Part of the problem is that academic journals are gated behind $50,000 per month institutional J-STOR subscriptions. The public can’t access the best science because research is obsessed with monetization, careerism, the status-grift of authorships and its interplay with grant-making and private sector business.
How is it possible for me to access this information? Is subscription the only way? If so, how do I get a subscription? Thank you for pointing this out and have a great day!
I really appreciate how he wasn't afraid to say he didn't understand everything that the fda is doing. Honesty means a lot to people and for both doctors to say that covid is a complicated thing and they are still trying to figure it out makes me feel better. Basically stay safe practice commonsense and for godsake if your sick stay at home! Those nuggies ain't worth no one getting sick covid or cold.
Well, they only just figured out why the immune system goes hog wild on patients, the damned virus infected white blood cells when they engulfed the antibody tagged virus. That caused the immune system to overreact and to into scorched earth mode.
Totally agree, but another big problem is that there are a lot of people who are in situations that prevent them from being able to stay home when they are sick, there needs to be more thoughtout solutions for situations where you should not be going into work :)
@@ornatus9616 This was a "innovation" from the first Bush administration. It would be better to have the FDA funded mostly or all the way from tax money, but that doesn't follow "conservative principles". Admittedly, this is how UL certification and various Kosher certification processes work. Ask your representatives and senators to better fund it and make its independence clearer. Covid19 is probably the first of more unique public healthcare issues that are going to hit the world for the next century. They mentioned we may be in a post-antibiotic reality and I shudder. I don't want to go back something like the pre-antibiotic world.
"doing something wrong a thousand times doesn't constitute experience" THISS! As a young physician I always say this when someone tries to justify a wrong clinical decision with the "experience" card
Eh, i don't like to see it as a "justification" but more like explaining how the self works here, but yeah there's definently some lack of adaptation to repeat a mistake a thousand times.
Depends how much progress you make each iteration. Edison's lightbulb supposedly took over ten thousands iterations. This kind of thinking can deter people from seeking peer review and early experimentation. Be careful.
Can we get to the real problem, the reason why people want a 'quick fix' for a cold or flu is because most people do not have sick days in the USA. You can't just miss work or you won't get paid. So, this is an institutional problem. The reason why patients want anitbiotics is because they want to feel like what they paid for was worth it. If they went to a doctor with an issue and the doctor charged them $100 to tell them go home and take a rest, they would feel like they didn't get anything for their money. Not saying it is right but this is all because of how the US healthcare and labor system is. That is the real problem.
Very good points that you made. Its why I will not go to the doctor unless I know for sure I need a prescription for something, like an antibiotic for strep throat. Same with my kids. I'm not wasting the money just to get a note, and I know that there is nothing they can give you for a mild viral infection to make it go away faster. Even Tamiflu has very little effect on the duration of that illness, although the drug companies want you to think that it does.
Every job I worked at has had sick days, yet people still wanted a quick fix. In nations with universal free health care and mandatory sick days, people still want the quick fix. So sick pay is a great thing and I want to see it expanded, but the link you suggest is probably weak.
I'm glad something Mike said at the beginning "Be Skeptical" and by that he means ask questions. If you think something is wrong say so, get second opinions. Just because an authority says something is safe and okay doesn't mean it necessarily will be for you.
Wish I can say the same, my primary care Dr sucks, ever since I got COVID my body doesn’t feel the same anymore, I still get body aches, a lot of muscle spasms, sometimes get like shaky and my Dr just thinks it’s anxiety, I know my body and I know it wasn’t like this before, I told him if I show any symptoms of Anxiety is because of the symptoms that I’m feeling with my body, not anxiety creating those symptoms :( but he doesn’t listen, I honestly don’t know what to do anymore I don’t know why I’m feeling like this, I’m scared, I’m frustrated, I feel alone and lost, really sorry for the big rant, I just needed to get this off my chest :/
Exactly! It took several doctors in the hospital I was in, to *finally* get the right medication I needed to start healing. One prescribed NITRO GLYCERYNE (couldn't get it bc apparently it was "discontinued") and then another prescribed Ativan...which MADE THINGS WAY WORSE. So yeah. Never again for Ativan for me, but still wonder if NG would have helped? 0.o ' 🤷♀️
Given the effects of the Internet on our society, it is important to emphasize that the intent in this statement is: not to accept claims based on expertise alone but on the basis of evidence. The intention is not: to be convinced that the experts' claims are false just because you do not understand them.
@Dmon ! I'm not antivaxx, but I am super skeptical of vaccines in general, primarily because I think that a lot of the more modern vaccines aren't being tested enough before being administered to the general public, particularly children, and I think that just basic research on the development and mass distribution of the Covid vaccine is enough to warrant that skepticism, and particularly the fact that so many of these vaccines are being created and produced by the same big pharma companies that pay off the FDA. Again, I'm not anti-vaxx, I just have questions regarding how affective vaccines actually are, particularly for me and my own health.
A few weeks ago I fell and bit my lip, getting an AWFUL infection there. It started spreading across my face and down my jaw within about 36 hours. The first doctor I saw gave me two antibiotic scripts (not penicillin, I had a supposed reaction as a toddler) He told me if it didn't improve by the next morning to come back and that he would probably admit me and put me on IV antibiotics. He told me three times to come back in the morning if not better, and actually made me look him in the eye and promise. He was so serious. It was worse the next morning. I spent the night in the worst pain I ever felt, just laying there sob-screaming. So I came back but saw a different dr. Told him that first dr said come back. New dr treated me like I was crazy; literally. After a few questions about the infection he switched to only asking about my mental health history. I was sitting there with swelling so bad I couldn't even speak enough for anyone to understand me, and I actually had to bring my mom along so she could speak for me. But he just wanted to question my mental health. Told me it was reckless to want more antibiotics that soon (I didn't necessarily, I was just following what the first dr said). Told me to check in with my psychiatrist when I got back to my home town and ended the visit. The infection did die down slowly over the next weeks, so I guess I didn't need more/different antibiotics. The pain was extreme and I turned to using Oragel to numb it. I used six tubes in 10 days. My point here is that the two doctors' opinions were so wildly different on the subject of antibiotics. It is very confusing as a patient, and you don't know who to trust. Also, some doctors are more accommodating when they see mental diagnosis in the history; others treat you worse.
Man I'm surprised you only used Orajel, for future reference Anbesol worked for me like a miracle compared to Orajel when I bit a chunk off my tongue under anesthesia and I had an open wound for about a full month and couldn't eat without full numbing haha
Although the 2nd doctor knew you didn't need a bunch of antibiotics, I think it's just rude for him to just go ahead and think you're insane and keep asking you about your mental health. You weren't insane, you just weren't experienced in the medical field.
I'm not a doctor, but I've had many serious infections as I have Crohns disease and have had many surgeries removing many feet of my intestines. An infection that bad in your face it seems like blind luck that it got better and didn't spread. You were on antibiotics for a day. Getting admitted to the hospital to be monitored and get the meds IV along with pain control probably could have accomplished the same thing without the suffering. It's hard to fault the thinking or both doctors, except the mental health questions, that was a bit messed up. A hospital is a place of high infection risk and many antibiotics can take a day or two to start working. So that second doctor may have been right about a few things whether on purpose or by accident. The first doctor sounded like he was much more focused on the severity of the infection and how potentially bad it could get. Regardless, the bedside manner of the second doctor is uncalled for.
This was so educational. I’m in Vet school and Antibiotic resistance is also an issue among the animals. Thank you for this. 45mins of my life so meaningfully spent.
Human who has cats here - I imagine antibiotic resistance would be an even bigger issue with animals due to not having antibiotic courses completed properly either due to negligence or just the fact that giving an animal a pill twice a day for 10 days (just as an example) can be very difficult. Last time my cat had a UTI i had to restart the course with a liquid antibiotic after a few days because i had wasted so many of the pills trying to find an effective way to get her to take them - hiding them in food didn't work crushed or whole, and they were too big to force her to swallow. The liquid one was more expensive but worked a charm. But i can't help but wonder how many people would have just given up and not said anything if they weren't successfully administering the pills.
@@outsidethewall8488 hey so a couple of tips for pulling your cat, if you open the mouth put the pill in and blow on the nose 9/10 the cat will swallow
@@Fluteperson01 For me the hardest part is getting the pill in her mouth in the first place because she flicks it out with her tongue. I do manage by holding her mouth shut until I feel her take a big gulp which usually works - although occasionally she still manages to spit it out after I think she has swallowed it lol. I will try the blowing on the nose thing next time I'm struggling - have never heard that one before. I did have an older kitty who passed away last year that I used to have to pill twice a day every day for about three years - and he would eat anything if it was hidden in a bit of cat mince (by that I do mean mince formulated for cats, not mince made of cats). But it doesn't work with my younger one rip.
@@Fluteperson01 has never worked for me, the cat just froths at the mouth :/ even when crushed and put in water solution.. will always opt for better delervy methods these days
I'm glad Dr. Mike and other folks are realizing the lack of nuance in discussions. In fact, lack of nuance ceases discussion. It has been a problem for a long time but I think social media bandwagon behavior has definitely made it more serious and pervasive. Viewing everything in black and white is as much a disease as any virus. This whole video was very interesting. Thank you Dr. Mike and Dr. Paul Offit.
I truly love that These doctors had the courage to say “I don’t know.” I feel like society has placed this unspoken pressure on doctors to know everything about everything and it’s SO appreciated when doctors are honest with their patients. I hope that more and more doctors learn to be more like Dr. Mike and truly become passionate about helping others instead of just making money off of them. The world needs to see this and learn. Also, if you have a low grade fever LEAVE IT ALONE so your body can do what it is trying to do. Heal.
As you talk about norms around giving fever reducers, as a social worker I can only think of the parent that doesn't have paid time off, can't afford a babysitter, and cannot let their children return to school until they no longer have a fever. I appreciate the value of this conversation but I need the same passion for affordable childcare and paid leave so that people can follow the best medical guidelines. And this example represents more people's lives than you think, and changing these guidelines can have a devastating financial impact on families. This is why I think med students should be taking classes in social work so they stop thinking of medical recommendations in a vacuum.
I believe the requirement for returning to school/work in most cases is 24 hours with no fever AND without using fever-reducing medications, since they are just artificially lowering the fever and the person may still be sick/infectious. That is a good perspective to keep in mind though!
Honestly you're right but really it's mostly bonkers that people would not be able to *afford* staying home on sick leave for a few days. In the long run it's better therefore THAT'S what should be done and facilitated, not just giving the child the fever supressor so their parent can get back to work.
Med students are already taking on more and more study than they used to. Loading more on is not the answer. They shouldn't be required to further add to their load, and expenses because of a system that is failing everywhere else. The system itself needs to change. Drs thinking of medical recommendations in a vacuum is absolutely the best thing they can do, treating the medical issue itself is the best course of action.
@@ArchieZeroOne I understand that. But practically speaking as a premed especially, some of the classes you take are unnecessary. I have never met a doctor who said they needed physics or organic chemistry. But learning to communicate, to listen, and understanding all of the factors that influence a person's ability to follow a treatment plan is relevant to being a good doctor i.e. social work.
Dr Mike, this is brilliant!! We NEED analytical discussions with critical thinking like this - especially when there's so much misinformation and misconception out there. Antibiotics, vaccines, "miracle pills" - these are all easily misunderstood and/or mis-sold. Thank you Dr Mike and Dr Offit! Can't wait to watch the whole video - with my full attention! 😍
Hello Dr. a quick question how high is too high for a fever. My son (2)once had a fever of 106.7. I had my husband take him to urgent care. Even with the tylenol it was around 103.5. Just asking as a mom with two under 4 years.
@@Paola-jf2qf hi there! I'm afraid it would be inappropriate for me to give specific medical advice over the internet. I can give general advice though - if your kid's temperature is that high, it's crucial to take them to a doctor. There are several red flag signs to look out for - the fever may be caused by a serious infection. As a UK doctor working in the NHS, I can definitely recommend Googling "NHS fever in children" for more advice, or refer to local guidance!
I'm Dutch, and one of the things that international people find annoying is the so called "lack of help" with a cold or flu. Generally, the advice is to go home, maybe take some paracetamol if you feel you need it, and to come back in two weeks if symptoms persist. Antibiotics aren't given easily. I like that. It can be hard here to get help when you do need more, but that also depends on the GP.
Absolutely. I came to the Netherlands in 2017 for my masters and now currently working. Initially, it was a bit shocking to not receive any medications from the GP. We internationals even made a recurring joke that everything in the Netherlands can be cured by paracetamol haha. But as you said, it depends on the GP. As I matured, I began to understand why this is so. In my country, they give antibiotics left and right - the reason being to prevent getting bacterial infection when body is weak due to, for example, a flu.
@@jess5046 this^ and some people that can't afford to officially go seek medical care will hold out until it's closer for their day off and chug Nyquil.
@A nook with a book: It's pretty much the same over here in Germany. If you have a cold or flu: go home, try to stay away from other people. If it doesn't get better within a week: come back to the doctor. Same goes for fever. Let the body work it out and only take fever-reducing medicine if really needed but try to let the body (fever) do it's thing because fever is a sign of the body healing itself. @Jess: You'll need the doctor's excuse for work here in Germany, as well. However, they (the doctors) will give it to you without a prescription for any medicine. No need for antibiotics..
This video is very informative and cool and all, but it's also very very important to see such a renowned doctor like Dr. Paul Offit to the big 9 million sub stage so he could educate us all about the prevailing misconceptions that could probably kill us all.
I'm a pharmacy technician and have been in the medical field most of my whole life. I noticed that my mom was taking a ton of supplements for vitamins and weight loss and she kept adding to them and then her kidneys started to fail and her doctor told her to stop taking all of her unnecessary medications and supplements and then her kidneys briefly got better.
The part of antibiotics made me think of that time when I was in my early 20s and likely had a UTI and the doctor said that she didn't want to take a urine sample or give me antibiotics because I didn't have a fever. I had never had a UTI before, I was in pain and was scared because I had heard about UTIs going up to your kidneys. She just dismissed me and told me that antibiotics can't be given out for everything. I totally get that, at that point in my life I studied biotechnology, I had a good understanding of antibiotics and antibiotic resistance. That doesn't change that I'm scared (years later I was diagnosed with GAD, so there's no wonder whatsoever that I was scared), she can't just be like "No, we won't even test you for an UTI because you look fine", she must take care of the patient, she must make the patient trust her. I didn't trust her in the slightest. I just got sad and felt ignored. This doesn't mean that getting antibiotics would've been the right thing for me, because my problems were gone in a few days, but at the very least a doctor should be kind, understanding, and polite.
I had a doctor do something similar and just told me to stop drinking coffee. Not "cut back", outright stop. I was an overnight nurse working on a postpartum unit and drinking 2-3 cups of coffee a night to stay awake. Sure, the coffee wasn't helping, but stopping coffee suddenly and completely was not going to be a good move
Whereas I once went to a doctor in my twenties for a UTI and the doctor honest to god said “That can actually be very serious, you could even die from it if you don’t get it treated.” Lady what do you think I’m doing right this very moment other than seeing a doctor to get it treated?! It was very weird.
I'm sorry that happened to you. I've had about 10 UTIs last year because I am on immunesuppressnt medications. My GP would just give me antibiotics, which didn't help much. I finally went to a urologist and she said the GP went about it the wrong way by starting with the strongest medication. She started me on a drinking regiment, then on a more natural medication in conjunction with the drinking regiment. So far haven't had to go back on antibiotics, and that, in spite of being a high risk patient due to being immunocompromised. I think in many cases it's best to start with more conservative interventions and escalate if truly necessary
Can I just point out how well Dr. Mike is using his non-verbal communication in this video? He's on a video call but is consistently looking straight into the camera to seem more engaging to his guest and to us. Also, nods/moves his head to communicate how intensely he is listening. It makes it seem natural, but I know how much effort this would take.
For some people it is a natural subconscious reaction, and you don’t have to think about intentionally engaging with other people non-verbally. The way women are socialized makes them generally better at it. People on the autism spectrum generally have to work harder at it. But it’s still a spectrum. For some people it’s natural and not even a conscious thought. For others, they have to think about it.
@@Jellybeansatdusk The hard part with Zoom meetings is that we normally look at the person we're talking to, but if its via a web chat, staring at the person will often look like you're staring away. You need to be staring at the camera instead. Which, often means staring at the top of your monitor or into your room, which means you can't see how the other people are reacting, because they're below your line of sight, so its really wierd.
When my son was a toddler, his doctor told me about letting him keep his low grade fevers. I mean, it makes sense. Fevers happen because your body is fighting something but if you kill the fever too soon, you keep it from being able to fight. I would let him keep his fever until it hit 102 & THEN I would give him tylenol/motrin. I also made sure he stayed hydrated, which is also so very important. He's 13 now and he doesn't often get colds or the flu. TYJ❤️
My pediatrician even told me that it is not necessary to know hiw high the fever is. So my kids get medication if they feel bad, dont eat or drink enough. Doesnt matter if it 99 or 104
I'm not sure if that will help him not get sick in the future, but it did help fight off whatever he had while sick. I was only given any medication while sick once it would be considered neglect to not give any. Now my immune system and overall health is trash Although abusive parents = not taking me to the doctor when I complained of serious symptoms so that didn't help. Your kid should be fine since you did give medication well before it was borderline neglect (think not giving it until fever above 103 and not seeing a doctor until my throat was so swollen and in pain that I refused to drink due to pain while 8)
@@samu6874 104 degree fever is bad and can cause issues with the brain such as seizures and loss of consciousness. If your child has a fever that high. They should be going to the hospital. My brother's friend had a fever that high and he had bacterial meningitis.
Dr. Offit! My favorite pediatric immunologist! He's the one I chose to listen to when this pandemic started. "If Dr. Offit trusts the vaccines, then I'll trust the vaccines." I've read studies and they're mind blowing. I'm happy there are true experts, like Dr. Offit, who have integrity.
Is he only for taking one dose of the vaccine? But doesn't the effect go away after couple of months? At least what I hear all the time. I'm still not vaccinated because I had covid not that long ago and because of this confusing information, how many shots do we actually need and does it stop working after couple of months or not. So specially as I survived covid and have good health I thought better wait until they come to the same conclusion about the vaccines, I don't want to take hundreds of shots suring my life time and specially if it doesn't make any difference anyway. I'm happy that they have at least finally stopped guilting people who are not sure about the vaccine and all the information about it yet, like you're some murderer. It's a personal choise what's best for your body.
I was someone who had bacterial pneumonia that was treated with antibiotics (back in the early 80's) and ended up being admitted to hospital. It was my strong as an ox mum, who took me home and nursed me back to health (but kept me on the other medication, just not antibiotics). I think about it often, imagine deciding that my daughter is either going to die or get well, but I'm doing it at home. She's still amazing.
Regarding prostate cancer, my dad was diagnosed with it in his late 70s or early 80s. He was initially concerned until the doctor said that with his type of cancer, he'd die of old age before it got to him. His heart (which had been thoroughly broken after losing Mum, his wife of 60 years) took him in his late 80s, pretty much when he'd just decided to give up. So if a doc tells you that, feel free to believe them. Dad didn't have to deal with treatment on top of his dodgy heart and everything else.
I have always told my doctor when my children were young that with antibiotics it takes 7 days and without it takes a week, so why fill them with it when they can really need it later in life. My doctor often used that argument with other parents and thanked me for that advice. As long as I could get them to drink enough and maybe eat something, the fever was allowed to be, but it got so high that they just wanted to sleep and I could not get them to drink so they got something so the fever dropped a bit. I am from Denmark where we have a free doctor and hospital but because something is free it is not necessary to always go to the doctor!
I get ear infections so often that antibiotics other than amoxicillin won't work. I have no choice but to have amoxicillin when I get them in my right ear around 1-2 times a year if not more. This time my mom just gives me pain meds if it hurts and I haven't gotten any antibiotics like amoxicillin for it. She's letting my body deal with it on it's own this time since I had antibiotics so much already. If it gets to a point where my body can't deal with it on it's own then I get Amoxicillin for it this time. It's only been less than a month since I had amoxicillin for my last ear infection I had which helped (has always helped everytime) and it went away but I ended up getting another shortly after. Doctors and nurses would say to try this other medicine and It does nothing at all to help anymore so I have to tell them the only thing that works for me is amoxicillin when I get ear infections. I can't even take medicine that goes in my ear because it makes it hurt even more(once cried all night due to pain it caused before). My body can't take most medicine that would work better for me because I can't take pills and have to take children's medicine for most things when I need medicine.
Exactly! The only thing I gave antibiotics to my children for was strep throat, because it can actually lead to rheumatic fever and heart disease if untreated. We don't run to the doc for Tamiflu when they have had the flu, or for any other mild illness that will run its course.
Loved this longer content and discussion! It is so rare to hear honesty and “I don’t know” these days. Just put Overkill on my Audible wish list, can’t wait to start it!
It's nice to see doctors that actually balance this complex thought process. I have to say, as a Professional Patient, I'm exhausted by being my own advocate. It's overwhelming to have to research everything, to find, get access to not always free papers, and actually read them to the point of understanding what is really being said about something. I'm not a medical expert. I'm a freaking engineer. BUT I *am* an engineer. I can apply engineering to the human machine. And between Big Pharma, Big Supplement, Healthcare as a Business, and having a budget, it's freaking rough. So it's heartening to see doctors that actually, you know, look into things. We just want to be well. But poor care is almost as harmful as disease.
I really appreciate learning from Dr. Mike's conversations with medical experts. Such fascinating info and, as always with his channel, it's delivered in entertaining or pleasant style. Also Dr. Mike always prepares for the conversations and is genuinely respectful and humble.
A few years ago, I never thought I could get reliable information from a place like CZcams, and sometimes we still don’t. But YOU, Dr Mike, give us as a country reliable information we can receive at home! Thank you so much for your hard work, keep it up man, we love you!
These long-form interviews are my favorite type of videos, thank you for making them! I don't imagine they perform too well with the CZcams algorithm, but they really are invaluable
I am trained and work in epidemiology and have always loved listening to Dr. Offit speak in various interviews, professional conferences, etc., so I knew I’d like this video from the start! I currently have bronchitis and watching/listening to this has been a good way to spend a bit of my recovery time 🙂
What a productive and informative conversation! Super refreshing to hear the raw honesty. False information and dramatization plays a HUGE role in social media’s influence on the population, and ultimately causes disheartening mortality rates. Thank you for an incredible video!
Love this! We do need to be skeptical at times, not cynical. This was such a refreshingly honest conversation between 2 well educated health professionals.
I grew up with paramedic parents and I never took Tylenol for reducing fever. I’ve been on antibiotics once for bronchitis. I knew how wounds heal or become infected. I had a fundamental understanding of how our bodies work to heal themselves. During the pandemic and now, I’m beginning to understand how valuable that is.
Love your content, Love this. I do think you missed one of the fundamental issues with people doing their own research. I did a lot of research when my 21 year old daughter was little. A lot, maybe most of the actual studies, their actual data sets, and methodology are NOT available to the general public. We are forced unless a medical professional helps get access, we are forced to read someone else's interpretation of the data. The question then becomes who do we trust for that? I like to look at the data, how the data was gathered, and what controls were in place. Not available to me.
I always enjoy your videos but this one has me up at 5am watching. Your mindset isn't one that benefits just the patients you treat directly but also encourages a healthy development of your profession at a time where it your words can truly have an impact. I will definitely be having a listen to Dr Offit also.
Thank you for this. I'm so sick of both sides going back and forth like they are experts but then demonizing the opposition for claiming they're experts.
I really like to see more cross specialist discussion. I am always trying to teach my patients that no part of the body is an island and that everything is connected. Sounds intuitive, but people come into my office (dentist office) and act like I don't need to know about their heart meds or A1c, then I have to spend time explaining the oral systemic health connection. I'd like to see that information spread broader.
Yes! It took multiple visits/queries about pits in the corner of my teeth to realise with my (great) dentist, that I had to more regularly take my stomach acid pills (omeprazole), not just when I felt I had bad symptoms, caus acid reflux was damaging my teeth even when I didn't think it was bad enough to take the meds.
@@ihatekinryyyy-nadinesvaani6698 see that's the main problem with you guys. An individual person can follow his or her own diet. It's absolutely ridiculous that you guys force your opinion to other people. Get a life!
We NEED to start regulating vitamins. Even though the government says that you can't claim cures with these vitamins people still do(contrary to the companies half-assed claims) and it's one reason why in my opinion makes MLMs that much more dangerous.
I’m always so grateful to people who make me question my long held beliefs. Thank you so much for covering these subjects so clearly, for reminding us to ask more questions and for genuinely caring about us.
"That anything that has a positive effect can have a negative effect." "This industry has gotten away with this notion- this false notion that's it's all positive and nothing bad can happen. That's never true in medicine." Those lines remind me of a quote from a book I like: "A medicine that is not fatal is not a medicine."
I love that bio hacking, Sillicone Valley and Theranos were talked about. I’m currently learning about those topics in school and following the Theranos case
This was an excellent discussion and I would like to thank you both for the time it took out of your day to make it. It was so interesting to see “older generation” and “younger generation” doctors having this type of discussion and, remarkably, agree on so much.
This resonated with me so much. As someone trained to ask questions. Realizing it is both advantageous and a fault we try to compartmentalize information. On the one hand it can make some things easier to understand. On the other, focusing on one small part can make us lose sight of the bigger picture.
A dear friend of mine recently died of cancer. She was young and beautiful, and when I went to her funeral and saw her corpse, it was heartbreaking. Cancer as well as the treatment and radiation therapy had ravaged her body and turned it into a husk of itself. If she was going to die anyway, I wonder if it would have been easier to not go through all of that. It's impossible to say. It's heartbreaking.
I still trust my doctors for the most part. I have also learned to advocate for myself and to speak if I feel that I am not getting the best care. I am amazed that people who sell and peddle fake medical cures don't get in more trouble.
same! i also tend not to go unless it’s bad (which is still infuriatingly often, because chronic illnesses, but it’s not for meds, it’s for referrals to specialists) - last time i went because of an infection, it was bacterial tonsillitis - i was prescribed antibiotics! i…didn’t end up taking them because i didn’t get around to picking them up until i felt a bit better, and by then it had basically just cleared up by itself. when i do take antibiotics i do take the full course, and the only time i was on them without the bacteria actually being positive on the test was when i had PID - which is the treatment for it when it’s caused by an STI, and did work.
@@poisonedkilljoy9304 I go to the doctor several times a year. I have several health conditions such as asthma, scoliosis, plantar fasciistis, and polycystic ovarian syndrome that require medication. I see my therapist more often than my actual doctors. I haven't had tonsillitis since I was two. I got my tonsils and adenoids removed when I was 2.
My dad had a *severe* shortage of D and was anemic. The doctor put him on supplements they do not sell anywhere else but the pharmacy (I'm in Belgium). Yes, you can/could get these in a regular supermarket, but pharmacy is better. He's fine now, but there is a time and a place for supplements, and I believe that. Not just take it willy nilly, but when you are struggling and have proven (bloodtest) shortages... why not?
I don't think anyone is saying that supplements are bad in cases where there is a deficiency, like with your dad. The problem is that many people think that they should take supplements every day even if their levels are normal. Supplement companies also market themselves this way. For most people who don't have a deficiency they aren't needed.
I believe that supplements can definitely help in cases like that, but I would only do it if recommended by a medical professional after the reason for said deficiency had been found and corrected if possible. So the long term solution shouldn't be to just keep taking supplements forever, but after the initial boost some changes should be made in diet or other habits to keep the levels where they should be. Of course there's some special cases like vegan diet not providing a source for a specific vitamin, or lack of sunlight during the winter up north dropping vitamin D levels, or allergies stopping people from eating some of the best natural sources etc. and in those cases careful and measured permanent supplementing may be vise, but again it should be instructed by medical professionals. Otherwise you'll fix the issue by supplements and soon end back in the same situation.
@@durabelle My dad is following doctor's advice, and it is for the longer term, or until the next blood draw proves different. I think we know how to deal with this. Please!
the ones they sell in the supermarkets in the USA at least aren't regulated or tested for quality. when something is a supplement it bypasses any legal requirements to be even what it says it is
@@kevinbissinger At least here in Belgium, when you buy a supplement from a pharmacy (different from the ones in the supermarkets), you can expect it to contain what it says in the amount it says.
Thank you sooo much for talking about fevers! I always let my kids have a fever, as long as they feel moderately comfortable and it's not dangerously high. Fevers are amazing and help the body!
Its cool seeing Dr Mike in a position of learning and asking questions, instead of teaching and answering questions which is what I am use to seeing from Dr Mike, an interesting glimpse on how Dr Mike consumes and processes the information
Thank you so much for this thoughtful discussion. I have MS and a couple of other conditions, and I constantly have people recommending things to me without really understanding that a lot of stuff isn’t regulated and might cause negative effects. Even my doctors sometimes give me conflicting advice about things that can help with pain or reduce symptoms. It’s hard for people like me, who really want to rely on the science, to navigate through the political and financial biases that the medical community and society at large have about medicine and alternative medicine. This video helped me to see the thought processes doctors and experts might have when making decisions and recommendations.
This video is one of the reasons I'm working towards finishing my degree of becoming a Dietitian. The field of Nutrition with honoring some of the more supportive treatments. Rather then just throwing excess medication at everything is one of my passions. Medicine is IMPORTANT, but as you mention, it's becoming an issue regarding the overuse of medication.
I had a wonderful dietician. She told me she didn't want to try meds or supplements until tweaking my eating habits. We made small sustainable changes. Only when this wasn't effective did she recommend my doctor prescribe something in the meantime. Because of her I only needed a small dose, and have since adjusted and come off that medication.
I was so glad to see you have Dr. Offit on your channel. I have been a fan of his for years and have enjoyed his books and he was a wonderful speaker at CSICon before the pandemic. Maybe we will see you, Dr. Mike, there one day too! Maybe this October?!
That was a really well-done interview. I left my healthcare field over frustration with professional standards. The guild so often fails to police itself, in any industry. Keep up the good work.
Thanks so much for creating such great content! Wanted to just add an additional perspective from the patient’s side that wasn’t really discussed. I recently had a great doctor had me wait out a sinus infection until I needed antibiotics (which I did end up getting), but I did see some symptoms resolve themselves in the interim! This was the first time this happened which was awesome. But, I would like to add that part of why I (as well as others I assume) seek antibiotics quickly is because there’s this push to get back to work quickly. We live in a system where productivity is king, whether it’s quality productivity or not. It’s near impossible for many folks to get time off to take care of themselves without fear of losing their job. It makes the idea of a medication that can alleviate symptoms quickly very attractive if you’re being compelled to get back to the grind. I’m sure many doctors, who are also overworked and exceptionally committed to helping their patients, sympathize with this. They’re likely grateful that their patient could make it to the doctor at all. Just another perspective to consider when trying to address this legitimate concerns of over prescribing antibiotics. Edit: typos 😬
Approximately 80-90% of sinus infections are caused by viruses, not bacteria. Good physicians will tell their patients to wait a week or two before getting antibiotics, which is roughly the time period that a virus should be winding down.
Yep! It totally makes sense. I’ve had chronic sinus infections since I was a kid and was always given antibiotics for it, so I agree that they’ve been given too quickly over the years. I’m glad the doctor I recently saw had me wait it out first. I was just pointing out that there’s a socioeconomic part at play here too with the over prescribing of antibiotics
This was very informative. Thanks for sharing! I remember my sister had pneumonia and the doctor kept giving her malaria medicine and that medicine harmed her so much that the doctor gave her asthma treatment. We took second opinion and she didn’t had blood in her body for check up. They were trying to constantly give fever reducing agent medicine.. just thought of that while listening and felt if only more research and doctor willing to learn them in order-to serve us and help us better. Because we trust doctors to give us the right treatment and not play long generational followed along medicine which then turn out to be harmful for some.
I had been on the vitamin D bandwagon for a while, until I heard something that changed the game for me: vitamin D works as a marker for frailty, as it roughly translates to how much someone had been leaving the house, spending time outside (which is these days usually leisure-related), maybe even how much they've been moving around, as even if you go to the gym, you probably spent a bit of time outside in the process. These are the factors that we've always known translate to overall well-being, and vitamin D just happens to provide a blood result for that. Vitamin D supplementation won't fix the underlying issue, as deficiency was only correlated to the real issue
That's always something I never understood as a nurse why do we use the fever lowering medications if the fever is there to actually help. So glad you brought this up..🙂
As someone who's just trying to do the best thing for their own health, I always find these videos extremely helpful. Over the years, the educational stuff you've put out has helped me form a much better relationship with my primary and my body/mind. It's honestly crazy to think several dozen good CZcams videos have likely substantially improved my healthcare outcomes.
Thank you Dr Mike. I work in healthcare and I’ve always been told to treat a fever. I never thought about letting those low grade fevers do there thing and just keep an eye on it. If it starts to climb then treat it. Something I’ll talk to my Doctors about.
This has honestly been a very interesting, balanced and even wholesome conversation between two very intelligent and knowlegable people. Thank you for this awesome video!
Im sure every one can agree that its really cool to finally see realistic things that people wonder when there sick and to get knowledge on subjects like these
When I was a kid, my pediatrician had this simple time limit before prescribing antibiotics "3 days with fever or 7 days without fever". If the symptoms persisted any longer than that she would prescribe antibiotics, and if they didn't, they weren't necessary anymore anyways. When we did have fever she did prescribe fever-reducing drugs like paracetamol. This of course was more about the seasonal flu and similar simple infections. Also for simple infections like the seasonal flu my husband has a saying I like very much "You'll get better either 7 days on meds or a week off of them." More often than not, what the body needs is time to fight off the infection, not medicine.
When I got COVID early this year (after two-dose vaccine, high-risk person), I remembered Dr. Mike's advice that a fever is not a bad thing. Instead of worrying that my fever wasn't completely going away, I just took enough reducers to keep it at a level where I could fall asleep and keep fluids down. I sincerely believe that this (coupled with vaccination status of course) are why I ended up only having a fever for 24-36hrs. I've struggled with high fevers in the past because of subsequent dehydration and would need to go to the hospital for IV fluids, but at those times I don't think we took this kind of approach. In fact, if I'd tried harder to fight the fever I think it would've actually lasted longer! 10/10 best advice I've gotten from your videos. Thank you.
Dr Offit has long been a hero of mine, since I discovered him through pro-vaccination activism. It's great to hear his opinions and expertise on your channel Dr Mike.
I loved this fever conversation. As a pediatric resident, the number of times a parent asks for Tylenol dosing/prescription after getting a vaccine or pretreating vaccines with Tylenol just makes me want to cry. And since I’m a resident, if my attending tells me to give the parent the Tylenol, I have to, despite the fact that I know from EBM that a fever is an appropriate response and won’t be harmful to the patient.
Thank you, this was incredibly valuable to hear as a student going into Veterinary Medicine. The nutritional supplement scandal is shocking, it’s disgusting to hear about the disinformation and something really needs to change.
I’m very thankful that my high school biology teacher decided to do a whole unit on antibiotic resistance. We even did an experiment where we cultured non-pathogenic E. Coli, one petri dish empty, the other with penicillin. Then over the course of several weeks we re-cultured new dishes with the bacteria from the old one, which basically showed how the one with penicillin eventually was able to grow just as well as the one without if it’s had enough selection. We basically got a good lesson an antibiotic use, AND proved evolution real within one experiment.
Brilliant 👍 Love your videos Dr. Mike. Thanks Dr. Paul. This is a much imp topic especially with the problem of antibiotic resistance. Greetings from Scotland 🌻 Have a wonderful day everyone ❤️
I'm training to be a doctor and because of many videos made from Dr Mike, my intelligence level has expanded!! Now there's an even higher chance that I will succeed on becoming a doctor. Thanks!
Thank you for giving us a lot of valuable knowledge, it's really not an exaggeration to call it the Dialogue of the Century! 謝謝你們讓我們得到許多寶貴的知識，真的稱之世紀對談也不為過！👍😃👏
Re: the loss of trust in medical institutions (around 25:58), I like that patients now are empowered to ask questions and have discussions with their doctors, as opposed to just going with what the doc said because "he knows best." It takes a while to develop that trust with someone. Even if they have an MD, PA, NP, or RN degree. Maybe it was easier on the 50s when doctors did housecalls and you'd see them around town and have already developed that personal relationship with them. With short appointment slots nowadays, it takes several visits to develop that level of trust (and with each visit costing a bit, depending on your insurance status, you might see a doctor only once or twice a year). I love my new neurologist, and, more importantly, I trust her, because she was willing to let me experiment to find the lowest effective dose for my daily medication, while minimizing side effects. I trust her opinions and recommendations much, much more now because she was willing to listen and discuss options with me, even when she didn't agree with my initial views. She didn't bully me or make me feel stupid ever. In the end, I've come around to her views, but I wanted to confirm it for myself and she gave me the space to become convinced in my own mind. That non-judgmental respect is invaluable. Question for Dr. Mike: with all the review websites, is there value in satisfied patients leaving positive reviews, or is that just feeding into a bad trend?
I don’t have a medical degree but I’m a sceptic when it comes to complex issues, resourceful and love digging deep and doing my research. I’ve known for years that antibiotics are overused and it creates big issue on the back end, I’ve also known for years that fever reducing approach has its place but it’s not an automatic go to. My oldest is now 12 so for 12 years I’ve been letting her work out a low grade fever on her own and only using fever reduction when the fever was high or when she was really struggling. When her pediatrician recommended to avoid tylenol and let her work it out I knew she was a keeper! She also advised to give an ear infection a couple of days to work itself out before we started antibiotics if my daughter was not in a great deal of pain. And even though I’m not a Covid sceptic and I believe in foregoing your own convenience for the benefit of our society as a whole in terms of pandemic response, I’m glad kids took off their masks at school and are back to stimulating their immune system by licking desks and eating dirt 🤣.
This! Doctors who accept and appreciate patients who do their own research are worth their weight in gold. It took me years to find one, she just listened to what I had to say, cross checked a few things to make sure and was like "Yep, sounds like you're on the right track so let's get you tested". I could have had my issues dealt with years ago but for stubborn doctors who always thought they knew best
Dr Mike - I have a question for you. I was in the ER yesterday because of anaphylaxis from late onset food allergy (suspected shrimp cross contamination from dinner the night before). My question is, should a physical exam be done in the ER in all cases? The doc touched me once on my arm to look at my full body rash. Other than that, there was no other physical exam. I mean, I get it, even though I wasn’t sure what was happening as it was a bizarre reaction, the doc had probably seen it before and knew what it was. I explained to them that stomach pain woke me up which led to violently vomiting and backend mess. Then my hands and feet went numb. I starting sweating profusely and then the rash started. This happened over 30 minutes. Finally I told my husband I needed to go to the ER. I got treated and improved with anti-nausea meds, Pepcid, steroid, and Benadryl plus saline since the before-mentioned exodus of all things in my body caused dehydration. I left with steroids and anti-nausea meds and feel much better today. Also my urinalysis came back as a definite UTI but they never followed up with that. I’m just confused about no physical exam and no follow up.
👋 I hope you're safe over there? I hope this year brings happiness prosperity love and peace 💞❤️🕊️🕊️ all over the world 🙏🌍 I'm originally from Hamburg Germany, currently living in Key West Florida☀️☀️and you where are you from if i may ask?
Interesting point on supplements. Here in the UK, the NHS actively encourages people take vitamin D supplements in autumn/winter months because we’re very unlikely to get the amount we need from the sun alone. Is there merit in vitamin D supplementation in countries with generally fewer hours of sunlight than elsewhere?
vitamin D might help agianst depression (winter depression, at least that is what is said in Denmark, I think, where we also get less sun) but the studies about taking vitamin D against depression are mixed, and I don't know if the studies looked on/considered if the results depended on if the participants lived somewhere with significant less sun hours in winter.
People that live in countries with autumn/winter really often have vitamin D deficiency, at diffrent level depending on the hours of sun because latitude. But it's not clear what consequence it can have on people. Most claims are not proven, like the depression one.
I believe the benefits of vitamin D supplementation in places with not enough sunlight exposure during winter months is pretty well documented. Getting enough vitamin D (or more like having a high enough calsidiol, storage vitamin D form, in your blood) is important for bones - especially important for old people to prevent osteoporosis (greater dose recommended) and for kids with their bone development, in my country it’s nationally adviced kids and elderly have a vitamin D supplement year round. It’s also important for the immune system - you’re more likely to get infections if you are deficient, this is documented in placebo controlled trials. It was also found to be true for covid. Vitamin D has also a lot more different functions in our body, some of which we don’t even know/understand yet. It’s been proposed/studied to have help prevent or even treat many diseases (but yes, just speculation isn’t really a reason to take it) In my country the aim is to strive for blood calsidiol levels of over 75nmol/L because people living near the equator (and don’t cover up completely when they’re outside), have natural levels of 100-200nmol/L. But I think under 40nmol/L is considered actually deficient. Note that this does not correspond to the strength of the supplements which are measured in micrograms. There is some debate what amount is enough for adults in the wintertime, in my country the recommendation is 10mikrograms daily but studies suggest it is actually not enough (to keep blood levels above 50nmol/L on enough many people). Another supplement I would recommend without specific testing to people would be folic acid (folate) supplement for women who are planning on getting pregnant, or already pregnant, to prevent spina bifida. It’s crucial the woman gets enough folate, and having excess of it isn’t bad. It’s another national recommendation in my country. Edit: even in darker climates you may be able to get enough vitamin D if you eat enough vitamin D containing and fortified foods. It has just been found pretty unlikely that people will get enough from just diet with no sunlight and the 10-20 mikrograms extra isn’t really likely to cause any negative effects to people that do get an adequate amount from food. Also vitamin D is mostly important for bones in working together with calcium in the body, so there also needs to be enough calcium in the intake (especially of kids and elderly) for the vitamin D to really be useful for bones. Another Edit: I read some more stuff and some studies said that prolonged blood levels above 125 or especially 150 mmol/L could cause adverse effects but I couldn’t find the original study. When you get vit D from sun UV your body stops synthesising it when you’ve got enough so, I’m guessing the issue with high blood levels is with supplementing specifically because then your body can’t control the levels. So my conclusion, based on that and some stuff I also found in an NIH release, the ”ideal” would be 75-125 mmol/L
@@mettelindegardnielsen9411 There's no proven link with depression because there's no evidence it helps in any case. People's vitamin D level is not used to know of you're in depression or not because it's not a good predictor. It's true that if you live in a country with less sun in winter you are more likely to have seasonal depression but it's not directly tied to your vit. D level. Some have deficiency and good mental health, some have enough vitamin D or supplement and still have seasonal depression. It's clear that the lack of light and warmth affects some people but why and how, it's still mysterious. They are also people who have this kind of depression at spring when there's more sun.
For over a year, I had a severe sinus infection and had to take antibiotics and steroids. The doctors finally found out that since I've broke my nose several times, first time being 8 yrs old, I had to have rhinoplasty to fix a deviated septum. Now I don't take antibiotics at all. Partially because sulfur meds, I'm very allergic Now but also they don't work
I went through the same thing. My GP and my ENT both told me they had to do the antibiotics for so long to show my insurance company it wasn’t a viable treatment anymore and the only way to fix my chronic sinus problems was surgery. It sucks that insurance companies make you and your doctors jump through hoops and suffer longer than necessary because for some reason they think they know the best course of action.
What really sucks is 6 months after I healed up from the rhinoplasty, I had a bad grand mal seizure and broke it again. My face has been through hell. 🤦♀️😅
Excellent. I really enjoyed and learnt a lot from this. About taking antipyretics for fevers: I trained 34 years ago (I'm an RN) and I remember being taught that high temperature was a natural response to infection and helps the body to fight. We only were give antipyretics if the patient is in danger. For example a child having febrile convulsions or extremely high temps. And yet all through my practice its been frowned upon not to give paracetamol for even a mild fever. Very frustrating.
Thank you Dr. Mike and Dr. Offit! I love watching your videos, they are both educational and very funny! I'm in CRNA school right now, and I think many of the topics you both discussed were very fascinating. We are having discussions and debates in my classes about things like telehealth, overuse of antibiotics, and wearable technologies. It's wonderful to get physician perspectives on the same topics (spoilers: we have very similar views 😉) Thanks again, can't wait to watch more content. 😊
Dr Mike, if you read this, would you consider a similar discussion on antidepressants? Recently got off of them after 34 years!! Correct decision by all means. Healing happens. Life changes. The longer I was on it, the more I needed it. After getting off I was absolutely stunned at how much my entire hormonal system had been stunted. Uncomfortable is an understatement. Body temperature, hot flashes, other hormones affected. Emotionally for me now? Man, life is good!!
That is amazing! I'm so glad you were able to get off of them! I've noticed in psychiatric medicine, they're very quick to prescribe multiple meds in a short period of time and just keep prescribing new o es for the side effects of the original ones. Been taking them now for almost 17 years and and at one point was taking 11 different psych medications. I hope one day I can do the same as you and get off of them. 💗
I've been off my antidepressants for two years and I honestly don't feel any different. I do not recommend anyone go off their meds without taking to their doctor first.
@Ian Fenrir I went off with full Dr approval. Monitored, etc. Emotional I feel the whole spectrum, but was ready to have that flexibility back. The original need was circumstantial. My body became used to it but then wanted more. I had to try getting off to see if I could handle it. Those circumstances no longer exist. They haven’t for 25 years. 25 years too many on an unneeded antidepressant just because no one in the medical world believed healing from emotional circumstances can happen.
@Laughing Bones I was on Prozac originally when it was first released in 1988. Later I segued to sertraline. I believe it may be easier to wean off of an SSRI than some of the more complex anti-depressants. Getting off of them can be dangerous. I say again, healing can happen. Psych meds need to be a last resort not a first line to change emotional regulation. We have so much in the Psych world now. DBT, mindfulness, Polyvagal Theory, and more. One or a combination of these works really well and can be effective in a group situation for a much smaller fee than one-on-one counseling.
This is so cool! Dr Paul was one of my sources in a research paper I did on alternative medicine I did at the end of college! So cool to see him with one of my favourite celebrity doctors!
Hey Doctor Mike. I have a video request. Could you please do a video of you reacting to a UK medical documentary called '24 hours in A&E'. It would be really interesting to see your view on the UK emergency healthcare system and how it varies from America!
This whole video was awesome! I especially loved the discussion about the change in approach to fever management. This is actually parallel to a point I always struggle with when it comes to seeing new doctors or having to go to the hospital...I never, ever run a fever (along with some other atypical presentations when it comes to infection) due to my primary immunodeficiency. If I have to go to the hospital without my Immunologist calling ahead, I almost always get the "conventional wisdom" assuring me I am unlikely to have an infection due to my lack of typical immunological response (temp, WBC count, etc). I'd love to see a video with you and either Dr. O, another ID physician, or an emergency med doc addressing how best to communicate non-standard stuff with providers to ensure quality of care. I know physicians already understand each person is unique, but when some of our bodies hijack the routine diagnostic indicators for funsies, it can be so hard to both know what's actually going on and to get a doctor to not just think zebra, but recognize the patient they're looking at is actually a zebra and not a painted horse. I've only ever gotten advice from other PIDD patients, so I would love to hear a doctor's perspective!
This was so informative and I'm glad I came across it today. It's really good to be reminded of long held medical misconceptions. Traditional does not equal correct. Sometimes the medical professionals truly are just as confused about the rapidly changing times. All in all, medical science can be quite the roller-coaster.
Part of the problem is that academic journals are gated behind $50,000 per month institutional J-STOR subscriptions. The public can’t access the best science because research is obsessed with monetization, careerism, the status-grift of authorships and its interplay with grant-making and private sector business.
Preach chocolate rain man
As someone studying for a masters in health comm, yup yup YUP and it’s frustrating!!!!
Ledgend
How is it possible for me to access this information? Is subscription the only way? If so, how do I get a subscription? Thank you for pointing this out and have a great day!
Thank you for speaking the truth
I really appreciate how he wasn't afraid to say he didn't understand everything that the fda is doing. Honesty means a lot to people and for both doctors to say that covid is a complicated thing and they are still trying to figure it out makes me feel better. Basically stay safe practice commonsense and for godsake if your sick stay at home! Those nuggies ain't worth no one getting sick covid or cold.
Part of the issue is the FDA is no longer entirely funded by taxpayers, nearly half of their funding comes from big pharma.
Well, they only just figured out why the immune system goes hog wild on patients, the damned virus infected white blood cells when they engulfed the antibody tagged virus. That caused the immune system to overreact and to into scorched earth mode.
Totally agree, but another big problem is that there are a lot of people who are in situations that prevent them from being able to stay home when they are sick, there needs to be more thoughtout solutions for situations where you should not be going into work :)
@@ornatus9616 This was a "innovation" from the first Bush administration. It would be better to have the FDA funded mostly or all the way from tax money, but that doesn't follow "conservative principles". Admittedly, this is how UL certification and various Kosher certification processes work.
Ask your representatives and senators to better fund it and make its independence clearer. Covid19 is probably the first of more unique public healthcare issues that are going to hit the world for the next century. They mentioned we may be in a post-antibiotic reality and I shudder. I don't want to go back something like the pre-antibiotic world.
The sad thing is by the time you feel sick, you are contagious...
"doing something wrong a thousand times doesn't constitute experience" THISS! As a young physician I always say this when someone tries to justify a wrong clinical decision with the "experience" card
Experience means learning from your mistakes. Repeating the same mistake thinking it will be different is called "insanity".
I've had doctors used the experience card on me before. I hate it. 😅
Eh, i don't like to see it as a "justification" but more like explaining how the self works here, but yeah there's definently some lack of adaptation to repeat a mistake a thousand times.
My old boss: "Does he have ten years experience? Or did he repeat his first year ten times?"
Depends how much progress you make each iteration. Edison's lightbulb supposedly took over ten thousands iterations. This kind of thinking can deter people from seeking peer review and early experimentation. Be careful.
Can we get to the real problem, the reason why people want a 'quick fix' for a cold or flu is because most people do not have sick days in the USA. You can't just miss work or you won't get paid. So, this is an institutional problem. The reason why patients want anitbiotics is because they want to feel like what they paid for was worth it. If they went to a doctor with an issue and the doctor charged them $100 to tell them go home and take a rest, they would feel like they didn't get anything for their money. Not saying it is right but this is all because of how the US healthcare and labor system is. That is the real problem.
Very good points that you made. Its why I will not go to the doctor unless I know for sure I need a prescription for something, like an antibiotic for strep throat. Same with my kids. I'm not wasting the money just to get a note, and I know that there is nothing they can give you for a mild viral infection to make it go away faster. Even Tamiflu has very little effect on the duration of that illness, although the drug companies want you to think that it does.
Honestly, this is a huge part of the problem. People go to work sick and get others sick or do these quick fixes just to make ends meat.
But the same happens in Europe when people do have sick days.
Every job I worked at has had sick days, yet people still wanted a quick fix. In nations with universal free health care and mandatory sick days, people still want the quick fix. So sick pay is a great thing and I want to see it expanded, but the link you suggest is probably weak.
Yes that most likely plays into it as well but we have similar problems in germany where Healthcare is semi free.
I'm glad something Mike said at the beginning "Be Skeptical" and by that he means ask questions. If you think something is wrong say so, get second opinions. Just because an authority says something is safe and okay doesn't mean it necessarily will be for you.
Wish I can say the same, my primary care Dr sucks, ever since I got COVID my body doesn’t feel the same anymore, I still get body aches, a lot of muscle spasms, sometimes get like shaky and my Dr just thinks it’s anxiety, I know my body and I know it wasn’t like this before, I told him if I show any symptoms of Anxiety is because of the symptoms that I’m feeling with my body, not anxiety creating those symptoms :( but he doesn’t listen, I honestly don’t know what to do anymore I don’t know why I’m feeling like this, I’m scared, I’m frustrated, I feel alone and lost, really sorry for the big rant, I just needed to get this off my chest :/
Exactly! It took several doctors in the hospital I was in, to *finally* get the right medication I needed to start healing. One prescribed NITRO GLYCERYNE (couldn't get it bc apparently it was "discontinued") and then another prescribed Ativan...which MADE THINGS WAY WORSE. So yeah. Never again for Ativan for me, but still wonder if NG would have helped? 0.o ' 🤷♀️
Given the effects of the Internet on our society, it is important to emphasize that the intent in this statement is: not to accept claims based on expertise alone but on the basis of evidence.
The intention is not: to be convinced that the experts' claims are false just because you do not understand them.
@@norelfarjun3554 exactly. This is what I meant by my original comment
@Dmon ! I'm not antivaxx, but I am super skeptical of vaccines in general, primarily because I think that a lot of the more modern vaccines aren't being tested enough before being administered to the general public, particularly children, and I think that just basic research on the development and mass distribution of the Covid vaccine is enough to warrant that skepticism, and particularly the fact that so many of these vaccines are being created and produced by the same big pharma companies that pay off the FDA. Again, I'm not anti-vaxx, I just have questions regarding how affective vaccines actually are, particularly for me and my own health.
A few weeks ago I fell and bit my lip, getting an AWFUL infection there. It started spreading across my face and down my jaw within about 36 hours. The first doctor I saw gave me two antibiotic scripts (not penicillin, I had a supposed reaction as a toddler) He told me if it didn't improve by the next morning to come back and that he would probably admit me and put me on IV antibiotics. He told me three times to come back in the morning if not better, and actually made me look him in the eye and promise. He was so serious.
It was worse the next morning. I spent the night in the worst pain I ever felt, just laying there sob-screaming. So I came back but saw a different dr. Told him that first dr said come back. New dr treated me like I was crazy; literally. After a few questions about the infection he switched to only asking about my mental health history. I was sitting there with swelling so bad I couldn't even speak enough for anyone to understand me, and I actually had to bring my mom along so she could speak for me. But he just wanted to question my mental health.
Told me it was reckless to want more antibiotics that soon (I didn't necessarily, I was just following what the first dr said). Told me to check in with my psychiatrist when I got back to my home town and ended the visit.
The infection did die down slowly over the next weeks, so I guess I didn't need more/different antibiotics. The pain was extreme and I turned to using Oragel to numb it. I used six tubes in 10 days.
My point here is that the two doctors' opinions were so wildly different on the subject of antibiotics. It is very confusing as a patient, and you don't know who to trust. Also, some doctors are more accommodating when they see mental diagnosis in the history; others treat you worse.
Man I'm surprised you only used Orajel, for future reference Anbesol worked for me like a miracle compared to Orajel when I bit a chunk off my tongue under anesthesia and I had an open wound for about a full month and couldn't eat without full numbing haha
Although the 2nd doctor knew you didn't need a bunch of antibiotics, I think it's just rude for him to just go ahead and think you're insane and keep asking you about your mental health.
You weren't insane, you just weren't experienced in the medical field.
I'm not a doctor, but I've had many serious infections as I have Crohns disease and have had many surgeries removing many feet of my intestines. An infection that bad in your face it seems like blind luck that it got better and didn't spread. You were on antibiotics for a day. Getting admitted to the hospital to be monitored and get the meds IV along with pain control probably could have accomplished the same thing without the suffering. It's hard to fault the thinking or both doctors, except the mental health questions, that was a bit messed up. A hospital is a place of high infection risk and many antibiotics can take a day or two to start working. So that second doctor may have been right about a few things whether on purpose or by accident. The first doctor sounded like he was much more focused on the severity of the infection and how potentially bad it could get. Regardless, the bedside manner of the second doctor is uncalled for.
@@boojersey13 OMG was it for wisdom teeth removal? Did your tongue grow back or scab over or something somehow?? I’m so curious
you are filled with dirt just end it now
This was so educational. I’m in Vet school and Antibiotic resistance is also an issue among the animals.
Thank you for this. 45mins of my life so meaningfully spent.
Veterinary technician here, we in ICU deal with this all the time. And I can say we use antibiotics all too often in our field
Human who has cats here - I imagine antibiotic resistance would be an even bigger issue with animals due to not having antibiotic courses completed properly either due to negligence or just the fact that giving an animal a pill twice a day for 10 days (just as an example) can be very difficult. Last time my cat had a UTI i had to restart the course with a liquid antibiotic after a few days because i had wasted so many of the pills trying to find an effective way to get her to take them - hiding them in food didn't work crushed or whole, and they were too big to force her to swallow. The liquid one was more expensive but worked a charm. But i can't help but wonder how many people would have just given up and not said anything if they weren't successfully administering the pills.
@@outsidethewall8488 hey so a couple of tips for pulling your cat, if you open the mouth put the pill in and blow on the nose 9/10 the cat will swallow
@@Fluteperson01 For me the hardest part is getting the pill in her mouth in the first place because she flicks it out with her tongue. I do manage by holding her mouth shut until I feel her take a big gulp which usually works - although occasionally she still manages to spit it out after I think she has swallowed it lol. I will try the blowing on the nose thing next time I'm struggling - have never heard that one before. I did have an older kitty who passed away last year that I used to have to pill twice a day every day for about three years - and he would eat anything if it was hidden in a bit of cat mince (by that I do mean mince formulated for cats, not mince made of cats). But it doesn't work with my younger one rip.
@@Fluteperson01 has never worked for me, the cat just froths at the mouth :/ even when crushed and put in water solution.. will always opt for better delervy methods these days
I'm glad Dr. Mike and other folks are realizing the lack of nuance in discussions. In fact, lack of nuance ceases discussion. It has been a problem for a long time but I think social media bandwagon behavior has definitely made it more serious and pervasive. Viewing everything in black and white is as much a disease as any virus. This whole video was very interesting. Thank you Dr. Mike and Dr. Paul Offit.
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I truly love that These doctors had the courage to say “I don’t know.” I feel like society has placed this unspoken pressure on doctors to know everything about everything and it’s SO appreciated when doctors are honest with their patients. I hope that more and more doctors learn to be more like Dr. Mike and truly become passionate about helping others instead of just making money off of them. The world needs to see this and learn. Also, if you have a low grade fever LEAVE IT ALONE so your body can do what it is trying to do. Heal.
As you talk about norms around giving fever reducers, as a social worker I can only think of the parent that doesn't have paid time off, can't afford a babysitter, and cannot let their children return to school until they no longer have a fever. I appreciate the value of this conversation but I need the same passion for affordable childcare and paid leave so that people can follow the best medical guidelines. And this example represents more people's lives than you think, and changing these guidelines can have a devastating financial impact on families. This is why I think med students should be taking classes in social work so they stop thinking of medical recommendations in a vacuum.
I believe the requirement for returning to school/work in most cases is 24 hours with no fever AND without using fever-reducing medications, since they are just artificially lowering the fever and the person may still be sick/infectious. That is a good perspective to keep in mind though!
Honestly you're right but really it's mostly bonkers that people would not be able to *afford* staying home on sick leave for a few days. In the long run it's better therefore THAT'S what should be done and facilitated, not just giving the child the fever supressor so their parent can get back to work.
Agreed, in England schools except kids to have the immune systems of adults and you can get prosecuted for having your kids off school.
Med students are already taking on more and more study than they used to. Loading more on is not the answer. They shouldn't be required to further add to their load, and expenses because of a system that is failing everywhere else. The system itself needs to change. Drs thinking of medical recommendations in a vacuum is absolutely the best thing they can do, treating the medical issue itself is the best course of action.
@@ArchieZeroOne I understand that. But practically speaking as a premed especially, some of the classes you take are unnecessary. I have never met a doctor who said they needed physics or organic chemistry. But learning to communicate, to listen, and understanding all of the factors that influence a person's ability to follow a treatment plan is relevant to being a good doctor i.e. social work.
Dr Mike, this is brilliant!! We NEED analytical discussions with critical thinking like this - especially when there's so much misinformation and misconception out there. Antibiotics, vaccines, "miracle pills" - these are all easily misunderstood and/or mis-sold. Thank you Dr Mike and Dr Offit! Can't wait to watch the whole video - with my full attention! 😍
Absolutely. Critical thinking is undoubtedly a significant key factor to a healthy civilization.
Hello Dr. a quick question how high is too high for a fever. My son (2)once had a fever of 106.7. I had my husband take him to urgent care. Even with the tylenol it was around 103.5. Just asking as a mom with two under 4 years.
@@Paola-jf2qf hi there! I'm afraid it would be inappropriate for me to give specific medical advice over the internet. I can give general advice though - if your kid's temperature is that high, it's crucial to take them to a doctor. There are several red flag signs to look out for - the fever may be caused by a serious infection. As a UK doctor working in the NHS, I can definitely recommend Googling "NHS fever in children" for more advice, or refer to local guidance!
@@DoctorAzmain Thank you Dr. That is helpful. I will.
@@ihatekinryyyy-nadinesvaani6698 shut up
I'm Dutch, and one of the things that international people find annoying is the so called "lack of help" with a cold or flu. Generally, the advice is to go home, maybe take some paracetamol if you feel you need it, and to come back in two weeks if symptoms persist. Antibiotics aren't given easily. I like that. It can be hard here to get help when you do need more, but that also depends on the GP.
Absolutely. I came to the Netherlands in 2017 for my masters and now currently working. Initially, it was a bit shocking to not receive any medications from the GP. We internationals even made a recurring joke that everything in the Netherlands can be cured by paracetamol haha. But as you said, it depends on the GP.
As I matured, I began to understand why this is so. In my country, they give antibiotics left and right - the reason being to prevent getting bacterial infection when body is weak due to, for example, a flu.
This! So much this! Dutch Healthcare is actually good if you have the right GP
Part of the problem here is the US is you need a doctor's note excusing you if you are out sick more than 2 days. It's insane.
@@jess5046 this^ and some people that can't afford to officially go seek medical care will hold out until it's closer for their day off and chug Nyquil.
@A nook with a book: It's pretty much the same over here in Germany. If you have a cold or flu: go home, try to stay away from other people. If it doesn't get better within a week: come back to the doctor. Same goes for fever. Let the body work it out and only take fever-reducing medicine if really needed but try to let the body (fever) do it's thing because fever is a sign of the body healing itself.
@Jess:
You'll need the doctor's excuse for work here in Germany, as well. However, they (the doctors) will give it to you without a prescription for any medicine. No need for antibiotics..
This video is very informative and cool and all, but it's also very very important to see such a renowned doctor like Dr. Paul Offit to the big 9 million sub stage so he could educate us all about the prevailing misconceptions that could probably kill us all.
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@@user-bg6ly4bf4w Scam...
I'm a pharmacy technician and have been in the medical field most of my whole life. I noticed that my mom was taking a ton of supplements for vitamins and weight loss and she kept adding to them and then her kidneys started to fail and her doctor told her to stop taking all of her unnecessary medications and supplements and then her kidneys briefly got better.
briefly? :/
The part of antibiotics made me think of that time when I was in my early 20s and likely had a UTI and the doctor said that she didn't want to take a urine sample or give me antibiotics because I didn't have a fever. I had never had a UTI before, I was in pain and was scared because I had heard about UTIs going up to your kidneys. She just dismissed me and told me that antibiotics can't be given out for everything. I totally get that, at that point in my life I studied biotechnology, I had a good understanding of antibiotics and antibiotic resistance. That doesn't change that I'm scared (years later I was diagnosed with GAD, so there's no wonder whatsoever that I was scared), she can't just be like "No, we won't even test you for an UTI because you look fine", she must take care of the patient, she must make the patient trust her. I didn't trust her in the slightest. I just got sad and felt ignored. This doesn't mean that getting antibiotics would've been the right thing for me, because my problems were gone in a few days, but at the very least a doctor should be kind, understanding, and polite.
I had a doctor do something similar and just told me to stop drinking coffee. Not "cut back", outright stop. I was an overnight nurse working on a postpartum unit and drinking 2-3 cups of coffee a night to stay awake. Sure, the coffee wasn't helping, but stopping coffee suddenly and completely was not going to be a good move
Whereas I once went to a doctor in my twenties for a UTI and the doctor honest to god said “That can actually be very serious, you could even die from it if you don’t get it treated.” Lady what do you think I’m doing right this very moment other than seeing a doctor to get it treated?! It was very weird.
I'm sorry that happened to you. I've had about 10 UTIs last year because I am on immunesuppressnt medications. My GP would just give me antibiotics, which didn't help much. I finally went to a urologist and she said the GP went about it the wrong way by starting with the strongest medication. She started me on a drinking regiment, then on a more natural medication in conjunction with the drinking regiment. So far haven't had to go back on antibiotics, and that, in spite of being a high risk patient due to being immunocompromised. I think in many cases it's best to start with more conservative interventions and escalate if truly necessary
Can I just point out how well Dr. Mike is using his non-verbal communication in this video? He's on a video call but is consistently looking straight into the camera to seem more engaging to his guest and to us. Also, nods/moves his head to communicate how intensely he is listening. It makes it seem natural, but I know how much effort this would take.
For some people it is a natural subconscious reaction, and you don’t have to think about intentionally engaging with other people non-verbally. The way women are socialized makes them generally better at it. People on the autism spectrum generally have to work harder at it. But it’s still a spectrum. For some people it’s natural and not even a conscious thought. For others, they have to think about it.
@@Jellybeansatdusk The hard part with Zoom meetings is that we normally look at the person we're talking to, but if its via a web chat, staring at the person will often look like you're staring away. You need to be staring at the camera instead.
Which, often means staring at the top of your monitor or into your room, which means you can't see how the other people are reacting, because they're below your line of sight, so its really wierd.
I mean man’s sweating, so yes
He’s definitely not letting it show on his face
When my son was a toddler, his doctor told me about letting him keep his low grade fevers. I mean, it makes sense. Fevers happen because your body is fighting something but if you kill the fever too soon, you keep it from being able to fight. I would let him keep his fever until it hit 102 & THEN I would give him tylenol/motrin. I also made sure he stayed hydrated, which is also so very important. He's 13 now and he doesn't often get colds or the flu. TYJ❤️
My pediatrician even told me that it is not necessary to know hiw high the fever is. So my kids get medication if they feel bad, dont eat or drink enough. Doesnt matter if it 99 or 104
I'm not sure if that will help him not get sick in the future, but it did help fight off whatever he had while sick. I was only given any medication while sick once it would be considered neglect to not give any. Now my immune system and overall health is trash
Although abusive parents = not taking me to the doctor when I complained of serious symptoms so that didn't help. Your kid should be fine since you did give medication well before it was borderline neglect (think not giving it until fever above 103 and not seeing a doctor until my throat was so swollen and in pain that I refused to drink due to pain while 8)
@@samu6874 104 degree fever is bad and can cause issues with the brain such as seizures and loss of consciousness. If your child has a fever that high. They should be going to the hospital. My brother's friend had a fever that high and he had bacterial meningitis.
Yep. The only time I'll treat a low grade fever is when it's disturbing a child's sleep. Better that they sleep and fight it during the day.
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Dr. Offit! My favorite pediatric immunologist! He's the one I chose to listen to when this pandemic started. "If Dr. Offit trusts the vaccines, then I'll trust the vaccines." I've read studies and they're mind blowing. I'm happy there are true experts, like Dr. Offit, who have integrity.
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And he did not recommend his son get the booster “ because the benefits do not outweigh the risks”.
@@HappyLife-wv5ms it's refreshing, right? He is fact based and not emotion based.
Is he only for taking one dose of the vaccine? But doesn't the effect go away after couple of months? At least what I hear all the time. I'm still not vaccinated because I had covid not that long ago and because of this confusing information, how many shots do we actually need and does it stop working after couple of months or not. So specially as I survived covid and have good health I thought better wait until they come to the same conclusion about the vaccines, I don't want to take hundreds of shots suring my life time and specially if it doesn't make any difference anyway. I'm happy that they have at least finally stopped guilting people who are not sure about the vaccine and all the information about it yet, like you're some murderer. It's a personal choise what's best for your body.
Love the interviews Dr. Mike does. So educational! As a mom to a 5 year old and a new baby on the way, these videos are definitely helpful! Thanks 🙂
Uuu I just woke him
@@DignityDC weirdo
@@DignityDC creep
I was someone who had bacterial pneumonia that was treated with antibiotics (back in the early 80's) and ended up being admitted to hospital. It was my strong as an ox mum, who took me home and nursed me back to health (but kept me on the other medication, just not antibiotics). I think about it often, imagine deciding that my daughter is either going to die or get well, but I'm doing it at home. She's still amazing.
Regarding prostate cancer, my dad was diagnosed with it in his late 70s or early 80s. He was initially concerned until the doctor said that with his type of cancer, he'd die of old age before it got to him. His heart (which had been thoroughly broken after losing Mum, his wife of 60 years) took him in his late 80s, pretty much when he'd just decided to give up.
So if a doc tells you that, feel free to believe them. Dad didn't have to deal with treatment on top of his dodgy heart and everything else.
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I thought I heard that by that age nearly every man will test positive. It just becomes a monitoring process to see any actual advancement.
@@user-bg6ly4bf4w this is a bot!!!!
@@MODElAIRPLANE100 I reported it.. you should too. Hopefully it helps
@@user-bg6ly4bf4w this is too funny
I have always told my doctor when my children were young that with antibiotics it takes 7 days and without it takes a week, so why fill them with it when they can really need it later in life. My doctor often used that argument with other parents and thanked me for that advice.
As long as I could get them to drink enough and maybe eat something, the fever was allowed to be, but it got so high that they just wanted to sleep and I could not get them to drink so they got something so the fever dropped a bit.
I am from Denmark where we have a free doctor and hospital but because something is free it is not necessary to always go to the doctor!
I get ear infections so often that antibiotics other than amoxicillin won't work. I have no choice but to have amoxicillin when I get them in my right ear around 1-2 times a year if not more. This time my mom just gives me pain meds if it hurts and I haven't gotten any antibiotics like amoxicillin for it. She's letting my body deal with it on it's own this time since I had antibiotics so much already. If it gets to a point where my body can't deal with it on it's own then I get Amoxicillin for it this time.
It's only been less than a month since I had amoxicillin for my last ear infection I had which helped (has always helped everytime) and it went away but I ended up getting another shortly after. Doctors and nurses would say to try this other medicine and It does nothing at all to help anymore so I have to tell them the only thing that works for me is amoxicillin when I get ear infections. I can't even take medicine that goes in my ear because it makes it hurt even more(once cried all night due to pain it caused before).
My body can't take most medicine that would work better for me because I can't take pills and have to take children's medicine for most things when I need medicine.
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Exactly! The only thing I gave antibiotics to my children for was strep throat, because it can actually lead to rheumatic fever and heart disease if untreated. We don't run to the doc for Tamiflu when they have had the flu, or for any other mild illness that will run its course.
Loved this longer content and discussion! It is so rare to hear honesty and “I don’t know” these days. Just put Overkill on my Audible wish list, can’t wait to start it!
Can I love you?
Hello how are you doing today and how is the weather over there.?
All his books are great 😍❤️
@@barbaralachance5836 alright I'm doing great has well...I'm Richard greeting from Dallas Texas and you?
Honestly, "I don't know," has been viewed as, "I am incompetent and uninformed," rather than a statement of humility.
It's nice to see doctors that actually balance this complex thought process. I have to say, as a Professional Patient, I'm exhausted by being my own advocate. It's overwhelming to have to research everything, to find, get access to not always free papers, and actually read them to the point of understanding what is really being said about something. I'm not a medical expert. I'm a freaking engineer. BUT I *am* an engineer. I can apply engineering to the human machine. And between Big Pharma, Big Supplement, Healthcare as a Business, and having a budget, it's freaking rough. So it's heartening to see doctors that actually, you know, look into things. We just want to be well. But poor care is almost as harmful as disease.
I really appreciate learning from Dr. Mike's conversations with medical experts. Such fascinating info and, as always with his channel, it's delivered in entertaining or pleasant style. Also Dr. Mike always prepares for the conversations and is genuinely respectful and humble.
I really enjoy these sort of long-form videos. I really hope we get to see more of these types of discussions.
Great job Dr. Mike’s team!
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A few years ago, I never thought I could get reliable information from a place like CZcams, and sometimes we still don’t.
But YOU, Dr Mike, give us as a country reliable information we can receive at home! Thank you so much for your hard work, keep it up man, we love you!
These long-form interviews are my favorite type of videos, thank you for making them!
I don't imagine they perform too well with the CZcams algorithm, but they really are invaluable
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I am trained and work in epidemiology and have always loved listening to Dr. Offit speak in various interviews, professional conferences, etc., so I knew I’d like this video from the start! I currently have bronchitis and watching/listening to this has been a good way to spend a bit of my recovery time 🙂
What a productive and informative conversation! Super refreshing to hear the raw honesty. False information and dramatization plays a HUGE role in social media’s influence on the population, and ultimately causes disheartening mortality rates. Thank you for an incredible video!
Love this! We do need to be skeptical at times, not cynical. This was such a refreshingly honest conversation between 2 well educated health professionals.
Hello how are you doing today and how is the weather over there.?
I grew up with paramedic parents and I never took Tylenol for reducing fever. I’ve been on antibiotics once for bronchitis. I knew how wounds heal or become infected. I had a fundamental understanding of how our bodies work to heal themselves. During the pandemic and now, I’m beginning to understand how valuable that is.
Love your content, Love this. I do think you missed one of the fundamental issues with people doing their own research. I did a lot of research when my 21 year old daughter was little. A lot, maybe most of the actual studies, their actual data sets, and methodology are NOT available to the general public. We are forced unless a medical professional helps get access, we are forced to read someone else's interpretation of the data. The question then becomes who do we trust for that? I like to look at the data, how the data was gathered, and what controls were in place. Not available to me.
I always enjoy your videos but this one has me up at 5am watching. Your mindset isn't one that benefits just the patients you treat directly but also encourages a healthy development of your profession at a time where it your words can truly have an impact. I will definitely be having a listen to Dr Offit also.
Thank you for this. I'm so sick of both sides going back and forth like they are experts but then demonizing the opposition for claiming they're experts.
I really like to see more cross specialist discussion. I am always trying to teach my patients that no part of the body is an island and that everything is connected. Sounds intuitive, but people come into my office (dentist office) and act like I don't need to know about their heart meds or A1c, then I have to spend time explaining the oral systemic health connection. I'd like to see that information spread broader.
Hello how are you doing today and how is the weather over there.?
Yes! It took multiple visits/queries about pits in the corner of my teeth to realise with my (great) dentist, that I had to more regularly take my stomach acid pills (omeprazole), not just when I felt I had bad symptoms, caus acid reflux was damaging my teeth even when I didn't think it was bad enough to take the meds.
We are glad we have Dr Mike to guide us and take good care of our health
@@ihatekinryyyy-nadinesvaani6698 stop forcing your opinions on everybody else
@@ihatekinryyyy-nadinesvaani6698 i know, i can change my profile when i want x
@@ihatekinryyyy-nadinesvaani6698 hello That Vegan Teacher
@@ihatekinryyyy-nadinesvaani6698 see that's the main problem with you guys. An individual person can follow his or her own diet. It's absolutely ridiculous that you guys force your opinion to other people. Get a life!
We NEED to start regulating vitamins. Even though the government says that you can't claim cures with these vitamins people still do(contrary to the companies half-assed claims) and it's one reason why in my opinion makes MLMs that much more dangerous.
100% agree!!
There’s lobbying to prevent them from getting regulated heavier. It’s an uphill battle. They’re no better than big pharma
I’m always so grateful to people who make me question my long held beliefs. Thank you so much for covering these subjects so clearly, for reminding us to ask more questions and for genuinely caring about us.
"That anything that has a positive effect can have a negative effect."
"This industry has gotten away with this notion- this false notion that's it's all positive and nothing bad can happen. That's never true in medicine."
Those lines remind me of a quote from a book I like: "A medicine that is not fatal is not a medicine."
I love that bio hacking, Sillicone Valley and Theranos were talked about. I’m currently learning about those topics in school and following the Theranos case
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This was an excellent discussion and I would like to thank you both for the time it took out of your day to make it. It was so interesting to see “older generation” and “younger generation” doctors having this type of discussion and, remarkably, agree on so much.
I love “Doctors dunking on [blank]” videos and I’m sick at the moment but even after a few minutes I think this video will make my day! 😊
I’m sick too! Get better!
❤
I’m sick too, and I have a big formal dance in 2 days 😭
I hope you get better
Doctors dunking on 9 year old kids (THEY STARTED CRYING)
This resonated with me so much. As someone trained to ask questions. Realizing it is both advantageous and a fault we try to compartmentalize information. On the one hand it can make some things easier to understand. On the other, focusing on one small part can make us lose sight of the bigger picture.
A dear friend of mine recently died of cancer. She was young and beautiful, and when I went to her funeral and saw her corpse, it was heartbreaking. Cancer as well as the treatment and radiation therapy had ravaged her body and turned it into a husk of itself. If she was going to die anyway, I wonder if it would have been easier to not go through all of that. It's impossible to say. It's heartbreaking.
I still trust my doctors for the most part. I have also learned to advocate for myself and to speak if I feel that I am not getting the best care. I am amazed that people who sell and peddle fake medical cures don't get in more trouble.
same! i also tend not to go unless it’s bad (which is still infuriatingly often, because chronic illnesses, but it’s not for meds, it’s for referrals to specialists) - last time i went because of an infection, it was bacterial tonsillitis - i was prescribed antibiotics! i…didn’t end up taking them because i didn’t get around to picking them up until i felt a bit better, and by then it had basically just cleared up by itself. when i do take antibiotics i do take the full course, and the only time i was on them without the bacteria actually being positive on the test was when i had PID - which is the treatment for it when it’s caused by an STI, and did work.
@@poisonedkilljoy9304 I go to the doctor several times a year. I have several health conditions such as asthma, scoliosis, plantar fasciistis, and polycystic ovarian syndrome that require medication. I see my therapist more often than my actual doctors. I haven't had tonsillitis since I was two. I got my tonsils and adenoids removed when I was 2.
Hello how are you doing today and how is the weather over there.?
My dad had a *severe* shortage of D and was anemic. The doctor put him on supplements they do not sell anywhere else but the pharmacy (I'm in Belgium). Yes, you can/could get these in a regular supermarket, but pharmacy is better. He's fine now, but there is a time and a place for supplements, and I believe that. Not just take it willy nilly, but when you are struggling and have proven (bloodtest) shortages... why not?
I don't think anyone is saying that supplements are bad in cases where there is a deficiency, like with your dad. The problem is that many people think that they should take supplements every day even if their levels are normal. Supplement companies also market themselves this way. For most people who don't have a deficiency they aren't needed.
I believe that supplements can definitely help in cases like that, but I would only do it if recommended by a medical professional after the reason for said deficiency had been found and corrected if possible. So the long term solution shouldn't be to just keep taking supplements forever, but after the initial boost some changes should be made in diet or other habits to keep the levels where they should be. Of course there's some special cases like vegan diet not providing a source for a specific vitamin, or lack of sunlight during the winter up north dropping vitamin D levels, or allergies stopping people from eating some of the best natural sources etc. and in those cases careful and measured permanent supplementing may be vise, but again it should be instructed by medical professionals. Otherwise you'll fix the issue by supplements and soon end back in the same situation.
@@durabelle My dad is following doctor's advice, and it is for the longer term, or until the next blood draw proves different. I think we know how to deal with this. Please!
the ones they sell in the supermarkets in the USA at least aren't regulated or tested for quality. when something is a supplement it bypasses any legal requirements to be even what it says it is
@@kevinbissinger At least here in Belgium, when you buy a supplement from a pharmacy (different from the ones in the supermarkets), you can expect it to contain what it says in the amount it says.
Thank you sooo much for talking about fevers! I always let my kids have a fever, as long as they feel moderately comfortable and it's not dangerously high. Fevers are amazing and help the body!
Omg I am a total fan girl for Paul Offit, I’ve read most of his books. He’s awesome!
Its cool seeing Dr Mike in a position of learning and asking questions, instead of teaching and answering questions which is what I am use to seeing from Dr Mike, an interesting glimpse on how Dr Mike consumes and processes the information
Thank you so much for this thoughtful discussion. I have MS and a couple of other conditions, and I constantly have people recommending things to me without really understanding that a lot of stuff isn’t regulated and might cause negative effects. Even my doctors sometimes give me conflicting advice about things that can help with pain or reduce symptoms. It’s hard for people like me, who really want to rely on the science, to navigate through the political and financial biases that the medical community and society at large have about medicine and alternative medicine. This video helped me to see the thought processes doctors and experts might have when making decisions and recommendations.
This video is one of the reasons I'm working towards finishing my degree of becoming a Dietitian. The field of Nutrition with honoring some of the more supportive treatments. Rather then just throwing excess medication at everything is one of my passions. Medicine is IMPORTANT, but as you mention, it's becoming an issue regarding the overuse of medication.
I had a wonderful dietician. She told me she didn't want to try meds or supplements until tweaking my eating habits. We made small sustainable changes. Only when this wasn't effective did she recommend my doctor prescribe something in the meantime. Because of her I only needed a small dose, and have since adjusted and come off that medication.
Man the turtle rabbit bird barnyard analogy is super smart, and it can be repurposed to a lot of different topics too. That was so genius
I was so glad to see you have Dr. Offit on your channel. I have been a fan of his for years and have enjoyed his books and he was a wonderful speaker at CSICon before the pandemic. Maybe we will see you, Dr. Mike, there one day too! Maybe this October?!
That was a really well-done interview. I left my healthcare field over frustration with professional standards. The guild so often fails to police itself, in any industry. Keep up the good work.
Thanks so much for creating such great content! Wanted to just add an additional perspective from the patient’s side that wasn’t really discussed. I recently had a great doctor had me wait out a sinus infection until I needed antibiotics (which I did end up getting), but I did see some symptoms resolve themselves in the interim! This was the first time this happened which was awesome. But, I would like to add that part of why I (as well as others I assume) seek antibiotics quickly is because there’s this push to get back to work quickly. We live in a system where productivity is king, whether it’s quality productivity or not. It’s near impossible for many folks to get time off to take care of themselves without fear of losing their job. It makes the idea of a medication that can alleviate symptoms quickly very attractive if you’re being compelled to get back to the grind. I’m sure many doctors, who are also overworked and exceptionally committed to helping their patients, sympathize with this. They’re likely grateful that their patient could make it to the doctor at all. Just another perspective to consider when trying to address this legitimate concerns of over prescribing antibiotics.
Edit: typos 😬
Approximately 80-90% of sinus infections are caused by viruses, not bacteria. Good physicians will tell their patients to wait a week or two before getting antibiotics, which is roughly the time period that a virus should be winding down.
Yep! It totally makes sense. I’ve had chronic sinus infections since I was a kid and was always given antibiotics for it, so I agree that they’ve been given too quickly over the years. I’m glad the doctor I recently saw had me wait it out first. I was just pointing out that there’s a socioeconomic part at play here too with the over prescribing of antibiotics
This is such a huge part of the drive for antibiotic treatment, no doubt.
Hello how are you doing today and how is the weather over there.?
This was very informative. Thanks for sharing!
I remember my sister had pneumonia and the doctor kept giving her malaria medicine and that medicine harmed her so much that the doctor gave her asthma treatment. We took second opinion and she didn’t had blood in her body for check up. They were trying to constantly give fever reducing agent medicine.. just thought of that while listening and felt if only more research and doctor willing to learn them in order-to serve us and help us better. Because we trust doctors to give us the right treatment and not play long generational followed along medicine which then turn out to be harmful for some.
Congratulations on the fight
I had been on the vitamin D bandwagon for a while, until I heard something that changed the game for me: vitamin D works as a marker for frailty, as it roughly translates to how much someone had been leaving the house, spending time outside (which is these days usually leisure-related), maybe even how much they've been moving around, as even if you go to the gym, you probably spent a bit of time outside in the process. These are the factors that we've always known translate to overall well-being, and vitamin D just happens to provide a blood result for that. Vitamin D supplementation won't fix the underlying issue, as deficiency was only correlated to the real issue
That's always something I never understood as a nurse why do we use the fever lowering medications if the fever is there to actually help. So glad you brought this up..🙂
As someone who's just trying to do the best thing for their own health, I always find these videos extremely helpful. Over the years, the educational stuff you've put out has helped me form a much better relationship with my primary and my body/mind.
It's honestly crazy to think several dozen good CZcams videos have likely substantially improved my healthcare outcomes.
This video was surprisingly informative and I did managed to pick up one or two important points
Thanks for the great content as always
Thank you Dr Mike. I work in healthcare and I’ve always been told to treat a fever. I never thought about letting those low grade fevers do there thing and just keep an eye on it. If it starts to climb then treat it. Something I’ll talk to my Doctors about.
This has honestly been a very interesting, balanced and even wholesome conversation between two very intelligent and knowlegable people. Thank you for this awesome video!
Im sure every one can agree that its really cool to finally see realistic things that people wonder when there sick and to get knowledge on subjects like these
When I was a kid, my pediatrician had this simple time limit before prescribing antibiotics "3 days with fever or 7 days without fever". If the symptoms persisted any longer than that she would prescribe antibiotics, and if they didn't, they weren't necessary anymore anyways. When we did have fever she did prescribe fever-reducing drugs like paracetamol. This of course was more about the seasonal flu and similar simple infections.
Also for simple infections like the seasonal flu my husband has a saying I like very much "You'll get better either 7 days on meds or a week off of them." More often than not, what the body needs is time to fight off the infection, not medicine.
Hello how are you doing today and how is the weather over there.?
When I got COVID early this year (after two-dose vaccine, high-risk person), I remembered Dr. Mike's advice that a fever is not a bad thing. Instead of worrying that my fever wasn't completely going away, I just took enough reducers to keep it at a level where I could fall asleep and keep fluids down. I sincerely believe that this (coupled with vaccination status of course) are why I ended up only having a fever for 24-36hrs. I've struggled with high fevers in the past because of subsequent dehydration and would need to go to the hospital for IV fluids, but at those times I don't think we took this kind of approach. In fact, if I'd tried harder to fight the fever I think it would've actually lasted longer! 10/10 best advice I've gotten from your videos. Thank you.
Hello how are you doing today and how is the weather over there.?
Dr Offit has long been a hero of mine, since I discovered him through pro-vaccination activism. It's great to hear his opinions and expertise on your channel Dr Mike.
I loved this fever conversation. As a pediatric resident, the number of times a parent asks for Tylenol dosing/prescription after getting a vaccine or pretreating vaccines with Tylenol just makes me want to cry. And since I’m a resident, if my attending tells me to give the parent the Tylenol, I have to, despite the fact that I know from EBM that a fever is an appropriate response and won’t be harmful to the patient.
It’s so refreshing to hear something other than recommending medication immediately at a first resort
Just learned CPR in school and I now understand the importance of chest compressions!
Very interesting! Definitely in favor of more of this type of content. Keep up the good work, Dr. Mike!
Thank you, this was incredibly valuable to hear as a student going into Veterinary Medicine. The nutritional supplement scandal is shocking, it’s disgusting to hear about the disinformation and something really needs to change.
I’m very thankful that my high school biology teacher decided to do a whole unit on antibiotic resistance. We even did an experiment where we cultured non-pathogenic E. Coli, one petri dish empty, the other with penicillin. Then over the course of several weeks we re-cultured new dishes with the bacteria from the old one, which basically showed how the one with penicillin eventually was able to grow just as well as the one without if it’s had enough selection. We basically got a good lesson an antibiotic use, AND proved evolution real within one experiment.
As a pre-nursing student, I really appreciate your channel! You work hard to be HONEST and I from your viewers. Thank you!
Brilliant 👍 Love your videos Dr. Mike. Thanks Dr. Paul. This is a much imp topic especially with the problem of antibiotic resistance. Greetings from Scotland 🌻 Have a wonderful day everyone ❤️
When the CZcams man is helping you more than your real doctor
@@underpaidguy Some Drs are brilliant but some really need to update their professional knowledge.
I'm training to be a doctor and because of many videos made from Dr Mike, my intelligence level has expanded!!
Now there's an even higher chance that I will succeed on becoming a doctor. Thanks!
▪️Thanks for commenting, make a note to Charles Dickson regarding BTC/ETH investment ideas and let him know I referred you..
Good luck to you!
Good luck!!! I bet you'll be an amazing doctor :D
Thank you for giving us a lot of valuable knowledge, it's really not an exaggeration to call it the Dialogue of the Century!
謝謝你們讓我們得到許多寶貴的知識，真的稱之世紀對談也不為過！👍😃👏
I'm not a doctor, but I have had this argument with pcp for YEARS on my kids having low grade fevers. Love the analogy of cancers. So true.
I swear, we learn and get more information from you Dr. Mike and your colleagues and friends than we do from our own doctors. Thank you for this!
Re: the loss of trust in medical institutions (around 25:58), I like that patients now are empowered to ask questions and have discussions with their doctors, as opposed to just going with what the doc said because "he knows best." It takes a while to develop that trust with someone. Even if they have an MD, PA, NP, or RN degree. Maybe it was easier on the 50s when doctors did housecalls and you'd see them around town and have already developed that personal relationship with them. With short appointment slots nowadays, it takes several visits to develop that level of trust (and with each visit costing a bit, depending on your insurance status, you might see a doctor only once or twice a year).
I love my new neurologist, and, more importantly, I trust her, because she was willing to let me experiment to find the lowest effective dose for my daily medication, while minimizing side effects. I trust her opinions and recommendations much, much more now because she was willing to listen and discuss options with me, even when she didn't agree with my initial views. She didn't bully me or make me feel stupid ever. In the end, I've come around to her views, but I wanted to confirm it for myself and she gave me the space to become convinced in my own mind. That non-judgmental respect is invaluable.
Question for Dr. Mike: with all the review websites, is there value in satisfied patients leaving positive reviews, or is that just feeding into a bad trend?
I don’t have a medical degree but I’m a sceptic when it comes to complex issues, resourceful and love digging deep and doing my research. I’ve known for years that antibiotics are overused and it creates big issue on the back end, I’ve also known for years that fever reducing approach has its place but it’s not an automatic go to. My oldest is now 12 so for 12 years I’ve been letting her work out a low grade fever on her own and only using fever reduction when the fever was high or when she was really struggling. When her pediatrician recommended to avoid tylenol and let her work it out I knew she was a keeper! She also advised to give an ear infection a couple of days to work itself out before we started antibiotics if my daughter was not in a great deal of pain. And even though I’m not a Covid sceptic and I believe in foregoing your own convenience for the benefit of our society as a whole in terms of pandemic response, I’m glad kids took off their masks at school and are back to stimulating their immune system by licking desks and eating dirt 🤣.
▪️Thanks for commenting, make a note to Charles Dickson regarding BTC/ETH investment ideas and let him know I referred you..
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This! Doctors who accept and appreciate patients who do their own research are worth their weight in gold. It took me years to find one, she just listened to what I had to say, cross checked a few things to make sure and was like "Yep, sounds like you're on the right track so let's get you tested". I could have had my issues dealt with years ago but for stubborn doctors who always thought they knew best
Great topic, thanks Dr. Mike 👏
Dr Mike - I have a question for you. I was in the ER yesterday because of anaphylaxis from late onset food allergy (suspected shrimp cross contamination from dinner the night before). My question is, should a physical exam be done in the ER in all cases? The doc touched me once on my arm to look at my full body rash. Other than that, there was no other physical exam. I mean, I get it, even though I wasn’t sure what was happening as it was a bizarre reaction, the doc had probably seen it before and knew what it was. I explained to them that stomach pain woke me up which led to violently vomiting and backend mess. Then my hands and feet went numb. I starting sweating profusely and then the rash started. This happened over 30 minutes. Finally I told my husband I needed to go to the ER. I got treated and improved with anti-nausea meds, Pepcid, steroid, and Benadryl plus saline since the before-mentioned exodus of all things in my body caused dehydration. I left with steroids and anti-nausea meds and feel much better today. Also my urinalysis came back as a definite UTI but they never followed up with that. I’m just confused about no physical exam and no follow up.
👋 I hope you're safe over there? I hope this year brings happiness prosperity love and peace 💞❤️🕊️🕊️ all over the world 🙏🌍
I'm originally from Hamburg Germany, currently living in Key West Florida☀️☀️and you where are you from if i may ask?
This is awesome, thank you so much for the transparency!!
Interesting point on supplements. Here in the UK, the NHS actively encourages people take vitamin D supplements in autumn/winter months because we’re very unlikely to get the amount we need from the sun alone. Is there merit in vitamin D supplementation in countries with generally fewer hours of sunlight than elsewhere?
vitamin D might help agianst depression (winter depression, at least that is what is said in Denmark, I think, where we also get less sun) but the studies about taking vitamin D against depression are mixed, and I don't know if the studies looked on/considered if the results depended on if the participants lived somewhere with significant less sun hours in winter.
Finland...
People that live in countries with autumn/winter really often have vitamin D deficiency, at diffrent level depending on the hours of sun because latitude.
But it's not clear what consequence it can have on people. Most claims are not proven, like the depression one.
I believe the benefits of vitamin D supplementation in places with not enough sunlight exposure during winter months is pretty well documented. Getting enough vitamin D (or more like having a high enough calsidiol, storage vitamin D form, in your blood) is important for bones - especially important for old people to prevent osteoporosis (greater dose recommended) and for kids with their bone development, in my country it’s nationally adviced kids and elderly have a vitamin D supplement year round. It’s also important for the immune system - you’re more likely to get infections if you are deficient, this is documented in placebo controlled trials. It was also found to be true for covid.
Vitamin D has also a lot more different functions in our body, some of which we don’t even know/understand yet. It’s been proposed/studied to have help prevent or even treat many diseases (but yes, just speculation isn’t really a reason to take it)
In my country the aim is to strive for blood calsidiol levels of over 75nmol/L because people living near the equator (and don’t cover up completely when they’re outside), have natural levels of 100-200nmol/L. But I think under 40nmol/L is considered actually deficient. Note that this does not correspond to the strength of the supplements which are measured in micrograms. There is some debate what amount is enough for adults in the wintertime, in my country the recommendation is 10mikrograms daily but studies suggest it is actually not enough (to keep blood levels above 50nmol/L on enough many people).
Another supplement I would recommend without specific testing to people would be folic acid (folate) supplement for women who are planning on getting pregnant, or already pregnant, to prevent spina bifida. It’s crucial the woman gets enough folate, and having excess of it isn’t bad. It’s another national recommendation in my country.
Edit: even in darker climates you may be able to get enough vitamin D if you eat enough vitamin D containing and fortified foods. It has just been found pretty unlikely that people will get enough from just diet with no sunlight and the 10-20 mikrograms extra isn’t really likely to cause any negative effects to people that do get an adequate amount from food.
Also vitamin D is mostly important for bones in working together with calcium in the body, so there also needs to be enough calcium in the intake (especially of kids and elderly) for the vitamin D to really be useful for bones.
Another Edit: I read some more stuff and some studies said that prolonged blood levels above 125 or especially 150 mmol/L could cause adverse effects but I couldn’t find the original study. When you get vit D from sun UV your body stops synthesising it when you’ve got enough so, I’m guessing the issue with high blood levels is with supplementing specifically because then your body can’t control the levels. So my conclusion, based on that and some stuff I also found in an NIH release, the ”ideal” would be 75-125 mmol/L
@@mettelindegardnielsen9411 There's no proven link with depression because there's no evidence it helps in any case. People's vitamin D level is not used to know of you're in depression or not because it's not a good predictor.
It's true that if you live in a country with less sun in winter you are more likely to have seasonal depression but it's not directly tied to your vit. D level. Some have deficiency and good mental health, some have enough vitamin D or supplement and still have seasonal depression. It's clear that the lack of light and warmth affects some people but why and how, it's still mysterious. They are also people who have this kind of depression at spring when there's more sun.
For over a year, I had a severe sinus infection and had to take antibiotics and steroids. The doctors finally found out that since I've broke my nose several times, first time being 8 yrs old, I had to have rhinoplasty to fix a deviated septum. Now I don't take antibiotics at all. Partially because sulfur meds, I'm very allergic Now but also they don't work
I went through the same thing. My GP and my ENT both told me they had to do the antibiotics for so long to show my insurance company it wasn’t a viable treatment anymore and the only way to fix my chronic sinus problems was surgery. It sucks that insurance companies make you and your doctors jump through hoops and suffer longer than necessary because for some reason they think they know the best course of action.
What really sucks is 6 months after I healed up from the rhinoplasty, I had a bad grand mal seizure and broke it again. My face has been through hell. 🤦♀️😅
That’s terrible! I ended up having to have two surgeries because I bled too much during the first one for them to do all the work they wanted too.
As a pharmacy student this is scary that people think like this
I was given adenovirus in a pill form about a year ago. Maybe you’ll see yourself distributing some of those in the future.
research about pssd
Excellent. I really enjoyed and learnt a lot from this. About taking antipyretics for fevers: I trained 34 years ago (I'm an RN) and I remember being taught that high temperature was a natural response to infection and helps the body to fight. We only were give antipyretics if the patient is in danger. For example a child having febrile convulsions or extremely high temps. And yet all through my practice its been frowned upon not to give paracetamol for even a mild fever. Very frustrating.
Thank you Dr. Mike and Dr. Offit! I love watching your videos, they are both educational and very funny!
I'm in CRNA school right now, and I think many of the topics you both discussed were very fascinating. We are having discussions and debates in my classes about things like telehealth, overuse of antibiotics, and wearable technologies. It's wonderful to get physician perspectives on the same topics (spoilers: we have very similar views 😉)
Thanks again, can't wait to watch more content. 😊
Dr Mike, if you read this, would you consider a similar discussion on antidepressants? Recently got off of them after 34 years!! Correct decision by all means. Healing happens. Life changes. The longer I was on it, the more I needed it. After getting off I was absolutely stunned at how much my entire hormonal system had been stunted. Uncomfortable is an understatement. Body temperature, hot flashes, other hormones affected. Emotionally for me now? Man, life is good!!
That is amazing! I'm so glad you were able to get off of them! I've noticed in psychiatric medicine, they're very quick to prescribe multiple meds in a short period of time and just keep prescribing new o es for the side effects of the original ones. Been taking them now for almost 17 years and and at one point was taking 11 different psych medications. I hope one day I can do the same as you and get off of them. 💗
What medication did you use?
Currently taking a low dose of Duloxetine for my depression/anxiety...
I've been off my antidepressants for two years and I honestly don't feel any different. I do not recommend anyone go off their meds without taking to their doctor first.
@Ian Fenrir I went off with full Dr approval. Monitored, etc. Emotional I feel the whole spectrum, but was ready to have that flexibility back. The original need was circumstantial. My body became used to it but then wanted more. I had to try getting off to see if I could handle it. Those circumstances no longer exist. They haven’t for 25 years. 25 years too many on an unneeded antidepressant just because no one in the medical world believed healing from emotional circumstances can happen.
@Laughing Bones I was on Prozac originally when it was first released in 1988. Later I segued to sertraline. I believe it may be easier to wean off of an SSRI than some of the more complex anti-depressants. Getting off of them can be dangerous. I say again, healing can happen. Psych meds need to be a last resort not a first line to change emotional regulation. We have so much in the Psych world now. DBT, mindfulness, Polyvagal Theory, and more. One or a combination of these works really well and can be effective in a group situation for a much smaller fee than one-on-one counseling.
Thank you so much for having Dr Offitt as guest. I am a big fan of both of you. Great video 🥰
Hello how are you doing today and how is the weather over there.?
You have one of the best CZcams channels! Its so interesting to learn about all this stuff
@@ihatekinryyyy-nadinesvaani6698 Yes Its Stop BEing vegan and killing plants
Would love more of the author or influential people interviews. Also more book recommendations! Thanks Dr. Mike for this one!
Thank you for choosing to be open and aware 🙏
This is so cool! Dr Paul was one of my sources in a research paper I did on alternative medicine I did at the end of college! So cool to see him with one of my favourite celebrity doctors!
Everytime i see a new post from dr mike it make my day so much better thank u for all the effort u put into your videos love from Ireland
Hello how are you doing today and how is the weather over there.?
Hey Doctor Mike. I have a video request. Could you please do a video of you reacting to a UK medical documentary called '24 hours in A&E'. It would be really interesting to see your view on the UK emergency healthcare system and how it varies from America!
That would be such a good video!
This whole video was awesome! I especially loved the discussion about the change in approach to fever management.
This is actually parallel to a point I always struggle with when it comes to seeing new doctors or having to go to the hospital...I never, ever run a fever (along with some other atypical presentations when it comes to infection) due to my primary immunodeficiency. If I have to go to the hospital without my Immunologist calling ahead, I almost always get the "conventional wisdom" assuring me I am unlikely to have an infection due to my lack of typical immunological response (temp, WBC count, etc). I'd love to see a video with you and either Dr. O, another ID physician, or an emergency med doc addressing how best to communicate non-standard stuff with providers to ensure quality of care.
I know physicians already understand each person is unique, but when some of our bodies hijack the routine diagnostic indicators for funsies, it can be so hard to both know what's actually going on and to get a doctor to not just think zebra, but recognize the patient they're looking at is actually a zebra and not a painted horse.
I've only ever gotten advice from other PIDD patients, so I would love to hear a doctor's perspective!
This was so informative and I'm glad I came across it today. It's really good to be reminded of long held medical misconceptions. Traditional does not equal correct. Sometimes the medical professionals truly are just as confused about the rapidly changing times. All in all, medical science can be quite the roller-coaster.