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The Truth About Cracking Your Knuckles | Responding to Comments #15

do you tell patients to subscribe to your channel imagine I walk into a room hi I'm dr. Bartowski you were just involved in a code blue please subscribe please sub but some folks dr. Mike here I'm back at it with another responding to comments video I will say it's been a while since I've done one of these but you are slacking I want more questions in the comment section get to it start writing even if it's in the middle of this video don't stop until you get your question answered because I want to answer all of them let's get started in reality the only times my channel comes up with my patients is if they already know me or in the instance that we've run out of time and a patient wants to know about a specific subject and I know I have a video on that subject I'll then recommend that they check out one of my videos but I don't push it on anybody that's not for office time that's strictly for us me you you and me you know YouTube karen cobster dumb question there is no such thing as a dumb question in a heated situation where one has to perform CPR how does a person ensure that no ribs get broken particularly the ones nearest to the lungs well almost all the ribs are near the lungs it's not something you should think about that's the bottom line what you should think about is making sure that help is called that you've nominated someone to call help or call to help yourself and right away if the person's not breathing no pulse to start pounding on that chest doing it out of 100 beats per minute singing stayin alive if you will and pushing at least 2 inches deep so you gotta push pretty firmly in order to make that happen if you crack a rib no worries you're extending the person's life in order to get them help they're already gone by doing the chest compressions you're actually increasing their chances for recovery that's the best thing you can do when someone's heart stops who tends to bear when you work a long shift Robyn cherry Sigler the great thing is is that one of my close friends is my neighbor so he gets to hang out with bear then my nephews oftentimes take turns coming to see bear sometimes I have someone clean my apartment while I'm not home so there's always someone taking care of bear or hanging out with bear when he's alone for a long period of time and I don't work the 14-hour shift that you guys saw in my vlog the other day all the time that's like a once a week thing where I have a really long shift that I wanted to take you with me on but in reality most of my shifts are shorter than that and bears not alone for more than you know six eight hours which he's totally fine doing and he sleeps in the bathroom even if I'm home at that time anyway bear do you hear his little feets hey hey hey peppers you want to say hi to the camera they want they want you to say hi god you're such an aggressive kisser bear ask for consent Conor Perry can hats give you headaches great great question there's actually a type of headache that's lesser known is called a compression headache from wearing helmets headband hats all of those things that can put unnecessary pressure on your scalp can actually cause you a headache not to worry though generally when you take those things off in a few hours maybe if you need to take something over-the-counter medication it'll go away but the reason this happens is because there's always movement between the sutures of your scalp and there's always a little bit of movement there's blood flow that needs to happen there's a little bit of expansion there and when you don't let that happen you could actually get a headache known as a compression headache so Connor great question is it true that stress can lead to the growing of white hairs or small area I got to tell you I got them white hair what's happening is actually you have a decrease in melanin producing cells called melanocytes in the hair follicle if your hair is white that means you completely have lost all your melanin but if you have some you get gray hair so it's almost like partial pigmentation if you will now the question you asked is if stress affects it we know genetics is the most important thing but stress seems to play a role in this I've looked into this myself we don't have a cause-and-effect relationship let me tell you that outright but when we look into it we do see some sort of pattern and correlation emerge between those who don't sleep enough who have very competitive jobs high stress levels at work family members they generally great earlier our reasoning for this which is unproven but what we think happens is that there's an inflammatory response from free radicals that occurs from stress and that actually interferes with the melanin process like the way that the color is brought to the follicle and when that happens you're more likely to grade earlier while science hasn't given us a definitive answer I'm gonna give it a preliminary truth that stress does cause your hair to turn gray sooner is cracking my knuckles a bad idea will I get arthritis well Henry I can't promise if you're gonna get our thright us or not but what I can tell you is that medical research has looked into the science of cracking knuckles and that sound that you hear is actually just nitrogen bubbles popping in your synovial fluid synovial fluid is the stuff that lubricates your joints and when you hear that cracking you think that's a bad thing that's your bones breaking or anything like that that's not really the case it's these completely harmless nitrogen bubbles and there's been really decent evidence that shows it does not lead to arthritis and unless it's causing you some kind of pain or discomfort it's usually and generally pretty harmless if it makes you feel better psychologically speaking crack away and as long as you're not bothering anybody that's fine now if you're getting pain when you're cracking maybe you already have arthritis maybe you have a tendon injury definitely don't crack in those scenarios if you find yourself needing to crack otherwise you do have pain that could also be a sign that something's going on and you should talk to your doctor but in general know that when you crack your knuckles once see like now I can't crack them again the reason why is because you need to give time for those nitrogen bubbles to reform in the synovial fluid it's kind of a fun fact for you Catharine alert how many patients do you have just wondering that's a good question I see you around 3040 patients a week in my outpatient office as a family medicine doctor doing primary care stuff and urgent care and then I have probably a panel of like 500 600 patients that I built up from residency who I'm their primary care doctor that when they schedule an appointment for a follow-up whatever it is they schedule it with me this panel of patients that I built up I'm a very close relationship with not all of them come in all the time and sometimes they can get care from one of my colleagues but they're important to me because we've established a rapport I know their history that's the beauty of having a family medicine doctor so that we don't give you unnecessary care and we can guide you to the best specialist the best imaging place is the best physical therapists all of that navigating the health system can be a really troublesome fee and if you have a good guide in a family medicine doctor it's gonna save you a lot of time money trouble and you're gonna get better outcomes Marcos Morales aren't canker sores and cold sores the same thing they may look similar but they're actually not the same thing at all because of their cause cold sores are caused by a virus and canker sores are sometimes can be caused by a virus but usually they're caused by some sort of stress whether that means it's a stress to your immune system it could be a stress like a physical stress like if you have braces and they're rubbing along a specific part of your mouth and inside of your cheek you can get a canker sore also hot liquids spicy foods can sometimes cause canker sores really a physical stress cold sores come from a virus and unless you have been infected by that virus you're never gonna get a cold sore canker sores you can get virus and no virus Kelly buh hey Doc what's your intake on dragon's breath aka liquid nitrogen is it safe to consume what dragon's breath it doesn't sound safe so I wouldn't do it the only thing that should be going into your lungs is air and ideally you like it to be clear air like what we're breathing in New York City is not ideal so no I think liquid nitrogen doesn't sound safe to consume I need more information before I give you an official doctor's recommendation Lydia Dimock I often lucid dream and walk and talk in my sleep I feel like some nights it could be causing me to be deprived of sleep what should I do oh that's a good one sleepwalking is actually a problem and sometimes people realize it luckily because one of their partners realizes it their family members realizes it the real solution here is to get a proper workup from a doctor hopefully one that specializes in sleepwalking so that we can figure out the perhaps give you a treatment for the cause whether that means lifestyle changes or even medications and monitor your sleep to see if it continues happening but know that there are treatments out there Trudy kool karate what can we do to reduce muscle soreness after exercises oh man this is something I struggle with Dom's delayed onset muscle soreness man I get this so bad on the second day after like heavy workout or a new workout things that I do that I think work quite well a warm up and cool down are crucial and it doesn't mean stretching it means like dynamic warm-ups those are ideal the second thing is I love massage even though massage may not improve circulation as much as we like in muscles it still feels good it's relaxing and lowers your cortisol levels which allows you to recover better and then the final thing is on the day after a workout and you feel sore and even the second day after do a little active recovery do some of the motions that are sore but don't do them with heavy weights so lower by like 80% intensity of the action and you'll see that your blood flow will start to improve and you'll get better recovery that's something I really enjoy doing entity 303 does stuff what is the best way to remove sodas at energy drinks from your diet the best way cold turkey walk to your fridge take them out spill them out recycle the bottles and then say you quit if it's not in your home and you don't buy it you're not gonna drink it that's the bottom line Matty Baker I want it to go and follow you on Twitter but your account is suspended what did you do I didn't do anything I think my Twitter account is fine I'm gonna look it up right now no my Twitter account is fine maybe you wrote this a long time ago first of all you need to follow me on Twitter it's real doctor spelled out like I post some good articles I give my opinions on things you really should be following me there so on Twitter follow me just say here's an awesome playlist I put together for you that starts off with my Hospital vlog literally a full day in the hospital where I teach everybody about how to stay happy and healthy I'll see you on this playlist let's do it [Music]

Dr.

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