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doctor-reacts-to-youtuber-medical-emergencies

Doctor Reacts To YouTuber Medical Emergencies

injuries accidents and illnesses from some of the biggest YouTubers you watch let's get started PE listen I'm listening Casey talk to me man that's a crunchy knee my knee sounds one to one the same okay maybe not that bad This Is The Moment of Truth the radiology center is right there and they're going to like they're going to look inside my knee he went like this as if they're going to do an ultrasound which is unique cuz most people get an MRI usually provides better image for the deeper ligaments within the knee and I haven't been totally irresponsible the minute I felt a pain I went to a guy a running specialist he taught me some stretches I've been doing it when he said a guy I hope he means someone medically certified right no I shouldn't even be able to run I have no business running I broke my leg about a decade ago I broke in 27 places 27 places is this right here this is all metal you know our femur actually have better tensile strength than steel and concrete it's kind of cool the doctor told me Casey you're never going to be able to run again but I was 26 years old then and there's no way I was going to let that doctor tell me I was never going to run again I run I'm pretty sure every video that Casey has made when he was in his like Peak Casey era he was running so listen I'll tell you briefly but basically what I see on the MRI is two things I do wish that he told the doctor he was recording him yeah have something called a it's a piece of tissue that connects on your KN cap and it connects also to your uh to your IT band and it pulls your kneecap out of alignment and it causes cartilagenous like wear and tear just to kind of fast for you can run and you can even run now I'm not worried so it's basic this part of the knee that gets inflamed sometimes through overuse kind of is a weird diagnosis but it's basically a series of overuse and inflammation that is very very treatable popping cracking uh is not always dangerous which is why I tell my patients that unless it's combined with other symptoms in most cases it's nothing to worry about and in that moment I squat down and let them hear my knees which are painfree a little basketball action 2 one two okay oh I was going to say knee gave out but then he cracked his head on the hoop oh my God oh my God oh my God oh my God that's bad that's bad remember the scalp bleeds a lot because there's a lot of vital capillaries in this area you could see it on the image The Superficial damage is not what I would be worried about why I would be worried is we want to make sure there's no fracture and we also want to make sure there's no swelling inside or concussion it really didn't hurt that bad I just think cuz it's all the adrenaline like I wasn't in like serious pain and then I haven't had any headaches since it happened well not being in serious pain in the moment is Not Unusual it's also really dangerous and why athletes want to rush back in after they have a concussive hit to the head in fact you we even see Behavior changes an athletes who experience a concussion the most painful part was probably they jab the needle into my skull the needle is for lioc so he doesn't feel the Staples which was painful and then they stapled my skull which was also painful in many instances we say don't even use delighted cane let just do the Staples cuz it probably will hurt less and less pokes too you guys ready ready let's go as everyone shows up to do the stunt in the middle of the lake God I feel like YouTube videos have gotten to the point where it's how extreme can we be in order to maximize the clickability of the video and that could be good but that it could also create a lot of problems I just jumped out of a plane 20 times what's the worst it could happen if I swing from a rope over a 1T deep lake oh my God not only did he make contact with the thing but then he also fell with his leg like that there's actually a very common injury called the Liz Frank injury that happens when you get tossed off a horse but your leg is still attached in the Stirrup and that reminds me of that I wonder if that's the injury that he had when I woke up in the hospital I was in shock I was in a lot of pain I tore some ligaments in my leg I broke my foot I broke my hip I shattered my skull in nine places I shattered my eye socket I almost lost my eye yeah getting hit in the orbit is a very problematic injury because there's a lot of tissue behind those bones there's the nasoethmoid area the lacrimal area where your tears come from the muscles that attach to that area which make up your face and the muscles that control your orbital movements your eye movements these are all attached to those bones and if there's enough damage those muscles can change so much so that your whole facial appearance can change its functionality can change your ability to breathe and cry can change these are big things for a human's not just development but I guess quality of life but wow brutal injury glad to see that he's up in his feet and training now last I saw he was actually training with Casey nistad who we just saw earlier a bunch of friends and I woke up super early one day to be overachiever and go to an interactive programming Workshop we all get there and things are going smoothly I'm enjoying several Del ious pastries at no expense to myself but starting to feel a little gurgly my bowels were making a movement bowels moving means like you're going to go to number two actual burbling inside your stomach is called borborigmi and not about movement fun facts later my RoR was talking to his then girlfriend and she was like uh that sounds a lot like appendicitis you should take him to the hospital well I mean just being nauseous and having diarrhea does not alone point to appendicitis if you have pain on the right lower quadrant and nausea fever vomiting all these things that could be indicative hey Andy we should uh we should go to the hospital at the hospital I'm asked a bunch of questions where does it hurt how long has it been hurting when did this start these are really good questions it's called opqrst and each one stands for something specific and then the doctor told me I think you have appendicitis we're going to have to move you to urgent care that's kind of backwards Urgent Care is not as urgent as emergency room Care Urgent Care is like the middle ground between primary care like in an office setting where I work and an emergency room but appendicitis is most definitely emergency room not urgent care in the hospital they take me to the scanner room they needed to look inside of my sweet bod to assess the situation and to see how dire it was we look in those uh situations to see if the appendix is inflamed enlarged if it has ruptured where is the area that's being affected and also we're trying to diagnose if it is in fact appendicitis in many instances it's not appendicitis it could be something in a related organ perhaps diverticulitis which is an inflammation of the intestine through its outpouchings that exist over time you have like little bouts that pouch out that's called dulosis and then from there you can get an infection diverticulitis if they put you under for surgery you need to have your stomach empty otherwise you can be dangerous again not sure why well the reason why is when you're sedated you don't have access to your gag reflex so that if you do vomit you could aspirate whatever that you're vomiting directly into your lungs and that's problematic that could cause infection inflammation lung failure very dangerous stuff to pump the stomach you have to have a tube pushed down your throat it's a long piece of plastic that you have to continuously swallow down until it reaches your stomach and then they can turn it on and get all of the stuff out of your stomach what he's describing here is a nasogastric tube that goes through your nose and goes into your stomach stomach and we could put it on suction what's interesting about these devices is that you don't want it to have it to be permanently on suction cuz then it could actually attach itself to the wall of the stomach and then cause damage to that wall so you want to do something know as intermittent suction where it suctions lets go so it loosens Off the Wall if it gets caught and then it suctions again and then let's go intermittent suction is usually the safer way of doing it and then I woke up appendix side appendix list I'm scared post appendectomy hello hi it's time for me to share one of my most deepest darkest saddest stories that I have held inside and not told anyone in over 50 years that's right I broke my ass his tailbone his coxics or is isal tuberosities the problem is I get really really really motion sick or seasick and anyone that gets seasick you know how awful it is yeah that's basically an overactivation of those semicircular canals where if you have hyperactivation of it it can trigger you to feel nauseous so I bought this motion sickness tablet which is supposed to help with it a lot of these motion sickness tablets that people buy over the counter are usually anti-histamine based and those are drowsy they're sedating they do work rather quickly on the motion sickness component I was going to sit down everything was fine it was a beautiful sunny day we were all drinking beer alcohol-free of course I landed on a VCH I I somehow of that but the problem with that is you're combining a lot of sedory effects you have someone who is motion sick so their balance is already off you have someone who is taking anti-histamine probably which causes sedation and then they're drinking alcohol which is also a depressant you have all three things working against you there we had to go to the hospital we did the scan to confirm that yes indeed there was a crack in my ass I want to know what the ass crack is if this is a true Coxx fracture which is a tailbone fracture coxidia or pain of the coxic from a fracture does not really get treated surgically unless there's a major dislocation or displacement is just rest sitting on one of those donut pillows and pain control and pain control for coxidia is really really tricky it's really painful really uncomfortable so on Tuesday I told my sister that I thought I had a blood clot in my arm I was like H something is wrong oh yeah there's definitely something happening but it looks like there was something worn on the right arm and there's definitely a discoloration there's swelling yeah there's definitely something happening that's causing increased pressure in that arm woke up the next morning we're supposed to record a podcast uh decided that H we have a serious issue the veins are starting to break in my shoulder this arm is so swollen I looked ripped that type of Venus swelling is telling us that there's some sort of obstructive process happening that the veins can't be drained outward unlike arteries which are a little bit muscular veins are thin wall so they don't have the ability to push the blood out out the way veins allow blood to pass through them is by having little valves that are one-way valves where when the heart beats the blood goes up and then when the heart relaxes the valve closes and prevents the blood from back flowing now if there's a lot of pressure or there's not a lot of room for the blood to travel because of a blockage those valves start becoming incompetent because the veins with their thin walls start to swell and that's what likely was happening here but now that we need to fix figure out and move up the chain of the body to figure out where that obstruction is coming from my sister races me to the emergency room and there they do an ultrasound they find a blood clot so what we do is called a duplex ultrasound that allows us to see Venus blood flow and we can act by giving medications to thin clots to bust clots or perhaps go in and remove the clot surgically or minimally invasively oh they wrote deep vein thrombosis that's a diagnosis that needs to be acted on urgently because if that clot becomes dislodged it can get shot into the pulmonary system where it then creates a pulmonary embolism we're going to have to do a thrombectomy which is where they take a catheter and shove it into your vein and pump medicine into the clock that's what we were talking about when I said minimally invasively we do that we go in they put the catheter and they decide that they're going to do this drug called TPA to dissolve it I didn't know what that was I was freaking out TPA stands for tissue plasminogen activator this is something we give in Strokes the risk factor to it is bleeding bleeding in the brain incredibly dangerous cuz it's very hard to control bleeding in the arm dangerous but you can control that surgically so definitely tricky substance to give and you want to give it just in the area where it needs to be in the brain you kind of have to send it there here you can be a little bit more accurate and deliver it directly to the spot where you need it here we are third time a charm we go back in and this thankfully worked there she is clot free woo and with that being said well my biggest question here is why did the clot form because dvts that are unprovoked deserve to be worked up because there are very specific reasons why we expect clots to form like if you're immobilized for a long period of time and you're in bed and you're not moving that could be a risk factor if you took a really long plane ride that could be expected but if there's nothing that you did that should cause a clot you should be investigating why that is happening that evening after they said that the clot was gone it was dissolved started having chest pains shortness of breath I started getting a little worried and something did not feel right I felt something like traveling the thing that you want to really monitor in situations like this is EKG changes to see if that the heart starts acting in any specific way if you're seeing patterns of pulmonary embolism where the clot has traveled into the lungs and then also to see if the heart is struggling Anyway by drawing serial troponins which are cardiac enzymes these are byproducts that are released by the cardiac muscle of the heart when it is damaged and that usually happens when the heart's not getting enough blood flow usually due to a blockage your girl's been unhooked from the heprin which means I now have to take pill form but hey I had a pulmonary embolism which means a piece of the blood clot broke off and went to my lungs yeah that can happen as a result of the thrombectomy as we said earlier you are on medication for a period of time once the workup returns for reasons why you would be at risk for developing another blood clot and that's all negative then after a period of time you can come off the blood thinning medication if there is a reason why you are highrisk for clots you may have to stay on that medication I have something called thoracic outlet syndrome it comes in three kind of variations where there isn't enough space between your rib and the vein the nerve or the artery to kind of pass through the area that she's talking about in thoracic outlet is between the clavicle the first rib and most importantly the muscles called the scalin of the neck specifically the anterior and middle scaling of the neck what you have there is a little triangle where the brachial plexus travels through which is the nerves that travel out to your arm and give sensation of muscle control to your arm as well as the subclavian artery and vein so what she has is very rare but it sounds like there's compression happening of that subclavian vein therefore you have more likely a chance for a clot to form in that area amazing that she was able to share all that survive it give a a really good medical explanation wow shout out I Justine incredible SE survival stories click here animated narrated really interesting click here to check that out and as always stay happy and [Music] help

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