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doctor-reacts-to-wild-medical-stand-up-comedy

Doctor Reacts to Wild Medical Stand-Up Comedy

this is Pamela Ray Schuler she's a stand-up comedian and we're about to watch stand up that's medically relevant and she's going to explain it to you and I'm going to explain the jokes let's get started I am fully medicated now anybody else antidepressants medication I don't know how I feel when comedians make that joke why you shouldn't ever be upset that you're taking a medicine but celebrating that you're taking no it normalizes it how many people are going to see this and be like oh my gosh I don't need to be ashamed yes but then how many people are going to request medicines that they don't yet need and then it's up to people like you that's true it's a lot of weight on my doctors well no it points to the fine line between breaking the stigma and not spreading misinformation or celebrating who she is and what she's going through I'm not anything against celebration I thought I was on an antidepressant it turns out I'm not it turns out I'm actually on a mood stabilizer that they use as an antidepressant fun fact about prescription drugs everything they prescribe they actually use for like four different things that's true and not only do we use it for four different things some don't even have an FDA approval for those things like they haven't been adequately studied so we use them off label I know that because I've been on so many ads for Tourette's that are not for Tourette's because a study showed that it might help Tourette's when I was 12 I wore the nicotine patch because there was a study did it help no it just made me Jones okay well we had to try something you're out of control otherwise so you don't really know what your deal is until you find a combo that works and then Google all your pills by yourself so after years of trial and error I finally found a combination of things that worked for me I don't want people to try it on themselves yeah because a lot of these medications have really bad interactions so you have to have a thorough knowledge of how they interact with each other like if a patient of mine is on three psychoactive medications I get them a psychiatrist ASAP okay that's smart because it's just there's so many interactions that I'm not well versed enough to know how to have the experience to know how they that's important and six months ago I decided to Google it because what the hell and it turns out that everything I'm taking is primarily used for bipolar disorder so I went back to my psychiatrist and I was like hey do we think we at least and she was like oh yeah they never had that discussion before that's terrifying to me how many things do you think my therapist thinks I have and just hasn't told me but why would they not tell you do you ask oh all the time she'll write something down I'll be like what are you writing but see like I hate labels because the labels aren't really for the benefit of the patient they're for the insurance company the legal stuff but really a person is not a diagnosis so I agree with you 100 I think so often especially when we work with kids we're always trying to find a diagnosis instead of just like getting to know someone for who they are and treating symptoms of things we're seeing but I do think sometimes knowledge is power do you think it could become a self-fulfilling prophecy where you think I am ex so I must behave as X yes so that's awesome yeah but I like yeah yeah so it's it's individualized it's a balancing act I said you really didn't know that I was bipolar and she goes no of course not we thought we were treating anxiety and depression and I said okay because this kind of feels like a putting your dog's medication in cheese situation when I was in high school I was like Dad I think I'm depressed and he was like you just need some protein get a scoop of peanut butter that's like every Health influencer on Tick Tock Health influence I think yeah buy my protein or it's taken by my hormone you think I'm making that mine would be amazing yeah do you want to buy some of my hormones Mike yes but yours aren't hormones they're horny modes there's a reason you're a doctor yeah who makes jokes yeah there's a lot of dads out there just white knuckling it through life right now clinging to a jar of chunky Jiff like it's the answer just a buoy in the storm I'll pass that's a joke with a lot of medical meaning behind it tell me more men will oftentimes experience their depression or show their depression to the world in different ways than what we describe traditionally in medical stuff so for example some will develop addiction to going to the gym to taking steroids and getting huge some will get up gambling addiction some will become abusive in their relationships but really what they're experiencing is depression and they're acting out look at me learning yeah and that was interesting so I was like actively listening yeah that was good I don't know if you were faking it you were really good no you know and I'm faking it okay my doctor comes in he doesn't say hello he doesn't say good morning he just walks in he points at me which is super aggressive our doctor's ever that aggressive to you sorry um he is still my type that that's oh really smash or pass oh smashed and he goes do you want something for your hair and I go what and he goes do you want something for your hair and I go I don't get it and he goes says nobody told you that your hair's falling out foreign I was like damn no it's a doctor Rose I want my whole life being okay with my face and then a doctor said um how do you feel about your weak chin well maybe you should do some squats and he goes you weigh 245 and I go like yeah like I knew that he goes you weigh 230 last time you were here not exactly what I would call weight loss I'm like are we at a few own roast or something like what are you doing old school doctors used to think this works then he says you know you're the fattest patient I've seen all day no foreign and I go it's 9 30 in the morning I would do a murder he's like you know we ran your blood work it turns out your muscle enzymes are through the roof and I go yeah man like I'm super strong like how is that a problem well muscle enzymes happen when there's like rapid breakdown of the muscle okay it's a condition called Rhabdomyolysis spell it r h a b o d o m-y-o-l-y-s-i-s sting no I'm just kidding I don't know I don't know the myoglobin that's released actually can be nephrotoxic so it's problematic to your kidneys this happens when people who don't exercise for a while go and start exercising oh okay or if people are found down like elderly people for a long period of time and their muscles breaking down or if you take a lot of drugs and you shiver a lot or something like that where you overuse your muscles do you use words with your patients like nephrotoxic when I say nephrotoxic I followed up with kidney injury immediately after my brain was still stuck on do you have a ring on your finger and I go yeah and he goes you're married and I go yeah and he goes to a guy and I go no and he goes oh I thought you were gay and I go why and he goes hey I'm just kidding and I go that's fine he goes but check it out and he takes my chart and he shows it to me and he had written gay question mark on my medical chart I really feel like this is a joke or a lie because a chart is a medical legal record you're not going to write gay question mark on it yeah I'd be exclamation unless unless unless unless unless he saw that Tom segor is a comedian he tried to be funny in a really poor attempt to doctors out there don't don't do that yeah don't do that but people ask me dumb questions all the time I'll get this one a lot they'll be like hey Ryan is that genetic yes uh because you see my mom was Irish and my dad was a lobster [Laughter] kids are the worst though oh kids are the absolute worst though because kids don't have that filter you know if a kid says you're ugly you're ugly all right deal with it buy a hat I don't know what to tell you uh but this little girl after she saw me and after she screamed after screamed it was a big scream uh which side note has led me to a new game that I play uh now when I'm out in public and I see a child staring at my arms I like to pretend that I'm discovering them for the first time too someone on the subway recently goes you're short and I go where'd the rest of me go for four years my wife and I couldn't get pregnant oh I've heard this and it was my fault what's going on with you and Bina you're like Indian Barbie and Kent and I'm like I know and much like Ken what because Kenneth has no I have art in my apartment this is very much Pam art and it's Barbie and Ken in a motel room and Barbie's on the bed and Ken is standing there and they're both naked Barbies and the caption just says disappointed Barbie ah there's a lot of doctors are my age and they're Indian which means I might know that so we're sitting there in the waiting room at NYU right door opens nurse comes out she's like Dr Gupta will see you now I'm like oh this better not be Arjun from Sacramento I hear a familiar voice he's like awesome man hush I'm like this is Sacramento is that his boy I went to middle school together yeah he's not even an MD he's a goddamn deal why is he so angry about that I never understood heard you throw the computer yeah well why so this dude is all up in my merchandise he's like oh bro I know what's wrong I'm like stop saying bro he's like son oh much blood down there it's lowering your sperm count so we're going to do a dangerous surgery called varicoseal repair a varicocele is basically a swelling of your veins in your scrotum we used to say like if you feel that area it feels like a bag of worms can you think of a more poop so much for that visual that's what that's what they taught us in medical school Stu pulls out a trimmer he goes let me shave you down right now let's do this right here right now I go Archer back up I'm not ready he goes listen man if you don't get this surgery you can't have kids ever go are you serious life gets very real when don't want becomes can't have isn't that right deals he's so anti-deo which is funny because in this clip the do ends up allowing him to conceive yeah to be clear I'm not at all anti-dia I'm I'm Pro I don't I don't think he's anti-deo either I think he's just making a joke yes but it's just at the cost of doctors in the midst of a pandemic when doctors were on the front lines that's totally fair terrible like look as a comedian you gotta know comedic timing yes and if you're gonna make a joke about doctors Pig pandemic okay my dermatologist said he needed to do a biopsy of a little uh mole on the tip of my nose I was about to say you don't need a dermatologist in some cases like I can do that but not if it's on the face because I'm worried about scars yeah wow that sounds like it's gonna hurt he said don't worry we're gonna numb it first with a painkiller I said how he said we're going to puncture a sharp needle into the tip of your nose when I work with patients and they need a small procedure done sometimes I'm going to say like I think it might be best to go without anesthesia because anesthesia might hurt more than the procedure I had to get a little thing removed and she did the anesthesia she gave the shot and then she started slicing and I started immediately crying and like you have to wait and she goes well it takes 15 minutes to kick in and I was like then wait 15 minutes when I did my annoy germ rotation you would inject patients lidocaine move on to the next patient figure out what's going on go back to that patient do the procedure and at the hospital I said excuse me can I have pain medication because I am not thriving and the nurse said oh okay and he gives me the IV and he gives me a little pump of something I was like Yum Yum Yum Yum yes she's alive and I was like actually no I still passed away what the was that and he said it was a placebo it was a saline injection and I said sir my ankle looks like a U-turn you better give me something and I don't know if you guys know this but black and brown people are prescribed opioids at a lower rate than white people so white people have a higher addiction rate to heroin and I said to myself huh maybe sometimes racism's good I will say it's a double-edged sword let's say you're in a community where I worked in like new work you have patients that come in that you know are at high risk because of their environment for developing an opioid addiction if you're a good doctor you should know that if you live in a white suburban community you're also at a high risk okay but yeah being aware of someone's risks and tailoring their medication plan is actually good okay so in this case the doctor that's assuming that because someone's white they have a lower risk is factually inaccurate and therefore has led to worse outcomes so to advices work against you now when racism works for you you know what I'm saying I do before major surgery I asked if I could get something to take the edge off I already had an IV in and I was like you can give me all something we're running late I was like freaking out and they said no and then I started barking and then I got it then it went from like a scary day to such a fun day I was telling jokes I did stand up for I would have rather you called me and I would have just held your head uh people will say I'm a medication okay they're lying I I started walking in my sleep I was living with my girlfriend at the time and I started having a recurring dream that there was a hovering insect like Jackal in our bedroom I had the same dream but it wasn't a jackal it was you that's because I was there I was just like I did buy a book it was called the promise of sleep and I learned that there are 78 known Sleep Disorders things that range from sleep apnea to night terrors to narcolepsy narcolepsy is terrifying because there are people who fall asleep at any time I think there's more than 78 disorders how many do you have primarily one insomnia yeah yeah anxiety induced mostly and I read about this thing called REM behavior disorder where people have a dopamine deficiency that's a chemical that's released from your brain into your body when you fall asleep it paralyzes your body so you don't do what's in your brand interesting I don't know if that's a hundred percent proven or the leading theory basically when you fall asleep and you enter REM stage your muscles are supposed to become paralyzed so you don't move during the stage of your sleep while you're drinking that's why I don't hit Ram uh Tourette Tourette Tourette Tourette yeah so do you not feel refreshed when you wake up not very often now five years ago I'm in Walla Walla Washington and I'm staying which is a place and I'm staying at a hotel called La Quinta Inn and I fall asleep and I I have a dream that there is a guided missile headed towards my motel room and there was all these military personnel in the room with me I jump out of bed so I decided in my dream and as it turns out in my life to jump out my window oh no there are two important details one I was on the second floor two the window was closed so I jumped through a window and I screamed ah and it's like not like one of those action movies where the window gets blown up before you jump through it no he's literally flying through a window and I got up and I kept running and I'm running and I'm slowly realizing I'm on the front lawn of La Quinta Inn in waia Washington in my underwear bleeding and I'm like oh no what does it say about him maybe men that it took him literally jumping out of a window to be like maybe I should get some help for this well that's literally what I was gonna say that like when people ask me when is the time that you should see a doctor that's the time I would say one day before that yeah but it's hard to predict sometimes but that's that's the definite line and the next morning I flew back to New York and I did what I should have done in the first place when I saw the Jackal I went to a doctor who specializes in Sleep disorders and and I was diagnosed with REM behavior disorder and so now when I go to bed at night I take medication and I sleep and I'm not making this up in a sleeping bag up to my neck and I wear mittens so I can't open the sleeping bag there's got to be a better solution that sounds so comfortable no it doesn't yes it does I'm struggling to escape small spaces wrap me up like a burrito really yeah with gloves that you're unable to open yeah the problem is is a single woman I they would then find me six years later like that's literally what I do to babies when they know when they scratch their faces and then and then when you um babies in the morning they go so like I said I have Tourette Syndrome the best one what's right I pick up pick up us so you're about to see Matrix guitar s camera watch this twitch gets me in trouble my roommate came home from work I was like yo our neighbor died he said did you kill him I was like nah it's no it's the my Customs joke where he asked if I'm bringing anything illegal back into the country and I was like no click here for when Pam reads thirsty tweets to me enjoy this one follow Pam and as always stay happy and healthy and fabulous yay [Music]

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