Rounds at the Zoo with Chris Carroll, MD
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What is the opening premise of the episode and who is the guest?
Hey everyone, I hope you're having a wonderful spring. In the spirit of renewal, I wanted to share something new that we've been working on. It's called The Nocturnous Plus, our new subscriber-only feed. With a subscription, you'll get access to the Nocturnous After Hours, a monthly bonus series featuring original conversations between me and our executive producer Ali Block. Along with discounts on our new merch and access to all of our episodes in one place. To give you a taste of what it's like, here's a clip from our very first After Hours episode, where Allie and I talk about the ups and downs of being the doctors in our own families.
It was my first experience where a healthcare provider was sort of using lines on me that I knew. So the biggest thing was he was trying to transfer my dad out of the neuro ICU. And I was trying to argue that he was not ready to go to the floor. And I'm sure you're very familiar with this line. This ICU doc said what we say to patients in the hospital all the time, which is, you know, it's really much safer for your dad to be somewhere else. He could get an infection, he could get a DVT. And I was just like, don't pull that with me. I know those lines.
That's the Nocturnous After Hours. We're really excited to see how the series evolves. It's been really fun so far and would love to hear your ideas, questions, and suggestions along the way. If you want to join us in this new corner of our community, take a visit to thenocturnist.org slash plus. Subscriptions start at just $10 a month.
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This is the Nocturnus and I'm Emily Silverman. Today's episode features Doctor Chris Carroll. a pediatric intensivist who got a call one day unlike any consult he had ever received. He had just dropped off his daughter at college and was driving home when the phone rang. On the other end was a veterinarian from the Jacksonville Zoo, where a Shigella outbreak had swept through a troop of great apes. They wanted help caring for a very sick patient, a three year old gorilla named Kevin. Chris found himself stepping into a completely different kind of ICU, one with crates instead of hospital beds, aging units of gorilla plasma shipped on dry ice, and a veterinary team caring for their patients with extraordinary tenderness and craft.
What stayed with him was not just Kevin, but the way the veterinarians spoke about him, touched him, and mourned him. In our conversation, Chris and I talk about pediatric critical care, what human doctors can learn from veterinarians, and how caring for one young gorilla changed the way Chris thinks about medicine. But first, here's a clip from Chris's life story, which he told on stage at a Nocturne's Satellites event produced by Chest. Here's Chris.
I had dropped my daughter off at college and was driving home. And I got a call from a person who wanted me to see a patient. There was a patient, Kevin, who was three years old, had septic shock. was on norepinephrine and propofol, and they want a second opinion. And I said, sure, I'll come by and see 'em. I never been to this facility before. Security guard directed me around back. It looked like your typical medical clinic, maybe albeit one that wasn't quite as well funded. But you know, one difference was when I walked in the door there was a real
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Chapters
4 chapters
1
What is the opening premise of the episode and who is the guest?
0:00–12:54
2
How did Dr. Chris Carroll receive the unexpected call about a sick gorilla?
12:54–24:14
3
What did the first on‑site visit to Kevin the gorilla look like?
24:14–34:45
4
How does pediatric intensive care compare to veterinary intensive care?
34:45–41:40