Markiplier is an enormously popular YouTuber, gamer, comedian, and frequent resident of hospitals. Mark has suffered a couple ...

doctors-react-to-markipliers-health-emergency

Doctors React To Markiplier’s Health Emergency

this is a tweet that came out the following day all right i'm ready for the tweet let's open it oh he pooped hey guys welcome to another episode of the wednesday checkup today we're going to be talking about markiplier's recent plight with the medical system he had some abdominal stuff going on which has been troubling him for about half a decade but in order to do this i had to bring in a sub sub sub specialist welcome to the channel dr austin chang what's going on buddy hey mike thank you so much for having me my sub specialty is actually in gastroenterology which is digestive diseases but then within that i'm also an advanced endoscopist where i do more complex procedures you are also a tick-tock specialist [Music] hey guys uh thank you guys so much for caring about what's going on right now i just wanted to give you a small update yesterday i did have to get surgery done i have what's called a small bowel obstruction or i had it was formed by scar tissue from my previous surgeries that i had before i started youtube do you want to talk about this nasogastric tube he has in yeah as you can imagine if there's a blockage in the bowel there's no place for food or liquids to pass through and even if somebody isn't eating anything by mouth the stomach for instance is naturally secreting a lot of fluid and even if you think about our mouths and the saliva that we make that we're constantly swallowing that has no place to go this tube serves to suction out that liquid so that it actually has a place to go and it doesn't just build up what he sounded like he was saying was that he was having the small bowel obstruction to translate into common english terms is his small intestine which comes right off of the stomach had an obstruction he explained that it was from his prior surgery there was probably some scar tissue that essentially closed off the intestine preventing food and the liquids from traveling down and as a result you start vomiting profusely you feel awful your stomach starts expanding you're bloating you're uncomfortable no matter what medicine you give to a patient unless you either open up the blockage or take all the the contents of the stomach and the gi system out of the body you're not going to stop vomiting so putting in these ng tubes in patients like this was the number one way to relieve the symptoms and to buy time in order to get them to the procedure hey guys i'm at the hospital right now i'm fine i've got an ng tube in my nose right now which drains stuff out of my stomach because i have a small intestine blockage man this is uh unexpected came out of nowhere but i'm fine it's nothing life threatening i don't even think i'm gonna need surgery this time they're just gonna suck it out of me and hopefully that fixes the problem in five years two small bowel obstructions is that common uh do you i mean i know there are recurrences especially once you've had an intestinal obstruction before and surgery and adhesions but in his age is that have you seen patients like this is it often you know i've seen patients like this but there's no predicting when a bowel obstruction can happen again after it's happened once if it's due to the scar tissue that we were talking about yeah it sounds like he might not need surgery this time around so i don't exactly know if it's the same cause of the obstruction again i wonder if there's something else going on like maybe something we call an ileus where the intestines just slow to move and in that case it just needs time to kind of get going again and we don't want to you know add more food or liquid to it and it will sort of we have to figure out why that at least is happening but you know a little bowel rest might help this is cool for the audience to know right they're probably wondering if he can't eat he can't drink how is he supposed to stay hydrated how is he supposed to get calories you want to take us through uh the ways that we can do that the main way we do that really is through the iv through a vein we're able to provide fluids that way we're able to sometimes even provide nutrition some people have issues that prevent them from being able to eat for months on end and sometimes people have to be on iv nutrition for a long time i've got good news uh the ng tube has been taken out of my nose and my gut because that's what it does we did a bunch of tests this morning a lot of x-rays and a lot of scans and some contrast to see if things were moving through me and it seemed like things were moving through okay which is good so the doc said we're gonna take it out and observe a little longer i'm still not allowed to eat anything but the doc said that if i can have a bowel movement then everything is on the up and up we're waiting for the bowel movement we're waiting for the flatulence it's funny because literally as a med student and as a resident early on you're documenting like no flatulence as of yet like you're waiting for that moment what's interesting to me is he mentioned the contrast that they're doing i guess like swallow studies or is that something you usually do with sbos yeah i think that if we're suspecting that it's gonna clear up on its own then we can get an x-ray and have them drink contrast and that contrast will basically be traced through then tested and make sure it's getting past the point of blockage this was a tweet that came out the following day all right i'm ready for the tweet let's open it oh he pooped actually i think i saw this trending didn't this trend on twitter hashtag he pooped hashtag he poop isn't it funny to celebrate about movement like people don't think that that happens but doctors celebrate poops what do we got six sam tweets inspired some memes okay we got some memes congratulations this certificate is to commend mark edward fischbach for passing a bowel movement awarded the 3rd of december signed everyone this is a certificate of poop you never thought that would come into the conversation i wasn't sure if i was supposed to come in anyway because i didn't know if it was going to be a problem but they said they were glad i did and this is how i know the bowel obstructions are extra dangerous is because they said if i waited that's usually how people die from bowel obstructions i wasn't in any danger of dying because i came in way early it's usually people that have these kinds of pain for bowel obstructions and they wait like a day or two days just to go in like if you've got some weird stomach pain go see a doctor like it's it's it's probably nothing but it could also be your intestines exploding okay i don't want people to think if their stomach hurts for a few hours their intestines may explode that's why i think it's so important to have a primary care doctor because if you have an established relationship with a doctor outside of an emergency setting then you can contact that doctor and say you know is this okay you know is it okay to not run to the emergency room right away that's exactly what i would say that basically it's that triage component that people don't appreciate uh as much because they don't think about it it's natural not to think about it but we have like a 24-hour answering service like most offices do that i tell my patients like look if this continues into tonight or gets worse randomly in the middle of the night you're not sure of what to do call our number we'll have a resident who's on call give you a call back they'll help triage of whether you can wait until an urgent care appointment in the morning or do you have to go to the er now because we can talk through the symptoms we can talk through uh your history you know in his case knowing that he has a history of small bowel obstructions it is wise to come in earlier than later but maybe in someone who you know ate some food and is having some diarrhea and some nausea for you know four hours maybe they don't need to rush to the er especially if they have access to a good primary care doctor the first time that it went down or the nurse tried to get it down it went into my lungs [Laughter] let me tell you getting a lube covered plastic tube shoved into your lungs ain't fun at all and and it was i i felt so bad for for the nurse like i felt bad for the nurse like you know she shoves it down to my throat and i'm just like she pulled it out a little bit not all the way so it's like still in my nose and i'm like i think that was in my lungs and she's going like no way that was in your lungs and i'm like listen lady i i'm not going to sue you or anything like i'm just telling you i'm not an expert at the inside of my lungs or how that feels but that went in my lungs oh my god stat portable chest x-ray please you know if he's coughing and he's not able to tolerate the food placement it could have gone down the wrong pipe after you reach the back of your throat it splits into your esophagus and then the windpipe so there is a possibility that the two may have you know at least temporarily gone down the wrong turn well that's why right like one of the parts of placing an ng tube is then listening for the stomach for the the lungs and making sure you don't hear it in the lungs and you hear it properly in the abdomen maybe putting a little bulb on there and squeezing some air in but if he's already like can't and is struggling to breathe i feel like that's a good enough sign for me clinically to know that i'm not doing the right thing you know it was so weird having the internet celebrate me having a bowel movement i can't believe it's like i was i knew it was going to be kind of like that but i had no idea it was like you guys were going to make a trend on twitter or something like that we are officially markiplier fans here shout out mark we're glad you're doing well um if you ever want to do a try not to laugh medical challenge with us we're game dr chang thank you so much for joining us all of dr chang's information is going to be linked down below check out all of his social channels he's an absolute rock star accurate info he deals it not only in the hospital side of medicine but also the social media side of medicine what goes into that training other doctors truly amazing work and if you want to see another great video check out my video here on the harsh reality of being 800 plus pounds actually the gentleman in this video is the pinned comment click here and as always stay happy and healthy you

Dr.

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