Surgery Tools Explained Through Stand-Up Comedy

WEBVTT
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Knock knock howdy folks.
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Welcome to the Dr.
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Ben and Friends Podcast, where we are putting the med in comedy.
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Alongside me, we have Mr.
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Casey, Scrub Tech First Assist Extraordinaire.
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He helps us in the operating room.
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Mr.
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Casey, thank you for being here.
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Awesome.
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Thank you.
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And I also have Mr.
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Brandon Skelton, high school teacher, stand-up comedian, former pastor, dry bar special.
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All right, Mr.
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Brandon, thank you for being here.
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Thank you for having me, sir.
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Are you guys ready to play what the heck?
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Let's do this.
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All right, what the heck?
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All right.
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Oh.
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Duodenum.
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Duodenum.
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All right.
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Duodenum.
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Yes.
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That is uh it's a gel.
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It's a gel that
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A jail! Who's in this jail?
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For the bad surgeons.
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It's it's a gel.
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It's actually two types of gel, and you put them on the knee uh to get it numb uh before you do it.
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G-E-L.
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Oh we thought you were saying J-A-I-L, Jail.
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It his accent, folks.
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I thought like a prison.
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Like my knee's about to go dark on his ear.
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Uh but yeah, yeah, it's uh two types of gels.
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You put them on the knee uh to get them numb so you can do the do the surgeries.
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Yeah.
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Oh, okay.
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Not a jail or a gel.
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No, no, that's yeah, that's not correct.
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It's actually a holding cell for surgeons that are acting up.
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More like a jail.
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Like a jail.
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Sentence to the you're sentenced to the duodenum.
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You're spending 30 minutes in the duodenum.
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You don't want to spend 30 minutes in the duodenum.
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You said duodenum, which a lot of people say we say duodenum as well.
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Uh it's the first section of the small intestine.
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Oh, it's part of your small intestine.
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It goes from your stomach through to Okay.
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And um you probably see them a lot more than I do, but I'll say
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a lot of duodenums.
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All right.
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And what do you have to usually do in surgery with the duodenum are we ever?
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Don't touch it.
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Okay.
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But sometimes they might have a perforation or a hole in the duodenal ulcer.
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There can be.
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And uh it kind of involves suturing it closed and putting a patch over it.
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Okay.
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So the first part.
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Um, can Mr.
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Brandon use that in conversation at all today?
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The duodenum?
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I mean, you could, depending on if you eat one of those sandwiches in the refrigerator, you'd be like, oh, my duodenum is sure acting up on me.
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Mine was acting up earlier. You didn't smell it.
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We didn't know about it.
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Odorless flatulence here, folks.
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Been cracking them off, and we didn't even know.
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We just keep on interviewing.
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All right, folks.
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And if you want to learn more about the duodenum, check out the Dr.
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Ben and Friend's episode where we had bariatric surgeon Dr.
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Jameil and very hilarious comedian Brynn talk about the duodenum.
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So you'll love that one.
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We had a big segment about the duodenum if you're more interested in that small intestine and who isn't really.
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Doesn't get the credit that the large intestine gets, I think, a lot of times.
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Kind of overshadowed by the large intestine.
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It's kind of like the scrub tech of the intestine, right?
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I mean, it just doesn't get
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necessary part of surgery, but so.
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All right, folks.
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And this for the first time on what the heck, we are gonna have Casey show Mr.
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Brandon some instruments used in surgery.
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And Mr.
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Brandon, after asking himself what the heck, is gonna tell us what he thinks those are and what they're used for.
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Uh Mr.
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Casey, will you show him uh an instrument here that we use in surgery?
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We'll start with this one.
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Oh, that one's simple.
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Yeah.
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Um, obviously, one of the most important things in a surgery is your line of vision.
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And so let's just say you're working hard, Dr.
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Ben.
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You're in there, your hands are tied up, but then you're like, oh my goodness, my eyelash getting down in my line of vision.
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Well, then you call one of the people over, they open this up, they hook your eyelashes and just roll it right up for you.
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Like an eyelash uh roller.
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Because the last thing you need is a surgeon who can't see.
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So yeah, that one's very simple.
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What about now?
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We'll see if that's right, but what about like I'm tired during surgery and I can't keep my eyelids open.
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Yeah.
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And so, or I'm Korean and my eyes aren't squinty anyway, and I need better.
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We use two of these with him on every case.
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So they open my eyes and keep them open so I can see.
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That's for those afternoon surgeries.
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That's right.
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You get a little tired after Taco Tuesday, you want to take a nap, and this instrument keeps my eye open.
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Is that how accurate was it?
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Was he or was I with it?
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Well, I mean, you could use it to keep the eye open, but I don't think like
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would it curl eyelashes?
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I don't know.
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I mean, we can try it.
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Now, listener, we have this some sort of ratcheting device with looks like two little tiny rakes that you'd use like in a zen garden or something.
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Um for sweeping sand.
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All right.
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Can you see that, listener?
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So is this uh f to help the um surgeon kind of chill out, move sand around in a zen garden?
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What what the heck is this then?
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This is a wheat lander.
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We oh, okay.
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Now what does that mean?
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So wheatlander.
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Well, how do we use this?
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Nobody knows why it's called that.
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Okay.
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We just call it that.
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It uh it's to hold a wound open.
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Oh so if you're working in a small space and you need to actually hold the tissue apart that goes in, catches the edge of the tissue, and opens it up.
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Wow.
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Ah, okay.
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And listen, this is uh one in a class called a self-retaining retractor.
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So as it kind of ratchets open, it keeps it open itself rather than so Mr.
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Casey doesn't have to stand there and hold the retractor, it's self-retaining.
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Kind of frees up a hand.
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That's right.
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Do you think a robot could ever do this someday?
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Free up a hand.
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Okay.
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This is the Wheatlander self-retaining retractor, folks.
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All right.
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But I like our ideas with the eyes too in the Zen garden, but that is not the use in the surgery.
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All right.
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Do we have uh another instrument here?
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We have a fun one here.
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Oh, yeah, that one makes sense.
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So um
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What the heck?
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One of the things, yeah, what the heck, but the way I see this, so one of the things that got me back into teaching was insurance.
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Um, you know, not all insurance are the same.
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And so let's just say somebody comes in there and they're like, I don't have any insurance, I'm self-pay.
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Uh so you're like, well, that's gonna cost a lot for the anesthesia.
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Just hit them and then take them in there and pull the nail out of their femur.
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Is this a substitute for uh anesthesia?
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You just bonk them over the head with a female.
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It could be.
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It could be
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uh to me, uh, it looks like maybe the surgeon wants to uh try out some new material, and so they have to actually hold something.
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That is this thing on.
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Uh my company wanted me to sign up for their 401k.
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I told them I don't think I can run that far.
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Is this thing on?
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So they need some is this like a fake microphone?
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Would you use
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it does look like a fake microphone?
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I wouldn't put it close to my mouth.
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Oh, okay.
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Oh.
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So we have like a round oblong.
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Should I go sanitize my hand right now?
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You might need to.
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We're worried about it getting near his mouth.
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I touched it with the bottom of my hand.
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Bob Barker mic from Price is Right, but um, and then it's on a large long stem and a kind of mini football at the end.
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Have you ever used one of these?
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I have not seen this before.
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That's why I thought it was a microphone.
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Yeah.
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Okay.
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Now, Mr.
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Casey, what the heck is this thing?
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So that is called an E A sizer.
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Okay, tell us more about that.
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Do you have an idea of what it is now?
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What do you say?
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E A sizer?
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E E A.
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E E A sizer.
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Must stand for something we don't.
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That's an end-to-end anastomosis sizer for a colon.
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Oh, okay.
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So tell us more about colon anastomosis.
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What do you mean by that?
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So if we've take out a section of the colon, colon's a tube, it's round, you've got to bring them back together.
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Okay.
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So there's a couple of ways to do that.
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You can either bring them together and suture around that, those two ends, and bring them together.
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Or you can staple.
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So there's a circular stapler.
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This is used to size for the size of stapler that we use to put that together.
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Uh-huh.
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So this goes in the colon and in the rectum.
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For sizing.
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For sizing and positioning.
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Okay, so you're right.
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I may not want to
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um no mouth.
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I would not.
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I'm not going to use it as a microphone.
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Perfectly clean, though.
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Okay.
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This one is clean.
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Five second rule.
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That one's not, but that one's gonna be a
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five-second rule on that uh E end-to-end anastomosis sizer.
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All right.
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Not something orthopedic surgeons use, but I could use it as a mallet, I think.
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Yep.
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Order.
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Order.
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The surgery will come to order.
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All right.
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I'll uh I'll bring you one for your next case.
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Okay, thank you.
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For a microphone.
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Sure.
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I want to try out new materials.
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We also use it in the jump room.
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I like it.
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Alright.
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What other instrument do we have here?
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Going and hand that to him.
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Okay.
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What what the heck?
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Well, um.
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I think I've figured this out.
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You're messing with me.
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Uh you know, this this actually is not used in the operating room.
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This is something that you would get at like an O'Reilly's advanced auto parts.
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Uh so yeah, like if you're ever needing to replace a car battery.
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So yeah, you you thought you was slick.
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I'd try to come up with something medical, but this is not medical at all.
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Because the leads on the battery sometimes are rusted, right?
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So you have to spin them off.
00:09:30.639 --> 00:09:32.799
So all right, listener.
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It looks like like uh some sort of animal or prehistoric has a lot of little teeth on either side.
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Kind of looks uh maybe like a little alligator or some sort of barracuda, and you it has a handle you squeeze.
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It's like a dolphin.
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Yes, like a dolphin.
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Let's hear you're a dolphin, Mr.
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Brandon.
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Yeah.
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That sounded like an angry dolphin.
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It's very angry.
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But it also does look like uh a tool that you might not use in surgery, like a vice grip or something.
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Right.
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That's what that is.
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That's a vice grip.
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Yeah.
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But it is used in surgery.
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Like maybe pulling nails out of femurs.
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Pulling nails out of femurs.
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You could pull a nail out of or if you if Casey isn't readily available.
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I am a vice grip.
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Right.
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If he's if you weren't working that day, I would need something.
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You would need those.
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That's why they nicknamed him vice grip there in the operating room, right?
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VG, we call him.
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All right, VG, vice grip.
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All right.
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So we do what would we use a vice grip in surgery for?
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No one knows.
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Nobody knows.
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You never know when you might need another.
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No, but you could use it to bend plates, pull nails out.
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Uh sometimes we remove implants, and you need something that's really got that gripping strength if you don't have me around.
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Sometimes uh you have to remove like broken screws.
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Yep.
00:10:49.759 --> 00:10:54.000
You could clamp onto a screw and very versatile tool.
00:10:54.000 --> 00:10:57.279
So the vice grip actually used in surgery.
00:10:58.320 --> 00:10:59.519
And the jump room.
00:11:01.200 --> 00:11:03.759
Probably wouldn't use this in an end-to-end anastomosis.
00:11:04.080 --> 00:11:04.240
No.
00:11:04.240 --> 00:11:06.399
Uh you can also use it for vasectomies.
00:11:07.360 --> 00:11:08.720
Oh, scary.
00:11:08.720 --> 00:11:10.240
Don't use it.
00:11:10.240 --> 00:11:10.960
Don't use it.
00:11:10.960 --> 00:11:17.440
Um, do you know what the difference is between uh like a um traumatic vasectomy and then one performed surgically?
00:11:17.759 --> 00:11:19.679
I'm guessing one with a vice grip.
00:11:20.000 --> 00:11:22.720
Yes, there is a um vas deferens.
00:11:22.720 --> 00:11:25.519
There is, there really is.
00:11:25.519 --> 00:11:28.480
There's a vas deferens between the two.
00:11:28.799 --> 00:11:30.000
It's a vast difference.
00:11:31.120 --> 00:11:31.759
All right.
00:11:39.600 --> 00:11:40.000
Dr.
00:11:40.000 --> 00:11:46.480
Bad and Friends.