgery from Krank -. Mm-hmm. That, is not what the human heart looks like first. Of all it doesn't continue beating once it's all disconnected. Without. Sounding too creepy yes we do comment on people's insides. So. As silly as that looks, that, does actually, exist in real life it's called a total artificial, heart it's. Usually used, as a bridge to a transplant, for a patient who has something very very wrong with their with, the actual muscle of their heart yes. This, is definitely some back-alley, heart surgery I really, would not recommend going to these doctors. Jack's. Appendectomy, lost. So, you do actually flip the needle like that that's to get the little air bubbles out so you don't inject air into the patient no Jack they found some chloroform at the medical station I could not you out. Managed. With I became lidocaine, is a local. Anesthetic, that's used to numb, the area. It's, what you commonly might get in your gums at the dentist. That. Is a massive, incision. For an Appy that was huge, totally. Unnecessary. A penis short for appendectomy, which, is the surgical, operation to remove the appendix spreader. I think, that she's probably asking for what's called a self-retaining, retractor that's. A little skin retractor that would stay open by itself bring, your hands oh look, that's actually what's called a finished shuttle retractor, not, typically used on the abdomen. I'm. Sorry jack okay well, he's just being, loud and fidgety I would want him knocked out too but we actually there's a lot of reasons when you put patients under, general anesthesia for surgery obviously, one is comfort the, other is total muscle relaxation, so we actually give you a little bit of a paralytic, so your muscles completely relax and that actually makes incisions.

On The abdominal wall much easier would, you rather be dreaming about something nice back home eating. Human, brain from, Hannibal see the brain, itself. Feels no pain carries, that that concerns you so, it is actually true the brain itself, has no pain fibers so, once the patient has been sedated, and, the craniectomy part, has been performed, they don't actually did numb the brain in any way here's, the. SAC. That contains, the brain. So. Here this little membrane dr., Lecter's removing is something called the dura it's not really that stretchy, or. Kind, of shiny like that or rippable like that but that is an actual layer that protects the brain between the brain tissue itself and the skull and, if you look at this diagram here you can see all the different layers in the head so you have the scalp the, skull then, there's a potential. Space with, the different layers of dura followed, finally by the brain tissue actually below all of that. That's. Smells great I. Personally. Prefer mine with a little more garlic than that but I'm sure this is fine so I'm not a brain surgeon I do know that in some neurosurgical, procedures. The patient is actually wide awake so, that fine, elegant, tasks. Such as speech or fine, motor movement, can continue, to be tested while the surgeon is operating, on that particular, area of the brain so. That way the surgeon knows this is the area that's controlling this for this patient we shouldn't cut that we shouldn't touch that self. Surgery in Wolverine. I. Gotta. Get that thing. First. Of all I wish my scalp was attached to my hand like that that would be pretty cool. That. Looks like pretty pure CGI to me doesn't look like real x-ray. There. Are some, operations, that we do use active, x-ray, so we can monitor. Certain parts of the body while we operate on them keep going, so our, orthopedic, colleagues always use something, called the CRM which is a dynamic, movable x-ray, to take pictures of the bones as they're getting fixed, same, thing with vascular surgeons they very commonly use x-ray to take pictures of the blood vessels that they're operating on and to fix those blood vessels so the use of x-ray in and of itself during surgery is very common the. Surgical checklist er. Remember. Being asked if dr. Benton could scrub in for this this is an example of how a surgeon, comes in with his hands sterile and somebody else helps him get dressed put him under let's do this what, about the checklist excuse. Me, safe. Surgery checklist this safe surgery checklist is, a real thing that's practiced, every day in every operating room in this country I've, had 10 cases a day doctor it only took a minute 1 minute John Carter here for a right cadaveric renal, allograft does. The patient have a known allergy, no. Does. Anesthesia, anticipate. A difficulty, or no is the risk of bleeding greater than 500 CCS, so that's a great representation of a surgical time out that's really thorough it goes, through all the major important, things any nursing, concerns you don't have any reperfusion solution we, won't be meeting it. They. Said they didn't have enough perfusing, the solution in the room so the nurse went to go get it and that's gonna save them some trouble later on in the operations, that people aren't rushing around trying to get what's needed I think that this is an excellent teaching opportunity, we take, this practice, from airline, safety so before an airplane takes off the, pilot.

The Copilot and, the, air traffic controller, go through a checklist where they check every single system on the airplane and make sure everything's in working, order before the plane takes off a surgical. Checklist is the same thing we make sure that we have identified, the proper patient, that we're doing the correct, operation, that we have all the equipment week we need and it, really is meant to reduce medical, errors and surgical errors now, let's just take. That time and introduce the room she'll Elaine scrub, nurse paula cheney circulating. Nurse k Schumacher, anesthesiologist. Randall Aukerman chief surgical resident, Ethan, Dean Surgical. Intern that's, actually a great representation of who all is in an operating room he had the attending, he had two assistants, that resin in the intern, those. Two nurses they're the circulator, and the scrub tech as, well as the anesthesiologist, this is actually very accurate warning. Antibiotics, given in the last sixty minutes just starting them now. If. You running any marks prior to incision you've got the risk of infection by half dr.. Benton, you're. A guest here and I, don't like guests. As, a friend of the patient you're, welcome to sit observe. And shut, up. In. Real life surgeons are definitely, not that impatient, they will absolutely wait for the antibiotic to go in because they don't want the patient to get an infection any concerns from the surgical team only that you're wasting my time so it seems like this surgeon, who's about to do this operation is sort of anti checklist, that's, really a no-go these days so we always do a time out in a matter way that has a lawsuit waiting to happen, impersonating. A nurse the, dark night. So. Nurses do where Nursing Uniforms that's a little outdated old school most of them are just regular scrub, tops and a uniform top that just says RN in the name of the hospital. So. If Harvey Dent really had a burn like that in real life he, would be intubated, he don't be on a bunch of medications, receiving, a ton of IV, fluids, he would be really really sick and really not able to fight back when the Joker comes. And. Here. In the background you see some coronal. Images, which is a means. A picture taken in this dimension, of the body that, looks like an MRI slice of a brain it looks pretty normal I'm not sure why Harvey Dent would have needed to have had an MRI I, don't. Want there to be any hard feelings between us Harvey a patient. Intake survey Parks and Rec everything, you write down is confidential. We need you to give real answers fine. So, there are definitely some patients, I meet that are not super, trusting. Of doctors, it's, okay you know it usually comes from probably. A bad experience, but, there are better ways than what she's doing to sort of work around that and get the patient to warm up to you a little bit Ronde you. Redacted, all the information, answered some of them for date of birth you wrote springtime. You should be a little more friendly her, tone is little terse she looks a little impatient, her, facial, features are not super, friendly warm welcoming, or patient so she could probably take. A chill pill and try again organ. Procurement Robocop. To make it fast because six minutes before the. I'm. Not sure what she's talking about the. Brain is always, gonna be this list there's no such thing as a brain transplant. So. This is the way how they would brain, surgeons, like to do crazy activies, which is like a full top. Skullcap, craniectomy. But. That's not really how it's done in real life as. Far as I know there's no suction. Cup effect but correct. Me if I'm wrong. So, this makes no sense at all, so this guy supposed to be dead this is a bypass machine so the bypass machine is pumping. Blood for him in a supposedly, dead body so. Not. Terribly consistent. I've. Never seen a dissection like that I don't think you can get all those parts out together unblocked. Like that I mean to transplant, organs you just put them in a little bag with ice in a plastic bucket you don't use, this bubbling. The fishtank sort of set up I've never seen that before poor old literally a, gunshot. Wound from Seraphim Falls. You.

Don't Necessarily need. To remove a bullet just because you have a bullet inside but, if you want to have Pierce browse and take his shirt off and flex this is a good excuse to do it. So. You could definitely use a red-hot. Metal blade to cauterize a wound but that thing was not actively, bleeding so I really I would just have left that alone another. Shirtless, guy using fire to cauterize his wound Rambo 3. Here's. Another guy with limited medical resources. And what appears to be a soft, tissue injury in, the absence, of you. Know hemorrhage, or something that really needs to be controlled I would just I would just leave these wounds alone but I think this is pretty reasonable technique, to cauterize but again completely. Unnecessary. Serious. I'm. Serious the. Janitor makes the diagnosis, the fugitive. Can. You give us a hand here you bring this kid down to observation, room - it. Would not be typical for someone. From the housekeeping, staff to transport, a patient. This. Doctor. / janitor, is looking, at the x-ray of what looks like a baby you can tell sort of from the dimensions, of the chest and the way the bones look he's also looking at that x-ray backwards, you can tell because the, heart, is not where it's supposed to be. Your. Brother, they downstairs, I. Can't. Exactly tell he's crossing out and what he's about to write but on any medical record it would be really suspicious to cross something out you'd have to get new for him. Investors. So. Patient, handoff doesn't really work like that these days. Usually. It's, a, series, of phone calls from the nurse in the ER to, the accepting. Nurse and the o.r on the floor same, thing with the doctors there's a series of what, we call handoffs. About the patient what their diagnosis, is what workup has been done what other tests, don't need to get done it's usually not like this where it's kind of a word-of-mouth and a trust this guy in the janitorial uniform, to give me this Candice diagnosis, that's a little suspect. I, don't, typically. Affectionately. Rub the faces of my patients before they get wheeled off the surgery no that's not really my style.

Horse. Tranquilizers, are straight to the neck old-school. What. Kind of good is this, that's. A tranquilizer, gun. Not. Exactly, sure what tranquilizer. Was in that tranquilizer. Dart but one common, tranquilizer, that we might use in the emergency, setting is something called ketamine. Yes. Is. A drug. That works very quickly it, doesn't cause any major, hemodynamic. Shifts, meaning it will alter your blood pressure too much and. It's a quick on quick off kind of drug so it's pretty it's a pretty good medication, to sedate a person in the emergency room if you have to do some some quick procedures, we. So. Definitely as the medication, is setting in patients, will start to feel foggy start to feel groggy and may yeah I have some mental slowing. Whoa. Impersonating. A doctor catch me if you can gentlemen. What. Uh what. Seems to be the problem. Bicycle. Accident, spongy. Check strikes again actual. Tibia about five inches, patella. Dr.. Harris yes. Do you concur I mean, he sort of looks like a doctor, he talks like a doctor, I think he could probably trick a couple people but, I think that this is a little bit of a stretch I think. We should take an x-ray then stick him out you put him in a walking cast, so. I completely, disagree with his suggestion, I get this kid in a walking cast what that looks like is called what we call an open fracture, meaning, you can see the bone through the injury, so, that actually is, pretty involved it's usually more of a severe injury that patient you should probably, go, up to the operating room get a really good washout for concern, for infection. And probably get some surgery to fix that bone a. Dead. Giveaway here is the nahji most, doctors aren't too squeamish. Here's. An example of a patient arrival, in code black, 16. Year old boy fell down stairs minor. Okay hey. How you doing buddy fine I fell this is all probably overkill did, you see Vincent sir, no I did anything, else you can tell us nothing, so this is a pretty good example of, the first responders, doing what's called giving, report, they are bringing, the patient in they're telling, the doctors. And nurses in the hospital what happened, to the patient it sounds like this patient fell down a set of stairs minor burns no ko when they say no ko means, no loss of consciousness or, no knockout anything. Else you can tell us so, here we have two nurses sort, of dividing and conquering one, nurse is getting what's called collateral, history from the person who came into the hospital with the kid and the other nurse is attending, to the, child's medical needs right now that's a really. Dumb actually, I fell down some stairs this, seems like a pretty stable patient, with a relatively, minor, mechanism. Of injury so for that reason there's, no trauma. Team or a bunch of surgeons running around trying to figure out what happened to the kid it's pretty much just nurses at this point. Tick-borne. Illness, house. Tick. Paralysis. Damn, tracked a tick onto his jeans all rights don't ordinarily cause I feel like shocked this girl's allergies, are not ordinary. It's, just gonna get worse so that bag-valve-mask that's, like atrocious, right there bag, valve mask ventilation, is, seen here with this purple that's called an Ambu, bag as well, as that mask that's on the patient's face that, Ambu bag should be squeezed in a very particular way to observe, the Chester eyes and a certain rate so, the rate at which she is squeezing which is really, fast that's gonna cause. A couple things number one is hyperventilation, number. Two she's just gonna fill that patient's stomach with air which can cause. A lot of other problems down the road as. Long as we're stuck here it's not even time to look for that tick. That. She was wearing off so he says here the atropine, is wearing off atropine. Is a medication, that we would use for bradycardia. Which is when the heart rate is really slow so, it sounds like she got really bradycardic. They gave her atropine, it's wearing, off meaning, her heart is slowing down again, and on the monitor you see that her heart rate is 45, so it's pretty slow we. Treat her symptoms she dies we find the cause she lives that, tick is an IV drip of poison we ever get to be fine oh my god. See.

Usually. With tick borne illness you get like a what's called a dilated cardiomyopathy but. That takes like weeks, to months develop, this is that's just this is not real I don't know how to tell you conclusion. I realize that a lot of what Hollywood does in, the or in the ER is for dramatic effect but it's pretty fun to check out what they do right and what they do wrong and don't forget if you're enjoying technique, critique subscribe, to Wired.

2019-12-12 00:31

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"There's always time for lubricant" lol that's awesome

She got engaged Congratulations

“No no, I graduated residency” LETS GO GIRL!!! CONGRATULATIONS❤️

i think i fell in love with her dry humor, marry me Annie!

So you indeed admit comment on people's inside is creepy thing to do. Yet, I'm still very curious what kind of comments you made?

3:30 ascariasis or ascaris lumbricoides is not tapeworm its a roundworm

Ah, this clip made me remember how awesome of a movie "Evolution" is!!!

Was not expecting to see Cameron Boyce here

Pain fibers? The words of a child

I'd let her operate me any where she wants

THIS is the woman I want to save me!!!

Whoever put that rock on her finger is a very lucky person.

Title of 2nd vid?

There is actually a suction cup noice when you remove the top of a cranium. Witnessed/heard it twice during autopsies in Poland.

'there's always time for lubricant,' ok doc we still talking about medical problems?

I am a simple man, i see Heath Ledgers joker i click

Yey!! Code Black.

She graduated residency! Good for you girl

Thanks for the shout-out to the nurses

"Dr. Lecter" huh? Yeeeeaaah. Takes one to know one.

Dr. Onishi should have her own Youtube channel, I'd subscribe in a heartbeat.

She gave us Middle Finger

even her name sounds cool. Annie Onishi. #loveher

You guys should do this with Mafia mob movies and have have Michael franzese do the breakdown on them all. That would get like 100million views and I'm sure Michael would do it to his was a Capo after all

Congrats to Annie for Graduating

the catch me if you can scene is based on a true event. the real guy was a con master and pretended to be a doctor for a while before he moved on.

Oh my gawwwwwwwd! She's back for 3rd time!! I love her!!

paratus *

Liver and onions mmm!!

By " different layers of dura mater", I'm hoping you meant arachnoidea and pia mater which are not layers of dura but sepparate meningae.

Parks and Rec is definitely never going for realism :D But it is worth mentioning that the two characters there are two friends, so Ann is breaking Ron's balls a little bit as a friend would do.

rip cameron

I want to know what her favourite medical drama/film is, and why.

She is absolutely gorgeous

I had figured she'd mention that chloroform is incredibly dangerous to use as sedation, on account of it being incredibly easy to overdose someone with it.

I really hope Annie comes back regularly. I love how clearly she explains things but still has a sense of humour regarding the hollywood interpretation.

She could perform my Limited Access Coronary Artery surgery

Technique Critique: Come for Erik Singer, stay for Annie Onishi...

I'm rather proud... I made it to the second bug before I gave up. I don't know how anyone could ever choose to practice medicine...

Can u get an autopsy expert

nooooo don't btucher my Fugitiveeee

She and the accent guy are the reasons I’m subscribed

Aww.. Rest in Peace Camerom Boyle.

yes! more ani onishi!

You should start a channel yourself :)

As for her saying she wouldn’t want the liver I’m saying I never want to give mine either. The term “harvesting organs” made me change my mind for life. That and here in Australia I can’t even give blood because of CJD so tough.

This woman needs to start a YouTube channel.

Ascariasis is not caused by tapeworms btw...

This series is one of my favorite things on the internet, but your conclusions are exactly the same on every single one: tv and film is about entertainment and does a lot of things wrong and some things right. That isnt a conclusion but almost a blanket advisory note. It seems like you ought to get rid of it or genuinely allow these experts some time to give a personal conclusion based on the clips they reviewed. I'm sure this expert would have had some fun things to say about sponges and shirtless dudes.

2:58 Pause Both Movie char & Host , EYES POPPED OUT , hehehe

yet best of the series so far hahahaha

RBF and all, she's still really attractive.

“One kind of tranquilliser we use is called ketamine” Oh really? Tell me more

Watch Indian movies you'll quit your job


And now Annie graduated and got engaged!! So happy for her

Congrats Annie!

Well, I just lost my appetite and my soul after watching this video.

I knew she would be coming back! She recently did the suture episode, so I thought she'd be here again. Woohoo!

She's always wants us to LEAVE THE BULLET IN!

She had me at Lube

Please check Chicago Med, I've been watching Grey's Anatomy for a while and never got squeamish but some scenes in Med get my stomach turning

Please do royal pains

7:48 - Not a speculum! Those are Kerrisons, which is another type of rongeur. They are used in neurosurgery, almost exclusively in spinal procedures, to decompress nerve roots and the spinal cord by biting away tiny pieces of bone. You'll usually see them used during a laminectomy, corpectomy, or discectomy. Since Dr. Onishi isn't a neurosurgeon or an orthopedic surgeon, it's entirely fair that she didn't recognize those though; I don't believe they really get used outside of spine procedures.

Someone- want to be wolverine 'cause he's cool superhero, surgeons - are already superheroes, just usefull to have scalpel-hands=)))

She's really funny and can explain a lot of stuff in a short period of time, I like her a lot. Loads of fun.


She is sooooo HOT

Well dexter wasnt included why is that

i am in love with this woman

7:48 it’s actually an intervertebral disc rongeur :)

Ascariasis is not coz of tapeworms but roundworms...

There's two recent Annie videos now!? Life is great today!

Counting the days, Dr Annie.

I love her I'm so happy she finished her residency!!


Please keep her in this series!! We love her and her wit and knowledge so much!

Yay she’s back!!! Love her analysis, So funny and informative.

Hot AF

You rock doc! Love your take on how these scenes are done, very enjoyable

YouTube Comment Section: “Annie Onishi is my fav Technique Critique” Erik Singer, who is still spending his days as a dialect coach for Film and Television: “Am I a joke to u”

Leo blotting his face with the sponge stick probably isn't so good.

Me, squinting at the end of the Rambo scene: RED???!!??

I'm not a gynecologist, but i'll have a good look at it for you.

She’s such a babe

The speculum looking thing is actually a biopsy punch for colposcopies.

I used to drive a Taxi, and I alone delivered kidneys and liver, and hearts, to one of 4 Huge hospitals in the greater Ann Arbor area hospitals. I had to take a training course and such, but no MD was in the taxi.

I've been saying it for years....."There's ALWAYS time for lubricant."

I hope you guys do more of these technique critique. I really them.

"Correct me if I'm wrong." Me: suddenly get's nervous as if I'm being confronted

I was binging these types of videos then saw this and was like YESSS

Anyone else wish she wasn't married so we stood a chance?

what's the odd that I started binging her videos

Cameron Boyce!

Awe. RIP Cameron Boyce at 23:50

Movie: *does anything* WiRED: WeLl AcTuAlLy



Annie, you are awesome! So informative and entertaining.

I thought I would see more comments about when she flips off the camera at 07:40

Congratulations Annie on your graduation.

She can't crike most likely due to the SQ emphysema. If the emphysema is blocking her ability to identify landmarks, most prehospital medics will either not crike, or cut a massive vertical slit to try to gain a view of the membrane. But SQ is considered a relative contra indication for criking (relative since breathing is you know... kind of important)

Gratz on graduating Doc!

Annie: *exists* Me (in Trixie's voice): *Oh Annie, Aaaaannnnnnnie*

of course one of the few medical related words i knew of and understood was ketamine

I love this woman!

Eating human brain is a great way the get a prion disease

Yay! Annie's back!

Isn't an open wound in the wilderness a big risk to yourself to get infected later on? Especially if you worked in, lets say, "substerile" conditions? Idk but i wouldve thought cauterizing gunshot wounds would be primarily for infection prevention rather than sealing blood vessels/stopping blood flow. Secondly, it would also prevent attracting predators (or whatever else "makes use" of open flesh). They tend to have good noses. So given the choice, i'd rather be safe than sorry, to be honest.

Please react to Code Black

Let me tell you one thing: Dr. Onishi is an absolute treasure, and she taught me a lot in this video. Let me tell you another thing: that Parks & Rec clip was not a choice I would have thought to include...

As a medical resident, I can also confirm that 5:38 is very accurate. Nurses are the life blood of a hospital, I don't think people give them enough credit. Without them, a hospital would quickly shut down.


what greys anatomy episode is that?

"there is no time for lubricant"......'there is always time for lubricant'.... i died

congrats on your graduation annie! glad you're back too!

On Code Black clip, those two female medical personnel were actually ED physicians, I believe. Anyways congratulations on finishing your residency, Dr. Onishi.

Am I tripping, but does her right tooth glow at 5:01?

I feel like I've been waiting YEARS for this. I love Dr. Annie Onishi!! More please!

Those tools are a movie gag that gets included everywhere stuff like this goes on. I forgot the origin, but learned about them in another youtube video explaining them. Might have been another Vanity Affair video...

Actually pilots have a checklist for every critical flight faze. Preflight, before startup, before taxi, before takeoff (performed before entering runway) run up (performed while take off roll is taking place) after take off, before landing, after landing, and shut down. Plus a number of emergency checklists some that have to be memorized.


7:40 I saw a documentary and they found a 3600 year old surgical kit in Egypt and showed it to a modern surgeon. The modern doctor was able to identify every instrument in the kit, because he had one in his own, modern kit

Let's be honest. She's perfect. amiright.

Can we get one where an engineer critiques the design of sci-fi war engines?! Like Battletech's Battlemechs, Star Wars' ships & walkers, Gundams, and similar constructs?

You clearly understand that nurses are just as smart as, and just as vital as doctors.

Thank you Dr. Annie, now I know of the thing called, "Homie drop"

I love Annie.. that is all.

It’s really tough and fun to watch these dramas being a doctor

Hey Doc ! Congratulations on your residency

4:50 Not to be pedantic but I think the person in this scene is supposed to be a paramedic, not a doctor.

I'm not a surgeon and I'm not going to get into it, but in my experience I generally hear somewhat of a suction sound (but a bit more squishy - like "shwoosh") when opening the skull.

I love these so much

6:00 in omnia paratus...ready for anything. Perfect for this person.

She needs to collab with Doctor Mike!!

pls marry me annie onishi

I am a simple man, I see Heath Ledger's Joker in thumbnail, I click!!

I'm tired of these so-called experts commenting what's realistic and what's not on WORKS OF FICTION

then don't watch these videos

I love the shoutout to radiography in this, a technique critique with a radiographer/radiologist looking at all the different imaging performed in tv and movies would be great. As a radiographer myself if I have to yell at a show one more time for not having patients wear ear protection during an MRI i will cry.

I'd love to hear her comment on James Bond getting poisoned in Casino Royale. Using salt to vomit some of the poison up if possible. Then, the poison just about to kill him, giving himself a shock with a portable defibrillator!!! That was a fun Hollywood type of scene!

I wanna see her review House MD

So you mention that most doctors are not too squeamish, so that makes me curious about the transition through med school. Do some start squeamish and overcome it? If so when? 1st/2nd/3rd year resident?

You guys should really bring in video games. Imagine her seeing far cry 2 healing.

21:27 the one-armed man took his wife AND his career; he’d grateful for a chance have a moment of that back

As an air traffic controller myself, we don't actually play a part at all in what's called "preflight" checks

Does Annie Onishi have a YouTube channel like Violin MD? instagram? twitter? Do you know she won the New Jersey marathon? She's a goddess. She's in the top 6% on ATHLINKS

also of course Hannibal does a tracheotomy

david duchovny?!?!?!!

I was totally thinking that looked like a speculum .

Her In Omnia Paratus tattoo

Seeing these videos I get so excited but that scene with Cameron Boyce just broke my heart

I'm so glad Annie Onishi is back, I have such a STEM crush on her. STEM women rule:)

omggg that one seen with cameron boyce

"The brain is always useless" well at least I feel better about myself now


can she plz do gods quiz ??

Even though the shows and movies are utterly ridiculous, Dr. Annie's comments really do help. Like, if someone gets impaled, don't remove the object. Someone falls and gets hurt, don't move their neck, keep them conscious. If someone's shot, you don't have to go through trying to get the bullet out. And, all time good advice, chest compressions, chest compressions, chest compressions.

I love the fact that she refers to Hannibal as “Dr. Lecter”.

14:50 - Um... not quite! And ATC certainly has nothing to do with any pre-flight checklist!

i hope she knows i have feelings for her


I Have Feelings For Her.

7:25 her image froze hahaha

Ready for Anything...

LOST !!! Yes!

would have loved to see her break down the saw 3 brain surgery scene haven't seen it in awhile but i'm sure she cut his skull open with a power saw

i think im in love with her

Anyone else go 'awwww' at the Homie Drop bit? She just wants to help peolple!

Just let her and Erik Singer have the channel. ♥️

The "speculum" in the Get Out clip looks like what's called a kerrison. It's used in spine surgery to remove bone. I've never seen it used during brain surgery.

I’m dying for someone to address why Hollywood is still showing FILM x rays in hospitals in 2019! Or why they have a patient’s family member in the room while a c-arm is being used in New Amsterdam


12:56 ....HAHA!!! super cute

07:45 That "speculum" is actually a Kerrison Rongeur, often used in neurosurgery.

She's like a yummy mix of Christina Yang and Jo Wilson....

she's my favorite specialist.

I dunno why, but it's pretty funny to watch these.


I wanna do this for WIRED when I finish med school

One thing I don't know if you know because I don't know if you saw the film, but catch me if you can is a true story That scene you saw happened in real life back in the day when they didn't pay as close attention as they do now that they've had all these lawsuits. Frank William Abignale did that in real life and almost killed a kid because he didn't have any real medical knowledge, so he left and pretended/actually became a lawyer in Lousiana.

air traffic control doesn't go trough a checklist just the pilot

I break down parasitology for Annie Onishi. The PARASITE is called Ascaris lumbricoides, the DISEASE is called Ascariasis and they ARE NOT Tapeworms (Taenia spp. ) but rather Roundworms. They are different phyla! I love your episodes but jeez, that was quite incorrect.

Tarantula Wasp

I love Annie Onishi videos!

can she get an ig

Silly American Healthcare so troubled with finding organs for donation. Just donate a prisoners organs. Like cultured oldest civilization.

Through out the episode, I kept thinking "darn, I've seen someone with that face and mouth structure... who does she remind me?". Very distracting, haha, but very interesting (what she had to say).

Dr. Onishi is a badass

Really pretty lady

That latin tat is cringe.

In case anybody was wondering, “crike” is just a shortened form of cricothyrotomy, the surgery performed in the Anaconda segment.

Wired, please keep inviting Dr. Onishi back for more videos.

no KO???? that's hysterical omfg

Heyyyy lost

eating during this was a mistake

So when Annie inevitably gets asked to be a full-time surgery consultant for tv and screen, I wonder what the decision will be. In the meantime, if Annie is on, I'm here for it.

Oh, she likes using lube!

Annie's vids are always the best of this series

Re: the checklist, just a couple of days ago I witnessed an interview of hospital admin who talked about doctors resisting the checklist, and even being willing to quit rather than adopting the time-out procedure, so I'm not sure it's as widely adopted as she thinks it is.

17:12, it's not presented in the clip, but the characters know each other very well and therefore she should not be caring for him at all.

Dr Onishi, I'm disappointed! As a female doctor, you of all people, should NOT be assuming that a female medical professional is a nurse and not a doctor. BOTH the females you referred to as nurses in the Code Black clip (23:33) are actually supposed to be trauma DOCTORS. Just goes to show just how deep occupational gender bias runs. D'oh!

How does Annie look skinny and buff at the same time. I want that power!

Well since Annie is back We want more.

She's kinda awesome

24:00 r.i.p. Cameron Boyce

More garlic than that!!!! killed me!

the Cameron Boycee scene made me sad about his death again *sighs* RIP Cameron Boyce

The editing on these is just getting better and better! No more interrupting right in the middle, only at the end of each segment, and the clips are way less non-sequiturs. Awesome job, Wired!

annie onishi is so amazing and so smart LOVE IT

For a Trauma Fellow her knowledge of surgical instrumentation is shockingly poor. Her "women's speculum" is a Kerrison; used in orthopedic surgery.

Can you do NFL player breakdown football movies?

The parks and recs clip, they knew each other personally and Ron wasn’t untrusting of doctors he wasn’t trusting period

Can she be my surgeon

Where's Human centipede is that medically accurate

Cameron .......... :(

im in love with this woman

The Parks and Rec clip, I feel like I need to say they know each other, and she definitely needs to be using that tone with him

Congrats on graduating residency! I love watching you critique and I was so happy I saw some of my favourite medical TV shows make an appearance. I definitely think you should do more with Code Black (they focus on emergency medicine and I want to know how accurate it is!) and New Amsterdam.

"In real brain surgery, you don't actually remove the skull cap. You make sort of a curvilinear incision along the plane of what part of the skull you're gonna remove" - Dr. Anie Onishi, MD Somewhere in the world, a psycho is thanking you.

First of all they should have gotten somebody with years of experience second of all they should have gotten a medical specialist for each scene because some scenes were neurosurgery other scenes were cardiovascular surgery some scenes were even orthopedic surgeries she will not have a vast knowledge of each specialty. And the surgical instrument that she didn't know about is called a "Biopsy Punch Forcep" there's many different types.

SHE IS SUCH A BABE Dr Annie back again! why are you so kind to me, Wired

Annie is our favorite - please keep bringing her back

Saw Annie Onishi and clicked. Also congrats Onishi!

love her sense of huma

Congrats on finishing your residency!

More! More! More!

19:20 1000 degree knife vs flesh! You won’t believe what happens! (Gone Wrong)(Gone Wild)

16:17 Thumbnail


Is it sad that I know how to operate the basics of an IV pump even though I’m not a doctor or nurse? I’ve just been connected to them enough that I’ve picked up how to use them over time. I’ve never had to set the dosage and flow rate because that is set before the IV is even started, but I know how to clear bubbles, reset after an alarm, stop/pause and start, disconnect and reconnect. Often I did those things just so I didn’t have to listen to an alarm for 20 minutes because the nurses were busy, but I still always beeped the nurses station whenever I did anything so that they could come check it and make sure it was all good whenever they got the chance. Some nurses really don’t like you messing with it, but most of mine usually understood that I wasn’t playing with it or anything, just making it be quiet, especially at night.

What greys anatomy episode is that?

Darn! She's married! Lucky guy!

I see this surgeon, I click. She's been an awesome find, Wired.

Goddamnit, I cannot eat during these videos.

9:34 sorry Dr, you got that one wrong. It sure does.

I am fully in love

"The Homie Drop" hahahahahahahahahahahaha

Yes, I did cry when Cameron Boyce came on the screen

she's the best

YEEEEESSSSSS! We love Annie so much, just have her on every episode.

As someone who has over 30 years of M.A.S.H., St. Elsewhere, General Hospital, ER, Grey's Anatomy, HOUSE MD (and Scrubs).. "I concur.. "

She's so amazing and badass!

She prefer more garlic. Classic!

Annie, the two nurses in the Code Black clip were actually doctors. Just a quick correction.

I saw Cameron Boyce and burst into tears oof

she just gets sassier with each episode and i love it

Yep, Dr O is still my favourite for these videos. I wonder how long it will be before she's recognised by someone she's about to operate on.

I don’t personally know her but I’m so freaking proud of Annie! She’s a fellow now!!

Yayyyy more Annie! Awesome, I totally did ask for this haha

Have to say, Dr. Annie Onishi is very cute :)

I think I’d prefer a different, more experienced doctor ~ oh and one with empathy.

What happened with DiCrapio is not a stretch. The dude he’s portraying impersonated a Doctor, and a lawyer, and a cop, and an airline pilot.

Is it bad that the only medical term I was familiar with was ketamine?

Yeah, now a day, a doc would NEVER ball at the check list. They even come in and write which leg or arm or whatever with sharpie to ensure accuracy. Oh wow! She said as much. Cool.

Impersonating a doctor was a real thing Frank Abagnale did.

Oh man i love that series with her. Please post more :D

“She could probably take a chill pill and try again.” ICONIC

I end up watching these with my hand covering the left half of the screen

The instrument on the left at 7:45 is a surgical instrument. It is a kerrison.

"There's always time for lubricant." Sounds like personal experience.

"he looks like a doctor, he acts like a doctor, he could fool some people, but i think this is a stretch" on catch me if you can, little does she know, he actually did fool an entire hospital for years

Liked it

Homie drop is cousin to the granny dump around the holidays

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