Medical TikToks Doctors Can't Ignore

Things in the hospital have been so stressful,

so I asked Sam to put together a reasonable,

fun Tik Tok compilation that I can react to.

Maybe some hantavirus stuff just to get that covered.

Huge thanks to Ground News for sponsoring this video.

Let's get started.

>> Ew.

>> Oh my god.

>> When you think the fox distribution system chose you,

but the saxophone start getting louder.

What?

>> OH MY GOD.

>> OH!

>> A BABY!

>> FOX bites are one of the leading causes of rabies.

In a scenario like this, I'm running to the hospital, getting post-exposure prophylaxis,

getting all the injections, coming back uh over several days.

It's a really annoying protocol, but you'll be safe from rabies.

>> Go go home.

>> It's so cute.

>> It's not cute.

It just bit you.

It's going to give you rabies.

Rabies is fatal.

And I mean like 100% of the time fatal.

>> Here we go.

>> Okay.

OH!

OH!

OH!

OH OH!

OH!

THIS IS ON ANOTHER PLANET.

He just He's like the This is from a video.

We did this before.

>> No, actually everything goes through the digestive system like this.

>> Oh my god, his hip flexors, his iliopsoas, quadratus lumborum.

Yo, initially I was going to critique his lack of balance on the dumbbells

and that that being a safety risk.

There is no safety risk when you're on this level.

The only safety risk is I hope someone's sitting on

that other side of

that bench.

I can't pop my ears on planes

or underwater because air just leaks out of my eye.

Oh, interesting.

Um the Eustachian tube is the tube

that regulates pressure from the ear to the sinuses,

and it acts like a pressure release valve.

You can have scenarios where that air can escape through different pockets.

Remember, the airway's a unified airway.

That's why if you ever see in a boxing match,

if someone has an orbital fracture,

we never tell them to blow their nose cuz sometimes it can push all

the fluid and blood into the uh eye socket area

and create an orbital hematoma

that makes it near impossible to see.

>> Time to eat our monthly vegetables.

>> Time to eat our monthly vegetables.

>> First we dehydrate it for a long time.

Now we're going to crunch it up into dust

and then put them in pill capsules

and then swallow them.

These are vegan cellulose pills.

>> We're going to take this, close it in there.

Boom.

>> Pro, think about how much of the pill you need to take

as opposed to just eating a few leaves.

Why are we trying to hack our way away from enjoying food?

You can eat healthy and have it be tasty.

And by the way, if he took those capsules,

threw them into a container and said magic green potion, he could sell them.

It's not illegal to do this.

The FDA does not need to check on his The only time they do

is if someone dies from it

or gets really sick

or he starts making claims like these magic pills cure cancer.

But instead, he could say vitamin that supports cancer fighting metabolites, whatever.

That can be a claim that could work.

Uh-oh.

Uh-oh.

Are they bungee jumping with I don't even know what material that is.

Oh, no.

Oh, no.

Oh, no.

Oh, my First of all, there was not enough give in that rope.

I feel bad for his ankles.

The anterior talofibular ligament, calcaneofibular ligament, oh, his Achilles, even his low back.

That's an enormous amount of strain and traction on the spine.

God, you can develop some serious injuries there.

Uh, is this just like cold cryo sciatic pain?

Is this just cold temperature?

Cuz if this is just cold temperature,

there is no difference between doing this and ice.

This is fancy expensive ice.

Some people get relief from icing their low back,

but whether you ice your low back

or do an expensive fancy treatment with a gun like this,

the results are the same.

I like for some situations doing the ice on off 20 minutes at a

time few times a day,

but there is some new evidence

when there is actual ligamentous damage

that icing can actually delay healing.

So, food for thought.

>> I went to Korea for a skin care treatment that's illegal in the US.

>> It's not regulated, which I guess you could say is illegal,

but that's not what I would say.

>> I went to the SNV clinic where first a machine essentially Xeroxed our

faces to find our defects.

>> Imagine you could just find your defects.

>> It turns out I have level five crow's feet

and my mid face is elongating.

Horrified at this news, I agreed to all the treatments.

Ultrasound waves, radio frequency micro needling, and the PDRN Rejuran.

Rejuran was the illegal in America treatment we had slept across the globe for.

>> Yeah, people talk about this being salmon DNA.

It's polynucleotide, sometimes poly deoxyribonucleotides.

It's a treatment that has some promise.

It's very commercialized, so that already should raise some flags,

but it's not snake oil.

There is some promise in tissue healing and regeneration.

And one of the biggest research articles on this

that people frequently quote surrounding crow's feet was actually retracted due to conflicts of

interest and that's important to note.

And some people call this a filler.

It's not the same type of filler

that we imagine that we use here in the United States

because it's allowing your body to create healing

as opposed to injecting something

that takes up space

that allows your face to appear fuller in

that region.

>> The doctor gave my brother a numbing injection,

but skipped mine so

that I could be honest with you folks about the pain.

>> Holy sh Oh my >> After 150 injections,

I looked like a Guillermo del Toro monster.

Oh, no.

And again, not long-term results, not perfect evidence on this.

I would wait for this to hit mainstream before starting to even consider this.

There are more well-proven methods on the market these days.

>> Three weeks later and my face looks, well, the same to me.

They suggested I come back in 3 months.

It might be time to work on my personality.

>> We should all be working on our personalities, salmon DNA or otherwise.

>> Do you guys want to hit the buffet?

I hear they have lobster.

The downstairs pool has cholera now,

but the upstairs one is open till 10:00 p.m. so we're good.

Bro, guess what?

Abby got malaria, so our next cruise is 10% off.

>> Wait.

>> This is not funny

because hantavirus is happening

and it's top of mind for everybody.

Ebola outbreaks are happening.

CDC is now doing screenings at airports.

Ugh.

>> Guys, that Hawkeye over there is giving out free shots.

Go get one.

>> Okay, who wants tequila?

>> No, like vaccines.

We all had an exposure last night.

>> Wait, to what?

>> That's post-exposure prophylaxis, not pre-exposure prophylaxis.

>> I never want this trip to end.

>> Bro, it won't.

The captain just said we have to quarantine for life.

>> Yeah, you know, a lot of people have been asking me to make

a hantavirus video and initially I was quite skeptical whether I should

and now I'm really feeling like I should simply

because of so much misinformation out there.

People are making all sorts of claims that hantavirus doesn't spread human to human,

so this is all made up, not true.

This specific strain of hantavirus known

as Andes strain actually does spread human to human.

It's a limited spread human to human.

It can create a very unique pulmonary syndrome that can be fatal.

It did start happening on this cruise ship where an individual likely acquired it

from some kind of rodent in Argentina,

brought it onto the ship,

spread it with people that they were interacting with closely.

Then the ship went into quarantine.

All the individuals that came back to the United States are under quarantine either

in a facility or in their homes.

So much misinformation.

I saw already people on Twitter talking about ivermectin

as being the cure for this.

We all need to pump our brakes.

But, if you want to see me do a dedicated video on this,

I always lead with the mantra alert, not anxious.

If you want the video, let me know down below in the comments.

And what's been most disappointing is how media has covered this outbreak.

That's why I'm such a fan of today's sponsor, Ground News.

They're a website and app designed to make reading the news easier

and more data-driven.

Each day they pull in thousands of articles from around the globe

and organize them by story.

And every story comes with a visual break down of the political bias, reliability,

and even the ownership of the reporting outlets,

all backed by ratings from three independent media monitoring organizations.

As for hantavirus, right away you could see

that over 300 news outlets have reported on the story

and even see the political bias of the outlets covering it.

You could also see a breakdown of the factuality and ownership.

Who's paying for the reporting is really important to know.

One of the best parts is their bias comparison feature,

which highlights specific framing differences in the articles themselves, breaking down that language.

The words these outlets use is no mistake.

They're trying to make you feel a certain way about a story,

trust me on that.

Ground News is not a news outlet, they don't write news articles,

they're a platform for deciphering this chaotic news landscape we all live in.

And honestly, we all need something like this more than ever.

Subscribe now to get 40% of the Vantage plan by scanning this QR code

or by going to ground.news/doctormike.

That's linked right there in the description.

>> You believe that some non-verbal autistic individuals can receive information from another person's

mind telepathically,

and that is their primary way of communicating.

>> Yes.

This is where we start leaving science in the rearview mirror,

and we just start allowing people to say things without any proof

that they happened.

>> They're able to get the information in a non-verbal way.

>> Well, yes, humans communicate in non-verbal ways all the time.

From tone to body posture.

So, there's all sorts of things that we can pick up non-verbally,

but it doesn't mean we're telepathically connecting.

That is a very different stage of communication.

>> I can't really explain it in your typical sensory way.

>> She's saying that she has no way to prove that this happens.

Because in order to prove something happens,

you need to be able to describe the phenomenon outside of just saying you

feel like it exists.

>> And you know, some people are going to say this sounds insane.

>> Yeah, I I'm sure.

>> I actually don't think it sounds insane.

I think it sounds profitable.

Oh, he's clicking.

Oh, oh, oh, what is he going to get?

1,000 clicks.

Is he going to get 1,000 clicks?

It's 100 clicks.

How many clicks?

Oh, he's he's Oh.

Stop.

What did he get?

How many clicks?

>> I think it was like 760.

>> Oh, 760 clicks.

Uh, interesting.

I wonder if you have a fine tremor,

would that help you beat that world record?

Could that be you using a disadvantage like a tremor, an essential tremor, uh,

to set a Guinness World Record.

We are both Guinness World Record holders

because we just set the Guinness World Record for most people learning CPR in

1 hour at the NFL Draft with Damar Hamlin

and the American Heart Association.

Shout out to them.

>> There's no evidence to say it really does anything valuable.

And it's expensive, it's time consuming.

And then I'm going to come in there and be like, "Oh,

in my fancy suit, I'm going to tell you to get a cold plunge.

And if you do it for 3 minutes

and not 3 minutes 13.4 seconds,

you fail."

>> Oh my god, YOU'RE GOING TO PAUSE THIS GUY?

PAUSE ME, GUY.

>> Like if 2 minutes is too much out of your day to reverse

your type 2 diabetes >> Bro,

IT DOESN'T REVERSE TYPE 2 DIABETES.

I have to bring patients back numerous visits, diabetes education, nutrition education,

trying to find ways to encourage them to exercise.

If their diabetes is at such a bad level, figuring out medication options,

making sure their blood pressure is under control, that their cholesterol is under control,

that we're having them visit specialists, eye doctors,

foot doctors to prevent the complications of diabetes.

And you're out here telling people 2-minute ice bath will solve that?

I wish.

I WISH YOU WERE RIGHT, MY FRIEND.

>> I MIGHT NOT BE ABLE to solve that problem for you, Mike,

because I got to admit

that metformin is a lot quicker than a 2-minute ICE BATH.

>> IT'S NOT.

IT'S A HUGE PAIN IN THE ASS.

IT HAS SIDE EFFECTS.

IT COSTS MONEY.

NO, it is not easy to start a medication.

And no, I would much rather not start a medication.

But if the choice is between letting the patient suffer or start a medication,

I will start the medication.

>> Takes you 20 seconds to pop that metformin pill,

and it will bring down your blood glucose.

It will do it at the expense of your mitochondria.

>> My guy learned one part of the cell,

and he repeats it over and over again. >> can exercise and ice bath,

you got no business taking metformin.

>> What are you talking about?

I have patients in amazing shape who have diabetes and exercise.

>> Because it will damage the benefits you're trying to do for your mitochondria

through the ice bath

and the exercise.

>> My mitochondria right now are screaming internally.

>> >> You ready for my party trick?

>> OH, YEAH.

>> OH, OH. >> 65-year-old male suffering from severe peripheral vascular disease manifested by

claudication in the left calf.

>> Claudication usually means a blockage.

I'm wondering if there is a blood clot, a DVT,

or is this a peripheral arterial disease where this is an arterial blockage,

usually brought on by one of the biggest risk factors, smoking.

And patients will show this as they take steps,

developing more and more muscle pain cuz there's not enough blood flow going to

that muscle,

and it's dying, similarly to how a heart attack happens.

And having peripheral arterial disease is one of the strongest risk factors for having

a heart attack,

Similarly to how erectile dysfunction is, strokes, diabetes,

all these are vascular problems. >> 10 days post-op from Mercy General after having

an aortic bifemoral bypass.

Normal post-operative course till about 6 hours ago to begin to experience the gradual

onset of lower left quadrant pain without palpable provoking factors.

>> >> I'm upset he didn't do this on our podcast.

>> On auscultation, diminished breath sounds were noted at the base of the patient's

right lung and tracheal deviation.

Vocal fremitus per weight second edition leading me to a diagnosis of pleural effusion

confirmed by this radiograph

which shows fluid in the patient's RIGHT COSTOPHRENIC SULCUS.

>> WOW!

>> >> SUPERCALIFRAGILISTICEXPIALIDOCIOUS.

>> OKAY, I don't know why she's saying that.

That had nothing to do with what he said.

Howie Mandel pulled the exact same stunt on me

and I didn't know what to say except cough clap.

>> I remember we had a scene,

somebody had a gunshot wound to the chest

and I remember that I had to call for D5 lactated Ringer's,

colloids, O negative blood

and intubation >> patient tray with a 22 cm endotracheal tube

and open thoracotomy tray

and two number 16 central intravenous catheters

and a mass suit stat.

>> That is probably 40 years in my head and it doesn't leave.

>> You know, I we were we were on Air Force One the other

day and and I walk in there cuz he wants to talk about something

and he's got an orange soft drink on his desk.

>> Okay, so like a Fanta?

>> He's got a Fanta on the desk and I say, "Are you kidding me?"

So he starts to take a sheepish grin and goes, "You know,

this stuff's good for me.

Kills cancer cells."

>> It's the hypocrisy for me.

>> And and not the hypocrisy for drinking the soda.

Drink the soda.

No one is trying to control people and tell them what to do.

We live in a free country, all that good stuff.

But your Secretary of Health

and Human Services is telling everyone

that they're destroying their lives by drinking soda

and you're out here drinking soda saying it kills cancer cells.

Like at least have some continuity to your messaging.

>> And then he tells me it's fresh squeezed.

So how bad could it be for you?

>> Well, okay, I'm going to allow humor.

So humor medicine is allowed.

If If going to be ridiculous about it,

I'm not going to fact-check humor.

>> Okay.

But then, maybe he's onto something

BECAUSE I >> I'M TRYING to give YOU A PASS,

BRO.

>> I WILL SAY THIS.

I KNOW A lot of guys pushing 80.

>> Looking at an individual's habits

and trying to draw conclusions from an N of 1 is near useless.

And yes, I'm going to get some dude on Twitter {slash} X coming in

and being like,

"No, N of 1 trials are so valuable."

Yes, they're valuable, but no,

I do not look at those who smoked their whole life

and somehow made it to 90

as a reason why smoking is healthy.

In fact, someone tried to do

that on the podcast

and then sent me a cease

and desist,

and we saw how that went for them.

>> Total charges?

What's your guess?

>> 67 days in the NICU is a long time.

Million dollars?

>> 1.3 million. 2 million.

>> Wow.

>> 268,000, $658.54.

>> I mean, if you think about how many people work in a NICU,

how much staff needs to be reimbursed, the hospital facility, medications,

I'm sure treatments were done, perhaps surgeries.

So, that bill can add up.

I'm hoping that they don't have to face

that bill on their own

and they do actually have insurance

that covers it with perhaps a small out of pocket.

>> >> Ooh, okay.

So, this is acantholytic acanth- Those is No.

Ichthyosis.

Come on, Mike.

This is a a very problematic skin condition because, remember,

the skin is the first line of immune protection from bacteria, viruses, fungi.

If you have damage to your skin,

it can actually ruin your ability to manage hydration levels.

Lubrication is very important.

Uh not bathing in extreme temperature water,

very important because that can further dry out the skin, further damage it.

Very tricky situation to handle.

We actually reacted to an entire video from Body Bizarre

that included a patient with Harlequin Ichthyosis.

Click here and check that out and as always stay happy and healthy.