Modern Medical Practices We Need To Stop

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Executive Producer: Doctor Mike
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional **

[@Notimp0rtant523]

“By the time we figure out what specific virus is making you sick, you’ll either be better or dead” -actual words from my doctor who I still trust

[@cameronno6039]

Depends on the virus and where. Generally, this is probably good enough.

[@gardenjoy5223]

But when we are talking about antibiotics, I hope by now everyone KNOWS, that those ONLY work against bacterial infections and never against infections, caused by a virus.

[@zagrizena]

Well, we had a situation with our kids, that could have been significantly improved, had the dr bothered to test for a specific virus. Kids ended up contracting oral herpes virus and at the infection their mouths were covered in painful ulcers, to the point it was an issue getting them to swallow anything and they needed hospitalisation. The oldest showed symptoms first and was subsequently hospitalised. As he was being discharged from the hospital, the young one developed very similar symptoms, but not yet being able to speak and still nursing part time, doctors were convinced it was simply trush. They insisted even after I pointed out son's recent infection and similarity in symptoms and even directly asked for the test, since she could maybe be given anti-virus medication to lessen the outbreak. She ended hospitalised a day and a half later and was poked for IV canals to at least stave off dehydration and some pain.

[@manishgoyal7677]

​@@zagrizena The sheer absence of common sense of some doctors really surprises me.

[@HercadosP]

​@@zagrizenabut how else would the poor hospital be earning money? /s how much were the hospitalisations? 140k per day?

[@tattd_snw_wht]

As a nurse, I scratch my head on why doctors immediately throw antibiotics at a patient only to require a culture later on. This prolongs the patient’s hospital stay and the process to narrow down what kind of bacteria is actually causing the problem. Antibiotics should be the last resort because as useful as they are, they often create more issues when overprescribed.

[@TheSuperappelflap]

the only time ive ever been overprescribed medication is when i had a pretty bad case of hay fever one summer when i was 17. i had a bloody nose every time i went outside and couldnt work. i took one look at the side effects of the antihistamines and they included bloody nose, besides a bunch of other stuff. so i said no thanks. ten years later, sometimes i have to sneeze a bunch in early spring or get a runny nose, but most years i dont even notice. its really a problem doctors are willing to throw heavy meds at small problems. if i did take those meds, i likely would never have adapted to the situation.

[@puglover7985]

Longer stay = more money... Duh..

[@avenger5339]

What about some patients losing consciousness sometimes even their hearing or vision when their temperature goes way up how can u guarantee that the temperature would stay at a safe level

[@Joshua-wc5oz]

@tatted_snw_wht what you said is definitely right and it should be what's actually done. But take a moment and think of it from the patients perspective. A culture takes a couple of days to show results. Especially with the cost of healthcare in the us, no one wants to spend a single moment more than necessary in hospitals. If for certain diseases, we wait for the culture results, and then begin an antibiotic afterwards, the whole process gets extended by 4-5 days. While prescription of antibiotics for everything is definitely discouraged, in some cases it becomes necessary to prescribe antibiotics for the most common organism, wait for the culture reports and then modify the treatment accordingly.

[@TheNewbie78]

Those doctors care about money only so the patient can pay it

[@aileenliu6611]

as a kid, my mom always had us “sweat out” fevers by making us drink a lot of water and piling on the blankets (given that our temperature was in a safe range ofc). always thought it was kinda funky that western medicine/culture typically encourages the opposite

[@nicolad8822]

That’s quite Victorian, even then they gave them willow bark tea.

[@Yamaazaka]

Yeah it really works well in my fam too. Someone would make sure they had a cold towel for the forehead and monitored the inner ear temp.

[@naolucillerandom5280]

I'm about to do that because I don't have a thermometer but I just can't handle a fever that doesn't sweat 😂

[@crying2emoji5]

I had a boyfriend who would literally hallucinate every time his fever went over 101. The first time it happened I was TERRIFIED. After he recovered he explained to me what happened and told me if it happens again, to cover his body in blankets and put ice packs on and around his head and neck. Worked like a charm.

[@ogi22]

@@nicolad8822 I'm really glad at my home we used a lot of "home medicine". And that combo of aspirin and a lot of fluids, combined with a good blanket cocoon was normal to me. In fact i just do it now beacuse of legionella. I'll try without aspirin tonight, because last night my core temp was allover from 37,5 to 39,5 (measurements separated by just couple hours) and i didn't want to get under blankets like that. I like my brain raw ;) 6:30am, a change of sheets and blankets, light sleeping clothes were about 1kg heavier;) Morning temp 37,5

[@frankenstein6677]

My family's always tried to push me off of my habit of just letting small fevers alone. Glad to see my line of thought of "if my body is causing it, maybe there's a reason for it" isn't as far off as people have been trying to convince me.

[@Theunicorn2012]

My family's always tried to push me off of my habit of just letting small fevers alone. Glad to see my line of thought of "if my body is causing it, mabye there's a reason for it" isn't as far off as people have been trying to convince me.

[@loreyxillumina]

​@@Theunicorn2012why copy?

[@nahbruh419]

​@@loreyxilluminaI'm honestly convinced she's a bot

[@loreyxillumina]

@@nahbruh419 yeah they prob are, looking through her comments on other vids

[@Zoroaster4]

I had an elementary school teacher that explained this to me. A bit of a tangent, but he was the best teacher I've ever had. He made learning interesting and taught kids all sorts of facts and stuff that he definitely wasn't required to by any means but was definitely way more helpful than just sticking with state requirements. Hope he's doing well in his old age.

[@beachnap]

The fact that insurance companies still deny or limit coverage for physical therapy even though it is often more effective than surgery is so frustrating. These insurance companies are dictating patient treatment, not the doctors and not the evidence-based medicine. We need to legislate to radically reform the medical system to get these companies out before they ruin the whole industry and bankrupt our nation.

[@lordblazer]

It'll never happen because it would help people qhich is a evil thing to do in America and God hates when you help folks and not the rich.

[@Oktokolo]

Maybe, operations are cheaper than physical therapy.

[@walterroux291]

​@@Oktokoloabsolutely not. The amount of high paying specialists required for general surgery is INFINITELY higher than that of physical therapy. But that's THE POINT, Insurance can charge through the roof.

[@AnnoyingNewsletters]

Before they ruin it ⁉️ 😂 Isn't America the only country that allows this to happen?

[@user-mc6dg6qe8l]

Or and hear me out please, we make medical coverage affordable for the average person so that they can say "lol then I'm not buying your insurance anymore ill just pay for it myself."

[@TheLycanthrope09]

Here's something really messed up: I once went to a doctor that wanted a pelvic exam to renew my prescription for anxiety medication. Not birth control, anxiety medication. I told her (truthfully) that I've never been sexually active, and she said "no, you're old enough that you have." I reported her and never went back, but good God.

[@missouriprideusa6241]

So what was the outcome? Did she get fired or written up? Sounds like she got her specialists confused. A psychiatrist or a GP prescribes anti-anxiety drugs and a gynecologist dies or your GP does a pelvic exam. I'm really sorry you had to go through that.

[@lexinicole4317]

Err, this sounds made up… A psychiatrist (which is who should be prescribing anxiety medication) wouldn’t even have the tools needed to do a pelvic exam.

[@TheLycanthrope09]

@@lexinicole4317 Err, your reading comprehension is a little lacking here. It was a GP (family doctor/general practice) who wanted the pelvic exam, not the psychiatrist. I left that doctor (didn't let her do that exam) and found the psychiatrist afterward. The psychiatrist is awesome and has never caused any issues for me.

[@zzzzx3]

@@lexinicole4317 You put way too much energy to die on this hill 😂

[@TheLycanthrope09]

@@lexinicole4317 I did clarify all of that in my second comment, which was before you commented on this. You just didn't read the whole thread before commenting.

[@somerandomparrot5101]

When I got covid, I got the chills and a fever, so I stayed under blankets most of the first day and tolerated the heat as long as i could, and soon after, I started feeling somewhat better until the fever went away the immune response worked

[@marshallsweatherhiking1820]

I think fever itself is the most uncomfortable when its going up. That’s when the chills and pains are at their worst. If you feel hot your temperature is likely already going down. It makes sense to speed the process by getting warm intentionally. When I’m above 101.5 though I start to toss and turn really bad and feel restless and its hard to put up with that for more than a few hours at night. I don’t know if sacrificing good sleep for more than 24 hours straight is always beneficial.

[@somerandomparrot5101]

@marshallsweatherhiking1820 In my case, I stayed in bed during most of the day, and by the time it was night, the chills had gone away.

[@flamee23312]

@@marshallsweatherhiking1820For me by far the absolute WORST part about being sick or having a fever are the fever dreams. I can deal with the uncomfort of being extremely hot because I can just sleep it off or lay in bed and just watch movies all day. But when I sleep and in my dreams I feel like I’m being thrown around like a basketball it is by far the WORST part of being sick.

[@ariellev9185]

I got Covid recently and had a fever of 104. I wanted to stay warm so bad but it’s incredibly dangerous when it’s that high 😭 it also lasted several days. So bad.

[@MangindDerous]

I live in Australia and unless my temp gets to 39-40C/102-104F I don't even bother going to my GP, I just wrap myself up in blankets and clothes, turn the heater on, have a couple of 1-2L water bottles within reach and let my body and my immune system do its job and i'll deal with the temporary uncomfortable state it needs to be in, now on the small number of occasions i've hit 41C/105.8F or higher I've always gone straight to Emergency because that's getting too high but lower than that let your immune system do its job.

[@benjamin.kelley]

When I was about twelve years old, the foot doctor suggested I get custom insoles. After about a year of wearing them, I realized it wearing them wasn't fixing the problem, and it didn't seem like there was a problem at all because I never had any issues with my feet, knees, hips, or back. Haven't used insoles for over 15 years and now I'm a marathoner, running a ton of miles on my flat feet.

[@benjaminbaumgardner7620]

Personally I tend to think of flat feet as more flexible feet. If you stay in good shape you can generate a lot of spring through a flat foot

[@Psilomuscimol]

​@@benjaminbaumgardner7620you'd think the arch in a foot is like a lever?

[@gracieliznorris]

I’m a labor and delivery nurse, and my BIGGEST pet peeve is not letting people eat during labor. The risk for aspiration is SO incredibly low. It is not evidence based at all and can actually be harmful.

[@saschamayer4050]

Yeah. And some hospitals even forbid drinking during labour. Drinking anything. So no water for hours. 😱

[@triciabakker3308]

Thank you! Not being able to drink or eat in water made me dehydrated and weak. It was awful.

[@lexinicole4317]

It’s so ridiculously stupid to me. Unless the PLAN is a c-section, or it’s VERY much expected, there is no reason we should be refusing patients food or drink on the basis of “well, you COULD need a surgery, if an emergency happens.” That’s the case for literally all things! We don’t tell people not to eat anything in case they’re in a car accident or fall down the stairs and require emergency surgery. We are just extra careful when an emergency surgery needs to be done and we know the patient has eaten recently. C-sections should NOT be treated like an inevitability for all labor and deliveries so much so that we don’t allow patients to eat. It’s insane.

[@Leviatiemily]

Yeeeaaaah. I'd just drink like...an Atkins shakes or something. Idk if I could eat solids before giving birth but I gotta keep my blood sugar up.

[@gracieliznorris]

@@saschamayer4050 where i work, once patients get an epidural, they can only have ice chips. At that point, we start IV fluids anyway, so dehydration is not likely. However, not allowing food or drink is STILL not evidence based in this scenario :(

[@Abandonedmaul]

I’m so happy you talked about pelvic exams. Just a year ago I had a horrible experience with a medical prof insisted I have a pelvic exam before she would prescribe my birth control that I’d been taking for years. I refused because I felt uncomfortable and her continuing to pressure me into an exam was alarming. She also came out while I was checking out to sign some refusal paper and in front of everyone read it out loud. I haven’t cried so much after a dr visit in years. Do not let anyone touch you if you feel uncomfortable!! That is your choice!

[@v3ru586]

I was raised to think the opposite, the doctor's job is to make you healthy, not comfortable. It's probably the reason why I did endured lots of bs without realising the harm it did to my mental health.

[@ghyslainabel]

@@v3ru586 the origin of the "healthy, not comfortable" was probably about some procedures that are just unpleasant, like receiving a vaccine (a received a vaccine in 4th grade that hurt for hours). Unfortunately, it become understood as "doctors should not have bedside manners". Doctors should take care of the whole health of a person, physical and mental. That means that while some tests and procedure can be unpleasant, doctors should put us at ease before doing them.

[@illbetherejk3212]

If they read my private and personal healthcafe information aloud in public, and youvlove in the USA, i probably would have taken them to court. There are laws against this.....

[@Nefville]

@@illbetherejk3212 absolute HIPAA violation. I worked in health information mgmt for years, aka medical records, we were required to take a number of courses for certification in regards to private health information. It also can get the facility a HUGE fine. Big no no.

[@Sisterlisk]

My new doctor (years ago, she's retired now) wouldn't prescribe me BC until I'd done an exam because I was in my mid 20s and had never been examined (pap smear) before. Despite only wanting the BC for reasons besides birth control, I agreed. That pap smear was soooo horrible. I had to resist the urge to scream and kick.

[@seanwright1264]

Very cool, man. I've been frustrated by these myths for years. Thanks for standing up for medical evidence.

[@katiefrancis6067]

I get not wanting to over-prescribe antibiotics, but as someone who has needed them for an illness that wasn't getting better after weeks and every doctor saying no to antibiotics except the last one, it cost me a lot of money and extra time with the illness. I started getting better within two days after starting antibiotics. Usually a virus doesn't mean always, i wish there was better testing to figure it out earlier.

[@GreenPenguin82]

This is why I stopped giving my daughter meds with a fever unless it's really high (and her Dr has directed me to give her something). A fever is a sign the body is doing it's job. As long as she's acting fine and eating and drinking normally, I let her body do it's job.

[@kirashields7383]

Exactly. I had gastroenteritis a few months ago, never thrown up so much in a short space of time I swear, 30+ times, and was delirious with a high fever for about two days, barely slept, but after that, it broke, I started sweating it out and slowly recovered. First two days were the worst though. Never want to get that again. Fevers, unless like you said, they're really high, are just something you've got to bear with and get through, and then it gets better. It's just doing its job, getting your body to fight off and kill the infection/whatever made you unwell.

[@TheSuperappelflap]

when i was a kid and i had a fever my mom made me chicken soup. im not even 30. is this like a weird american thing where you overmedicate every minor issue?

[@vxlcarxhitexts4472]

You worded this exactly like my AP Biology teacher.

[@crystalh450]

​@@TheSuperappelflapno, but some random people are more neurotic than others.

[@ashleysmith5001]

@@crystalh450 I agree there are a lot of parents and adults who immediately turn to Tylenol, and go to the doctor and get antibiotics or sometimes have some left over and take them.

[@Official_Rz]

I can't reiterate how important it is for many of these outdated medical practices to be scrutinized publicly by both professionals and the general population. This is how change happens, not by letting it fester under the surface to create more problems later on, as times change.

[@johnfrancis1925]

And if it's festering, don't put leeches on it.

[@natevisuals4120]

This can be said for things far beyond medicine as well lol

[@natevisuals4120]

This can be said for things far beyond medicine as well lol

[@girlsdrinkfeck]

Sex change is now outdated

[@heartminer5487]

sometimes you just need to use a bit of scientific common sense to know what to do

[@5goldrings1]

Getting birth control was always one of the most stressful visits. First interrogation as to why I needed it, the pelvic exam requirement and the shaming by doctors has made me hesitant to get medical care

[@seandobbins2231]

While it's understandable for a provider to ask for the reason for wanting birth control since if it's due to a medical condition, knowledge of that condition for additional treatment is preferable, no provider should ever be shaming you for seeking birth control. I highly recommend filing a general complaint both with the medical facility and the board of health against any providers that treat you in such a manner.

[@veganaktivisten]

As a swede, this is unheard of :O

[@serendipity1274]

I developed white coat syndrome bc of stress over getting birth control.

[@sendmorerum8241]

What kind of shaming?! Your doctor is messed up in the head. Mine is the nicest one ever. Edit: I was wrong about pelvic exams

[@heulwenrhosyn9625]

​@@sendmorerum8241in the UK you never have to have a pelvic exam to access birth control. How invasive! You only have a pelvic exam if there is something wrong or if you're due a routine test, like a cervical smear.

[@denisegaylord382]

The study you cited for legal cramps specifically used magnesium oxide, a compound that we know is not easily absorbed by the body. Instead, try magnesium citrate, or other formulations that we know are absorbed. I personally combine magnesium breakthrough with a potassium citrate supplement. Works wonders.

[@eileenhetherington3704]

Yes. This is what I use. No more leg cramps.

[@jenniferhenn2327]

I use magnesium cream, it works fast. But I also need to up my hydration during the day.

[@Psilomuscimol]

There's one kind that crosses the bbb well and is the only kind I think I'd buy. Forget what it's called. Think it starts with an f?

[@bout3fiddy]

I'm a pharm tech and we usually give the "just monitor and manage symptoms, don't treat the fever" advice. The exception was a guy who asked what his son, who had a "mild fever", should take. We asked him what the mild fever was. "Like, 104, 103. But he didn't start crying about it until a few hours ago " Our pharmacist told him to give his son a trip to the ER.

[@deawinter]

LMAO. My parents had a “just sweat it out” approach, but they didn’t make a habit of monitoring my temperature. (They were the “just pray about it” brand of Christians.) Worked just fine my whole childhood, until one day I got sick enough that I was hallucinating, crying and barely conscious for almost a full day. My dad finally called his mom, a long-time nurse, and she told him in no uncertain terms that I needed to be hospitalized immediately or I could die. Not sure how to phrase the lesson here, except that if it seems like something is seriously wrong, it probably is.

[@elliotgillum]

​@@deawinterYou must of had a hell of a fever.

[@deawinter]

@@elliotgillum is this a Christian joke. Because if so I approve

[@fourcatsandagarden]

geezus what does he think severe is if that's 'mild'

[@Raptorknight17]

​@@fourcatsandagardenthey have caught on fire

[@jiaswan22]

I had a doctor insisting that I needed a pelvic exam for birth control. I needed birth control for pmdd symptoms (I was nearly suicidal once a month), and was not sexually active at all. Explained all of this and asked her what she was looking for, she brushed me off and said she had to do it anyway. I persuaded her to give the prescription then, but she said she wouldn’t refill the prescription again without a pelvic. I sought a new doctor who told me the first doctor’s behavior was not good ir appropriate.

[@bunhelsingslegacy3549]

That was standard when I was a teenager and not yet sexually active, and thanks to my doctor at the time, I have medical trauma about pelvic exams.

[@Charlie-ib2ef]

exactly what happened to me (i live in germany). The most hilarious thing that the doctor said to me (a 15 year old) was: „Are you sexuell activ?“ Isaid no. Her answer was: „Really??? Not at all???“

[@joshbull623]

I am not in any way arguing that you were not in the right. But in the last two decades especially, reproductive coercion and abuse has spiked significantly. Also, usually more common in opioids, but no medication is off limits if it has value on the streets, people come in all the time demanding medication without evidence, examination, and follow up to use as a substance abuse issue or to sell for money and most medical professionals are advised and taught to look out for such behavior. Point is, I don't believe the doctor was being obstructive, just cautious and likely consistent with their medical facilities policies which she probably has no choice but to follow whether she agrees or not and only has a little leeway with it which she seemed to offer you. Dr. Mike said it himself, old practices are hard to phase out even with rapid new discovery, could just be a stupid policy or standard. I could be wrong, just going off what was said and what I have found to be the case in similar situations.

[@yazdhenab.]

I'm 38 and Ive pcos (discovered 15 years ago) and the first doctor I've seen for that send me to the ob/gy and she asked me that too, I've replied no, I'm not sexually active (and don't want it ever) and she didn't insist, only use the ultrasound and it works perfectly

[@yazdhenab.]

@@joshbull623 usually, birth control can't turn into dependance, so I don't even know why we need a prescription for that, it's not deadly if you took too much (i've often took two pills one day because i've forgot the last one) and never got sick or even delayed the next month

[@lunaa764]

my highest fever was when i had covid, it was 102. while i get it’s my body’s natural response to fight off the infection, i felt so awful and disoriented that i reached for the tylenol immediately. feeling dizzy and like i was going to black out wasn’t fun either.

[@gretchenseidelkottler6562]

At 102 you should that Tylenol, below that don't.

[@keturahspencer1211]

Mine got up to 104.5. 🥶 I was miserable.

[@ChalfantMT]

I’m glad you’re saying all this! Thank you! 🙏 People need more medical literacy.

[@elizabethhazel2012]

I went to the ER after falling and hitting my head on ice (blacked out) and the ER doctor said I had pink eye because my eyes were red and messed up. I went to sleep on that concussion and tried to go to work the next day - the nurse I work with sent me to the emergency room. I ended up losing some vision in my eyes and was told by the optometrist if I hit my head again I could go blind. I should have never listened to the ER doctor (he didn’t even do an eye exam) and should have got a second opinion. Crazy how some doctors are so careless.

[@chapenriley317]

so many questions I have for you regarding this lol. either you didn’t tell the doc why you were really there, or the doc suffered from mental retardation…

[@user-oy3ok5vr4q]

@@chapenriley317 emergency medicine doctors will a lot of the times work too many hours and see too many patients

[@thegingerrunner9448]

​@@aleksadupuyWhat is "didth opinion "?

[@tylarjackson7928]

​@@thegingerrunner9448You know, didth, as in "I had a didth opinion"

[@weasleman9603]

@@thegingerrunner9448d is next to f on the keyboard so he probably meant fifth

[@chrislords_dpt]

As a physical therapist, I really appreciate you using your platform to call out these outdated practices… especially regarding meniscus tears and back pain!

[@marcovitturini9481]

Yess appreciate Dr Mike!!!

[@maureenlaneski2802]

PT and therapeutic massage are so helpful, but so expensive if not covered!

[@guysumpthin2974]

“Medical inertia “ = money

[@guysumpthin2974]

Leg cramps = low potassium

[@steamer2k319]

"Resting is rusting. Motion is lotion."

[@keksentdecker]

Usually without fever reducers and painkillers a common cold lasts about five days for me, but recently I had to study for an exam and so I just threw in those babies multiple times a day to keep cramming and the cold lasted an additional two weeks longer, I also had the feeling that it was “deeper” than usual like not in the nose but more in the throat

[@nyctilia]

Thank you. Especially about the fever thing. Once I learned that usually the symptoms of a cold are from my immune system fighting said cold and not the virus, I started questioning the practice of taking meds right away. I’m not sick very often but I try to put that kind of medication off. Also my fever rarely goes above 38.5 degrees celsius (101.3 F). Maybe I’m just lucky in that regard. Once, as a teen, I got above 103 and that was horrifying. When I have an unusual ache I try not to take anything too early so that I know how my body is actually doing and if it’s getting any better. Same with colds.

[@mattb1293]

0:23 Reducing fever 1:57 Avoiding food allergens to prevent development of allergies 2:48 Knee surgery 3:29 Pelvic exam for birth control 4:21 Rest for back pain 5:21 Magnesium for leg cramps 5:53 Antibiotics for pink eye 7:12 Custom orthotics 8:02 Excessive pre-op clearance 9:32 Viral panel testing for upper respiratory infections

[@AlexStam]

thanks bro

[@CybertroninfiniteOfficial]

not all heroes wear capes

[@livskmj]

you literally ate that up

[@Ellobuhbyehair]

🐐

[@scottnufer3632]

As a Doctor of Physical Therapy...thank you. Just... Thank you. The knee surgery, the back aches, the non symptomatic flat foot...these are some of my major soap boxes

[@mikacakes]

As a patient who regularly needs physical therapy (due to hEDS) thank you! The amount of times patients like me get pushed towards unnecessary bs procedures or aids and end up in way more pain with less mobility is sad. Almost everyone Ive ever spoken to who got knee surgery or started using a mobility walker/scooter or wheel chair ended up worse off than those who adhere to the PT long term. Everyone wants a quick fix but there is no shortcut to strong muscles and healthy ligaments.

[@michele0324]

​@@mikacakesThis 🦓 with hEDS agrees. :)

[@adhdhamster]

Also a hEDS 🦓 here and I third this 😂

[@psyche8187]

Tell me more about the knee surgery soapbox. Because I just busted my knee…

[@papayafun7226]

My knee was messed up after a car accident when I was young. I suffered from the pain for years and doctors had a negative outlook. I was nevertheless determined to let it heal without surgery...and what do you know...after obtaining my physical therapy exercises and slowly getting back into sports...I can walk 15 miles a day without a problem. I will only feel the pain when I walk for miles on sandals with no arch support, which is a small price to pay. Thank God I was stubborn.

[@KekoKasane]

I used to never lower my fevers with medication, would just ride it out and be miserable, but I just can't anymore. Thank you for the pelvic exam one though! Will definitely keep it in mind

[@bobbiemason7912]

As somebody with cancer one of my side effects is high temperatures, I take medication the second I think I have a higher temperature because it gets so high I will throw up and if I throw up I always end up in hospital because I get dehydrated.

[@reniefuwa]

Sounds like you're one of the exceptions (similar to those described by Doctor Mike)

[@NCO1426]

I get sick a lot, and I’ve recently stopped taking so much medicine when I’m sick and I’ve noticed if you just simply drink water and sleep a lot you build a lot more immunity AND get better faster. Sometimes you need medicine but the more I’ve tried to just work through it naturally the more it’s helped me

[@Imbatmn57]

Im terrified of overdosing on pain medication so i try not to take it unless i cant function.

[@cristiep7377]

​@@Imbatmn57as long as you take it as directed you should be fine, just don't armchair pharmacist your dosing on your own, that's what gets you in trouble.

[@ThomasDdm]

Since I started eating a wide variety of foods and working out I don't get sick as often. Also when sick I used to not eat because I didn't have an appetite and sit a lot, I started eating by force and moving more and I get better sooner.

[@Legendary_Starlight]

lol whenever I get sick, I do NOTHING about it, and it goes away on its own :>

[@hotpinkkt]

Microbiologist/immunologist/virologist here: drinking water, and sleeping when you are sick WON'T make your immune system "better". You may get better faster sure but once you're sick, doesn't matter what you do, your immunity will be the same. When your body comes into contact with the antigen and you start showing symptoms your body is already making those memory T and B cells to help fight off the next time you get sick with that same pathogen. There's no such thing of "better" immunity. You either have immunity to a specific pathogen or you don't. Partial immunity happens when the pathogen is of the same species but different genus so you'll have SOME immunity if you have immunity to a similar pathogen but other than that, what you said is very false.

[@doctorandrew04]

I'm a physical therapist and I truly appreciate what you said about meniscus surgery and what to do about back pain. Too many people run to surgery to try to fix their problem and don't try PT, when in reality what these patients really need, is to strengthen their muscles, stretch, and learn how to move properly. Everyone could benefit from physical therapy.

[@darladay4766]

If I could find a physical therapist with late hours, I probably wouldn't have a still swelling ankle and foot arthritis 10 years later. It's definitely not a quick fix (like surgery claims to be) and is time, energy, and cost (if you need to be working during those hours) consuming. Most people just have surgery and end up having more issues later on

[@Justanotherconsumer]

I did have surgery for my wrist, but we tried less intervention first. That it was healing at the wrong angle was what prompted surgery.

[@joywebster2678]

Now PT is restricted to care paths only. So my neck pain from an old disc injury causing me a new 6week headache doesn't fit into anyone carepath for PT! This is new. So this is why people end up at chiropractors, I won't though since one caused a stroke last time I saw one.

[@applepie6268]

​@@joywebster2678Chiropractors are not physical therapists. In fact, Chiropracty is a Pseudoscience whereas, PT is an allied healthcare service. Moreover, chiropractors may not be licensed but a PT comes with a licence, as well as the required training and knowledge to know their patients and their conditions.

[@whiteshadow7584]

@@applepie6268 pretty sure the person you're responding to knows that. They're just saying some people end up going to chiropractors because PT is not very accessible.

[@Cosette336]

Years ago, even planned parenthood would insist on a yearly pelvic exam before I could get my birth control. It was terrible. I’m so glad it’s so much easier now with all these apps that will even mail it to you.

[@cindytrimblr]

This was very informative, thank you for sharing your opinions and research on these matters. A few days ago I had some kind of infection that was causing a mild fever but only at 100.5 so I decided not to take medication since my stomach is sensitive to NSAIDs anyway and I was hardly eating due to the nausea. Anyway I got extremely hot in the middle of the night and the next day I felt better. I think its important to treat each instance on a case by case basis like you said.

[@wandervoltz]

Thanks for bringing up pelvic exams and birth control. I was prescribed birth control for my debilitating periods when I was 15, and they would not allow me the medication without a pelvic exam. I was not sexually active yet, and the entire experience was incredibly traumatic. That was 20 years ago. 😔

[@Charlie-ib2ef]

exactly my story

[@amyscott9381]

My father was required to have a physical before cataract operation. His gp discovered he had an aortic aneurysm. It could have burst at any time and killed him instantly. The surgeon who repaired it said it was the biggest aneurysm he had ever seen. We are very grateful for this preoperative clearance that saved his life.

[@nicko7238]

The GP should have ordered that test as a proactive measure anyway at the time of the yearly physical exam -assuming your father is relatively old, hence needed cataract surgery. It really has nothing to do with the actual surgery itself, it was just a lucky finding, so try to not to miss the point here.

[@amyscott9381]

It was a physical exam that detected it, followed by an ultrasound to confirm. So yes, it would have been detected at his next checkup. It was indeed a lucky thing.

[@guciolini123]

And my neighbor was ordered by his eye doctor to do the preoperative exam. On the way home he almost got hit by a truck, but he managed to survive. There is no real connection to cataract, but it is a nice story. It is exactly es relevant as your is. If possible people over 35 years old (specially men) should be screened for aortic aneurysm and it still has nothing to do with the cataract surgery.

[@allym7059]

​@@nicko7238Understand also that not all cataract patients are old. My family tends to require cataract surgery in their thirties, and it seems it's possible to have congenital ( born with) cataracts.

[@nicko7238]

@@allym7059 also understand how much rarer those cases are. no reason to be a smartass on a youtube comment smh

[@alricfremanosrs1509]

This made me feel pretty good about my rather infrequent visits to the doctor. I have friends who think I avoid them too much, but I always just ask myself "is it pretty likely that they are just going to tell me to take it easy for a couple of days and maybe prescribe some high strength Tylenol?" And the answer is usually yes so I just do that myself.

[@jonesnori]

Yes! When I had a cold, people at work used to always ask me, "Did you go to the doctor?" I'm like, "What for? They can't do anything for a cold." (Though I think what they really meant was, "Why are you still staying home instead of being miserable at the office and infecting the rest of the staff?")

[@MNkno]

I also visit my local doctor as infrequently as possible... but I track my temperature, food intake, etc. from the time I start to feel ill until just before I leave to go to the doctor's, taking a neat graph of the data and notes with me when I do visit. I'm not at my best, verbally, when I'm ill, and this can make the best use of everyone's time & intelligence.

[@Psilomuscimol]

I never need the doctor anymore. Not even the psych doctor for a while. I been using kratom, which is addictive but my mental health has been great for years on it.

[@Psilomuscimol]

It's good because it affects serotonin and also dopamine and norepinephrine* (I'm pretty sure)

[@ilonafleischer924]

When I had CoViD, I tried just enduring the fever, but after a little while looked into it more and came to the conclusion that the benefits of a fever weren't worth the misery caused by the body aches and chills. So while there is a benefit to having a fever, there's also something to say for not being miserable.

[@Erin49694]

this is my exact thinking right now. I recently tested positive for covid and next thing i knew i had a fever. as much as i wish i could tough it out, being comfortable was more important to me. an hour after taking advil i’m already breathing better, my body doesn’t hurt as much, my heart rate has lowered, and I don’t have any more chills. You’re right, it’s not worth being miserable.

[@seatbelttruck]

He did say for low-grade fevers. Obviously, I don't know what your fever was, but mine was higher than 101 (at its peak) when I had it.

[@chikaegbuna]

I'm Nigerian and it is unheard of to have a peanut/soy allergy in Nigeria. This is because by the time we are about six months old or even younger, it's already introduced into our diet. Soya and groundnuts are roasted, ground into powder and added to baby foods for nutrition.

[@FirstLast-tp8bm]

I was going to say the same thing. International aid workers in Africa do not worry about giving peanut based nutrition to children because people in Africa actually know how to feed children real food...

[@adamtrout7711]

@@FirstLast-tp8bm I mean... they dont

[@lintunoo1394]

It's also not common in Myanmar.

[@HenyMustikasari]

I am from Indonesia, peanuts (many kinda of them) is culture and parts of our food. Never heard of anyone with peanut allergy. Then I moved to Canada, and can’t pack lunch with any food containing peanuts for my daughter to bring to school. I think we are lucky to not have any allergy.

[@aewtx]

That's not why it happens. I used to be able to eat soy products, then out of the blue one day I couldn't. A lot of allergies have sudden onsets too.

[@OrdinaryEXP]

I was an undergraduate in biology; once I learnt that high body temperature makes immune system works more effectively, I let myself sweat overnight when I get a fever (sometimes with the help of a blanket), and it has been years since I adopted this strategy. Now I feel vindicated.😎

[@nefertitimontoya]

Oh wait is this why people get more sick in the cold? Or is that unrelated/not a thing?

[@Broockle]

Baffles me how this isn't common knowledge in some places 😨

[@electrowave114]

@@nefertitimontoya If you get hypothermic (mild hypothermia is when shivering sets in, moderate hypothermia is when the shivering stops and confusion sets in), then that can weaken the immune system. But usually, people get more sick in "flu season" and the like because of the fluctuating temperatures, rather than the cold on its own - if your body is constantly exposed to temperature ups and downs, it isn't being given enough time to adjust to one or the other. In short, your immune system is at its best when you're at a good core temperature and the temperatures you expose yourself to are consistent ones, instead of constantly changing.

[@tic857]

Same I remember reading it and I actually had went to school with a bad cold, twas a Friday. Went home threw all my blankets onto my bed climbed into that nest and stayed there for the weekend. Its worked every time I have been sick. The one time I was really sick with infection I had to be hospitalize and I was freezing the entire time and the docs and nurses were like "Not improving" and I'm just laying there, "can I please put on a sweatshirt or pants, I'm so cold how am I suppose to fight an infection when all my energy is going to shivering???????? I also need warm drinks" Dont know who the doc was, but it was a younger one and he was like "....good point, give more blankets and what kind of warm drink?" "Just hot water like you get from the cafe." I had never been so thankful in my life.

[@michele0324]

@@Broockle I'd genuinely like to know why you think this is common knowledge. Where do people learn this and at what age?

[@hannahsalb4905]

My Appalachian mother used to have us sit in front of the fireplace to sweat out the flu. We were better in just 2-3 days when all the other neighborhood kids were out of school for nearly two weeks.

[@checkyourfax]

My nocturnal leg cramps were simple: Not enough hydration. After I started drinking more water throughout the day, (note: not just before bed) these random cramps have all but disappeared.

[@Psilomuscimol]

I only have cramps when I stay up too long or it's cold and I stay up a little too long.

[@Tomiply]

Hmm, I drink a ton of water, I even tell my gf to drink more water all the time, but I kept having cramps for the longest time. Started taking magnesium though and it went away. So weird if it supposedly does nothing.

[@Gommez7]

Yeah. It's totally silly and disingenuous that he is citing a study to say magnesium supplements are proven not to work when muscle cramps can be a symptom of low magnesium or an electrolyte imbalance. One study doesn't tell the whole story.

[@checkyourfax]

@@Gommez7 The problem isn't that low magnesium can't be an issue, the problem is that you should first figure out if you do have low magnesium or electrolyte imbalances by doing blood tests. Just randomly taking supplements is a bad idea.

[@Gommez7]

This is not acknowledged in the video which is why I think it paints an unfair picture and dismisses what might be a solution for some people. As your first comment mentions, it could be the flip side of hydration. I think it is good to acknowledge that a layperson popping magnesium would be wise to also be considering other contributing factors.

[@Apoplectic_Spock]

I've always suspected fevers need to be left alone to play out unless they become genuinely life-threatening. Thanks for the confirmation!

[@panda4247]

yep. hot tea, lot of sleep, and get better in a some two days or so.

[@Ironica82]

I have heard that unless it gets up around 102, you just make yourself comfy and let it burn it off. I learned quite early that for flu and colds (basically, common RNA viruses), the meds dont fight the illness but just reduces the side effects of said illness.

[@alyssazuerchertritch5285]

Same! I always wondered why we tried to stop the natural healing process when the fever isn’t out of control

[@katscratchfever3506]

@@Ironica82even at 102, it’s relatively harmless! Tho I will say that most are pretty uncomfortable by this point so treating the discomfort (which will also lower the fever) is recommended.

[@watersk2013]

Same. I don't feel feverish often. If I do feel feverish, I climb in bed and sleep for hours on end. I wake up drenched in sweat wondering what year it is, but I get rid of the fever naturally. :)

[@izzyd4940]

The OBGYN I saw when I was under 18 tried to convince me to do a pelvic exam for my birth control. She knew my history and why I couldn’t get one, and I wasn’t sexually active. She said once I turn 18 she’s not prescribing it to me anymore until I get a pelvic. Ended up leaving right before my 18th birthday and the next Dr had no problem prescribing it without one. And that was a children’s hospital! One of the best in the nation.

[@emmaab888]

So messed up but anyway we were lied to about how "safe" and miraculous birth control is, I used to take it but I realised in my late teens that it can't possibly be good for me cause I'm just always skeptical about everything, 10 years later we're seeing a surge of gynae problems and even women coming off it and can't get pregnant naturally, there's no official research yet that I know of that actually shows the potential negative outcomes of being on birth control since tweens, or atleast any I've seen. I'm in no way telling anyone not to take birth control pills, it's just obvious though in my opinion that popping hormone meds for decades leads to an imbalance down the line. Your body needs to do its thing, and ceasing/altering any of the bodies' processes I believe will prove to be detrimental in the future just as all these things that were previously recommended turned out to be bullshit, simple as that.

[@adamcorfman573]

I'm assuming the OBGYN who knew your history was most likely religiously biased and letting her bias interfere with her care for patients.

[@downhomesunset]

@@adamcorfman573I have that problem. It’s been 12 years since I finally escaped my physically, mentally, sexually abusive husband. I have never gone on a date since and have no desire to. But my catholic dr won’t prescribe birth control! I have to see another dr in the clinic for it! He’s also suggested that a prayer group would help with my chronic pain condition!

[@hdmaad]

That's so sad to see that no matter the country, many women and girls end up being raped during their gynecology consultation, either with unwanted pelvic exam or vaginal exam. All of that 'for the sake of the patient' BS. If there are parent reading, one advice : never let your child alone during a obgyn consultation, better safe than sorry

[@mushu_beardie2556]

I'm 20, I've been on birth control since I was 16, not because I was sexually active, but to keep my PMDD (like PMS, but more severe and starts a week earlier) under control. I've never had a pelvic exam. The fact that your OBGYN said you would need one for birth control knowing you couldn't get one is insane. Edit: apparently the recommendation is to start pelvic exams is at age 21, although the American College of Physicians disagrees that they are even necessary because they can do more harm than good and aren't even good at detecting cancer. Although most organizations recommend PAP smears every 3-5 years starting at age 21 so they can catch cervical cancer early.

[@live.earthy]

this is pure gold and so much value... thanks for making this!

[@Nu_Merick]

Very insightful, I subbed!

[@user-px9zy2pw5z]

To add onto the fever one I think that it is more than just being uncomfortable. Society has been pushing us through idea of no days off, so taking the meds might decrease the feeling so you can work (even though you are infecting everyone else).

[@v3ru586]

Growing up, fewer was the only symptom that couldn't be dismissed. Pain, dizziness etc, I'm always told to srop pretending, but when a thermometer shows 38 °C, it got accepted. As a result, fewer is the only symptom the broken, emotional part of my brain can accept as definitely real.

[@user-px9zy2pw5z]

@@v3ru586 which is really problematic to us and everyone around us. Plus even if In had a fever my mom would whoop me into next week if I missed school. I think the only time I missed school was when there was no school.

[@isabellatheresemateo3961]

Was just looking for this comment on fever meds... so true that most people take it so they can keep up with their demands and tasks because they cant afford to miss work/school and that they haven't got any beneficial rest due to those demands; hence supplement with meds, to which prolongs recovery :

[@Cmyers16]

The only time I’ve ever missed work for a fever was during COVID due to work protocol. And I’m not saying going to work sick is good- but you’re not necessarily infecting anyone unless it’s a contagious issue. I’m not making out or sharing bodily fluids with my co workers. Plus going to work usually distracts me from how gross I feel versus sitting at home miserable. But I don’t take fever reducing medications I just let my body sweat it out.

[@jennyh4025]

Reading this, I am so glad I live in Germany, can have pretty much unlimited paid sick days (with doctors note) and my boss tells me to stay at home and not infect the rest of the staff whenever I have a cold or any other infectious disease.

[@kw7931]

I actually thought that I had pink eye in middle school because my eye was so itchy and it was swelling up. My mom took me to the hospital to get it checked out. We said we thought that it was pink eye and told them my symptoms. They immediately prescribed me eye drops to treat it without doing actual examining of my eye under a light or anything(it was dark in the room they had me in). I was using the eye drops as suggested but to my dismay my eye actually got WORSE!! It almost completely closed up and it was so itchy I would cry constantly. So we went back to the doctor and told them what was happening…….for them to finally examine my eye and tell me that I never actually had pink eye in the first place, that it was a bad eczema flare up around my eye, and I was actually allergic to the eye drops…….

[@KathiEOSp]

1:56 My dad told me recently that he was born very premature and, for the first however many weeks of his life, was kept completely isolated from the outside world. My dad’s also allergic to A LOT of things - he basically has a constant allergy attack - and he’s often wondered if the isolation he endured so young contributed to this.

[@Lich_huntress]

That’s actually so interesting

[@benjaminbaumgardner7620]

Mike as a doctor of PT I appreciate your MSK approach greatly. Wish more MDs were up to date like you

[@mrs.williams6758]

On the fever topic, my dad lost most of his hearing from a high fever as a child. Nerve damage in his ears. So I always take a fever seriously. My son was prone to high fevers as a kid, 105+. I explained the family history to one of his doctors and he said he had never heard of that, and was dismissive about it. At the end of the day, know your family's medical history and use your best judgment.

[@totallyfrozen]

Yes, but you’ll also notice the doctor in this video spoke of low-grade fevers (approx. 100°). He also mentioned that high fevers can be dangerous. The point is that all fevers are not equal. Tough out a low-grade, but if you get to the 102+ take it seriously.

[@thomasallen531]

Usually at my household we let fevers run their course if it stays below 101.5 once it gets close to or exceeds 102 we start fever reducers.

[@siggyincr7447]

My mom used to just keep an eye on whether or not we could keep a normal conversation going. If we started getting loopy it was time to lower the fever. Seemed to work well for us but of course that's just anecdotal. As an adult, I've found that if I get a slight fever I will get better faster if I bundle up and sweat it out, i.e. keep my fever elevated.

[@jhoughjr1]

yeah if ur fever hits 103, you seriously shold consider some cooling.

[@jhoughjr1]

@@siggyincr7447 Me too, its how I beat covid in 2020 as a 4o something smoker with zero medical intervention. It was hell.

[@NaitomeIya]

Lol the back pain thing reminds me of something that my aging dad realized. He noticed that there's a thing such as resting too much, because he used to have back pains in the first few years of his retirement. However, ever since he began to deliberately put himself in situations where he must walk, he no longer got back problems.

[@guciolini123]

You can't rest if you are not tired and if you are tired rest is beneficial. Your father found out that being lazy is bad for health witch sounds much less surprising.

[@tylarjackson7928]

He probably has age-related arthritis. I've got arthritis (only 29, but I've got a disease that causes arthritis near age of puberty), and I've found that you have to alternate between rest and activity. Too much of either causes pain.

[@beverlyarcher3744]

I only lay flat because my back comes from inflammation and sitting makes it worse so does standing I mean if I could sit or stand I would happily do it but it causes so much pain ik I really need to get it checked out but no insurance someone said it could be my discs

[@beverlyarcher3744]

​@@tylarjackson7928I have arthritis in my left foot where I broke it and I'm 32 luckily for me it's one of the few pains I can easily walk off but my back is another story someone told me once it might be my discs I hurt it back when I was in school felt like something moved really should have gotten it checked out back then

[@curtisss]

​@@beverlyarcher3744if it's your disks, do as much stretching as is comfortable. What helped me was hanging from a pull up bar, don't push yourself too much though if course

[@ABC-rk3rx]

I’ve always avoided lowering my fever when sick unless dangerously high, and when I told GP’s this they said I was medically wrong. Turns out I may be right!

[@KimonFrousios]

I've already been avoiding to lower mild fevers, good to hear my reasoning for it is sound.

[@tiarabrown9291]

Maybe others have mentioned this, but the reason people lower their fever with meds is probably because they have to keep it moving (go to work) and/or keep taking care of kids (who may also be sick), and it just helps you to have the energy to do so. I'm guilty of it myself (though I rarely get fevers), but I think a lot of people use it to cope with the fact that they can't take time off.

[@martinajurickova5750]

Also, with small kids it is very dangerous because it can skyrocket very quickly and may cause seizures which most parents are unable / uneducated to handle.

[@llamasugar5478]

Another reason: most schools have a policy that says students with a fever over ___F (it’s not the same everywhere) have to stay home until they’re below that temp for 24 hours. If I had a dollar for every time a kid was dosed with Tylenol, then sent to school only to have their fever return, I’d have enough to buy the supplies our classroom needs.

[@tiarabrown9291]

@@martinajurickova5750 My kids haven't ever had a febrile seizure, but I think it would terrify me if it happened.

[@tiarabrown9291]

@llamasugar5478 That is very true. I think it is 100.9 or something like that for my daycare. It becomes a real pain when the kid seems fine and is acting normal, but their fever remains. It just turns into a nightmare for parents. I have a ton of flexibility in the summer (as a teacher), but during the school year (when kids actually get sick because it's colder), that flexibility is not there.

[@catherinespark]

Technically, that's top-down society being structured around a blanket obligation on people to abuse the intended purpose of antipyretic drugs.

[@kendrabeck3022]

I have a bad back and the amount of times I've been told to just rest is unreal. I listened to the doctors advice and I would always feel stiff and in even more pain. I've now just been exercising and doing exercises specially for back pain and my back pain now is almost non-existent

[@daniellemeeks3862]

The reason why they do a pelvic exam is because they are looking for cancer. Hormonal based contraception can make those cancers worse. Thoughts?

[@buttermepancake3613]

Yes they can however, to do one for initially getting on contraceptives is invasive and unnecessary unless the person expressed a concern or have a family history of cervical or ovarian cancer.

[@bobbihancock5012]

Dr. Mike , I would love to ask a couple of basic questions because you seem like you are honest. But I won’t because that is not what your channel is for. I will say you have answered some of my other questions with your videos So Thank You! For providing that public service

[@bradbywater2907]

From an eye doctor, I’d like to thank Dr. Mike for speaking the truth about pink eye and antibiotics. I can’t count the number of times I’ve had patients come in after going to urgent care and been given antibiotics for pink eye when the problem is NOT bacterial! Most cases of conjunctivitis are viral, allergic, or inflammatory. Many cases aren’t even conjunctivitis at all, but really other inflammatory conditions such as iritis, keratitis, or dry eye syndrome. When anything happens to the eye, it gets red and inflamed. This does not mean it’s pink eye (conjunctivitis). Go see an eye doctor and get a proper diagnosis and treatment, and stop the spread of antibiotic resistant bacteria. Please!

[@Shtikface]

lol usually i just wash my eyes with water and hope it will be gone the next day

[@user-sj3yv7hj2n]

Very interesting noticed

[@Spencer-wc6ew]

I think it would be more ethical to just give people sugar pills in these cases. At least then you're giving them placebos with no side affects instead of placebos with potentially long lasting side affects.

[@Stardust_and_Madness]

I didn’t even know there were such things as antibiotics for conjunctivitis. I usually flush my eyes with saltwater or use allergy eye drops to stop the itch.

[@julieannanderson2228]

@writerontheedge7322 Yes there is. I've had pink eye twice. Once as a child and once as an adult (was working with three year olds). The doctor both times gave eyedrops to probably get rid of it before I spread it furthur

[@redkingrauri3769]

Funny story about back pain: At university I took a parkour course and I did a 10 foot jump that I landed badly on. I didn't notice it at first but my lower back gradually started getting worse and worse to the point I couldn't move. They sent me to the physical therapy students and they had me do what a mounted to isometric leg lifts and a quick stretch and suddenly I could touch my toes again. Felt like magic.

[@Tomiply]

5:40 Huh, that is so interesting. I was struggling with leg cramps for ages. I did not understand why they happened, as I didn't do any sports or jogging. I started taking magnesium and the cramps went away. They haven't come back since.

[@AestheticWaif]

Welcome back Dr Mike! This video has your inherent energy; awesome to see!

[@morganbertolino]

I had pretty severe case of the flu on study abroad in Italy and another girl in my apartment got conjunctivitis and consistently blamed me for giving it to her because I “wasn’t washing the doorhandles” and everything I touched. No matter how much I explained that wasn’t possible, she still HATED me for “giving” her an eye infection. Like my passion was infectious diseases, and I was the ONLY science major on this trip with art and history majors and they all kept telling me I was wrong about how diseases are transferred. Absolutely never again will I entertain that bs. I had a fever so bad I was hallucinating and got lost in Venice crying my eyes out because I had no idea where I was and had NO friends because they all thought I was making them sick. Will never trust anyone like that again

[@anadd6195]

OMG that is insane. I am so sorry you went through that!

[@Gireza64]

What do you mean ? You can give people the flu. Ok for the eye infection but you could have made them sick by giving them the flu. Anyway it's not great to leave someone alone in the street if they are sick. Not nice friends indeed.

[@lvcifxr]

That's such bs, I hope you're doing well now

[@justjoe1071]

Sounds like a wicked movie.

[@ShoaibAsghar]

hope you ditched those friends, and people constantly tell them "what you think is art, isnt art".

[@Suki-Tawdry]

Introducing allergens…my OBGYN and Immunologist both suggested the same thing. They also suggested being around pets (specifically dogs/cats).

[@s.stinnett3972]

As a C.O.A. (Certified Ophthalmic Assistant) I’m SO glad you covered the clearance topic! I’ve worked with so many Ophthalmologists that insist their patients get cardiac clearance…when anesthesia is drops or a block. Never made sense to me. 👏🏽👏🏽👏🏽

[@shahfahad4790]

THANKS FOR YOUR MEDICAL INFORMATION I LOVE IT

[@LauraTrauth]

Back around 1996 or so I sprained an ankle and the doc prescribed tracing the alphabet with my foot right off the bat. Healed quickly. In 2019, tore (re-tore) a meniscus. Had OA in the knee as well. My ortho said he wasn't going to even think about operating because it had a as much chance of not helping as helping. Prescribed PT. I added weight loss to his prescription and lost about 1/2 my body weight. Now at nearly 60 yrs old, I run 10k a day and have done 1/2 marathons and will do my first 25k run next month. Aiming for my first marathon before I turn 61. Thank you Dr. Mike for disputing these out-of-date treatments!

[@penultimania4295]

Seriously stop. While movement and exercise is of course good for you, long distance running is not.

[@SamLee-tm6jn]

As a Physical Therapist, I greatly appreciated the info and shoutouts this vid. People are usually amazed how much progress they can have with PT for a huge variety of issues. It also helps weed out those individuals who truly are good candidates for surgery. Plus REGAEDLESS, doing PT in anticipation of a surgery has been shown to speed up recovery times after the surgery.

[@TheWawa85]

100% agree. I’m a Massage and Lymphoedema Therapist and advocate for my clients to do Physiotherapy when they have an injury or surgery. Previously I was a Hospital Social Worker and I remember when I first started in that industry TKR patients would spend the first few days flat on their back after surgery and now they are out of bed walking around either the day of their surgery or the morning after and have much better recoveries and a quicker recovery time. Likewise with hip replacements and hip fractures.

[@rinyotsu2.0]

The only time I ever got foot pain was when I went to a shoe store for athletes for shoes to get through 12000+ steps per day after going from a desk job to a delivery job. It actually went well, until I switched to the comfortable shoes. A year later and I've been working on fixing chronic plantar fasciitis which appears to be clearing up now that I've switched to barefoot shoes with a wide toe box

[@Psilomuscimol]

For a while I wore vans because they're flat and comfy. And then they came out with the ultra cush soles that are perfect. But my neighbor gave me a brand new pair of pumas and they are pretty comfy since I broke them in.

[@jasonhawkins2717]

Yes! thank you for setting the record straight on these, especially the fever one

[@nerd26373]

We appreciate Dr Mike. He genuinely stays true to himself.

[@orphious885]

I'm glad that you qualified "not reducing fevers" to those of 100.5°F or 101°F. I'd heard that sustained fevers of 103°F can cause brain damage. Heat is also indicative of swelling, and swelling inside the cranium is never a good thing.

[@DavidD03820]

This Friday I was sent to Emergency by ambulance and found out I had 39.7°C. I couldn't even stand up, I was confused but I knew I needed an ambulance. Yes I am glad he specified a set temp, as 39.7°C is 103.5°F and requires meds immediately to lower your temperature. (the visit wasn't billed because I live in Canada but I pay over 50% taxes by the time it's all said and done)

[@Drmikaeru]

@@DavidD03820103.5 is getting up there. Proteins don’t start denaturing until 105 IIRC. so 103 is usually a safe temp. The body is just going hard at the virus. I think getting medical advice once you hit 103 is a good idea across the board tho. 😊

[@MrStarwulf]

I once had a fever that topped at 104 degres F before it broke and I was done with it. sure it was uncomfortable but well worth it as I avoided all chemicals and allowed my body to fight off the virus on its own. sure i know that's a high temperature but I didn't over react, i wasn't affraid to allow my body to what it needed to bring me back to homeostasis. if you haven't free of chemical medicine for years this will not work for you. I encouraged the fever by bundling up in bed and when I did wake up i drank only water. i was cured by lack of food and a temperature not enjoyed by viruses. today, years later, viruses I encounter don't stand a chance and my body wipes them out quickly without making me sick, 24-48 hours. we have the worst healthcare in the world becuse doctors know less than doctors in the 70s and before. today it is all about chemicals. it use to be about letting the body heal itself.

[@kristianfagerstrom7011]

In Sweden we usually say that anything below 40/104 isn't worth getting worried over, but at that benchmark, contact a hospital/medical clinic

[@LlyleHunter]

In the US we say 102* is when to start lowering

[@sherrelynn5240]

Great content 🎉very in and helpful

[@olimilo1402]

Hi, thanks alot for your advice. Whenever I feel the cold, the flue, the fever raising, I figured out myself it's best to stay in bed, wear your casual sweat suit, and on top covered with many soft pillowy blankets. Sleep for a few hours and sweat til you can't sweat no more. In germany we've been told you must lower the fever and do cold calf-pecking (=Wadenwickel). I hate calf peckings because it always made it even more worse and I got even more sick.

[@ixchelssong]

I have MS, and for many people (including me) who have it, heat causes a lot of problems. In our case, reducing fever is very important. (This is an example of when to reduce a fever.) 🙃

[@metro121482]

Yes, there are always exceptions. Doctor Mike usually gives general advice, so if you have a condition where even a low fever can be harmful, then by all means, reduce away!

[@ixchelssong]

@metro121482 Yes, I know. He even mentioned something about exceptions, if I remember correctly. 🙂

[@amghinistar4582]

My mother got all kinds of criticism by the doctor and others in the 90s because she fed us peanut butter and other allergen foods as babies/toddlers. So glad she stuck to her gut, and fed us them anyways, think it really did help us not develop as many severe food allergies.

[@MonkeyJedi99]

Also, kids need to eat a little dirt and (their own!) boogers early on. If you never build a foundation of antibodies, you're going to have a miserable life, and your laundry list of allergies will limit what you can do and where you can eat.

[@rabbit_scribe]

When I was growing up half the kids in the school cafeteria were eating PB&J for lunch. And I knew exactly one kid who had a food allergy. over my entire school career, from kindergarten through college.

[@darladay4766]

Just like building an immune system early... but now I have celiacs and autoimmune

[@KnightNave]

Yeah. Had minor reactions to peanuts when fed it as a baby, but I played it safe and am close to being cleared.

[@joywebster2678]

Yeah but my mother made me eat fish and shellfish with the family as a small kid even though I'd vomit severely after eating it. She assumed I was being naughty so they made me have bologna when they ate seafood, I felt way better. Limited allergy testing back then. As an adult i became a RN and got tested, yes I am allergic to shellfish, and very sensitive to fish. How many vacations to the shore I spent with a baloney sandwich while they ate lobster and snails. Could have gotten me an occasional burger!

[@user-HellcatHemi]

Thank you for these much needed video's especially since I have Spinal Stenosis & Narcolepsy w Cataplexy becoming fully disabled last yr before my 45th Bday & feel 5:17 he's completely rght about this & my pain is centered in BOTH calves that hurt more in bed, can't stand or sit in the same place & it's been a struggle finding a happy medium.

[@big-gorram-hero5165]

Hi Dr. Mike!! i work at a Opthmologist office that performs cataract surgery. just a heads up at least with us, its the anesthesiologist that requires the Clearance / EKG not our office. since we contract through the surgical center we have to acquire the testing for them to move forward with the procedure.

[@MrMighty147]

As a physiotherapist: Yes just laying down when you have injured yourself isn't a good solution, but don't just ignore the pain and "work through it". A good physiotherapist will guide you on how to increase your mobility and resilience safely.

[@thegoodfootdoctor]

I'm a Podiatrist and the insole argument was well put sir. I never over prescribe orthotics unless they are really required.

[@ThisIsMyYoutubeName1]

I don’t treat a temperature until it reaches 103. I brought my daughter to the acute care facility to see why she was sick and I was told I was I would be charged for not reducing a temperature of 100.6. My kids rarely get sick and when they do, I allow the fever to do it’s job and they are typically fine the next day

[@MasterHigure]

For things that are mostly a matter of discomfort and you mainly power through (stuffy nose, fever, headache, and so on), my litmus test for medicating them away is whether they are keeping me awake. If I can't sleep, I pop a pill.

[@S0FIATH3CL0WN]

I’m glad doctors are able to admit some practices could be better

[@specialnewb9821]

Most aren't

[@My2kittiesCG]

When I was in high school I had an incredibly swollen lymph node and a really really sore throat. I was extremely tired, and had very similar symptoms to strep. Before testing me for strep, I was given amoxicillin. A day later, my entire body was covered in red spots like a bunch of small welts. Turns out all my tests came back and I had mono, and the amoxicillin prescribed caused the rash I got because if you have mono, amoxicillin will actually cause an awful reaction like what happened to me!

[@manastalksessions1053]

Omg! Same EXACT THING HAPPENED TO MY SON!!!!!!!!!!

[@manastalksessions1053]

I'm was beyond pissed! Because the Dr just said strep and he didn't even do a strep test. My sons entire body was covered and those marks last for months! Come to fond out when we called the Dr she says that's a reaction to the steroids for mono. This is what happens when mono is treated as strep. It will go away on its own! Are you kidding me?! A different Dr had to tell us this! Hospital initially gave him the amoxicilllian. I thought my baby was allergic to the meds turns out he was allergic to the treatment! He's had amoxi since then no issues.

[@KattoTang]

What the hell? The test for strep only takes like 10 minutes! Just test for it!

[@misssissivoss]

I'm baffeld 😳 I had a soar throat to the point I almost couldn't swallow. Get Amoxoclin and get a rash everywhere + I didn't help. My tonsils were covered in white like a winter wonderland because of a soar which had now place to spread additionally.

[@PeterDB90]

As soon as I learned that fever is not just a response but a tool my body uses to fight off illnesses, I stopped reducing fever. I still watch it in case it climbs too high (like 104, 105 or something) and only then try to reduce it, otherwise I just get under thick blankets (because I feel so cold when I have fever) and I "sweat it out". Normally one day/night of high fever like that, then I get something to eat and drink and I feel loads better - if not completely well, then at least well enough to function until I'm completely well.

[@scrubs4everr]

Thank you for spreading truth!!

[@Ellie-jl3vk]

I was so fortunate that my first OBGYN provider was a nurse practitioner who followed modern medicine. When I went for birth control she said an exam isn't necessary unless I wanted STD testing or had a specific concern like pain or unexpected bleeding - and this was 10 years ago! I felt so safe and comfortable going to her. Meanwhile my friends' doctor required an exam to get BC pills, she was petrified and almost backed out of it. It seems like a lot of providers withhold your BC so you'll be forced to get an exam.

[@ghostratsarah]

I asked a pediatrician to give me birth control for PMS symptoms (I was 15, not diagnosed), and while he didn't believe that was my only goal, he handed me the prescription within seconds. He probably would have given me a thumbs up if it were appropriate. Got a very 'go spread your wings, blossoming young woman' vibe. He was an amazing doctor. Saved my life a few times, when no one else would listen to me, even though he wasn't my primary. Literally once had to call me an ambulance from the clinic.

[@cour2knee]

There are serious conditions and things Docs need to look for that birth control could exasperate.

[@Justanotherconsumer]

@@cour2kneeand are these things that a patient would not notice or otherwise need an exam to identify? My guess is that it’s mostly about padding billing with the charge for the exam because American medical payment systems are ridiculous and doctors are a business.

[@cour2knee]

@@Justanotherconsumer Yes padding a bill is a very real thing but cervical cancer causing HPV, fibroids, growths, and some infections have NO symptoms. Birth control can worsen infections, encourage growth development and a so much more. We have been lead to believe birth control is basically harmless/ has little to no side affects when this couldn’t be further from the truth!

[@Justanotherconsumer]

@@cour2knee seems like these are things that should be screened for anyway on a schedule determined by their own importance rather than using birth control as an excuse to justify screening. Can you point to specific research that identifies a causal link between worse outcomes and (presumably hormonal specifically) birth control from a non-hack source? Obviously there are political groups with a vested interest in pushing false narratives about brith control so a certain cynicism is warranted. It’s a topic just generally where the cultural issues make practicing medicine harder.

[@karenpolansky9097]

When I learned in nursing school (back in the 80’s) how bacteria thrive in lower/normal body temperature, I stopped treating my family’s fevers, unless they were getting uncomfortably high. Glad to see you mention it here.

[@digao171]

Ive been trying to teach this for a few years now,but aways got a bad look. glad to see another. fellow who know that we dont have the right answers and we try our best with we have.

[@linhasxoc4546]

I remember back in like 2011 or 2012, reading that knee injuries in the NFL have gotten easier to recover from because doctors have learned not every injury requires surgery

[@Emily-hd9sm]

Thanks for acknowledging that "medical inertia" exists. It's important because I've seen people use this to market scams. Statements like "big medicine is outdated (in some ways true, as this video points out) so buy my supplements/course/etc (which is not evidence based at all 🙃)." So having medical professionals acknowledge this and get accurate information out to the public is soooo important!

[@laurakirwan999]

I cannot wait for all medical professionals to be up to date with treating the female body. Being actively uncomfortable, in pain, and upset by a pelvic exam, especially if you feel your are being forced to get one without good reason, shouldn't be swept under the rug and ignored. Also, Periods should not be horribly painful and debilitating, you shouldn't be told that missing out on school or work because you are in pain regularly is 'normal and nothing to worry about'.

[@datmanydocris]

I have never reduced my fever when i get sick. I have always wrapped myself up in a blanket and try to keep myself warm as possible and this seemingly has always led to me getting better much quicker than my family who don't do the same.

[@yuliyaboyun]

THANK YOU!!!

[@_SweetJane_]

I understand why it's not always necessary to lower a fever, but personally I was actually recommended by a doctor to lower my fever but for a good reason: I sleepwalk whenever I go to bed with a fever. One time I sleepwalked into my bathroom and fainted and fell onto the floor. It was scary. But this is a very specific reason to lower a fever haha

[@rebeccahicks2392]

yes, that's a perfect example of why, in the end, medical advice has to be individualized.

[@autumnatic]

As a teen and young woman in the Bible Belt, they always held birth control hostage behind pelvic exams. The medication was recommended to me before I was sexually active to regulate hormone problems, but those exams can be so scary, uncomfortable, and painful at times. I was raised believing that's not a place for strangers I've never met before to enter unless I really want them to, only for a special partner I love and trust my life with. So I found it extremely violating, and would sob profusely and shake through it every time. I tried not to because my rational brain knew they're professionals who mean me no harm, but I wasn't mentally ready for that. A couple of times they even asked if I'd been assaulted by someone else based on my reaction, but it was just them doing the procedure that made me feel that way. Imagine that... girls would rather not be penetrated with a cold metal object in a cold room by a cold stranger, under blinding lights, in a humiliating position wearing a humiliating fragile paper vest UNLESS IT'S ABSOLUTELY NECESSARY.

[@ksenia5199]

If you decide to have kids, you’ll get over this quickly. Like, a dozen people will look at and stick fingers into your vagina.

[@scholasticbookfair.]

​@@ksenia5199she's probably over child bearing age seeing as she said "as a teen and young woman" in past tense.

[@jhoughjr1]

Yeah that whole not having sex thing is just impossible. The original brith control free and available to all, no exam required.

[@Serena-or7sl]

@@jhoughjr1 doesn't work to control HORMONE PROBLEMS. Read the post again.

[@phueal]

Can anyone here answer why these pelvic exams are supposedly necessary for prescribing birth control? I’m from outside the US, but I’ve never heard of anyone performing that kind of procedure just to issue a prescription.

[@wingotplays]

Thank you so much for the magnesium for cramps bit. I have had numerous patients in hospital (currently a critical care PGY3) requesting magnesium for their leg cramping, and not uncommonly advise that their GP prescribes that for them. I glance at the patients bloods, and assuming the patient has normal mag, I push back that it doesn't do anything for cramps if the patient isn't hypomagnasaemic, and that it is a placebo effect at best. But sometimes it feels like I'm taking crazy pills, especially with doctors outright prescribing them mag for their cramps. If they're overly adamant I sometimes just go "Whatever, have them", as their unlikely to cause harm, but if it a nurse and not the patient pushing for it I'll stand my ground. Wonderful to hear you reinforcing my understanding on this one.

[@Tomiply]

Weird if you ask me. Could it affect people in different ways? I had leg cramps for a long time, but I started taking magnesium and they went away. I don't do any sports or jogging that I could get cramps from either, so it was pretty weird how I got cramps for no reason. Then I took magnesium and it went away. They haven't come back in a year now.

[@wingotplays]

@@Tomiply The evidence is that, in the absence of hypomagnesaemia (low magnesium), magnesium tablets are no different to placebo for cramping. As mentioned, I do always look at the bloods to check that their magnesium is normal before pushing back. I obviously don't know what yours looked like, and it is entirely possible at the time you had low magnesium for some reason. However, as stated, the evidence is that there is no difference between magnesium supplements and placebo. But, the placebo effect is very real in itself, and a possibility. The fact that they've gone away and you don't take it symptomatically for cramps though has me leaning away from this explanation and now towards the original that your magnesium may have been low. Obviously, this is all just academic discussion of how it could have happened based on your questioning. I don't know you or your specifics. Just speculation based on first principles.

[@seantlewis376]

A lot of this hit my experiences. For example, I have some old injuries to my knees and ankles, but I refuse to stop moving (despite the fact that I'm currently sitting at my desk at home). I have a physical job, and the more I move, the better I feel. I also get leg cramps often. I don't take any supplements to decrease it. My doctor suggested that I drink more water to make sure my muscles are hydrated, almost eliminating sodas, and reducing alcohol intake. That has had a pretty good outcome for me, and has also reduced the symptoms of neuropathy.

[@kaylee8315]

My mother is an epidemiologist. Whenever I had a high fever due to the flu or something, she used to PILE blankets on me. I mean, she will not stop until I tell her that I'm not feeling cold anymore. For parents, please do this!! It makes the kid feel more comfortable and it actually helps the body fight whatever is going on because of the increase in high temperature. Win-win!

[@adhdhamster]

My mother did this too and I LOVED it lol it was the only upside to being sick 😂 now weighted blankets exist which is amazing but I just loved all the weight. It was so comforting

[@Lili_1992]

What temperature should be lowered? 101 F (38 C) is fine, but my son was having 39.5 recently, I didn't risk to leave it like that

[@rebeccacarter3016]

My whole family had the flu and my son spiked to 106. I threw the covers off to get the temp down (and, no, I couldn't take him to the ER because my whole family was sick and I couldn't drive like that!)

[@VioletEmerald]

​​@Lily-gt7gr MayoClinic says for Adults, Call your health care provider if your temperature is 103 F (39.4 C) or higher. Children are at higher risk of fever induced seizures but idk the temperature point of that.

[@Monika-mb6jh]

My parents used to do this except it would be to the point where I’d be uncomfortably hot and they’re like no! You have to sweat it out to fight off your illness! 🤦‍♀️ I guess it makes sense, but not to the point that I’m super uncomfortably hot!

[@Cruznick06]

Hearing the pelvic exam requirement for birth control both surprised and angered me. I was 12 or 13 when I was first perceived hormonal oral bc for extreme periods. My doctor didn't require a pelvic exam. Because I had never been sexually active and she understood that I didn't need one at the time. Its so messed up other doctors and nurses still follow this bunk requirement. How many patients have decided against getting birth control because they didn't want to deal with the stress?

[@Breeanna73]

Um why do you have to have a pelvic exam to go on birth control what is that just American thing?

[@AmiCestLaVie]

My gynec at a free women's health clinic wouldn't prescribe me birth until I agreed to a pap smear 😢 I understand a pap smear is important but I was young and it was really traumatizing for me at the time.

[@Giggleheaven]

Introducing children and babies to common allergens works with not just food. When I was little I went outside a lot and was exposed to a lot. Now at 17 I have zero allergies.

[@pinheadlarry2921]

same but i’m 20

[@kmarch6630]

It's the opposite for me. I've played and worked outside for years but the older I get the worse my allergies get.

[@ingupin]

I thought the same was true for me but pollen allergies caught up at 25.

[@unemilifleur]

That’s great, but your sample size of one isn’t really proof of anything.

[@iriswaldenburger2315]

Having allergies is a consequence of parents being TOO CLEAN. Very rarely they are inherited but rather causes by lack of exposure to normal environments

[@justinwalsman6355]

I think I can add to the meniscus trend. I tore my meniscus and my doctor said I can choose to have surgery or not. I didn’t get surgery. I instead wore a good knee brace for weeks and I was able to return to normal physical activities. Who knows if this will have long term effects but for now my knee is fine.