Healthcare Triage Questions #1
Вставка
- Опубліковано 16 чер 2024
- This week, Healthcare Triage presents its first questions video! Many of you submitted questions over Twitter, and John and Aaron sat down to answer them. Hilarity sometimes ensues. Make sure you get your question in next time if you want to see it answered. Or, if you want your Twitter handle prominently displayed in a video. Or both.
AND SORRY I SCREWED UP HDL/LDL!!!
Make sure you subscribe above so you don't miss any upcoming episodes!
John Green -- Executive Producer
Stan Muller -- Director, Producer
Aaron Carroll -- Writer
Mark Olsen - Graphics
/ aaronecarroll
/ crashcoursestan
/ realjohngreen
/ olsenvideo
you messed up the HDL and LDL thing. Make an anotation to correct it
This guy is correct! Please upvote him.
Done. They now have an annotation at that time point 9:21
Happy Dancing Lance, Lay Down Larry
Probably better to make a note of it. "annotation" is marginal or footnote entries in a book that go into detail on a highlighted subject. "Notation" is a noun that means the act of taking notes. "Making a note" is writing down a concept once to be reviewed later. "Notate" is not a word. A person doesn't "Notate" something. They "note" it or "note it down."
Wow, so many experts in the comments. All this guy is doing is relaying the outcomes of actual studies. Actual studies > your personal experience.
Dr. C is one of those people that could say "I'm going to talk about random shit for an hour." and I'd sit down and listen. Perfect voice and charisma for being a speaker.
LDL carries the cholesterol towards tissues, HDL carries it away. Therefore, LDL is 'bad', HDL is 'good'. LDL has more cholesterol, while HDL has more lipoproteins.
Anyway, as I said in the comments the first video of your channel, I think this channel (especially this video) is a must for every medical student in the world.
the stretching thing is really surprising to me
***** Ah, but what exactly is being warmed up? Our internal body temperature doesn't change all that much, and when it does that's usually a bad thing (ie fever). Not to mention, what is the difference between stretching in advance and muscles being used during exercise? How does doing it in advance change anything?
When you think about it, stretching doesn't really make that much sense.
Taking things with a grain of salt here; just because there is no (statistical) data that shows both to be beneficial, it doesn't mean it always isn't.
I like to think of "warming up" and stretching as two separate things. Warming up can be anything like running or doing some exercises, which can exert the body just as much as whatever activity is performed afterwards. Stretching however, so long as you don't go overboard to stretch until you feel pain; WILL benefit you from straining muscles too hard later, especially before swimming. Don't want to get a leg cramps and drown in the ocean? Stretch.
What happens to clothes of certain fabrics after they're washed and hung to dry? Unless you lightly stretch them out while damp/wet, over time they shrink, and shrink, to the point you feel like it's a size smaller. The same can apply to muscles.
Long story short: everything in moderation.
GCyclone ....
Jake Hayes But I have noticed that if I don't stretch before martial arts practice, I can't kick as high, punch as fast, or run as fast. I don't believe it's a coincidence.
Vin Sad you could be more relaxed?
"WHO'S THE DOCTOR NOW?!"
Not you John, not you.
As much as I love the usual HT for making its points really solidly, many of us trust this channel for good info by now and this Q&A format covers a lot more ground in a more entertaining style.
More of these or a Healthcare Triage podcast every so often would be really cool.
I would love a Healthcare Triage podcast!
Alan Gebhardt Good idea!!! HCT Podcast! I'd have it in my daily subscription along with Planet Money, Freakonomics, Intelligence Swuared, and 99% Invisible.
a Podcast would be awesome!!
As a personal fitness trainer I always told my clients that they should skip the supplements until they reach a point where they are sleeping good every night, eating very healthy every day, and training intensely 5-6 days a week without compromise, and they feel they need to aid their body in coping with their intense training. Not as some kind of magic pill, so they can skip workouts, not put forth the effort, eat like unsupervised children, and still swell like Arnold.
This was probably my favorite episode yet. Do this again!
I am generally an unhealthy person and both the fields in which I work are conducive to sitting for many, many hours per day. I also live on junk food. After almost twenty years of smoking I quit about five years ago. It was the best thing I have ever done for my health. I feel significantly better ad a result.
LDL is bad cholesterol!
***** I never get this wrong because I simply remember that LDL should be LOW, and HDL should be HIGH.
Love this guy. The only thing he can do better is make more videos - the internet needs this kind of education!
Thanks!
Very informative! I watched it straight through to the end. I'm so glad this channel exists because it's nearly impossible to get unbiased and accurate information from someone who truly knows what they're talking about. Keep doing what you do! :) it's great.
Straight forward, common sense, what's not to like about this guy?
Direct feedback! I really liked this format. Aaron is much more engaging/lovable when he's interacting with a person right next to him. Also, I continually appreciate your "the sky isn't falling" approach: helps us focus on the real things, e.g. regular exercise.
Oh this is a great segment! I hope you guys will do these every now and then!
Thank you. Thank you. Thank you. This show is wonderful. I know the information is out there, but a google search often returns a whole bunch of websites selling something, not the good research. And without the time (or priority, really) to read the studies and figure out which ones are more valid, it's so hard to get this information. I have completely changed many of my actions because of what y'all explained on this show (drinking milk, buying organic, talking about vaccines). And I thank you for doing this.
This is a great video. Keep up the good work, Triage has quickly became one of my all time favorite video libraries.
I freaking love this channel. This was great, we need more of this type of video.
I LOVED THIS! I loved how conversational it was, and how informed Aaron is. You guys (and for once, I mostly mean NOT John Green) are awesome.
this has been the most entertaining interview, Q&A (or what ever you call this) on youtube.
i've learned a lot and laughed a lot. you guys are awesome!
I really enjoyed this segment. I'm excited to see more of these videos.
This was a real fun watch. Thank you, gentlemen. Now I want to meet Aaron real-live even more. He has a style of thinking that I really like.
LDLs are bad - it helps me to think that the L is for Lethal
HDLs are good - H stands for Harmless
thats a great way to think about it.. gonna need this for my final thanks HAHA :D
wow you just cleared up so many misconceptions for me. You should do more of these
I absolutely love this channel! I'm always the one telling people to look up the studies. I hate hearin, "They say you should do X, or Y." My first question is, "who says that?" I always push people to look at the studies, the evidence, see what they say. And I love that this channel dives fully into that. If I could cuddle up with this channel, I would.
John, for the love of god, don't get botox. You don't need it, it's not you, and as a father you're basically telling your kids that physical appearance is important to social status and success. I will continue to watch your videos because they're good videos no matter how old and wrinkly you (perceive yourself to) get.
Really liked the Q&A! Would totally watch more of these!
The world is in desperate need of this kind of evidence based approach to medicine and health. Thanks for your work!
I've been watching vlog brother for agess but I've only just discovered this gem of a channel. Fabulous.
I just realized how much more I enjoy watching Healthcare Triage videos without the constant jump cuts.
Excellent episode! Thanks John and Aaron.
On the stretching thing: it's important to note that he is talking about stretching before physical activity. In all honesty the best way to look at stretching is as another form of physical exertion. Obviously not an aerobic form. But stretching can be beneficial if done in a separate "work out" so that your muscles lengthen. Which is definitely good if your muscles are overly tight, pulling when you don't want them to.
I like Aaron's casual style here better than the accusative style of most other videos. _Having said that_, I do find these video's very interesting and informing. Keep up the good work!
This was an awesome video! I love the health myth busting you're doing and I wish everyone I know would watch this
the number one thing to do to live longer is not die
A friend smokes; however, he also exercises regularly and he believes that by continuing to be active; exercising the organs prone to carcinogens (heart, lungs, etc.) that he might be offsetting some of the damage caused by smoking?
I have to admit; the guy works out hard; heavy cardio / Vo2-Max training /Road Cycling (20miles/day); and seems to be in good shape; even dives for abalone and can stay under water a lot longer than I can.
But, this just seems like something a smoker tells himself to continue smoking - a professional opinion would be helpful to educate him (or myself?). Thanks - love the shows!!
Absolutely yes to the nutritional supplement answer- expensive pee. To the stretching- dynamic stretching before exercise prevents injury. Static stretching would not. Please be sure to specify the difference!
Such a huge fan of this channel! :)
Stop looking at Stan off camera!
But he's so handsome!
This was actually a really informative and diverse video; I hope you get to do more of these Q&A videos. :)
I really really loved this episode! Keep them coming!
I love this style of video! do more of them please!
This is probably one of my favorite HealthCare Triage videos yet. Dont' get me wrong, I love all these videos, but this one had a lot of good information packed into a single segment. Keep it going, we're listening.
As always, another great video from Healthcare Triage.
I'm so happy, you just removed the guilt I felt for never, ever stretching before strength training. Hurray!
it was fun to see the discourse b/w John and Aaron... made me smile :D
Fantastic! Thanks so much for these you guys.
I loved this video! You should do more Q&As. Keep it up!
This was fantastic, more of these please!
Really great video! I hope you'll continue making them! :)
I'd love to hear more about the vitamin supplements. (yeah, I know, a simple "NO!" is great, but, atleast here in germany, there are so much contradicting statements)
I only have one wish for this show. Whenever you mention a study/studies show, I kinda want them sourced, like links to those studies (hopefully somewhere on the screen) so I can look at them myself. I understand that this might logistically difficult. You are an expert I trust, I need that trust to be verified.
Great show.
I like the format. Thanks for doing this!
Would be great to see the study on stretching/warming up. Really hard to believe it's not working!
Damn, totally missed out on the call for questions. Can't wait for the next one!
Continues to be the best show on You Tube. Everyone should watch it!
I love this channel, keep up the good work.
This video looked like it was a lot of fun to make. I think that is why I enjoyed it so much :)
Oh god, the milk bit at the end was hilarious.
First, just ran across this channel, and I like it a lot.
Second, I have one specific point of difference from what I thought you said in the video.
Specifically, I think there is a much stronger link - than admitted by conventional(?) advice - between protein intake and the body's response to exercise.
Many years ago, in high school. I was in athletics (cross country and track), and did fairly well. At the start of high school, I was a 90 lb kid (with no thought I could end up in athletics). Once in athletics, I spent near an hour in the weight room every weekday, trying to build upper body strength, with very limited result. By the end of high school I was a 120 lb kid. My diet consisted mainly of massive carbohydrates. (For a nutrition class I estimated my intake was 11,000 calories per day. Also, our cross-country coach scheduled some pretty intense workouts - and ran with us. Hard to complain about the workouts when the coach runs with you - and ahead. Also our cross country team did very well.) I do recall looking up the then-current dietary recommendations for protein intake (in the early 1970's). My (very) hazy recall is that 10-20g (or less?) was all that was then thought that the body could use. Rather a lot of effort, and very little result.
A several years back, I started going to the gym regularly. Of course, for the first few months my workouts were fairly pathetic, but improved somewhat - if not a lot.
Then I thought to look up advice on protein intake. The science in this area is more than woolly, but the advice offered suggested more protein might be effective. Well, protein is cheap, so ... why not? I boosted my protein intake above 100g/day. The frequency of visiting the gym, and time spent in the gym stayed about the same.
Oh. My. God.
My upper body strength increased rapidly. My subjective level of effort was the same. My daily workouts at the gym are under 10 minutes. My upper body strength - geez, I do not really know - quadrupled? More? Maybe a lot more. (If I knew this was going to happen, I would have made more of a record.)
I exceeded my goals years ago. (Got harder to find clothes that fit my upper body.) I backed off and was content to maintain my current level. But ... I am still(!) gaining.
To be clear, this is only from adding more protein to my diet - nothing else.
My blood chemistry numbers also changed, very much for the better. I am currently a 59 year old male, and all but one of my immediate ancestors died of heart problems near my age, or earlier.
Also ... and this is more speculative ... the muscular soreness after hard exercise seems much reduced in duration, and effect. No assertions here, just a question.
That was a very enjoyable video, as well as informative (although as a skeptic, none of this really surprises me). Please make more. :)
You guys rock! Keep the light of evidence based medicine shining! :D
LDL is bad and HDL is good! LDL is what causes hardening of the arteries, much more than HDL levels. Most medications and treatments today focus on lowering LDL levels.
I'm in love with this channel
IS this really the first Questions video? I swear there was another. also YAY a questions video.
That was FANTASTIC!
Great show! Learned a lot, and had some laughs.
Thanks very much for sharing the insight and professional recommendation.
Small matter to clear up though: HDL stands for high density lipoprotein and REMOVES cholesterol from tissues, transporting them back to the liver for metabolic processes (HDL="Good"). LDL stand for low density lipoprotein and is an endogenous molecule with the function of depositing cholesterol INTO tissues arround the body ("LDL="bad").
Big caveat here though. As with most things, this is no black-and-white issue. Both LDL and HDL are critical for good health, so long as they're in their normal and healthy ranges. LDL simply gets a bad rap because in the modern archetypical picture of "poor health" (obesity, heart disease, etc.), LDL level tend to be much higher than normal, while HDL much lower than normal. Thus LDL being called bad, and what we typically want less of, while HDL being good and desired in greater amount.
My English teacher brought up the study about Oreos and cocaine in class and was totally invested in the idea that Oreos were as addictive than cocaine.
ʕ•͡.•ʔ *facepalm*
Great Q&A session! Definitely keep it up!
Hey Aaron, could you elaborate more on the questions of vitamins and supplements impacting health? I am aware of a meta analysis in BMJ that showed considerable benefits to having sufficient levels of Vitamin D, and most patients (especially us high latitude folk) have insufficient levels so supplementation would be beneficial. What about Vitamin C prior to an operation or during cold/flu season? What about essential oils like Omega 3? I think there are a lot of misconceptions, but potentially some benefits as well to this topic.
Love your talks, always good for sparking conversation.
Thanks.
Thank you for this! This cleared up a lot of misconceptions that I had.
Hi, this was a great video, would it be okay if you made one on the efficacy of some different anti-depressants and/or whether they're the best method for treating mental disorders/if we're overmedicated? I read a lot of conflicting information about this, so your take on this would be really helpful.
Yay for Q&A!
This channel is amazing!
Definitely do more. Free healthcare advice is nice.
Hilarious video. Really informative too. Great stuff!
You talked in previous episodes about healthcare in the us and canada. Which country do you think has the best healthcare system? Also how would New Zealand rate?
On another note an episode on stretching would be nice
It's a great thing John has a pediatrician who keeps up with current medical studies. A lot of doctors don't continuing studying the science of medicine once they start practicing it.
My understanding of the stretching thing is this: When you stretch, it does more to separate the muscle fibers. Kinda like "ripping" though muscles don't actually "rip".
But in either case, when you go to exercise, if 10% of your muscle is "ripped", then the force is focused on the remaining 90% and thus you perform worse, gain less, and are at more of a risk for injury.
The main benefit I can think of is avoiding tendon damage due to lack of flexibility. But in that case, you can do something like yoga at any time to get the same benefit.
Hello Dr. Carroll,
I am a 18 year old student from Dallas that is very appreciative of all your videos. I have been a subscriber of your channel since your video on Randomized controlled Trials. I am a curious person and I like to be informed about health. I plan to study medicine when I grow up. Nevertheless, I believe knowing about the health before I get to med school will help me in the long run. A year ago I watched a documentary called Plastic Planet released in 2008. Since, then I've been very cautious about buying plastics unless I absolutely needed them. I started drifting away from putting plastics in the microwave and stopped drinking from plastic bottles. My questions are the following:
Is there any proof that plastic is harmful to humans?
Am I doing the right thing by trying to reduce my interaction with plastics?
Thank you for your time,
Liam Alec Stenson
This is great news about stretching. I teach a walking class and the thing that really bogs people down is the amount of time we spend stretching.
OMG!! Thank u for making these kinds of videos for us specially for people who are studing medicine like me, this is so informative and very educational!! Greetings :)
I glad you made the distinction between multivitamins and supplements. Some people act like it's crazy to take multivitamins as well, whereas it seems kind of obvious that if your body is a little low on something it can get it from the multivitamin whereas taking huge amounts of individual vitamins is just going to cause you to pee them out.
this is great. I love this channel
This channel is awesome!
Clarification on a couple things please!
First, on the topic of supplements, does the same hold true for prenatal vitamins?
Second, I was taught in A&P that LDL is the bad, and to remember this by thinking of the L as standing for lousy. Was I taught wrong? *edited later, I read the "about" section and saw the mix up. Forget I asked! =-)
Love the videos, think I like the Q&A format even better. Definitely love how much data you have to back you up. Keep it up!
As a nutrition student, I found the mix up between HDL and LDL disturbing, especially since the correction was in the description at the bottom. HDL is the so called "good" cholesterol and LDL the "bad" cholesterol. Although you are right, food consumption does not alter either (but exercise does!).
Also, many people at many geographical locations would benefit from a vitamin D supplement in the winter.
Great video :). Fun and informative.
Do more of these, please!
I've heard the thing about stretching before, but I'm always hesitant to bring it up because I balk at the idea of having to defend that against my entire cross country team and coach all without having an internet connection at practice.
I'm kind of embarrassed that you answered a joke question from me haha. Very good video guys!
In regards to the satisfaction question, I find that very true. My sister was going through a stressful time in her life but was not suffering from any mental illness like anxiety, but her doctor still gave her anxiety medication so she left there happy.
I can not go to nearly any place in UA-cam with out goddamn John green showing up
This was cool, enjoyed fun interview format this week. Thank you. Also: ALL HAIL OUR MILK-INDUSTRIAL COMPLEX OVERLORDS. >_
My confidence in everything you said went out the window when you got HDL and LDL mixed up.... Guess I'm going to have to go back to webMD to quench my need for medical advice/information.
Yes because off the cuff guesses are just as reliable as when they spend a week writing and researching a episode. It's not like one doctor can have everything in medical science in his brain and on speed dial.
I was clearly joking.
Isn't he a pediatrician? I can't imagine cholesterol comes up very often at work.
I love these do more of them!
Other than being very informative, this was just really enjoyable to watch! Thanks!
So nutrition, exercise, stopping smoking if you smoke are the three things I got out of this talk.
Whenever I hear or read of a new supplement or chemical that is touted to prevent disease, the first thing I do is to see if any scientific studies articles from professional journals are available online, at least abstracts. Then I research what foods these chemicals are in. Then I go to my *farmacy* and get foods that have them. Blueberries and grapes; cantaloupe; apples and dark green leafy vegetables; bell peppers and Brussels sprouts; rutabaga; and many other fruits and veggies I like. In fact, often I will go to the produce section and follow my cravings. I can't really go wrong with that.
Then, for myself, I let myself eat eggs in any amount. Additionally, I let myself eat red meat at least once in a while. Not because I'm trying to cut it out-I love red meat and sometimes binge on a slow - cooker barbecued pork roast -but I have it often enough to calm my brain down. (I have bipolar.) Chicken and turkey don't do it, nor does fish. Beef, pork, mutton or lamb, ox tail, bison, and even emu do. And beef tongue. (I most often get pork.)
Great episode. I like the interaction and that the answers are nuanced. Merci.
Please do an episode on the science of medicinal cannabis, as well as your expert opinion on it. Please!