" Long term we don't have great ways of pain control". As someone who suffers with chronic pain, going on six years, I felt that. Thank you for mentioning this.
@@downhomesunset Cannabis helps far more than opioids plus we are still delving into the myriad of strains of cannabis. There's a wealth of potential if only it were legal. I agree it won't help everyone, but it's better than people turning to alcohol and harder drugs.
Same. Got into an accident in 2017, suffered compression fractures, and my back hasn't been the same. I also started to develop wicked sciatic pain over time. However, I have since started working out regularly again and my pain has subsided substantially. I have no sciatic pain and my back hurts less since becoming more active. The mostly sedentary lifestyle I had been living for a few years had been damaging my body. It's crazy actually how much exercise improves your overall wellbeing.
I have that too and can relate to that stamens about feeling trapped inside an older persons body. And I’m only 19, so whenever I need to sit down or complain about my back hurting, people used to write me off as being a teenager and just wanting to something to complain about.
I would love to see that video of he did it. I have psoriatic arthritis that is presenting very similarly to AS, and that feeling of being trapped in an old mans body is my every day life since I was 23.
I laughed so hard when he paused as Ned flushed the meds and said very monotone “that is not the proper way to dispose of medication” 😅😅. I did a research study in High school about all the adverse effects of flushing medication and I always have a little bell in my head when I see someone doing that saying “ring ring, I know this is an important moment for you but that’s bad for the environment ring ring”
Something weird happened here in Brasil in early 2000, some pharmaceutical company made some mistakes and "accidentally" fluoxetine was in the water of a whole town and people were acting different and it caused a whole commotion and they started investigating the water supply in other cities and it was scary the amount of drugs thats was in the water, causing tons of issues.
I saw a study once where doctors realized guys in one town had sperm counts so low they couldn't father children. They traced it back to women flushing unwanted birth control pills down the toilet and it got into the drinking water.
Dr Mike: *_Genuinely get's concerned about the green leg and talks about how it could lead to life threatening problems_* Editor: ( _calmly with a smile_ ) Its just a green scrub :)
To be fair I work in a vein clinic and sometimes have to assist in procedures where we open up veins in the legs to restore circulation. So I immediately thought the same thing. My heart went from calm to racing when I saw the green. Thanks to the editors I calmed down rather quickly.
@@Rememberance0616 Doesn't that also make it a bit odd to use a green antiseptic scrub then? Wouldn't you want to use one that didn't discolor the skin so you could look for those signs?
@@Angel_Zodiac I thought so too. I’ve personally never seen green scrub used before. You can still assess for a blood clot even if the leg is discolored but yeah, I was wondering why they prefer green. Each hospital is different.
My husband was literally hit by another semi. He absolutely refused to take opiod painkillers. He was too worried about the possibility of becoming dependent. (This was during the time period where it seems EVERYONE was prescribing them btw). He now deals with moderate/severe arthritis daily with just OTC pain relievers.
@@giorosiles2220 we don't know what happened to him, except he was actually discharged before my husband. All I know is that if that kid (had turned 21 & gotten his class A EXACTLY one week before) had hit ANYTHING except another semi, here would have been fatalities. As it is, he missed killing my husband by a literal foot
As a Physical Therapist, nothing makes me happier seeing Doctor Mike react to something that falls within my field of work. Knees are very intricate joints even if they 'just' flex and extent. I see a lot of patients after total knee arthroplasty and it's not uncommon for the rehabilitation period to be 6 to 12 months for a full recovery. Awesome video!
@@GuineaPig08 so not med advice ask your doctor but my dad has open patella and does hydro therapy water aerobics is very helpful for him , somthing to ask about
I may only be 15 but I've had physical therapy for moderate Kyphosis in my back and it helped SO much! Thanks to physical therapists like you for helping people like me!
I had shoulder surgery ten or 11 years ago after desperately trying to avoid it after a maniocal selfish teenage boy crashed into the taxi which i was riding in and i got 55,000 dollars in the settlement and my crappy lawyer took most of my money all i got was 17-19,000 but i borrowed against my settlement NEVER DO THAT IT IS NOT WORTH THE INTEREST !
Agreed! As a fellow PT, I was waiting and waiting for poor Ned to get some therapy for proper, goal oriented, graded exercise, especially since he wanted to get back to a specific sport/activity! I was feeling the healthcare team didn’t do right by him and at least try rehab until the last couple minutes of the video!
As someone with chronic pain who grew up in a household with a parent who also suffered from chronic pain (at one point my father was on fentanyl patches just to stay sane), I've always felt very deeply for Ned and Zach when they talk about their health issues.
Oh my goodness same!! I have a chronic tendon problem that my mother and her mother both have. Random tendons will randomly swell up every couple of days. Most of the time if just hurts but I can still function, every few weeks I get one where the area is throbbing and completely immobile. The worst is when the back of my neck swells up and everything above my shoulders is rigid and painful. I’ve had it for as long as I can remember, and according to google tendinitis only occurs when you injure a tendon, so I guess it’s just a weird thing that runs in our family. It’s pretty ridiculous, I’m only 16 but some days I’m hobbling around like an old lady.
I work in veterinary medicine at a surgical practice. It blows my mind when people want to know why their dog is still limping at the 2 week postop appointment. It’s hard to find a way that is not condescending to explain it’s because the bone was broken and put back together with a plate and screws just 2 weeks ago. Remember at the initial consult when we discussed it taking at least 6-8 weeks for the bone to heal? I think people see to much tv and think it’s normal to skip right over that healing and rehab phase.
My dog broke her hip after a car rammed her (we were in the middle of the woods!) and the doc said they wouldnt do a surgery and rather let it heal naturally (i was really, really skeptical of this) She had to stay in her box for like 3 - 5 months and i had to take her to work with me (you simply cannot leave your dog 6 hours in a small box alone (i mean, she was mostly still in the box, but not alone)) It was kinda heart breaking to see her like this, only moving like maybe a few meters in the beginning, in like the last 1-2 months she was only in the box at night to prevent her from jumping (she really liked jumping from beds etc.) Now she is fine again and always when she jumps off the bed again i am like flinching internaly. Its amazing that all this worked without surgery.
I'm soooo glad that in the end this guy found a good physical therapist. I think this is a field that could be mentioned on this channel more often ;) perhaps if he had good rehab after his first trauma, he wouldn't need the surgury. Rehab can really do a lot, medication is not always the answer
True. I wanted to k*ll my physiotherapist after my wrist injury but I loved her she was the best. I wasn’t using my fingers so they became atrophied and she was prying them open. But omg it worked. Better and better each time. 8 years later and I still think of her lots.
Rehabilitation is such an important field of medicine. A collegue of mine had a damaged knee joint (meniscus, ligaments in a terrible shape). With therapy it got a better but he had to search online for videos. Where I come from rehab is such a common thing: you have a disease? You want to do 2 weeks of rehabilitation? Process is ok but to get you back, we will call different rehabilitation centers. My mom could have rehabilitation after the lost of her father and my father/her husband.
So glad this is the top comment!! Going into a career in physical therapy, I was sad to hear Mike say "you're 40, maybe it's time to give up the activity." No!!! That should be the last effort. If you give up what you love to do, you become less active and less happy. I was hoping Mike would mention physical therapy too :D
DPT student here!! That’s why PT after surgery is so crucial. In Ned’s case sitting and icing for long periods of time can lead to joint adaptations and loss of functional movement within that joint. Controlling the pain and inflammation while mobilizing the joint definitely leads to better outcomes.
As a person with chronic back pain I can only testify that the options of painkillers is really limited with chronic pain. At my worst point I had to take 5 100mg gabapentin, 8 500mg panodil, 3-4 400mg ipren a day, along with 1 50mg Quetiapin to stop my mind from constantly thinking about the pain, and the jabs I get when turning, when I was supposed to be sleeping. In November, December and January I was at a rehabilitation clinic and now I no longer take any painkillers even though the pain isn’t gone, I learned new ways of handling it and come up with new ways of going about so it lessens the impact on my back.
I too echo the comments of other physical therapists out there. Makes me so happy to see a documented journey of the story so many patients need to see/hear. Movement and the help of a knowledgeable PT come through so much with this type of problem when so many unnecessary surgeries and painkiller prescriptions happen. In recent years there's evidence that arthroscopic meniscus repair surgery actually showed no better outcomes than sham surgery (when patients had meniscus repair but no knee OA). Great video to both parties here. Love it.
I love seeing Dr Mike’s annoyed face when he threw the meds in the toilet, lol. It’s like he forgot he was being filmed and THE DR showed up. I forget you’re a real life practicing Dr sometimes. So cool of you to share yourself with us. Lol
As an environmental scientist I was kinda annoyed too. It makes for good drama and a way for you not to go back, but you can do some real damage disposing of pharmaceuticals down the toilet.
I know exactly what he has gone through. When i was 15 i had an accident during one of my treatments for my rheumatic arthritis. They accidentally made the injections through a culture of streptococcus on the skin of my foot. They got into my foot joint. Developed into extreme case of sepsis in my foot and lower leg. Leading to total destruction of my entire lower leg. Not like this guy, i mean. Completely destroyed. My foot joint and the lower knots of my tibia and fibula were almost completely destroyed, the bone and all soft tissue turned into brown sludge or similar to clay. The bone structure was able to be saved trough going in several times and scrubbing and draining it after i decided that i wanted to save it if possible. They wanted to cut it off. It was horrible and was the bad option in hindsight because the leg has been a constant issue ever since tbh. The damage and the bones they had to remove made the leg very short compared to my other leg and my joint had to be fixed in place until my bone set and regrew as a clump. Due to the damage it had caused during the 2 years of getting the infection fixed and waiting for my puberty to be fuse my bones. So my growth would get as far as it could before we permanently destroyed it as i still was growing. During those 2 years they put in so much titanium that my foot looks like wolverine on X-rays, fixing my foot in a fixed position. My veins, nerves and muscles wasn´t destroyed. So the whole leg could be "saved" in the end of it all. But yeah, They did save it. Don´t get me wrong. They did an awesome job. Due to my underlying Auto-immun disease and systematic rheumatic arthritis i got seriously sick and was about to die. They save me too. But i´m a bit salty because i WISH they would have told me that keeping the leg would be worse then a prosthetic. I hate to be pessimistic but, it has made my everyday life just a bit more difficult. My chronic auto-immun disease, systematic rheumatic arthritis and now a destroyed leg too. It is a bit much sometimes. I have taken Oxy since i was 24 (I´m 36 now) and it is a horrible, evil pill. Opium is no joke. When it digs its claws and fangs into you, you´re fucked. But i can´t live without it either. My auto-immun disease makes my immune system (my white blood cells) now understand their function. They attack all soft tissue or rather my own cells instead of fighting of infections and bacteria. They don´t understand that they are a apart of my body. So they started breaking down my soft tissues in all my joints, my nervs and some of my organs. Which is why i have systematic rheumatic arthritis actually. It is like having a thinking, reactive acid in my whole body. So pain relief is a must in my case. But i have complete respect for what he went through. I have been wrestling and fighting with the opium urges my whole life. It is difficult to find a balance on it where it just works. It is a potentially evil substance. "Fun" Story: They killed all my red blood cells for an entire year, 2 years ago. I was anemic for 1 and a half year because my blood got killed by my own immun system. Dropped to a third of my estimated red blood cell count (34hb to around 60Hb, should have 137) every 4-7 days and needed to get donated blood to get it back up to about 90 hb every 3-7 days, so 1 to 2 times every week so i didn´t "bleed" to death. That was an insane experience. Living with that little red blood cells in your body is a challenge. You can´t really do anything because i just can´t stand up. The oxygen in your lungs needs to be portioned out to your whole body but there is no blood to take it there quick enough. So you feel like you don´t get any oxygen if you just stand. And my head felt like it would explode. It was okey in the beginning but after 1 whole year of that. I was actually dying. My body was giving up. It couldn´t take it. We tried everything to fix it and nothing, absolutely NOTHING worked. It was extremely frustrating for all of us. My doctor actually almost started crying towards the end during the rounds, because she just didn´t know what to do. But then my immun system just wen into remission! It just stopped killing my red blood cells and i was cured. Like as if it was all just a prank or something. It has done stuff like that my whole life, this isn´t the first time it killed my red blood cells or some other types of cells in my body. It happens randomly but luckily not often. But you never know what its going to do when it starts up again. It is unbelievably weird. Nobody understands it, nobody. None of my many, many doctors have a clue how it is happening either. It has actually been a international dilemma. I know i have doctors my Swedish doctors send all the information about my many different symptoms to all over Europe. I have a doctor in Germany, France, Denmark, Finland and a few more but i´m not sure where they´re from. Some of them wanted to use my material for their classes at universities, i don´t know who wanted what though so i can´t link anything. I was asked to sign a legal paper that allowed them to use some information from my journal in order to make a class study about my symtoms. But i have never seen what came out of it or anything sadly. I actually think that would be super cool to see. I was asked if my case could be used in a study about auto-immune diseases from my childhood doctor when he became a professor. a study in Hep C and its effects on someone with Auto-immun disease and systematic rheumatic arthritis. Because i was 1 of only 6 children at the time in all of Europe to have that diagnoses. I got it from a guy that donated blood and was a heroin addict. Back in the early 2000s that still happened. Which was especially interesting for doctors because it made my other two pre-existing disorders got into berserk mode. But that is a loooong and detailed story that i can´t get into here. I have already been ranting and writing to much. So, before i get lost in my memories again. My point is: I Understand his pain and what he feels. I have gone through it too. It will always be a struggle. A life long and painful struggle. But life somehow never becomes awful and unbearable in my experience. You can always find something that brightens up your day. You just gotta have a positive outlook and try your best to just focus on stuff that makes you happy and fills you with something that makes you happier than the drugs do. But i know that it might feel tough and impossible sometimes. But as long as we just keep going and find ways to enjoy life, we can take anything tbh. Pain and "suffering" is a good teacher too. It often gives me a perspective that i feel most people don´t have when i talk to them about this type of stuff. Which has always been a point of pride for me. It opens your eyes to a perspective of the world that makes it much more interesting, it teaches us empathy and it makes the world seem way bigger. Because i feel like i can understand when others struggle all over the world aswell. It is easier to understand what people struggle with if you have gone through it yourself. So in some ways, it is a good tool to be sick sometimes. Not just suffering. There is actually a lot of good in it too, even if it often hard to figure out how it is good. Anyways, i am ranting AGAIN so i´ll stop here. To anyone that reads this, i love ya and i wish you a wonderful day.
My sisters a pharmacist Shes always like "YOU GOT ME WHY DO U WATCH DOCTOR MIKE FOR?" Im like "hes handsome, he explains things in a fun way, and i ACTUALLY understand what he says."
A septic joint is super bad news so we always try to treat ASAP! and yeah, pain relief options in general are pretty limited - we usually use the WHO pain ladder to help guide prescriptions according to pain levels
Weirdly enough it's "nice" to see that even influencers do have their deal of health issues. I've been struggling with chronic pain for 8 years after an accident, I've been on and off pain killers, and docs, specialists and even psychiatrists can't seem to find a solution to it. So, it's inspiring, somehow.
Thank you for making content on the platform of UA-cam. From a young age I’ve always been fascinated with health science and your videos help build up that fascination. I am currently taking a medical terminology coarse as a sophomore in high school and your videos help me keep going. Thank you Dr. Mike!
I always thought that flushing meds down the toilet was an old person thing, lol. I don’t understand why everyone does this?! It’s notoriously discouraged, as the medications can actually end up in the public’s water supply! Many communities have locations when you can drop them off, or as the doc said, just take them to the pharmacy.
@@layedbackthomas I mean yes if you feel you are at risk to overdose (unalive yourself), feel like relapsing, etc. that is something you can do but it also doesn’t take long to go to your local pharmacy and simply drop them in the box…you can even go through the drive through. I’m a pharm tech and do it for people all the time!
It seems to me a major issue in cases like these is miscommunication. Even now, this long into the pandemic, we're just finding out that laymen don't understand the *medical* designations for mild, moderate, severe, catastrophic, etc. If HCWs don't spell it out in clear, uncomplicated terms, patients are going to have very skewed expectations for outcomes and recovery.
I had a very scary experience several years ago related to this kind of communication issue. I had eye surgery and I asked the doctor what I could expect in terms of pain afterward, the doctor said (paraphrasing) something along the lines of "ah it wont be too bad, some pain yes but don't worry". On the way home (it was outpatient surgery) the pain started and was intense. The kind of pain that results in complete inability to function, sitting still was difficult, talking was difficult, a total obliteration of the ability to concentrate on anything else but the pain. I had been given a strong topical painkiller of some sort in eye drop form but only a very limited amount as using too much would be damaging to the eye. So I had to ration it, the entire rest of the day was a cycle of increasing pain until it reached levels that I would describe as the worst I have ever experienced in my life. Never before had I experienced pain that actually made me involuntarily cry. Then about 30mins of relief after using the eye drops before the pain began to ramp up again. On the second day the pain was less but still extreme and the information leaflet I had been given after the surgery only said "come back to the hospital if pain increases or becomes severe". But I had no idea what counts as severe or over what time period they were talking about, plus the Hospital was several hours away and I could not get there on my own, I lived alone and was only able to get the surgery because friends took the day off work to drive me. So I was shocked and frankly scared because it was so unexpected and I didn't know what to do. In the end I got advice from a local Pharmacist on the phone who was extremely helpful and really helped to calm what by that stage was turning into near panic. In the end everything worked out ok but the doctor made a huge mistake from my perspective not informing me (even after the surgery at the post-op checkup/observation time) properly about the potential of what I was really going to experience, I'm the type of person who prefers to know, always. Also in being clearer what level of pain would actually be considered unexpected and could suggest an issue that requires further investigation.
@@MachineCode0 I think if the doctor says "some pain but nothing too bad" and he only gives you some drops that are temporal he really means a moderate amount of pain, you know? Not to the point where you couldn't move and are crying, like you said you were experiencing. You should've contacted him directly and ask 🥴 It was indeed a miscommunication issue, but on the receptor part.
@@alorockss In my system I can't contact the surgeon directly or at that time the consultant (because by the time I was home and getting worried it was out of hours). Plus you don't get a direct number for the consultant but just their office. Also remember I was in pain so hardly able to think or plan in a coherent manner. The drops were extremely strong and they warned me to use them judiciously because I couldn't get any more due to eye damage from over use. They also gave me other moderate (not over the counter) painkillers and a sleeping tablet. I understand it's difficult or impossible to say objectively what level of pain anyone will experience, because everyone is different. I strongly suspect they were vague and underplayed it to prevent me becoming anxious during the surgery as I was awake with my eyelids clamped open and head restrained. So they were worried about movement and panic at that time. However they had an opportunity to give me at least the range of experiences of others after the surgery, during the 30mins observation period. If they had told me I might have experienced pretty high pain levels and been clearer on what extreme or serious pain was in their metric and over what time was meaningful (as in if it persisted for several days or etc) I would have been much better equipped to understand what was happening and make more informed or better decisions.
great vid. my mother shattered her patella. the current doctors we had said that it was just a bruise (only symptoms were pain, swelling, and redness) so they just sent her home and it took a year of the swelling and pain never going away for us to go to a different doctor and they almost immediately scheduled surgery and were incredibly surprised that she was able to walk and handle the pain for as long as she did. during that year she did constantly go back to the hospital but they just kept sending her home saying that the swelling would eventually go away. she has recovered at this point but every now and then her knee just kind of freezes and sticks in place.
Thought I would share this with you, I am taking a class called medical detectives where we are currently learning about the nervous system and what happens in the nervous system and recently finding a unit or diagnosing patients with either a virus or bacteria. Today we had a doctor come in and he was a scientist who works on DNA, RNA, and viruses. He taught us about how they name viruses, what he does in the lab, and so much more! I love this class and I am doing much better in it because of what I learned from Dr.Mike! Thanks Dr.Mike.
So I actually have experienced a very rear medical condition at the age of 10 that nearly killed me. My father got me my first communion via my last rights, that’s how close they said I was to dying. It started with an osteomyelitis in my right growth plate and spread to my heart giving me endocarditis and my lungs. On top of that the initial swelling in my knee caused multiple DVTs. I spent exactly one month in CCMC here in CT. I was also given crazy opioids at the age of TEN.
For my hand surgeons, we're to use either clear or orange tinted prep; never blue/teal. The patient or PACU rn's think that the limb is cyanotic. As far as that blue scribble area - that was most likely the surgeon's initial and "YES", indicating that they have seen the pt prior to surgery and that the site marked is the correct surgical site
As someone who struggles with chronic pain (knee, neck, headache, fibromyalgia, back etc) it’s been so hard to battle the pain management aspect of my life. I see a pain management doctor monthly to address medications and therapies. I live a productive and active life (I work with horses, exercise, walk) because I’m not winging it with just prescription medications. I also receive weekly PT, warm pool swimming, tens, traction, and patches. At times we need to treat more than just the pain. We need to treat our whole self to conquer these issues.
Question that has been bugging me: Should you do chest compressions if there's a foreign object piercing the midline (or near midline) of the victim's chest?
@@gustavgurke3389 Thats a touchy one. Personally, i would advice against it, but it would depend heavily on the location of the object, exactly, in relation to major organs and vessels. If you arent medically trained...i would say dont. As stated, if they need those compressions, there isnt much you can do, because if you compress, and rip something open...well, chances are if their heart is stopped and the object is at the midline, then the object is the reason the heart stopped.
@@dreamwolf7302 In my area, communications (911) are trained to walk people through chest compressions, and when we (fire-rescue and ems) are notified during toneout (Delta-4 response).
You can't tell someone to just stop playing a sport. It was clearly his recovery goal and kinda the reason why he was going through what he went through. He's only 34, too.
@@mikesannitti6042 EXACTLY! The whole point of going through surgery is so that he could get back to playing soccer once again without being in pain or atleast not as much as before.
@@mikesannitti6042 if a doctor advises him not to, then he shouldn't play at the expense of his health. Sometimes you have to find a new passion. For example, the Danish musician Oh Land was a ballerina before she became a popstar. She was injured and couldn't dance so she turned to music. She was devastated at first, she even wrote a song about it called Break the chain, but now she's a famous musician and loves her new career.
I remember being prescribed strong pain meds every time I had dental work, a uti, a seizure (I'm epileptic), or just had back pain from over extending myself. I was lucky I never became addicted and I'm glad those meds aren't so easily prescribed anymore.
the kind of pain we’re facing is key to actually choose what kind of approach to use. I felt like in the beginning of the video we didn’t get much info on that and oxy just sounds like some very poor decision making nowadays. Joint infections are awful to treat! I’m glad he turned out fine! I really enjoyed the video! I’m an anaesthesiologist from Brazil so it’s great having someone bring cool cases form me to compare our protocols, diagnosis tools and treatment choices! Thanks doctor!
7:53: Most health insurance won’t pay for CPMs (continuous passive motion) anymore. When I had my knee replacement in 2010, it was my best friend. I now have a torn meniscus in the other knee, and could really use that robot again.
3:50 I was diagnosed with fibromyalgia at 6 yrs old, so I was on a lot of medications. I don't remember a good bit of them because I was young and because some of them made me really zombified. I do remember that from 10 years old to 20 I took something called duloxetine. The more common name is cymbalta, it ended up making my body incredibly inflamed and my pain even worse than if I wasn't taking it. I waned myself off of it but at some point didn't want to keep taking it and ended up having the worst withdrawals I have ever experienced and legitimately thought I was going to unalive. It's been about a year since I've stopped taking it and it apparently takes at least three years for all of the inflammation to go down completely considering how long I was taking it, but my point being it was an absolute mind-blowing realization when I found out the thing that was supposed to be helping me was making it worse AND I wasn't fat for no reason (I was 235 at my heaviest since I've stopped taking it I am now at 180) Humans are weird and so are medications
Oh man 6 years old :'( I've only had fibro for a few years, I can't imagine having it from that young and especially when it wasn't widely researched, glad you got your meds sorted out!
I also took Cymbalta for a year both for pain and as an antidepressant and the withdrawal was the worst thing I've ever been through. The brain zaps were insane. Nobody tells you that when you go on the meds. When I googled my withdrawal issues I found so many forums and articles about it. If it's that well known, why do they not warn you before you start taking the pills?
I tried Cymbalta for my fibromyalgia and ended up in the fetal position in bed screaming and crying in pain for days. Some meds work for some people and definitely not for others!
@@iTalkWho Brain zaps is a much better way of describing it then I had and have been 🤣 The way described it when I was a kid was " it's as if my brain is delayed and every movement I make makes it intensify and hurt harder and harder" and the doctors never understood what exactly I meant but I was never able to describe the uncomfortable overwhelming pain I was experiencing It's also worth mentioning most fibro patients experience hypersensitivity to pain so it feels worse beyond imagination You'd also think they wouldn't give these medications to a child, but medication corporations don't care about that, they just care about money even if it's from a kid 🫥
@@chrisyravenconlin I know very few people that have taken it and not have awful side effects or withdraws after it. Someone I knew even had a seizure because of it :/
When I had ankle surgery they had me on oxy for only about 2 weeks and going off of it made me a crazy emotional wreck; was just non-stop crying for no reason and paranoid as heck. If there's ever a next time I'd rather just push through the pain than be on oxycodone again.
Some people react that way. Just keep in mind that you can talk to your surgeon beforehand, give your experience and ask for a different type of medication. Turns out thata oxycodone is more likely to cause euphoria and confused feelings (they describe it so politely) than some other drugs. It's worth trying a dose before white knuckling it.
I had similar experience after my tonsillectomy last month. I was taking oxycodone for two weeks and didn't slowly taper off like I should have. I started having several panic attacks a day and became extremely depressed. I couldn't sleep at night and I thought I was crazy 😅
@@Asarrrrrr Is it normal for a tonsillectomy to have that amount of pain that you need opiates? I mean i know that pain is really subjective but everybody i knew basicly just had to eat a whole lot of ice and got some low dose of tylenol.
@@foty8679 from what I know having your tonsils out as an adult is very painful but as a kid it isn't and generally doesn't require opiods. My ENT said for adults they usually prescribe vicodin or oxycontin. I don't know a lot of other people who had their tonsils out as an adult but I will say it was very painful even with a lot of ibuprofen and oxycodone.
I 100% feel like he had an unreasonable set of expectations of what he was going to be getting out of that surgery. As someone who has suffered with knee issues and knee surgery for most of my life, his expectations were quite high.
That's on the docs as well, a whole part of the surgical or even just injury recovery process is goal oriented. You tell them what you'd like to get back to do after healing, and they tell you if and when if that's even possible. When I tore multiple ligaments and dislocated my knee, I was told early on, it won't ever be the way it was before...and 6 years later, I still have issues. So at least I had a heads up.
Yeah I had grade 2 meniscus tears on both knees, got surgery but they still hurt like someone is stabbing me with tiny knives and they get swollen sometimes, nothing like before surgery. I also have arthritis on both of them + I have dermatomyositis which doesn't help at all how shitty my knees are
This is so interesting, in general, because I’m a try guys fan, and how it’s coming from someone who didn’t know technical medical stuff and being interpreted by someone who is.
As a 57 year old veteran who is about 100lbs overweight, I recently went back to the gym. About 3 years ago, I had been working out and had lost some weight but had a freak (non-workout related) accident where I shattered my kneecap and detached my patellar tendon. After some family tragedies, loss of employment and the pandemic, I am now back to trying to get back into shape and be healthy again. This time I decided to take a personalized diet plan from Next Level Diet, and even hire a personal trainer to make sure I don't cause injuries to my 57 year old body with all my limitations from past accidents and age. My trainer and I are focusing on strength training to help with injury prevention and prevent osteoporosis (which runs in my family) and help with arthritis and balance. It has been about a month and I am already feeling so much stronger!!😎😎
This is mind blowing , every time i have a medical exam you upload a video that is connected with my exam wich somehow helps me understand the subject better , thank you !
My hubby had cancer in his leg which resulted in treatments which deteriorated his hip. He had several hip replacements and even had to live without a hip for 3 months. He was literally on opioids for years. People became very judgemental of this. We had a Doctor tell him that pain is real and if you find something that relives it then continue to take it. He said that they can step him down and deal with any dependency that developed. This was amazing to hear. He opted to have a total amputation of his leg. He hasn't been sick one day since and stopped taking pain meds six weeks after the surgery with a Dr's approval. Pain medication works and needs to not be viewed as if everyone who takes them will become a drug addict.
i’m 16 and i had a cadaver tendon put across my knee about 6 years ago and about a year ago i had a severe shoulder injury that im still dealing with. DO YOUR PT AND DONT RUSH INJURIES, it will help you a lot in the end
The opioid crisis situation has SERIOUSLY impacted people with actual pain management problems. I had double foot reconstruction surgery where they broke both of my feet in 3 places, readjusted my bones, wedged bone grafts between the bones, and screwed my heels back in place. The pain was absolutely wicked. They sent me home with a hydrocodone and some Tylenol. After an excruciating night at home I called and begged for stronger pain medication. They said they could only give me a different drug of the same dose. After another excruciating night, I called again and pleaded for something stronger. They finally gave in and put me on Percocet-which didn’t even touch the pain. Toward the end of the week we ended up in the ER on a morphine drip, which still barely made a dent. Fentanyl was the only thing that stopped the pain, but I couldn’t get any no matter how much I begged and cried. It is SO difficult to get pain medication when you need it these days.
I had a similar surgery after a wrestling accident. I had dislocated my kneecap and reset it myself. I've always had insensitivity issues, so pain to me is very dull, and it becomes quite a problem in cases like this. What I hadn't realized when I dislocated my kneecap was that my patella had fractured, and a chunk of it was floating around in the joint shredding everything inside. For six months I walked, ran, and wrestled on it. The damage done in that time was significant, but remarkably my knee was still doing surprisingly well considering the circumstances. It required surgery to remove the scar tissue and any of the remaining bone fragments. I was told to remain bedridden for a week and be in a wheelchair for a month while doing physical therapy. I didn't listen though, and 4 days after surgery I was back to walking unassisted, and by the end of the first week I could run. Movement definitely is a good thing for recovering joints.
I would love an episode about chronic pain. I have being in pain for 7 years now due to several herniated disc in my back. The best option I have found, obviously with my doctor, is exercise. I go to the gym 5 days a week for 1 or 2 hours a day. It doesn't eliminate the problem, but I can have a normal life.
🤯 "Being taken off pain medicine can actually reduce pain" - wow!! The power of allowing the body to heal itself that's so often overlooked these days 😐 Thanks for bringing this to our awareness, Doc!!
My brother got into the ODPs (olympic development program) and at the same time tore his ACL. His surgery took months to scedule and got put back a month because he got one of those extreme covid tests where it can read 2 months before and after you get it. He never got any symptoms but "had covid". but we were also scared that he tore his meniscus since he kept playing baket ball and whilt his knee buckled and he heard the same pop. Luckily his meniscus was fine but he had to regain full mobility. he just got surgery, and before his two week PT appointment is kicking a ball around. he is also not on crutches. Although we are not sure if his competitive soccer career will ever be the same.
As a person with chronic migraines, yes, there are no medications- Just a change of your lifestyle and attacking your triggers (mine were mainly stress and poor sleeping habits) really helped a lot. It's returning because of job stress but otherwise, my pain wasn't as terrible as it used to be.
I realize that it's highly variable as to where it's legal and in what forms, but I think it's worthwhile to mention cannibidiol (CBD) for pain management. It was a lifesaver for me when I had a herniated disc, especially as I know that I am prone to addiction. I remember listening to a science news podcast about a decade ago about a study showing that opiate overdoses had declined significantly in states that had legalized cannabis, and thinking, "well, duh... why wouldn't you want pain management without the risk of chemical dependency?!"
Yes! CBG, CBD and CBN are all not psychoactive and help with pain management without the “high feeling”. The research is fascinating and wow would our world improve if humans would stop opioids and start with cannabinoids.
I broke my left shoulder during a seizure. It's been operated on twice, both arthroscopically. The first time was to repair the break in the humeral head by putting a screw in it to hold the bone together. They also stitched up a tear in the labrum. It went fine. I recovered in about 3 weeks. I was good to go. Four years later I'm noticing when I reach over my head, my shoulder is locking up. There's a lot of pain rotating my arm. I go in to the orthopedic center. One x-ray later they tell me the screw has backed itself out of its hole and is wiggling around. The second surgery was to remove it. That was six months ago. I'm still having a lot of pain in that joint and I'm not able to lift my arm over my head. Now, they did say the humeral head is a bit deformed because of how the break healed but I was fine for 4 years. It's so frustrating so I understand where this guy is coming from. I didn't have the opioid problem, though. The media has scared me so badly about opioids that I didn't fill the prescription of Percocet they gave me both times. I managed it with ice and ibuprofen. It sucked. But I got through it without an addiction. I still need to go back and find out why I'm still in so much pain, though. Im envious of this guy. He got back to normal and I haven't.
The media has made much nonsense of how addictive some opioids are. They aren’t talking about chronic pain patients dying from turning to the streets because of tainted drugs or even killing themselves because the pain is so bad…..
Blew my ACL at 19. My physio (she also treated professional rugby players) told me 'you can try running again in 3 months and blow your knee again within 3 years. Rugby players do that because their careers are so short. Or you can work towards a 6 months recovery and that knee might last forever, or at least 12 years before you need to redo it. It's your choice'. It's been more than 15yrs and only now is the ACL starting to feel a bit loose again.
My wife fell and landed badly, straight-legged, actually broke her knee. Even after the ambulance ride and a stint into the ER, It took WEEKS to get a diagnosis. She continued to walk on It with a cane. Finally got results that found 3 of the condiles (?) (Where the bones meet and flex) had compression fractures. She was ordered into a wheelchair for 6 weeks and her meniscus was found to have a tear. She had to have a surgery for it to be trimmed so she could bend the knee. It's been a few years and she still has moments when the knee "locks up": (the now-"trimmed" meniscus still impedes movement sometimes). Yeesh.
I had a patient who was in total denial about how a clot went from his amputated leg to his lungs and was calling bull. So he left AMA and came back in about 3 hours complaining of chest pain
“i can’t play soccer and it’s been 4 weeks” 😂 Ned, ACL surgeries take a MINIMUM of 9 months to get back into soccer (It’s actually been recommended a year now). Like it’s gonna take a few months of rehab/ PT buddy lol
8:00 I had an ingrown toenail removed and I was playing soccer 4 weeks later! What's the big deal! Joking... Doctors told me to wait 2 weeks to work after Lasik... and I wore eye protectors at work for 2 months afterwards (was frying donuts so... smoke from oil and micro splashes, had to clean them off every 2-3 hours. It's important to be cautious after surgery though, you DO NOT want eye infections you could go blind... well don't want infections in general, the ingrown toenail thing was painful because of the infection.
Hi Dr. Mike! I'm 10 and I love basically every thing about Medical education but it's pretty hard for me to learn. So I love your channel because I love the way you explain everything in a "fun" way so I can learn a lot of stuff :)
Stay happy and healthy! Love to see positive education rubbing off on others. Study hard and do your best and don't be afraid to start small at your own level and work your way up at the pace that works best for you!
I kinda got angry when he said "sometimes we have to accept we can't do things anymore" :'D I'm 27 and had severe knee pains since I was 22, a few years later and I got diagnosed with JIA. tried 4 different types of medications, none of which really worked, so I'm still in pain if I like go up the stairs one time too often, or walk around for like 5 minutes too much.. ofc I can take pain killers, but I cant always use them, which is annoying.. I am 27 and can't even do simple stretchung exercises bc it leads to so much pain.. I refuse to accept that I am not able to live a "normal" life... it's honestly so frustrating, and when my doctor said to me that we might simply have to accept that it'll be like that for the rest of my life, I was so close to crying.. anyways, long story short: getting told to "simply accept" a health condition sucks :'))
No why should you accept being in pain constantly when there are pills, injections, etc that help with that exact situation!. Because ther is a one percent chance that you can become addicted?
When my grandmother died, we had all these meds of hers. Pharmacy said to just grind em up, mix them with dirt, throw it in a bag and toss it in the trash. So we did.
When talking about the painkillers, one thing I will bring up is when it's crippling, debilitating pain that is not easily managed and affects everyday life, from work to exercise to even just trying to relax, the painkiller reliance is very much something a lot of people just have to live with, either because they're living in an area with limited or expensive healthcare or, like in my case, have an entire hospital of doctors, radiologists and specialists that just abjectly refuse to help in any meaningful way. I have been walking around on - almost quite literally - a broken spine! For TEN YEARS! Slipped L4/L5, permanent bulging, chipped L4 that keeps grinding against my sciatic nerve. I have days where my spinal cord gets inflamed so badly that it locks up my entire lower back, coccyx and hips, which then causes episodic paraplegia. I am literally a quarter of an inch off of Cauda Aquinas Syndrome. The only thing to fix it is surgery, and they're refusing to give me the surgery until I lose 10kgs /22lbs. What they fail to understand is *I have a history of an eating disorder and a broken spine, which makes it borderline impossible for me to lose weight*!! Like, how tf am I supposed to lose weight when I can't exercise?? I eat healthy - I'm Flexitarian (eat meat maybe once a week on average, rest of the time it's Mediterranean Vegetarian meals); eat OMAD/intermittent fasting (admittedly, not the healthiest, but it's the only thing I've tried that stops me from falling into binging episodes); eat well within my CICO limitations... And nothing is happening. The only way I can work my job is by double-dosing my NSAIDs and popping an Amytripyline before my shift. I'm like a Zombie, but at least I have my painkillers and not living in abject poverty.
The machine thing is cool. my dad had a surgery on his shoulder and they had him take home a chair that he would strap his arm into and would gradually as the days progressed, move it in farther and bigger rotations. it was actually really cool, and now three months later, he’s never had a pause with not being able to move his arm, and he’s no longer on medication. it’s a marvel on how far technology haa come to help patients heal faster after surgies, and how far surgies have come in their affectivness in the first place
I've had many spine surgeries and the one constant thing in my mind was I didn't want to get addicted to pain killers. I worked out a schedule with the nurses where if they were going to move me I'd take a dose a few minutes b4 so it would b easier. When I got home I only took painkillers if someone accidentally touched my back wrong or we were changing dressings.
I had the same mindset with my knee surgery. I was so worried about getting addicted to the pain meds that I stopped taking them after 4 days and switched to ibuprofen as needed then eventually got off pills entirely within about 2 weeks. In hindsight I probably would have been okay to take more pills because I toughed out a lot of pain but I don't really regret it
@@lexisalazar3318 right I tried to tolerate as much as I could without pain meds on top of not wanting to get addicted I didn't like how they made me feel so laid back that I didn't care about much of anything and how my body felt so light
I was on high doses of daily opiates for over 10 years for fibromyalgia. They stopped being effective and interestingly transitioning FtM has been decreasing my pain (no doubt a mix of effects of testosterone and massive improvements in my mental health). In a co-operative choice with my GP (PCP in US) I weaned off acetaminophen-codeine (500-30/8 a day) at the end of last year, changing to just acetominophen. I am still having side effects from coming off them. I still have pain, but less than on the codeine. I have just started back at the gym for weights (under a trainer who is experienced in disability). I got so sick I nearly died. For years I was out of bed for less than an hour a day. With disability supports I needed and living my life as I truly am I am crawling back one day at a time. Recovery from being so sick is hard, but it is possible.
@@CeleWolf it is, and it's not cured, I still have it, I've just had a big improvement in symptoms with the change in dominant hormones. There is research into lower doses of Testosterone for Fibromyalgia. I doubt I'll ever be pain free, but it's untrue that no one with fibro ever improves in their symptoms.
I was in an MVA years back and had a meniscus tear which they did surgery on. Right after the surgery I was walking perfectly fine, went to the bathroom for them, then went home. Got home walked around a bit, then went to sleep. I got up the next day, "tried" to stand up, screamed in pain, and fell down on my butt. Apparently, the anesthesia they used in the surgery finally wore off. I was originally thinking the doc was crazy that I'd be in pain since I felt nothing that day and just didn't think the anesthetic would still be working. 2 days later, my leg robot showed up and it did the same thing in this video. It took about 8 months for me to get to the point where I could play paintball pain free, but what a ride.
I gotta say. After my tooth exposure that was near the roof of my mouth, pain killers definitely was helpful. It was deeper than they thought, so that was fun. So I feel for him when he says it was the highlight of his day during that much pain.
Yeah, I was just sad that he was saying he's becoming addicted. No, he was becoming dependent. It doesn't look like he was addicted,he looked like a guy in pain. When he could go off the meds, he did. When he decided his quality of life needed to change, he changed his life. I just don't want people to look at this and think that because their life gets so much improvement from medication that needing the medication itself to get relief from pain is defined as addiction. He had reached the end of what pain medication could do for him so he looked for a permanent option. Sometimes your body just needs a rest, a long physical break between surgeries then it tells you when its ready again. Some people have temporary situations like Ned did, other people have conditions that never leave and just deteriorate their bodies.
@@moontoad6412 yeah... When your in pain medicine feels SO GOOD and I understand being hesitant to come off of it after a serious surgery or injury. I seem so bad
Thanks Doc 😘 fascinating stuff
Neddd
Of course man, thanks for sharing your story so openly and honestly! Happy to hear you had a great outcome 🙏🏼🙏🏼
Yes, indeed!
nedddddd
Hello Ned!
" Long term we don't have great ways of pain control". As someone who suffers with chronic pain, going on six years, I felt that. Thank you for mentioning this.
This is something more research is needed on.
Cannabis needs to be legalized.
@@TheSwauzz cannibis doesn’t help everyone. But living in Canada with legalized mj has been a real eye opener
@@downhomesunset Cannabis helps far more than opioids plus we are still delving into the myriad of strains of cannabis. There's a wealth of potential if only it were legal. I agree it won't help everyone, but it's better than people turning to alcohol and harder drugs.
Same. Got into an accident in 2017, suffered compression fractures, and my back hasn't been the same. I also started to develop wicked sciatic pain over time. However, I have since started working out regularly again and my pain has subsided substantially. I have no sciatic pain and my back hurts less since becoming more active. The mostly sedentary lifestyle I had been living for a few years had been damaging my body. It's crazy actually how much exercise improves your overall wellbeing.
You should look at Zach’s whole medical journey too. Ankylosing spondylitis. He describes it like he’s trapped in an old man body.
Definitely
yes!!!!
@@tayworrrrrrr He said on another post that he was "on it". So sounds like he's working on that video.
I have that too and can relate to that stamens about feeling trapped inside an older persons body.
And I’m only 19, so whenever I need to sit down or complain about my back hurting, people used to write me off as being a teenager and just wanting to something to complain about.
I would love to see that video of he did it. I have psoriatic arthritis that is presenting very similarly to AS, and that feeling of being trapped in an old mans body is my every day life since I was 23.
Who’s here after we found out about Ned
ME!!!.
Meeeeeeee
Everyone, it seems like, and it's annoying. Stay on topic, people.
Bro who cares.
@@BenDover-qo9mg At long last, someone who gets it.
I laughed so hard when he paused as Ned flushed the meds and said very monotone “that is not the proper way to dispose of medication” 😅😅. I did a research study in High school about all the adverse effects of flushing medication and I always have a little bell in my head when I see someone doing that saying “ring ring, I know this is an important moment for you but that’s bad for the environment ring ring”
The proper way of disposing of medication is selling it to deadheads.
Something weird happened here in Brasil in early 2000, some pharmaceutical company made some mistakes and "accidentally" fluoxetine was in the water of a whole town and people were acting different and it caused a whole commotion and they started investigating the water supply in other cities and it was scary the amount of drugs thats was in the water, causing tons of issues.
I saw a study once where doctors realized guys in one town had sperm counts so low they couldn't father children. They traced it back to women flushing unwanted birth control pills down the toilet and it got into the drinking water.
This is truly the crossover we deserve 🥰🥰 (If you’re doing try guys react videos you could also do one on Zach’s autoimmune disease!!!)
Brilliant idea
On it!
@@DoctorMike neat
I came to the comments to see if anyone else had posted this exact idea! Would LOVE a react to that
@@DoctorMike awesome, thank you!!! 🥰
Dr Mike: *_Genuinely get's concerned about the green leg and talks about how it could lead to life threatening problems_*
Editor: ( _calmly with a smile_ ) Its just a green scrub :)
To be fair I work in a vein clinic and sometimes have to assist in procedures where we open up veins in the legs to restore circulation. So I immediately thought the same thing. My heart went from calm to racing when I saw the green. Thanks to the editors I calmed down rather quickly.
yes, that reminded me of that typical medical (student oder hospital show :D ) behaviour of attributing minor things to the most unusual diseases.
@@kate1618 well blood clots aren’t really unusual diseases. The risk is higher post-surgery and it’s something routine that you need to look out for
@@Rememberance0616 Doesn't that also make it a bit odd to use a green antiseptic scrub then? Wouldn't you want to use one that didn't discolor the skin so you could look for those signs?
@@Angel_Zodiac I thought so too. I’ve personally never seen green scrub used before. You can still assess for a blood clot even if the leg is discolored but yeah, I was wondering why they prefer green. Each hospital is different.
2023 this video filled me with rage for ariel. ❤
Same here, Praying and hoping she and the kids, all their families, friends and loved ones are okay❤
My husband was literally hit by another semi. He absolutely refused to take opiod painkillers. He was too worried about the possibility of becoming dependent. (This was during the time period where it seems EVERYONE was prescribing them btw). He now deals with moderate/severe arthritis daily with just OTC pain relievers.
Bruh when we’re is the story for the first semi.
He's a trooper. Poor man
@@giorosiles2220 we don't know what happened to him, except he was actually discharged before my husband. All I know is that if that kid (had turned 21 & gotten his class A EXACTLY one week before) had hit ANYTHING except another semi, here would have been fatalities. As it is, he missed killing my husband by a literal foot
I NEED a Dr. Mike/Try Guys crossover. Maybe one of their TGGT can be medical knowledge with Dr. Mike hosting.
This needs to be a thing!!!
YES
That would be AWESOME!! I'm here for it!
YAAAAAS!
Don’t talk about Ned no no Don’t talk about Ned.
As a Physical Therapist, nothing makes me happier seeing Doctor Mike react to something that falls within my field of work. Knees are very intricate joints even if they 'just' flex and extent. I see a lot of patients after total knee arthroplasty and it's not uncommon for the rehabilitation period to be 6 to 12 months for a full recovery. Awesome video!
Wish we were friends, my 15 yr old son just had knee surgery and I would love a little extra guidance lol
@@GuineaPig08 so not med advice ask your doctor but my dad has open patella and does hydro therapy water aerobics is very helpful for him , somthing to ask about
I may only be 15 but I've had physical therapy for moderate Kyphosis in my back and it helped SO much! Thanks to physical therapists like you for helping people like me!
I had shoulder surgery ten or 11 years ago after desperately trying to avoid it after a maniocal selfish teenage boy crashed into the taxi which i was riding in and i got 55,000 dollars in the settlement and my crappy lawyer took most of my money all i got was 17-19,000 but i borrowed against my settlement NEVER DO THAT IT IS NOT WORTH THE INTEREST !
Agreed! As a fellow PT, I was waiting and waiting for poor Ned to get some therapy for proper, goal oriented, graded exercise, especially since he wanted to get back to a specific sport/activity! I was feeling the healthcare team didn’t do right by him and at least try rehab until the last couple minutes of the video!
As someone with chronic pain who grew up in a household with a parent who also suffered from chronic pain (at one point my father was on fentanyl patches just to stay sane), I've always felt very deeply for Ned and Zach when they talk about their health issues.
Oh my goodness same!!
I have a chronic tendon problem that my mother and her mother both have.
Random tendons will randomly swell up every couple of days. Most of the time if just hurts but I can still function, every few weeks I get one where the area is throbbing and completely immobile. The worst is when the back of my neck swells up and everything above my shoulders is rigid and painful.
I’ve had it for as long as I can remember, and according to google tendinitis only occurs when you injure a tendon, so I guess it’s just a weird thing that runs in our family.
It’s pretty ridiculous, I’m only 16 but some days I’m hobbling around like an old lady.
I work in veterinary medicine at a surgical practice. It blows my mind when people want to know why their dog is still limping at the 2 week postop appointment. It’s hard to find a way that is not condescending to explain it’s because the bone was broken and put back together with a plate and screws just 2 weeks ago. Remember at the initial consult when we discussed it taking at least 6-8 weeks for the bone to heal? I think people see to much tv and think it’s normal to skip right over that healing and rehab phase.
Giiirl I work in vet med too, you would think people would be wiser but no, usually aren't.
My dog broke her hip after a car rammed her (we were in the middle of the woods!) and the doc said they wouldnt do a surgery and rather let it heal naturally (i was really, really skeptical of this)
She had to stay in her box for like 3 - 5 months and i had to take her to work with me (you simply cannot leave your dog 6 hours in a small box alone (i mean, she was mostly still in the box, but not alone))
It was kinda heart breaking to see her like this, only moving like maybe a few meters in the beginning, in like the last 1-2 months she was only in the box at night to prevent her from jumping (she really liked jumping from beds etc.)
Now she is fine again and always when she jumps off the bed again i am like flinching internaly.
Its amazing that all this worked without surgery.
I'm soooo glad that in the end this guy found a good physical therapist. I think this is a field that could be mentioned on this channel more often ;) perhaps if he had good rehab after his first trauma, he wouldn't need the surgury. Rehab can really do a lot, medication is not always the answer
True. I wanted to k*ll my physiotherapist after my wrist injury but I loved her she was the best. I wasn’t using my fingers so they became atrophied and she was prying them open. But omg it worked. Better and better each time. 8 years later and I still think of her lots.
Rehabilitation is such an important field of medicine. A collegue of mine had a damaged knee joint (meniscus, ligaments in a terrible shape). With therapy it got a better but he had to search online for videos. Where I come from rehab is such a common thing: you have a disease? You want to do 2 weeks of rehabilitation? Process is ok but to get you back, we will call different rehabilitation centers. My mom could have rehabilitation after the lost of her father and my father/her husband.
Speak on that baby!!!!!! Heal people not lace them to believe you always need meds
Kiitos että suomen kielinen selitys tässä myös🤡
So glad this is the top comment!! Going into a career in physical therapy, I was sad to hear Mike say "you're 40, maybe it's time to give up the activity."
No!!! That should be the last effort. If you give up what you love to do, you become less active and less happy. I was hoping Mike would mention physical therapy too :D
DPT student here!! That’s why PT after surgery is so crucial. In Ned’s case sitting and icing for long periods of time can lead to joint adaptations and loss of functional movement within that joint. Controlling the pain and inflammation while mobilizing the joint definitely leads to better outcomes.
Doctor Mike and the Try Guys is the crossover that we all needed!
Don't let this distract you from the fact that I get bullied because my classmates think my videos are the worst. Please don't agree, dear mis
Imagine baking without a recipe with dr Mike 👀
4 vs 1: Anatomy
As a person with chronic back pain I can only testify that the options of painkillers is really limited with chronic pain. At my worst point I had to take 5 100mg gabapentin, 8 500mg panodil, 3-4 400mg ipren a day, along with 1 50mg Quetiapin to stop my mind from constantly thinking about the pain, and the jabs I get when turning, when I was supposed to be sleeping.
In November, December and January I was at a rehabilitation clinic and now I no longer take any painkillers even though the pain isn’t gone, I learned new ways of handling it and come up with new ways of going about so it lessens the impact on my back.
that aged... i dont wanna say well but it aged
I too echo the comments of other physical therapists out there. Makes me so happy to see a documented journey of the story so many patients need to see/hear. Movement and the help of a knowledgeable PT come through so much with this type of problem when so many unnecessary surgeries and painkiller prescriptions happen. In recent years there's evidence that arthroscopic meniscus repair surgery actually showed no better outcomes than sham surgery (when patients had meniscus repair but no knee OA). Great video to both parties here. Love it.
I love seeing Dr Mike’s annoyed face when he threw the meds in the toilet, lol. It’s like he forgot he was being filmed and THE DR showed up. I forget you’re a real life practicing Dr sometimes. So cool of you to share yourself with us. Lol
As an environmental scientist I was kinda annoyed too. It makes for good drama and a way for you not to go back, but you can do some real damage disposing of pharmaceuticals down the toilet.
I love that there is a UA-cam channel where we can learn things without it being boring or cringe
There are a few others I really enjoy, like ASAP Science, Infographics, Mama Doctor Jones, and more. BUT of course, Doctor Mike is one of the best!
Yes! Dr. Mike is UA-cam education at it's finest 😍
@@Lorelaiv9 û
I have
I know exactly what he has gone through. When i was 15 i had an accident during one of my treatments for my rheumatic arthritis. They accidentally made the injections through a culture of streptococcus on the skin of my foot. They got into my foot joint. Developed into extreme case of sepsis in my foot and lower leg. Leading to total destruction of my entire lower leg. Not like this guy, i mean. Completely destroyed. My foot joint and the lower knots of my tibia and fibula were almost completely destroyed, the bone and all soft tissue turned into brown sludge or similar to clay.
The bone structure was able to be saved trough going in several times and scrubbing and draining it after i decided that i wanted to save it if possible. They wanted to cut it off. It was horrible and was the bad option in hindsight because the leg has been a constant issue ever since tbh.
The damage and the bones they had to remove made the leg very short compared to my other leg and my joint had to be fixed in place until my bone set and regrew as a clump. Due to the damage it had caused during the 2 years of getting the infection fixed and waiting for my puberty to be fuse my bones. So my growth would get as far as it could before we permanently destroyed it as i still was growing.
During those 2 years they put in so much titanium that my foot looks like wolverine on X-rays, fixing my foot in a fixed position. My veins, nerves and muscles wasn´t destroyed. So the whole leg could be "saved" in the end of it all.
But yeah, They did save it. Don´t get me wrong. They did an awesome job. Due to my underlying Auto-immun disease and systematic rheumatic arthritis i got seriously sick and was about to die. They save me too. But i´m a bit salty because i WISH they would have told me that keeping the leg would be worse then a prosthetic. I hate to be pessimistic but, it has made my everyday life just a bit more difficult. My chronic auto-immun disease, systematic rheumatic arthritis and now a destroyed leg too. It is a bit much sometimes.
I have taken Oxy since i was 24 (I´m 36 now) and it is a horrible, evil pill. Opium is no joke. When it digs its claws and fangs into you, you´re fucked. But i can´t live without it either. My auto-immun disease makes my immune system (my white blood cells) now understand their function. They attack all soft tissue or rather my own cells instead of fighting of infections and bacteria. They don´t understand that they are a apart of my body. So they started breaking down my soft tissues in all my joints, my nervs and some of my organs. Which is why i have systematic rheumatic arthritis actually. It is like having a thinking, reactive acid in my whole body. So pain relief is a must in my case. But i have complete respect for what he went through. I have been wrestling and fighting with the opium urges my whole life. It is difficult to find a balance on it where it just works. It is a potentially evil substance.
"Fun" Story:
They killed all my red blood cells for an entire year, 2 years ago. I was anemic for 1 and a half year because my blood got killed by my own immun system. Dropped to a third of my estimated red blood cell count (34hb to around 60Hb, should have 137) every 4-7 days and needed to get donated blood to get it back up to about 90 hb every 3-7 days, so 1 to 2 times every week so i didn´t "bleed" to death. That was an insane experience. Living with that little red blood cells in your body is a challenge. You can´t really do anything because i just can´t stand up. The oxygen in your lungs needs to be portioned out to your whole body but there is no blood to take it there quick enough. So you feel like you don´t get any oxygen if you just stand. And my head felt like it would explode.
It was okey in the beginning but after 1 whole year of that. I was actually dying. My body was giving up. It couldn´t take it. We tried everything to fix it and nothing, absolutely NOTHING worked. It was extremely frustrating for all of us. My doctor actually almost started crying towards the end during the rounds, because she just didn´t know what to do.
But then my immun system just wen into remission! It just stopped killing my red blood cells and i was cured. Like as if it was all just a prank or something. It has done stuff like that my whole life, this isn´t the first time it killed my red blood cells or some other types of cells in my body. It happens randomly but luckily not often. But you never know what its going to do when it starts up again.
It is unbelievably weird. Nobody understands it, nobody. None of my many, many doctors have a clue how it is happening either.
It has actually been a international dilemma. I know i have doctors my Swedish doctors send all the information about my many different symptoms to all over Europe. I have a doctor in Germany, France, Denmark, Finland and a few more but i´m not sure where they´re from.
Some of them wanted to use my material for their classes at universities, i don´t know who wanted what though so i can´t link anything. I was asked to sign a legal paper that allowed them to use some information from my journal in order to make a class study about my symtoms. But i have never seen what came out of it or anything sadly. I actually think that would be super cool to see.
I was asked if my case could be used in a study about auto-immune diseases from my childhood doctor when he became a professor.
a study in Hep C and its effects on someone with Auto-immun disease and systematic rheumatic arthritis. Because i was 1 of only 6 children at the time in all of Europe to have that diagnoses. I got it from a guy that donated blood and was a heroin addict. Back in the early 2000s that still happened. Which was especially interesting for doctors because it made my other two pre-existing disorders got into berserk mode. But that is a loooong and detailed story that i can´t get into here. I have already been ranting and writing to much.
So, before i get lost in my memories again. My point is:
I Understand his pain and what he feels. I have gone through it too. It will always be a struggle. A life long and painful struggle.
But life somehow never becomes awful and unbearable in my experience. You can always find something that brightens up your day. You just gotta have a positive outlook and try your best to just focus on stuff that makes you happy and fills you with something that makes you happier than the drugs do. But i know that it might feel tough and impossible sometimes.
But as long as we just keep going and find ways to enjoy life, we can take anything tbh.
Pain and "suffering" is a good teacher too. It often gives me a perspective that i feel most people don´t have when i talk to them about this type of stuff. Which has always been a point of pride for me. It opens your eyes to a perspective of the world that makes it much more interesting, it teaches us empathy and it makes the world seem way bigger. Because i feel like i can understand when others struggle all over the world aswell. It is easier to understand what people struggle with if you have gone through it yourself. So in some ways, it is a good tool to be sick sometimes. Not just suffering. There is actually a lot of good in it too, even if it often hard to figure out how it is good.
Anyways, i am ranting AGAIN so i´ll stop here.
To anyone that reads this, i love ya and i wish you a wonderful day.
The feeling when knee surgery is tomorrow
I work in pre/post for a level 1 trauma center and I love this video. Shows a lot of the process.
My sisters a pharmacist
Shes always like "YOU GOT ME WHY DO U WATCH DOCTOR MIKE FOR?"
Im like "hes handsome, he explains things in a fun way, and i ACTUALLY understand what he says."
A septic joint is super bad news so we always try to treat ASAP! and yeah, pain relief options in general are pretty limited - we usually use the WHO pain ladder to help guide prescriptions according to pain levels
That feeling when knee surgery is tomorrow
Why
@@tin8572हरपबगकद
knee surgeryn
Weirdly enough it's "nice" to see that even influencers do have their deal of health issues.
I've been struggling with chronic pain for 8 years after an accident, I've been on and off pain killers, and docs, specialists and even psychiatrists can't seem to find a solution to it. So, it's inspiring, somehow.
"...meniscus..."
Every time Dr Mike explains some anatomy thing I understand the anatomy way better than I did before.
Thank you for making content on the platform of UA-cam. From a young age I’ve always been fascinated with health science and your videos help build up that fascination. I am currently taking a medical terminology coarse as a sophomore in high school and your videos help me keep going. Thank you Dr. Mike!
Loving the videos! ☺️💜💜 as a pre med student you always remind me of what I’m working toward so thank you!
mike is so active lately, love it
same!!!!
Yay!! Ned!
I love the Try Guys! I remember watching them on Buzzfeed, starting their own channel was the best thing that they did!!
I always thought that flushing meds down the toilet was an old person thing, lol. I don’t understand why everyone does this?! It’s notoriously discouraged, as the medications can actually end up in the public’s water supply! Many communities have locations when you can drop them off, or as the doc said, just take them to the pharmacy.
I mean if you're trying to stop yourself from taking them just flushing them is the fastest way to get rid of em.
@@layedbackthomas I mean yes if you feel you are at risk to overdose (unalive yourself), feel like relapsing, etc. that is something you can do but it also doesn’t take long to go to your local pharmacy and simply drop them in the box…you can even go through the drive through. I’m a pharm tech and do it for people all the time!
or be like me and keep them forever! for some reason...
In this case it’s probably for the drama. This was a UA-cam video after all
In my town you can take them to any firehouse and their is drop box you can put them in.
Doctor Mike! Your videos influenced me to take health and social care at school and I love it! Keep up your amazing work Doc!
Hearing him say he couldn't do it without Ariel and knowing what came next hurt 🥲
What happened?
@@BuzzEquestrian He cheated on her with a co-worker unfortunately.
It seems to me a major issue in cases like these is miscommunication. Even now, this long into the pandemic, we're just finding out that laymen don't understand the *medical* designations for mild, moderate, severe, catastrophic, etc. If HCWs don't spell it out in clear, uncomplicated terms, patients are going to have very skewed expectations for outcomes and recovery.
I had a very scary experience several years ago related to this kind of communication issue. I had eye surgery and I asked the doctor what I could expect in terms of pain afterward, the doctor said (paraphrasing) something along the lines of "ah it wont be too bad, some pain yes but don't worry". On the way home (it was outpatient surgery) the pain started and was intense. The kind of pain that results in complete inability to function, sitting still was difficult, talking was difficult, a total obliteration of the ability to concentrate on anything else but the pain.
I had been given a strong topical painkiller of some sort in eye drop form but only a very limited amount as using too much would be damaging to the eye. So I had to ration it, the entire rest of the day was a cycle of increasing pain until it reached levels that I would describe as the worst I have ever experienced in my life. Never before had I experienced pain that actually made me involuntarily cry. Then about 30mins of relief after using the eye drops before the pain began to ramp up again.
On the second day the pain was less but still extreme and the information leaflet I had been given after the surgery only said "come back to the hospital if pain increases or becomes severe". But I had no idea what counts as severe or over what time period they were talking about, plus the Hospital was several hours away and I could not get there on my own, I lived alone and was only able to get the surgery because friends took the day off work to drive me. So I was shocked and frankly scared because it was so unexpected and I didn't know what to do. In the end I got advice from a local Pharmacist on the phone who was extremely helpful and really helped to calm what by that stage was turning into near panic.
In the end everything worked out ok but the doctor made a huge mistake from my perspective not informing me (even after the surgery at the post-op checkup/observation time) properly about the potential of what I was really going to experience, I'm the type of person who prefers to know, always. Also in being clearer what level of pain would actually be considered unexpected and could suggest an issue that requires further investigation.
@@MachineCode0 I think if the doctor says "some pain but nothing too bad" and he only gives you some drops that are temporal he really means a moderate amount of pain, you know? Not to the point where you couldn't move and are crying, like you said you were experiencing. You should've contacted him directly and ask 🥴
It was indeed a miscommunication issue, but on the receptor part.
@@alorockss In my system I can't contact the surgeon directly or at that time the consultant (because by the time I was home and getting worried it was out of hours). Plus you don't get a direct number for the consultant but just their office. Also remember I was in pain so hardly able to think or plan in a coherent manner.
The drops were extremely strong and they warned me to use them judiciously because I couldn't get any more due to eye damage from over use. They also gave me other moderate (not over the counter) painkillers and a sleeping tablet.
I understand it's difficult or impossible to say objectively what level of pain anyone will experience, because everyone is different. I strongly suspect they were vague and underplayed it to prevent me becoming anxious during the surgery as I was awake with my eyelids clamped open and head restrained. So they were worried about movement and panic at that time. However they had an opportunity to give me at least the range of experiences of others after the surgery, during the 30mins observation period. If they had told me I might have experienced pretty high pain levels and been clearer on what extreme or serious pain was in their metric and over what time was meaningful (as in if it persisted for several days or etc) I would have been much better equipped to understand what was happening and make more informed or better decisions.
I literally laughed out loud when Mike got concerned about the green surgical prep that used. : D
great vid. my mother shattered her patella. the current doctors we had said that it was just a bruise (only symptoms were pain, swelling, and redness) so they just sent her home and it took a year of the swelling and pain never going away for us to go to a different doctor and they almost immediately scheduled surgery and were incredibly surprised that she was able to walk and handle the pain for as long as she did. during that year she did constantly go back to the hospital but they just kept sending her home saying that the swelling would eventually go away. she has recovered at this point but every now and then her knee just kind of freezes and sticks in place.
Thought I would share this with you, I am taking a class called medical detectives where we are currently learning about the nervous system and what happens in the nervous system and recently finding a unit or diagnosing patients with either a virus or bacteria. Today we had a doctor come in and he was a scientist who works on DNA, RNA, and viruses. He taught us about how they name viruses, what he does in the lab, and so much more! I love this class and I am doing much better in it because of what I learned from Dr.Mike! Thanks Dr.Mike.
THE CROSSOVER I DIDNT KNOW I NEEDED.. THANKS DOC
Dr Mike, another brilliant video!! Fascinating stuff!!🤓🤓
Two of my favorite content creators ❤ Would love to see Dr Mike talk to Zach about his chronic pain!!
Love when Dr Mike reminds me my doctor should be better. (Current have a stand in while my main is on leave)
Dr. Mike is a cross over of an encyclopedia and the most enthusiastic soul that even in anger makes everyone smile.
So I actually have experienced a very rear medical condition at the age of 10 that nearly killed me. My father got me my first communion via my last rights, that’s how close they said I was to dying. It started with an osteomyelitis in my right growth plate and spread to my heart giving me endocarditis and my lungs. On top of that the initial swelling in my knee caused multiple DVTs. I spent exactly one month in CCMC here in CT. I was also given crazy opioids at the age of TEN.
For my hand surgeons, we're to use either clear or orange tinted prep; never blue/teal. The patient or PACU rn's think that the limb is cyanotic.
As far as that blue scribble area - that was most likely the surgeon's initial and "YES", indicating that they have seen the pt prior to surgery and that the site marked is the correct surgical site
Seeing green or blue would be super freaky as a patient!!
As someone who struggles with chronic pain (knee, neck, headache, fibromyalgia, back etc) it’s been so hard to battle the pain management aspect of my life. I see a pain management doctor monthly to address medications and therapies. I live a productive and active life (I work with horses, exercise, walk) because I’m not winging it with just prescription medications. I also receive weekly PT, warm pool swimming, tens, traction, and patches. At times we need to treat more than just the pain. We need to treat our whole self to conquer these issues.
Question that has been bugging me:
Should you do chest compressions if there's a foreign object piercing the midline (or near midline) of the victim's chest?
I mean might as well try... If someone needs chest compressions they're already clinically dead, so can't really kill a dead person
@@gustavgurke3389 Thats a touchy one. Personally, i would advice against it, but it would depend heavily on the location of the object, exactly, in relation to major organs and vessels.
If you arent medically trained...i would say dont. As stated, if they need those compressions, there isnt much you can do, because if you compress, and rip something open...well, chances are if their heart is stopped and the object is at the midline, then the object is the reason the heart stopped.
@@dreamwolf7302 In my area, communications (911) are trained to walk people through chest compressions, and when we (fire-rescue and ems) are notified during toneout (Delta-4 response).
I mean,no
If you watch his 911 review, there’s this exact situation with a nail gun. Can’t kill a person with no heartbeat 🤷♀️
I hope ned watches this, so he sees his recovery was normal and that he stops playing Soccer
And that he did not dispose of his meds responsibly
He did watch it and also comment
You can't tell someone to just stop playing a sport. It was clearly his recovery goal and kinda the reason why he was going through what he went through. He's only 34, too.
@@mikesannitti6042 EXACTLY! The whole point of going through surgery is so that he could get back to playing soccer once again without being in pain or atleast not as much as before.
@@mikesannitti6042 if a doctor advises him not to, then he shouldn't play at the expense of his health. Sometimes you have to find a new passion. For example, the Danish musician Oh Land was a ballerina before she became a popstar. She was injured and couldn't dance so she turned to music. She was devastated at first, she even wrote a song about it called Break the chain, but now she's a famous musician and loves her new career.
I remember being prescribed strong pain meds every time I had dental work, a uti, a seizure (I'm epileptic), or just had back pain from over extending myself. I was lucky I never became addicted and I'm glad those meds aren't so easily prescribed anymore.
It's always great to see Mike Upload!! His content is always enjoyable and a chill space! Even while talking about the most crazy and serious stuff!🔥❤
the kind of pain we’re facing is key to actually choose what kind of approach to use. I felt like in the beginning of the video we didn’t get much info on that and oxy just sounds like some very poor decision making nowadays. Joint infections are awful to treat! I’m glad he turned out fine!
I really enjoyed the video! I’m an anaesthesiologist from Brazil so it’s great having someone bring cool cases form me to compare our protocols, diagnosis tools and treatment choices! Thanks doctor!
7:53: Most health insurance won’t pay for CPMs (continuous passive motion) anymore. When I had my knee replacement in 2010, it was my best friend. I now have a torn meniscus in the other knee, and could really use that robot again.
3:50 I was diagnosed with fibromyalgia at 6 yrs old, so I was on a lot of medications. I don't remember a good bit of them because I was young and because some of them made me really zombified. I do remember that from 10 years old to 20 I took something called duloxetine. The more common name is cymbalta, it ended up making my body incredibly inflamed and my pain even worse than if I wasn't taking it. I waned myself off of it but at some point didn't want to keep taking it and ended up having the worst withdrawals I have ever experienced and legitimately thought I was going to unalive.
It's been about a year since I've stopped taking it and it apparently takes at least three years for all of the inflammation to go down completely considering how long I was taking it, but my point being it was an absolute mind-blowing realization when I found out the thing that was supposed to be helping me was making it worse AND I wasn't fat for no reason (I was 235 at my heaviest since I've stopped taking it I am now at 180)
Humans are weird and so are medications
Oh man 6 years old :'( I've only had fibro for a few years, I can't imagine having it from that young and especially when it wasn't widely researched, glad you got your meds sorted out!
I also took Cymbalta for a year both for pain and as an antidepressant and the withdrawal was the worst thing I've ever been through. The brain zaps were insane. Nobody tells you that when you go on the meds. When I googled my withdrawal issues I found so many forums and articles about it. If it's that well known, why do they not warn you before you start taking the pills?
I tried Cymbalta for my fibromyalgia and ended up in the fetal position in bed screaming and crying in pain for days. Some meds work for some people and definitely not for others!
@@iTalkWho Brain zaps is a much better way of describing it then I had and have been 🤣 The way described it when I was a kid was " it's as if my brain is delayed and every movement I make makes it intensify and hurt harder and harder" and the doctors never understood what exactly I meant but I was never able to describe the uncomfortable overwhelming pain I was experiencing
It's also worth mentioning most fibro patients experience hypersensitivity to pain so it feels worse beyond imagination
You'd also think they wouldn't give these medications to a child, but medication corporations don't care about that, they just care about money even if it's from a kid 🫥
@@chrisyravenconlin I know very few people that have taken it and not have awful side effects or withdraws after it. Someone I knew even had a seizure because of it :/
When I had ankle surgery they had me on oxy for only about 2 weeks and going off of it made me a crazy emotional wreck; was just non-stop crying for no reason and paranoid as heck. If there's ever a next time I'd rather just push through the pain than be on oxycodone again.
Some people react that way. Just keep in mind that you can talk to your surgeon beforehand, give your experience and ask for a different type of medication. Turns out thata oxycodone is more likely to cause euphoria and confused feelings (they describe it so politely) than some other drugs. It's worth trying a dose before white knuckling it.
I had similar experience after my tonsillectomy last month. I was taking oxycodone for two weeks and didn't slowly taper off like I should have. I started having several panic attacks a day and became extremely depressed. I couldn't sleep at night and I thought I was crazy 😅
@@Asarrrrrr Is it normal for a tonsillectomy to have that amount of pain that you need opiates? I mean i know that pain is really subjective but everybody i knew basicly just had to eat a whole lot of ice and got some low dose of tylenol.
@@foty8679 from what I know having your tonsils out as an adult is very painful but as a kid it isn't and generally doesn't require opiods. My ENT said for adults they usually prescribe vicodin or oxycontin. I don't know a lot of other people who had their tonsils out as an adult but I will say it was very painful even with a lot of ibuprofen and oxycodone.
Managing patient expectations is an incredibly important part of practicing medicine.
this is more information then iget in a week in school, yet i binge these for hours and i cant stand 20 min in school
Totally a doctor response,
"Don't dump narcotics down the toilet, but I probably over prescribed your painkillers. Dispose of them wisely."
I 100% feel like he had an unreasonable set of expectations of what he was going to be getting out of that surgery. As someone who has suffered with knee issues and knee surgery for most of my life, his expectations were quite high.
That's on the docs as well, a whole part of the surgical or even just injury recovery process is goal oriented. You tell them what you'd like to get back to do after healing, and they tell you if and when if that's even possible. When I tore multiple ligaments and dislocated my knee, I was told early on, it won't ever be the way it was before...and 6 years later, I still have issues. So at least I had a heads up.
Yeah I had grade 2 meniscus tears on both knees, got surgery but they still hurt like someone is stabbing me with tiny knives and they get swollen sometimes, nothing like before surgery. I also have arthritis on both of them + I have dermatomyositis which doesn't help at all how shitty my knees are
This is so interesting, in general, because I’m a try guys fan, and how it’s coming from someone who didn’t know technical medical stuff and being interpreted by someone who is.
As a 57 year old veteran who is about 100lbs overweight, I recently went back to the gym. About 3 years ago, I had been working out and had lost some weight but had a freak (non-workout related) accident where I shattered my kneecap and detached my patellar tendon. After some family tragedies, loss of employment and the pandemic, I am now back to trying to get back into shape and be healthy again. This time I decided to take a personalized diet plan from Next Level Diet, and even hire a personal trainer to make sure I don't cause injuries to my 57 year old body with all my limitations from past accidents and age. My trainer and I are focusing on strength training to help with injury prevention and prevent osteoporosis (which runs in my family) and help with arthritis and balance. It has been about a month and I am already feeling so much stronger!!😎😎
Amazing stuff to hear, it's not over yet for us oldies hehehe
This is mind blowing , every time i have a medical exam you upload a video that is connected with my exam wich somehow helps me understand the subject better , thank you !
My hubby had cancer in his leg which resulted in treatments which deteriorated his hip. He had several hip replacements and even had to live without a hip for 3 months. He was literally on opioids for years. People became very judgemental of this. We had a Doctor tell him that pain is real and if you find something that relives it then continue to take it. He said that they can step him down and deal with any dependency that developed. This was amazing to hear. He opted to have a total amputation of his leg. He hasn't been sick one day since and stopped taking pain meds six weeks after the surgery with a Dr's approval. Pain medication works and needs to not be viewed as if everyone who takes them will become a drug addict.
I hope his knee feels better:(
Yuhhh I'm even repulsed by Ned's voice after everything 😐
i’m 16 and i had a cadaver tendon put across my knee about 6 years ago and about a year ago i had a severe shoulder injury that im still dealing with. DO YOUR PT AND DONT RUSH INJURIES, it will help you a lot in the end
The opioid crisis situation has SERIOUSLY impacted people with actual pain management problems. I had double foot reconstruction surgery where they broke both of my feet in 3 places, readjusted my bones, wedged bone grafts between the bones, and screwed my heels back in place. The pain was absolutely wicked. They sent me home with a hydrocodone and some Tylenol. After an excruciating night at home I called and begged for stronger pain medication. They said they could only give me a different drug of the same dose. After another excruciating night, I called again and pleaded for something stronger. They finally gave in and put me on Percocet-which didn’t even touch the pain. Toward the end of the week we ended up in the ER on a morphine drip, which still barely made a dent. Fentanyl was the only thing that stopped the pain, but I couldn’t get any no matter how much I begged and cried. It is SO difficult to get pain medication when you need it these days.
I had a similar surgery after a wrestling accident. I had dislocated my kneecap and reset it myself. I've always had insensitivity issues, so pain to me is very dull, and it becomes quite a problem in cases like this. What I hadn't realized when I dislocated my kneecap was that my patella had fractured, and a chunk of it was floating around in the joint shredding everything inside. For six months I walked, ran, and wrestled on it. The damage done in that time was significant, but remarkably my knee was still doing surprisingly well considering the circumstances. It required surgery to remove the scar tissue and any of the remaining bone fragments. I was told to remain bedridden for a week and be in a wheelchair for a month while doing physical therapy. I didn't listen though, and 4 days after surgery I was back to walking unassisted, and by the end of the first week I could run. Movement definitely is a good thing for recovering joints.
This video was very interesting I learned alot and I look forward to seeing more positive content Doctor Mike
When Doctor Mike reacts to videos and gives his opinions, advice and information, i am so excited every time.
I learn so many things every time I click on a Dr. Mike video!!
The crossover no one expected, but everyone wanted
I would love an episode about chronic pain. I have being in pain for 7 years now due to several herniated disc in my back. The best option I have found, obviously with my doctor, is exercise. I go to the gym 5 days a week for 1 or 2 hours a day. It doesn't eliminate the problem, but I can have a normal life.
🤯 "Being taken off pain medicine can actually reduce pain" - wow!! The power of allowing the body to heal itself that's so often overlooked these days 😐 Thanks for bringing this to our awareness, Doc!!
Why does Russian even have cursive? It doesn't look like anything
Not for everyone though. So it has to be patient centred. One size does not fit all
@@donkeyhobo34 If you're talking about Dr. Mike's logo that's not actually Russian 😉
@@APlusRussian I mean you
@@101spacemonkey No doubt. I'm just appreciative Dr. Mike even brings it up!
This man is insane!! Wish I had a friend like him :(
My brother got into the ODPs (olympic development program) and at the same time tore his ACL. His surgery took months to scedule and got put back a month because he got one of those extreme covid tests where it can read 2 months before and after you get it. He never got any symptoms but "had covid". but we were also scared that he tore his meniscus since he kept playing baket ball and whilt his knee buckled and he heard the same pop. Luckily his meniscus was fine but he had to regain full mobility. he just got surgery, and before his two week PT appointment is kicking a ball around. he is also not on crutches. Although we are not sure if his competitive soccer career will ever be the same.
I love how he goes makes the switch from stern doctor discussing proper pill disposal to big ‘ol softie hearing about Ned’s baby in about .4 seconds.
As a person with chronic migraines, yes, there are no medications-
Just a change of your lifestyle and attacking your triggers (mine were mainly stress and poor sleeping habits) really helped a lot. It's returning because of job stress but otherwise, my pain wasn't as terrible as it used to be.
I realize that it's highly variable as to where it's legal and in what forms, but I think it's worthwhile to mention cannibidiol (CBD) for pain management. It was a lifesaver for me when I had a herniated disc, especially as I know that I am prone to addiction. I remember listening to a science news podcast about a decade ago about a study showing that opiate overdoses had declined significantly in states that had legalized cannabis, and thinking, "well, duh... why wouldn't you want pain management without the risk of chemical dependency?!"
CBD is not cannabis.
Yes! CBG, CBD and CBN are all not psychoactive and help with pain management without the “high feeling”. The research is fascinating and wow would our world improve if humans would stop opioids and start with cannabinoids.
@@KateandBree Yes it is.
He lives in Chicago. Cannabis is legal in Illinois. He'd be able to use both.
@@KateandBree It is.
I broke my left shoulder during a seizure. It's been operated on twice, both arthroscopically. The first time was to repair the break in the humeral head by putting a screw in it to hold the bone together. They also stitched up a tear in the labrum. It went fine. I recovered in about 3 weeks. I was good to go. Four years later I'm noticing when I reach over my head, my shoulder is locking up. There's a lot of pain rotating my arm. I go in to the orthopedic center. One x-ray later they tell me the screw has backed itself out of its hole and is wiggling around. The second surgery was to remove it. That was six months ago. I'm still having a lot of pain in that joint and I'm not able to lift my arm over my head. Now, they did say the humeral head is a bit deformed because of how the break healed but I was fine for 4 years. It's so frustrating so I understand where this guy is coming from. I didn't have the opioid problem, though. The media has scared me so badly about opioids that I didn't fill the prescription of Percocet they gave me both times. I managed it with ice and ibuprofen. It sucked. But I got through it without an addiction. I still need to go back and find out why I'm still in so much pain, though. Im envious of this guy. He got back to normal and I haven't.
The media has made much nonsense of how addictive some opioids are. They aren’t talking about chronic pain patients dying from turning to the streets because of tainted drugs or even killing themselves because the pain is so bad…..
Blew my ACL at 19. My physio (she also treated professional rugby players) told me 'you can try running again in 3 months and blow your knee again within 3 years. Rugby players do that because their careers are so short. Or you can work towards a 6 months recovery and that knee might last forever, or at least 12 years before you need to redo it. It's your choice'.
It's been more than 15yrs and only now is the ACL starting to feel a bit loose again.
The collab i didn’t know I needed
My wife fell and landed badly, straight-legged, actually broke her knee. Even after the ambulance ride and a stint into the ER, It took WEEKS to get a diagnosis. She continued to walk on It with a cane. Finally got results that found 3 of the condiles (?) (Where the bones meet and flex) had compression fractures. She was ordered into a wheelchair for 6 weeks and her meniscus was found to have a tear. She had to have a surgery for it to be trimmed so she could bend the knee. It's been a few years and she still has moments when the knee "locks up": (the now-"trimmed" meniscus still impedes movement sometimes). Yeesh.
I had a patient who was in total denial about how a clot went from his amputated leg to his lungs and was calling bull. So he left AMA and came back in about 3 hours complaining of chest pain
This-to me-is why we need to keep studying pain medications and continue developing new ones as well.
Cross over I never thought I’d be excited for lol
“i can’t play soccer and it’s been 4 weeks”
😂 Ned, ACL surgeries take a MINIMUM of 9 months to get back into soccer (It’s actually been recommended a year now). Like it’s gonna take a few months of rehab/ PT buddy lol
8:00 I had an ingrown toenail removed and I was playing soccer 4 weeks later! What's the big deal!
Joking... Doctors told me to wait 2 weeks to work after Lasik... and I wore eye protectors at work for 2 months afterwards (was frying donuts so... smoke from oil and micro splashes, had to clean them off every 2-3 hours. It's important to be cautious after surgery though, you DO NOT want eye infections you could go blind... well don't want infections in general, the ingrown toenail thing was painful because of the infection.
Hi Dr. Mike! I'm 10 and I love basically every thing about Medical education but it's pretty hard for me to learn. So I love your channel because I love the way you explain everything in a "fun" way so I can learn a lot of stuff :)
Stay happy and healthy! Love to see positive education rubbing off on others. Study hard and do your best and don't be afraid to start small at your own level and work your way up at the pace that works best for you!
I do hope you become what you dream of someday!! Good luck!!
I kinda got angry when he said "sometimes we have to accept we can't do things anymore" :'D I'm 27 and had severe knee pains since I was 22, a few years later and I got diagnosed with JIA. tried 4 different types of medications, none of which really worked, so I'm still in pain if I like go up the stairs one time too often, or walk around for like 5 minutes too much.. ofc I can take pain killers, but I cant always use them, which is annoying.. I am 27 and can't even do simple stretchung exercises bc it leads to so much pain.. I refuse to accept that I am not able to live a "normal" life... it's honestly so frustrating, and when my doctor said to me that we might simply have to accept that it'll be like that for the rest of my life, I was so close to crying..
anyways, long story short: getting told to "simply accept" a health condition sucks :'))
And the thing we hate about accepting it is that we all know it's true.
No why should you accept being in pain constantly when there are pills, injections, etc that help with that exact situation!. Because ther is a one percent chance that you can become addicted?
When my grandmother died, we had all these meds of hers. Pharmacy said to just grind em up, mix them with dirt, throw it in a bag and toss it in the trash.
So we did.
When talking about the painkillers, one thing I will bring up is when it's crippling, debilitating pain that is not easily managed and affects everyday life, from work to exercise to even just trying to relax, the painkiller reliance is very much something a lot of people just have to live with, either because they're living in an area with limited or expensive healthcare or, like in my case, have an entire hospital of doctors, radiologists and specialists that just abjectly refuse to help in any meaningful way.
I have been walking around on - almost quite literally - a broken spine! For TEN YEARS! Slipped L4/L5, permanent bulging, chipped L4 that keeps grinding against my sciatic nerve. I have days where my spinal cord gets inflamed so badly that it locks up my entire lower back, coccyx and hips, which then causes episodic paraplegia. I am literally a quarter of an inch off of Cauda Aquinas Syndrome. The only thing to fix it is surgery, and they're refusing to give me the surgery until I lose 10kgs /22lbs. What they fail to understand is *I have a history of an eating disorder and a broken spine, which makes it borderline impossible for me to lose weight*!! Like, how tf am I supposed to lose weight when I can't exercise?? I eat healthy - I'm Flexitarian (eat meat maybe once a week on average, rest of the time it's Mediterranean Vegetarian meals); eat OMAD/intermittent fasting (admittedly, not the healthiest, but it's the only thing I've tried that stops me from falling into binging episodes); eat well within my CICO limitations... And nothing is happening. The only way I can work my job is by double-dosing my NSAIDs and popping an Amytripyline before my shift. I'm like a Zombie, but at least I have my painkillers and not living in abject poverty.
The machine thing is cool. my dad had a surgery on his shoulder and they had him take home a chair that he would strap his arm into and would gradually as the days progressed, move it in farther and bigger rotations. it was actually really cool, and now three months later, he’s never had a pause with not being able to move his arm, and he’s no longer on medication. it’s a marvel on how far technology haa come to help patients heal faster after surgies, and how far surgies have come in their affectivness in the first place
I've had many spine surgeries and the one constant thing in my mind was I didn't want to get addicted to pain killers. I worked out a schedule with the nurses where if they were going to move me I'd take a dose a few minutes b4 so it would b easier. When I got home I only took painkillers if someone accidentally touched my back wrong or we were changing dressings.
I had the same mindset with my knee surgery. I was so worried about getting addicted to the pain meds that I stopped taking them after 4 days and switched to ibuprofen as needed then eventually got off pills entirely within about 2 weeks. In hindsight I probably would have been okay to take more pills because I toughed out a lot of pain but I don't really regret it
@@lexisalazar3318 right I tried to tolerate as much as I could without pain meds on top of not wanting to get addicted I didn't like how they made me feel so laid back that I didn't care about much of anything and how my body felt so light
@@Sp1tfire_5316 yeah those stronger pills are no joke. I don't like how they make me feel either
I literally learn more from your vids than from school 😂
I was on high doses of daily opiates for over 10 years for fibromyalgia. They stopped being effective and interestingly transitioning FtM has been decreasing my pain (no doubt a mix of effects of testosterone and massive improvements in my mental health). In a co-operative choice with my GP (PCP in US) I weaned off acetaminophen-codeine (500-30/8 a day) at the end of last year, changing to just acetominophen. I am still having side effects from coming off them. I still have pain, but less than on the codeine. I have just started back at the gym for weights (under a trainer who is experienced in disability).
I got so sick I nearly died. For years I was out of bed for less than an hour a day. With disability supports I needed and living my life as I truly am I am crawling back one day at a time. Recovery from being so sick is hard, but it is possible.
I wonder if it was truly fibromyalgia. It doesn't get cured or go away. I and all long term sufferers wish it would!
@@CeleWolf it is, and it's not cured, I still have it, I've just had a big improvement in symptoms with the change in dominant hormones. There is research into lower doses of Testosterone for Fibromyalgia.
I doubt I'll ever be pain free, but it's untrue that no one with fibro ever improves in their symptoms.
Two of my favorite channels in one video 👐
I was in an MVA years back and had a meniscus tear which they did surgery on. Right after the surgery I was walking perfectly fine, went to the bathroom for them, then went home. Got home walked around a bit, then went to sleep. I got up the next day, "tried" to stand up, screamed in pain, and fell down on my butt. Apparently, the anesthesia they used in the surgery finally wore off. I was originally thinking the doc was crazy that I'd be in pain since I felt nothing that day and just didn't think the anesthetic would still be working.
2 days later, my leg robot showed up and it did the same thing in this video. It took about 8 months for me to get to the point where I could play paintball pain free, but what a ride.
I gotta say. After my tooth exposure that was near the roof of my mouth, pain killers definitely was helpful. It was deeper than they thought, so that was fun. So I feel for him when he says it was the highlight of his day during that much pain.
Yeah, I was just sad that he was saying he's becoming addicted. No, he was becoming dependent. It doesn't look like he was addicted,he looked like a guy in pain. When he could go off the meds, he did. When he decided his quality of life needed to change, he changed his life. I just don't want people to look at this and think that because their life gets so much improvement from medication that needing the medication itself to get relief from pain is defined as addiction. He had reached the end of what pain medication could do for him so he looked for a permanent option. Sometimes your body just needs a rest, a long physical break between surgeries then it tells you when its ready again. Some people have temporary situations like Ned did, other people have conditions that never leave and just deteriorate their bodies.
@@moontoad6412 yeah... When your in pain medicine feels SO GOOD and I understand being hesitant to come off of it after a serious surgery or injury. I seem so bad