Modern Medical Practices We Need To Stop

[@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?

[@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?

[@Neoprenesiren]

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."

[@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

[@ZigbertD]

When I was a teenager, I injured my lower back and for years afterward I had periodic flareups that left me in severe pain and unable to really move around. Every time I consulted a doctor they just said rest and stay off my feet, and maybe prescribed a muscle relaxer. Finally, a doctor told me that I should be exercising (not when I was having a flareup) to strengthen my core muscles. He recommended riding a bicycle as one exercise that would help. Since I started doing that, for a couple of decades now, I've never had a serious flareup like that and rarely have even a minor one. Cycling is now a major part of my daily routine for fitness and recreation, and I even commute to and from work on my bike.

[@Bojoschannel]

Yeah something similar happened to me when i started training flag football. My ankles started to hurt a lot because of the running, jumping and all, went to an orthopedist and he told me my ankles where slightly crooked and will continue to hurt if i kept training and playing and they might even rupture. All he prescribed was anti-inflammatories and rest, i could train again at my own risk. I decided to take the risk since the pain wasn't so great, although it did hurt a lot sometimes and then a friend recommended me a psychical therapist. After some months my legs became a lot of stronger, they even straightened and i could train without much problem, even became a lot more flexible and agile. Just makes me wonder how much we can really trust doctors

[@solevazquezmaria]

I had the exact same thing happen to me, I ride my bike and do core-strengthening exercises and I haven't had serious back pain in over a decade.

[@cyanidenightshade]

I have back pain from inactivity as a teenager and started going to the gym about a year ago. When i go consistently, i dont have back pain and have a lot of strength to do my physically demanding job. Its kind of crazy how exercise actually helps with muscle pain better than just taking a Tylenol and working through it Im not saying taking medicine cant help when youve got something like a headache or cramps, but thats for the short term

[@brunscus]

I've had a spinal fusion surgery for bad scoliosis, so my back is super weak and hard to train, cause I literally cannot move it. I've experienced a lot of pain improvement by strengthening my glutes to correct the pelvic tilt and being mindful about the position of my pelvis while standing. Thanks to KZbin random content recommendations for that one

[@-humsafar]

Flareup means?

[@graceliznorris]

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.

[@graceliznorris]

@@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.

[@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.

[@MsAshleighMaree]

0:55 When I’m sick, I literally put on like 4 layers of clothing and then go back to bed with the quilt and a few blankets too, just so that I can replicate the heat of a fever so that I can get better faster.. I generally call it “sweating it out”

[@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

[@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.

[@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

[@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!

[@jnharton]

It's important to know what's normal for you when you get sick and to actually check your body temperature properly. And it's aways good if someone else is around to keep an eye on you, because fever can spike into a dangerous range without much warning. P.S. If you become delirious you will probably be unable to reason correctly and make good decision.

[@healthworm]

I don't take analgesics till my body temperature reaches 104°F. Taking bath in room temperature water and cold sponging helps a lot People think it's crazy because taking analgesics is the norm of the 21st century

[@c182SkylaneRG]

Every time people freak out "oh no, they have a fever! Quick, kill it with Tylenol!", I stop and go "wait... aren't we always told "heat is the body's way of killing an infection, because the infection can't handle the heat"? So why are we getting rid of the heat? Isn't that hampering the body's efforts to combat the infection?

[@kylekillgannon]

This is how I usually ride out my sickness as well. I routinely, religiously check my temp to make sure it's level at something like 100. If it gets to 101-102 I usually start a cold shower or ice myself before taking Tylenol.

[@Banana-u3f]

what's dangerously high though

[@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

[@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

[@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.

[@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. 👏🏽👏🏽👏🏽

[@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

[@cristiep7377]

​@quack9000as 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.

[@JustSomeDinosaurPerson]

@@hotpinkkt Thank you for commenting. Too many dunning krugers in this comment section feeling emboldened by their anecdotal experiences. Reminds me of the pandemic all over again where I straight up had coworkers brag about their rugged immune system and home remedies, and then they caught covid and passed away months later :| People always seem to think they're invincible until they are not.

[@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.

[@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]

🐐

[@dguisinger]

Regarding the Pre-Op screenings and EKGs... my doctor wanted me to do a EKG before a hernia surgery due to having had Covid and then told me I had major heart damage. Surgery was cancelled, I spent two weeks in a panic feeling like I was on the verge of a heart attack, and when I was finally able to get in to see the cardiologist she took one look at the test results and instantly said that my doctor needed to learn to take her time and do the test right, and that even from the bad test she could tell I was fine and sent me on my way. It also pushed me into the next insurance year, so it cost more because i lost the out-of-pocket contributions I had already made in the previous year.

[@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."

[@Doctor_Elk]

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.

[@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.

[@adrianahevia6268]

Fully agree with all points. But the study with Magnesium is Magnesium Oxide which has evidence that it is the least effective form of Magnesium - mininal absorption. Would cramps have a better effect with e.g. Magnesium glycinate?

[@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?

[@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.

[@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.

[@alliekj123]

​@@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]

@@alliekj123 also understand how much rarer those cases are. no reason to be a smartass on a youtube comment smh

[@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.

[@Eierscheisse]

Because this study has been done with MgOxide which is not being absorbed easily by the intestines and not being used as mg supplement. It is known ti be used as a stool softener. You probably have used another form of Mg such as Mg Citrate or Mg Glycinate etc

[@jghfamily6104]

There's no doubt that magnesium helped me. I was waking up every night with leg cramps, sometimes more than once, and it took me an hour to work it out. Once I started taking magnesium, I very rarely have cramps.

[@mrnice752]

Same here, I would wake up about once a week with very sore calf cramp. Went away as soon as I started taking Mg and haven't had one since.

[@nicholascolbert2445]

Placebo effect maybe? Not trying to be funny, genuinely interested

[@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.

[@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.

[@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…….

[@sandyhenderson441]

Thank you so much Dr. Mike!! I've been trying to stop routine fever destruction since ~1980 when I learned what fever actually does. But medical and nursing staff continue reflexively to destroy fevers which can be lifesaving in serious infections. As fewer antibiotics remain useful healthcare must learn how to maximise the body's own defences - and a fever increases all of these. I collect medicine/nursing textbooks published before 1945. Prior to 1860s, fever was welcomed as a sign the body was fighting back (true), and care was aimed at maximising comfort during the fever. From 1860s, salicylic acid and later acetylsalicylic acid (aspirin) were on sale (UK), initially as analgesics, but the antipyretic effect was noticed in use. For the first time, humans could affect fever. The textbooks of 1860s+ now taught to "treat" fever with regular aspirin, tepid sponging (NEVER do this, it doesn't work & it's dangerous), fanning a patient, cold drinks,. So, when we couldn't affect fever, it was good to be hot, but as soon as we could treat it, fever became an undesirable change to be removed. If you feel a need to rant at "Big Pharma" then rant at those who push you to buy their fever reducing drugs, even though the benefits of fever are known & proven. But feverish people haven't spent their money on anti-fever drugs, profits will drop, so lets get those ads out...and they work. If you're feverish, don't take acetaminophen and/or ibuprofen, your fever is helping you and speeding up other defences e.g. white blood cell mobility and antibody production. There are few categories of sick people who wont benefit from having a fever, the large majority are safer being hot.

[@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".

[@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.

[@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

[@rampartranger7749]

I’m an old guy, in my 1950’s childhood, my parents, (and most parents) didn’t get upset until it was pushing 104. “Drink more water,” they said. I never went to the doctor until the mandatory physical exam to participate in high school athletics. Same for MOST kids. Now the parents run to the doc every six weeks! Crazy!

[@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

[@AmericoSchuppe-d9y]

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.

[@StardustandMadness]

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.

[@julieanna2228]

@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

[@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

[@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.

[@dort5436]

The study for leg cramps used magnesium oxide not citrate or other forms.

[@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!

[@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

[@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. 🙂

[@toridomiart7092]

It's nice to hear about the fevers! I definitely prefer sweating them out!! It feels so good to pile on the blankets, throw on a heat pad, and take a nap. I always feel a lot better than taking fever medication where I just feel mildly uncomfortable for a longer time lol.

[@nikkijack911]

It does feel good to sweat it out at 102, but I feel like I'm dying at 105-106

[@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

[@heathererwin8260]

In the 80s my dad threw his back out and was put on bed rest for three weeks. He could get up for the toilet and bathe.

[@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.

[@Aztritch]

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. :)

[@thegoodfootdoctor]

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

[@jimthechaosbunny]

I watched that segment wondering what is a good way to treat flat feet - my feet don't cause me pain directly, but I suspect problems with my knees and hips aren't helped by it.

[@hbic3]

My kids' pediatrician told me 30 years ago, do not medicate a fever before 102. Unless they are uncomfortable and the fever med is a anti-inflammatory. Reducing a fever to nornal before then is essentially telling your body's army to stand down. It has been the best advice I ever got from a doctor.

[@eksodass]

You are probably 65 by now

[@Suki_Tawdry]

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

[@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 :

[@CaiticatASMR]

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.

[@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!

[@manastalksessions]

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

[@manastalksessions]

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.

[@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

[@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.

[@seanwright1264]

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

[@CosimaNonymouse]

Oh finally! Thank you! I've been saying this for decades! A little tip: If you happen to be an adult and you currently have no one around who could help, just set yourself alarms so you can drink something. Fever, as beneficial as it is, is also very dehydrating.

[@julievanderleest]

Is it really necessary to take the blankets away when we have fevers? I wish Dr. Mike had advice about that too.

[@bullymaguire632]

​@@julievanderleestI don't think so, but don't take fever medication

[@kamo7293]

a few years ago, when I was visiting my late grandmother after she was sent to the hospital after a stroke, I saw signs in the elderly ward that said things like "don't bed rest" and "if you can, try to move around" which was good my family comes from a country that, until very recently, had doctors prescribing full bed rest for everything. and my parents have seen through their lifetime how this has negatively affected their siblings, cousins, and elder relatives. these days they have it less but in remote areas this thinking is still there.

[@omegahunter9]

You have my respect. I've long been irritated by pervasive medical misinformation like this that spreads even in medically educated communities.

[@sophiaisabelle027]

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

[@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.

[@jadawa85]

I am a firm believer in letting our bodies heal themselves when possible. I have had doctors flat out tell me they suspected my illness was viral but prescribed antibiotics “just in case.”

[@yeckiLP]

I feel one of the biggest problems with our current times is the lack of patience toward healing, mostly from outside the patient (bosses, children, spouses, etc), but occasionally from the patent themselves (in my personal case psychologically related, but probably anything that needs time falls under this). Managers are threatening (or outright deciding) the termination of a work contract, if a person has one to many days of sick leave, we have little to no infrastructures in place, where children can be taken care of, while the parent is healing. Everything has to happen ideally yesterday and that not only increases stress enormously on a regular basis, it even increases further if you can't be there to help things along because you're sick. The amount of guilt from people falling ill, should be near zero. Usually it's not their fault and even if they did do something that has an increased risk, do we really need to kick somebody while they're down? Also this observation is from the perspective of a german, where we technically have laws against that pressure from management. At least our healthcare system doesn't leave everyone near bankruptcy when a medical procedure was taken to facilitate a speedier recovery (though as always an insurances job is to not pay for things, luckily I myself haven't had problems yet, though I have heard of many tales that paint me as fairly lucky in that regard). Also companies take it very literally when they (internally) say, that you are replaceable. Some people are essentially overworked until they break and only then (if then, sometimes another person just has to manage an additional job within the same time (or unpaid unrecorded overtime) with no additional benefits such as a raise) do they hire someone else to burn through as well.

[@mercynamikoye9084]

So true ppl don't want inconvenience

[@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!

[@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.

[@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.

[@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.

[@winstonwright3613]

Amén to the 'keep moving' bit. Not saying overdo it, but I stayed active as much as possible when my back was jacked from osteomyelitis. And when I finally had my 6 section fusion and vertebral replacement surgery, I stood 4 hours after and walked the next day. My recovery has been great.

[@manastalksessions]

I agree! I am severely allergic to seafood. I gave my children seafood and watched them then even had them allergy tested. ZERO allergies to seafood and they were exclusively breastfed.

[@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)

[@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

[@indigoimouto3703]

I read somewhere that ultrasounds block the baby from being unable to hear it's mother and so this causes distress and can lead to attachment issues

[@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.

[@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.

[@EmergencyL0tion]

0:47 I was giving Tylenol to a patient who had a fever and I stopped for a second and asked myself “if the bodies natural response is to raise the core temperature to cook off and kill bacteria why do we give Tylenol to lower the temperature” and then I was like nah there must be a good reason and continued on with life. I’m glad you acknowledged that

[@FieryHammer]

During covid, due to me reading too much articles, I managed to develop a bigger fear for being sick. Your videos talking about the reaction of the body helped a lot. Now when I get sick I consider it the "training" the body needs. An increased body temperature or fever as my body reacting and working properly.

[@Jane_tte]

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.

[@S0FIATH3MUPP3T]

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

[@specialnewb9821]

Most aren't

[@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.

[@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.

[@ThisIsAUsername69]

Same! We'd get wrapped up in a ton of blankets to sweat it out as well. Always over in a couple days as well.

[@MessageViolation]

My mom would blanket us up and make us sweat, it worked for a few of us, but never for me. She used to dip me in an ice cold bath to shock my system because my fever would get dangerously high. It worked because the virus can't survive in too cold of temperature either. It was the only thing that worked for me. Decades later, I was in the hospital with a fever and viral infection almost near brain death and they tried to sweat me out. I ended up telling them what my mom did. The nurse put ice on me and I stabilized. I wonder why hot method never worked for me. The human body is so unique.

[@Weberkooks]

@@MessageViolationwell actually when you dump your entire body in an ice bath it causes a hyperthermic shock response. Raising core body temperature drastically, Not exactly a good choice for reducing fever. this is why heatstroke is dealt with by putting ice on the palms of the hands and solws of the feet. NOT the core. Because applying ice there raises core body temperature.

[@Miauxful]

We drink linden tea in Europe before bed which raises body temperature and have the same goal to sweat the virus out at night 😁

[@Just_do_the_thing]

You did not have the flu. You had a cold. When you have the flu you feel like you are dying

[@ArtemisNYC]

I love all of Dr. Mike's videos, but the ones that battle misinformation are among my favorites. So, so important! Also thank you to all the Physical Therapists everywhere! I've been blessed by good orthopedists, and they have never once suggested surgery for my various knee injuries. PT got me good as new, even after ACL and MCL sprains, torn menisci, and a patellar fracture.

[@cks2020693]

for my whole life, my family has done the "sweating it out" method as long as the fever is not above 101 for extended periods of time; and let me tell you it works wonders every single time, the duration of sickness is dramatically shortened, usually overnight, and the next day still feels a bit weak but the exhaustion and achiness are all gone. I introduced this to my wife when we met, and the same thing goes for her. However we get rediculed when we tell other people that's what we do, even though I'm a doctor myself and I explain to them how the immune system and viruses work.

[@josealegria1718]

For the common cold or flu, would you recommend simply sweating it out along with electrolyte supplementation and rest?

[@francisdec1615]

Just 101? I take nothing unless it's 40 Celsius or more, which happens to be exactly 104 F.

[@cks2020693]

@@francisdec1615 for most adults even 100.5 can feel like the whole body is turning inside out, your case is definitely unique and it's not safe for your body to be at that temperature for long time, it will kill healthy cells

[@bullymaguire632]

​@@josealegria1718wait a second there, common cold yes just let it be but if it's flu go to the hospital

[@PrograError]

@@bullymaguire632 question is how do you tell... they feel just the same and 'look' the same

[@maggiem6209]

See, I'm glad you talk about early or unnecessary surgery. I got a RSI in my hand and arm while going to art school. Many people in my position are told carpal tunnel surgery is the only fix. BUT IT'S NOT!! Physical therapy, rest, and safe stretching should be your first steps to fix non-carpal tunnel injuries.

[@steelsheen]

thank God there's another Doctor that's saying this about fevers 👏 👏 👏. I've come to this realization soon after my Pre-Med over 20 years ago and I've pretty much stopped taking anti-fever meds, even body pain meds for as long as I can bear it. fo as long as I can feel the symptoms I self-quarantine, once I feel totally normal again (and not a fake out due to the meds) that's when I go out to eh world, knowing a little bit better that I don't spread my sickness onto others.

[@MinimiMax]

I have always advocated for not lowering your fever and a few people look at me and think I'm crazy even when I explain to them that the fever is your body fighting whatever it is that infected your body. Glad to hear it from the mouth of a professional here.

[@lisa_vxng]

sameeee it's very crazy to hear this perspective from across the pond :D the solution is hydration and rest in most of those cases

[@jonesnori]

The fever thing isn't even new. I've been reading this same advice not to lower ordinary fevers for decades. Several decades. Medical inertia, yes, but in this case it's the home care inertia. I think most doctors are up to date on this one.

[@MinimiMax]

@@jonesnori I know it's not new. I learned it from my mother when I was a kid. But seems like majority of other people have never heard of such a thing.

[@jonesnori]

@MinimiMax Oh, I know! I was just being amazed that this sort of information can take so long to get to everyone.

[@soujiro8802]

It depends on the case for the fever it might be good for the one who can drink fluids at all while suffering from it but if your body can't move and you have failed from taking fluids this is where it gets dangerous you can die from dehydration.

[@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!

[@birgitmitchell5873]

When my mother had a hip replacement 40 years ago, she was put into a recovery home for 3 months, with lots of bed rest and slow controlled excercises. When I had my hip replacement 5 years ago I had a physiotherapist make me get out of bed the next morning. I was given some restrictions and excercises and sent home 3 days after the surgery. I was walking on crutches for about a week, one crutch a week later, a cane again a week later and walking pretty much back to normal (with some movement restrictions) a month later.

[@FreeWaves9]

Thank you Doctor Mike! I have had so many issues with accessing birth control, and for the reason you mentioned. Thank you so much for validating me, it means a lot and its so refreshing, especially from a male doctor.❤️

[@peri3818]

You seem to really care about getting accurate information out there and not just interested in what to say for ratings or subscribers. I appreciate that.

[@alightinthetent]

Love this video! Growing up with a mom as a Registered Nurse, she brought up these kinds of things often, which has given me a way of questioning modern medicine. The specific part about magnesium not helping leg cramps especially perked my ears. As someone that has suffered from nocturnal and daytime leg cramps, who is currently under treatment for Periodic Paralysis, and who has heard many in Periodic Paralysis support groups discuss treating cramps with magnesium, I’m super curious about the other potential causes of legs cramps and potential treatments.

[@daninaavery3532]

I have so many thoughts about this. I’m only at the first point and I love it!!! In my house we only take fever reducers if we feel absolutely miserable. When my kids have a fever under 101 they get TLC, not meds.

[@tyghe_bright]

About 20 years ago, someone told me she let her fevers burn and didn't take anything for them, because it helped kill the virus faster... and I thought it sounded nuts. But I looked it up and saw that she was right. Now, I rarely have a fever for more than a few hours. It does the job and then goes down on its own.

[@Endor2001]

Yes and no. If a temp gets too high, it will cause damage to you. If the fever is not crazy high, then yes, let the body work, but if it is higher than 103 to 104, then take something to lower it.

[@halatiny6537]

@@Endor2001are you a doctor. You don’t sound like one.

[@Endor2001]

@@halatiny6537 no I'm not, but i have my opinion based on my experiences. I do know for a fact, that if a fever is really high, if you don't bring it down a little, it will be bad for your overall health.

[@KatsuoAkimoto]

@@halatiny6537 you dont need to be a doctor you learn in school that proteins start to coagulate at 41 degress celsius and you body needs them for dna related stuff hence if you have a really high fever you will die because your dna cant work proprly anymore

[@DaSilverJoker]

​@@halatiny6537 I am, and the original comment is plain bad advice. In the vast majority of cases the benefits of letting a fever "burn" are statistically irrelevant or detrimental - the rare cases where it's really beneficial are easily found online nowadays so, through generalization, some people convinced themselves that preserving fevers is evidence-based medicine. The person in the original comment simply convinced themselves that the fever is the reason they are getting better, just like people convince themselves that antibiotics are the reason their self-limiting viral conditions got better.

[@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

[@Vezon1121]

My parents and grandparents also were against fever medication, I very vividly remember having a fever and my grandmother wrapping me in heavy quilts and bringing me cold OJ for a fever. It only lasted for the night!

[@Solslayer-nu4dr]

Fevers also traps bacteria or viruses in a evolution trap, because the bacteria or viruses reproduce to a point of evolving rapidly and evolve to be heat resistant but they won’t be able to infect others as well because others are colder than the person with a fever. Fever also helps the immune system identify the infected cells because the infected cell is being put on overtime than other cells.

[@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.

[@hnlafever1]

I used to work in an ophthalmology practice and part of the problem with needing preoperative clearance is driven by CMS standards. Though where I worked we only asked patients with existing heart conditions to do EKG. Otherwise there were a couple specific blood tests that we ordered and their GP just needed to see them in office and sign a clearance. CMS's standard for medical clearance revolves around the anesthesiology, requiring a clearance within 30 days of the procedure. So changes need to be made at the CMS level. But, part of the issue is also ophthalmologists being unwilling or too busy to do their own clearances and just passing it off to the GP, who then gets put in a position where they can't say no. Private practice ophthalmologists need do their own pre op clearances or hire a PA or NP (depending on the state) to do them and not pass the buck to already overworked and overbooked primary care doctors.

[@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?

[@slacklinesteve4893]

The issue some medical professionals confuse with flat feet is that they are concerned about the shape of the inner foot rather than the strength to support the forces through it. Orthotics can cause even more atrophy of the foot muscles and make the person reliant on them, when all they needed to do was strengthen their feet muscles instead.

[@rainbowsalt4568]

doctors requiring pelvic exams for stupid reasons NEEDS to be investigated.

[@kassandra158]

My 5 month old has had 2 upper respiratory infections, and only once did his pediatrician test to find out which one because he wasn't getting better with at home care after about 1-2 weeks. I'm perfectly OK with not giving my infant unnecessary tests.

[@marthahawkinson-michau9611]

In your case, I think the testing was warranted. Most respiratory infections clear up after about a week. If your child wasn’t getting better, the responsible thing to do is find out why. If the infection goes away after the normal timeframe, the extra testing is not beneficial though.

[@kassandra158]

@marthahawkinson-michau9611 for a normal case I'm fine with no tests, but with that one I was glad they tested to make sure he didn't have a serious infection, especially because he was so little at the time.

[@jeng.2117]

Thank you! This needs to be said! I've had numerous encounters with providers who weren't practicing evidence-based medicine. (One doctor even recommended an EKG for erroneous reasons, proceeded to interpret it wrong, and sent me to a cardiologist with a supposed heart abnormality. That was way too much time, money, and energy to confirm I was correct about my tachycardia being anxiety-related. After she googled my questions right in front of me and read me an article I'd already read, I switched primaries.)

[@annabees]

My partner and I are seriously allergic to several things and so our kid is at risk of allergies. I am so glad I saw a documentary on allergies saying just that, that early exposure helps not developing allergies. My daughter is just 5months and we will definitely feed her allergens as soon as possible. 😊

[@Snowshowslow]

Can I ask, do you have a plan for that? I have anaphylactic allergies too, and in fact my first anaphylactic shock was when my mother was introducing peanuts into my diet at around one year old. So I'm a little scared of what might happen to our daughter and I'm also not so happy to have the deadly allergens in my house 😬 I was thinking of having my partner feed her in the hospital cafeteria 😆

[@manastalksessions]

@@Snowshowslow I have several allergies and if you truly do also then you have an epipen correct? So that's your plan of action if needed. But 9/10 your child will be fine. Both of mine are! No epipen was needed.

[@Snowshowslow]

@@manastalksessions Yes I do, but that buys 15 minutes - it's not so much a plan as a fallback to my mind.

[@DBZHGWgamer]

​@@manastalksessionsgiving an EpiPen dosed for adults to a 6 month old seems like a terrible idea.

[@heartbeatofabook]

@@DBZHGWgamer Yes, I would discuss it with their pediatrician first since they already have so many allergies in the family. Maybe they can prescribe an age-apropriate epipen, just in case.

[@Darth_Insidious]

This is why I usually don't take medicine which suppresses my immune response when I'm mildly to moderately sick. I'll take medicine that helps get rid of an infection faster, or medicine to make me less contagious if I have to be out in public, but I can deal with a little discomfort if it means that the infection I'm fighting has less chance to replicate.