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- This guy told me he had pink eye.
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He had metal shards in his eye from welding.
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Oh my god.
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Can that happen?
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Hey, guys.
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Doctor Mike here.
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Welcome to the third episode
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of responding to Reddit threads.
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This week's response video is gonna be to the thread titled
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"Doctors of Reddit, what's your thank god they came in
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"for a second opinion moment?"
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I know mine.
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Are you ready for me to tell you?
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Bee-whoop.
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I'm working in an urgent care,
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and the last patients on my schedule
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happen to be part of a family.
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And when I walk into the room, they're covered in bruises.
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They looked horrible, like in horrible condition.
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It almost looked like they belonged
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in a level one trauma center.
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I asked what happened.
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They told me they were coming back from a road trip.
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Unfortunately, they got into a car accident
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driving, like, 70 miles an hour.
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They were treated, let go,
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but they were still having so many symptoms
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that they wanted to come see me.
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My first question was, "Give me your records."
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Show me what tests were done
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in this place where you were treated.
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They give them to me.
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I look and it's like, okay,
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scan one, scan two, scan three, labs, this, that.
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Everything looks decent.
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Where is the scan of the head
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to make sure you're not bleeding inside your brain?
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And they're like, "Oh, they told us we shouldn't do it.
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"We didn't need it."
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And I'm thinking to myself, "That's crazy."
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Not only is one of the family members
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on blood thinning medication,
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but they were involved in a 70 mile an hour car accident.
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So despite the fact that it was very difficult
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to get them to the ER for the second time that day,
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I made it happen.
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We got them there.
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And what do you know?
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They were scanned.
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One of the family members, bleeding into the brain,
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ended up staying in the neural ICU,
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and is effected to this day.
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Had they gone home, not seen me, went to sleep,
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the outcomes would've been much worse.
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So that's my thank god for a second opinion moment.
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Now it's time for me to read and react to yours.
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Well, not yours, but Redditors.
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Are people on Reddit called, ah, sorry.
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My dad went to the same ear doctor for around nine years
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due to poor hearing and was told there was nothing wrong.
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When he finally went to a second doctor,
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they referred him to the hospital
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and found tumors in his ears that had eaten entirely
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through his inner ear bones and ear drums.
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He needed four operations to remove them,
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one every six months.
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If the second doctor hadn't offered their opinion,
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he probably would've had tumors
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eating through the back of his skull into his brain.
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Well, I don't know if that's true,
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but the fact that you're going
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to see a doctor for nine years,
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and you have a loss of hearing,
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and they're telling you everything's fine, that's wrong.
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You have a symptom.
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If they're not curing the symptom
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or addressing the symptom
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or explaining why the symptom is there,
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they're not doing their job.
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Are you yawning during my Reddit thread?
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That's so rude.
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(Bear licks)
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ER nurse here.
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Had a lady in for simple pneumonia.
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Her 13-year-old son was getting bored,
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so I showed him some equipment.
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I connected a simple heart monitor to him
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and discovered he was in complete heart block.
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I printed a strip and showed it to the doc.
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We suddenly and unexpectedly got a cardiac patient.
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Yo, that's crazy.
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That's like in medical school
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when we're all listening to each other's hearts,
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practicing, and then we find out someone has,
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like, a serious heart condition.
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That's crazy.
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I had a doctor in high school who was unconcerned
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when I suddenly developed vertical double vision,
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which was freaking out everyone in the emergency room
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where I had gone initially,
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and I had lost 60 pounds for no reason.
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That's an insane amount of weight loss.
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It was only a year or two later when I told him
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that my arm would fall asleep much faster than normal
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when I raise to ask it a question in class
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that he thought there might be something wrong with me.
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MRI ordered.
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Brain tumor found.
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Bear, isn't that crazy.
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(Bear licks)
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Bear doesn't sound concerned.
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That's a crazy story to me,
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because the first question you ask,
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even if you're remotely concerned about a cancer history is,
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"Do you have any weight loss."
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Unintended weight loss, specifically.
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And when they say, "Yes," that encourages me
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to start scanning and looking
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for things that I normally don't check for.
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Having a 60 pound weight loss
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should automatically be a red flag.
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Raising your hand and having it fall asleep on you?
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Not a huge red flag.
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That could be simply an issue with cervical radiculopathy
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which means that your vertebrae,
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where the nerves come out between your vertebrae,
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can get impinged and cause symptoms
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that shoot down the nerve or cause it to get,
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for you to develop some numbness or tingling.
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60 pound weight loss?
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(sharply exhales)
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That's major disease unless proven otherwise,
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and I think Bear agrees.
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(kiss)
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Dermatologist here.
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I have seen probably five instances
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of my other doctor told me it was fine that were melanomas.
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A lot of times people don't want full skin exams.
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There are lots of perfectly sane reasons for this,
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time, perceived cost, history of personal trauma.
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However, I routinely find cancers
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people don't know they have.
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Keep this in mind if you see a dermatologist for acne
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and they recommend you get in a gown.
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Yes, there's so many patients of mine
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that I recommend that we do full skin exam
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or maybe even offer them a referral to the dermatologist
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and they pass up on it.
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Melanoma's one of those cancers
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that's growing in diagnoses,
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and it's one that can be incredibly dangerous
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because it spreads when it metastasizes
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to really weird areas of the body like the eye, bone.
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Like, these are problems
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that you just want to avoid with careful screening.
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Psychiatrist here.
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A 30-year-old man with mild depressive symptoms
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was in and out of the hospital fairly quickly.
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He as under pressure from his home life,
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living with four roommates
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who were making life a bit difficult for him.
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No suicidal thoughts.
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He was cleared of all psychopathologies
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by me and two other doctors.
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A few months later he came back.
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Same symptoms,
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however this time he talked about five roommates.
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It felt wrong, and I digged into his story,
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tried to contact his roommates.
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He lived alone and was severely psychotic.
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I have no idea to this day
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how he hid it so well from everyone.
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When we scan for psychosis, we look for inconsistencies
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between the patient's subjective experience of thinking,
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being, and acting, and the objective reality
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accepted by the general cultural norm.
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This patient managed to live in a subjective psychotic world
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that just fit so well with the objective reality
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that tricked several psychiatrists, including myself.
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In this day and age, it's very easy for that to happen.
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We want to be as understanding and open
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and non-judgemental as possible.
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However, if you're trying to establish
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whether a patient is basing their current situation
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in reality, sometimes you have to ask probing questions.
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But now, there's an art to this.
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You can ask questions by making yourself seem very curious
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as opposed to inquisitive as if, like, you're a detective.
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That little change in tone can go a long way,
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especially with a patient
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who may be psychotic or psychologically ill.
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(stammers)
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(ululates)
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(Annoying Orange ululates)
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An elderly gentleman was brought in
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by his concerned adult children for chest pain.
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He wanted to believe his primary doctor
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that it was some gas or heartburn,
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but his son just had a gut feeling and made him go to the ER
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with everyone so he could get checked out.
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Heart attack was imminent.
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Like, we weren't sure if treatment would take effect
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in time to prevent it.
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Declared code blue, means heart stop, all hands on deck.
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Place went from very quiet,
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empty ER to sheer chaos in minutes.
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There is no doubt in my mind
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that this gut feeling saved his life.
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Wow.
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Knowing your own body
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and being a good advocate for yourself,
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or having a family member that knows you well
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and is a good advocate for you is crucial
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in getting better health outcomes.
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That's why those who don't have an extended family
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or are not married generally have worse health outcomes
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because they don't have someone to advocate on their behalf.
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I got a moderate traumatic brain injury in October,
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and the week after I got home from the hospital
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I wasn't' acting like myself,
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was refusing to eat, and just didn't make much sense.
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My mom called the doctor a few times.
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They said it was normal,
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but to take me in if anything changed.
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She took me in on Saturday, a week later,
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because I started slurring my speech
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and was unsteady on my feet.
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The injury caused my sodium levels to drop from 140 to 119.
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That's quite dangerous.
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This in turn caused stroke-like symptoms which were,
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in reality, a small series of seizures.
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Yeah, electrolyte imbalances are no joke,
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and sodium levels, potassium levels,
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calcium levels all need to be kept in homeostasis
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by your body's organs in order for you to stay alive.
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Any disorder that,
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whether it makes those levels go up or down,
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can have life or death consequences.
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Can you imagine?
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Potassium can kill.
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Makes you think about eating bananas.
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Just kidding.
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You can eat bananas and nothing bad will happen
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because your own body's organs will decide
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how much potassium to take in,
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how much to let out, so on, so forth.
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Went to my family doc
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with the worst headache of my entire life.
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She dismissed it, telling me it was a tension headache
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and I should take a Tylenol and lay in a dark room.
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First of all, when a patient says,
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"I have the worst headache of my life,"