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doctor-reacts-to-quotthe-last-of-usquot-medical-scenes

Doctor Reacts To &quot;The Last Of Us&quot; Medical Scenes

I've officially finished watching The Last of Us I played the game really enjoyed it but there's a lot of medical stuff that we have to talk about this is not just a live reaction I planned this out into four categories of things we have to cover this is gonna be a wild ride let's get ready to have some fun guys all right there's first aid but like I said this is the worst first aid we got a couple of scenes here pulled up where I think there are just glaring examples of problems starting with the first episode sure we are not sick okay you're okay all right so she's breathing fast that means she's not getting enough oxygen so the body's responding by increasing the pulse increasing cardiac output and trying to increase the breathing rate to try and get more oxygen so he's trying to apply pressure this is the right thing to do in a scenario like this because she is breathing she does have an open Airway but in reality moving a person like this is now creating more harm than good because you're not actually helping them in any way maybe maybe listen to me I gotta get you up getting her up is only going to make the bleeding worse faster given how much blood has come out in this short 30 second interval you can already predict how much more is going to come out and as a result you know that she's not going to make it that's why in a wartime situation if you were to see an injury like this it would be about getting the morphine out not helping the soldier oh this seed drives me up a wall my guy doesn't know yet that she's bit and he's trying to create some sort of ankle brace for her but he ends up wrapping her foot like what are you wrapping here like at least put something stiff on either side of the ankle so it doesn't re-roll instead he like double wraps the foot like it doesn't help anything you gotta add the stability to the ankle because when you have an inverted angle ankle injury what ends up happening is you can damage the ligaments on the outside of your ankle usually the anterior talofibular ligament and as a result your ankle is very loose and unstable what I would have done is find some piece of wood like there's wood materials all around them and take two little sticks and put on either side of the ankle so that the ankle gets extra stability in fact some of the best braces that I recommend to my patients are ones that have like little metal inserts on the side that literally prevent your ankle from Rolling side to side it allows your ankle to have motion like this plants are flexion and dorsiflexion but not eversion inversion boom wooden bat gets hit he pushes the guy but then he's going to realize the baseball bat that broke off on the tree is now in his abdomen potentially the worst thing you can do is without thought pull out the object that's been stabbed into you hey this object is Jagged so as a result pulling it out is going to create more damage just like most knives and other things that get inserted into you on top of it you don't know if this putting pressure on a blood vessel and preventing you from bleeding out and my guy right there pulls it out bad move bad move a lot of blood's gonna come out he's going to pass out and the reason why he starts passing out quickly is because due to the loss of blood your blood pressure drops and you're not getting enough circulation to your brain so you lose balance okay she found some thread very classic scenario here okay she has this first of all extremely dirty towel which is bothering me so much because she's just festering that wound with massive bacteria and then she's gonna suture the wound this is what I find ridiculous in these shows because remember he was stabbed in turn finally so he's bleeding internally her closing off the wound is only closing off for the bacteria to be trapped inside of there and not really stopping any bleeding because he's bleeding internally from his intestines his organs being damaged so she's not helping him out at all with a situation like this she's closing a dirty wound which is something we don't do okay she got herself some penicillin and she obviously doesn't know how to give him the penicillin also this is an IV dose of penicillin or I am dose of penicillin so she just kind of ends up spraying it at him into his wound so there's basically four ways you can give a medicine you can give it orally you can give it topically like skin coverage you could also give it I am which you inject it into a large muscle group think about epipens and then last but not least you could give it subcutaneously which is in a superficial portion of the skin Oh and through an IV obviously directly into blood like if I was her and I wasn't sure I would probably just stab it in his butt and I know that sounds funny but at least that's an I am form of the dosage that you know it's going to get well absorbed and then travel systemically throughout the body obviously doing it IV is the best way but that's kind of hard to ask in a situation like this Joel is officially superhuman in this series it starts with the scene yep classic fight scene is getting hit this is the worst place you want to find yourself in a battle like this because all the other person's weight is on top of you you put pressure on these carotid artery series for just a matter of seconds the person loses Consciousness in fact here's a strangulation reference guide from the city of New York that says only 11 pounds of pressure placed on both carotid arteries for just 10 seconds is necessary to cause unconsciousness and just four pounds of pressure on the jugular for 10 seconds is necessary to cause unconsciousness that's because the jugular vein actually prevents outflow of blood from the brain and if you block it you actually have a buildup of blood in the brain also causing a loss of consciousness all right so this is the part where Joel's running away we're bringing the scene back okay he's fighting the guy great first of all I already know he has a bat into him but the fact that he chokes this guy for three seconds and then does this weird motion this this does not destroy someone's neck he doesn't even position him in a unique way he moves his whole body around and somehow they create a cracking sound what did he do did he crack his vertebrae did he crack his trachea even then the guy would be laying on the ground choking but instead it looks like this guy guy just cut off all circulation this rain he decapitated him with his ever Mighty grasp on his neck and obviously office fresh wound freshly surgically closed by expert Dr Ellie he's fighting wrestling people my guys hemoglobin hasn't recovered he's still anemic walking for patients like this they'll get short of breath and yet my guy is wrestling out here like literally there's a level of deconditioning that happens after an infection after a blood loss that you're not able to do things like this I don't know any girl oh this is an interesting scene basically Joel sticks the knife what looks like through the guy's fever and or kneecap and or tibia ladies and gentlemen you cannot just after being sick and anemic and going into shock with a knife stabbed through someone's bone and first of all getting stabbed into the the quad muscle there's probably the most painful area to get stabbed and there's so many nerve fibers lots of circulation lots of blood loss but wow the fact that he just went right through his bone is impossible stun grenade these types of sun grenades create such a concussive effect on our brains that they Shake us up and in a scenario like this where he was just injured falling on his wound not being fully recovered he's not getting up from this for days it's like getting the second concussion in sports that I always tell you about is the worst me and now he got hit again in the head he's now waking up for weeks at a time not without major symptoms at least next section is called cordyceps is no fun guys it's my little play on it because it is a fun guy but it's no fun guys and just to be clear you you do think microorganisms pose a threat oh in the most dire terms fungi seem harmless enough many species know otherwise because there are some fungi who seek not to kill but to control it's actually true that fungi exists in the millions in our ecosystems and yet there's only few of them that have adapted in order to evade our own immune systems in order to tolerate the high temperatures that the scientist is about to talk about fungal infection of this kind is real but not in humans true fungi cannot survive if it's hosts internal temperature is over 94 degrees and currently there are no reasons for fungi to evolve to be able to withstand higher temperatures but what if that were to change what if for instance the world were to get slightly warmer well now there is reason to evolve I think it's important to think through these scenarios as scientists I wouldn't present this as a leading threat to our lives because there are so many things like these mutations that could happen in certain scenarios that would be absolutely devastating to the human race that talking about it on a daily basis would just yield so much anxiety that would ultimately harm us for sure as opposed to the chance of these things happening fungi can alter our very Minds fungus starts to direct the ant's Behavior telling it where to go what to do like a puppeteer with a marionette it's also true that fungi technically met most of them would be weeded out by our own internal immune systems but there are situations where immune systems are weakened that's actually the majority of times when fungal infections happen in humans at least a devastating ones and then on top top of it modern medicine has created some medications that we actually need to treat certain conditions that also weaken our immune systems that allow for opportunistic infections puppets with poisoned mines permanently fixed on one unifying goal to spread the infection to every last human alive by any means necessary and there are no treatments for this no preventatives no cures they don't exist it's not even possible to make them I don't know why he says there are no treatments for fungal infections because they do exist so I'm sure he's making a point that I'm just not sort of wrapping my head around but we do have medications for fungal infection the one thing that I will say is accurate about this is they show the bite here then they show little red bumps far away these are called satellite lesions and those are sort of part of what we see on a fungal infection of skin so that is realistic this is where we see her immunity the question is though how is she immune is it her blood type is it previous exposure some medication that she got they have no idea well this is Ellie being born we fast forwarded quite a bit here this scene also didn't happen in the game which is unique they kind of added a prequel of what happened before kind of giving us some insight potentially as to how Ellie is immune so you have a pregnant mom delivering a baby by herself in a really dirty non-sterile environment wow fungi infected zombies are running around oh brutal fight sequence here you're also fighting for the baby we see that the mama bear gave birth to Ellie while fighting probably from bearing down during a contraction you also see simultaneously that Mama Bear here has been bitten by said infected zombie and mom is still connected via the umbilical cord to Ellie therefore potentially spreading a small amount of particles of this infection to the baby she cuts it rather quickly but there is a possibility that Ellie was just slightly exposed to this type of fungal infection so if you have a mild small exposure of fungi that can't hurt you maybe you could build up an adaptive immunity to said fungi not proven yet but it's a theory now we gotta fact check the actual medicine that we're seeing in the show I'm exhausted God damn it back in bed I promise you I'm gonna day up why because this is my last day what he's talking about here is basically Medical Aid and dying for example in New Jersey where I work we have programs that after meeting all the requirements making sure that you've met with the proper mental health folks that you've been judged by doctors to make sure that you actually have a short lifespan and that your condition is irreversible that you can receive Medical Aid and dying it's part of Compassionate Care and end-of-life Care Frank looks like he probably has Ms maybe ALS also known as Lou Gehrig's Disease they're actually quite similar neurodegenerative diseases but the things that they attack in our nervous system is different for example an MS this is an autoimmune condition where the body attacks the myelin sheets the protective covering of the nerves in ALS you're actually creating damage to the neurons themselves so it's slightly different in that sense but a lot of the symptoms look quite similar oh this scene here is very fascinating to me because if Ellie believes this to be something that she has in her blood antibodies as an example she's essentially trying to do like a covalescent plasma transfusion here the question is is she going to create a proper transfusion kit and as we all know given the lack of supplies and the circumstances she's going to do the classic Blood Brothers thing or blood sisters thing where she's going to make an incision and try and bleed over his wound but as we know while that can transmit some infections it's not going to transfer enough healing factors for it to be beneficial and the reason we use covalescent plasma by the way for these types of transfusions like we use them with covet is because the plasma which makes up the majority of your blood it's that yellow portion of blood that I've shown you in previous videos that we desperately need donations of so donate your plasma that's where the antibodies float and by getting that donation you can actually pass along immunity to others well this is where we learn this uh this community of people actually involved in cannibalism what is it venison many people will say oh that must carry so much disease in reality not to sound gross human flesh is not that much different from eating animal flesh in terms of risk you cook it well the person's not sick in the moment it's very similar obviously the human body has a weird distribution of proteins and fats in order for it to be nutritious so it's not very nutritious but then the brain it can carry a disease known as Kuru this actually was a big problem in the 50s and 60s in New Guinea where they actually as part of their culture would consume the brains of other humans it's very problematic because it's lethal and we learned a lot about prion disease from that scenario and specifically a lot because the incubation period was so long that it actually allowed us to study it and see this develop in the native population so that's the one part of the body that's like a no-go just take me to her I can't she's being prepped for surgery but why is she going for surgery what do they hope to do if they believe her blood has healing powers what is this purpose of the surgery study her blood first see if that works before putting her into surgery or doctor he thinks that the cordyceps and Nelly has grown with her since birth why is she in surgery it produces a kind of chemical messenger it makes normal cordyceps think that she's cordyceps it's why she's immune that makes no sense if it makes other cordyceps think that she's cordyceps they wouldn't bite her he's going to remove it from her multiply the cells in a lab produce those chemical Messengers and then we can give it to everyone that's probably the worst theory of why she's immune whoever that doctor is needs to be relegated to the D-League the G League where do doctors go I don't know he thinks it could be a carriage hole cordyceps grows inside the brain how does he know that how does he know that cordyceps grow inside the brain not in the blood and then infect the brain through chemical Messengers it does how does she know how have they become experts in cordyceps when I don't know about cordyceps the only thing I know about cordyceps is there's something to do with caterpillars that's my knowledge of course and some people use them because they think it gives them like a better athletic performance I understand if you fail doing all the initial tests and then this is your last thing okay fine but they haven't even tried sampling her blood why not take a uh like a pint of blood from her give it to someone who has a cordyceps infection see if it heals them this is a actually a great situation to talk about the trolley problem do we sacrifice one Ellie in order to save the human race I'm curious leave your comments down below because I need to know on the hooker how did you get in here all right so we see the heart monitor we see good lights we see them wearing proper protective gear it looks like a very sterile environment actually no oh my God they're taking off the EKG leads they're pulling out the IVs that was a weird placement for the IV it was kind of in the middle of the forearm not anti-cubital I will say they did create a nice makeshift hospital I just don't know what they were about to do what medical procedure surgically would help them find the Cure I actually asked all sorts of ethical questions just like that to chat GPT to see if it's as smart as a real doctor it actually was a little smarter but also a little stupider click here to check that out and as always stay happy and healthy and fungi free [Music] foreign

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