QI | What's The First Question Surgeons Must Ask Themselves?

Follow QI on Twitter ▶ twitter.com/qikipedia
Follow QI on Facebook ▶ facebook.com/officialQI
Follow QI on Instagram ▶ instagram.com/theqielves
Subscribe on TRvision ▶ trvision.net/nameof-theqielves
For more visit ▶ qi.com
This clip is from QI Series O, Episode 8, 'Operations' with Sandi Toksvig, Alan Davies, Bill Bailey, Rhod Gilbert and Katherine Ryan.

Herunterladen

YORUMLAR

  • I'm assuming consent isn't as important when it's a life or death emergency situation

    Tom SmithTom Smith2 saatler önce
  • Consent...unless it's a baby getting circumcised, then fuck it. :(

    Bamboo AcrobatBamboo Acrobat8 gün önce
  • "Will their insurance pay for it?"

    kilroy987kilroy98710 gün önce
  • "I wish more women would cut off their breasts."

    ClippyClippy17 gün önce
  • Gotta look for the Five Signs of Death, to make sure the patient is worth operating on.

    typacsktypacsk22 gün önce
    • Doesn't matter much. Nobody ever died twice Pretty far down the list

      Î BäbçõćkÎ Bäbçõćk16 gün önce
  • My guess was, "How high is my blood alcohol level?"

    NLTopsNLTops23 gün önce
  • "Am I too drunk" or "Am I drunk enough"

    cypresssteve1cypresssteve125 gün önce
  • This is one of the _most interesting_ QI clips ever.

    D.B.D.B.25 gün önce
  • And you may ask yourself, "How do I work this?"

    WhiteCamryWhiteCamry25 gün önce
    • And you may tell yourself, "This is not my beautiful house!"

      TophieTophie22 gün önce
    • And you may ask yourself, “Where is that large automobile?”

      nocalstevenocalsteve23 gün önce
  • I had an operation in Switzerland recently. Prior to anesthesia, I drew an X on myself with a pen whilst the nurses watched and took notes. At the time I remember thinking that this seemed contrary to the perceived stereotype of the efficient and precise Swiss.

    Iain LittleIain Little26 gün önce
  • I’m sure it’s not just our local hospital but they are writing what to do and which body part to do it. One group of surgeons is even putting no on the other leg or arm so you know which one not to do. Years ago a surgeon near here actually didn’t operate on the wrong body part and messed that one up so the other similar body part that had the pain or problems was also messed up.

    Jim DevilbissJim Devilbiss26 gün önce
  • There have been stories of surgeons removing the wrong appendage, etc. There are also stories of patients writing on their own body parts-NOT THIS LEG/ARM.

    One MercilessMingOne MercilessMing26 gün önce
  • I've been told by women who indeed have experienced both that an attack of gallstones hurts about the same as childbirth.

    ChrisCChrisC26 gün önce
  • Tipper the slipper is the new spike why do they not talk about this?? click on tipper and see for yourself {oh and subscribe}

    The Tipper the Slipper ShowThe Tipper the Slipper Show26 gün önce
  • Questions you don't want to hear the surgeon ask as you slip under: "Can anyone remember where I was last night?" "Is it just me or is this patient's face out of focus?" "Are we removing the appendix or the penis?" "What's the meaning of it all?"

    TheBravesirobinTheBravesirobin27 gün önce
  • "Am I cut out for this job?"

    John DoeJohn Doe27 gün önce
  • There should be a QI segment about the amount of people who knew someone who wrote instructions on themselves before a surgery, because according to this comment section there are loads.

    itsDavoBroitsDavoBro27 gün önce
    • Ha! Yes, gotta love a good urban myth.

      L GL G23 gün önce
  • Nobody: Absolutely nobody: A woman: Childbirth is the most painful thing imaginable. They say it's like cutting of all your limbs while breaking all your bones, while electrocuting you, while drowning you.

    AleksandarAleksandar27 gün önce
  • Anyone who's bothered about Katherine Ryan's J O K E about men castrating themselves should spend 24 hours on Grindr. After that, if you can tell me hand on heart that you don't agree, then you have the patience of a saint.

    Tom KenningTom Kenning27 gün önce
  • Did I charge my Teslas this morning?

    TurreboTurrebo27 gün önce
    • Can I afford a bigger boat?

      Dan ArnetsDan Arnets18 gün önce
  • That last lady that wanted men to castrate them selves was kinda weird...

    ManicPandazManicPandaz27 gün önce
    • @Zach Brookes Someone joking about cutting of women’s breasts off would be equally weird. Amputation jokes usually aren’t too funny.

      ManicPandazManicPandaz25 gün önce
    • It's called a joke - you can tell by Katherine's tone of voice she was joking.

      Zach BrookesZach Brookes25 gün önce
    • @Tom Kenning that's kinda gay

      General RommelGeneral Rommel27 gün önce
    • Spend 24 hours on grindr and tell me you don't agree

      Tom KenningTom Kenning27 gün önce
  • hah, makes sense, but I would have gone with, have I washed my hands?

    GoatchaGoatcha27 gün önce
  • No Stephen Fry? Not interested.

    ophelloophello27 gün önce
    • Good for you?

      Cory ZilligenCory Zilligen24 gün önce
  • "What's The First Question Surgeons Must Ask Themselves?" "Am I drunk?"

    j4d3 goatj4d3 goat27 gün önce
  • I'm so glad there aren't that many woman that want to go round castrating men as this panelists....at least I hope there aren't. 0_0

    wibblesnotwibblesnot27 gün önce
  • Well...I mean, there's a reason the joke of writing "Cut this one off!" on the correct limb is a long running joke that people actually do. Malcolm in the Middle took it a couple of steps further with the joke where Malcolm wrote his (correct) diagnosis and a threat of legal action on his stomach for the surgeons to see because they were just going to whip his appendix out with no real reason behind it. 40% less deaths is still a stupidly high difference to make, though!

    Kay CeeKay Cee27 gün önce
  • I love the casual misandry from the woman with the funny shirt and botox'd face.

    AndrewAndrew27 gün önce
    • Spend 24 hours on grindr and tell me you don't agree

      Tom KenningTom Kenning27 gün önce
  • Japanese train conductors have a similar system where they point at all things they are supposed to check and say it out loud. Reduced train errors by like 2x.

    romulusnrromulusnr27 gün önce
    • It's also why both airline pilots go through the checklist. One reads the item, the other repeats it and then performs the required procedure.

      almostfmalmostfm25 gün önce
  • A few years ago a woman was having her kidney removed in order to donate it to her sister, and a nurse inadvertently discarded the kidney.

    nocalstevenocalsteve27 gün önce
    • @nocalsteve Woah! abcnews.go.com/Health/toledo-hospital-threw-donor-kidney-now-denies-negligence/story?id=20110334 That looks like clear negligence to me!

      L GL G21 gün önce
    • @nocalsteve Hmm a seven year old story with no explanation of how and why. "the kind of accident that happened at UTMC is unheard of in organ transplant centers." This is about right. Transplants are carried out by "harvest" teams, it's what they do all the time. The suggestion that it took over an hour to recover the organ is intriguing, placed in biological waste? How TF did nobody notice? Fascinating story, I'll look for a follow up. See what the (inevitable) investigation turns up. Thank you

      L GL G21 gün önce
    • www.toledoblade.com/q/2012/08/24/utmc-nurse-tossed-out-kidney-ruined-it.html

      nocalstevenocalsteve21 gün önce
    • @nocalsteve Nope, you provide a link and I'll read it. Expecting to find when, how, and why in your evidence

      L GL G21 gün önce
    • Google “Toledo nurse throws away kidney”

      nocalstevenocalsteve23 gün önce
  • Did I sleep in a Holiday Inn Express last night?

    nocalstevenocalsteve27 gün önce
  • Unix is a form of heaven for those in the know

    ttthttpdttthttpd27 gün önce
  • How good’s my malpractice insurance?

    Jay WrightJay Wright27 gün önce
  • What's my tee time?

    Melissa HudsonMelissa Hudson27 gün önce
  • Katherine Ryan is a fucking dullard. She doesn't belong anywhere near QI.

    Not A Sith LordNot A Sith Lord27 gün önce
  • "does this bitch have insurance?"

    N EnglishN English27 gün önce
  • Katherine's face said it all "40% decrease" is an INCREDIBLY huge number of deaths.

    ShallibodhranShallibodhran27 gün önce
  • Isn't there a photo of the guy operating on himself? I also love rhod calling bullshit on Katherine's pain scale comment

    htdtrhtdtr27 gün önce
  • A friend of mine needed knee surgery and before being put under wrote with indelible marker on her good leg, "NOT THIS ONE!"

    ffeffffeff27 gün önce
    • @Idle Onlooker If your foot had been de-gloved a fucking cat would be able to identify the correct limb! Or are you improperly using terminology?

      L GL G21 gün önce
    • @L G Well for your information the hospital I went to has a pretty bad reputation: coroner's courts finding negligence on a number of occasions- including exposure of "surgeons" practising without proper supervision and/or improper conversion of their medical qualifications from overseas. With my limbs on the line - I'm.not taking any risk: you might, but I won't thank you very much.

      Idle OnlookerIdle Onlooker23 gün önce
    • @Idle Onlooker You had a de-gloved foot and were concerned the surgeon would operate on the other one? The one fully covered with skin? I've met some stupid surgeons, but none that would make that mistake! And I can't see many theatre teams letting such a thing slide

      L GL G23 gün önce
    • @CubeTuber1337 I daresay many people have done something similar -- I certainly would, if I had to be operated on any one of a pair! :)

      ffeffffeff24 gün önce
    • The same story is 2 comments below. That's interesting.

      CubeTuber1337CubeTuber133724 gün önce
  • Of course Katherine Ryan says that 🙄

    Axl DaveAxl Dave27 gün önce
  • I wish I stopped the video after the appendix operation bit

    Eamon AhernEamon Ahern27 gün önce
  • Get that cat out of here!

    grahamlivegrahamlive27 gün önce
  • Surely when performing self surgery, you'd pass out or puke from the pain after the incision, right?

    ohnoitschrisohnoitschris27 gün önce
    • No.

      L GL G23 gün önce
    • i mean, your options are "do this on yourself" and "die". not really much of a choice, right?

      cybergeek11235cybergeek1123527 gün önce
  • "Ready nurse?" *klaxon*

    Ben WardBen Ward27 gün önce
  • And then there's the checklist for after the work is finished: "Is anything still bleeding?" "Did I get all the bits I was after?" "Did I leave anything in the patient?" (Don't laugh, that happens.)

    Serai3Serai327 gün önce
    • @Nick Teale Don't worry. Anaesthetic staff tend to notice if you start dying on the table!

      L GL G21 gün önce
    • Well... You'd hope they've left at least a couple vital organs in there. :3

      Nick TealeNick Teale22 gün önce
    • @ffeff Yes. And sometimes surgeons ignore the count from the scrubber before cementing a prosthetic into a bone...and sometimes instruments are damaged.

      L GL G23 gün önce
    • Go in for surgery, get a free watch. If you go back in to get the watch removed they surely can't begrudge you keeping it

      Tom KenningTom Kenning27 gün önce
    • That's what surgical nurses are there for (among other things): they perform a count of all the instruments and bits and pieces (including gauze and cotton) to make sure nothing has been left behind.

      ffeffffeff27 gün önce
  • My grandmother had an operation on the wrong knee... The second time she went for the operation, she made sure the correct knee was riddled with arrows and thick Sharpie letters telling what had to be done to this knee XD

    H vAH vA27 gün önce
    • i see she had a tour of duty as a guard in Skyrim...

      CorvusCorone68CorvusCorone6815 gün önce
  • I hate Katherine Ryan.

    Jerry KurinskyJerry Kurinsky28 gün önce
  • This is the first time I have ever seen such an interesting facial expression from Katherine Ryan...(at 0:59, and again at 1:25) Is it actual concern? I wonder if it's because of the cosmetic procedures she's undergone? I'll admit it humanizes her a bit...

    Team RRC2Team RRC228 gün önce
  • You know what, women joking about a guy cutting his own balls off and saying "I wish more men would take that path" is *FUCKING DISGUSTING!* ... Can you just image the absolute uproar if that was the other way around? Misandry disguised as comedy is BANG out of order.

    baselinebazbaselinebaz28 gün önce
    • Never say, "Grab her by the pussy" in the privacy of a locker room if you intend to stand for public office! Oh, I can take a joke, but notice how she immediately changes the subject to women's pain and compares childbirth to having a limb cut off without anaesthetic.

      Jerry GregorJerry Gregor27 gün önce
  • "Why is my handwriting worse than a spastic with Parkinson's?"

    SeanTheOriginalSeanTheOriginal28 gün önce
  • NURSE. I said to prick his boil, not to boil his....

    BadHombreBadHombre28 gün önce
  • Why have a blonde American lassie in a program that requires quick witted guests? Seems cruel.

    Monica SantosMonica Santos28 gün önce
    • Katherine Ryan is Canadian and is quick-witted, just not in this clip.

      Stacey KennyStacey Kenny28 gün önce
  • Scrunch or Fold?

    Mathew HaleMathew Hale28 gün önce
  • FOOOOOOOOOOOOOOOOOOOOOK...………...

    JONATHAN SUTCLIFFEJONATHAN SUTCLIFFE28 gün önce
  • The use this checklist in triple when you go in for surgery. Once when you show up and a nurse discusses the procedure. A second time when you have been prepped for the actual sergury. And a third time when they start the sergury. I'm allergic to specific foods so when they heard that in the operation room they had to switch their latex gloves to a kind I wasn't allergic to.

    woroworo28 gün önce
    • That wouldn't have been because you _were_ allergic to latex gloves. Because you probably aren't. It would have been a precaution.

      L GL G23 gün önce
  • A work colleague was getting an op on his knee and the marker they use to show where they're going to make incision someone wrote on good knee....."Not this one" 😂😂

    Dark WarriorDark Warrior28 gün önce
    • The same story is 2 comments above. That's interesting.

      CubeTuber1337CubeTuber133724 gün önce
  • Something you don't want to hear your doctor say: "It's all right, I know what to do. I've logged over 1000 hours on Surgeon Simulator 2013".

    Thomas LevettThomas Levett28 gün önce
    • Or "oops! "

      TheBravesirobinTheBravesirobin27 gün önce
    • "The knee bone's connected to the... something, the something's connected to the red thing, the red thing's connected to my wristwatch... Uh-oh."

      Thomas LevettThomas Levett27 gün önce
    • Another something you don't want to hear said: "What the Hell is that?"

      r0bw00dr0bw00d27 gün önce
  • I abhor the end cap.

    malenotyalcmalenotyalc28 gün önce
  • The first question that came out in my head was "is this the right leg?" Actually not bad And being a patient that has been in the hospital for three months, the first request they give you is to certify your name and date of birth. Every single time.

    André BenitesAndré Benites28 gün önce
    • No, it's the left leg.

      Jon ClivazJon Clivaz26 gün önce
    • i had surgery on my right leg, and they for sure maked the leg "which was to be opreated on" on the day before surgery with a water resistand permanent marker. (i think in english they are called sharpie) So in the OR they just looked at both legs and were clear which one...

      nirfznirfz28 gün önce
  • The egg with hair guy....

    Pipe TunesPipe Tunes28 gün önce
  • It is very easy to miss the obvious when you're focused on the minutiae of a technical task. A checklist like that helps to take a step back and assess.

    Ky QgKy Qg28 gün önce
    • When my mom needed cataract surgery several years ago, the doctor informed her that it was SOP in the office to do all right eyes one day, and all left eyes on a different day. That way, they didn't operate on an eye that didn't need it.

      almostfmalmostfm25 gün önce
  • "Have I washed my hands?"

    InRetroInRetro28 gün önce
  • Misandry is Ryan's raison d'être.

    Zeig BertZeig Bert28 gün önce
  • It's a simple safety procedure which just seems to frustrate the patients

    IndecentExposureIndecentExposure28 gün önce
    • I wasn't frustrated that the nurse checked which finger needed a tendon reattaching. I did find it annoying that I had to correct the notes, because someone had written down the wrong hand. I also found it frustrating that post-op no-one told me that in fact the tendon was intact and it was only the sheath around it which was cut, so that when I went in for physio the therapist's notes disagreed with the information I had and I had to sit around for an hour while she got in touch with the surgeon to confirm the situation.

      Peter TaylorPeter Taylor13 gün önce
    • @Cory Zilligen You would think so, but people can get really arsey when asked the same questions several times and they just think you are being thick, or inefficient. What people (including staff) forget is that those who work in operating theatres do the same thing day in, day out and patients don't. it could be the most scary thing they have ever experienced.

      L GL G23 gün önce
    • @Cory Zilligen you'd think but it's not just the once the patients are asked these questions and they get annoyed

      IndecentExposureIndecentExposure24 gün önce
    • I'm fairly certain it frustrates the patients less than having the wrong procedure or getting an operation on the wrong part of their body.

      Cory ZilligenCory Zilligen24 gün önce
  • The first question I'd ask myself is _"what the fuck am I doing in here?"_

    Peter BabickiPeter Babicki28 gün önce
  • That is why we have times out in surgery before we start. No knife to skin until the check list completed.

    SheilaghmBrosky BroskySheilaghmBrosky Brosky28 gün önce
  • Super simple checklists like this are extremely important for many things. We as humans are extremely good at coming up with solutions to completely new problems on the fly, but very, very bad at paying attention to something we've done a hundred times before... we just *assume* that things are as we expect them to be without checking, unless we specifically make sure to check those very things. "I've always had the right patient brought to me, of course this patient will be the right one as well!" ...except for the one time they for some reason aren't.

    wloffblizzwloffblizz28 gün önce
    • I’ve noticed this a lot at work recently - I have a bunch of banal tasks to do, and I always seem to forget at least one, usually the one which is the most obvious and I assume has already been done. Next shift I’ll specifically remember that thing and then forget something else which should be obvious

      Saoirse del TufoSaoirse del Tufo27 gün önce
    • Yup. No matter how smart you are, you'll always do little things like forget to plug in your phone or leave your wallet at home. But at least those don't have horrific consequences.

      ohnoitschrisohnoitschris27 gün önce
  • "Can I handle another drink before we get started?"

    TGGekoTGGeko28 gün önce
  • Can I cut it?

    wordreetwordreet28 gün önce
  • everyone laughs but this brief checklist saves lives and surgeons and anesthesiologists NEVER use this checklist in the states, that's we have 5k deaths per week due to medical mistakes. These people hate to be bothered

    freedom1234573freedom123457328 gün önce
    • @. I did some research into those figures. They arise from a 2016 John Hopkins University Study published BMJ. However as many analysis have pointed out, the authors of the study are conflating the figure by including unavoidable medical complications as part of that figure and including it with medical error. A more recent study published in 2019 in JAMA showed that TOTAL deaths from advsere effect of medical treatment from 1990-2016 was 123 603 deaths (roughly 7300 PER YEAR). And these rates have been decreasing. I am not disputing that addressing medical errors is an important aspect of patient care. However the 2016 study severely exaggerates the figure. Also I work as a surgical doctor in Australia. Never been in a case where a timeout hasn't been done (standard checklist). It's done with the patient in the anaesthetic bay, and then again before putting the patient to sleep. I did a rotation at a private hospital in LA as a medical student less than 10 years ago and they always did timeout then

      thachronic100thachronic10023 gün önce
    • @freedom1234573 I can believe that. All I know is they’re supposed to. But you’re right about doctors not having to face consequences, and they’re also not nearly as smart as they think they are.

      Flightof2OwlsFlightof2Owls27 gün önce
    • @freedom1234573 In PA, malpractice insurance is ridiculously expensive and hospitals won't tolerate avoidable mistakes. About twice a year I read of a doctor who is suing our local hospital group because he was let go and those doctors never win their suits.

      shoredude2shoredude227 gün önce
    • so much easier to pick up Never, and rest easier, than addressing the problem, patients death is a huge issue in our country. But obfuscate as needed

      freedom1234573freedom123457327 gün önce
    • @shoredude2 and you are very lucky or very naive, cuz docs who get consequences for not following the rules are very rare

      freedom1234573freedom123457327 gün önce
  • Everytime someone says "giving birth is like something-really-painful" you always think would I have done that other thing twice? Amputating a leg, getting kicked in the nuts or other. No. But women! "Oooo, let's have another baby!"

    Lars HåkedalLars Håkedal28 gün önce
    • @why chooose a user name ? You could always take the leg home and dress it up a little.

      SquantSquant28 gün önce
    • You get a baby at the end of childbirth. No one gets a baby for getting a leg amputated, though I'm sure people would volunteer if that was part of the deal.

      why chooose a user name ?why chooose a user name ?28 gün önce
    • There's always an epidural, and if I recall there's supposedly a rush of endorphins afterward (correct me if I'm wrong).

      BadAssMutha006BadAssMutha00628 gün önce
QI | What's The First Question Surgeons Must Ask Themselves?