Doctor Reacts to THE LAST OF US // Episode 4

[@DrHopeSickNotes]

Some slightly tenuous links to medical science from this episode! But loving the show so far, so thought I'd share my thoughts anyway; hope you enjoy. X

[@sawempire4997]

This guy talks pure shit and tried to discredit the world number 1 alternative doctor. You haven’t got a clue. Stop trying to play doctors. Your not a child.

[@MidgarMerc]

Joel actually tells Ellie not to get any damaged cans in the 3rd episode cause the food will have been compromised and inedible

[@kaboshireacts]

I'm surprised you didn't talk about Bryan and how he said he couldn't move his legs anymore after Ellies shot.

[@peterbabicki8252]

Yeah, I came here to mention that. Seems like a spine injury from the gunshot, but what do I know. Would have been nice to hear his thoughts 🙂

[@munasiri29]

Yeah I was hoping they would talk about it, I was intrigued

[@slamsM6]

The bullet hitting the spine could also explain why it didn't go straight through the guy and into Joel. The bullet probably shattered after going through his spine and slowed down enough that the splinters would still all be inside. Bone tends to have a lot of stoppage force. More than flesh, anyway.

[@DavGonn]

Well it's common sense, I think that's why he didn't mention it

[@peterbabicki8252]

@@DavGonn I suppose, but a lot of these things are common sense on the surface. I just like hearing him go in depth on some of these things.

[@marquisdelafayette1929]

3:55 I was a passenger in a crash with no seatbelt on and the car flipped on the highway (no airbags either). Had brain trauma/swelling, a skull fracture, was partially scalped, chest avulsion (jaggedly ripped off and hanging), both lungs collapsed, severe liver laceration, and severe road rash burns over half my body. I clearly remember being asleep one minute and the next in the middle of the highway confused. People stopped to help and apparently they said I looked like Carrie drenched in blood. I remember talking to paramedics and then it goes black til I woke in the ICU. It was a week later and I had been in a coma and intubated/on a ventilator. I can imagine that if this happened in that world, it wouldn’t be a survivable situation.

[@TheDragiix3]

How did you survive that D:

[@slamsM6]

6:09 You might have missed that the guy that gets shot mentions he can't feel his legs. I imagine the bullet hit his spine. That would probably have enough stoppage force to prevent the bullet from going into Joel.

[@elijahe7612]

Fun fact: the visuals of the intro sequence is derivative directly of the intro for the original game, which was real film of a time lapse of fungus growing.

[@Azazyael]

As soon as she shot the ONE doctor. I was fussing “surely you won’t need a doctor in post apocalyptic mushroom zombie world. Great thinking.”

[@dungeonguy88]

Yep, this episode and the next makes it pretty clear that the priorities for Kathleen and her followers have become terribly skewed, due to their continued desire to see vengeance against anyone and everyone that even remotely aided FEDRA.

[@IamRealDante]

Lets ask Joel what he thinks about that. :D

[@casie6609]

​@@IamRealDante Big difference. One was for revenge and out of anger, and Joel's action was to save another person's life.

[@i.am.adrian]

The soldier holding the dying man’s chest wasn’t doing compressions, he was covering the fatal knife wound where Joel stabbed him after Ellie’s bullet didn’t kill him. You also could have talked about Joel’s hearing loss that they discuss near the end of the episode, how firing a gun can affect your hearing, especially on just one side. And finally…as a medical professional, I can’t believe you didn’t dispel the assertion that diarrhea is genetic!

[@archeryguy1701]

I think you got your guys backwards.... the guy with the knife wound was the guy on the left in this scene (not shown in the clip for this video). I think you have the right idea that the one guy is trying to cover up/stop a bleeding wound, but I'm pretty sure that guy is one of the ones Joel shot.

[@ThatGuyMagnum]

I was sure he was going to mention that you can't stop bleeding from someone who's had their aorta severed!

[@whereDoCarrotsComeFrom]

oh but it is! it runs in your genes

[@melissavukelic4138]

🤣🤣🤣 💩👖🧬

[@melissavukelic4138]

​​​@@ThatGuyMagnum I guess if he's not a medical professional and in a crisis situation where he doesn't know what to do, he probably just felt the need to do something rather than nothing, even if it didn't make sense. Edit: Or it was a different guy altogether 😂😂😂 I had to rewatch that scene to see for myself, but it is, in fact, not the same guy that Ellie shot.

[@Dark__Thoughts]

In episode 3 Joel specifically told Ellie to get cans that are neither dented or bloated. Surprised you skipped past Bryan getting paralyzed by Ellie.

[@quachdaivy]

180 noscope headshot is the last thing I'd ever think Dr Hope would ever say

[@Mostafa_Akbary]

Come on, he's still young. I'll allow it.

[@wesleycolvin7158]

He's likely got some ER experience under his belt, so he'd likely be able to compartmentalize his emotional reactions.

[@HoodieHorizon]

unrelated to any of the medical stuff, I absolutely adore that the first time we see Joel actually smile post time jump was with a cheesy dad joke

[@RangerHouston]

4:05 you have to also consider that when seat belts were first implemented they were 1 strap that went across the hips. This caused more intensive localized force to the abdomen whereas now the seat belts go from the upper torso/shoulder to the hip which spreads the force out and causes less localized trauma to the soft, unprotected abdomen.

[@schwerner343]

People have already mentioned the spine injury paralysing Bryan but there's also the hearing damage that Joel has and that Ellie refers to!

[@arklytte]

With regards to the Chef Boyardee 'No Preservatives' thing...remember, in this universe, the world stopped in 2003, LONG before so many of our modern sensibilities to things like, well, tons of preservatives in our food. Back in the early 2000's, most canned food was FULL of salt, preservatives, and artificial EVERYTHING. So I have no doubt that a 20 year old can of 2003 Chef Boyardee would be just fine to eat. Whereas, a 5 year old of MODERN Chef Boyardee would probably give you the mega trots, right before it killed you with some kind of hyper dysentery.

[@starparodier91]

My dido (grandpa) lived with my parents and I from when I three until he passed away when I was eight. He was a WWII vet and kept everything and I’d often catalogue all the pics, maps, and documents digitally. Last year my mom and dad were doing a deep clean of his furniture (we use his room as a guest room) and my mom noticed something sticky at the bottom of one of the drawers. Not only did my dido bring it back, but kept WWII spaghetti rations in a drawer since at least 1994 without anyone noticing. My mom quickly triple bagged it and it’s now in a safe place. According to my dad it looks “impressively edible”.

[@lkf8799]

Chef Boyardee doesn't have preservatives NOW. Definitely did 20 years ago 😉 Hope you keep reacting to this show 🤗

[@berlineczka]

Also, the "no preservatives" is basically marketing bullshit. Salt is a preservative. Sugar is a preservative. Also, most of these products picked physical preservation (UHT, vacuum packaging, pasteurisation) over chemical ones (preserving substances), so it's not like they are not preserved. Otherwise they'd be spoiled within days.

[@hargrimza1310]

The same type of Survivorship Bias was found when soldiers started wearing helmets in WW1 - the amount of head injuries greatly increased so some thought it was the helmet's fault, missing the fact that what is now a head injury would have likely been a head trauma fatality without the helmet

[@Yog-slagunar]

the seat belt syndrom is not far off from a short observation in WW1. Since after helmets were issued to soldiers, head wounds went up dramatically! Meaning helmets are dangerous..... BUT in reality it was because all the injured was not killed on the spot

[@mybear_hands]

disagree that the gunshot would have also injured joel - the gun is a beretta 70 chambered in 32acp. it's a relatively low-powered round, so there was no serious risk to joel (as long as she didn't miss)

[@Kasilyn_S]

The no-preservatives canned is from today Cuz I'm fairly sure canned goods back in 2003 would have tons of preservatives and flavoring

[@dungeonguy88]

I do believe that we see on Bryan, the young man Ellie shot to save Joel, that Joel finished him off with a knife to the chest. We get a moment to see Bryan's bare chest with a clear stab wound around this scene. So, this fellow probably wasn't so much trying CPR as he was doing what he could to maintain pressure on that wound.

[@cardellkenith]

The guy that Ellie shoots says after that his legs don't work. So Ellie's shot may have been low, but I imagine that means it was also straight into his spine

[@Allerka]

You're going to like the next episode, I think. I'm also happy that you're back and putting out content more regularly again.

[@nattywp8118]

I also enjoy that, but I was worried when he said in the last video he just came home from nightshifts and was exhausted and filming a video. If you ever read this, please don't push yourself. You already do more than enough in your medical career. Rest and we'll be here waiting when you feel good for doing more videos.

[@kyihsin2917]

I like watching you talking about the organic medicine aspects of this show at the same time as Dr Elliott Carthy is talking about the mental health aspects of it.

[@WatashiMachineFullCycle]

Same! My two favourite doctors alongside the truth doctor, would kill for a collab in the future

[@kareningram6093]

I had no idea botulism could survive being boiled. That's kind of terrifying.

[@snehasowmy7226]

I can’t wait for your take on episode five! There’s no many points that you could elaborate on. I love that you’re doing each episode of the series though so please keep going :)

[@testfire3000]

2:19 You mention about canned food being improperly packaged. In the previous episode when they stocked up on food and supplies and Bill and Frank's, Joel tells Ellie to go pick up some cans, but not any cans that are dented or swollen.

[@Kairi-ou]

Always look forward to your thoughts on the episodes! I hope you’re not too busy editing all this on top of your actual job 😅 I agree with everyone else that the person Ellie shot was paralysed, although it certainly was a risky shot from Ellie who didn’t know better/where to aim. Joel’s almost surgical precision of his shots makes a hell of a contrast to Ellie’s risky/dangerous one, which I think might have also been a point they were trying to make. “Ellie did not shoot to kill” kind of way. I did wonder if Joel would be able to walk off that kind of strangulation, even with bruising, wouldn’t it make it hard to breathe/cause complications? Just speculating!

[@andber5575]

The Archaeologist Flinders-Petrie used to bury the leftover cans at the end of field season.... and the net year all cans were thrown against a wall. the ones that did not explode were deemed to be good to eat.

[@OneWingedRose]

Slightly off topic, but I'd love to see you cover the first 10ish minutes (until the end of the Doctor scene) of Puss in Boots the Last Wish. I think that could be quite a fun one lol. Enjoying the Last of Us coverage too though! Ty for the fun and informative videos!

[@Atlessa]

Do you believe in destiny?

[@jonhalliday7806]

The E-learning mandatory training comment made me smile. Until I remembered I have several to do this week..!

[@benm431]

Episode 5 is going to be a good one for you! Can't wait

[@Lislio]

The slime mold at the intro is ironically a eukaryote and not fungus

[@CReaper210]

I was looking forward to you commenting on the man who lost control of his lower body after Ellie shot him. It's pretty much the only non-straightforward injury in the entire episode. Oh well, I've been enjoying these either way, thank you.

[@clairelanay]

Thank you so much for continuing to share your thoughts on the show! Love hearing your perspective and I enjoy learning bits of medical science factoids! 🙂👍🏼

[@shkotayd9749]

Dr Hope, you as always are doing these episodes JUSTICE as always, along with Dr Chris Raynor from different fields of practice (he is an Ortho doc). I am heartened by your posts :D I have had extensive firearms training and working with all kinds of firearms over the last 11yrs. The failures in Ellies training by Joel were very, VERY bad. Maybe thats just because he wasnt, if i recall, a veteran. But the way he trained her for a few mins left her wide open to shooting randomly, or perhaps mishandling a firearm she was not taught to check to be clear, and killing someone near to her. Everyone who has, or is going to handle a firearm must know and practice how to ACT and PROVE that firearm, every time they come in to contact with it, especially if it comes from someone else. You MUST make sure it is pointed in a safe direction and then CLEAR it to your standards before reloading and then using it. Anything else makes for a much higher risk of harm or death.

[@athenacooper3130]

I love your break downs as usual. I had been hoping you might also go into the hearing loss from discharging firearms without ear protection which came up later in the episode.

[@nko7817]

Can't wait for the breakdown of episode 5!!

[@rckoala8838]

Some years ago there was a couple who died of botulism from a bad can of lobster bisque soup. As you pointed out, even boiling didn't kill the botulin organism.

[@CJShopland_Art]

Unlikely to have survived but there have been stories of sniper headshot victims surviving. Not sure if possible at that range though. Would be interested if you’ve watched those documentary and how it’s possible to survive such trauma :) enjoying the series and your breakdown to these 😁 4:43

[@cicciobug3981]

I love your work so much! Keep up with this serie, cause your explications are, as always, crazy interesting!

[@G1Transformed]

@Dr Hope's Sick Notes, 2:29 Isn't that why Joel told Ellie last episode to leave the canned food that was dinted and warping?

[@vanessaaves3271]

I got botulinus from contaminated spaghetti-o’s. There ended up being a nation-wide recall. It was really not fun lol especially on Christmas Eve and all of Christmas!

[@WatashiMachineFullCycle]

I was wondering the entire time during the ravioli scene if a can of boyardee would even be edible after 20 years, that's fascinating about the corn

[@YasonYou]

I was hoping you would address Bryan getting crippled or Joel's partial hearing loss.

[@TanyaH97]

i just wanted to know the science behind when someone gets shot around the spine or somewhere and they become paralyzed as a result. ever since degrassi that has been on my mind

[@andy1977]

1:58 Yes, we call him Ashens.

[@chuandthemoon]

Here after crying about the latest ep....... Honey you got a big storm coming

[@bjorn6956]

Dr hope I missed your reaction on the spinal injury caused by ellie on the bad guy :(

[@Jilly6667]

After watching this episode i was almost sad because i didn’t see any medical points that you could possibly cover.. Im obviously not a doctor lol Im so happy that you’re still able to find them because i love these videos keep them up

[@lazyidiotofthemonth]

In episode three Joel Tells Ellie to grab Food cans that have not been dented or cans that are not swollen, so Ellie presumably grabbed the Cans in best condition.

[@Iden_Elihio_1999]

You are going to have a blast with episode 5 ....

[@Alchemistic88]

That "Will he live?" scene is quite funny. The way I read it was that Joel stabbed the guy, killing him earlier. So this was Monty Python-esque. Like, "He's dead"... "But what if I had a doctor!"... "Ma'am, it's death. There's no cure for being stabbed to death unfortunately" "Don't give me excuses, give me results" 😂

[@OGSinisterPotato]

Another great video! Much appreciated (:

[@R3fug333]

The reactions to these shows are great. But a new series I would love to see is you reacting to and breaking down real life medical cases. Like the case of Phineas Gage. Explain the medical science behind the story and stuff like that.

[@victorfarofabr]

In the game scene, where ellie saves Joel by shooting the guy, there's this conversation that basically goes: E: "Aren't you glad I was there to save you?" J: "I'm glad I didn't get my head blown off by a f*cking kid" So nods to you sir for noticing how low was the angle she was shooting

[@DPM_Portraits]

Kathleen really said, f them kids lets kill the OB-GYN.

[@Kronx1970]

You talked about the longevity of canned goods and how it decreases considerably if the can is damaged. In Ep3, when Ellie and Joel are loading the truck up at Bills, Joel tells Ellie to pack all the cans, but to avoid any cans that are dented or swollen. In the scene where Ellie shoots Bryan to save Joel, you mentioned she probably came close to hitting Joel. I think that's a nod to the game. That moment in the game is different, Joel's head is being held underwater and Ellie shoots the guy in the head and kills him. Then Joel gets mad at Ellie because the shot was a little too close to Joel for his comfort. But really it was just him lashing out at her because SHE had to save HIM. I like the way the handled it in the show compared to the game.

[@GamingNewsSummary]

I look forward to your reviews, its the icing for me on an already amazing cake, though this show does cover morbid topics...

[@dieinfire920]

Can’t wait for your react to episode 5!

[@mellypickerill29]

I love the show and game, enjoying you breaking down the episodes 😊

[@jamieheston]

Enjoying your commentary! Thanks!

[@Kevinsyel]

When Kathleen asked if Bryan could survive by asking "What if we had a doctor?" She isn't asking it out of concern for this guy... She fully intends to kill this doctor that isn't giving up Henry's location, however she might get resistance from killing the only doctor amongst the people... So by proving a doctor wouldn't be able to save anyone from a fatal injury, she is justified in killing him

[@Fede_uyz]

I believe all bullets would be turned into hollopoints by drilling a bit into them. and making some saw cuts hollowpoints flare out upon impact and dump all the energy into the target this differs from Full Metal Jacket bullets (the typical ones with copper outsides) where they are better at penetrating through objects. FMJs are better for military and even police that will often need bullets to go through obstacles since hollowpoints are terrible at penetrating. so hollowpoints would be an absolutely necessity to deal with the infected as they would be better at destroying the insides of them this would also mean that overpenetratio is less likely and thus Joel would probably not be hit

[@ViirinSoftworks]

5:20 You said "strangulated", which is a term for speech while strangled or a type of hernia. You should have said either "strangled" or "asphyxiated".

[@JanetSnakehole28]

There's a channel here called 'Eating History' where two guys open & eat random antique food & some of it holds up pretty well over time eg, a can of 50yr old soup was completely fine. Other stuff, not so much. If I remember right, the oldest thing they tried was a 100yr old 'hardtack' biscuit. It's a fun channel & worth a look.

[@Allaiya.]

This past thanksgiving, I was dog sitting for my sis at their place for the week. They said I could eat whatever and so I opened a can of Chef Boyardee ravioli. I noticed it was rather stuck/clumped together & had a hard time getting it out. Looked at the can and it was a year past the expiration date. 🤢 threw it out. Would hate to see it at 20 years.. 😬

[@biffyqueen]

I was in an accident last may, I got t boned and the only injury I had was along the seatbelt line which I took to mean I would be way worse off if it hadn't been there.

[@tammyhines1585]

Another great video. Thank you

[@tadcooper9733]

You skipped the paralysis part?!

[@debrajohnston-rodden4593]

Hey Doc when are you going to get to E.5 and 6. Love your channel. Thanks, from an old retired nurse.

[@kinnexion]

I think the guy at the end was keeping pressure on a gunshot wound in the chest, not in position to do CPR. Could be wrong, but it looks like there’s a wound in his chest

[@Kalbot84]

I liked the seatbelt pun 😂

[@alizard9228]

No comment on the pavement's probable respiratory illness?? 🤔

[@patricesmith2321]

Good video! THE TWO PERCENT SOLUTION! I’m completely uneducated in medicine, that being said I heard that reason why animals are used in testing is that the human genome has only a 2 percent difference between humans and the animals that are tested! If true (please correct) what two percent of the human genome would have to be altered to restore the pre existing resistance to people in The Last Of Us? Thanks for your thoughts and work!

[@noodleswamp2060]

i love 20 year old chef boyardee beef ravioli

[@mrfoodarama]

true! Lol It was actually good back then. Today its watered down so much the sauce doesnt even stick to the ravioli

[@theLOSTranger234]

@@mrfoodarama also realized something... isnt that boyardee ravioli a pasta(ish) and the fungus in the show contaminated wheat base foods- that's how it infected the world so fast. and it's been about 20 some year since the outbreak... sooo....

[@tss3393]

0:33 This gave me major Taxi Driver vibes. I mean of the actual scene, not the shitty impression everyone does of it.

[@jughead18sp]

7:06 thr guy is not doing a CPR, he is applying pressure to the wound. Joel stabbed the guy

[@305Spartin]

how'd you skip the whole scene after the shot! she got him in the spine, so she ended up paralyzing him.

[@BelgorathTheSorcerer]

I heard the people of the Mushroom Kingdom have been deeply offended by this show. Back in the 80s something similar happened when there was a gold shortage. The currency was drying up, so everybody's favorite plumber started dabbling in the drug trade. It had a disastrous effect on the Toads. Let's just say that's why we have Princess Peach now and not Princess Toadstool. The really sad thing is they were already sitting on a gold mine. Those power up mushrooms are the number one ingredient in Cialis.

[@IIncorporated]

4:50 i think he hit the shotgun up instead of hitting his face

[@fang609]

Next one is going to be intresting. Curious to see what you have to say about Sam

[@user-ok4pk2mp3e]

According to a study of data collected from ROC, the survival rate of a traumatic cardiac arrest is about 2%

[@samratsaha6029]

How long till your episode 5 reactions?

[@jenniferlawrence2988]

How funny that I never realized that Chef Boyardee isn't an international brand. 😄

[@mrfoodarama]

20 Years ago, Chef Boyardee actually tasted Good! Today its been Watered down so much, I can't eat it. Sauce does not even stick to ravioli its so thin

[@saraquill]

I rather enjoyed it when I was 4 years old. When I had some again at 16 for nostalgia, it wasn’t nearly as tasty.

[@theLOSTranger234]

Chef Boyardee- tastes pretty good even after 25 years" SPONSORED?

[@travis303]

I have a question, can you analyze, assuming you haven't already and I just missed it, the TV series Walking Dead from a medical perspective? The only thing I ever saw on the show as to what caused people to turn into zombies is some kind of virus. I was wondering if there is anything medically in the real world that can at all relate to what was happening on that show.

[@elrac7333]

You missed the discussion about Joel's hearing loss due to shooting guns.

[@Puckett.]

That guy in the apocalypse is doing a terrible job at CPR. He should go online and get training 😆

[@Fisherminer]

Heyyyy botox is great for migraine and from preventing oversweating and such too!!!

[@bismarckandthekriegsmarine9711]

Let's get this out on to a tray

[@MesaAufenhand]

There's a man who ate civil war era hardtack and Napoleon era beef and lived to tell the tale 20 years old chef boyardee is nothing

[@Ricardo29j]

Im confuse I was waiting u talk about that boy with that couldn’t move his legs the gun isn’t that powerful

[@GameslordXY]

And what about going 42 floors on foot supposedly without rest in Ellies case. How realistic is that?

[@brandonbailey4491]

Why did you skip over bryan losing the use of his legs after ellie shot him? Thought that would be an interesting one to dissect?

[@LuciferAxolotl]

if you think the 20 year old ravioli is impressive you shoukdncheck out stevemre reviews where he has some clains of eating oldest foods

[@wesleycolvin7158]

I'm guessing your experiences as a physician may have been why you were casual about that headshot. Anyone with experience in an ER has likely seen something like that more than once.

[@JeghedderThomas]

hhhh - I'm grateful for you going though this show, because I'm too chicken to watch it.

[@szariq7338]

How would you put yourself on a survival scale in this scenario, Doc? I'd personally put myself on 50/50. I'd either die or not. I'd either eat moldy stuff or I wouldn't. Most likely the latter one, since I prefer potatoes. Then we have the starting enviroment. If in my high school in the literal middle of 200k city - less fine. If back home in the village which size could be compared to places, "where dogs bark with their butts" - more fine. Now armaments for that sweet surviving of baddies. For now air rifle has to do, but I'll go for a gun permit when possible (I live in Poland and legally too young for a permit, so the problem of a lot of seriously armed mob isn't THAT hardcore). And other survival skills. Certainly I'm better off than most (fire starting is also a skill), I still have to train to be able to perform a muscle-up (however normal pull-ups are fine), but overall I know some stuff.