My Patient Thought it was Cancer…
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- Опубліковано 10 вер 2024
- I recently had a patient encounter that threw me for quite the loop. While precepting for my residents, we encountered a patient who had a mysterious lump the size of a golf ball inside her armpit. I wasn’t surprised the resident had been stumped, as I too felt lost for a while after running through a series of questions. Of course, patience prevailed and we eventually figured out what was going on, and I’m happy to say the patient has recovered and is doing well!
I LOVE reading your comments and take your suggestions seriously. If there’s a subject you want me to discuss or something you’d like for me to react to, leave a comment down below. Many of my videos have been born out of suggestions directly from you, so don’t hold back!
-Doctor Mike Varshavski
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* Select photos/videos provided by Getty Images *
** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional **
Clarification*
Patient’s symptom actually started 3-4 days ago and vaccine was given 5 days ago (Dates were slightly off in video).
nice i wish my channel was as big as yours
Yeah I was confused also
I was actually looking for that. Thanks
I was really confused about that :D
Yo you should pin this haha, I was looking desperately for a comment about this loll loved your vid tho 😁
Ehm. So when you asked “have you taken any vaccines lately?” The client didn’t think of vaccine number ONE that is on EVERYONES mind. This proves that the brain really shuts off when you panic.
The exactly what I thought. Like, why wouldn't the vaccine that she got most recently be the first one she mentioned?
The way he phrased the question, it seems like he may have asked if she got any vaccines when she went in to get blood work a few weeks before. Which some people would say “oh yeah, I got these, but I also got this more recently” but others may just focus on the exams and vaccines they had on the day specified. And like you said, panicking makes our brains work a bit differently sometimes, so it may have not crossed her mind either way.
This is also why they bascially ask you the same questions over and over again at each visit. Something that you forgot about or didn't pop into your head might do so the next time. We are human, we will forget things and make mistakes.
You would be surprised how often this happens when the patient just honestly forgets certain details that could be important. That's why it's important for physicians to constantly ask questions, both open-ended and specific.
It's annoying when providers ask what seem like redundant questions. I've gotten a lot of snark for asking specific questions and the patient then decides I'm dumb because I'm asking questions.
But I've also spazzed out like that as a patient too where I have no useful answer the first time then the question was reframed and .... oh yeah 💡 .... well there's that thing
I love it when Mike tells stories about things that happen in his job
Yeah
Ever heard of Chubbyemu?
@@hilly_billy9531 Bless you
@@hilly_billy9531 Way too disturbing for me lol 😂
Hell yeah
Thank you for being attentive to your patient and not dismissing her as just “hysterical”. I was “diagnosed” by my pediatrician and later adult doctor as a young adult as being “a dramatic teenage girl” when describing chronic pain in the abdomen that persisted for years.
It too 10 years to finally have someone take me seriously, and they found that my reproductive and digestive organs were adhered together, but nothing else was done other than the surgeon to ask how I was alive. At least now I know why I am in constant pain. It was a side effect of neonatal surgery that had compromised both systems, reproductive more than digestive, but now I have to watch my bowel movements to ensure I don’t get dangerously blocked, which was something that started happening at around the teenage years.
Wow!
Truly, one of the best things about this story is how the patient’s concern was being taken seriously, and considered thoughtfully. The difference between a dismissive “why are you concerned about this” and a kind “let’s explore your concerns” can be so impactful. Thanks as always for seeing patients as people! ☀️
o
Both sentences you mentioned had the same core meaning. The fact that you react to one worse than the other is a problem with your perception, not something that doctors should need to pay attention to.
Learn to listen unbiased. Don't make your biases the issues of people interacting with you. Listen to the words you hear, actually analize what they mean, and stop interpreting some other meaning you think that can be there. If a doctor says "Why are you concerned about this?" it is a question. ANYTHING that you think beyond that, like "oh he is annoyed with my questions/he wants to get this over with quickly" etc is simply *your bias* . Trust me it will help you in life if you can learn to listen unbiased. It takes the stress out of so many unnecessarily stressful interactions, especially in relationships.
I was thinking the same thing. Unfortunately a lot of doctors seem do dismiss their patients concerns when they can’t make a definitive diagnosis. And before someone comes on here attacking my statement, I’m partly speaking from experience and from stories I heard over the years. If doctors would just admit that they aren’t sure and are willing to push further to find answers instead of being dismissive it would reduce patient concerns.
@@XpVersusVista Not if "Why are you concerned about this?" is asked in a confrontational/dismissive tone of voice. Which is what They were referring to. 🙄
Pretty useless comment
This was like a mini episode of House, but with less grumpiness and more optimism.
Like one of the clinic scenes
"Any vaccines?"
"Just HPV and tetanus"
Not lupus--it's never lupus. Maybe sarcoidosis! lol
Haha frfr
Lol YEAH SAME! I recently finished the show and Mike's presentation reminded me of the DDx scenes
That's why I hate it. House MD was an awesome tv series. And House I wish I had a doctor like him. He did everything to solve the medical mystery. None of my current doctors do that. They ignore symptoms I have all the time and often doesn't figure out what I have.
Dr. Mike: "If a doctor ever ignores one of these parts, that's a big warning sign"
*Military Doctors have left the chat*
In my experience a lot of doctors have left!
@@reachandler3655 sadly in my experience all my doctors would have to leave
That's why I told the VA to sod off! Got fed up with their BS. I honestly only hand ONE doctor in my 36yrs of life actually act like Dr Mike. Pretty shitty
@Trystan Richards that's not good enough. When I might have thyroid cancer and a doctor blows me off and tells me my half calcified thyroid is normal and another doctor just up and diagnoses my feet issues when I haven't even taken off my shoes and just throws meds at me for my gastro issues without even a single test, "at least there was one" is not good enough. At all. We all deserve better healthcare and especially more affordable.
"Take some ibuprofen and walk it off."
Your literally such a great doctor. Can’t say nothing more, fantastic. Honestly I can’t explain my high respect for doctors/sciences/nurse etc. They play such a big role in people’s lives.
"Then it hit me. We're in the middle of a global pandemic."
Yup. We know. We've already gotten used to it. Sometimes we're surprised there's a global pandemic going on.
@Pinnedby Doctor mike If you want to scam, at least make your comment legible
😂
@@nazomius7033 😂 wait is that not doctor Mike responding ??
just before Christmas last year the UK was in a lockdown. but students were told to keep going to school or uni. I completely forgot that there was a lockdown
@@pebble24 oh, my uni kinda insisted that we should go home, and only the med students were really encouraged to continue doing their work, everyone else was just "stay at home, and continue the online tutorials and lectures"
“THE DIFFERENTIAL DIAGNOSIS IS STILL ON THE TABLE” gotta love that kind of you’re Dr. Mike, thanks for the fun video and glad to hear the patient ended up ok!
I do real estate,stock market ,forex trade and cryptosystem.
The right chioce of an investment has always been a big problem for me I know picking a wrong investment will leave a big scar in the future
Wow I have heard enough about him.
No doubts! Expert Patrik Norqvist is very good,I invested $ 5,000 and withdraw $15,000 in 2weeks (he's amazing.
Mr patrick Norqvist has been my trader,his techniques are marvelous he made me see binary and forex trading from another angle.
Dr. Mike, I value a lot when You talk about the mistakes of young doctors. Since I am becoming one myself as well and I know a lot of medical students watch Your videos, I think a good video idea is to talk about young doctors with no experience, their mistakes and how to avoid them.
:0
That would be awesome
Good luck!
good on you, good luck :)
Good luck on your journey!
My younger sister had a growing lump in her side. The doctors brushed her off saying it was a lipoma.. it was the size of a large baby head. We convinced them to do a ca-125 and her count was over 1400. Under 35 or so is normal. She had metastasized ovarian cancer and underwent a horrific surgery where they took out anything that wasn't nailed down. She developed ascites and blew up like a drum several times and had to be drained in order for her to breathe. Not quite one year after she was finally dx'd she died. All because the Kaiser doctors said she had a lipoma. She was 44. Ps. As a close relative, I insist on a ca-125 every couple of years. I don't care if you can get false positives caused by other things. Mine usually comes in at 9 or 10 and if it ever jumps up I will as for a transvaginal ultrasound and whatever else they have to dx this silent killer. No woman should have to suffer what my sister went through.
I'm so sorry. That's terrible.
I'm so sorry for your loss 💔
Kaiser is fine if you never have anything but "normal" health problems.
Never have Kaiser if you have a complex medical history. It's not worth your life.
You cannot trust anything Kaiser says. What they did to your sister they do all the time. I left Kaiser. I have a friend who is still with Kaiser, he has been misdiagnosed 5 times and has been prescribed the wrong medication. I had him schedule a prostate exam, they scheduled a phone visit for it. Please explain to me how a prostate exam is done over the phone, how is that possible.
I'm so sorry this happened but thank you for sharing this story ❤
What a brilliant explanation of how we doctors examine masses and bumps, and the importance of a thorough history! The key takeaway message is so important - see your doctor if you have even the slightest concern! 😊
The doctor will see you in 3 to 6 months.
Yeah, I can't afford that. I only go in if I'm sure I'm actively in danger.
does biotin pill cause it?
Dr. Mike makes me think I could never find a doctor as good as him:(
@Pinnedby Doctor mike bot
@Pinnedby Doctor mike be gone bot!
I can’t event find a doctor
Never give up! U will find a good doctor :D
Every doctor I've ever had sucked, so I feel you.
I’m a medical student and you really inspire me. The way you asked the questions to the patient is just fascinating to me. I really hope to be as good as you someday
You got this! Don’t give up - I’m sure you’ll be a wonderful doctor :)
@@ellatadros just wanna say..you're such a nice soul!
@@ibrahimuzair08 Aww thank you so much! This made my day :) We need more wholesome interactions like this on the internet
I believe in u 💕
As a fellow 24 year old female who has been dismissed several times when it comes to my personal health issues, THANK YOU for being thorough and asking questions and spending actual time with the patient; instead of the (downright frustrating) "You're too young to have these issues" "have you tried ibuprofen and heat/ice?".
And thank you for admitting when you don't know something, I feel like there are too many doctors out there who are extremely arrogant (not to stereotype) and in the medical field arrogance can be FATAL. I'd much rather a doctor be honest when they are stumped, then to (without logical reasoning or even a starting point) just start throwing random medications at it without further testing or consultation with other doctors who might have actually SEEN something similar in THEIR career.
I'm glad that you took a minute to consider everything you learned from the patient, continued to ask questions (that ultimately lead to the diagnosis), and gave them options in the meantime. Very happy for the patient that it wasn't cancer of any kind.
Tell the doctor "you're too young to be a doctor, have you tried actually learning medicine so you know wtf you're talking about?"
I've noticed almost every doctor under 50 I've seen has spent more time and has expressed more care and investigation. That's simply my experience, but it's a good sign our healthcare is getting better in some ways.
This! All my issues get written off as psychosomatic, caused by my back issues or not real... but my issues started to pile up since I was 5...
@@meganhenry5795 Yes, true. I feel like the younger and less experienced doctors who are taught newer information and techniques are better.
Many older doctors are just arrogant and don't bother learning and improving. Some of them do good work, because they're constantly trying to improve and get better.
When I was in my 20s, I've heard "you're too young for this and that, there's no need to check it further" many times. Now, being 30+, when I went to do a thorough checkup after pandemic, it seems I'm finally old enough to treat me seriously. It appeared I have prediabetic state and some odd hormonal problems (haha, there IS a reason I've been exhausted for 'no reason' so often after all) + minor surgical procedure awaiting + symptoms of early glaucoma. It's been 4 months and I'm currently visiting 5 different specialist :|
Sharing personal experience about his clients and detailed history makes it relatable. Thank you for this. I love you man 😁 ❤️
One of the things I love about my PCP is that he's knowledgeable enough about mental health to take my depression into account with my physical health. Like when one of my best friends died about a month ago and my blood sugar numbers went haywire because I didn't deal with things well.
I also love me some PCP
Fun fact: When Dr Mike uploads, everyone’s day gets better
True
You want a heart
Accurate
Yep. Made my day better.
Only if u see it
I love when a doctor can explain things in a normal, easy-to-understand way. Trust is key in your healthcare because, ultimately, it’s up to you what happens in treatment! It’s called a “practice” for a reason. 👍
I’m so glad he considered cancer even though she was only 24. A friend’s daughter was diagnosed with breast cancer at 15. I don’t know all the specific details but she did have a lumpectomy and several weeks (maybe 3-4 months?) of chemo. She’s about 30 now and doing great. It just shows though that the Big C isn’t age discriminate.
Exactly, as a teenager I was having horrible abdominal pain and was having trouble keeping food down. My family doctor and my mother suspected gallbladder issues but when we discussed things with other doctors who could actual DO something for me, I was met with "You're too young for gallbladder issues and don't fit the criteria". Months of continued testing, being asked MULTIPLE times if I was pregnant (there was no chance of that), losing weight because I couldn't keep food down on a regular basis, continued excruciating abdominal pain that would wake me up out of a dead sleep and one pediatric ER doc telling me "Your symptoms are due to stress, you just need to calm down and relax". I FINALLY got a HIDA scan...and TA-DA! Non-functioning gallbladder that needed to be removed.
Doctors...LISTEN to your patients and acknowledge that age doesn't necessarily mean that someone can't have something.
@@Panda72021 This situation is triggering me because *no* doctor should ever dismiss an issue based on age of all things (or at all, a patient is supposed to be well considered). I'm hoping they were able to take action quickly! Seeing as to how much pain + weight loss + discomfort you went through, had it stayed in your system any longer, the situation could have escalated and would have caused some form of permanent impairment. I hope you're well now!
@@joan5314 Yup, once I got the gallbladder removed, the symptoms went away
Yeap. Grapefruit sized tumor in my colon at 30. Never too young 😥
@@paularies3282 Are you still alive and well i hope you were able to get any better
That’s the exact same thing that happened to me. Armpit lymph node was swollen to the size of a golf ball. Freaked me out because none of my other shots had that effect. Really gave me quite the scare. But it went away rather quickly in a few days.
yes
Can you please tell how did you get rid of it Because mind is very big
@@nnekatrotman3443 it goes away on its own in a few days. If it doesn't subside you should seek a doctor.
What is your vaccine?
@@nnekatrotman3443 have you vaccinated? Covid 19 vaccine?
Wait, if Mike is overseeing residents, does that mean he is an attending? So, he's basically McDreamy in real life. Now, all we need is to find Meredith.
I don't remember in which video he says it but yes he's an attending
He’s TOTALLY a mix of McDreamy and Andrew DeLuca.
he looks more like deluca
Mike is an attending. Once you complete residency you’re an attending. He’s been in practice as an attending for years.
Whomever she is will have to love Bear 🐻 too :)
I’m glad you considered cancer. The biggest signs that showed I had lymphoma were enlarge lymph nodes in my Neck, chest, and armpit. I love how everything was taken into consideration!
I was one of those people where my doctor didn't check everything when I came in with a swollen lymphnode in my armpit. He thought it was because of shaving and sent me home. A few months went by and the pain would come and go. I didnt trust it at all so I made my doctor order a ultrasound and in the end it turned out to be lymphoma. Clean for 2 years now, luckily :)
I had this and I am 15 and now scared
Thank goodness you're ok now. Good thing you ordered that ultrasound
You were very lucky... I lost my cat to lymphoma. By the time I discovered something was wrong, it was too late
How could a practicing doctor so casually mistake literal cancer as mild skin irritation? That should have been classed as a malpractice considering you could have suffered greatly, or just straight up die given enough time.
Me too. Tumor in my tongue was a “blocked saliva duct.” Even when I said you sure it’s not cancer? No, no, no, silly. Young women don’t get tongue cancer. 😒
The more I hear about side effects of the vaccine, the more I'm realising that I was blessed. I only got a slightly sore arm, whereas a friend of mine a flu for two weeks
My mum’s arm was in agony for weeks. The NHS put off the second dose because they didn’t want to risk it getting worse, so obviously when she got the second dose, all problems went away.
yup, my arm wasn't so sore but dang was I sick. But it still wasn't so bad compared to the actual flu I've had some weeks ago lol
The vaccine gave me a quite high fever with awful chills, but the flu just did its flu thing and I hated it from start to finish.
@@birdgirl8390 do u rest after vaccine?
I just had a headache and chills for the next day and the day after I was fine. I'm sure all of us would feel the sore arm
Im extremely lucky because i almost didnt feel pain in the shoulder. No fever either
Slightly confused how she was asked about vaccines and she remembered her tetanus and hpv jabs from weeks ago but not her covid one she got three days ago 😂
My thought too 😂
Brain fart, enhanced by panic.
They probably asked about the blood work then ask if she got any vaccines at that appointment
To be fair, the tetanus shot REALLY hurts 😅
@@jofawkes for me the HPV vaccine I got 3 years ago hurt more but I looked it up and most people said tetanus shot hurt more
A few weeks ago I got a mandatory reinforcement dose of the Pfizer vaccine. I didn't feel any weird symptom until a couple of days later, when I started feeling some tenderness/pain on my left shoulder and left side of my neck; that night, when I was washing myself, I felt a small, defined round lump right above the left side of my clavicle that didn't hurt, but because it was above the bone it caused some pain when pressed against it... I'm glad I watched this video, because otherwise I would've panicked and thought it could be cancer, so I waited for a few days and the lump went away without leaving any trace behind.
This is a long way to say thanks to this channel and community; I'm in my early 30's and don't have any serious health issue, but having these videos that are fun and highly informative make me want to take care of my health more and also have helped me learn more about conditions that my family members have. Thank you, Doctor Mike
"If you're thinking about it, go to the doctor"
Laughs in chronic illness.
Aw I understand ☹️
@@llamawalrushybrid Is it chronic joint pain? maybe we have the same thing!
@@llamawalrushybrid Have you thought of it being acid reflux?
@@llamawalrushybrid I’m not sure about the tongue thing but the chest pain and feeling like somethings stuck in your throat, all sounds like acid reflux/an ulcer.
Laughs in uninsured.
The way he is so genuine and transparent with the process is the way I want to be as a doctor.
Studies have shown some plants property to have the ability to permanently cure herpes forever with the right proportion. The fear for side effect depends on herbal doctors or experts practitioners , this is why always recommend Doctor osagie for patients . Of a truth Herbs cure herpes and this comes in different kinds and so their after effects. My wife and I are herpes free today using doctor osagie on UA-cam herpes medication and so far we have been perfectly well - being .
I wish more doctors were like you, taking the patient’s concerns seriously and talking through the process with them, including when you aren’t sure what’s happening. Too often things get ignored, especially for women with anything relating to the menstrual cycle and those who are overweight.
Yeah, any time an overweight patient goes to a doctor, all they get is "sedentary lifestyle", "make lifestyle changes", "reduce weight ". Not actual help........
Most of my doctors couldn't have got this in their 15 minute appointment slot, so they would have just sent me to some other specialist... or five.
@@jeanjaz Every doctor I saw said that the problems were imaginary and that I should make lifestyle changes........
Almost died from severe health problems because of their incompetence and idiocy.
They should make the lifestyle change.......of no longer being a doctor.
You had me thinking it was cat scratch disease the entire time. A couple years ago I got kittens and the same thing happened to my lymph node under my armpit and my doctor only came to the conclusion after the exam when we talked about our kittens. The amount you guys know and study is truly astonishing!
I love that suggestion of changing the terminology to “intended effects” from “side effects”
I don’t. Side effects are often just the intended effect and known mechanism going too far. Like treatment for high BP having low BP as a side effect. Yeah.. Duh…
@@thefilth7368 if you listen to what he said, you’ll hear that he said something such as tender lymph nodes which reduce after a few days could be referred to as intended effects as they are a proportional response to a vaccine which is supposed to cause some kind of immune response. Obviously there are still side effects which go over and beyond intended effects. I should have been more clear in my original comment that I didn’t mean the term should be replaced across the board, just in this case that Dr Mike was referring to
"If you're thinking about it do it" but doctor Mike, I have health anxiety
Oh my gosh this is me right now every random pain in any part of the body is a deadly disease
This gives me new insight on how complex diagnosing a patent is, and I now have a new appreciation for the medical field. Thank you for this channel and I can't wait for more. And remember CHEST COMPRESSIONS!
I wish more patients were as good of a historian as this patient. Many times when asking questions for a history, SOME patients are not so good at providing information or irrelevant information to questions. Health care is truly a collaborative process between patients and providers. I wish all parties involved would grasp that concept.
its fun to watch a medical professional use terms that i would never understand
I actually understand most of the medical terms in his videos! Bc I am Greek and most medical terms are in Greek ( just latin alphabet)
@@katerina.m2329 i know most of the terms, its just fun watching doctors say funny words in serious conditions
When I started seeing a new PCP, it was absolutely seeing her thinking process that made me feel comfortable with her. I've never had a doctor that listened & considered as well as her.
Love when you tell your patients stories, I always learn new medical things and it's awesome!!! You literally inspire me to become a doctor, Love you Dr.Mike❤
If all doctors were as open, transparent and passionate as doctor Mike I would be a happy bunny 🐰
Awww, yes, The lymphatic system. The unsung hero of our bodies!!
Glad to see the lymph nodes finally got a shout out. Thank you , Dr. Mike!
I love your enthusiasm and joy in solving these puzzles. Puzzles being human beings.
As you were describing the symptoms, my first immediate thought was “yup, she got her Covid vaccine.”
While I’m not a medical professional, I used to handle hospital scheduling and especially mammograms, so as the shots became common place I started having several friends and loved ones expressing concerns about a lump in their armpit following the vaccine and asking me if I thought they should get a mammogram. I told them I’m not a medical professional (of course) but that it was a common effect from the vaccine. Sure enough, it went away in like a week for all of them.
Why COVID 19 vaccine is fine
I had the same after a 4 days, it had me worried
my sibling also had a lump
@Chris Friz Which is rare after vaccination. On the other hand heart inflammation from having covid is more common.
I am having lumps in my armpit but I took the vaccine like 2 months ago..they subside on their own after few days but it gets painful sometimes.
👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻 Great job Dr. Mike! You are the perfect physician to be overseeing the residents. Turn out thinkers like you! So awesome!
i love how doctor mike explains these situations i would LOVE for him to be my doctor
Hearing how thorough you were with the patient brings a smile to my face. Effort shows care, and you really wanted to allay her concern before she left the office. In this day and age, showing compassion and empathy is less common than it should be, but you don’t have any problems putting those qualities on display. You have a good heart. Never change that.
Something tells me you know Frank James's channel.
@@gabor6259 I’m being completely honest when I say I have no idea who that is. What’s he about?
Update: I just looked up frank james and realized he’s an INFJ. That’s cool.
I love you Mike!
I uploaded my Face Reveal...
@@LightningSquad don't care
@@LightningSquad don't care
Doesn’t everyone ✨
I Love him too❤
Can we appreciate how he’s a doctor and a hero saving lives and family’s in need of medication
This is why I beat into my students the most important thing is.
A Thorough, organized, and factual patient assessment with every patient.
Wow, coincidences are scary. I recently had swollen lymph nodes on my right armpit. I was quite worried about it and was thinking about seeing a doctor. However, just the day I was thinking about finally going to see the doctor, I woke and noticed that it had gone. That day was day before yesterday, and now you uploaded this video. Thanks for telling us about this, it really help me calm down and realize that it is usually just part of my immune system.
Me too!! I had one for over a week and was very scared but when I was thinking of going to the doctor it disappeared!! So strange! If it ever comes back though I will definitely go to the doctor.
Same thing just happened to me too. But I got my covid vaccine months ago.
that’s so crazy, i’m experiencing the same thing and the crazy thing is my name is ayan too. so wild
i have some on my left neck and they have been there for more than 2 weeks
I'm watching this video cuz I have one now
This was absolutely beautiful from start to finish. As a medical coder looking for work in medicine, I loved the clarity of details. This is easily one of the easiest cases to code. I'm so glad I subscribed to this Channel.
A medical coder? Easiest case to code? What? Please elaborate.
???
@@theunheardprophet4315 idk exactly, but my guess would be it's like a patient with symptoms and you code in all the answers to possible questions so doctors who are still learning can practice on non human simulations?
@@krishcaulfield But that would require a deterministic process in solving medical cases which is *never* happening in medicine. There is no switch for "if (j, k, i) happens and (a, b, c) is the response then x is the diagnosis". That is the reason why becoming a doctor takes such a long time and is so difficult because an understanding of all microprocesses is needed to be able to make a specific diagnosis.
@@theunheardprophet4315 I was trained as a biller/coder, we assign codes to different diagnoses and to procedures and visits. If someone came in for left arm pain and had an injection we would code that they had a visit, the condition and location of the issue and the procedure if any that was done. It's mostly stuff like that :)
As a younger person it infuriates me to no end when you go to the doctor with a valid concern and they hit you with "Oh you're young you have nothing to worry about" like young age is like some almighty preventative measure against all illness. I've had multiple friends and people in my circle just randomly get sick and die that were in my age group. Don't tell me it can't happen it happens all the time idgaf about the probability I might just be that percentage that winds up unlucky.
There's a chronic skin condition where lumps can occur in several places like the armpit - hidradenitis suppurativa. It'd be nice to see a video on it on this channel. Good that the patient is doing well now :)
Yes. I have this condition. That would be great.
Agreed!
Yes i have hidradenitis since I been 14 I'm 21 now and it comes and goes for years
I would love to see Doctor Mike cover HS! I have HS, it SUCKS and is so misunderstood by people. So many people just say I don't wash enough or that I should lose weight when it's not related to either thing.
@@justanotherjessica yes I kown its so frustrating! My dr told me to go on a caffeine free diet because of hormones but nothing really works
Knowing the full history of what happened is definitely important.
My lifeguarding instructor once pulled a victim out of the water, asking about what happened and how she was feeling. The victim was pale, sweating, hyperventilating and semi-conscious.
She concluded the victim was having a heart attack and called EMS right away. The victim fainted, and when she checked LOC's and vitals, the breathing and pulse were completely fine.
She later found out that the victim just had a panic attack.
Panic attacks definitely feel like a heart attack…ugh, they’re terrible
@@clarissathompson Yeah it’s like an extra cosmic joke that they mimic the symptoms of one of the deadliest things that can happen. I get pounding heart rate with mine, to the point I can hear it in my head. I checked my BP once during and after. Shot up to 160/85 then back down to 120/75. I was visiting my folks at the time and my dad (in his 70s) just did not understand what an anxiety attack is. I showed him my BP spike and that tangible evidence made it click for him. He said, “So it’s like fight or flight response to nothing?” I agreed. He said, “That’s terrible! It must be so scary because there’s nothing happening to tell you the danger has passed so your body can return to normal.” I was like, “Now you get it!”
Some people even get JAW PAIN with them.
I found out I had developed anxiety because I thought I was having a heart attack. I went to urgent care and, while my BP was up a bit (I think like 155/something) they checked my heart and it was fine. I was rambling like I’d just survived a car wreck or something. The doctor said very kindly, “Ok. So you’ve got an anxiety disorder. Let’s talk about how we are going to treat that.”
@@83gemm I totally hear you! I’m glad you found a doctor that knew exactly what to say, too often you hear horror stories from people about their experiences with medical professionals. There are doctors out there that know we aren’t just being “dramatic”. Big hugz to you❤️
@@clarissathompson I’m not saying it’s because the doctor was female…. But…. In my experience locally, the male doctors are far more dismissive.
I had a suicidal episode in my teens. Major depressive episode in which I felt that reality was that I was a burden, nothing would get better, and I had the choice to end it and my loved ones would be sad once or stay alive and hurt them over and over through the years. Very big break with reality. My male pediatrician asked if I did it because a boyfriend dumped me. (I wasn’t even dating.)
My mother developed rosacea in her late fifties. Her face would flush and she found it painful. Her male dermatologist said without letting her speak, “You can cover it with make up.” Never mind that that seems like bad advice for a freaking skin condition! I was with her on that visit and as he was WALKING OUT OF THE ROOM I said, “Hey! This isn’t a vanity issue! She’s uncomfortable!”
Then the big winner was the time my mom had severe foot pain for months. I couldn’t attend this appointment and my mom is very timid with people in authority. The male doctor looked at her chart briefly, did not examine her foot!, much less order x-rays, pronounced it as arthritis, and told her she’d have to use a cane forever and to take Tylenol. Mom got another opinion because she did not want to accept that as a very active person - plus I thought it was bs because it was sudden like an injury, not something that built up or subsided like arthritis. Turns out…. EVERY BONE IN HER FOOT WAS BROKEN. She had developed a degenerative bone disorder related to her diabetes. Her next doctor was LIVID.
But I go to this female doctor with basically no symptoms other than terror and slightly elevated BP and she is immediately kind and listens.
Just going off my own experience and I think my backwoods region plays into it.
I wish there were more doctor's that would be open and tell you plans or things to check out. Cuz I would've avoided a lot of trouble in my own medical scenario
As a fellow physician. And one who is often critical of other physicians. I would like to compliment you on your thorough and intelligent assessment. Nice job
"Have you had any vaccinations?"
"Yeah... but they were like weeks ago"
*A few moments later*
"Oh yeah! I had the Covid vaccine 5 days ago"
... =,=" ...
doctors deal with this often. It's no biggie unless, humans make mistakes
@Adurite King no, i think they do. but its always good to get some info out of it! 😁
yeah I find it hard to believe that neither of them thought of the covid vaccine in that moment while still being in a pandemic lol, something doesn't add up with his story.
@@isoutoforbit I was thinking narcissistic invulnerability (fantasy that pandemic’s real but as an inconvenience that only threatens others)
I'm an engineer. This gives me More reasons to Respect doctors. Thank you.
what about architects?.
@@kamisatoayaka9039 No one was talking about architects.
I’ve had a similar issue in the past.
I’ve had multiple abscesses in the same spot (under my right armpit).
Back in high school I had one that was baseball sized and the American Family Care doctor said any larger and they’d have done emergency surgery right then.
We wound up draining it (popping it and then squeezing out the gunk inside) and then applying bacturband daily for like a week and a half,
Omg. Baseball sized?! Yikes! That had to hurt like crazy!! Geez.
@@madameshadow357 I’d asked my parents several times what they thought this pimple-like thing under my arm was and they dismissed it.
It finally got so painful that I couldn’t sleep and at like 2 AM I popped the head and drained it for probably 45 minutes.
That let off enough pressure for me to sleep and the next morning I demanded they take a closer look and immediately realized I needed to see a doctor
Jeeze
I had a huge abscess in my right pit about 15 years ago too, probably a little bigger than a golf ball. It was sooooo sore!!! I didn't have insurance and made minimum wage at the time and lived in a rural area, so going to a doctor wasn't an option. I just had to google what to do about it, sterilized a needle, popped it and drained it myself. It hurt so bad I thought I would pass out but I made it! Lol I still have a scar about the size of a quarter there.
Sounds like HS to me. That’s what I have, and no doctors ever think about it for some reason
I truly wish all doctors were like you, you took her seriously, didn’t make her feel like she was crazy and did a full exam on her, asked so many questions then the diagnosis 👏👏🎉🎉🎉 we need you in Ontario Canada, sir! Lol
I really really love these types of stories!! Keep them coming! This story really got my mind going and thinking about the process of being a doctor and solving cases!! Thanks Doc!
This is why I find it so frustrating that some time crunched doctors refuse to discuss more than one issue in any appointment. Not only is it often hard for people to get time off work to go to multiple appointments, but often many different symptoms are linked,and without getting a full understanding of what's going on, it's easy to misdiagnose.
Yessss! Exactly!
So true!!! A holistic whole-body approach is best!!!
Sometimes it's not even just the time crunched doctors themselves. He mentioned it in another video, but insurance companies and billing codes can limit how many issues they're able to address in one appointment apparently. It doesn't really surprise me to hear of yet another shaft from insurance companies.
I really like the "they shouldn't be called side effects they should be called INTENDED effects!" So true! I wish more people could understand that concept
Good job on that swollen node. Love how thorough you were! Wish ALL Docs were like that!
Hi dr mike
Hi
Hi
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This was really interesting to watch. It gave me a better understanding of the diagnostic process. It felt like watching an episode of House, but… more realistic. Please do more of these!
As someone from Slavic culture, I see so much of it in Mike. The way he talks, gives examples. It’s very heartwarming to knew about people like him.
I don’t remember writing this 😧
@@-leeza-3312 😳
@@-leeza-3312 lol
I had the exact same problem about 15 years ago. The doctor ran the ultra sound & then biopsy & found out it was cyst with water filled. I had a surgery to remove right side thyroid.
Can you do a video on the skin condition HS? No one ever talks about it, and I feel like if you did, more people would go get diagnosed and not be ashamed of their bodies
HS = Hidradenitis Suprativa? If so, he should partner with Dr. Pimple Popper as she's had some amazing outcomes with her HS patients.
I have this condition. Found out two years ago. I've stop using roll ons, stop shaving and improved my diet and started eating more plant base and whole foods. HS is horrendous. So thankful to my dermatologist with just a few minutes, could give me the diagnosis 👍 I sympathize with every HS surferer. Love y'all 💙
@@timhaines3877 oh god I never realised she was a dermatologist probably, I was just always like, "that's a disgusting name".
_Epiphany._
@@ENBSamiaSiddiqui Yeah, her channel name is unfortunate as it probably turns a lot of people away, but her content is really good. The compassion she has for her patients is humbling.
I had to google it and went "oooooohhh so that's what I have!" so yeah he should definitely talk about it lol and I have to agree that a plant based diet and no shaving have massively improved it. I also religiously practice skin care, by taking oil baths and using Barnängen lotions.
I like how when asked about vaccines, she remembered the tetanus and the HPV vaccines, but forgot about the most recent Covid one :P
That’s what I was like
As a software engineer, I can attest that this is similar to how we debug our code lol
That's actually interesting. Goes to show that asking guiding questions is a useful strategy for many professions! Educators may do this do to teach logical thinking.
Kudos to you for being extremely thorough and asking all the right questions because some doctors just jump to conclusions and automatically assume it's one thing when it could be something else and they give you medication for it when they don't even know what they're dealing with. It's like they don't really have enough time to take the time to figure out what's wrong because they're overbooked with way too many patients and they don't have time to spend the time to find out what's wrong. That's why a lot of people when they go to the ER get sent home because they don't want to take the time to figure out what's wrong with you and then you come back and they're like oh geez we didn't realize how sick you were maybe we need to admit you. That's what happened to me. And it's a good thing I went back the second time because my body was starting to shut down and the doctor told me if I hadn't gone to the hospital when I did then I probably would have died shortly after. I had no idea what was wrong with me and why I was so sick and neither did my regular doctor after running millions of tests. After I was admitted into the hospital they did what they called surgery the next day and they wouldn't tell me the name of whatever they did and three days later the doctor came into my room and gave me a diagnosis of celiac disease. And the doctor also told me that it was lucky I'd come into the hospital when I did because I could have died. I wasn't able to take in any more nutrients and I was losing more fluid than I could take in so I was in really bad shape. That was a little bit over 10 years ago and I'm in a lot better shape now but I still have a lot of damage in my body because I didn't get diagnosed with celiac disease until I was 47 years old. I was sick the whole time I was growing up and the doctors never picked up on anything because most doctors think that celiac disease presents with mostly GI symptoms and that it's also rare which isn't true. I found out after doing all of my own research that there are over 300 symptoms of undiagnosed celiac disease and most of them have nothing to do with the GI system. So I had a lot of sicknesses and things going on with me as a child that had no basis and nobody found a reason for what was happening. And these things were very unusual for a child to be going through such as severe migraines when I was 8 years old with no basis and severe leg cramps at the same time and nobody came up with a reason for it. These are also symptoms of undiagnosed celiac disease but nobody knew that back then cuz they were looking for stomach symptoms and I did have those but no one connected the dots.
Thank you! I got my second dose yesterday and I found a small but painful lump this evening. Would have worried sick if I had not seen this. 🥰
As an aspiring physician I absolutely love these types of videos where you present a patient's case and your thought process. Such a great learning opportunity!
So glad it turned out OK. When I was in my mid-20s, my girlfriend at the time had a mass that turned to be Hodgkin’s disease. Thankfully, she made it through, but it’s safety to say lymph nodes have given me a bit of anxiety since then.
Im always checking my husband, and children's lymph nodes as well. Had severe swelling in the lymph nodes under my arms.. After being told it was from allergies to my deodorant. I got sicker and went to ER with a 103f fever, hot lymph nodes and in the beginning stages of renal failure I was diagnosed with Kawasakis disease. I went to the hospital right after Labour day and woke up from a medically induced coma after Thanksgiving.
Breastfeeding can cause temporary masses in the armpit like this too. They’re grossly called “pitties.” Gross things you only learn after they happen to you.
I’ve had inflamed lymph nodes for over five or six years now, they do go down and swell up more occasionally. When I went to the doctor they did a physical exam on the back of my head and neck (that’s where the bumps are) and then sent me to get a blood test done to check white blood cell count. It’s been almost a year since then and I haven’t heard a single thing from my doctor. Another thing that I’ve noticed is that if I get a mosquito or bug bite (which I often get a worse reaction to than most people) in the area of the other bumps, sometimes a new bump forms under the bite. They don’t really cause me any pain, but can just feel weird from time to time.
Second opinion! And if they have no idea I recommend trying complementary medicines such as acupuncture and herbs. Sometimes it's just not on the level the doctors can understand.
@@acupiano Please do not suggest stuff that is questionable empirically.
@@utkarshtrichalxpearl4427 pls do not suggest anything to anyone. Clearly the doctor doesn't give a 💩 about a patient. Like most of the GP 🤷♀️🙄
@@TheBambii86 In my opinion many doctors DO care about their patients. Those who don't are clearly bad doctors. That's why if we meet bad doctors we should switch them.
@@utkarshtrichalxpearl4427 they should not practice! And mistreat others! Or even to let them die! Anyway, sick all of them 🤮
Just throwing in two cents here, but like the shaving I’d also ask if they use deodorant. Either spray or roll-on can also block hair follicles.
It's not deodorant that causes clogged sweat glands, it's antperspirants.
This happened to me 2 years ago when I got a lump on my neck for a week. The doctor asked me the same questions and I ended up getting blood work done and a x-ray on my nose. The result: Nothing serious. Why it happened? Not sure. Just the body reacting to things...
Thank u for this!
The week after I had my booster, I felt a small mass on my armpit. I was anxious since I have a family history of cancer. Thank goodness it slowly went away.
I just wished I was able to watch this earlier. I'm gonna share this.
Thanks again!
"I asked about lupus"
*It's never lupus*
I absolutely loved following through your thought process on this case study!! I would love to see you walk us through more! I used to always hate reading through them in class, but it was actually a really fun revisit with your story time format.
I had a breast cancer scare when I suddenly found several small lumps in my armpit. Turned out it was an adverse reaction to antiperspirant! That was the best diagnosis ever because my mind immediately jumped to cancer 😅
Did it get better I’m having the same issue now because I tried natural deodorant
I have a pain when my periods were close in armpit and today the pain was transfer in the middle of breast and shoulder sweeling plz tell what is it
I’m glad you posted this. Many women are unaware of this possible after effect from the Covid vaccine. In my case, had my mammogram three months after my second shot, and received a worrisome report: axillary adenopathy left side. A Google search left me confused, a lot of articles about the Covid vaccine, but mine was in the right arm and 13 weeks before. A follow up ultrasound found that everything was normal. Women should be told about this when they get the vaccine so they don’t get too anxious.
Me who has watched every house episode hearing about this:
'its just like the simulations!'
Ahhh. It was lupus.
I had a weird mole that I had checked out and I'm so glad I did. The doctor said they weren't totally sure because it did have some suspicious features. So they cut it out and sent it off to be tested. I was told that if it came back abnormal I'd have to come back to have a more thorough removal and that I'd need to have increased skin cancer screenings. It had been bothering me for quite a while and just going in to the doctor made me feel better, even before the results came back as benign!
I had something similar about 5 years back, on the sole of my foot of all places. It was cut out and sent off also. The report, which the doctor explained to me, said that I basically had a scar on a mole. Great relief, of course. Now I still got a small scar there XD
I had a skin tag on my underarm and I removed it myself when I was 14 years old. After that it had a hole and there's a lump inside. But it's not the usual lump that is circle in shape. It's like a nerve that is swollen. It's not painful and it's a very hard lump. I still haven't got it checked. :(
Super cool story! I love how intricate medicine is, when done right. I will say, as a poor US citizen it's weird hearing Mike suggest going to a doctor any time something's wrong. I have chronic pain, weird growths, and joint problems but no way I can afford to be seen. Like a lot of people
Same
It's so hard to hear about how terrible the US health insurance system is. I hope it will change soon. Your health is valuable.
@@ReasonMakes thanks. I wish I had value in practice, but as I come to another year hurtling around the sun hope continues to disappear.
I have about 50 lumps on my body in all different locations. Some deep in the muscle tissue, some not. It's always on my mind. My doctor just says, "they are likely lipomas" and dismisses my concern. Wish I could find someone to address the issue. If it truly is nothing I'd love to be told that with some confidence after at least being examined...
When I saw "golf ball sized mass in the armpit" I thought of HS. Curious why that wasn't an option
This is why specialists are best for these kinds of issues. Within a few minutes my dermatologist could tell me that was the condition I had 👍
I thought maybe it was eliminated when she mentioned she didn't shave. When I was diagnosed the first thing the doc told me was to stop using a razor to shave (or stop shaving completely) because this can be an aggravating factor. Although, I can still get small flare ups but none as bad as the few I had before I stopped using razors. I am seeing a lot of diet related suggestions on here though, I didn't know diet could be a cause. I will have to try some of those suggestions.
As an RN I can relate to this! There have been times in my career where a patient told me something that they thought was not important, and therefore had not told their doctor. Everything from minor stuff to one who had neglected to tell anyone they had had a terrible reaction to anesthesia a few years earlier and was being prepped for major surgery😩.
Just like a resident and attending working together, doctors and nurses do it too!
I’m a final year dental student with final exams next week. Even though this video was about medicine, I could totally relate to the thorough medical history checking before making a diagnosis. Thanks Dr Mike for such an informative and inspiring video.
This happened to me after my booster shot and I was freaking out. My dad and aunt are doctors so they checked it and told me to wait a few days and if it wasn’t gone we would get tests done. Within a two days it was gone. I don’t think I’ve ever been that scared in my life! Thank you for sharing stories like this Doctor Mike!
I had the same thing about nine years ago while I was pregnant, (im 34 years old now) It ended up being active cancer cells on my lymph nodes from my arm pit into my breast. I had 2 surgeries and lots of medication. When I gave birth my daughter and I were very sick more her than me.. she is doing amazing..
“The worst thing that can happen? The doctor’ll tell you you’re all good”
I thought that was the best thing that could happen
Man i love this video. Im currently in the middle of med university so materials like this are really helpful to me. This is the stuff we often miss in common education. How to talk to patient for example..
Would love to see more clinical cases like this in the future!
I have had a lump in my armpit for a few years (probably +5 years…). It used to gets painful and swollen close to when I was about to have mother natures visit, but as I got older (47 now 🤯) and my periods got “scattier”, it now randomly gets swollen regardless of that time or not.
I have a family history of several cancers, including Hodgkin’s disease that my late mother had.
Had it checked several times, and was told…..(drum roll please!!!) it is excess breast tissue that “migrated” into my armpit, or lives there or what ever.
I still have regular memograms, just in case, and hope for the day it’ll stop 🙏🏼
Thanks for your super informative, educational and fun videos 🥰
Unfortunately, the “when should I get seen” question also hinges on the fact we have to pay for these visits and because our Heath are system is essentially “for profit” and is not a right, money is a factor in being seen at all.
+
Healthcare services provided by a person is supposed to be profitable. Your doctor or healthcare provider has gone to school to earn a degree in medicine etc. to earn a living, which makes a profit margin above their office /business expenses, making money to pay their bills and living expenses. They don't work for free, their services are not anyone's " right. "
@@music_games_more Yes, that is the same in other countries as well. The only difference is that the country pays for Healthcare. Not the individual.
The way the united states is at the moment. People aren't taking preventative steps because they can't afford the extra visits. So often when people go in it is too late or ends up killing them financially. Even if you have heath insurance.
@@music_games_more yup and in France and Canada doctors make a third of what American physicians do because it’s considered an honorable profession. Taxes cover medical expenses for all.
I recall our Declaration of Independence stating we have the inalienable rights of “LIFE, liberty and the pursuit of happiness.” People are dying because they can’t afford medications, procedures, or the inability to even make appointments because of working two three four jobs just to make ends meet. Our system is garbage.
It doesn’t change the fact that extremely expensive medical bills due to our medical system being for profit is a factor in being see.
@@harmonic5107 the country, meaning the government, meaning taxpayers ?
I used to have problems with breast tissue swelling up in my armpit when I was in high school, was generally around my period, it would be soooo sore and uncomfortable sometimes I couldn’t even put my arm down comfortably. I had several ultrasounds and physical exams on it but there was nothing suspicious. Just happened to have some extended breast tissue up there that would get enlarged and sore because of period hormones. Little did I know that once I had a baby my bloody armpit would get engorged with milk 😂 now that was painful
Yes omg! I just left a comment because this exact same thing happened to me. It’s extremely common but they don’t tell women about that! I have a bit of extra breast tissue in my armpit and yes they told me I could lactate out of it if I ever get pregnant! But luckily my breasts don’t get sore on my period so the lump doesn’t get sore very often. It actually hasn’t been sore since it developed, and that happened when I was 23-24 (I’m 25 now.) Also goes to show some people’s breasts don’t stop (or start lol) developing until their late teens-early twenties, which I also wish I would have been told. I had 32B cups until I turned 18 now I have 34C!
I didn’t know I had it until I was in the third trimester of my first pregnancy! The doctor thought it was a tumor and sent me for a surgical consult. Thankfully, the surgeon had seen it before and told me what it was.
Yes I just had an appt at my doctor and I’m suspected to have the SAME THING!!! Glad I’m not alone
Going to the doctor and getting told "nope, you're good " Is such a piece of mind. Sometimes you don't even notice how bad a swollen something is bugging you and causing you to agnst until you get told it's really nothing serious
Dr Mike awesome 😎 thanks for sharing and teaching. I'm a retired nurse on a pension. Diagnosis breast cancer, had bilateral mastectomy. The training surgeon thought a cyst under my armpit was a 3 breast and remove more lymph nodes and tissue, than was necessary. I continue to have pain and problems. Surgery was in 2013. Elderly people on Medicare and Medicaid often are guinea pigs for students to practice on. I pray we have more teachers like you