Is Rhythm In Our DNA?
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- čas přidán 11. 07. 2024
- Is groove really in the heart?? We live our whole lives with a metronome in our chests...to which doctors seem to love to listen. But what are they listening for?
The Art of Medicine, Chapter 2: Sounds
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Big thanks to @12tone and @AdamNeely for their help.
There's a bunch of really fascinating stuff related to rhythm that I didn't go into. I put a note in the vid about irregular heart rhythms which didn't fit with this theme, but going ever further afield and you encounter Parkinson's patients who struggle to initiate movement, but are able to dance to a rhythmic beat. Or people with severe stutters able to speak by adopting a more rhythmic flow. Humans are rhythmic beings, for whatever reason.
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More Medlife Crisis:
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References:
12tone's video about poetic meter (Shakespeare, speech, really great) - • A Brief Discussion Of ...
Adam Neely’s video about intrinsic rhythm - • How to improve your rh...
Where I heard about the 1910 fake heart sounds paper / 1268523181972881411
Linking prenatal experience to the emerging musical mind - www.frontiersin.org/articles/...
Embodied Mind, Situated Cognition, and Expressive Microtiming in African-American Music - cnmat.berkeley.edu/sites/defa...
Embodied music cognition - en.wikipedia.org/wiki/Embodie...
A history of cardiac auscultation and some of its contributors - www.sciencedirect.com/science...
Yes yes I know doctors also listen to lungs and bowels but let's be honest no one cares about them because they're laaaaaame
Just watched your first video 3 minutes ago. Legend.
be med student
*listens to bowels*
“Yup can confirm pt has intestines”
lol
Seriously that's all you need to know. Don't believe colorectal surgeons. Bowel present > they take it out > bowel not present. That's it. Board certified.
@@MedlifeCrisis lol
Epic rap battles of cardiology
Rapping in ecg yo
Beating heart, drop it ✌️
Dear Lord
Just casually tearing Dermotologists and CZcamsrs to shit before seamlessly going onto the next topic as if nothing happened.
This is the pedagogy i need in my clinical life.
I can so relate. Lost the best GP I had ever seen to the specialist Dermatology dark side.
Lol i don't think pedagogy is what u meant
Nah don't rag on the dermos. Think of the world for the rashy, spotty, burnt and flaky.
Still an awesome channel.
@@rue.olearywalker , "rashy, spotty, burnt, & flaky" iambic pentameter!
@@thorr18BEM no
You shouldn't write your will after you lose your 3rd heart sound, you should write it when it comes back 😅
at least do it before there is no heart sound at all. it might be difficult to do after that.
I think he means he is getting cold 😂😂😂 edit: sorry I meant old 😅
@@fa2589 that tents to happen if there is no sound coming from the heart for a longer time. the owner of that heart will get colder. (if at that point the person is still a person)
I'm too stupid to understand any of this.
sirBrouwer sorry... I didnt mean cold, I meant old
Unwarranted musical nerd fun fact: The most frequently played instrument is not piano or guitar, it is the drum, played by about 2% of the world population.
Great, great video. Maybe your best so far. Thank you!
Isn't that statistic grouping up all percussion, not just the drum
@@nolifeorname5731 you kinda would be making a drumming sound on the percussion, so could you argue the stat is right?
esg The piano is a percussion instrument, Along with certain vocal manipulation!
What do you call someone who hangs out with musicians? A drummer.
+coweatsman
Ah! It all makes sense now! The reason the chicken crossed the road… was to get to the other side!
That's actually the most basic question one could ask a cardiologist. I never actually wondered about this, but it's a really good one.
Imagine if someone rigs their pacemaker to rickroll the doctor
I would do that if I had one
@@hannahherrmann4921 That can be arranged
That would be a deadly joke
@@horseradish843 The dealiest!
Me, sitting on the front porch of humanities and social sciences: Get off my lawn!
We're on THEIR lawn now!
@@InvisiblerApple It's over! I have the higher lawn!
It really amazed me how good the mic-in-hand thing sounded. I really appreciate how much I learn from your channel while my husband gives me odd looks when I choke on a laugh for the 56th time.
Headphone warning: the heart beat samples are much quieter than the speaking parts. Careful when turning the volume up
1:28 "[...] and a dermatologist has a share portfolio" im actually dead
What is so lucrative about dermatology?
@@estrajunkies not a doctor , but i think it's the fact they sell creams and lotions that ofthen have inflated prices because of the label ...
@@estrajunkies it's because derm deals with lots of cosmetic and elective treatments/procedures (like wrinkles and melasma and Botox) that are not covered publicly and must be paid by private insurance or out-of-pocket. Also there's less regulations on how much docs can charge for these procedures -> they charge what the market can tolerate -> $$$.
Same deal with plastic surgery, LASIK, hair transplants.
@@davidegaruti2582 That is sooo true. I'm a bioengineering student and I was very interested in cosmetics products so I searched for an internship at a cosmetics manufacturing company and they were all owned by dermatologists or at least had a dermatologists as lead R&D. I ended up getting into one, nothing lucrative about it, they just know skin and its biochemistry really well, the one I worked with chose cosmetics cause she got tired of patients and low salary.
They can also ask a woman to take their clothes off with relatively small amount of excuse..."I must examine all the skin on your body for possible cancerous dots" . "You have any on your genitals". "Sorry, I am just going to mess your hair pretty badly to see your scalp" . "This mole beside your nipple is very interesting". "Could you now turn to your stomach so I can see if you have any on your buttocks"......
Leonard Bernstein claimed that the irregular rhythm of the first motif of the first movement of Mahler's 9th symphony is a depiction of the composer's heartbeat. He (GM) died shortly shortly after finishing this symphony, apparently of heart disease. Perhaps a cardiologist can determine what ailed GM by listening to the music?
Fascinating!
holy shit that would be amazing
Holy shit. That is amazing.
D'you reckon doctors have albums recorded of all the various funky rhythms hearts make based on age/illness? Like some massive Spotify playlist shared at med schools?
How do you think dubstep was invented
I would be surprised if there isn't at least one major publisher providing a collection of the sorts. If the actual sound of a heart is of importance to the cardiologist's diagnosis, then such a library of heart recordings (along with associated patient diagnosis) would be an immensely valuable study aid and reference material.
@@MedlifeCrisis more like lub-dub step
The dermatologists share portfolio joke had me in stitches!
'Dermatologists' and 'stitches' in the same sentence?
That's gonna cost you...
I´ve had to visit plenty of dermatologists: he´s right.
Said the surgeon.
My favorite dermatology joke: Dermatology is the best field to get into: Your patients seldom die, but they almost never get better, either.
“She used to say that the human heartbeat was the first music that a person heard, and that every child was born knowing the rhythm of her mother's song.” Kate Morton, The Clockmaker's Daughter
Or the murmur of her vindaloo.
@@charstringetje czcams.com/video/uzSXgfy6j2E/video.html
I hope you can recommend a good burns unit for all those other CZcamsrs you annihilated at 8:21
Somewhere in the lowlands of Scotland? It’s a braaw bricht moonlicht nicht the nicht...
Seriously, that impression was so on point I could see Jake Roper from Vsauce in my mind.
I'd start by asking the dermatologists singed at 1:26 about it...
Man those heartbeat demonstrations are so accurate. Always had a hard time learning the pathological sounds (noisy rooms), but this technique is fascinating. Ill share the method with my fellow meducators. Thanks!
Medlife Crisis is so good CZcams gave him a special heart emoji when he likes posts!
On my. What's not to love about this video? Why can I give only one like?
First, the topic is presented with care, context and wit. Not too far down the rabbit hole, not too shallow.
Second, the references - both to other fellow youtubers (I also follow 12tone and Adam Neely) and other less youtubers (Shakespeare anyone?).
Third... I get to see the approach one of my favourite youtubers has towards fields of knowledge neighboring his own - this time, humanities. I really appreciated watching the cautious but referenced tiptoeing on some literary subjects. I like to see how people's thought process works. I like too see it presented for us all to contemplate. And I liked what I saw.
But I also feel somewhat guilty for all the mini-disclaimers scattered throughout the video :D Still, I appreciate them more than a voiced-over intermission and I can understand the intent to preempt commenters from focusing on some minor detail.
For the next Chubbyemu video do you think you could be the patient Rohin?? You've got a good camera, it would be so fun to see you 2 combine. I know Whang was in CEs vid semi sorta recently
He forgot to demonstrate the sound of a ...... broken heart.
💔 goes:
crack soooorrrrooowww
crack sooorrrroooowww
crack soooorrrrooowww
crack soooorrrrooowww
crack soooorrrrooowww
Exactly like that leaking heart sounds 💔
And it is slow and between you have this sinking feeling that maybe the next heartbeat will never come, that there will be only a silent ego of the last beat fading in the vast chambers of the loneliness....
crack soooorrroooowww
crack soooorrroooowww
And your heart could write it's on chapter of Shakespeare...
💔
czcams.com/video/kUZiUORi3uQ/video.html
Actually he did about a year ago when he covered Takotstubo Cardiomyopathy. czcams.com/video/RMb5cRDGWF4/video.html
I think it's more like czcams.com/video/dQw4w9WgXcQ/video.html
Blue doom blue doom in 3/4 time
One of the compliments that has been given to Ringo Starr is that he is a 'heartbeat' drummer. He slightly advances or delays beats to resemble heartbeats.
Aleatory polyrhythm master!
maybe he just sucked
They are listening if there's dubstep in the heart, if there is. You die.
Doctor listening to heart:
Heart: "Skrrrrrrrr BRAPP brapp wheeee reeeee"
Doctor to patient: "Your pacemaker is lit bro. Like, it's literally on fire."
@@fredriks5090 Died reading that.
When You Wink At A Cardiologist They Wenckebach
Interesting! I have had a double valve replacement, mitral and aortic....I regularly have ectopic beats and atrial fibrillation.....and when I listen to music I try to get away from the constant noise of my 2 mechanical valves, I listen to music that does NOT mimic that regular tick tock thump sound........having said that I find the noise comforting as I drift off to sleep. While I was in hospital for 6 weeks before and after the surgery I passed time by allowing a lot of students to do their practical exams via diagnosing my condition, I also allowed a lot of junior students to gain practical experience by examining me.....it was always entertaining when they first heard the clock in my chest.
so your heart is really loud?
This is awesome! The trick with the Steth round the hand is genius! I can simulate murmurs and rhythms. Wish someone taught me this at med school! Wish you taught me at med school! 😂
May I ask, do you also edit your videos yourself? Because if so, I'm having trouble believing that your days are only 24 hours
100% me
Unbeliavable. Where is your cape?
Just saw that Dr Mike has a producer and Im kinda gutted. All he has is Bear!
You and Mama Dr Jones tho-badasses through and through (also have great spouses apparently 👏👏👏)
@@MedlifeCrisis this is a FANTASTIC channel! Hope i don't binge watch instead of getting to sleep ...then i can binge another day
"I impart *all* my medical knowledge...
It takes 20 minutes."
Killer 😂
11:30 wish you had told us a bit more about that physical sign !
I have an interesting heart. When I was a child I was very physically active but I sucked at running. It took too much breath. Huffing and puffing, I would have to stop moving. I couldn't bike up hills, even though I practiced. And the small black outs. It was just a part of my life.
When I was 31 I had a major left brain stroke caused by an atrial myxoma. I was left with some paralysis, but not much. Some problems with memory, but it is much better now, not nearly as good as before but I can remember important things in my life. And I lost all my spoken language and writing. I kept the reading and understanding what people say to me. But now I can speak (except real foreign words and multi-syllabic words).
It was pretty cool. I'd talk in gibberish and throw in a few swears and then just laugh. I still talk to my cats in gibberish. Eventually, with the help from the rehab I received and my profession (I work as an artist teaching in a centre for adults with developmental disabilities) I re-learned my English so that now, I'm pretty proficient. It took about 3 year to be able to say what I was thinking. My handwriting is shit, so I prefer to type.
My heart was opened after the stroke and the damn tumour was taken out. But, and this is just what I think, not medical at all, it healed causing some scar tissue to accidentally start a new place where heatbeats originate from (SVT). This happened once 13 years after the surgery. Freaked me out. 225 heart beats a minute for half an hour. So, I had cardiac ablation this last month. That was pretty cool. Go to see a live xray video of my lungs expanding and contacting and the zippy ties holding my breast plate together. And then the doo hickies which moved when the surgeon pulled or pushed them. I could feel the catheterization, no burning though.
Right now my heart feels good. My mind feels fine. All I have left is my thyroid and its problems to deal with. Sigh. I should write a book of my woes.
I live in Canada, so all of it was a done for free. Had to pay for parking though, damn.
Dr Rohin, your insight and passion for seeing the Art within Medicine reminds me of Oliver Sacks
I want to thank you for making this point. I didn't think about it before but my kids' doctor, who regrettably passed away couple of years ago, was a perfect example of this old school. He would spend a big part of every our visit auscultating his patient and looking in his eyes and in his mouth. This and the knowledge of his patient's history would suffice in 99% of cases. My kids loved him and were never afraid when he vaccinated them. He also looked the spitting image of The BFG, which may have helped :)
There is a strong push (of corporate greed) to separate people from each-other and stuff devices between them so every twitch of human activity can be detected and duly invoiced. I do hope that videos like yours will make us stop and think... Though, since I am myself writing this in yt comments, it may mean it is already too late.
that intro is a masterpiece
sorry, the whole video is a freaking masterpeice. iambic pentameter ffs
Due to this pandemic, most undergraduate medical students were sent home; I was partway through my very first Gen Medicine posting and had just barely started auscultating actual patients (as opposed to myself and my unsuspecting family (and entirely suspecting friends)) when it happened.
Theory classes are all well and good, but I do miss the hospital and all of us overly-anxious students are fretting about not getting the clinical exposure needed to develop certain skills.
Just, thank you so much for taking the time to share with us. The hand-technique is brilliant and something I will share. Just, from the lowest point of my precordium, I hope you can feel my sincerity reach you, as I say that I've learnt a good deal from your videos and they are a delight.
Bs fact: The note that doctor rolled up was actually a Shakespeare sonnet
It was Poe's The Tell-tale Heart :D
Using your hand to imitate heart sounds is genius! Almost finished my medical degree and never seen that before, absolutely brilliant!!
There was so much I loved about this video.
1. I was just reading the "Doctors Plague" by Nuland, and it was talking about how percussion started to be used. So it was kind of cool that you talked about it too!
2. I never knew many young people had a third heart song.
3. When you were talking about the gallop rhythm it made me think how when riding horses we use rhythm all the time, such as the walk is a 4 quarter notes but a lope/canter is a triplet, weirdly enough your "gallop rhythm" isn't usually how we describe a gallop.
4. I can always feel my heartbeat especially when laying down, and I once composed a song based on that rhythm, many people heard the song, nobody ever knew.
5. Haha I love the thing about CGP grey, it is so true. Also Tom Scott. But I watch most things at 2X speed so long pauses don't really bother me too much anymore. On the other hand my family has started to complain about the speed at the which I talk... oops.
6. The thing about doctors always having to deal with time waisting technologies, hospital management, and unable to sit and talk, is one reason why I don't think I want to become a doctor, I sometimes think I can help people more by being a researcher.
Do you think Tom talks like that? He's got a very natural style, no?
@@MedlifeCrisis Let's see, I just went and watched another of his videos, and yep I was wrong. I guess in my head I just imagined his voice very differently.
when i was very young (1-2 yrs) i used to have a teddy bear with an electronic heart that would beat and i loved it, i would always fall asleep right away and i would never have nightmare. After i didn't have it anymore, i only had nightmare until i learned to lucid dream. There's definitely something to all this!
I remember when I was a child (a long time ago now) wrapping a watch in a towel and putting in the basket with the new puppy when we settled it for the night. The idea was that it would remind the puppy of its mother's heart beat.
Can't swear that it worked. As an adult all my dogs have been adult rescue dogs.
Finally caught up and watched this one. With all that waxing poetic, you must've loved the the recent Bedside Rounds about stethoscopes
For those without a stethoscope, you can also imitate this by covering an ear with your palm and LIGHTLY tapping the back of your palm.
The editing is so good!!!! I love this video so much oh my word :o
Hi. I wrote my dissertation on music and how it affects us so deeply, mainly on psychophysiology stuff, and there is SO much I want to discuss with you. But just a couple of things:
I've never read anything that convincingly ties heart rate with music taste but there is an argument for entrainment (your brain sort of starts synchronising with a pulse). But absolutely no to heart defects leading to syncopated music taste 😂 I also happen to be a cardiac patient and the concerts for that crowd would be a health and safety nightmare. And there's no such thing as "syncopated music" I'm afraid. Otherwise v good homework, and +10 points for including non western music. Ethnomusicology dept loved it.
0:41 my sister says in Rohin’s defense, individual anatomical variation means the heart is not always where we think it is 😂😂
Great episode! Seems to be a candidate for „Nerd Nite“ or „TED“
Your videos are amazing! They are reminding me about the important and interesting parts of medicine. You have a great sense of humor! I am grateful that I've discovered your videos. Keep up the good work! Thank you for taking your time to make my time on CZcams better!
I never thought I would see Adam Neely getting mentioned on your channel. Awesome video once again! It basically met everything I am interested in - music and medicine :)
Aaaaa I've only been subbed for maybe 9 months, but I love your channel so much and this video really ticked all the boxes for who I am as a human, and how much I truly and thoroughly enjoy learning about medicine and the links it has to other things I appreciate, like word etymology. I'm 30 and have a disability so work is hard for me, but you've kinda inspired me that maybe I could pursue a career in medicine in some fashion. Thank you Mr Crisis, I legit think if I ever met you I'd feel strong emotions. thanks again, love your videos sm
(you're a great Dr and your patients are lucky {kinda?}, and your students are too. also you didn't HAVE to go off and have great video editing skills also but you do anyway )
I am a tabla playing biomedical researcher & beats are my life. Loved your lecture, thanks a lot :)
This video is pure gold. Thank you.
Shakespeare on Toast is something everyone should read... IMVHO - even after 2 years of village am-dram - it opened my eyes to the beauty and simplicity of many of his (their? {just for controversy!}) plays!
Great vid as always!
As a premed, it’s wild that doctors can differentiate these sounds so well. I shadowed a primary care doctor, there was a woman with an abnormal heartbeat and the doctor picked it up quickly. When I listened, it took me so long to pick it up! I’m terrified of missing this kind of stuff when I’m a doctor one day.
Oh, Ben Crystal! I never expected a linkage there! Wonderful link to his (and his Dad's) work!
Awesome!
this was amazing!! im so hyped for this series
I can't believe I missed this video by three weeks, even though I'm subscribed. This is an amazing Video as always!!! Thank you and please keep doing what you do :)
Medlife Crisis is really a CZcams gem! Realy Realy looking forward to your book - whenever that will come out (i´ll be ready).
I can't describe how much I love the work you put in your videos, you've been a great inspiration to stick in my future career of community medicine, grettings from Mexico.
omg, the casual reference clayton ravine was GENIUS!!!! please keep making videos!
As a 2nd year medstudent, physical exam classes are my favorite. It reminds how we are inDOCtrinated 😆 into a craft that has millenia of observations behind it. It's when we were taught about clubbed fingers (hippocratisme digital) when this first hit me. Doesn't it make you feel part of a kind of brother/sisterhood or guild?
This is a fantastic video! Thanks!!
Thank you so much for taking time out of your busy schedule to educate us. This was very interesting. Agreed, it is important to be more observant with patients. I had a doctor who spent the whole time looking at her computer, occasionally glancing at me to ask a question. I'm not sure she would recognize me since she never really looked at me.
Really a great vlog ! I always enjoy your output. Thankyou so much!
Thanks to this video my coworker and I managed to correctly diagnose a triple heartbeat in a patient as a heart failure. So your channel isn't just fun, it's also very useful!
This was a wonderfully enjoyable video from you, thanks. To be honest, I've been skipping over all the COVID-19 related content as it has been overwhelming and coming from all directions. I probably missed a lot of good insightful content from you. In any case, it's really nice to see you back in your usual form on entirely unrelated subjects.
I love that you go into the importance of consulting and spending time to physically examine a patient. I’m a nurse and very focused on spending time to listen and build and a relationship with my patients. I also wanna study medicine and still keep that focus, however I’m worried I won’t be able to.
And once again, I am reminded how awesome this content is - and remind myself to watch as soon as possible
You do a GREAT job! Thank you.
Enjoying your wit and skillful presentation. Thanks.
Love all your videos, but as a medical student who never had a grasp of heart sounds, this was invaluable. I have listened to multiple recorded & computer generated recordings of various murmurs & sounds that never really made sense to me, but trying that simple method with my stethoscope made it finally click. The fact that I can easily "practice" listening to these murmurs & sounds so that I may pick it up when I encounter a real one makes it all the better!
Also can definitely vouch for 11:30. Would love to see more videos like this. An hour on JVP might just be enough for me to finally get it lol
Thought provoking, lyrical and beautifully delivered- you're in danger of becoming the new Jonathan Miller.
Thank you for that wonderful compliment. I looked up a lot of his stuff last year when he died. A hero for sure.
I can't be the only nurse staring your hand during the heart sound simulations @2:54 thinking "oh baby, let's just throw an 18 gauge right in there"...
Just LikeANurse- nurse porn!
I REALLY love this video. More please!
I love this video. It was so enjoyable. Thank you.
Beautifully crafted video!
Love ur getup in this vid, the cap is wild
Thanks for making me think i was going to die! Just got my first steth yesterday and spent way too long listening to myself. When you said reg heart has only 2 sounds I thought me having a third sound meant i was nearing the end.
Thankfully, I will live to see yet another Medlife Crisis video.
Thanks for putting your main sources in the description
I have heard stories of doctors from poorer countries stumping US doctors with their consultation skills but didn’t know why that would be. Over reliance on technology and a lack of preserving medical history. What an incredibly fun and informative video.
I was born with an innocent heart murmur that has carried over to my adulthood. Dunno what it actually sounds like but I know my heart does give a kinda swishy sound that a new doctor will give extra listens to at first.
I WAS WAITING FOR ADAM NEELY!! Seriously, worth a watch if you're also a music nerd. His channel is also just generally great.
Superb, as always!
Let me just say Cardiology is a tough one. Student in Med School and had just a taste of how amazing Cardio can be... keep that good work Dr. Francis.
"I am a heart doctor, honest." You need a T-shirt with that on it for your birthday
Loved each second if it! Never change :-)
Oh, awesome! Thanks for answering this.
I greatly appreciate his candor in commenting on the "trend" of doctors knowing less than their forbearers. As a former tek-supporter, I am dismayed at how dumb the call-centers can be. Being a tek requires you to LISTEN to the customer(patient), to wade through the frustration(pain) to help them resolve the issue. Alas, too many times a database is consulted & relied upon for system(health) issues. WebMD is a great example of a failed database. Thank you doctor!
this video is beautiful, i love it. ♥
Absolutely brilliant!
My childhood GP used to check your bowels for motility and obstruction by gently pressing on the abdomen and feeling around. He was really big on the digestive system as an indicator of overall health, and caught a couple issues in our family on a number of occasions. Nowadays, I’d have to get an x ray to get similar information (which I’d really like to avoid doing on a regular basis).
I spent 5 minutes with my ear against the chest of a patient at the bottom of a deep pit in an icy waterfall trying to discern any heartbeat or breathing during a cave rescue (body recovery). I had no stethoscope or any other tools. I teach my EMT students that in spite of advances of technology, mastering the basic diagnostics one can perform with no tools is still useful.
You've really made me excited about cardiology! I'll soon work on our cardiology station in my nursing training and I very much look forward to it :)
I truly appreciate the intellectual and comedic efforts put forth in your videos.
Seriously this video is everything I want in a CZcams video and so much more
Imagine him answering the questions of patients like this 😂
Most of humanity cannot handle/bother to learn such knowledge anyway
Hi, fellow physician here, this is a great lecture - I was able to "tune" my ear again to your "homemade pathological heart sound generator", sounds that I had not heard in a long time. Thank you for your practical videos - some people, like me, do listen. Ciao, L
How did I only find this channel now? This channel is great.
Hit the nail on the head with this. Throughout med school I've always thought that medicine isn't about how fast or efficient you are at doing clinical tasks. Maybe it's the artist in me. Technology hears but doesn't listen; sees but doesn't look; touch but doesn't feel. My family doctor always told me to focus on the interview and physical exam skills instead of quickly turning to technology. This video summed up what he meant.
Also, let's see what ointment the derms will use to heal the burns you gave them
You're amazing, thank you for the motivation, just putting this here. Back to cardiovascular physiology
As a Primary Care clinician I just love all the good-natured sibling rivalry and trash talk between specialties. At the end of the day though we all know that according to the orthopaedic surgeon the heart is the organ that pumps the Ancef to the bone.
This was lovely.
Thank you very much for this video.