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Doctor Mike
Doctor Reacts To RUTHLESS South Park Medical Scenes
Doctor Reacts To RUTHLESS South Park Medical Scenes
Doctor Mike
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14:31 · Apr 22, 2026
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Sometimes
the
best
way
to
talk
about
uncomfortable
medical
subjects
is
through
humor.
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0:00
Sometimes the best way to talk about uncomfortable medical subjects is through humor.
0:04
So, let's watch and react to some South Park.
0:10
I hope they're going to solve our insurance crisis.
0:14
>> Wow, look at this place.
0:17
>> Well, hello there.
0:18
Looking to get some insurance?
0:20
>> No, my friend's mom already has insurance with your company.
0:23
>> Oh, great.
0:24
You're here to pay your bill.
0:25
>> >> No, no, we're we're not here to give you money.
0:27
We're here to file a claim for my friend's medication.
0:29
>> Oh, you want money from us.
0:31
Right through that door over there.
0:33
>> It's like a door to hell or something.
0:37
>> >> All these companies have the most amazing technology, AI, this, that.
0:41
But whenever you think about their processing claims department, it's this poor dude.
0:46
>> We want to file a claim to get my friend's weight loss drugs
0:48
paid for.
0:50
>> Oh, okay.
0:54
>> With a typewriter, one finger at a time.
0:58
This is the constant struggle I have.
0:59
Like, to get my patients who need GLP-1 medications either for weight loss
1:05
or for diabetes,
1:05
it's a struggle.
1:06
But then get this, some of my patients have been on the medication,
1:09
doing phenomenally well.
1:11
We're keeping them out of the hospital cuz their diabetes is under control.
1:14
Their weight's going down.
1:15
They're needing to see us in the health care system less,
1:18
so that they're spending less money off the insurance company.
1:21
But they then take the GLP-1 off their formulary
1:25
and no longer cover it.
1:26
What the hell?
1:28
>> Let me just speak with our medical director first.
1:34
>> The rotary phone?
1:35
>> And you laugh, but approvals and denials still happen by fax.
1:41
>> Yeah, yeah, okay.
1:44
Sorry, but we don't pay for medicines for obesity cuz it's not a disease.
1:49
>> Who was that?
1:50
>> That was the medical director.
1:52
The medical director decides what claims are valid for us to pay for.
1:55
>> But you didn't say who the patient was or what was wrong with him.
1:59
>> Right.
1:59
The medical director's job is just to say no.
2:01
The more they say no, the more the profits go up.
2:03
And look, I'm not trying to paint them in an all bad light,
2:07
but the idea of them making things a little bit harder in some instances
2:12
in order for you to give up
2:13
and not actually proceed with the claim
2:16
or the reimbursement works in their favor
2:18
and they definitely know
2:19
that.
2:19
They're aware.
2:20
>> My friend's mom has been paying you people for years
2:22
and his doctor says his weight is a medical concern
2:25
and obesity is a disease.
2:27
Oprah Winfrey said so.
2:28
>> Okay, okay, calm down.
2:29
Calm down.
2:31
Whether you think obesity disease
2:33
or not doesn't really matter
2:35
because by treating the obesity the risks of other diseases
2:40
that you will inevitably have to pay for go down.
2:42
It's a profit profit savings for you long term
2:45
if you keep the same person insured.
2:48
But because everyone's constantly switching plans, that's a big problem of our hybrid system.
2:52
>> I didn't realize I was dealing with someone who had so much determination.
2:56
If you do a little more work,
2:57
I think we can get your medications paid for.
2:59
>> What, we can?
3:00
>> Yeah, you see the doctors
3:01
and the pharmaceutical companies
3:02
and the insurance companies all kind of work together.
3:05
So all you have to do is navigate the American healthcare system.
3:08
>> They don't actually work together at all.
3:10
It's the most discombobulated system ever.
3:13
>> We're going to navigate the American healthcare system.
3:17
It's there for you and me.
3:18
>> Just fill out these forms.
3:20
>> We're going to get better
3:21
and we're going to be strong
3:23
and get healthy as we >> Why is there like some kind of dialysis
3:26
pump or It looks like it's one of those things where you blow into
3:30
and the ball hovers around the cup.
3:32
>> I need to send you to imaging.
3:33
>> Let's navigate the American healthcare system.
3:36
>> Just fill out these forms.
3:38
>> I just I just filled them out the last place.
3:40
>> It's so much fun to be getting it done.
3:43
>> I can't sign this for insurance as original doctor needs to sign this.
3:46
>> We go back to the doctor to get
3:48
that thing for insurance
3:49
and go back to insurance.
3:51
>> This happens to so often of me ordering something for a patient,
3:55
explaining the necessity, putting the diagnostic codes, only for them to say, "Oh, well,
4:00
we cover it for this diagnostic code,
4:02
but your diagnostic code is missing an R at the end."
4:10
>> We need you to get a second opinion from a doctor WHO'S IN NETWORK.
4:14
>> WE'RE navigating American health care system.
4:17
>> Why is he wearing a patient gown?
4:20
Every where he goes with his butt out.
4:21
This is a tip that I can give here with South Park.
4:24
It's so tempting to get mad, but the second you get mad,
4:28
the more those people who are already annoyed with everyone yelling at them all
4:32
the time cuz it's not actually their fault,
4:33
the less likely you are to succeed.
4:35
And I know that sucks to hear,
4:37
but the nicer and clearer you can be in your communication,
4:40
even when you're fed up,
4:41
and you understand that it's not that person blocking you,
4:43
the more effective you can be at times.
4:45
>> Yeah, that's a pretty bad lice problem there.
4:47
Good thing they pulled you out of school.
4:49
>> But why me, doctor?
4:50
Why me?
4:51
How did I get this?
4:52
>> of people will feel ostracized by their classmates
4:58
because they think that getting lice is like a moral failing
5:01
or that they're dirty.
5:02
In fact, lice enjoys a clean head of hair.
5:05
Remember, it spreads by contact, close contact.
5:08
Lice don't jump, they crawl.
5:09
So, it's literally kids making contact with each others heads or sometimes through surfaces.
5:14
In fact, American Academy of Pediatrics says like,
5:16
don't go crazy cleaning your entire house.
5:18
Maybe vacuum, wash the most recent clothes that you wore, pillowcases,
5:22
but like going too far doesn't usually help.
5:25
And lice, head lice, don't spread disease.
5:29
So, while yes, they can irritate your scalp
5:31
and lead you to scratch
5:32
and then create an infection from the scratching,
5:34
they themselves look more evil than they are.
5:36
And if you never saw head lice under a microscope,
5:39
or dare I say head louse under a microscope, here you go.
5:43
Good luck sleeping tonight.
5:44
And I bet your head is tingling right now, cuz mine is.
5:53
>> Well, believe it or not,
5:54
some lice can actually attach themselves to flies
5:57
and then wait for the fly to land on someone's head where they can
6:00
reproduce.
6:00
>> I've never heard that.
6:01
Sometimes people blame pets for this.
6:03
Lice don't like to live on pets, so that's not a thing either.
6:06
They're not a spreader.
6:07
>> This shampoo should take care of it.
6:09
Use this in the shower.
6:10
>> Yeah, we have medical treatments with certain chemicals
6:13
that can kill the lice
6:15
and the nits.
6:16
We also have what people refer to as less toxic options.
6:19
We have this very interesting louse buster heat technology
6:24
that is not as hot
6:25
as a blow dryer
6:26
and it can kill like 90 plus percent of the lice there
6:31
and the nits.
6:32
And there is a world for wet combing,
6:34
which is a whole technique on its own
6:36
that some people super specialize in in order to remove the lice one by
6:40
one.
6:41
It's not an easy technique.
6:42
Things get missed there.
6:46
I think they're trying to do a a play on Nix,
6:49
which is a common over-the-counter lice treatment
6:52
that we sell here in the States.
6:58
>> What is that?
7:08
>> >> It actually doesn't burn through their skin.
7:10
It like paralyzes their nervous system, which isn't any better, but still.
7:14
>> Do it.
7:15
Do it.
7:16
>> DON'T DO IT.
7:17
You will not fly with a 4x4.
7:21
What is that?
7:24
Oh, thank god there was snow.
7:27
Hell's Pass Hospital.
7:29
He's got a a raccoon eye on one side,
7:32
so you're worried about a really bad basilar skull fracture,
7:35
multiple bruises across the face, an oxygen mask,
7:39
and he's on dialysis with a cord going nowhere.
7:43
>> He thought he could fly with cardboard wings.
7:45
The stupidity is so severe that it caused a fall,
7:47
which has put him into a deep coma.
7:49
>> See, we are looking for the root cause,
7:52
but perhaps not that deep of a root.
7:55
>> Coma?
7:56
My god, for for how long?
7:58
>> There's no telling.
7:59
>> Usually, we'll keep patients in an artificial coma
8:02
if there's swelling of the brain in order to decrease the metabolic demand onto
8:06
the brain,
8:07
therefore potentially decrease some of that swelling.
8:10
And sometimes the swelling is so bad that a craniotomy needs to be performed,
8:13
especially if there's bleeding.
8:14
There's actually things that we do to help patients who are having cerebral edema,
8:19
whether it's changing their position, so elevating the head of the bed,
8:23
giving them specific mannitol concoctions.
8:26
This is a tried and true proven way to decrease swelling inside the skull.
8:30
Cuz remember, swelling inside a closed uh environment only yields more pressure
8:35
and more damage.
8:36
>> Oh, you finally come back.
8:38
It's a miracle.
8:39
>> You're at the hospital, Eric.
8:40
You've been in a coma for some time.
8:43
>> Coma?
8:44
How long?
8:45
>> It's been 2 days.
8:47
>> He grew a full beard.
8:49
>> Nurse, you can remove his face warmer now.
8:51
>> Yes, doctor.
8:52
>> Face warmer?
8:53
>> We do do oral treatments for those who are uh in a coma
8:57
because think about it,
8:58
they're not creating enough lubrication, they're not speaking, they're not swallowing,
9:02
so it can get pretty mean in there.
9:03
So, you need to uh do some magic mouthwash every now and then.
9:06
>> Eric, you've suffered massive head trauma.
9:08
Your road to recovery will be long and arduous, at least another 2 days.
9:13
>> During neurologic injury, you don't know how long the road to recovery is
9:17
until you monitor it clinically
9:18
and you start getting a sense of how the patient is progressing.
9:21
Literally, you watch and see how much they improve day-to-day.
9:25
You keep objective values in place,
9:27
and from there you could sort of make a trajectory.
9:29
But otherwise, it's hard to predict.
9:31
>> I'm sorry, detectives.
9:32
There was nothing we could do.
9:34
>> Damn it.
9:35
Another murder victim.
9:36
>> We better get back to the station, sir.
9:38
>> Good, because you have kept me up for 3 hours.
9:40
>> All right, let's go, Murphy.
9:42
Hang on a second.
9:42
Where Where are my car keys?
9:44
>> Probably in your front pocket, dumbass.
9:48
>> Doctor, didn't you say that kid suffered head trauma?
9:51
>> Yes, it was pretty severe.
9:53
>> What is it, Lou?
9:54
>> I've heard cases where people suffering head trauma awaken to some psychic abilities.
9:58
>> No, but some people,
10:00
and I'm going to show you the clip so you believe me.
10:02
People out of a coma or after an injury develop different accents.
10:06
>> It wasn't until I was in ambulance on the way to the hospital
10:08
that I actually said,
10:09
"Are you aware of the way you're speaking?"
10:13
And I said, "Oh, I sound like I have a sore throat."
10:15
She said, "No, you sound like you could work at a Chinese restaurant."
10:19
>> Don't let me swallow this.
10:20
I'll do it.
10:22
>> Is that an M&M?
10:22
>> It's an almond M&M.
10:24
I'm very allergic to almonds.
10:25
>> What?
10:26
No, don't He's going to go into anaphylactic shock,
10:28
and then his oropharynx is going to swell and close up,
10:30
and he's going to have hypertension and gastrointestinal discomfort.
10:34
This is a serious problem, and Benadryl won't help here.
10:36
You need epinephrine.
10:37
>> Just leave me alone.
10:38
>> Then you have to tell us.
10:45
Well, ah.
10:45
Ah!
10:45
I'll talk.
10:46
Don't let him swallow it.
10:47
Pry his mouth open.
10:48
>> He ate it.
10:50
>> Butters, WHERE ARE THE BALLOTS GOING?
10:51
WHERE are they going?
10:54
>> Why is he foaming in the mouth as if he's rabid?
10:56
I mean, I'm not going to lie,
10:57
if the swelling is so bad and you can't swallow,
11:00
there could be some salivation.
11:03
>> Your friend has had a severe allergic reaction.
11:06
>> Can we please just try and talk to him?
11:08
>> All right, but don't take too long.
11:11
>> Oh, wow.
11:12
That's full-on facial angioedema right there.
11:15
>> I didn't want to have to do this, but if you don't tell us,
11:17
I'm going to tell your dad you helped get the wrong person elected president.
11:21
>> You believe in gay.
11:22
>> Then just tell me what Cartman is up to.
11:24
>> I feel like he should be in the ICU with that level of swelling,
11:26
especially swelling surrounding the oral airway.
11:29
>> I did.
11:30
He said I didn't vote for Hillary Clinton today.
11:33
>> What did he say?
11:34
>> He voted >> Oh, great.
11:36
The worst person, yet the best person to translate that.
11:40
>> Butters, where is Cartman supposed to hand over the ballots?
11:50
Where?
11:50
>> Huh?
11:50
He said at >> What?
11:56
>> RED RED >> >> OH, RED LOBSTER.
12:02
>> Red Lobster?
12:03
That's where people really have anaphylaxis if you're allergic to shellfish.
12:14
>> >> How does he have the upper body strength to pull himself up
12:18
a burning broken bridge?
12:19
I can barely do that,
12:21
and I consider myself semi-fit and not a chef.
12:31
>> Oh, lord.
12:31
>> I'm worried about the spinal cord.
12:33
I'm worried about lower extremity paralysis, bowel incontinence.
12:37
Remember, the nerves that come out of the the spinal cord lower there are
12:40
just gone.
12:41
The entire dermatome.
12:42
If I'm a rescue worker,
12:43
I'd cut the branch from behind him and bring him in like that,
12:46
because it's probably putting pressure on the areas that are bleeding,
12:50
therefore decreasing the bleeding.
12:52
So, you'd want the trauma surgeons to actually remove the branch,
12:56
but I have a feeling that something more vicious is going to happen.
13:03
OH.
13:04
OH, HE'S EATING HIS LIMBS.
13:05
>> Can't lose another member.
13:06
Shoot it.
13:09
>> OH, THEY SHOT HIM?
13:11
Stop shooting Chef.
13:13
That went straight through his aorta.
13:15
And the bear?
13:19
Okay, he has zero chance of survival.
13:21
This is like Mortal Kombat fatality situation.
13:26
Oh, that's a degloving injury of the face.
13:29
Ouch.
13:30
Ouch.
13:31
Ouch.
13:31
>> Maybe maybe he's still okay.
13:33
>> He's not, champ.
13:34
Landing a 100-ft fall onto a sharp branch
13:38
that penetrates the abdominal cavity
13:41
and severs a spinal cord,
13:43
then bleeding extensively out, exsanguinating,
13:47
lions and bears mutilating and tearing apart limbs is not compatible with life.
13:54
And I'm sure one of you in the comments is going to be like,
13:56
"But my uncle was once camping
13:58
and he fell and a male lion chewed off his finger."
14:02
Doesn't count.
14:02
Not compatible.
14:03
>> They say the last thing you do before you die is crap your
14:08
>> That's not true.
14:08
I mean, once you're dead for a period of time, fluids come out,
14:12
but >> Oh, never mind.
14:14
>> These guys have no hospital etiquette.
14:16
In fact, here are things you should never do or say in a hospital.
14:19
Click here to check that out and as always, stay happy and healthy.
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