Doctor Reacts To Scrubs 1x19: "MY OLD MAN" Bring Your Parent To Work Day!

Added: 2026-05-11

[00:00:00]First I came out to my mother. Well then, >> [laughter] >> there's the boys down in radiology who need quite a bit of money.

[00:00:07]What's up, YouTube? Welcome back to another episode of Scrubs, [music] My Old Man, episode 19. Moving our way on through season 1. I am Alicia Todd.

[00:00:17]>> [music] [laughter] >> I am Chad Todd.

[00:00:22]AKA Dr. Todd. I'm getting really good at these intros. Thank you for being here as we are almost done with season 1. I think we have what, like three or four more episodes left? Am I right? Was it like 24?

[00:00:32]>> Am I right about that? It's like five more episodes. So five more episodes left. So we're almost there. My Old Man, do you think My Old Man is a callback to My Old Lady or or truly about his father?

[00:00:45]I don't know.

[00:00:47]We don't know. I know. We're going to find out.

[00:00:48]>> I guess we're going to find out.

[00:00:50]>> a mystery. Yep, it is a mystery. Until we find out. Is this Chad's Mystery Hour? Could be. You know, I hope this isn't a sad episode, I guess is what I'm getting at, because obviously My Old Lady was sad. So we'll see. And that reference there was I used to host a talk show on the school bus in the mornings when we were in elementary school, and it was called Chad's Mystery Hour.

[00:01:08]>> Yep, and it always ended on a cliffhanger. Cuz it was a mystery. Yep.

[00:01:12]They'd always ask, "Well, what happened?" And I'd say, "I don't know."

[00:01:15]It's a mystery. Stay tuned.

[00:01:17]Anyway, um Sorry for that little inside joke. All right, guys. Uh thank you so much for being here. Please consider hitting that subscribe button. Stick around for a little while. Help us keep growing cuz this has been such an amazing journey.

[00:01:28]Uh you ready?

[00:01:30]Yes. Yes. Subscribe. A month ago Turk and Elliot wrote a paper on peripheral vascular disease, and now they're upset because they have to present it at a big medical conference.

[00:01:38]>> I remember that paper.

[00:01:40]They don't want to present.

[00:01:41]>> Not me, cuz I don't really care about this stuff. Besides, I know in my heart my paper's like a trillion times better.

[00:01:45]And anyway, it's so political. He doesn't care. Guys, they went with the black guy and the girl.

[00:01:50]Oh.

[00:01:51]>> What? Yeah.

[00:01:52]>> [laughter] >> What right do they have to be so damn mopey?

[00:01:55]And that's when Elliot said something that explained everything. Our parents are coming. Oh, I am so sorry.

[00:02:02]I could tell my friends were pretty upset.

[00:02:06]Hey, Dad. But karma doesn't scare me.

[00:02:09]>> Yeah. No, no, no, no, no. I think his parents are coming, too. It hasn't been that long since you and I saw each other. So, it is my old man. Oh. Hey, boys. What's shaking?

[00:02:16]Who needs a beer? Who doesn't?

[00:02:19]I mean, I obviously know him, but from what? Yeah, I don't I don't remember.

[00:02:22]God. Two left. Oh, that's all right, Dad. You'll go out. Go get some chips.

[00:02:29]Yeah, I mean, he's very familiar.

[00:02:31]>> I know. Like, and when we know what it is, we're going to be like, ah. I know.

[00:02:35]It's probably multiple things, honestly.

[00:02:36]>> I know. Multiple things from the '90s, probably.

[00:02:40]Wowser. Rowdy's a boy dog. My mom and dad got divorced when I was seven.

[00:02:46]>> [laughter] >> Everybody's relationship with their father is different, and his always seemed very different.

[00:02:51]>> God, I'd like to take a run at her.

[00:02:53]Would you look at that wreck?

[00:02:55]Please.

[00:02:56]Oh my god. This drives me crazy. What if you don't know you're Nobody's from? Hit the sack before I get even more uncomfortable. You know, your mother had a beautiful bosom.

[00:03:05]There it is.

[00:03:07]>> [laughter] >> Got a lot of catching up to do. Please.

[00:03:10]You guys have a policy on farting?

[00:03:12]I'll let her rip.

[00:03:15]Oh my god, Dad.

[00:03:17]Count it.

[00:03:19]>> [laughter] >> So, Turk and his dad are going to be besties.

[00:03:21]>> Yeah. I guess everyone's parents drive them crazy. It's stunning.

[00:03:25]>> Honey, is there a rule against looking pretty here?

[00:03:28]>> [laughter] >> Oh my gosh. She's familiar, also. Yeah.

[00:03:32]Handsome in blue scrubs. Thank you, Mommy, but I really like my green scrubs better. Mhm.

[00:03:38]>> [laughter] >> I want to wear blue scrubs.

[00:03:42]>> Troy.

[00:03:43]Boy, you better watch your manners. Come on.

[00:03:45]>> [laughter] >> She might have been the nurse from Becker.

[00:03:47]>> Farms are for trailer trash.

[00:03:51]I don't remember. Is parents weekend?

[00:03:54]Well, sort of. I was writing a paper and then my dad decided I'm going to come too, so I was Look, Reba.

[00:04:01]>> [laughter] >> Question that doesn't specifically deal with a medical issue, you can bet your powdered bottom that they don't want you to answer.

[00:04:09]It's like working with a monkey.

[00:04:12]Does he ever repeat the names he calls them? Oh, that's a good question. I like need a running list.

[00:04:17]>> all the nicknames. Yeah. I was worried you thought she might not like me.

[00:04:21]She's not going to like you.

[00:04:22]Baby, look.

[00:04:24]You've [laughter] been called any girl I've ever been with by her actual name.

[00:04:27]How she called my college girlfriend the Big Easy. Well, was she fat and [ __ ] She had beautiful skin.

[00:04:34]>> [laughter] >> It's always a pleasure to meet the trees from which our little acorns fall. Bob Kelso. Simon Reed, I'm chief of medicine at St. Augustine.

[00:04:42]>> Oh.

[00:04:46]I know what you're thinking. You didn't ask.

[00:04:49]Nobody ever does.

[00:04:52]What?

[00:04:55]So, that's kind of interesting because her father is obviously a big wig. Yeah.

[00:05:02]>> And then we had the the student episode.

[00:05:04]Now, that was the CEO of this hospital.

[00:05:06]>> Yeah, but still she doesn't act like that.

[00:05:08]>> Yeah, so that's pretty cool contrast.

[00:05:10]Like she clearly is not rode the proverbial coattails of her father, even though she probably could have. So, respect. Mhm. I would imagine he would want to rip into that student even more.

[00:05:21]>> Oh, yeah.

[00:05:23]Sir, you can help me by minding your own damn business.

[00:05:27]Or is that also my old man?

[00:05:30]>> You really want to get it on with me, pipsqueak? I guarantee it'll be the last stupid thing you ever do on God's green earth.

[00:05:39]Prior military? And he looks very familiar, also.

[00:05:42]>> I know.

[00:05:42]>> from a military show.

[00:05:44]>> off like that? Is that his dad? Oh, that's his father.

[00:05:47]>> [laughter] >> Yes. That makes sense. We both know that even though residents are supposed to teach you, they really only show up when they want something.

[00:05:54]Hey.

[00:05:55]A lecture on heart murmurs tomorrow, could you cover it for me? Actually, I'm Thanks, man.

[00:05:59]Yeah, we don't I think we've seen him in a while. I know. Totally want to spend some time with my dad tomorrow. Then take him.

[00:06:06]Yeah, my dad, he's not really interested in my work. He's more like a buddy.

[00:06:10]That was my mistake. Here I engaged you and gave you the impression that I actually care, which is just so wrong.

[00:06:17]>> [laughter] >> What I need is a father.

[00:06:22]Well, you definitely need something.

[00:06:25]Perhaps some testicles. At the very least, a pillow that you could carry around the hospital and just cry your sad eyes out there. [laughter] I have testicles.

[00:06:36]He's like, I know. Yeah. I get it. This isn't Now, you just brace yourself and let me handle this all nice and smooth like, all right? I bet he's going to love her. I'm going to cut to the chase.

[00:06:46]I'm Carla, and I apologize if your son hasn't told you about me yet. Honestly, I don't know how you put up with him as long as you did.

[00:06:53]No, he loves me very much. I feel the same, and we're really, really good together.

[00:06:58]You two sharing a bed?

[00:06:59]>> No! Yes, ma'am, we are. But, if you're a good judge of character, I think you can tell I'm not messing around.

[00:07:06]Carla.

[00:07:07]It's a nice name. Thank you.

[00:07:09]Look at his face. She just needs someone to be firm with her.

[00:07:11]>> me about it.

[00:07:12]>> Yeah. Dear, do me a favor. Don't give him any for a month.

[00:07:15]>> South. Don't give him any for a month.

[00:07:16][laughter] It can't go down like that.

[00:07:18]It just can't go down like that.

[00:07:20]>> [gasps] >> I'll be. I haven't seen a ward like this since Vietnam.

[00:07:25]>> I mean, I know he's from South and too.

[00:07:26]I don't really recognize him.

[00:07:28]Amusing.

[00:07:29]>> I thought so.

[00:07:30]I think they're totally getting along, don't you?

[00:07:33]Yeah.

[00:07:34]Yeah.

[00:07:35]>> to open a fat can of whoop ass on each other.

[00:07:37]>> Yeah, that's what they're doing. They're sizing each other up.

[00:07:39]>> Mhm. As we have a guest today at rounds, so let's try and be sharp.

[00:07:46]What is the nutritional cause of high output cardiac failure?

[00:07:50]Wet beri-beri from thiamine deficiency.

[00:07:52]Yes, very good.

[00:07:54]Next question.

[00:07:55]>> [laughter] >> Why don't we try Dr. Reed? Oh, man. What is the mechanism of Cheyne-Stokes respiration in systemic dysfunction?

[00:08:05]>> What?

[00:08:06]Oh, man.

[00:08:07]>> diminished sensitivity of the respiratory center to arterial partial pressure of carbon dioxide? Yes. Is that it?

[00:08:12]>> Yes.

[00:08:12]>> Okay. [laughter] Yeah. Yeah, that's my girl.

[00:08:19]Oh.

[00:08:20]You're poking a bear, though. You know, if that's not saying I love you and I'm proud of you, I'm not really sure what is.

[00:08:27]>> And that's when I decided to take a chance.

[00:08:30]Are you kidding? I'd love to come to your heart murmur lecture. I'm a big fan of those things.

[00:08:36]Like two wolves gabbing about which sheep to eat. Fortunately for them, I'm a man.

[00:08:43]Turk. Coming.

[00:08:45]>> [laughter] >> Got them both coffees. After all these years, are you still afraid of me? Well, remember on Thanksgiving when I said your turkey was dry and you picked me up and shook me.

[00:08:54]Well, you probably shouldn't have done that. Well, he thinks he's in charge.

[00:08:59]And that's when it happened. You should see him prance around when I pretend to let him make a >> Make a decision.

[00:09:05]Oh.

[00:09:07]That's when Carla realized she was exactly like Turk. Oh, no.

[00:09:13]Yeah.

[00:09:17]Great job at rounds today, Dr. Reed. You see, I didn't become a doctor to impress my daddy or anyone else. I did it for me.

[00:09:25]I've seen lots of doctors who got into this for the wrong reason. You know what happens to them? They quit and get their real estate license.

[00:09:32]>> [laughter] >> Look upset, sweetheart.

[00:09:36]You shouldn't be. I think you look super in a gold blazer. Thank you. I don't know that I know of any doctors who quit and went into real estate.

[00:09:44]>> He's just trying to get in her head.

[00:09:45]Look, he's smiling. Oh, well, no, obviously, yeah, he's trying to kind of put her back in in in her proverbial place, so to speak. Interesting, and I'm hoping cuz I know like we've talked about Kelso and and how it was a few episodes where it kind of looked like he was like just this evil being and then and then a lot of you guys have kind of told us just wait, like there's another side to it. And I feel like we have sort of seen that. Obviously, we had the whole >> We saw some. Enid pieces Well, Enid being Bonnie and like that was a shock, kind of the the dynamics of that relationship are very interesting. So, I'm hoping that like maybe this is one of those episodes or as we keep going we'll start to see a little bit more of that different side of him. But, it's curious that he was talking about like getting into it for the wrong reasons.

[00:10:26]He's not one who seems like he's in it for the right reasons.

[00:10:29]>> [laughter] >> When you kind of look at his approach to I don't know, patients without money Yeah. Right. So, I mean, I don't know.

[00:10:36]We'll see. It was too easy. Too easy.

[00:10:38]Yeah, see, he's trying to mess with her.

[00:10:40]I'd like to believe that I'm selling dreams. Dad, you sell office supplies.

[00:10:44]Yeah, I I prefer to call them dreams.

[00:10:47]I think it's Mom and Dad Save the World.

[00:10:49]I always thought parents were like tornadoes. They blow into town and devastate everything in their path.

[00:10:55]But, it's different for me. How you doing, Elliot?

[00:11:00]Wow.

[00:11:01]Get out of here tomorrow afternoon and go catch up with him, which would mean I'd miss your thing, but Aw.

[00:11:06]Mhm. I wouldn't know what I was hearing anyway. Right. Right. I think what surprised me the most is that I was actually surprised.

[00:11:14]You're still talking to yourself?

[00:11:16]I thought you'd outgrow that by now.

[00:11:18]>> [laughter] >> I thought that was in his head.

[00:11:23]I told myself I wanted to let the old guy get some sleep, but even I didn't believe that. Yeah.

[00:11:30]I started therapy. Do you know that Amy Swanson's marrying Drew Gertson?

[00:11:34]Drew is such a nice boy.

[00:11:36]>> Drew used to hold people down and spit in their mouths. Ew. He doesn't do that anymore. I would hope so. When I was a little girl, I used to want to be a doctor. I mean, maybe I I used a toy stethoscope on one of my dolls.

[00:11:46]>> Oh, honey. You'd have to ask the nanny.

[00:11:49]Wow. Have you ever reached a point in your life when you just really wish you knew how you got there?

[00:11:54]Are you trying to tell me you're a lesbian?

[00:11:57]Yes, I am.

[00:11:57]>> [laughter] >> Exactly.

[00:12:01]Exactly what I'm saying, Mom.

[00:12:03]So, I told my mom how much you liked that Cuban restaurant downtown, and she loves Cuban food.

[00:12:08]>> that restaurant.

[00:12:09]>> Wow.

[00:12:10]You know, when you said you loved the place and you wanted to be buried in a vat of that platform, so you could eat your way out.

[00:12:14]>> You don't [laughter] get me.

[00:12:17]No argument there.

[00:12:20]I look after sick people. So, tomorrow I'll probably be here about the same time.

[00:12:25]>> day. It must be. So, just drop right down and give me 20. Military, see? Make it 30.

[00:12:31]>> [laughter] >> Fine.

[00:12:34]What is it with parents, anyway? Why is it so easy for them to make us feel bad?

[00:12:39]Now, you've got to at least try and pace yourself, newbie. Otherwise, sure shooting, you're going to burn out.

[00:12:45]>> to see Dr. Cox's father? Are we?

[00:12:47]>> Ad sai, I see your shoulders are slumped, and I'm aware that you have some whiny-ass problem that you want to talk to me about, because what you've got to do for me is the healthy thing. Keep all of your feelings bottled up inside. So, >> [laughter] >> it seems It seems to be a trend.

[00:13:03]And like mentors in medicine.

[00:13:05]>> I know. Healthy 26-year-old doctor who keeps crying about how horrible his father was.

[00:13:11]>> He did some considerable emotional damage, so.

[00:13:15]Every one of our parents does considerable emotional damage, and from what I've heard, this might be the best part of being a parent.

[00:13:24]>> [laughter] >> You put a ring on your finger, and you're lucky enough to pop out a youngster, I'm sure you'll understand.

[00:13:30]>> [laughter] >> I wouldn't care if today was the first time you ever even met your daddy.

[00:13:34]Because in reality, well, he could have done a much, much worse job. Aw, that's kind of sweet. He always tries to find a thing, you know?

[00:13:42]>> way. I was wondering, could I do the ending because I really love the end of our paper? Do you think that I'm cut out to be a doctor? Of course you are. Come on, Elliot.

[00:13:50]>> Fine, you can do the ending. I just want to say, thanks, folks, we've been great.

[00:13:55]Do you think this is what I really want to do? Elliot, I don't Elliot, you know that.

[00:13:59]>> Yeah. Elliot, I'm saying I don't know because I really don't know. What the hell is going on here?

[00:14:04]>> Why have all women gone crazy?

[00:14:05]>> [laughter] >> Preach.

[00:14:08]I'm not crazy, am I?

[00:14:10]Oh, no.

[00:14:11]Shh.

[00:14:12]>> [laughter] >> Okay, Elliot, you're normal. Mhm.

[00:14:17]I think the important thing is is that we got through this together.

[00:14:21]I got this crazy idea that you only fell for me because I'm just like your mom.

[00:14:26]So, you're saying of course it is.

[00:14:28]That's exactly why. Oh, no. What's wrong with the wanting to be with someone because they're smart and independent and always looking out for you? Okay.

[00:14:37]Found a way to make it right.

[00:14:39]>> [laughter] >> If we ever get married, we're going to have to talk about this in therapy.

[00:14:41]Relax. I don't do this with my mama.

[00:14:45]I would hope not.

[00:14:46]Oh, yeah, mama. Oh, that's what she said.

[00:14:48]>> [laughter] >> Yeah, that's what she said. That's just wrong.

[00:14:51]>> Too soon, Turk.

[00:14:52]How's it going down there?

[00:14:54]You know, if it's It's okay with you, we we won't talk right now. Got a needle, need to focus.

[00:14:59]>> [laughter] >> And I realized some [music] things that deep down I probably always knew.

[00:15:04]You're really focusing. Like maybe he wasn't crashing on my couch to spend more quality [music] time with me because he couldn't afford a hotel room.

[00:15:10]Mhm.

[00:15:11]And maybe he wasn't going to see his buddy, Jake, to catch up because Jake was someone he might be able to sell something to.

[00:15:17]And he really needs a sale. Well. Truth is, he's just a middle-aged, [music] lonely guy struggling to get by.

[00:15:23]And it sure would be nice if someone would give him a break once in a while.

[00:15:28]I got someone to cover for me cuz I want to make sure I caught you and just let you know how cool it was to see you.

[00:15:35]Be back in this region again soon so I could swing back out and see you.

[00:15:42]That'd be That'd be great. Great.

[00:15:44]Great. Great.

[00:15:46]>> [laughter] [snorts] >> You can do that. See you've been [clears throat] uh taking advantage of the farting policy. Cuz you finger. I'm not going to pull your finger. Pull my finger, see what happens.

[00:15:58]I pulled your finger.

[00:16:00]Oh. We call that gambling on a fart and losing the gamble. Yeah. I wanted to tell you what happened to me this afternoon. I'm going to go right ahead and keep eating my soup, but you rest assured I'm holding my breath on the inside.

[00:16:13]First, I came out to my mother. Well, then. There's [laughter] boys down in radiology who make quite a bit of money.

[00:16:19]Oh my.

[00:16:21]Patient puked on me. Oh.

[00:16:23]And I smiled.

[00:16:26]Do you know why I was smiling?

[00:16:29]Look at his face. I mean, you were right. I got into this for all the wrong reasons, but I lucked out cuz now that I'm here, I can't imagine being anywhere else.

[00:16:37]I still don't like your father. Oh, me neither, sir.

[00:16:42]They're all out.

[00:16:43]>> [laughter] >> Placement of an iliac stent with hemodynamic results with PTA are inadequate. Do you ever present one of those?

[00:16:51]>> All the time. How?

[00:16:54]I mean, you got to give them credit for the job they do and we give them credit for important part. trial of 283 patients. Is Turk Is Turk going to do the ending? I don't know. The short-term or long-term follow-up. Thank you very much, folks.

[00:17:05]>> [laughter] >> That's it.

[00:17:08]Mic drop. Yep.

[00:17:12]This good song. I know.

[00:17:16]Do we should sing this on Rock Band.

[00:17:19]Oh, yeah.

[00:17:19]>> Yeah.

[00:17:20]Figured I'd come down, check it out. You know, see how you're doing.

[00:17:24]And for the record, that was >> [laughter] >> Showed up and why as in why dear god why?

[00:17:32]>> [sighs] >> Feel free not to stop by every day you're in town. Goodbye, son. Aw.

[00:17:37]Everybody has their own relationship. Yeah. Hey, hey, parents, huh?

[00:17:42]Tell me about it.

[00:17:44]Yeah. What's that a shot at my dad?

[00:17:46]That's stepping over the line, man.

[00:17:47][laughter] I miss this.

[00:17:50]Me, too.

[00:17:51]All right, Ally. What are your thoughts on My Old Man? It was an interesting episode. Yeah. Yeah. I know. I kind of like kind of like that little ending with Dr. Kelso and Elliot.

[00:18:02]>> Yeah. Like there was something there. A little spark or something.

[00:18:05]>> and I don't I don't know if I mentioned this before, but I always kind of and I know it's bear with me cuz I know it's not like a direct one-to-one, but I almost kind of feel like like Big Bang Theory like Penny and Sheldon and how they're very different. They're like polar opposites, but somehow [snorts] Penny has that ability to kind of break through some of Sheldon's Sheldon like you know, his his mannerisms if you will. And so they do have a really close relationship. I wonder cuz Kelso obviously is not one who seems to let a lot of people get real close, but I feel like Elliot kind of is getting there maybe. Maybe, we'll see. I don't know.

[00:18:38]Yeah, we'll see. But yeah, I agree with you. You know, obviously as this as the show is going on and I think this is why why everybody has loved it so much and and why it's become such a big part of your life is obviously the medic the medicine elements have become like fewer and fewer, which is okay. Like I don't think the show was ever intended to to try to like educate the audiences on like all of the deep concepts of medicine, right? You know, have a little bit of medicine, but a lot of heart, so to speak. You know, that might sound cliche, but you know, so that I think that's kind of what we're seeing. These last few episodes really have have hit at that. Like now you're part of the part of the family, so to speak. So now all these characters have different meanings to everybody. And so that's that's really cool to see. Yeah. So we'll kind of keep going on with that.

[00:19:18]But yeah, no, I didn't really write anything down. I mean, I think it's I mean, obviously, you could get really profound here, I suppose, with like the imprinting of our parents on us and how that affects us in our our daily existence. And you just try to, you know, not mess up your kids as much as they mess up us. [laughter] And then you've succeeded, right? Yeah, I guess.

[00:19:40]You want to You want to go into that?

[00:19:42]No. [laughter] >> Some stuff we can talk about?

[00:19:44]>> I'm good. So yeah, I don't know. I mean, obviously, but you asked if I ever presented it like a conference like that. Yeah, multiple times.

[00:19:51]>> Didn't you and Peter do studies? You did all kinds of stuff.

[00:19:53]>> yeah, we did all kinds of stuff. We traveled. So this was pretty cool. Like part of residency, I was part of several committees, and then I was also chief resident. And so part of that was you had to do all these different lectures.

[00:20:03]And so I've presented lectures on murmurs, like JD did here. We went to San Diego and presented. We went to Denver and presented. Actually, no, Peter Peter bailed on me on that one. I don't think he was able to go. Had to do that one by myself. Yeah. But yeah, we went to Chicago, presented. I'm trying to I think there was a fourth. I don't know. Drawing a blank. Oh, Tucson, Arizona. That one was Yeah, that one was awesome, actually. Really enjoyed that one. We were presenting like different So, I don't know. I don't want to get into the meat and potatoes cuz I don't think I think it'll be actually kind of boring. But it was just like like hospital system and like quality improvement based stuff. And so that's what a lot of our research was on, and that's what we presented at all these conferences. Yeah, so I don't know if anybody's interested in like cuz I was thinking we could do like a like a quick lecture on murmurs, but I don't know if >> [laughter] >> I like everybody would click off. I think murmurs are extremely fascinating when you think about like what what you're listening for. You go ahead. Real real quick. Yeah. If they click off, then they weren't interested, right?

[00:20:57]>> Yeah, fair enough. Yeah. So like basically, a murmur, and I don't know if I mentioned this in a previous episode or not, but a murmur is really anything additional that you hear besides the heart valves closing. And so you hear that boom boom boom boom boom like that's boom boom that's S1 and S2 we call that and that's the mitral and tricuspid valve closing for S1 and then the aortic valve and the pulmonary valve for S2. So, that's your atrium and your ventricles. But really when you hear a murmur, you're you're listening for blood flowing across those valves and if it's like basically there's there's basically two murmurs that you're commonly going to try to hear. What we call a stenotic murmur which is stenosis so a problem with opening and more stenosis stenosis stenosis and so that's when the valves are trying to open. If there's a lot of calcium build up around that valve, you might hear it as it's going across that kind of like a like we'll call that a systolic murmur cuz systolic is when the heart is beating actively and then diastolic murmurs are when the heart is in relaxation. And so, those are going to be more of your regurgitation murmurs and so like murmurs that have to do with like blood flowing back into the into the chambers so like leaky valve. But it gets a little well, it's a little more complex than that because in systole when the heart is beating and pumping out the aortic valve is open, but the mitral valve is closed. And so, if you hear a murmur during systole, it's either an aortic stenosis or a mitral regurgitation. Or on the other side of the heart, the right side of heart could be pulmonic stenosis or a tricuspid regurgitation. So, I know it's a little complex. I won't guess won't get into that much more, but it is probably worth noting one of the most common murmurs we'll hear as people age is what we call the aortic stenosis murmur. So, this is where you have a lot of calcium around that aortic valve, that main valve that exits the heart and that can become diseased enough to limit blood flow across that valve and that can be a big deal. And so, one of the like three cardinal symptoms we tell people to look out for when they have aortic stenosis is chest pain, dizziness, lightheadedness, or shortness of breath because that could mean indicate that you're not getting enough blood across that valve and that can be problematic and that usually requires replacement.

[00:22:54]They'll go in and do these things called a TAVR. Some some people may have heard of that. It's a it's a catheter procedure where they can go in and replace that valve minimally invasively.

[00:23:04]Okay. So that's pretty cool cuz that was kind of a newer thing when I Newer is maybe not the right word, but like it wasn't as common when I was like first in training. It is extraordinarily common now. Okay. So I hope that was fascinating. I would If anyone wants to hear more, we can talk about more, but I want to leave [laughter] it leave it I don't want to go too in detail there.

[00:23:20]All right, I'm ready to jump in the next one. What do we got? All right, let's do it. Thanks for checking this out guys.

[00:23:24]Consider checking out the next one.

[00:23:26]Until next time, good night. See you.

[00:23:28]>> [music] >> I am Dr. Todd.