text,language
"Hello, that's good, I hope you are well. Today we're back with a new video about the medical check-up. Stay with us, we'll be right back.",English
"and there it's actually Noane who is being examined, a little medical check-up in order to get certificates that",English
will be used for extracurricular activities so this year Soélan will do,English
"if everything goes well, some swimming, some horse riding, and then that's what happened just before, you'll see with a",English
back in pictures there was the phone the phone rang and then suddenly when he comes by he is having a crisis he is having a crisis because he,English
remembers the ringing of the phone but it will quickly pass so a little look back in pictures and you will see what,English
"It happened a few minutes before you lifted your t-shirt a bit? Yes, there you go, here.",English
"You settle in properly, okay, so there you go, the phone rings a bit hollow.",English
"and it's panic I only have my hand it's not the right time I made a big, big mistake of",English
end the call and besides I'm reading but this fun newspaper about waking up so well I haven't put things away hello yes yes I am,English
"At the doctor's, yes, everything is fine, it's him, he's panicking, yes, goodbye.",English
"Come on, let's go back over this visit.",English
"medical, a real emotional barometer, but it will be fine just after, there you go, it ended well, yes, in any case your heart is beating",English
"okay, I'll keep an eye on you a little bit, alright? The belly is nice and soft. Sit down a bit.",English
"Little by little, I’m going to listen to your lungs. Breathe in very deeply with your mouth wide open, go ahead.",English
"Go on, breathe deeply, go on, go on, let's keep going, breathe.",English
and okay I have a little bit,English
"yeah eh ah? he snores and all that, huh",English
"it's hard, hurts yes I know it hurts but it's okay it squeezes it squeezes a little bit soélan look we'll do like me",English
"Go down, do it well like you did earlier, try to do it about fifteen times like that, come back up well each time.",English
"Hello Mr. Guérini, please go, dad, it's not you, yes, go, dad, come, go, dad, I will wait here.",English
"Mr. Guérini, come, I will help you. Come on, let's go see that room over there. Do you want to come? Yes?",English
"So, what brings you here today? I lost my teeth. Okay, your teeth. Have you seen a device that we put in where your teeth are?",English
"I don't have the medication she was hiding, okay if you want to help me please, he lost it—how? Oh yes, he lost his device at the house of",English
pensions and he needs us to redo it simply in steel which is very practical for eating meals okay do you prefer general health,English
or would you prefer to go deeper or does it require someone specific I have a lady he still had to be careful but,English
he takes medication yes oh yes the blue pills okay in a box the lady the lady who is kind gave them to me you can hand in your prescriptions,English
"We're going to see her over there, the teeth, come on, it's okay.",English
come on then open your mouth sir open your mouth a little wider sir open come on good yes so it won't be,English
"very complicated, so you can rely on it, indeed the teeth are missing, if there was a device that had been",English
"Lost, it's certain that it will take very late while we see each other several times today, I will do the paperwork for you.",English
the estimate and all the explanations to send to your health insurance so that you will know exactly how much it will cost you,English
"because unfortunately it doesn't make them more responsible for teaching, so there is also a possibility if you want us to write the name or",English
the initials on the short version so we will see each other several times next time we will start the,English
"impressions, a new session of impressions, the fittings—it will take several appointments and",English
"Me, the device is no longer available, so that's what I'm explaining to you, sir knows that several sessions of impressions will be needed.",English
to slightly lift the shape of your mouth so that you are comfortable after we eat and so that the appliance fits well,English
exactly on your teeth there beof it's a little bit long but at least we will have,English
"a device that will allow you to eat well again and speak well and really try to do the work, there are many",English
"work to do, okay, and about the device, where is it? My daughter took it.",English
"So we’ll do it again, so if you don’t mind ma’am, I’ll give you the appointment and the papers for the insurance, sir, ma’am, I’ll...",English
"Hello Mrs. Vakili? Yes, I am the one who will take care of you if you would like to be seen.",English
"Right here, ma'am, I'll let you come in. You can leave your things on the coat rack.",English
"then afterwards I suggest you sit down, you are comfortably settled",English
"Yeah, perfect, Mrs. Vakili, what can I do for you? How can I help you? That is to say...",English
"I am in a lot of pain, lean on me, you are fine like that.",English
"Perfect, hello Mrs. Vakili, come with me.",English
"Go ahead, you can sit down, so we'll start with you.",English
hello doctor errr hello madam you,English
"Do you have a fever? Yes, I have 39. Do you smoke? No, I quit.",English
a year ago. and then you took some medicine I took a Doliprane this morning,English
"a Doliprane. Do you sleep well? No, I sleep badly. And do you cough? Yes, a lot, especially in the evening. Alright, I see that you have a",English
"Envelope with you. Ah yes, I brought it to you last year, I had a chest X-ray done, I thought it might be useful. Ah yes, yes.",English
"Hello Mr. Journel. Yes, and my wife. Mrs. Journel, hello, I",English
"I am the doctor, the one below, I am the one who will take care of you. Do you have—yes, and you, Mrs. Toto, I never go anywhere without Toto.",English
"Madam can help you sit down. No no, it's not very good, I'll go with you. Go ahead, sit down. Madam, if you want to come here, there you go. So sir, why are you coming to see me?",English
"a lot, but she prefers that I come for a consultation. [..] really",English
"Why don't you take care of it a little bit to see those who, then, we will do my things if you allow it.",English
medical questionnaire to take a little look at your state of health who is your general practitioner his name is Doctor Unia and he is,English
"In Toulon, very well. The last time you saw him, how long ago was it? Ah, a few days ago, alright, very good. If you want, you...",English
"Install? There you go. Ah, it's comfortable, there you go, I'm very well. Mr. Journel, after",English
"Upon examination, I noticed that at the level of your gums, you have teeth that have things on them, so to speak, and therefore your gums are diseased.",English
"So I would like, if you don't mind, to give you the mirror, I'll give you back the glasses, there you go, and I'll explain a little.",English
"Here you go, look at your teeth, do you see your gum? A little bit red, a bit swollen. Ah, that's a problem.",English
"since Dr. Unia. So it's a bit swollen, okay? Stitches there, sir, we're done, so you sit down, try yourself",English
sit down for a few moments anyway you haven't sat down for a few moments anyway. are you okay?,English
"Shall we go? Come on, I'll help you. So I'm going to explain a little more about these interdental brushes I was telling you about.",English
"so it looks like this, it's a style like the ones we use, that you will have to go through between the",English
teeth every day so you see that I take the interdental brush and I’m going to go here between the teeth you don’t try to go out towards,English
the top but that's how it is in winter for every day did you understand well yes but all the the teeth seem,English
"maybe very tight for me and will it fit? ah, we’ll do a test afterwards to see the space between the teeth to determine what size",English
"Ah, an interdental brush, okay, that's for now, there you go, do you understand? We'll use it here. I will prescribe you a prescription pad with some",English
"interdental brush sizes and you will be able to give it to your pharmacy, which will give us the references that I will write down for you, where there will be some",English
"Hello, Mrs. Justin, I presume? Yes, that's right. So, we are going to enter your file, if you don't mind? So I will collect your",English
"health insurance card. all right, very good. thank you very much. so we are going to check your phone number.",English
Is it 06 27 51 34 39? That's right. And your address? 4 rue Artisia in Tours? Perfect. Very well. So I...,English
I will give you this medical questionnaire; you can start filling it out in the waiting room. It will be reviewed during your consultation with Dr. Celle Sous.,English
"Very well, here you go, you have a room that can be found at the end of the hallway if you want to brush your teeth. The toilets are on the left. Well. I",English
"Mrs. Joselin, the doctor, will be 15 minutes late; it is the first time she has an emergency patient, which has disrupted her schedule.",English
"Do you prefer to reschedule the appointment or rather wait? Oh no, I prefer to wait. Very well, I will let him know, see you later.",English
"Hello Mrs. Joselin, yes, I am Doctor Rantoranis, I will be taking care of you. Very well. If you like, we can proceed.",English
"at the office, very well",English
"Here you go, if you want to sit down for a moment. Thank you. If you want to tell me what I...",English
"can I do for you? So I would need a scaling, possibly also a check-up of all my teeth, and whitening if possible. Very",English
"All right. If you don't mind, we'll go over the questionnaire you filled out. Very good. Likewise. So I see that you don't smoke, that's very good.",English
"you have no illness, I don't see any problem, neither cardiac, no blood pressure problem, no oral problem. no, I have some",English
luck everything is going very well. you have never lost consciousness? neither. any allergies? neither. and you are not taking,English
"Any medication? No medical treatment? Well, no. It's really just luck. That's good. Have you ever had any abnormal reactions, for example to any...",English
"Local or general anesthesia? No, never, very good. No prolonged bleeding after a surgical procedure.",English
"Extraction? No, neither. That's very good. Are we going to talk about your eating habits? Yes.",English
"Do you snack between meals from time to time? Okay. We'll see, I'll explain a bit more to you later.",English
"Question. Okay. Do you regularly drink sodas, Coca-Cola? Rarely, very rarely. Very well, regarding alcohol...",English
"Do you drink more than ten glasses per week? Or not. No. That's very good, so I'm going to ask you to look and to",English
"Please sign in the first column, and we will update it regularly as your follow-up progresses. Very well. Thank you.",English
"If you want, maybe make yourself comfortable, take off your jacket, put your papers in the storage area in the treatment zone, and sit on the chair.",English
"Lean your head back. Is it comfortable? Very good, perfect. I am going to put a towel on you.",English
"will be used [...] there you go, you can settle in, can I start now?",English
"So, lie down a little for me, I will start by examining your mucous membranes. Then we will examine your teeth.",English
"Okay? So the examination of the mucous membranes—please stick out your tongue—does not reveal anything particular, everything is fine.",English
"Good. Regarding the teeth, I can confirm that there are no cavities.",English
"on the other hand, I notice a slight gingivitis with some bleeding of the gums, and this will disappear following the",English
next appointment where I will do a scaling for you and at the same time we will teach you a little bit of a new brushing technique in order to master,English
all this dental plaque that bothers you and gives you this gingivitis. if you want to take the mirror I will,English
show you. So the gums are slightly red at the papillae where they are inflamed and there,English
"they are healthy as here for example they are pale pink, there you go. so I suggest that next time we",English
"At that time, we will do the scaling, I will teach you a new brushing technique, and afterwards, if you want, we can...",English
"Hello Marius, hi my day, you know my name is",English
"Nathalie, and I am the dentist, and I will take care of you today. Let's go if you want to come with me.",English
"Marius, tell me, have you ever been to the dentist? Yes. Well, that's very good. Do you know your birthday then, tell me, you were born",English
"when? October 5, 2011. that's good. and tell me, do you know why you are coming to see me today? okay. please, is there",English
"Had health problems? No, for the individual, the attending physician? Mrs. Martin. His weight? He must weigh 23 kg. Very good.",English
"Are there any allergies? No, not at all. Come on, Marius, do you want to come? Come. Look. I put a booster seat for you, you can get settled.",English
"his armchair, go ahead. rest your head, there you go, look Marius. what we're going to use, a",English
"little generator that acts like the wind in your hand, look. then we're going to use water, look. do you want me to show you? look. there. it gets wet. oh it's not",English
"It's really nice out. And do you know the vacuum cleaner, look.",English
"These ones say hello, it's funny? Yes, of course. Marius, tell me, we're going to look at your teeth, is that okay? Hm?",English
"So you want to hold a silver pen, huh? Hold it tight and look in the mirror. You see? That will allow me to",English
look at your teeth in your mouth go on lean in. open your mouth wide. oh those are some pretty teeth. now look,English
"Marius, we’re going to clean your teeth with the little brush and a bit of paste. Look, do you see when it is? It’s nothing.",English
"Not at all! Come on, we're going to do the same on your teeth. Okay. Yes, and great, open wide, open your mouth wide, that's perfect! Oh, it's going to make noise.",English
"So. So I checked Marius's teeth carefully. He’s starting to get his permanent teeth coming in, so he’s going to...",English
"You have to be careful, you’re going to keep them all your life. He brushes his teeth well so he needs to keep it up, that’s very good, Marius. I have",English
checked a little bit. close your mouth. [...] the teeth for now are fine but it will be necessary,English
"Still, monitor him once a year with a check-up to see if he continues to do well; at the same time, we fine-tune.",English
"You were superb, so we're going to do something. Look. We're going to make an air balloon. Press the pedal.",English
Go ahead. Yes. Does it hurt?,English
"Oops, should we stop? Let's stop, he's going to explode.",English
"Come on, look, look at the ball, everything is puffed up and there you go, and then you're going to decide for us with your eyes.",English
a mouth and you are going to [...] you have been very good you know the children here,English
"Every time they have been good, they can take a little toy home, so if you want, you can choose a little toy. As you wish. That's it, it's...",English
"Finished. Come. You were superb today. I am very happy with you, you can be proud, it's very good. Alright, goodbye.",English
"I am Dr. Sidonie Chhor, I am a general practitioner based in the city of Rennes, and I am also, at the same time, an associate lecturer in the department of",English
general medicine of Rennes. So being a university general practitioner means practicing general medicine as an established general practitioner.,English
"in outpatient clinics and more specifically when one is a teacher in general medicine, researchers",English
"In primary care, we therefore work within the department of general medicine part-time for student training activities, training sessions",English
"internship supervisors, and research activities on primary care. I am partly responsible for information on the third cycle",English
for residents who have chosen the specialty of general medicine. But we are also in charge of teaching in the second cycle and the first cycle. We,English
"everyone has more or less gotten used to saying this year is going to be special anyway. in any case, we have switched all our courses to a",English
Digital format. So here I present to you a rather important concept to understand why the patients you are going to,English
The patients you will meet during your general medicine internship as an extern are not the same as those you have encountered so far during your previous internships.,English
"at the university hospital. when we don't know the patient, so the question is very broad at the beginning. so indeed you will learn how to do an examination and a",English
"interrogation that are targeted by the reason for the patient's consultation, by their life history, and you will not be able to address things in such a",English
"structured and systematized than your usual grid, the observation device by device with functional signs,",English
"clinical signs, etc. It is also as part of this mission to welcome interns in our offices as internship supervisors from the University of Rennes 1, it is the",English
faculty that organizes these internships by relying on its network of 380 internship supervisors affiliated with the University of Rennes 1.,English
"Currently, I have a student who is an intern specifically in general medicine, and he needs to complete a pediatrics and gynecology internship, and",English
"if within my practice he validates it. so you see, my name is Hugo, so I have been a general medicine intern for three months, it's a bit of a mess in the...",English
"Office at Anatole France actually. My name is Bérengère Pierre, I am 24 years old and I am in my 6th year of medical school at the University of Rennes. And I",English
"I am currently doing an internship in general medicine with two practitioners, including Dr. Chapron in Quebec. So, did you see how annoying it was, the people coming in for fever?",English
"Is that it? Exactly. The consultation was quite hypersonic, I'll add a speaker quickly on the right.",English
"I would like you to take a look as well, okay? Well, listen, we’ll go check the little one’s eardrums and then we’ll discuss it together afterwards.",English
"It is the only internship in their program that is outside the university hospital, and so it is about discovering the diversity of patients and pathologies.",English
"In this context, I give them back a familiar living environment and the uniqueness of the relationship between a primary care physician and a family doctor who supports people for",English
all the reasons for consultation throughout their lives. what are we seeing each other for this morning? to do it. to do it? since last Friday,English
"I had a very sore throat, just a sore throat. Okay. And I have an irritation cough at night on Tuesday and Wednesday. She is going to",English
"discover what she has learned theoretically and apply it to patients who may be less severe, less emblematic than what she can read in her books or see",English
in the hospital's inpatient beds with symptoms that are sometimes atypical or not yet sufficiently established to be easily identified,English
diagnoses then right away that we show a little bit so if we look at the close monitoring not if we look at the monitoring,English
"and evolution. So here you see, at the stage of glucose intolerance, we are of course only using dietary measures. So",English
"Sir has a very low retinal level and we can see that you went from 753 in November to 570 today, it worked.",English
"to lower, okay good, so now I’m going to examine you, we have the vaccine to do, are there any other topics to discuss",English
breathe deeply through your mouth. the patients who are therefore in the offices of the faculty’s internship supervisors are,English
very used to seeing their doctors consulted with someone next to them. Sometimes there are consultations where I let myself be questioned and let them do it,English
"The clinical examination is a bit like how I feel, so at that moment I feel more like a doctor. For you too, you ask me questions, so that brings me back to that side.",English
"student and sometimes I do all the clinical exams. well, I alternate between them but actually I go back and forth. operations on the lady? you are the",English
Doctor? You’re playing a doctor. Here it’s fine for that. 37.7,English
"Have you taken any Doliprane before? I took one this morning at 7 o'clock, okay. I have a headache. 37.8, 38, so we...",English
"Keep going a bit. So, for the examination, I'm going to press on your nose—does it hurt when I press?",English
"No, that's fine. Okay. And above? If it hurts here? We're already uncomfortable in these positions. And as the year went on",English
"This current year, I tell myself that this is really what it was, what I want to do is to work in many places, in the hospital or in a private practice [...]",English
"For me, it could be that what interests me is the aspect of the diversity of instructions from patients and of the place where",English
"work, you know. so you see she doesn't have any congestion so the cough is due to",English
the posterior flow six musicians and there is no call time then now so we will find that yes. my project for now is really to,English
stay as generalist as possible and then I have some ideas to maybe spend three or four days in a practice,English
possibly a day elsewhere for example there for example I also started at the family planning center it's a place I really like there I,English
went four times and I liked it a lot. I'm going to inject. and the prescription [...] 3,English
"About a month or so. So here, for this patient, during the consultation there were between four and five issues to address and manage, along with what you mentioned earlier.",English
"Sometimes it's a little bit, sometimes it's actually tiring to juggle between the different devices in different situations, but that's just how it is.",English
"In this episode, we will follow Bertrand, a general practitioner in Belgium. By the way, this is the first time I am filming this series abroad.",English
"I am very happy. Anyway, we are going to discover his daily life and especially the behind-the-scenes of his profession. To start, I joined Bertrand in the middle of a consultation in his office. A",English
"Let me take your blood pressure for a moment. I have 14 over 8, that's not bad, it goes along with everything else, of course.",English
Take a deep breath. We're going to do the injections. Do you know that it was your wife who made the appointment?,English
"Do you want me to tell you the message she sent me, did she tell you? Good evening doctor, monthly visit for the little injection you had, just between us, I am very sad, he didn't...",English
"Still not put. He hid the doctor from all of us, in the end he doesn't do anything.",English
"Medicine, because there, typically, there was a message from his wife. There’s this aspect where you’re really at the heart of people’s lives as a doctor.",English
"General practitioner and, above all, I should specify we're not in the city, we're more in a village, that's it, and so that's what it's about. Yes, that's it, we know the",English
"people, we almost know them by heart because there are families that—for me, it's been 8 years now that I've been a doctor. There are families that I",English
"have been following for 8 years and so I know, I know the husband, I know the wife, I know the son, I don't know the grandfather because he is with another doctor, but I know the",English
"grandmother who talks to me about grandfather. So we learn a lot of things too and it also sometimes allows us to process things, but with a small difficulty, which is that here I no longer know the husband than the",English
"woman, they talk to each other a lot, they talk about when they come here, they often come together, there’s no problem with that. but sometimes there are people who tell me, well, my husband did this, he does that, but he doesn’t want to",English
"Let me tell you. Ah yes, okay, so I take the information and I have to ask the question that someone who would like to, for example, and... do you smoke?",English
"Always? No, I don't smoke. You know who smokes but you can't say anything. But it's crazy because you really don't have the slightest...",English
"same relationship as a general practitioner as what I was able to observe before, where indeed there was no follow-up for people, it was medicine, surgery, but in",English
"pathologies, things like that. Specialists are a one-shot deal, they see people once, so the cardiologist, as we always say, he dares his waiting room, there are some people that we...",English
"It's not heart problems here, I open my waiting room, these are people I know who sometimes come for different things or for the same thing as last time.",English
and which we talk about again so it's totally different in terms of approach yes and the relationship is also different. well they know very well that in general I am at,English
"For now, things are going well and it's going a little bit according to how we approach things—they know what they can tell me, they know what they don't want to tell me, which I still know anyway, there are plenty",English
"stuff like that, so doing. speaking of time, I won't make you late if you have another appointment. so in the morning like that, that way you'll have a",English
"little bit of a rush, it usually passes in about fifteen minutes, after that it's more like twenty minutes. how much do you have in total per day of",English
"Patients? It depends. On busy days I have 30 to 35 here, not counting home visits, the nursing home, etc. 30 to 35? And",English
"On standard days I have 20 or 25, so tell me, I have a little spasm problem happening here in the upper part.",English
from the chest. on the other side this time? 138 108 not bad no nausea no constipation no,English
"It used to happen but disappeared just like that, so what we can feel through the abdominal wall is the colon, which can sometimes be the site of some contractions.",English
"but no, not as fast as what you described to me. the fact that it goes down like that is also the path of the rectus abdominis, you remember that",English
"Have you ever been injured on that side? It's also the abdominal muscles here—the six-pack abs—for me, what you have here is muscular. It is.",English
"rather than on the musculature or the digestive system or the wall, it is one of the small contractures following possibly a slight pain a",English
"small wrong movement or something else but here if it resolves on its own, we obviously do nothing. what we also notice is that people come for",English
"Different, you know. In fact, you are obviously the entry point on the front line. That's it, in the medical field, for them you can't know everything. It's not...",English
"possible in medicine, no. So how do you do it in those cases? You have to be competent in more or less everything, but sometimes in a somewhat superficial way, and",English
We must be able to have the presence of mind to refer when we don't know. That's all. So we shouldn't act like ego monsters who are all in,English
Never having anyone's help—we must be able to refer people to someone competent when something is beyond us. You need to,English
"Do you know a little bit about it, especially compared to others who know a lot about a small area? Yes, that's it—the specialists who know everything about nothing.",English
"and I don't know anything but above all. that's the principle, well, here I open my door and I never know what will fall on me during the day so it's",English
"good because it's stimulating but sometimes there are moments when a few things come up at the same time, it's a bit tough too. so here at your place actually, so we found",English
"where indeed, regarding the lump, we found a lesion that appears to be tumorous, obviously in the breast. You were sent for an MRI, which clearly confirms it",English
"that there are... and biopsies, I also received the results for those. The staging assessment is to see if the cancer in question is still localized there or if",English
There is possibly a risk that it has gone elsewhere. They saw that there were nodules in your lungs. The goal will be to have a treatment that will,English
"to act both on the breast and on the lung and with a I can't tell you yet what you will have because I don't know about the colon obviously, but the goal will be",English
"to have something that acts on the whole, obviously, hence the PET scan to see if there might possibly be something elsewhere, and once we have",English
"That information, I think they will start the treatment. In general, they trust the general practitioner more than the specialists, and there are many specialists who just say yes, yes, yes.",English
"Yes, yes, you understood, yes, yes, they didn't understand anything, so they come to see me saying, well, I remembered this word, that one, and I explained it to them.",English
"behind. So it's a little bit—I'm trying to manage, I'm trying to—I need to receive them when I get them, and I have to explain again in terms",English
"Understandable what the specialist said with his big words, but since he was a great professor, we suggested terror. Yes, that's it. And so I'm here to make the connection as to how, yes, a relationship",English
"general practice, and why not a specialization? In principle, for me, general medicine is",English
"Paradoxically, perhaps in people's minds, but it's the most complete, it's where you see the most things, and it's also the least, the least...",English
Off-putting. You see different things all the time and above all you get to know people. Providing care with someone who comes—why are you coming?,English
"I came because I had a heart attack. Okay, we do this, bam bam bam, next, thank you. It's good, the care is very good, etc., but that's not what was tearing me apart. So",English
"everything that’s emergency, hospital, all that... it’s the ER, it’s still a little bit stimulating, but the ER is",English
"So badly imagined by people that it's complicated. Because often, for them, emergencies mean ""my doctor.""",English
"wasn't there or didn't answer me quickly enough yes it's not about seeing me within half a day so I'm going to the emergency room. but it's not an emergency, it's the emergency room. we have a stomachache",English
"For three months now, well, it's a hassle to go to the hospital. You have to come here. You have the same problems too, hospital overcrowding.",English
"Here, you know, that's how it is, it's a bit everywhere, but people have this annoying habit of saying, ""I'm going to go straight to the hospital."" But we...",English
"is in the generation of wanting everything right away, so I've had a stomachache for 3 months but today I feel like getting treatment. So today I want to be treated, but sometimes it's",English
"justified but sometimes it doesn't work at all and it's the same for me here you see that when it comes to appointments I'm lucky to have appointments more or less during the day, but there are some",English
"People who call me at 10 a.m., I tell them, ""You can come at 2 p.m."" That's not okay. It's too late. And yet they come, and what has been happening for a while now...",English
week well it could wait two hours. we can make an appointment during the day you but that's it that's a,English
"Madness in France is impossible. It's really impossible. So I would like to talk about this problem, but well, you're lucky here, it's not the same.",English
"Yes, but in France there is a huge problem with doctors because there are no appointments, there are medical deserts, there are things like that.",English
"That's very, very complicated. Well, when I go on vacation to France, I see signs everywhere saying ""Doctors, come here, doctors.""",English
"But there you go, it's... I don't wish for that to happen here, in any case I feel like the people in charge are starting to get off their butts a little.",English
"Policies so that things move a little because he sees the example and the counterexample of France, but it's not going fast, you know, there are problems in France too.",English
"Following some doctors a little bit on Twitter, it's absenteeism, but I can well believe that when you have people who are told, ""Well, okay, you have a stomachache, come back in 10 days."" Well, 10...",English
"Days later, 3 out of 4 cases are resolved, so the person doesn't even remember they had an appointment and therefore doesn't go, which results in an empty slot.",English
"So the doctor has longer waiting times because there are people who no longer have the problem they had. So that's also something we don't really have here in Belgium, it's that we can",English
"to receive people relatively quickly. it's a stroke of luck, it really is a stroke of luck in this case",English
"I hear a case of little things that circulate when you cough, even more obviously, it's a bit tight at the bottom, there are secretions that",English
"run from your nose to the back, come out when it is congested—for me, it is clearly allergic here, what you have is because of the pollen count",English
"that we have for the moment so I will give you a treatment for the allergy and we will also treat the symptoms a bit if you wish, but it's mainly",English
"the allergy that needs to be treated so that it calms everything down, you have to allow three or four days to really see an improvement, you know when you have to give a",English
"Are you sure every time about the diagnosis you give? Almost never? Almost never, no, I'm exaggerating, but here in general practice...",English
"time and I have to work a little bit on the statistics, that is to say, the person presents such a symptom, hence the importance of really talking with",English
"the person, to have something really good, really complete, well established, I give a treatment saying, well, I think you have this, all",English
"something really vital, someone who comes in with their breathing compromised, we’re not going to say “we’ll see tomorrow”—no, in that case we take action right away. But someone who comes in who has a",English
"hinge etc and then we see each other again if necessary, we’ll do an X-ray if needed, we’ll go further with a scan, etc., so that’s really how we work, not by",English
"That is to say that [...] private practice doctors like us are paid per procedure, and unfortunately the",English
"Profitability—what are your working hours? Generally, I start at 8 a.m. and I often try to finish at 6 or 7 p.m.",English
Still? Yeah. Benign intradermal tumors corresponding to a dermatofibroma at,English
"note that the lesion focally involves the section margins, so that means that what was removed was not completely removed; obviously, it is possible for you to be contacted to do",English
who are close to me. no fever ok come I’m listening to you,English
"In the end, you don't write anything by hand anymore. It's over, right? Almost not at all, it's a very good thing that I know how to use the computer. That's it. Because it's true that in the collective unconscious during",English
"The impression that doctors write poorly and that it's hard to read or not? I actually think it comes from the years of study—you have, for 10 years, the professor who is",English
"medicine you put in the mouth, they don't trust it, they won't do it. there are some who come, I was told to take sage. it's exactly you, you show that you have a role with them, actually a relationship with your",English
"patients. Beyond that, is there any other help—I’m thinking of a psychologist? But if the blood test is really very good, then don’t change anything.",English
"if you could move a little more and increase your endurance a bit. and in terms of compensation, a doctor—well, in this case, we’re going to talk about the",English
"Belgium, how much can a general practitioner earn when they set up like that? So for us, a consultation is 30 euros, but 30 euros gross, of course.",English
"That would make astronomical numbers, I must say. Can I say the real numbers here? It's up to you, it's mainly whether you want to say it.",English
"try because me... me, I started in France, it's not really done, I don't care to say. well listen, do what makes you happy. so me, I have a net salary so what",English
"At the end of the month, I receive a little less than 2,500 euros. But if I take into account the loans I have to pay here for the building, the",English
"salary and the expenses for my employee who answers the phone, the expenses for my own salary, corporate taxes, everything else that needs to be paid on the side",English
"I can't pay myself more. Okay. So I have a salary that's good, it's still a decent salary, but of course I don't have four houses [...]",English
"it's more the cardiac surgeons... I can only assume, but from having some acquaintances who are",English
"specialists yes the figures are obviously much, much higher but also with responsibilities that are still different for them",English
surgeons are in commentary and and a totally different practice as well and if I were offered here you can earn 3,English
"the more you become a cardiologist, I'm not sure I'll do it. end of your consultations here at the office? yeah. but afterwards you'll move on to consultations... yeah I will",English
"Going to see people at home here now, do you think that the...",English
"Relationship with the doctor has changed, especially in villages and things like that? Because there was a time when the doctor was, was the...",English
same place as the mayor or the teacher you see what I mean? yes that's it and it's something that I personally try to fight against a little bit because I try to put myself in,English
"Not being the big guy who says things and that Esther has to do. I'm actually trying to explain to people how it works, but yes, the connection.",English
"has changed a lot too so I haven't worked for more than 40 years but in terms of healthcare consumption, the doctor has now become a commodity",English
"as a consumer I pay so I want this and you do this you do this for me you do this for me and if I pay you, you do what I tell you",English
"No, that's not how it works. We're not here to do what the passionate ones want; we're here to act in their interest, and sometimes their interest isn't to agree with them.",English
"Absolutely. But that requires negotiation skills and also the ability to adapt, sometimes, like earlier with the lady, she...",English
"empty. the BL. opens his eyes. I really saw the worst-case scenario. life can change in no time. that's what it is to know what's serious, to know it all at once, from a glance, taking a toxic substance",English
"Hanging, firearm, anything is possible. You will see him come into the world.",English
"There is nothing here, we are going to stop. Arras hospital, Samu department. Enayet Eden is an emergency physician.",English
"Originally from Mauritius, he has been living in the north for 15 years. Let's go. 8 a.m., Eden and his team are called for an emergency. A 40-year-old man has just attempted suicide; he is unconscious. For now, Edden",English
"doesn't know any more. Did he take any medication? Did he try to hang himself or was it with a firearm threat? It must be serious, otherwise they wouldn't have left.",English
"We must get to the victim's home as quickly as possible, the firefighters are already on site. How is the patient? Consciousness? Is he responding? Is he responding or not? - He didn't hit his head - Oh really - Upstairs. The man",English
"About thirty years old, he was found here by his wife in a comatose state. How long has he been like this? When I arrived, he was like that, unconscious, he had vomited a lot. — Was he more blue or not?",English
"The man is believed to have taken medication to end his life. Yet, around him, there is no open box, no pills. The doctor must quickly find out what he has swallowed in order to save him. He is going to question his wife, who is waiting downstairs.",English
"What happened, you don't really know? Well, it's that he found out at the beginning of the week that he was supposed to and then he tells me, I'm going to be at peace, he says, I'll go home, I'll be at peace. Did he...",English
"Have you already attempted suicide, ma'am? A long time ago. And what medication did he take at the time? He doesn't take anything from the walkway. Okay, and now, are there any pesticides at your place? What do you mean? Fertilizers, that kind of stuff.",English
Like that? There isn’t any Mor either? Strange. Eden absolutely must find out what this man ingested in order to save him. The patient is still between life and death.,English
"Dead. The guy apparently made a serious suicide attempt. He is unconscious, we're trying to give him an antidote. Apparently, we're going to wait a little to see if he reacts or not. We'll see if he wakes up. The doctor",English
could ingest and a few seconds later the firefighters finally find several boxes of medication hidden at the top of a cupboard. ah well there we,English
"there are quite a few medications. in theory they are intact. well, we found the girls. there was morphine at the house, I’m going to ask his wife because I don’t know how to explain that.",English
"Madam, tell me, madam. Whose is this? It's his, when he had knee surgery 2 years ago. And do you think he could have taken any or not? Because we find that the...",English
"The boxes are a little bit empty, you know. And did he take that, ma'am? No? The boxes are practically empty, so it's morphine that this man would have taken—he would be in a state of overdose.",English
"if nothing is done he could die in the next few minutes, he must be taken to the intensive care unit as quickly as possible. Eden must first comfort his wife. I'll explain a bit what's happening. well yes. I think he took some",English
"a lot anyway, you know. I don't know. don't worry. we'll take care of it, okay? I didn't notice the hidden boxes placed there. I didn't pay attention, you know. you know",English
"For now, is it still okay? Yes. And we will do our best. So he, he, he, he made an attempt. He wasn't before...",English
"make the attempt, he really made a suicide attempt and he took the medications in an unknown quantity and we don’t know all the types because even though we checked the trash, he could have thrown them away elsewhere",English
"or give them elsewhere and all scenarios are possible. The man was without oxygen for a long time, taken to intensive care, he was able to be saved in extremis. A social tragedy like so many others that exist in this",English
"region. The North, formerly an industrial and mining stronghold, is now heavily affected by unemployment and alcoholism. Here, the death rate is the highest in France. For months, we shared the",English
"daily life of the medical teams at the Arras hospital and that of Roubaix. SAMU emergency services but also maternity, here more than 100,000 patients are treated each year. Jérôme is a nurse anesthetist,",English
"Local child. He has been working here for 6 years. He has just been paged for an emergency intervention in Lance, a few kilometers from here. So now we are going to take care of a 56-year-old patient who is having an asthma attack. It can...",English
"very serious and you can die from it, you can die from it. you have to act quickly. the weather is really awful. despite the rain, you have to get there as quickly as possible.",English
"For that, they take all the risks. The rain, the night, drivers who aren't used to waiting for the flashing lights—all that is still dangerous. Double vigilance, that.",English
"because, moreover, when it rains, you really have to—I always keep both hands on the wheel to maintain a distance on the road [...] and is that something frequent on this road here in the North?",English
"July and August, is it a little bit sunny, it's still humid. [...] tear your guts out, so revalue the nur, and you say, oh well, every day.",English
"It rains except in July and August, from time to time it's sunny. Now I have to say, all around it's just forest, so no, I take back what he said, it only rains during the winter, winter meaning from September to June, right? Is that it? No, no.",English
"It's raining but it's raining no more than anywhere else, no more than anywhere else. Let's say that the rain is just dew, right? There you go. The rain is the morning dew. No, but the weather is nice in July and August. Oh, I feel like, I feel like laughing, you know.",English
"A few minutes later, the team arrives at the patient's home. This is where the 40-year-old man lives with his mother and his brother. How",English
don't worry don't worry,English
not. [...] the patient's mother is very worried. Jérôme takes care of reassuring her while the doctor looks after the patient. [...] less serious than expected,English
"So it's okay for now. The mother is still very anxious. But you have to sit down quietly, relax, ma'am. Don't [...] like that, that’s it.",English
"it's useless it's useless it's useless. he's not bad he's not bad. it's not dramatic, okay? so breathe, look",English
breathe calmly. the patient is taken to the emergency room to be placed under observation. his mother still cannot calm down. but you are worried ma'am it's not [...],English
"Okay, often behind the interventions of the SAMU teams there is real moral distress. The lady, she was not well, you know, the mother, she is desperate, she has had enough.",English
"even a lot of family problems, they still have a lot of money problems, so they are in need, they need to be listened to, to be heard and for someone to listen a little [...] after a night under observation the patient returned home",English
"him in good health. The Arras emergency medical service (SAMU) handles 6,800 callouts per year, more than 193,000 emergency calls, and almost 7,000 square kilometers to cover. The next morning, Jérôme",English
"is called for a new emergency, a teenager has been injured in Thierry. It's impossible to go there by ambulance, the helicopter is needed. Here, the helicopter is already quite essential for",English
"to locate and to access quickly because the access roads are difficult, the access routes are difficult, hardly passable by car. So we land near the child or the person in distress",English
"it's there because of the helicopter. heading to the Thierry, a coal mountain like there are many in this former mining region. a mountain that has become the playground for the local teenagers",English
"Corner. A 17-year-old has just had a bad fall on his bike. He reportedly lost consciousness. After several flyovers, the team locates the victim; the firefighters are already on site.",English
"have access to this intensive care service, but to see their children they must follow very strict hygiene measures. The entire area is sterile; all risk of infection must be eliminated. The babies who are in these incubators are",English
"isn't breathing anymore. For Virginie, it's anxiety because she knows she can't do anything. The nursery nurse tries to do",English
restart the baby's breathing. Théo finally starts breathing again. it happens so it's always,English
"stressful for the mother. It will pass. It will get better with time. It's not every time, but well, sometimes it does.",English
"That. That goes fast. Just goes to show, well, life can change. In no time at all. Théo is still fragile. His parents are going to",English
"having to live in anguish for long weeks. Because despite all the efforts of the team every year, about ten children die in this ward. In the room next door, a little girl, Louan, is considered as",English
"a real miracle. Louan, let's say, is our oldest patient in the ward. She has been here for about a month and a half. She is a baby who wasn't gaining weight.",English
"well, at first, who was too small, who was not within the limit of viability, and she was born at 29 weeks with a weight of 600 g. Louan was born at six and a half months, also with growth retardation.",English
"important. At 600 g she was at the legal limit for resuscitation. Currently, the law states that a baby is viable from 22 weeks and 500 g, or 500 g. There are",English
"30 years ago in France, they told you that children under 1000 g, well, it wasn't worth it, we wouldn't be able to resuscitate them. Louan has come a long way. Today she weighs 1 kg, but she still can't eat or breathe.",English
"alone. A few kilometers away, on the main square of Arras, her parents Lidy and Vincent are trying as best they can to live with the absence of their daughter. Lidy is preparing for Louan's release, while Vincent",English
"prefers to remain cautious. [...] the play mat, so that was bought by the great-grandmother, so she is far from putting it down, huh. Is that clear? The bed will be in the middle, the table extended in the",English
corner and the little wardrobe maybe here. I can already picture the room. there's dad who has to do it now. yeah well we'll wait. we'll wait a little bit and it's still always the,English
"Resuscitation, right, so if it's only to live through a tragedy afterwards, it's actually pointless. Vincent is still worried. Over the weeks, the couple has come to accept their daughter's prematurity, but the beginning was difficult.",English
"before bringing her home. if all goes well. Roubaix emergency service. here we treat more than 63,000",English
"people every year. A colossal figure that makes it one of the most overwhelmed services in France. It is barely 10 a.m., the corridors are overflowing with patients, the waiting room is already full. Every day, a hundred people",English
"present themselves at the emergency room and the wait can last several hours. already this morning she told me, I said oh dear oh dear oh dear, we're going to spend all of Saturday here. the first time it happened to me I had to wait more than 3 hours. I have",English
"discussed in the hallway at the emergency room, a lady, and three and a half hours she’s there, she’s still waiting. we know when we come in but we don’t know when we leave. a very long wait except in cases of extreme emergency when the prognosis",English
"Roubaix, he is the one handling the most serious cases today. Where is he found? In a public place. [...] No blood pressure. The pulse at first, I say to",English
"Lately I don't know. He is cold, with cold extremities, so it's a patient who is bleeding a lot. Most likely of digestive origin in a patient who is taking...",English
"long-term anticoagulants and who probably overdosed on her treatment. So her condition is quite complicated. Suicide attempt, accident, for",English
"At the moment, it's impossible to know what really happened. One thing is certain: his condition is so serious that he absolutely must be transferred to the intensive care unit. I just came to see an admission brought in.",English
"By the SAMU, a man in his fifties, so for us he has a blood pressure of 10, he had to be ventilated, it's dated, he has blood that continues to flow from the gastric area, we're almost at 1 L. We absolutely need a place with you. The man has",English
"lost 1 liter of blood, the anesthetist has just taken over. for us, it's over, the anesthetist is here, we leave it to him. he knows how to do it better than we do. for this patient, the prognosis is",English
"dark. After examination, the doctors will discover a tumor in his stomach. The resuscitation room will be vacated. And we will clean the room.",English
"because we made some people leave here to install this gentleman, and there are people in the corridors whom we will bring back here. a crisis situation to which Dr. Pochet is accustomed. here the places",English
"are expensive especially on weekends. it's Saturday, patients are going to start arriving. we have the capacity to accommodate on the three beds. there are six patients starting to gather in the hallways so this is a typical Saturday. so it's going to start. it's starting as it should.",English
"What is a typical Saturday? It's people everywhere with nurses running all over the place, blood all over the sheets, that's a typical Saturday. Saving lives is for",English
"That is why Dr. Pochet chose to be an emergency physician. But the emergency department also involves administrative problems. It is noon, and before seeing other patients, the doctor first has a small issue to deal with.",English
"Settle. Now we just have to sign the discharge letters, handle the excessive ambulance requests. There's a young lady with whom I think I'm going to have some trouble. This woman, it had happened.",English
"the day before for chest pain. She underwent a whole battery of tests, she is in perfect health but she refuses to leave the hospital on her own. I ask the doctor to call me an ambulance so that I can",English
"go home quietly, and then the doctor refuses, tells me to manage on my own, that I have to go home in pajamas and slippers, that's it. she would really like me to get her an ambulance",English
"lying down to take her home. and a lying-down ambulance is 200 €. there is no way the hospital will pay 200 €. I ask her to at least make the effort to call, or else we will call her a taxi, which will be quite expensive.",English
"but we won't have good transportation. that's money we won't have for medicine or equipment at the hospital. but there's nothing to be done, the patient won't give up, she comes to harass the doctor right in front of his office. I...",English
"Sir, if I came here to the emergency room, it's because I was sick. I know, and as for my job as a doctor, I did my job as a doctor: I examined you, I treated you, I did the assessment. I didn't come here to argue.",English
"with you. ah, me neither. alright, I ask you to do your job to the end, sir. my job is done [...] you won't get any, ma'am, there's no point in... and why don't you want to do the [...]",English
"yes, you think you’re going to force me to write a prescription. you’re a doctor. even a general practitioner. prescriptions for ambulances. there are people who are actually sick, they need me. but no, you’re not",English
"sick anymore. But the patient doesn't stop there, she moves on to threats. I’ll take an ambulance at the hospital’s expense since sir does not",English
"doesn't want to, and if downstairs they don't want to call the ambulance, well then I'll have the AST director called. you're going to give me your name so I can ask the director",English
"from the hospital what happened. you were less of a nuisance yesterday when you arrived, you had chest pain and you were worried. well yes, I didn't know that this brief stay I spent here was going to turn out like this. so you're disappointed",English
"You must not come back to this hospital anymore, madam. Oh no, I won't come back, but you won't be working here anymore. But will you hear about me, doctor? Yes, madam. Yes, you will hear about me. I think you have to be quite firm.",English
"and then and then not give in to threats of complaints or dismissal because she knows people and so on. because we're used to seeing that since they all have pretty much the same speech. stop, we stop here, we stop here, that's enough. not",English
"won’t pay the paramedics, they’ll send him a bill, without being sure of ever getting paid. careful, it’s starting. here we go. we’re going to",English
"Where? A cardiac arrest. Come on, let's go. Back to the emergency medical service, 8 a.m., Doctor Eden and his team are heading out on a call. The firefighters have just",English
"raise the alarm, a man he was transporting for a simple discomfort has just gone into cardiac arrest in their vehicle, they need to act quickly. the firefighters preferred to stop at the side of the",English
"road. free yourself, go ahead Marchaud. the victim, a man in his fifties, is in respiratory and cardiac arrest. the firefighters are massaging the patient's heart to",English
"keep alive. when you arrived, was the guy okay? yeah, he was okay. his blood pressure was normal, his heart rate was normal.",English
"gradually the rhythm slowed down. it's not good, it's respiratory arrest. we've managed to revive him for now. you can start driving. head to the hospital emergency room, a",English
"race against the clock begins. the victim is stabilized, but he must be taken to intensive care very quickly. was he blue when you arrived? he wasn't blue when we arrived, he was conscious. he was vomiting. he was vomiting up",English
"Blood, is that all? Was he spitting or vomiting? Hi, this is [...] on an intervention on the Saint-Paul national road. It's a cardiorespiratory arrest. Pick him up, okay? Go ahead. [...] the heart of the",English
The patient has just stopped for the second time. There is only one solution: electroshock. Are you ready? All right. Don't touch the stretcher.,English
"Go ahead. Go ahead [...] the tension is rising in the vehicle, the whole team is on edge and waiting to see if the heart will start again. Go ahead, give a push... 2 seconds, stop.",English
after a few seconds the beats resume.,English
yes. we've recovered for now. we did well on the per there. look at that. it's not bad.,English
"empty. Upon arrival at the emergency room, the team continues to perform chest compressions on the patient. His condition is very serious, his heart rate keeps",English
"to fall. heading to the resuscitation room. but despite all efforts, the heart stops once again. this time it will not start again",English
"more. more traffic, we had a bit of tension earlier, around 10 to 12.",English
"there’s nothing there, we’re going to stop. 35 minutes anyway, not even counting before. the ER doctors tried everything during",English
almost an hour. I’ll fill out the papers for you. so difficult. very very difficult. difficult because after a,English
"resuscitation which was long and substantial, about 45 minutes in total, and in the end he passed away. So it's difficult because we will have to inform the family, explain all this, and on a human level it's always very",English
"Hard to do anything. That's it. Even after years in the emergency room, Eden doesn't accept the death of a patient.",English
"we inevitably experience it as a failure because our job is fundamentally to help people, and here obviously we didn't succeed. it's inevitably a failure. but it happens so quickly. I think",English
"that feelings are secondary and come after the intervention, you know. It's never during, because things move so fast—you have to think, you have to act, you have to work as a team, you have to manage the teams, and you just don't have time, really. It's only afterwards that you have the",English
"Time to settle down and then to ask oneself questions. Right now I'm working on my file, and at the same time I'm thinking about what we've done. That's it.",English
"First intervention of the day, the family will be notified in the afternoon.",English
"for the team, the mission ends here. go take the call. road accident, suicide, heart attack, tragic cases that are the daily lot of the",English
"SAMU men. The only moment of respite, a meal quickly swallowed in the break room. Me, I laugh, I'm always joking around, that's it. It's just, well, that's certainly my way of letting off steam and then... me",English
"Personally, violent images have never impressed me. You see brains, you see guts, you see whatever you want because you see dramatic things. The drama is what revolves around it. I have already cried and I haven't",English
"to say it. when you’ve had a two-and-a-half-year-old kid who died in a fire, I mean, and when you had to tell the family and all that, honestly, you feel really awful. and it’s when a child’s life is in danger that the teams take even more risks to go fast. when you get a call for a kid if",English
"it's for a drowning or anything [...] you’re careful, you double your vigilance, but you take a bit more risk. there’s no one who",English
"Someone who, when you look at the report and see, damn, a 6-month-old child in cardiac arrest or a drowning, a 4-year-old child drowned, can say that we're joking.",English
"not. back to Arras, maternity ward. here more than 20 midwives deliver more than 2000 babies each year. the team is getting ready because in a few minutes a",English
A little girl is about to be born. Her father wants to be present at the birth; it's his first time witnessing a delivery.,English
"ah yes, it's yeah, it's really new, I'm under some tension to see how it works, let's say. it feels strange, it feels strange. the dad is not at the",English
end of her surprises because today Mathilde is going to give birth to her daughter in a somewhat unexpected way. you are going to give birth on your side. if you want? we no longer necessarily position them,English
"Women in the gynecological position for giving birth. The ladies who are comfortable on their side, we keep them in that position and actually the baby is born here. There you go. Behind her. It's different from having both legs up. It's something else.",English
"thing. I’ve never heard of that. I didn’t know you could give birth on your side. next time. and the couple will experience this new thing together—in a few minutes the baby will be here. go on, again, again, again",English
"Again, again. Try to push a little bit longer. If you can, okay? Have confidence in yourself, it's important.",English
"I don't know if we men would be able to handle that. We say we're strong, but I don't think so. Go on, go on, more than that. That's good. There's a little lock of baby hair coming. He's a little brunette like his dad.",English
"Does daddy want to see the baby's head? Can you or not? As you wish. See her hair there, how she touches it nicely. Here comes the baby, very slowly. There you go, you’re doing well.",English
"Sir, do you want to go back there? As you wish. No, I'll stay here. Does it bother you? No. Then you will see her come into the world. The father watches in awe as his daughter experiences her first moments of life. Do you feel that she's coming now?",English
"Yes. Do you see your baby coming into the world? Gently, support the head well. Gently, push more ma’am, push more. Now we let the baby breathe, we let it come. Go ahead, breathe. Go ahead.",English
"now. go ahead. gently, in a circular motion. we are going to cut the cord a little bit. the cord is wrapped around the baby's neck. there is a",English
"risk of strangulation. the midwives don't panic. so that's the stylish one. 1, 2, and 3 loops of cord. come here. take her. there she is. as the cord puts its little head",English
"In front. There you go. There you go. Great. That's it. Welcome, miss. We're going to",English
[...] yes it's beautiful I'm going,English
"To think that I saw her from her very first little hair to her last foot, last toe. It's wonderful. It's true that it's beautiful, huh. I didn't think it was like that. An unforgettable moment for Mathilde.",English
"and her husband. Véronique has been a midwife for 15 years, but with every birth she is moved by the parents' emotions. We share moments from the lives of women.",English
"which are particularly precious. I would say the emotion of the parents—there is this mother who catches her baby, who puts it on her belly, and we think, but stop, this is, this is a moment of",English
"thanks. no time to linger, an alarm goes off, it's the one in this future mother's room. so how are you? it's very",English
Magalie is expecting twins. She has been here for several hours and can no longer bear the pain. To the point that any examination has become unbearable for her. Is that okay? Should I go?,English
"ah stop it, it hurts, it hurts. calm down, calm down. that's all, that's all, it's a little bit early for me to go to the delivery room, I'll check with the doctor if we can still get you set up with the epidural. because",English
"you are still having fairly regular contractions. yes, I know. alright? brave. raise your hands. labor is very slow, it is still too early to give an epidural, but the midwife is worried about Magalie who",English
"She has been suffering for more than 10 hours. She prefers to talk to the obstetrician about it. She is in a lot of pain, she is getting a bit tired, what do you think about putting her in the room with an epidural, is it too soon? I am examining her because. I don't know.",English
hasn't moved for a little while now. hasn't moved for 2 hours. but it's a bit tight to put... you see it's a bit or I well... Magalie is exhausted from the pain.,English
"The doctor decides to give her an epidural so that she can give birth in the best possible conditions. We don't like to bring patients into the delivery room too early, or to give an epidural too early, or",English
"for nothing. In her case, we think that this allows us, first, to relieve her and, second, to pay more attention to fatigue and to prevent the patient from reaching the end of a long labor",English
"hours, for twins, since we know it's going to be a bit more of a challenging delivery, so as not to be too tired. Yes, that's it, we choose that over fatigue. Magalie's troubles are not over yet. What she doesn't know yet,",English
It's that nothing is going to happen as she had planned.,English
"6 a.m., it's a special day for the SAMU emergency doctors. Today they will be at an exceptional event: the Enduro du Touquet, a motorcycle race.",English
"on the dunes. a competition that claims many victims every year. the emergency doctors turn the city airport into a field hospital. so here we will definitely need a helping hand, we’re going to unload the truck. the suture area will be right here. the team has",English
"Just a few hours to set up an emergency service. 19 tons of medical equipment, 50 nurses and doctors soon ready to take care of the first injured. Here we are setting up what we call the ER, the emergency unit.",English
"absolute. All the most serious patients who are stable are taken care of here. And next door, in the room next to it, will be the relative emergencies. So there it will be minor trauma, minor injuries, sutures. He is",English
"Noon, the system is operational. The race starts in less than an hour, barely enough time to grab a sandwich. Momo's fry shop. So I go",English
"Take a fr fricadel fr. For now, it's the calm before the storm. The team is getting ready for the rush. Usually, it's during the first",English
"Most injuries happen in the first minute of the race. It's a very physical event in the long run, so the youngsters, the ""rookies"" as we call them, who go all out in the first lap, sometimes they...",English
"do not always master well where there is still quite a lot of damage and breakage, so in the first laps of the race we picked up quite a few more or less minor injuries. The Enduro du Touquet is one of the",English
"the most important motorcycle races in the world. a thousand riders at the start, among them professionals but mostly amateurs. and more than 450,000 visitors in an electrifying atmosphere,",English
"Speed, alcohol, partying—a dangerous cocktail. So this year, a team of emergency doctors is going to the foot of the race to be as close as possible to any potential victims.",English
"Normally we have to follow the procession at the end. Should we open there? Yeah yeah, that works, thanks. As soon as it's over, as soon as",English
"It's done, I'm opening here so we can follow along. We're going to take a photo—well, we have to, we just have to, this is extraordinary. The race will start in a few moments. The engines are starting to heat up.",English
"ah it's it's quite a sport, huh [...] they're crazy people, crazy. Jérôme and his team arrive on site, the start has just been given. The competitors have set off for 3 hours of",English
"race of more than 100 km/h. in the airport emergency room, we follow the event on the screen. the race has been underway for 20 minutes. it's time for the first accidents—spectators, drivers, the",English
"see. what? yes? louder. speak louder. the little boy reacts weakly, he is still in shock from the accident. he was with his father in the front row of",English
the race when a motorcycle lost control.,English
Was he hit on the side by the motorcycle? He was hit [...] but he took the helmet.,English
"The child is suffering from a minor head injury, and the doctor suspects a broken nose.",English
"The little boy is afraid, the nurses improvise to entertain him with what they have on hand. Find him something that amuses him a little.",English
"he is there in front of everyone, wondering who is doing what, certainly very scared. do you like a little ball? guy, hold a funny one. are you coming with me? I",English
"hold in the arms. The boy is taken to the nearest hospital for a check-up X-ray. His father is reassured, but the accident could have been much more serious.",English
you got more flowers yeah yeah we saw the speed set given how we saw the barrier again afterwards we were lucky. honestly the barrier is cut,English
"In two. So we were really lucky. What happened with the engine? It got back up, then it waved goodbye to us, and then...",English
"It would be nice if they apologized, at least he checks in. There you go. The little boy was lucky, he got away with a broken nose. He",English
"will return home the next day. In Arras, emergency in the neonatal unit. Theo has another episode.",English
"Theo, Virginie's son, the little premature baby weighing one kilogram. His alarm went off, he is not breathing anymore. This time his mother is not there.",English
"Come on, let's go. The two nurses are trying to revive the child by",English
"Stimulant. After 2 minutes of apnea, Théo still isn't breathing. I exhale just for a moment into his mouth.",English
Here is the comeback. Théo finally catches his breath. Feeling better? It seems so. It's very common among the,English
"Little guy. You seem to be better than earlier. Oh yes, that always makes parents panic. The fainting spells, the bradycardias—that is, the heart slowing down.",English
"Suddenly. So it's all premature babies who have them because premature babies are immature, their brains are also immature. The brain is what controls breathing, so from time to time they forget to",English
"to breathe. But for Virginie and Guillaume, Theo's parents, these repeated fainting spells are unbearable. Every time she witnesses one, this mother can't get over it.",English
"Not. There, I think that we think about everything, everything... even about things we shouldn't be thinking about, you know.",English
"but... I saw him leaving, I saw that I could have, I could have lost the baby. when you see your child all blue, it's...",English
"Me, this morning, it really scared me. Yesterday I was feeling very well and... how",English
"today he did this to us. tomorrow he could very well do something else to us. so we have no idea what to expect, and we don't know how to move forward. tomorrow Virginie will leave the",English
"she is absolutely glowing there, with her big eyes. it's the first time I've seen her like that. usually I always see those little eyes. we won't say worried but those",English
"sleepy little eyes. ah I’m really impressed [...] and doesn’t daddy want to do skin-to-skin? what do you mean, skin-to-skin? on",English
"you? not me, it's the fear of hurting her, I don't know how, how to hold her. I'm the one who wants to put her in after. not me, I'd rather not actually. really? yeah, I prefer not to",English
"not. I'm not going to force you. don't want to try? no no. it's difficult for Vincent to establish a real connection with his daughter. and if this dad only comes once a week, it's his decision. it's a choice because it's",English
"maybe at first the fear of getting attached. it's true that the worst can always happen, you can always get a phone call in the night telling us well, the little one, the little one isn't doing very well and she might",English
might risk losing their life there. So it's a choice. But it's true that there are risks.,English
"Always. At the Arras emergency medical service, Richard Loubert is an emergency physician. He is called to a birthday party. A 54-year-old man has fallen ill, apparently due to alcohol. Gentlemen",English
"Ladies. Have you had a lot to drink tonight? Have you had a lot of alcohol tonight? Yeah, three faces. Three faces? What does three faces mean? Let's say, for once that he comes to my...",English
"Birthday. Misfortune, he spoiled me, huh. He's 64 years old. Used to drinking, is that it? The alcohol was too strong, is that it? Okay, he didn't eat. Oh yes, he ate too. A slice of bread, well that's not enough. Yeah, but",English
"You should have seen, he ate a filet mignon like that, smoked? Ah. Yeah, nothing serious. Since the beginning, the firefighters have been with him and the patient seems very grateful to them. He doesn't take any more meds. The firefighters are",English
"Great. Well, sir, we're going to have to hospitalize you because, since you hit your head and lost consciousness, we're still going to have to monitor you tonight. But I want to say that... that",English
"Those gentlemen there, they're fine. Oh yes, they're fine. I already repeated it but you've already said that three times. Do you want to repeat it? Head to the emergency room, we have to move the patient without anything.",English
"break. we're going to go past, no, all my dishes are in there. we're not going to break them. my dishes. and once again, thank you.",English
"Interventions related to alcohol, the SAMU emergency doctors are used to them. There are periods, it's the beginning of the month, people drink more than at the end of the month. At the end of the month they have less money. So we have, we call it, we have, we...",English
"call it Saint-Rémi. well, Saint-Rémi. when they got their Saint-Rémi at the beginning of the month, usually there's a bit more consumption. here it's more like the party went wrong. the patient in any case only has one",English
"only word on your lips, thank you. you have a lot of... ah the firefighters, they're good with firefighters, with firefighters, bravo, great firefighters. oh yeah, you haven't said it that much yet, sir, could you repeat it one more time? to be with",English
"she's quietly in front of the TV or I don't know what, she's there holding your hand. it's beautiful, isn't it? it's beautiful. when you arrive at the hospital, the patient is not yet completely",English
"Sobered up. Good sir, goodbye. Thank you and thank you once again. Wonderful, wonderful. Gently, I need my fingers, I need my fingers. Yeah, but you already said that.",English
We never say it enough. Okay. I'll note it.,English
"Arras Maternity. Yes, good evening sir. We are going to take your wife to the delivery room, so if you would like to come closer to us? See you in a bit, sir. For Magalie, the mother of the twins, it's the",English
"Big day. After more than 24 hours of contractions, the delivery is coming soon. Jérémy, the future father, has just arrived. Hello sir, madam. Go ahead, I'll get her settled for you.",English
"The seat is for you, sir. You see, I've never made the trip this fast. Wait, I have something, I left at the...",English
"Quickly. I really didn't think I'd have such a hard time like this. Honestly, I don't know how some women manage to make it simpler out of boredom. Perural, so I don't know. Magalie is",English
"Relieved, in a few hours the babies will be here, the culmination of a beautiful love story. She comes from the south, he [...], she followed him. As they say, the first time I came.",English
"I saw the time and I said oh my, and when I left, well, I cried like in the movie. So I followed all the way here. No regrets, on the contrary. We're good, right?",English
"and we are fine. suddenly, in the hallway, cries of pain. a delivery is going very badly. come on, we",English
"Push. Come on, push. Come on, again. For half an hour the team has been trying to bring a child into the world. They have tried everything—forceps, suction—but",English
"The child still isn't coming out. His heart rate is dropping. There's an emergency C-section, it's a race against time. He needs to go for a C-section—no, he can't, because the lady...",English
The mother is taken to the operating room.,English
"In a few minutes, the child and the mother are out of danger. It has to go very fast because the baby is in distress. The heartbeat slows down, so you have to do the cesarean very quickly, that's why less than 5 minutes.",English
"he is, he was born. the father didn't even have time to realize what happened. it's true, for me it was hard to go through. they were lucky not to",English
"ask me to follow them, because I think I cut and so I waited, I trusted them and there you go, it's perfect, the kid is in great shape, the mom too, and the dad is happy.",English
"There you go. For Magalie, however, the wait is becoming more and more difficult. The pain is coming back. It's now been 36 hours since labor started. We're still going to try to",English
"Turn onto your right side to try to relieve yourself. No, it's you, let's get back on your back. I thought it would be less.",English
"long, even Magalie herself I think didn't expect it to be this long and maybe also this hard for her. Magalie is exhausted, and the medical team is starting to worry. It's been a little while that this lady",English
"is on the way. it's taking a long time. and she is very lucky because she has little twins who are going to be born. but there is an anomaly in this case, it's the slowness with which the cervix is dilating",English
"and the head is not coming down. After a day and a half of effort and pain, Magalie and Jérémy are about to receive bad news",English
"news. 3 p.m. back to the Roubaix emergency room, a man arrives brought in by his wife. He is 34 years old, he suffers from schizophrenia. I left for work and as I was leaving for work I",English
"I saw him walking in the street [...] who was falling everywhere, who was saying anything, who was really in a pitiful state. Okay, so today you're coming because you're doing better.",English
"Are you losing it more and more? I can't talk about it at all because I don't remember anything that happened, so. The man drank alcohol and hasn't slept since.",English
"several nights and doesn't remember anything. do you feel in danger for yourself or not? for myself, for others yes. okay, I'm afraid for him, because I'm afraid he'll do something, that he'll do something irreparable.",English
"So, so, well it's true that in fact our current life, we're in the middle of a separation, but it's not because we're separating that I'm going to abandon her.",English
"So there you go, I'm very scared, I'm scared for him because he's capable of going very far. The nurse's first instinct is to check his treatment for the",English
schizophrenia. an impressive list of medications. it works. but if I didn't have all that I would hear a lot of people who don't exist. I would see,English
"many people who don't exist. and I would almost be aggressive about it, because surviving in a world",English
"Irrational, that's not my field. Take off your coat, you can put it on the chair. Doctor Babet is the head of the emergency department. She is going to examine the man because before making a diagnosis",English
"psychiatric, she wants to make sure he is healthy, but she is going to have a surprise. have you taken any pills? so right now there are a lot of episodes of loss of consciousness like that? yes, right now yes, it seems to me",English
"Weird. There are scars there, what was it? You uh... was it you? Yes. A knife wound? Yes. A gunshot?",English
"Okay. How old were you? 17. 17 years old. Sit down, I will listen from the back. The fact that he had this significant trauma in his youth, for us, this patient, it shows that he may be capable of actions.",English
"very violent, and if we hadn't undressed him, a psychiatrist seeing him in consultation would miss all that. Dr. Babet sees many cases like this. depression,",English
"suicide attempt, schizophrenia, in Roubaix there is an average of a dozen psychiatric emergencies per day. That represents a huge number of patients. Well, it's true that in Roubaix there isn't a lot of work, that there are",English
"many unemployed people, who are in delicate social situations, and the emergency services are to some extent a reflection of what is happening outside. after examination the doctor does not",English
"detects no physical pathology. a blood test in my office, and an electrocardiogram. that's fine. so it's possible that it's the medication that's making you lose a bit",English
the wire and that you fall. The man will nevertheless have to consult a psychiatrist. Dealing with the social and psychiatric problems of patients is Dr. Babet's daily routine. barely,English
"Did she leave the schizophrenic patient, only to be faced with another problem? Isn't it possible to get a coffee or something? Yes, and your money is here, we'll give it to the ambulance driver and you'll leave with it. And a coffee?",English
"and a coffee. Well, I just ate, so a good coffee after eating is always nice. Are there any caregivers available to offer a coffee to Sir? Offer? With my money? Yes.",English
"it's your money. I will put it in an envelope for you. and will you be able to buy me a coffee? yes. this man has been here since last night. homeless, he suffers from a dementia syndrome, but",English
"he is not dangerous enough to be hospitalized. there are a lot of people who have social problems, many are chronic alcoholics who come in the evening with 4 g of alcohol, they",English
"know that we are going to give them a shower, we are often going to change their clothes, we are going to give them a bed for a few hours, we can't leave them outside, especially at this time it has been extremely cold, we are obliged to",English
"to accommodate them. The doctors have to find this patient a place to sleep tonight. [...] well, we do more than just a hotel, you know, because we have to try to find them a",English
"accommodation solution, but we do more than just a hotel. in the meantime, the whole team must show a lot of patience. go ahead. a coffee, can I have a coffee? go ask her sir, she is in the back. can someone put sir in his",English
"Room? And bring him a coffee? And my money, can you bring it here? Yes, sir. And my coffee? It will be brought to you. And my money too? Also. Meanwhile, the schizophrenic patient leaves from",English
"his psychiatric consultation. He is allowed to go home, on the condition that he returns during the week to see a psychiatrist, and that he no longer drinks alcohol. If he takes medication and has a little drink, it has much more of an effect than if he",English
"had to leave it there. but if he takes a car I don't know, do you drive? no no, not me, not now. normally. you block the way. I know. will it be okay? I don't know everything.",English
"Going back, that's it, let's go. Goodbye. My return, the exit is that way. Yes. There you go. Avoid mixing. Yes. Thank you, sir. Good",English
"Evening. Good luck, I'm counting on you for Thursday's consultation.",English
"Arras maternity ward. The doctor has to tell Magalie and Jérémy, the future parents of twin girls, that not everything is going as planned. The first baby is not able to engage.",English
"expected that things could move forward without too much trouble, but no, it's not progressing anymore. So I suggest we stop because you have tried everything, bravely, we have tried everything, and perform a cesarean section to deliver the babies in a safe condition in the end.",English
"after 36 hours of pain and waiting, for Magalie it's a huge disappointment. all this pain all this",English
"All this suffering to get here, I still would have wanted to, but oh well, it doesn't matter, that's what I want and now babies above all.",English
"that's not the goal, which gets stuck. heading to the operating room. exceptionally, Jérémy can attend the cesarean section, for him it's a",English
"Relief. It's a bit better. Anyway, I think she wouldn't have slept in good conditions because [...] she's tired. The main thing is good health for all the",English
"Two, that's essential. More would be nice. After more than a day and a half of waiting, he will finally be able to discover his daughters. Look at these little hearts. Maya, the first of the twins, is born.",English
"Jérémy is a father; for him, everything else is forgotten—this is happiness.",English
"Happy, moved, happy. It's great.",English
"A few minutes later, Mélissa, the second of the twins, arrives. The two look like their mother's mouth. The little nose, the mouth. A little later, the two healthy little girls are brought to their...",English
"Mom, happy. It's the little family coming together. Quite simply. It's nothing but happiness. Oh oh la la, they are all",English
"Cute, they are all well-behaved. Back to the Enduro du Touquet with the SAMU. Jérôme's team placed at the",English
"Bottom of the race, has just been called for an intervention. A man who is having a serious malaise and is not doing very well according to witnesses. They sent the Red Cross, the firefighters, and then we are going to go as reinforcement for all that. The problem is that it's right in the middle of the crowd.",English
"difficult for the team to find their way. Staircase 5, where is it? Staircase 5? Any idea? Is this staircase 5? The emergency exit is",English
"Where? Let SAMU arrive. A little straight ahead [...] the city of Le Touquet turned into a giant stadium. We have to hurry. But the team is completely lost. Absolutely not in relation to what he has around him, we are in the crowd, we",English
"can't see what's there, can't see the signs, can't see what we usually see. we never manage to come here, never, there are too many people in the city. damn. after 20 minutes the paramedics finally find the station of",English
"help, but the patient regained consciousness. Has something like this ever happened to you, fainting like that? Do you have epilepsy or",English
"Not? Yesterday, where did you sleep last night? I slept in a truck. In a truck? And this morning I was cold then. Did you eat? Yeah, I ate.",English
"a kebab. oh that's very good, you're saved with that. a malaise mainly due to lack of sleep and alcohol. first intervention well then",English
"There you go. Quite quick, nothing too serious. But well. In the airport emergency room, however, the teams are overwhelmed—race accident, a pilot is coming.",English
"to arrive. how? this young motorcyclist has just had a motorcycle accident, he dislocated his shoulder. it's the worst.",English
"Reduction. The shoulder is dislocated; now the humeral head needs to be put back into the socket. It's dislocated, it's very painful. That's why sometimes in the operating room we can do it under anesthesia.",English
"Hey, hi everyone, I hope you're doing well. Today, a new video—we're going to talk about basic first aid gestures, really the basics, whether it's for the recovery position, cardiac arrest...",English
"Cardiac arrest or total airway obstruction, whether in adults, children, or infants, goodbye to all that. Alright, let's go.",English
"as you saw in the introduction, we are going to",English
"Talking about first aid gestures, really, that's the basic thing to know because if you come across an accident, if it's someone in your family, that's all I...",English
"I'm not going, he's unconscious, it's important to know what actions to take. These are simple actions but they can save a life. Must have",English
"several situations that you may encounter in everyday life. so for example, first we will see someone who is choking goodbye",English
"things to do. The second thing will be the recovery position, and then the third thing will be cardiac massage for a",English
"adult or a baby. So, if you come across these situations, whoever is watching this video, which will last 10 minutes, is normally",English
"you will be able to handle all these situations, and as I said, it's important, because you will be able to save lives, these are actions I",English
"I said simple, but effective. Of course, before the arrival of the firefighters, who will then take over. First, I invite you right away to",English
"Put your thumbs up under the video if you want a part 2. Come on, let's go, for total obstruction of the neighbors—that's what we call it now.",English
"Acute airway obstruction is when someone will no longer be able to breathe. It can be seen in an adult, for example when they are eating and",English
"He’s going to choke, I’ve already seen it during an intervention with a big piece of meat, the person hadn’t cut their food properly, hadn’t cut their food properly when",English
"she didn't necessarily swallow, she choked. so that can happen in a child or an infant who, well, they can come to my place with lego pieces, flow",English
"things like that. Here we are dealing with acute airway obstruction, we agree that no air is passing through anymore, the person will often",English
"now at the cost of trying to get some air, there is no noise, no sound coming through and it will start... so we were in agreement, you will",English
"You have to act quickly, because if the person is modest, well, they will go into cardiac arrest, they will die. Come on, I'll show you the",English
"actions to take so I have Mika playing the victim. already the first thing to do is to look in the mouth to see if we can see the foreign object, and if we can",English
extract it. then we will make five from one to five lakes in the back vigorously between the shoulder blades. we will make a,English
"Abdominal compression, so here we compress—the idea is to create a piston effect. So, there you go, we do from one to five.",English
"times, then I look in the mouth to see if there is a foreign object, if I can remove it, and we continue like that. So, five back blows, we look in the",English
mouth. And we do this until the victim spits out the foreign object or if they go into cardiac arrest.,English
now we’re going to do the same thing with a baby. double everything. I’m checking if I can get the body out,English
foreigner and then I will do 5 as expected but my fingers at the corner of my lips.,English
I put it on my forearm. I give one to five vigorous slaps between the shoulder blades. I put my hand on,English
"the side so you don't hit your head. then we always go back onto our knee. we fight, we press on my forearm",English
Put pressure on the knee and then do 5 chest compressions. The idea is to create a piston effect to expel the foreign object. Done.,English
That until they locate the foreign body or the person here goes into cardiorespiratory arrest. Now we will look at the obstruction.,English
"partial airway obstruction, that is to say the person will eat something, but they can still breathe. So in this case, the procedure has always of course been called",English
"the emergency services, but there you go, put her in the position where she feels best, encourage her to cough. Why? Because by coughing,",English
she will be able to bring up the foreign object and maybe get it out. But of course it is also important to call for help because if,English
"it never completely blocks the trachea, so you understand that it can be there. second action to know, we will",English
"talk about the recovery position. in fact, there are many times during interventions every time I arrive on",English
"The intervention, I always see them putting people in the recovery position, and even if they are conscious the whole time, I feel like it's...",English
"Yeah, there's a discomfort, ps. No, I'll explain to you why to do a recovery position. First, the recovery position is used for a person who",English
"is unconscious but breathing. That is to say, for example, if we stimulate them and tell them mentally to open their eyes, I",English
"give her little slaps, I don't know, I try to stimulate her, she doesn't react. so at that point, okay. we move on to the second step to see if she",English
"breathe. the person is breathing, that's already a good thing. and now we see putting them in the recovery position, so on their side. why? to avoid two things: to",English
"avoid is quite right that if she is lying down, if she vomits she will choke on her vomit because the vomit will not come out. and the second",English
"thing, it's the same, she is unconscious so there are no more reflexes, the tongue can fall back and block the airways",English
"airways so you can choke. so why are we going to put her on her side? precisely to avoid these two things. if she vomits, it will go to the side.",English
directly evacuated and the tongue will not be able to fall. That is what the recovery position is for. Now I will show you the steps to perform a proper recovery position.,English
sir sir shake my hands open your eyes. ok no one conscious. like ties belts,English
"the neck, the airway clearance, and there I look for ten seconds to see who I see",English
"might risk it. So now it's good, I see his name coming up. I can feel on my hand that he's breathing, so here we go, the goal is to put him on his side, we're going to do the recovery position.",English
"lateral safety position. We will put their arm at 90° on the side they will be turned towards, then I take their palm with my palm, palm to palm, and I bring it onto",English
"their cheek. Then I lift their leg and roll the person onto their side. Then I remove my hand, I open their mouth,",English
"I continue to keep their leg at a 90-degree angle, I cover the victim while waiting for help, and I monitor their condition.",English
"So I check if he is breathing. Here it's really about the technical actions, but what is important to know is to put her on her side after the knee.",English
"the arm and not 90 honestly that's not the most important thing. if you do it, that's great for the person but the most",English
"The important thing is really to put her on her side. Third thing to do, we’re going to talk about cardiac massage. First, you need to know why to perform a massage.",English
"Well-being is not about giving a massage and then someone who is conscious, the poor thing, I think he will get into trouble—why perform a massage?",English
"Cardiac, we assess consciousness, it's really true love, the eyes, okay, no consciousness, we assess breathing out of ten, no breathing, unconscious.",English
"no breathing so now we are going to perform a cardiac massage. the purpose of the massage is to press on the chest, and it is to",English
create a piston effect. to compress the heart during a celebration the heart is simply a pump that sends blood and oxygen to the organs and the brain so by,English
"By performing cardiac massage, we supply the organs, we supply the brain. That is why it is important to perform a massage.",English
"Cardiac. We will of course use an AED, which is what you find in gyms and town halls—semi-automatic defibrillator.",English
"Automatic external defibrillator, now that's exactly the same thing. We have the pads, and what are they actually for?",English
"as our person is in cardiac arrest, the heart is beating in a chaotic way, somewhat erratically. the USA note, our second one, will be useful to us",English
"In fact, what these wires will do is send electric shocks to the heart to reset it so that it will start beating again like it",English
"You have to. But if it's a flat line, meaning our heart is no longer beating, unfortunately the drawing will be useless, and we don't know that, so it's...",English
"For that, it's important to immediately use this AED, this defibrillator. So, I arrive at a person, I don't know, they're not responding, so, ""Hello, ma'am.""",English
"Shake my hands, open your eyes, I don't have an answer. Life, help, at ease. If I have my mobile phone, I can start calling 18, put it on.",English
"Speaker and here we go, so code ties, belts, at the ready, airway clearance, look at my hand, of course the forehead.",English
Here I always watch for ten seconds to see if the belly rises or if I feel breathing on my cheek.,English
"So here I have nothing, the person is in cardiac and respiratory arrest. So here we go. So here I still have either 18.",English
"the goal very quickly is to call for help, because I am going to start chest compressions. so",English
"Here we go, so for the cardiac massage, we look at the imaginary line of the nipples, fingers, elbows are locked, and here the goal is to do",English
a cardiac massage at about one hundred per minute. so now I continue with the cardiac massage,English
"I do too many compressions if it's someone I know, if it's someone from my family, I can do mouth-to-mouth, so in that case, I can do it, and I...",English
"breathe two more times, if the rib cage rises then it is not necessary. if it’s someone you find in the street, you are not",English
"obliged to do mouth-to-mouth, you perform nonstop cardiac massage. So then we’re going to use the small AED, defer the semi-automatic shock, so",English
"This is what you find in town halls, I told you, in gymnasiums, so first the victim has to be dry. If they are wet, you have to",English
"Dry. Then you will need to shave the victim so that the patches stick well. If there really is hair in many places, then it's simple to apply.",English
patches you have the designs like this and also the designs for the child I put in place as on the,English
drawing honestly there’s nothing complicated. tak tak the idea is actually to make a diagonal by going through the,English
"heart because the electric current will take the easiest, most direct path, so here we see that I am pretty much here, our electric current will",English
"move to the level of the heart. then after that, that's it, we read and we listen to what it tells us so of course we never do cardiac massage, not even",English
"If you put on the electrodes, one of you places the electrodes, Loti continues the cardiac massage. Oh, if it's a child, I told them there might be a little...",English
"Pediatric pad that ensures the AED and puts it like that, the electric shock will be a little weaker. And if a shock is delivered, it will start, we know, because the goal",English
"To work in pediatric emergency care, it's not enough to have your heart on your sleeve—you also need to have a strong stomach.",English
"we are at Trousseau, one of the largest children's hospitals in France, in the heart of the 12th arrondissement of Paris. here the emergency room is overwhelmed: bronchiolitis, gastroenteritis, enteritis, broken arms,",English
"Minor injuries, epidemics, or serious illnesses, healthcare workers are on all fronts.",English
"In the emergency room corridors, we followed Aminata, the nursing assistant who must identify priority cases as soon as they arrive. Pierre-Michel, the nurse who always has a gentle touch for his little patients,",English
"and Thibault the doctor who never stops, who are the ones saving our children, how do the young patients and their parents react, secrets from behind the scenes of the pediatric emergency room.",English
"Trousseau Hospital in Paris, it is 7 a.m.",English
"Aminata the nursing assistant is ready to go to the front line. She is the one who welcomes the little patients and their parents as soon as they arrive at the emergency room. Okay, you haven't given any medication? No, I haven't given anything. It's the first time she",English
"Is she coming to our place? She felt unwell, tired, dizzy. What's her name? Norma. So what's happening to this pretty girl? Actually, she is [...] everything is happening here at the reception, we have the",English
"First to arrive among the children, we see them first, the nurses who have questions, for example, should I see this child before the other? Seeing them arrive and run away.",English
"and the priority this morning has just come in. ah, I didn't really follow him. a burn, okay, a burn. in a few minutes, a seriously burned child will",English
"arrive with the emergency medical services. Aminata goes to welcome her. Hello. and open the resuscitation room, the room where the most serious cases are examined.",English
"What is her temperature? Handy, 18 months old, has just burned his arm with a second-degree burn by spilling a pot of hot water. The whole team",English
Medical staff is mobilized. There is crossfire by the mother with water. [...] The nurses must quickly,English
"assess his condition. All this while keeping calm. The child's case is worrying, but there's no question of passing the stress on to the child and the mother. The emergency services leave; the critical case has passed.",English
"You didn't give anything at home before? Yes, Doliprane. Did you take Doliprane? I gave him the Doliprane. Was it you? And the codeine? It was me. Thank you. The intervention in the resuscitation room only lasted ten minutes; here, we leave as quickly as possible. For the rest of the evening...",English
"Handy is transferred to the hospital's burn unit. At Trousseau, there are real emergencies like this one and minor injuries.",English
"Is it mom who's telling me or is it you? It's mom. First recipes to treat them quickly, knowing how to talk to children like little Julia here. Three years old. Oh, three years old. You",English
"Are you going to school? Are you on vacation now? Now it's not school anymore, it's vacation. Oh, that's good. Okay. So did you fall? Dad stretched me out. Stretched what? Stretched out? Twisted? Did you twist your arm?",English
"Julien comes for those who are called in the service the cost of the coat, a great classic. But he took off the coat, we were in the subway, very crowded, she was hot so we weren't in",English
"a comfortable position, he had to, he pulled the sleeve like that, the arm maybe she wasn't ready, I don't know, they're rushing, and so he screamed and then she stays. it's a displacement of the elbow fluids that goes",English
be fixed in no time. where does it hurt? is it your neck or the front? it's there. is it here? you hurt yourself.,English
"The doctor says nothing, yet she is already treating the little one. You hurt her. And with a sleight of hand, everything is put back in place. Anne the mother is there.",English
"First surprise. In fact, most likely the father, when he pulled [...] what we call the painful rotation. It's the rotation of the two bones; when you pull on them, it doesn't set properly.",English
and then you just have to put them back in place so that. we'll see in the waiting room [...]. does it still hurt? there you go. a quick consultation and it's a,English
"Little Julia all dressed up who goes back home. Oh well, I've never seen that. And I think we stayed here for maybe half an hour.",English
"At the reception, strollers are piling up; it is the beginning of winter and the bronchiolitis epidemic, this highly contagious respiratory infection, is already hitting.",English
"Aminata, the nursing assistant, wears a mask to avoid spreading the virus. She mainly receives infants, like Niels, one month old.",English
"[...] and you gave him/her some Doliprane but your doctor hadn't prescribed Doliprane? But it's good to give Doliprane, it's fine with me. The baby has a slight",English
"Fever, nothing worrisome at first glance. Yet Aminata sends her as a priority to Sylvia the nurse. Sylvia suspects an infection.",English
"Urinary, one of the most frequent causes of fever in babies. A baby may not necessarily have a fever even if the temperature is 37.9°C, which is more of a low-grade fever, so we will put a small bag that can collect samples.",English
the urine. to be able to analyze it afterwards. to avoid being contaminated by a virus,English
"In waiting rooms, Niels is placed in a separate cubicle while waiting for a doctor, because for now they are very busy.",English
"In the meeting room, the team of young emergency doctors who worked all night hands over the files of the little patients to the day doctors. The lines are drawn.",English
"The one taking notes is Thibaut, 33 years old. The pediatrician is going to work for 24 hours non-stop, from 8 a.m. this morning to 8 a.m. the next morning. And one of the patients handed over to him is Luc,",English
eight years old. The little boy is epileptic. Hello Luc. So I am a doctor [...] pediatrician. So I am coming back to the story but I would like to start again with the little one,English
"see you all, don’t worry, I’m here. [...] Luc arrived at the emergency room during the night because he keeps having seizures.",English
"Well, and if it lasts ten seconds? Much less, much less noise. Not even a minute, right, okay. And when he has his fits, are they like the fits he used to have before? Oh, they're the same. So what are these fits he has? The fits, the shaking, like he's crying in terror.",English
"Okay, and does he move an arm or a leg a bit like this? Don't worry. Okay, he does that. Alright.",English
[...] and does it always end with the scream or not necessarily? oh no no no oh la la la la la the IV no it's fine it's fine now.,English
Epilepsy is a neurological disorder whose causes are poorly understood and for which treatments are not always effective. Luc's mother is powerless in the face of her son's illness. Things need to change.,English
"I am here to find a treatment already [...] and to find him an appropriate treatment, Thibault will act in consultation over the phone with the",English
"Luc's attending physician. The hours there since 7 a.m. this morning we've had three. Including one in front of me that lasted less than ten seconds, which are as usual, so I haven't changed the dosage.",English
"[...] and I didn't back down [...] actually that's it. yes that's the idea, we agree, no Dilantin. yeah no no we'll see, okay.",English
"Is he hospitalized? Yes, hospitalized, so apparently in neurology we don't have enough space, he will go to another department of the hospital where he will be seen by the neurologist anyway, it's not a problem that he's not in neuro [...]",English
"In the next cubicle, Niels the baby has come in for a slight fever and will be examined by Diana, the resident.",English
the possibility of a urinary tract infection has been,English
"ruled out. Yet in barely an hour, Niels's health deteriorated. Mottling are marks that appear on the skin, indicating poor blood circulation. Niels also has more and more",English
"in addition to having trouble breathing. does he cough a lot? well, when eating.",English
I had to stop often. At night it was rather... [...],English
"the doctor doesn't want to take any risks. We're going to do a check-up: a blood test, and we'll also do a chest X-ray. It should take about two hours to get the results. We have to act quickly because fever in",English
"in very young children it can rise very suddenly. on the board, Niels in box 2 has turned orange, the color for priority cases. at the doctors' offices, Thibault has a",English
"serious problem. he goes around all the departments, but he can't find any place to hospitalize Luc, the little epileptic boy. in fact, we have 0 places available at the moment. cheryl, he's with us but he's being transferred to the",English
"Seniors. Yeah, it's fine, I'm at the doors and I'm counting the spots and you won't get one tonight.",English
"So, we're going to call, we're going to call the administration. No, because in neuro there's already a problem with the nurse. More or less a spot. You, you—ah well, keep me posted because...",English
It was really an extra spot. Call me because it's true that it's a bit complicated. The lack of beds is a recurring problem at the hospital. Looking for spots has become part of Thibault's job.,English
"Over there, it's not a problem except when there are issues with nurses who are absent due to sick leave, so then it's necessary to close some",English
"beds in the hospital, but then the problem is that when patients need to be kept... Luc and his mother will have to be patient. That's it. We're here, and then when will we be...",English
"Past, as for what has gone up. There you go. It's normal. It will take Thibault two hours and the arrival of a temporary nurse in neurology to obtain the Holy Grail: a bed for Luc tonight.",English
He will sleep upstairs. The emergency room is about moments of stress and much lighter moments.,English
"it's quite a comforter. Thomas, 8 years old, has just arrived at the emergency room for allergies. he must",English
"Have a blood test. And he's probably the only child who goes with a smile on his face. Did you know about the mask or not yet? Yes, I know very well. Are you sure?",English
"Thomas has already seen this mask during a previous visit. Because he remembers the association he made. It's nitrous oxide, which is called",English
"Also laughing gas. It relieves pain. Thomas is not going to sleep, just get a noseful and have unexpected reactions.",English
"Do you feel like you're on the moon yet or not? Yes, on the moon. The effects of the gas are already being felt. The nurse will be able to work. No?",English
"I’ll hold the mask, I don’t mind. In 5 minutes the operation is over. Thomas comes out of his dream, he’s a bit groggy.",English
if it's over. wait. [...] lay your head down. lay your head down [...] you might feel dizzy so I can leave you the mask but without the bottle. without the bottle.,English
"How are you? Are you feeling better? Isn't that your bag, ma'am? Oh yes. Apparently the effects are lasting.",English
didn't feel anything anymore. you didn't feel anything? yeah. Thibault continues his rounds of the patients.,English
"Raphaël arrived at the emergency room last night with pneumonia. The doctor is monitoring the progression of the illness hour by hour. And to listen to Raphaël's breathing, Thibault has his technique. You are going to blow on the sheet and do",English
Like this. Daddy will hold the paper and you will blow.,English
"It's better, we'll see. It's not certain that he'll go out tonight. We'll see in the afternoon, but it's not certain because we'll see how he is. Okay?",English
"The long day of an emergency room doctor is not limited to examining children. It is 1 p.m., and instead of going to eat, Thibault tackles administrative tasks.",English
"Among these enjoyable activities is coding, which allows each medical procedure to be billed to social security. I write a number that corresponds to a pathology—for example, here he has pneumonia.",English
"so I coded the pneumonia. In addition, he has a neurological problem so I code this neurological problem. He had a fever so I code the fever. The nephritis, I code the nephritis. There you go, if I had only coded the pneumonia",English
and all the other codes that I didn't enter mean less money for the hospital. Social security reimburses the hospital based on the codes assigned by the doctors for each patient.,English
"And in the emergency room, there are certain procedures that are more difficult to code than others. Aurélien, 22 months old, is panicked.",English
"Even the famous laughing gas has no effect on him, and all because of a strange ailment, a strangling hair. A very fine hair is wrapped around",English
"his toe and by tightening it prevented the blood from circulating. as a result, it will need to be properly disinfected. yeah, it happens and that without even staying properly in bed. it's often like that. I'm going to cut my hair.",English
"no you just have to well it's difficult but look at the useful sheets when you get back check if there aren't things, because the hair actually stays. this somewhat ridiculous pathology is not very",English
"Running to the emergency room actually has a name, but what is it? Aura, I just want to know what it's called when children have a little hair wrapped around their toes? I have",English
"Forgot the name. Me too. You too? Lucy? Oh yes, a question. When children have hair on their toes, what is that called? That's a good question. You too.",English
"We will find it again. The tourniquet syndrome, as it is called, is making headlines all the way to the operating room.",English
"pause. Is that fresh, does it look like a fruit salad? Are you sending papers? Really nice like the drawing. Is that it? How is it possible because you’re going to explain the meanings to me up close, I didn’t understand everything about the hair. We’re going exactly. He",English
"wraps around the toe and then at first it's like you have, how to say... two wounds. as if you had, so it's not too tight at first, you see, but then it starts to tighten and as a result it makes",English
"two little lumps, and then the little lumps get infected and they... turn blue. turn blue and it makes [...] in the next room, at the doctors' office, the case of Niels, the baby with a fever, is being debated. two schools of thought. at",English
"On the right, those who are in favor of a thorough examination, and on the left, those who would have already sent him home. Me, I wouldn't keep him. A month? I wouldn't keep him. You wouldn't even have monitored him? We're not even at twelve hours of fever.",English
"if he is perfectly fine... or can we keep him until the end of the day? can we wait for the temperature? wait! 37.9? yes! I had the impression that... yes, that's why,",English
"As a precaution, we’re running some tests. As a precaution, we’re going to monitor him a little longer. As a precaution, we’ll call him back in tomorrow. But, you see...",English
"The doctors' investigation is stalling; they are unable to establish a diagnosis. So it is accompanied by a senior pediatrician that Diana, the intern, returns.",English
"auscultate Niels. [...] but what I am told, nothing came to me to hold on to. hello.",English
"Niels is doing better. The results are in. His chest X-rays as well as his blood test are normal. Even better, his temperature has gone down.",English
"What we’re going to do is re-check the blood test at the end of the evening, at twelve hours, around 9:30 p.m. If by then he hasn’t had a fever,",English
"No more than 38, and as long as the blood test is still very good, you will go home. Does that sound better, ma’am? Yes, already just not being alone. We have bad memories here, so...",English
"Mode is used to hospital stays. Her eldest daughter has been hospitalized several times, but this afternoon the mother, Denise, is smiling again—her son has a good chance of being able to go home tonight.",English
"In the emergency room to pass the time, the trick is Marie Paule and her colleague Françoise; the two grandmothers are volunteers for the association ""Hand in Hand."" Once a week, they organize board games in the",English
I like the greens.,English
"what is my role? well, you see, it's to give games to the children so that everything calms down, so we try to give some to everyone so that no one misses out and then",English
"they will talk a little with the parents when it’s really too long, we talk a bit with the parents too because it’s true that they spend two, three, four hours here. it’s still quite long. Marie Paule has been a volunteer for ten years. this former sales assistant",English
"chose the emergency room to fight the retirement blues. it's the activity. it's to stay in motion with the world because, well, when you are",English
"In retirement, you don't see many people, you're no longer part of social life, and over there you see, ah, you see people, you see the medical staff, you see all that, so for me it's interesting.",English
"and even at the hospital, these grandmotherly reflexes are never very far away. Over there? Be careful with the canes because you’ve already broken their legs.",English
"So you must not do that, be careful. In the emergency room, nearly 80 doctors and nurses take turns caring for the patients.",English
"It is then that Aminata finishes her day. Pierre-Michel, the night nurse, begins his.",English
"welcome to the lair. autonomy. the fact that they have much less staff, we work much more years",English
"As a team anyway, even during the day, but let's say that now the team is much more united. I can still enjoy giving to the children fully, I see them, I take care of them, and I don't have much pain, we have days of...",English
"rest indeed even if we work 10-hour days, this week we will do 50 hours, next week it's a light week, we do 20, so that still gives us some",English
"free time, they allow for activities with the family. Thibault, meanwhile, continues his frantic race.",English
"Apparently the night is shaping up to be tough. Taking a minute to gather strength beforehand, he would have started.",English
"Here since 8 a.m. this morning, we started the shift with four beds left in the hallway, no more room for hospitalization, and apparently I still have plenty, I still have children.",English
"Hospitalized and I don't have a spot for now. We'll reassess in an hour, so there you go. Isn't it too stressful? A bit. It is stressful, yes, on call, but afterwards we like it, we...",English
"likes it too. If it were a paralyzing stress, well, I would have stopped, I would be doing something else. And actually, Thibault is going to get his fill of stress. Coming? Ah, one of the two.",English
"Santiago is 19 months old. He is from Chile and is on vacation in France with his family, but his first visit to Paris is to the Trousseau emergency room. Is he allergic to any medications? No. Allergy?",English
Food? No allergy? Food? No. He doesn't take any medication chronically? And he's never had asthma? The little boy is actually suffering from a,English
asthma attack. his state of health is worrying. but Thibault barely has time to examine him when another serious case arrives in the resuscitation room.,English
"Hello ma'am, are you the mother? I am the doctor [...] on call. This little girl is only two weeks old, and she is already having her second bronchiolitis. She is here for... some discomfort. She has been",English
"Hospitalized for bronchiolitis, is that right? Okay. And when will she be discharged? Did she have blue lips? Did she have blue lips, ma’am? I’m asking you a lot of questions, it’s because",English
to know she had the... what? try a piece of data and that's not a problem. don't worry about that. Thibault is overwhelmed.,English
"[...] they all come at the same time. positioning? no, but now this is getting ridiculous. how.",English
There is a buzz in the hallways. The waiting room is constantly full. Thibault has to manage about twenty children at the same time.,English
"Not counting the patients' parents. We go faster, we don't stop. There are three doctors for 150 visits, so there you go. We try to go as fast as possible.",English
a moment that Mode's mother dreads. We’re going to have to replant it.,English
"The problem is that Niels's veins are very fragile. To obtain the necessary amount of blood, it has to be done several times and in different places on the body.",English
Mode is a good mother. Are you going to inject him again?,English
"After the fourth attempt, the blood draw was successful. Results in two hours.",English
"Night has settled over Trousseau. In the corridors, the tension subsides.",English
"Anything goes to kill time. Blowing bubbles, or telling a little story. Here we go, the puppet show is about to start.",English
"Number. That's what they say. Damn but what a country where you have to pay me. But what country, what, oh dear, it's tomorrow, stakes all over the body, the body finally becomes",English
to have a little now my pharmacy or there or there where. but the break was only short-lived. the children affected by the bronchiolitis epidemic are pouring in. Pierre Michel,English
"to fit out emergencies. stop. his serious, sometimes life-threatening emergencies are Pierre's daily routine",English
"David is going to have an on-call weekend that will put all his experience to the test. It saves the patient's leg. This guy doesn't know he could lose his leg, so it has to work. He will have to save the knee of a young man blown apart by a blow from a...",English
"rifle. Emilie is in her seventh semester of obstetrics and gynecology. During a shift, she is going to handle a cesarean delivery that does not",English
do not present very well. [...] she will put all her energy into getting the child out of the mother's womb. the large influx of difficult patients will eventually put Paul in trouble.,English
"Has to keep calm, not easy after so many hours of work. Where does it hurt? Hm?",English
"of a hematoma. To rule out a fracture, the young woman is immediately sent to the radiology department, under close escort. Paul, these are not very easy patients, especially at this hour, to restrain.",English
"But still, you have to keep calm. You have to be rigorous because it's at that moment, at that hour of the night, that you miss things. What do you mean? It's too easy to miss a small fracture, a little patient who's not doing well.",English
"On the head scan, we should have done the standard ones like that. Pain in the ankle, external malleolus, pain in the knees.",English
"Half an hour later, Paul can confirm his diagnosis. Just a simple sprain, and no fracture. She leaves.",English
"Alright, bye everyone. Bye bye. Paul has already been taking care of patients for twelve hours straight without really taking a break.",English
"oh fuck it's slippery. well, now I'll have to go home by scooter. how much is there, how much is piling up there. I think it's 6 or 7 cm.",English
"How horrible. It's definitely a rather creepy candle, I don't know if I'll keep it for very long, you know. It's past midnight, Paul can finally go home, but will he make it?",English
"Still a long time to keep up this hellish pace? On a Sunday morning in the parking lot of the Conception hospital, David comes",English
"To be called by Pierre, his resident. You can't plan anything on the weekend when you're not on call. Which was full of his stuff, including the white coat. Several emergencies are waiting for him in the operating room.",English
"Alright, it's fine. Hello, hello, how are you? I'm not too late, am I? Tell me a bit, Pierre. It's a wound from what did you say? From glass, while opening a bottle.",English
"a minor wound for this first patient, Justin, needs to be stitched up, a very manageable task for Pierre. But a phone call from another department of",English
"The hospital is going to disturb this moment's tranquility. Pierre, there were 4 other people who left from there.",English
"I’m going to see him again, I’m going to see him. You’re going to continue on your own. Not a second to lose, David must very quickly assess the seriousness of this new emergency.",English
"This is a patient who is not mine, who is hospitalized in a ward and is having a hemorrhage, who was seen this morning and was not",English
"in a critical condition and then it worsens considerably so we have to intervene, to put him between two patients in the operating room. hello. hello. I came to see this",English
"Sir. I am making a ticket. Yes, I will take it. Absolutely. It needs to be taken back, it needs to be taken back quickly. To take it back, that means that",English
David has to be operated on again. It annoys me because I think that this morning the residents should have been questioned and he should have told me beforehand. David is not very happy with the residents.,English
"of this service. Because of a poor assessment, this patient who is experiencing significant bleeding is now in danger. An emergency that will disrupt this day, which seemed quite calm until now. Pierre last night and it is not",English
"Not like that, the patient? But last night, I wasn't there. Given the state of his back, his hemorrhage didn't start five minutes ago. No time for David to catch his breath. [...] he must very quickly",English
refocus to supervise Pierre's work. an end of operation disrupted by the on-call anesthetist. he has just taken his brioche out,English
"clock out, sir [...] come on, it's very urgent. let him pay at Clément agency. I know it's not you, I know it's not you. I'm sorry but you're the one who's here.",English
I don't mind finding material for this record. I don't want to risk giving him a discount [...],English
"it's a mess right now, I'm sorry. the situation is getting complicated for David; his patient, who is suffering from a hematoma, might have",English
had to fast for at least six hours before undergoing surgery. A precaution to prevent him from regurgitating food directly into his lungs during general anesthesia. A risk of asphyxiation that the anesthetist and David,English
"cannot take. Like everywhere, sometimes there are outbursts, but we must not forget that we have patients' lives in our hands, so of course there is attention—even if we seem relaxed and joke among ourselves, the pressure and attention are still there, and then",English
It's mainly because we're concerned about the patients. David and Pierre now just have to wait for the anesthetist's green light to operate. But a new emergency is going to complicate this day once again.,English
"The firefighters bring in a young patient. Last night in a bar, a man shot him. A little leg reconstruction, Sunday afternoon. Can you give me some gauze? The head—I gave a presentation on inflation.",English
"When did it happen? It happened last night, right? Well, it's probably a drug trafficking story or something like that again. Ah, he told us. And I don't understand why, suddenly my knee hurt. And I looked, and bam! I had been shot.",English
"It's something, at least. On the X-ray, dozens of small white dots, buckshot pellets, have shattered this young man's knee.",English
"Patient. We have a big hole in the skin with the bone that has shattered. Look, it's really just tiny fragments.",English
"One by one, David is going to collect some bullets that might help the police find the person who fired the shot. Oh no, no, that's not possible.",English
"to remove all the pellets because there are lots of small shot that spread throughout the tissue of the leg, which is important. The thing is, does that not affect him? He will keep his pellets for life. But there is something more important. For the young man to...",English
"To be able to walk normally again one day, his knee now needs to be rebuilt. So people have to find the most important nerve in the leg, which was not damaged... which is good for him.",English
"Very well. David will use all his experience to carry out this delicate procedure. I still can't calm down, my poor dear. That, we'll cut it too. A procedure that is coming to an end.",English
"by a skin graft. That's wonderful! And the patient, will they heal perfectly like that? Almost no motor consequences.",English
"That works for me. In just over an hour, David and Pierre saved this patient's knee. A small victory that will do David some good, as his day is far from over.",English
"Finished. I feel like I spent a good part of the day here. There’s a chance her patient, who has a hematoma, still hasn’t digested his breakfast.",English
"Impossible to operate on him, then. A setback that will end up making David even more tired.",English
"Once a month, Emilie leaves her gynecology department for the obstetrics department. It is 6 p.m. It is the",English
"start of her shift. Emilie takes advantage of a quiet moment to review her notes. A way to reassure herself. Here more than anywhere else, she will not have the right to",English
"make the slightest mistake. With Cédric, it's always stressful because things can go wrong very quickly. When things go well, they go well, but when they go badly, it can",English
"Quick, go, so very, very bad. It's impressive, unpredictable, stressful... you have to be reactive and it's the specialty where I think you have to rush by the minute and that's what matters, so there you go.",English
"this anxiety that's rising, Emilie needs to share it with a senior staff member. she seems eager to have a first extraction and at the same time I take my time, but no. it's normal, I tell myself it's like cycling. it's normal for you to be a little stressed. when it's your first shift back in obstetrics. and on top of that, it's quiet. You have no reason to...",English
I'm even afraid to redo the coudres. The coudres TF1 masters so much ardor when I haven't done worse. Maybe a moment to please. But say buttons.,English
"inhabitants it's true six or... I have seven to do it but. well, now you'll have the chance. you gently put (them) in the bath. it's not too lively tonight. that's it. indeed Emilie will have to recover her memory very quickly. a patient",English
"Eight months pregnant, she has just arrived at the emergency room. And you’ve been feeling less movement since when and where? Well, last night. Last night. This woman is terribly anxious for her child who does not...",English
hasn't moved for almost 24 hours. Emilie must quickly reassure her as well as her husband.,English
"Emilie will take a few minutes to get the ultrasound machine working properly again. The baby is head down... and to announce the good news to her patient. Oh, she moves a lot.",English
"it's completely turned. well, that reassures me. do you feel it moving well? that's why... usually she moves like that. whatever stimulates it, in any case, it's a fetus. everything is fine, Emilie is going",English
"to be able to practice taking measurements. she doesn't let it happen easily. and estimate the baby's weight. she's always tough. I'm not the only one who has a sense. I was thinking, well, maybe I'm not very skilled but I can't see it.",English
"can't imagine anymore. but I think she's measuring something... something is going on anyway. I haven't... the baby wasn't Lucien either for himself but well, there you go, I'm already trying to",English
"To get my bearings again, to redo on the ultrasound machine buttons. Emilie will have the rest of the night to regain her reflexes and rebuild her confidence.",English
"I feel out of it. It will come back. She will have to hurry, an emergency delivery will require her intervention.",English
"medical school, a little before 9 o'clock. Hayatte has been waiting for this day for more than ten years. Hello, the room for the theses please.",English
"the thesis room, yes. we don't have a booth for that. the thesis room. M 47. M47? you go up there. you follow them.",English
"If Hayatte is so tense, it's because in a few seconds her entire career will be at stake in this room. For 15 minutes, and not a second longer, her work will be scrutinized and judged by",English
"made the trip to encourage him. against social. thank you for your attention. there is work, the presentation was of good quality. the mission is accomplished. despite the stress is",English
"Probity. I will respect all people, their autonomy and their will without any discrimination based on their condition or beliefs. Even under duress, I will not use ignorance.",English
"Thank you very much, the day is here. There you go. Have a good day as well. Goodbye. Jean speaking.",English
"triangular like that. There, when you touch it, you can really feel the bump at the front of the skull that protects his forehead. If it is not removed, Alexis's brain will not have the necessary space to develop normally in his",English
"Theory, he won't be the one handling the practical part. A senior will take care of it, but not just any senior. He's the specialist for the entire Brittany region. A stroke of luck for Jean.",English
"who is regularly by his side. he wants to make the most of his experience. so we need to give him two frontal bumps. and set his eyes further apart. obviously, it's not complicated.",English
"We are going to do the infiltration. To reduce the risk of hemorrhage when opening the skull, the senior doctor will inject a rather special product, a mixture of adrenaline and xylocaine, a mixture that must",English
"to continue learning a surgery that fascinates him. Today, this is very interesting because we have to anticipate how the skull will reform and so that the...",English
"He once again has a Biarrot skull that is not completely deformed, it's interesting and also of interest in pediatrics because you have to anticipate a result that we'll only see in 10 or 20 years. Good to know how to do the same.",English
it's beautiful there. less than three hours. shows that he was good. he helped me a lot. I was faster than usual thanks to him. a good fifteen minutes less. you,English
"Laugh, but [...] the faster it is, the less it bleeds. I don't know if I spent fifteen minutes, we'll see during the rehearsal of the",English
"interventions if I really save fifteen minutes. It should go well for him, I think. You shouldn't say it too much, but he's off to a good start.",English
"The operation is a complete success. A few weeks later, Alexis will return home with a remodeled skull. A skull that will now allow his brain to develop.",English
normally like all the other little boys his age. start of the day in the emergency room for Paul. I really really really really didn't,English
Paul expresses a certain malaise. A suffering that eats away at him from the inside. The cause: the relentless pace imposed by the emergencies and the increasing number of agitated patients who must be taken care of.,English
"role was, so by trying to examine him briefly, by looking a little bit, what interests me is at the level of the abdomen, at the level of the lungs, by looking a little at his legs, that's what interested me, to see that there is no",English
"Major somatic problems. Apparently not, I need to go back and check his blood test, review the brain scan he had. The brain scan won't show anything particularly concerning. Paul",English
"therefore ruled out a medical emergency. But given the very agitated behavior of his patient, he will ask the team to restrain and isolate him for his own safety. As always, in such cases",English
"The man must now be evaluated by a psychiatrist once he has calmed down. The team will administer sedatives to this patient, but for long minutes it will be necessary to endure his screams.",English
"throughout the department. The door of the cubicle must remain open; it is the most effective way to remotely monitor the evolution of the patient's state of consciousness, and it allows",English
"The whole team can continue to handle the emergencies that keep coming in. An effective method, but one that can become a bit burdensome for the entire department in the long run, especially for Paul, who is already quite exhausted mentally.",English
"Sunday, 5 p.m., return to the Hôpital de la Conception. David's patient, who is suffering from a severe hemorrhage, can now go to the operating room. He has finally digested his breakfast. Anesthetized.",English
"So, in general, it is possible. Like that. Initially, this man came to the emergency room following a scooter accident involving his calf. A completely shredded calf that had to be",English
rebuild with muscles taken from his back. can we open it just to look? so that he doesn't get a hematoma under the flap as well. it's not out of the question. this patient's calf is fine. none,English
"bleeding on the horizon on that side. but after four hours of waiting, the small initial hematoma has taken on worrying proportions on his back. now it is necessary to intervene urgently, the",English
This patient's life is in danger. This is the fourth operation in the operating room for David today. So fatigue is starting to set in. Because he is also tired.,English
"never tired. it's forbidden to say you're tired anyway, they call us weak [...] if we say we're tired. well, go ahead. if this could be the last one of the day",English
"would be good. in my opinion, no... five o'clock is still early you know, we're on call until tomorrow at 8:30 a.m. so... knowing that tomorrow at 8:30 a.m. it's a normal day, we go straight into it.",English
"Here, the suction and the scalpel are connected. First step, David has to evacuate all the blood trapped under the scar. You can put even more.",English
"In the light, please? So we can see where it's bleeding. The second priority is to find the source of the hemorrhage, and David's state of exhaustion won't help.",English
"there is nothing obvious. I don't see anything bleeding here. I wouldn't want us to go back there afterwards. I don't want to have to operate on him again tonight. it's vessels that bleed very little, after being sealed in the morning it starts to stop [...]",English
"afterwards he can't find it anymore. isn't there something that's bleeding though? it tires me out. deep down, there's something. david finally managed to find the responsible vessel. there! a little thing there. that's the end of the operation.",English
"Marcel, can you hand me the two staples [...] all that's left is to close the wound with a few staples, a fairly simple procedure that David has performed thousands of times.",English
"we don't care [...] in an exceptional move, David is not going to finish the operation. Exhausted by his hours chained to the operating room, he hands over to Pierre, his resident.",English
"and what is Bandol monitoring by stepping on it? the hemorrhage? in the operating room, a patient has reached the end of her pregnancy. but her baby's heart rate has been showing for a few",English
minutes of significant anomalies. Problem: her cervix is not sufficiently dilated to allow a child to be delivered immediately vaginally. It is Emilie who performs this emergency cesarean section under the supervision of,English
"All the staff in the operating room can finally relax, starting with Emilie's boss. Everything spotless. Everything went well. We didn't make any mistakes today.",English
So today I’m launching this new video series with a scientist whose name might ring a bell.,English
"Mr. Yohann Gregor Mendel. Mendel was simply the first scientist in the 19th century to have understood the transmission of genes,",English
"the beginning of genetics, all that by observing pea plants. not bad, right? first of all, to really understand",English
"this video I refer you to a more classic video about the human cell I advise you to have at least already watched and understood it, it will",English
"help to understand some concepts that I will cover here in the video. but you marry here, it was on the next one and we’ll meet again in a few minutes",English
"Okay, you watched the video, we can go, let's get started right after the opening credits for the first history segment.",English
"Yohann Mendel was born on July 20, 1822, in Heizendorf. At the time, this territory belonged to Austrian Silesia.",English
later during Mendel's lifetime this territory would be annexed to the Austro-Hungarian Empire. At the present time it is located in the Czech Republic. for,English
"to give you an idea about the time, in 1822 we are thirty-three years after the French Revolution. It is the year when Champollion finally manages to decipher",English
"hieroglyphs thanks to the famous Rosetta Stone. It is also the birth year of Pasteur, the great scientist known for having developed, among other things, the",English
"rabies vaccine. In 1820, life expectancy did not even reach 50 years; indeed, there were many childhood diseases for which there was no",English
"treatment, so there are many losses among young children. Yohann has three sisters; he is the only boy in the family. His father Anton manages the family farm like",English
"It was very common at the time, and her mother Rosina is the daughter of a famous gardener who already used to take care of wealthy families back then. Among her three",English
"sisters, only a Rosina who bears the same name as her mother will manage to reach a more or less decent life expectancy for the time and will die",English
"at the age of 40. In 1822, we are more than a hundred years before the discovery of antibiotics; the slightest injury can cause death.",English
"in excruciating pain. For a farmer like Mendel's father, a single misplaced pitchfork blow and a cut on the big toe can",English
"cause death by sepsis very quickly. Yohann Mendel is sent to school, which he excels at, and he is encouraged by his teachers to",English
"to continue his studies at the university. Unfortunately, his father falls seriously ill during his studies, and the farm being the main source of",English
"Financial income at the time. The family no longer has enough income, so not enough money to send Johan to university.",English
Mendel therefore enters the monastery to become a monk because he hopes that the monastery can finance his tuition fees.,English
It was common practice at the time for monks to be sent to schools at the monastery's expense. Mendel therefore entered the monastery as a monk.,English
"of Brunn, which was already at the time a major center of scientific research. The monks were indeed highly interested in the transmission of",English
"hereditary genetic traits. From the beginning of his life as a monk at the monastery, Mendel was strongly interested in the natural sciences. He began a",English
courses in agriculture and viticulture. In 1851 Mendel was able to attend classes at the University of Vienna. There he studied,English
"various sciences including botany, mathematics, physics, and natural sciences. He also attends courses given",English
"by a great scientist of the time who was passionate about the transmission of hereditary traits in plants, Mr. Franz Unger, in 1854",English
Mendel returns to his monastery with a good education to become a science teacher. And alongside his teaching activity he,English
"is strongly interested in the production of hybrid plants using the plants that are grown at the time in the monastery, peas. his studies on",English
"Peas will be at the heart of all his experiments and will allow him to formulate the famous Mendel's laws, which we will discuss in the next chapter.",English
after studying the points Mendel will even become interested in hybridization and reproduction in mice but he will quickly,English
reprimanded because the breeding of mice he does in his own room causes cleanliness problems in the monastery. in 1865,English
"Mendel published the first results of these studies, which would later be called Mendel's laws. And at the same time, he was appointed head of the monastery.",English
in which he has lived for a long time. his new responsibilities take him a little away from his studies and his research.,English
"Mendel is currently known mainly for his famous Mendel's laws of genetics, but in reality, he was a very great scientist who has",English
"worked on many other subjects including horticulture, beekeeping, and especially at the time meteorology. On January 6, 1884, Mendel",English
"dies from kidney failure; he will be buried in Brno, the city where he resided in the monastery.",English
"A few days after his death, his successor as head of the monastery burned all of his archives. We are, indeed, very little. Mendel has",English
"was highly appreciated in his community and especially recognized for his work in meteorology. At the time, his research on the",English
"Genetics and the transmission of hereditary traits went relatively unnoticed, relatively unnoticed until the beginning of the 20th century.",English
where his discoveries are actually rediscoveries and wolves have defined the famous laws of Mendel. still in the present day,English
We speak of Mendelian transmission for many genetic traits transmitted by chromosomes. I am placing here around me a few links.,English
to videos already made on similar topics that might interest you before moving on to the next chapter.,English
"Before actually discussing Mendel's experiments, it is very important to understand the principle of dominant genes and recessive genes.",English
"each cell actually has two copies of the same gene, one copy inherited from the father and one copy inherited from the mother during the",English
"reproduction during a process called meiosis. I haven't made any videos on this topic yet, but if you",English
"If you're interested, don't hesitate to let me know in the comments and we will talk about it very soon on this channel in a medical segment. These genes are in",English
"reality of the information transmitted in the form of DNA, which contains information about the being that composes it, in the example of the peas used by",English
"Mendel, whom we are going to talk about right away, we are talking about the transmission of the gene that gives the color of the plants' flowers.",English
"this information was obtained by Mendel without even knowing the concept of genes or even DNA, simply through observation. the color of the flowers of",English
"The traits of peas are passed from parents to their offspring genetically, but Mendel did not know this yet. Among these genes that are",English
"Some are said to be dominant and others are said to be recessive. When the plant has two copies of the same gene, either the dominant twice or the",English
"recessive twice, it will express the color transmitted by the gene in question. On the other hand, when a plant has one copy of each gene, then",English
"a copy of the dominant gene and a copy of the recessive gene, it is the color of the dominant gene that will be expressed and the recessive gene will be",English
"repressed. the plant will therefore only have the color of the dominant gene. In his first experiment, Mendel carried out crosses between",English
two families of plants. The first had exclusively mauve flowers and the other had exclusively white flowers.,English
the plants used came from pure line families this simply means that all the parents of all the plants used had,English
Exclusively flowers of the same color. We can therefore deduce from these that all the plants possess two genes.,English
exactly the same for several generations. during the first crossbreeding experiment between the pure lines of mauve flowers and the pure lines of,English
"white-flowered plants the result obtained is indisputable, all the flowers without exception are mauve, all 100%, not a single one",English
white flower among the girls. Mendel will therefore carry out a new experiment by taking the plants obtained from this second generation,English
which are therefore all with mauve flowers. He will cross them with each other again and then obtains interesting results on the new plants obtained three,English
one out of four have mauve flowers but one plant out of four or 25% of the plants again has white flowers even though both its parents had,English
Take up the different plants and I will note next to them the genes they have inherited. The mauve-colored plant has two copies of its gene for,English
"Mauve color, which we call capital A here by convention; we use the capital letter to express the dominant character of the gene, the plant of color",English
"Blanche has two copies of her color gene, which are called lowercase a. Here, the lowercase letter is used to express the recessive nature of the gene.",English
"as each of the parent plants randomly passes one of these genes to an offspring plant, and as by definition we know both copies",English
"from the genes of each parent, we can determine that each offspring plant receives one uppercase A gene and one lowercase a gene. Thus, the offspring plant has",English
a copy of dominant genes and a copy of the recessive gene. And so it is the dominant gene that is expressed. The plant obtained after the first,English
"generation is mauve in color. And then, when we cross these plants with each other again, each plant in turn transmits one of its",English
"of these genes to its descendants. Thus, a statistical distribution is established. As each plant transmits either one gene",English
"A capital A gene or a lowercase a gene, we end up with 25% of the plants that have the A genes.",English
"Capital A capital, 25% of the plants that have the genes capital A lowercase a, 25% of the plants that have",English
the genes lowercase a uppercase A and 25% of the plants that have the genes lowercase a lowercase a. in the case of,English
plants that have at least one copy of the capital A gene express the purple color because it is dominant. for the plants that have both genes,English
recessive a lowercase a lowercase the white color is found even though the parents had mauve flowers. this therefore clearly proves that,English
"Mendel that recessive and dominant genes are indeed transmitted from parent cells to daughter cells, only the expression of the genes",English
"recessive traits appear diminished, whereas when we look at the first generation of plants obtained, we can notice that 75% of the plants",English
"yet they possess a recessive gene, but when observed with the naked eye, 75% of the plants are purple.",English
the recessive white gene therefore appears to be in the minority even though it is indeed transmitted from parent cells to daughter cells. this discovery was already,English
"Major is great for the time, but Mendel did not stop there; he analyzed many other characteristics besides just the simple colors of the pea plant flowers.",English
"By studying the transmission of hereditary traits, Mendel carried out a third experiment that would allow him to establish his",English
third law the third law of Mendel. Hold on because this one is a little bit more difficult to follow. Mendel then studies two families of,English
"pea plants, one has purple plants and smooth seeds and the other has white plants and wrinkled seeds. In this example, the purple color",English
is dominant as well as the smooth side of the peas. The white color and the wrinkled side of the peas are recessive. By breeding two plants,English
"From two pure lines, Mendel obtained, as in the first experiment, pea plants that all have the same characteristics of purple flowers.",English
and smooth peas. the characteristics of the second plant seem here to be completely absent. then by reproducing again between the plants thus obtained,English
"this time he obtains completely different plants according to the following distribution: 9/16 are purple plants with smooth seeds, 3/16 are purple plants with",English
"explain this distribution? Well, look at the following diagram: 9 out of 16 plants have at least 1 dominant gene for color of the",English
"plant and seed texture. they therefore appear mauve with smooth seeds, 3 plants out of 16 have a dominant gene for color",English
of the plant but two recessive genes in the texture of the grain. The plant is therefore mauve and the grain wrinkled. Three plants out of 16 have two genes,English
recessive in the color of the plant and at least 1 dominant gene in the texture of the grain. The plant therefore appears white and the grain smooth. And finally a,English
1 plant out of 16 possesses only the recessive genes and thus the plant appears white with wrinkled seeds. It is also interesting to note that if we,English
"only looks at a single parameter of the experiment, we find exactly the same results as in the first experiment. Indeed, in the third generation we",English
"Find twelve plants out of sixteen that have a mauve color, which is 75%, and 75% of the seeds have a smooth appearance, so also 75%. The 25%",English
"instructions, so from all these experiments he draws the conclusions that we know today and he publishes all his results in the journals of",English
"the time. Mendel's 3 laws, Mendel's experiments allowed him",English
three laws which are still used today in modern genetics. The first law is the law of,English
"cross two purebred plants, thus called homozygous because they have two identical genes, either both dominant or both recessive, a new one is obtained",English
"family of plants that are all heterozygous and all possess one dominant gene and one recessive gene. In Mendel's experiment, so here we",English
gets only purple-flowered plants but which has a capital A gene for the purple color and a lowercase a gene for the white color.,English
"The plants are therefore heterozygous, their genes are not the same, but only the dominant gene is expressed; the plant is purple. The second law of",English
"the external appearance of the plant here, the color of its flowers. the third law, finally, is the law of the independence of the transmission of traits. this means",English
"To say that if in an experiment we focus on two traits that have genetic transmission, we obtain the characteristic results 9 3 3 1.",English
"as I explained to you in the previous experiment. 9 3 3 1 means that out of the 16 plants obtained after hybridization, we get nine",English
"plants that have a strictly dominant trait, six plants that have mixed dominant and recessive traits, and finally one plant that has only",English
"recessive traits. And if, on the other hand, we refer to a single trait, we find, as in Mendel's second law, 75% of plants that have one appearance",English
dominant and 25% of plants that have a recessive appearance. These different laws were then published by Mendel to general indifference.,English
"total, but later, several decades afterwards, they will be rediscovered when new discoveries about genetics and DNA are made",English
"on the transmission of genes will be developed. Later, chromosomes will be observed, the double-stranded nature of DNA, and thanks to new",English
"With microscopy technologies, we will be able to see cell reproduction and we will finally understand, many years later, that Mendel had already understood everything.",English
"It's pretty impressive, isn't it? Here we have a man who, in the 19th century, just by observing plants grow",English
"from peas in the greenhouse of his monastery, manages to derive numerous laws from them that will then govern genetics, to the exclusion of molecular genetics, for several decades",English
"or even several hundred years after him. To give you an idea, DNA would be discovered in 1869,",English
"but at that time the molecule was only just being discovered, nothing was known about its shape, nothing was known about its function, and we did not know",English
Still nothing about genes and chromosomes. That kind of experience obviously makes you think. When I see that I’m not even capable,English
to keep an orchid alive for a few weeks. And today? Mendelian transmission of genes,English
"is still used today to explain the transmission of many hereditary and physical traits, for example eye color and a",English
genetic transmission which also has recessive and dominant traits. There are several genes that explain an individual's eye color but we,English
"is generally, however, dealing with the transmission of a dominant brown color or a recessive blue color.",English
"but to study the transmission of its characteristics, we are faced here with a technical and somewhat ethical difficulty",English
We must not hide it from ourselves. How can one calculate in advance the purity of a parent's chromosomes? It is certain that a person who has both,English
"Blue eyes have both recessive genes, that is certain, but how can we be sure that someone with two brown eyes does not have one dominant brown gene and one recessive gene?",English
"blue that can be passed down in the family for many generations? If one wanted to experiment with it, it would be enough to look at the color of the",English
"eyes of their children. But for these results to be statistically significant, there would need to be many children well",English
"Understood. As I have already explained to you, if a parent has blue eyes, it is very simple: we know that they pass on a recessive gene to all their children.",English
blue at minimum. but it's for the parent with brown eyes that it's going to get complicated. so let's look at all these children,English
"if all the children have brown eyes, we know that the parent with brown eyes actually had two dominant brown genes, and therefore all these children are",English
"heterozygotes with one dominant brown gene and one recessive blue gene, their eyes appear brown. If, on the other hand, their brown-eyed parents actually have",English
a recessive blue gene 50% of his children will receive his dominant brown gene and will therefore have brown eyes. and 50% of his children will receive his,English
"blue recessive gene and since they will have two blue recessive genes they will have blue eyes. of course, I am trying to explain this to you in a way",English
"Very simple, but as always in life, in science and in medicine, nothing is ever completely black or white. What I mean is that if both your parents",English
"have blue eyes and you have brown eyes, you shouldn't necessarily cry adultery on the part of one of your parents. In 10% of cases, two parents",English
with blue eyes will give birth to a child with brown eyes. That is also the beauty of genetics—not everything can always be easily explained in,English
"dividing the genes by half. As far as hair color is concerned, the transmission is more or less equivalent.",English
"after the life of Gregor Mendel, which I told you about in a previous history segment that I am bringing back without warning and without notice",English
"directly here in the upper left corner of the screen, I encourage you to watch it, today we are going to look at the life and work of a",English
"Frenchman named Mr. Louis Pasteur. Louis Pasteur is considered the father of vaccination, he is credited with Pasteurization which bears his",English
"Name is a great institute, the Louis Pasteur Institute bears his name in France. But do you actually know exactly who Louis Pasteur was? What are his",English
inventions? What are his discoveries? Do you know more than just the vaccine or Pasteurization? We will talk about all that and many other things as well in,English
"this new video is a second history segment on the channel, right after this little intro that you love—see you in a moment",English
"Louis Pasteur was born on December 27, 1822, in the Jura region of France, just a few months after Gregor Mendel. Louis is the",English
"third child of the Pasteur family. His father, Joseph Pasteur, was first a Napoleonic soldier and then he retrained in the",English
"tannery, the production of leather from animal hides. Louis's mother, Jeanne-Etiennette Rocqui, is a housewife but she will play a major role",English
"in the moral and civic education of her son. Moreover, Louis Pasteur would pay tribute to them in a letter where he says this: Your enthusiasms, my valiant mother, you have",English
"passed on to me. If I have always associated the greatness of science with the greatness of the homeland, it is because I was imbued with the feelings you had instilled in me.",English
"Inspired. And yes, it is said that behind every great man there is a great woman, and once again this time it seems to be the case. Louis Pasteur follows a",English
"Training in classic necklaces at the Arbois college, a small town in the French Jura. At that time, he became especially known for his abilities in",English
"painting. After some hesitation, he obtained the baccalaureate in literature and then finally the baccalaureate in mathematics on his second attempt.",English
"He then enters the Sorbonne and then the École Normale. At this school, he focuses on physics and chemistry; he mainly concentrates on these subjects.",English
"on the study of crystals, which is called crystallography. This period of her life is particularly important because it will allow her to",English
"make many discoveries about the shape of molecules. In fact, the three-dimensional structure of a molecule makes it possible to determine its shape",English
"and by knowing the shape of a molecule, one can deduce its possible interactions with other molecules, and therefore bodies that are more and more",English
"bigger. It is moreover thanks to this work that he received his first medal for his work on molecular chirality. Well, don't you",English
"Don’t worry, we’ll talk about that in the next chapter. After his studies, Louis Pasteur became a professor in Dijon, then in Strasbourg, and finally he became the",English
"Dean of the Faculty of Sciences of Lille. In 1861 and 1862, Pasteur enabled science to make a great leap forward.",English
"by categorically refuting the theory of spontaneous generation. Spontaneous generation is a completely crazy theory nowadays,",English
"but which dates back to the time of Aristotle and has survived for more than two thousand years. Stay with me in the next chapter, we will talk about it, you will see.",English
it's absolutely fascinating. Between 1865 and 1869 Pasteur was struck down by a cerebral thrombosis. He would retain as a result,English
"Sequela: a weakness of the left side of the body, thus a weakness in moving and using his left hand. In 1882, he was elected to the Académie Française.",English
"In 1885 he discovered the vaccine against rabies, a true phenomenon that would finally earn him recognition and posterity.",English
"All over the world. If today you talk about Louis Pasteur or if someone talks to you about him, they will probably mention the rabies vaccine.",English
"it is his most remarkable and well-known work. But there are many others, of course. Of this work of colors at the Pasteur Institute, which is based on",English
"1888. Louis Pasteur died on September 28, 1895. His body, first laid to rest at Notre Dame, was then transferred to",English
the institute that bears his name in Paris where he rests in one of the crypts at the Pasteur Institute. So during his vast career Louis Pasteur has,English
"also enormously interested in fermentation and mainly in fermentation in the context of wine. and yes, Mr. Pasteur is French. we will",English
"talk about all that and the microorganisms he discovered in the next chapter as well. finally, know that Louis Pasteur married Marie Laurent in 1849 and that he had five",English
"children, the youngest of whom was also named Louis Pasteur, was also a member of the Académie Française. Louis Pasteur's wife played a",English
"big role in his career, that has never been denied, but as was often the case at the time, she lived very much in his shadow. That's all for this",English
"first approach to the life of Louis Pasteur, you can notice it is notable to see that Louis Pasteur did not succeed at everything on the first try, by",English
"for example, his bachelor's degree in mathematics, showing that nothing is ever set in stone, nothing is ever simple. anyway, this was to talk about",English
"The man, now on board, including a bit of his discoveries, and for that let's begin the next chapter. Louis Pasteur's discoveries were numerous and in order to",English
"To avoid making a video that could last more than four hours, I will limit myself to explaining the four main ones to you, at least in my opinion. Molecular chirality",English
"Louis Pasteur worked a lot in chemistry on crystals. In this way, he was able to",English
"solve a riddle from that time which was related to tartaric acid. Well, I’m not going to go into the details of this experiment, that’s not the point of",English
this video but I will rather talk to you about molecular chirality. Molecular chirality is something very important in chemistry and,English
"mainly in pharmacology, so it concerns me directly as a general practitioner. The principle of chirality is to say that a molecule",English
Complexes often have several versions of themselves. These two versions of themselves are called isomers. In,English
"crystallography when light rays are sent through a mixture of a single decision-maker, this mixture will deflect the light ray in one direction or",English
"in the other. This is quite peculiar because when we have a crystal composed of only one desire, the light is deviated in one direction.",English
"when a crystal is composed of the other isomers, the light is deflected in another direction. and when a third crystal is composed of the two islets but",English
"At the same time, the light is not deviated. However, if in this crystal or in this solution you manage to isolate the isomers, you can recreate two",English
solutions or different crystals that will in turn deflect the light. these two isomers are actually exactly the same molecule but two mirror images,English
"of this same molecule. Okay, let me explain this to you with a slightly quirky metaphor, just the way I like them. Here are two people who look very much alike.",English
"have the same genetic code and, let's say, the same appearance, they are made up of the same molecules, but here is what happens if you try to shake their",English
"Hand. If you extend your right hand as tradition dictates, you will notice that only one of these people matches you. For the other",English
"it is impossible to shake his hand, it seems logical, so we all agree that this example is particularly stupid. for the person",English
"to whom you don't know how to shake the right hand, it would be enough to shake the left hand. yes, except that in the human body, that's not how it works. and to explain this to you, I will",English
talk about a well-known molecule called omeprazole. This omeprazole is actually a mixture of 2 omeprazoles as you can,English
"to see it in this representation. To explain the images a bit more for you, here an isomer is said to be dextrorotatory when it deflects light to the right, and it",English
"is said to be levorotatory when it deflects light to the left. Well, this technique is not of great interest here. This property of forming isomers is in",English
"reality due to carbon atoms. Carbon atoms have four bonding sites and are therefore said to be asymmetric. Well, I won't elaborate.",English
"much more on the subject because that's not the topic of this video, which is a history video after all, but if you're interested, don't hesitate to",English
"leave a comment in the video and we will make a video about isomers, about carbon asymmetry, it's relatively interesting especially in",English
"chemistry. and then believe it or not, but in general, out of the 2 isomers only one has an actual property, the other is useless",English
"strictly nothing. Let's take the case of omeprazole for these. When you take a 20 mg omeprazole tablet, you are actually taking 10",English
"mg of dextrogyre omeprazole and 10 mg of levogyre omeprazole. This may seem quite crazy to you, but on the",English
20 mg of omeprazole actually only 10 mg are truly active. And the reason for this is particularly simple: the cause is molecular chirality.,English
"One of the two omeprazole molecules can bind to its receptor and carry out its action, while the other, which closely resembles it but is its mirror image,",English
"mirror therefore cannot bind to the receptors and is thus inactive in the human body. To conclude with the example of omeprazole, know that this",English
"Dextrogyre isomer, which has no activity—it simply does not work, and the levorotatory isomer is the active molecule of the product. In fact",English
"For your information, there is currently another molecule called esomeprazole, which is actually only the levorotatory isomer.",English
purified from omeprazole. This means that with 10 mg of esomeprazole you have the same effect as with 20 mg of omeprazole. But then,English
the subject of this video we will talk about again in a future one if you wish. Fermentation,English
"It is less well known, but Pasteur was also one of the first to discover yeasts, those famous microorganisms that I will probably talk about.",English
"one day on the channel. In Pasteur's time, many studies already existed and numerous theories prevailed to explain certain processes of",English
fermentation mainly in wine. Pasteur then discovers that certain microorganisms can survive without the presence of oxygen and thus he defines the,English
"Anaerobic term. It then demonstrates that certain microorganisms can, in the absence of oxygen, consume sugar.",English
"to form in exchange for alcohol. In this way, he describes the process of alcoholic fermentation. On the other hand, if the yeast is in",English
"in the presence of oxygen, alcohol production will be much lower; this is called the Pasteur effect. In the time of Louis Pasteur, France was already",English
"major wine producer of course, and there was what was called the wine disease. In reality, many microorganisms proliferate and at",English
"inside the wine and could cause the formation of vinegar, which of course altered the quality and taste of the famous wine. Pasteur had the idea",English
which seems simple today to heat the 20 to 57 degrees in order to kill the microorganisms that were present to promote its preservation and the,English
"storage. This process of heating wine was simply called Pasteurization and it was used for a very long time, but since then it has",English
"to give up for wine since the 1930s more or less and it was transposed to milk. and yes, now milk is pasteurized. and his work on",English
Microorganisms also enabled Pasteur to make numerous discoveries about the transmission of diseases by microorganisms.,English
"At that time, Koch, the famous scientist whom I will probably talk about in a future history segment, had already discovered the bacillus that bore his name and the",English
"Research on bacteria was progressing well. At that time, a surgeon named Joseph Lister had read Pasteur's work on",English
micro-organisms and he decided to apply these cleanliness recommendations for his operated patients. And very quickly he noticed a drop,English
drastic reduction in the mortality rate of these operations but also in the rate of wound infections following these operations.,English
"on the surgeon's hands, on the tools used, and finally on the patient's wounds. Spontaneous generation",English
"This chapter is going to seem completely crazy to you, but we absolutely have to talk about it, and to talk about it, let's go back more than 2,000 years to that time.",English
"from Aristotle, then before the year zero of our era. At that time, scientific knowledge was of course very limited. Aristotle therefore proposed a theory to",English
"the explanation of life on Earth. Under particular conditions, molecules can magically combine to form life. Aristotle indeed",English
"noticed through repeated observation that after a certain time mold appears as if by magic on bread, moths appear in wool.",English
Mice appear in old clothes that have been left lying around in a barn. And if you leave a piece of fresh meat lying on a table,English
"You will see that as if by magic, after a few days maggots will come out of this meat. How can we blame Aristotle at a time when the",English
"science did not even exist, he had the merit of making many observations and of finding a theory that explained things according to him, but above all that",English
"allowed people’s questions to be answered. Because it’s important to understand that at that time, we are before most religions, we are before the year 0 of our era. And of course",English
"At that time, since religions still did not exist, there was no official answer given to the appearance of man and living beings on",English
"the earth. a few hundred years later, with the emergence of religions, answers will be provided which, a few hundred years after that, will still be",English
swept away by science. But where the story gets completely crazy is that this theory of spontaneous generation from Aristotle lasted for more than two,English
"A thousand years until the middle of the 19th century. In reality, it was in the 17th century that Redi and Spallanzani had already tried to refute",English
"this theory, but without being able to prove it. And when a theory has existed for more than 2000 years, I can assure you that you need solid arguments.",English
"to manage to disprove it. Barely 150 years ago, Pasteur succeeded in demonstrating that spontaneous generation did not actually exist, and this thanks to a clever",English
"experience. According to him, the appearance of mice, moths in wool, or mold on bread is actually due to the transport of microorganisms.",English
invisible to the naked eye in the surrounding air. This caused a huge upheaval at the time because the theory of spontaneous generation was,English
"supported by prominent figures such as Georges Clemenceau, and it had existed for more than 2000 years. Several experiments had therefore been",English
carried out over the years or decades to show that spontaneous generation did not exist. One of the first experiments was to place a,English
"Piece of meat in a jar on which a filter was placed. But unfortunately, it was discovered that maggots still developed in the meat.",English
"an argument for spontaneous generation. So later, experiments actually showed that flies are able to land on the filter, and",English
"to lay their eggs directly in the meat, which led to the development of maggots. Then Louis Pasteur had an absolutely brilliant idea that allowed him to",English
"finally officially refute the theory of spontaneous generation. For this, he used a swan-neck flask as you can see in this",English
"representation. In this experiment, Pasteur places inside the flask a swan neck, a culture medium, and he does not filter the air, he does not blow the",English
"culture. This experiment therefore proves that spontaneous generation does not exist, because even if the environment is excellent for the growth of microorganisms, nothing",English
"develop there. This very simple experiment is particularly interesting because it is highly reproducible, which is one of the key points of the",English
"science. It was therefore reproduced many times at the time and in most cases, no microorganisms developed in the medium of",English
"culture. In reality, it is actually one of the key points of science; of course, an experiment must be reproducible and reproduced under conditions",English
different to be validated. An experiment that gives an astonishing result but is impossible to reproduce is generally not validated.,English
"by the scientific community. And in this case, reproducing this experiment is relatively simple. Take a swan-neck flask, put a medium",English
"culture inside and see what happens. In many cases, nothing will happen at all. Well, actually, with a scientific eye",English
"Today, Pasteur's experiments are far from being irrefutable and they are burdened with numerous flaws. But after all, let's be honest, who",English
"Today, no one could still claim that the theory of spontaneous generation is a reality. No, don't answer, I'd rather not.",English
"to know. Rabies vaccine as early as 1876, thanks to his work on fermentation and microorganisms",English
Pasteur deduced that most contagious diseases are actually also caused by microorganisms and are not due to spontaneous generation either.,English
"spontaneous. He thus becomes an important supporter of the germ theory of infectious diseases. In 1880, he even discovers Staphylococcus. Pasteur",English
"then turned his attention to the process of vaccination, a step that had already been well underway by his English counterpart Edward Jenner but which had the drawback",English
"to inject live viruses into his patients, this was not without side effects of course. Pasteur's discovery would be to succeed in attenuating the",English
"virus that is sent into the patient, that is to say, removing its pathogenic power and reducing the negative reactions of the human body. Pasteur",English
"discovers then that when old cholera colonies are injected into hens, not only do they not die but they also seem to be protected",English
"against later illnesses, no matter cholera. And that's where he will create a new type of vaccine: he will take an attenuated virus to inject it.",English
"to hens and create a vaccination reaction. In 1880, Pasteur managed to immunize a flock of sheep from the",English
"anthrax, thanks to a vaccine of his own composition. In 1880, he also began working on rabies. After four years of experimentation",English
on various animals Pasteur comes to the conclusion that an attenuated rabies virus can be obtained by exposing the spinal cord of a rabbit infected with the,English
"Rage in the open air. In fact, this is the subject of one of the most famous illustrations of Pasteur that I am placing here for you; you have probably already seen this painting. His first two",English
Attempts at vaccination on human beings—a man in his sixties and an 11-year-old girl—were not successful.,English
"the young girl unfortunately died the next day from rabies, which seemed relaxed even before the vaccination. later, a young man who came",English
"to be bitten by a rabid dog was taken to Pasteur, who administered his vaccine to him, and the young man survived. But at the time, it was difficult to prove.",English
"that the dog was actually rabid and finally that it had actually transmitted it to the child, since they did not yet have the symptoms. to prove",English
"the effectiveness of his vaccine Pasteur then injected the real rabies virus into the child, who also survived. He therefore concluded that his vaccine must have",English
"market. And yes, obviously medical ethics in Pasteur's time were not the same as those we might have today. And of course at",English
"At that time, vaccination against rabies and its principle were strongly contested, and numerous complaints were even filed against Louis Pasteur.",English
"Welcome to this special ""State of Health"" program dedicated to the family doctor, a species on the verge of extinction. This family doctor whom we used to consult throughout our lives",English
"and whom we could sometimes disturb day and night, who knew the whole family precisely, well, he almost no longer exists. So why? We will obviously try to understand this with all our guests. And then, what model will replace",English
"this precious family doctor whom we will soon see only in films and books? We are going to talk about it with you, Dr. Marine Crest. Thank you for being with us. You are a general practitioner in Marseille, you founded",English
"the association Guérir en mer, you will tell us more in a moment. Guérir en mer, we understand the idea, which supports caregivers who are victims of burnout. You told me that you had one yourself, but during your studies, and now, you help",English
"Doctors, whether young or less young, perhaps, to combine professional life with personal life. And you were commissioned by the Ministry of Health in March 2023 to write a report on the health of caregivers.",English
"Frédéric Valletoux, [...] Horizons deputy for Seine-et-Marne, rapporteur of the bill on access to healthcare that has just been adopted in the first reading in the Senate. It came out somewhat amended, not to say quite heavily amended, actually.",English
"But you will tell us what your proposals are, specifically, to transform this profession of doctor that you know perfectly well.",English
"Hello Arnaud Bontemps, thank you for being with us. You were in charge of the territorial organization of healthcare at the CPAM, the Primary Health Insurance Fund of Seine-Saint-Denis, in the midst of the Covid crisis. So, you must have obviously seen what it is",English
"that health care is under strain. And you co-founded the collective Nos services publics to put the issue of public service at the heart of the political debate. Thank you, Maria Roubtsova, for being with us.",English
"Economist, health project manager at UFC-Que Choisir, you have contributed to writing reports on medical deserts. And finally, Dr. Hamon, Dr. Hamon, we know you well. Uh, you have 50 years of practice.",English
"Happy anniversary! 50 years of general practice in your office in Clamart, in the Paris region. Also honorary president of the Federation of Doctors of France,",English
"You have long been a spokesperson for the general practitioners' union. Are you still seeing patients, by the way? —I practice full time, full time in a group of five general practitioners that was created in '52, at a time when the Medical Council considered",English
"that it wasn't good to gather together. It was a doctor... -We'll come back to that later, but the gathering is obviously interesting. My doctor, Dr. Crest, the family doctor, is gone.",English
"because these are professions that are, in my opinion, very feminized. Ten years ago, I did a program titled ""Health Investigation: The End of the Family Doctor."" So it was one of the first programs, it was ten years ago.",English
"I am still a general practitioner and I consider myself a family doctor. So if the question is: ""Are there no more family doctors?"", I think the answer is: there are. But they are not the ones who were there before and they won't be the ones who will be there tomorrow.",English
"There are the patients too, and then there are the generations, the generations that evolve. Even I sometimes have trouble communicating, understanding colleagues who are a little bit younger or a little bit older, because everyone actually integrates their profession into their daily life.",English
"in a different way, with necessities, needs that evolve along with those of society. That’s what makes it a profession that changes. —A family doctor, a family doctor was generally a man, and it’s a model that is disappearing. It has become much more feminized,",English
"The number of general practitioners today who say no to new patients? -Well, today, nearly half of general practitioners refuse new patients.",English
"So it's particularly complicated to find a primary care doctor, especially since there have been announcements made by the authorities this year saying that they would find primary care doctors for patients, especially for patients with long-term illnesses who don't have a primary care doctor.",English
"And the first thing Social Security did was write to patients who didn't have a primary care doctor, as if it were up to the patients to sort it out, even though patients today are facing a systemic shortage problem.",English
"and so it's not often... Often, it's not for lack of willingness on the patient's part that they can't find a primary care doctor, it's due to lack of accessibility, depending on where you live, depending on whether the doctors are close to retirement,",English
"Do they already have a large patient base? You have already, uh, summarized or mentioned some causes, obviously, such as the medical demographics, uh, with a severe shortage, uh.",English
Let's pause for a moment for a brief historical overview. Why are there fewer and fewer general practitioners? Explanation.,English
"In France, 1 in 3 people lives in a medical desert. Six million people do not have a primary care physician, and their search may well last a long time, as the shortage has worsened in recent years.",English
"The density of general practitioners decreased from 153 per 100,000 inhabitants in 2012 to 140 per 100,000 in 2021. Why?",English
"Mainly because we do not train enough doctors, and this goes back to the 1970s. At that time, medical practices were springing up like mushrooms and the lecture halls of medical schools",English
"were filled with future general practitioners. But it was also at that time that the deficit in Social Security was discovered. To make up for it, and under the influence of private practice doctors, the government chose to limit spending",English
"by limiting the number of doctors. The numerus clausus was introduced. From 8,500 places offered to students in 1977, the number dropped to 3,500 admissions in 1993.",English
"The number of new doctors has drastically decreased, and at the same time, the demand for healthcare has increased because the population is aging. The baby boomers born after the Second World War",English
"reached old age in the 2010s. This is referred to as the ""papy-boom."" And to make matters worse, general practitioners are also aging like everyone else: nearly 50% of doctors registered with the Order",English
"are over 60 years old. Thus, since 2020, there have been more retirements than new arrivals. Fortunately, the numerus clausus increased in the early 2000s.",English
"In 2020, it was replaced by a numerus apertus, that is, a minimum quota of places set by medical schools according to the needs of the region. But these decisions are not expected to bear fruit",English
"only from 2030. -If we understand correctly, Arnaud Bontemps, in 2030, is trying to see what can give us",English
"A little hope: in 2030, it will be the peak of the doctor shortage linked to this numerus clausus policy. Will we start to have a little less of a shortage from 2030 onwards?",English
"That would mean ignoring the continuous evolution, at the same time, of health needs. The report mentioned the issue of population aging. In the last 10 years, there has been a 12% increase in people over 75.",English
"in the population. At the same time, what is even more striking is the evolution in the number of what are called long-term illnesses, in other words chronic diseases and cancers. In the last 10 years, it has increased by more than 30%.",English
"Today, it's 1 patient out of 6. So actually, that's the issue we need to address. That's why there's a crisis in the healthcare system today, especially in outpatient care:",English
"We have a system whose modalities have remained unchanged, while the pathological developments are epidemiological and very significant. And so, indeed, the model of a healthcare professional as an isolated physician no longer fits.",English
"to the management of chronic patients, which requires teamwork between different professions. And so that's what our model needs to encourage. -You will say what solutions can reasonably be implemented,",English
"today, obviously, for the benefit of everyone. There are fewer doctors and there is a distribution problem. Let's look at this map. You will look closely. This entire map of France is actually dotted with small white spots.",English
"And those little white dots are where there are practically no or almost no doctors. And then, you see that the darker it is, the more doctors are available to serve patients. You can clearly see that the south, in the broad sense,",English
"is quite well endowed, with the coastal areas, where there is, after all, a fairly positive demographic situation, and then, the further north you go, especially around the capital and also in the center of France,",English
"Well, there is a clear shortage of doctors here. I would like us to go straight to the Creuse. It is one of the least well-served departments. The Creuse, in Châtelus-Malvaleix,",English
"Listen to this couple of doctors, 66 and 64 years old. This couple of doctors would like to retire. They can't find any successors. And you will hear, right after,",English
"A patient, obviously, who is penalized. -We put up ads everywhere and well, I think we're not the only ones looking.",English
"I've been here for 36 years, I've known the families for two or three generations, so they're more friends than patients, so it's very hard to let them down.",English
"We treated the parents, now the children, and now we're treating the grandchildren. So it hurts a little, you know. There are people who will no longer be followed, who will stop their treatment. So it's going to be really dramatic, I think, yes.",English
I suggested to the municipality that my wife and I work two days a week as employees to try to help out a little while waiting to find a successor.,English
"-It worries me because we'll have to find a new doctor, and doctors are overloaded. The medical desert is getting worse and worse.",English
"I don't know where we're going like this, where we're going... What are we going to do? Well, ""What are we going to do?"" That's a good question to ask. The point is to find answers. Frédéric Valletoux, you have presented",English
"a bill, submitted a bill to the Senate, with a certain number of measures that you are recommending. And right away, I’m going to ask the uncomfortable question,",English
"because we've been circling around this issue in France for years. First, coercion—the obligation for doctors, for example, after finishing their studies, to set up practice where patients need them—are you not in favor of that?",English
"I am not in favor of it in the current period. I am not in favor of it at a time when, as you mentioned with the numbers, we have so few doctors each year, to consider distributing them where there are needs.",English
"On the other hand, that in the future, in the years that will become ""prosperous"" again—perhaps that's a big word, at any rate better—in the years 30-32-35, when indeed more young people will have been trained,",English
that there is a system in place to ensure that the mistakes of the past regarding concentration and fair distribution are not repeated. -By what means? -That is up to the profession,English
"To think about it, it wasn't after us, the parliamentarians who took matters into our own hands and came up with systems—the pharmacists, they came up with systems on their own.",English
"to respond to the general interest and to the needs of the French people. So, one might indeed expect that, in the years that distance us from that time",English
"From 2035, which I mentioned, we might see proposals emerge so that we can actually say: ""We're not going to repeat what we've experienced in the past."" There is indeed a need for us not to all be concentrated in one place, because here we're talking about general practitioners, but if we looked at the maps for specialists, it's even worse.",English
"The concentration of specialists is even worse than the issue of general practitioners. Uh, and and and so there you have it, it's a system that needs to be invented. I think that for now, it's not the issue.",English
"And coercion, we know that unfortunately, it's a sensitive subject. And if we want this profession to evolve, and like all professions it must evolve, we have to manage to bring with us the... - Okay, so if there's no coercion",English
"in a highly strained system where, for the moment, there is a glaring lack of so-called available doctors. -Scarcity won't make anyone rich. -To shed light on our discussions, if you don't mind, it's always interesting to compare ourselves to others.",English
"Look at this map we prepared specifically to show you what is happening elsewhere. In the Netherlands and Belgium, as in France, doctors are free to set up their practice wherever they choose.",English
"wherever they wish. There are incentive measures. We will talk about Germany, Denmark, and Norway. There, there are coercive measures. For example, in Denmark and Norway, to take this example, general practitioners are self-employed,",English
"but they must enter into a contract with the local authorities who regulate the distribution of practices in the area. In Great Britain and Spain, the health systems are public, British general practitioners are established, are salaried",English
"by the National Health Service, NHS, and therefore their establishment is perfectly regulated according to needs. Spanish general practitioners are salaried by the autonomous regions",English
And it is the regions that decide how many doctors to train and where they will be placed. So we can clearly see here that some countries have adopted systems that are extremely different.,English
"Coercion—does it work? Does it allow these countries, since we say it exists... Does it allow countries, patients, to receive better care? Does it lead to better-functioning systems? -Well, there is a report from the DREES,",English
"the statistical department of the Ministry of Health, which says that coercive measures on facilities, combined with other measures, have contributed, in other countries, to improving access to care. Of course, it's not coercion alone, but it can be a factor.",English
"of a policy that works well. They cite several examples. But on the other hand, where I do not share Mr. Valletoux's analysis is that, for us at UFC-Que Choisir, it is precisely because the shortage is particularly severe today that now is the time to take binding measures.",English
"on the freedom to set up practice. Therefore, what you showed about medical demographics, and the case of Creuse which was featured in the report, are quite symptomatic. Because what we showed in our study on access to healthcare, which was published this year,",English
"The departments where general practitioners are the oldest are also the least densely populated. That is to say, in the wave of retirements that is only just beginning, it will be the departments that are already the most deprived.",English
"who will lose the most doctors due to retirements. And so for us, that's why regulation is needed now to manage the shortage. Moreover, what UFC-Que Choisir advocates is not coercion.",English
"in the sense of taking a young doctor and telling them to go to the Creuse, what we advocate is to close off new practices in the best-served areas. For example, on the coast. -Are there areas that are overserved, or are they simply better served than others? -There are areas",English
"better equipped than the others, but in a situation of shortage, in any case, it's a shortage—it's when there is a shortage that we ration, and so for us, we have to send patients to the areas... -So we're robbing Peter to pay Paul? You're saying it's the lesser evil, that there's no other way?",English
"-There is a shortage. We are heading for a shortage in 10 years. We need to manage shortages. -Would you have accepted, right after finishing your studies—and you’ll have the floor in a second—but would you have accepted, doctor, if someone had told you at the end of your studies: well...",English
"""It would be better to go there, with more or less..."". - Sorry. -""You go or want to, except for the best-equipped areas."" -There, thank you for rephrasing the question. -What is complicated is that, in my opinion, you shouldn't...",English
"The ""we must,"" ""one has to,"" ""it's so-and-so's fault,"" ""it's so-and-so's fault""... understand that when you go into medicine or another healthcare profession, at first, you do it mostly out of vocation and drive. Today, that drive is drying up.",English
"Young people don't want to go because they see those who are already there leaving or quitting, so they don't feel like going. They are accompanied by healthcare professionals who are struggling.",English
"So as a result, they don't even want to go there, and they don't want to stay either. Forcing someone with a constraint like that won't work, and I think even less so in France: because it doesn't match the French personality and it doesn't meet a need.",English
"If you are forced to do a job where you don't want to do it... ""We won't go."" We won't go. If I had been made to think about how we can meet a need, and if that came from the healthcare professionals themselves...",English
"You have to understand that these are women, families, in areas where there is no appeal in the jobs or the regions. It's a policy that is so multifactorial that you can't just focus on: ""We tell them they shouldn't go there,""",English
"""but they can go there."" but wait, it doesn't depend only on that factor, it dep-. -So Dr. Hamon, because you've been boiling for a while now, -I'm glad that Mr. Valletoux says he's against coercion but now it hasn't always",English
"been his case. - You spoke, you spoke - Let's try to be constructive. - He will have a hard time. - I can talk about Denmark, because I have been there, actually. And in Denmark, if a doctor wants to set up practice in a region, they are told: ""It's in such and such a place.""",English
"But in the region. He chooses the region where he wants to settle. And the Danish doctor does not work under the same conditions as the French doctor. If you want to allow young people to settle,",English
"They need to work with an in-person secretariat, with proper facilities, and introduce interns to this fascinating field of medicine. And in Denmark, the difference is that Danish doctors collaborate with the hospital:",English
"That is to say, they go to the hospital regularly and there is real collaboration with the hospital, whereas here, with the hospital, there is now competition with the hospital, which does things that could perfectly well be done in town. And if we want—So, it's a system",English
"which one seems rather positive to you? -But but you mentioned Denmark, you also mentioned Creuse. Creuse—I went to Royère-de-Vassivière, which is a population desert. But but in Royère-de-Vassivière,",English
"the doctors brought in interns, the mayors housed the interns, there was a bonus so that the interns could come to Creuse. And when I visited this practice, there were four doctors who had two associates,",English
"who were former interns, that is to say, some—Is that exemplary?—People who were ready to come and settle because they discovered primary care medicine, which is fascinating to practice, provided that interns are given the habit of going to these areas",English
"in good conditions. And there, they were going in good conditions and in the - going to the Creuse. Would you have gone to settle there if you had been promised good collaborators? - Is it as simple as that? - No. It's not that simple, the issue is that future general practitioners are trained in hospitals,",English
"In a university system, right? For all the workforce issues in the hospital as well, the residents who will help with that, help with that. It's the issue of initial training, continuing education right after residency.",English
"If we manage to revalue this profession in the broad sense, to give it meaning again, to make people want to do it again... The internship supervisors in the field pass on a passion for a profession. But that passion still has to exist. And once it is passed on, if it can be passed on, I think people do want it.",English
"to practice medicine, they want to provide care, ultimately no matter the place, as long as, as Dr. Hamon said, they can live there comfortably with their families, with attractiveness also for spouses to have professions, etc. It is the distribution across the territory that matters",English
"with organization by territory. -So, to really understand what practicing medicine means today, and as you said, it's not enough to just offer incentives, the profession itself must be made attractive. There are many young doctors today who are looking for a good balance",English
"so as not to crack, so as not to have a burnout. I would like us to go, to follow a doctor in Marseille, a young general practitioner who has found a solution to be able to combine his pleasure, his vocation,",English
"with his personal life. This is a report by Marianne Cazaux. -Swimming during the workday is common for an athlete, less so for a general practitioner,",English
"Since that time, I see things differently, and I take more time to unwind, to manage things, to set boundaries, which I might not have done before. -A necessary decision",English
"to keep up the pace, because Dr. Nieto's days often resemble a balancing act. The office opens at 8:45 a.m. ""This morning, I have 12 appointments scheduled.""",English
"-A few minutes before the uninterrupted flow of patients arrives. -Hello, sir. -Young or old, in good health or suffering from several chronic illnesses, the patients follow one another and the consultations continue.",English
"-So, here we have the follow-up blood test. We mentioned the mammogram. The colon, we're good. Where are you at with your Covid and flu vaccinations? -As your primary care physician,",English
"Thierry Nieto has to do prevention, take the time to explain... -The blood pressure is perfect: 107/59. In everyday language, we say 10/5. -...and to reassure the patients. -When you are very low on iron,",English
"we end up developing anemia, our red blood cells decrease and that's when we have symptoms: that's when we feel tired, when we're short of breath. That's not the case at all here. For you, it's just that your iron stores are a bit low, but that can be explained by your diet. -But in the meantime, time is passing,",English
"so we have to manage priorities... -It might be useful to do physical therapy, rehabilitation of the lumbar spine. -Alright. -And then, we'll take care of it",English
"about the hematology problem without urgency. Have a good day. See you soon - Thank you - ...which is difficult to live with for this very dedicated doctor. We are always torn between trying to provide quality care, and so if I want to provide quality care, I keep everyone for a long time",English
"Ask the necessary questions in order to treat them more quickly. And yes, that's what's unfortunate, actually. Because in addition to consultations, there are more than 5 hours per week of administrative tasks.",English
"-Nothing is working anymore. -Thierry Nieto tackles it during his lunch break, before starting his round of home visits.",English
"-So, you're coughing a bit. -They are essential for these elderly patients who can no longer travel to the office. -They've given you a bit of a boost. -The other doctors, it's very complicated.",English
"Some people don't want to come to my home anymore. It's true, you know. I've had seven operations, after all. Two on my spine, two on my knee, with the prosthesis, and four on my hip.",English
"-Thierry Nieto sees himself as a family doctor. He values these special moments with people he follows over the long term, like this patient whose mother he cared for.",English
"until the end of his days. But he has decided not to take on any new patients who are unable to come to the office, because a home visit is not profitable for a private practitioner. It takes 3 to 4 times longer",English
"that a consultation is only 10 euros more. So, 35, please. —By making this choice, Thierry Nieto can't help but feel guilty. —We try to find solutions for them,",English
"but they ask us: ""Do you know a colleague who does home visits?"" Unfortunately, no, because most of them are in the same situation as I am. Some don't do them at all anymore, by the way. We still do this job to help people, to treat them, and not to refuse care.",English
"So yes, it's a real failure. -But for him, it's only with this fragile balance that he can last over time.",English
"-Well, it's not the only job that's stressful, let's not exaggerate, but still, it's not a job like the others. You too, by the way.",English
"Are you going to the pool, Dr. Crest, for...? - For me, I go boating. - Boating? But is it vital for you? Isn't it just a hobby? - Like everyone, it's the balance of life, whatever the profession. In the police, artists, you see, it's everywhere. It's a work-life balance.",English
"sport-health, nutrition-health, sleep, emotion management. The healthcare profession is subjected to a certain amount of violence, especially currently, violence from the job itself which is difficult with what we are experiencing, and institutions that put extreme pressure on general practitioners,",English
"As if the doctor, in fact, ultimately were the cause of all these issues related to the aging population, etc., and the malaise of society. And all these pressures mean that, well, he really needs to take care of himself. Because, in fact, if the doctor is not doing well, or the nurse, it applies to all healthcare professionals.",English
"tomorrow, there will be no one left to take care of people. -So whatever we think about it, that's how it is. Young doctors don't want to work the way you worked for years, Dr. Hamon. Working 50 hours a week, that's over, right? -But let me tell you, it's normal,",English
"because the 35-hour workweek came into effect. When I arrived, when I settled in, we still had the image of the general practitioner who was at everyone's beck and call, who got up at night, etc.",English
"From the 5 general practitioners we currently have, we will probably need to be 6 or 7 to ensure continuity of care. But we need the means to have a secretariat, that is, we need to be able to pay for this secretariat. That is what relieves us.",English
"administrative tasks. That’s what allows us to go and make home visits to elderly people who can no longer get around. Because that too, if you like, when we talk about aging in place and elderly people, we talk about the aging of the population,",English
"but people can only be kept at home with nurses and physiotherapists who are able to travel. However, at the moment, nurses travel for 2.50 euros, 2.75 euros, Mr. Braun tweeted that he had increased it by 10%",English
"27 consultations per week, 27 consultations per week. -Can we go check? -as a salaried employee in Saône-et-Loire... -Can we check? -Yes, 300 million in revenue for 84 doctors, you do the math. -Okay, but do you all agree to get back to teleconsultation?",English
"that for you it’s a counter-model? Or is it... I noticed a figure that struck me. 80,000 teleconsultations in 2019, before Covid, of course. 9 million 400 thousand",English
"in 2021. -7 out of 10 in urban areas. -7 out of 10. So, what conclusions can be drawn? -What conclusions? It's that telemedicine is a tool aimed at patient groups—this is a DREES study—who are young, who are connected, who are",English
"and so indeed who have fewer health problems and are more comfortable with digital technology. At first glance, it might be a little bit better. - All right. - On the other hand, when it comes to providing support",English
"People with chronic illnesses need human connection, and here we need to move away from the model where the primary care physician does everything. We need to delegate tasks, we need to work as a team.",English
"working with nurses. -And zero coordination. Zero coordination. -It's important, we haven't mentioned it yet, but one of the ways forward, indeed, is to move beyond the myth of the doctor who can do everything.",English
"and who works much more as a team by working and by accepting, for example, to delegate responsibilities... -Wait, so but which, which... Which task should he give up, you say the doctor who can do everything?",English
to nurses who are trained for that. -Is that your bill? -It's in another... -Certificates for sick children can be replaced... -The Senate added it.,English
"-...it was adopted based on sworn statements. Interesting. Do you agree? -Well, there are many things, there’s everything related to administrative tasks, certificates, etc., indeed that’s something we absolutely need to revisit, it’s an incredible waste of time,",English
"On the other hand, if the medicine of tomorrow is teleconsultations and so on, I’ll quit the job I’m doing because I need to touch people, examine them, talk to them. —You’ll still see them, you’ll still have patients. —It won’t be the same at all.",English
"And I think that's a big loss of meaning in the profession. On the other hand, there's something we haven't discussed: the patient has a key role to play in this, and we don't talk much about prevention. We're not very good at that in France. There are a lot of teleconsultations for young people, etc.",English
"are due to anxiety responses, a lack of health education training in the population as a whole, meaning that people are extremely anxious, especially since Covid, they need to be",English
"even more assisted, listened to, and supported. It inevitably falls to the general practitioner, but also to other healthcare professionals. In terms of prevention, there is a huge amount of work to be done. We could limit access... Of course, yes! Everything related to health prevention, healthy eating, health through sports,",English
"It doesn't necessarily have an impact at time T, but at time T+1, on all chronic diseases, etc. -If I understand correctly, doctor, to sum up, but if I'm wrong please tell me, prevention is so important that you agree to delegate certain tasks,",English
"for example, a medical certificate at the beginning of the school year for children... - or the medical certificate, it has no legal value. -And even vaccines? Vaccines? The renewal of vaccines? -The delegation of tasks must be done in a bilateral and coordinated manner. Obviously, there are tasks",English
"which are which are to be delegated to other people as long as it allows for prevention, obviously—Every time we wanted to move forward in that direction, we ran into endless battles; just remember the battle for pharmacists to be able to vaccinate, it was indeed a battle against, sorry, but the doctors' unions,",English
"who were against it. Advanced practice nurses are fighting against the doctors' unions who are against it. Every time we have had the will to say: ""and we are going to, we are going to, we are going to try to organize",English
"""teams of care around the doctor..."" One could say it's not about marginalizing the role and place of the doctor... -And yet, it allows for better quality. For example, in a health center where I volunteer in Seine-Saint-Denis,",English
"in which there is an advanced practice nurse who works alongside doctors, she has 1-hour consultations with her diabetic patients. The quality is immeasurable. The follow-up of patients... - Diabetics, etc., it is extremely effective task delegation,",English
"with the doctor in the office next door... -Thanks to what? -...with professions that work together. -Why does that exist? -That's because we're detached from fee-for-service payment, because we accept task delegation, and because we have multi-professional structures, with professionals who work together.",English
"-I would like us to... I would like... -To generalize this across all of France, and imagine the cost of what you are presenting here! Imagine that I have an advanced practice nurse who spends an hour with a patient. That would be wonderful, but who pays for it, and how much do you pay her?",English
"And what premises do you have, you know? -So Doctor, I would like to present another model to you, you’ll tell me what you think because it’s quite striking. We’re going back to the Creuse, sorry. Because once again, it’s one of the departments most affected by our topic, in Ajain.",English
"Well, here, the doctors are not grouped together, the doctors take turns, and they do one-week missions, and it's under these conditions that we manage to have a doctor in front of the patients.",English
"Report by Marianne Cazaux. – It may be hard to believe, but sometimes it is easier to find 50 doctors than just one. In the village of Ajain,",English
"In the Creuse, every week, the general practitioners come and go, and they're all different. -It's a lady, the doctor, today. It's a lady. She's very kind.",English
"Under the supervision of the coordinators, the practitioners take turns to ensure access to healthcare for the residents of this medical desert. 1,200 patients have chosen this health center as their primary care provider.",English
"-Ajain Medical Center, hello? I’m putting you through with another patient, but since it’s an emergency... When a job offer was posted,",English
"I wondered what it was. It was quite curious. And, and we get into this because we tell ourselves that we're in an adventure where we're here to help, to find solutions, above all.",English
"to not just stay there saying to ourselves ""damn, we have nothing."" - More than 200 general practitioners have also joined the project of the Médecins Solidaires collective. The replacement schedule is full until January 2024.",English
"when you come in here you never know how your night is going to be. [...] I really like what I do, but it's exhausting. I've only been here for 2 years, and I can't take it anymore. it smells strong here. there is",English
"insects there, Sir. We have to hold on, because otherwise the hospital will shut down, and so it's the poorest who suffer the",English
consequences of that. I know it's not funny. Have the firefighters already left? You,English
Do you have firefighters? From Argenteuil. Hello sir.,English
"Sir, hello, you are at the hospital. Do you have pain anywhere? Does your head hurt or not? In the",English
"Head, does it hurt? In the chest, does it hurt? Okay, move your legs. Move both legs, please. Move your legs.",English
why you why you don't give me yet we're coming you have to be a bit firm with,English
"You see, Alicia, if you have a patient who doesn't respond, well, you see that they can't really do anything, you have to do the tests yourself to find out. So I...",English
"I don't feel like it's obvious. Right now I'm asking myself the question because I'm holding up a little less well. Hold the leg, hold the leg.",English
"the assessment, the MRI, the whole thing. Yes, hello madam, Doctor Girard in the emergency room of",English
"See you in a bit, goodbye. So he's a management teacher at 70 years old, honestly.",English
"stylish, there really are some stylish people in this world, but then you really think, the guy. she is very good, five hours ago, and now",English
Maybe he'll end up being disabled for life or something. OK,English
"I don't know, we're going to take sick people in a station at level minimum 20, minimum 20.",English
"After that, it ranges from very easy consultations to cases that will take 8 hours where you won't manage, you see, so the numbers don't really tell the whole story.",English
"This really represents the emergency room geographically with all the patients who arrive, and so here we have all the",English
more serious part of the emergencies than the SAS and for now we have a patient who is and so now I have a terrible choice. do I put a young person from,English
"19-year-old who is in severe pain because of this sickle cell disease in a bed, or do I put an 81-year-old man who had a stroke and for whom there is no room in",English
"neuro and so there you go, we have to choose.",English
"Hello sir, tell me what brings you here—lifting a pack with your back, that's 10 kilos.",English
and then I am in a lot of pain. are you all alone at home? and you,English
Do you manage the pavilion all by yourself? Do you cook for yourself? Yes. Are you completely independent? Yes. [...],English
"Are you 90 years old? Yes, soon. Soon. Are you in pain? Yes, there. Does it hurt there? Yes, from right to right.",English
"The fact of having carried a heavy load and having felt that is what we call lumbago. Yes, I did that. As I always believed in myself.",English
"Shall I help you? Believe me. We will try to relieve you, especially to find you some pain medication that can help you. We will call an ambulance for you.",English
"Let you go home with this medication, okay? Is that what worries you?",English
"You need to avoid lying down completely, sir; you will have to stay seated until the lumbago passes because that's what is necessary.",English
that movement there is going to hurt you a lot. when I try to get up when I am,English
"When I got there I wanted to turn around, I fell. Yesterday I fell too. Alright. I will call your daughter and I will talk with her. Okay?",English
"that's complicated. in 20 years, public hospitals have lost",English
"a quarter of their capacity, which is almost 80,000 beds, a decrease explained by what is called the shift to outpatient care. Instead of treating at",English
"The hospital is developing community medicine, on the one hand through private practice—general practitioners, home nurses, etc.—and on the other hand through increasingly shorter hospital stays.",English
"at the hospital so that patients do not sleep on site. Moreover, since the 2000s, care for the elderly has been reduced to",English
"the hospital with the development of nursing homes and home care. But then, did it really reduce the number of emergency room visits? Well",English
"not really, this figure has even increased by 67% in 20 years. many criticize the logic of profitability that has taken hold in hospitals. and it's true that",English
The savings required of him have drastically increased since 2016.,English
guys I'm in the middle of... ah wait... who is scan? who other stuff? ok great,English
I spoke with your daughter on the phone; she told me she could come to your place tomorrow but not this evening.,English
"and at night you go to sleep, sir. I didn't sleep last night. It's not that I don't want to keep you,",English
"It's that I can't. Do you understand that? I know you're hurting, that's what",English
"I'll put your bag next to you, okay?",English
It breaks my heart to come back.,English
"the Saint-Denis patient base, well yes, there are",English
there is a precariousness that means there are certain social situations that lead us to have to make decisions at times that are not just medical,English
"but social. are you taking your shower or not, sir? does it smell strong there?",English
"There are insects there, sir. It's the direct consequence of people who can't find a general practitioner, don't know what to do, are in pain, and so they come for a consultation.",English
"because people don't come to the emergency room for fun, they never come here for pleasure. what kind of social coverage do you have?",English
Nothing? I can give you the contact information of a social worker. It's much more important and much more complicated today.,English
"Ultimately, finding a general practitioner—someone who will follow you in a fairly comprehensive way—is more important than simply having access to a doctor today.",English
"With Doctolib teleconsultation, we see this kind of offer multiplying, and that's a good thing—we need it. But actually, when we dig deeper into the subject, that...",English
"It remains, as our chief says, fast food medicine, and that's very complicated, especially for the patients we have here.",English
"I won't be able to understand that, speak to me in French. I see that you speak French very well. I am going to give you a medication.",English
"who doesn’t speak French, who doesn’t have social coverage, and who doesn’t know where she is, well actually apart from the emergency room in red or green 24 hours a day,",English
"I don't see how else they could be included in a system, honestly. If the hospital doesn't do it, what's left?",English
"because for now we have three, we have three patients that we need to keep. so what you need to know is that I have reinforced the emergency department with the",English
reinforcement of the reinforcement. the reinforcement of the reinforcement? or to house it in flesh so that the,English
"Neurol is taking over again, are we hosting or not? Normally yes. Alright. We'll host in person.",English
when you come in here you never know how your night or your day is going to be. I started at 9 p.m. I didn't,English
"I worked, I moved around a lot in all directions.",English
The salary for me should be proportional to the workload.,English
"and it's not proportional. how many hours do you work? that's really the minimum, on average for me it's 40 to 60 hours",English
"we’re leaving everything protected, I have my security, the patients are very, very",English
"aggressive because, well, obviously since there is a lot of waiting before seeing the staff, so people get impatient and so, well, that's how it goes",English
"quickly turns into insult, into violence, that's it. I think they go too far. I think it leads to a decrease in empathy.",English
"People are less empathetic than before. Empathy is decreasing too, yeah, it feels similar with patients, that's actually how it is, you can feel it. I just...",English
"Assembly line work is even more so because we don't have time to properly take care of the patient. Still, we remain conscientious in",English
"our work, we are going to do things but we do them so quickly and so mechanically. we no longer take the time to talk with the patient and to",English
"see if we have more time to see if he is getting better, why he is in these conditions, why he is like that, because sometimes psychologically for the patient his",English
Emergency room visit and we don't necessarily have time to talk with them. It's just about providing care and leaving.,English
"I am wasting my youth here, we really love what we do, me",English
"I really like what I do but it's exhausting and I've only been here for 2 years, and I just can't take it anymore, honestly I can't take it anymore. defense the link between us we",English
"We're changing careers, we're going to open a restaurant, open a restaurant. Almost all of Seine-Saint-Denis is",English
"classified as an advanced medical desert. There is one doctor for 990 people, whereas the French average is one for 676 people. The doctors in",English
"Seine-Saint-Denis therefore potentially has to take care of a third more patients. Shortage of doctors across France: 100,000. The reason: too few places in medical schools.",English
"In the last 10 years, governments have increased the number of admissions up to removing the quota limit, the numerus clausus, in 2021; the only drawback is that the",English
"The effects of these decisions will not be visible for about ten years. As for the healthcare staff at La Fontaine hospital, 20% of nursing and care assistant positions are vacant.",English
"If we compare with other European countries, the salary of French nurses is lagging behind. Spanish nurses are paid 32% more and German nurses 42% more.",English
"As for the Belgian, it's 98% more. Under these conditions, it's not surprising that 99% of establishments in France report having difficulties in",English
"to recruit. To curb the crisis, the government announced a net salary increase of 183 euros during the Ségur de la santé. But this is considered",English
"Insufficient according to many healthcare workers given the working conditions, and it remains below the European average.",English
"yesterday. and here it’s 4 in the morning, well at 5",English
"Morning. You are? The son. And you are? The daughter. Okay, I just wanted to clarify because we saw your dad yesterday.",English
"fall. What we would actually like is for him to be able to stop going back and forth, and since he is actually in a neurology department, we can",English
he is completely confused but like like fake varnishing or something that's his whole vibe,English
"language but he's a management professor at 70 years old in a business school, he was in class just earlier. it's sad.",English
so in the end it's bleeding inside his head. so now we have to keep our fingers crossed for,English
"in fact, the bleeding will subside. During this acute phase of a few days, he will stay in a specialized center to make sure that things",English
do not get worse and from the moment we know that it is stable they may think they have an idea of what will unfortunately remain and she has the,English
"potential for recovery, who is going to get what. So there you have it, but well, a man who was still active until today—I still think that there is",English
there will be no possible return to the previous state when you see the extent of his bleeding I wish him the best possible recovery but fully I have to,English
"hard to believe. how do you deal with the impacts of possible illnesses or elements within yourself? how do we manage, well, it",English
"You always have to have a lot of humility because, in fact, the main person concerned is the patient, not me. Then you take a step back, meaning that I...",English
"I always tell myself I witness the proportion of things like that happening—of course, we see it in a very condensed way in our profession, but it's...",English
"in fact, in quotation marks, just the statistical share of sick people, we see it very closely in our work, so we manage like that, with a bit of balance of",English
"How can I help you? Hello, I was calling to make an appointment, please. Yes, very well. May I ask your name and your...",English
First name please yes so it's Lucmila Vakili okay could you remind me of your name please so V A K I L I okay,English
"Very well, and can you tell me the reason for your visit? Yes, it was for a scaling and a check-up. Very well, what are your...",English
"Availability please Mrs. Vakili, so I finish work at 6 p.m., so after that it's fine, okay, so this week we have Tuesday or",English
"Thursday at 6 p.m., which appointment would suit you best? I say 6 p.m. is perfect. All right, then, Mrs. Vakili, can you?",English
give me your phone number please of course so it's 06 84 30 73 83 okay and an address if,English
"so you like 182 avenue de Guéroult, alright, if however you had a scheduling conflict, would you be so kind",English
to call us back so that we can give your appointment to someone else yes no problem very well thank you so Thursday at 6 p.m. perfect thank you very much see you,English
"Goodbye Mrs. Vakili, have a nice end of the day, goodbye.",English
"Hello, dental office of Doctor Celle Sous here, who is speaking, how can I help you? Yes, hello, I am calling because I would like to come in as I have very, very...",English
"Toothache, okay. Could you describe the pain to me a little, please? Yes, well, actually, it’s been throbbing since last night.",English
"It hurts me a lot when I drink cold water, it really won't stop even if I take painkillers.",English
"Alright, indeed you are quite uncomfortable, the doctor will see you as soon as possible, we have an opening at 1 p.m., is that...",English
"Does that suit you? Yes, it's perfect, thank you, very well. So I will take your name, please. So, Lucmila.",English
"Vakili, agreed, and a phone number 06 84 30 73 83, very well, see you later at 1 p.m., Mrs. Vakili.",English
"See you later, thank you very much, have a nice rest of the day, thank you and goodbye.",English
"Hello, dental office of Doctor Celle Sous Icila speaking, how can I help you? Hello, I'm calling because I would like to be seen as an emergency.",English
"today please yes what is happening to you so I have a very, very bad toothache all right does this pain bother you",English
"For a long time, yes, for a while, but I waited and then it passed, and has this pain ever woken you up at night?",English
"No, otherwise I would have come right away. Alright, we will take care of it. I will take your name, please. So it's Vakili, alright, and...",English
"Could you give me a phone number please? Of course, it's 06 84 13 73-83. Very well, then we can receive you.",English
"The day after tomorrow at 6 p.m., does that work for you? Before that, it's difficult. Listen, we will proceed with one thing: if you see that the pain seems...",English
"we will receive you as soon as you call us, otherwise the doctor is able to devote more time to you as agreed the day after tomorrow, what do you think, but",English
"Alright, very well, so see you the day after tomorrow at 6 p.m. Have a good rest of the day, Mrs. Vakili. Thank you, you too. Goodbye. Goodbye.",English